Written for the Technology Strategy Board and published by the Housing Learning & Improvement Network, the purpose of the main study is to “outline the case for a revolution in long term care all to be set in a time scale of 2012, 2020 and 2050. This includes evidence about the views of older people and their carers in the UK, lessons from abroad and the implications for industry/providers.” It is written as a ‘study of studies’ on a broadly-scoped problem; it focuses considerably on issues such as care provision, housing (including co-housing and communities) and putting the older person in more control of decisions, housing and tech design. Telehealth and telecare, while not the focus, have a hefty section (pages 32-41) but their conclusions will not be a huge surprise to our readers such as expanding inexpensive, simple assistive technologies, the need for more research and better design. The fact it is comparative is extremely helpful for those who want to see beyond borders, and there is a large section on ethical issues which is certainly unusual in studies of this type. We thank the lead author, Professor Anthea Tinker, Institute of Gerontology, Department of Social Science, Health and Medicine, King’s College London, for providing information on and the PDFs of the studies. Assisted Living Platform – The Long Term Care Revolution and A study of innovatory models to support older people with disabilities in the Netherlands
Bosch Update (UK)
Further to our previous post on the topic, we have now heard from Bill Broderick, Acting Divisional Head of Bosch Healthcare in the UK, clarifying Bosch’s position re the UK market:
1. Bosch Healthcare is not exiting the UK market. Telecare is business as usual and we will continue to sell our entire line of telecare products in the foreseeable future. We have placed all new telehealth activities on hold for now as we spend the next few months re-evaluating the business strategy based on current market dynamics in the UK.
2. We are not exiting the Health Buddy device business. We will continue to offer Health Buddys to patients who need them. The Remedy partnership press release announced an expansion of our patient interface portfolio to more mobile and internet-based solutions, not a replacement of existing Health Buddy devices.
Telehealth & IP Soapbox: Hacking through Patent Thickets
Not only do company founders have to deal with patent trolls, but find their way through patent thickets. Patent thickets are overlapping patent rights through which developers must find a safe, defensible space for their technology. This article introduces this concept to our readers and outlines a strategy to deal with it–in early days, and not sticking one’s head in the sand as this Editor has encountered. What may surprise you in reading this excellent article is that the author, Dolly J. Krishnaswamy, is not an experienced litigator, but a law student at NYU while working as a Project Manager/Law Clerk, Goldstein Patent Law. She blends law, science, tech and journalism with her prior experience as a journalist for Science magazine, technology work in New York City and in the study of genetics while at Emory University. Enjoy the article.
Many of you are privy to the problem of excessive patents. You have all seen the articles about yet another cellphone company infringing on yet another patent, but what you’re left with are questions of what all this activity means and how to use that information to act in your best interest– whether you are the CEO of a company or the general counsel for one. At the 2013 ABA Annual Meeting held in San Francisco, legal experts tackled this problem, discussing the trends in patent litigation and some potential strategies for companies preparing to introduce products into heavily-patented market segments.
Generally speaking the use of patents can vary with some people using them for insurance and others using them strategically. From a business standpoint, how a company uses a patent depends on the industry that company is in. For example, in the medical technologies space, all the companies will have patents on their core technologies and be highly cognizant of the patents they have to deal with. With the record number of high patent filings, the continued state of high damages, and the fact that even smaller companies are beginning to see patent infringement lawsuits, it’s clear that patent strategy is a complex matter– further complicated by the presence of patent thickets. (more…)
US government takes a pause, medical device tax repeal effort does not
The partial shutdown (except essential services) of the Federal Government due to the missed budget deadline will mean some suspension of services and furloughed people (with the far more important debt limit/default deadline looming in mid-October)–but no year long postponement of the unready-for-prime time Affordable Care Act (ACA). What is surprising is the bi-partisan support, separate from the budget wrangle, for eliminating the medical device excise tax, (more…)
Breathing monitoring, Google Glassing, AngelListing at Rock Health’s Demo Day
The Rock Health accelerator premiered its fifth class of startup/early stage companies last week. The most interesting are the assistive technologies developed by Lift Labs in devices for everyday use–a spoon that counteracts the effect of active tremors; the Spire clip-on breathing monitoring device that takes an additional step into biofeedback and stress management (the similar BreathResearch was in TTA 24 Sept); the Google Glass-powered Augmedix service for doctors that serves up patient information during exams; ThriveOn which creates an on-demand 8-12 week custom-built programs for mental health issues. Rock Health also announced its alliance with AngelList (more…)
Health IT serving population health
From the iHT2 Health IT Summit this Editor attended two weeks ago is this presentation by Jonathan Weiner, DrPH, Professor in the Department of Health Policy and Management, Director of the Center for Population Health IT (CPHIT), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Telehealth is (or should be) implicit in the data feedback loop outlined in slide 3; in the population health assessment and performance loop on slide 5; the ‘digital health milieu’ on slide 9.
Harnessing EHRs and Health IT to Achieve Population Health Interview with Dr. Weiner
Another diagnostic for Alzheimers with impact on telehealth gains $2MM funding
Will a market of hundreds of millions be able to access these needed technologies?
Neurotrack, a computer-based cognitive program designed to pick up changes three to six years in advance of an official diagnosis of Alzheimer’s or dementia, gained Series A funding led by Founders’ Fund (Peter Thiel) and joined by Social+Capital Partnership plus several angel investors. Developed initially at Emory University with the technology part of a five year National Institutes of Health (NIH) study, it tests subjects on preference for repeat images versus novel images; a preference for repeat images may indicate a disturbance in the hippocampus area of the brain in completely asymptomatic subjects. However, you will not find it at a doctor’s office or a pharmacy kiosk near you soon. Its initial use will be in clinical trials for pharma companies developing drugs targeting early-stage dementias. The meaning for telehealth and telecare (more…)
ITS 2013/UIST 2013
University of St Andrews, St Andrews UK 6-11 October 2013
Both ITS 2013 (The ACM Symposium on Interactive Tabletops and Surfaces 2013, 6-9 October) and UIST 2013 (the 26th ACM Symposium on User Interface Software and Technology, 8-11 October) will be co-locating at the University of St Andrews. Worked into the presentations–demos and papers– of new and emerging tabletop and interactive surface technologies is healthcare content; demos at ITS such as The SimMed Experience: Medical Education on Interactive Tabletops and The fun.tast.tisch. Project – Interactive Tabletops in Neuro-Rehabilitation. (more…)
Telecare Soapbox: Predicting the telequake
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/09/earthquake.jpg” thumb_width=”175″ /]Predicting earthquakes is notoriously unreliable but TTA’s ex-Editor in Chief Steve Hards says that one is on its way for the telecare and telehealth industry.
Earthquakes are hard to predict because, depending on the local geology and where you are in relation to the future epicentre, they vary in speed, intensity and effect. However, there are four generally recognised stages:
- a long period of between quakes when straining deep beneath the surface that goes unnoticed
- a build up of intense pressure along the fault which may be noticed as slippage
- the release of the pressure which causes the well-known effects of tremors, liquefaction and damage as the two sides of the fault realign
- the new resting position of the land each side of the fault
O2 and Bosch realising that systems which do not use smartphone-based technology are now dead in the water and therefore exiting from the UK telecare market was not the quake; they are just signs of stage two slippage. We will see more strains and cracks appear (more…)
Some ‘Lively’ness in telecare with $4.8 million in funding
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/04/Lively.jpg” thumb_width=”150″ /]Our April profile of Lively (or Live!y)’s telecare system for monitoring ADLs in private homes ended with their (imminent, then actual) failure to acquire $100,000 in Kickstarter funding. Last week, they announced a reversal of fortune, with $4.8 million in Series A VC financing from Cambia Health Solutions including a contribution from their seed investor Maveron. Our earlier article discussed their setup, pricing, (more…)
Doctor disciplined for using Skype for telemedicine consults
A family practice physician in eastern Oklahoma was disciplined by the state medical board for using Skype on initial mental health consults. Skype is not approved by the board for telemedicine; other factors were that the patients were not physically seen at any point and that they were prescribed controlled substances (including narcotics). Three of the patients died while under care but the deaths were not attributable to Dr. Trow. It is easy to score the doctor for what could be seen as bad practice in telemedicine, but a mitigating factor is his practice in a remote area of the state and the distance of the patients. Joseph Kvedar, MD of the Center for Connected Health/Partners HealthCare reviews the situation (more…)
Robotic leg prosthesis controlled by thigh muscles
An experimental prosthesis which redirects the nerves from the thigh muscle to a lower robotic leg, and translates them into knee and ankle movements, is a major advance that makes the prosthesis more like a natural leg in walking and navigating stairs. According to MedPageToday, “the system links nerves in the thigh — including some for missing muscles in the lower limb — to a processor that decodes the signals and guides the motion of the prosthesis.” The nerve data helps to eliminate mechanical errors that can cause falling. The robotic leg is being developed with an $8 million grant from the US Army (more…)
Tablets as ‘socializers’ for older adults
Long-time reader and now guest contributor John Boden of ElderIssues LLC and developer of the LifeLedger, reasons that if young children can use tablets fairly meaningfully, so can older adults at home or in senior communities. This is adapted from one of his series of ‘Caregiver Tips’ available via opt-in at caregivertips@elderissues.com.
Socialize With Technology: Tablets and iPads
If babies can use iPads, so can the very old.
Tablets and iPads are everywhere – EXCEPT – with nursing home patients.
This must be the season for me to have “aha!” moments. Last month it was while reading “Still Alice” and this month it was while visiting a nursing home where Sue told me she liked playing Scrabble but it was hard to find people to play with.
I am sure it is hard in a nursing home where you have to find another patient (more…)
Magnetic microbots can be delivery ‘trucks’ for meds
The research on magnetically activated and controlled microbots for drug delivery and biopsies continue. The latest research from South Korea has designed ‘cages’ to carry drugs that are effectively the closest microbots have to a delivery truck form factor for delivery to the brain or eyes. The tradeoff is tininess versus more capacity; more drugs, more effectiveness. Published in Advanced Materials (link to full text PDF), short summary in PopSci, very long and thoughtful article on how nanobots work in IEEE Spectrum by French scientist-pioneer Sylvain Martel of École Polytechnique de Montréal, who projects their first use will be to fight cancer. Hat tip to Contributing Editor/Editor TANN Ireland Toni Bunting.
Telehealth Soapbox: Medical device tax finally under fire; implications many (US)
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/09/gizmodo-the-top-10-rube-goldberg-machines-featured-on-film-rube-goldberg.jpg” thumb_width=”180″ /]A key part of the Rube Goldberg (or Heath Robinson)-esque funding of the Accountable Care Act (ACA, a/k/a Obamacare) is a punitive medical device tax of 2.3 percent levied on gross sales (not profits) of hip, knee, cardiac implants, many dental materials, diagnostics such as scanners, radiotherapy machines, catheters and more. Since it went into effect on 1 January, it has raised $1 billion according to the Medical Imaging & Technology Alliance, the Advanced Medical Technology Association and the Medical Device Manufacturers Association in July–for a program that does not start till 2014. According to The Hill, senior Senators Orrin Hatch, Barrasso and Hoeven are pushing for a repeal amendment to be attached to the stopgap spending bill. The reasons why the tax deserves to be tossed out on its ear are: (more…)
An Alzheimer’s diagnosis test that could have profound telecare implications
Significant progress on early diagnosis of Alzheimer’s is reported today by Fierce Diagnostics. The Cognoptix test involves a laser eye-scanning device and an ophthalmic ointment, according to their website, designed to spot telltale beta-amyloid proteins in the lens of the eye.
The excitement in the article is about the possibility of increasing drug sales; the ability to deploy drugs to delay progression of the disease would clearly be very important. However, whilst perhaps less commercially significant, there would be some huge benefits (more…)
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