The NHS, tech, and the next 10 years – soapbox, event & call for posters

February 22, 2015 | by

As a distraction from the things that, before the advent of handheld technology, little boys used to do in the school playground when this editor was young, once in a while we would engage in the pointless debate of what would happen if an irresistible force met an immovable object.

Those debates came to mind when Graham De’Ath kindly drew this editor’s attention to the recently published Labour Ten Year Plan for Health & Care. Now Telehealth & TelecareAware knows better than to indulge in politics, however the document was notable in that it did not make any significant reference either to the demographic reality of the next ten years, or the likely role of ‘technology’ in assisting with the resultant increase in care required (the word is mentioned just once, in the commitment to: “Set up a wide–ranging review of NICE which will look at reforming the  NICE technology  appraisal process…” [actually already underway by the NIB]).  The Labour Party is far from being alone in this – readers with long memories will recall our amusement as the RCGP’s ten year forecast of the changes in GP practice where the biggest role technology was expected to play in 2022 was in remote delivery of test results.

The reality, TTA believes, will be very different: (more…)

23andMe finally gets a nod from FDA

February 20, 2015 | by

Breaking news: Foot in door? Crack in the wall? This week’s Big News among the genomics enthusiasts among the healthdigerati is that 23andMe finally got one test through FDA, for Bloom Syndrome where the gene is carried by both parents, and now can freely sell the kits. Much is being made of wording in the press release from a major FDA executive as opening the door:

“The FDA believes that in many circumstances it is not necessary for consumers to go through a licensed practitioner to have direct access to their personal genetic information. Today’s authorization and accompanying classification, along with FDA’s intent to exempt these devices from FDA premarket review, supports innovation and will ultimately benefit consumers,” said Alberto Gutierrez, Ph.D., director of the Office of In Vitro Diagnostics and Radiological Health in the FDA’s Center for Devices and Radiological Health. “These tests have the potential to provide people with information about possible mutations in their genes that could be passed on to their children.”

But far more of a startling admission by FDA is that 1) these genetic screening kits are now classified as Class II and 2) they intend to exempt them from the arduous pre-market review that is in Class III:

Along with this authorization, the FDA is also classifying carrier screening tests as class II. In addition, the FDA intends to exempt these devices from FDA premarket review. The agency plans to issue a notice that announces the intent to exempt these tests and that provides a 30-day period for public comment. This action creates the least burdensome regulatory path for autosomal recessive carrier screening tests with similar uses to enter the market.

There will be much more; this article by Chris Seper in MedCityNews is an excellent recap. Our articles previously in TTA.

Would one of our UK readers expand our knowledge on these kits’ regulatory status in the UK and EU? According to the MedCityNews article, the UK permits 23andMe’s genetic testing, but is vague on the details (CE approval?)

American Geriatrics Society: call for technology startups

February 20, 2015 | by

The American Geriatrics Society (AGS), the US association of physicians and other healthcare professionals who care for older adults, is inviting startup technology companies to a special exhibition area during their annual meeting 15-17 May in Washington DC (National Harbor). Along with a modestly priced display in the Technology Innovations Pavilion, 12 companies will also receive feedback and coaching sessions with geriatrics clinicians plus full conference access for two. Companies are selected on the basis of their application and the value of their technology to geriatric patients and caregivers. Applications are open until 15 March and apparently are not restricted to US companies. AGS page, application  Hat tip to Wen Dombrowski, MD, of Resonate Health.

AstraZeneca awards over $200k for heart failure telehealth

February 19, 2015 | by

AstraZeneca Healthcare Foundation, the charitable arm of the UK based pharmaceutical company AstraZeneca, has awarded $205,564 to HSHS St. John’s Hospital in Illinois to support their Tele-Heart Pathway programme. [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/02/HSHS.jpg” thumb_width=”150″ /]The programme provides interventions to heart failure patients in their homes to support health management. With telemedicine and telehealth technology doctors monitor symptoms and help avoid complications at home after surgery, according to the hospital.

 “We have seen a rapid evolution in the last few years of new devices and new ways of communicating with our patients,” said Mark Stampehl, MD and Medical Director of the heart failure programme at Prairie Heart Institute (PHI) at St. John’s Hospital, in an article entitled Telemedicine elevates care for heart patients published in the fall 2014 issue of the hospital’s quarterly magazine Healthy You. “Today, we are using tools to remotely monitor a patient’s condition and increase communication with other physicians to give patients access to specialty care from home.” (more…)

Integrating technology into med school education (US)

February 18, 2015 | by

Medical students today enter their training oriented to technology, tablets in hand, but medical education usually does not integrate technology into practical use, particularly in the science-intensive first two years. Here are three med schools which are making an effort to do so:

  • Hofstra-North Shore LIJ in Long Island, New York has new students spend their first eight weeks not in lecture classes but becoming certified emergency medical technicians (EMTs). This Editor guarantees they will have a greater appreciation for emergency medicine and patients needs after this.
  • Penn State-Hershey, a major medical system in eastern central Pennsylvania, has their first-year students work as “patient navigators,” helping them and their families get through the medical system and learning about it, from the patient perspective, first-hand. The article doesn’t specify, but presumably they will learn something about how EHRs work (or not), PHRs and the pre/post-discharge process.
  • NYU School of Medicine has a course using a database that tracks NY admission and charges. Students then analyze service and cost disparities. (Nice, but seems like a distraction to the basic crunch work.)
  • Mayo Clinic is converting much of the traditional lecture material to electronic formats for its two medical schools for greater accessibility.

However, under the tent flap of improvements also comes sheer, screaming puzzlements (more…)

An alert watch for older adults that responds to voice commands

February 18, 2015 | by | 3 Comments
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/02/UnaliWear_Images_r6_c4.jpg” thumb_width=”150″ /]This Editor has been in Watch Overload (see Apple Watch) for months, but this may be an exception. The UnaliWear Kanega watch (in development) is for the sizable market of older adults who would wear a well-designed watch or band for safety assistance, but not one that screams Old Person With Plastic PERS, an objective shared with the latest edition of buddi [TTA 16 Dec 14]. Their prototype looks like a fairly techno steel watch, a little on the chunky side, but it packs in a lot: a 9-axis accelerometer for fall detection, a GPS locator, Bluetooth LE, cellular/Wi-Fi connectivity and a digital analog display with time and date. What’s unique: no buttons, smartphone or other tether. It works via speech recognition and ‘talks with’ the wearer (via mechanical voice, messaging on the display and a feed to a BLE hearing aid if worn.) (more…)

Apple Watch may not be as ‘healthy’ as touted

February 18, 2015 | by | 2 Comments
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/09/apple-watch-beauty-shot.png” thumb_width=”150″ /]According to multiple press sources in the past 24 hours, the anxiously-awaited Apple Watch is rumored to be having big trouble with its more advanced healthcare measuring features. We noted at the time “Haptic engine and heart rate monitor; 4 lenses. infrared, LED, photo sensors detect pulse.” plus daily activity [TTA 9 Sep, 11 Sep 14]. Well, not quite. The Wall Street Journal broke the news that it will not debut in April including monitoring of “blood pressure, heart activity and stress levels” as originally planned because, simply, the watch did not measure them reliably and accurately (hairy, sweaty arms!), they were too complex or required regulatory approval (not so–see FDA and MDDS).

Apple has relied on the Watch to defend its Still Most Innovative Company Post-Jobs turf, (more…)

Healthcare Innovation Breakfast Series (Dallas, Texas)

February 18, 2015 | by

Having met and been impressed at mHealth Summit by Health Wildcatters [TTA 26 Apr 13], a Dallas Texas-based healthcare accelerator, they are doing some smart marketing in sponsoring a series of local networking breakfasts called The Pulse to connect entrepreneurs, medical professionals, and other innovators from the thriving Dallas healthcare and business communities with healthcare startups. Their launch is Thursday 26 February from 7:30-9am. Coffee and continental breakfast is provided and the cost is an affordable $15. Reserve here. Hat tip to Hubert Zajicek of Health Wildcatters via Twitter

Tech, approaches for caregiving at a distance falling behind

February 17, 2015 | by | 1 Comment
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/02/8001846820_6d2df50ffa_z.jpg” thumb_width=”175″ /]There’s plenty of telehealth systems and apps that remind older adults of their meds, appointments and take their vital signs–but where are the ones that take care of the reality of ‘aging in place’: the loneliness of the man or woman who lives alone, how that person can communicate with family with their own lives 50 or 2,000 miles away, how family members can better oversee or coordinate her care? The problem hasn’t changed when first addressed over a decade ago by the earliest telecare systems. The technology, while more abundant, is largely uncoordinated, putting the burden on the caregiver. Laurie Orlov points out that ‘finding care is not the problem’ but that the care is at extremes: either too light (daily non-medical assistance) or a move to assisted living housing (average move-in now 80+). No company has truly organized a larger solution (more…)

Your robot update for Tuesday

February 17, 2015 | by

Catching up on our robot friends (?), we have a potpourri of developments which concentrate on either improving health or advancing robotic capabilities:

The ASSAM (Assistants for Safe Mobility) project is not about tea, but assisting older adults with everyday mobility and facilitating autonomy centering on physical mobility assistance for declining walking capabilities, but encouraging physical exercise; cognitive assistance for declining visual and mental capabilities by obstacle recognition and avoidance, and orientation and navigational aid. ASSAM upgrades existing DME (durable medical equipment) via sensor and computing hardware/software packages. It is coordinated by the German Research Center for Artificial Intelligence (DFKI), and receives funding from the EU’s Ambient Assisted Living Joint Programme and the national ministries of Germany, Spain, and the Netherlands. ASSAM website, YouTube video  Hat tip to the German Center for Research and Innovation

A robot scientist may make ‘orphan drugs’ an obsolete term. Eve, a robot scientist (more…)

Will there be more remote consultation pilots than BA has, as well?

February 15, 2015 | by

News comes via Prof Mike Short of another remote consultation pilot planned – this time the ELECTOR project involving Denmark, UK and the Czech Republic. As it seems to have no website yet, we can only offer a Twitter handle. There’s also info on the Brit in the video on the above link, Dr Anthony Leeds, on the University of Surrey website, (explaining that he has recently been appointed a Visiting Professor at the University of Copenhagen).

This information comes a few days after the previous remote consultation pilot we covered that was featured in Pulse. Is this reviewer being unduly pessimistic in wondering whether we are about to suffer the same pilotitis that afflicted telehealth that led to the original “more pilots than BA” jibe? If so, what can be done?

Well one obvious cause of the problem is (more…)

A primer on why startups fail

February 13, 2015 | by

What makes for a successful startup? Or the converse–what are the Elements of Doom for all those Better Mousetraps? Since many of our Readers have Been There, Done That or Considering That, this blog posting by David Skok of VC Matrix Partners (with only minor holdings in healthcare) could be illuminating. Five factors are detailed succinctly and in plain English: market problems (timing, value proposition), business model failure, poor management, running out of cash and product problems. The calculation of CAC (Cost of Acquiring Customer)/ LTV  (Lifetime Value of Customer) with a multiple of CAC:LTV at 1:3-5+ essential. To this Editor, these Elements also apply to later stages. For Entrepreneurs, “Why Startups Fail.” Hat tip to MedCityNews via Twitter.

TripleTree iAwards: applications open

February 13, 2015 | by

Applications are now open through 13 March for the seventh annual TripleTree iAwards, which recognize the most innovative companies in connected health. Finalist CEOs present at the 10th annual Wireless-Life Sciences Alliance (WLSA) Convergence Summit 26-28 May in beautiful (and warm) San Diego. Previous finalists are a chronicle of the changing connected health scene: marquee names still with us (Qualcomm Life, AliveCor, GreatCall, Proteus)–and those vanished from the scene (Healthrageous, WellAWARE, Diversinet, Zeo). Information and application.

Integrating spiritual care into healthcare: conference (US)

February 12, 2015 | by

2015 Caring for the Human Spirit, 20-22 April, Walt Disney World Resort, Orlando Florida

The Health Care Chaplaincy Network (HCCN), which we’ve recently profiled in ‘Chaplain Care for Veterans’, has been integrating online and tele-consultative (email, phone and video chat) resources into spiritual and mental health care in chaplaincy service. This year’s conference highlights include a workshop on TeleChaplaincy: The Online Practice of Professional Chaplaincy. Featured speakers are primarily from the US, but include The Rev. John Swinton, University of Aberdeen, King’s College School of Divinity. Conference registration is also available for a real-time webcast of all sessions and workshops. Brochure  Previously: Patient engagement meets ‘palliative care’ in a care plan pilot with VOX Telehealth [Disclosure: Editor Donna is a volunteer on the HCCN’s marketing advisory council.]

Florida to try telehealth legislation – again

February 12, 2015 | by

After repeatedly failing to pass a law to formalise payments for telehealth, Florida State [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/02/Florida-House-of-Representattives.jpg” thumb_width=”150″ /]legislature is to try again this year, according to Florida state senator Aaron Bean. Moderating the Telemedicine and Telehealth session at the Florida Health Care Affordability Summit on Monday, 8 February, Sen. Bean has suggested that the latest bill, highly focused on telehealth, will be only 3 pages long. Attempts to legislate in in the previous session of the Florida House of Representatives resulted in failed bills in both chambers due to the inclusion of many controversial items.

(more…)

Hackermania running wild, 2015 edition

February 11, 2015 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/02/Hackermania.jpg” thumb_width=”300″ /]

Do we need the Hulkster Running Wild against Hacking? It’s so heartwarming to see the mainstream press catch up to what your Editors have been whinging on for the past few years: that healthcare data is the Emperor With No Clothes. Here we have Reuters and the New York Times with a case of the vapors, seeking a fainting couch. Reuters dubs 2015 ‘The year of the healthcare hack’. The FBI is investigating the AnthemHealth breach, while their counterparts UnitedHealth, Cigna and Aetna are in full, breathless damage control mode. The Times at least delves into the possibility that it was at least partially instigated by China and the People’s Liberation Army (PLA) unit that trolls for intellectual property.

Our Readers, savvy to your Editors’ warnings since at least 2010, were aware that the drumbeat accelerated this past summer. (more…)