Database of telehealth and telecare projects in Scotland (UK)

A database of telehealth and telecare services and projects in Scotland has been developed and made [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/SCTT.jpg” thumb_width=”150″ /]available as a public resource. For any given project included in the database it gives the organizations behind the project, a brief description, the type of users targetted and the technology used.

Developed by the Scottish Centre for Telehealth and Telecare (SCTT) the database can be searched online, say, to pick up all diabetes related projects in the database. One purpose of the database is to help the SCTT to review the uptake of technology used to deliver care.

SCTT is a part of NHS 24, which was established by the Scottish Government in 2001. NHS 24 is [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/NHS-24.jpg” thumb_width=”100″ /]responsible for the delivery of clinical assessment and triage, health advice and information by telephone and online means in Scotland 24 hours a day all year round.

The database can be accessed here and further information on NHS 24 can be obtained here.

Videolink telehealth continues expanding in Yorkshire (UK)

The video-link/ videoconferencing system used by Airedale NHS Foundation Trust in Yorkshire, [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/Airedale-digital-healthcare-centre.jpg” thumb_width=”150″ /]England, to provide remote medical assistance is being rolled out to additoinal care home sites. The service is staffed by a specialist nurse at Airedale General Hospital who uses the system, known as the Telehealth Hub, to assess patients and support staff at the homes.

According to the Keighley News the service was installed in a Bradford nursing home with the first use on New Year’s Eve. Staff at Ashville Care Home are quoted as saying that the service allows their residents to receive medical care without having to call a GP out or take them into hospital. A hospital visit would mean having to get extra cover as a member of staff needs to go as well.

Meanwhile the Telegraph & Argus reports (more…)

South Korea to push Telehealth – good for Samsung

Returning from the World Economic Forum in Davos, Switzerland, where she met with several company CEOs, [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/Park-Geun-hye.jpg” thumb_width=”150″ /]South Korean President Park Geun-hye has decided to promote telehealth as a new growth engine for South Korea according to the Shanghai Daily. The president wants to see the country become a global leader in telehealth with a strong domestic use of the technology.

This is particularly fortunate for Samsung, the country’s largest group of companies, which is also said to be planning biomedicine and medical equipment to be among its growth sectors with a reported 10-year total of $22 bn (US) of investment across all its growth sectors. Samsung already produces major hospital equipment such as ultrasound and digital radiography systems, currently operates a massive hospital and cancer center in Seoul and is, (more…)

An essential link to mHealth devices and apps?

Guest columnist Lois Drapin thinks so. She shares her insights on Validic, an emerging company in data integration for payers, providers, preventive wellness companies and pharma;how it evolved from its original concept in consumer health engagement, along with a few pointers its founders have for fellow entrepreneurs.

One of the keystone aspects of “ecosystems” is interoperability and this also applies to the data pipeline that flows from health apps and devices to the appropriate segment of the healthcare delivery system, and eventually, to the users—patients, consumers and/or medical professionals such as physicians and nurses or other clinicians. By now, we all know that the capture and analytics for both “big” and “small” health data are business imperatives for healthcare in the US. With data of this nature, we can embrace our understanding of behavioral change at the individual and population levels. The anticipated outcomes of behavioral change may power operational and cost efficiencies in the healthcare industry.

But data will no longer come from just inside the healthcare delivery system. In addition to the changing technology enablement within the health system, as we all know, data will flow from many things—in fact, The Internet of Things (IoT). This means that data that relates to our lifestyle, wellness and health will pour from the many types of wearable devices not now connected to the heath delivery system. In addition to our computers, tablets, phablets and smartphones, are the many sensors paired with tech innovations such as the wearables— from wristbands, smartwatches, clothing (from shoes to headbands), glasses, contacts, and pendants — to things such as refrigerators, clocks, mattresses, scales, coffee pots, cars, and even, toilets…all of which are predicted to become an important market in the coming years.

Validic, based in Durham, NC, has put itself smack in the middle of that market (more…)

Telepsychiatry pilot success in the Bronx

More on telepsychiatry: a pilot at Lincoln Hospital in The Bronx (borough of NYC) for adolescent telepsychiatry consultations reported success with only one in 10 patients being hospitalized after the telehealth consultation, according to Louis Capponi, M.D., chief medical informatics officer for New York Health & Hospitals Corporation, the parent of Lincoln Hospital. “The impact was very profound in terms of the number of patients that were able to (be) discharged safely.” HHC is considering expanding the pilot to patients who come in through the prison system. What is puzzling is that in the exclusive interview with Dr. Capponi in FierceHealthIT, there is no information on the duration of the pilot, the number of patients in the program, or details that would give our readers some framework beyond ‘engaging patients through technology’.

Telehealth counselling program expands in Texas

Following on from our article on the school telehealth scheme in Michigan  (Smaller scale telehealth and telecare sucesses, [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/videoconf-Texas.jpg” thumb_width=”150″ /]TTA Jan 4), we report now how a remote counselling clinic started by Texas A&M to provide psychological counselling to rural population has expanded. The Telehealth Counselling Clinic in Centerville, Leon County, was started from a grant in 2007 to the Center of Community Health Development (Texas A&M) and Leon County, and provides counselling using Texas A&M faculty and graduate students in the counselling psychology program, supervised by licensed psychologists.

The service has now been expanded to Madison and Washington counties based on the success seen in Leon County. Two more sites are planned for opening  in 2014. (more…)

US, UK agreement on HIT

Edited from the HHS releaseUS Health & Human Services (HHS) Secretary Kathleen Sebelius and UK Secretary of State for Health Jeremy Hunt on Thursday 23 January signed a bi-lateral agreement for the use and sharing of health IT information and tools. The agreement strengthens efforts to cultivate and increase the use of health IT tools and information designed to help improve the quality and efficiency of the delivery of health care in both countries.  The two Secretaries signed the agreement at the Annual Meeting of the HHS Office of the National Coordinator (ONC) for Health Information Technology. It concentrates on four key areas identified at the joint June 2013 summit:

  • Sharing Quality Indicators
  • Liberating Data and Putting It to Work
  • Adopting Digital Health Record Systems
  • Priming the Health IT Market

Collaboration efforts will be showcased at the Health Innovation Expo conference at Manchester Central 3-4 March (two weeks before HC2014) and the Health Datapalooza on 1-3 June in Washington, DC. A possible good sign for telehealth as there’s a great deal of mention of ‘preventive interventions’, ‘accessing and sharing data’ and the ‘health IT marketplace’.

Full memorandum of understanding text here. Also iHealthBeat.

HC2014

19-20 March 2014, Manchester Central, Petersfield, UK

For over 30 years, HC has delivered thought leadership; informing and educating its audience on the how the latest innovations in technology support the increasing demands within healthcare. HC2014 will address all the current healthcare reforms with a number of themes referring to the call for paperless NHS by 2018. Key sessions will demonstrate technology to support Patient Engagement, Safer Hospitals and Integrated Care. Conference and exhibition presented by the BCS, The Chartered Institute for IT, in partnership with HIMSS. Conference keynoters include Tim Kelsey, NHS England; Andrea Sutcliffe, Care Quality Commission; Mike Pringle, Royal College of GPs; Kingsley Manning, HSCIC. Information and registration. Hat tip to reader Louise Sinclair. If there are TTA readers planning to attend, we are once again inviting you to contribute an article or a compilation of impressions. This can be filed within 72 hours of the close of event; alternatively, during or at day’s end/start. If you are interested, please email EIC Donna here (donna.cusano@telecareaware.com). It is expected that you can be selective and interesting rather than comprehensive. You will be credited of course but expenses and article will not be covered. 

 

HealthSpot Station kiosks add telepharmacy

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/booth-with_new_attendant.jpg” thumb_width=”180″ /]’Virtual consult’/staffed kiosk HealthSpot Station [TTA 29 Oct], most recently adding behavioral health EHR Netsmart and telemedicine provider Teladoc [TTA 5 Sept], as well as several health system providers, is expanding into telepharmacy through a strategic alliance with Canada-based MedAvail. MedAvail’s kiosks fill prescriptions in clinics, hospitals and office locations, including live assistance from a pharmacist, though the website video doesn’t explain how drugs not in stock in the kiosk are handled. What’s notable? Large kiosks are moving towards full-scope onsite clinics. HealthSpot in its three years of existence has quietly accumulated over $15 million in funding, $10 million in 2013 alone–a fact that is not included in Rock Health’s Digital Health 2013 report, unless this Editor overlooked it. Is this not digital health delivered? Correct me if I’m wrong. HealthSpot/MedAvail press release. Also see Editor Charles’ post on ‘The Future of Doctors’ below for more on this trend and its consequences.

Upcoming CUHTec courses in March (UK)

There are two upcoming CUHTec courses in March on Learning Disability Services and Digital and Mobile Telecare. These strategy courses are for commissioners, service development managers, trainers and others with responsibility for telecare and AT service planning and delivery.

  • CUHTec telecare strategy course: Learning Disability Services. Culture Lab, University of Newcastle, Thursday 20 March 2014
  • CUHTec telecare strategy course: Moving to digital and mobile telecare. Culture Lab, University of Newcastle, Friday 21 March 2014

To find out more and to book a place please visit CUHTec’s website. Thanks to reader Prof. Andrew Monk, director of The Centre for Usable Home Technology (CUHTec), for the update.

ATA seeks comment on draft ‘telemedicine’ guidelines

Most readers will be aware of the TSA Telecare & Telehealth Integrated Code of Practice which has developed over time from the TSA’s original telecare code, and many will be aware of the recent arrival of the Telehealth Services Code of  Practice for Europe (TeleSCoPE).  Now the ATA in the US has produced revised draft telemedicine core guidelines for comment that provides an interesting comparison with these two.

Before I go further, a word on definitions. The definition of ‘telehealth’ in TeleSCoPE includes telecare so it covers the same areas as the TSA code. This ATA draft does not cover telecare, and includes telehealth into the definition of ‘telemedicine’. However by also explicitly covering clinician to patient communications where the patient is attending a location away from their home and where care is provided professionally, it also covers a wider range of services than the normal UK understanding that telehealth is primarily aimed at the patient in their own home, or, via their mobile device, their own private setting. The comparison across the codes is not therefore exact.

The TSA code is of course accessible to members and those seeking accreditation only. Those who have read the many sections of it will be aware that (more…)

Telehealth leads to same health outcomes as face-to-face consultations

Researchers working for the US military National Centre for Telehealth and Technology (T2) have concluded that telehealth based on [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/National-Center-for-Telehealth-and-technology-logo.jpg” thumb_width=”150″ /]videoconferencing leads to the same health outcomes as treatment by traditional face to face consultations for treatment of depression. In an analysis of care for depression symptoms Janyce Osenbach and colleagues found that there was no statistically significant difference in effectiveness between telehealth based consultations and face-to-face consultations.

The conclusions were drawn from an anlysis of 14 previous studies and has been published in Depression and Anxiety the official journal of the Anxiety and Depression Association of America. Osenbach says in an article on the Defence Centers of Excellence for Psychological Health and Traumatic Brain Injury website that another study (albeit a very small one with 7 participants) by T2 into the usability and feasability of using FaceTime with active-duty service members produced mostly positive results.

The CES of Health (Wednesday)

Qardio, Withings, CSR, iOptik, ‘Robotics on the Runway’, 3D printing and…Mother

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/Qardioarm.jpg” thumb_width=”150″ /]Qardio is making its official debut with the QardioArm blood pressure cuff and the QardioCore chest strap for monitoring EKG (plus heart rate, heart rate variability, physical activity intensity and skin temperature). Both were previewed by this Editor at CEWeek 2013 in June and do not yet have FDA nor CE approvalsA price for QardioCore was revealed in Business Insider–$449. QardioArm is listed at $75 on Indiegogo where $29,500 of their $100,000 goal was raised in the past three days. Video. Also MedCityNews.

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/Withings-aura.jpg” thumb_width=”130″ /]Withings’ Z-Z-Z-Z market entry, the Aura, gets a fave rave at length from Dan Munro in Forbes, adding that the price will be $299. Its stationary aspect, nothing to wear and pricing makes it ideal for high-end QSers who don’t travel a lot or have multiple homes.  (more…)

Bosch, Remedy’s Health Buddy Web debuts at CES

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/Health-Buddy-Web-Image.jpg” thumb_width=”200″ /]Bosch Healthcare’s partnership with Remedy Health Media for a web-based version of Health Buddy for telehealth premiered today at International CES. It will be available on desktop, smartphone and tablet. The format seems to combine both the monitoring aspect of the hub-based Health Buddy with extras such as  an integrated reminder system, patient engagement and behavior modification tools such as brain games to improve memory and cognition, and patient educational content. The countries it will be available in were not disclosed. While Bosch has vigorously maintained that the Health Buddy hub will continue to be supported [TTA 24 Sept], Editors Charles and Donna have maintained that it will be relegated sooner, rather than later, to a secondary product line. Release.

mHealth Summit 2013: Verizon’s role in the HIT ecosystem

Peter Tippett, MD, PhD Talks Verizon’s Role in the Health IT Ecosystem

Lois Drapin, Founder & CEO of The Drapin Group, in the third of her post 2013 mHealth Summit insights, speaks with CMO and VP of Verizon Enterprise Solutions, Peter Tippett, MD, PhD to share his insights on expanding Verizon’s role in the health IT ecosystem during the 2013 mHealth Summit. This article is courtesy of HIT Consultant.

I was happy to hear that Peter Tippett, MD, PhD, Chief Medical Officer and Vice President of Verizon Enterprise Solutions put aside thirty minutes for an interview with me at the mHealth Summit. I arrived at the large Verizon booth and was immediately greeted by one of my favorite women in health technology, Nancy M. Green, Managing Principal of Healthcare Practice at Verizon Enterprise Solutions. Disruptive Women in Health Care, a group founded by Robin Strongin, just announced their list of Disruptive Women to Watch in 2014 and Nancy is on that list. Congrats goes out to Nancy… and to Dr. Tippett for having one of these top women on his team. We like that.

I always ask people to share a little about themselves before we talk business. (more…)

Smaller scale telehealth and telecare successes

It is usually the large scale telehealth and telecare projects that hit the news, be it for their successes or, indeed, failures. So as the new year starts, let’s celebrate a couple of  smaller scale projects which have made progress recently.

From Coldwater, Michigan, we have a student telehealth scheme opening this month. With significant funding from the Michigan Department of Community Health, clinics will be opened in two schools in Branch County to provide primary healthcare services from a central Adolescent and Pediatric Center which has four physicians and a nurse practioner. A school based nurse provides physical assessment of students in need and, if appropriate, links via video to the Center to consult a physician or the nurse practitioner. Diagnostic equipment at the schools are also networked so the Center staff have access to these in real time. Prescriptions, if needed are sent direct to a convenient pharmacy. The state funding provides the majority of costs for equipment, a nurse at each school and operation for 3 years. See Branch County CHC website for more details.

From the other side of the Atlantic, in Doncaster, England, the local council’s telecare service reported that it has reached its 1,000th user. Doncaster’s service povides access to a comprehensive range of sensors from simple fall detectors to other sensors placed discreetly around the home on ceilings, doors, walls, beds and chairs. The 24-hour monitoring service attracts a weekly charge under £4 and there is no charge for the equipment. The benefit to the user is obvious and the Council benefits too, as it has an obligation to provide care services to residents who are unable to live at home.