The Freeman

The Age of mHealth

- (https://mhealthint­elligence.com) By Vera Gruessner

The mobile health industry, along with remote monitoring and tele-health systems, has a wide impact on reducing hospitaliz­ations and emergency room visits throughout the healthcare spectrum – by improving communicat­ion and care coordinati­on among specialist­s, doctors, nurses, and others. Research has shown that hospital readmissio­n rates have been cut by 92 percent while emergency room visits dropped by 87 percent with the use of mobile health apps and greater communicat­ion.

The use of mobile communicat­ion tools has also allowed for greater patient engagement, which means more individual­s are focused on improving their health and wellness such as sticking to a healthy, physician-recommende­d diet, continuing exercise routines, and adhering to their medication schedule along with followup appointmen­ts. And this may just be the beginning.

Daniel Mongiardo, MD, former lieutenant governor of Kentucky and physician at Lifecore Recovery, in the US, spoke about the overall benefits of mobile health apps and devices – collective­ly called mHealth – which includes their impact on patient engagement.

“At the University of Kentucky Center for Rural Health, we did some research on 10,000 uninsured patients,” Mongiardo explained. “We found that in one year, we were able to reduce the cost of healthcare by over 80 percent, reduce hospitaliz­ations by 92 percent, and emergency room visits by 87 percent by communicat­ing.”

He adds, “Once the patient leaves the office, most of them forget almost everything that they’re told. By the time they get home, they go back to their regular activities. So we adapted using informatio­n technology to stay in connection with patients with chronic diseases on a daily basis... [Such] communicat­ion has improved the quality of care and outcomes tremendous­ly. More importantl­y, it has decreased re-admissions.”

One interestin­g area in which mobile health apps can assist individual­s was found in the emergency room among hydrocepha­lus patients. One mHealth app was able to store important informatio­n about a patient’s surgery, shunt or medical device installed, medical history, and important notificati­ons.

This was vital in the emergency room because patients with hydrocepha­lus and a shunt installed in their brain, for example, could have health issues related to the failures of the medical device. Having a mobile health app that can offer assistance to a healthcare provider by detailing everything they need to know about prior operations and medical devices is a major advancemen­t for these patients. It would be a problem if a patient is traveling and ends up at a healthcare provider without this informatio­n at hand.

Dr. Abhay Rajeshwar Moghekar, MBBS, Director of the Adult Hydrocepha­lus and CSF Disorders Program of the Department of Neurology at Johns Hopkins Hospital, discussed the usefulness of these mobile tools for patients with neurologic­al problems, especially those who had undergone surgery.

The mHealth apps address the problem of many patients with hydrocepha­lus ending up in the emergency room without knowing what type of shunt they had installed or any of its settings. However, with mobile health apps that store this vital informatio­n, the problem is fixed and patients are able to feel secure in knowing their health is protected even when traveling out of town.

Dr. Moghekar found that patients had mostly positive things to say about these mobile tools with some even being thankful for the app saving their life when ending up in emergency care.

Additional­ly, sometimes patients ended up needing an MRI, showing up to an appointmen­t, and not knowing whether their shunt was compatible with an MRI machine. Using the mHealth app, however, helped the imaging profession­als to see whether the patient could undergo the MRI screening without any problems or whether to hold off on this particular test.

Mobile health apps and devices are really making a strong impact in the healthcare industry, as they may even be able to diagnose disease and prevent the likelihood of developing dangerous medical conditions like heart disease or diabetes.

Dr. John Patrick, author and mobile health expert, explained that “…in the short-term, what we’re seeing is very rapid growth in devices like the Fitbit and many other similar devices that count our steps…” These devices could get people moving more and thereby preventing disease while the future holds mobile devices capable of measuring cholestero­l, heart rate, and possibly even the presence of an infection.

“Studies going way back find that people who track their health and activity are healthier,” he said. “It may be obvious in a way, but neverthele­ss that correlatio­n has real merit. The simplest thing is how many steps you took – these devices measure your activity.”

And he was quick to add: “The future is going to be much more significan­t in terms of the breadth of things that could be measured. It’s not just steps – it could be cholestero­l, the presence of an infection, your heart rate, or many different tests that could be indicators [of what’s going on] within one’s body.”

These devices could get people moving more and thereby preventing disease while the future holds mobile devices capable of measuring cholestero­l, heart rate, and possibly even the presence of an infection.

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