HIMSS17 dispatches: Mayo maps neonate telemedicine, Amwell-Samsung, Samsung-T-Mobile

Mayo maps out an enterprise telehealth (telemedicine) support structure. Here’s how the Mayo Clinic deployed neonatology remote telemedicine to their sites in Minnesota, Arizona, and Florida. There’s plenty of flow charts and summary points in this presentation deck around team building, staffing consistently and reporting that improves processes. Hat tip to our HIMSS correspondent on the scene, Bill Oravecz of Stone Health Innovations. Material is (c) HIMSS. Session handouts for most presentations are publicly available via the Schedule page; click on individual sessions for further information.

American Well and Samsung are partnering on integrating care delivery. Their joint release is low on details, but towards the end there’s an indication that American Well, its partners, and other providers and payers will be able to offer their services to Samsung customers. Other reports (Healthcare Dive) indicate the partnership is destined to enhance Amwell’s Exchange platform between payers and providers. Partners listed are Cleveland Clinic, New York-Presbyterian Medical Center and Anthem (undoubtedly resting after sparring with Cigna). Also Healthcare IT News.

Separately, Samsung also announced a partnership with T-Mobile for developing IoT in the senior care space. This would pair Samsung’s ARTIK Cloud with T-Mobile’s cellular network for Breezie, a social engagement for seniors interface built on a Samsung tablet which has apps and connects to various peripherals for post-acute care and daily living. It sounds interesting, but once again the release hampers the reporter by being as clear as mud in what it’s all about. See if you can decipher this: ARTIK Cloud permits “Amazon Alexa, Samsung SmartThings, iHealth Feel Wireless Blood Pressure Monitor and the Pulse Oximeter – to intelligently communicate with each other.” “Each Breezie interface has more than 40 preconfigured accessibility settings and sensor driven analytics to adjust for different levels of digital literacy, as well as physical and cognitive ability.” The Breezie website is far more revealing. Healthcare Dive also takes a whack at it towards the end of the above article.

HIMSS17 dispatch: developing a telehealth IT team in health system and multi-site networks

Reader Bill Oravecz of Stone Health Innovations is attending HIMSS17 in Orlando, and was kind enough to forward a ‘hot off the presses’ link to this presentation deck given by Jay Weems of Avera eCARE (downloadable as PDF). The subject is ‘Telehealth Workforce Offers Unique Competencies & Opportunities’ and covers how telehealth/telemedicine IT is developed in a health system, mentoring rural originating sites in building proficiencies, and Avera’s experience in supporting a 13-state, multi-system, multi-specialty network. This is more about telemedicine (virtual consults) but offers lessons in developing both in a B2B model.

Material is (c) HIMSS. Session handouts for most presentations are publicly available via the Schedule page; click on individual sessions for further information.

ATA 2017 Telehealth 2.0 Conference, Orlando

ATA 2017, 22-25 April, Orlando Florida at Orange County Conference Center

(Pssst–Readers receive 15% off–use TelecareAware15 code when registering)

The American Telemedicine Association’s annual meeting, this year dubbed Telehealth 2.0, concentrates on several themes beyond the trends in telehealth.

  • Consumers’ desire for devices to help them improve their health and communicate more easily with their doctors
  • How the latest technologies are lowering costs, improving services/reach and are reinventing healthcare
  • How doctors and healthcare systems are utilizing telehealth after hours to extend services 24/7 and are making it easier to reach patients who need them
  • How virtual reality is being used to treat everything from mental illness to rehabilitation and beyond
  • What’s hot, what’s not in investment opportunities–and why

The ATA Experience Zone includes how telehealth works in emergencies–inside an ambulance and visiting an emergency room.

Overview: The event starts on 22 April with pre-meeting certificate courses (separate charge). On offer: Disney World and Shingle Creek Golf Course discounts to enjoy both before and after the conference. The main conference starts on Sunday 23 April with featured speakers and education sessions, with the Exhibit Hall kicking off at 12:30 pm and an opening reception at 4pm. There’s a full day on Monday 24 April continuing into the afternoon on Tuesday 25 April, closing with a late afternoon-evening reception at Universal Studios Orlando.

Featured speakers include: Patrick J. Kennedy, former US House Representative and mental health advocate; and Thomas L. Friedman, New York Times Foreign Affairs reporter and author (Monday 24 April)

Our Readers save 15%–and advanced registration rates are available through 25 March! Click on the link in the advert at the right or here.  Twitter: @AmericanTelemed and #T2Telehealth  TTA is a media partner of Telehealth 2.0.

What is the future of digital technology in NHS England for the haves and have-nots?

This thoughtful essay published on The King’s Fund blog by David Maguire discusses the uncertain way forward for digitizing health within NHS England as part of the sustainability and transformation plan (STP). There’s a certain lack of vision and support from the top; there is £4.2 billion in funding over the next five years from the Department of Health, but priorities including ‘Paperless by 2020’ are unclear. There needs to be a ‘clear and definitive plan’, but at the same time, local innovation shouldn’t be stifled. Local areas vary widely in capability and resources. As Mr Maguire points out, some are still using Windows XP and others are well advanced in data analytics; some are more willing to take risks and have a “collective vision”. In a funding-constrained environment, local areas may find themselves scraping up, pooling resources to create the systems they need, and sharing that knowledge. Seizing opportunities for digital development in the NHS Hat tip to Susanne Woodman.

A reminder that the Digital Health and Care Congress is on 11-12 July. Preview video and the event page; the Digital Health Congress fact sheet includes information on sponsoring or exhibiting. To make the event more accessible, there are new reduced rates for groups and students, plus bursary spots available for patients and carers. TTA is again a media partner of the Digital Health Congress 2017. Updates on Twitter @kfdigital17

Updated–MedStartr’s Rise of the Healthy Machines 1 March (NYC)

Wednesday 1 March, 1-6:30 pm (followed by cocktail reception to 8 pm), PriceWaterhouseCoopers, 300 Madison Avenue NYC

What’s new at #RISE2017? A new event page which has all the highlights, including the speaker roster and agenda.  The revised agenda focuses on population health and how machine learning/AI will change medicine and our notions of healthy living, with speakers and panelists from Teladoc, PwC, J&J, Prognos.ai, CityMD, mymee, DataArt, Enspektos and more. There’s also a new Healthy Machines Challenge application page, so if you have a young company with a technology which can help people live longer, healthier lives, apply for the Challenge which finds and funds some of the best new ideas in digital health. Sponsors include PwC, DataArt, and McCarter & English LLP. Tickets are free to $75 for the full half-day with reception. TTA is a MedStartr supporter/media sponsor; Editor Donna is a host for this event and a MedStartr Mentor. Also check the MedStartr page to find and fund some of the most interesting startup ideas in healthcare

British Journal of Cardiology (BJC) Digital Healthcare Forum’s inaugural meeting

28 April, 9:30am-5pm, Royal College of Obstetricians and Gynaecologists, London 

Henry Purcell of the BJC was kind enough to post us with information on the first-ever BJC Digital Healthcare Forum. Organized by the BJC in association with the NHS, the Digital Health and Care Alliance (DHACA), and the Telehealth Quality Group, it is a novel ‘hands on’ meeting to assess if digital medicine can fill gaps in healthcare provision throughout the NHS. It is also in response to the massive pressures which winter has wrought on NHS health and social services. The Forum was designed by clinicians and leaders in healthcare informatics for UK commissioners, doctors and other HCPs involved in the management of long-term conditions (cardiovascular, obstructive pulmonary disease, diabetes etc.), as well as those engaged in health informatics, IT, and Trust CEOs. Speakers include Dr Malcolm Fisk of De Montfort University, our own Charles Lowe of DHACA, Professor Tony Young, National Clinical Director for Innovation (NHS England) and many more experts in digital health and care. For the latest information and to register, see the event website or the attached PDF.

Weekend viewing: NYeC Digital Health Conference presentations

Now that the bustle of the holidays is over and the frigid days of winter are here, this weekend grab your cup of hot cocoa, an afghan rug or snuggie, and click through a one-page compendium of the NYeC Digital Health Conference in NYC last December. The page links to presentation slides and video; most have both. (Unfortunately, not all presentations nor the lunch breakouts are included.)

This Editor highly recommends the following:

  • The Tuesday keynote on ‘The Digital Doctor’ by Dr Robert Wachter, who is influencing the NHS. (Yes, EHRs and e-prescribing have turned physicians into data entry clerks.)
  • ‘Turning Impossible on Its Head’ on disrupting healthcare with technology: Robert Putrino of Burke Rehabilitation Center on a miracle of 3D printing
  • DSRIP 2017 and readmissions may not sound very interesting, but the presentations by Veyo‘s Josh Komenda on how transportation assistance can also aid compliance, and the discussion on the missing link of population health may be social determinants of health care, are.
  • Wednesday’s ‘Universal Patient Identity’ presentation by Tom Foley of Lenovo Health; a must-see by anyone interested in preventing identity fraud and theft at the provider level
  • “The Patient Room of the Future’ by Joan Saba, partner of NBBJ Architects. Responding to this Editor’s question via Twitter on how design can prevent nosocomial (healthcare-acquired) infections, I was directed to an excellent Becker’s Hospital Review article written by two of their firm’s leaders.
  • The very last presentation, ‘Resuscitating the Child’, was one of the finest and may also break your heart. Peter Antevy, MD, medical director of two EMS in Palm Beach County, Florida, presented the human cost of both EMTs/paramedics in rescue and the frustration of not having the proper tools to calibrate medication and procedures quickly on a patient who cannot be administered full doses, all in emergency situations. His company, Pediatric Emergency Standards, is developing software that can do so quickly and on-scene. Dr Antevy’s passion for his work and for applying technology to this situation is abundantly present.

NYeC Digital Health Conference final presentations pageTTA was a conference/media partner of the 2016 NYeC DHC, and thanks Jesse Giuliani and Andie Egbert for their invitation and coordination assistance.

UKTelehealthcare’s updated event schedule

UKTelehealthcare’s new Managing Director Gerry Allmark was kind enough to advise Editor Donna of upcoming events either organized by UKTelehealthcare, or where they will be represented. His note is reproduced here with minor edits and emphases. Click their advert on the right sidebar or here, which directly links to their special About/Upcoming Event page, for more information.

Our next MarketPlace will be in Carlisle on the 1 March 2017 (registration link); this is an historic occasion for us as this is our first event in the North of England. (Information on the programme is here.)

As part of our national expansion of events and membership we plan to hold MarketPlaces in Luton, Bristol, Nottingham, Dudley and Halifax as well as a high profile London event in 2017/18.  Please see the “Coming up at a glance” section on the first page of our website (see link here) for the latest news on these events.

We will also be exhibiting at Naidex 2017 from the 28 to 30 March and at the Health + Care Show on the 28 and 29 June 2017.  At both these shows we will be offering special show price membership rates to both provider and supplier members as well as our new membership categories for Clinical Commissioning Groups, Consultants and RPI members.

In conjunction with the H + C Show we will also be expanding our successful Telehealthcare Awareness Day which we have run for the last two years to Telehealthcare Awareness Week which will run from 26 – 30 June 2017.  During this week we encourage our members and other TEC providers and suppliers to run local events to raise the profile of health technology in their areas and we will publicise these events though our social  media links and website.  A Telehealthcare Awareness Day pack / toolkit will be available on our website shortly for both members and non-members who would like to take part in this important event.

The King’s Fund Digital Health and Care Congress ’17–update

The latest from The King’s Fund on the upcoming Digital Health and Care Congress, 11-12 July (only six months from now!) is in this video now available on Vimeo. It gives a great overview of how digital health has to be integrated to improve care in the NHS and also in other countries, and the scope of its effects on clinicians, HIT, and patients. This Editor has also received word that the successful projects submitted in the meeting’s call for papers will be announced on Friday 20 January, and that the full programme will be announced at the end of this month.

The King’s Fund’s event page; the Digital Health Congress fact sheet includes information on sponsoring or exhibiting. To make the event more accessible, there are new reduced rates for groups and students, plus bursary spots available for patients and carers.  

Hat tip to KF’s Claire Taylor for the information and the update. TTA will be a media partner of the Digital Health Congress 2017. Updates on Twitter @kfdigital17

Connecting with Connected Health (PCHA Connected Health Conference)

click to enlargeGuest contributor JC Muyl attended the PCHA Connected Health Conference last week and contributed his thoughts on the event.

Last week I drove down from NYC to spend an afternoon at the Connected Health Conference (#CHC16) at the Gaylord Convention Center outside DC. The majority of my time was spent in the exhibit hall meeting digital health vendors.

I walked away fascinated by just how eclectic the digital health industry is. By approaching it from so many different angles, we’re bound to find some solutions that will stick. I thought I’d spread my optimism by sharing a sample of what I saw for those who couldn’t make it. Here’s my take on my day:

  • The most represented category was patient engagement solutions, probably as a function of the conference itself. Also, when you think about it, a proliferation of proactive patient engagement solutions makes sense in the context of value-based payments. What I like about patient engagement is that it has applications across multiple segments (payers, providers, employers, etc.) which means a bigger market. I met with the folks at Fitango Health (customizable care plans & member engagement), CareWire (member engagement via text), PokitDok (a development platform for care management / patient engagement), Utila (a text-based behavior health engagement solution) and Dacadoo (a cool health score app for patients based on proprietary algorithms).
  • Dacadoo was the play that felt most natively consumer-centric, especially because the user is able to track their health score in the app. The other solutions were for providers looking to manage and interact with patient populations. I like the notion of designing these products from the standpoint of how consumers want to navigate their healthcare experience.
  • In telehealth, I visited SwyMed, a ruggedized telehealth kit for emergency workers (makes a lot of sense), and VGo (see left above), a friendly-looking telehealth assistant that combined a Segway with a camera and a screen. They demoed how they could remotely drive it to the patient for a telehealth consult. I really think this product has legs…well wheels, actually! Seriously, it made me wonder how soon until we use drones to deliver meds & pick up samples?
  • I was surprised by the number of international companies: Medelinked from the UK, EarlySense from Israel, Voluntis from France, Dacadoo from Switzerland, most with a local presence here in the US. These foreign companies are usually pretty big in their home country, with a (clinically) proven product, yet are approaching the US market with the agility but also possibly the financial needs of a startup. I bet they would make good prospects for investors.

(more…)

NHS Scotland launches Attend Anywhere video consult trial

click to enlargeAnnounced earlier this month by Shona Robison, Cabinet Secretary for Health and Sport, Scottish Government at the Scottish Digital Health & Care Week and Conference is the pilot of the Attend Anywhere virtual doctor visits. The consults are through a patient’s computer, smartphone or tablet using a Google Chrome web browser. The patient logs in to the website, waits in a private video room, the provider is notified that the patient is in the queue, and when the doctor is available, the video visit will start. (See illustration at left)

Initially, the service will target video call access to up to 50 health care providers including primary care, specialist services, speech and language therapy as well as pharmacy prescription reviews. According to Attend Anywhere, the service is available now to Scots in both rural and metropolitan areas. The service was developed as part of a collaboration between NHS Scotland’s Technology Enabled Care (TEC) Programme, Melbourne Australia-based video consulting specialists Attend Anywhere, and Healthdirect Australia, supported by NHS 24 Scottish Centre for Telehealth and Telecare. The press release links to a video of the consults in use in western New South Wales, including a care home. Scottish Centre demonstration site, Scottish Digital Health Week page.  Hat tip to Chris Ryan of Attend Anywhere Australia for the original articles and corrections. His LinkedIn post here shows the Scottish Centre’s table at the conference.

WLSA merger with PCHAlliance: the digital health conference scene contracts a bit more

Over the weekend, the Personal Connected Health Alliance (PCHAlliance) and the Wireless-Life Sciences Alliance (WLSA) announced that the San Diego-based WLSA would be combining its operations with the PCHAlliance. This follows on the earlier announcement [TTA 21 Oct] that the Boston-based and Partners HealthCare- owned Connected Health Symposium would be folding its operation into the PCHAlliance. Both Robert B. McCray, co-founder and CEO of WLSA, and Dr Joseph Kvedar of Partners HealthCare are now Senior Advisers to the PCHAlliance, with Mr McCraw heading Thought Leadership and Dr Kvedar now Program Chair of next year’s event.

WLSA has been largely inactive on the conference scene since 2015, when it staged its last Convergence Summit in May and the Wireless Health event in October of that year. The Convergence Summit has been merged into PCHAlliance’s Connected Health Conference kicking off today near Washington, DC. The Wireless Health event will continue through a collaboration with IEEE/EMBS cooperating with the National Institutes of Health (NIH) and the National Science Foundation (NSF).

In their release, PCHAlliance emphasized WLSA’s experience in research within engineering, computer science, biomedical and health disciplines. Patricia (Patty) Mechael, PhD, Executive Vice President, PCHAlliance in the release was quoted that “Their focus on medical and health research communities is a perfect compliment to our commitment to accelerate the adoption of clinical grade technology in consumer-friendly health outcomes- based business models.” Life science companies will be welcomed for membership in the PCHAlliance. PCHAlliance also includes Continua, which for well over a decade has been promoting engineering standards for device interoperability.

As this Editor looked back in October, when most of these organizations and events started about 2007-8, there were few Big Health conferences that took what was then dubbed eHealth and mHealth (later Digital Health) seriously. Now, of course, they do. There are also multiple events, large and small, expensive and popularly priced, every month in many cities–we attended and reported on #MedMo16 which will be branching out to multiple cities in 2017.

In looking back at our articles, the WLSA was engaged with the conference almost from the start, when the mHealth Summitwas one of the first ‘big name/big support’ conferences. Its tack then was governmental policy and what international NGOs were doing as a model for developed nations. It was organized by the Foundation for the National Institutes of Health, the National Institutes of Health and the mHealth Alliance up to 2012, when HIMSS took it over.

Grizzled Pioneers, and even the non-grizzled, can testify to the multiple phases in a decade up and down the Hype Curve: device-driven, mobile-driven, sensor-driven, telehealth, wearables, Big Data, population health, patient engagement, analytics, data integration, outcomes-based and a few others. This move confirms that many factors are blending: academic, engineering, software, biotech, genomics, social, behavioral, governmental–and that technology is not standalone or sitting in isolation, but is integrating and manifesting itself in all sorts of interesting places both behind the consumer scene and in policy, and to consumers on mobiles and in the home (IoT, which hasn’t resolved its multiple and obvious security problems).

Also Neil Versel in MedCityNewsTTA is a media partner of the PCHA CHC for the 8th year, starting in 2009 when it was the brand new mHealth Summit. Conference tweets on #connect2health.

Patients as People: creating clinically relevant social insights (part II)

Guest Editor Sarianne Gruber (@subtleimpact) continues her interview of Mandi Bishop, founder and Chief Evangelist of Aloha Health. Ms Bishop’s goal with Aloha Health is to put the ‘patient as person’ into the present healthcare model. Ms Gruber interviewed Ms Bishop at #MedMo16 where Aloha Health won the People’s Choice award in the Equity Crowd Challenge. The first half of the interview was previously published in Part I.

How does Social Determinants Of Healthcare (SDOH) data relate to me as a patient?

Bishop: SDOH attributes are available both the individual patient level and a “high propensity that this is you” level via micro-segmentation. Optimally, there will be personalization of information where personalization is possible and micro-segmentation profiles for when it is not.  Also, we are not trying to give the doctor more data since we think that is a big part of the problem.  “What about your lifestyle” matters which respect to you as a patient, and we at Aloha Health convert that data into insights.  When the doctor pulls up an encounter, based on our models, the EHR is populated with the insights that are available about you and your conditions.

As a workflow example, I pull up your encounter.  Aloha then pings the Aloha insights section and gets all this information about you. This is the use case we are going after:  a diabetic patient and this is the demographic information we are going after about that person.  Pertinent and clinically relevant information would be pulled up about you and on your profile.  We are only showing things that matter.  The fact that you are a 40-year woman is information the doctor already knows.  But the fact that you are a single mother, who just got divorced 3 weeks ago, is caring for an elderly parent, and has all of these other “things”, all of these “things” would influence your ability to have an insulin pump.

What makes SDOH data a must have for patient engagement and patient-centered care? (more…)

#MedMo16: finalists, winners, and what they tell us about the state of health tech

click to enlargeHaving attended two conferences in the past two weeks, and squinting to read the tea leaves in the cup, there are some trends that this Editor is picking up. They are quite different from what has been seen over the past year or two. They’ll be expanded on in articles to follow. From the top:

  • Successful companies fit into a bigger picture. Startups into early-stage companies, which were the focus at #MedMo16, are now playing the niches like genetics, patient-focused discovery, condition management and cost-effective specialized clinical innovations.
  • Anything that simplifies a process and saves money is attractive. Complex ‘big data’, analytics and ‘population health/integration’ solutions aren’t in the lead anymore because there are a lot of them and they all look alike.
  • Nothing is revolutionary. The idea that an app, device or software will ‘revolutionize healthcare as we know it’ is now recognized as absurd. (The cocktail/drinks party is ovah!) Cases must be proved first, usually on your self-funded or FFF (families, friends and fools) dime, if you want to partner with the Big Dogs.
  • Value-based care, this year’s darling, is already being seen as a vague ‘catch-all’ in a way that Triple Aim and ‘outcomes/evidence-based care’ were eventually found to be. As a meme, it’s turning out to have the life of a fruit fly.
  • It has to be easy to access, preferably on something the average patient or clinician already has or can acquire easily, like a laptop, tablet or smartphone. The idea of having to place a special purpose-built device in, let’s say, a home, is looking more and more ‘analogue’ indeed, a trend we are seeing in the traditional hub-based telehealth market and even slowly in telecare and traditional PERS.
  • Funding models are changing, with more bootstrapping, self-funding, expand you go and less emphasis on big investment and selling out fast. As funders on a NYeC DHC panel pointed out last Wednesday, don’t raise more – or less – than you need.

At #MedMo16, Crowd Challenge participants were judged by a combination of the interested MedStartr/Health 2.0 NYC community through the MedStartr funding platform, and then by a panel of judges who have leading clinical, technological, patient advocate and funding experience. In short, a group that has seen a lot over the past decade plus, has been up and down the Hype Cycle, and is down to Brass Tacks.

The innovations that bubbled up through the finalists (more…)

PCHA Connected Health Conference in Washington–book soon!

11-14 December, Gaylord National, National Harbor MD (Washington DC area)

Hosted by the Personal Connected Health Alliance, the Connected Health Conference was renamed in 2015 to reflect an increasingly consumer-centered, technology-enabled and collaborative approach to improving health, and builds on the success of the mHealth Summit. There are three days of programming with over 300 speakers, four tracks, a new and innovative exhibit floor, and specialty events. Each component — from keynotes, panel discussions, interactive sessions, roundtables and the dynamic exhibit floor — focuses on new research and actionable knowledge such as best practices, lessons learned and conclusive case studies.

  • Pre-conference sessions providing a deep dive into key topics
  • Four content tracks bringing diverse perspectives, sparking meaningful discussion and advancing new solutions around key issues such as behavior change, real time intervention, design, collaboration, data science, disparities, policy, interoperability, ethics, privacy and security, and more
  • Numerous opportunities for networking

Co-located at the Conference is the Global Digital Health Forum, which addresses digital health in low- and middle-income countries.

Click on the advert in the right hand sidebar or the link above to learn more. When you register, use code TELE100 for $100 off registration. TTA is a media partner of the PCHA Connected Health Conference.

#MedMo16 video highlights on YouTube (Day 1)

Courtesy of the MedStartr crowd-based healthcare investment fund and HealthTechTalkLive is the first day video of #MedMo16 from City Winery in NYC. It’s a tick over 7 hours of six Momentum talks, two final exams for Mega Challenge competitors in population health and devices/wearables plus three panels. Your Editor is running the presentations so you know the dastardly doer of any ‘goofs’ you see! Day One is on YouTube here. The finalist list in the Mega Challenge presentations differs from the program here–start times are in parentheses:

  • Pop Health, Payers and Pharmatech: Mymee, AudibleRx, EllieGrid, Agewell Biometrics US, Aloha Health (1:03:00)
  • Devices and Wearable Health Tech: GlucoSight, Rx Bandz, HeartIn, tonguenacity, Ceeable (4:56:00)

Day 2 will be posted tomorrow.