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Haley Hoy, PhD, ACNP Susan Alexander, DNP, CNS, CRNP Manil Maskey, Research Scientist, ITSC

Development of a Web-Based Mobile Technology Application for Healthcare Providers in Transplant Care. Haley Hoy, PhD, ACNP Susan Alexander, DNP, CNS, CRNP Manil Maskey, Research Scientist, ITSC haley.hoy@uah.edu . Idea?. Clinical experience Education Opportunity Networking. URII.

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Haley Hoy, PhD, ACNP Susan Alexander, DNP, CNS, CRNP Manil Maskey, Research Scientist, ITSC

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  1. Development of a Web-Based Mobile Technology Application for Healthcare Providers in Transplant Care Haley Hoy, PhD, ACNP Susan Alexander, DNP, CNS, CRNP Manil Maskey, Research Scientist, ITSC haley.hoy@uah.edu

  2. Idea? Clinical experience Education Opportunity Networking

  3. URII • UAHuntsville Research Infrastructure Investment Grant • Mobile Application • Web Based Technology for Transplant Nurses • Survey will be administered on the site

  4. Transplantation

  5. Total adult kidney transplants (includes kidney-pancreas) SRTR, 2010

  6. Kidney transplant waiting list activity among adult patients SRTR, 2010

  7. Patients on the transplant waiting list on December 31st of the year 2010 (active listings only) SRTR, 2010

  8. KI 4.1Total adult kidney transplants (includes kidney-pancreas) SRTR, 2010

  9. Total adult lung transplants SRTR, 2010

  10. Lung Transplant Evaluation • Chest CT • EKG • ECHO • Right and Left Heart Catheterization • VQ lung scan • Panorex • Family Evaluation • Insurance assessment • Serologies • Sputum culture • Six minute walk • Skin Testing • Gyn/Mammogram for females • PSA for men • Psychosocial assessment

  11. Time Scheme of Infections after Renal Transplantation - Rubin Rubin RH, Inf. Dis. Clinics, 1995

  12. Medications

  13. Web based portal In collaboration with Manil Maskey, Dr. Susan Alexander, and Helen Conover, a prototype of the web-based portal has been developed (http://tpp.uah.edu/).

  14. Technological Concerns Michael, S. (2011). Making mobile health work for your medical practice: What is ‘mhealth’ and how to plug into it. Accessed from: Mobilehttp://www.welldoc.com/LinkClick.aspx?fileticket=dN_kaDt8Eco%3D&tabid=104 • Why do I need healthcare technology? • Healthcare providers are busy people and need tools that move with them • How do I choose what to use? • Not all apps are created equal • Is it really all that necessary? • Mobile devices can improve efficiency, coordination of care for the patient, and provider communications

  15. Healthcare Apps Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/ Electronic Health Record is the most important application driving investment above 28% from HealthCare Industry. Next to it, Computerized Physician Order Entry and Medication Administration attracts investment above 13% individually (Source – Motorola)• Mobile Health Care applications will play vital role taking the Health Care systems to next level in future.

  16. Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/ Mobile Health Care market to hit $2.1 billion by end of this year – growth by 17% in each of the past two years (Source – ComputerWorld)• Health Care Application set to become hugely popular and above 500 million consumers will be using the application in next 5 years (Source – Research2guidance)• More than 1/3 of 1.4 billion smartphone users will use atleast one Mobile HealthCare Application by 2015 (Source – Global Mobile Health Market Report 2010-2015)

  17. Advantages of Collaborative Environments • Involve people, groups or teams to achieve common goals • Provide more effective ways to share ideas, documents, media, tools • (not just emails, chats) • Allow users to submit or update contents • Improve communication • Control access • Manage and index contents • Categorize contents • Integrate semantics • Provide basis for Mobile App Knowledgebase • Social Media Integration

  18. Technology Basics • Refresher Course • Content Management System • Drupal • Feeds • Resource Aggregation • Forums • Mobile Apps

  19. Drupal A popular Web Content Management System (CMS), open source (GPL), ~10 years old (Dries Buytaert) Large user and developer community, thousands of contributed modules, science applications Modular and extensible Framework written in PHP, runs on major OS platforms

  20. Core Features • Content management • With admin user interface • Custom content types • Versioning • Taxonomy support • Search support • Template & theme system • Separation of content from view* • Many faces, same content • User management • User authentication and role-based authorization • Many extensions available, e.g., LDAP module

  21. Concepts Administration Interface: build and administer a site Node: underline storage units for all types (“base class”) Comments: comments on a node Users and Roles Theme: assembles HTML, scripts to display content Block: information placed on a display location Publish contents to Social Media

  22. Collaborative Environment for Transplant Professional Mobile App Extension Transplant Cases Tools Calculators Blogs/ Wikis Transplant Professional Extension Pub. workflow Forums/ comments Taxonomy Content Mgmt System Social Software Tools Ratings DRUPAL Search Tagging SEMANTIC LAYER RSS Analytics Users Content • UAH developed customizable “software appliance” to build collaborative portals for transplant professionals • Leverages Drupal, an open architecture platform, to provide the core Content Management System capabilities required by an online collaborative portal

  23. Collaborative Environment - Web Feed Aggregator Tools Posted Contents Events

  24. Features Collaborate Using Forums Resource Aggregation CEU/Other Resources

  25. Architecture authentication for add/update Collaborative Environment Services authorize to update CMS Database Report Analysis

  26. Mobile App A N D R O I D Feeds Calculators Forums Events I O S Mobile App functionalities

  27. Mobile App Functionalities • Latest Publications – Categorized • Calculators • Calendars/Events • Read Forums • Post Comments/ Answers Forum Questions • Requires Login (Same login as the Portal)

  28. Why use? Post a question about a case Automatic notification for questions and responses Collaborative research projects One stop shop for all transplant resources Curate the information Share the information

  29. Links • Android App • https://play.google.com/store/apps/details?id=com.itsc.transplantpro • iPhone App • http://itunes.apple.com/us/app/transplantpro/id512387289?ls=1&mt=8 • Collaborative Portal • http://tpp.uah.edu

  30. Use Android   10 - 50 Installs iPhone   Stat not available yet.

  31. Prior to production site Visits: 325 Unique Visitors: 148 Pageviews: 2,044 Pages/Visit: 6.29 Avg. Visit Duration: 00:08:17 % New Visits: 45.54

  32. Post production site conversion Visits: 144 Unique Visitors: 58 Pageviews: 655 Pages/Visit: 5.77 Avg. Visit Duration: 00:06:09

  33. Statistics Site demonstration App demonstration

  34. Preliminary Resultsprior to beta testing:

  35. Preliminary Resultsafter beta testing:

  36. Preliminary Resultsprior to beta testing:

  37. Preliminary Resultsafter beta testing:

  38. Use of Web-based mobile applications to reduce healthcare inefficiency Real patient care and clinical benefits Prevent medication errors Prevent communication errors Avoid Delays/Links ……….- the sky is the limit

  39. Acknowledgements • Grant-North American Transplant Coordinators Association • Grant-UA Huntsville-JFDR • Grant –UAHuntsville-URII • Research Team: • Susan Alexander, DNP • Karen Frith PhD • Manil Maskey, Information Technology & Systems Center

  40. Portal http://tpp.uah.edu/content/ua-system-scholars-institute-presentation-2012-haley-and-manil

  41. Questions ?

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