With our successful request for CATCH at Sheffield, TTA is asking for one or more of our readers who are already attending the Symposium to be volunteer correspondents for the Connected Health Symposium in Boston from Wednesday 23 October through Friday 25 October. If you are willing to write up an article or a compilation of impressions within 72 hours of the event or even as the days end or start, please email EIC Donna here (donna.cusano@telecareaware.com). It is a large event so it’s 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.
VA Department data breaches soar (US)
If after the Healthcare.gov debacle, there’s still any confidence that centralized Federal systems are secure and trustworthy, please read this HealthcareITNews tally of the multiple data breaches and HIPAA violations taking place at the US Department of Veterans Affairs (VA).
From 2010 through May 2013, VA department employees or contractors were responsible for 14,215 privacy breaches affecting more than 101,000 veterans across 167 VA facilities, including incidences of identity theft, stealing veteran prescriptions, Facebook posts concerning veterans’ body parts, and failing to encrypt data, a Pittsburgh Tribune-Review investigation revealed.
The two-month investigation by the Pittsburgh Tribune-Review published this weekend found that the VA led the way in HIPAA violations–17 in the past few years–for reasons centering on lack of accountability, shoddy safeguards, sloppiness in handling data and failure to encrypt data even after the 2006 theft of a laptop put records of 26.5 million veterans in danger. There are few firings, disciplinary actions or HHS fines.
This should put telehealth and telemedicine providers on notice that their encryption will have to be ‘stronger than the VA’, as both they and Department of Defense (DOD) are the single largest users of telehealth in the US.
Delays in ‘game-changing’ PERS
Both Philips GoSafe and Lifecomm have apparently blown past at least two in-market dates.
Philips Lifeline GoSafe: Announced at CES in January [TTA 11 Jan], it is a mobile, souped-up PERS chunky neck-worn pendant with the fall detection features of Lifeline Auto-Alert plus GPS detection through multiple systems such as Skyhook, Wi-Fi and ‘intelligent bread crumbing’. The CES-announced debut was March, reconfirmed in February to Leading Age [TTA 14 Feb]. Then a small blog, The Senior List, confirmed with Philips in June that in-market would be delayed till fall. Now that fall is here, an industry insider tipped us to the further delay till December, confirmed by a later article in the The Senior List blog. Notably Philips is beefing up its website and video demo presence, apparently building up to an announcement near the end of the year. In the PERS category, one of the peak selling seasons is post-New Year’s, after holiday get-togethers bring the realization that a loved one is getting frailer and in need of some protection.
On the polar opposite, the Lifecomm PERS (from the Qualcomm/Hughes Telematics-now-Verizon/AMAC-now-Tunstall JV) seems to be hanging in limbo–again. (more…)
Hands-free telehealth-telemedicine crossover consult
A neuroscience research team at the Medical College of Georgia (MCG) in Augusta has developed a way to decipher a video image of a person to measure a person’s heart and breathing rates. Using any single-channel video camera, including a web or cell phone cam, in day, low-light or even at night using near-infrared images, they have developed algorithms to track how the body moves slightly from the way light is reflected off of it and recorded. This can determine within fair clinical accuracy of physical measurements, with false positives only 3 percent of the time and false negatives less than 1 percent. If produced to work with systems to scale, this could vastly assist telemedicine consults especially at distance and facilitate hands-free in-person examinations. Research published in PLOS ONE with a summary in Healthline News. Philips in July started marketing a ‘Vital Signs Camera’ app for $1.99 in the iTunes Store that also measures heart and breathing, but not to clinical quality.
First M&A roundup for 3rd quarter: more action, less value, whither digital health?
VC/research firm TripleTree is first out of the gate with its roundup of merger and acquisition activity in healthcare, July through September. The news and directions are mixed. Deals are up 28 percent from the two previous quarters but down 12 percent in total deal value. Most are in the healthcare facilities area with home care giant Gentiva acquiring Harden Healthcare and insurance giant Humana adding to its LTC, Medicaid/Medicare portfolio with American Eldercare. 19 healthcare companies had successful IPOs totaling ~$3 billion of transaction value. Two highlighted here are Envision Healthcare Holdings (ambulance and outsourced physician services) and Benefitfocus (benefit administration software and tracking). Given that they are the creator of the iAwards at the annual Wireless-Life Sciences Alliance in May which focuses on digital health, the decidedly non-buzzy companies getting the action here are perhaps another indicator of the funding cooling preceding M&A as projected by Rock Health back in July [TTA 9 July], with their 3rd Quarter report due out shortly.
‘Futuristic’ chair monitors vital signs
If you’re more excited than this editor, to read of Japanese multinational Sharp’s ‘futuristic’ chair (you can sit on it while your vital signs are measured and sent to a doctor!), then check out this link via Ubergizmo. I think I preferred it pre-makeover, when it was a luxury/techy chair with Bose headphones (though minus the $21,500 price tag). But on the bright side, we now get to wonder at its new clothes!
Wanted: Launch Event correspondent 19 Nov-Sheffield
TTA is asking for one (or two) of our readers to be a volunteer correspondent for the launch 19 November of the Centre for Assistive Technology and Connected Healthcare (CATCH) at the Millennium Galleries in Sheffield from 12.30pm until 4.00pm. CATCH is being established at the University of Sheffield as a strategic research centre and interdisciplinary research hub to study and develop new user-friendly technologies which enable independent living and improve healthcare for older and disabled people. Unfortunately none of the Editors will be in the area to take up their kind invitation to view their exhibition, presentations and demos. If you are willing to write up an article within 48 hours of the event, please email EIC Donna here (donna.cusano@telecareaware.com) as I must authorize this with the Sheffield group. You will be credited of course but expenses and article will not be covered.
Update 14 October: We have two volunteers! Thanks to Drs. Kenneth Law and Mutaz Aldawoud of the Hillside Bridge Health Centre in Bradford for offering to attend and write their observations.
Turning an iPhone into an endoscope
The interestingly named ‘Endockscope’ is a docking device which connects an iPhone 4S to an endoscope. The Endockscope acquired images of the same resolution and acceptable color resolution. An evaluation team of twelve expert endoscopists evaluated the image quality compared to the Storz HD camera standard, and concluded that they were equivalent for flexible ureteroscopy and somewhat inferior, but still acceptable for flexible cystoscopy. Savings? $46,469–$154 compared with $46,623 for the Storz HD. The device is yet to go to human trials. FierceMobileHealthcare. iMedicalApps (abstract) The Endockscope was also commented on by Dr. Eric Topol in his Medscape article on genomic medicine, decision support tools such as IBM Watson possibly replacing doctors, a robot administering anesthesia, the Theranos fast blood testing system possibly disrupting lab testing…Topol on ‘Taboo Genetics,’ a Frugal App, and Magic Supplements
Big data in heart failure detection gets $2 million grant
One part of the US government that hasn’t gone silent is the National Institutes of Health (NIH) which announced yesterday a $2 million research grant to IBM, Sutter Health and Geisinger Health System to jointly develop data analytics tools to help primary care physicians detect heart failure sooner. This will analyze EHR data to determine the patterns that may be indicative of a person at high risk–and investigate more effective early intervention. Big data sets sights on heart disease (HealthcareITNews)
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.
Another change at Care Innovations
Louis Burns, CEO of Care Innovations since its founding in 2011, announced his retirement at the end of this year. His immediate successor starting 7 October as CEO (on his LinkedIn profile, but not on the CI website) is Sean Slovenski, formerly VP for Health and Productivity Solutions at Humana and founder of Hummingbird Coaching Services, a provider of online wellness coaching and behavior management services purchased by Humana in 2010. This follows the retirement earlier this year of Intel-er Doug Busch, formerly COO. Neil Versel interviews Mr. Slovenski for Mobihealthnews, but what strikes this Editor in the interview are three things: his background and demeanor could not be more different than Mr. Burns; his expertise in population health and consumer-directed wellness may indicate a significant directional change for long-term-care focused Care Innovations–certainly away from the Intel/GE mindset; and the outlook continues to be ‘mañana’ for telehealth and telecare. Care Innovations release.
Designing housing for the cognitively impaired–where’s the telecare?
Steve Moran’s Senior Housing Forum is hosting a lively discussion on designing communities for what this Editor would term the cognitively impaired, euphemistically called ‘memory care’ here in the States, then often bluntly categorized as dementia care. This concentrates on one CEO’s journey in designing a new memory care community, The Cottages at Cedar Run (Wisconsin) and how he utilized ideas developed in the US (Eden Alternative, Green Houses — Bill Thomas’ work, TTA 30 July) as well as the Dutch Dementia Village [TA 22 Dec 12] The architect’s video still strikes this Editor as full of nice touches (the courtyard a la the Dutch, but not as spacious or a center of activity; the padded window seats) but still institutional feeling (the cottages have a nice look but need more individualization to aid resident identification; how a resident/family can personalize the cottage); all in the right direction. The comments expand upon many points, but what is really missing here is the integration of technology— (more…)
ABI Research surveys…telecare
It is refreshing to note a commercial research study that concentrates on straightforward home monitoring for the senior care market, a segment that doesn’t get the cocktail party chatter or anything resembling buzz. ABI Research looks at eight home monitoring companies–BeClose, Care Innovations, GrandCare Systems, Healthsense, independa, Philips, pomDevices (Sonamba) and Tunstall Healthcare–and judges them on several analyses. On the Competitive Assessment, measuring product innovation as well as implementation, the three leaders were (in rank order) Healthsense, pomdevices (Sonamba), and GrandCare Systems. Both Healthsense and GrandCare are prominent ‘grizzled pioneers’ evolving their model considerably over the years; Sonamba is a tablet-based relative newcomer so low profile that we haven’t heard about them since their 2011 debut at CES. Whither Philips and Tunstall? (more…)
Bosch Update (UK)
Further to our previous post on the topic, we have now heard from Bill Broderick, Acting Divisional Head of Bosch Healthcare in the UK, clarifying Bosch’s position re the UK market:
1. Bosch Healthcare is not exiting the UK market. Telecare is business as usual and we will continue to sell our entire line of telecare products in the foreseeable future. We have placed all new telehealth activities on hold for now as we spend the next few months re-evaluating the business strategy based on current market dynamics in the UK.
2. We are not exiting the Health Buddy device business. We will continue to offer Health Buddys to patients who need them. The Remedy partnership press release announced an expansion of our patient interface portfolio to more mobile and internet-based solutions, not a replacement of existing Health Buddy devices.
Health IT serving population health
From the iHT2 Health IT Summit this Editor attended two weeks ago is this presentation by Jonathan Weiner, DrPH, Professor in the Department of Health Policy and Management, Director of the Center for Population Health IT (CPHIT), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Telehealth is (or should be) implicit in the data feedback loop outlined in slide 3; in the population health assessment and performance loop on slide 5; the ‘digital health milieu’ on slide 9.
Harnessing EHRs and Health IT to Achieve Population Health Interview with Dr. Weiner
Another diagnostic for Alzheimers with impact on telehealth gains $2MM funding
Will a market of hundreds of millions be able to access these needed technologies?
Neurotrack, a computer-based cognitive program designed to pick up changes three to six years in advance of an official diagnosis of Alzheimer’s or dementia, gained Series A funding led by Founders’ Fund (Peter Thiel) and joined by Social+Capital Partnership plus several angel investors. Developed initially at Emory University with the technology part of a five year National Institutes of Health (NIH) study, it tests subjects on preference for repeat images versus novel images; a preference for repeat images may indicate a disturbance in the hippocampus area of the brain in completely asymptomatic subjects. However, you will not find it at a doctor’s office or a pharmacy kiosk near you soon. Its initial use will be in clinical trials for pharma companies developing drugs targeting early-stage dementias. The meaning for telehealth and telecare (more…)
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