All that Quantified Self data? Drowning doctors don’t want to see it.

August 18, 2014 | by | 3 Comments
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/reduce-documentation1.jpg” thumb_width=”150″ /]Our long-time readers will remember Questions # 3, 4 and 5 of The Five Big Questions (FBQ*). They have not lost their salience as doctors are rejecting the not-terribly-accurate ‘telehealth’ data [TTA 10 May] generated by popular fitness trackers such as Fitbit, Misfit Shine and Jawbone. We do note that Apple’s Health/HealthKit has trotted out alliances with Mayo Clinic and Epic Systems (EHR) on apps and integrating data into an PHR [TTA 3 June], as well as Samsung’s SAMI [2 June] funding a University of California (UCSF) research center and (of course) Google. But this article confirms (more…)

‘eVisits’ save $5 billion globally this year–but are they more effective care?

August 14, 2014 | by

Deloitte and Towers Watson obviously disagree on the savings from eVisits (Deloitte) and telemedicine (Towers Watson). Deloitte’s study of eVisits projects a global savings of $5 billion in 2014. Towers Watson is estimating $6 billion in 2015 from US employers alone if there is full employee utilization of telemedicine. Deloitte is also more transparent in its estimating, for example on the $50-60 billion total addressable market for eVisits in ‘developed countries’. This Editor doesn’t see a major difference in definitions between the two; Deloitte defines eVisits as video consults plus the forms, questionnaires and photos that have become part of telehealth, but not the vital signs monitoring part.. Perhaps our readers, looking at both more closely, can discern, or confirm that Towers Watson has too rosy a picture? Deloitte‘s ’21st Century Housecall’ study (short paper) is also worth a read for presenting facts/figures on the global addressable market and for a surprising conclusion–that the ‘greater good (in developing countries) may come from saving tens of millions of lives’. Hat tip to reader Mike Clark. Clinical Innovation + Technology summary.

‘Virtual care is much more effective than brick-and-mortar care.” (Editor’s emphasis) A bold statement that Microsoft and the writer from Intel fail to back up with facts. The focus of this ‘In Health’ article is preventing readmissions. There are the usual Panglossian pointers  (more…)

Telemedicine may save employers $6 billion per year, increase 68% (US)

August 14, 2014 | by

Employers offering telemedicine projected to increase by 68 percent. Professional services advisory firm Towers Watson, in a survey of US employers with over 1,000 employees, has estimated that adoption of telemedicine by employees in benefit programs may save US companies up to $6 billion annually. This substantial number of course is projected on use by all employees and dependents. A reservation: it is $1 billion higher than the global eVisit savings cited by Deloitte‘s study. The definition of ‘telemedicine’ from the context of the TW release seems to be mainly virtual visits, (more…)

Unhappy endings: where even innovation cannot make a difference

August 14, 2014 | by | 2 Comments

This week’s sad news of the death of comedian/film star Robin Williams and his ongoing battles with addiction and depression are the center of this thoughtful article by EIC Veronica Combs in MedCityNews. Even with access to the best care and innovations such as virtual visits, Mr Williams committed suicide. The larger point made is that access and healthcare innovation don’t mean automatic adoption or a positive outcome. Some of those with chronic physical or mental illnesses choose not to change their behaviors, comply with a regimen or even to seek help, much less seek out technology or be a QSer. And some are simply beaten down and depressed by the perpetual Battle of Stalingrad that is chronic disease–ask any diabetic [TTA 5 Apr 2013]. Her conclusion is that though innovation may not help everyone, it doesn’t mean we should not pursue it. And, this Editor would add, for developers to realize that they must make technologies simple and affordable enough–‘tear down that wall’–so that those who won’t access help become fewer. (And, yes, there is a spiritual aspect of care that must be addressed–see VOX Telehealth’s work with HealthCare Chaplaincy Network TTA 25 July.)

Update:  Other factors may have tipped Mr Williams’ depression flare-up. The first (more…)

When will we learn how to evaluate complex healthcare interventions?

August 12, 2014 | by | 1 Comment

This editor’s piece last week entitled “Is this the last time the flat earth society will be celebrating” was very widely read – thank you readers – and prompted both further thoughts and an especially thoughtful pointer from Mike Clark.

As readers of that post will be aware, the paper referred to in the post focused heavily on the high cost/QALY supposedly shown by the Whole System Demonstrator RCT. Mike drew my attention to a paper, published both here and here, by Trine Bergmo on the different ways in which the concept of a QALY is calculated for remote patient monitoring. The thrust of the paper is that different methods give significantly different results for interventions like telehealth. To this editor there was another equally important message though, that (more…)

Drawn and quartered: digital health consumer study

August 11, 2014 | by

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/Parks-Associates-Health-Groups-Segmentation.jpg” thumb_width=”300″ /]

Parks Associates’ latest study of potential digital health consumers will come as a confirmation for some of us who’ve been up and down a few hype curves, and be a sobering bucket-of-cold-water for those wedded to the Revolutionary-Transformative-eHealthy-D3H Bandwagon view that digital health will change EVERYONE’s life. Market segmentation is a useful marketing tool for narrowing down your real market to spend those scarce (investor-supplied) funds: those most likely to purchase, and a broad picture of what they look like. As you’ll see in the Parks Associates/TTA graphic above, the market for digital health almost neatly breaks into quarters: the top half has the greatest potential. The report looks at lifestyle/behavior, health, residential and income factors among 2,500 broadband-equipped heads-of-household.

Where’s the surprise party? It’s no surprise that the highest potential market denizens are already health-conscious, good ‘do-bees’ in their diet and exercise and higher in income. The second quarter represents older adults facing health challenges, but already on track with their health ‘mindfulness’–perhaps they are the older, health-challenged versions of the first group. It’s the next two groups and their respective positionings which are the surprise. The Parks study ranks the ‘bad do-bees’ –the already sick with bad health habits and lower incomes–in potential above the young, tech-enthusiastic and healthy–but not health-conscious in their behaviors and also lower in income. Despite all their connectivity, only 28 percent of this group looked up health information online in the past year, contrasting with 38 percent of all responders.

Marketing implications?  I’d be spending my company’s money and time on (more…)

Brain neuroprosthetics, stimulation for TBI, PTSD

August 11, 2014 | by

A signature injury of the Iraq and Afghanistan wars has been traumatic brain injury (TBI), as well as an outcome of all wars–post-traumatic stress disorder (PTSD). Over 270,000 veterans since 2000 have been diagnosed with TBI–along with 1.7 million civilians per year. The US Department of Defense (DOD) has been funding research in several areas to help veterans–and eventually civilians–with these traumas.

  • DARPA’s RAM: Restoring Active Memory program is seeking to compensate for brain injury by developing a neuroprosthetic to aid memory function. (more…)

Free telecare event in Eccles (UK)

August 11, 2014 | by

If you are in the Eccles/Greater Manchester area on 11 September (and not attending the Kings Fund International Digital Health and Care Congress or Medical Engineering Centres Annual Meeting and Bioengineering14, both in London), Contour Homes is sponsoring a free, full day North West Telecare Event at AJ Bell Stadium. It will give an overview and showcase latest technologies in telecare for professionals involved in supporting independent at home living. There are talks including Alyson Bell, Managing Director of the TSA, Dawn Thomber of Contour Homes and Tahir Idris of TeleMagenta plus an exhibition. This Editor notes the Tunstall logo (but no speakers); Contour Homes is one of the ‘my world’ introductory sites. PDF with complete information and registration.

Will bicycles be another sector to leave health behind?

August 11, 2014 | by

As someone whose favourite bicycle-related activity is cooking an occasional Paris-Brest, who mounts an exercise bicycle only when there’s nothing else unoccupied in the gym, and who just occasionally sallies forth on a fold-up when alternative transport is impractical, this editor has been blown away by the revelations in the recent Beecham Research on Connected Bikes.

It seems there is no limit to how technology is transforming the bicycle with the aid, of course, of the ubiquitous smartphone. A particularly popular feature seems to be an app-driven automatic gear changer, as introduced by Cambridge Consultants when they first used the term “Connected Bike” in 2012. Fitness, navigation, anti-theft, safety and (more…)

Funding, granting and executive moves

August 8, 2014 | by

Summer hasn’t been beach holiday time for some of the companies we’ve been following….Genetic testing for the masses 23andMe, only last fall in much hot water with FDA (but recently making nice–TTA 2 July), received a two-year, $1.4 million grant from the National Institutes for Health (NIH). iHealthBeat….’Smart pill’ developer Proteus Digital Health received a Series G round of $52 million, adding to a June round of $120 million. Investors not disclosed, but Proteus currently has a blue-chip list including Novartis, Medtronic and Kaiser. BusinessWire….Pre/post-procedure education and recovery monitoring service VOX Telehealth received another $1.1 million round of angel financing primarily from original investors, preliminary to an institutional round of financing in 1st Quarter 2015. Release….HealthSpot Station is reinforcing its retail reach (more…)

‘Explosive growth’ for telehealth and telecare at last?

August 8, 2014 | by

This sunny summertime prediction by Ephraim Schwartz, an editor-at-large for enterprise tech publication InfoWorld, outlines five main reasons why:

  1. Healthcare is broken, and because it is, finally there’s the financial commitment from providers.
  2. The base of home telehealth devices is now fairly large at 3 million in the US so that the projection by 2018 of 10.3 million in the US and 19.1 million worldwide doesn’t look improbable (Berg Insight).
  3. Cellular and digital phone networks are now ubiquitous. The conversion of existing POTS devices which account for 70 percent of existing telehealth users is underway. Mobile is driving developers to create smartphone health apps and devices. (more…)

University of Edinburgh MSc in Global eHealth

August 7, 2014 | by

Deadline extended to 8 September for the Autumn term

We are happy to update our readers on this innovative UoE programme with a message from the director, Dr Claudia Pagliari. Please read ’til the end to learn about sponsoring a student from a low-income country. (Ed. Donna)

This fully supported online learning programme provides a unique opportunity to study health informatics with reference to global health challenges. Combining core courses with a rich portfolio of innovative modules delivered by international experts, the programme provides a foundation in the core principles and practice of health informatics whilst considering how innovations and policies are shaping the technology landscape, strengthening health systems and changing professional and patient behaviour.

The programme is interdisciplinary and is suitable for eHealth designers and implementers, healthcare practitioners, global development professionals, government policymakers, healthcare managers and CIOs, and academic researchers with interests in the role of ICT in health. The supported online learning format provides an opportunity to obtain a rich learning experience, interacting with your tutors and peers, whilst remaining in work. (more…)

RSM healthcare technology videos online at last!

August 6, 2014 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/RSM-logo.png” thumb_width=”150″ /]The Royal Society of Medicine’s Telemedicine and eHealth Section at last has its own dedicated website for videos of past presentations. Sadly there is only room for a selection of these, however there are important presentations there from last year’s conference, and from all the three one-day events this year on recent development in digital heath, medical apps and big data: a real treasure trove of knowledge and expertise!

Viewing is free for RSM members (including students), with a small fee for non-members (less than attending the conference though).

Mum & Baby app – delivering relevant and reliable information

August 6, 2014 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/Mum-and-baby2.png” thumb_width=”150″ /]Remembering the panics due to lack of good advice from when our first child was born 36 years ago, this editor was especially intrigued to hear of an app being developed to reduce such anxiety by Sunita Sharma, Clinical Education Fellow at Imperial College, London at a recent Royal Society of Medicine Innovation event.

Sunita worked closely with Chelsea and Westminster Health Charity’s Maternity team to create this free Mum & Baby app for new mums. Developed in response to the maternity service user surveys, it aims to meet the new mum’s need for relevant and reliable information about herself and looking after her new-born baby. Topics are divided into easy to navigate sections with links to useful online resources.

The Android version can be downloaded here, and the Apple version here.

Since publishing this piece, Sunita Sharma has pointed out that the app does have some elements that are specific to Chelsea & Westminster Hospital although, if other maternity services want to use it, it is built to be easily reconfigurable.

Cerner acquires Siemens HIT business

August 6, 2014 | by

The big news in HIT circles today was Cerner’s purchase of Siemens’ health IT business for $1.3 billion. Forbes has the most detailed analysis by far, which appears prepared in advance based on the 22 July rumor published by HISTalk at that time. HISTalk’s and their readers’ comments on the announcement conference call today are moderately scathing and worth reading if of interest to you. The takeaway for this Editor is that it was a defensive move for Cerner versus Epic Systems, Athenahealth and Allscripts; they bought out a competitor, bought market share with the acquisition (although how much of it would have fallen to them anyway is a question), gained more of an international foothold plus an inside track to customers eager to move to newer technology. For Siemens, it appears  (more…)