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Microwork: Will Smartphones Change the way Healthcare is Handled?

Doctors are incredibly busy people.  Their day is filled with seeing patients, reading test results, and filling out paperwork.  EHR/EMR implementation is going a long way to help make their practice more efficient, but there is a new concept evolving that may change the way healthcare is handled.

Bradley Kreit of FastCoExist.com is where I first heard about microwork, a concept that involves breaking down complex processes into simple tasks that are distributed to other people who perform these tasks for a small fee.  This concept is not really developed in healthcare yet, but there is tremendous potential.

While clearly most people are not qualified to perform the tasks of a doctor, there are certain tasks that could be performed by other people.  In developed countries like the US it could help to cut costs and make things more efficient, but in less developed countries it could provide better health and well being.

Like so many things in mHealth the sky is really the limit for microwork.  It is still a relatively new concept, but with time it will be really interesting to see how it gets implemented to make healthcare more effective, and efficient.

March 15, 2012 I Written By

Future of mHealth Dependent on Interoperability and Use of Available Technology

My education in the healthcare industry is still somewhat in its infancy, but I really enjoy learning about mHealth in particular.  This probably stems from my general love of technology, but also from my fascination with business and watching companies and industries grow.

One of the biggest stumbling blocks with mHealth is there are way too many people developing products rather than businesses.

One of my favorite shows is Shark Tank which gives everyday people the opportunity to present their business to billionaires looking for an investment of some sort.  One of the most common comments the investors make is that the person has a product and not a business.  It is such a thin line but essential to true success.  Products of some sort are essential to a business, but they are not in and of themselves a business.

That is the problem with most of the companies in mHealth at this point.  There are tons of apps and gadgets and other fun things out there, but there is no one company that is trying to bring it all together.  Interoperability is the real basis of success in this industry.  Having to go to ten different companies for your healthcare needs is no different from what we have always had, except you are using electronics instead of paper.

While that is a step in the right direction, it is not the level of change that will be needed for real success in the industry.  There will inevitably be more companies that fail than succeed, as is the case in any industry.

The healthcare industry is very similar to aviation in this area.  The air traffic control system is essentially the same system that has been in use for decades.  While there have been great advances in technology, namely GPS, we still use the same archaic tools that keep the industry inefficient and cluttered.  Clearly major advancements have been implemented in terms of aircraft and related systems that make air travel faster and safer, but we are not even close to using all of the tools available.

There are plans in development to better use the improved tools that are available, but they have still not been widely implemented for numerous reasons.  Instead aviation remains inefficient and the consumer is the one who suffers in the form of increased costs with reduced service.

Healthcare is quickly following the same path.  While there have been amazing developments in the technology doctors use on a day-to-day basis, the system itself is still incredibly inefficient.

That being said, I have great hope that this will change in the coming years.  As more major companies like AT&T, Qualcomm, Verizon, etc. become involved in the industry we will start to see the real breakthroughs that will give mHealth its legitimacy.  What will be even more incredible is when some of these tech companies really link up with traditional healthcare companies that have real power in the industry.

About a decade ago eHealth companies were all the rage, and now they are all essentially gone.  While there is no guarantee that mHealth will not end up the same way, you have to think they stand a better chance.  Smartphones are an increasingly essential part of everyday life for almost everyone.  It only makes sense to include healthcare in that arena.

December 22, 2011 I Written By

Who will be the “Amazon” of the Mobile Health Market?

There is a great interview on FierceMobileHealthcare.com about the future of mobile healthcare that really impressed me and got me thinking about the future of mHealth.  Robert McCray of the Wireless-Life Sciences Alliance was interviewed following their 6th Annual Convergence Summit in San Diego, and he shared some really interesting thoughts.  The full interview can be found at the link above but these were the main points I found intriguing.

[That] reinforces a strong trend throughout our community, through this sector, that the customer for healthcare is looking for solutions, not just products. Solutions mean you have to pair your IT–your device–with a service.

This statement could easily have been overlooked, but I think it really gets at the heart of why mHealth is going to be so huge.  My parents, and their parents wanted to go to the doctor and see him face to face so that they could get that human interaction.  My generation, on the other hand, is all about getting it done as fast as possible, and wherever is convenient to them at the moment.  They couldn’t care less if they actually see the doctor as long as the problem is taken away.
This doesn’t even just apply to health problems.  My generation grew up with technology and they hunger and thirst for new gadgets like never before.  If something can be automated they buy it in a heartbeat, sometimes whether they need it or not.  As they start to get older and face more health issues they are going to look to technology first to take care of it, because that is where they look for everything else.

Is wireless health, at the end of the day, going to be dominant in the market because of disruption or because the existing institutions embrace it? I think maybe a slight majority of people would say it will occur through disruption.

I think this is the key that is holding mHealth back at this point.  Much of the medical field is still run by older doctors who have not grown up with technology and may not be willing to embrace it.  Not that they are completely against it, but that they don’t realize the powerful potential that it holds.  As more of these legacy leaders leave the industry and are replaced by others who are anxious to see what technology can do I think we will see a huge boom in technological advances.  Much the same way that Amazon and EBAY changed the way we shop for products, which takes us to the last point he made.

I think in five or six years, we’re going to know who they are. And I think those companies probably exist today–at least in somebody’s garage. Even in 2000-01, both [Amazon and eBay], by revenue, were still microscopic compared to a Walmart or a Target, but they were clearly where the momentum was. They changed the rules for traditional retailers and put pressure on them.

To me, useful innovation is innovation that starts with a problem and then assembles the knowledge to solve it. That’s useful innovation.

I’m going to make a prediction that in about two years, there’s going to be a rush of venture capital into this sector because investors are going to realize that it’s about time that somebody’s going to make a lot of money.

If any of you happens to know who the “mHealth Amazon” is please let me know so that I can invest heavily in them.  If you look back over time, whenever there has been a major advance in technology there have always been just a small handful of companies who truly led the way and left everyone else playing catchup.
I found it incredibly interesting that he picked two years as when he feels like the sector is really going to take off.  I have had numerous discussions with my brother, who is the creator of this blog and numerous others associated with healthcare IT, about the exact same topic and he has repeatedly given me that same two year time frame for the market really exploding.  It will be interesting to see just how fast, and how big, it will grow.
June 15, 2011 I Written By