Video: Telecare – the ethical debate

If there’s one thing I’d recommend all Telecare Aware readers to do this week it’s to set aside 13 minutes to watch a video from the UK’s Social Care Institute for Excellence (SCIE – pronounced ‘sky’). It’s not just because SCIE is one of those institutions set up by the previous Government which may not survive changes that will be brought in by the new one, but because the video, entitled Telecare – The ethical debate is excellent. [Note, it autoplays.]

There is an element of ‘looking at both sides’ to it, but the real value, as with the previously mentioned case studies from Newham, is in seeing how the telecare services are being used sensitively in the UK to support people who in previous generations would have been in institutions where everything was done for, and to, them.

If you have a further 10 minutes to watch another video, Telecare – providing more personalised care can be accessed from the Related Videos tab, to the bottom right of the above page. It puts telecare technologies into the general context of assistive technology for older and disabled people. (Readers from the USA will, no doubt, wince when they hear the technologies being referred to as AT&T.)

There is accompanying text and other materials on the SCIE video web page and, linked to the SCIE material, is an article in Community Care this week, Ethical issues in the use of telecare.

Kevin Doughty at IALC (Video)

IALC: The Telecare and Telehealth Market. 10 minutes

Excerpt of Dr Kevin Doughty speaking at the Independent Assistive Living Conference. Thoughtful and thought-provoking, he reflects on timescales, the difficulty of using people to solve care delivery problems, and house design. “The window of opportunity is forever.”

Excellent telehealth video: Hebrides Telehealth

16 minutes
“It would be a step backwards to work without telehealth now” says one of the nurses in this excellent overview of telehealth as it implemented now, in the Hebrides islands off the north west coast of Scotland. (Also has a passing reference to telehealth in Sheffield – not in the Hebrides) Nice work by the video’s maker, Ged Yeates.

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Video: Take healthcare off the mainframe Eric Dishman (Intel)

17 minutes

Eric Dishman gave an impassioned presentation at TEDMED in November 2009 but the video has just been released. He focuses on the need to bring much of healthcare out of the hospital and into the home by illustrating the research that Intel has been doing for the past 10 years. The video is an informative – and possibly inspiring – 16 minutes, after which you might want to go to the TEDMED site and scroll down to read the comments. Some are pertinent, some miss the point and at least one is decidedly cranky. They are a useful reminder of what we are up against.

The Innovator’s Prescription (video)

Essentially the same presentation as his week-earlier keynote at last October’s Connected Health Symposium (see this editor’s report here), but you can now see this important presentation for yourself:  from ePatient Connections, Jason Hwang, M.D. on disruptive innovations in healthcare decentralizing care, and the historical futility of cramming new technology into old business models.  Dr. Hwang is Executive Director of the Innosight Institute and co-author of The Innovator’s Prescription: A Disruptive Solution for Health Care, with Professor Clayton M. Christensen and the late Jerome H. Grossman.  Thanks to Paul Sonnier of CommNexus (San Diego) for bringing this to our attention (and Kru Research for posting on their site).

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You can buy the book (GBP £):

The Innovator’s Prescription: A Disruptive Solution for Health Care

You can buy the book (USD $):

The Innovator’s Prescription: A Disruptive Solution for Health Care

Continua’s ‘garden of wonders’ at CES: 5 videos

For your weekend viewing:
1) RTT News interviews Jonathan Linkous of the American Telemedicine Association on how technology and healthcare are converging (4 mins)
2) Larry Chu interviews Chuck Parker, Executive Director of Continua about the alliance, for HCPlive. (7 mins)
3) Tech journo Scott Mace visits the Continua Alliance booth at CES last week–the ‘child’s garden of wonders’ we referred to. The video quality is only fair, but Mr Mace lets the demos speak for themselves. You’ll also get an idea of the Digital Health part of the expo floor. This one includes IBM demonstrating the ‘end-to-end’ solution including A&D, Roche, Eurotech; Nonin Medical and Vignet. (7 mins)
4) Also by Scott Mace, this features Tunstall, Storento (sp?) med monitoring packaging, MedApps and a chronic disease management demo by a Continua representative that includes A&D, LNI Health Link uploading to a Google Health PNR. (10 mins)
5) A crystal clear MedApps demo using a pulse oximetry reading (the subject lived.) (1 min)

Video interview with James Ferguson, Scottish Centre for Telehealth

Length: Unknown

LocalGovTV interviews James Ferguson, clinical lead at the SCT who, according to the publicity, “discusses how a nationwide hi-tech drive is enabling people to communicate with consultants remotely to prevent hospitalization and support carbon reduction targets…Scottish residents can now benefit from video-conferencing and photo assessments to streamline access to healthcare wherever they are located…Mr Ferguson also addresses how to overcome barriers to adopting this technology so that other trusts and local authoritites can realise the enormous benefits.”

The catch is that to view the video you have to give up contact information that will be used for marketing by the video’s unnamed sponsor – and there is no privacy policy on the site which spells out just what else LocalGovTV will or will not do with that information. http://www.localgov.tv/JamesFerguson

Clay Shirky keynote speech video

20 minutes: Health 2.0 Conference

This video is over a year old and was posted as a lead-in to this year’s Health 2.0 conference. I hope they leave it online because he has some important messages for health services and telehealth/telecare providers that care to listen. It’s a thought-provoking 20 minutes. Get coffee and a pen and paper to jot down your responses – then post them here. Clay Shirky Health 2.0 2008 keynote speech video.

Magic carpet to detect falls?

Five videos (approx 15 mins total viewing) Sinclair School of Nursing, University of Missouri, Columbia

‘Terrible’ web page, but links to interesting videos at the bottom – persevere if they do not play easily. [The first seems particularly problematic, and complain to the site, not me, if they do not work for you!]. The ‘magic carpet’ will interest most Telecare Aware readers. Aging in place.

Kaiser Permanente HealthConnect at Home

3 mins: Kaiser Permanente HealthConnect at Home – Strengthening Relationships

Given that this is the way most of the public would expect an electronic health record to work, including this video should be unremarkable. However, that patients can access it themselves and communicate about it with their physicians via their home internet is a step forward. This community, of course, would be looking for it to be possible to upload remote health monitoring data too. And, if you are anticipating that the interviewed patient will say that her doctor ‘is there for her’, you won’t be disappointed.

https://www.youtube.com/watch?v=5FfZpYHepaU
Related videos available here. [Heads-up thanks to Bob Pyke.]