The Illinois Mobile Healthcare Forum

1
The Illinois Mobile Healthcare Forum
Bewitched, Bothered Bewildered Measuring
Mobile Health Outcomes
Anthony Vavasis, M.D. Clinical Director Health
Outreach to Teens Program New York, New
York Advisory Board Chair The Mobile Health
Clinics Network
2
Statement of Problem

• What do we mean by Outcomes?
• Which should we measure?
• How do we measure them?

3

• D.S. is a 21 year old transgender female who
  lives on the street and is addicted to heroin and
  Xanax. She knows that she has hepatitis C but
  has never tested for HIV. She routinely shares
  needles with her boyfriend. She requests hormone
  prescriptions from your mobile health program.

4
What do we mean by Outcomes?

• Specific to mobile health?
• Specific to target population?
• What benchmarks?

5
Which Outcomes?

• Screening?
• Prevention?
• Treatment?
• All of the above?

6
How do we measure them?

• Which staff?
• What manner of record keeping?
• Who analyzes the data?
• How is the data analyzed?

7
MHCNs first attempt

• National Mobile Field Survey
• Internet-based
• 20 minutes to complete
• gt1500 sent, 50 responses

8
Learning from this attempt

• Mobile Programs limitations
• Incomplete data or no data
• Not enough time or staff
• Lack of uniformity of data

9
The Outcomes Assessment Calculator Project

• Collaboration between MHCN and The Family
  Van/Harvard Medical School
• Internet-based Calculator
• Useful to individual mobile Programs

10
Types of Outcomes

• Simple comparison to national prevention data
• Complex
• Clinically Preventable Burden
• Return on Investment

11
Appeal to Programs

• Analyze efficacy
• Sustain or enhance funding
• Establish benchmarks

12
Power of Outcomes

• Describe Mobile Health
• Unify Mobile Programs
• Establish standards
• Legitimize Mobile Health broadly