Telehealth in China: the largest market of them all?

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/10/HC_Bulletin_F14_bigdata_china_feature.jpg” thumb_width=”250″ /]Is China ready for telehealth, and the needed investment? It turns out that according to this article, the market does strongly resemble Western, Latin America and APAC countries in its needs and aging, dispersed population. The numbers (left) say yes. The market divides into three for the writer:

  1. A supplement to the public community care system, which has motivated most of the interest the Chinese government has in telehealth to care for millions (defined in the article as patient-doctor video consults, but doesn’t appear to exclude remote patient vital signs monitoring) as well as EHRs, scheduling, online access to diagnostic test results, and e-prescribing.
  2. Rural health care, not as unique as the writer seems to believe. Virtual consults and telehealth are used, and paid for, by CMS in US rural areas and on Native American reservations by the Indian Health Service. We also wrote about it in Brazil [TTA 27 Feb].
  3. Second opinions by Western physicians desired by high net worth individuals and upper middle class families. Again, not that unusual as this resembles the health tourism practiced by the affluent in Latin America and the adoption of video consults. This is denoted as the narrowest and chanciest of the three markets.

Chinese patients in (1) and (2), for the most part, would see any of these as an improvement. Their experience is that they get little time with a physician, don’t have a personal relationship with one or more doctors, and don’t expect much of a personal relationship with their doctor. So telehealth and RPM would be huge upgrades for China.  From Healthintelasia. Illustration from Analysis Group

Tunstall Americas adopts belle

We haven’t heard much from Tunstall Healthcare in the past two months, but Tunstall Americas has announced that the belle PERS unit has been added to the US line of products which now . The belle is on the AT&T GSM cellular network for two-way voice communication with their 24/7 call center and GPS location technology. The pendant has a rechargeable battery that can last up to 30 days on a single charge, and can be either worn or carried in pocket or purse. Also new in the line is the Tunstall flood detector which signals the call center through the Vi+ and CEL.  Release, Tunstall Americas website.

Who’s hiring? 3rings (UK)

Steve Purdham, who is the Chairman of 3rings, is advising our readers of two new Business Development Manager opportunities with his company.

The ‘Internet of Things’ is going to change the future of care and 3rings is at the centre of this fantastic opportunity. Due to expansion in its operation, 3rings, is looking for two ambitious BDM’s to join our digital team. If you have passion to change things then contact Steve on steve@3rings.co.uk

Full details @ https://news.3rings.co.uk/?p=237

3rings has developed and markets an electrical plug that, when the appliances are used, tracks a person’s activities of daily living. The information is delivered to the 3rings app so that family, friends and neighbors not only know of normal behavior but also when something is ‘off’. (Our past two years of coverage is here.)

Call for project presentations for the King’s Fund Digital Health & Care Congress 2017

The King’s Fund is looking for projects to be presented at the Digital Health and Care Congress 2017.

To be accepted, projects must show progress and improvements in at least one of these areas:

  • enabling patients to take an active role in their health and care;
  • improving data sharing and interoperability across the health and care economy;
  • demonstrating the benefits and improving productivity;
  • using technology and data to improve experience and quality of care.

Acceptance is via submission of an abstract, which should not be a sales pitch. Presentations should focus on digital health and care in practice. If you’re a commercial organisation working in partnership with an NHS organisation, you should ensure your NHS partner is available to present.

Note that in a change from previous years, single speakers will not be required to pay congress fees; for projects accepted for presentation, there will be one free speaker place allocated.

More details here.

The Congress will be on 4th & 5th July 2017.

The deadline for abstract submissions is Friday 9 December 2016.

Disclosure: this editor is on the organising committee of the Congress.

GE Healthcare gets into accelerator biz with five.eight

Having tip-toed around the accelerator action with StartUp Health Academy (GE Ventures), GE Healthcare (GEHC) is taking the full dive in with five.eight, named after the 5.8 billion people worldwide (citation not provided) who lack access to quality, affordable healthcare and need tailored approaches. Up to 10 startups in the initial program will be sourced from four social impact investors – Acumen, Aavishkaar-Intellecap Group, Unitus Seed Fund and Villgro. The five.eight funding will be up to $50 million, with each startup funded up to $5 million. The first startup in the program is Tricog, a Bangalore-based startup focused on improving survival rates in India by decreasing the average time between symptoms and treatment of heart attacks. Of course this ties into GEHC’s business in emerging markets, which is their Sustainable Healthcare Solutions, their “affordable care portfolio of high-value, low-cost technologies and healthcare delivery solutions for emerging markets.” HIT Consultant, HealthcareITNews

Ireland telecare monitoring a relative price bargain

Our former Ireland editor Toni Bunting, in her business development capacity with TASK Community Care in County Meath and Belfast, notes that Irish pendant alarm (PERS) monitoring charges are on average considerably lower than charges in the UK and in Europe. At current advertised rates of approximately €65 – €80 annually, the rates are lower than the 2010 study of UK rates of £170-200 and £200 – £300 in Europe. (Of course with fluctuations in the pound, that may change!) Toni is asking if there are rates in Ireland which fall substantially outside this range, so please be in touch here or on Telecare.ie-Ireland’s Telecare Magazine, which provides information on emergency pendant alarms, telecare and 24/7 monitoring for Irish individuals, community workers and health professionals.

IBM Watson Health computes into diabetes management, UK care budgeting (US/UK)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/10/SugarIQ2-712.jpg” thumb_width=”250″ /]IBM Watson Health, the advanced cognitive computing division of IBM, with Medtronic has developed an app that may, when marketed after FDA approval, help to ease for diabetes patients their daily ‘Battle of Stalingrad’. Sugar.IQ is an app that finds patterns in diabetes data through combining Watson’s cognitive computing capabilities with diabetes data from Medtronic and other sources. The app then uses continuous glucose monitoring data from Medtronic insulin pumps and glucose sensors to give specific, personalized information to the patient on their health trends and how to better manage their diabetes. The analytic features are impressive. Glycemic Assist lets the patient ask the app to follow specific food or therapy-related actions and events to see their exact impact. The Food Logging feature can track specific foods in a diary to determine the effects of specific foods. It is being tested presently on 100 MiniMed Connect users. Previewed at last week’s Health 2.0 conference. HealthcareITNews (photo), Medtronic blog post, Medtronic release (PDF) (This MiniMed Connect is not to be confused with the Medtronic MiniMed 670G artificial pancreas–hybrid closed-loop insulin delivery system for type 1 diabetes patients–just approved by FDA. MedCityNews)

In the UK, Harrow Council in northwest London is using IBM Watson Health’s Care Manager for social care service matching and budgeting. Using “cognitive technologies that provide personalised insight and evidence based guidelines”, Watson will match individuals’ needs and budgets to providers, and will be further able to manage costs over the ten-year agreement by “control(ling) the contract and payments between the individual commissioning for support, and social care providers competing to supply the service.” It’s not entirely clear to this Editor how the individual flexibility of care and services works with the recipient, however. The IBM Watson Health announcement follows on last May’s announcement with Alder Hey Children’s NHS Foundation Trust and the Hartee Centre to transform Alder Hey into the UK’s first “cognitive hospital”. DigitalHealth.net  Hat tip to reader Paul Costello of Viterion Digital Health

A couple more grant opportunities for SMEs

This editor was recently rendered temporarily speechless by an entrepreneur who complained that there was no money available any more to help him start his business. Upon recovering my power of speech I suggested he read Telehealth & Telecare Aware more avidly as we publicise many grants, awards, accelerators and other types of assistance. Here are two more:

mHabitat

mHabitat are launching a Digital Development Lab to accelerate the adoption of digital technologies in mental health.

They anticipate working with around six to eight Digital Development Lab participants over approximately seven months who will have access to a share of a £400k grant to accelerate their technology towards endorsement and adoption by NHS services and service users.

The Lab is open to applications from innovators (more…)

TSA’s 2016 International Technology Enabled Care Conference (UK)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/09/TSA-logo-400×400.jpg” thumb_width=”100″ /]18-19 October, the ICC Birmingham

A reminder than in a few short weeks the annual International Technology Enabled Care Conference will take place at the International Convention Centre in Birmingham, hosting UK organizations across health, housing, home care, social care, industry and more.

The event will focus on TEC with the theme ‘Connected Care, Connected Homes and Connected Communities’, and feature a packed programme with, as they put it, “challenging debates, thought-provoking presentations, interactive workshops and brand new interactive zones to inspire, inform and drive forward sector collaboration.” The draft programme is here. Find out more at the conference’s home page and register at the full website here.  There are also a few exhibition booth stands and sponsorships left, looking at the interactive floor map, so your company may want to check here as well.

If you are a Reader and attending, please feel free to send Editor Donna your thoughts for publication on where the industry is going and what is it doing. (Please indicate if it is for attribution under your name or a nom de plume)

A clutch of interesting digital health events

DHACA is holding its tenth DHACA Day on October 6th, three minutes’ walk from Leeds station. We have a wide array of fascinating speakers, with a keynote by Bethany Gildersleve, Head of Operations at NHS Digital. Membership of DHACA is free, though we have to make a small charge for lunch. For more details, and to book, go here.

The Royal Society of Medicine (RSM) is holding an event on Point-of-Care-Testing, a technology that enables radical improvement to care pathways that improve patient outcomes and can dramatically reduce costs. Keynote will be Prof Chris Price, Visiting Professor in Clinical Biochemistry, University of Oxford, widely recognised as the leading authority in the world on the topic. For more details, and to book, go here.

The RSM has an earlybird (ie even lower cost) offering for our mHealth app conference on April 4th 2017 – these rates will last until 29th November. For more details, and to book for this event, now in its fifth year & which has serially sold out, go here.

The RSM is also has another long-running and regularly very well-attended event on 28th February entitled Recent Developments in Digital Health. Last February’s presentation by Mustafa Suleyman, co-founder of Google DeepMind, is still being talked about. Details and booking here.

Finally the London Health Technology Forum has its first Autumn meeting on 20th October, covering the true story of how a start-up made its first sale to the NHS from both the point of view of the seller and from that of the NHS buyer. Attendance is completely free – book here. (While you’re at it, you may want to book for the Christmas Pitch too, as it’s certain to be fully booked before it takes place on 24th November.)

Disclosure: all the above have had some involvement, to a greater or lesser extent, from this editor.

Mobile brain monitoring developments and impact (Israel)

Accelerator/healthcare innovator StartupHealth’s ongoing series Startup Health Now! (#94) interviews Israeli entrepreneur Nathan Intrator, founder of Neurosteer, on developing new applications for brain monitoring in TBI cases, the impact home monitoring will have on patients and Israel’s burgeoning digital health scene. Highlights from the 18 minute video from this past June at Wearable Tech + Digital Health Conference, New York, NY include applications to monitor those who are minimally conscious to assist doctors in treatment; how data from remote patient home monitoring can detect early stage problems so that doctors can take proactive care, reducing cost and disruption; and Israel’s digital health ‘corridors’. Video

Wearables ‘shocker’: Website beats fitness tracker in weight loss program

The shock waves are reverberating through the wearables industry, but it is likely less than it seems. The JAMA study being cited was testing the hypothesis that technology could assist a weight loss program, and also what type of technology did best. The subject group of 471 at the University of Pittsburgh was young–18-35, prime for a wearable–overweight to moderately obese, and tracked for 24 months between 2010 and 2012 (!) The participants were started on a group weight loss program supported with calls and texts for the first six months, then randomized into two groups that monitored their diet and fitness either through a fitness tracker plus website (enhanced intervention group), or those using a website only (standard intervention). Both groups lost weight but the enhanced/fitness tracker group lost 5.29 pounds less than the website-only group.

The caveats: According to Mobihealthnews, the fitness band used was BodyMedia SenseWear, which was acquired by Jawbone and as they noted, put out of business. Fitness bands now also look and feel different than this early generation. Mobile tracking apps are now the standard versus going online which was necessary four years ago–a huge jump in convenience. But tracking itself may change behavior. The authors speculate that tracking data might actually demotivate people, or that activity ‘congratulations’ may lead to a bit of cheating. But they should try it with up to date trackers. Also Healthcare Dive and Reuters

Work for a UK LA? Apply for housing & technology improvements for people with learning disabilities

The Department of Health (DH) has announced an investment of £25m over the next two financial years (£10m in 2016/17 and £15m in 2017/18) in technology and housing for people with learning disabilities.

Half of the population of adults with learning disabilities in England live with their families; most of the remainder (33%) live in residential care. Only 15% of adults with learning disabilities have a secure long-term tenancy or their own home.

Having a home guarantees a place in the community, and is part of how people are accepted as equal citizens. People with learning disabilities are one of the most socially excluded groups in our society with limited life chances.   Investment in technology and housing to support independent living will provide the opportunity to make of reality of extending rights for people with learning disabilities.

The availability of appropriate housing is integral to the Transforming Care programme which aims to move people out of inpatient care into the community.  The additional DH funding announced is intended to have a broader focus aimed at those receiving support for their learning disability and is not restricted to those who are currently inpatients.

The DH is not looking to identify a single ‘winning’ approach.  DH expects innovation and impetus to come from local authorities, working closely with people with learning disabilities and family carers. Those areas interested in expanding their supported housing stock should note today’s announcement that it will remain exempt from the Local Housing Allowance cap until April 2019, from which point a new ‘local top-up’ model will be introduced. For more information on this specific point, click here.

The DH will apparently be looking for proposals that increase the capacity to deliver assistive technology and housing arrangements that provide innovative, person centred and flexible approaches to supporting independent living and maximising individual rights.

This capital funding will be deployed to enable local authorities to lead the way in bringing about a real change in how assistive technology and housing for people with learning disabilities can improve quality of life and outcomes for individuals and their families.

We would like information about the availability of the fund to be disseminated as widely as possible.  We would be grateful if you could circulate this information to your networks and contacts.

For further information and the application form please go here.

The closing date for applications is 28 October 2016. Any queries should be sent to: H&TC-Fund@dh.gsi.gov.uk.

More tattletale data gathering: EEGs and sub-cutaneous RFID chips

There’s a new biometric marker in town being used for authentication: the EEG (electroencephalograph). Brain waves have a cacaphony of information about emotional state, learning ability and personality traits, now being collected in relaxation or gaming apps through inexpensive headsets as simple as earbuds. So instead of iris scans and fingerprints, now it’s EEGs. However, it’s yet another privacy invading and eminently hackable source of data. Privacy: the collectors of information off that app may be matching your brain wave pattern to those on a data base–say, alcoholics. “In a blind trial, a machine learning classifier, trained to recognize brain patterns associated with alcoholism, used the brain wave data from the authentication systems to accurately identify 25 percent of the alcoholics in the sample.” You may not be a drinker, and the reading may be utterly ‘off’, but now it’s in the open, you have no idea of how it will be used. Similar patterns can be used to match from databases to identify learning disabilities, mental illnesses and more, which could make you tough to insure, for instance. IEEE Spectrum  Hat tip to former editor Toni Bunting.

The next generation of peripherals may not be external at all. Already around 50,000 early adopters or bodyhackers are implanting glass RFID chips in their hands or other parts of their bodies to let themselves into their homes and offices or to store emergency information. The head of a digital unit of Capgemini stored his Scandinavian Airlines boarding pass and travel information in a December test. This type of chip, about the size of a rice grain, uses no electricity but will activate when scanned by a reader. It’s easy to forecast medical uses such as records before surgery (operate on the right foot, not the left), an ID and information for someone post-stroke or with dementia, or as smart card loaded with funds. But this Editor can see it coupled with a nanosized battery as being tested now in external sensor patches or biostickers as John Rogers at University of Illinois, MC10 and others have been designing for several years–and the potential geometrically increases to send out other data such as vital signs. Perhaps EEGs one day? Wall Street Journal — plus a collection of our coverage of sensor patches

Fall/winter US events–Extra #1: TEDxNJIT, PCHA CHC and CHS

“Shuttle Corridor” Conferences this fall! Coming up fast: New Jersey Institute of Technology is hosting a TEDxNJIT event on Innovation and Collaboration next Wednesday 28 Sept at the Jim Wise Theatre on their Newark campus. It’s not strictly healthcare–it includes everything from nanotech to the arts, students, entrepreneurs and local government. TEDx is the local, self-organized version of TED talks and “Ideas Worth Spreading”. See their flyer and website. Hat tip to Michael Ehrlich of NJIT’s Martin Tuchman School of Management. 

Partners HealthCare is hosting its 13th Annual Connected Health Symposium (CHS) 20-21 October, with an opening networking event on the 19th October evening, all at the Boston Seaport World Trade Center. The theme this year is “Digital Technology That Cares: Bringing the Human Element to Life”. Speakers are listed here. The CHS has traditionally been focused on care delivery and how it impacts the daily lives of patients, with a significant academic bent. More information, registration.

And put a few days aside before Christmas for the PCHA Connected Health Conference at the Gaylord National Harbor Resort near Washington DC, now back in December (11-14) when it belongs. It also includes the Global Digital Health Forum on the last two days, a separate conference co-presented by PCHA and the Global Digital Health Network, with the Canada-US Connected Health Workshop on the 14th and three pre-conference events on Sunday the 11th. More to come. TTA is a media partner of the PCHA CHC for the 8th year, starting in 2009 when it was the brand new mHealth Summit.

 

Asthma UK recruiting for a new digital health role – interested?

Asthma UK has decided on a most exciting initiative to educate the tech industry on how they can best support the condition with new technology. Spearheading this activity will be this new role which is also expected to bring expertise to developing those digital health solutions: part stakeholder management, part UX designer.

If you want to know more, Joe Clift, Senior Policy Officer at Asthma UK, who is working alongside this new role, will be talking at the next DHACA Day in Leeds on October 6th (book here).

Details of the application are here. Applications close on 9th October.