The Journal of mHealth Vol 2 Issue 1 (February 2015) | Page 24

Predictions for mHealth in 2015 Predictions for mHealth in 2015 By Dr Alexander Graham Dr Alex Graham is a medical doctor by background, having trained in London before entering the business world. He is currently a founding partner at AbedGraham, a research and strategy consultancy which assists global IT corporates to navigate the clinical, organisational and commercial complexities of the UK’s National Health Service (NHS). He is also medical director of EMEA for Imprivata. The end of the year always brings great pause for predictions and thoughts for the future, and technology is no different, especially in healthcare, as digital and mobile health have become somewhat fashionable to talk about. I have read many articles and discussions about what will be different in healthcare technology in 2015, not to mention all the conferences that have taken place around the turn of the year. Common consensus seems to be that a mixture of wearables, complex genomics, nanotechnology and 3D-printing are going to revolutionise hospitals and healthcare immediately by promising everything under the sun without a care for clinical workflows, business cases or return on investment studies. I realise and appreciate that ‘prediction’ articles are often the time to take a look at the more exciting and unusual things on the horizon, but I also can’t help but think that they frequently add to the hyperbole and wooliness around such an important area, and end up actually doing a disservice to the areas they are focused on. As such, these are my predictions (and hopes) for clinical technology, which may not toe the fashionable party lines, but which will deliver the greatest benefits to digital and mobile health as a whole. Sales AND consumption Something I have ascribed to in my business for some time is that the technology out there works (on a technical level) as near as makes no difference 100% of the time, and the problems facing health IT are predominantly to do with change management and adoption and diffusion of technology. Too often 22 February 2015 I have seen vendors sell into healthcare and either the advertised benefits are not realised or the technology is simply not used at all, and is left gathering dust in a store cupboard which is a colossal waste of resources. that exists in too many places. Large vendors will dominate the market More and more though I have seen both healthcare institutions and vendors focusing on uptake and consumption of the technology rather than just getting the sale done and moving onto the next one. Staff are being remunerated based on adoption and diffusion, and it is being highlighted in hospital’s operational IT plans. This is admirable because the (relatively) easy part is making a sale, the difficult and most important issue is making sure that the technology delivers what it says it will