Chubb Care System adds communities (UK)

Chubb Community Care launched the Chubb Care System at the end of last year [TTA 13 Dec 15], and following up, they have already become the approved technology adviser and provider for the Northern Housing Consortium and the Knowsley Housing Trust’s Bluebell Park Apartments. KHT provides housing for 27,000 residents in Knowsley. The Chubb Care System is a hybrid communication/monitoring system for residents in sheltered and extra care housing to communicate with staff and integrates with TECS, telehealth and fire/safety devices and systems. As Editor Charles put it, some have portrayed Chubb as the weakest of the ‘big three’ telecare providers, and it is heartening to see them move forward quickly.

 

Tunstall and Boots go High Street with retail PERS (UK)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/03/Boots-Main-Logo.jpg” thumb_width=”150″ /]Boots has entered the direct-to-consumer PERS business with Home Assist, supplied by Tunstall Healthcare. It’s a conventional (non-mobile) base unit and pendant with 24/7 response to Tunstall’s call center and a temperature sensor that will alarm at cold temperatures. The basic PERS is priced at £34.79 ($49) inclusive of VAT for the unit and a £19.99 ($28) monthly charge. Adding fall detection, the prices rise to £46.79 and £25.19. The most expensive option adds a smoke detector, reassurance calls and a bogus caller alarm for £58.79 and £31.19. Some end users may qualify for VAT-free pricing due to a qualifying disability or long-term illness, which lowers rates by £7-9. According to our former Editor and occasional contributor Mike Burton, this is a first for any High Street chemist and ups the game for all PERS and alert systems. It’s also a natural move, given that the US outpost of the Walgreens Boots Alliance has direct sold Tunstall (and earlier, AMAC) PERS units for 10 years. (Walgreens’ base monthly rate is about the same at $29.99 monthly for the same unit, but no unit cost on an annual contract.)  Home Assist website (Tunstall UK/Boots). The in-store leaflet link on the Boots website features Boots locations in London and Leeds only, along with a full application.

 

Care Innovations’ ‘record growth in 2015’; replaces CEO; GE departs partnership

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]Care Innovations‘ recent (undated) press release (discovered as a LinkedIn update), if read without a Gimlet Eye, could be read as another one of those ‘good news’ releases that build company awareness and get it picked up on websites such as TTA. Certainly there’s a nice spin of positive news for remote monitoring technologies, particularly more complex ones in vital signs monitoring and broadening out their applicability. (More on those below.) But the observant eye will pick out a couple of ‘aha!’ moments at this company that got slipped in, but not slipped by, the Eye.

The first is that GE has departed the building. Always the junior partner except for the very beginning in 2009, GE apparently exited sometime after December based on the last press release with Intel-GE identification issued 1 Dec 2015. The boilerplate company description is no longer ‘Intel-GE Care Innovations’ but now ‘Care Innovations, a wholly-owned subsidiary of Intel Corporation’. Lift your eyes to the company logo at the top left of the web page, and there it is, ‘An Intel Company’. GE is not fully cleansed, still to be found on product pages such as Health Harmony and QuietCare, as well as the copyright line at the bottom of each web page. (More work to be done)

The second is the appearance of CI’s new CEO, Randy Swanson, in the executive quote and on the ‘team’ website page. His bio notes that he’s a 17-year Intel finance/business development veteran, at one point with responsibilities in the Digital Health Group. Tea leaf readers might well surmise that Intel will now emphasize profitability at CI after the major repositioning and partner expansion during the 2.5 years of Sean Slovenski’s tenure (a non-Intel’er departed in January to Healthways, TTA 13 Jan).

The release also has a few more interesting moments. (more…)

ATA 2016 announces keynoters

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/03/ATA2016Bannerv2-1.jpg” thumb_width=”200″ /]American Telemedicine Association 2016 Conference and Trade Show
Sat 14-Tues 17 May, Minneapolis Convention Center

ATA 2016 is the world’s largest and most comprehensive meeting focused on telemedicine, digital, connected and mobile health. Over 6,000 healthcare professionals and entrepreneurs in the telemedicine, telehealth and mHealth area are expected to attend the 75+ sessions and visit the over 300 exhibitors in the main hall. Keynote speakers announced are:

  • Nicholas Negroponte, co-founder of the MIT Media Lab
  • James Peake, former US Secretary of Veterans Affairs
  • John Noseworthy, MD, President and CEO of the Mayo Clinic
  • David Shulkin, MD, Under Secretary of Health for the VA
  • Jack Resneck, Board of Trustees, American Medical Association
  • Jonathan Perlin, MD, PhD, MSHA, MACP, FACMI, President, American Hospital Association
  • Reed Tuckson, President, Board of Directors, American Telemedicine Association

Register today through 15 April to save $150. More information here on schedule, keynotes, housing and Minneapolis (which is lovely in the spring when the snow is all gone!). TTA is again a media partner of ATA’s annual meeting.

UK Telehealthcare’s London MarketPlace

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/03/UKtelehealthcare.jpg” thumb_width=”150″ /]6 April, 10am – 3pm at London Fire Brigade HQ, 169 Union Street, London SE1 0LL  

UK Telehealthcare is organizing its first MarketPlace for 2016 at the LFB to commemorate its 150 years of service to the community. About 30 exhibitors will be presenting the latest in assistive technologies for the home including telecare, sensor-based and safety/alert. Best of all, it is free to professionals in social care, healthcare and security. See PDF attached or contact Gerry Allmark.

 

Technology for Aging in Place 2016

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/03/elderly-smartphone.jpg” thumb_width=”150″ /]Laurie Orlov’s updated view of technologies that assist home caregiving/living, and her observations on trends for both boomers and those well over 65, is hot off the (virtual) presses and available here on her website. It is US-market oriented, but the trends explored here will be of interest internationally. The focus in this study is home-based systems for safety, alerts, activity/location tracking (telecare), home care/caregiving tools and what this Editor would call ‘health monitoring light’–med minders and logging apps versus medically-oriented telehealth (vital signs, save for AliveCor) and telemedicine (virtual visits/consults).

Highlights:

  • In communication, internet non-usage among 75+ has declined to 50 percent over the past 15 years.
  • The tablet form factor is losing ground as smartphones get bigger. Older adults and smartphones are beginning to ‘get along’ partly as they grow larger, but also that feature and simple phones are becoming less available.
  • Also losing ground is senior housing–residents are delaying entry to assisted living until they are mid 80s and frailer. Savings and debt in the boomer group is low and high, respectively.
  • Investors are caring more about home care, with large investments ($80 million) in three regional home care worker startups: Honor (San Francisco), Home Hero (Los Angeles), and Hometeam (New York/New Jersey), caregiving apps and chronic care management (CareSync, with an $18 million raise).
  • Dementia care support tools are (finally) developing into its own category.

Surprising conclusions: PERS alerting stays strong, but changes to be mobile-enabled and more cosmetic; a lot of convergence of categories and forms; and the term ‘health tech’ will replace ‘digital health’. Oh my!

Ileana Welte – more information

Following our note a week ago announcing the deeply distressing news about Ileana’s sudden death, we have received many tributes to her. We thought therefore that readers might also be interested in:

We are expecting a tribute shortly from Bosch to add to this, and also information on her memorial service, so please check back regularly.

In the meantime, in the words of Sylvia Christie of BWW, please do share if you feel able to – tributes to Ileana are proving a great comfort to her family.

The big show begins: HIMSS 2016

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/02/HIMSS-2016.png” thumb_width=”150″ /]Now that Mobile World Congress, which increasingly features mobile healthcare tech like International CES, is wrapping, probably the world’s largest healthcare oriented conference, HIMSS, will be kicking off on Monday the 29th in Fabulous Las Vegas. ‘Connected health’ and security is a part of it, along with its traditional emphasis on HIT and traditional devices. If you are going, you’ve likely made your arrangements months ago. There’s a lot of guides out there on making the most of the conference, but this Editor recommends Roberta Mullins’ quick guide to HIMSS highlights in HIE Answers. For the fun parts of HIMSS and a link to the HIMSS16 mobile app, here’s Roberta again, plus HealthcareITNews’ roundup (though the chapter events are sold out).

We’ll be noting the news from our New York perch. If you have news, insights or comments you’d like to see here (objective and not promotional), please email this Editor. (These will be used at editorial discretion.) TTA has been for years a media partner of HIMSS Connected Health Conference/mHealth Summit (which, rumor has it, will happily be returning to December this year). 

Upcoming will be the other US ‘big show’ in telehealth and telemedicine, ATA 2016, 14-17 May in Minneapolis, where we again are media partners. More on ATA in coming weeks!

 

Bioidentical, dissolvable brain implants for monitoring injury

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/02/1499.jpg” thumb_width=”150″ /]A pressure and temperature sensor which sits on the surface of the brain to monitor intracranial pressure and temperature changes has been developed by an international team from South Korea and the US. Currently, implantable sensors are used for monitoring victims of severe traumatic brain injury (TBI), but these sensors carry risk of inflammation and infection. In initial testing, this new sensor has been found to be fully biocompatible (no inflammation or scarring) and dissolves in a few weeks. It can also be modified in other ways to monitor other brain functions, such as acidity and the motion of fluids, or deliver drugs. Published in Nature. Summary in the Guardian.

 

 

Telehealth in Brazil: a special JISfTeH issue

The Journal of the International Society for Telemedicine and eHealth (JISfTeH) turns to Latin America in its latest issue with a focus on the versatile ways that telehealth has been used in Brazil. Nine papers range from distance healthcare education to store-and-forward imaging to building rural telehealth networks. Brazil’s government has supported remote care initiatives with the development and implementation of projects at the national, state and municipal levels. The telehealth model primarily has been connecting universities to primary care in remote cities (of which there are many!) with an emphasis on education and assistance. Topics include the nine-year-old telehealth project in Minas Gerais between Rio de Janiero and Brasilia, and its declining use; distance learning in dentistry; usage in the Amazon region and legislation. Registration required, but the journal is open access. Hat tip to its lead editor, Prof. Maurice Mars of the University of KwaZulu-Natal, South Africa.

 

 

TSA appoints Paul Burstow as Senior Adviser (UK)

The former Minister of State for Care Services, Chief Whip of the Liberal Democrats and MP for Sutton and Cheam, Rt Hon Paul Burstow, has been appointed as Senior Advisor for the TSA to help drive forward strategy across the technology enabled care industry and shape the organisation’s future work programmes.

He said: “My role with the TSA is to bring my knowledge of the wider health and social care sector, the key players in the National Health Service and use that information to help connect the Association into conversations.

“TSA don’t operate in a vacuum, they have to be put into a context of people’s everyday lives, and also in the context of what other commissioners and service providers in the NHS and in social care and in housing need. What I bring is expertise and knowledge of that landscape and I can help TSA navigate it.”

There’s more here.

The Accelerated Access Review – a personal journey

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2016/02/AAR-logo.jpg” thumb_width=”200″ /]The Accelerated Access Review (AAR) aims to speed up access by NHS patients to innovative medicines, medtech and diagnostics, and digital health. Of these, digital health is the newest, and because it enables care to be delivered in a far more efficient and patient-centric way, offers great hope for the future of improved patient outcomes and controlled costs.

As someone outside government who was drawn into the digital health stream of the AAR, this blog aims to capture key learnings from the experience.

Challenges

The initial list of obstacles to innovation in the NHS was depressingly long, until carefully differentiated. Top of the pile were items like the NHS’s asymmetric attitude to risk – successful innovations are forgotten, unsuccessful innovations are a life sentence for those involved – which are soluble only by those at the very top.

Then there were the surmountable challenges – for example the fear, uncertainty and doubt over digital health regulation was overcome by (more…)

Ileana Welte

– Many readers will be deeply saddened to know that Ileana Welte died of a heart attack last Wednesday whilst travelling on the Tube in London.

Many will know her from her long time working in Bosch in the UK, where she was particularly associated with the NHS Direct telehealth service, and more recently her management of the UK side of Big White Wall where she was doing a brilliant job driving the uptake of digital health in the NHS to help treat people with mental health problems.

She will be very sorely missed; her untimely death has come as a huge shock to many.

We will shortly be publishing a larger article with contributions from Bosch, Big White Wall and from ex NHS Direct colleagues – other contributions will be gratefully received. We will also publish news of her funeral/memorial services when received.

 

If Silicon Valley were a rose, it would be wilting

Does this signal a new ‘trough of disillusionment’? The lead in this story is one of the major practice EHRs in the US–Practice Fusion. From a high valuation in 2013 of $635 million as a healthcare darling (free to doctors, ad supported), it burned through $4 million cash per month while revenue missed targets by 10 percent, chased after rainbows such as telemedicine, overhired, overperked and overpartied in the office. Now with a quarter of their staff pink-slipped, a new CEO is trying to bail them out. Most of the other examples aren’t healthcare, but huge deals by VCs are slowing, companies are discounting the price of their shares, taking on debt to not dilute shares, laying off employees and subletting their space. Adding to this is the glut in wearables and a slowdown in demand for single-purpose devices, leading to a 20 percent loss today in value in shares of Fitbit (MarketWatch). Like the ‘oil patch’ in the upper Midwest, the San Francisco area is feeling the chill that never really left the rest of the country. And ‘unicorns’ may become an endangered species. Wall Street Journal

The widening gyre of insurers covering telehealth (telemedicine?) (US)

Is a tipping point nearing? Soon? An article in Modern Healthcare that contains a heavy dollop of promotion headlines ‘telehealth’s’ adoption by insurers such as Blue Cross Blue Shield of Alabama, Anthem and Highmark. When read through, it’s mainly about telemedicine (video consults) but does touch on the vital signs monitoring that’s the basis of telehealth. Video consults through Teladoc and other services such as Doctor on Demand and American Well are gradually being reimbursed by private insurers, despite the concern that it would actually drive up cost by being an ‘add-on’ to an in-person visits. Medicaid increasingly covers it, and states are enacting ‘parity’ regulations equalizing in-office and virtual visits including, in many cases, telehealth. Yet the move for coverage is hampered by lack of reimbursement to doctors, or the perception of limited or no payment. Even Medicare, a big advocate for alternative models of care, currently pays little out for telehealth–$17.6 million on a $630 million+ program. The Congressional Budget Office is skeptical, despite the savings claimed by CONNECT for Health Act in both the Senate and House [TTA 12 Feb]. Virtual reality: More insurers are embracing telehealth

A deserved goring of whiz-bang unicorns Theranos and Zenefits (updated)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/08/1107_unicorn_head_mask_inuse.jpg” thumb_width=”150″ /]A blog posting this Editor wish she had written. Fred Goldstein, who is a consultant to healthcare systems focused on building accountability and improving population health, has pressed a sharp point to the sparkly bubbles surrounding two Silicon Valley billion-dollar valuation darlings, Theranos and Zenefits, on their playing fast and loose with basic regulations.

Some background for our readers. It’s a pile-on with Theranos, which has been stepped on by FDA for their nanotainers [TTA 20 Nov 15], then whacked by the Centers for Medicare and Medicaid Services (CMS) last month for ‘deficient practices’ at their California testing lab (a remedial plan has been filed this week) and likely losing its lucrative Walgreens Boots deal if problems aren’t fixed in 30 days (having already lost its program with Capital Blue Cross in the Harrisburg area of Pennsylvania). According to Bloomberg, its proprietary testing is now used in only 1 of every 200 tests. Zenefits claims to be the ‘first modern benefits broker’ with cloud-based software designed to simplify and automate such HR tasks as health insurance signups for small businesses, but its software that facilitated skating around required licensure requirements by its staff got its CEO forced out by a key investor, Andreessen Horowitz. (And it gets worse…read on….)

It’s so…whiz-bang! (Updated) Your Editors, past and present, have made hash (corned beef and otherwise) of companies promising revolutions in healthcare since our inception. ‘Whiz bang’ (more…)