Health Care and Mobile Devices

When wealth is lost, nothing is lost; when health is lost, something is lost; when character is lost, all is lost.

- Billy Graham

Regardless of where you come down on the Health Care Debate, there is no debating that the advancement in mobile networks and devices will have a significant impact on the Health Care Industry.

Sprint Nextel CEO Dan Hesse made the case at the annual conference of the Healthcare Information and Management Systems Society on March 1.

Today, on a planet of 6.8 billion people, there are more than 4 billion active cell phones—more mobile phones in the world than TVs, PCs and cars combined. The cell phone is the most rapidly adopted technology in the history of this planet... High mobile phone penetration provides an incredible opportunity for us to work together to improve health care and health care access, regardless of location, age, gender or disability.

Mobile devices may be on their way to replacing the characteristic stethscope hanging from every doctors neck or pocket. Today 64% of U.S Physicians use smartphones and is expected to reach 81% by 2012 according to the health care consulting firm Manhattan Research. With the introduction of iPhone 3.0 OS just over a year ago Apple set the stage for increased penetration of the iPhone into the Healthcare industry. Features included in that release made this possible, such as the External Accessories API, allowing external accessories to interface to the iPhone via the dock connector or wirelessly over Bluetooth. Apple used a blood pressure cuff as an example so I guess the stethoscope analogy isn't that far off.

In fact, Apple seems to have always had it's eye on the Healthcare market, partnering with Dr. Geoffrey Rutledge, chief medical officer for Epocrates Inc., to reformat a huge medical database into a downloadable app known as Epocrates RX, before the iPhone was even launched. Today, Rutledge claims Epocrates RX is used by one in five U.S. doctors as a drug reference and to prevent interaction problems between a patient’s multiple medications.

In India, the iPhone is being used to cure a disease called Retinopathy of Prematurity (RoP), an eye disease that affects thousands of prematurely born infants and can cause blindness if not swiftly treated. This type of disease is especially a problem in countries where there is a lack of adequate facilities, long distances to travel, illiteracy and low accessibility to quality healthcare. Laboratory assistants take pictures of the retinas of prematurely born babies and transmit them via broadband to pediatric eye surgeons, many times hundreds or thousands of miles away. The surgeons, use the iPhones high resolution graphics and pinch-and-drag capabilities combined with special software to diagnose and then determine treatment.

Currently there are hundreds of mobile applications in the AppStore's "Healthcare and Fitness" category available to businesses and consumers. Many more applications will be needed by the growing Healthcare Industry. Device manufacturers are improving their operating systems and SDKs to appeal to application developers designing tomorrows Healthcare Solutions.

A few application areas that apply to Healthcare include:

• Medical Spanish or Medical translation capabilities so doctors can communicate with Foreign language-speaking patients
• Fast medication facts, alternative medications, multiple drug interaction data, health plan insurance guidelines on medications.
• Remote diagnostic and treatment recommendations, bringing Healthcare to the patient.
• Receive and analyze laboratory test results.

The iPad, where I thought it might fit...

The Matryoshka Doll

Sometimes products aren't as good as you might imagine they will be from the pre-release hype and rumores that precede their official launch. I was thinking this the other day about the iPad and the difference between what I thought it might be, and what it turned out to be.  And thinking more about it, it would have been more appealing to me, if it had been what I thought it might be.  Don't get me wrong the iPad is a phenomenal product and it's launch a runaway success but I thought it was going to be something much more. 

I thought...it might be a device that had a more appealing fit between the iPhone and the Mac notebook, both of which I owned at the time of the iPad's announcement.  More specifically it would follow the "nested doll" or  "matryoshka" design principle. 

This design pattern describes an "object-within-similar-object" and appears in the design of many natural and man-made objects. For something like the iPad sitting between the iPhone and the Mac notebook this would be extended to be an "object-within-similar-object" with added inheritance/leverage of the embedded object. 

So what if the iPad was a middle doll in a matryoshka doll set. What if the iPad served as the 15/17 inch screen of a Mac Air, Mac Book or Mac Book Pro notebook when it was embedded. It would have all the features it has today in it's standalone state but it could also embed into  the Mac notebook and serve as the screen. When it was docked the combined object would use the Mac OSX and all the applications and you could use the Mac keyboard.  All all the resources (folders, documents, contacts etc.) on the iPad would be available to the Mac notebook and potentially applications written for the iPad would be available also.  When it was undocked the iPad would run on the iPad OS and function as a standalone iPad. 

This would allow you to select the form factor that made sense for the task as hand.  If you wanted  to goto a meeting or you were on the run or you were sitting around the house and wanted to surf the internet or check your email you might just grab the ipad (the screen) from the notebook and leave the rest behind.  For more serious work requiring a keyboard and a more powerful operating system and applications (OSX versus iPad OS) you would plug the screen back in and use the Mac Book as a notebook. 
Taking this a step further to the smallest doll, the iPhone, what if the iPad had a docking station or slot where the iPhone could be inserted completely.


So when you inserted the iPhone into the iPad you could make phone calls/use telephony from your iPad or your Mac Book. Using Internet Tethering would be seamless as well. Of course each device would sync data and portable applications when nested.
In this model there is a clear fit for the iPad in the form factors, and it would have been much more appealing to me, as an iPhone and Mac Book Pro owner.
Anyway that's what I thought.