Bosch does something about a UK society under-prepared for ageing

On a day when ‘their lordships’ wake up to the lack of preparation for ageing that is rampant in the UK (BBC report) it is good to see Bosch doing something to raise awareness amongst children. This year’s Bosch Technology Horizons Award is a challenge to secondary school children to develop a video to explain how technology will help an ageing population. Peter Fouquet, President of Bosch in the UK said: “Bosch is committed to developing technologies that improve the quality of people’s lives and an ageing population is not only a big issue for the UK, but many countries around the world.” Entrants are invited to respond to the question: ‘In the future, how will technology help an ageing population?’ and they can upload their videos to YouTube and then onto the Bosch Technology Horizons Award app on the Bosch UK Facebook page. There will be a prize for the most popular video by votes received on Facebook and the top 20 most popular entries will be submitted to Bosch’s judging panel, which will award prizes for 1st, 2nd and 3rd place. The closing date for entries is 26th June 2013 and the winners will be announced on the Bosch UK Facebook page on 15th July 2013.

CDDFT ‘Health Call’ digital healthcare service launched (UK)

Another launch at the NHS Innovation Expo and simultaneously in Durham: County Durham and Darlington NHS Foundation Trust (CDDFT), in partnership with InHealthcare Ltd, are launching the new CDDFT Health Call digital healthcare service.

CDDFT have designed and developed their own digital healthcare pathways using the InHealthcare N3-based platform that is interoperable with existing patient systems. As InHealthcare is a healthcare service company rather than a hub or medical device manufacturer, pathways can potentially use any telehealth hub or medical device and data from remote monitoring devices can be shared with clinicians through existing clinical systems. In the press release, Jane Haywood from CDDFT says: “We, like many other NHS organisations, carried out pilots on telehealth, using multiple hubs to evaluate benefits. We quickly realised that we needed to be more flexible but more importantly we needed standardisation across the whole health economy…simply put, we can pick and choose the right devices to deliver the right outcomes.”

O2: First Help at Hand, now Health at Home (UK)

Two major launches for O2 in two weeks… First Help at Hand and now, at the Healthcare Innovations Expo, Health at Home – no wonder there were no ‘health’ mentions at the earlier launch. According to the press release, Health at Home’s secure platform allows health care professionals to “monitor patients’ readings, set bespoke symptom surveys, provide educational materials and communicate with them directly. Patients are provided with a tablet computer connected to the mobile network and pre-loaded with the Health at Home software as well as relevant smart monitoring devices including pulse oximeters, weight scales and blood pressure monitors.” Data is uploaded to O2’s servers where it is accessible to the professionals and to the patients “to learn more about their condition and how to manage it”. The charge is per patient per month with no upfront cost. Press release (PDF). Health at Home website.

O2 being what it is, we assume that the in-tablet software is CE marked (as it sounds like it would be counted as a medical device) and that O2 has all patent issues covered with the likes of Bosch. It would be nice to have those points confirmed.

Quantified Self fail: nighty-night for Zeo

Brian Dolan in Mobihealthnews exclusively broke the news this morning that Quantified Self darling and pioneer (2009) Zeo has likely shut down, turning in not just for the evening but for the foreseeable future. Unfortunately for the founders, employees, investors and users, it illustrates how Clayton Christensen’s disruptive innovation works fast, fast, fast in the real world. Its sleep monitor/coach was perhaps too good or complex for the market, and certainly too expensive at $400. Consumers traded off sophistication and features for less expensive (Lark at $160) and better value in the wider ‘jobs to be done’ in health tracking (fully mobile, multiple activity monitors/trackers such as FitBit and Jawbone Up now include sleep.)

It also demonstrates how the ‘better mousetrap’ does not trump a (more…)

WLSA Convergence Summit (US)

28-30 May 2013, San Diego, California

The Wireless-Life Science Alliance’s (WLSA) annual Convergence Summit this year will focus on ‘Moving Healthcare from Innovation to Adoption’ and helping to move forward implementation of healthcare technologies and connected health. Speakers include Dean Kamen, who founded DEKA Research & Development Corporation; Bakul Patel, policy adviser to the FDA’s Center for Devices and Radiological Health (CDRH), UK mobile entertainment pioneer Ralph Simon of London-based Mobilium International which is focusing on mobile applications in Africa and David Saÿen, San Francisco-based regional administrator of the Centers for Medicare & Medicaid Services (CMS). Early bird rates fly away this Friday 15 March. Press release. Registration/information.

Adopting Simple Telehealth (Flo) SMS reminders in general practice (UK)

Unlike its Pulse rival, GP Online is taking a more constructive approach to the matter of telecare, as evidenced by a (so far) two part series by Professor Ruth Chambers about how to use the Simple Telehealth (Florence, or Flo) SMS reminder system as part of a GP practice’s clinical pathway:
Adopting remote monitoring via telehealth in your CCG’s practices – part 1: hypertension
Adopting remote monitoring via telehealth in your CCG’s practices – part 2: inhaler reminders

How can we maximise the benefits of telehealth for patients across the UK?

Ileana Welte, Head of Bosch Healthcare in the UK, helps to re-frame the ‘Does telehealth work?’ question for readers of The Guardian, helped by a pertinent comment by George Margelis (General Manager, Australia, at Care Innovations) about the Whole Systems Demonstrator (WSD) approach. Still time for more comments on How can we maximise the benefits of telehealth for patients across the UK?

Are the benefits of telehealth a myth? (BBC item, UK)

BBC News (business section) has just published a classically balanced look at telehealth in the UK, with a passing mention of the O2 Help at Hand launch. It’s a pity the article does not have a commenting system as the conclusion may be debatable. Are the benefits of telehealth a myth? Heads-up thanks to John Guyatt via LinkedIn.

On a positive telehealth note, the Public Service website has published a brief item based on recent experience in Leicester, although the title sounds rather backwards! Cold weather keeps telehealth patients out of hospital.

Cisco survey on telehealth shows warming trend

The much-touted Cisco Customer Experience Report demonstrates, like spring in March, a definite warming trend towards consumer comfort with telehealth and online/mobile aspects of managing health using these tools by both consumers and clinical staff. In the global survey conducted in early 2013 among 1,547 consumers and 403 health care decision makers in ten countries, 70 percent of customers surveyed were comfortable communicating with their doctors via text, email or video rather than seeing them in person. Comfort, though, is not actuality. Consumer preferences of text, video consults, IMs, email and even that old standby the telephone, versus in-person visits, are still low, in the 19-23 percent range. Online usage questions hover in the 20-40 percent range–a low (to your Editor) 30 percent are using the internet to check for information. What is also interesting is a seeming contradiction: 63 percent of customers are comfortable storing medical records in the cloud, but 39 percent don’t trust internet sites for privacy and security of that same data. Perhaps it’s confusion about what the cloud is? (Cisco Infographic)

Editor’s Note: An interesting and misinterpreted stat is 76 percent ‘find access to care more important than physical human contact with their care providers’ (Cisco slide). At least one blog (HIT Consultant) in an otherwise useful article has trumpeted this as ‘76% of Patients Would Choose Telehealth Over Human Contact’. A look at the question indicates that in market research terms, this is worded as a ‘forced choice’ question–they’d rather have telehealth than no health (care). But overall, the survey indicates that however slowly, consumers and providers are building a level of comfort and acceptability on technology usage and data transfer as part of healthcare. Cisco report/release.

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MMR Global vs. Nehta, Round 2 (US/AU)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/03/saved-by-the-bell1.jpg” thumb_width=”125″ /]Ding! The Australian reported last week that Nehta (National E-Health Transition Authority) is defending itself against charges by PHR company MMRGlobal that it has not responded to information earlier requested from and supplied by its operating company MyMedicalRecords and its licensee in Australia. MMRG is claiming that Nehta’s planned national PHR system will infringe upon patents held in Australia. According to The Australian article, Nehta’s chief Peter Fleming said that they learned of the claims only on 7 February and that MMRG had “nothing solid” to back them up:  “MMRGlobal has never contacted us at all and indeed our understanding is that they’re investigating a potential claim but have nothing solid” and “we’ve obviously taken a look at their patents, both from an architectural and a legal perspective, and have obviously briefed our lawyers to investigate, but certainly this company has not contacted us at all … We undertook very detailed analysis through third parties who put the standards in place around the world.”  The Australian (access via MMRGlobal website) Robert Lorsch, MMRGlobal CEO, has of course put on a full court PR press to counter this involving Australian singer Guy Sebastian and what appears to be a global awareness program to underscore the importance of a PHR–and their patents/IP–with Australian revenues being directed to a charitable foundation including charities Mr. Sebastian already supports. Guy Sebastian Speaks Out About MMRGlobal Patent Investigation in Australia (MarketWire via NBCNews.com) TTA recent related on MMRG: pre-HIMSS (26 Feb) and lawsuit update (20 Feb).

Quantified Selfing as…Show & Tell?

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]James Wolcott in February’s Vanity Fair (!) tries on Quantified Selfing in an amusing and quite Gimlety take on the idée fixe of many Digital Health types. He tries out activity trackers FitBit, Jawbone Up (which maddeningly don’t correlate); the emWave2 Personal Stress Reliever; the Pivothead spy camera sunglasses to film the Movie of His Life.  He lightly lampoons the NYC Quantified Self Meetup (one of many all over the world) likening it to a geek version of Weight Watchers (5-10 minutes of individual Show & Tell, applause, huzzahs of ‘carry on’). “With its continuous data streams and hive‑mind chatter, Quantified Self is Weight Watchers exponentialized, an emerging neuro-cellular confraternity.”  How true, but at least with WW you did lose pounds. Witty observations abound, such as Quantified Selfing as an ongoing science fair (oh, those geeks again), and its historical roots in American self-improvement dating back to that QSelfer Ben Franklin tracking his progress on 13 virtues. The Gimlet Eye observes that Ben did not shun indulgence in beer, ladies (French and otherwise) or dangerous experimentations with revolutions and lightning, either.

Disappointingly–or ironically–at the end, in true VF style, he pirouettes to a volte-face, grasping for concluding points out of the kultursmog of politics, trends-on and philosophy, the weirdest being how Quantified Selfing may ultimately achieve Teilhard de Chardin’s Omega Point of supreme collective consciousness a/k/a Man Fusing With God. Now this the Eye does object to, believing far more in the Jungian collective unconscious, particularly after a gimlet (fresh lime, please) or two indulged in a pleasantly sociable watering hole, and that God’s last probable direct relationship with a Jawbone was empowering Samson to take one from a donkey and slay a few thousand Philistines with it. Wolcott’s real reason may be much more literal after his investment in all these ‘doodads’: “I better start getting my numbers up. Otherwise, I run the risk of my Fitbit telling me you suck, and the last thing I need is a personal heckler.”

IBM Watson working on medical license, practicing and shrinking (US)

The IBM Watson data analytics/decision-support tool now in test advising doctors on oncology at New York’s Memorial Sloan-Kettering, Los Angeles’ Cedars-Sinai and other hospitals is being prepped for the US Medical Licensing Examination, which is a three-part series which licenses medical school graduates for practice.  It’s also making progress on shrinking–not going for its psychiatry boards, but reducing its physical size: from a master bedroom to bathroom to possibly a projected smartphone size by 2020, if you can think that far in advance.  The next big step appears to be integrating ‘big data’ into Watson’s computing capabilities leading to an entirely new stage of cognitive analytics, but right now ‘Dr. Watson’ is busy digesting a big oncology data meal, according to this article:  600,000 pieces of medical evidence, two million pages of text from 42 medical journals and clinical trials. It’s also busy practicing its capabilities of sifting through 1.5 million patient records representing decades of cancer treatment history to provide to physicians evidence based treatment options. Computerworld

Eric Topol, M.D. to appear on ‘Colbert Report’ (US)

For our US readers, health tech/mHealth advocate and cardiologist Eric Topol, M.D. will be guesting on the Stephen Colbert talk show/humor (?) program on Comedy Central Tuesday 26 March. Check your local listings for times. For our ex-US readers, it will probably hit YouTube in a flash. Some good mainstream publicity for mHealth, but one hopes that Dr. Topol will avoid the ‘celeb doc’ syndrome that’s working against Dr. Mehmet Oz. San Diego U-T. This was in the news the same week as Dr. Topol’s whipping out his trusty AliveCor heart monitor on a New Orleans-Houston flight to aid a woman in distress; the AliveCor snap-on electrode ‘case’ to the iPhone+app provides a clinical-grade ECG (snapshot of the actual ECG below). At $199 why this isn’t part of the medical kit on commercial aircraft escapes your Editor.

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/03/heart_1_t940.png” thumb_width=”200″ /]

A sensor to treat your aching back

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/03/thimblebioelectroncis.jpg” thumb_width=”150″ /]Wafer-thin sensors are popping up all over in wearables (Misfit Shine being the buzziest) but here’s one that could help that twinging knee or whingeing back. The Thimble patch uses a reasonably smart looking adhesive patch with a central sensor that delivers Transcutaneous Electrical Nerve Stimulation (TENS) to relieve pain. It will be controlled via Bluetooth by a smartphone app for pain tracking and management. CEO and developer Shaun Rahimi, a medical device designer, conceived of this as a way to deal with his own back and arm pain. Target date for release is later this year, but your Editor needed this badly last week. Job alert–CEO Rahimi is seeking iOS designers for the mobile app: Contact info. Gizmag

Mobile, flexible–but not joint–military healthcare (US)

If two areas of the government have made a great deal of progress in telehealth and mobile health, it is the Department of Defense (DOD) and Veterans Affairs (VA) which jointly are the leading users (and developers) of telehealth. Your Editor has often mentioned the US Army’s Telemedicine and Advanced Technology Research Center (TATRC) as a leader. Of their current 15 mHealth projects, one of the largest is MobileCare. Working jointly with the University of Miami’s William Lehman Injury Research Center at Ryder Trauma Center (where it is being piloted) and University of Central Florida, MobileCare is a smartphone interface for patient documentation into EHRs using intuitive data entry and voice recognition; mobile learning and point-of-care information; and telemedicine (audio/video consults). Miami’s staff designed the user interface, learning content and programmed interfaces, while an IT team at the University of Central Florida is assisting with mobile development.  Mobile Healthcare Is Solving Major Problems for Military Doctors and Nurses (FedTech)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/03/Flexible-Electronics-on-Plastic-425×303.jpg” thumb_width=”175″ /]The Army Research Laboratory (ARL) located at the Flexible Display Center at Arizona State University is pioneering flexible, thin, low-power plastic displays, about 1/16 inch thick, for use in battlefield devices. These are designed to be worn on every soldier’s sleeve, on the side of an armored vehicle or used in monitors that need no ruggedizing–produced using commercial methods and thus (relatively) inexpensively. The potential for medical devices, smartphones and tablets is substantial if translated quickly to commercial use. Imagine Samsung’s flexible smartphone at CES 2013, the much-heralded iWatch/iPhone combo and even the cutely colorful and crowdfunded EMBRACE+ bracelet smartphone notifier on steroids. Future Soldiers Will Have Flexible Electronics Everywhere (Armed with Science)

Thus it is doubly disappointing when DOD and the VA, who declared their fine intents to develop an integrated EHR (iEHR–another acronym) to be implemented by 2017, have declared to Congress that the project has come to a screeching halt after 1 billion in taxpayer dollars. DOD might use the VA’s Vista EHR–or not. As the Magic 8 Ball says, ‘hazy, try again’. DOD, VA Face Questions Over Halting of Joint EHR Project (iHealthBeat)