The Fed mHealth Collaborative

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The Fed mHealth Collaborative

• Miryam C. Gerdine, MPH
• Public Health Analyst
• US Department of Health Human Services
• Health Resources and Services Administration
• Office of Health Information Technology and
  Quality

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What is mHealth?

• mhealth is the use of mobile and wireless devices
  to improve health outcomes, healthcare services
  and health research. -This definition was
  developed by a NIH Consensus group

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Source Pricewaterhouse Cooper HRI Study, 2010,
http//apps4android.org/hhc/New_business_models_de
livering_care_anywhere_chart_pack.pdf
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Latinos and Cell Phone Activities
Latinos and Cell Phone Activities who use a cell phone to Latinos and Cell Phone Activities who use a cell phone to Latinos and Cell Phone Activities who use a cell phone to Latinos and Cell Phone Activities who use a cell phone to Latinos and Cell Phone Activities who use a cell phone to Latinos and Cell Phone Activities who use a cell phone to Latinos and Cell Phone Activities who use a cell phone to
ALL Respondents ALL Respondents ALL Respondents Cell Phone owners Cell Phone owners Cell Phone owners
Hispanics Whites Blacks Hispanics Whites Blacks
Access to any non-voice application 58 64 63 77 75 79
Access to the internet 31 29 41 40 34 51
Send/receive emails 27 26 33 36 31 41
Send/receive text messages 55 61 61 72 72 77
Send/receive instant messages 34 20 35 45 24 44
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Federal mHealth Collaborative

• Purpose
• Information sharing http//www.hrsa.gov/healthit/m
  health.html
• Learning forum
• Opportunities for collaboration
• Discuss recent federal activities in mhealth
• Outline opportunities for collaboration
• Presentations on mhealth projects and activities

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Federal mhealth Collaborative

• Listserv currently gt 90 members
• Representation from many HHS Entities
• AHRQ IHS
• CDC NIH
• CMS ONC
• FDA SAMHSA
• HRSA
• Representation from Other Federal Agencies
• White House Office of Science and Technology
  Policy (OSTP)
• Federal Communications Commission (FCC)
• National Institute for Standards Technology
  (NIST)
• Dept of Defense (DoD)
• Dept of Veterans Affairs (VA)
•  

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Federal mhealth Collaborative

• Examples of Past Presentations
• Texting programs in New Zealand
• Texting programs in Africa
• Promotion of text4baby
• FDA proposed guidance on regulating mobile health
• iTriage- locate nearest healthcare provider
  /schedule appointments/ identify health service
  needs
• Text2quit- smoking cessation for adolescents
• Beacon Communities- diabetes patient activation
  campaign
•  

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• Webinar on mhealth evidence workshop
  http//videocast.nih.gov/PastEvents.asp  
• Tuesday, August 16, 2011Robert Wood Johnson
  Foundation, McKesson Foundation, National Science
  Foundation and the NIHMobile health (mHealth)
  has the potential to simultaneously reduce the
  cost of health care and improve our health by
  encouraging healthy behaviors, providing
  continuous monitoring to prevent or reduce health
  problems, reducing acute health care visits, and
  providing personalized, real-time intervention in
  the mobile environment. However, traditional
  methods of evaluation needed to address efficacy
  and safety in mHealth are not well aligned to the
  pace of technological development.

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HHS mHealth Communities of Practice (CoP)

• First meeting September 30, 2011.
• Purpose is to share and leverage mHealth
  knowledge across HHS and to serve as a resource
  to HHS Leadership.
• Theres a key interest in a focus on evaluation
  of HHS mhealth programs.
• No presentations.
• Lots of interest, not everyone was able to login
  in not enough lines.

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Text4Health Workgroup

• Convened November 2010 by Secretary Sebelius
• Chaired by Todd Park, Chief Technology Officer
• Representatives
• Administration for Children Families
• Assistant Secretary for Administration
• Assistant Secretary for Planning Evaluation
• Assistant Secretary for Preparedness Response
• Centers for Disease Control Prevention
• Centers for Medicare Medicaid Services
• Food Drug Administration
• Health Resources Services Administration
• Indian Health Service
• National Institutes of Health
• Office of Civil Rights
• Office on Womens Health
• Substance Abuse and Mental Health Administration

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FDA Draft Guidance
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Smoking Cessation
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Reflections on mhealth in US
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Diabetes Patient Activation using mhealth
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Goal 1 Promote Text4Baby

• Text4baby is the largest mhealth program in the
  US to date. It is a free text messaging service,
  in English and Spanish, that provides pregnant
  women and new moms with information to help them
  care for their health and give their babies the
  best possible start in life.

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National Launch February 4th, 2010
Text4baby is the first free mobile health
service to be taken to scale in the United
States We know that mobile phones hold
tremendous potential to inform and empower
individuals. Text4baby represents an
extraordinary opportunity to expand the way we
use our phones, to demonstrate the potential of
mobile health technology, and make a real
difference for moms and babies across the
country.
U.S. Chief Technology Officer Aneesh Chopra
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Public-Private Partnerships
Content Advisory
US Government
Program Coordination
Marketing Agency
Platform Service
Sponsors
SMS Gateway
Outreach Partners
Mobile Operators
State Local Health Departments National
Associations Health Plans Provider
Networks Community Health Orgs. Retail
Partners Media Partners
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Outreach Partners At-a-Glance

• National non-profits
• State Government Agencies
• County City Health Departments
• State Nonprofits
• Federally Qualified Health Centers
• Colleges and Universities
• Local Nonprofits
• Healthy Start Programs Coalitions
• Head Start Programs
• Health plans
• Hospitals, Health Delivery Networks, and Clinics
• Pharmacies
• Health Services Management Companies
• Businesses
• Media

Over 500 signed partners plus hundreds more
without MOU
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Text4Health Workgroup

• Secondary Goal Identify new public health
  programs that can leverage mobile health
  technology
• Smoking Cessation
• Heart Disease
• Healthy Behaviors (e.g. healthy weight)
• Library of emergency messages

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3rd mHealth Summit is Dec 5-7

• http//www.mhealthsummit.org/
• Track 1  Chronic Disease Management Research
•  Cardiovascular Disease Management
• HIV
• Medication Adherence
• Diabetes Management
• Cancer Treatment and Management
•  Track 2  Preventive Health Research
•  Maternal and Child Health
• Obesity, Diet, and Physical Activity
• Smoking and Alcohol Use
• Maternal and Child Health -- Focus on Africa
• Department of Defense mCARE
•  Track 3  Research and Diagnostic Tools
•  Population Surveillance and Emergency Response
• Research and Diagnostic Tools
• NIH Gene, Environment, and Health Initiative
  (GEI)
• Research and Diagnostic Tools -- Focus on
  Function
• mHealth Evidence Workshop Report

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Other resources

• 2012 Theme e-Health Special Call for Papers
• Submission Deadline March 2, 2012
• ?The M-Enabling Summit will offer an opportunity
  for mHealth Summit participants to experience the
  latest innovations in the field of accessible and
  assistive mobile solutions for seniors and
  persons with disabilities, a critical requirement
  for all mobile health applications and services,?
  said Richard Scarfo, Director of the mHealth
  Summit and Director of Strategic Alliances at the
  Foundation for the NIH.
• http//mhealthsummit.org/pdf/press/M-Enabling_Co-L
  oc
• ates_mHealthSummit.PDF

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Questions?

• mgerdine_at_hrsa.gov
• www.hrsa.gov/healthit