The King’s Fund has posted video highlights from last month’s International Digital Health and Care Congress. Talks include those from futurist Ray Hammond, Kathleen Hammond (US Department of Veterans Affairs), Dr Ali Parsa (Babylon), Paul Rice (NHS England) and Sian Jones (NHS Bristol). Click on the tabs at top for presentation decks and posters. TTA was a media partner of the Congress. Hat tip to Mike Clark via Twitter (@clarkmike).
Data mining health records: the good, bad and ugly
Take your time this weekend and read this article from the Washington Post on the ‘brave new world’ of data mining health records. While those with experience analyzing real-world health data snicker at Larry Page of Google’s inflated claims of ‘saving 10,000 lives in the first year’ if only he could get his hands on that identified data (of course, then there’s the opportunity to make $£€¥, which is what Larry and Sergey are really interested in–count your Editor as a cynic!), the Health Data Analytics Express rolls on. The promise lies in more precision in treatment areas such as brain tumor radiology where sizing is critical (BraTumIA) and individualized genomics for disease. Yet the author does not touch on healthcare decision support systems best exemplified by IBM Watson, (more…)
Smartphones, wearables are the future says NHS England
NHS England has sketched out the future of healthcare and it will be one using smartphones and wearable bio-sensors to monitor ourselves and alert clinicians. [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/09/NHS-England.jpg” thumb_width=”150″ /]NHS National Medical Director Sir Bruce Keogh has written to around 250 organisations across health, social care, industry and third sector asking them to support the Technology Enabled Care Services (TECS) programme which he says will take the NHS into this new technological era.
The TECS programme, born out of the Three Million Lives (3ML) initiative (which didn’t quite go anywhere after all the song and dance, including from Prime Minister David Cameron), was reviewed last year resulting in the change of focus to “address the demand for support and practical tools to commission, procure, implement and evaluate technology enabled care services” according to Sir Bruce’s letter as reported on the NHS England website.
The TECS Stakeholder Forum‘s views and proposals now form the TECS Improvement Plan for 2014-17. This is a broader group following the failure of the 3ML Stakeholder Forum, which consisted mainly big industry organisations, to achieve anything of substance.
According to the NHS England website posting, Sir Bruce explains: “To ensure continued progress, we have brought together a TECS Implementation Group consisting of experts and leaders from across these sectors whose remit is to support the strategic development and delivery of the proposals within the Improvement Plan. In addition, we have formed the TECS Executive Steering Group which meets regularly to provide clinical, technological and strategic leadership for the programme at a director level in NHS England.”
This all sounds like a lot of bureaucracy and a drawn out attempt to rescue what remains of the 3ML programme. I started thinking of the Titanic and deck chairs.
What do 65+ really want? Travel the world.
For those of us who develop and implement technologies to assist–and marketers who appeal to–the 65+ market (and in reality those 55+), the aspirations spotlighted in this ‘bucket list’ illustrate this age group’s current mindset a lot better than the usual picture sketched in much of the consumer and healthcare press of the obese, bundle o’ chronic conditions and chronically ‘needy’ older adult. Centra Pulse, the telecare arm of non-profit Circle Housing with 125,000 customers, surveyed over 2,000 65+ UK adults and came up with a ‘top 40’ (just like the old radio hit lists) must-do list. Some are ambitious (#1, 3, 4) and others are prosaic (#2, 9, 11). Listing top 15 here:
- Travel the world
- See my family settled
- Live to 100
- Write a bestselling novel
- Win the lottery
- Buy a house
- Learn a language
- Be financially secure (more…)
Change needed in ‘Keeping the NHS Great’
Technology enabled care services (TECS) are the key, according to this study headed by the Good Governance Institute (GGI) and supported by Tunstall Healthcare. Whatever your thoughts are about the latter, the problem pointed out in the study is valid; that TECS (another acronym to be added to the arsenal encompassing both telecare and telehealth; not a ‘telehealthcare’ in sight) is thought of as ‘too difficult’ and because the system has not changed, people are being denied life-changing support and technology. GGI surveyed healthcare professionals in its networks plus organized a workshop with the Tunstall Clinical Advisory Group for more qualitative information.
According to the report, 85 percent of respondents said that telehealth was “very important” (50 percent) or “important” (35 percent) in developing pathways for patients with long-term conditions and better management of their care in the community. The overwhelming majority (79 percent) responded by saying they would be prepared to contribute to some or all of the costs, or introducing telehealth from their own budgets. (more…)
Lively telecare system adds smartwatch-flavored PERS
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/09/Lively_safetywatch_captioned_June-2014.jpg” thumb_width=”150″ /]The Lively home telecare system, which uses a series of passive activity sensors wirelessly connected to a cellular monitoring hub, announced a ‘safety watch’ addition to its system. The wristband has a watch form factor, is waterproof and contains an emergency button with analog/digital option on its time/date watch face. The smartwatch-ish features are medication reminders and a pedometer for step tracking. When out of home, the wristband tethers to an Android (only) smartphone. Battery is good for about six months. If the button is pushed, there is a ‘countdown’ during which a call center attempts to reach the user by phone (watch is not two-way voice) prior to dispatching emergency (more…)
Bayer AG enters the healthcare accelerator game (DE)
Bayer HealthCare AG’s Grants4Apps program announced its support of five startups that, in their words, will support improved outcomes or pharmaceutical processes. Unlike companies like GE or Pfizer, Bayer is outright granting a substantial amount of cash to each–€ 50,000–and offering space plus 3 1/2 months of mentoring in their Berlin HQ in return for the usual small equity stake. Of 70 applications, five were granted to European companies which will have their Demo Day on 1 December:
- Cortrium: their C3 device is a state-of-the-art wearable tech sensor for clinical-quality hospital wireless monitoring of health data including electrocardiogram (ECG), body surface temperature, respiratory rate, and body posture/physical activity. Blood oxygen and blood pressure to come in 2015. (Denmark, spun off from Nokia R&D)
- PharmAssistant: self-management tool for chronic disease patients, consisting of a smart pill container and a remote cloud-based monitoring service (Portugal) (more…)
It’s official! mHealth in the ‘trough of disillusionment’
Gartner annually issues its Hype Cycle for Emerging Technologies in the Dog Days of August, perhaps not to burst too many bubbles, derail too many fundings?
- Lo and behold, ‘mobile health monitoring ‘ is heading towards the bottom of the Trough of Disillusionment. Moreover, its recovery is projected at 5-10 years to move out of the Trough, whip through the Slope of Enlightenment and enter the sunny uplands of the Plateau of Productivity. See Gartner chart below.
- Our readers knew, from their own and our observations, that mHealth hit the top of the Peak of Inflated Expectations over four years ago [TTA 29 June 2010, 22 Apr 2011]. In January, we predicted that 2014 would be ‘the year of reckoning’ (more…)
Philips Lifeline introduces a mPERS app
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/philips-lifeline-app.jpg” thumb_width=”120″ /]Philips Lifeline has debuted in the US an unbranded mPERS-like app which allows the user from a smartphone (iPhone/Android only) to access the Philips Lifeline call center. The app is free but the service to voice connect to their call center, according to their customer center, is a (bargain compared to standard PERS) $13.95. The phone’s GPS geo-locates the person in need. The fact that the introduction is in the ‘dog days of August’ is one indicator that they are readying well ahead of the late fall (autumn) bump in demand. (Both this Editor and Mobihealthnews see a back and fill for the much-touted GoSafe introduction which 18 months later is still not in market.)
But walk with your Editor through this scenario:
- Smartphone-equipped older person takes a fall, has an accident or is a crime victim
- Despite the fact that all smartphones have accelerometers, the app does not tie in to this data, (more…)
Telecare helping Alzheimer’s patients live in the ‘connected home’
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/140825141047-lively-pillbox-sensor-story-top.jpg” thumb_width=”150″ /]There’s life in telecare–it’s (finally) morphing into ‘connected home’. Is this ‘slope of enlightenment’ and ‘plateau of productivity’ time? We haven’t had a spotlight on the part of telecare which is sensor-based behavioral monitoring, but here’s one that shines on not just one but four systems which indicates a big change in focus, long developing: SmartThings, Lively, BeClose and certified Grizzled Pioneer GrandCare Systems. CNN.com crafted an article out of a fairly obvious placement by the Alzheimer’s Association, but all to a good end.
Notably SmartThings by Physical Graph (just purchased by Samsung for a reported $200 million after raising $15.5 million through Series A, undoubtedly for their algorithms and in its health reach strategy versus Apple Health) pitches itself on its website as simple home automation, yet this article is all about older adult safety. Lively, which is depicted with an interesting connected pill dispenser (above) and BeClose carve their approaches close to caregivers. All three are DIY systems. GrandCare remains the anomaly, with the highest (custom) home install price ($699 and up) but with a home tablet that engages the older person with virtual visits, music, pictures, daily updates and family/clinician connectivity. They were also first to move in this direction; this Editor recalls their pioneering in the home automation area with CEDIA, the home electronic design association.
After years, are we finally seeing a shift in consumer perception? (more…)
Ding! Telecare developer Healthsense raises $10 million in 8th round
Sensor-based remote monitoring company and certified Grizzled Pioneer Healthsense has completed a raise of $10 million, its eighth round of funding since its founding in 2003. This round was led by new investor Mansa Capital with previous investors Radius Ventures and Merck Global Health Innovation Fund. Mansa has current investments in only two other companies–smartphone med adherence platform HealthPrize Technologies ($3 million from Mansa just yesterday) and employer behavioral health risk manager E4 Health (CrunchBase) with a third, Independent Living Systems, listed on its website, but was a prior investor in well-known Athenahealth. Earlier investors Ziegler HealthVest Management (2007) and West Health did not join in this round. The VentureBeat article alludes to home monitoring pilots with home health providers Humana Cares/Senior Bridge and Fallon Health–odd since Healthsense has always had units in home health. Last year Healthsense bought rival telecare company WellAWARE [TTA 2 July 2013] after the latter experienced difficulty (more…)
Free telecare event in Eccles (UK)
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.
‘Explosive growth’ for telehealth and telecare at last?
This sunny summertime prediction by Ephraim Schwartz, an editor-at-large for enterprise tech publication InfoWorld, outlines five main reasons why:
- Healthcare is broken, and because it is, finally there’s the financial commitment from providers.
- 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).
- 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…)
Is this the last time the flat earth society will be celebrating? (UK WSD)
When this editor was running a telecare & telehealth programme in Surrey, there was always the dread when meeting professionals that one of the daily internet newssheets would publicise another paper about the Whole System Demonstrator (WSD) that ‘proved’ that one or other form of remote patient monitoring (RPM) cost more per QALY than a voyage on Virgin Galactic. The day was then spent unconstructively, making some or all of the points encapsulated in my original post on 22 July last year entitled “Time to bid farewell to the WSD”.
Thankfully the flow of WSD papers has since dwindled. Doubtless many hoped they had stopped for good, in view of their total irrelevance to the real world in 2014. However, on the offchance that some poor reader has found themselves being challenged about the abstract of a recent paper picked up by Pulse, on the high cost per QALY of telecare by one of the few professionals who still do not accept the value of appropriated technology, here is what you might tell them (more…)
Medvivo: correction
On 13th July this editor wrote a piece entitled “Wearables & mHealth: a few observations “ which included a paragraph on staff reductions at Medvivo which we suggested might be a part of an overall reduction in Medvivo’s engagement with telehealth. We had tried to contact the company beforehand, without success, however following publication of the story, this editor was then contacted by Andrew Cowie, Chief Executive of Medvivo. He kindly pointed that with the acquisition of Magna Careline, Medvivo’s headcount has actually increased by some 50, significantly more than the number who are en route to leaving the company. The other observation mentioned in the paragraph as supporting our concerns was, apparently, entirely coincidental (and transitory), and the following paragraph, which actually related to the BBC, was so worded that Medvivo (incorrectly) took it to refer to them. We therefore unreservedly apologise, and invite readers to check out the revised article.
New consultation on monitoring of home-based care services (UK)
Undaunted by the apparent lack of interest in their multi supplier framework agreement for telecare & telehealth tender last year, the East Shires Purchasing Organisation (ESPO) is now seeking to establish a multi supplier framework agreement for the supply of systems to facilitate the monitoring by local authorities and other service commissioners and service providers of home-based care services. The framework will apparently also include solutions and products that assist in the scheduling of home care visits and the rostering of care staff.
According to the announcement, the requirement is for both stand alone and integrated systems, with various hosting options and technologies. Systems should ideally be tailored to the needs of the home care sector.
At this stage, ESPO is keen to engage with interested parties to discuss the products and services currently available in the market, options regarding the structure of the procurement and the anticipated direction of future market developments. Those keen to participate in this market consultation are asked to contact Louis Blake on 0116 294 4055 or l.blake@espo.org, by 30 August 2014.
Although having a touch of “big brother” (more…)
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