Care Innovations harmonizes and validates

Updated 27 November

In what seems to be a repackaging and repositioning of their remote care management/telehealth services, Intel-GE Care Innovations is now orchestrating Health Harmony. It appears on their promotional web page to be a bundling into that latest rave, the care continuum, but also a refreshing of separate systems developed since 2011: for the patient, an in-home tablet hub/portal for monitors and PC-based content portal once known as Connect; and for the clinician or caregiver, what was formerly called the Intel-GE Care Innovations Guide (which succeeded the Intel Health Guide). According to the CI website and press release from earlier this month, Health Harmony is an ‘optimized experience” that promotes collaboration among the patient, family, friends and care professionals and will “organize caregiving tasks, coordinate schedules, track medications, monitor vital signs and crucial health information, and quickly share information.” The release gives the impression of a launch but no information on cutting over current clients to the new system.

Update: A test of the Health Harmony system in a hospital environment to reduce readmissions is underway with liver transplant patients at the University of Cincinnati Medical Center.  The shocking fact is that 50 percent of transplant readmissions occur within seven days of discharge. Instead of being discharged with a booklet and an exam one week later, the patients daily self-monitor vital signs (blood pressure, glucose, temperature), pain level and answer programmed questions. The clinical team reviews their data for 90 days post-discharge and can also do video consults. Currently eight patients are being monitored in the program with up to 20 projected through April 2015. Liver transplant bundled payments are approximately $250,000 with surgery being $180,000 of it, so there is an immediate benefit to the hospital system.

Another interesting development in Roseville, California is the expansion of the CI Validation Institute, announced in June, (more…)

CES Unveiled New York

11 November, New York

The annual event that is CES Unveiled in New York City is meant to be a nanoparticle-scale preview of International CES in Las Vegas, 6-9 January.  It’s a smörgåsbord of what used to be called ‘consumer electronics’ and now is all about innovation–a taste of everything from ever-smarter video and audio to sensors, smarter homes with IoT (the cutely named Internet of Things), Big Data, robotics and (drum roll) Digital Health and the Quantified Self (QS). This Editor regrettably missed the opening briefing by Shawn DuBravac, CEA’s Chief Economist and Senior Director of Research which would likely touch on his areas of the innovation economy and disruption along with the other four 2015 trends to watch: big data analytics, immersive entertainment content, robotics and digital health. (CEA helpfully provides the 30-page white paper here.)

The exhibitors at the Metropolitan Pavilion did not fully represent the trends, however. (more…)

Wearables blog – update

Since this editors’ piece on wearables four days ago there has been a stream of news about interoperability of various apps, resulting in frequent updates to the original blog, to the point where it was beginning no longer to resemble the original.

Chris Bergstrom of WellDoc has now kindly pointed me to the Mobihealthnews item on Samsung’s digital health partners announcement, and to his company’s specific interoperability announcement with Samsung, enabling activity and other data to be obtained from other Android apps to help those with diabetes to manage their condition better.

WellDoc of course developed the first prescription app – this item from mHealthWatch in turn based on a Telegraph article that suggests that GPs in the UK will shortly be prescribing apps for patients in large quantities. The source of the Telegraph’s intelligence is none other than Personalised Health and Care 2020, the recently published NHS document that we covered extensively yesterday, which was perhaps a tad less optimistic about medical app take-up.

Personalised health & care 2020 – required reading! (UK)

The NHS’s National Information Board (NIB) this week published its long awaited document on its plans for personalising health and social care activities, with a strong England focus. It breaks new ground for such a document in many ways (not least that when you put ‘apps’ or ‘telehealth’ or a myriad of other terms into the search engine, you get many hits!).

Before describing at some length why this editor considers the document to be so important, it is of course important to recognise that there will be an election in six months’ time so both the funding and the priorities of the NHS may well change before it has even got beyond the very first set of commitments. A further point is that, were the NHS to meet all the commitments it has made, even in recent years, it would be a very different organisation to that that it is: commitment do not necessary result in delivery.

The document is subtitled “A framework for action” which is a good description. it contains many individual commitments. However few are are sufficiently (more…)

Friday fun spot (UK)

In case any UK reader is unaware of the NHS Networks Editor’s Blog, we just thought we’d draw your attention to this Friday’s excellent example. Every week Julian Patterson comes up with a wonderfully amusing take on some aspect of the NHS; this week’s is particularly good. Sadly the intricacies and absurdities of the UK’s NHS are so great as perhaps to make many of the references incomprehensible to those from overseas (for this week, a working knowledge of the BBC’s internationally-viewed Dr Who series helps as well).

The item is nothing directly to do with telecare or telehealth (where there’s been enough excitement elsewhere this week), although occasionally, if you sign up for the NHS Networks weekly letter, you will catch a useful item on some aspect of digital health…as well as not missing next week’s Editor’s Blog.

Are wearables starting to deliver?

If you caught the recent Wired article entitled Wearables Are Totally Failing the People Who Need Them Most, you may have felt a sense of deep depression that a sector growing as strongly as it is is apparently delivering so little real health benefit (you may also be depressed to see the world of apps developers described as “From Silicon Valley and San Francisco to Austin and MIT…” although remember the North American-based Major League Baseball is called the World Series). The thrust of the article is that young people are developing wearables for people like them, who are then stopping using them within a few months, whereas those with long term conditions (LTCs) who are not the target customers are actually the ones using wearables consistently. As they say: (more…)

New TSA Chief Executive appointed shortly before their conference begins (UK)

The TSA has provided us with the following announcement this morning:

TSA GEARS UP FOR EVOLVING SECTOR WITH NEW LEADERSHIP

Telecare Services Association is excited to announce that Alyson Bell will be taking over leadership of the industry body, as part of radical changes to lead, represent and promote the evolving sector.

After 4 and a half years of leading TSA, its current Chief Executive Trevor Single, will be leaving to pursue other opportunities. Trevor commented: “The organisation (more…)

Reforms, restructuring at Veterans Affairs announced (US)

A new Secretary, but the same old process? New Secretary of Veterans Affairs (VA) Robert McDonald is quickly finding out that cleaning house at a government agency is not quite as straightforward as at Procter & Gamble, where he had been CEO. Since being confirmed by the Senate in late July, he has had to fight the fires of multiple scandals, beginning with the Phoenix VA ‘secret’ veterans care wait list leading to uncovering disastrous delays in care at VA regions across the nation. As of this week, and convincingly timed around Veterans Day, McDonald announced a reorganization of the VA to the Washington Post–a restructuring of the VA around the creation of:

  • A new customer service organization across the entire VA, headed by a “chief customer service officer” reporting to McDonald
  • A standardized regional framework meant to streamline partnering and coordination
  • Realignment of internal business processes into a shared services models to improve efficiency, reduce cost and increase productivity
  • Collaboration with partners to create a national network of Community Veteran Advisory Councils

Heads are rolling, but slowly. There are pending disciplinary actions affecting at least 35 employees and perhaps as many as 1,000 employees upcoming. (more…)

Short-shorts for an autumn Friday

As we in the US get our first, much too early blast of Polar Vortex this season with New York area temperatures dipping into the 30s F with a snow alert tonight, we should reminisce about what seems only a few weeks ago when the keyword was ‘short’….

Coming up short in the data breach this past Monday was Anthem Blue Cross of California with their TMI emailer–containing in the subject line specific targeting/sorting patient information that direct marketers love, but don’t want you to know they see, such as “Don’t miss out — call your doctor today; PlanState: CA; Segment: Individual; Age: Female Older; Language: EN; CervCancer3yr: N; CervCancer5yr: Y; Mammogram: N; Colonoscopy: N”. Ooops!…Another day, not quite another breakthrough for Mount Sinai Hospital here in NY, which had your typical laptop theft compromising over 10,000 records but fortunately not SSI or insurance information….More alarming were the malware/hacker attacks. In North Carolina, Central Dermatology of Chapel Hill was compromised by malware in a key server. And further south, Jessie Trice Community Health Center of Miami, Florida was hacked by a criminal identity theft operation accessing personal data of almost 8,000  patients.  iHealthBeat, also Privacy Rights Clearinghouse, NY Times (Anthem)

A short opinion piece in HealthWorks Collective promisingly leads with:

What if we paid for patient recovery rather than just patient services? What if we paid to treat patients rather than just conditions? What if we paid to personalize care rather just population health quality measures? (more…)

Tunstall adopts new Tactio in patient management

Tunstall Healthcare is partnering with Canadian mHealth developer Tactio Health Group in what is a distinct first for them: creating a mobile care management system that is 1) smartphone-based for the patient and 2) prominently integrates non-Tunstall apps and devices. The patient uses the smartphone and the Tactio-developed mTrax app to collect a wide spectrum of data–everything from activity, sleep, pregnancy, body fat and mood tracking to the traditional constellation of vital signs. This uploads to the care provider’s tablet mPro Clinical App which overviews, details and reports the data for each patient and patient groups in care. The data comes from well-known mHealth apps outside the Tunstall world: BodyMedia, Fitbit, Fitbug, Garmin, Jawbone UP, Medisana and Wahoo Fitness, as well as connected (presumably Bluetooth) medical devices from A&D Medical, Mio, iHealth, Telcare, Withings and Nonin. Tunstall has also added two-way patient coaching and  health journal features.

Tunstall’s positioning for what they call Active Health Management or AHM is “supported self-management” and “shift(ing) from reactive care to cost-effective active care.” (more…)

Follow up: Xerox invests in HealthSpot Station kiosks (US)

The day after this Editor posted on telehealth/virtual consult kiosk HealthSpot Station‘s new partnerships with Mayo Clinic and major drug retailer Rite Aid, Xerox announced their investment in the company. Xerox is not a business services organization one immediately associates with healthcare technology, but perhaps not anymore, based on this quote from Connie Harvey, Xerox’ chief operating officer of Commercial Healthcare: “HealthSpot is at the center of healthcare’s shift to a patient-centered model of care, and our investment in the company demonstrates Xerox’s commitment to transforming traditional healthcare into a high-value delivery system for patients, providers and payers.” Xerox will also be supplying BPO–business process outsourcing–services for cloud hosting, system integration, claims eligibility and claims submissions. But there’s more…. (more…)

Telehealth kiosk HealthSpot gains trials with Rite Aid, Mayo Clinic

click to enlarge HealthSpot Station, which was one of the higher points of this past May’s ATA, in the past month has announced two significant pilots. The retail pilot is with Rite Aid, the US’ third largest drug store chain (4,600 stores), with telehealth/telemedicine kiosks located in select Rite Aid locations in Ohio–Akron/Canton, Cleveland and Dayton/Springfield areas. The usage of the kiosks will be limited to common health conditions, such as cold, earaches, sore throat, sinus infections, upper respiratory infections, rashes, skin and eye conditions. HealthSpot Station kiosks are enclosed, free-standing units which use both video consults and real-time interaction with telehealth devices for remote diagnosis. They connect to a network of board-certified medical professionals at Cleveland Clinic and other major health systems across Ohio. Start date and duration were not disclosed.

This follows the October announcement with Mayo Clinic of an in-house pilot in Austin and Albert Lea, Minnesota with approximately 2,000 Mayo Clinic Health System employees (more…)

NYeC Digital Health Conference is one week off

A reminder for those in the US that the two-day NYeC Digital Health Conference at New York City’s Chelsea Piers starts next Monday. Spaces are still available, and for Telehealth & Telecare Aware readers, there’s a bonus of 10 percent off registration using code TTA. Agenda for Monday and Tuesday 17-18 November is here including the Patient Shark Tank on Tuesday afternoon. TTA is a media partner of the 2014 Digital Health Conference.

Touch Surgery – the video

“How can you start doing anything with healthcare apps when there are over 40,000 of them out there?” I was asked at least ten times at EHI Live this week. My answer was that there are only some 0.5% of those that are what I call “medical apps”, that really deserve attention, now. These are apps that for example might either meet, or be close to meeting, the definition of a medical device in the Medical Devices Directive 93/42EC: that have the power to do great harm if in error, and great good if properly constructed and maintained. Or they might be apps that transform the way training is delivered.

And then beyond that small number, there are just one or two that really stand out as signposts as to how digital health will completely transform the way healthcare is taught and delivered.

One such is (more…)

“Events, dear boy, events” (UK)

Harold Macmillan probably never said that in response to the question “What is most likely to blow a government off course?”, however we thought we’d use the quote to highlight a few cracking events coming up.

The Wearable Technology event, is being hosted by the Digital Catapult Centre, on 18th November, in London. On the topic of wearables, the BBC’s “the Bottom Line” had a great programme on 30th October on the subject. In the UK (at least) you can download a podcast or listen on iPlayer. There’s also an update on new Jawbone releases which seem now to be going for different form factors to the original UP, whose unreliability resulted in this editor being on his fourth such device in some 15 months. Info on Microsoft’s Band is here. The recent PWC report on Wearables is here.

At the same place starting on Monday 8th December there is a whole week of incredibly valuable assistance in the Digital Health Pit Stop, which is free! Events include a design day (8th), a business day (9th), a health day (10th), a data day (11th) and on 12th December (more…)

Integrated care – how can technology help? (+ earn 12 CPD points)

There has been a recent rush to book for the Royal Society of Medicine’s two day conference entitled “Integrated Care- how can technology help” on 24th & 25th November, so we are featuring it one more time, especially as it looks to be only one of two health & care technology events this autumn that also offers CPD points (the other is the TSA conference next week).

With a wide range of speakers from across the world, including Adam Darkins (ex VHA, now Medtronics), Robert Wah (President, American Medical Association) as well the UK’s very own Cathy Hassell and Tim Kelsey,  this conference will explore the many ways in which technology can assist in the effective delivery of integrated care to improve patient outcomes, at reduced cost.

The event will cover all the principal care disciplines which so often end up failing to work together to deliver holistic care: primary care, secondary care, mental health, social care and third sector engagement. Even within each of these areas, coordinating care can be challenging when people have to rely on paper and word of mouth to communicate. Technology offers a way of (more…)