Survey: 1 in 5 healthcare companies takes on mHealth without a clear goal

Nearly one in five healthcare organizations is pursuing a mobile health initiative without having a specific reason for doing so, according to new research.

Medullan, a Cambridge, Mass.-based IT consulting firm, reported that roughly 19 percent of the 106 healthcare providers, insurers and other healthcare-related organizations responding to a survey earlier this year answered "no driver" when asked the question: "What is the top driver for your organization's mHealth initiative?"

The issue is particularly noticeable in larger companies. According to the survey, 23.4 percent of respondents whose companies contain 1,000 to 4,999 employees listed "no driver," making it the top answer; that answer came in third among companies with less than 1,000 employees, behind "cost savings" and "improved health outcomes."

That answer concerns mHealth proponents, who feel that mobile health projects undertaken without a clear goal are doomed to failure because they won't be sustainable.

"We were surprised that so many organizations would undertake mHealth initiatives without a clear driver," said Ahmed Albaiti, Medullan's CEO, in a press release. "While we believe strongly in the value of mHealth initiatives, no driver and no objectives is a recipe for disaster. The overall impression we got from the survey results is that there is a lot of activity around mHealth but many companies are spinning their wheels and need some focus."

Among the respondents who did cite a driver, 17 percent named "increased member/customer/patient engagement," while 15 percent picked "pressure to compete with other organizations." Other answers were "improved health outcomes" (14 percent), "member/customer/patient retention" (13 percent), "cost savings" (12 percent) and "organization brand and marketing" (10 percent).

Medullan officials pointed out that drivers differed by organization type. While pharmaceutical companies and medical device companies had "no driver" as their top answer, it came in second for government organizations behind "increased member/customer/patient engagement." Meanwhile, officials said, not one health plan selected "no driver," going instead with "cost savings" and "pressure to compete."

That lack of focus also plagues the survey respondents' mHealth goals. According to the survey, when asked "What is the key challenge your organization faces in achieving its mHealth goals?", 32 percent indicated they have no clear strategy or execution plan and another 30 percent cited a lack of leadership. The other two responses were "lack of skill set in-house" (28 percent) and – surprisingly – "lack of funding," which was cited by only 11 percent of the survey respondents.

In terms of size of the organization, those with less than 1,000 employees were far more likely to answer "no clear strategy," while those with between 1,000 and 4,999 employees selected "lack of skillset, in-house" and those with more than 5,000 employees chose "lack of leadership."

Finally, 62.5 percent of government respondents listed "lack of funding" as their No. 1 challenge, while providers cited "lack of leadership" and pharmaceutical companies selected "lack of skillset, in-house."

 

Comments

Chris Wasden
This shouldn't be too surprising since we saw the same phenomenon a decade ago when organizations began to experiment with the internet. At first they had no idea why or how it would impact their core operations. For this reason, their internet initiatives were done at the periphery or outside the core businesses and practices. In time, the more innovative figured out how to leverage the internet in such a way that now a decade later this isn't a part of any organization, with the exception of healthcare organizations, that isn't transformed due to the internet. Unfortunately, healthcare tends to be a decade or two behind other industries in adoption. The last figure I saw for email adoption among physicians was less than 20%, where as in other industries it must be well over 95%. In our own surveys we have done we have found that the two parts of healthcare organizations that are experimenting the most with mHealth are the marketing department and IT. Marketing is conducting experiments to try and increase patient or procedure volumes in ways that have virtually no impact on the practice of medicine. Doctors do what they have always done, they just do more of it. When ever any of these marketing oriented mHealth initiatives tend to require the physicians to practice medicine in any new ways, these experiments tend to end and can't find the funding to move forward. On the IT side, we find that this department is conducting experiments to demonstrate that they can do mHealth experiments and to understand what must change in order to enable mHealth. Once this is demonstrated, the IT department then runs in to the same brick wall that marketing does. No clinical vision or focus on how to use mHealth to improve care, decrease costs, or improve access. It is interesting when you look at our global survey on mHealth that doctors in developed markets are the most reluctant to apply mHealth to the practice of medicine, where as consumers around the world score almost identically with regards to why they want mHealth: lower costs, greater and more convenient access, better information and more control and empowerment of their health. Give the nature of medicine, we will likely be a decade behind other industries in leveraging the power of mHealth to transform healthcare. But it is our view, that no other technology has the power and potential to drive this transformation than mHealth.

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