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ROM Randeree: did this video end too quickly - did you build the app or use a wireframe to build it ?

Group meeting for the prototype: 11/6/13

Group Meeting Minutes:














Progress Report: 9/26/13: 2-page outline is posted at the bottom :D

Contact information: - Monday 9-3, Weds 9-3, Friday 9-3, Saturday 9-3, Sunday 9-3
Allana Spence
asf07@my.fsu.edu

Johnathan Lacroix - M- noon until 6, T-Th from 5 p.m. to whenever, not wednesday, friday anytime
407-744-7428
jml10e@my.fsu.edu

Stacey Mitchell - Tuesday 12-2, Friday anytime
850-339-3073
stm11c@my.fsu.edu

Brent Pristupa - Wed and Friday after 3. M, Tu, Th after 5
404-226-5742
btp11f@my.fsu.edu

Eric Lewis M&W after 3, Tues& Thurs after 5, Friday until 3
561-632-9980
eel10@my.fsu.edu

Zonnelle Hanley-Monday,Wednesday and Friday 1pm to 5pm
zgh06@my.fsu.edu

Edwin Broadnea
M & W - Anytime after 12

T & TH- 10am-12pm & anytime after 5

Friday- 6pm-9pm

510-982-6567


2-Page Outline:


INITIAL OUTLINE:
Life Trak!
The goal of this project is to create an application that will be a well rounded source for all aspects of health.
Resources in the app:
  • User’s basic health information stored in the app for reference/emergencies
  • Location-based map services to show places, doctors, and services for both medical and holistic treatments.
Possible features:
  • One touch emergency access for when the person physically cannot answer medical questions
  • Easy fast access to basics (blood type, allergies, medications) to speed up paperwork at visits
  • Instant referral services to avoid run-around of faxing for release of info.

Problem:

Main Problem -
Today's technological advancements have yet to fully help and improve the health field. Most members of health field, patients and doctors, want to be able to use the new technology to make better use of their time. Patients want to be able to use that technology to feel as if they control their medical information, doctors want other options to keep track of medical information, and pharmacies want more effective forms of e-prescribing. Patients want to be able to easily look up prescriptions and edit medical information without having to wait and to make a doctors appointment. They want their information now. Doctors also want to save time and spend less time dealing with records. They want better and faster ways of editing patient records without always having to bring the patient in for a visit. Pharmacies also want to save time and money.

Extended Problem - The cost of out of network medical appointments can be very expensive due to a hospital not covering the certain plan the patient has and from the patient having to take the time to find a hospital, which costs them time. It can also be difficult for a patient to find local hospitals who accept their health insurance. Either because of the inability to do research or from confusing or sometimes conflicting information that is on the internet.


Evidence:


  1. Rising premium costs in correlation with uninsured patients
    1. More uninsured patients put strain on ERs, posing a consequence for the general population’s health
    2. This also leads to longer waits at facilities
  2. Mis-diagnosis based on inaccurate patient-recalled information
    1. 90% of misdiagnoses lead to serious injury/death; driving up healthcare costs
    2. Medicaid/Medicare lose money the longer a patient is in the hospital; misdiagnoses = unnecessarily spent dollars
    3. Over diagnosis = overcharge medicine (which can be unneeded) that drives up cost of care
  3. Patients relying on charts and records at offices for all their basic information
  4. An Accenture survey showed 41% of patients, who currently do not have access to their health records, would switch physicians to obtain access to their medical records. 82% of patients said that access to their medical records is very important to them.
    1. 76% of patients surveyed want online prescription requests and 74% want mobile app/text remainders.
    2. 63% say they do not have access to online health history and 98% of patients say they should be allowed access to electronic health records.



  1. Rising cost in medication (especially for senior citizens) can lead them to skip or stop taking the medicine

Potential Solutions:


  1. An app that doctors, patients, and pharmacies will be able to access to find information, such as medication and medication history, of the patient.
  2. A bracelet, which has a chip in it, that stores the patient’s essential medical records. Allowing for doctors to be able to find important information (allergies, prescriptions, etc.) quickly if the patient is put in a position that they cannot give the information.
  3. A card that is kept on a person, that when scanned, will show the person’s medical records.

    Potential Solutions for extended Problem:
    1. An app that provides information on hospitals and the insurance they accept to individuals who are out of network or patients who are trying to locate a local hospital.

Research Existing/ Alternate Solutions:

  • Tallahassee Big Bend RHIOS- Website that allows users to store data online from every aspect of the medical field. From physicians offices, hospitals, pharmacies and labs. Consists of a “physician portal” for secure communication and transferring of records, a “my records portal” that safely and securely stores medical history and can only be accessed by their physician, and a “my careers portal” that shows healthcare careers in the big bend area. (http://www.bigbendhealth.com/About.aspx)
  • HealthVault- a self-maintained online EHR. Health vault is a consumer health information system, in that it empowers the users to manage their own health and the primary focuses on preventative care. HealthVault is a website, but has an app version and is can also connect to third party apps such as “fitbit” an app that tracks steps or it can be synced to medical devices such as a diabetic pump to have an online record for future purposes. Along with your own personal record, you can also create one for family members, given that you have the proper permission or they are under the age of 18 and not emancipated. (https://account.healthvault.com/help/en-US/default.htm)
  • NueMD- A mobile app that focuses on the physicians entering the medical data instead of the patients entering the data. The mobile app is synced with online NueMd account. Along with being a tool for entering health data into an EHR it also serves as office managing software, allowing physicians to bill patients, schedule appointments and manage charts. (http://www.nuesoft.com/solutions/mobile-medical-software-app.html)

Feasibility of Solutions:

  • An app that can connect physicians, pharmacists and patients is more than a feasible solution, because it has already been done. The problem arises in the adoption of the technology and the simplicity with which the technology can be used.
  • A bracelet, with a chip in it that can store patients’ medical records is a feasible, but a stretch. While it could be useful in an emergency, getting the general public to buy into this idea would be difficult. Having a chip on you at all times has the implications of being watched at all times and many people aren’t willing to give up their privacy in the name of health. Another dilemma that arises with this potential solution is security. Who will have access to the chip? How do you update if you need to? Does a physician need to be present when updating information? All of these problems lead me to believe that a chip could be made and put into use, but would most likely be denied by the public.
  • Health cards that are scanned and kept on person are also an idea that could be feasible. Health care cards have been used in other countries to store the information. Nowadays we all carry credit cards and ids of various sorts so adding one more to wallet would be an idea readily accepted, especially by the older population.

Chosen Solutions:

The chosen solution for our problem is to use a Mobile Application in combination with web-site interface. This was chosen because of the known efficiency of mobile applications when implemented correctly. The most expensive part of this this method is the primary set-up and future updates. However once implemented, the sheer data that can be extracted can save all parties involved a lot of money. For example, a patient can save on visiting costs to a doctor by maintaining their own records and being able to see and verify when a pharmacy has their prescriptions.

Another core reason for this solution is due to for sheer data exchange. This allows patients, doctors and pharmacists to share information in close to real time. This exchange is crucial for more doctor/patient interactivity. By allowing a closer bond between a patient, a doctor, and a pharmacist more actual discussion on health can occur. This can actually make for true health care, ESPECIALLY in preventative health care. Doctors can then share data with other doctors for quick and reliable information, Especially when that patient cannot entirely verify his or her data due to emergency cares.

Team Workload and Roles
The team worked very well together in researching, thinking, creating, and collaborating on this project. The workload was distributed evenly and all the members participated; in some cases multiple members worked on the same parts when needed but there were some specific roles assigned to some members based on strengths.
Jonathan: Leader
Stacey: Meeting Minutes recorder, backup research checker, Timeline creator assistant
Eric and Brent: Head researchers
Allana: Assistant to research and minutes, and compiler
Edwin: Visual designer
Zonnelle: Medical consultant and videographer., Timeline creator

LifeTrak! Prototype Video:

http://www.youtube.com/watch?v=h6HJmuVZVRY




Final Product:

LIFETRAKLOGO.png
LIFETRAKHOMEPAGE.png
LIFETRAKPATIENTPAGE.pngLIFETRAKPATIENTPROFILE.png

LIFETRAKDOCTORSPAGE.png

IPHONEMOCKUP.png


GALAXYMOCKUP.png
LIFETRAKGPSPAGE.png

Next Steps for LifeTrak

Business Standpoint:
After creating a full mockup, the next logical step would be to get in contact with an app-building company and set up a meeting time. From there we could show them what we have so far, tell them what exactly we’re looking for and ask them to create it for us. First they would show us a functional spec outline and we would confirm that it is how we wanted it. Payment would be negotiated and then when they completed the app we would beta test it amongst ourselves to ensure that all the specifications and requirements were met. From there it would then be made available on the respective app stores depending on which platform the app would initially be developed for.

School Term Standpoint:
The information that all of us acquired in completing this project can be useful for all the group members for future courses. Those of us choosing to take the next level health informatics course can bring this concept to the class and further expand upon it with new group members. For those of us who will not be taking the next level course (whether we’ve graduated or just decide not to take it) what we’ve learned in this course and this project will be retained to further our academic and professional career in whichever path we choose. The skills we all improved on in regards to: teamwork, time-management, and delegation can be applied to many different mediums.

TimeLine for LifeTrak Applications

Gathering of information
Some of the healthcare concerns have already been highlighted especially since the media have been talking so much about it. Gathering the correct and complete list of healthcare concerns should take three months to do. Also since the recent changes in healthcare policy concerning health care costs, management and facilitation under Obamacare and the emerging problems springing from it, information gathering can take a little longer and/or be more ongoing than three months.
Potential Solutions
Building an App (Lifetrak)
By itself an app would take three month to build. But with the other the other features that would be connected to it such as the braclet chip and the card with information it would take from 6 months to one year to build

-Bracelet with chip and card with information
This bracelet with have patient information and so with the updating of data into a computerized system this should take one year to do where making the chip would probably take 3 months.. Making a card will take 2 months.

Overall depending on the size of the population that will be using this application it should take 1.5 years to complete where most of the time would be spent on computerized data of the individuals using the application and addressing any security concerns.



Citations