Big Data at work in the Emergency Room

September 15, 2015 | by

Did you watch the Panorama programme yesterday on BBC (only available in the UK, I understand)? [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/09/Beth-Israel.jpg” thumb_width=”150″ /]Subtitled “Could a Robot do my Job?” reporter Rohan Silva was looking at the impact of Artificial Intelligence (AI) on the workplace and jobs, primarily in the UK.

The last section of the programme was on a data analysis system at a Boston hospital (Beth Israel Deaconess Memorial Center). The reporter mentioned they use an “artifical intelligence supercomputer” (!) in their emergency department that can “forecast if you’ll die in the next 30 days”. Well, not quite, but, “forecast the probability of a patient dying with almost 96% confidence” according to the very enthusiastic doctor (and the only one featured in the programme) at the hospital. Not sure if that is all PR or verified independently.

I was very impressed when it was mentioned that the computer had 30 years of data from over 250,000 patients,so it could recognise rare deceases quicker than a doctor. After all my navigator can find me a route a 100 times faster than I can, so why not.
But then I got thinking. 30 years ago they didn’t collect patient’s blood oxygen level and blood pressure every 3 minutes like they are doing now. This was an emergency department, not the obvious place for lots of people with a rare diseases to turn up. How many rare diseases had this system diagnosed so far? So there was a fair bit of mirrors and smoke to make it look far better than it really is I think. In fact, I think the Boston system is actually just good example of what is called Big Data at work.

This tendency to exaggerate was true of the rest of the programme too which can be fairly described as sensational rather than educational.

No doubt the publicity will help the hospital. I see that the story about the dying prediction appears on many newspaper websites right now with headlines like “the supercomputer that can predict when you’ll die”!

Thanks Donna for telling me about the programme.

Michigan school telehealth programme wins award

June 27, 2015 | by

At the start of last year we reported the opening of a student telehealth programme in Michigan. [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/06/15_ludwig_comm_ben_award.jpg” thumb_width=”150″ /]At the time two clinics were opened in Branch County with the aid of funding from the Michigan Department of Community Health. A school based nurse funded by the programme provides the initial assessment and where necessary a consultation takes place with a physician or nurse practitioner at the Community Health Centre. The school has special assessment equipment that links via Bluetooth to equipment in the paediatric clinic so that the provider can see and hear what the nurse sees and hears.

Eighteen months on, the programme is covering two thousand and seven hundred students in three school districts and has been awarded one of four annual Ludwig Community Benefit Awards from the Michigan Health and Hospital Association according to a WTVB report. The award is presented to healthcare organizations that demonstrate community benefit by improving the health and well-being of their communities through healthcare, economic or social initiatives.

Telemedicine coordinators help improve user numbers in Queensland

June 11, 2015 | by

The demand for telemedicine services in south western Queensland is reported to have tripled from 8 consultations a month [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/06/Charleville-hospital.jpg” thumb_width=”150″ /]to about 35-40 following the appointment of coordinators who show patients how to use the service. The Queensland Government media statement issued last week quotes the coordinator at Charleville Hospital as saying 99% of people prefer the service to traveling to see a specialist face to face.

The video link service connects doctors with patients from 2 rural hospitals and one district hospital in south west Queensland. These are relatively small hospitals with 24 to 39 beds and use Flying Doctors to provide some of the facilities such as surgery. Alternative for patients, say in Charleville, could be a 7 hr 620 km drive to Toowoomba or a 8 1/2 hour 750km drive to Brisbane to see a specialist for a 10 minute appointment.

Georgia school telemedicine clinics to access EHRs

June 11, 2015 | by

Georgia Partnership for Telehealth which has telemedicine programs at about 60 schools in Georgia, [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/06/Georgia-Partnership-for-Telehealth.jpg” thumb_width=”150″ /]has joined the Georgia Health Information Network, the state-wide Health Information Exchange, according to a recent press release. This will enable participating schools to securely exchange healthcare information with more than 3600 Georgia healthcare providers and have access to an immunisation register.
“Our Rural School-Based Telehealth Center Initiative offers a number of benefits to students and families,” Sherrie Williams, Executive Director of GPT is quoted as saying.  “Students receive quality care without having to miss class.  Parents don’t have to leave work and lose wages to take their child to see the doctor. If a specialist visit is needed, it doesn’t require hours in the car to reach a large healthcare center; the child can be examined right from the school clinic.”

Teladoc sued by American Well

June 9, 2015 | by | 1 Comment

American Well has launched a patent infringement case against Teladoc according to a news release yesterday.
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/06/Teladoc-logo.jpg” thumb_width=”150″ /]The 10-page submission to the courts by American Well claims the infringements to be
– accessing a data repository that stores information pertaining to medical service providers including present availability of the medical service providers for participating in a consultation
– receiving in a computer, indications that members of a pool of  medical service providers have become presently available
– receiving in the computer, a request from a consumer of services to consult with a medical service provider
– identifying in the computer, an available member of the pool
– and establishing a real-time communication channel between the consumer of services and the identified member of the pool

This author is wondering who thought this was such a novel technology as to warrant a patent? What were they thinking? Having worked on developing unified messaging systems for a mobile phone operator at the turn of the century (now that’s a scary 15 years ago) I am just picking myself off the floor after reading this.
Surely all these functions are no more than what is in every instant messaging program, dating back to 1990s? Replace the words “medical service provider” by “friends” or “contacts” and “consultation” by “chat” or “call” it seems to me you get … Skype and Face Time and more! If I am missing something I’ll be happy to be put right.

It turns out that Teladoc also noticed something along these lines and told the patent office as much in March, according to Med City News. Not surprisingly American Well hasn’t taken too kindly to that and hence the law suit.

Let’s watch the outcome

Telstra has spent $100M on telehealth

May 29, 2015 | by

Telstra Health has splashed out $100 million buying up other telehealth companies, it was revealed at a recent conference. Bronwyn Pike, former Minister of Health in Victoria and now Community Care Lead at Telstra Health, addressing the 13th National Rural Health Conference[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/04/Telstra-Health.jpg” thumb_width=”150″ /] held in Darwin from May 24th to 27th, described how Telstra Health wants to transform rural health in Australia.

“Increasing demand, rising costs and more people with chronic illness are among the challenges Australia’s health care industry is facing. Working harder can only go so far — we need to reimagine what the future could look like”, Pike wrote in her abstract.

“Helping users to do more for themselves has been a key feature of almost every other industry change of the last decade. Banking is a perfect example — where once every single interaction required your physical presence in front of a teller, now you can manage almost every aspect of your banking needs securely online.

“Health is caught in a model that is inconvenient for patients and labour intensive for health care providers. We need to tailor the model to suit the health industry and capitalise on the benefits connection can provide. Those living in rural and remote communities without regular access to all levels of care stand to benefit enormously if we can unlock the potential of ehealth”

Two telemedicine clinics open in Kenya

May 28, 2015 | by

Two telemedicine clinics have been opened in Nairobi and [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/05/kenyatta_hospital.jpg” thumb_width=”150″ /]Machakos, 63 km from Nairobi, in Kenya, according to a report in HIT Consultant. The clinics, based at the Kenyatta National Hospital in Nairobi and the Machakos Level 5 Hospital in Machakos, will provide patients in remote areas the ability to consult cancer specialists at the Kenyatta Hospital using video conferencing.

Both hospitals are state run hospitals and the telemedicine service is being funded by Merck, the international pharmaceutical company.

Merck recently acquired remote cardiac monitoring company eCardio shortly before eCardio merged with remote monitoring device maker Preventice. Previously we reported that Merck invested heavily in WellDoc when WellDoc raised $20m of funding.

Read more about the Merck project in Kenya here.

Telemedicine in diabetes management

May 21, 2015 | by

Findings of a new literature analysis of the impact of telemedicine on diabetes management has been published in Telemedicine and e-Health.

The authors, from the University of Michigan and the University of Kentucky,  analysed 73 research publications (selected from a potential 17,000 list) published between 2005 and 2013. They conclude that although the individual research studies varied significantly in, for example, the outcomes measured, there was sufficient evidence to point to the positive effect of telemedicine.

The full paper describes the analysis methodology and gives detailed results and would be of interest to those working in diabetes management as well as those applying telemedicine to other long term conditions.

Capita announces partnership with Medibank Australia

April 12, 2015 | by

Capita Healthcare Decisions is forming a partnership with Medibank, an Australian [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/04/Capita-logo.jpg” thumb_width=”150″ /]insurance and healthcare company, according to a press release issued by Capita. One of the areas highlighted in the announcement is that Capita will provide its TeleGuide product which [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/04/Medibank.jpg” thumb_width=”150″ /]Medibank has customised to the Australian market.

Capita, with 68,000 staff, is a UK company providing process management and professional support services in the UK, Europe, South Africa and India and has a checkered history with UK Government health service contracts.

In Nov 2008 Capita won the contract to run UK’s NHS Choices website which provides information on medical conditions, treatments and services to UK patients on behalf of the UK Department of Health. The Cabinet Office then refused to renew the £60m 3-year NHS Choices contract with Capita in 2013. (more…)

Regulatory action may strengthen telehealth take-off: PWC

April 2, 2015 | by

PWC Health Research Institute has released a Spotlight Brief on the US telehealth (read telemedicine for telehealth) regulation which states that recent regulatory action may be the catalyst to spur the fledgeling telehealth market.

Expansions in Medicare reimbursements, Government telehealth grants amounting to several million dollars and legislative action in many States are all seen as supporting new entrants as well as traditional players and growing the US telehealth market that PWC says is estimated as high as $10 billion.

Benefit to consumers is of course lower costs and easier access. Challenges mentioned are licensing, reimbursement, privacy and security. Read the full report here.

Telstra expands telemedicine offering with acquisition

April 2, 2015 | by

Following our report earlier in the month on Telstra’s success in winning the Western Australia telehealth [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/04/Telstra-Health.jpg” thumb_width=”150″ /]contract, Telstra announced the acquisition of UK based Dr Foster last week. Telstra has now announced that they are acquiring Medibank’s Anywhere Healthcare platform, further expanding its Telstra Health arm.

Since 2013 Telstra has had exclusive access to Dr Foster in Australia and supplies Dr Foster products to several health services in Australia.

Anywhere Healthcare is a middleman platform with specialists signed up to provide remote consultations and GPs signed up to use the services of those specialists. When a face-to-face consultation is considered not appropriate the GP can arrange for a remote consultation via Anywhere Healthcare. Typically, this has been used to date for patients in nursing homes.

The current Anywhere Healthcare directory lists 30 specialists covering 17 specialties and it is reported that there are 1600 GPs signed up to the service. Telstra have stated that they expect to expand the service, particularly into rural patient consultations.

 

Can State medical boards legally prevent telehealth activity?

April 1, 2015 | by

This is the question that arises out of a recent ruling by the United States Supreme Court, not on anything related to telehealth but on teeth whitening!

The case was between the North Carolina State Board of Dental Examiners and the Federal Trade Commission. The Board had requested non-dentist teeth whitening practitioners to desist from carrying out these activities and was challenged on the grounds that the Board did not have authority to do so and was acting in an anti-competitive way. The challenge went all the way to the Supreme Court which upheld the lower court decision on the grounds that even though the Board is, in fact, an agency of the State its action must still be supervised by the State in order to enjoy anti-trust immunity. This is analysed by Eric M Fraser in the SCOTUS blog.

It is thought that the State Medical Boards in the United States also have similar rules of governance and therefore do not qualify for immunity from anti-trust law that some State agencies have. This has led to speculation that any restrictions imposed by a State Medical Board on a licensed medical practitioner with regard to the use of telehealth could be considered an anti-competitive action. (more…)

National telehealth plan to improve rural health called for in Australia

March 25, 2015 | by

Ahead of the forthcoming Australian Telehealth Conference 2015, one of the speakers has spoken to the media partner of the conference, Australian Aging Agenda Technology Review. In an article published on the Aging Agenda website, the speaker, Dr Shannon Nott, is quoted as saying “There needs to be a telehealth plan put in place in Australia. We need to start looking at telehealth and say this is something we should seriously invest in. We need to look at it and get it right from the start; that includes getting it right for indigenous communities [and] getting it right for rural and remote communities”.

Nott is said to have spent four months last year researching telehealth in rural and remote Alaska, Canada and Brazil including indigenous communities. The article quotes him as saying “In Alaska for every dollar that they spend on telehealth software and programs they save $10.50 in travel alone in terms of healthcare costs. Not to mention the hospital admissions avoided, the GP admissions avoided.”

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/03/ATC2015.jpg” thumb_width=”150″ /]The Australian Telehealth Conference 2015 takes place on the 23rd and 24th of April in Sydney.

W Australia telehealth scheduling contract awarded to Telstra

March 24, 2015 | by

Telstra Health has won a contract to provide its iScheduler product to the Western Australia Country Health [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/03/WA-CHS.jpg” thumb_width=”250″ /]Service’s Statewide Telehealth Service, worth $3.2m over five years, according to an article in Pulse+IT. iScheduler will be used to support the scheduling and management of emergency telehealth services, patient telehealth consultations and education and training for doctors, specialists, nurses and other staff according to the article.

The Western Australia Country Health Service is the largest country health service in Australia and one of the biggest in the world, providing health services to approximately half a million people, over a vast 2.5 million square kilometres area. The range of health services provided cover primary health care, emergency and hospital services, population health, mental health, Indigenous health and aged care.

The Rural Doctors Association of Australia has, in October last year, previously criticised a new telehealth service launched by Telstra that was to connect patients to random GPs via phone and video, saying it could undermine the viability of rural general practice (see Australian Rural Doctor).
Telstra launched its ReadyCare service in October, announcing it would offer patients around the clock advice, diagnosis, referrals and prescriptions from doctors either over the phone or through video link.
The communications giant had claimed the service will deliver better healthcare to rural and remote Australians who live a long way from their doctor.
But the RDAA and the AMA disagreed.

Scotland invests £30M over 3 years on telehealth (UK)

March 19, 2015 | by

In a news release this morning (19 March 2015) the Scottish Government said it is to allocate [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/03/scotland-gov-logo1.gif” thumb_width=”150″ /]£200m over two years to support the implementation of health and social care integration.

According to the release the investment will extend the current Integrated Care Fund into 2016/17 and 2017/18, and comes on top of £100 million of funding already allocated for 2015/16. The money will be distributed among the 32 local NHS and social care partnerships that have been set up as part of the move towards integrated services.

The Integrated Care Fund forms part of over half a billion pounds of Government investment over the next three years that will be used to support integration, including £100 million over three years for delayed discharge, and £30 million over three years for Telehealth.

The Integrated Care Fund supports the implementation of plans to  bring together health and local authority care services by 1 April 2016.  This will give the partnerships the resources to focus on preventative care and early intervention as well as support for people with multiple and long-term conditions. (more…)

University of Mississippi telehealth center to expand (US)

March 16, 2015 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/ummc_aerial.jpg” thumb_width=”150″ /]A Baton Rouge, La.-based data company set its sights on Jackson, Mississippi, and announced on Tuesday (10 March 2015) it will build a technology center that, in part, will house one of the University of Mississippi Medical Center’s fastest growing services – telehealth, according to a news release from UMMC. UMMC entered into a lease agreement with Venyu Solutions, LLC, which will construct a stand-alone, 16,000-square-foot facility to accommodate the increase in the services UMMC’s Center for Telehealth provides to hospitals, clinics, corporations and patients across the state.

Venyu CEO Scott Thompson is quoted to have said construction would start in April or May and take a little less than a year. The hospital’s lease will begin on or around July 1, 2016. (more…)