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The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act authorized the Office of the National Coordinator for Health Information Technology to create the Beacon Community Cooperative Agreement Program, which granted 17 diverse communities across the United States $12-15 million each over 3 years to build and strengthen their health information technology (health IT) infrastructures and to test innovative technologies to improve care quality and population health and reduce costs.

Incorporate mHealth into other payment reform strategies Lack of provider reimbursement for mHealth Leverage community partnerships for financial and in-kind support Sustaining programs after grant funding ends Plan evaluation strategy, identify data sources and outcome metrics from outset of projectĬonsider level of rigor needed and budget or other resource limitationsīiases (attrition, sampling, non-response) Lack of robust mHealth evaluation methodologies Integrate mHealth into other interventions/initiatives Lack of interoperability/data sharing between mHealth platforms and EHRs High-touch, in-person recruitment is key, but is labor intensive and costly Limited technological proficiency and access

Tailoring to local population and individual usersįraming messages based on behavior change theoriesĮnrollment proposition is more compelling in health-related contexts (eg, health fair vs sporting event)Įnrollment method impacts enrollment numbers and engagement Tailor messages based on participant dataĬustomize messages to local population to enhance user experience Technical constraints (160 character limit)Ĭultural competency / language availability The paper also describes lessons learned and offers strategies and promising practices to address these challenges ( Table 1). However, these community-based pilots encountered a number of challenges in the design (eg, developing content conducting outreach), execution (eg, engaging patients and providers), evaluation, and sustainability of their mHealth programs.

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Full results of the Beacon Communities’ evaluation efforts are still pending, but early findings suggest a promising impact of mHealth on behavior change. Recognizing this potential, and intrigued by the opportunity to help manage and possibly prevent chronic disease, several communities across the United States receiving federal funding through the Beacon Community Cooperative Agreement Program have deployed mHealth programs. This growing appetite for receiving and seeking health information via mobile technology presents new opportunities to engage patients outside of traditional care settings, even those who do not regularly seek health care services. Furthermore, 31% of cell phone owners report using their phone to look for health information in 2012, compared to only 17% in 2010. While using mobile technology as a source of health information is a relatively new concept, recent studies suggest that patients are generally open to receiving health-related text and electronic messages. Such mHealth services confer advantages over traditional informational public health campaigns by providing a medium for broader audience engagement and direct interaction. These programs target health behaviors by providing information and services-including medical appointment and medication reminders, self-tracking tools, educational resources, lab and clinical results delivery, etc-via timely and often personalized messages. The near-ubiquity of cell phones, and their use for texting, demonstrates the potential of text message-based mHealth programs to reach traditionally underserved and hard-to-reach populations.Ī growing body of evidence supports the feasibility of using text messaging and other mHealth applications for health promotion, behavior change (eg, smoking cessation), chronic disease management, medication adherence, prenatal care, weight loss, and physical activity. Additionally, Hispanic and black Americans-who are often medically underserved-are more likely to use text messaging than white Americans (85% vs 80% vs 79%, respectively). Cell phone use is widespread across socioeconomic, racial, ethnic, and age groups 91% of Americans use cell phones, and 80% of cell phone users engage in text messaging (short message service, SMS). Mobile health (mHealth), defined as “medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, personal digital assistants, and other wireless devices,” is increasingly used to engage patients in their health and care.