After a very bumpy ride Cornwall Council has voted in favour of outsourcing telehealth and telecare services to BT as a part of a shared service programme. BT lands Cornwall outsourcing deal eHealthInsider
Last week the GP’s publication Pulse held a ’roundtable’ discussion session on the issues for GPs around telehealth. It was funded by the 3millionlives (3ML) team, commissioned by the Department of Health (DH) 3millionlives (3ML) programme, and editorially controlled by Pulse to a brief agreed with 3ML. The 3ML contingent was headed by Paul Hitchcock who is the NHS workstream lead for 3ML at DH.
If you are interested in telehealth it is worth reading for some snippets from Professor Stan Newman and the ever-sceptical GP Margaret McCartney, and for the indication of the direction for 3ML from Paul Hitchcock “From my perspective at the Department of Health, our immediate next step is much closer engagement with the GP community than we’ve achieved to date.” This looks like it was a reasonable start, but will Pulse articles become less negative about telehealth from now on? The future of telehealth in Pulse – free registration required. Heads-up thanks to Mike Clark.
Not telecare or telehealth, but a sharp reminder how easy it is to slip into writing nonsense (and have it approved). And don’t forget these are the kind of people who will be advising commissioners, possibly on telehealth procurements, in the brave new NHS. Local NHS unit picks up top award for ‘the worst written nonsense’ of 2012 Wirral Globe.
http://www.aidcall.co.uk/personalcare/ Age UK Personal Alarm Service
Editor Steve grieves for the days when telehealth in the UK had a bright future…
There is a deep irony in the latest move by the UK’s Department of Health (DH) to encourage general practitioners to adopt telehealth (remote care).
Perhaps it is because the health ministers and/or civil servants have realised that the Whole System Demonstrator (WSD) programme results have gone down like the proverbial lead balloon that they have turned to the thing which has ‘traditionally’ motivated GPs to change – money. But, as the GPs see it, the scheme they have come up with (more…)
This research evaluates how smartphones and tablet PCs at two points–2010 and 2012–have affected healthcare professionals and influenced the way they practice, including the most in-demand information. Compared are providers in the EU Big 5 and the US. Conducted by EPG Health Media (UK). Abstract. Link to full PDF (registration required)
You’ll find the design of this prototype skin sensor out of University of California, San Diego either endearingly goofy or just scary. This paper ‘tattoo’ is actually a solid-contact ion-selective electrode (ISE) made using standard screen printing techniques finished with an electropolymerization process on commercially available transfer tattoo paper. The two ‘eyes’ are actually electrodes which measure perspiration on the skin’s surface to determine stress-related changes in pH and clues to metabolic diseases such as Addison’s, or more simply fatigue or dehydration. The tattoo sticks to even wet skin. It can also measure sodium, potassium and magnesium with different sensing materials. There’s great potential for this not only in sports, but also in assisted living and rehabs where one of the most serious conditions is gradual, invisible dehydration of residents. Tattoo-based medical sensor puts a happy face on detecting metabolic problems (GizMag) Happy face tattoo does serious work (University of Toronto release)
David Shaywitz, co-founder of the Boston-based Center for Assessment Technology and Continuous Health (CATCH) and advocate for humanism in digital health [TA 6 Nov], surprises in his Forbes picks for digital health company, person and book of 2012. First, the company: the EHR that dominates large hospital systems, Epic. Why? It may be awful and the bane of M.D.s, but the hospital system gets basic connectivity that chains together the bits, in a proprietary way, delivered with ‘flawless implementation’–the kind of customer services that holds every hand in MIS and HIT until the boo-boo is better. In other words, they delight the buyer. (Your marketing lesson for today.) Second, for person, none other than The Gimlet Eye’s circular bête noire Vinod Khosla. Shaywitz is this-n-that about the man, believing Khosla underestimates the human factors in medicine while agreeing with him on how behind healthcare is in capturing and using basic data, much less integrating more advanced data produced by monitoring. Editor Donna and the Eye take a dimmer view, believing that much of Khosla’s ‘disruption’ is to gain notice for (OK, hype) his investments such as AliveCor’s iPhone case heart monitor (just receiving FDA Class II clearance), cellphone microscope Cellscope and data collection/platforming Ginger.io (leading $6.5 MM in series A funding). Finally, Shaywitz’s pick for book of the year is”Why Nobody Believes The Numbers,” by Al Lewis. Disease management takes longer, saves less, has difficulty in achieving any ROI but can work out best for the patient in the long run, if we ever get there. But didn’t we know that already? Forbes article
Related: Khosla vs. Kvedar at the mHealth Summit. From Khosla, the usual ‘80% of healthcare can be delivered without doctors’, ‘50% of doctors are below average’ and most Americans today understand health information at a fifth grade level (so much for everyone being Quantified Selfers!). Kvedar argues the same points from ‘60% of healthcare costs are labor’ and that computers are better than humans at algorithmic tasks. Not much of a debate here as Khosla gets 80% of the article lineage. mHIMSS
Are you a clinician who feels overwhelmed by the jillions of one-trick-pony medical apps on your iPad? Is your day characterized by wild mood swings due to frustration (left) in not being able to customize your apps? According to this website, you could be a victim of Medical Apps Disorder*. This clever website and funny video is but a teaser for a new app in phase 3 clinical trials that promises to alleviate said symptoms. Let’s hope the cure lives up to the promise made by app developer Skyscape and info/decision support division Physicians Interactive. * Not in the American Psychiatric Association’s soon-to-arrive DSM-V, but perhaps it should be.
Get a cuppa’ and an aspirin, shut the door, turn off your phone and other distractions and get stuck into reading the free, 28-page Remote Care PLC: Developing the capacity of the remote care industry to supply Britain’s future needs report. Despite the pedestrian title it is a cracker and, despite the UK focus, it has messages for anyone in the ‘remote care’ (telecare and telehealth) industry, wherever their market is.
Given the lack of definitions and data in this arena it is as solid as any such market research could be and pulls no punches, not to mention delivering many smack-on-the-forehead moments. Hence the need for aspirin!
And if you are thinking of making a killing on the back of the 3millionlives (3ML) campaign, you may need something stronger than aspirin…the report suggests that the potential market for remote care may indeed reach 3 million – but not until 2050!
The report was authored by James Barlow, Richard Curry, Theti Chrysanthaki, Jane Hendy and Nael Taher and published by the Health and Care Research and Innovation Centre (HaCIRIC) – a collaboration between research centres at Imperial College London and the universities of Loughborough, Reading and Salford – and was funded partly through the Whole Systems Demonstrator (WSD) programme and the Engineering and Physical Science Research Council’s IMRC programme. Download it from the HaCIRIC website or directly, here (PFD).
Based on reports coming in, the mHealth Summit this week in Washington D.C. had a greater focus on the US and patient engagement than the past two years, which emphasized governmental programs and non-profit NGOs, but with a twist–insurers are moving upfront in the picture. From Aetna‘s CEO Mark Bertolini keynoting and promoting their iTriage management app to the announcement of the open CarePass mobile platform that organizes 20 smartphone apps that help consumers manage their health and fitness, UnitedHealthcare Group‘s similar OptumizeMe and even AT&T insisting it’s a payer (self-insured), the rationale is better health for consumers, better care quality–but most of all reduction of that ‘$750 billion in waste’ that exists in the current system. Here’s select early coverage to get you started. Consumers will engage if mHealth is easy, Bertolini says (mHIMSS); Mobile tools help public, private payers be more proactive, Healthcare cathedrals and the consumer health bazaar (Mobihealthnews)
Update 7 Dec: David Lee Scher, M.D., well-known US consultant and former cardiologist, outlines five reasons why payers will be playing a major role in mHealth adoption (Ed. Donna comments): they hold the purse strings (very true), they can change physician behavior (ditto), they realize importance of patient engagement (uneven), they are the largest users of patient portals (of a limited type) and can perform clinical studies (they can, but not credible without academic involvement). Why payers are critical to mHealth adoption (mHIMSS)
Neil Versel argues that Editor Donna’s question may very well be an understatement. To those of us in the technology community, the ‘button’ is a relic of an earlier time (and in the US, a reminder of an inadvertently funny ‘schlock shock’ commercial of the late ’70s). Starting in 2005, behavioral telecare elevated standards of safety (QuietCare then HealthSense, GrandCare, WellAWARE, etc.), and then fall detectors, telehealth-based care management and countless mHealth apps further raised the bar. The technology parade has passed PERS by. But to the implementers, the carers and community executives, the plain-jane PERS alert button remains a mainstay of senior housing on both sides of the Atlantic at least. Not that there are not abundant real-world alternatives. Yet more advanced ‘passive PERS’ with a fall detecting accelerometer built in (Philips Auto-Alert, Aerotel GeoSkeeper, AFrame Digital) and behavioral telecare, despite proving greater safety and proactive care metrics, are still in a low stage of adoption. But as Versel points out, PERS can no longer be considered the standard of adequate care, whether at home or in a facility–and moreover, provides little more than the false assurance of safety with the potential of a high, final and unconscionable human cost. Panic buttons for seniors must go (Mobihealthnews)
Update 7 Dec: Editor Steve, in his comments under the article, makes two points: self-reporting safety confirmations (response to automated calls and similar systems) adds another security layer for older people and disabled living alone; current accelerometer-based fall detectors often miss ‘soft’ or gradual falls, especially to the seated or slumped position
Also from Ed. Steve, continuing research in behavioral telecare’s quantification of the early detection of illness is being done by the University of Missouri at two locations in Missouri and Iowa. They are using Microsoft Kinect for gait assessment, which can predict propensity to fall, and are receiving NSF and other Federal funding for this (limited) ongoing research. Originally covered by us back in July [TA 3 July] and updated in this article from (UK) HealthCanal: Sensor Network to Protect the Elderly
Our onslaught of 2013 predictions starts with the Top Five from AT&T, cleverly timed for the mHealth Summit. From their press release supplying plenty of AT&T ForHealth focused examples (and our interpretation):
- A shift from stand-alone “unsponsored” apps to meaningful “sponsored” mHealth solutions (Here come the pharmas, insurance companies and care management companies–now if they will just pay for it and stick with it!)
- Hospitals and other healthcare institutions including payers will begin to move more and more healthcare data into the cloud (outrunning HIT’s ability to secure the cloud, secure internal systems, or backup when the cloud goes down)
- Remote patient monitoring will move from pilots to large-scale adoption (another pilot with telehealth provider Intuitive Health and Texas Health Resources is so 2006)
- Integrated mHealth applications will be created (increased interoperability–here there is some traction as hackathons to develop apps on platforms is becoming actually commonplace; the goal of Continua gets closer)
- Upswing on telehealth to bridge the significant gap between physician resources and patient demand (once again in example muddying telehealth with telemedicine, but overall there is some traction; we can only hope that finally we start getting there in 2013!)
mHealth is perceived as having the potential to be effective in changing behavior which will be effective in controlling chronic diseases such as diabetes, according to the mobile trade group GSMA in their latest white paper. The lead finding in this global study is that “89% of practitioners, 75% of patients and 73% of consumers believe that mHealth solutions can convey significant benefits.” While the finding may sound like the ‘perception is reality’ early-hype curve stuff, it’s being backed up by studies like the Clinical Therapeutics study earlier this year on how text (SMS) reminders significantly improved diabetics’ medication adherence and the just-published text4baby study of 90 women in a Fairfax County, Virginia Health Department program. Attitudes and behavior were measured among a primarily Hispanic new mother group, and text4baby had a significant effect on increased agreement with the attitude statement “I am prepared to be a new mother” and increased negative attitudes concerning alcohol consumption. GSMA: mHealth perceived globally as effective, Study: text4baby effectively helps new moms (FierceMobileHealthcare)
This past week, brain injury once again has made sad headlines in the US this weekend with the public suicide of an NFL linebacker, following his murder of the mother of his child. Reportedly, Jovan Belcher of the Kansas City Chiefs had been recently concussed, was on painkillers and had been drinking the prior evening. Thus the release of an academic research study on chronic traumatic encephalopathy (CTE), a progressive disorder that occurs as a consequence of repetitive mild traumatic brain injury such as experienced by contact sport athletes and soldiers, could not be more timely. Published in this month’s Brain: A Journal of Neurology (Oxford Journals), a research team drawn from the Boston VA, Boston University and the Mayo Clinic details the four progressive stages of CTE with symptoms progressing from headache and loss of concentration to dementia, depression, and aggression. This was based on (post-mortem) analysis of 85 brains — 64 athletes and 21 military veterans with a history of repetitive concussions. 68 had CTE and the group also had other neurological diseases. The study was funded by seven organizations, including the VA, the National Institute on Aging–and the NFL. Certainly this will be a key reference in the NFL-funded research being started by the FNIH and the US Army-NFL helmet sensor program to help detect cumulative injury [TA 7 Sept] CTE a Progressive Condition, Brain Study Shows (MedPageToday) The spectrum of disease in chronic traumatic encephalopathy (Brain): Abstract and full study (PDF)