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.


MIHealth Forum 2014 – My personal analysis

Last week I had the opportunity to attend the MIHealth held in Barcelona, ​​where I heard great communicators, entrepreneurs, and visionaries explaining innovative projects in our industry.


Of all the papers I was able to attend, I highlight the following:

Ron S. Dembo: Ron is the founder and CEO of Zerofootprint, a company that uses participation and prizes to promote social change and positive behavior. Previously he founded the startup Algorithmics, making it grow to become the largest business risk software company in the world.

In his speech, Ron explained how people control elements of our environment to unimaginable extremes, such as automobiles, wherein with issues such as our health, that control barely exists, and is even in the hands of a system with large deficiencies and much room for improvement.

Ron explained the need for a change must start with people, engaging in their health even more, and he proposed mechanisms or ways to encourage this involvement.


GOODCoins is his proposal for this change to happen, rewarding people for incorporating healthy lifestyles habits, such as walking for half an hour every day, saving electricity or sharing healthy eating tips with friends and family.

Bertalan Mesko: Futuristic doctor, Bertalan works to incorporate disruptive technologies into medicine, helping medical professionals and students to make use of these efficient and safe tools, and e-educating patients about how to become equal partners with their caregivers.

Very interesting as Bertalan explained and showed the usefulness of many devices such as a fork that monitors us throughout our meal, identifying whether the rate at which we eat is right or not, if we do it too fast. Or a device that helps us control our heart rate continuously, facilitating monitoring through our Smartphone and many other devices currently available.

These and many other devices can help us to monitor different aspects of our lives that have a negative or positive impact on our health. I enjoyed seeing the relationship between what Ron Dembo explained as Bertalan showed us what you can achieve day to day.

Ana Maiques: Ana is co-founder of Starlab, a research and innovation company based in Barcelona. She is currently leading Neuroelectrics a spinoff dedicated to developing tools for monitoring and brain stimulation. IESE Nominated her as one of the most influential entrepreneurs under 40 in Spain.

Ana’s speech was fascinating; a mother Neuroelectricsand leader of an innovative company founded in Barcelona which is currently selling its products in more than 30 countries worldwide.



The top selling product is the Starstim ® Neuroelectrics, a transcranial stimulator with multichannel wireless stream. Among many other functions, it’s being used in the study of epileptic seizures in children, and helping to restore brain activity after suffering severe brain damage. Currently it’s being used in children hospitals like San Joan de Deu in Barcelona, ​​and Boston Children’s Hospital, among many other places worldwide.


A quote from the presentation which says a lot about Ana as a person:

“The motivation of an entrepreneur is achieving a big social impact, rather than earning lots of money”

Jorge Juan Fernandez Garcia: Jorge is Director of Health 2.0 in the Hospital Sant Joan de Deu, the largest children hospital in Spain and one of the five best in Europe. It is also responsible for “The Liquid Hospital “, an initiative that spans more than 20 projects that seek to radically transform health care. In addition, this feature combines with the Academic Board of Moebio BioCat program.

As with the others, listening to Jorge Juan is ​​a gift to the ears, one of the leaders in our industry with the ability to discover, analyze and point where are the trends pointing out in the future. But he is not only able to light up or show where the opportunities are, but also helps us to understand through his presentations that it is also possible to achieve it.

Jorge identified opportunities for different actors within our sector, healthcare centers, the telephone operators, the pharmacy industry, public administration, etc … An example is the process of implementing new technologies in our industry. He highlighted the opportunity the fact that despite being highly evolved, we are not finding the balance between these innovations and their applicability in the care processes, capitalizing on their investments, and ultimately its consolidation within the health system,  making the high expectations we have raised become true and effective.


Although not discussed in his work in Moebio, it is a clear example of how Jorge has constructed, with the BioCat team, and launched a program preparing future entrepreneurs in the health sector, applying the Stanford methodology, but adapted to our situation here in Spain.

Finally, I want to thank all of them for their contributions and for all that I have learned during these two days listening.