Mandl app store for health
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Transcript of Mandl app store for health
Intelligent Health Lab
Kenneth D. Mandl, MD, MPH
Director, Intelligent Health LaboratoryChildren’s Hospital Informatics Program
Center for Biomedical Informatics, Harvard
The App Store for Health: Co-opting the Point of Care
in the Era of the Affordable Care Act
Intelligent Health Lab
US Spending per capita vs. Life Expectancy
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Learning Health System: Evidence Generated from a Well-Instrumented Health System
Intelligent Health Lab
? How do we learn from
“All the Patients . . .All the Time?”
(Instead of Some of thePatients All of the Time . . . ). . . or really, just a couple ofthe patients, not that often.
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Intelligent Health Lab
Dr. Collins discussing theRapid Learning Network
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WITHOUT ACCESS TO THE POINT OF CARE, EVERYTHING IS A ONE-OFF
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Intelligent Health Laboratory | Children‘s Hospital Informatics Program
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Returning Genomic Medicine Results
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Intelligent Health Lab
The App Store for Health
ONC Funded Research $15M Project under the “SHARP” program
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Can EMRs behave like iPhones or
Androids in that innovators
readily create and widely distribute
apps across thousands of
installs?
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Our vocabulary
Data SourcesManaged by containers
ContainersPresent data from data sources to apps in a uniform fashion
AppsCompletely substitutable
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18.12 Issue
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State-of-the-Art ???
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Intelligent Health Lab
1 Design + 1 Developer + 1 Week
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1 SMART App in 3 SMART Systems
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Well-publicized
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Intelligent Health Lab
SMARTBP Centiles AppRunning on Cerner
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Intelligent Health Lab
Medication adherence
JAMIA 2011
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Decision Support Integratione.g., Immunization Forecasting
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Monograph appe.g., Diabetes
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Mashups:e.g., Genomic Medicine: There’s an App for that
Linkage to external decision support services Pharmacogenomic
rule sets Decision support
for doctors—associations
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Collaborators and Implementers
EMR Vendors Payors Pharma Major tech companies complementing or competing
in the EHR space Large-scale health systems
Intelligent Health Lab