This morning CTIA hosted the “mHealth Solutions and Policy Forum” at the Capitol Visitor Center in Washington, D.C., where officials from the White House, Congress, and CDC, along with policy and medical experts talked about how wireless is a major part of the solution when it comes to addressing America’s chronic care crisis.
Some of the speakers from this morning’s impressive line-up included U.S. Representative Adam Smith (D-WA-9, Member of 21st Century Health Care Caucus), Chief Medical Officer of the West Wireless Health Institute and Chief Academic Officer for Scripps Health Dr. Eric Topol and the White House Office of Science and Technology Policy’s Dr. Dan Fletcher.
The key point that was reiterated throughout the morning was that the mobile wireless services you use everyday can also be used to improve your personal health. Since mobile wireless services are a part of daily life for more than 270 million Americans (and 4.1 billion individuals worldwide), there is an incredible opportunity to improve the healthcare industry across the board regardless of geographic location, race, age, gender or disability. Considering healthcare spending in America is at $2.2 trillion each year, an all-time high, today’s speakers agreed that mHealth solutions play an important role in healthcare reform.
Another key point was that the mHealth discussion isn’t just "pie-in-the-sky" but actually used in real-life right now. In fact, several of our speakers have applied existing, commonly used mobile applications to address a variety of chronic care and other health conditions.
- Dan Fletcher, PhD; White House Office of Science and Technology Policy – oversaw the development of the CellScope, a cameraphone-microscope. The device takes focused pictures at up to 50x magnification, enough to see red blood cells and the Plasmodium parasite that causes malaria. Modified versions of the scope can also diagnose tuberculosis, skin conditions, dangerous insect bites and abnormal mole growth
- Jonathan Javitt, M.D., MPH; CEO, Telcare – helped develop the Telcheck™, a glucose meter which transmits daily glucose readings to a patient’s caregiver (e.g. physician, nurse/case manager or pharmacist) and relays daily coaching to the patient. It may also be used to link a child with diabetes to a parent or an elderly parent with diabetes to an adult child. In addition, Telcare will launch the Telflo™ wireless peak flow meter for asthma which combines monitoring technology with wireless communications. Physicians and parents will be alerted when a child falls below respiratory flow safe levels or when a child stops testing in the prescribed manner.
- Justin Sims; CEO, Voxiva – Voxiva’s mHealth applications include appointment reminders, sent via SMS (text), email or phone. Reminders can be two-way so patients can either confirm or cancel their appointments. They also offer “daily diaries,” a personal record to keep track of treatments which can be accessed through the phone, text messages or through a web interface to review or to share with others.
- Richard J. Katz, M.D.; Director, Division of Cardiology and Director, Cheney Cardiovascular Institute, The George Washington University Hospital – principle investigator for a trial using the “Pill Phone” to improve medication adherence of hypertensive medications in a Medicaid population. He is also principle investigator for “DC Health Connect,” a cell phone program to manage diabetes and hypertension in Washington, DC health clinics.
- Jay Bernhardt, M.D.; Director, Center for National Health Marketing, Centers for Disease Control (CDC) – currently using emerging mobile technologies to increase the dissemination and potential impact of CDC’s science by reaching wider and more diverse audiences, and tailoring specific health messages to meet unique challenges, such as the response to H1N1 and natural disasters such as hurricanes. The CDC is using mobile technology to facilitate interactive communication and community - thereby empowering people to make healthier and safer decisions.
Other benefits of wireless health discussed at today’s Forum include:
- Out of the $2.2 trillion we spend on healthcare, $1.4 trillion is spent on treating chronic diseases such as congestive heart failure, diabetes and chronic obstructive pulmonary disease. If patients suffering from chronic conditions agreed to have their doctor monitor them remotely via mobile wireless applications, (i.e. monitor patients’ health and track and guide self-care beyond the doctors’ offices), we would save $21.1 billion per year by reducing emergency care, hospitalization and nursing home costs.
- Remote monitoring allows the millions of Americans living in rural areas to visit the best doctors’ offices in the country, eliminating healthcare disparities based on geographic location and economic disparities.
- Healthcare becomes more personal and individualized which means reduction in medical errors, improvements in preventive healthcare and improvements in the medical community’s ability to resolve epidemics
- With the H1N1 (aka swine flu) now being declared a level 6 (meaning a global epidemic is underway), wireless can help to identify and monitor breakouts in areas that may otherwise be undercounted/underreported. This is certainly beneficial for rural areas in the U.S. and also internationally.