A New Year’s Resolution, ADLs and a new care option

January 7, 2014 | by

Here are three items that are each important and have hit my screen in the past couple of days – sadly, try as I may, I’m struggling with a common linking theme.

The first, that the 3G Doctor alerted me to, is a simply brilliant talk by Telcare‘s CEO Dr Jonathan Javitt at the Technion Social-Mobile-Cloud Meets Medicine Conference on the 17th December 2013. We’ve all made the arguments that technology enables the genuinely continuing care that long term conditions require, rather than the episodic care our health service is set up to provide, and that technology ensures that patients have clinical support 24/7 rather than in the brief period the doctor or nurse sees them.  However Dr Javitt brings all the arguments together to make such a powerful case that the only sensible way to treat long term conditions is to use technology to help the patient that anyone opposing it might as well try to argue that the earth is flat. As a result I have decided that my New Year’s resolution this year will be no longer to rise to the challenges of the naysayers. (I wonder how long I can keep it.)

The second item is a new take on monitoring activities of daily living (ADLs). For those new into telecare, continuous ADL monitoring looks a brilliant way of picking up an early decline in cognitive or physical decline, often well before symptoms show up in a change of vital signs or response to questions. The challenge though is whether the computer analysing the ADLs is smart enough to cope with activities such as the invasion of the grandchildren, or can cope with multiple occupancy. So it’ll be interesting to see how well CarePredict’s service is received. This uses a bracelet to track someone being cared for, rather than relying on PIRs or similar sensors as many other ADL systems do. Of course, like falls detectors, the problem with wearables is that people take them off, although the mHealth News item claims that ‘seniors’ like the bracelets.

The third item is a BBC item on the attractions of care homes in countries where the cost of living is lower, such as Thailand, which does feel a tad mercenary, although where there is genuine reverence for older people the quality of care can be excellent, and recent revelations suggest that care for older people in the UK is hardly without its problems. A combination of Skype and cheap flights certainly means that it is possible to keep in touch regularly. If it gets to be considered a viable option, it will certainly complicate the economics of technology to stay at home vs care home.

Hat tip to Prof Mike Short for alerting me to the BBC item.

The CES of Health (Monday)

January 7, 2014 | by

A managing director of Accenture, writing in Forbes, looks at the health tech trends as ZDNet did (TTA 5 Jan) and lobs a few surprises. He checks the boxes for wearables and real-time monitoring (what ZDNet called The Internet of Things), but also added in–happily for us–aging in place technologies, giving as examples household robots, med dispensers, video calling, easy navigation screens and interfaces (Bosch Health Buddy Web, GrandCare?). Surprisingly on the list: telecare–“motion sensors that can tell if a person has fallen”. Could it be QuietCare’s and Healthsense’s time–or will these be in a watch form factor? And how about proactive fall detection to help prevent them in the first place?

Withings gets into the Z-Z-Z-Z market: the Aura Smart Sleep System monitors noise, room temperature and light level. It also has an under-mattress sleep sensor to monitor breathing, body movements and heart rate. The app on your mobile device makes sense of the data so you can understand your sleeping patterns and make needed changes for better rest. It’s one of ZDNet’s top 10 products (so far) today.

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/blue-blazes.jpg” thumb_width=”100″ /]Our Blue Blazes award (so far) goes to the Kolibree Bluetooth Toothbrush. It connects with an app which somehow sizes up how well you–and other members of your family–are polishing their pearlies. Crowdfunding this summer, available either in July or 3rd Quarter (depending on reports) for iPhone and Android (Samsung Galaxy III and S4). It sounds like a good fit for the Hammacher Schlemmer catalogue. MacRumors The Guardian takes an even more dim view by including it in its ‘Day Zero vapourware at CES’ list but Engadget likes it (the job to be done by the inventor related to the kids).

And if you are already there, accelerator/investor RockHealth has a guide to where they will be participating at CES through 9 January here, if you’re interested.

Bosch, Remedy’s Health Buddy Web debuts at CES

January 7, 2014 | by

[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.

Health kiosks, insurers–perfect together?

January 7, 2014 | by

The real revenue stream of health kiosks revealed? The business model of free health kiosks placed in places like Wal-Mart and sibling Sam’s Club has to date been advertiser-dependent. Now SoloHealth [TTA 27 Feb 13]is adding an agreement in California with insurer Anthem Blue Cross to solicit name, email and phone number of individual users who want more information on insurance. They must opt in to add this, but it is not disclosed by the friendly animation (a doctor, no less) that a broker will be contacting them; to find out, the user has to hit a blue button–not the one that ONC has designed for personal health record access–to read two pages of disclosure, or wait till after they supply information. In addition, SoloHealth collects even more qualitative user information during its exams for blood pressure, vision and BMI. Here is the real gold mine in ‘dem der kiosks’–a fat database which can be sold as deidentified data without violating current privacy regulations. (Did anyone think otherwise? And what about all that fitness data being gathered by Fitbit, Pebble, Shine, Jawbone?) KQED’s California Report gears up into high dudgeon on the privacy issues.

Driving up medical app usage in the UK – part I

January 6, 2014 | by

Our recent post on ‘the last mile’ for medical apps in the US is a great introduction to some work I have been doing over the past three months: attempting to answer the question of how best to improve the perception by clinicians and patients of the efficacy of health-related apps. This work has been done for the i-Focus project, part of the Technology Strategy Board’s dallas programme.

As the research is quite detailed, and as I’m keen to get as much feedback as possible, I have split the work into three parts, to be delivered over the week – comments to this article or a direct email to me (on charles.lowe@btinternet.com) on errors, omissions or additions would be hugely gratefully received.

This post aims to answer the question of what regulations affect the development, sale and usage of health-related apps and, in particular, when an app is a medical device. (more…)

The CES of Health preview

January 5, 2014 | by

International CES in Las Vegas will be the annual ten-ring circus it always is, but this year even the tech watchers are concentrating on health. There appears to be no blockbuster consumer electronics debuts this year, so what you will see in the rinse-and-repeat cycle are the connected categories of Wearables and The Internet of Things. Basically everything will be connected, automated…and gathering lots of data on you (what ZDNet’s Jason Hiner in his CES preview article has dubbed Contextual Computing, and he likes it). Lisa Suennen of Psilos Group, writing in MedCityNews, coins her own slightly dismissive term, ‘The Internet of Wearable Things’, and makes the entirely sensible point that sensing your fitness is one thing, doing something about it another. But the critical health app that soars over her goal posts is the Surf Life Saving WA Twitter account. If you’re in Western Australia and hitting the water, you want to know where the sharks are. This gives it to you. This Editor also sees that Samsung received FDA 510(k) approval for their heavily hyped S Health app built into the US-released Galaxy S4 smartphone. While the UK enjoyed third party device connectivity back to the S3, the US version of S Health, according to Mobihealthnews, only connected to three unreleased Samsung peripherals and relied on manual entries. This undoubtedly will change–expect there to be buzz about where Samsung will now take this at CES. And there’s always hay to be made with sleep analysis tracking–high-end multi-sensor fitness watch Basis Science has now added advanced sleep tracking to its BodyIQ analysis of running, walking and biking, as well as upgrading its looks (VentureBeat).

Certainly more to come out of CES and conferences within CES this coming week!

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

January 5, 2014 | by

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

January 4, 2014 | by

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.

IMS Health files to raise $100 million in IPO

January 4, 2014 | by

In news late yesterday, IMS Health has filed with the US Securities and Exchange Commission (SEC) to raise up to $100 million in an initial public offering of stock. The preliminary prospectus listed JP Morgan, Goldman Sachs, Morgan Stanley and BofA Merrill Lynch as the underwriters. We have noted IMS Health’s expansiveness on entering mHealth through app curation, prescribing and data security at the mHealth Summit [TTA 23 Dec] and their previous acquisition of Diversinet [TTA 15 Aug] in mobile app security; the latter was only a small part of their 2013 acquisitions in several areas totaling $105 million. Clearly there are some plans which may very well include health apps and data. Reuters, GeekWire.

mHealth data privacy: a worrying finding

January 3, 2014 | by

We reported last August on a YouGov poll that found nine out of ten people not knowing what the term ‘telehealth’ meant.  Now they’ve been at it again, this time looking at mHealth, sponsored by Pinsent Masons.  From a poll of 2000 people, they found that:

“Prior to being given a definition of mHealth, the majority (73%) of respondents didn’t know what the term meant, and when explained 90% stated they never used mHealth services, despite the examples given including established applications such as fitness apps.”

Perhaps there’s a little encouragement (more…)

2014: the year of reckoning for the ‘better mousetraps’

January 1, 2014 | by

Or, the Incredible Immutability of the Gartner Hype Cycle

From Editor Donna, her take on the ‘mega-trend’ of 2014

This Editor expected that her ‘trends for next year’ article would be filled with Sensors, Wearables, Glasses, Smartwatches, 3D Printing, Tablets and Other Whiz-Bang Gizmos, with splashes of color from Continuing Crises like Healthcare.gov in the US, the NHS’ 3million lives plus ‘whither UK telecare’, various Corporate ‘Oops-ses’, IP/Patent Trolls and Assaults on Privacy. While these will continue to spread like storm debris on the beach, providing continuing fodder for your Editors (and The Gimlet Eye) to pick through, speculate and opine on, what in my view rises above–or is under it all–for 2014?

We are whipping past the 2012-13 Peak of Inflated Expectations in health tech…

…diving into the Trough of Disillusionment in 2014. Crystallizing this certainty (more…)