American Telemedicine Association (ATA) 2015

2-5 May 2015, Los Angeles Convention Center, 1201 S Figueroa Street, Los Angeles, California 

ATA’s annual meeting for 2015 connects like-minded telemedicine, telehealth, mHealth professionals and entrepreneurs from around the globe. With over 6,000 attendees, 13 educational tracks and the largest telemedicine trade show in the world, the ATA meeting is a premier forum to learn and network, featuring:

For more information and to register, see our special link here. Telehealth & Telecare Aware is pleased to be again an official media partner of this year’s ATA. 

Tech, approaches for caregiving at a distance falling behind

[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…)

Is how we are treating patients for chronic diseases (and pre-diseases) all wrong?

A look again at minimally disruptive healthcare. In June 2013 we wrote about a contrarian approach to treating chronic disease–and now the ‘pre-diseases’ which have been discovered, like Columbus with America, with all good and proactive intentions for the patient. There’s increasing pressure, and rigidity in applying, guidelines and quality standards which are both performance and financially based. Measure, measure, measure!! Prescribe, prescribe, prescribe!! Is your patient at goal? Yet we are losing the Battle of Real Results and improved health. Telehealth and telemedicine are being touted as ways to increase compliance, but do they complicate matters and add to–not reduce–the burden?

We return to the originator of this minimally disruptive approach to care, Victor Montori MD, an endocrinologist at Mayo Clinic, via a MedCityNews article by cardiologist John Mandrola MD and this video from a primary care conference, the NAPCRG annual meeting in New York. (At 45 minutes, you’ll want to save it for later).

Key points:

(more…)

An interesting COPD telehealth pilot, mangled in the reporting

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/blue-blazes.jpg” thumb_width=”150″ /]Our first ‘Blue Blazes’ of 2015 is the kind of press coverage that makes a PR pro or marketing director cringe.

Intel-GE Care Innovations along with OSF (Order of St. Francis) HealthCare and the University Of Illinois College Of Medicine at Peoria, the latter which have an interestingly named collaborative called Jump Trading Simulation and Education Center, are using the home telecare activity tracker Lively in a COPD patient tracking pilot. Reading the two articles found to date, one can eventually glean that vital signs like weight, blood pressure, O2 levels, lung capacity and qualitative feedback questions, as well as activity, is being tracked. The combination of activity + vital signs is interesting and different, but it takes detective work–viewing the video on the CIProud.com website (which charmingly turns sensors into senors in the headline)–to discover that the activity tracker is Lively, a CI partner. Lively does not report vital signs. How they are being collected remains a mystery as the Peoria Public Radio website article doesn’t furnish details other than a picture with an unidentified desktop hub/display (Health Harmony? It doesn’t look like it). Lack of detail + abundance of typos = bad reportage. In any case, the pilot of 30 patients continues into March, when it will be expanded to 200. Related: OSF/Care Innovations announcement from June 2014.

Looking back over Telehealth & Telecare Aware’s predictions for 2014, part II

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2015/01/magic-8-ball.jpg” thumb_width=”150″ /]Editor Charles has treated you to a look back on his 2014 predictions, daring Editor Donna to look back on hers. Were they ‘Decidedly so’, ‘Yes’, ‘Reply hazy, try again’ or ‘My sources say no’? Read on…

On New Year’s Day 2014, it looked like “the year of reckoning for the ‘better mousetraps’”? But the reckoning wasn’t quite as dramatic as this Editor thought.

We are whipping past the 2012-13 Peak of Inflated Expectations in health tech, diving into the Trough of Disillusionment in 2014.

There surely were companies which turned up ‘Insolvent with a great idea’ in Joe Hage’s (LinkedIn’s huge Medical Devices Group) terms, but it was more a year of Big Ideas Going Sideways than Crash and Burns.

Some formerly Great Ideas may have a future, just not the one originally envisioned. (more…)

Tunstall’s challenging year: results reported

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Big-T-thumb-480×294-55535.gif” thumb_width=”150″ /]Breaking News. The topline of Tunstall Healthcare Group’s 2014 results (through 30 Sept 14) is now (partly) public thanks to the Yorkshire Post, Tunstall’s ‘hometown paper’. (We do note that it was published on 23 Dec, in the ‘dead of night’ rolling up to the Christmas holiday.) Notably, there is no report on the Tunstall website and it is too early to show on standard corporate reporting sites such as DueDil and CompanyCheck. The YP article appears to be written partly in press release-speak, which we do not fault them for on limited news available. In summary:

  • In the 2014 FY ended 30 September, revenues were £215 million. FY2013 was £221 million, a decrease of £6 million (2.7 percent).
  • A corresponding but greater EBITDA (earnings before interest taxation depreciation and amortization) drop to £43.0 million. FY 2013 was £52.7 million, a decrease of £9.7 million (18.4 percent).
  • The good news: revenues up 6.8 percent in the Nordics, Southern Europe, Central Europe, and Australasia; Spain’s Televida as a market leader also a bright spot [TTA 19 Dec].
  • No such good news in UK and the US  (more…)

Tunstall adopts new Tactio in patient management

Tunstall Healthcare is partnering with Canadian mHealth developer Tactio Health Group in what is a distinct first for them: creating a mobile care management system that is 1) smartphone-based for the patient and 2) prominently integrates non-Tunstall apps and devices. The patient uses the smartphone and the Tactio-developed mTrax app to collect a wide spectrum of data–everything from activity, sleep, pregnancy, body fat and mood tracking to the traditional constellation of vital signs. This uploads to the care provider’s tablet mPro Clinical App which overviews, details and reports the data for each patient and patient groups in care. The data comes from well-known mHealth apps outside the Tunstall world: BodyMedia, Fitbit, Fitbug, Garmin, Jawbone UP, Medisana and Wahoo Fitness, as well as connected (presumably Bluetooth) medical devices from A&D Medical, Mio, iHealth, Telcare, Withings and Nonin. Tunstall has also added two-way patient coaching and  health journal features.

Tunstall’s positioning for what they call Active Health Management or AHM is “supported self-management” and “shift(ing) from reactive care to cost-effective active care.” (more…)

NYeC Digital Health Conference is one week off

A reminder for those in the US that the two-day NYeC Digital Health Conference at New York City’s Chelsea Piers starts next Monday. Spaces are still available, and for Telehealth & Telecare Aware readers, there’s a bonus of 10 percent off registration using code TTA. Agenda for Monday and Tuesday 17-18 November is here including the Patient Shark Tank on Tuesday afternoon. TTA is a media partner of the 2014 Digital Health Conference.

Short Tuesday takes

Alere, Optum, Wyss, Proteus, Soreon Research, Baywater Healthcare

Alere Health to be acquired by Optum. Alere is selling its condition, wellness and case management group for $600 million to the health services subsidiary of UnitedHealth Group. The surprise is that Alere Health, which presently serves 22 million patients in 29 states, includes two service lines considered hot: analytics and connected health. Alere Connect, the former MedApps, is included in this sale. Alere (the parent company) will be concentrating on rapid diagnostics. Alere Health release, fact sheet….Vibrating insoles may help to guide the balance-impaired, eventually. Research on stochastic resonance as an aid to balance and gait has been researched for nearly ten years–our earliest article on it was written by former EIC Steve in 2006. The current study tested ‘white noise’ to help lower the level of buzzing needed to generate stimulus in the feet. Conducted by the Institute for Aging Research (IFAR) at Hebrew SeniorLife, Beth Israel Deaconess Medical Center, the Wyss Institute for Biologically Inspired Engineering at Harvard University, Harvard Medical School, and Merck Sharpe and Dohme (MSD) Consumer Care. (more…)

Philips finally gets to GoSafe

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/11/img-gosafe-button.jpg” thumb_width=”160″ /]At long last… the Philips Lifeline GoSafe mobile PERS with fall detection and GPS, announced with fanfare at International CES 2013 and delayed well over 18 months from its original debut date, has quietly entered the market. The chunky and somewhat ‘cartoon alien’-ish pendant, while connected in-home to a conventional base station communicator, also uses GPS, ‘intelligent tracking’ to determine the user’s last known location, Wi-Fi, audio beaconing and voice response via cellular to alert for assistance. Pricing has settled at $149 for the device and a $54.95 monthly subscription. GoSafe joins the Philips Lifeline mPERS smartphone app introduced in August [TTA 28 Aug] and Lifeline with AutoAlert extensively debated here. No indication of distribution outside the US. PRNewswire release, Lifeline website, Mobihealthnews.

TSA chair selection critiqued

Today’s Must Read  Published today in Roy Lilley’s influential NHSManagers.net newsletter (by free subscription, click on link) is Paul Harper’s commentary on the appointment of TSA Chair Andrew Gardner. Mr Harper’s view is informed by considerable experience in the UK health services concentrating on telehealth and telemedicine. His key point is that an ‘independent chair’ should be exactly that. Moreover, standards of public governance should apply (the Nolan Principles of Public Life), as these private companies are largely doing public sector business. Your Editor will let Mr Harper state the rest; a PDF of his article is attached.

In the US, where your Editor is from, it is commonplace to have an association chair from ‘inside the industry’ whether healthcare or in other areas where I’ve worked, (more…)

Panasonic enters telehealth, debuts On4Today

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/10/Panasonic-on4today.jpg” thumb_width=”175″ /]Panasonic’s new Health and Wellness Solutions group has tossed their cap into the socialization ring with tablet-based On4Today. The Wi-Fi connected tablet is targeted to senior housing communities to assist residents, especially those with cognitive impairment, in staying connected and managing their daily activities. Launched this week at the LeadingAge annual meeting of non-profit housing and long-term care providers in Nashville (IAHSA internationally), the tablet features a calendar, provides reminders, receives messages and lets the user view photos, videos and video chat. It does not, at present, do any clinical monitoring. This Editor received a preview at the Aging 2.0/New York meeting in New York earlier this month showcasing Jewish Home Lifecare and Panasonic. (more…)

Life expectancy up, but so is death from falls (US)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”175″ /]The Gimlet Eye falls outside the box, and is writing this from recovery. Our companion in curmudgeonliness, Laurie Orlov, whacks us upside the head with first the good news then the bad. US life expectancy is up: if you are 65 today, on average you will live to 83 (men) and 86 (women), even with the rise in chronic conditions that affect quality of life, such as diabetes and heart disease. But the bad is that death from falls is also up. This is despite all the systems and gizmos the Digital Health Industry has concocted to detect falls beyond 1970s PERS technology. Once upon a rose-colored Telecare Time we thought we could infer falls purely by sensors detecting lack of activity (the basis of QuietCare, GrandCare, Healthsense, the late WellAWARE). Then with accelerometers, fall detection would be automatic, (more…)

TSA’s annual International Telecare and Telehealth Conference

17 – 18 November 2014, Celtic Manor Resort, South Wales

“Solutions for 21st Century Care” is the theme of the TSA’s annual two-day interactive conference which will look closely at these five key areas: Service Integration, Standards, Innovation and Technology, Business Modeling and Leadership, Education and Training. There will be industry-focused breakout sessions as well as exhibition and showcase zones featuring the latest technology innovations. The chair for the conference will be Nick Goodwin, CEO, International Foundation for Integrated Care (IFIC). Confirmed speakers include: Mark Drakeford AM, Minister for Health and Social Services, Welsh Government; Esther Rantzen CBE, Founder of The Silver Line; Helena Herklots, Chief Executive, Carers UK; – Professor George Crooks OBE, Medical Director, NHS 24; Trevor Single, Chief Executive, Telecare Services Association; Michael Seres, Patient Entrepreneur and special guest speaker Colin Jackson CBE, Olympic Medalist. For more information, see the TSA Conference website here and register online here (booking forms are also downloadable on the earlier page).

Tunstall secures additional £20 million from Charterhouse: implications?

Breaking News  Tunstall Healthcare Group quietly announced on 25 September an additional investment of £20 million from its private equity owner, Charterhouse Capital Partners. Our readers know from our May and July articles the business challenges Tunstall has faced. We have particularly focused on–as have Bloomberg in May, this Editor and our Founder/EIC Emeritus Steve Hards over the years–on the heavy burden of Tunstall’s debt service, multiple management changes on both sides of the Atlantic, and a decided ‘failure to launch’ in the US market.

Readers of the Sunday Times woke up to this headline and lede (what news writers use to introduce the topic and entice you to read on):

Headline: £20m to steady ship at Tunstall

Lede: CHARTERHOUSE Capital Partners, one of the City’s oldest and most secretive private equity firms, has been forced to provide a multimillion-pound lifeline to another of its investments. A fortnight ago, Charterhouse ploughed £20m into Tunstall, a healthcare technology company that makes equipment to monitor the elderly and sick at home.

Insider Media Limited (business news review) had a more measured take in its ‘Yorkshire News’ section:

Headline: BACKERS PUMP £20M INTO HEALTHCARE FIRM (more…)