Hospital Directions

November 19, 2013 | by

London, 27-28 November 2013, ExCeL London Convention Centre

The second annual Hospital Directions conference focuses on Secondary Care and care integration, including the crisis of emergency care with winter looming, the benefits of telehealth in secondary care and comparatives from the US, notably the Kaiser Permanente model. There are seven speaker streams, seminars, workshops and hands-on skill sessions and an exhibition. Presented by CloserStill. Please see attached and their website for more information and registration.

NYeC Digital Health Conference 2013: the trends

November 16, 2013 | by

Updated 21 November

The third annual New York eHealth Collaborative (NYeC) Digital Health Conference in New York City attracted several hundred people from the worlds of hospitals, public health, academia, policy makers and health insurers–and the myriad related products and services which will enable these entities to improve their health IT, organization and engage patients in their own health. If there were three buzzword phrases setting the tone, they were interoperability, patient portals and technological innovation. All relate to data–data transfer of patient records between providers to be available regionally (RHIOs) and throughout the state via the SHIN-NY health information exchange (HIE); using data to help people visualize and improve their health;  putting data into ‘whole person’ context for providers, integrating it into workflows and to save lives; using data to serve process improvement and tougher standards. And finally there is that old devil cost: reducing the cost of care, reducing expensive readmissions plus co-morbidities and making those tools to do this job more affordable for providers and patients.

NYeC has developed considerably since its early days seven years ago (more…)

Telehealth saves $55 million in the Basque Country

November 16, 2013 | by | 3 Comments

Faced with an aging population (18 percent over 65) and a failing Spanish economy, the Basque Country Health System is testing telehealth systems to keep its older population healthier and out of the hospital (23 percent are readmitted to hospital). The Accenture-developed TEKI is based on a Microsoft Kinect and connects to a heart rate monitor, pulse oximeter and a spirometer, using the Kinect to evaluate their mobility and provide prescribed exercise therapy as part of rehabilitation. TEKI is part of an Accenture-developed ‘Multi-channel Health Service Center’ that provides a variety of counseling and education services to the local older adult population. The Kinect is also used as a telemedicine platform to communicate with the patients in the study. Results achieved by the program:$55 million saving in Year 1 through eliminating 52,000 hospital visits, a 7 percent cost reduction per patient. CNBC/Philips feature, MedCityNews, video of Osakidetza Hospital staff using TEKI with respiratory patients, Accenture paper.

Staples: a new market for health tech? (US)

November 15, 2013 | by

Staples is following Amazon’s lead and getting into lines of business–including home health care and personal care–totally unrelated to its core merchandise of office supplies. E-commerce blog GetElastic takes a critical look at their business goals in driving towards over a million SKUs, bringing in third-party sellers (“marketplace”) and drop-shipping, plus sourcing and stocking an extended inventory. The news for us is that one of those marketplaces could be fitness tech/wearable items that employees use in wellness programs such as Fitbits, Jawbones and FuelBands, sensors for Samsung’s S Health program–or glucose meters and blood pressure cuffs. (Already Staples stocks DME, personal care, ostomy and respiratory supplies.) And since Staples already sells smartphones, the potential for cross-selling fitness add-ons and apps is excellent. Can Staples Succeed as an Everything Store?

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/11/Staples-home-page.jpg” thumb_width=”400″ /]

International CES unveils in NYC

November 15, 2013 | by

The trends and items of note for next January’s show in Las Vegas

  • The ‘Internet of Things’ is the phrase-du-jour–embedding anything and everything with sensors (digital elements) and blending the physical and digital worlds
  • Consumer Digital Health Care was listed as #3 of CEA’s 2014 Technology Trends to Watch (PDF link). What is hot is self-tracking (1/3 of mobile users have tracked using a smartphone and tablet, and over half are now concerned about data security), integrating tech for seniors (touching on Selfhelp’s Virtual Senior Center [TTA 17 Mar 2010], remote monitoring (telehealth and telecare) including GrandCare Systems and kiosk HealthSpot Station, patient adherence, FDA approval of apps and the home as a healthcare hub.
  • Robots were the #4 trend: consumer robots such as home cleaners Roomba, Ecovacs; robots in eldercare; humanoid robots like NAO; robotic prosthetics and exoskeletons.

Digital health will again be showcased as a TechZone  (more…)

A change of guard at GrandCare Systems

November 14, 2013 | by

This Editor has often referred to her former competitor GrandCare Systems as one of the ‘grizzled pioneers’ on the Conestoga Wagons of Telecare–even more grizzled than QuietCare (circa 2003-4) since their ur-system dates back to 1995-6, when it kept track of founder and CEO Charlie Hillman’s mother Clara. In the years since, the closely-held company has broadened its original telecare and activity monitoring tech into telehealth, socialization and home automation/monitoring into the most fully featured system in telecare/telehealth for older adults. Without making huge splashes, being beholden to VCs or moving from bucolic West Bend, Wisconsin, the company has grown through multiple alliances, the most unusual being home automation association CEDIA. GrandCare has a residential base of customers but has also developed a solid footing in senior communities both in assisted and independent living. Earlier this year, they reached into UK to partner with Saga [TTA 24 Jan, 10 Jan] and received the CE Mark for approval of its telehealth features for EU distribution.

The news is that they have a new CEO–Daniel Maynard, who is joining from (more…)

Diagnosing Parkinson’s in a 30 second phone call

November 13, 2013 | by

…and with 99 percent accuracy is the claim made in this TED video by Max Little, an applied mathematician who has devised a voice test/analysis explained in this video. The challenge is to enable early diagnosis as there is no blood test and other diseases can mimic Parkinson’s disease. Neurological tests must be done in a doctor’s office and cost $300. This is algorithmically based, non-invasive and uses precision voice analysis. Parkinson’s is one of the most widespread neurological diseases, affecting 6.3 million people worldwide (the Parkinson’s Disease Foundation estimates 7-10 million) with at least 1 million in the US and 127,000 in the UK (Parkinson’s UK). He now is examining 10,000 voices gathered on his website, the Parkinson’s Voice Initiative with Aculab and PatientsLikeMe. Mr. Little is a TEDGlobal 2012 Fellow and a Wellcome Trust-MIT Postdoctoral Research Fellow. TED Talks page. Hat tip to readers Bob Pyke and Wen Dombrowski, MD.

[This video is no longer available on this site but may be findable via an internet search]

The lack of evidence in health IT and patient engagement

November 8, 2013 | by

In health economist/consultant Jane Sarasohn-Kahn’s lengthy analysis of the IMS Research report, Patient Apps for Improved Healthcare: From Novelty to Mainstream, ‘mainstream’ does not necessarily mean that apps deliver value–in health outcomes, health support or behavior change–which is why doctors have largely ignored them. For the 43,000+ ‘health apps’ so categorized in the Apple iTunes store, only 23,000 met IMS’ criteria of a ‘genuine health app.’ Few apps manage chronic disease for the highest health spenders or assist seniors, amazingly 5 apps =15 percent of all downloads with most apps having less than 500 downloads. Most apps provide information only and only 20 percent capture/track user data. Not dissimilar to the Manhattan Research smartphone study [TTA 30 Oct], the bulk of apps address behavioral health, eyes and hearing, endocrine and nutrition, heart/circulatory, musculoskeletal, and cancer. In IMS’ view, (more…)

Top 10 technology hazards–what pertains to telehealth?

November 7, 2013 | by

Our Second 10 For Friday comes from ECRI Institute, a non-profit which applies evidence-based research to improve patient care, has issued its annual Top 10 Healthcare Technology Hazards. Compiled from hospital reports, the FDA device experience database and ECRI’s proprietary database of incidents and testing, the most pertinent to telehealth out of the 10 are:

1. Alarm hazards–real alerts go unattended due to caregivers being overwhelmed, distracted or desensitized.

4. Data integrity failures in EHRs and other health IT systems–patient/data association errors, missing data or delayed data delivery, clock synchronization errors and more

7. Neglecting change management for network devices and systems–the “underappreciated consequence of updates, upgrades or modifications made to one device or system have on other connected devices or systems”

8. Risks to pediatric patients from “adult” technologies–mixups within EHRs, conversions from kilograms to pounds, even height and weight being recorded on different EHR screens.

HealthLeadersMedia

Health tech enthusiasm ≠ implementation and scale

November 5, 2013 | by | 1 Comment

Laurie Orlov’s impressions of this year’s Connected Health Symposium, hosted as usual by Partners HealthCare in Boston, presents the conundrum that telehealth and health tech faces beyond the consumer segment, booming fitness trackers and the apps bought one day, discarded the next. How do you get telehealth beyond the pilot to a permanent program in a health system? Do these systems really want to move healthcare to the home? According to Ms. Orlov, there’s amazingly no change from last year on these questions. They are still testing, not broadly deploying (how do companies like Ideal Life and Care Innovations [ever-funded? really?] which aren’t near substantial adoption continue?); and health systems are moving care from brick-and-mortar to the home but slowly, still. Continuing too is the lack of focus on how technology can work best with older adults.  (more…)

Quick Tuesday takes on health tech

November 5, 2013 | by

Long-term sensors, smart thermometers and the Scanadu Nirvana

The first study of long term use of carbon nanotubes as implanted sensors has been published in Nature Nanotechnology. The nanotubes were implanted for a year in animals to track nitrous oxide (NO), an indicator of inflammation which is important in and of itself, but the level of NO is also not understood long term in cancer. To detect NO, the tubes are wrapped in DNA with a particular sequence and wrapped in an alginate gel to stay in place for a recorded 400 days. The MIT team working on this is also working on nanotubes for real-time detection of glucose levels, towards an accurate insulin pump that would end the diabetic’s perpetual Battle of Stalingrad. MIT News and FierceHealthIT.

The Kinsa smart thermometer for iPhone and Android received a glowing article in Fast Company Design. (more…)

Changes at the top at Tunstall

November 3, 2013 | by

EXCLUSIVE

A reliable and informed source has told this Editor (1 Nov) that Gil Baldwin, Group CEO of Tunstall Healthcare Group Ltd. will be stepping down, to be replaced by Paul Stobart, the former CEO of CPPGroup plc. Mr. Baldwin joined Tunstall in March 2010 from major insurer Aviva, where he headed Aviva Health. Prior to CPP, Mr. Stobart held various positions over 15 years at global enterprise software giant Sage Group, concluding as their CEO for Northern Europe.

Charterhouse Capital Partners acquired Tunstall in 2008, with former owner Bridgepoint Capital retaining a minority share. However, a sale/VC exit has long been rumored. The company recently received some unflattering attention on its (fully legal) usage of the Quoted Eurobond Exemption in The Independent [TTA 25 Oct].

This Editor notes that Mr. Stobart became CPPGroup’s CEO to manage the fallout after it was revealed in March 2011 that the FSA (Financial Services Authority) was investigating the company for mis-selling their bank card protection and identity theft products. After two years of struggle and a record £10.5 million FSA fine, four major banks dramatically rescued the company in July with an eleventh-hour £38 million refinancing, but the consequence of restructuring was that Mr. Stobart and the CFO both stepped down in August. [Guardian, Sky News via Orange, CreditToday] This was certainly a trial by fire. It should also be noted that to this Editor’s knowledge, Mr. Stobart has no specific healthcare, telecare/telehealth or health insurance experience, which is unusual for a position of this type.

Update 4 November: Tunstall’s release at 2:20 PM UK time, making this official. Our source indicates that Mr. Stobart’s start date is today (Monday) and it transpired quickly with business staff only being notified internally last Wednesday, which makes this an exceedingly quick change.

Patient groups most likely to use mobile phones for health: study

October 30, 2013 | by | 4 Comments

A new Manhattan Research study, which starts off rather pedestrian, contains a surprise. The trend of increased used of smartphones for health is not it, as it follows online use: 95 million Americans now use their mobile phones for health information or tools, up 27 percent from 75 million a year ago, and the Cybercitizen Health US 2013 study of over 8,600 Americans found that 38 percent of online smartphone users consider it “essential”. What sets the study apart from the usual enumeration and semi-puffery is the discovery of which patient groups find smartphones most useful and are most likely to use their phones for health reasons. It is closely linked to medical chronic conditions, but not the ones you think. (more…)

Wellocracy launched to explain fitness tracking, apps

October 30, 2013 | by

Partners HealthCare’s Center for Connected Health has launched Wellocracy, to explain to consumers how you can get the most out of their fitness trackers, health apps and related devices. It won’t be a ‘Consumer Reports’ of devices or apps (though provides a comparison chart), ‘curate’ them as the now seemingly dormant Happtique once intended to do or screech at you on your ‘issues’ as Cigna’s Go You does, but offers sensible advice on how to get the most out of the kit you just bought and the information it provides. Also it addresses the ‘stickiness factor’–staying with a regimen–connects to outside news and adds a large dollop of social engagement with sharing ‘The New Fit Revolution.’ Coincidentally, The Center’s Joseph Kvedar, M.D. just co-authored a book, Wellocracy: Move to a Great Body, with Carol Colman and Justin Mager, MD. Release includes a useful Harris Interactive survey that indicates that fitness and sleep tracking are seen favorably and perceived as valuable but is still large on potential, short on customers.

Luxe workchair becomes telehealth chair

October 30, 2013 | by
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/Sharp_Telehealth_Chair.jpg” thumb_width=”175″ /]Sit down, relax and let Sharp Electronics‘ Health Care Support Chair do the telehealth work. It will, once you arrange yourself comfortably on the proper sensors, take your body temperature, heart rate, weight, and blood pressure, and put it up there on the big three-part screen to tell you if you’ve been good or bad. The cloud service behind it presumably will store and analyze your information, then send to your doctor if you choose.

Here’s the ‘wow’ view from the chair.[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/sharp-health-chair-6.jpg” thumb_width=”175″ /] Telepresence Options noted that Ubergizmo tracked down the chair to the super-luxe MWE Labs‘ Emperor 1510 workstation–an interesting repurposing which demonstrates that health sensors can be incorporated into furniture. It was unveiled at the September CEATEC Japan show and is perhaps designed to address the needs of the rapidly aging but affluent populations of Japan, Taiwan and South Korea who do not want to mess with mobile devices or apps. Also SlashGear.