1. Economic Impact Analysis of MyGoalApp Chinyeaka Nwoko Health Economics and Information Systems in Primary Health Care (N8303) Temple University.

2. Background Information  MyGoalApp.  MyGoalApp is a free mobile telephone application (app)  allows individuals with diabetes to set diabetes self-management goals that will enable them improve their adherence to diabetes self-management behaviors.  self-evaluation tool to determine the user’s progress or lack thereof and to encourage users to make action plans around their goals or improve on their successes in order to achieve their self-management goals.  allows users to log in blood glucose levels, medication, diet and physical activity adherence, compare their current and previous behaviors, and assess their progress.

3. Background Information cont’d  alerts users to log in their glycosylated hemoglobin (HbA1C) level every 3 months and compare it with the last value as a means of measuring progress.  provides a record and graph of blood sugar levels and HbA1C levels.  has links to American Association of Diabetes Educators (AADE) sites where users can get more information on diabetes and self-management of diabetes.  Integrating this app into daily self-management behaviors may be of benefit to individuals with diabetes who have difficulty adhering to their self-management practices.  act as a reminder for users to discuss their goals, challenges, and needs, when they visit their primary care providers, endocrinologists, diabetes clinicians, or nutritionists.

4. Cost effectiveness of mobile apps  Mobile applications are an economic way of presenting information.  used anywhere in the world whether the user is online or offline.  helps to lower healthcare costs and improve outcomes.  reduction in HbA1c ( Quinn et al., 2011).  easier communication between diabetes patients and prescribers.  enable healthcare providers individualize diabetes management and make rational therapeutic modifications (Russell-Minda et al., 2009; Ciemins, Coon, & Sorli, 2010).

5. Benefit for my patient population  Goal-setting is a key component of active patient involvement in diabetes management.  shown to increase patients’ commitment to their goals.  effective way to assist patients in improving their confidence in their ability to manage their condition which is important in effective self- management, glycemic control and other patient- focused results (Lafata et al., 2013).  promising way to assist individuals with diabetes in adhering to their self- management goals and ultimately attaining optimal diabetes outcomes.

6. Economic Impact Analysis of MyGoalApp Rural Assistance center (RAC)  using the economic impact analysis tool from the RAC  RAC is a product of the U.S. Department of Health and Human Services’ Rural Initiative.  helps anyone in the rural community who wants to sustain and enhance the access, quality, and economic viability of rural health and human service delivery systems to access the full range of programs, funds, and research that can enable them to deliver valuable health and human services to the community residents (Rural Assistance Center, 2015).

7. Economic Impact Analysis of MyGoalApp Spending Information  $10000 in Health Resources and Services Administration (HRSA) grants  operational cost - $8000. advertisements, ipads, and iTunes publications.  equipment and supplies - $1000 computer programming software.  Personnel cost - $1000, computer system designers.

8. Economic Impact Analysis of MyGoalApp

10. Spending summary  $10000 in Health Resources and Services Administration (HRSA) grants  generated $4972 in economic impact.  Overall, there is an impact of $0.50 for every dollar spent.  Impact based on HRSA grant funding alone was $0.50 for every dollar spent.

11. Spending summary Personnel spending,  $0.13 in economic impact in the local area.  10% of our personnel spending were in the community. Equipment and supplies,  every dollar spent, returned $0.13 to our community.  10% of our spending on equipment and supplies done locally in the community. Operational costs (advertisements, retail trade, and educational services)  every dollar spent, brought an economic impact of $0.59 to the community.  80% of spending in operational costs done locally.

12. Usefulness of the EIA tool  useful in determining the economic impact of this project on a community.  helps to analyze the expenditure on the funds for the project and how the spending on each category impacts the community being served by the project.  can help the project conductors to ascertain what areas and categories we want to spend more on in the locality in order to have a greater economic impact on the community.

13. References  Ciemins, E., Coon, P., & Sorli, C. (2010). An Analysis of Data Management Tools for Diabetes Self-Management: Can Smart Phone Technology Keep Up? Journal of Diabetes Science and Technology, 4(4), 958–960.  Lafata, J. E., Morris, H. L., Dobie, E., Heisler, M., Werner, R. M., & Dumenci, L. (2013). Patient-reported use of collaborative goal setting and glycemic control among patients with diabetes. Patient Education and Counseling, 92(1), 94- 99.  MyGoalapp. (2015). Available at http://apps.appypie.com/html5/mygoalapp  Quinn, C. C., Shardell, M. D., Terrin, M. L., Barr, E. A., Ballew, S. H., & Gruber-Baldini, A. L. (2011). Cluster- Randomized Trial of a Mobile Phone Personalized Behavioral Intervention for Blood Glucose Control. Diabetes Care, 34(9), 1934–1942. doi:10.2337/dc11-0366  Rural Assistance Center. (2015). About the Rural Assistance Center. Retrieved from http://www.raconline.org/about  Russell-Minda, E., Jutai, J., Speechley, M., Bradley, K., Chudyk, A., & Petrella, R. (2009). Health Technologies for Monitoring and Managing Diabetes: A Systematic Review. Journal of Diabetes Science and Technology, 3(6), 1460–1471.