News roundup: Partners HealthCare Pivot Labs, TytoCare’s CE Mark, ISfTeH’s 2019 conference calls for presentations, three Smart Ageing Prizes awarded

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2017/12/Lasso.jpg” thumb_width=”120″ /]Partners HealthCare Pivot Labs announced before the Connected Health Conference. The 20-year-old Partners Connected Health Innovation is partnering (sic) with Pune, India-based Persistent Systems. Their joint project will create a center of excellence to develop patient-centered care delivery using digital tools. Release.

TytoCare gains CE Mark. TytoCare, a remote monitoring telehealth/video consult platform which integrates peripherals for a virtual physical exam, announced it received CE Mark approval and will be rolling out in the EU. In August, they gained Health Canada approval. For our European readers heading to MEDICA 12-15 November, they will be exhibiting and speaking (link here). This Editor also noted that Jeff Cutler, their US chief revenue officer for the past three years, has moved on to be chief commercial officer for Ada Health, an AI-powered health navigation platform and symptom checker.

The 24th ISfTeH International Conference will be 19-20 March 2019 in Lisbon, Portugal in conjunction with and hosted by the Portugal eHealth Summit. The International Society for Telemedicine & eHealth has extended its call for presentation proposals to 31 October–apply here. Multiple proposals are permitted. Submitters will be notified of acceptance 5-16 November.

Also in Portugal, €50,000 in Smart Ageing Prizes awarded at AAL Forum in Bilbao. This award recognizes companies that develop solutions that address social isolation and loneliness among older adults and facilitate real world interactions to improve quality of life. The lead winner was KOMP, a one-button computer for family communication. Other winners were PlaceCal, a partnership of community organizations, charities, social housing providers, government services, health providers, and citizens, plus Refresh by How Do I? to aid those with memory loss. The annual award is a collaboration between the Active and Assistive Living (AAL) Programme based in Belgium and Nesta’s Challenge Prize Centre. Nesta website, Release (PDF). Hat tip to Dimitra Gkivalou of OPUS for the notification.

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.)

Counting down to the Connected Health Conference–readers save $100!

Connected Health Conference
25-27 October, Seaport World Trade Center, 200 Seaport Boulevard, Boston

The eighth annual Connected Health Conference, presented by the Personal Connected Health Alliance (PCHAlliance) in partnership with Partners Connected Health, is coming up in just a few days.

Wednesday is packed with special sessions that cover the state of the market in wearables, artificial intelligence (AI), voice-activated technologies, the smart home (hosted by Parks Associates) and the innovation economy.

  • The Life Sciences and MedTech Roundtable will explore the emerging category of digital therapeutics, the evolution of traditional pharma and med tech business models and the impact on relationships with patients, providers and other stakeholders in healthcare.
  • Europe Meets North America will exchange views and strategies on issues like interoperability and the free flow of data across borders in an all-day workshop hosted by the ECHAlliance. (For more on the PCHAlliance’s EU efforts to ensure consistent regulations governing digital health with the implementation of the General Data Protection Regulation (GDPR), see this release.)

Recent additions to the main conference on Thursday and Friday:

  • A new fifth track focusing on health system innovation projects, outcomes and processes with the leading partnerships that are disrupting and redesigning healthcare delivery, including Healthbox and Intermountain Healthcare, Brigham Digital Innovation Hub, Johns Hopkins Medicine Technology Innovation Center and MITRE sharing their work with Dana-Farber.
  • The new Innovation Lounge will showcase provider, industry and institutional innovation centers and novel collaborations. The Innovation Lounge stage will present groundbreaking initiatives from Intel, IBM, MDRevolution and Becton Dickinson, HHS Idea Lab, data from the IPSOS Digital Doctor Survey, and results of a recent connected health survey. Dr. Joseph Kvedar will share a preview of his new book, The New Mobile Age, How Technology Will Extend the Healthspan and Optimize the Lifespan. (more…)

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.

Connected Health Symposium to merge with PCHAlliance conference

One of the earliest conferences in healthcare tech, the Connected Health Symposium organized annually in Boston by Partners HealthCare, is merging with the Personal Connected Health Alliance (PCHAlliance)‘s Connected Health Conference to stage one conference in 2017. Joseph C. Kvedar, MD,  who is VP Connected Health at Partners HealthCare, will be a senior advisor to PCHAlliance, a featured speaker at this year’s PCHA CHC in December and will be the Program Chair for the newly combined event. To this Editor, it’s a logical move as when both of these conferences were pioneering nearly a decade ago, there were few venues beyond the traditional (and boring) Big Health meetings. Now there are multiple meetings, large and small, expensive and popularly priced, every month in many cities. In the release there is no information on when and where the joint event will be. The Symposium was in October and the 2016 PCHA CHC will be 11-14 December at the Gaylord National Harbor near Washington DC. TTA is a media partner of the PCHA CHC for the 8th year, starting in 2009 when it was the brand new mHealth Summit.

Fall/winter US events–Extra #1: TEDxNJIT, PCHA CHC and CHS

“Shuttle Corridor” Conferences this fall! Coming up fast: New Jersey Institute of Technology is hosting a TEDxNJIT event on Innovation and Collaboration next Wednesday 28 Sept at the Jim Wise Theatre on their Newark campus. It’s not strictly healthcare–it includes everything from nanotech to the arts, students, entrepreneurs and local government. TEDx is the local, self-organized version of TED talks and “Ideas Worth Spreading”. See their flyer and website. Hat tip to Michael Ehrlich of NJIT’s Martin Tuchman School of Management. 

Partners HealthCare is hosting its 13th Annual Connected Health Symposium (CHS) 20-21 October, with an opening networking event on the 19th October evening, all at the Boston Seaport World Trade Center. The theme this year is “Digital Technology That Cares: Bringing the Human Element to Life”. Speakers are listed here. The CHS has traditionally been focused on care delivery and how it impacts the daily lives of patients, with a significant academic bent. More information, registration.

And put a few days aside before Christmas for the PCHA Connected Health Conference at the Gaylord National Harbor Resort near Washington DC, now back in December (11-14) when it belongs. It also includes the Global Digital Health Forum on the last two days, a separate conference co-presented by PCHA and the Global Digital Health Network, with the Canada-US Connected Health Workshop on the 14th and three pre-conference events on Sunday the 11th. More to come. TTA is a media partner of the PCHA CHC for the 8th year, starting in 2009 when it was the brand new mHealth Summit.

 

Patient engagement: a digital divide in health technology accessibility

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2013/09/earthquake.jpg” thumb_width=”150″ /]Guest editor Sarianne Gruber (@subtleimpact) scopes the ‘digital divide’ separating those who need health services the most from the patient engagement and other tools they need in this article. The studies are US, but the lessons apply anywhere in the world. This Editor notes that many patient engagement tools are over-designed and over-complicated for users, even if they are fairly competent and frequently use online and mobile. (I entered a ‘pilot’ of a stress reduction program which proved to be anything but–and quitting because it is invasive and the reporting is ludicrously burdensome.)

To developers: Imagine your patient engagement platform being used by a person on the less sophisticated, less educated and disconnected end of the spectrum–or by someone less able due to physical (vision, touch) or cognitive impairment. Put on bad glasses and gloves–and start. Better yet, find a few people and put it in front of them. If we can make the mental shift in developing mobile apps for Africa or India, certainly we can do so for Americans, Britons and Europeans.

What the Studies are Showing

Hallmarked as a solution to improve healthcare quality, cost and safety, studies are showing health technology is up against a “digital divide” when it comes to patient engagement. At the Internet Governance Forum, Pew Research Center’s Lee Rainie, Director of Internet, Science and Technology Research presented the Fact Tank Report discussing the “digital divide” that exists in 2016. The report documents that lower income, less educated, non-white, seniors and rural communities are the least likely to have home internet, home broadband, mobile connectors and smartphones. This summer’s medical publications, the Journal of the American Medical Association and the Journal of the American Board of Family Medicine, released studies where demographic and socioeconomic data marked the root causes to limited or no access to digital technology, thus hindering the benefits and improved outcomes it can bring to the neediest and most costly populations. Here are the highlights from each study.

Trends in Seniors’ Use of Digital Health Technology in the United States, 2011-2014, a research letter submitted from Harvard Medical School’s Brigham and Women’s Hospital, appeared in the August 2, 2016, JAMA. Authors, David M. Levine, MD, MA, Stuart Lipsitz, ScD, and Jeffrey A. Linder, MD, MPH,FACP made mention that this study, based on the National Health and Aging Trends survey (NHATS), was exempted from the Partners HealthCare Human Research/IRB Committee. The research team included participates to the longitudinal NHATS survey in 2011. The participants were re-surveyed annually on everyday (nonhealth) and digital health use until 2014. The research team acknowledged that this may be the first nationally representative study to examine trends in the adoption of digital health technology by seniors age 65 years and older who are community-dwelling Medicare beneficiaries.

Here are some the reported statistics from the study: (more…)

When remote monitoring ends, what happens to patient outcomes?

They do not maintain improvement, just as we thought. A just-published study fills a significant gap in telehealth knowledge. The study published in the Journal of Medical Internet Research (JMIR) analyzed the long-running Partners HealthCare-Massachusetts General Hospital Connected Cardiac Care Program (CCCP) for patients with heart failure. They matched 174 patients participating in the 120-day program between January 2008 and August 2012 with an equal number of control patients, all with heart failure, previously hospitalized and receiving care at MGH. The program patients were provided with a ViTelNet monitoring hub plus devices–a digital weight scale, a blood pressure cuff and meter, and a pulse oximeter–as well as receiving patient education plus unscheduled education intervention from nurse care coordinators when results trended out of pre-set ranges.

During the 120 day program, the program patients (predictably) had consistently lower hospitalization rates versus the control group at the 30, 60, 90 and 120 day marks, though the differential narrowed over time. But after program completion, in the study’s follow up eight months after the end of the four-month program (see one year below), the program group’s hospitalization rates increased to exceed the control group’s. Mortality rates remained lower though not statistically significant:

(more…)

HIMSS’ last full day highlights company partnerships

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2015/04/himss_chicago_2015-588×337.jpg” thumb_width=”150″ /]It’s almost time to Say Goodbye to Sinatra’s ‘My Kind of Town’, but there’s still news: Samsung+Partners Healthcare, IMS Health, AliveCor, Interoperability≠Humana, Panasonic+Cisco

  • Samsung and Partners HealthCare announced a direct-to-mobile partnership to develop chronic care management mobile software that monitors vital signs such as blood pressure, blood glucose and weight, as well as delivers mobile patient engagement, medication adherence and wellness self-management. Clinical trial is scheduled for June. Partners has always been a pioneer in the mHealth area, but playing with Samsung, Partners is flying at a slightly higher level than with Wellocracy and certainly the late Healthrageous. Partners release, Mobihealthnews (more…)

Breaking news out of the mHealth Summit

mHealth Summit this year had an abundance of digital health company news announcements, not only from the conference but also timed to coincide with the heightened interest around it. Your Editor looks over the most interesting of them, briefly. Thanks to Ashley Gold of Politico’s Morning eHealth (@ashleygold, daily reports archived here), Stephanie Baum of MedCityNews (@stephlbaum) and Anne Zieger of Healthcare Dive for their coverage and their company in the press room!

Partners HealthCare researches, Validic expands, AliveCor and Omron ally, Happtique sells out, Doctor on Demand is telemental, Orange goes dental, VA Innovation Rocks

  • Partners HealthCare/Center for Connected Health’s cHealth Compass will use panel and other research to help companies, device manufacturers, startups and investors determine what end users–consumer and provider–want out of personal health tech. Focus groups, interviews and usability testing will help to determine product design, evaluation, assess applications and feasibility as well as interim/final product testing. Partners is already organizing in Massachusetts a 2,000-patient database which rewards participants $50 on registration and $110 annually to be in a monthly survey panel. cHealth Compass website, BetaBoston (Boston Globe)
  • Health data connector/aggregator Validic demonstrates the attractiveness of Anything Big Data on with new clients including the Everyday Health consumer/professional website and the adidas Group’s sport and fitness apps. Recently they added WebMD, Pfizer, University of Pittsburgh Medical Center (UPMC), NexJ Health and MedHost to their client list. The company claims that their ‘ecosystem’–probably the most popular buzzword at this year’s conference–of healthcare companies and tech developers now reaches over 100 million people with devices such as Omron, Alere, Qardio, Telcare, Jawbone and Withings. Release
  • AliveCor accentuates the retail with Omron. AliveCor, which developed the first FDA-cleared ECG for smartphones and gained clearance for an atrial fibrillation algorithm in August, is collaborating with Japanese device manufacturer Omron on developing its retail presence. Omron’s devices are available in major drugstores such as Walgreens, RiteAid and Walmart so certainly AliveCor is due to benefit. AliveCor is also part of a revived QualcommLife (more on this in an upcoming article)  ReleaseMobihealthnews (Your Editor had the pleasure of meeting at last AliveCor’s CMO and founder Dr. Dave Albert.)
  • Happtique sold to SocialWellth. Last year’s floor talk was about Happtique’s first class of certified apps and a security expert’s untimely discovery of major flaws (more…)

Brain neuroprosthetics, stimulation for TBI, PTSD

A signature injury of the Iraq and Afghanistan wars has been traumatic brain injury (TBI), as well as an outcome of all wars–post-traumatic stress disorder (PTSD). Over 270,000 veterans since 2000 have been diagnosed with TBI–along with 1.7 million civilians per year. The US Department of Defense (DOD) has been funding research in several areas to help veterans–and eventually civilians–with these traumas.

  • DARPA’s RAM: Restoring Active Memory program is seeking to compensate for brain injury by developing a neuroprosthetic to aid memory function. (more…)

West Health busy on digital health investment, sale front

The West Health Investment Fund, the for-profit which is part of the West Health combine, has invested further in Reflexion Health‘s Kinect-based physical therapy system [TTA 15 Jan 13] and sold off the Sense4Baby prenatal (fetal) monitor [TTA 8 Nov 10]. Both devices were spun out of the non-profit West Health Institute in 2012. Reflexion’s total from West Health Investment is $11.8 million between seed ($4.25 million) and now $7.5 million in Series A rounds. Their Vera physical therapy system uses interactive, video game style full-body exercises and instruction. It was originally piloted with the Naval Medical Center of San Diego and now is in test with Partners HealthCare in Boston and San Diego’s Rady Children’s Hospital. The Sense4Baby sale (undisclosed amount) was to AirStrip Technologies and covers the Sense4Baby assets (more…)

The CES of Health: post-scripts

It’s Everywhere, Everyday, Disruptive, Not Impressive and Still ‘Bicycles for Fish’.

Neil Versel’s first major article recaps the Digital Health Summit ‘Point of Care Everywhere’ panel with Dr. Joseph Kvedar of Partners HealthCare/Center for Connected Health, Walter De Brouwer, founder and CEO of Scanadu (the tri-corder everyone’s waiting for) and Laura Mitchell, VP of business development at ‘grizzled pioneer’ in telecare and telehealth GrandCare Systems. The key is integration–for Dr. Kvedar, making it ‘about life, personal and social’; for Mr. DeBrower, bringing digital health into the home; for Ms. Mitchell, persuading long-term-care providers that technology provides useful, actionable information. Some surprises here: Scanadu will be shipping 8,800 units in March to its Indiegogo supporters and is going into a Scripps Health clinical trial; Dr. Kvedar admitted that the latest CCH startup, social wellness site Wellocracy [TTA 30 Oct] is “still searching for its audience.” The headline is “Mobile health has a lot of power, but it’s raw and new”–but is that helpful in positioning it to the Big Users–payers, pharma, providers–who are not all that daring? Mobihealthnews 

Everyday Health with the Digital Health Summit announced on Thursday their 2014 awards for innovation to five US companies for ‘achievement in technology innovation aimed at improving health outcomes.’ They include Scanadu but also four less heralded companies: (more…)

Is the ‘last mile’ of app certification efficacy metrics?

News and announcements around app certification definitely were hot topics in the past week or so, but are they more heat than light? Do these certifications adequately address efficacy? Stephanie Baum, in her follow-up to the Happtique kerfuffle in MedCityNews, opens up the discussion with the proposition: “It seems like there needs to be some way to prove that apps actually help people.” Bradley Merrill Thompson of Epstein Becker & Green points out “It’s certainly useful to know that an app works from a software perspective reliably, but it is even more valuable to know that the app can actually improve health.” While Happtique certification standards have a gap here, this Editor would point out that they were evolved nearly two years ago when the reporting/analysis needed for this was largely not available. Newer programs such as Johns Hopkins’ mHealth Evidence and the new IMS Health AppScript [TTA 15 Dec] can dip into the ‘big data’ pool far more effectively. Will Happtique be able to address this, or leave the ‘last mile’ to others? And what is the real and quantifiable demand for app certification anyway? Health app prescribing by physicians is a question mark in this Editor’s observation; the larger market may be health plans and programs such as Partners HealthCare’s Wellocracy, Cigna’s GoYou  and Aetna’s CarePass.

Fast takes for Friday

Changes at Center for Connected Health, DecaWave’s chip, Happy Hackers  Healthcare.gov

Center for Connected Health executives to head Portuguese ‘body dynamics’ company in US. Associate Director Joseph Ternullo, who over the years was one of the key organizers of the Connected Health Symposium, is leaving Partners HealthCare/CCH after 17 years to lead the US subsidiary of Kinematix (formerly Tomorrow Options) located in Boston. This was announced by email to CCH contacts today. Kinematix in October raised $2.6 million in Series B funding from Portugal Ventures. Heading the US board is another Partners HealthCare alumnus, Jay Pieper, formerly CEO of Partners International Medical Services. Kinematix’s two products focus on sensor-based monitoring for foot health assessment and to prevent pressure sores and falls.  Release. Boston Business Journal….ScenSor senses you to 10 centimeters. A 6 x 6 mm chip (more…)

Cancer patient app grant to Partners HealthCare

This may be the first app to assist with patient cancer management of symptoms, medication and side effects. The Center for Connected Health division of Partners HealthCare in Boston is developing an app targeted to oral chemotherapy patients to better monitor their symptoms, adverse treatment effects and improve medication adherence. The research is being funded by a grant from the McKesson Foundation’s Mobilizing for Health initiative. The smartphone app will be tested for three months with a group of 104 patients at Dana-Farber Cancer Institute. Features include self-care strategies for symptom management, a medication tracking device which also provides feedback on symptoms, strategies to prevent side effects, patient education and psychosocial support.  CCH release, iHealthBeat