Gamificación un nuevo concepto de un viejo conocido

En la entrada de hoy quiero sentar las bases sobre las que desarrollar futuras entradas entorno a un nuevo concepto que está cogiendo fuerza últimamente, pero que para muchos de nosotros nos es muy familiar.

La GAMIFICACIÓN es un nuevo concepto, una nueva metodología, un camino distinto a todos los que hasta el momento se han probado para conseguir que las personas hagan lo que deben hacer [hablando en genérico 🙂 ]

Ya existen definiciones formales del concepto de gamificación, en la wikipedia o en alguna que otra web (gamification.com o gamification.org – Badgeville).

¿Y cómo defino yo la GAMIFICACIÓN?

Pues bien, para mí se trata utilizar la tecnología para apelar al espíritu infantil de cada persona, aquel espíritu que cada uno de nosotros hemos tenido (o todavía tenemos) y que nos activaba cuando jugábamos a algo que nos gustaba y nos entretenía…

Gamification

 

La motivación por conseguir los objetivos a que ese juego (digital o analògico, da igual) nos retaba a alcanzar, y que nos hacía disfrutar durante un buen rato, segregando adrenalina, y nos hacía sentir muy bien, es precisamente lo que la Gamificación pretende alcanzar y utilizar para conseguir nuevos objetivos, pero ahora en nuestra edad adulta…. Y la pregunta siguiente es:

¿Qué objetivos?

Pues básicamente un único objetivo, pero complicado de conseguir:

“QUE LAS PERSONAS CAMBIEN SUS HÁBITOS, SU ESTILO DE VIDA PARA MEJORAR SU SITUACIÓN PERSONAL EN CUANTO A SU SALUD SE REFIERE” 

El pasado mes de Noviembre tuve la oportunidad de asistir al Wrokshop final del Gamification World Congress celebrado en Barcelona, y organizado este por Play Benefit, una empresa que está pisando fuerte en este terreno.

Me gustaría destacar la ponencia de Jeroen van Mastrigt-Idel, titulada:

“The Rules of Engagement –  Redesigning healthcare by applying Game Design Thinking Engagement = Fun = Playing Games”

De su ponencia me gustaría destacar las siguientes ideas fuerza, que de alguna manera vienen a reforzar mi respuesta sobre qué objetivo alcanzar aplicando la GAMIFICACIÓN:

  1. Diversión SÍ, pero con Autonomía, Maestría, Creatividad y Propósitos claros.
  2. Hasta el momento hemos conectado personas a los sistemas en lugar de construir los sistemas orientados a las personas.
  3. Tres razones para hablar de compromiso (Engagement)
  • ¿Cómo podemos conseguir sistemas a gran escala orientados hacia las personas? Hay que utilizar la tecnología para movilizar, implicar, convencer… La motivación intrínseca es más barata a lo largo del tiempo, mientras que la extrínseca es más cara.

Homo Ludens vs Homo Economicus

Homo Evolution

  •  Conectar las normas con el comportamiento es la llave del éxito. Los juegos son divertidos porque están bien diseñados, estos son la herramienta.
  • Motivar, dar sentido a lo que se debe hacer para conseguir los objetivos marcados. Barreras frente Espacios de Solución, crear rotondas para que las personas se ordenen a sí mismas (siguiendo el ejemplo del tráfico)

Y lo cierto es que está todo por hacer, este nuevo concepto es tan nuevo, que  seguro que ya existen lugares y personas que están trabajando en ello, pero como no puede ser de otro modo, necesitan de un ingrediente básico para poder sacar conclusiones… Necesitan el TIEMPO, durante el cual prueben su solución, observen los resultados para después sacar conclusiones y mejorar allí donde haya que hacerlo.

Ya para acabar, quiero sentar un precedente aquí y ahora, relativo a quien son desde mi punto de vista los elementos clave necesarios para aplicar la GAMIFICACIÓN en el sector de la Salud.

Son básicamente 3:

1º) Los equipos asistenciales, empezando por el médico, siguiendo por la enfermera y acabando por aquellos profesionales dentro del hospital, que ayudaran a los dos primeros a mejorar y ordenar lo que hacen para poder  aplicar la Gamificación.

2º) Los pacientes, la llave del éxito, para que lo prueben lo critiquen, lo desmonten y nos ayuden a perfeccionarlo. Sin ellos esto no será posible.

3º) El socio tecnológico + consultor externo, que debe arriesgar con nosotros, con el Hospital si quiere triunfar y posicionarse como líder en este tema frente a sus competidores.

A modo de conclusión:

Conseguir que las personas cambien sus hábitos nunca ha sido fácil, ni seguirá siéndolo.

Sin embargo, la Gamificación nos brinda una nueva forma de intentarlo. Pienso que puede funcionar, pues sí que es cierto que cuando algo nos hace disfrutar, nos cuesta menos hacerlo de forma constante.

Si además nos ayuda a mejorar, añadimos otra razón para seguir haciéndolo.

Y si además somos autónomos y podemos decidir cuando y donde…nos reta a superarnos y nos propone objetivos cada vez mayores que suman a mejorar nuestra salud…entonces habremos dado con la fórmula idónea.

Espero no tardar mucho en escribir más sobre este tema, pues como ya sabéis, este Blog va de experiencias reales, que es la que es, aprendizajes personales y visiones contrastadas con mi experiencia profesional y mi forma de ver los temas sobre los que hablo y va al ritmo que va. Para mi el factor tiempo también es clave 🙂

Por ser esta la ultima entrada del 2015, os deseo a todos un 2016 a la altura de vuestros deseos y expectativas.

 

Integrating #mHealth in the health care process #3

Today’s subject I’m writing about is related to what I consider implies to square the circle, on the issue that concerns me in this post: “The integration of the #mHealth into healthcare processes in hospitals”.

In the first two posts on this subject I spoke about the #mHealth project we launched a few months ago in the Hospital. We are working on a particular treatment process, the diabetes, and since my last post till now, we have continued to advance and mature the steps slowly towards our final goal.

The current project situation challenges us to close the circle, and try to connect two dimensions, patient’s and professional’s dimensions virtually and forever.

Two dimensions which until now have always been connected to the physical level, in the outpatient clinic, emergency room, hospital day … Where the doctors are sharing information with patients regarding their health, complex information for the receiver (patient and / or familiar), who receive it in a very delicate emotional state at times, which greatly limits their ability to understand.

mHealth Cloud Relationship 2 Dimensions

The connection of these two realities, the healthcare professional and the patient goes beyond an App integrating information with a hospital information system. Giving access to the patient to his information in his medical history, agenda visits to the doctor or the results of diagnostic tests, etc, is an objective as well.

The challenge is that all this information flow safely and naturally between the two dimensions. There should be a meeting point where everything will be integrated, organized, prepared to be accessible to every user, whatever is the dimension he belong to. They must be able to access such information at any time and anywhere…

“Because ultimately, the information is unique, the owner is the patient and recipients are multiple professionals.”

At this point I want to refer to a post I posted 10 months ago about our Intranet, which on May 26, 2015 completed its first year.

In that post I talked about the implementation of the Digital Strategy of Hospital Clinic, and the relationship between the Intranet and the Web.

Knowledge Sphere Dimension ENG

Our Web is what I dare to describe as the cornerstone of the project, because from a strategic perspective, this should be the connection platform for both dimensions I just mentioned.

Our new Web is where we want to make available to society in general, our knowledge of health, identify each of the diseases we treat, the various moments that patients go through, and prepare appropriate information to their expectations.

We are convinced that the need for information and how it is to be presented at each time, is very different for a person who’s just been diagnosed with diabetes, than for a diabetic with 20 years of experience living with his disease.

They are diametrically opposite profiles that require very different approaches. And it is between these two extremes, where we find different moments throughout the care process, where we identify how these needs are different from each.

About how we are working on the content we will provide to our visitors in the future Hospital Health Portal, I will write in a later post.

We are working a methodology side by side with health care professionals, based on this concept that I’m describing, about the moments throughout the care process, and information needs, taking into account important aspects such as language, formats or even emotions

Finally, to achieve our objective of integration of the #mHealth in the daily clinical practice we must land the projects and approach them more to everyday reality.

We’ll NEVER take advantage of the full potential that this new technology gives us, if we don’t incorporate it from the strategic level in the organizational approaches, and obviously if we don’t invest resources and efforts on this landing.

In response to what “Speaking of health blog” explains in his latest post about e-Health: It’s a matter of Projecte or Strategy talking about Health 2.0 European Health Congress 2015. From our point of view, we understand that this should be encouraged and supported inescapably from the highest management level.

Health 2.0

To conclude today’s post, expose that to achieve squaring the circle implies to go through successfully achieving our goals in the different issues on which we are working and we aspire to connect:

  1. The Health Portal content = Information available to everyone, didactic and pedagogical, but with different levels of information according to each patient’s time in the process.
  2. The Patient Portal content = Information for our patients and their needs throughout the care process, operational, practical and to help, facilitate and improve your experience as a patient in our hospital.
  3. Transactional information to share with our patients (HCE, Agenda tests, results, diagnostic information processes…).
  4. The integration of information generated by patients and their mobile or wearable devices.

Only when these four aspects have been solved, connected and systematically integrated and ubiquitously accessible by those who need to meet their health-related needs, we’ll think we’ve started to take advantage in an efficient and integrated way into the healthcare processes all the potential that #mHealth already offers.

Google Analytics and e-Health a very promising relationship

With today’s post I will open a new subject on which I try to write on, and on which, so far, few have dared to do so.

After learning the full potential of Google Analytics (GA) offers us, especially in terms of e-commerce / online shopping is concerned, I can think of other dimensions in which this analytical capability that gives us this tool can provide and lots to our sector.

2 ideas:

  1. Use web analytics to certain highly prevalent chronic diseases and to find the way to relate the consumption of information about their illnesses with their visits to existing healthcare services first level (Devices Emergency and Primary Care Centers).
  2. Aim the tool to analyze whether the information provided by the hospital through its Health Portal impact on the reference population of the territory and access to the system.

In relation to these two ideas, I wish to consider to what is currently happening in the field of e-commerce, and as shops on line monitor their traffic, track URLs (URLs tracking) and identify user profiles and buying habits for tuning the most of their marketing campaigns, whether through SEO or SEM.

IMG_0492

And I wonder … Why not use these same tools to work on improving health in our territory?

That is, on one hand, and related to the first idea, analyze the traffic it receives from the hospital the web to identify health issues that concern people who visit us. If you know Med Line Plus, is a good example of what I want to explain. When you visit their website, one of the things you see is a Cloud Tag of the most viewed topics. This gives you an idea of where the “trending topic” health at that time. For example, in September with the theme of Ebola, the label with this name was by far the largest.

MedLinePlus Cloud Tag

Following this logic, when we launch our Web Portal of Health, we intend to work with web analytics to identify disease outbreaks based on visits to our site, and location. The next step is to link these results with concrete actions on the territory, in coordination with primary care.

On the other hand, for some time I have been thinking how to apply the SEM to improve health in our sector. Initially when I was told to do SEM from the hospital, I thought there was no point, even though, after analyzing it calmly, I saw that it might be another way to invest in health and prevention, to anticipate the consequences of a disease not detected time.

Investing for ads about preventing a disease or detect it early, or how to identify symptoms, surely impact in improving the health of the population and indirectly reducing cost of care treatment in most acute phases.

Definitively, everything I said in this post, I can explain it in financial terms, which ultimately are largely those rules governing the world.

We propose that by investing in a Web Portal for Health, as well as in SEO and especially in SEM, and measuring their return on impact on health, like for the economists is the Return On Investment (ROI), we can name it as the Return on Health or ROTH.

It is therefore essential to work and exploit the full potential we see with Google Analytics, and focus it to measure this ROTH and show how it is worth to invest in prevention from quality-oriented information to patients and users of our hospital or any hospital wherever you are.

HIV care process from Telemedicine to # mHealth

In this post I want to share with you an example of a healthcare reality which is taking advantage of all the potential of new mobile technologies on which I speak since I started this blog, for a long time.

I recently had the opportunity to learn in detail how is organized the process of care for infected patients by human immunodeficiency virus (HIV) in the hospital where I work, the Hospital Clínic of Barcelona.

“The Clinic is the referral hospital for a large part of the city of Barcelona, specifically for Integral Health Area of Barcelona Esquerra, comprising a total of 4 municipal districts with a population around 500,000 inhabitants”

I can assure that this care process is one of the pioneers in implementing new technologies on patient care, and therefore allows me to illustrate and argue in this post, something that I’ve been thinking and now want to share with you about #mHealth.

“I think it’s already clear that #mHealth is the natural evolution of telemedicine, hence probably many healthcare processes have been supported in the latter, naturally will evolve towards a virtual dimension relying on Apps, Mobile Websites or Responsive Websites, and substantially will improve access for end users, allowing them the gift of ubiquity and almost total connectivity.”

HIV care process

Nowadays, HIV infection, which is the cause of acquired immunodeficiency syndrome in humans, is considered a chronic disease, thus requiring prolonged follow-up time of those who suffer.

This disease can be diagnosed from different levels of care, primary care, specialty care or hospital care or from non-governmental organizations related to it.

When a patient is diagnosed with HIV in our care area, it is referred to the Hospital Clínic where makes a first visit with a specialized nurse. She is responsible for making the debut process. It is a patient oriented education visit in the management of their disease, which opens the clinical history, and where the steps to follow are very protocolised. The visit ends up with the demand of, following the protocol, the established medical tests ahead of the visit to the doctor 15 days later.

With the medical tests results, the doctor visits the patient previously to begin treatment and monitoring in the Day Hospital. Once it is considered that the patient is already autonomous in managing their disease (after 2 or 3 visits), the possibility to include the patient in the process of virtual monitoring through the platform of virtual Hospital is considered.

Schematically the process would be something like this:

HIV Assistential Workflow

It’s at this moment when everything starts changing, from now on the patient goes into another assistential dimension, allowing it to have the support of a multidisciplinary team of professionals and to access information about their pathology, or even if the patient need it, he can get in touch with other patients to share their concerns, questions, etc …
The communication between hospital and primary care is essential in the management of chronic patients. So far in our country, the care of HIV-infected patients has been performed only in hospitals.

However, patients have new needs (simplification and integration of care) and health systems too,  having to cope with an annual increase of 10% in new patients.

According to these premises, with political approval and mimicking what was done in other chronic diseases, the Shared Care Unit of HIV-infected patients (SCU) in chronic stage of their illness (most of them) was created by the Hospital Clínic’s infections service and three primary care centers from the Integrated Health Area fo Barcelona’s Eixample Esquerra (CAPSE Les Corts, Casanova and Borrell).

The SCU’s physicians (both primary care and specialty care), rely on the Virtual Hospital, a computer system through which all of them share the same electronic records and relevant information for patients.
Between 2005 and 2007, a prospective case control study was performed during 1.5 years with 30 patients, with results regarding clinical parameters similar to hospital standard control. This unit has been expanded to other primary care teams in Barcelona as are the South Raval, and is planned to do the same in the 4 centers also within the AISBE.

Web Pacienten Hospital Virtual VIH

From Telemedicine to #mHealth

The Virtual Hospital, in addition to health care activity that supports, also allows developing activities such as Teaching and Research.

For Teachers standard platform is used for online sessions with different health centers territory if possible. If not, the medical team moves to the center for clinical meeting in person.

In terms of research, the database on which the program activity develops, enables the approach of research by providing a significant amount of information.

In terms of usability, the Virtual Hospital provides professionals 96% of the information they need about the patient on one screen, making it possible to access 100% of the information by opening additional tabs.

Briefly it is about a Shared Care Unit focus on patients with HIV, where different levels of care are coordinated through the Virtual Hospital System. This is additionally complemented by the possibility of face to face visits if estimated necessary.

Usually, the patients included in this process are visited twice with their referring physician at the primary care level, and another visit with a physician at the hospital level annually.
Being able to visit patients virtually by hospital specialist, has a very positive impact on productivity thereof, attending a volume of patients near the 20 patients in two hours of consultation.

The final objective of this new healthcare dynamic so innovative, is aimed at helping these patients to keep a good control of their disease, which otherwise would impact negatively on their health and those around them.

What I just explained is a reality that has been operating in the Integral Health Area of Barcelona Esquerra since 2010, which can be defined as pure Telemedicine.

However, as expected, this medical team is still working to improve daily this care process, and they are actually working on the jump to #mHealth, which obviously involves the development of a APP focused on patients involved and followed through the Virtual Hospital, empowering them with the ubiquity and the 24/7/365 accessibility and providing them in the near future, the possibility to carry wherever they go, their the Vitual Hosptial’s team ;-D.

 

 

El proceso asistencial del VIH de la Telemedicina a la #SaludMóvil

En la entrada de este mes quiero compartir con vosotros un ejemplo de una realidad asistencial que lleva tiempo aprovechando todo ese potencial de las nuevas tecnologías móviles sobre el que vengo hablando desde que inicié este blog.

Recientemente he tenido la oportunidad de conocer con detalle cómo está organizada la atención a los pacientes infectado por el Virus de Inmunodeficiencia Humana (VIH) en el Hospital en que trabajo, el Hospital Clínic de Barcelona.

“El Clínic es el hospital de referencia para una gran parte de la ciudad de Barcelona, concretamente para el Área Integral de Salud de Barcelona Esquerra (AISBE), que comprende un total de 4 distritos municipales con una población entorno a las 500.000 habitantes”

Puedo decir que este proceso asistencial es seguramente uno de los pioneros en la aplicación de las TIC sobre el cuidado de los pacientes, y por lo tanto me permite ilustrar y argumentar, en este POST, algo que llevo tiempo pensando y que hoy quiero compartir con vosotros sobre la Salud Móvil (#mSalud o #mHealth).

“Creo que ya es evidente que la #mSalud es la evolución natural de la Telemedicina, de ahí que seguramente muchos procesos asistenciales que se hayan apoyado en esta última, evolucionarán de forma natural hacia una dimensión virtual apoyándose en Apps, Mobile Webs o Webs Responsive, y mejorarán substancialmente el acceso de los usuarios finales, permitiéndoles el don de la ubicuidad y una conectividad prácticamente total.”

El proceso asistencial del VIH

En la actualidad, la infección por VIH, que es la causante del Síndrome de Inmunodeficiencia Adquirida en los humanos, se considera una enfermedad crónica, por lo que requiere un seguimiento prolongado en el tiempo de aquellos que lo padecen.

Esta enfermedad se puede diagnosticar desde los distintos niveles asistenciales, Atención Primaria, Especializada u Hospitalaria o bien desde las Organizaciones No Gubernamentales relacionadas con la misma.

Cuando se diagnostica a un paciente con el VIH en nuestra área asistencial, éste es derivado al Hospital Clínic dónde realiza una primera visita con una enfermera especializada y responsable de realizar la acogida. Se trata de una visita muy orientada a la educación del paciente en el manejo de su enfermedad, en la que se le abre la Historia Clínica, y donde están muy protocolizados los pasos a seguir a lo largo de la misma y que finaliza con la solicitud, según el protocolo establecido, de los análisis clínicos necesarios de cara a la visita con el médico 15 días más tarde.

Con los resultados delante, el médico visita al paciente de forma previa a iniciar su tratamiento y seguimiento en el Hospital de Día. Una vez se considera que el paciente ya es autónomo en el manejo de su enfermedad (tras 2 o 3 visitas  con su médico), se valora la posibilidad de incluir al paciente en el proceso de seguimiento virtual a través de la plataforma del Hospital Virtual.

Esquemáticamente el proceso vendría a ser algo así:

Proceso Asistencial VIH

Es realmente aquí dónde empieza el cambio, donde el paciente entra en otra dimensión, asistencialmente hablando, que le permitirá contar con el apoyo de un  equipo de profesionales multidisciplinar, así como poder acceder a información sobre su patologia, o incluso si lo necesita, poder contactar con otros pacientes para compartir sus inquietudes, dudas, etc…

La comunicación entre atención hospitalaria y primaria es básica en el manejo de los pacientes crónicos. Hasta ahora en nuestro país, la atención de los pacientes infectados por VIH ha sido realizada únicamente en el ámbito hospitalario.

Sin embargo, los pacientes tienen nuevas necesidades (simplificación e integración de su atención) y los sistemas sanitarios también, al tener que hacer frente a un incremento anual de un 10% en sus nuevos pacientes.

De acuerdo con estas premisas, con el beneplácito político y mimetizando lo realizado en otras enfermedades crónicas, se creó la Unidad de Cuidado Compartido (UCC) de pacientes infectados por VIH en estadio crónico de su enfermedad (la mayor parte de ellos) entre el servicio de infecciones del Hospital Clínic y tres centros de atención primaria del territorio del AISBE (CAPSE Les Corts, Casanova y Borrell).

La UCC y los facultativos que la integran (tanto de atención primaria  como de atención especializada), se apoyan en el Hospital Virtual, un sistema informático a través del cual todos comparten la misma historia clínica e información relevante entorno a los pacientes. Entre los años 2005 y 2007, se realizó un estudio prospectivo caso control de 1,5 años de duración con 30 pacientes, con resultados en cuanto a parámetros clínicos similares al control estándar hospitalario. Esta unidad se ha expandido a  otros Equipos de Atención Primaria en Barcelona como son el del Raval Sur, y está en proyecto hacer lo propio en los 4 Centros también dentro del AISBE.

Web Pacienten Hospital Virtual VIH

De la Telemedicina a la #mHealth

El Hospital Virtual, adicionalmente a la actividad asistencial que se puede realizar, también permite desarrollar actividades de carácter Docente e Investigación.

A nivel Docente se aprovecha la plataforma para hacer sesiones on line con distintos centros de salud del territorio, siempre que es posible. En caso de no serlo, el equipo médico se desplaza hasta el centro para realizar la sesión clínica de forma presencial.

A nivel de Investigación, la base de datos sobre la que se desarrolla la actividad del programa, permite el planteamiento de estudios de investigación al aportar una cantidad de información significativa.

A nivel de usabilidad, el Hospital Virtual aporta al profesional el 96% de la información que necesita sobre el paciente en una misma pantalla, siendo posible acceder al 100% de la información abriendo pestañas adicionales.

En definitiva, se trata de una Unidad de Cuidado Compartido al paciente con VIH, donde se coordinan los distintos niveles asistenciales a través del sistema del Hospital Virtual. Esto a su vez se ve complementado por la posibilidad de realizar visitas presenciales en caso de estimarse necesarias.

Por lo general, los pacientes incluidos en este proceso se visitan 2 veces con su médico de referencia de Atención Primaria y 1 visita con su médico especialista en el nivel hospitalario al año. El hecho de poder visitar a los pacientes de forma virtual por parte del especialista hospitalario, tiene un impacto muy positivo en la productividad de los mismos, pudiendo atender un volumen de pacientes cercano a los 20 pacientes en 2 horas de consulta.

El objetivo final de ésta nueva dinámica asistencial tan innovadora, está orientado a ayudar a este tipo de pacientes a llevar un buen control de su enfermedad, algo que de lo contrario impactaría muy negativamente es su salud y el de su entorno.

Lo explicado hasta aquí es una realidad que lleva funcionando en el Área Integral de Salud de Barcelona Esquerra desde 2010, algo que podemos definir como Telemedicina en estado puro. Sin embargo, como no podía ser de otro modo, este equipo asistencial sigue trabajando para mejorar día a día su proceso asistencial, y ya se encuentran trabajando en el salto a la #mHealth o #mSalud, que evidentemente pasa por el desarrollo de una APP orientada a los pacientes seguidos desde el Hospital Virtual, aportandoles la virtud de la ubicuidad yla accesibilidad 24/7/365, así como poniendo a su alcance, en un futuro no muy lejano, llevar consigo allá donde vayan, a su equipo de médicos del Hosptial Vitual ;-D.

4 key issues about the evolution of the Mobile Health (#mHealth) in 2015

Once more it has arrived the time of writing the end of 2014 and 2015 opening post, the traditional post of trends or key issues from a blogger’s point of view who enjoys writing and sharing it with everyone.

As far as I’m concern, over 2015 Mobile Health (#mHealth) will experience significant changes in 4 aspects closely related, within the context of public health in which we are in Spain:

One aspect that will highlight this evolution is the process of integrating information generated from patients through their mobile devices (Smartphones, Wearables, Laptops …) related to their diseases. The definition of key indicators by healthcare teams will be very important in this process, which will open new dimensions of improving both the quality and capacity of public hospitals with the same resources available aspect.

Integracion mSalud en PA

  • Beyond the physical dimension:

This integration will precipitate a phenomenon that until relatively recently it could seem complex to achieve. This is approaching the assistencial process and knowledge of doctors working in health centers beyond the physical structures of the Hospital. The integration of #mHealth into hospital’s Information Systems will mean that the surveillance which is subjected a patient in a hospital, can be made, somehow, remotely and ubiquitous to certain patient profiles.

  • Improved productivity and quality of care:

This integration of information will enable, without an increase in resources available to hospitals, without increasing the workload of professionals and with the same number of care hours, a greater number of people indirectly assisted without the need of coming to the hospitals and healthcare centers, because they will be monitored by their reference centers in return for a single thing … their commitment and engagement.

  • Web Analytics will work for health:

Web Analytics is a relatively new field, the first application has been doing in the field of e-commerce.

However, the great potential that it hoards, opens endless possibilities if we apply to our sector, aimed at improving the relationship with our reference population and health campaigns are directed towards her goals, nevertheless we could point to more ambitious goals which I expect to write about all along 2015…

Finally and to close the post I think it is important to clarify that these trends I just shared with you are clearly framed in a context of public health, which I consider to be the most benefited from the arrival of #mHealth to our sector.

I think the private sector in this regard must still wait to see how this new dimension of providing healthcare will fit with their business model. However, I think there are already many opportunities to apply the #mHealth in both sectors, with the only difference of the results it can be expected in each case.

Happy new year and I hope 2015 will surprise us on #mHealth related issues :-P.

Integrating #mHealth in the health care process #2

Analyzing the process of care for diabetic patients from A to Z

Continuing with the series of posts dedicated to the project we are working from our hospital, today I’ll focus in a little more detail about the methodological approach we are following to identify the best alternatives for addressing this integration.

The first goal in this phase is to describe the entire care process, from beginning to end, so first identify which are the one or more entry door(s) for patients in the diabetes care process beyond wherever it occurs, and secondly identifying individual patient profiles and his life style from medium to long term.

Given the nature of our health system (Catalan Health System), and this disease’s peculiarities, most of diabetes diagnosis occurs at the primary care level, by the physician, in the case of adults, and the pediatrician for younger patients.

Diabetes Diagnosis

Another possible entry door is occurring more casually following medical examinations and analyzes requested for other purposes, company health reviews, to enter gyms, health coverage hiring health insurances … that crop suspicious results derived in a diagnosis of this disease.

From here on, we performed a detailed description of the different profiles of frequently patients, depending on the type of diagnosed diabetes.

Type 1 or Type 2 in its two possible variants, complex and say less complex or normal. The latter is one that can be handled by the General Practitioner (GP) without too much trouble.

Another level of analysis required, is to know in detail what are the actions that take place during the first year after being diagnosed with diabetes, and how is the patient follow up after the first period.

The differentiation between the year in which the patient “debut” in sickness and the following is very important in this type of pathology. It is in the first year, when the patient is educated in managing their illness, so they can live a life as normal as possible under the circumstances of this chronic disease.

Image from Canal Diabetes

Imagen obtenida de Canal Diabetes

Therefore, this step is very important for the subsequent management and monitoring of the disease, because it will largely determine the likelihood that in the future this patient can be monitored from the hospital relying on any of the existing devices today.

This is another important point to work together along with the cycle of life of patients and types of devices necessary for the management of the disease, as they will be crucial in the design of this project and decisions arising from this.

It is in this sense that we’ll zoom in deeply once we have well drawn the whole process in detail.

This description allows us to identify the impact on the hospital’s information systems of the information we decide to incorporate and provided by patients’ devices registered daily and ubiquitously.

Define which indicators should be systematically feed and register in the hospital’s information systems from mobile devices will be one of the key issues to be decided by the medical team.

I invite you to read my next post to continue analyzing exhaustively the process as the project evolves.