Will the “revolution” come from mHealth or EMR?

By: Brian Dolan | May 6, 2009        

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Brian DolanComputerworld recently published a skeptical overview of the wireless medical applications that various hospital groups are adopting. The article included some interesting scoops: CardioNet competitor LifeWatch had about 35,000 patients hooked up to its mobile phone-based heart arrhythmia monitor in 2007 and just 120,000 users now; Methodist Healthcare System is rolling out AirStrip Technologies LP’s AirStrip OB mobile application, which sends fetal monitoring data to obstetricians.

That said, it ended with a disappointing conclusion from Gartner analyst Wes Rischel.

First, Rischel threw cold water on wireless health applications by pointing to the tepid uptake of RFID tracking for medical devices. Sure, they both use some form of wireless technology, but how does RFID’s uptake relate to the potential of a wireless blood pressure cuff or connected blood glucose monitor? It doesn’t. 

Next, Rischel said that technologies like the heart sensor patch that Dr. Eric Topol demonstrated at the CTIA conference are “incremental advances.” “The real revolution in health care IT, Rischel said, will likely come from something else: increased deployments of electronic medical records systems and the resulting improvements in data-sharing among organizations.” 

The federal government’s effort to encourage all physicians and hospital groups to deploy electronic medical records (EMRs) may one day come to fruition. I’m in the camp that believes it will. While the challenges for EMR interoperability are staggering, the end result will correct a massive problem of inefficiency. And it’s a long overdue correction.

From a patient’s perspective, though, enabling different hospitals and clinics to share medical records is far from “revolutionary”. In fact, it’s more outrageous that the industry is still unable to do it fluidly. Sure, it will lead to better care for patients since all of their caretakers should have access to the same information leading to fewer repeated tests, fewer mistakes should follow and so on. That’s still just correcting problems, though. 

The healthcare revolution will be patient-centered, participatory health care — anytime and anywhere. Wireless cardiac sensors like the one Topol demonstrated last month will lead to improvements in data sharing — not just among organizations — but among patients and caregivers, too. That’s the mark of a new era, not just a more efficient version of the old one.

  • Jay

    I agree Brian and a note difference in perspective between yourself and Wes on what constitutes a revolution and who the optimal instigator is.

    Wes is focused on the business, pure and simple. How will it be profitable and, therefore, adopted in the mainstream and something businesses should pay attention to. You lean more towards the patient perspective, how will it make an impact for the end user not just the system. I.e. is it trickle down change or grassroots consumer demand? I’d like to see a happy medium so the whole is realized more quickly and we can get down to the work of making a real difference ASAP.

  • http://mobihealthnews.com Brian Dolan

    Hi Jay, I think that’s right on. EMRs will lead to increased efficiency and a number of improvements, and they also will make mHealth a much more powerful value-add.

    The EMR component, therefore, is necessary and important, it’s just not revolutionary. It only sets the stage. Things begin to get interesting when the innovation on the edges — through mHealth — comes into the market.

  • http://articles.icmcc.org/2009/05/06/will-the-%e2%80%9crevolution%e2%80%9d-come-from-mhealth-or-emr/ ICMCC Website – Articles » Blog Archive » Will the “revolution” come from mHealth or EMR?

    [...] LP’s AirStrip OB mobile application, which sends fetal monitoring data to obstetricians.” Article Brian Dolan, Mobihealthnews, 6 May [...]

  • http://3gdoctor.wordpress.com David Doherty

    Agree with you completely… today the value to patients of an EHR is limited and mHealth is the key to unlocking this.

    In the UK we’ve had over $20 billion spent on modernising clinical records but patients are still opting out because it is difficult for the average patient to see benefits for themselves. In its current presentation EHR’s are predominantly tools designed to help care providers and billing systems to manage patients. Patient participation isn’t their role.

    IMHO the key to EHR success is (as you say) patient-centered, participatory health care and this requires anytime/anywhere secure access using a connected already carried device. Cellphones are placed uniquely to connect care and EHR’s – but it’s a chicken and egg situation where the success of one is reliant on the other.

  • http://www.voxiva.com Alex Herder

    David is right. At some level you can’t have on without the other. That being said, with mHealth we already have the tools in place and we are already doing the work. In addition to that, mHealth solutions don’t have to tap into the entrenched systems that are already in place. They can, but they don’t have to.

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