UNO students team with UNMC, Apple Inc. to develop COVID-19 app

It starts with an email notification.

An interesting opportunity. Care to hop on a conference call to discuss?

The three University of Nebraska at Omaha students are intrigued.

On the phone, the pitch goes like this:

Would you like to build a groundbreaking mobile application with considerable value as a public health tool? It’ll involve collaborating with two teams.

The first is the University of Nebraska Medical Center’s Global Center for Health Security, which is rapidly working to quell an unprecedented global health crisis and is also home to the nation’s only federal quarantine unit. The other is Apple Inc.

With the COVID-19 pandemic having recently arrived in Nebraska, spring break has come early.

No need to juggle coursework.

The students quickly agree.

Work begins immediately. Prototyping and wireframing and coding. Analysis and dialogue and refinement. Daily meetings stretch into the pre-dawn hours as each team navigates hunger — the UNMC team subsisted on takeout curry — exhaustion and multiple time zones.

As news segments turn some of their peers infamous during imprudent trips to warmer regions, Keegan Brown, Grayson Stanton and Carly Cameron spend their spring break tucked away in a design studio, maintaining 6 feet of separation and working in conjunction with experts in the fields of medicine and technology.

Less than three weeks later, 1-Check COVID was available in the Apple App Store and was downloaded more than 10,000 times in the first 10 days. The app is now also available on Google Play for Android phone users.

1-Check COVID is a risk-assessment tool that asks the user a series of questions ranging from biographical to geographical before inquiring about symptoms. All are computed in an effort to assess the likelihood of someone having contracted COVID-19. Once the questions are completed, users learn their risk levels: low, urgent or emergent. From there, they are guided toward subsequent steps, whether to continue to monitor their symptoms or contact the public health department. If users agree, they can share their risk profiles with health care professionals, employers and family members, among others.

“This will hopefully be lifesaving,” UNO and UNMC Chancellor Jeffrey P. Gold, M.D., said in a news release, which names the three Scott Scholars, who are all Nebraska natives, computer science majors and underclassmen. Cameron, the oldest of the trio, was 2 years old when the SARS outbreak occurred. She doesn’t remember it.

In a time of crisis, both UNMC and Apple have bet on youth. And youth has delivered.

“What these students did is nothing short of extraordinary,” said Harnoor Singh, director of student development for the Walter Scott, Jr. Scholarship Program (Scott Scholars), which was launched in 1997, thanks to the generous support of the Suzanne & Walter Scott Foundation. The program challenges high-achieving engineering and information science and technology students to develop their technical, creative and leadership skills.

As a Ph.D. candidate at UNMC, Thang Nguyen is researching and developing decision-support tools. An innovator at heart, Nguyen had built one such tool focused on strep throat analysis “as a launching-off point,” he said.

Then came a pandemic. And an opportunity.

With an understanding of how to parse the literature, decode and translate information into a language that coders can comprehend, Nguyen pivoted to the issue at hand, using the same logic that was already built.

“A lot of what we do is identify problems as they come up and try to just solve in a rapid manner,” said Michael Wadman, M.D., chair of the UNMC Department of Emergency Medicine, “so I think that’s kind of our mindset when we approach any problem.”

A relationship between Scott Scholars and Apple Inc. formed after UNO students took part in a summerlong workshop called AppJam, which included a trip to the tech giant’s California campus. Gold reached out to Singh to see if a partnership could be struck between the three teams.

After the Scott Scholars, UNMC and Apple began working together, Nguyen said the students’ focus and attention to detail stuck out.

“When you cross from the clinical side to the technical, there’s a lot of language that gets lost,” he said. “There was none of that with this team. Those are special students in a very high-functioning program. I don’t know if you see that in too many places.”

Apple representatives helped the teams troubleshoot bugs and fast-track the app for development.

“Sometimes it takes several weeks just to get approval through the App Store,” Singh said, noting that his team needed all of two weeks and five days to bring the project to the public.

“It has the potential to save so many lives,” he said, “to not only allow folks to assess their risk, but also decrease the pressure on emergency rooms and urgent care clinics.

“Sometimes the universe brings people together. Personally, I couldn’t be more proud of our students. I don’t know how many times I heard Apple executives say, ‘This has never been done before.’

“A public health crisis like this has the ability to leverage human talent to create radically innovative solutions. We took a group of high achievers and placed them in a learning environment that emphasizes human-centered design and were very intentional with teaching them how to navigate ambiguity and how to become comfortable with failure. These are all elements that they’ve learned in the Scott Scholars program.”