1. Framing Lessons Learned in mHealth Examples of Issue Categories mHealth Working Group 4-26-12

2. Unintended Consequences of Computerized Provider Order Entry More / New Work Workflow Issues Never Ending Technology Demands Paper Persistence Changes in communication patterns Emotions New Kinds of Errors Changes in the Power Structure Overdependence on Technology Ash, Joan, et al. The Unintended Consequences of Computerized Provider Order Entry: Findings From a Mixed Methods Exploration. Int J Med Inform. 2009 April; 78(Suppl 1): S69–S76.

3. Organizational Aspects of Health Informatics Organizational readiness Design issues Project planning and management Acceptance Leadership and politics Personal stress Evaluation Lorenzi N, Riley R. Managing Technological Change- Organizational Aspects of Health Informatics. Nashville: Springer; 2003.

4. World Bank- Design/Implementation Issues and Factors for Success in ICT Quality of design of ICT Narrow technological approach to ICT Not implemented as planned, required modifications Coordination of IT initiatives and investment Strong government implementation capacity Government commitment to ICT Implementation capacity Strong and effective management Change management ICT procurement IEG (Independent Evaluation Group). 2011. Capturing Technology for Development: An Evaluation of World Bank Group Activities in Information and Communication Technologies. Washington, DC: Independent Evaluation Group, The World Bank Group.

5. WHO Global Observatory mHealth Barriers Priorities Knowledge Policy Legal Cost effectiveness Operation costs Demand Technical expertise Infrastructure WHO. mHealth: new horizons for health through mobile technologies: second global survey on eHealth. Global Observatory for eHealth series - Volume 3. ISBN 978 92 4 156425 0

6. Proposed Categories for mHealth Design process Integration of technology with traditional program Interoperability ICT infrastructure/technology/software Usability Privacy & security Training/staff capacity Program management Evidence/monitoring & evaluation Policy Scalability Lack of coordination Partnership – with health organizations, with IT organizations Sustainability (business and funder, local capacity and ownership) Public private partnerships Other __________________

7. Suggestions and questions? Kelly Keisling keisling.kelly@gmail.com Laura Raneylraney@fhi360.org