The King’s Fund: International Digital Health and Care Congress

July 13, 2014 | by

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Q75-digital-health-dot-mailer-banner-e1405212554733.jpg” thumb_width=”450″ /]

10–12 September 2014 at The King’s Fund, London W1G 0AN

 

This three-day event at The King’s Fund, now in its fourth year, is a truly international Congress in attendance and speakers. It will showcase new ideas, new research and new innovations in digital health, mobile health, telehealth and telecare around these five topics.

  • Sustaining independence as people age
  • Preventing and managing chronic illness effectively
  • Supporting people with mental health issues
  • Digitally enabling service transformation
  • Innovations in technology

Wednesday’s pre-Congress session begins with lunch, a full day on Thursday concluding with an (optional) dinner and a full Friday. Our own Editor Charles Lowe will be presenting on medical apps during the 11:30 breakout session (the T2F section) at 11:30am Thursday. See here for detailed information on the Congress sessions. PDF summary including keynote speakers.

As TTA is a media sponsor of the Congress, we are pleased to offer our readers a 10 percent discount off pricing for all their registration types, including the Thursday dinner. Click here to automatically obtain the discount.

Help develop ‘The Big Red Button’ emergency alert app

July 11, 2014 | by | 2 Comments

Help Edd Tillen design a telecare alternative

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/07/Big-Red-2.jpg” thumb_width=”170″ /]We occasionally hear from one of our developer readers, and so it was at the end of June when Mr Edd Tillen wrote me about a smartphone app he is developing called ‘The Big Red Button’. It does what a typical ‘panic alarm’ app does–alert a designated person about an emergency or unsafe situation–but coordinates the response among several carers with a sister app on their phones. One person is designated a ‘responder in charge’, and the nearest in distance (based upon GPS) is the first responder. The design of the app coordinates the response and informs all responders on what is happening to its conclusion. The responder in charge also calls the casualty to get a better idea of what is happening. Mr Tillen designed the app after how the British Army handles battlefield casualty drills where everyone has a role (he’s a member of the Reserves, Royal Logistics Corps). In his capacity working in social care with the Leicestershire County Council, he also felt that smartphones, which are being more widely accepted among older persons, are a better alternative for most than expensive and home-based telecare contracts.

Here’s where Mr Tillen would like YOUR help. On his website, there’s a working demo of the app. It has two different scenarios–what is seen from the casualty and also what the carer would see. He’s looking for reviewers to then fill out a consultation questionnaire, which he will use with his developer (part of the Leicestershire Tech Start Up Community) for modifications and with potential investors, who especially want to see interest from those engaged in the field prior to its projected release this Autumn. Website

Medicare dis-incentivizes home health care in ACA’s name (US)

July 4, 2014 | by

When it comes to home health care, the C in CMS (Centers for Medicare and Medicaid Services) should perhaps stand for ‘contradiction’. According to recent reports appearing in the pre-holiday ‘dead zone’ of late last week, CMS has decreed that it must save, as part of a four-year plan under ACA, $58 million (0.3 percent) in fiscal 2015 (starting 1 Oct) from home health agencies which were formerly touted as a great way to save money. To put this in perspective: in 2013, Medicare paid about 12,000 home health agencies $18 billion to provide services to 3.5 million patients. In the US, Medicare has always had more restrictive rules for home and community-based services (HCBS); state-administered (but Federally subsidized) means-tested Medicaid still pays for the vast majority of long-term care (well over 60 percent, according to another Federal agency, Housing and Urban Development [HUD]), which strikes many observers as one pocket to another. So where are the contradictions?

  • Conundrum #1: CMS has emphasized post-discharge, post-acute care as part of reducing acute care costs, exemplified in the penalty for 30-day same-cause readmissions. Nursing home expenditure is at least three times more costly than in-home LTC (a conservative estimate used by HUD).
    • But CMS plans to cut Medicare home health funding in total so fewer people may receive it at all or less of it even if needed. What will be their alternative, and the effect on outcomes? (more…)

“A rose by any other name would smell as sweet” take II (UK)

June 17, 2014 | by

Names again! E-Health Insider today has published a typo-prone summary of a Technology Strategy Board survey of the public’s understanding of “‘health and safety devices”. Unsurprisingly, just as most people would not know what acetylsalicylic acid is (though would be happy to take it when it was called aspirin), so only 10% knew that “‘health and safety devices” meant telecare and telehealth. Not sure I’d get that one right either.

There is better news though. The article also quotes the survey as finding that “38% of people said they did not understand the benefits for both self-care technologies and for health and care apps for smartphones and tablets” which I reckon is fantastically marvellous because it means that 62% of the population did understand the benefits of these technologies, which is a heck of a lot more than I suspect a random sample of GPs would, and shows we have been successful beyond our wildest dreams, especially if those happen to be concentrated in the oldest 62% of the population.

Sadly not all was quite so good as “…the research found that 43% of people would not consider telehealth because they would prefer to be seen by their clinician face to face.” Just as whenever in conversation someone tells me they wouldn’t share their health data, and I’ve asked whether they’d still feel like that if they were lying dying in the street and could be saved only if a clinician had instant access to that data, so I wonder if the question had been posed,  as with our local surgery for non-urgent consultations, “would you prefer to wait 28 calendar days to see your clinician face to face or would you be consider remote consultation within 24 hours”, the answer might be slightly different.

The good side of course is that (more…)

Medvivo comes of age (UK)

June 7, 2014 | by | 1 Comment

A year after this editor began his three year stint with Telehealth Solutions, we had a corporate near-death experience, as money got very tight waiting for that first big telehealth order (thankfully it came, courtesy of NHS Norfolk). In those days of reduced salaries, and few employees, we could only dream of becoming a full service remote healthcare monitoring organisation.

This week’s announcement of the acquisition of Magna Careline shows how things have changed in just five years. After being acquired by Moonray Investors, (more…)

Health funding cuts in Australia

May 31, 2014 | by

Health and science funding in Australia are facing huge cutbacks under the new Government [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/05/Australian-budget.jpg” thumb_width=”150″ /]of Prime Minister Tony Abbott leading to expectations that the existing telehealth programmes will be reduced or abandoned as a direct result. A raft of cuts include closure of health and science agencies, funding cuts to major research institutes and the introduction of co-payment for each GP visit.

The Guardian reported that a cut of $1.8 billion of planned health payments to the States will take place over the next four years and The Lancet reports that the government’s share of the health service funding will be cut by $15 billion per year by 2024. The treasurer for New South Wales has stated that NSW itself would need to find an extra $1.2 bn over the next four years. ABC reported yesterday that the South Australian Government is planning to shut hundreds of hospital beds in next month’s budget in what will be the largest cut in its history.

Where will this leave the Australian telehealth and telecare services which have been showing rapid take-up in the recent past, helped along by several far-sighted Government initiatives such as Medicare Locals and telehealth pilots? And what impact will there be on the recent One in Four Lives industry initiative?

 

UK Telehealthcare MarketPlace 2014 (UK)

May 21, 2014 | by

UK Telehealthcare is again having a free-to-attend London Market Place in Kensington Town [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/05/UKTHC-logo-final1.jpg” thumb_width=”150″ /]Hall, on 2nd June 2014. In case you are wondering, UK Telehealthcare is the re-branded London Telecare. The change which took place in September last year is taking the London Telecare model nationwide.

These Market Place events provide the supplier members of UK Telehealthcare the opportunity to show their telehealth and telecare products and for visitors to try them out and discuss their requirements. The Market Place is open for five hours and there is a programme of talks running in parallel. See the flyer (pdf) for other details. As the flyer says, there is no need to book but please let Doug Miles know id you are planning to attend.

April Telecare LIN newsletter out (UK)

May 2, 2014 | by

The Telecare Learning and Improvement Network (LIN) newsletter for April is out now to download and read at your leisure and as usual contains a host of items from the last month.

There is a good roundup of UK care news in the face of the creation of the Clinical Commissioning Groups as well as news from further afield.

The LIN comes from the Health Tech and Medicines Knowledge Transfer Network which was, until April, one of the many KTNs funded by the UK Technology Strategy Board (TSB). There has now been a major reorganisation of KTNs at the TSB and the various KTNs have been consolidated into one KTN with communities within this KTN specialising in different areas. There is no mention of what impact, if any, this will have on ALIP and the the Telecare LIN – perhaps something for next month?

The ‘grey’ market is where it’s at for ‘quantified selfing’

April 29, 2014 | by | 1 Comment

Surprisingly in the tech-addicted (and young-skewing, based on subject matter) Gigaom is this short piece on how health tech companies are missing the boat by targeting the young, healthy fitness addict or plain addicted-to-the-data Quantified Self (QS) market, rather than those over 50 and their families. ‘Simple’ and unobtrusive are the keywords, especially for what the late and much missed MetLife Mature Market Institute termed the ‘old-old’–those over 80. Mentioned are home activity monitoring systems such as Lively, BeClose and GrandCare Systems supplanting the PERS pendant (Lifeline) and the additional alert capabilities offered by GreatCall/Jitterbug. (This Editor will also mention a new telecare system entering the European and Americas markets, Essence Care@Home, which premiered at Mobile World Congress 2014. More on this in the next few days.) What’s notable about the article is the emphasis on the market size (via expert Laurie Orlov): $2 billion now, ten times that in 2020. What’s incomplete about the article is no ‘look-ahead’ to how devices like smartwatches (and watch-like forms such as AFrame), sensor-based wearables which connect to smartphones–and sensor-equipped smartphones, tablets and even Glass-type devices with simple apps which can help with self-or group-monitoring, prompts for those with cognitive difficulties, and more. Worldwide, we are also running out of carers [TTA 24 April]. Who will crack the code on tech for seniors?

Welsh Government to develop new eHealth and Care Strategy

April 28, 2014 | by

The Government of Wales has announced that it is to develop a new eHealth and care strategy in [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/04/Welsh-Goverment.jpg” thumb_width=”150″ /]conjunction with health boards, NHS trusts and local authorities in Wales. The strategy will focus on using technology such as video conferencing, remote monitoring and better use of health records.

In a written statement issued last week while the Welsh Assembly is on its break, the minister for health and social services states that consultation will take place with health and social care professionals and users and the strategy will be in place by the end of the year.

“This will help us achieve our aim of ensuring there are more services, care and support available for patients in their homes or in their local communities” says the statement from Mark Drakeford.

“Technology has a key role to play. This could include the use of video conferencing to allow patients and health professionals to talk to each other; to aid diagnosis and decision making and remote monitoring for people with particular health conditions. Technology can also help improve access to services by bringing them closer to people’s homes, for example by providing mobile services in rural areas.

“With an increasing ageing population it is essential we enable people to live independently for as long as possible. Without this, the health and well-being of individuals will be adversely affected.

“We will expect our information to be accessible to professionals where and when it is needed whether in health or in social care. We already have the Individual Health Record, with appropriate security and governance in place. Any potential wider access to people’s data would only be with their consent.”

The full statement is available on the Welsh Government website here.

Redesigning PERS artistically in Glasgow: the winners

April 24, 2014 | by

Following up on our 28 March story of Chubb Community Care sponsoring a competition at the Glasgow School of Arts to redesign the traditional telecare medical alarm (PERS), the five winning entrants and teams were announced today (23 April). They are:

Element: Craig Meakin, Kayleigh Nelson, Eilidh Gibson and Ramsay Black
Pebbl: Gordon Ritchie, Francesca Stephens, Jordan Smith, Erin Wallace and Heather Walker
Bodyguard: Steven McCauley, Harry Hutton, Kim Stendahl, Matias Rinne and Andrew Robertson
Lumeo: Nadia Bassiri, Robert Turner, Harry Opoku Agyeman, Helen Campbell and Jonathan Thomson
Suit: Michael Tougher, Hannah Kirkbride, Euan Spalding and Tristan Stoner

The winning teams will share a £2,500 cash prize, and their designs were publicly presented at Municipal Buildings in Forres, Moray in the north of Scotland. The Glasgow Arts teams worked with Moray residents who currently use PERS and their carers to determine design and functionality factors. According to the release, Chubb is using the designs to complement the work of its own engineering teams, and thus at this point the concepts are still under wraps. We hope these concepts gain wider exposure. Release link to come.

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…)

AKTIVE Conference 2014

April 1, 2014 | by

Technology, Care and Ageing: Enhancing Independence

8-9 April, University of Leeds, UK

Sponsored by AKTIVE, a project that started at the University of Leeds’ Centre for Care, Labour and Equalities (CIRCLE) in 2011, next week’s conference it is focused on understanding the impact telecare technology has on the everyday lives of older people who are prone to falls or who suffer from cognitive impairments (including dementia) and the people who support them to live at home. AKTIVE 2014 brings together researchers, industry, voluntary sector and local authorities interested in the role of telecare and other technologies in supporting older people at home. Our Contributing Editor Charles Lowe will be presenting on Wednesday the 9th, 11:15am – 12:30pm, on ‘How Activity of Daily Living (ADL) Monitoring is at last coming of age’ as part of a Forward Vision for Telecare. Full program. Information and registration (may still be available–we are checking)

A useful note on telehealth & telecare (UK)

March 20, 2014 | by

If like me you are frequently asked for a summary of what has happened recently in the world of telehealth & telecare and are forced either to sit down and cut & paste/write one or politely turn down the request, you’ll be pleased to know of the recent four-page summary produced by the Parliamentary Office of Science and Technology (POST). Written by Peter Border, it is a competent summary of recent developments in remote monitoring in the UK, including 3millionlives & ALIP, extending to mention of the regulation of medical apps.

Of course there are bits I’d have written differently. For example (more…)

Doro opens first store, in Paris

March 14, 2014 | by

Swedish firm Doro, best known for its easy-to-use mobile phones has announced the opening of its first [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/Doro-Secure-211.jpg” thumb_width=”150″ /]store. The company, which bought the small French telecare technology provider Birdy Technology in 2011, says that the store, in Paris, will enable them to “get closer to the end user”.

Doro say in their press release that the store will enable them to show the full range of their offerings which are listed as smart devices, mobile phones and telecare solutions. The Birdy Box telecare hub, from their acquisition of Birdy Technology, has now been fully rebranded as Doro Gateway, part of the Doro Care offering. In addition, according to a quote from CEO Jérôme Arnaud, the store will enable Doro to increase its direct sales.

“The store in Paris will be followed by a gradual launch of Doro’s own e-commerce, planned to be introduced in several key markets during 2014” concludes the release, but no information is available as to what Doro plans to offer in the e-commerce arena.

Hanover Housing Association enters Tunstall’s ‘world’ (UK)

March 10, 2014 | by

Tunstall‘s win of the Hanover Housing Association for their alarm call and door entry framework is highly significant beyond the initial installation of the Communicall Vi warden call system and Lifeline Vi dispersed alarm system (PERS). Hanover’s size makes this a major win for Tunstall. Their rationale is understandable: to rapidly replace current telecare equipment in eventually up to 17,000 properties, to build out for the future across a large portfolio and to work with Tunstall to offer a range of present and future integrated technologies including those represented by Tunstall’s ‘Lifetime of Care’ program. No mention here of Tunstall’s ‘my world’ premiered at last month’s Housing LIN Conference [TTA 21 Feb], but undoubtedly this will eventually be included. But here again is the Tunstall system; there’s no mention of partnership with other technology providers to provide innovation and ‘best in class’ service for Hanover residents. As this Editor asked at the end of the February article, ‘But is a closed system the best quality, most economic and effective arrangement for individual, a community’s or a council’s needs?’ Tunstall release

Editor’s Note: For non-UK readers to grasp the size of Hanover Housing, it has 600 estates with 19,000 properties and 22,000 residents, making it comparable in number of locations to Brookdale Senior Living in the US but far more dispersed. Brookdale concentrates its 52,000 residents in larger, mainly assisted living buildings (AL). Hanover focuses on retirement housing across England and Wales, a focus on what in the US we call IL (independent living), including the interesting notion of ‘downsizer homes’. They also have 2,500 ‘Extra Care’ properties with 24-hour care. It is also a not-for-profit, which perhaps makes it more comparable to Ecumen.