Nearly two months ago, I was honored to be a participant in the closing panel session at the mHealth Initiative’s 2nd mHealth Networking Conference in San Diego. I happened to record the audio of that session directly off the sound board. I present that recording here.
Other participants on the panel, which addressed hype vs. reality in mobile healthcare, were: C. Peter Waegemann, mHealth Initiative founder; John Mattison, M.D., CMIO of Kaiser Permanente; and Paulanne Balch, M.D., physician lead for KP Health Connect messaging.
You should know my gravelly, hesitating voice by now. The man with the German accent is Waegemann and the other male voice is Mattison's. Obviously, the female voice belongs to Balch, though mHealth Initiative President Claudia Tessier makes a couple of appearances.
Podcast details: Panel discussion from mHealth Initiative 2nd Networking Conference on hype vs. reality, featuring Neil Versel, Peter Waegemann, Paulanne Balch, M.D., and John Mattison, M.D. Recorded Sept. 9, 2010. MP3, stereo, 128 kbps, 77.6 MB, running time 1:21:26.
0:00 Intro (Waegemann)
0:45 Hype around untethered PHRs (Versel)
2:40 PHRs and projections for future (Mattison)
5:50 Why there’s hype (Versel)
7:15 Consumer perspective on connectivity (Balch)
8:15 “Mind-blowing” applications in m-health (Waegemann)
8:50 iPhone replacing the stethoscope (Versel)
9:45 M-health as the “horseless carriage” (Balch)
10:25 What problem m-health addresses and what’s missing (Mattison)
12:10 Power of text messaging (Versel)
12:55 Patients texting during exams (Balch)
13:35 Audience question: What’s next after m-health
13:55 M-health is an enabler (Waegemann)
15:15 Too much unfiltered information (Mattison)
16:55 Movement to a knowledge-based society (Waegemann)
18:00 Machine-data interactions, escalated to experts as needed (Mattison)
19:00 Vision of personalized shopping experiences to choose healthy food (Balch)
19:45 Evolution of information sharing in healthcare (Waegemann)
21:40 How computers have changed teaching to focus on heuristics (Mattison)
23:15 Understanding context (Versel)
24:10 How m-health will change health information management (Waegemann)
24:35 The evolution of transcription and HIM (Claudia Tessier)
26:30 Changes in how information is collected (Balch, Mattison)
27:30 What you can’t find on the Internet (Mattison)
28:15 Audience comment: The future will favor those who can integrate information
28:55 Different types of information processing (Mattison)
29:30 Audience question: Where does consumer trust come from in healthcare?
31:25 Loss of collegiality due to EHRs and text messaging (Mattison)
33:45 Trusted entities (Mattison)
35:40 Generational differences in trust of doctors (Versel)
37:40 Lessons from early adopters (Balch)
39:25 Migration away from direct social contact (Mattison)
41:00 Systems for patients to describe their conditions (Waegemann)
41:50 Clinical Document Architecture to handle structured and unstructured data (Mattison)
44:35 Gaming for better health (Balch/Mattison)
45:50 Audience question: How much leadership does Kaiser show in this area?
46:30 Aneesh Chopra’s visit to KP’s Garfield Center (Mattison)
48:20 Can other organizations close the digital divide? (Waegemann/Mattison)
49:45 Kaiser looking at open-source technology (Mattison)
50:25 Power of text messaging and social networking (Balch)
50:50 Encouraging healthy behavior through information (Waegemann)
51:40 Embracing basic mobile technologies (Versel)
53:25 Mobile is changing economics of healthcare (Mattison)
54:30 Consumers equating more care with better care (Versel)
55:30 Technology vs. cultural attitudes (Mattison)
56:15 Audience comment: Fee-for-service model needs to change
56:40 Kaiser vs. fee-for-service model (Mattison)
58:20 Audience question: What is boundary between health/fitness and clinical/therapeutic apps?
59:25 Standards for evidence-based medicine (Mattison)
1:02:15 Audience question: How do you accelerate cycle time for discovery?
1:02:35 EHR as an observational, enrollment and tracking tool (Mattison)
1:04:00 Consumers will drive app acceptance (Balch)
1:04:20 User interfaces (Waegemann)
1:04:55 No comment (Mattison)
1:05:10 Audience question: Will mobile widen digital divide between healthcare and “enemies” of population health?
1:07:05 Who is custodian of individual data? (Mattison)
1:08:20 Knowing consumer preferences (Balch)
1:08:40 Wish list for m-health (all panelists and some audience members)
1:20:10 “Journey” of mobile health (Waegemann)</span>