A Gimlety look at fitness trackers and startup bloviation

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]It must be summer and The Gimlet Eye is looking for amusement and diversion. In a Real World of shotdown passenger aircraft and Middle East war, even Neil Versel in Meaningful HIT News is opting for the lighter side. He draws our attention to the humor of Steven Colbert on the subject “The Golden Era of Digital Toys”. Instead of actually running a marathon, simulate it with your Fitbit by mounting it to a paint shaker. But beyond these yuks, Mr Colbert aptly points to the vaporous language used by every DH3-er (Digital Health Hypester Horde) to promote their ‘revolutionary’ device.

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Vessyl.jpg” thumb_width=”150″ /]Case in point: Vessyl, a cup that reads out what you are drinking down to the brand, flavor and calorie count and tosses the information to an app on your smartphone. (Of course, you could read the container, but that would be soooo uncool.) Colbert uses Vessyl to skewer Healthcare Startup Bloviation. There’s the Founder with red oblong glasses on ‘tracking real time hydration’. Then another principal, of whom The Gimlet Eye notes must be so dedicated that has no time to shave, tweeze his eyebrows, comb his hair or put on a clean shirt for the promo video, uttering their mission statement like Moses Bringing Down The Tablets from Sinai: ‘we help people make healthier and more informed decisions in real time.’ The final reductio ad absurdum is the creative director whispering in awe on its seven years of intensive design work. For a drink cup. Retail $200 if it meets its early 2015 ship date. Raising $50,000 via MarkOne’s oh-so-hip ‘n’ cool glossy demo website. With the requisite hipsters (none over 25) livin’ large in San Francisco’s glam settings, of course clutching their Vessyl.

This is what gets funded? As in the proverb, has the mountain labored to bring forth a mouse? Mr Colbert’s device in counterpoint is brilliant. It should be funded shortly. Colbert Video.

Additional breathless D3H coverage: VentureBeat. CNet traces its ties to the Jawbone UP designer. (Editor Donna note: the cup readout on brands and accuracy re sugar and caffeine does sound a bit too good to be true. Let’s see if it’s for real in 2015.)

Keeping up with KeepUs

Updated 25 July

Last October we profiled a UK-developed mobile app in beta called KeepUs. We said at the time that it “when installed on an older person’s or a child’s Android smartphone, (it) allows a family member to monitor that person’s both indoor and outdoor activity. Using geolocation, the family member can see that person’s visits (locations can be labeled), level of activity on any given day, alerts (being idle for too long), how much time was spent at each named location over the past two weeks and trends over two months.” For this Editor, it has the potential to supersede PERS of both the traditional and mobile types since it is free/low cost and also fits into an accepted form factor (phone) which increasingly PERS is not. It’s now well out of beta and with some “commercial care institutions” (we are following up). Founder Tom Doris is now inviting 10,000 volunteers to download a free version of the app by going to keepus.com and following the instructions (see at the top ‘go ahead and install the app’ which will take you to Google Play). PDF release.

Update: A follow up with Mr Doris confirms that KeepUs has users in the US, UK, Ireland, India, Turkey, Australia and even Cambodia (!). He explains, “It works the same as you’d expect any normal app and website to work: as long as you have access, KeepUs works fine. It doesn’t need any special hardware, nor does it need any special support from the cellphone network operators.”

19th ISfTeH International Conference – 5th Carrefour de la Telesante

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/logo_catel-ISfTeH.png” thumb_width=”150″ /]16 – 17 October 2014. Cité des Sciences et de l’Industrie, Paris

The annual fall “Telesante” meeting’s theme this year is “Towards an international eHealth?” Sessions will center on success stories of eHealth applications, connected tools and services, methodologies, eHealth and economic development, and legal/regulatory frameworks. Organized by CATEL, the French Network for eHealth providers, and the ISfTeH, the International Society for Telemedicine and eHealth. Website and registration

Also: July ISfTeH newsletter Hat tip to Malcolm Fisk, CoDirector of Age Research Centre, Coventry University

Perhaps the cutest robot to date

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/20140715211029-Read_Important_Messages.png” thumb_width=”150″ /]Responsive and fitting into the home for multiple ages works. Cute makes it a ‘want to buy’. JIBO may not be the first operative ‘family robot’ (the EU/UK MOBISERVE/Kompaï companion robot [TTA 23 Aug 2013] likely was), it’s not child-sized like the ‘Robot’ of ‘Robot and Frank’ nor the mini-me of ‘Jimmy the Humanoid Robot’, but it’s got the Cute Factor in abundance. It’s a robot designed along the lines of ‘social robotics’ that doesn’t try to look humanoid. It stands at a non-threatening 12 inches high, suitable for tables or desktop. It’s white topped by a large orb serving as a screen that plays videos, reminders and teleconferences. It also speaks. But the big difference is that it responds to touch–dramatically. JIBO moves like a dancer and its ‘face’ follows you. Its response is framed in a companionate way and it’s not a toy–it also does practical things like deliver messages and two-way conversation. It’s easy to think of this not only as a natural companion and connector for various ages in a home, but also where someone lives alone.  The development team headed by Dr. Cynthia Breazeal is delivering this at an attractive price point–$499 for a December 2015 delivery. It’s flown past its $100,000 Indiegogo goal (currently past $500,000) which is a gauge of its appeal. Can you, our Reader, imagine this in your home? Glowing article in Mashable, YouTube video), an grumpy review in Time (which maintains that wearables and smartphones are far more practical. No, it’s not The Gimlet Eye freelancing!)

MIT’s ‘FingerReader’ to aid sight-impaired in reading

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/finger_reader_mit.jpg” thumb_width=”150″ /]MIT Media Lab is developing a chunky plastic ring that in concept and early stage prototype, assists the sight-impaired in reading normal 12 pt. text in a book, magazine or on screen. The ring is worn on the hand (resembles a collar) and the reader points their finger along the line to be read. The camera embedded in the ring scans line by line and ‘speaks’ through speakers on a PC or tablet connected to the ring. If the finger strays too far from a line, there is a dial-tone like feedback sound. It is different than the conceptually similar Reading Pen as being more strongly in real time and reading faster–whole lines rather than word by word. While primarily for the blind and low vision, one of the MIT developers, Roy Shilkrot, a doctoral candidate, envisions simultaneous (machine) translation to another language. With a market of 285 million visually impaired worldwide–85 percent are over 50 (WHO)–there’s a ready-made market right there and for technologies like the Oxford ‘assisted vision’ project [TTA 11 July]. Mr. Shilkrot is shy on the commercialization subject, but given the positive media reception, he should perhaps think it over. TechCrunch (includes video demo), Mashable, MIT’s release and FAQ. Hat tip to reader Luca Sergio of Ethis Communications/Ethis Healthtech, New York

International eGovernment and eHealth Cooperation Forum 2014 (Austria)

20 October 2014. Austrian Federal Economic Chamber, Wiedner Hauptstraße 63, Vienna, Austria

The Cooperation Forum is targeted at European and international public administrators, service providers, companies and potential purchasers in the areas of eHealth and eGovernment. It covers several verticals outside of healthcare but in the eHealth area they are (directly) listed as eHealth and Telemedicine, as well as less directly Open Government Data (OGD)/Public sector information (PSI). The Forum is centered on learning about latest trends and technologies, as well as cross-border contacts and meetings with principals in the eGovernment and eHealth sector. Supported by Enterprise Europe Network, the European Commission, WKO and Digital Austria. Attractively, participation in the Cooperation Forum is free of charge but registration for the event is mandatory; for international guests it includes complimentary accommodation (two nights in a 3*/4* hotel in the city center of Vienna with breakfast). Program (PDF). Flyer (PDF)Information and registration. Hat tip to Eva Weidinger, Head of Technology Affairs at the Austrian Embassy (London)

Google, Novartis team on ‘smart contact lens’ for diabetics

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/116-fam_1a.jpg” thumb_width=”175″ /]Despite Sergey and Larry’s vapors over healthcare [TTA 10 July], Google is joining with the Alcon eyewear/eyecare division of Novartis to further develop the smart contact lens. With a licensing deal between them, the initial Google X-Novartis project is the smart contact lens that contains a low power microchip and a hair-thin electronic circuit. It would initially measure blood glucose for diabetics, but also in Novartis’ president’s words, would meet additional “unmet medical needs” within the next five years. Our profile of the lens exactly six months ago [TTA 17 July] has additional detail, including the practicality (and injury potential) of contact lenses for diabetics, especially thicker ones with ‘circuitry’. (Also see the comment below the article.) Another area (and a much-needed, thus profitable one) is age-related farsightedness and creating an ‘autofocusing’ lens much like a zoom lens. Certainly a partner like Alcon will help work through the questions and also steer the X-Marks-The-Spot lens through the usual FDA review that marks the muddy spot before the rainbow. Google Smart Contact Lens Focuses On Healthcare Billions (Forbes)

A long-overdue robotics roundup

Focusing today on robotics in and around DARPA and the US Armed Forces, via Armed With Science. Military advances are a ‘pointer to the future’ where robotics will eventually assist older adults, the disabled and the rest of us in our daily lives. (We’ve also noted where other military protocols can work into assistive technologies–see ‘The Big Red Button’ emergency alert app.) :

  • Update on the DARPA Robotics Challenge: The Phase 3-Final originally set for December will take place 4-5 June in Pomona, California due to some changes in the third round specs including an emphasis on ‘cloud robotics’ and international applicability. DARPA’s program is strictly oriented to ground operations, disaster response and human supervision. Changes in spec include full wireless, tetherless and continuous operation–the operators communicate with the robots wirelessly only including periods of latency, their power source is 100 percent onboard, and the robots must be able to complete a sequence of eight tasks and recover in a ‘challenging environment’ without outside help. Plus DARPA is throwing in a secret challenge that looks like it will be disclosed only at the final. Specs have evolved to the point where there has been a withdrawal of a finalist which is now concentrating on commercialization despite the $2 million prize.  Here Come The Robots  Previously in TTA: DARPA Robotics field competition (Phase 2), Robotics Challenge winners
  • Robotics Secrets Revealed! In this humorous video, the Naval Research Lab’s Lucas, Octavia and PackBot set up some human furloughs (real enough) so that they get some rest. The reasoning behind their actions and the humans is explored. Robot Ruckus.
  • MAST’s Mini Robots and ‘microsystems’ may be in future used to locate, identify and engage high-priority targets by increasing situational awareness. This includes drones. Emphasis more on in-field use. Unfortunately written in Pentagon-ese. The Military’s Mini Robots
  • Meet a specialist in robotics. Interview with bomb disposal robot engineer Aaron O’Toole, awarded the Navy’s top engineering award in 2013. An area of his concentration is flexibility and fluidity of motion. Insights into how a developer looks at mobility and skill challenges. Meet the Scientists

 

The King’s Fund: International Digital Health and Care Congress

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Q75-digital-health-dot-mailer-banner-e1405212554733.jpg” thumb_width=”450″ /]

10–12 September 2014 at The King’s Fund, London W1G 0AN

 

This three-day event at The King’s Fund, now in its fourth year, is a truly international Congress in attendance and speakers. It will showcase new ideas, new research and new innovations in digital health, mobile health, telehealth and telecare around these five topics.

  • Sustaining independence as people age
  • Preventing and managing chronic illness effectively
  • Supporting people with mental health issues
  • Digitally enabling service transformation
  • Innovations in technology

Wednesday’s pre-Congress session begins with lunch, a full day on Thursday concluding with an (optional) dinner and a full Friday. Our own Editor Charles Lowe will be presenting on medical apps during the 11:30 breakout session (the T2F section) at 11:30am Thursday. See here for detailed information on the Congress sessions. PDF summary including keynote speakers.

As TTA is a media sponsor of the Congress, we are pleased to offer our readers a 10 percent discount off pricing for all their registration types, including the Thursday dinner. Click here to automatically obtain the discount.

Help develop ‘The Big Red Button’ emergency alert app

Help Edd Tillen design a telecare alternative

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Big-Red-2.jpg” thumb_width=”170″ /]We occasionally hear from one of our developer readers, and so it was at the end of June when Mr Edd Tillen wrote me about a smartphone app he is developing called ‘The Big Red Button’. It does what a typical ‘panic alarm’ app does–alert a designated person about an emergency or unsafe situation–but coordinates the response among several carers with a sister app on their phones. One person is designated a ‘responder in charge’, and the nearest in distance (based upon GPS) is the first responder. The design of the app coordinates the response and informs all responders on what is happening to its conclusion. The responder in charge also calls the casualty to get a better idea of what is happening. Mr Tillen designed the app after how the British Army handles battlefield casualty drills where everyone has a role (he’s a member of the Reserves, Royal Logistics Corps). In his capacity working in social care with the Leicestershire County Council, he also felt that smartphones, which are being more widely accepted among older persons, are a better alternative for most than expensive and home-based telecare contracts.

Here’s where Mr Tillen would like YOUR help. On his website, there’s a working demo of the app. It has two different scenarios–what is seen from the casualty and also what the carer would see. He’s looking for reviewers to then fill out a consultation questionnaire, which he will use with his developer (part of the Leicestershire Tech Start Up Community) for modifications and with potential investors, who especially want to see interest from those engaged in the field prior to its projected release this Autumn. Website

LG’s Kizon child tracker debuts

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Kizon-LG.jpg” thumb_width=”175″ /] Just in time for school start in North America and Europe is LG‘s September intro of the Kizon bracelet for keeping track of your small child through an Android app. This child-friendly, colorful (but a little bulky) wristband seems to pack a lot into a one-button package: GPS/Wi-Fi tracking, 2G/3G cellular ability for the child to call out to a pre-loaded phone number and to accept calls from pre-approved numbers. And it appears to be a water and stain-resistant watch as well. LG is marketing to parents of pre-school and primary/elementary school children but pricing is not available. It’s a big change stylistically from the GPS trackers like Lok8u which have typically been marketed for primarily autistic children and others at risk. Launch will be in South Korea this week according to BBC News. Is there an opportunity to use this with older people as well?

Editor Chrys on background:

The idea of using mobile phones for tracking kids goes way back to around 2003. The earliest service I know of was one called Child Locate and was launched in the UK by Jon Magnusson. It was intended for parents to track kids (or rather their phones) on a map on the internet. Child Locate has now morphed into Mobile Locate and tracks any mobile device and  claims 100,000+ users.

The other service that comes to mind straight away is Disney Mobile – Disney’s MVNO over Sprint. In 2006 Disney launched what seems a great idea at the time – a service for parents to track kids – the Family Center. Similar to Child Locate this service allowed parents to locate the mobile on a map, plus limit call and text spending. It was launched with two handsets, one from, wait for it – LG and the other from now almost bankrupt third largest Korean handset company Pantech. So LG was dabbling in this in 2005/6. Disney Mobile had plans to expand to UK over the O2 network though that never materialised. Disney Mobile closed down a year later.

The Kizon may look cute at first glance but it is definitely not unobtrusive. When my neighbour’s 18-month-old is playing Peppa Pig incessantly on her iPad I think LG’s marketing department is behind times thinking they can get a Western kid to be tracked by her dad for everyone to see. Make no mistake Korea and Japan are the leading nations for high tech consumer products but the psychology of those countries don’t work here. Having worked for a leading Japanese company I have seen this from the inside. If this takes off in London I’ll eat my hat – even if I have to buy a hat to eat!

Eye feels the pain of Google’s Brin and Page

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /] Oh, the discomfort that Sergey and Larry must be feeling being grilled interviewed by “billionaire venture capitalist Vinod Khosla” (grudgingly respected in TTA 30 May) at one of his eponymous Summits. Here they are with Google Glass in all sorts of adaptations from Parkinson’s to gait improvement to surgery [see multiple TTA articles here], a ‘moonshot on aging and longevity’ dubbed Calico [TTA 19 Sept 13] and even a contact lens to measure blood glucose in tears [TTA 17 Jan]. All good stuff with Big Change potential. Instead they whinge on about how the health field is so regulated, and all the cool stuff you could do with the data but for that privacy thingy (those darn EU, UK regulations and in US, HIPAA). Page to Khosla: “I do worry that we regulate ourselves out of some really great possibilities that are certainly on the data-mining end.” Brin to Khosla: “Generally, health is just so heavily regulated. It’s just a painful business to be in. It’s just not necessarily how I want to spend my time.” Gee. Whiz. What is apparent here is a lack of personal respect for us ‘little folks’ privacy and our everyday, humdrum lives.

Advice straight from The Gimlet Eye: My dear boys, you’ll just have to get people’s data with that old-fashioned thing, permission. (And you’d be surprised that many would be happy to give it to you.) Or if it’s all too painful, Sergey can play with his superyacht, latest girlfriend and follow his estranged wife Anne Wojcicki’s 23andme‘s ongoing dealings with the FDA. At least she’s in the arena. Google leaders think health is ‘a painful business to be in’ (SFGate) Mobihealthnews covers their true confessions, with an interesting veer off in the final third of the article to Mr Khosla’s view of Ginger.io’s surprising pilot with Kaiser and then to WellDoc’s Bluestar diabetes therapy app–the only one that is 510(k)Class II and registered as a pharmaceutical product [TTA 10 Jan].  Also interesting re the Googlers’ mindset is a SFGate blog piece on Larry Page’s attitudes towards leisure and work in a Keynes-redux ‘vision of the future‘. < work + > people may= >leisure, but certainly<<<$£€¥ for even the well-educated and managerial!

Tunstall’s 2013 fiscal report: debt service makes short term gloomier

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Big-T-thumb-480×294-55535.gif” thumb_width=”150″ /]Updated…Released on this ‘getaway day’ (in the US), and surprisingly only covered by the local Yorkshire Post, is the report of Tunstall Healthcare Group’s year-end closing (30 Sept 2013) results. The short term news is positive: 21 percent revenue growth to £221 million in its 2013 statutory accounts. However, this adds in the acquisition of Spanish monitoring provider Televida for £27.4m in January 2013 and the 2012 purchases of AMAC in the US and STT Condigi in Sweden. The official posture of the company, expressed by CEO Paul Stobart, is that “with continuing Government austerity measures and a fragile global economy, the business does face challenges in the short term.” And one of those challenges making for a gloomy picture is debt service. We’ll let the YP speak: “The group, which is owned by private equity house Charterhouse Capital Partners (CCP) paid £13.7m of interest in cash on its senior and mezzanine debt of £265m, as well as a total of £114.4m non-cash interest on long-dated shareholder loan notes and other loans. This results in a statutory reported loss for the group of £127.8m.” That change of nearly £350 million, which includes operating costs and other expenses, illustrates the critical consequences of debt service on the bottom line, indeed [TTA 22 May]. Many thanks to one of our reliable sources for picking up this report.

New: Founder Steve reminds us of his related (and oh, so prescient) analysis from 2010 about Tunstall’s earnings versus debt service balancing act in Telecare Soapbox: Equity capital. A cautionary tale. (Thank you Steve for adding)

It is worth a detailed read because the 2009 numbers were also ‘challenging’. Steve dug through 2009 publicly filed (in UK) numbers to reach his conclusions. In sum, “The important question is whether their underlying position is sound and reliable, or whether they are shaky. They also tell me that the robustness of a company’s cashflow is the most important survival factor.”  If I am reading the report on CompanyCheck correctly, the eye-watering negative net worth of the Group and the low cash positions of both the Group and UK are oddly reminiscent of airline financial statements when this Editor was still in that business. Do remember the object examples of Texas Air Corporation (once the world’s largest airline holding company), Pan Am and TWA!  You also have to have some sympathy for the management which was not part of getting into this ‘pickle’ now tasked with getting the company out of the barrel.

Medicare dis-incentivizes home health care in ACA’s name (US)

When it comes to home health care, the C in CMS (Centers for Medicare and Medicaid Services) should perhaps stand for ‘contradiction’. According to recent reports appearing in the pre-holiday ‘dead zone’ of late last week, CMS has decreed that it must save, as part of a four-year plan under ACA, $58 million (0.3 percent) in fiscal 2015 (starting 1 Oct) from home health agencies which were formerly touted as a great way to save money. To put this in perspective: in 2013, Medicare paid about 12,000 home health agencies $18 billion to provide services to 3.5 million patients. In the US, Medicare has always had more restrictive rules for home and community-based services (HCBS); state-administered (but Federally subsidized) means-tested Medicaid still pays for the vast majority of long-term care (well over 60 percent, according to another Federal agency, Housing and Urban Development [HUD]), which strikes many observers as one pocket to another. So where are the contradictions?

  • Conundrum #1: CMS has emphasized post-discharge, post-acute care as part of reducing acute care costs, exemplified in the penalty for 30-day same-cause readmissions. Nursing home expenditure is at least three times more costly than in-home LTC (a conservative estimate used by HUD).
    • But CMS plans to cut Medicare home health funding in total so fewer people may receive it at all or less of it even if needed. What will be their alternative, and the effect on outcomes? (more…)

Radiology converging imaging and real-time video

Radiology was one of the first specialties to freely locate the evaluation and reporting on patient imaging almost anywhere in the world. The objective of teleradiology was to increase volume, increase RVUs (relative value units used for Medicare reimbursement) and decrease turnaround times. What has been lost is the face-to-face contact between clinicians and radiologists with live interaction for the patient’s benefit and the clinician’s knowledge base. The addition of real-time video consults synchronized with an image viewer may be a solution. Imaging 3.0 shifts the emphasis to increased quality, increased patient safety and improved outcomes. Remote radiologists can be consulted earlier in diagnosis and during rounds ‘face-to-face’, which is far easier than by telephone. This recent article by reader Howard Reis of HealthePractices explains how even patients can participate in these consults. Real-time Video: Imaging 3.0 Toolkit? Originally published in Radiology Business and with the author’s permission.  

Pilot Health Tech NYC winners announced (US)

Last Thursday, the 11 winners of the second annual Pilot Health Tech NYC program were announced at Alexandria Center, NYC. A joint initiative of the New York City Economic Development Corporation (NYCEDC) and Health 2.0, it provides early-stage health tech companies based in NYC a ‘test bed’ in partnership with many of the most prestigious metro area healthcare organizations, and another platform to keep health tech growing in the city. Each project represents a distinct need in the spectrum and a common theme is integration of care into workflow. Some needs are obvious: senior care, pediatrics, rehabilitation, cardiac disease and diabetes management. Others are less so: vision, medication adherence, data analytics, blood donation and social support.

The winners are supported by $1 million in funding to operate and report results from the individual pilots which will take place starting in late summer through end of year. An interesting fact from the announcement release is that the Pilot Health Tech inaugural class companies [TTA 1 July 2013] have raised over $150 million in private investment since their win: AdhereTech, eCaring, Rip Road, Vital Care Services, BioDigital, Flatiron Health, Sense Health, Bio-Signal Group, Opticology and StarlingHealth (acquired by Hill-Rom).

The winners (some of which we’ve been following like GeriJoy, NonnaTech and eCaring) and their partners are:

  • Smart Vision Labs / SUNY College of Optometry
  • GeriJoy / Pace University
  • QoL Devices, Inc. / Montefiore Medical Center
  • Urgent Software, LLC / Mount Sinai Health System
  • Nonnatech / ElderServe
  • Fit4D/ HealthFirst
  • AllazoHealth / Accountable Care Coalition of Greater New York
  • Canopy Apps / Visiting Nurse Service of New York (VNSNY)
  • Healthify / VillageCare
  • Tactonic Technologies / NYU Langone, Rusk Rehab Center
  • Hindsait, Inc. / NY Blood Center

More information in their release. Many thanks to NYCEDC and Eric Vieira of ELabNYC (another NYCEDC initiative) and CUNY.

Related reading: ELabNYC Pitch Day in March