Data breaches may cost healthcare organizations $5.6 bn annually: Ponemon (US)

April 23, 2014 | by | 1 Comment

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/keep-calm-and-enter-at-own-risk-3.png” thumb_width=”150″ /]The PHI threat is within for HIT staff and CIOs, with no end in sight: Ponemon Institute and IS Decisions

The Ponemon Institute’s fourth annual benchmark report on patient privacy and data security was released last week and with a few exceptions, the news is worse than last year. Eight highlights in the study of 91 responding organizations (Ponemon admits results are skewed to larger sized respondents) for 2013 are:

  1. The average cost of data breaches in the study group was approximately $2 million over a two-year period. Extrapolated to the over 5,700 hospitals in the US, the annual cost is $5.6 billion, down from $7 billion in 2012.
  2. The number of data breaches decreased slightly. 38 percent report more than five in the 2013 report compared to 45 percent in 2012. The number of organizations reporting at least one data breach in the past two years was 90 percent versus 94 percent in 2012.
  3. Healthcare organizations improve ability to control data breach costs. The economic impact of data breaches for the healthcare organizations represented in this study over the past two years is $2.0 million–but it is 17 percent (nearly $400,000) less than 2012.
  4. ACA increases risk to patient privacy and information security. No surprises here for readers with insecure exchange of information between healthcare providers and government (75 percent ), patient data on insecure databases (65 percent) and patient registration on insecure websites (63 percent) leading the way. (more…)

Big data and mHealth combine to track & test ‘flu (UK event)

April 22, 2014 | by

What looks to be a really fascinating event is being held on Thursday 26th  June 2014 in The Council Room, The Institute of Materials, 1 Carlton House  Terrace, London SW1Y 5DB entitled “New Frontiers in Digital  Technologies for Influenza:  Big data and Mobile-­‐Phone  Connected Diagnostic Tests“. Entry is £70 for delegates, less for students.

This event brings together leading experts in the field of big data and mobile diagnostics to discuss the latest technologies to track and test influenza. This includes recent developments in mobile connected tests such as microfluidic chips, advanced nano materials and optics and surface-acoustic wave devices and the use of online sources (e.g. Google search engine queries, Twitter) to identify disease outbreaks much earlier than current healthcare systems.

Pandemic influenza is rated as one of the top threats to global health on the UK Government National Risk Register. Early detection and vigilant monitoring of serious flu epidemics is crucial to controlling outbreaks and supporting effective follow-up care. Researchers across the globe have turned to innovative digital technologies to address this global challenge. A successful early warning system using big data and mobile-phone connected tests could predict a pandemic even before people attend clinics or in parts of the world that lack the resources for traditional public health surveillance.

A cornucopia of appy items!

April 22, 2014 | by

Abilitynet’s top ten apps

When so many items that present themselves for publication are in one way or another pushing a commercial angle, it is so nice to be able to highlight a completely altruistic listing of apps aimed specifically at helping disabled people.

It would clearly be wrong to deprive Abilitynet’s website of the traffic, so rather than list the apps, we will merely comment that they seem very well chosen to cover as wide a range of disabilities as possible. The presence on the list of a number of widely used apps underlines the oft-made observation that if you design something with disabilities in mind, it is easier for everyone to use.

Distimo app analytics

For those wanting to explore the success of their apps and what works in terms of promotion, or who are interested in app download ranking, Distimo has a hugely impressive website, well worth exploring as everything is free.

The absence of much info on health and wellbeing apps is notable though, perhaps because (more…)

Playing games, using apps, promoting wellbeing – RSM event summary (UK)

April 22, 2014 | by

This is a brief summary of the main points made at an event on medical apps held at the Royal Society of Medicine on 10th April 2014.

First up was Prof Mike Kelly, Director of the Centre of Public Health at NICE who spoke about how apps could change behaviour. He described what he called “system 1”, the rational reflective system that he associated with Apollo, and “system” 2 the impulsive automatic system that he associated with Dionysus. System 1 is most often targeted by behaviour change, however most people find thinking hard so spend most of their time in system 2 mode, so it is  much more effective to “nudge” the automatic system 2, if you can.

Humans are relational creatures, not billiard balls, so (more…)

An architect’s POV on transforming rural health

April 22, 2014 | by | 1 Comment

‘Wellness districts’ and restructuring beyond walls and payments

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/04/Butler-County-Elting-bldg.jpg” thumb_width=”175″ /]Healthcare building architect Doug Elting cannot be accused of thinking small. The Transformation of Rural Health starts with reimagining healthcare facilities serving rural areas into facilitators of population health: “…the  local healthcare center as the source of health and vitality….focus(ing) on the provision of services that will maintain health, enhance public participation and redefine the scope of care.” (Not difficult imagining when you see an attractive wellness/rehab center like Butler County Health Care Center in Nebraska, left.) Like Clayton Christensen, Mr Elting envisions decentralized care that incorporates telehealth, care coordination, PHRs, fitness and social support. He then moves to an organizing principle called Wellness Districts:

Rural community, county and critical access hospitals will become components of Wellness Districts composed of Life Enhancement Centers coupled with physicians and physicians groups. These Life Enhancement Centers (LEC) are flexible and agile facilities containing a variety of services meeting the needs of the population. The LECs could contain: patient-centered medical home physicians’ offices, wellness and rehabilitation centers, specialty clinics, diagnostic centers, wound care centers, nutrition and cooking classes, outpatient treatment centers and urgent care facilities. LECs may include related services including dental offices, eye care specialists and retail functions including: durable medical equipment, opticians, retail pharmacies, food services etc. (more…)

A ‘before the alarm’ approach to the soundtrack of ICU data

April 22, 2014 | by

ICUs–and indeed, any acute care setting–have a soundtrack of boops and beeps that accompany regular telemetry of data from multiple devices. Alarms which indicate emergencies shatter the rhythm, eventually inducing ‘alarm fatigue’. What if ICUs could get a step or two ahead and use the torrent of data to predict a downturn in a patient’s condition and warn clinicians before that alarm goes off? That is the idea behind the system being developed at Boston Children’s Hospital with a local data analytics startup, Etiometry.  The latter’s Risk Analytics model is designed to transform data into clinically actionable information and to predict decompensation–a worsening or emergency status for the patient. For the cardiac intensive unit at BCH, the Stability Index pops up on the vital signs screen. “Doctors choose different parameters to measure, then the Etiometry system renders its risk assessment on a simple numerical scale, with 0 being most stable and 4 the least.” Not the first innovation for Boston Children’s either; with another software provider, they developed a single view of vital signs interface dubbed T3.  Boston Globe, FierceMobileHealthcare

Nike FuelBand out of gas

April 22, 2014 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/04/FuelBand.jpeg” thumb_width=”175″ /]In what is the first of the major players in fitness bands and wearables exiting the category, CNet reported last Friday that Nike is winding up its hardware business with the layoff last Thursday of nearly 80 percent of its Digital Sport staff. Previously, Nike had canceled a new version of the FuelBand due for release later this year, but they will continue sales and support for the present iteration which only works with Apple. Their focus is now on fitness and athletic software, which can plug into smartphones and other companies’ devices at far less cost and greater profit than the hotly competitive band business. Much of the speculation surrounds their strong Apple connection; Tim Cook, Apple CEO, sits on the Nike board. This maneuver could benefit them both greatly when Apple finally gets into the smartwatch biz. Perhaps two world-class brands could better sort out what to do with the data, which is another sore point according to PC Magazine’s take on it. Further reasonable discussion on this courtesy of Gigaom. Hat tip on the last to David E. Albert, MD via Twitter @DrDave01.  (Nike photo)

Why healthcare doesn’t encrypt: correct, incorrect assumptions

April 22, 2014 | by

As our readers know, we’ve preached the Gospel of Data Security for quite awhile, to the point where even The Gimlet’s Eyes have crossed. Based on this smart analysis in Healthcare IT News (done by an outsider to healthcare), there are real reasons why HIT leaders are reluctant to implement encryption and security that would be SOP for other types of organizations. Mr. Schuman sorts the ‘drag the feet’ factors:

  1. Outdated but still widely believed: Encryption makes information less accessible across a broad network, increasing retrieve and review time. There is increased, not decreased, pressure to increase access, including by practices and patients, as part of  Meaningful Use (US).
  2. Encryption as a barrier: Providers see encryption as increasing time, decreasing  usability of systems, making workarounds more difficult.
  3. Encryption not permitted: Equipment designed with a specific hardware/software configuration block security add-ins. The logic is that any add-ins, even for security, could and do compromise performance. They thus violate manufacturers’ warranties and leave hospitals/practices open to legal action if equipment does not perform as intended.
  4. It’s complicated and pricey: Encrypting proliferating devices multiplicity of devices and systems takes manpower–it’s not only not there, but also expensive. Good intentions, but little money, is there.

The solution may lie in encrypting data between applications, not in the hardware/software itself. Hat tip to reader ‘Klondike Playboy’ John Boden.

Apple patents built in emergency alert for iPhone

April 20, 2014 | by

Apple have filed a patent for a “Mobile emergency attack and failsafe detection” which uses the iPhone’s inbuilt sensors to detect a probable emergency situation, such as a physical attack against the user.  When the device is in ‘attack detection mode’, certain events can cause it to request help automatically, by calling a defined emergency contact or the emergency services. The GPS co-ordinates can also be transmitted. Apple Insider

A focus on Parkinson’s with Google Glass

April 20, 2014 | by

Some pretty exciting work is happening at Newcastle University’s Digital Interaction Group with researchers evaluating the potential of Google Glass to support people with Parkinson’s. Much of the work is relevant to other conditions that affect movement, including Stroke and Multiple Sclerosis.

The great thing about Google Glass for people with motor control problems such as tremors, is that it gets around the difficulties in trying to negotiate the touch screen of a phone, or when trying to press a panic button. This is because the technology can be voice-operated and links to the internet. So in an emergency you can just tell it to call someone and it will. (more…)

BlackBerry’s investment: what’s in it for NantHealth

April 17, 2014 | by | 1 Comment

This week’s news of BlackBerry Ltd’s minority investment in the Dr. Patrick Soon-Shiong eight-company combine called NantHealth has generally focused on BlackBerry. Across the board, BlackBerry is depicted as the party badly needing a raison d’être. Down for the count in both retail and enterprise mobile phone markets it dominated for years, BB’s six-months-in-the-saddle CEO is now going back to those same enterprises singing the wonders of their QNX operating system and upcoming BBM Protected communication platform to highly regulated verticals which need max security: healthcare, finance, law enforcement, government. Although FierceCMO inaccurately reported that BlackBerry was acquiring NantHealth (Reuters/WSJ reports to contrary), it’s generated yawns from former tea-leaf readers such as ZDNet as yet another flail of the Berry as it sinks beneath the waves. Add to this the bewilderingly written CNBC ‘Commentary’ under BlackBerry CEO John Chen’s byline–who should fire the ghostwriter for inept generation of blue smoke and mirrors–and you wonder why the very smart Dr. Soon-Shiong even desires the association with a company most consider the equivalent of silent movies. It is certainly not for the investment money, which the doctor has more than most countries–an expenditure carefully considered at BlackBerry, undoubtedly. 

Cui bono? NantHealth first, BlackBerry second is your Editor’s contrarian bet. Consider these three factors:

  1. Way down the column in most coverage is that BlackBerry and NantHealth are developing a healthcare smartphone. It will be optimized for 3D images and CT scans but fully usable as a normal smartphone. Release date: late 2014-early 2015 (Reuters). (more…)

ELabNYC Pitch Day

April 17, 2014 | by

10 April, Microsoft HQ, NYC

The Entrepreneurship Lab NYC (ELabNYC) presented its second annual class of companies to nearly 200 life science funders, foundations, pharmaceutical companies, healthcare organizations, universities and the occasional Editor. Of the cohort of 19 companies finishing the three-month program, 56% are now funded and 25% had first customer revenue by the end of the program. Each company pitched for five minutes on its concept, its current state of advancement (including pilots/customers), its team and a funding timeline. This Editor will concentrate on the five companies with a digital health component; she was intrigued by their diversity and focus on difficult problems of compliance and diagnosis, especially dementia and concussion. (more…)

eCaring gains Series A financing (US)

April 17, 2014 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/04/eCaring-Screenshot.jpg” thumb_width=”170″ /]Home care management/monitoring system eCaring (New York) this week secured $3.5 million in Series A funding, led by Ascent Biomedical Ventures. Private investor Stephen Jackson will be joining the eCaring board, as well as being on the board of client MJHS. Funding will go to product development, sales and marketing targeted to managed care plans, home health agencies, payers, hospitals and related entities. The CareTracker program is unique in that caregivers/aides with relatively low English language or computer literacy can, through icons, easily input both clinical and behavioral information on a home care patient which summarizes by patient and aggregates at the care manager level. There is also a CarePortrait feature that determines baseline norms for behavior such as activity and sleep. eCaring, with Pace University, was also one of 2013’s PILOT Health Tech NY/NYEDC/Health 2.0 winners for a project with the Henry Street Settlement. A big cheer for CEO/founder Robert Herzog who has been championing this aging services/aging in place technology for several years while QS apps and fitness trackers stole all the buzz at the cocktail parties and accelerators. Release, MedCityNews (photo)

Vision therapy app for amblyopia prescribed, reimbursed (DE)

April 17, 2014 | by

Amblyopia, also known as ‘lazy eye’, is a treatable vision processing disorder where vision in one eye decreases for no structural reason. It’s often seen in young children and is generally treated with a combination of patches (to block the stronger eye), eye exercises and glasses–on occasion, requiring surgery–in a process that can take up to two years. In a young child, that is a recipe for tedium. Caterna Vision Therapy, a spinoff from Technische Universität Dresden, has advanced the exercise portion to be child engaging and downloadable through the Apple App Store and Google Play to a PC or mobile device. Caterna claims the exercises also shorten length of treatment. The therapy is CE marked for Europe and in Germany is both prescribable and reimbursable through statutory provider Barmer Gek, fortunate as the cost is €980. It may presage more apps receiving similar treatment. Videos are available in English and German on their home page. Caterna hopes to expand their vision therapies into age-related macular degeneration (AMD) and eye-tracking.  eHealth Law and Policy

EU green paper on mHealth – VERY IMPORTANT

April 12, 2014 | by

This week the European Commission published its green paper on mHealth previously announced in the eHealth Action Plan 2012-2020, kicking off a broad stakeholder consultation on existing barriers and issues related to mHealth deployment and helping to identify the right way forward to unlock mHealth potential. To accompany it, a very short video by Neelie Kroes is available. An accompanying short (10 page) paper by the EC on the current legal position for people using health & wellbeing apps is also well worth a read. Finally, to complete the set, the EC has produced an mHealth infographic as well.

Responses to the Green Paper are required to the European Commission by 3rd July at the latest.

In view of the potential for mHealth to benefit everyone if correctly regulated and supported, all readers are urged to respond, either individually or collectively via an industry body (eg DHACA – see below), or both.

The document, at only 19 pages long, is hugely impressive, making an excellent case for (more…)

Looking ahead with TeleSCoPE (EU)

April 12, 2014 | by

Perhaps because we have covered the topic before, a cryptic email arrives from Malcolm Fisk, the driving force behind the development of the European Code for Telehealth Services, suggesting I consult the TeleSCoPE website and his Med-e-Tel presentation last week where “you’ll see a little announcement that indicates that things are moving forward”.

The website now includes a yellow box with the statement:

The framework for telehealth services to be assessed against the requirements of the European Code of Practice for Telehealth Services is being released on May 16th 2014. This follows collaborative work between the Telescope Partnership and DNV Healthcare. A four year cycle has been agreed that includes a Foundation Assessment followed by (mostly off-site) reviews and conformity checks. Accompanying the framework will be the new version of the Code by which the first tranche of services will become accredited.

…and the presentation includes, at the end, (more…)