1. Competitive Analysis Liz, Katia, Kim

2. What We Learned Unlikely to download the app but will use it in the waiting room for questions and may download it to follow-up with questions Persona 3 (Joab Cano) would also be unlikely to download an app before a first visit to a primary care clinician, but may do so if prompted for follow-up visits or if the app saved him time (scheduling, etc.)

3. What We Learned A younger crowd may be more willing to seek these apps on their own as opposed to being prompted by a healthcare provider or spouse. If high schools and colleges offered healthcare app suggestions, they would reach a broader audience. More willing to use them for reminders, follow-up questions, and time saving.

4. App 1 Intro Kayla Johnson is an African-American female who is in her first year at college in an urban environment. As a consequence of having grown up in the city she has asthma. Kayla is very familiar with technology but only sees her doctor once a year to renew her prescription for her inhaler. This app allows her to ask her doctor questions and be prompted by FAQ's that she can use to learn more about how to control her asthma. If she were to look up the app she would use the following searches: "communicate with doctor" "ask doctor questions" It also allows her to continue communication with her doctor if questions arise

5. App 1 PingMD Messages and photos: Can be sent and received securely Medical advice: Contact doctor directly with a non-urgent health concern Online and app: This isn't necessarily only an app but is also available online via a web browser Cost: Free for patients and healthcare providers Data: Can be saved as a PDF and exported to EMR

6. App 2: Intro 17-year-old Melissa Bridges is a suburban high school student presently suffering from symptoms of mono. She is also mildly stressed from a hectic home and school life. She is very tech-savvy and is never without her cell phone. Melissa would use an app suggested by a friend or an adult at school (teacher/nurse), but probably not one suggested by her family. Melissa wasn't ready to go to her mother for advice about her symptoms. So she used Google to be proactive and find an app that would help her prepare for a doctor's visit a find the ideal questions to ask. o Her searches included:  How teen can talk to doctor  Doctor questions app  Patient-doctor app

7. App 2: MyHealth Test Results - You are able to view most test results that have been released to your MyHealth account Messages - View and reply to messages from your provider’s office Appointments - View future appointments and the summary from past appointments Get Medical Advice - Send non-urgent request for medical advice messages to your provider’s office Health Summary - View your health summary, such as Medications, Allergies, Immunizations, Health Issues Proxy Access - View other accounts to which you have proxy access in MyHealth.

8. App 3: Intro Joab Cano, a 20-22 year old male college student in a non-urban setting that stuggles with undiagnosed depression and anxiety, would likely not download an app prior to a first appointment if unprompted. o However, if the campus clinic's website has links to useful apps or directs patients to an app for scheduling purposes, he may do so. o If Joab were to search for an app on his own, he might use the following search terms:  Diagnosis  Medical app  College student medical advice

9. App 3: MeVisit Patient-facing app used to conduct basic patient interface out of the office Free, open registration (both patient and provider need to register) No ratings -- yet

10. App 3: MeVisit After the patient enters basic information, the physician can respond with instructions for care or to visit the office for an in- person check up A system like this may have alerted the care team that Joab's symptoms may have both physical and mental causes, prompting them to prepare a more targeting first visit and help him ask the right questions.

11. Psychiatric Clinic App Conclusions on Personas & List of apps that might help our app for CCA Tufts University Medical School 2013 Online Mobile Design Course Team Three Belkis CarolineIrving

12.  Easy, comfortable, and relaxing  Will need something appealing on the app to maintain her interest in future visits  Ensure privacy/confidentiality  Information on current medications: risk, benefits, and alternatives  Facilitate efficiency in time spent with MDs – can send queries ahead of the actual visits so the physician can prepare with relevant information Tufts University Medical School 2013 Online Mobile Design Course Team Three

13.  Satisfy their needs of immediacy while in the waiting room  Be clear  Information on meds  Include reminders  As Joan described on Caroline scenario, an IPAD is a better device than a smartphone. Tufts University Medical School 2013 Online Mobile Design Course Team Three

14. Tufts University Medical School 2013 Online Mobile Design Course Team Three  Create a “fear free to technology” environment  Make it entertaining too and relaxing –music-  Give patient choice of IVR or typing; need to have private area if using IVR  Need to gain trust of technology

15. Tufts University Medical School 2013 Online Mobile Design Course Team Three 1.Doctor’s Note app quickly creates return to work/school notes for your patients. a)A doctor’s note is the cherry on top of an office visit. b)Though it doesn’t take long, it’s the last piece of paperwork we need to do for our patients in a clinical encounter. While it isn’t painful, by this point you’re ready to be done (with the paperwork, not the patient of course). c)Doctor’s Note is an app that helps practitioners quickly create a return to school or work note for your patient. d)Additionally, it helps you keep track of all of the notes written by saving them to your device and iTunes account. e)http://www.imedicalapps.com/2013/06/doctors-note-app-patients/http://www.imedicalapps.com/2013/06/doctors-note-app-patients/ f)Adapt to our app work notes tracking for patients

16. Tufts University Medical School 2013 Online Mobile Design Course Team Three 2. Color Atlas of Family Medicine app is the e-text Family Med Bible. a. The Color Atlas of Family Medicine by McGraw Hill has long been a trusted source of information. b.The app opens to the table of contents. c.The book is broken down by Part and then further by chapter, just like the hardback version. d.http://www.imedicalapps.com/2013/06/color-atlas-family-medicine-app/http://www.imedicalapps.com/2013/06/color-atlas-family-medicine-app/ e.For entertainment while they wait.

17. Tufts University Medical School 2013 Online Mobile Design Course Team Three 3. Assess for DBS is a handy app for physicians who treat patients with Parkinson’s disease  Was created by medtronic to help physicians evaluate and identify if patients should be referred for DBS.  The user interface of this app makes it very easy to use and navigate. First, the app opens up with a screen that can lead you to start a patient evaluation, get background information on DBS, find information relating to the methodology of the app, as well as instructions on how to use the app.  http://www.imedicalapps.com/2013/05/assess-dbs-app-physicians-patients- parkinsons-disease/ http://www.imedicalapps.com/2013/05/assess-dbs-app-physicians-patients- parkinsons-disease/  We can use the model of the app to get patient’s information focused in Mental Health.

18. Tufts University Medical School 2013 Online Mobile Design Course Team Three 4. SafeDose Multilingual app provides medication dosing and tracking guidance in multiple languages  For finding and tracking medication doses.  The SafeDose Pro app acts as a guide to calculate the appropriate dose of a medication for your patient and even helps you track when it was given.  The first time you use the app, you will be asked to register and be given a suggestion to watch the app tutorials (on YouTube). However, you may skip this and go to the home page.  http://www.imedicalapps.com/2013/05/safedose-multilingual-app- medication-dosing-guidance/ http://www.imedicalapps.com/2013/05/safedose-multilingual-app- medication-dosing-guidance/  We can take as a model for tracking medication and multiple languages.

19. Tufts University Medical School 2013 Online Mobile Design Course Team Three ´´ 5. Adapt to our app work notes tracking for patients/ psych meds for students. Cost 1.99 6. MARs medication rating scale use to assess willingness to adhere for doctors free 7. PsychMeds. Use to track symptom change in response to meds. For patient: 99 cents/ medoptimizer for parents of kids with ADD to track dosage and response 8.Free problem: all only in english !

20. Competitive Analysis June 12, 2013 Joelle, Sami, Sue, Toby

21. What did you learn about the design of your app from your personas and scenarios? Reminder: our app will be implemented in a hospital system w/ outpatient clinics Main goals: save time, increase efficiency, reduce hassle o before the visit o during the visit o Continued use after visit Needs to be easy to figure out, intuitive Needs to be flexible for different o lifestyles o health concerns o Literacy/ technology levels

22. How would your personas look for or learn about apps? Search terms they'd use? What apps might they find? Overall, we thought our patients probably wouldn't search for this kind of app on their own. Apps would probably be downloaded and used at the recommendation of the provider/insurer. Therefore, there needs to be a marketing plan for the app to let pts know that it exists and why they will benefit from it; from there, the pt will likely download it.

23. What apps might they search for? E.g., Robert (65-year-old w/ chronic illness) o Apps relevant to fibromyalgia with search terms such as "pain management" or "chronic illness" o Might find:  Personal Remedies  Tonic (for patients and care-givers - managing your health regimen)  Living Well with Chronic Conditions  iHealth Log (managing meds and dosages) o A combination of Personal Remedies and iHealth Log is similar to what we're planning to do, but doesn't fully encompass all aspects of our design

24. What apps might they search for? E.g., Francisco (50-year-old recent immigrant w/ back pain) o If he takes his daughter up on her offer to buy him and his wife a smartphone he might eventually search for apps on "back pain," "exercises," "stretches" o He might also look for a "translator" app or search for "Portuguese" and use these in conjunction o Might find  Back App (back pain)  iREHAB (back pain)  iTranslate (translation)  Google Translate (translation)

25. If we consider the provider as the customer... Some apps that might be used: o El Canto  Provides docs who use Epic Health EHRs with secure access to clinic schedules, hospital patient lists, health summaries, test results and notes o CA Mobile  Physicians can seamlessly review and edit patient summary information, use e-prescribing to refill and fill new prescriptions, display lab results etc. o "Airstrip - Patient Monitoring" and "Care360" have similar features

26. Questions As a physician, what privacy concerns do you have about using an app in a doctor's office setting? What might make a physician wary of using an app w/ their pts? What would be the "perfect butler model" for a doc in a busy hospital clinic setting? What would be most helpful?