Introduction

What Makes iMHere Unique

What separates iMHere from other self-care reminder apps and web-based portals is its unique communication architecture—iMHere not only connects patient and clinician through care-plans, but also simultaneously keeps them in continuous “live” contact. iMHere forms a continuous, secure, Internet-based communication bridge, between patient and clinician platforms, that spans any distance. On the patient side there are disease state specific smartphone apps, and on the clinician side there is a web-based portal. Patients receive new instructions moments after the clinician enters them, and patient responses are immediately available for clinician review. Patients may report problems to their clinician, and the clinician can immediately make adjustments.

Each chronic disease comes with its own set of challenges: iMHere provides patients with apps that target the self-care needs of specific chronic diseases all via smartphone applications. For example, a suite of apps for spina bifida patients would address skincare, bowel and bladder maintenance, and other concerns unique to spina bifida, whereas a diabetes suite would contain apps for nutrition and glucose management. The apps remind the patient to perform specific self-care tasks or record periodic data points (such as glucose level), while consolidating information regarding compliance and complications for the clinician portal.

The clinician portal is a web-based tool for clinicians (typically a nurse coordinator or case manager) to schedule regimens and review feedback from multiple patients at once. It is designed to quickly locate patient responses requiring attention by means of the dashboard, organized for quick review by the clinician. The portal performs a preliminary triage in which all patient responses are categorized, organized, and flagged based on attention urgency. This portal format provides easy access to comprehensive data on every patient and analytics services for an individual or aggregate patients.

The iMHere Bridge

At the heart of iMHere is the bilateral, dynamic, real-time communication bridging patient apps to the clinician portal. All communication between apps and portal is encrypted and securely linked via the Internet and wireless broadband. In addition to its real-time capabilities, which require uninterrupted wireless data service to the patient device, iMHere is capable of delivering its full spectrum of features, even in areas with a spotty data service. With iMHere the patient always has local access to their apps, their schedules, and all of their information, made possible by storing data on both the client and server side of the platform. When iMHere apps detect that no connection is available, patient activity is stored and queued for synchronization. Synchronization between app and portal occurs as soon as a new connection is established. Likewise the clinician portal always shows the connection status of each registered patient-client, providing the patient the best of both worlds: uninterrupted use of iMHere apps regardless of current connection status, and up to date portal synchronization the moment connection is resumed. In the event of a lost device, the patient’s smartphone is able to wipe all of its sensitive health information data as an additional security feature. The communication architecture of iMHere is what truly sets it apart from other mHealth applications.