Nominations wanted for our 10th year

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/01/10.jpg” thumb_width=”250″ /]You may have noticed from our header above that it is the 10th year of Telehealth & Telecare Aware’s service to the industry. To mark our anniversary, we intend to invite leaders in the field to reflect on the past ten years and (if they dare!) to speculate on the next ten.

But first we would like you, dear Reader, to become involved in the process. Think for a moment…exactly who would you like to hear from? Whose views do you think best represent the last decade of changes taking place in healthcare and technology, improving (we hope!) care delivery, personal safety and well being?

Please post nominations as a comment or email Editor Donna.

Telemedicine’s boffo year? Some confirmation. (US)

Big bets were made on telemedicine (video doctor-patient consults) in 2014. This Editor closed her 18 December article with ‘telemedicine providers received a $200 million+ vote of confidence from tough-minded investors. We’ll see if 2015 results fulfill these whale-at-Monte-Carlo wagers.’ Here may be the start of a tipping point. New York State’s new law requiring insurer reimbursement for telehealth services went into effect 1 January, making NY the 22nd state to require payers to pay up for virtual visits. Permitted providers are physicians, dentists (!), physician assistants, psychologists and social workers. This provider list is considerably broader than Medicare’s new rules applying telehealth for patients with two or more chronic conditions, which is tied to physicians’ offices and contracted third parties. Also cheering the industry are that Indiana, Iowa and Tennessee are holding hearings on potential legislation, with Missouri at the legislative bill stage. (more…)

MALCOLM final results now online (UK/FR)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/01/MALCOM-Middle-logo.jpg” thumb_width=”250″ /]If you are interested in the outcomes of SEHTA and Pôle-Tes‘ MALCOLM project, they are now published on the SEHTA website. The Anglo-Franco project analyzed remote care via ICT (information and communications technology) delivery (eHealth) and needs in the coastal Channel area: Hampshire, Surrey, West Sussex, East Sussex and Kent in England, and Lower Normandy in France. The press release has more details on results, methodology and the funding.

Dr Topol’s prescription for The Future of Medicine, analyzed

The Future of Medicine Is in Your Smartphone sounds like a preface to his latest book, ‘The Patient Will See You Now’, but it is quite consistent with Dr Topol’s talks of late [TTA 5 Dec]. The article is at once optimistic–yes, we love the picture–yet somewhat unreal. When we walk around and kick the tires…

First, it flies in the face of the increasing control of healthcare providers by government as to outcomes and the shift for good or ill to ‘outcomes-based medicine’. Second, ‘doctorless patients’ may need fewer services, not more, and why should these individuals, who represent the high-info elite at least initially, be penalized by having to pay the extremely high premiums dictated by government-approved health insurance (in the US, ACA-compliant insurance a/k/a Obamacare)–or face the US tax penalties for not enrolling in same? Third, those liberating mass market smartwatches and fitness trackers aren’t clinical quality yet–fine directionally, but real clinical diagnosis (more…)

An interesting COPD telehealth pilot, mangled in the reporting

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/blue-blazes.jpg” thumb_width=”150″ /]Our first ‘Blue Blazes’ of 2015 is the kind of press coverage that makes a PR pro or marketing director cringe.

Intel-GE Care Innovations along with OSF (Order of St. Francis) HealthCare and the University Of Illinois College Of Medicine at Peoria, the latter which have an interestingly named collaborative called Jump Trading Simulation and Education Center, are using the home telecare activity tracker Lively in a COPD patient tracking pilot. Reading the two articles found to date, one can eventually glean that vital signs like weight, blood pressure, O2 levels, lung capacity and qualitative feedback questions, as well as activity, is being tracked. The combination of activity + vital signs is interesting and different, but it takes detective work–viewing the video on the CIProud.com website (which charmingly turns sensors into senors in the headline)–to discover that the activity tracker is Lively, a CI partner. Lively does not report vital signs. How they are being collected remains a mystery as the Peoria Public Radio website article doesn’t furnish details other than a picture with an unidentified desktop hub/display (Health Harmony? It doesn’t look like it). Lack of detail + abundance of typos = bad reportage. In any case, the pilot of 30 patients continues into March, when it will be expanded to 200. Related: OSF/Care Innovations announcement from June 2014.

VOX Telehealth rolls out orthopedic pre/post-procedure service

Pre/post-procedure education and monitoring service VOX Telehealth launched their OrthoCare Program at Bon Secours St. Mary’s Hospital in Richmond, Virginia. OrthoCare was developed in conjunction with The St. Mary’s Orthopedic Institute for total hip and knee replacement procedures and provides a ‘patient care plan’ with specific educational content for the patient to prepare for the procedure and what to expect during recovery. The plan also includes patient reminders and symptomatic observations tied into a customizable alert escalation and notification system. The goal is to reduce post-discharge complications and readmissions. If this sounds ‘soft’, Stephanie Baum at MedCityNews makes two excellent points: joint replacement surgery is one of Medicare’s largest expenditures, and that ‘companies centered on navigating healthcare systems was the third largest target of digital health investments last year, according to stats from a StartUp Health report published in December.’ VOX release

Related: Patient engagement meets ‘palliative care’

Call for papers: King’s Fund Digital Health and Care Congress June 2015

Deadline is Friday 13 February for abstract submissions

The King’s Fund Digital Health and Care Congress will be taking place on 16-17 June at The King’s Fund in London, with the theme Enabling patient-centred care through information and technology. Interested presenters should see below:

You are invited to present current or latest research results and/or report on the progress and impact of innovative projects. Authors are encouraged to submit papers to one of the main themes indicated below.

Accepted papers will be presented at the congress by one of the authors and published in a special congress supplement. Acceptance will be based on quality, relevance and originality.

Conference themes
Authors are invited to submit under the following themes:
*sustaining independence as people age
*preventing and managing chronic illness effectively
*engaging health care professionals and commissioners
*digitally enabling service transformation

More information is available on The King’s Fund web page here. (Please also see the PDF in the sidebar)

TTA has been a media partner of The King’s Fund conferences in 2014.

Looking back over Telehealth & Telecare Aware’s predictions for 2014, part II

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/01/magic-8-ball.jpg” thumb_width=”150″ /]Editor Charles has treated you to a look back on his 2014 predictions, daring Editor Donna to look back on hers. Were they ‘Decidedly so’, ‘Yes’, ‘Reply hazy, try again’ or ‘My sources say no’? Read on…

On New Year’s Day 2014, it looked like “the year of reckoning for the ‘better mousetraps’”? But the reckoning wasn’t quite as dramatic as this Editor thought.

We are whipping past the 2012-13 Peak of Inflated Expectations in health tech, diving into the Trough of Disillusionment in 2014.

There surely were companies which turned up ‘Insolvent with a great idea’ in Joe Hage’s (LinkedIn’s huge Medical Devices Group) terms, but it was more a year of Big Ideas Going Sideways than Crash and Burns.

Some formerly Great Ideas may have a future, just not the one originally envisioned. (more…)

Tunstall’s challenging year: results reported

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Big-T-thumb-480×294-55535.gif” thumb_width=”150″ /]Breaking News. The topline of Tunstall Healthcare Group’s 2014 results (through 30 Sept 14) is now (partly) public thanks to the Yorkshire Post, Tunstall’s ‘hometown paper’. (We do note that it was published on 23 Dec, in the ‘dead of night’ rolling up to the Christmas holiday.) Notably, there is no report on the Tunstall website and it is too early to show on standard corporate reporting sites such as DueDil and CompanyCheck. The YP article appears to be written partly in press release-speak, which we do not fault them for on limited news available. In summary:

  • In the 2014 FY ended 30 September, revenues were £215 million. FY2013 was £221 million, a decrease of £6 million (2.7 percent).
  • A corresponding but greater EBITDA (earnings before interest taxation depreciation and amortization) drop to £43.0 million. FY 2013 was £52.7 million, a decrease of £9.7 million (18.4 percent).
  • The good news: revenues up 6.8 percent in the Nordics, Southern Europe, Central Europe, and Australasia; Spain’s Televida as a market leader also a bright spot [TTA 19 Dec].
  • No such good news in UK and the US  (more…)

Qualcomm (Second) Life: a conversation with Jim Mault

One of the surprises for this Editor, and for others attending the mHealth Summit, was to see the sizable presence of Qualcomm Life on both the exposition floor and during the sessions. From a near-nil presence at ATA 2014 and gone dark on news, the floodlights snapped on last week with new partners and a new emphasis: coordination of chronic and transitional (hospital to home) care management (CCM/TCM).

On the show floor, the spotlight was on the partner companies which mixed the established with (mostly) the early and mid-stage. Readers will recognize names such as AliveCor, Telcare, OMRON, Nonin and Airstrip; not so well known are Vaica, Orion Health, Monitored Therapeutics, IMPak Health, Vital Connect, Care Connectors, toSense (CoVa), Dexcom, InteliChart, TruClinic, ForaCare, VOXX, vitaphone (outside of Europe), Propeller Health and Noom Health (a NYeC Digital Health Accelerator 2014 graduate). The partners occupy different parts of the management continuum, integrating communications, record sharing, population health management, sensor-based monitoring, traditional and non-traditional vital signs monitoring, medication management, behavioral change methodologies and PHRs. The 2net Hub is still present for data transmission, sharing and storage, but more prominent is Qualcomm Life’s HealthyCircles platform which provides the clinical management ‘glue’: secure communications, record sharing and care team coordination. HealthyCircles was purchased in mid-2013. Founder James Mault, MD, FACS joined Qualcomm Life as VP/Chief Medical Officer.

We had some post-mHealth Summit reflection time by telephone this Wednesday while Dr Mault was in Boston. (more…)

A boffo week for telemedicine. Will 2015 be online visits’ Big Year?

(Boffo: extremely good or successful, sensational–Webster)

Adding to Monday’s news of ATA’s telemedicine accreditation program was American Well‘s near-simultaneous announcement of an $81 million Series C funding.  This brings total funding for the eight year-old Boston-based company to over $128 million, though it is not yet profitable. According to Modern Healthcare, “The capital injection will be used to serve a number of big projects the firm has underway, company co-CEO Dr. Ido Schoenberg said in an interview. Among those are campaigning to ease regulatory constraints, scaling its provider networks and customer outreach, working with insurers to secure more favorable reimbursement and working on its technology, he said.” The institutional, private equity, and corporate investors alluded to in the company release were not disclosed. Its mobile app, Amwell, claims over 1 million downloads with a year-to-year 1,000 percent increase. Major partners include payers Anthem Health, EmblemHealth, the Blue Cross Blue Shields of Massachusetts and Louisiana, Optum Health as well as corporate clients. American Well press release, BostonInno, SEC filing. (Note to American Well: you’re telemedicine, not telehealth)

If this round of funding represents a substantial bet on American Well’s future, another is the new relationship between Walgreens‘ and rival MDLIVE. (more…)

ATA in the accreditation arena for online patient visits

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/12/ata-seal-of-accreditation.png” thumb_width=”150″ /]The American Telemedicine Association (ATA) has joined the gold rush of accreditation, in this case for online ‘virtual’ visits between doctor and patient only. US providers (only) can apply to ATA’s Accreditation Program for Online Patient Consultations through a multi-step process for vetting up to three years.

  • First round application clears a company for eligibility. Through 28 Feb 2015, it is also open to ATA members only: Institutional Members, Sustaining President’s Circle and President’s Circle. On 1 March it will open to all companies in the US. Canada accreditation will start at a date to be announced in 2015.
  • Once eligible, the second round application contains ATA Administrative Rules & Terms, Standards and Guidance, Application Form, Program Overview and Fee Schedule. Fees are annual, based on the numbers of providers of online, real-time patient consults in all service lines, which presumably means areas such as primary care, behavioral, pediatric etc.
  • The company provides an application and supporting documentation. ATA then conducts a survey to review the documentation, online resources and demonstration of online services. During the process, ATA says it will notify about areas which are not compliant and organizations will have the opportunity to “provide a plan of corrective action and present corrective materials to show compliance before a final decision regarding accreditation is rendered.”
  • The accreditation is valid for three years, contingent on submitting an Annual Accreditation Report at the beginning of year 2 and 3 of its accreditation cycle.

Of interest to your Editors and readers is how this accreditation was developed.  (more…)

VA calls IBM Watson for decision making, PTSD assistance (US)

The US Department of Veterans Affairs (VA) Veterans Health Administration (VHA) area is working with IBM Watson to develop and pilot a Clinical Reasoning System to assist and accelerate decision making by primary care physicians. The $6.8 million, two-year project will concentrate on acquiring and analyzing the data generated by hundreds of thousands of VHA documents, medical records, EMRs and research papers. The second focus of the VA-Watson relationship will also include mental health–supporting veterans with PTSD who constitute 12-20 percent of US veterans from Vietnam to present. The pilot phase, interestingly, will use simulated, not real, patients.

(more…)

buddi wins £20 million in contracts, signs up with Care Innovations in US

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/12/lavender_set_34.jpg-buddi.jpg” thumb_width=”150″ /]buddi, a well-known UK personal tracker/tagger company, announced over the weekend that they have signed two contracts worth £20 million ($25.1 million). The first and most of interest is with Intel-GE Care Innovations for their new, quite attractive wrist-worn fall detector/two-way emergency alert/activity monitor. According to the Telegraph, it was designed by Sebastian Conran (left) and was ‘fully certified by the US government in recent weeks’ which may mean that it gained FDA clearance. The second was for their ‘Smart Tag’ used in criminal tracking with the New South Wales, Australia government. Care Innovations adds another consumer-facing device to the Lively activity tracker and iHealth fitness and telehealth devices. Timing for availability is not disclosed. (more…)

Breaking news out of the mHealth Summit

mHealth Summit this year had an abundance of digital health company news announcements, not only from the conference but also timed to coincide with the heightened interest around it. Your Editor looks over the most interesting of them, briefly. Thanks to Ashley Gold of Politico’s Morning eHealth (@ashleygold, daily reports archived here), Stephanie Baum of MedCityNews (@stephlbaum) and Anne Zieger of Healthcare Dive for their coverage and their company in the press room!

Partners HealthCare researches, Validic expands, AliveCor and Omron ally, Happtique sells out, Doctor on Demand is telemental, Orange goes dental, VA Innovation Rocks

  • Partners HealthCare/Center for Connected Health’s cHealth Compass will use panel and other research to help companies, device manufacturers, startups and investors determine what end users–consumer and provider–want out of personal health tech. Focus groups, interviews and usability testing will help to determine product design, evaluation, assess applications and feasibility as well as interim/final product testing. Partners is already organizing in Massachusetts a 2,000-patient database which rewards participants $50 on registration and $110 annually to be in a monthly survey panel. cHealth Compass website, BetaBoston (Boston Globe)
  • Health data connector/aggregator Validic demonstrates the attractiveness of Anything Big Data on with new clients including the Everyday Health consumer/professional website and the adidas Group’s sport and fitness apps. Recently they added WebMD, Pfizer, University of Pittsburgh Medical Center (UPMC), NexJ Health and MedHost to their client list. The company claims that their ‘ecosystem’–probably the most popular buzzword at this year’s conference–of healthcare companies and tech developers now reaches over 100 million people with devices such as Omron, Alere, Qardio, Telcare, Jawbone and Withings. Release
  • AliveCor accentuates the retail with Omron. AliveCor, which developed the first FDA-cleared ECG for smartphones and gained clearance for an atrial fibrillation algorithm in August, is collaborating with Japanese device manufacturer Omron on developing its retail presence. Omron’s devices are available in major drugstores such as Walgreens, RiteAid and Walmart so certainly AliveCor is due to benefit. AliveCor is also part of a revived QualcommLife (more on this in an upcoming article)  ReleaseMobihealthnews (Your Editor had the pleasure of meeting at last AliveCor’s CMO and founder Dr. Dave Albert.)
  • Happtique sold to SocialWellth. Last year’s floor talk was about Happtique’s first class of certified apps and a security expert’s untimely discovery of major flaws (more…)