[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2014/09/gear-s-hands-on.jpg” thumb_width=”150″ /]Implications for mobile health abound in the fight for the innovation throne. Kicking off the autumn intro season was Samsung’s big reveal Wednesday at IFA Berlin and NYC of their new phablets (Note 4, the oddly curved/fallaway screen Note Edge), the big ‘n’ curvy almost-phone Gear S smartwatch and the virtual reality headset Gear VR for the Note 4. Clearly Samsung is pushing the boundaries on size and innovation leadership–as well as the sheer number of phones/phablets/wearables in market with something for everyone. Its health developer platform SAMI and the Simband hardware [TTA 30 May] plus joint research with UCSF on ‘novel vital signs’ [TTA 2 June] positions it in the health tech area as the alternative to Apple. ZDNet, Gizmag (Gear S), CNet (Gear VR) which may have some health uses.
Next Tuesday is Apple’s premiere of two new iPhone 6 models with 4.7 inch and 5.5 inch screens to go on sale this month, plus an announcement for a yet-unnamed Apple wearable, but a rumored price of $400 for on-sale next year. Their developments with (more…)
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2014/08/reduce-documentation1.jpg” thumb_width=”150″ /]Our long-time readers will remember Questions # 3, 4 and 5 of The Five Big Questions
*). They have not lost their salience as doctors are rejecting the not-terribly-accurate ‘telehealth’ data [TTA 10 May
] generated by popular fitness trackers such as Fitbit, Misfit Shine
. We do note that Apple’s Health/HealthKit
has trotted out alliances with Mayo Clinic
and Epic Systems
(EHR) on apps and integrating data into an PHR [TTA 3 June
], as well as Samsung’s SAMI
] funding a University of California (UCSF) research center and (of course) Google
. But this article confirms (more…)
A wonderfully cranky essay by Laurie Orlov on her new blog Boomer Health Tech Watch might make you think The Gimlet Eye was her guest writer (see below). Ms Orlov observes the ratched-up noise level around wearables, fitness bands, smartwatches (in which your Editor will be drenched quadrophonically next Wednesday at CEWeek NYC, glutton for punishment as she is). Yes, we’re swooning around Apple Health [TTA 3 June] and having a minor swivet around Samsung’s Simband and SAMI [TTA 2 June]. The bucket of cold water in Ms Orlov’s grip is the high dropout rate among fitness band users (33-50 percent, cited from Endeavour Partners and NPD Group); this Editor will also add the devices’ relative inaccuracy, fragility and glitches [TTA 10 May]. But ‘the investor community (via the media) clearly IS being transformed, at least temporarily’ as well as outside the health industry, by a belief that these devices will push the world into Quantified Selfing for the Masses. Will wearables herald our arrival at the New Jerusalem of Health? Certainly it’s been trumpeted and tromboned by the D3H (Digital Health Hypester Horde) badly needing a fresh fave rave. But can digital health survive another Hype Curve dive? Can we? The Consumerization of Health Care — is it working?
Further in this jugular vein, Business Investor, in a superficial swipe, dubs smartwatches uncool just because they trail fitness bands by six points. They did a better job in March delving into the real challenges that wearables face: smartwatches look and feel like a brick on your wrist (Ed. D’s term), Google Glass is socially unacceptable in many quarters (banned in Silicon Valley!) and wearables are still in Early Adopter-Ville.
Update: Ms Orlov just sent to this Editor a brief comment with a link to a thoughtful NY Times article not only on The Trouble with Apple’s Health App, but also how the barriers are more subtle–and more common-sensical–than the hype around how consumers are eager to register every burp on a PHR (they’re not), they don’t want to be nagged by technology (easier than your mom to be rid of) and the group that needs it most (the old, poor) has the least, for now, access to it. But largely ignored by the D3H.
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”75″ /]On assignment off Cape May, New Jersey inventorying readiness of coastal defense fortifications. Just between us. Shhhh!
Is Samsung playing Avis “We try harder®” to Apple’s Hertz?
Samsung’s other, less noticed end-run in addition to the Simband reference hardware and SAMI ‘open ecosystem’ is an initiative creating a joint research center with the University of California, San Francisco (UCSF) called the Center for Digital Health Innovation (CDHI). It is being headed by Michael Blum, a medical doctor who is the UCSF assistant vice chancellor of informatics. From the statements made to The Atlantic, Dr Blum’s intent is to clinically validate the sensors and algorithms produced within the Samsung ecosystem. Already featured are four initial projects: CareWeb (a collaborative care platform built on Salesforce.com), Tidepool (infrastructure for diabetes apps), Health eHeart (clinical trial app on heart disease) and Trinity (‘precision team care’). On the frontier: ‘novel vital signs’ which he predicts will come out of the analysis of standard vital signs, “…new markers of health and wellness that come out of these large datasets.” Is Samsung, rather than going head-to-head with Apple on Healthbook [TTA 22 Mar] is leapfrogging into something akin to Telehealth 2.0 or 3.0? Yet this Editor notes that we haven’t figured out, for the most part, the FBQs (Five Big Questions)* of 1.0….
* The Five Big Questions (FBQs)–who pays, how much, who’s looking at the data, who’s actioning it, how data is integrated into patient records.
Watched closely as part of Samsung’s various moves in health (here in the US heavily promoting the S5’s heart monitoring capabilities) is their unveiling of a reference hardware called the Simband, a wristband designed for interchangeable body sensor modules yet in fact to be developed. Its platform is dubbed Samsung Architecture for Multimodal Interactions (SAMI) and is part of an open ecosystem which invites developers “to design and integrate their own sensor technology and, through the SAMI platform, develop applications and algorithms for wearables.” The design was in partnership with the biosensing institution Imec and will be available before end of 2014.(Gizmag) Coming before Apple’s Worldwide Developers Conference (WWDC) and the rumored announcement of the Healthbook iOS app [TTA 22 Mar]…the Samsung-Apple wars continue, and not in court. Also Gizmodo
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2014/05/SAMI-Camera.jpg” thumb_width=”140″ /][grow_thumb image=”http://telecareaware.com/wp-content/uploads/2014/05/SAMI-image05-300×169.png” thumb_width=”175″ /]
A truly underserved area is monitoring children who have epileptic seizures or other conditions at night. There’s danger to the child and loss of sleep or inability to detect by the parent or guardian. Sleep/activity monitors, baby monitors and movement sensors haven’t been adequate nor accurate. The Epilepsy Foundation (EF) in the US has developed SAMi, a monitoring system consisting of an camera (left) with built-in infra-red LED illumination connecting to an iPhone, iPad or iPod app. At night or designated sleep times, it alerts only for prolonged movement typical of a seizure or other suspect night activity, activating the phone with both audio and video. The movements are also recorded and logged for date/time/duration. It is not inexpensive: the SAMi camera alone is $399 and $949 for the fully configured kit with a iPod plus Wi-Fi router. The new Indiegogo campaign is to raise $90,000 for the next gen camera and to purchase units for charitable distribution to families. Also Medgadget. (A search here on ‘epilepsy’ will confirm the lack of attention to–and the need for–epilepsy monitoring)