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.

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Google Analytics y e-Salud una relación muy prometedora

Con la entrada de hoy voy a abrir una nueva temática sobre la que intentaré escribir en adelante, y sobre la que, hasta el momento, pocos se han atrevido a hacerlo.

Después de conocer todo el potencial que Google Analytics (G.A) nos ofrece, y sobre todo en cuanto a e-commerce / tiendas on line se refiere, se me ocurren otras dimensiones en las que esta capacidad analítica que nos proporciona esta herramienta, puede aportar y mucho a nuestro sector.

2 ideas:

  1. Orientar la analítica web hacia determinadas patologías muy prevalentes y crónicas para buscar el camino de relacionar el consumo de información sobre sus enfermedades con sus visitas a los servicios asistenciales existentes de primer nivel (Dispositivos de Urgencias y Centros de Atención Primaria).
  2. Orientar la herramienta a analizar si la información que proporciona el hospital a través de su Portal de Salud impactan sobre la población de referencia del territorio y su acceso al sistema.

En relación a estas dos ideas, quiero hacer referencia a lo que actualmente sucede en el sector del e-commerce, y como las tiendas on line monitorizan su tráfico, rastrean URLs (URL’s tracking) e identifican perfiles de usuarios y hábitos de compra para afinar al máximo sus campañas de marketing, ya sea a través del SEO o del SEM.

 

Y digo yo…¿Por qué no utilizamos estas mismas herramientas para trabajar en mejorar la salud en nuestro territorio?

Es decir, por un lado, y relacionado con la primera idea, analizar el tráfico que recibe la web del hospital para identificar que temas de salud preocupan a las personas que nos visitan. Si conocéis Med Line Plus, es un buen ejemplo de  lo que os quiero explicar. Cuando visitas su página, una de las cosas que se ven es un Cloud Tag de los temas más consultados. Este te da una idea de donde está el “trending tópic” en salud en ese tiempo. Por ejemplo, en septiembre con el tema del ébola, la etiqueta con este nombre era con diferencia la más grande.

MedLinePlus Cloud Tag

Siguiendo esta lógica, cuando lancemos nuestra Web Portal de Salud, nos proponemos trabajar con  la analítica web para identificar focos de enfermedades en función de las visitas a nuestro site, y su procedencia. El paso siguiente será enlazar esos resultados obtenidos con acciones concretas sobre el territorio, de forma coordinada con la Atención Primaria.

Por otro lado, desde hace un tiempo llevo dándole vueltas a cómo aplicar el SEM para mejorar la salud en nuestro entorno. Inicialmente, cuando me comentaron de hacer SEM desde el hospital pensé que no tenía sentido, sin embargo, después de reflexionarlo con calma, veo que es otro modo de invertir en salud, en prevención, en anticiparnos a las consecuencias de una enfermedad no detectada a tiempo.

Invertir para que anuncios sobre cómo prevenir una enfermedad, o como detectarla de forma prematura, o como identificar síntomas, impactará seguro en una mejora de la salud de la población y indirectamente en una reducción del coste asistencial de su tratamiento en fases más agudas.

En definitiva, todo lo comentado en este post, lo podemos explicar un poco en términos financieros, que en definitiva son, en gran medida, los que regulan el mundo.

Planteamos que al invertir en una Web Portal de Salud, tanto en SEO y sobre todo en SEM, se debe medir su retorno en el impacto sobre la salud, es decir, lo que en economía vendría a ser el Return On Investment (ROI), nosotros lo podemos bautizar como el Return On Health o ROTH. Para ello es fundamental trabajar y explotar al máximo el potencial que nos brinda Google Analytics, y orientarlo a medir este ROTH y demostrar hasta qué punto es rentable invertir en prevención a partir de información de calidad orientada a los pacientes y usuarios de nuestro hospital o de cualquier hospital allá donde se encuentre.