Scotland to invest additional £10m on telehealth

The Scottish Health Secretary, Alex Neil, has announced the investment of an additional £10 million [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/Healthier-Scotland.jpg” thumb_width=”150″ /](about US $ 15 million) to support home health monitoring solutions across Scotland, the BBC has reported. This additional funding for the NHS Boards will enable people to use technology such as tablet computers and smartphones to monitor conditions such as diabetes, heart problems and lung problems at home, the report added.

In 2011, Nicola Sturgeon MSP, Cabinet Secretary for Health, Wellbeing and Cities Strategy in Scotland set out her strategic vision for achieving sustainable quality in the delivery of healthcare services across Scotland, in the face of the significant challenges of Scotland’s public health record, changing demography and the economic environment. The Scottish Government’s 2020 Vision is that by 2020 everyone is able to live longer healthier lives at home, or in a homely setting and, that Scotland will have a healthcare system where, amongst other goals, there will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission.

Mr Neil’s announcement was made during a debate in the Scottish Parliament entitled ‘Update on Delivering the 2020 Vision in NHS Scotland’. Mr Neil claims past efforts in telecare and telemedicine have meant that £2.8 million has been “ploughed back” into Scottish frontline services and reduced emergency admissions to hospital by 70 per cent.

National Health Summit Ireland–Special Report

Reader Andrew Macfarlane, Commercialisation & Centre Manager, CASALA at The Netwell Centre of the Dundalk Institute of Technology, stepped forward to report on this past Wednesday’s Summit. (Please note the excellent cross-references for those who may not be familiar with Ireland-specific programs.) Many thanks Andrew from Editors Toni and Donna!

From an Industrial Age to Information Age Healthcare – National Health Summit, Ireland

The 10th National Health Summit, which took place in Dublin, Ireland, saw a good attendance and an impressive range of speakers. The event is primarily targeted at decision-makers involved in leading and managing the delivery of healthcare services in Ireland.

The morning session outlined the changing landscapes of healthcare delivery both in an Irish and International context. Next up, separate tracks covering Health Insurance (as the Irish government seeks to introduce Universal Health Insurance), Hospital Management & Digital Healthcare (the primary topic covered by this post). The final session covered helping patients stay healthy at home and an insightful panel discussion on reform of the health service.

Tony O’Brien, Director General of the Health Services Executive (HSE) provided the opening address, entitled “Choices for our health service”. The HSE is a large organisation of over 100,000 people, whose job is to run all of the public health services in Ireland. He highlighted that like most health care systems, they are facing rising demand and costs (current budget €13.6bn), and that at the same time has endured significant health budget cuts, 26% since 2008, with €600+m planned savings in 2014. The annual National Service Plan sets out key priorities.

Key takeaway from a digital health point of view is the policy aim of A New Model of Care Treatment at the Lowest Level of Complexity that is Safe, Timely, Efficient and as Close to Home As Possible. The HSE envisages transforming from an industrial age healthcare to information age healthcare, with cost-effective use of ICT. Challenging perhaps with a historical under-investment in ICT at 0.85% of budget vs EU average of 2-3%, a number of speakers referenced the “Ghost of PPARS” as reason for under investment.

Professor Aidan Halligan, Director of Education, University College London & Principal, NHS Staff College, England in a lively storytelling highlighted that the Cathedrals to Disease  (more…)

Database of telehealth and telecare projects in Scotland (UK)

A database of telehealth and telecare services and projects in Scotland has been developed and made [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/SCTT.jpg” thumb_width=”150″ /]available as a public resource. For any given project included in the database it gives the organizations behind the project, a brief description, the type of users targetted and the technology used.

Developed by the Scottish Centre for Telehealth and Telecare (SCTT) the database can be searched online, say, to pick up all diabetes related projects in the database. One purpose of the database is to help the SCTT to review the uptake of technology used to deliver care.

SCTT is a part of NHS 24, which was established by the Scottish Government in 2001. NHS 24 is [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/NHS-24.jpg” thumb_width=”100″ /]responsible for the delivery of clinical assessment and triage, health advice and information by telephone and online means in Scotland 24 hours a day all year round.

The database can be accessed here and further information on NHS 24 can be obtained here.

Videolink telehealth continues expanding in Yorkshire (UK)

The video-link/ videoconferencing system used by Airedale NHS Foundation Trust in Yorkshire, [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/Airedale-digital-healthcare-centre.jpg” thumb_width=”150″ /]England, to provide remote medical assistance is being rolled out to additoinal care home sites. The service is staffed by a specialist nurse at Airedale General Hospital who uses the system, known as the Telehealth Hub, to assess patients and support staff at the homes.

According to the Keighley News the service was installed in a Bradford nursing home with the first use on New Year’s Eve. Staff at Ashville Care Home are quoted as saying that the service allows their residents to receive medical care without having to call a GP out or take them into hospital. A hospital visit would mean having to get extra cover as a member of staff needs to go as well.

Meanwhile the Telegraph & Argus reports (more…)

US, UK agreement on HIT

Edited from the HHS releaseUS Health & Human Services (HHS) Secretary Kathleen Sebelius and UK Secretary of State for Health Jeremy Hunt on Thursday 23 January signed a bi-lateral agreement for the use and sharing of health IT information and tools. The agreement strengthens efforts to cultivate and increase the use of health IT tools and information designed to help improve the quality and efficiency of the delivery of health care in both countries.  The two Secretaries signed the agreement at the Annual Meeting of the HHS Office of the National Coordinator (ONC) for Health Information Technology. It concentrates on four key areas identified at the joint June 2013 summit:

  • Sharing Quality Indicators
  • Liberating Data and Putting It to Work
  • Adopting Digital Health Record Systems
  • Priming the Health IT Market

Collaboration efforts will be showcased at the Health Innovation Expo conference at Manchester Central 3-4 March (two weeks before HC2014) and the Health Datapalooza on 1-3 June in Washington, DC. A possible good sign for telehealth as there’s a great deal of mention of ‘preventive interventions’, ‘accessing and sharing data’ and the ‘health IT marketplace’.

Full memorandum of understanding text here. Also iHealthBeat.

HC2014

19-20 March 2014, Manchester Central, Petersfield, UK

For over 30 years, HC has delivered thought leadership; informing and educating its audience on the how the latest innovations in technology support the increasing demands within healthcare. HC2014 will address all the current healthcare reforms with a number of themes referring to the call for paperless NHS by 2018. Key sessions will demonstrate technology to support Patient Engagement, Safer Hospitals and Integrated Care. Conference and exhibition presented by the BCS, The Chartered Institute for IT, in partnership with HIMSS. Conference keynoters include Tim Kelsey, NHS England; Andrea Sutcliffe, Care Quality Commission; Mike Pringle, Royal College of GPs; Kingsley Manning, HSCIC. Information and registration. Hat tip to reader Louise Sinclair. If there are TTA readers planning to attend, we are once again inviting you to contribute an article or a compilation of impressions. This can be filed within 72 hours of the close of event; alternatively, during or at day’s end/start. If you are interested, please email EIC Donna here (donna.cusano@telecareaware.com). It is expected that you can be selective and interesting rather than comprehensive. You will be credited of course but expenses and article will not be covered. 

 

Marcus Agius, ex-Barclays chair, joins government consultant PA Consulting

Our UK readers have undoubtedly noted the announcement yesterday that former Barclays chairman Marcus Agius has joined employee-owned management consultancy PA Consulting Group as Non-Executive Chairman starting 1 January, after the retirement of long-time Executive Chairman Jon Moynihan. This is one of several changes at the top including the retirement of board members Victor Halberstad (who according to The Times recruited Mr. Agius), Lady Judge and Martin Stapleton. Of the three additions, the most interesting is Esther Dyson, well known for her role in the early days of the internet and now best known as a space, healthcare and IT start-up investor and board member. Her position as founder of the Health Initiative Coordinating Council (HICCup) may signal further reach of PA Consulting’s healthcare sector. According to the FT, one of their largest clients is the British Government–they are finalists in a purchasing bid for the Ministry of Defence–and has extensive experience with the NHS and what’s termed ‘service change’ as made clear on their website. Also Telegraph, PA press release.

HSJ Telehealth 2013

20 November 2013, London, UK (location to be confirmed)

The HSJ Telehealth summit will assess the progress made so far and the longer-term trajectory for the adoption of the technology in Britain and the NHS. Re-focused for 2013, the one-day conference will bring you practical, relevant debate, grounded in the present and tackle the challenges posed by the lack of a national overarching strategy and the many barriers that hinder adoption and development of services locally and nationally. Key issues examined include:

Achieving the impossible – real cost efficiencies from the outset
Introducing local services – what help and funding is out there?
Adoption of telehealth across the NHS – what must change?
Adding weight to the argument – the added value of big data
Patient empowerment and engagement – how technology is changing behaviour
Engaging commissioners and changing culture – breaking out of survival mode.

Programme. Registration.

Best Practice 2013–Birmingham

16-17 October, Birmingham NEC

Targeted to GPs, Clinical Commissioners, practice managers and other decision makers, the conference will focus on delivering sustainable change in Primary Care and examining how commissioners can turn international best practice into local NHS reality. According to the organisers, telehealth-facing content includes key lessons learnt from the NHS Exchange Programme with the US Veterans Health Administration, a global leader in adopting digital health including telehealth to improve patient outcomes. Information.

Apps World

22-23 October 2013, Earls Court 2, London

While this event is all about the apps and M2M in every area, the organizers are reaching out to the health tech area in both the exhibition and with speakers such as Subir Mondal, Deputy Director IS, NHS – Royal Free London NHS Foundation Trust, myHealthPal and BleepBleeps. Parts are free with registration, others are paid. Keynote speakers include Steve Wozniak, co-founder of Apple at the free Developer World. The free part also includes the 250-exhibitor expo along with 3 keynote talks within the 5 free-to-attend workshops (registration here). The Enterprise World speaker track on both days is free and includes the NHS speaker on security. M2M and Automotive is a paid track and includes content (Health & Wearables, Connected Car) relating to telehealth with myHealthPal and BleepBleeps.  Passes range from £250 (networking) to £995 (2 day Gold). According to a posting on LinkedIn, there is a 25 percent savings when you use this code for registration: LINKEDIN25. More information here.

Future GP consultation – boring but very important (England)

NHS England has just launched a consultation on the future of GP practices, with a slide set of the case for change and the NHS’s underlying objectives for general practice together with an evidence pack which provides some information about current general practice and health needs.

This is important to everyone who senses that modern technology can help make a real difference to the way care is delivered because there is a serious lack of ambition (more…)

ITALIA Project Launch Event (UK)

18th September 2013, The Oculus, The Gateway, Gatehouse Road, Aylesbury   10am to 5pm

Unfortunately not a Ferrari in your driveway, the ITALIA (Innovative Telehealth and Assisted Living Ideas and Applications) Project initiated by Buckinghamshire New University’s institute, the Centre of Excellence for Telehealth and Assisted Living (CETAL),  is a public/private year-long initiative to develop the telehealth applications of the future. The kickoff event will bring together companies with products, ideas or technologies, clinicians and commissioners from organizations such as Buckinghamshire Business First (BBF) and Buckinghamshire Healthcare NHS Trust. More information here (PDF download) and Bucks New University News. Admittance is free but registration on Eventbrite is requested. Our Contributing Editor Charles Lowe is scheduled to be a speaker. Hat tip to reader Stephanie Carrington of BBF.

23andMe advertising nationally in the US (sign of the times)

23andMe, the US personal genetics company, launched Portraits of  Health, the company’s first (US) television advertising campaign on 5th August.

Anyone unaware of the company and its ambitions could do worse than watch the excellent video of Anne Wojcicki’s presentation at a recent RSM innovations summit.

Whilst the NHS talks about building a 100,000 person genomic database, and the RCGP sees the most advanced medical development in the life of the average GP by 2022 will be remote delivery of test results, it seems that 23and Me is powering toward’s Anne’s goal of one million genomes sequenced.

It’s not a totally fair comparison of course as the NHS ambition is full sequencing, whereas, as she explains in the video, 23andMe focuses on what they consider the key areas; nevertheless it’s impressive stuff and an indication of just how quickly technology is changing healthcare.

The exploding black market in healthcare data

When medical records’ black market value is estimated at an average of $50 per record–94 percent of health care organizations have had at least one breach in the past two years–and 2 million Americans were medical identity theft victims in 2011–it’s one unpleasant ‘pointer to the future.’

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/08/IDExperts_Infographic_v4_72-crop1.png” thumb_width=”150″ /]Data firm ID Experts studied a decade of data breaches and notes that medical data has become very attractive to professional hackers and cyber thieves. ID Experts’ full infographic.

  • First, there is so much of it with the increasing electronification of health data.
  • Second, so much of it resides on insecure or unsecured networks: smartphone, tablet, laptop.
  • Third, organizations and individuals still are only semi-conscious of fraud reality, and are negligent and sloppy when it comes to securing devices and over-reliance on the cloud without tight enterprise security. The new and underfunded health insurance ‘exchanges’ are particularly vulnerable as they, as well as other healthcare organizations, can over-rely on technology to protect data–which clever hackers can work around. Moreover, they can extract and sit on data till the trail goes cold. (Scroll down infographic to find out more). Also Ponemon Institute’s recent report in Healthcare Technology Online.

ID Experts’ study conclusions are reinforced by the California State Attorney General’s report that 55 percent of breaches “were intentional intrusions by outsiders or by unauthorized insiders” and that healthcare breaches were the third largest in reported incidents. A counter-measure may be the Medical ID Fraud Alliance, a collaboration in progress that is planned to include the Federal Trade Commission, the Secret Service and the Veterans Administration. More in Amednews.com (published by the American Medical Association)

Healthcare breaches due to criminal activity and plain error are becoming more common as well. All one has to do is bop over to Privacy Rights Clearinghouse, click on ‘MED’ for healthcare and 2013 and check the frequency to date (113) of breaches both tiny and huge. (By comparison, full year 2012 totaled 224.) Our TTA ‘Into The Breach’ Awards go to:   (more…)

Health 2.0 Fall Conference 2013

29 September – 2 October 2013, Santa Clara (California) Convention Center

The 7th Annual Health 2.0 national conference will be held in the heart of Silicon Valley. It is 2 1/2 days and the ‘carefully curated lineup’ will feature the role of consumers, big data and health care marketplaces. The Health IT Startup Showcase is staged like ‘The Voice’, Tim Kelsey of NHS England is a speaker and the demo ‘bake-off’ Launch! is on Day 2, and Day 3 features Health 2.0 Around The World.  Information, agenda, registration link.

3millionlives and the EHR moneysuck (UK and US)

When editor Donna passed an item from iHealthBeat to me, her comment was “Just as the DOD and VA are fighting over systems, maybe VA can make a few pounds selling VistA to the NHS!” Well, it’s much more interesting than that!

The iHealthBeat item is about a £285,000 ($430,000) exchange programme – of “leaders, staff and ideas” – to see what people from NHS England and the Veterans Health Administration (VA) could learn from each other about digital records and technologies. (This follows the scandalously expensive collapse in 2011 of the NHS’s attempt to develop its own national electronic record system.) Digging around some more, we discover from an item by eHealthInsider that the exchange programme began as part of the 3millionlives (3ML) initiative to compare notes on telehealth monitoring. With 3ML now being incorporated into NHS England, we find that the extended remit of the exchange programme has relegated telehealth to what many seem regard as its proper place in the scheme of things – the sidelines.