A preview of this week’s Connected Health Conference in Boston

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2018/10/CHC-logo.jpg” thumb_width=”150″ /]This week’s Connected Health Conference at Boston’s Seaport World Trade Center is themed around ‘Balancing Technology and the Human Element’, and over the three days of the conference the organizers will be tackling subjects such as social determinants of health, research, rapid prototyping of devices, and the very timely subject of the Apple Watch‘s ‘fall call lite’. This year day 1 on Wednesday 17 October is an ‘Immersion Day’ with separate registration (and separately priced) mini-conferences sponsored by The Society for Participatory Medicine, ECHAlliance, the VOICE Health Summit, and PCHAlliance’s ‘deep dives’ including one from Parks Associates. Days 2 and 3 on Thursday and Friday 18-19 October are fairly standard conference fare on a variety of stages and of course with a small exhibitor floor, ending after 3pm on Friday (and a good way to segue into a fall weekend in Boston).

CHC is organized by PCHAlliance, a non-profit formed by HIMSS, and incorporates the Boston conference previously organized by Partners HealthCare. Mobihealthnews offers a preview in an interview with  Senior Director of Connected Health Innovation at Partners HealthCare Kamal Jethwani, and Tufts University School of Medicine Associate Professor and Recycle Health founder Lisa Gualtieri. There is still time to register here (though hotel rooms are, as usual, scarce). (Unfortunately, Editor Donna can’t attend as she did in previous years due to other commitments.)

More events for your autumnal calendar, from Israel to Ireland to Santa Clara to NYC! (updated)

Startup of the Year, Mediterranean Towers, Ganei Tikva, Israel, Sunday 3 September, 6-8pm (Past–but there’s a winner!)

Mediterranean Towers Ventures, the investment subsidiary of the largest retirement living community in Israel, is sponsoring this competition featuring five finalists:

1. Facense – Facense Ltd. develops smartglasses with tiny thermal and CMOS sensors to measure vital signs unobtrusively and continuously, with one application being to detect a person having a stroke.
2. MyTView – My-TView’s proprietary technology enables dynamic modification and enhancement of real-time broadcasts, whilst numbing the “noise”.
3. Invisi.care – transforming existing non-medical data into an effective large-scale clinical prevention tool; a remote seamless population monitoring technology encourages independent and active lifestyle.
4. GaitBetter – A universal, VR based, expert system add-on transforming any treadmill to an operator independent motor cognitive training solution
5. TuneFork–a software audio personalization technology that gives you the optimal hearing experience anywhere you go. 

And there’s a winner–TuneFork. Their award includes free participation at the Aging2.0 Optimize Conference in San Francisco (14-15 Nov), professional mentoring by Mediterranean Towers Ventures, and the opportunity to be evaluated for investment. 

Hat tip to Dov Sugarman, co-CEO of MTV.

Health 2.0’s 12th Annual Fall Conference, Santa Clara, California, 16-18 September

This year’s conference, despite the corporate hand of HIMSS, may be as breezy as ever with a continued concentration on early stage companies and speakers like Lisa Suennen, late of GE Ventures, Sarah Krug of the Society for Participatory Medicine, and Sean Lane of Olive talking about AI. Register here, and dig deep for the ticket.

UK Health Show, ExCel, London, 25-26 September

A major and mostly free event for providers, NHS, local authorities, independent sector, and primary care that addresses system transformation and integration through digital technology, commissioning, procurement and cybersecurity. More information on their website here. Registration here (free full passes for providers and public sector, floor passes for vendors and commercial organizations)

Brain Health, Aging 2.0 Los Angeles, Thursday 27 September, 6-8pm

Not many details on this other than it will be in West LA and the topic will be Brain Health and Artificial Intelligence. The keynote speaker will be Adam C. Lichtl, Ph.D., CEO of Delta Brain, Inc. More information to come and RSVP for now on Eventbrite.

Inspiring Innovation in Digital Health: The UK Telehealthcare Marketplace Northern Ireland. La Mon Hotel and Country Club, Castlereagh, Belfast, Wednesday 3 October 10am – 3pm

UK Telehealthcare is traveling to Northern Ireland for their first event in the beautiful Lisburn & Castlereagh area, one of Northern Ireland’s fastest growing regions. It will be a showcase for digital technology to help people to stay safely and independently in their own homes for longer. A ‘don’t miss’. See the attached PDF for details including masterclass speakers and exhibitors. Free registration here. Hat tip to Gerry Allmark, UK Telehealthcare’s managing director.

Additional UK Telehealthcare events into December are listed on their main page which is linked through their advert on right or here. They are partnering with the UK Health Show (above) and exhibiting in the UK TECS Hub in the assistive technology area (blocks F98, F100, F92, F94).

MedStartr Momentum 2018, PwC Madison Avenue, NYC, Thursday-Friday 29-30 November

Put this on your calendars for after Thanksgiving. 20 startups, 9 Momentum Talks, 4 stakeholder panels, and Mainstream 2019. More here on Eventbrite and as in previous years, watch this website. TTA is a media partner and supporter of Momentum,  MedStartr and Health 2.0 NYC.

News roundup for Tuesday: room at the top at VA? (updated), Philips integrates teleradiology. 3rings Care premieres Amazon Echo service

Updated. Who’s the Leader? At the Veterans Administration, the soap opera plot accelerated on the continued tenure of Secretary David Shulkin who, after a strong start (and coming from within VA’s tech area), has stumbled over charges of inappropriate spending and staff turmoil since the beginning of the year. Journalist Christopher Ruddy, CEO of Newsmax, who speaks regularly with President Trump, indicated in an interview on ABC’s This Week on Sunday that Dr. Shulkin will likely be the next Cabinet departure. The fact that VA Choice 2.0 did not make it into the huge ‘omnibus’ budget bill indicated a disillusion with him on Capitol Hill. The lack of closure on replacing VistA with Cerner is also not in favor of a longer stay. The replacement may come from the VA House committee, the defense contractor community, or DoD. Why it’s important? VA is the largest purchaser of telemedicine and telehealth in the US, and has set the pace for everything from EHRs to info security. And there are those 9 million veterans they serve. Stay tuned. POLITICO Morning eHealth…..

By the next morning, a press secretary was saying “At this point in time though, he [President Trump] does have confidence in Dr. Shulkin. He is a secretary and he has done some great things at the VA. As you know, the president wants to put the right people in the right place at the right time and that could change.” But one of Dr. Shulkin’s biggest thorns-in-side at the VA, Darin Selnick, shuffled off last year to the Domestic Policy Council, will return to a post at the VA.

HIMSS continued to support VA’s and Dr. Shulkin’s efforts to increase veteran patient record sharing through changing the consent requirements authorizing the VA to release a patient’s confidential VA medical record to a Health Information Exchange (HIE) community partner. Letter.

Philips has entered the integrated teleradiology field by combining Philips’ Lumify portable ultrasound system and Innovative Imaging Technologies‘ (IIT) Reacts collaborative platform. It combines a compatible smart device that enables a two-way video consult with live ultrasound streaming. How it works: “clinicians can begin their Reacts session with a face-to-face conversation on their Lumify ultrasound system. Users can switch to the front-facing camera on their smart device to show the position of the probe. They can then share the Lumify ultrasound stream, so both parties are simultaneously viewing the live ultrasound image and probe positioning, while discussing and interacting at the same time.” Release

Following up on 3rings and their integration into the Amazon Echo virtual assistant system [TTA 18 Oct], Mark Smith from their business development area has told us that they have formally launched this platform earlier this month. The person cared for at home can simply ask Alexa to alert family and caregivers that they need help via voice message, text or email. Care staff or family can also use Echo to check through the 3rings platform by simply asking Alexa if that person is safe and OK. 3rings is now actively seeking to partner with innovative health, housing, and social care organizations. Overview/release.

Lyft and Uber’s big tech twists on a Social Determinant of Health–medical-related transportation

Social determinants of health (SDOH), that widely-discussed concept often dismissed as the turf of social workers and small do-good companies such as Healthify, are receiving a substantial boost from two profit-oriented, on-demand transportation companies: Uber and Lyft. Several years ago, smaller companies such as Circulation and Veyo [TTA 21 Feb, 26 Apr 17] entered the non-emergency medical transportation (NEMT) field with their on-demand services. These proved to be valuable links in the continuum of care–valuable in helping patients make their appointments, at generally a lower cost than Access-a-Ride or taxis, while collecting a wealth of data on usage.

Uber and Lyft’s recent announcements take the NEMT concept further with integration into discharge planning, chronic care management in practices, and EHRs while keeping it simple for patients and caregivers.

  • The launch of Uber Health, targeted to healthcare organizations (and just in time for HIMSS). The ride booking for both patients and caregivers uses a HIPAA-compliant dashboard for the health manager to book the ride, and text messaging to the patient for confirmations and pickup. Over 100 healthcare organizations are piloting the service. MedCityNews
  • Lyft Business inked a deal with Allscripts to integrate booking transportation into appointment setting. The Allscripts EHR is in 45,000 physician practices and 2,500 hospitals (which doesn’t include newly-acquired Practice Fusion’s 30,000 small ambulatory sites). Besides its own driver base, Lyft also has used its Concierge API to facilitate partnerships with NEMT brokers working with providers such as Circulation, National MedTrans (the NEMT provider for Anthem’s CareMore Health Plan HMO), and American Medical Response for drivers and more specialized vehicles. Hitch Health works with Lyft and independently integrates into Epic and Athenahealth. MedCityNews, POLITICO Morning eHealth (scroll down).

But does providing transport for appointments save money? The logic behind it is that missed appointments can exacerbate existing conditions; a direct example is dialysis, where missing an appointment could result in a hospital admission. Another area is patient avoidance of making appointments. The CareMore Health Plan study reduced waiting times and ride cost, increasing patient satisfaction–great for HEDIS and ACO quality scores, but the longer-term cost saving is still to be determined.

Another attraction for Lyft and Uber: steady revenue. In Medicare Advantage, 70 percent of members are covered and all state Medicaid programs reimburse their members for qualifying transportation.

HIMSS new CEO Hal Wolf acknowledges ‘silver tsunami’ healthcare effects, changes

HIMSS has a new CEO at the helm–Hal Wolf, succeeding Steve Lieber, who stepped down after 17 years as announced in December 2016. In this interview with Healthcare IT News (owned by HIMSS), Mr. Wolf finally acknowledges that HIMSS and healthcare IT leaders will have to adjust their approaches to HIT to support the world’s aging population and keep their organizations going financially. Using the term ‘silver tsunami’ (a tired term long since retired by writers), he posits that “We must recognize that healthcare systems are going to be financially strapped. We have a lot of people living longer and there are going to be fewer people producing GDP.” The odd order–first–of this financially-oriented statement in the article sets the stage for the rest, which is at once reassuring (he’s a big supporter of ‘patient-at-home’, connected devices, and predictive modeling with genomic data) and disconcerting (supply chain automation and purchasing). Perhaps his fiscal emphasis is based on his consulting, WHO, and Kaiser Permanente experience. At the end, the comments roll back to HIMSS education, networking, and their role in public policy including blockchain and FDA. Not addressed: whether this new CEO is as acquisition-minded as his predecessor, with Health 2.0 perhaps the cap to Mr. Lieber’s long reign. 

Some reflections on ATA and a future CEO–your ‘nominations’ wanted!

This Editor and publication have had relationships at different levels with the American Telemedicine Association (ATA) since at least 2006. Our Readers know of TTA’s long-standing support of ATA’s annual meeting as a media partner. As a marketer, I’ve negotiated booths, sponsorships, and sent staff (including myself) to meetings, which makes this experience like many of our Readers.

It is worth reflecting that in 1993, when Jon Linkous took the ATA helm, few of us other than academics had email or used the Internet except in limited ways like IBMMail or Minitel. Once telemedicine, video consults, and vital signs data capture were the future and mostly theory. We went through the whiz-bang gadget phase, where every new one was going to change healthcare as we know it. Now we are past the buzzy cocktail party hangover into trying to make it work. We are in 2.0 and 3.0 where it’s all about integration of telemedicine and telehealth into patient engagement, behavior change, data analytics, predictive care, genomics, improving life for the aging and chronically ill population, managing the tsunami of patient data for better outcomes, smart pills, hacking and data security, EHRs, ACOs, meeting standards such as MACRA…and heavy engagement with national (Federal) and local entities. And always–getting paid enough to stay afloat!

As an organization, ATA faces an ever-expanding HIMSS, which has expanded far beyond its health information/IT/data analytics raison d’être to media properties, multiple health tech conferences, and now presence with early-stage companies through acquiring Health 2.0.

Dizzying changes, and more to come.

Who do you want to see at the helm of ATA? What will be the new CEO’s problems to solve? List your choices and thoughts in Comments below! (If you wish to be anonymous, email Editor Donna in confidence.)

Change at the top at ATA: CEO Jon Linkous departs after 24 years

The American Telemedicine Association’s CEO, Jonathan Linkous, has left ATA after 24 years as CEO. An ATA spokesperson cited personal reasons, according to MedCityNews. Sources told POLITICO Morning eHealth that Mr. Linkous “simply told the organization he was leaving the job effective immediately before its board meeting this week.” It was certainly an unusual departure, without the standard transitional period of months or even a year. The ATA release was short and concentrated on the ‘transitional period’.

Acting as interim CEO will be Dr. Sabrina Smith, who joined last January as COO after senior VP/COO-level positions with the Regulatory Affairs Professionals Society (RAPS) and the American Academy of Physician Assistants (AAPA) after 12 years with MedStar Health, the largest health system in the Washington DC metro. MedCityNews quoted ATA board president Peter Yellowlees, MD that the search is expected to take about six months. This will take the search through ATA’s Fall Forum in October and well into the ramp-up for ATA 2018 in April. ATA is seeking “a vision for the future of healthcare” and “extensive knowledge of telemedicine”, so if you have it, step up! 

Jon Linkous, from the formation of ATA to yesterday, gained much recognition for telemedicine and telehealth, to where ATA presently has 10,000 members and 450 health system and industry partners, a leading annual conference, multiple events and educational programs. They have concentrated much (and successful) effort in gaining parity of payment for telemedicine, a state by state battle, though the POLITICO report (using a quote from a former HIMSS executive director now consulting for ATA!) did not think much of ATA’s influence in the Washington DC swamps. Another major change apparent over the past five years: as an association, healthcare technology has developed way outside ‘telemedicine’. Organizations like HIMSS have exploded in size through redrawing their definitional lines plus aggressive acquisitions in media and of competitors such as Health 2.0. The next chapters won’t be simple or easy for the new CEO. Also FierceHealthcare(Disclosure: TTA has been for many years a media partner of the ATA annual conference.)

Health 2.0 conferences acquired by HIMSS (updated)

The T-shirted revolutionaries converge with the corporate suits. HIMSS has acquired the ten-year-old Health 2.0 conference organization. It will be operated as a strategic business unit, retaining its name within HIMSS. Current CEO Indu Subayia, MD, will join HIMSS as EVP of the Health 2.0 business unit. Co-chairman Matthew Holt is taking a more freewheeling role as a ‘globe-trotting ambassador’, co-hosting and developing the international conferences currently held in India, Barcelona Spain, and Japan. He will also co-host the US annual and Wintertech meetings in the Bay Area. Transaction terms were not disclosed.

Health 2.0 was originally founded as a ‘bleeding edge’ networking community of misfit tech developers, IT gearheads, clinician renegades, startup newbies, and intense patient advocates, soon joined by marketers, communicators, funders, journalists, academics, and others who for various reasons wanted to be part of The Shock of the New. Over time, the small gatherings of the tribes (a/k/a chapters and annual meetings) grew ever larger, along with the startups growing up (or flaming out) and increased corporate interest, while Health 2.0 developed into a sizable conference, media, and innovation consulting company with a claimed 50,000 members. HIMSS has always represented, in their CEO Steve Lieber’s words, the “more established, fully adopted technology arena”. With the acquisition, HIMSS “now has much more of a portfolio to help drive better health through IT” and, of course, a deep well of resources including dues (and sponsor/exhibit) paying companies and members.

Health 2.0 will be expanding their conference schedule and into “additive products and services” such as MarketConnect, introduced at the 2016 annual meeting as a broker for startups/emerging tech to connect with larger customers and partners, and the Digital Health Marketplace with the NY Economic Development Commission (NYEDC). Developing these services will “lower barriers, increasing access and then being a conduit for larger established organizations to tap into that early stage technology community,” according to Dr Subayia. (Update: The Catalyst division, which runs sponsored challenges, code-a-thons, and pilot programs, is not part of this transaction but will work closely with the conference team, per a Health 2.0 email 20 April.)

By expanding to the early-stage health tech community, it refreshes HIMSS, in Mr Lieber’s words, with “new directions”. They also acquire two high-profile globally-known figures in the health tech field.

Those in the health tech community are asking:

  • Will this truly create an ecosystem that benefits startups and early to mid-stage health tech, fostering innovation investment–or will it accelerate the big company acquisition trend already present in the past three years?
  • Will the conferences, to date fairly freewheeling affairs, change to the buttoned-up HIMSS corporate model? Many categories of attendees (e.g. full-time physicians, caregivers, volunteers) have been admitted free or at greatly discounted rates. The meetings, speakers, and networking were the focus, with exhibits and sponsorships available but in the background. Or will some of these meetings merge?
  • And what of the over 75 worldwide Health 2.0 chapters, many of which charge minimal memberships and meeting fees, versus HIMSS chapters which require substantial national corporate/individual memberships to join? Will there be cooperation? What will the chapter relationship be with the now HIMSS-owned Health 2.0 in future?  (Disclosure: this Editor is active in the Health 2.0 NYC chapter as a volunteer co-organizer/host)

Will the t-shirts change the suits, or vice versa? We’ll see….  HIMSS press releaseHealth 2.0 member letter (The Health Care Blog), Health 2.0 TV video.  Also Healthcare IT News (HIMSS Media)

16 or 27 million 2016 breaches, 1 in 4 Americans? Data, IoT insecurity runs wild (US/UK)

What’s better than a chilly early spring dive into the North Sea of Health Data Insecurity?

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2017/03/Accenture-Health-2017-Consumer-Survey.jpg” thumb_width=”150″ /]Accenture’s report released in February calculated that 26 percent of Americans had experienced a health care-related data breach. 50 percent of those were victims of medical identity theft and had to pay out an average of $2,500 in additional cost. One-third (36 percent) believed the breach took place in hospitals, followed by urgent care and pharmacies (both 22 percent). How did they find out? Credit card and insurer statements were usual, with only one-third being notified by their provider. Interestingly, a scant 12 percent of data breach victims reported the breach to the organization holding their data. (You’d think they’d be screaming?) The samples were taken between November 2016 and January 2017. Accenture has similar surveys for UK, Australia, Singapore, Brazil, Norway, and Saudi Arabia. Release  PDF of the US Digital Trust Report

So what’s 16 million breaches between friends? Or 4 million? Or 27 million?

  • That is the number (well, 15.9 million and change) of healthcare/medical records breached in 2016 in 376 breaches reported by the Identity Theft Resource Center (ITRC), a Federally/privately supported non-profit. Healthcare, no surprise, is far in the lead with 34 percent and 44 percent respectively. The 272 pages of the 2016 End of Year Report will take more than a casual read, but much of its data is outside of healthcare.
  • For a cross-reference, we look to the non-profit Privacy Rights Clearinghouse which for many years has been a go-to resource for researchers. PRC’s 2016 numbers are lower, substantially so in the number of records: 301 breaches and 4 million records.
  • HIMSS and Healthcare IT News insist that ransomware is under-reported, (more…)

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. Update: If you are using Chrome, you may have difficulty downloading session handouts from the HIMSS17 website Schedule pages. Try another browser. If you are interested, you may be able to obtain through contacting the two session presenters, Susan Kapraun and Jenna A. Beck, MHA, directly.

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.

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.

The difficulty in differentiating telemedicine and telehealth

Our Editors have always tried to cleanly define the differences between telemedicine, telehealth and telecare, even as they blur in industry use. (See our Definitions sidebar for the latter two.) But telemedicine, at least on this side of the Atlantic, has lost linguistic ground to telehealth, which has become the umbrella term that eHealth wanted to be only two or three years ago. Similarly, digital health, connected health and mHealth have lost ground to health tech, since most devices now connect and incorporate mobility. And there are sub-genres, such as wearables, fitness trackers and aging tech.

Poor telehealth grows ever fuzzier emanations and penumbra! Now bearing the burden of virtual visits between doctor and patient, doctor-to-doctor professional consults, video conferencing (synchronous and asynchronous), remote patient monitoring of vital signs and qualitative information (ditto), and distance health monitoring to treat patients, it also begins to embrace its data: outcome-based analytics, population health and care modeling. Eric Wicklund accumulates a pile of studies from initial-heavy organizations: WHO, HIMSS, HHS, Center for Connected Health Policy (CCHP), ATA, TRC Network. All of which shows, perhaps contrary to Mr Wicklund’s intentions, how confusing simple concepts have become. mHealth Intelligence

Abstracts for Med-e-Tel now online

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2016/04/Med-e-tel-logo.jpg” thumb_width=”150″ /]Med-e-Tel Luxembourg, one of the longest continuously running health tech conferences in Europe (from 2004, certainly enough to qualify it as a Grizzled Pioneer), will be on this week from Wednesday to Friday, but if like this Editor you’ll be unfortunately far, far away, Prof. Maurice Mars, Richard E. Scott and Malina Jordanova of the organizing International Society for Telemedicine & eHealth (ISfTeH), have published the speaker abstracts online and free (requiring only registration.) See them here.

The abstract researchers span the globe–Nigeria, Greece, Sweden, Czech Republic, Brazil, New Jersey (!)…plus several from UK (including Malcolm Fisk), Portugal, France, Spain, Italy, South Africa and Bulgaria. Orange Labs will present the data of their diabetic bike riders from the 2015 mHealth Grand Tour (MHT)–this was a high point of last November’s mHealth Summit/HIMSS Connected Health [TTA 13 Nov 15]. There’s also research on topics you don’t hear about in most conferences: smart cities, mHealth’s environmental impact, telenursing, adapting eHealth to serve those of differing abilities, even substituting smart technologies for physical restraints. So many unusual views are represented here. Also in this issue, Vol 4 (2016), is a wealth of research from Brazil.

More in the Med-e-Tel update press release.

165,000 apps, 3 bn downloads and counting: global mHealth apps study

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2015/11/mHealth-Developer-Economics-2015.jpg” thumb_width=”200″ /]The results of the fifth annual mHealth App Economics survey are out. Our Readers were invited to participate back in March when it was sponsored by German research firm research2guidance in collaboration with mHealth Summit Europe and HIMSS and kicked off at the Riga meeting in May.

Major apps stores reported more than 165,000 mHealth apps published by 45,000 companies, and projected 3 billion downloads by close of 2015.  Some other key findings from R2G do surprise:

  • The target for apps is DTC–chronically ill patients–with their hospitals as #2. Physicians are important, but less so than last year’s survey.
  • App publishers aims appear altruistic. 53 percent of mHealth publishers claim that their main motivation is to help people improve their medical conditions. However, 60 percent aren’t reaching their goals yet mainly due to low reach. The vast majority of apps (62 percent) mark up less than 5,000 annual downloads. (See the chart below for some possible reasons why)
  • Diagnostic apps lead in anticipated business potential until 2020. And app publishers have added medical professionals to their team.
  • What app publishers find works to change behavior is not gamification. What does: integration of provider feedback or dialogue.
  • Yet providers, such as doctors and nurses, are seen as the most threatened group by mHealth solutions.
  • A scant 3 percent of mHealth publishers generate more than $1 million–and they are far more focused on sales and brand awareness than their brethren which make little. (chart)

(more…)

mHealth Summit now HIMSS Connected Health Conference

Another sign that mHealth is now in our rear view mirrors [TTA 24 July] is that one of the main conferences on the US and international conference calendar is changing its name. Since 2009, the mHealth Summit has closed the year. Its organizing groups have changed and it’s gone international to Europe (the recent summit in Riga). Now it has been renamed (though not on the website yet) the HIMSS Connected Health Conference-an umbrella event comprising the mHealth Summit (including the Global mHealth Forum), and two new conferences:  the Cyber Security Summit and Population Health Summit.

The shift in the industry and new concerns are clearly reflected in this reorganization. Transitions were visible last year to this Editor in covering the sessions, speaking with exhibitors and attendees. It’s not about the tech anymore, but how it fits into care models, saves money/avoids costs, improves care, improves the experience–all population health metrics–and fits with other technology and analytics. (It’s also how it fits into government payment models, an endlessly changing equation.) What is surprising is the lifting of cybersecurity to equal status, given the Hackers’ Holiday that healthcare is now (see TTA here). (Also this Editor notes that last year’s Big Buzzwords, Big Data and Analytics, has faded into where it should be–into facilitating population health and we should expect, inform data security. We also note that HIMSS has stepped forward as the organizer. HIMSS release  Telehealth & Telecare Aware has been a media partner of the mHealth Summit for most years since 2009. 

UK, Nordics lead best EU countries for mHealth business: survey

Respondents to research2guidance’s fifth annual mHealth Economics survey rated UK and the Nordic countries the best for mHealth market success, based on factors of market readiness and maturity including doctors and consumers. Other top countries were Sweden, the Netherlands, Denmark and Finland. Germany and France were significant because of market size and investment in healthcare. According to the survey where over 5,000 healthcare app publishers and health professionals ranked countries on multiple points, “In UK, Sweden, Denmark and Netherlands doctor’s acceptance of apps and high level of digitalization are seen as main drivers. Germany is attractive mainly because of its substantial market size and its big number of potential users.”[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2015/05/EU-segments.png” thumb_width=”400″ /]

Findings were presented this week at the mHealth Summit in Riga, Latvia and is the first part of a larger study on developer economics and future healthcare delivery. As a media partner, TTA participated starting in March in inviting respondents to the survey. A free download of the report is available to our readers here (minimal registration required). Release