Gottlieb Touts Digital Health Approach

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FDA commissioner Scott Gottlieb says the agency’s approach to digital health isn’t to regulate the everyday health and lifestyle uses of consumer devices, but rather to focus its resources on reviewing more sophisticated medical apps that sit on top of the general purpose hardware — the functions that have greater ramifications for patient health and where ensuring safety and efficacy of the application is critical. In a statement, he says the goal is to encourage greater innovation in digital health, including using artificial intelligence and clinical decision support software.

“We believe that a modern, flexible, risk-based approach to regulation will reduce time and cost of market entry, assure patient safeguards are in place, and encourage more developers,” he writes. “This includes innovators that are new to healthcare. We want to give more entrepreneurs a chance to translate digital advanced into tools that can help benefit patients.”

Gottlieb reviews several agency efforts and then says FDA is seeking additional resources in the FY 2019 budget, including funding for a Center of Excellence for Digital Health that would advance the pre-certification model for digital health and modernize the agency’s regulatory approach to help the industry grow and reach its full potential.

“As we advance digital health tools to improve patient care,” he says, “we’re also modernizing our approach to making sure these products are safe. A significant area of concern remains cybersecurity. FDA is taking a lead role in medical device cybersecurity to address an unmet gap in the healthcare and public sector. Cybersecurity requires a multi-disciplinary focused team to bring together a range of requisite experience to fully address and validate high-risk/high-impact vulnerabilities and incidents, including potential patient safety implications. FDA will leverage this new public-private entity to complement the efforts of the agency’s cybersecurity unit and other government efforts.”

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