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The Illinois Mobile Healthcare Forum. Bewitched, Bothered & Bewildered: Measuring Mobile Health Outcomes. Anthony Vavasis, M.D. Clinical Director Health Outreach to Teens Program New York, New York Advisory Board Chair The Mobile Health Clinics Network. Statement of Problem.
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The Illinois Mobile Healthcare Forum Bewitched, Bothered & Bewildered: Measuring Mobile Health Outcomes Anthony Vavasis, M.D. Clinical Director Health Outreach to Teens Program New York, New York Advisory Board Chair The Mobile Health Clinics Network
Statement of Problem • What do we mean by ‘Outcomes’? • Which should we measure? • How do we measure them?
D.S. is a 21 year old transgender female who lives on the street and is addicted to heroin and Xanax. She knows that she has hepatitis C but has never tested for HIV. She routinely shares needles with her boyfriend. She requests hormone prescriptions from your mobile health program.
What do we mean by ‘Outcomes’? • Specific to mobile health? • Specific to target population? • What benchmarks?
Which Outcomes? • Screening? • Prevention? • Treatment? • All of the above?
How do we measure them? • Which staff? • What manner of record keeping? • Who analyzes the data? • How is the data analyzed?
MHCN’s first attempt • National Mobile Field Survey • Internet-based • 20 minutes to complete • >1500 sent, 50 responses
Learning from this attempt Mobile Programs’ limitations: • Incomplete data or no data • Not enough time or staff • Lack of uniformity of data
The Outcomes Assessment Calculator Project • Collaboration between MHCN and The Family Van/Harvard Medical School • Internet-based Calculator • Useful to individual mobile Programs
Types of Outcomes • Simple: comparison to national prevention data • Complex: • Clinically Preventable Burden • Return on Investment
Appeal to Programs • Analyze efficacy • Sustain or enhance funding • Establish benchmarks
Power of Outcomes • Describe Mobile Health • Unify Mobile Programs • Establish standards • Legitimize Mobile Healthbroadly