How would the Born Mobile redesign Medicine

How would the Born Mobile redesign Medicine?
How would the Born Mobile
redesign Medicine?
29 March 2018

David Doherty
CoFounder, 3GDoctor.com
david_doherty@3GDoctor.com
University College Dublin
School of Medicine & Medical Science
Thursday 29th
March 2018

For a copy of these slides & video recording
of this talk please visit

twitter.com/mHealth
#mHealth

David Doherty
CoFounder, 3GDoctor
about.me/mHealth
Documented Mobile Video
Consultations with registered
Doctors 24x7
Launched in 2006
http://twitter.com/mHealth

http://3GDoctor.com

https://www.hisi.ie/hisi/certification/mhealth

Why are they
asking me?
Why do I
feel such a
fraud?
Is this
wrong or
unethical?
Why couldn't
they do this
themselves?
Why aren't
they allowed
in the
library?
How is this
basic info
so helpful?
Why aren't we
being taught
to do this?
Why don't
Doctors use
the internet?
Imagine if
we started
with info?

What Mobile do you have?

My first experience using a computer

What was your first experience using a computer?

What was your first productive use of a computer?

My first productive use of a computer

Anyone ever used an ECG machine?

You'll never forget your first ECG machine

Imagine how intuitive this was to use?

Introducing the world's fastest selling, smallest
& easiest to use ECG machine...

Open the app. Apply contact
and describe any symptoms out loud.

A clinically validated ECG can now be
recorded & shared with just your watch...

Imagine your first productive use of a computer was
recording & sharing an ECG?

Back to the future with Google Glass?

Why have Horse Trainers deployed tech that
Cardiologists could only dream of?

http://HyperLoop.com
Predictive value of ECG for reAdmission
of NHS Patients in 2018

ECG + Machine Learning
= Dialysis Management

Ever seen a printed iPad manual?

What does the future hold for the Born Mobile generation?

This is their Pong

Can anyone here imagine the future?

http://wikipedia.com
What is mHealth?


“The mHealth field has emerged
as a subsegment of eHealth”
What is mHealth?

What is eHealth?


“Healthcare Practice using
the Internet”
What is eHealth?

eHealth ceases to be interesting as soon as you're asked to
pay for it and/or work out how to use an iPhone
http://dummies.com/howto/consumerelectronics/iPhone.html


“mHealth is the use of
the newest Mass Media
for Health”

http://mHealthInsight.com/2010/01/11/ http://Twitter.com/TomiAhonen/
m is for Mobile: the newest mass mediam is for Mobile: the newest mass media

1st – mobile is personal
2nd – mobile is permanently carried
3rd – mobile is always on
4th – mobile has a builtin payment channel
5th – mobile is available at the point of creative impulse
6th – mobile is most accurate at measuring its audience
7th – only mobile can capture the social context of consumption
8th – only mobile can offer augmented reality
http://mHealthInsight.com/2010/01/11/ http://Twitter.com/TomiAhonen/
Unique attributes of Mobile
(the newest Mass Media)

There are
Landline phones
1.1B
TomiAhonen.com Mobile Industry Almanac
Mobile isn't a subset of the Internet

There are
PCs
(desktops+laptops
+netbooks+tablet PCs)
1.5B

There are
TVs
2B

There are
mobile subscriptions
7.1B

68%
Say they check their phone
within 15 mins of waking up
Google Consumer Surveys Aug 2015 n=729

We check our mobiles
a day
150
Kleiner Perkins C&B Internet Trends Report 2013

>>>
http://MobileMoneyRevolution.co.uk

We check our mobiles
a day
http://mHealthInsight.com/2015/04/11/
Mobile has made it cheaper to distribute
Quality Health Information than Water

http://mhealthinsight.com/2010/03/22/
20002010: The Nokia Decade

20102020: The mHealth Decade

https://mhealthinsight.com/2015/03/16/
Will Apple define this decade by making iPhone
synonmous with mHealth

We have a global opportunity
for Medics to go Mobile First

It's time to go Mobile First

Try to imagine how the BornMobile Generation
would redesign Medical Tech

http://twitter.com/UnderStudyPanc/

“I just made that number up
to stop Mum worrying”
http://twitter.com/UnderStudyPanc/

Seamlessly embedding connectivity
reduces complexity

“...we see mHealth as one of the tools in fighting the spread of
diabetes & making the lives of people with diabetes better.
The key however is really ensuring that mHealth is embedded
within healthcare programmes. It’s not an optional
add on extra but it’s part of how we do good
healthcare with people who have diabetes...”
Petra Wilson, CEO
International Diabetes Federation
http://YouTube.com/watch?v=tocZ7s4F8nA

The BornMobile Generation presume
Mummy can Facetime the GP

http://www.newsmedical.net/news/20160418/HowwillIoTimpacthealthcareAninterviewwithDavidDoherty.aspx
The Internet is no longer
something that we click on

Google “Dominos Pizza Easy Order”
Convenience is a
new measure of Quality

http://TelCare.com
Mobile is transforming the Internet
into a Network of Devices

http://TelCare.com
Into what Things will Medics
want to embed Connectivity?

Isn't mHealth just a part of
Digital Health?

http://twitter.com/TomiAhonen
“When Digital Technologies Converge
they converge to Mobile”

http://www.withings.com/eu/en/products/smartbodyanalyzer/

http://www.withings.com/us/withingsaura.html

http://www.resmed.com/us/en/consumer/splus.html

http://www.digisight.net/digisight/paxosscope.php

http://www.deyecare.com

http://11Health.com

http://Starkey.com/hearingaids/technologies/halowirelesshearingaids/

http://www.moocall.com/

Have you noticed how the screen is
always pointed at the wrong person?

http://mhealthinsight.com/2015/09/04

A Mobile First approach automatically
fixes the biggest eHealth challenges

A Mobile First approach automatically
fixes the biggest eHealth challenges

The Born Mobile can't believe
Patients NEVER had access to the
data now shared with criminals

https://mhealthinsight.com/2015/09/04/carerfindsherdogscareisbeingmoreefficientlydocumentedthanherdaughters/
Vets have been productively using electronic
Health Records for 10+ years

http://mhealthinsight.com/2015/09/04
The HSE & NHS waste £Bs on innovation
because spend is directed by Politics

Mobile First Kaiser Permanente:
Zero to a Million in 1 Month

We're not documenting
Medicine.

We're documenting
how money is spent on medicine.

We're intensifying treatment by default
because no one is financially incentivised
to ask what does this Patient really need?
Guess who sponsors the annual
Overdiagnosis Conference?

We're quick to complain about misinformation
but theres' no rush to share basic information

Our colleagues need our support

eHealth Ireland: 800M being spent on tech€
that's obsolete before the ink dried

The NHS even tried to print an AppStore

https://mhealthinsight.com/2013/02/25/digitalhealthexperiencecomic/

The Born Mobile Generation
Never been lost
Always connected (grounded is now wifipasswordchanged)
Always expect knowledge in their pocket.
Expect an App for that
Think 80% of things can be done from typing “How to” into YouTube

Do we need Medical School Application forms
or Machine Learning?

https://mhealthinsight.com/2015/09/22/bornmobile/

Music wasn't a Mobile Experience
for me growing up.

Photography wasn't a Mobile Experience
for me growing up.

Imagine Healthcare was a Mobile Experience.

How long before we drop the 'Health' in 'mHealth'?

http://apple.com/researchkit/

American Academy of Opthalmology has
rebranded to emulate the style of Apple

Your Medical School is failing you
if they haven't adopted Mobile Tools

The future of surgery?

https://mhealthinsight.com/2016/06/22/amaceocallsoutmhealthappsassnakeoil/
Postive change can be hard to appreciate if you
are preoccupied with why it doesn't suit you

https://mhealthinsight.com/2016/06/22/amaceocallsoutmhealthappsassnakeoil/
It's easier to describe existings jobs disappearing
than to imagine ones that haven't yet appeared

In 2018 you fail the mRCGP exam
if you're in possession of a Mobile

Yet a Child wouldn't believe a Doctor
would be allowed to practice
without a connected Mobile
loaded with the latest content.

Which Medical School Dean will be first to
require Students to use their iPhone
in their exams?

How would @ElonMusk redesign Medical School?

Q. Biggest existential threat to humanity?
A. Machine Learning

But is the solution really regulation?

Can commmunities offer us more than regulations?

http://mHealthInsight.com
The Future of Technology is Mobile
& the almost limitless future of Medicine
is already in your Pocket

   @mHealth
mHealth Insight.com
Thank you!
http://about.me/mHealth/   http://twitter.com/mHealth   http:///mHealthInsight.com

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