Much ado about Airo

October 30, 2013 | by

A flurry of publicity has descended like early snow in the Rockies promoting the AIRO fitness band. Developed by three graduates of Canada’s University of Waterloo, it is building pre-delivery excitement (and pre-orders) around the band’s claimed unique capability to analyze post-eating effects and make recommendations. A mini-spectrometer built into the band uses light wavelengths to look into a person’s blood stream and detect the metabolites released during and after eating. Their program then analyzes the information and makes nutritional recommendations on your smartphone without any separate input of foods or calories. As far as this Editor knows, this is a first, along with using heart rate and caloric burn to measure exercise intensity and recovery. The ‘only health tracker you’ll ever need’ cuff also measures and reports on stress and sleep. The company is taking pre-orders at $149 in advance of the full DTC price of $200 (not sure if in Canadian or US dollars), but according to the FAQs delivery will not be until Fall 2014. For iPhones and Android.

Could Fitbit and Jawbone Up be getting the treatment they meted out to Zeo within a year? Will the spectrometer and blood analysis mean that the device will need FDA and Health Canada clearance? Inquiring minds want to know. Website, video, Business Insider article, CBS-TV Cleveland. (Editor Donna note that the pre-sale over a year in advance is essentially a crowdfunding strategy, but standalone it feels ‘take the money and run’ dodgy.)  Hat tip to reader Lois Drapin of The Drapin Group, New York.

Update 31 October: The somewhat sketchy credibility of this device has increased exponentially, in this Editor’s opinion, since the revelation that there is not a working prototype (due in December, according to the founder) and the spectrometer’s capability and accuracy of detecting blood metabolites non-invasively at the wrist may resemble junk science (MedCityNews). Brian Dolan concludes that as of this point, Airo cannot be what it’s cracked up to be in Mobihealthnews.

In smartwatch 2014 deluge news, Google is also nearing its smartwatch launch within months, according to The Wall Street Journal. The watch will incorporate the Google Now personal assistant.

UCLA telemedicine platform connecting Army medicine and wounded warriors

October 29, 2013 | by

In a joint program instituted by UCLA Health, Brooke Army Medical Center (AMC), a burn and rehab hospital in San Antonio and the Veterans Administration Greater Los Angeles Healthcare System over the past six years, wounded soldiers undergoing major facial or burn reconstruction at UCLA have had access to telemedicine consults between UCLA and Brooke AMC. This is now being expanded to include other major reconstructions, such as orthopedic reconstruction for severely damaged limbs, urologic treatment, otolaryngological care, examination and treatment of reproductive issues, repair of airways and design of new prosthetic ears. In including Fort Irwin in the Mojave Desert, the program is now including TBI and PTSD.  FierceHealthIT on Operation Mend.

Can telehealth kiosks fill the treatment gap?

October 29, 2013 | by | 1 Comment

Telemedicine’s virtual doctor-patient consults have usually been positioned as computer (and now tablet/smartphone over Wi-Fi–American Well’s announcement earlier this month) driven. Kiosks provide an alternate model for a more detailed visit. The relatively new HealthSpot Station has secured a CMS Healthcare Innovation grant of $12.7 million to place kiosks in partnership with three Cleveland, Ohio hospital systems, including University Hospital and for Cuyahoga County employees through a partnership with MetroHealth. One of the UH kiosks is at the Friendly Inn Settlement House, a social services provider in a high-poverty neighborhood on the east side of Cleveland; visits are free for the next three months for kids between 3-18 (accompanied by a parent). (more…)

Is this Tunstall’s ‘taxgate’? Maybe not.

October 25, 2013 | by | 2 Comments
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/taxman_logo.jpg” thumb_width=”170″ /]On Monday, The Independent, one of the UK’s major national papers, turned its attention in a ‘Tax Special Investigation’ to nine healthcare companies which are using a corporation tax reducing scheme, the ‘Quoted Eurobond Exemption’, where they pay loan interest at high rates to their parent companies through a mechanism via the Channel Islands Stock Exchange, rather than their owners further investing by taking additional equity. (How it works–infographic from The Independent)

One of the companies the article focused on was Tunstall and its owners Charterhouse and Bridgepoint. Tunstall’s profits–like the other healthcare companies profiled, Partnerships In Care, Independent Clinical Services, Priory Group, Acorn Care, Lifeways, Healthcare At Home, Spire Healthcare and Care UK–come largely from the public sector and, by using this means to pay less tax, less money is recycled back to the Treasury. The article estimates the amount for each company which would have been paid had this tax exemption not been in place. This Editor notes that a number of the companies profiled have had significant inspection problems and numerous complaints–Tunstall is not one of them, but it is the second largest ‘tax avoider’ (after Spire) listed.

There seem to be three ways to regard this:
1) it’s a commendably clever contrivance
2) it’s a suspiciously shady stratagem
3) it’s a non-story because it is something imposed on Tunstall by its owners

Whatever it may be, we are left wondering if Tunstall’s customers benefit in any way from this tax saving. We will be interested in our readers’ views.

Independent article: Tax Special Investigation: Firms running NHS care services avoiding millions in tax It is equally popular with well known high street (US=Main Street) retailers and restaurant chains: Eurobonds scandal: The high street giants avoiding millions in tax    (more…)

mHealth for Behaviour Change

October 24, 2013 | by

4 December 2013, Holiday Inn Regent’s Park, Central London, UK

SMi’s masterclass hosted by David Doherty of 3G Doctor will cover the following:

• Introduction to how mobile is changing behaviour (positive & negative)
• Overview of available mHealth technologies
• Lessons from previous research efforts
• Ways Healthcare Providers are leveraging Mobile Technology to change behaviour
• Deep dive on world leading program that uses mHealth tech to manage Chronic Disease
• Insights into how to design for sustainable behaviour change

Information and registration.

Wireless Health 2013 (US)

October 24, 2013 | by

1-3 November 2013, Johns Hopkins University-Carey Business School, Baltimore, Maryland

Presented by the San Diego-based Wireless-Life Sciences Alliance (WLSA), the trans-disciplinary focus of the conference, crossing research, development and implementation lines, will bring together members of the medical and health research community, device manufacturers, clinical and health services providers, government leaders and policy makers. Peer-reviewed papers and abstracts, interactive workshops, emerging application demonstrations, and distinguished speakers will be featured. 1 November features pre-conference workshops. Keynoters include Dr. Michael Roizen, Chief Wellness Officer and Wellness Institute Chair at the Cleveland Clinic, Dr. Peter Tippet, Chief Medical Officer and Vice President of the Verizon Innovation Incubator, and computer/healthcare scientist Deborah Estrin of Cornell NYC Tech. Release.  Information and registration here.

150 Health 2.0 presentations online

October 24, 2013 | by

Last month’s Health 2.0 three-day conference in San Francisco appears to be almost totally on video, with presentations ranging from 5 minutes to over 1/2 hour. The 15 pages include demos, keynotes and interviews. Warning–don’t use the categories at the upper right hand corner or the sidebar to try to sort through them, because these group together multiple meetings by topic. Everything you wanted to know about Quantified Selfing, patient communities (PatientsLikeMe, Medivizor), HIT, EMRs, employer wellness programs (Keas), discussing end of life care (Blaine Warkentine’s Vimty) as well as other ‘unmentionables’ like vulnerability, caregiving, social support, death, sex, taxes. Quite a few on the US health insurance exchange which was going to lead Americans to The New Healthcare Jerusalem in a few days. Somehow GetInsured.com manages to calculate possible individual insurance savings in two-three screens, though you have to call about insurance. Tim Kelsey, the NHS National Director for Patients and Information, announces £1 billion in a technology fund here. Health 2.0 San Francisco 2013.

Telehealth round-up: the good, the bad, and the future

October 20, 2013 | by | 2 Comments

Getting the bad news out of the way first, the seemingly-eternal researchers have thrown their grappling iron into the ancient store of data from the now-only-historically-relevant Whole System Demonstrator data pool and dragged out yet another unexploded bomb that they have then endeavoured to detonate, in the form of a short research article.

Thankfully the explosive has deteriorated with age so (more…)

Humana, Healthrageous and some object lessons

October 16, 2013 | by

The acquisition of the assets of Partners HealthCare spinoff Healthrageous by insurance and health service giant Humana is reverberating in the field in the US, particularly those in the buzziest digital health sectors. Some may look away, but a hard look provides some object lessons at the sheer unpredictability of the field for those who are innovating and attempting to shape consumer behavior and health. (Not behavioral health)

  • Healthrageous had an impressive lineage and credibility. Developed over three years at Partners HealthCare, it was spun off in 2010, PHC members on the board, leadership from well-known/regarded figures such as Rick Lee and Mary Beth Chalk–and enjoyed abundant, rapid startup funding–$12.5 million in two rounds, the last exactly one year ago, from equally impressive investors, reportedly $15 million total. No raiding the credit cards here.
  • It occupied what everyone for the past few years thought of as a sweet spot–personal health management targeted to employers/benefit managers along with health plans to lower costs that combined sensor-based telehealth data with individualized coaching and feedback–and data from a broad base of 10,000 users. (more…)

Oxitone Medical developing pulse O2 telehealth at wrist

October 16, 2013 | by

Israel’s Oxitone Medical is one of the Lucky Thirteen participants in the GE/StartUp Health Academy Entrepreneurship Program [TTA 4 April]. By this profile in MedCityNews, it appears they are getting closer to being in market with their wrist-worn device. Current fingertip devices are uncomfortable and not wearable for long periods of time, a major advantage with a bracelet style (if not too clunky). The device is still in prototype, but the system will send out alerts to family, caregivers and a call center if saturation drops below a pre-set level, who can then attend or call for medical assistance. Their first markets are COPD and CHF patients. Device moves continuous oxygen saturation monitoring from the fingertip to the wrist

Google Glass for gait improvement

October 16, 2013 | by | 2 Comments

The University of Twente in the Netherlands is doing some unusual research in developing an app to help improve the gait of a group at high risk of falls–those with Parkinson’s disease. Current research has found that certain patterns and rhythms when viewed or heard improve gait, such as stripes on the floor or a metronome’s ticking. Glass or another intelligent glasses would display these pattern and/or rhythmic sound, and it would interact with the cameras and accelerometers already built into the devices. The MIRA Institute for Biomedical Technology and Technical Medicine is working on the project together with the Donders Institute for Brain, Cognition and Behaviour (Nijmegen), the Medisch Spectrum Twente hospital and the VUmc University Medical Centre in Amsterdam. Smart glasses can improve gait of Parkinson’s patients  It also sounds like an investigatory area for smartphones and fitness bracelets. Hat tip to contributing editor Toni Bunting.

Wanted: Connected Health Symposium correspondents 23-25 October-Boston

October 15, 2013 | by

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)

October 14, 2013 | by

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

October 14, 2013 | by

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

October 14, 2013 | by

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?

October 14, 2013 | by

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.