Contents:

Key Findings 1.0 Introduction 1.1 Understanding the eHealth Sector and the Role of Mobile Technology 1.2 The Challenges Facing Mobile eHealth 2.0 Methodology & Definitions 2.1 Methodology 2.2 So Just What is a "Smartphone"? 3.0 Overview of the eHealth Space 3.1 Mobile Technology & Healthcare - A Perfect Fit 3.2 Mobile Technology and the "Worried Well" - An Interesting Fit 3.3 It's All About the Applications 3.3.1 Reference Applications 3.3.2 Workflow and Communications Applications 3.3.3 Electronic Health Records (EHR) Applications 3.3.4 The Bottom Line 4.0 The Carrier Perspective on Mobile eHealth 4.1 The Emergence of High-Speed Wireless Wide Area Networks 4.2 The Wi-Fi/Cellular Chasm 4.3 Partnership Potential 4.4 Future for Mobile Carriers 4.4.1 Expanding Rollout of Advanced Mobile Networks & Services 5.0 Device Manufacturers Stake Healthcare Turf 5.1 Palm 5.2 Research-in-Motion (RIM) 5.3 Motorola 6.0 Key Opportunities 6.1 Understanding the Four Pillars of Healthcare Applications 6.2 Explicating the Four Pillars 6.2.1 Reference Applications 6.2.2 Contextual Knowledge 6.2.3 Workflow 6.2.4 Charge Capture as Area of Workflow Opportunity 6.2.5 Global Integrated Communications 6.2.6 Customized Workflow/Communication Applications 7.0 Key Obstacles 7.1 Enterprise IT Challenges 7.2 Mobile Device Use at the Point of Care - A Danger to the Patient? 8.0 Emerging Trends 8.1 Multimedia Applications 8.2 Consumer Monitoring Applications 9.0 Forecasting Smartphone Adoption Among Physicians 10.0 Final Thoughts and Key Takeaways 10.1 The Evolution to Mobile Workflow Tools 10.2 Factors Driving the Mobile Health Ecosystem 10.3 The Real Opportunity - Unified Management 10.4 Key Takeaways Appendix A. Key Companies Mentioned in this Report List of Figures Figure 1 The eHealth Ecosystem Figure 2 Challenges Driving eHealth Applications Figure 3 The Four Pillars of the Healthcare Smartphone Application Space Figure 4 Active Physicians in the U.S. (2006 thru 2011) Figure 5 U.S. Physicians with Smartphones (2006 thru 2011) Figure 6 Smartphone Penetration among Active U.S. Physicians (2006-2011)

Summary:

Smartphones gain appeal with more docs As mobile communications devices become ubiquitous in society at large, it shouldn’t be surprising that physicians are using mobile technology at higher rates than ever before. And soon, Internet-enabled “smartphone” technology may be leading the mobile pack. According to this recent study, smartphones will become essential weapons in the physician’s arsenal in the next few years. By 2011, the study estimates that close to 70 percent of active physicians will use smartphones, up from the approximately 49 percent of doctors that currently use the devices. “The new breed of physician is technologically savvy, and the smartphone is considered just another part of the toolkit,” said Alex Kasten, analyst and author of Defining the Black Bag for the 21st Century: The Evolution of Mobile eHealth Applications. “Physicians want devices and applications that will help them in their nomadic lives. They are looking to gain greater efficiencies at the point-of care setting.” Kasten defines a smartphone as a “converged multipurpose device” which features a combination of Internet access, e-mail access, scheduling software, a built-in camera, contact management software, accelerometers, navigation software, and the ability to read business documents in a variety of formats. The real challenge in the future will be allowing physicians to use their smartphones seamlessly among all the hospitals they may be affiliated with, and to ensure information security,” Kasten said. If used efficiently, smartphones can help physicians manage their clinical and information workflows, said Gregg Malkary, founder of the Spyglass Consulting Group in Menlo Park, Calif. “The possibilities of the smartphone in healthcare are really untapped right now,” said Malkary. “What we’re really missing is the communications solutions that would provide individuals with a single inbox. The whole concept of unified messaging is so powerful, but today in healthcare, communications is anything but unified. The real opportunity for growth is in communications efficiency.” Malkary suggested that one roadblock to increased smartphone usage is the unfortunate fact that many clinicians would just as soon make it harder to communicate with them. He said that physicians who perform a lot of in-office procedures would lose money if their workflows were interrupted regularly. Hence the need for more advanced applications to ensure that the hardware doesn’t become a burden. Physicians practicing primarily in the office environment tend to use smartphones differently than those working regularly in the hospital, according to Andrew Barbash, MD, director of neurosciences at Holy Cross Hospital in Silver Spring, Md. Barbash said that, for physicians in the ambulatory care setting, quick access to drug information is high on the list of appealing applications. Physicians would also benefit from a smartphone’s text messaging capability to communicate with other physicians currently seeing patients in the hospital. And a doctor might even use a phone’s camera to take photos of a skin wound and e-mail it to a specialist. Barbash said most physicians are not likely to use smartphones to access a patient’s electronic medical record, however. “I think with the rise of smartphones you will see doctors using e-mail and text-messaging much more often than they do now,” said Barbash. “And they will certainly communicate with their office staff more frequently when away. As doctors see their colleagues using smartphones, more of them will want the technology. In fact, I’m really surprised that you don’t see more phone companies engaging in front-end marketing to physicians.”

Companies Mentioned

- Apractis Solutions - Care Fusion - Caremark Inc. (iScribe) - DrFirst Inc. (Rcopia) - Epocrates Inc. - GE Healthcare (Centricity) - Greenway Medical Technology (PrimeMobile) - Handango - McKesson Corporation (Horizon Mobile Care Rounding) - Microsoft Corporation - OneBox - Palm Inc. - PatientKeeper Inc. - Research in Motion - Siemens Medical Solutions Inc. (PDAccess Clinicial Assistant) - Skyscape Inc. - Thompson Healthcare Business (Mercury MD, MData Enerprise) - Unbound Medicine - Verizon Wireless - WebexOne (WebOffice) - Wound Technology Network Inc.