Mobile Apps. Daniel Kirshenbaum, M.D. Gopal Yadavalli, M.D. Problem #1 Procedures

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1 Mobile Apps Daniel Kirshenbaum, M.D. Gopal Yadavalli, M.D. Problem #1 Procedures Residents at BMC need better instruction on performing invasive procedures. There was no resource for determining what equipment is necessary for procedures, nor how to perform those procedures. The existing method for tracking and evaluation of resident procedures was not effective.

2 Solution Procedure Application Partners Dr. Frank Schembri (Pulm) Resident beta testers Programmer Time 40 hours (programming only)

3 What is a mobile app? Short for mobile application Software designed for use on a smartphone Intentionally limited, simplified functionality Three major types of mobile apps Web app Native app Hybrid app

4 Mobile web apps Website designed to look like an application Opened in a phone s web browser More limited functionality Written in HTML and JavaScript Same programming language used on all devices Advantages of mobile web apps Works on any type of phone, tablet, etc. Can look like a native app Much easier to make No app store approval process Updates are available immediately

5 Disadvantages of mobile web apps Limited functionality Slower than a native app Mainly for basic content and simple functions Requires internet to use Need to open browser and type in URL Won t show up in the app store Mobile app example Facebook iphone Android

6 Mobile app example Google News iphone Android Native apps The typical type of app Download from app store Opened by tapping an icon Different programming language for each device Apple devices: Objective C or Swift Android devices: Java Windows phone: C# (pronounced C sharp )

7 Advantages of native apps Faster Advanced functionality Camera, compass, GPS, push notifications, etc. Often more visually appealing Can be used WITHOUT internet Disadvantages of native apps Only works with the device it is written for Need separate programmers for each device Can be very expensive to make Distribute app through app store Requires approval by Apple, Google, etc. Pay annual fee to Apple to distribute app Updates are more difficult and expensive

8 Native app example Facebook iphone Android Windows Phone Native app example Epic Haiku iphone Android

9 Hybrid apps Between a native and web app Written mostly in HTML/JavaScript Basically a web app that feels like a native app Downloaded from an app store Advantages of hybrid apps Easier to make than native apps Run faster than web apps Can access advanced functionality Camera, compass, GPS, push notifications, etc. Can customize to look like native app

10 Disadvantages of hybrid apps Harder to make than a web app Distribute app through app store Requires approval by Apple, Google, etc. Updates more difficult than web apps Hybrid app example Feedly iphone Android

11 We use our phones a lot Per month 34 hours, 21 minutes 1 Frequently check phones 110 to 150 times/day 2 9 times/hour at peak time (1) Nielsen, Mobile World Congress 2/2012, (2) KPCB Internet Trends 2014 Smartphone market share Windows, 3.30% BlackBerry, 2.50% iphone, 41.40% Android, 52.50% ComScore MobiLens as of 7/2014, total installed user base in United States

12 Problem #2 Evaluations Problem #2 Evaluations It is important to evaluate residents in primary care clinic and the ED. Attendings did not consistently complete evaluations. Paper evaluations were attempted, but often were not completed. An easier method of evaluating residents in these settings was required.

13 Solution Evaluation Application Partners Dr. Jonathan Berz (GIM) Residency program staff IM Chief Residents Resident beta testers Programmer Time 10 hours

14 Mobile evals worked better 6 # of evaluations/week evals/week Paper evals 4.8 evals/week Mobile evals

15 Apps should be simple Frequent, simple, high yield tasks Best for point of care tasks Good for accessing information Sustainability Complexity is bad Resident/student programmers are risky Partner with university or outside developers Make sure content can be easily updated

16 What resources do you need? An idea Faculty leader Programmer Money Cost varies greatly Native > hybrid > mobile web app Programmers can be expensive Estimates based on commercial apps Simple native app: up to $20,000+ Complex apps can cost $100,000 or more Simple web app: up to $5,000+ howmuchtomakeanapp.com

17 Discussion Pearls Web apps are the cheapest/easiest, but have some limitations Simple, high yield tasks are best for an app Make sure there is an easy way to update content

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