A FUTURE IN HEALTHCARE

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Bonnie Shelton
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1 A FUTURE IN HEALTHCARE Technology and Health Christian Caicedo MD, MBA, CPE, FACHE Vice President of Operations and Medical Director, West Shore Hospital PinnacleHealth System

2 MOBILIZING HEALTH TECHNOLOGY Healthcare is evolving and adapting to match current capabilities in technology Mobile devices are becoming smarter, faster and more integral to our daily lives Constant Connectivity continues to grow, especially in mobile use 91% of smartphone owners have it within arm s reach 24/7 Mobile-based health technology is an ever-growing industry as the power of mobile devices continues to grow Smart technology enables us to engage in our health anywhere, any time Monitoring, planning, tracking and more Expanding beyond phones to apparel Eyewear Watches Monitors Engaging patients in their health

THERE S AN APP FOR THAT Mobile technology can integrate with just about anything even your health Tracking, monitoring, adherence, engagement, and

3 THERE S AN APP FOR THAT Mobile technology can integrate with just about anything even your health Tracking, monitoring, adherence, engagement, and connectivity Better engagement for patients in their health through: Adherence Fitness Tracking and analysis Food and nutrition Sleep Mental health Maternity

4 WHAT WORKS IN IMPROVING HEALTH What gets measured gets managed Health and fitness through mobile applications offer an opportunity to better understand a patient s situation, and lead to a better tailored solution Small changes leading to big changes in health Adjusting your sleep pattern Improving plan compliance Monitoring dietary intake Live feedback and progress tracking Short-term success and immediate rewards for long-term goals Adding fun to health

5 POPULAR FITNESS APPS MapMyFitness (free version, can upgrade for a cost) is a workout tracker, allowing users to either manually log the time they spend exercising and what they do (choices range from firefighting to yoga to mowing the lawn), or to use the phone's built-in GPS to record distance and time during a run, walk or bike ride. Also tracks diet and sleep. Argus (free) has not as many functions as MapMyFitness, but it is simple to use and could be a better pick for exercisers looking for something streamlined and sleek to keep them moving. Runkeeper (free) is an easy-to-use workout log app. Like MapMyFitness, Runkeeper can use GPS to record a run, walk or bike ride, but also lets you enter an activity manually. The app has a simple social component and can connect to Facebook and Twitter. There is no diet tracking, but you can keep track of changes in your weight.

6 POPULAR FITNESS APPS (continued) Lose it! (free) is primarily a weight-focused app that tallies your calories in and calories out every day, with an exercise log and food diary. The app allows users to set weight goals and track progress with a simple graph. offers a lot of options for tracking calories you can scan a prepackaged food's barcode, search by common food brands in order to input nutrition information, or input nutrient and calorie information manually. Endomondo (free) acts like an electronic coach, allowing users to set goals and get feedback in real-time during a variety of exercises. The app keeps a history of your recorded and manually logged workouts, and offers user-made routes for runners, walkers and bikers. The Walk ($4.99) is an interactive walking game that acts as a pedometer and motivator. Take more steps, and you'll gradually unlock more chapters of a story about a mysterious bomb and rogue agents. The Walk was developed by the creators of another popular story app, Zombies, Run! ($3.99), which turns a daily jog into a race against the undead. Between the two, even the most reluctant exercisers should find enough motivation to get moving.

7 COMPARISON OF POPULAR APPS

8 WHAT TO LOOK FOR IN APPS AND TECHNOLOGY Most research says behavior change comes from: Goal-setting Self-monitoring Tailored feedback Goal-review Progress tracking Being able to see where you were and where you are is extremely beneficial, as is seeing how your actions today are helping or hurting your future health.

9 WATCHING YOUR HEALTH Smart technology s move to apparel Integrates with your smartphone Common features: Pulse monitor Pedometer Movement notification (Apple) Health and wellness applications Notifications

10 ANDROID WEAR SMART WATCH LG Urbane, Huawei Smart Watch, Asus ZenWatch Connected through Google fit and music Track measure and improve workout goals Strava- social media network for athletes Heart rate monitoring Steps taken Blood glucose monitoring Connect to all apps

APPLE WATCH Get dietary advice, track sleep patterns, healthy meal plans, and water intake, documenting food intake, nutrition facts on grocery items and restaurant meals Allows you to set goals

11 APPLE WATCH Get dietary advice, track sleep patterns, healthy meal plans, and water intake, documenting food intake, nutrition facts on grocery items and restaurant meals Allows you to set goals whenever, and also sets goals based on your history and day to day results Screen customization allows you to see three statistics at all times when working out or wearing your watch Workout summary -- detailed report contains time, calories, distance and other events Workout app -- allows you to turn almost any activity into a workout, and tracks it Stores information collected by all your health and fitness apps in one place Notifies you when you reach a milestone or a set achievement Can view your best and last goals for each exercise Allows you to see trends and metrics over time Contains Stand, Move, and Exercise Sensors Individual feedback reminders to reach your goals Measures your heart rate

FITBIT Tracks every part of your day -- activity, exercise, food, weight, and sleep Sync-stats wirelessly and automatically from your Fitbit device to your phone or computer Progress -- stay on track

12 FITBIT Tracks every part of your day -- activity, exercise, food, weight, and sleep Sync-stats wirelessly and automatically from your Fitbit device to your phone or computer Progress -- stay on track with online and mobile tools that show your progress as charts and graphs on the Fitbit dashboard. Achieve -- teach your goals by seeing progress notifications and celebrate milestones with achievement badges. Inspire -- encourage friends and family to join your path to fitness with the leaderboard, group challenges, and cheers or taunts. Calories in and out Calories remaining to eat Both according to your food log Water consumed Weight loss tracking

13 EVALUATING FITNESS TRACKERS Consumer Reports and other sources can be used to evaluate fitness trackers for features such as: Ease of use Ease of interaction Ease of pairing Heart-rate monitor accuracy Step count accuracy Water resistance Readability in bright light Versatility Indicates features that increase a fitness tracker's utility or capabilities. These may include how many sensors it has, if time can be displayed on the tracker, GPS tracking, and other useful features.

DIABETES MANAGEMENT More than 1,100 apps designed expressly to help people manage diabetes Cookbooks, insulin tracking, exercise Information, and sugar intake Examples: Glooko, Diabetes Pilot, and

15 DIABETES MANAGEMENT More than 1,100 apps designed expressly to help people manage diabetes Cookbooks, insulin tracking, exercise Information, and sugar intake Examples: Glooko, Diabetes Pilot, and GlucoseBuddy Revolutionizing diabetes care Mobile Improvements in accuracy, care and real-time monitoring Ending the daily prick or pump Smart Contact Lens Google Unveiled in 2014 Monitors glucose levels in tears Bionic pancreas Boston University Regulates blood sugar 24/7 Monitors blood sugar every 5 min

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Smartphone Apps for Diabetes Management

Smartphone Apps for Diabetes Management By David Kerr, MD; Charis Hoppe; and Ceara AxelrodMarch 2017 There s an app for pretty much everything these days reading magazines (Diabetes Forecast has its own!),