Some quick, cheerful updates from Welbeing, CarePredict, Tunstall, Tynetec, Hasbro, Fitbit

November 10, 2017 | by

It’s Friday, and in search of cheerful topics, here are some updates on doings from telecare, telehealth, and related companies we’ve recently noted on TTA:

Welbeing‘s opened a new head office at Technology Business Park in Moy Avenue in Eastbourne….CarePredict‘s AI for ADL system using the Tempo wearable has new implementations at LifeWell Senior Living’s community in Santa Fe, New Mexico (their third with CarePredict) and a three-year commitment with the Avanti Towne Lake community, Cypress, Texas. Dave Muoio has an interview with CEO Satish Movva on Mobihealthnews….Tunstall is partnering with Milpitas, California-based noHold’s Albert bot to create a virtual assistant for Tunstall’s mobile Smart Hub product, currently in Australia and in trials in Europe and the USA….Tynetec (advert above) has been closely associated and fundraised with the Dementia Dog Project and DogsforGood. An article in the Express highlights both in the beneficial role of pets with Alzheimers and dementia sufferers…. In robotic pet news, Hasbro is upgrading its ‘Joy for All’ companion pets through a Brown University research program, Affordable Robotic Intelligence for Elderly Support (ARIES) to add medication reminders, basic artificial intelligence, and more (Mobihealthnews)….Fitbit continues its march to a clinicalized product touting diabetes management partnerships with Medtronic and DexCom, plus clinical trials detecting sleep apnea through its SpO2 sensor. 3rd quarter sales were up 23 percent to $244 million and 40 percent from repeat purchasers, but they took an $8 million loss from a distributor (MedCityNews).

Themes and trends at Aging2.0 OPTIMIZE 2017

November 10, 2017 | by

Aging2.0 OPTIMIZE, in San Francisco on Tuesday and Wednesday 14-15 November, annually attracts the top thinkers and doers in innovation and aging services. It brings together academia, designers, developers, investors, and senior care executives from all over the world to rethink the aging experience in both immediately practical and long-term visionary ways.

Looking at OPTIMIZE’s agenda, there are major themes that are on point for major industry trends.

Reinventing aging with an AI twist

What will aging be like during the next decades of the 21st Century? What must be done to support quality of life, active lives, and more independence? From nursing homes with more home-like environments (Green House Project) to Bill Thomas’ latest project–‘tiny houses’ that support independent living (Minkas)—there are many developments which will affect the perception and reality of aging.

Designers like Yves Béhar of fuseproject are rethinking home design as a continuum that supports all ages and abilities in what they want and need. Beyond physical design, these new homes are powered by artificial intelligence (AI) and machine learning technology that support wellness, engagement, and safety. Advances that are already here include voice-activated devices such as Amazon Alexa, virtual reality (VR), and IoT-enabled remote care (telehealth and telecare).

For attendees at Aging2.0, there will be substantial discussion on AI’s impact and implications, highlighted at Tuesday afternoon’s general session ‘AI-ging Into the Future’ and in Wednesday’s AI/IoT-related breakouts. AI is powering breakthroughs in social robotics and predictive health, the latter using sensor-based ADL and vital signs information for wellness, fall prevention, and dementia care. Some companies part of this conversation are CarePredict, EarlySense, SafelyYou, and Intuition Robotics.

Thriving, not surviving

Thriving in later age, not simply ‘aging in place’ or compensating for the loss of ability, must engage the community, the individual, and providers. There’s new interest in addressing interrelated social factors such as isolation, life purpose, food, healthcare quality, safety, and transportation. Business models and connected living technologies can combine to redesign post-acute care for better recovery, to prevent unnecessary readmissions, and provide more proactive care for chronic diseases as well as support wellness.

In this area, OPTIMIZE has many sessions on cities and localities reorganizing to support older adults in social determinants of health, transportation innovations, and wearables for passive communications between the older person and caregivers/providers. Some organizations and companies contributing to the conversation are grandPad, Village to Village Network, Lyft, and Milken Institute.

Technology and best practices positively affect the bottom line

How can senior housing and communities put innovation into action today? How can developers make it easier for them to adopt innovation? Innovations that ‘activate’ staff and caregivers create a multiplier for a positive effect on care. Successful rollouts create a positive impact on both the operations and financial health of senior living communities.

(more…)

A blogger’s lot is not a happy one

November 8, 2017 | by | 1 Comment

Who would want to be a digital health blogger? Seconds of inspiration lead to minutes of typing which lead to hours of making sure you have the right URL embedded, the right layout, put in the right tags, tipped your hat to everyone who has helped, not caused offence (well not too much anyway), and so on. And for what? Occasionally you run into someone at a show who says how much they like a post, and that’s it. Well not quite, because there’s a wonderful sense of release when you’ve got something burning inside you out in the open, even if nothing comes back to you.

This came to mind recently because another drawback of being a blogger is that people send you stuff they think is important and get quite irate if you don’t agree (and so don’t blog it). One such piece is the announcement last week that David Allison, Chief Executive at Wirral University Teaching Hospital NHS Foundation and former Chief Operating Officer for Newcastle Hospitals NHS Foundation Trust is joining Draper & Dash to add “to their stellar executive board team dedicated to enabling world-class digital analytics platforms”. I’ll say straight away that I don’t know why someone with such impeccable-looking credentials is taking essentially what used to be called a “desk job”, so I mean nothing personal by picking this example. It just happened to be the one that spurred me into action.

It does worry me though that (more…)

Fall risk in older adults may be higher during warm weather–indoors

November 8, 2017 | by | 1 Comment

A new study contradicts the accepted wisdom of ‘when’ and ‘where’. Fall risk for older adults peaks in the winter, with outdoor falls in the ice and snow. Wrong. A new study presented at the recent Anesthesiology 2017 meeting of the American Society of Anesthesiologists found that hip fractures peaked during the warmer months at 55 percent.

  • The leading months were May (10.5 percent), September (10.3 percent), and October (9.7 percent)
  • Over 76 percent of those fractures occurred indoors while tripping over an obstacle like throw rugs or falling out of bed
  • Outdoor fractures in warm months were led by trips over obstacles, with the second and third leading causes being struck by or falling from a vehicle (!) or falling on or down stairs

The study sampled 544 patients treated at The Hospital of Central Connecticut for hip fracture from 2013 to 2016, with warm months defined as May 1 through October 31. Study author Jason Guercio, MD, MBA concluded that “Given the results of this study, it appears that efforts to decrease fall risk among the elderly living in cold climates should not be preferentially aimed at preventing outdoor fractures in winter, but should focus on conditions present throughout the year, and most importantly on mitigating indoor risk.” For caregivers, another reason why hazards in walking areas have to be reviewed and minimized.

The information provided does not give any indication as to the patient activity when the accident happened. There was also no correlation with health conditions or time. For instance, other studies have pointed out that a person rising out of bed in the morning has a change of blood pressure (high and low), and in the middle of the night, that person may be half-asleep. 

Where does technology come in? Getting ahead of the curve via gait analytics to alert for changes in gait and difficulty in walking. Noticing those changes could lead to proactive care and prevention. But as of now, those systems are either in test (Xsens MVN BIOMECH, WiGait TTA 4 May, Carnegie-Mellon TTA 23 May 16, Tiger Place MU TTA 29 Aug 15) or in early days in assisted living (CarePredict)–which doesn’t much help older adults at home. ASA release, McKnight’s Senior Living

The King’s Fund 2018 Digital Health Congress–call for presentations, early bird rates

November 8, 2017 | by

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2017/10/J883-Digital-Health-2018-Social-media.jpg” thumb_width=”200″ /]The King’s Fund Digital Health & Care Congress, 10-11 July 2018, The King’s Fund, London.  Deadline for project submissions is Friday 15 December. Early bird rates now available!

It’s time again to think ahead! The King’s Fund Digital Health Congress organizers are again seeking the best projects on the adoption of technology in the English health system from those in the trenches, working in health and care. Project themes include:

  • Prevention and improving access to care
    Projects might include: self-care apps; digital access to rehabilitation services; patient access to care records or digital messaging to benefit public health.
  • Cross-sector working
    Projects might include: shared care records, interoperability and data sharing projects or technology to enable place-based working
  • Care design and delivery
    Projects might include: improving the quality and experience of care for patients; ways of engaging clinicians and service users in design of care pathways or using digital technology to change the way care is delivered.

More information on projects, how to submit them, and the presentation format are on their page here. Accepted presenters receive a complimentary admission to the full conference. Deadline is Friday 15 December and notification is Friday 26 January 2018.

Registration and sponsorships for July are open now. Early bird rates are available now through before 31 December, where you save £50. Sponsoring or exhibiting? Email Michael Spencer or call him on 020 7307 2482 to discuss opportunities. Hat tip to Claire Taylor of The King’s Fund for the advance notice. TTA is a media partner of The King’s Fund events (see Leeds upcoming in December–information/registration link at the right sidebar and here).

How *does* the NHS get funded and work? The King’s Fund pulls it together for you.

November 8, 2017 | by

Confused on how a CCG (clinical commissioning group) is funded? Mystified about the relationship between local authorities and the NHS? Updated last month, The King’s Fund’s handy organograms (US=org chart) explain the formal organization of the NHS, how it is funded by Parliament, and the relationships between entities. The slides are downloadable. There are also two six-minute videos that tackle how NHS and NHS England work. See this page also for links to content on local service design, governance, and regulation, plus NHS finances. How is the NHS structured?

Tender Alerts: Yorkshire assistive tech, Wales DPS for health

November 7, 2017 | by

Susanne Woodman, our Eye on Tenders, has set her gaze on two high-value UK tender offerings:

  • Yorkshire and the Humber: North Yorkshire County Council is seeking a vendor for Assistive Technology Services to enable people to live in their own homes for longer and reduce demand on social care services. The value of the five-year contract is £4.9m with a start of 01 April 2018 ending 31 March 2023. Tenders must be submitted by 17 January 2018. There is not much information on the Gov.UK page and it’s recommended that you contact Tim Wood of the NYCC at tim.wood@northyorks.gov.uk.
  • NHS Wales Informatics Service (NWIS): The NHS Wales Shared Services Partnership is seeking multiple vendors for its procurement project establishing a Dynamic Purchasing System (DPS) for Digital Patient Services Partners. According to the tender summary, this will be the first ever DPS created in Health in the UK and within any known ICT market. There are five lots to this tender and it is complicated, so review the information on the Full Notice Text tab on the Sell2Wales site. This Editor suspects the deadline may be in error as it’s out to 30 July 2021!

NYeC sets SHIN-NY 2020 HIE roadmap, awards five leaders at gala

November 3, 2017 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2017/11/NYeC-Gala-2017.jpg” thumb_width=”200″ /]The New York eHealth Collaborative’s biennial Gala last Wednesday marked the formal debut of the Statewide Health Information Network for NY (SHIN-NY or ‘shiny’) 2020 Roadmap for development of the state’s Health Information Exchange (HIE). Before an audience of most of NY state’s healthcare organization leaders and key staff, new Executive Director Valerie Grey opened the evening with a topline of the SHIN-NY’s major goals in ensuring a robust HIE supporting value-based care, interoperability including innovations such as blockchain and natural language processing (NLP), public health advocacy, efficiency, and increased affordability. It extends NYeC’s founding goals of connecting providers and achieving the Triple Aim (improved patient experience, population health, at a lower per capita cost–which we don’t hear much about anymore). The full text of the Roadmap is available for download here.

NYeC recognized five healthcare leaders:

Transformative Leader: David Blumenthal, MD, President of The Commonwealth Fund, who is past Information and Innovation Officer at Partners Healthcare in Boston. The Commonwealth Fund is an independent research entity on health and social issues. Most recently, this Editor reviewed their paper on Spanish-language telemedicine assistance services [16 Aug]. Dr. Blumenthal noted the transformative spread of health records, to where a younger generation cannot conceive of dependency on written charts, and access of patients to their personal health records. He also noted the lack of system interoperability and usability. Will there be a disruptive entrant as he predicts in the future?

Honorees:

James (Jim) R. Tallon, Jr., former president of the United Hospital Fund of NY and former chairman of The Commonwealth Fund. He recounted the early years of NYeC (as a board member). In looking at the future, he hopes we can find our way to a more effective public policy. Overall, he believes that healthcare will be better organized and benefit more people. 

Paul Macielak, Esq., president and CEO of the NY State Health Plan Association which represents 29 NYS health plans, discussed the benefits of building out ‘the next mile’ — the HIE for the Capital (Albany) region for the consumer and the provider communities.

Patrick Roohan, VP Data Management and Analytic Solutions, MVP Health Care, was formerly the state Deputy Commissioner/Director of the Office of Quality and Patient Safety. He noted healthcare’s growth through technology and the effect it will have on quality and safety.

The night’s final honoree was Eugene (Gene) Heslin, MD, First Deputy Commissioner of the NY State Department of Health (DOH) and a family practice physician from Saugerties. (more…)

Public Health England: we’re hiring to expand digital initiatives

November 1, 2017 | by

Public Health England is going on a bit of a hiring blitz, with currently nine posts on offer and more to come over the next few months, according to a report on PublicTechnology.net. Digital health is coming up front, with their stated intent to support an in-house user-centered design team and expanding their project- and delivery-management functions. The positions are manager and designer levels. This does seem in concert with NHS England initiatives noted on our most recent Tender Alerts. Those interested should refer to Gov.UK’s page on Working for PHE with links to Civil Service and NHS Jobs. Hat tip to Susanne Woodman of BRE.

And speaking of new jobs, Dr. Mike Short, who was a senior executive for many years with Telefónica (the O2 mobile network) and quite active in advocating digital health, has joined the UK Department for International Trade as their first Chief Scientific Adviser. He is also currently a visiting professor at the universities of Surrey, Coventry, Leeds and Lancaster. Congratulations! Another from PublicTechnology.net

A few short topical items: NHS Digital, DHACA, IET, more

November 1, 2017 | by

Rob Shaw, NHS Digital’s Deputy CEO, gave a welcome talk at EHI Live on Tuesday encouraging the NHS organisations to become “intelligent” customers. To quote “We have got to make it easier for suppliers to sell into health and social care”. Let’s hope that the message is received and acted on! Until it is, the Kent Surrey and Sussex AHSN is offering help to SMEs to make that first sales – how to book, and to get more details on the event on 23rd November go here.

DHACA’s Digital Health Safety event, in partnership with Digital Health.London on 7th November is proving extremely popular, to the point where it may be oversubscribed soon, so if you want a seat for this really important event for all digital health developers and suppliers, book now.

The IET is running a TechStyle event on the evening of 22 November entitled the world of wearables aimed at people “between 14 and 114”. For today only (1 November) they are offering a special “2 for 1” deal making the already tiny cost essentially insignificant. Book here.  Hat tip to Prof Mike Short.

Prof Short has also highlighted a recent report from Agilysis looking at the role digital technology can play in delivering the vital step change our nation’s care services need. It concluded that: 

  • Leading digital professionals say lack of digital skills biggest risk to transforming care services fit for the 21st century;
  • Lack of knowledge of digital tools is largely responsible for delays in embracing new ways of working;
  • Believe digital technology could cut costs associated with social care delivery and therefore address the number one issue affecting UK social care today;
  • Digital technology can help local authorities manage both demand (improved customer satisfaction) and supply (improves multi-agency working).

There’s a great (more…)

CareRooms: the perils of “Silicon Valley hype” when your customer is the NHS

November 1, 2017 | by

A cautionary tale of an innovator likely sidelined due to clumsy press talk. The NHS has a problem called bed blocking, where post-acute care patients cannot return home because no one is there to care for them. It was up 40 percent last year. One approach to it has been home/community care combined longer term with telehealth services to reduce unneeded re-admissions. Another is freeing up the bed by placing a patient who does not need direct nursing care in a supervised post-acute room in a setting which provides assistance services.

In the US, many large hospitals and clinics run or partner with hotel-like annexes for recovering patients, usually post-surgical, who need assistance but not direct nursing care or special medical monitoring. The patient remains overnight or for a few days, with or without a private duty nurse, until the person can be discharged to travel home. These recovery centers/hotels, plain to plush, are popular in ‘medical tourism’ cities such as Miami, Houston, and New York, but well-used by locals for many procedures including orthopedic and cosmetic surgery recovery. Regular hotels have also gotten into this act with special services marketed to surgical practices. Recovery hotels and services may or may not be covered by insurance as they are part of hospital or practice referral. 

CareRooms’ approach is closer to ‘Airbnb for post-surgical discharge care’. Here this startup, according to its website, arranges rooms in private homes for a fee, equips them appropriately, and the lessor can earn £50/night. The host stays on the premises, microwaves meals and serves drinks, and can be sociable. Other care is provided by CareRooms. The idea is simple, eminently pitchable, and may actually address this NHS problem usefully if supervised properly. The co-founder and medical director of CareRooms, Harry Thirkettle, is a part-time A&E registrar at Southend and was mentored in the NHS Clinical Entrepreneur program; the other co-founder was a program mentor. 

And therein lies the catch. The service has not been in trials yet, and here they are offering room lessors without care training £50/night right on the website, which gives the impression that this service is readily available (wrong). How do they provide their ‘other care’ and what is it? How do they equip the room? Recruit and train hosts? How will they scale three rooms to 30 and then 300? And payment–covered or private? All those problematic, unglamorous and sobering things founders learn in early days haven’t been experienced yet. (more…)

Tender Alert: advance notice for NHS England ACS-STP Innovation Framework

November 1, 2017 | by

Susanne Woodman, our Eye on Tenders, has located another NHS England prior information notice for healthcare technology services. This is for Sustainability and Transformation Partnerships (STPs) and Accountable Care Systems (ACS) for building services around population needs, improving outcomes and quality of care. NHS is seeking “a ‘one stop shop’ framework and contracting vehicle to allow STP and ACS partners to more easily source a range of transformation support.” A description is under VI.3) Additional information. Interested suppliers must register via the NHS Bravo portal at https://nhsengland.bravosolution.co.uk/web/login.html–Bravo will be used to issue further information to interested suppliers. Estimated date of publication of contract notice is 8 December. Tenders Electronic Daily-TED.