TTA’s Spring Hop: China’s AI health crunching, Babylon Health in Asia and Africa, Tyto Care/Best Buy, ATA, Spry’s COPD wearable, NHSX, more!

 

Spring Fever continues as we hop like a bunny to Easter and Passover. This week has a distinctly international focus, with Babylon Health and Merck in Africa, a digital health funding competition in Helsinki, and Israel’s Tyto Care DTC-ing with Best Buy. We take a critical look at China’s massive data reaping through private healthcare companies for AI diagnostics, with little regard to patient consent or privacy. Closer to home, there’s ATA, Spry Health’s wearable for COPD, and NHSX’s establishment.

22 May is just over a month away! Scroll below for news of The King’s Fund’s Digital Health and Care Congress in London, including Matt Hancock as keynote speaker on day 2. Plus 10% off registration for our Readers!

International news roundup: ATA dispatches, compete for funding in Helsinki, Spry FDA-cleared for COPD, Merck acquires ConnectMed Kenya 
Babylon Health’s expansion plans in Asia-Pacific, Africa spotlighted (We extract the highlights including the new NHSX for good measure)
Tyto Care inks deal with Best Buy for retail sales of remote diagnostic device (Tyto finally moves into DTC with a retailer apparently set on digital health)
China’s getting set to be the healthcare AI leader–on the backs of sick, rural citizens’ data privacy (Damn ethics and privacy rights, full speed ahead!)

With a touch of spring fever, we round up events from a two-week digital health festival in Leeds to ATA in New Orleans. CVS-Aetna’s merger continues to linger in a Federal court. And the NHS App report is overall positive for its rollout later this year–but Microsoft’s HealthVault is rolling into history.

NHS App’s pilot results: renewing prescriptions good, making appointments…not so much (Plus the demise of Microsoft HealthVault)
Leeds Digital Festival 2019: a two-week showcase of digital health and care (Quite an annual show across town!)
Spring is here, so are some events to enjoy–and broaden your horizons (From New York to New Orleans) 
Drawn-out decision on the CVS-Aetna merger held up again in Federal court (Examined up, down, and sideways in a Federal court–since October)

Fortune and Kaiser Health News take down EHRs and the havoc they wreak on doctors and patients. Our weekly news roundup looks at diabetic VR training in Wessex, telemental health in Australia, GreatCall’s health ambitions–and prescribing apps is baaack!

EHRs: The Bridge to Nowhere–other than despair. An investigative Must Read on ‘an unholy mess’. (The reality settles in, and it’s worse than you thought, whether you’re a doctor or patient)
News roundup from all over: prescribing apps is back! Plus telemental health Down Under, GreatCall’s health tech strategy, Wessex’s diabetic sim, telehealth growth outpaces urgent care

It was a busy week for acquisitions and investments–perhaps the health tech bubble is staying at a reasonable size–for now. The post-Nokia Withings is definitely wide awake with sleep tracking.

News roundup: Teladoc acquires MédecinDirect, Blue Cedar closes $17M Series B, Hill-Rom buys Voalte, Withings bolsters sleep tracking (Real but not crazy money on the line here. And Withings isn’t snoozing.)

Telemedicine Has Two Faces: the good in expanding mental health and preventing rehospitalizations in long-term care–and the very bad in delivering end-of-life news to an elderly patient.

Suddenly hot, redux: mental health telemedicine in long term care, analytics to help predict rehospitalizations in skilled nursing facilities (A traditional provider adds telemedicine, three new SNF tech companies preventing rehospitalizations)
A telemedicine ‘robot’ delivers end of life news to patient: is there an ethical problem here, Kaiser Permanente? (An insensitive use of good technology gets bad press for both)

A government study on tech to enable aging independence that actually may be useful. Meanwhile, the FBI is warning that Hackermania is running wild over healthcare. AliveCor’s KardiaMobile succeeds in UK’s EDs. And that music you have on to concentrate may be doing exactly the opposite.

A useful White House study released: ‘Emerging Technologies to Support an Aging Population’ (Big topics and tech approaches without the fluff)
Hackermania ‘bigger than government itself’–and 25% of healthcare organizations report mobile breaches (We ought to be doing better by now)
Smartphone-based ECG urged for EDs to screen for heart rhythm problems: UK study (Give the patients mobile ECG monitors to take home)
Listening to music impairs verbal creativity: UK/Sweden university study (Those headphones are not helpful if you’re trying to think)


The King’s Fund’s annual Digital Health and Care Congress is back on 22-23 May. Just announced–Secretary Matt Hancock keynoting Day 2. Meet leading NHS and social care professionals and learn how data and technology can improve the health and well-being of patients plus the quality and effectiveness of the services that they use. Our Readers are eligible for a 10% discount using the link in the advert or here, plus the code Telehealth_10.


Have a job to fill? Seeking a position? Free listings available to match our Readers with the right opportunities. Email Editor Donna.


Read Telehealth and Telecare Aware: http://telecareaware.com/  @telecareaware

Follow our pages on LinkedIn and on Facebook

We thank our present and past advertisers and supporters: Tynetec, Eldercare, UK Telehealthcare, NYeC, PCHAlliance, ATA, The King’s Fund, HIMSS, Health 2.0 NYC, MedStartr, Parks Associates, and HealthIMPACT.

Reach international leaders in health tech by advertising your company or event/conference in TTA–contact Donna for more information on how we help and who we reach. See our advert information here. 


Telehealth & Telecare Aware: covering the news on latest developments in telecare, telehealth, telemedicine and health tech, worldwide–thoughtfully and from the view of fellow professionals

Thanks for asking for update emails. Please tell your colleagues about this news service and, if you have relevant information to share with the rest of the world, please let me know.

Donna Cusano, Editor In Chief
donna.cusano@telecareaware.com

TTA’s Spring Fever Week: NHS App report, CVS-Aetna’s merger lingers in court, digital health events blossom in New York, New Orleans–and for two weeks in Leeds

 

 

With a touch of spring fever, we round up events from a two-week digital health festival in Leeds to ATA in New Orleans. CVS-Aetna’s merger continues to linger in a Federal court. And the NHS App report is overall positive for its rollout later this year–but Microsoft’s HealthVault is rolling into history.

And scroll below for news of The King’s Fund’s Digital Health and Care Congress, including Matt Hancock as keynote speaker on day 2. Plus 10% off registration for our Readers!

NHS App’s pilot results: renewing prescriptions good, making appointments…not so much (Plus the demise of Microsoft HealthVault)
Leeds Digital Festival 2019: a two-week showcase of digital health and care (Quite an annual show across town!)
Spring is here, so are some events to enjoy–and broaden your horizons (From New York to New Orleans) 
Drawn-out decision on the CVS-Aetna merger held up again in Federal court (Examined up, down, and sideways in a Federal court–since October)

Fortune and Kaiser Health News take down EHRs and the havoc the wreak on doctors and patients. Our weekly news roundup looks at diabetic VR training in Wessex, telemental health in Australia, GreatCall’s health ambitions–and prescribing apps is baaack!

EHRs: The Bridge to Nowhere–other than despair. An investigative Must Read on ‘an unholy mess’. (The reality settles in, and it’s worse than you thought, whether you’re a doctor or patient)
News roundup from all over: prescribing apps is back! Plus telemental health Down Under, GreatCall’s health tech strategy, Wessex’s diabetic sim, telehealth growth outpaces urgent care

It was a busy week for acquisitions and investments–perhaps the health tech bubble is staying at a reasonable size–for now. The post-Nokia Withings is definitely wide awake with sleep tracking.

News roundup: Teladoc acquires MédecinDirect, Blue Cedar closes $17M Series B, Hill-Rom buys Voalte, Withings bolsters sleep tracking (Real but not crazy money on the line here. And Withings isn’t snoozing.)

Telemedicine Has Two Faces: the good in expanding mental health and preventing rehospitalizations in long-term care–and the very bad in delivering end-of-life news to an elderly patient.

Suddenly hot, redux: mental health telemedicine in long term care, analytics to help predict rehospitalizations in skilled nursing facilities (A traditional provider adds telemedicine, three new SNF tech companies preventing rehospitalizations)
A telemedicine ‘robot’ delivers end of life news to patient: is there an ethical problem here, Kaiser Permanente? (An insensitive use of good technology gets bad press for both)

A government study on tech to enable aging independence that actually may be useful. Meanwhile, the FBI is warning that Hackermania is running wild over healthcare. AliveCor’s KardiaMobile succeeds in UK’s EDs. And that music you have on to concentrate may be doing exactly the opposite.

A useful White House study released: ‘Emerging Technologies to Support an Aging Population’ (Big topics and tech approaches without the fluff)
Hackermania ‘bigger than government itself’–and 25% of healthcare organizations report mobile breaches (We ought to be doing better by now)
Smartphone-based ECG urged for EDs to screen for heart rhythm problems: UK study (Give the patients mobile ECG monitors to take home)
Listening to music impairs verbal creativity: UK/Sweden university study (Those headphones are not helpful if you’re trying to think)

Chronic condition telehealth monitoring is suddenly hot–again. When will digital health ethics be more than talk-talk? No more faxes, no more pagers in the NHS. Surprise! Consumer behavior should drive health tech. Plus late spring events + Connected Health Summit speaking opportunities.

Suddenly hot: chronic condition management in telehealth initiatives at University of Virginia and Doctor on Demand (We’ve been here before)
Events, dear friends: MedTech London, Aging 2.0 Philadelphia, speakers wanted for Connected Health Summit (More for your calendar from late winter into late summer)
First they came for the fax machines….now NHS is coming for the pagers (Pretty soon it will be the stethoscopes, the furniture…)
The King’s Fund Digital Health and Care Conference announces Matt Hancock as Day 2 keynoter (He’s everywhere!)
About time: digital health grows a set of ethical guidelines (But how to put it into action beyond the nice meetings and draft principles?)
A short but canny look at consumer behavior as a driver of health technology (Design that fits into life–what a notion!)

Rounding up HIMSS and the millennial/Gen Z healthcare mindset. It’s wall-to-wall Theranos for the next few weeks. And we bid farewell to a fine (if over-parodied) actor with our video advert.

News roundup: of logos and HIMSS roundups, Rock Health’s Digital Health Consumer Adoption survey, and the millennial/Gen Z walkaway from primary care (Increasingly not trad, dad)
The Theranos Story, ch. 58: with HBO and ABC, let the mythmaking and psychiatric profiling begin! (updated) (A deluge of Theranos Analysis)
From our archives: a long buried advert (RIP Bruno Ganz) (Editors Steve and Donna salute a fine actor and fine movie–remembered, humorously)

 


The King’s Fund’s annual Digital Health and Care Congress is back on 22-23 May. Just announced–Secretary Matt Hancock keynoting Day 2. Meet leading NHS and social care professionals and learn how data and technology can improve the health and well-being of patients plus the quality and effectiveness of the services that they use. Our Readers are eligible for a 10% discount using the link in the advert or here, plus the code Telehealth_10.


Have a job to fill? Seeking a position? Free listings available to match our Readers with the right opportunities. Email Editor Donna.


Read Telehealth and Telecare Aware: http://telecareaware.com/  @telecareaware

Follow our pages on LinkedIn and on Facebook

We thank our present and past advertisers and supporters: Tynetec, Eldercare, UK Telehealthcare, NYeC, PCHAlliance, ATA, The King’s Fund, HIMSS, Health 2.0 NYC, MedStartr, Parks Associates, and HealthIMPACT.

Reach international leaders in health tech by advertising your company or event/conference in TTA–contact Donna for more information on how we help and who we reach. See our advert information here. 


Telehealth & Telecare Aware: covering the news on latest developments in telecare, telehealth, telemedicine and health tech, worldwide–thoughtfully and from the view of fellow professionals

Thanks for asking for update emails. Please tell your colleagues about this news service and, if you have relevant information to share with the rest of the world, please let me know.

Donna Cusano, Editor In Chief
donna.cusano@telecareaware.com

– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –

NHS App’s pilot results: renewing prescriptions good, making appointments…not so much

The NHS App, announced at the end of 2017, piloted in September-December 2018. It started with one GP practice in Liverpool and grew to 34 practices across England, eventually growing to 3,200 registered patients, exceeding its target registration group by over 1,200. The NHS report was issued on 8 April.

  • Most used the app to view their patient records. Unless the patient had given prior consent to their GP to view their full patient record, only a summary was available through the app. This will revert to full patient records with the ability to add to the record as the default by April 2020.
  • For the pilot users, they reported positively on the app for prescription renewals; it was used for 662 repeat prescriptions and was found by 87 percent to be ‘easy and convenient’ as well as the app’s ‘most useful service’.
  • On booking appointments, the feedback was not so positive. Users had difficulty understanding the jargon used in booking.
  • They also found the two-factor authentication for security purposes annoying. For the full implementation, the development team is planning to add a biometric log in.

The NHS hopes to roll out the app to all English GP practices by July 2019. While the app became available in December on Google Play and the Apple App Store, patients have to wait for their GP to connect to it. Mobihealthnews, NHS report site

A counterpoint to this is the final closing of the Microsoft HealthVault later this year. Users will have until 20 November to migrate their data. HealthVault was one of the first services to allow consumers to record and share electronic health data. Microsoft has already shut down two related services, HealthVault Insights and the Health Dashboard. Most of these storage services have shut down (Revolution Health, Google Health, Google Fit, Dossia) with the surviving Apple Health Records and GetReal’s Lydia. Mobihealthnews

TTA’s Week: Eric Topol does the NHS’ future, robotic therapy for autistic children, telehealth’s wind at back, and Editor Charles’ roundup

 

The Topol Review’s relationship to reality explored by Roy Lilley. Robotics effects in therapy for children with autism and CP. The wind’s even more at the back of telehealth–but there are caveats. Plus Editor Charles is back with a UK digital health roundup.

And scroll below for news of The King’s Fund’s Digital Health and Care Congress–plus 10% off registration for our Readers!

Roy Lilley’s tart-to-the-max view of The Topol Review on the digital future of the NHS (This week’s Must Read)
Robots’ largely positive, somewhat equivocal role in therapy for children with autism and cerebral palsy (HIMSS)
The wind may be even stronger at the back of telehealth this year–but not without a bit of chill (VA, Virginia as indicators–and the hurdles when you get there )
A selection of short digital health items of potential interest (Editor Charles is back with views on AI and events)

The telehealth entrepreneur and the $5 million fraud = 15 years in prison. Scotland’s Current Health wins FDA clearance, Latin America telemedicine’s uncertain state, women in eHealth, and studies on digital health in health systems.

News roundup: Current Health’s Class II, Healthware Italy’s €10 million boost, the low state of Latin America telemedicine, weekend reading on digital health in health systems
Digital health versus eHealth: ‘here we go again’ with the confusion and the differences. Plus Women in eHealth (JISfTeH) (Reviving the terminology discussion)
The telehealth ‘entrepreneur’ whose $5 million funding bought stays at the Ritz and portfolios at Bottega Veneta (And 15 years in the Federal pen. Tell your mum or uncle to be wary of good stories)

Our lead this week is the sale of Tunstall’s US operation. Unicorns need to hype less and publish studies more. The King’s Fund’s two events in March and May, Bayer’s accelerator winners, and news from Apple to teledermatology for São’s spotted!

Short takes: Livongo buys myStrength, Apple Watch cozies with insurers, Lively hears telehealth and $16 million
Tunstall Americas sold to Connect America
(Tunstall conceding their business is outside the US)
Where’s the evidence? Healthcare unicorns lack the proof and credibility of peer-reviewed studies. (Unicorns need to add substance to the sparkle)
News roundup: Virginia includes RPM in telehealth, Chichester Careline changes, Sensyne AI allies with Oxford, Tunstall partners in Scotland, teledermatology in São Paolo
The King’s Fund ‘Digital Health and Care Explained’ 27 March
(Readers also get a 10% discount at the 22-23 May Congress)
Bayer’s G4A accelerator awards agreements with KinAptic, Agamon, Cyclica (DE) (A truly international accelerator program)

Latest through the revolving door is NHS’ chief digital officer, digital health may be more ‘bubbly’ than you would like, telemedicine and telehealth gain important consumer and Medicare facing ground, and fill your calendar some more!

NHS England digital head Bauer exits for Swedish medical app Kry, but not without controversy (The revolving door reveals a self-made cloud over her head)
Events, Dear Friends, Events: UK Telehealthcare, Mad*Pow HXD, dHealth Summit (Get out the calendars–and the checkbooks/app)
Telemedicine virtual visits preferred by majority in Massachusetts General Hospital survey (Over 94% loved the convenience alone)
Medicare Advantage model covering telehealth for certain in-person visits starting in 2020 (The needle moves–slowly)
It’s not a bubble, really! Or developing? Analysis of Rock Health’s verdict on 2018’s digital health funding. (‘Bubbly’ factors that may influence this year–not for the better)

We round up the Official Healthcare Circus of CES, Verily rolls along with $1 bn in investment, and Walgreens Boots finally makes an alliance splash with Microsoft

It’s Official: CES is now a health tech event (updated) (And still a circus! We round up the top coverage so you don’t have to)
News roundup: Walgreens Boots-Microsoft, TytoCare, CVS-Aetna moves along, Care Innovations exits Louisville
Verily, Google’s life sciences arm, gathers in another billion to go…where? (Updated for Study Watch clearance) (Still a mystery)

Our first full week in January is full of news and events, from CES to RSM, plus lots of healthcare acceleration!

News roundup: CES’ early beat, CVS-Aetna pauses, digital health fizzes, Yorkshire & Humber Propels
Events, Dear Friends, Events part 2: Newcastle and Texas accelerate, Aging2.0 NYC gets happy, AutoBlock’s Meetup, Wearable Tech, HealthImpact East
Events, Dear Friends, Events: Hancock at the RSM, MedStartr NOLA Challenge, RSM and The King’s Fund

We start our 2019 first in West Africa with a health facility mapping initiative addressing epidemics and service distribution. On to the UK with Babylon Health’s chatbot problems revealing an increasingly fractious relationship with the business press–one of our most read articles ever. And 3rings may be exiting, but doing so with grace and consideration–another Top Read.

Healthsites, eHealth Africa mapping health facility locations in West Africa to improve emergency care (Fighting epidemics and improving disaster response using health tech)
Is Babylon Health the next Theranos? Or just being made out to be by the press? (Soapbox) (A few best practices might stop a growing pile-on–or a Big Problem)
3rings’ well-handled transition to their March shutdown (updated) (Referring their clients to other UK companies based on the customer’s needs) 


The King’s Fund’s annual Digital Health and Care Congress is back on 22-23 May. Meet leading NHS and social care professionals and learn how data and technology can improve the health and well-being of patients plus the quality and effectiveness of the services that they use. Our Readers are eligible for a 10% discount using the link in the advert or here, plus the code Telehealth_10.


Have a job to fill? Seeking a position? Free listings available to match our Readers with the right opportunities. Email Editor Donna.


Read Telehealth and Telecare Aware: http://telecareaware.com/  @telecareaware

Follow our pages on LinkedIn and on Facebook

We thank our present and past advertisers and supporters: Tynetec, Eldercare, UK Telehealthcare, NYeC, PCHAlliance, ATA, The King’s Fund, HIMSS, Health 2.0 NYC, MedStartr, Parks Associates, and HealthIMPACT.

Reach international leaders in health tech by advertising your company or event/conference in TTA–contact Donna for more information on how we help and who we reach. See our advert information here. 


Telehealth & Telecare Aware: covering the news on latest developments in telecare, telehealth, telemedicine and health tech, worldwide–thoughtfully and from the view of fellow professionals

Thanks for asking for update emails. Please tell your colleagues about this news service and, if you have relevant information to share with the rest of the world, please let me know.

Donna Cusano, Editor In Chief
donna.cusano@telecareaware.com

– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –

The wind may be even stronger at the back of telehealth this year–but not without a bit of chill

Late last year, this Editor noted that ‘the wind may finally be at the back of telehealth distribution and payment’. The expansion of telehealth access for privately issued Medicare Advantage (MA) plans, state-run Medicaid and CHIP (Children’s Health Insurance Plan) plan members, and this year’s Medicare Physician Fee Schedule, along with a limited expansion of telemedicine in the Value-Based Insurance Design (VBID) model for MA announced earlier this year by CMS, is a leading indicator that government is encouraging private insurers to pay doctors for these services, who in term will pay vendors for providing them.

The Veterans Health Administration (VA) has historically been the largest user in the US of telehealth services (home telehealth, clinical video telehealth, store-and-forward). They are also a closed and relatively inflexible system (disclosure–this Editor worked for Viterion, a former RPM supplier to the VA). In 2017, under then Secretary David Shulkin (who left under a cloud, and not an IT one), there were hopes raised through the Anywhere to Anywhere VA Health Care Initiative. So the news released at the start of HIMSS’ annual meeting that veterans will be able to access their health data through Apple’s Health Records app on the iPhone, perhaps as early as this summer, was certainly an encouraging development. According to mHealth Intelligence, the key in enabling this integration and with other apps in the future is the Veterans Health Application Programming Interface (API), unveiled last year.

Anywhere to Anywhere is also making headway in veteran telemedicine usage. Of their 2.3 million telehealth episodes in their FY 2018, over 1 million were video telehealth visits with veterans, up 19 percent from 2017. 105,000 of those video visits were through VA Video Connect to veterans’ personal devices. The remainder were real-time interactive video conferences at a VA clinic. The other half were assessment of data between VA facilities or data sent from home (the underused Home Telehealth).  Health Data Management

Virginia also moved to make remote patient monitoring part of covered telehealth services for commercial health plans and the state Medicaid program. The combined bills HB 1970 and SB 1221 will be sent for signature to Governor Ralph Northam, to whom the adjective ‘beleaguered’ certainly applies. National Law Review

But service providers face compliance hurdles when dealing with governmental entities, and they’re complex. There are Federal fraud, waste, and abuse statutes such as on referrals (Anti-Kickback, Stark Law on self-referral), state Corporate Practice of Medicine Doctrine statutes, and medical licensure requirements for telehealth practices. Telehealth: The Beginner’s Guide to Legal Pitfalls is a short essay on what can face a medical practice in telehealth.

News roundup: NeuroPace’s brain study, Welbeing’s Liverpool win, VA’s Apple talks, Medtronic’s diabetes move

imageNeuroPace, which developed an implanted brain-responsive neuromodulation system for patients with refractory and drug-resistant epilepsy, announced the result of their nine-year long-term treatment study.

  • Approximately 3 out of 4 patients responded to therapy, achieving at least 50% seizure reduction
  • 1 in 3 patients achieved at least 90% seizure reduction
  • 28% of patients experienced seizure-free periods of six months or longer; 18% experienced seizure-free periods of one year or longer
  • Median seizure reduction across all patients was 75% at 9 years
  • Quality of life improvements (including cognition) were sustained through 9 years, with no chronic stimulation-related side effects.

The study included 256 patients across 33 epilepsy centers with nearly 1,900 patient implant years of follow-up on the RNS System. Release.

Liverpool Mutual Homes (LMH) sheltered housing awarded its emergency alarm contract to Welbeing, a Doro Group company. Welbeing has added 1,200 LMH residents to their alarm services. Release (PDF)Hat tip to Welbeing’s Charlene Saunders.

It appears that the VA is talking with Apple about a mobile EHR. VA patients would be able to transfer their records to their iPhone — likely through Apple’s Health Records app. No time frame is mentioned and it’s hard to expect a quick turnaround given the VA’s stringent IT and security requirements. Another factor is that VA is making the long transition from VistA to Cerner’s MHS Genesis, bumpily. Mobihealthnews picking up a paywalled Wall Street Journal article.

Medtronic, otherwise known as the 9,000 lb Elephant that Sits Where It Wants, will acquire long-time diabetes partner Nutrino, an AI powered personalized nutrition platform. In June, Medtronic integrated Nutrino’s FoodPrint Report technology that connects meal and glucose variability into Medtronic’s iPro2 myLog app. Terms and timing were not disclosed. It fits in Medtronic’s recent strategy of smaller acquisitions and beefing up its diabetes business. Mobihealthnews.