The shortlist judging for the above, entries for which we sought in December, will take place on the afternoon of Monday 2nd February from 2pm to 7pm in St Bride, St London. Attendance is free, and offers an unparalleled opportunity to listen to the pitches of what are considered the twelve best SME mobile health apps in the UK. Details are here – do be sure to scroll down to click the ‘book now’ button as places are limited.
Mind you, whilst Dr Topol might welcome this, it seems that others are still on a different chessboard: under the heading “Doctors fear that new health tech is turning UK into a nation of “worried well””, a recent survey of UK doctors showed that “Seven out of ten (76%) GPs said they had noticed a marked increase in number of patients “self-diagnosing” from the internet over the past twelve months” suggesting, in the words of 1066 & all that, that technology is a Bad Thing. What, this reviewer wonders, will be the reaction to (more…)
Here is a tech-savvy person lamenting (ranting?) in Venture Beat that there’s no one place to put all of his health data that he needs–weight, PHR (personal health record), his spin class and aerobic training data. AppleHealth/Apple HealthKit? Only the weight via a Withings scale maps to it, and you have to scroll past oodles of data categories, such as your molybdenum levels, to get to more vital things like weight and heart rate. FitBit lasted three months in his life before being tossed in a drawer. What took center stage at International CES were more devices dumping more data that doesn’t map into a central database. He acidly notes that Apple HealthKit is free because it is is worthless. Is there something broken here that we in telehealth need to deal with, quickly? My health data is killing me (figuratively) Hat tip to Tom Greene posting in The King’s Fund LinkedIn group Digital Health and Care Congress, this year 16-17 June. A reminder–call for papers closes 13 Feb!
(Editor’s note: This Editor is always gratified to see that some of the tech developments your Editors covered in early days pop up again having moved successfully forward. This article and the next on minimally disruptive healthcare follow up on articles respectively in April, December and June 2013.)
click to enlarge Mobile ultrasound developer Mobisante is alive, well and well beyond their kit days we profiled back in 2011 (when they gained FDA approval) and last in April 2013. The smartphone is now a dedicated integrated mobile device called the MobiUS SP1 with applications in primary care, ob/gyn, emergency and vascular medicine, with the entire system under 12 ounces. It also has a big brother in a tablet-based system. Both are highly portable and take quick imaging to the max (and developing countries). Interview with Sailesh Chutani, CEO and co-founder. Hat tip to reader Sandeep Pulim MD of @Point Of Care via Twitter
The Parkinson’s Voice Initiative headed by the UK’s Max Little, currently a visiting professor at MIT, is moving forward having collected voice samples from 17,000 volunteers. He is seeking to develop a non-invasive, quick, accurate test for Parkinson’s through analyzing the patient’s voice patterns. Mr Little is adding to this the Michael J. Fox Foundation challenge in analyzing movement data captured through smartphones. Originally profiled in November and December 2013. Fast Company: Co.Exist (which also has his 2012 TED talk). Hat tip to Ashley Gold in today’s Morning eHealth (POLITICO)’s ‘What We’re Clicking’.
A look again at minimally disruptive healthcare. In June 2013 we wrote about a contrarian approach to treating chronic disease–and now the ‘pre-diseases’ which have been discovered, like Columbus with America, with all good and proactive intentions for the patient. There’s increasing pressure, and rigidity in applying, guidelines and quality standards which are both performance and financially based. Measure, measure, measure!! Prescribe, prescribe, prescribe!! Is your patient at goal? Yet we are losing the Battle of Real Results and improved health. Telehealth and telemedicine are being touted as ways to increase compliance, but do they complicate matters and add to–not reduce–the burden?
We return to the originator of this minimally disruptive approach to care, Victor Montori MD, an endocrinologist at Mayo Clinic, via a MedCityNews article by cardiologist John Mandrola MD and this video from a primary care conference, the NAPCRG annual meeting in New York. (At 45 minutes, you’ll want to save it for later).
click to enlargeTRIL Centre (Dublin, Ireland) spinoff Kinesis, which developed the wearable sensor-based QTUG system for assessing fall risk through measuring gait and balance, was part of a recently presented study of relapsing remitting multiple sclerosis (MS) patients presented at the IEEE International Conference. The QTUG test was used in assessing patient mobility and fall risk over time. The base test, Timed Up and Go (TUG), is manually performed with a timer and observer; the patient rises from a chair, walks three meters, turns around, walks back and then sits back down again. Using this test, the Kinesis sensors reliably assessed the state of patient MS in 21 patients, using 32 of the 52 sensor parameters. In October, according to Mobihealthnews, Kinesis inked a deal with Intel-GE Care Innovations to distribute the system in the US; Intel and GE also are major funders of TRIL. IEEE Xplore abstract (full access on paid site).
About two months ago [TTA 13 Nov 14], we noted Xerox’s interesting investment in telehealth/virtual consult kiosk HealthSpot Station. We thought at that time that Xerox was not active in healthcare services and thus found the HealthSpot Station investment unusual. Right on the diagnostics, wrong on the data crunching. Notably, their Midas+ subsidiary concentrates on healthcare quality management, analytics and benchmarking solutions. Midas+ has entered into the readmissions fray by combining its proprietary database, compiled over 1,900 Xerox hospital clients, with five years of Medicare and claims data to help hospitals better predict 30-day same-cause readmissions. The Midas+ Readmission Penalty Forecaster uses the data to project in “near real-time” both patient patterns and reimbursement rates. Commenting to MedCityNews, Justin Lanning, SVP and managing director of Xerox Healthcare Provider Solutions, said the Forecaster has a 1.5 percent margin of error within the predictive model, with quarterly updates provided to participating hospitals. Midas+ also offers, beyond the model, onsite consulting. HealthSpot Station theoretically could throw off a lot of data on outpatient disease and treatment. Midas+ Forecaster white paper, eWeek.
We also note that MedCityNews, one of the livelier publications that covers a wide swath of the US healthcare scene, is being acquired by Breaking Media, a New York City-based digital publisher. CEO Chris Seper will remain with the publication. Article.
The New Jersey Innovation Institute, a corporation part of the New Jersey Institute of Technology (NJIT) in Newark, NJ, is inviting healthcare technology and HIT entrepreneurs to be part of an acceleration/scaleup program for growth companies. The NJIT School of Management at the Enterprise Development Center runs a structured learning program in bi-weekly group sessions for qualifying innovative IT companies which are seeking to boost their annual revenue by 20 percent or more. It is free to participants, as funded partly by JPMorgan Chase’s ‘Small Business Forward’ initiative. Participants must have some market traction (the minimum is $250,000 or more in annual revenue).The deadline for application to be part of cohort #2 is early February; the program starts late February. Unlike other local programs, there is no requirement that the company operate in the state. For more information and to apply, see the form here. Hat tip to Michael Ehrlich, Associate Professor of the NJIT School of Management
‘We call you’ services are those where people have to respond to a daily phone call. This may be from an automated system or even from a person, as still happens in some small communities. The idea is that the call provides reassurance.
However, some industry observers are concerned that such systems have inherent problems. These lie not in the technology, but in the frequency of response failures. The discontinuation of the ReAssure24 service in the UK appears to bear out this concern.
Unfortunately, Cardiff-based Telecare24 (tagline ‘The UK’s Leading Careline Service’) has not responded (more…)
click to enlargeA possible advance in the perpetual Battle of Stalingrad that diabetics face in their self-monitoring has been developed through research at the University of California at San Diego (UCSD)’s Center for Wearable Sensors. A flexible skin tattoo-like patch has been used to monitor pre- and post-meal blood glucose levels. It works by using a small electrical current directed to the two small electrodes in the clear patch which activate an enzyme that reacts with glucose, giving a reading to the researchers on the seven subjects which correlates to conventional needle-stick metering. It’s not so advanced yet that it delivers information to a smartphone or dedicated meter, but directionally it’s in the right direction. And think of the savings both in disposables and cost ($1 each). The Center for Wearable Sensors is further developing (more…)
“NHS England believes using the £1bn to transform existing GP surgeries and build some new premises will help reduce the pressure on hospitals buckling under the strain of unprecedented demand.”
Telehealth & Telecare Aware believes that this is totally the wrong approach. Given the huge increases in the popularity of remote consultation as we covered in our review of our 2014 predictions, surely the right focus for additional funding is to provide substantial incentives to get GPs using existing technology to consult with patients remotely? This should be allied with an advertising campaign to point out the benefits to patients of not having to visit a surgery or exchange germs with others in the waiting room plus offer reassurance that face to face appointments will always be available if the doctor thinks one is necessary.
One way to start might be for the NHS to do deals with organisations like GP Access to offer technology like their askmygp to all GP surgeries for free and give large financial incentives to GPs conducting remote consultations with more than an agreed percentage of the patients on their books by year end…then raise that percentage every year for the next four years. That has got to be far cheaper than building works that will anyway become redundant soon because attitudes are changing and people will be preferring remote consultation shortly anyway! It would be much quicker to implement too.
In mitigation, the article also mentions that surgeries, apparently also “will also be expected to make much better use of technology to monitor patients’ health as a way of reducing their need to seek direct care from a doctor.” However that sounds more like a tepid endorsement of telehealth than encouragement to be radical.
Donning this editor’s retrospectacles, the campaign to embed Glass into the world’s technology infrastructure has always felt a bit forced: much more supplier push than customer pull, with wearers, except in circumstances like surgical operations, given a wide berth by many non-wearers. It was pricey too.
Clearly though, the ability to record video and to access information in hands-free mode will continue to be an important requirement for many health & care workers, and social attitudes will likely change too, so there can be little doubt that perhaps a less obviously intrusive version will return in due course. (more…)
click to enlargeYou may have noticed from our header above that it is the 10th year of Telehealth & Telecare Aware’s service to the industry. To mark our anniversary, we intend to invite leaders in the field to reflect on the past ten years and (if they dare!) to speculate on the next ten.
But first we would like you, dear Reader, to become involved in the process. Think for a moment…exactly who would you like to hear from? Whose views do you think best represent the last decade of changes taking place in healthcare and technology, improving (we hope!) care delivery, personal safety and well being?
Big bets were made on telemedicine (video doctor-patient consults) in 2014. This Editor closed her 18 December article with ‘telemedicine providers received a $200 million+ vote of confidence from tough-minded investors. We’ll see if 2015 results fulfill these whale-at-Monte-Carlo wagers.’ Here may be the start of a tipping point. New York State’s new law requiring insurer reimbursement for telehealth services went into effect 1 January, making NY the 22nd state to require payers to pay up for virtual visits. Permitted providers are physicians, dentists (!), physician assistants, psychologists and social workers. This provider list is considerably broader than Medicare’s new rules applying telehealth for patients with two or more chronic conditions, which is tied to physicians’ offices and contracted third parties. Also cheering the industry are that Indiana, Iowa and Tennessee are holding hearings on potential legislation, with Missouri at the legislative bill stage. (more…)
click to enlargeIf you are interested in the outcomes of SEHTA and Pôle-Tes‘ MALCOLM project, they are now published on the SEHTA website. The Anglo-Franco project analyzed remote care via ICT (information and communications technology) delivery (eHealth) and needs in the coastal Channel area: Hampshire, Surrey, West Sussex, East Sussex and Kent in England, and Lower Normandy in France. The press release has more details on results, methodology and the funding.
When this editor first read about the scheme, his thoughts went to headlines like “NHS seeks oxymorons”, as that organisation is not noted for its cherishing of innovators. (Indeed at a recent event in Manchester I was told by a speech & language therapist who was saving the NHS two orders of magnitude in lower costs in helping stroke victims to swallow again by using remote consultation vs in-patient hospital stays that her boss had told her there was no place for her in the NHS.)
However it seems they seek innovators outside the NHS to enable it to adopt innovations at scale and pace: “NHS England is inviting healthcare pioneers from around the world to apply to develop and scale their tried and tested innovations across parts of the NHS.”
“Applicants should be experienced innovators in healthcare who are currently leading or working on new technologies, services and processes that have the potential to make a real difference to patient outcomes.”
Details of the NHS Innovation Accelerator Programme are here, and the Digital by Default news item, here.
Telehealth and Telecare Aware posts pointers to a broad range of news items. Authors of those items often use terms 'telecare' and telehealth' in inventive and idiosyncratic ways. Telecare Aware's editors can generally live with that variation. However, when we use these terms we usually mean:
• Telecare: from simple personal alarms (AKA pendant/panic/medical/social alarms, PERS, and so on) through to smart homes that focus on alerts for risk including, for example: falls; smoke; changes in daily activity patterns and 'wandering'. Telecare may also be used to confirm that someone is safe and to prompt them to take medication. The alert generates an appropriate response to the situation allowing someone to live more independently and confidently in their own home for longer.
• Telehealth: as in remote vital signs monitoring. Vital signs of patients with long term conditions are measured daily by devices at home and the data sent to a monitoring centre for response by a nurse or doctor if they fall outside predetermined norms. Telehealth has been shown to replace routine trips for check-ups; to speed interventions when health deteriorates, and to reduce stress by educating patients about their condition.
Telecare Aware's editors concentrate on what we perceive to be significant events and technological and other developments in telecare and telehealth. We make no apology for being independent and opinionated or for trying to be interesting rather than comprehensive.