A two-year (2010-12) study published in Health Affairs of 40,000 online consults via Minnesota-based integrated delivery system/insurer HealthPartners found that they reduced billing by an average of $88.03 per case (average cost: $40) and saved about 2.5 hours per patient. Patients were seen through the system’s 24/7 Virtuwell online clinic for 40 different primary care conditions, with the three most frequent being sinusitis, urinary tract infections and conjunctivitis. However, Virtuwell does not use video practitioner-patient consults, instead walking patients through an online automated interview about symptoms, medical history, allergies and medications. Then a nurse practitioner reviews each patient’s information and sends a treatment plan in a secure message, a process taking about 30 minutes. A phone call with the nurse is optional. Other results: no real increase in visits, and an episode resolution (no face-to-face visit) rate equivalent to ‘minute clinics’ at 89% to 95%. This sounds like an attractive template and option for concierge medicine, IPAs, ACOs and insurers, but needs to work around cross-state regulations. Neil Versel in Information Week, iHealthBeat, link to study abstract (Health Affairs)

New to Editor Donna is healthcare technology accelerator Healthbox. Perhaps uniquely, they are based in US and UK–Boston, Chicago and London–with partners in all three cities; a partial list is (US) Blue Cross Blue Shield Massachusetts, Express Scripts, Ascension Health (US largest Catholic health system), California HealthCare Foundation, Walgreens and (UK) Bayer, Bupa, Guy’s and St. Thomas’ Charity, and Serco Health. In its first year, Healthbox has fostered 27 companies to refine their offerings and gain market traction including investment (portfolio companies). According to Healthbox spokesperson Abbie Ginther, the highlights of what participants receive in the 16 week program is:

• $50,000 in seed capital
• Strategic guidance and mentorship from leading industry experts as well as business veterans
• Participation in Innovation Day, an event bringing together hundreds of investors, healthcare leaders and entrepreneurs to hear from the companies and how they are bringing innovative solutions to healthcare needs
• Collaborative, open workspace for companies to use for the duration of the program

They are currently accepting applications for its 2013 programs starting with their second Boston program starting in March. Application deadline is very tight here (10 February), but applicants for London/Europe (start date TBD in spring) can register on the same link. Applications. 

The Gimlet Eye and Editor Donna were just chatting about organizing the tidal wave of email we receive every day, when over the transom floated startup Tictrac (a takeoff on TicTac breath mints?), a ‘lifestyle monitor’ that will organize All That Data for the Determined Quant. It synchs with over 45 services, including Fitbit, Facebook, Runkeeper and Withings, to not only aggregate and correlate data (e.g. to high email use) but also manage goals such as losing weight. Not only that, it will connect the dedicated quant to outside sources such as coaches (who undoubtedly will pay per connection.) But will it organize email, mitigating our (unmeasured but very real) stress? This Startup Measures How Much Stress Email Gives You, And Helps You Reduce It (Business Insider)

It’s good to see Scotland leading the way in the UK by installing videoconferencing health facilities in prisons and police custody suites. Public Services item.

The Commonwealth Fund, a foundation that supports health care research and makes grants to support practices and policy, has just published a compilation of three telehealth case studies from the Veterans Health Administration (VHA), Partners HealthCare/Center for Connected Health and Centura Health at Home dating back to 2004. These concentrated on reducing preventable rehospitalizations and used various aspects of telehealth/remote patient monitoring (RPM). The VHA’s was the most comprehensive (with best results in depression and mental health), Partners focused on cardiac and Centura on congestive heart failure, pulmonary and diabetes. While Commonwealth’s main point is the lessons to be learned (disruption of the status quo, the changes in processes and the time to scale), this early data is interestingly not well known–and should be. Overview, compilation PDF (note the overview has links to the full individual case studies)

Back in November 2011 Geonovo won the ‘Best Innovation 2011’ prize at the Telecare Services Association’s Crystal Awards ceremony at the conference for their RSP-100 Personal Safety Phone. [TA Nov 2011] Now they have announced the launch of Home Health Hub, a “groundbreaking [and futureproofed] telecommunications package specifically designed to ensure highly resilient connectivity for telecare users.” The Home Health Hub system includes:

• A low cost telecoms and telecare package with free broadband
• Telecare alarm phone and wireless router
• A network management system that constantly monitors the line and router
• A 6-hour service level agreement and engineer response

And it is available to partners/service providers. More information in the press release but you might also want to read TANN England Editor Chrys Meewella’s take on it.

We think it is about time the UK caught up with the US (see Telecare Corporation) for delivering mental health care over a distance and the NHS Confederation seems to agree. They published a discussion paper about e-mental mealthcare, as they call it, at the end of January. Best summary and links here. Heads-up thanks to Nicholas Robinson.

This is one to watch…in June last year we noted that UK start-up Med ePad was on the scene. It has an interactive 7-inch tablet that is loaned to patients and is linked to a variety of services and reminders to enhance the ability of healthcare professionals to deliver cost-effective care and to empower patients also. Having just received additional funding from the North West Fund for Digital and Creative (managed by AXM Venture Capital) – press release – Med ePad is expected to launch some new developments soon.

Readers may be interested to see an example of a website that has gone to great lengths to make itself as accessible as possible without compromising an eye for a workable design. It’s the Centre of Excellence for Sensory Impairment (COESI). The Croydon (UK) based Centre “develops and provides integrated direct services for people with sensory and physical impairments”. Heads-up thanks to Pam Bennett. If readers know of other good examples, please post links in the comments.