UCSF mHealth Projects

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Dec 10, 2013 (3 years and 6 months ago)

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UCSF
mHealth

Projects

June 15, 2011

mHealth@UCSF

The
mHealth

projects fall into four broad categories:


Architecture &
Framework

Reusable tools
which
decrease the time and cost of implementing
projects


Health

Research and Clinical programs for patients and clinicians


Learning

Educational programs for patients
, staff, students,
clinicians, and the
public


Business

Automate and
streamline
business
processes for staff and clinicians



2

3

Architecture & Framework


Reusable tools
that decrease
the time and cost of implementing
projects

4

UCSF mHealth Mobile Framework


Client device platforms include
J2ME, iOS, and Android.


Runs entirely on the mobile
device.


Provides mobile software
services such as alerts,
reminders, metrics, gaming,
network communication, etc..
Specifically for healthcare
mobile applications


Accelerates the construction of
mobile solutions.


Most UCSF mHealth mobile
solutions are based on this
framework.


Supports data integration with
Salesforce and other backend
clinical/patient systems.


Status: deployed.

wStack Mobile Framework

5


Core engine component of the
UCSF mHealth Mobile
Framework.


Client device platforms include
J2ME, iOS, and Android.


Runs entirely on the mobile
device.


Framework for rendering paper
-
based clinical protocols and
complete care plans on mobile
devices.


Research framework for
patient
-
facing mobile
applications.


Intended to be open sourced.


Status: deployed.

OpenmHealth.org Mobile
Framework

6


Industry
-
wide effort to deliver
open source software for the
effective construction of
mHealth mobile solutions.


Represents the entire software
stack from the mobile device to
the backend servers.


The mHealth Group is driving
the mobile
-
based software
portion of the framework.


Direct collaboration between
UCSF and the UCLA Sensor
Group.


Status: deployed.

UCSF Companion

7


Dynamic platform for delivering
mobile applications directly to a
patient.


Mobile application which follows
the patient during their entire
life.


Contains and maintains the
patient’s health record.


Implemented using the UCSF
mHealth Mobile Framework.


Collection of applications
geared specially towards the
patient.


Application list can be managed
remotely by the care provider.


Example of new research
directions in managing patient
well
-
being.


Status: proof
-
of
-
concept.

8

mHealth


Research and Clinical Programs

9


UCSF School of Nursing RO1
grant.


Mobile implementation of the
American Heart Association’s
Choose to Move


Participants keep a daily diary
on a Motorola Razr phone,
including the number of steps
they walked.


Research into patient behavior
intervention and patient
behavior modification.


Includes videos, SMS daily
reminders, daily time
-
based
encouragements, and
graphical tracking of efforts.


Status: completed.


10

Health
-
E You


Department of Pediatric


Adolescent Medicine grant
proposal.


iPad replacement of a kiosk
application sponsored by the
California Family Health Council


Health
-
E You allows young
women to self
-
screen for
chlamydia testing while at a
clinic.


iPads are distributed to clinic
waiting rooms.


Data logged to secure data
servers hosted by ISU.


Uses videos to share
experiences with previous
women.


The data is securely shared with
the originating clinic.


Status: completed.

11

Athena
iPad


iPad

interface


Clinician preps the app by
selecting the right survey for the
patient.


Patient completes survey and
returns
iPad

to the clinician.


Clinician reviews results with
patient and securely uploads
data for integration with
Athena’s data server at UCI.


Status: completed.

12

Stop Smoking


iOS implementation of Ricardo
Munoz’s
Taking Control of
your Life

smoking cessation
program


Users track cigarettes, mood,
and healthy activities to
support a behavioral
intervention rooted in cognitive
behavioral therapy and years
of research


With the users’ permission, the
application reports anonymous
usage to a secure database
server hosted by ISU


With users’ permission, the
application logs anonymous
analytics data to ISU’s Google
Analytics.


Status: completed. Available
from the Apple App store.

Remote Patient Monitoring using Medical
Devices

13


UCSF Pediatrics Device
Consortium grant proposal.


Android phone
communicates directly with
a pediatric medical device
using Bluetooth.


Phone guides the patient on
the management of the
medical device.


Patient enters events
through the phone such as
pain, discomfort, medical
device usage.


With FDA guidance,
customize reporting to
create FDA
-
approved
documentation for safety
and efficacy monitoring.


Status: in development.

Depression Management Exercises

14


Depression management using
UCSF established exercises
from the Department of
Psychiatry.


Use of pictures, video, patient
preferences.


Implemented using the UCSF
mHealth Mobile Framework.


Example of developing patient
-
centric and patient
-
specific
mobile applications.


Driven by clinical pathway
derived specifically for the
patient.


Status: proof
-
of
-
concept.

SMS Messaging Depression
Management

15


Depression management using
UCSF established exercises
from the Department of
Psychiatry.


Implemented using the UCSF
mHealth Mobile Framework.


Patient exchanges SMS
messages with their mobile
device “virtual care provider”.


Application learns and evolves
its conversational abilities.


Example of new research
directions in behavior
modification using innovative
user interfaces.


Status: proof
-
of
-
concept.

16

Oral Cancer Screening


UCSF Department of Oral and
Maxillofacial Surgery grant
proposal.


Android phone with
an attached
dental camera

to take pictures
of a patient’s oral cavity.


Used by trained volunteers,
trained clinicians, and trained
dentists.


Reduces the need to have a
cancer specialist at the time of
screening.


Phone transmits the images to
a clinical database.


Cancer specialist examines the
photos and replies to the
technician for further patient
treatment.


Status: in development.

17

Cancer
Treatment Summary


As recommended by the
American Society of Clinical
Oncology, all cancer survivors
should carry a record of their
diagnosis and treatment history


Cancer survivors enter
summary information about
their cancer diagnosis and
treatment


Users may email the record to
their primary care physician,
family members, and other
individuals whom they


Application logs anonymous,
non
-
PHI analytics and
application usage data


Status: In development.

18

Mood Monitor


Dynamic iOS tool designed to
allow users to track their mood
on scales they set themselves


Users set end points mood
visual analog scales and alert
frequency


Over time, Application modifies
scales and alert frequency
based on actual usage and
algorithms to maximize
engagement


With the users’ permission, the
application reports anonymous
usage to Salesforce


Application logs anonymous
analytics data to Urchin


Status: in development.

miAmigo Type 2 Diabetes

19


UCSF Department of Medicine
grant proposal.


J2ME
-
based mobile device
monitoring of Type 2 diabetics.


Participants are surveyed daily
using demographics
-
based
questions.


Survey results analyzed on
-
board the mobile device with
immediate recommendations
based on research algorithm.


Provides information on local
farmer markets for better
eating habits.


Research into patient behavior
intervention and patient
behavior modification.


Status: proof
-
of
-
concept.


20

Contraceptives Refill Reminders


A participant signs up
for reminders either at
a clinic or on
-
line.


The request is stored
securely in UCSF’s
data center


When reminders are
due, UCSF sends
SMS messages to the
participant’s phone


Status: in
development.

21

mLearning


Deliver content to students, patients, staff, and clinicians

22


iOS implementation of the
California Poison Control
Center’s popular web game,
Pills vs. Candy
.


Users attempt to identify pills,
medicine, vitamins, and
poison from candy.


Anonymous usage data
logged in Google Analytics.


Users may post their scores
to Twitter and Facebook.


Status: completed. Available
from the Apple App Store.

23

UCSF Mobile


Public application, native on
iOS

and Android


Contains the UCSF Directory,
shuttle schedule, maps, and more


Integrates with the Library’s
catalog


Powered by Blackboard Mobile


Status: beta testing

24

Business


Automate and streamline business processes

25

California Department of Public Health

2011 Medical Record Review


The MRR iPad solution allows
CDPH medical record abstractors
to review medical records at
diverse clinics around the state,
report their findings, and
communicate with the program
administrators in Sacramento


Administrators record scheduled
site visits and randomly selected
medical records


UCSF pulls the data and
selectively transmits it to each
Abstractor as needed


Abstractors use the MRR to
record their findings, which are
transmitted back to CDPH


Status: in development.

26

Emergency Preparedness


iPad

version of UCSF Medical
Center’s Emergency
Operations Plan and
associated documents, forms,
and plans


Integrated push strategy: when
updates are made to
Sharepoint
, they are
propagated to the mobile app


Native app caches content so it
remains available during an
emergency


Status: in development.

Pipeline Projects

27

mHealth

Diabetes IVR

CKD IVR

Peyronie’s

Assessment

MOST v2

Urinary Incontinence Screener

Pain Management

SMS for Health

NIHL Intervention

Saving Lives at Birth

Breast Cancer Survivorship

UNICEF Childhood Illness
Protocol

Skin Anomaly
Tracking

Pediatric Cancer Nausea

mLeanring

Mad as a Hatter

Anatomy Labs

Curated PubMed

Home Care Flashcards


Business

Patient Intake Forms

Informatics Discharge Tracking

MDM Implementation

Run Safe Online


Governance and Oversight


IT Governance Committee


mHealth
reports to the
Mobile,
Media, and Web Working Group

of UCSF’s Committee on
Technology and Architecture, which reports to the IT Steering
Committee


SMS Taskforce


Charged with documenting UCSF security
and compliance issues, vendor selection criteria, and
developing industry partnerships for SMS/texting programs


mHealth Brown Bags


Cross
-
functional group of UCSF
faculty and staff devoted to mHealth innovation and
collaboration


Business Development Officer


Full
-
time position in CTSI
charged with developing UCSF strategy to deliver and monetize
mHealth programs

28

UCSF mHealth Team

Highly experienced team in medical, Silicon Valley software
startups, and advanced technology.


Opinder Bawa


CTO. Twenty five years in the software
industry, eight years in medical. Companies include Boston
Medical Center, 3COM, and SCO.


Jeff Jorgenson


Assistant Director. Twenty five years in the
software industry including Apple, 3COM, and ASK.


Tom Manley


Project Manager. Fifteen years in the software
industry including ten years in medical at UCSF.


Melwin Yen


Lead Developer. Ten years in the software
industry including two years in medical. Companies include
Booz Allen (NASA projects) and InnoDepot.


Larry Suarez


Architect. Twenty five years in the software
industry including ten years in medical. Companies include
Sybase, Teradata, Commerce One, and Restech (medical
devices).

29

Contact:


Jeff Jorgenson
(Jeff.Jorgenson@ucsf.edu)


Opinder Bawa
(Opinder.Bawa@ucsf.edu)