The Future of Mhealth - CEO ORCHA Liz Ashall-Payne #digitalcatalyst19 - AHSN NENC
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The Future of Mhealth
Liz Ashall-Payne
CEO
ORCHA
#digitalcatalyst19
Ambiguous advice, questionable quality: Determining & evaluating the quality of Health Apps
Digital Health Apps by Category 2017
Disease specific app categories
What are the major blockers?
Awareness Accessibility Trust Governance
Finding and matching Apps to The lack of a suitable quality The lack of clarity around the
Apps are not yet part of the day to day
support your needs or those of your indicator inhibits the embracing of regulatory landscape and the
management of health and care related
patients or service users is very Apps by end users and appropriate governance foundations
conditions
difficult professionals in the health and care delivers organisational uncertainty.
space.
6
Introducing ORCHA
L4
Regulated
L3 - Condition
Management
L2 - General Health
L1 - Advanced Wellbeing
L0 - Simple Wellbeing
The Regulatory Puzzle What Applies to what?
The Regulatory landscape can be very confusing for Digital Health providers as ‘old’ regulations and standards are being ‘adapted’ to meet the very different
scenarios that these solutions throw up. Healthcare Regulators globally are wrestling with how to provide a suitable regulatory regime for these innovative products
and services.
Data & Privacy Security
In the EU, Apps are now largely governed by GDPR NHS Digital have focussed their Digital Assessment
Regulations. However emerging standards around the around security on compliance with OWASP best
additional requirements to support System Data practice guidelines for Apps and Web based solutions.
Interoperability will undoubtedly add more layers on top Whilst existing accreditation regimes such as Cyber
of the base GDPR position. Key areas of focus will be
Privacy Security Essentials and ISO27001 are relevant, the need to
the ‘model of consent’ and authentication solutions. demonstrate ‘security by design’ and suitable
vulnerability testing is also becoming key.
Clinical Assurance User Experience
This is an area that is packed with regulations,
Clinical This is currently the area that is least impacted by
standards and policy requirements depending on the
Assurance User Regulation. There are some standards around usability
jurisdiction in question. Key regulations include, Experience and accessibility, but true User Experience metrics or
Medical Device Regulations (with major changes KPIs are hard to come by, with the primary user
coming into force shortly), CQC Registration, Clinical feedback mechanisms highly prone to misuse.
Safety standards, and requirements around evidence
of effectiveness and impact.
Scoring and Publication
Using Apps in Health and Care; a couple of Case Studies
02. Lancashire STP
Our earliest Microsite deployment,
Lancashire is now going from
strength to strength with over 300
registered Professional users and
thousands of visits and downloads
01. South Yorkshire NHS 03. Digital Healthy Schools
Partnership Trust
The DHS Programme looks to
create activation communities
This deployment is all about
around schools and is supported by
CAHM’s services and supporting
a PHSE module to directly engage
the patients referred into the
year 7 and 8 students.
SWYFT CAHM’s service to help
manage and improve.
1
0Pro-Accounts Activating Professionals is key
App Matching
Health Condition or Category Key Features
We have over 180 health and care We capture over 15 distinct functions
conditions or categories to support a and features to help users find the
wide array of health and wellbeing capabilities that they need help and
needs support with.
Individual Characteristics Technical Preferences
Our review process identifies a range Whether it is iOS or Android, Garmin or
of key characteristics that an App has FitBit or Strava v MapMyRun, the
been designed to support. These range technical world users inhabit is a key
from target age to physical and element of an Apps ‘stickability’.
cognitive capabilities.
12Thank You
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