Mobile Health: How Mobile Phones Support Health Care
35.5K views | +1 today
Mobile Health: How Mobile Phones Support Health Care
Mobile Health: How Mobile Phones Support Health Care
Curated by dbtmobile
Your new post is loading...
Your new post is loading...
Scooped by dbtmobile!

Nuance Continues to Carve out Niche in mHealth by Voice-Enabling Mobile Apps

Nuance Continues to Carve out Niche in mHealth by Voice-Enabling Mobile Apps | Mobile Health: How Mobile Phones Support Health Care |
Speech recognition provider Nuance is finding that its technology is a perfect fit for many of the mHealth apps hitting the market these days, and healthcare...
No comment yet.
Scooped by dbtmobile!

Doctor uses iPad to re-program implanted cardiac devices | mobihealthnews

Doctor uses iPad to re-program implanted cardiac devices | mobihealthnews | Mobile Health: How Mobile Phones Support Health Care |

A Florida hospital has developed a system for wireless real-time monitoring and reprogramming of cardiac devices, including pacemakers and defibrillators, using an iPad. A doctor can suggest changes to a cardiac device’s settings, then relay the information for a nurse in the hospital to execute using a touchscreen laptop.The apparent pitch: Save time and money by enabling specialty trained physicians to remotely program implanted cardiac devices. The system might lead to fewer facility visits by the medical device maker’s tech team and aims to save time for the patient and on-site medical staff, too, since the remote programming supposedly takes just minutes.

E. Martin Kloosterman, MD, Director of the Electrophysiology Laboratory and Chief of the Cardiology Department at Boca Raton Regional Hospital developed the technology.

Using the system, a physician can use an iPad to remotely access the information display of a cardiac device programmer. A nurse can then follow the physician instructions for adjusting the cardiac device’s settings using a touchscreen laptop called a remote-K-viewer. Previously, a representative of the cardiac device programmer company had to operate the machine, while the new system requires very little experience to successfully operate.

“The project came to mind several years ago,” stated Dr Kloosterman in a press release. “First, the evolution of the electronic medical records disseminated computer terminals with internet connections in the medical work space allowing clinicians ready access to patient information. Then recently, the iPad emerged providing the ability to be online in seconds anytime, anywhere, allowing remote access to computer information. The combination of these two new innovations led me to the creation of the new technology: the remote-K-viewer. I designed and constructed a dedicated cart that hosts the programmer connected to a touch screen laptop with a wireless internet connection and a printer. The remote-K-viewer cart is mobile and designed to be used by nurses or non-specialized physicians with minimal training.”

Kloosterman said that the system has been successfully used to review data internationally, as well as during an airplane flight.

“The remote-K-viewer concept is a new software/hardware communication system and the first step into an inevitable direction, real time remote device management,” stated Kloosterman. We are excited [about] the possibilities that this application has to offer in regards to the development of a new generation of programmers and service models in the near future.”

No comment yet.
Scooped by dbtmobile!

WebOS and HP tablets find new life in emerging field of interventional MRI

WebOS and HP tablets find new life in emerging field of interventional MRI | Mobile Health: How Mobile Phones Support Health Care |
A Stanford researcher is using a stripped down WebOS based HP Touchpad and several self-designed apps for managing high frequency ultrasound procedures in the MRI suite.
No comment yet.
Scooped by dbtmobile!

Despite mHealth's growth, device maturation still needed - FierceHealthIT

Many articles about the current explosion of mobile health apps, including those for healthcare professionals, presume that this is a new phenomenon. But a decade ago, there were so many mobile applicationsfor physicians to select from--roughly 500 or 600 of them--that the sheer volume of choices overwhelmed doctors. Among those programs were drug references, standard clinical texts, electronic prescribers, medical calculators, coding and billing software, patient and procedure trackers, and evidence-based medicine databases. Most of those programs were written for personal digital assistants (PDAs), either Palms or Pocket PCs. To give some idea of how widespread the devices were, Epocrates Rx had about 500,000 users in 2002, of whom 220,000 were physicians; that's about a third of the doctors who were in practice a decade ago.

Today, 80 percent of physicians use some kind of mobile device in their daily work. A big reason is the popularity of such consumer products as smartphones and iPads. Tellingly, a recent HIMSS survey shows that 40 percent of hospitals support personally owned devices that they have enabled to perform work-related functions.

Modern mobile devices also are more capable and less expensive than their predecessors. Smartphones combine cell phones and PDAs, and iPads offer far more functions than did the previous tablet computers such as Table PCs. iPads also are lighter and have a longer battery life, although typing is more difficult than on convertible tablets equipped with keyboards. In fact, the HIMSS study found that most physicians use mobile devices for viewing rather than entering data.

Another factor in the explosion of mobile devices among professionals is the rapid growth in the digitization of clinical data. While there were many valuable databases on the web a decade ago, such as drug checkers and other kinds of reference materials, the amount of electronic clinical data available in hospitals and physician offices was tiny. Now, as electronic health records and other clinical information systems become widespread, physicians increasingly have access to a wide range of patient data they can view on their devices at the point of care.

Tablets and smartphones may now be networked with other systems that can provide up-to-date information on a patient's vital signs, blood glucose levels, test results, medications, and medical history. Physicians can view diagnostic-quality images on these devices wherever they are, if the images are stored in the cloud. All of this presents some daunting security challenges, but healthcare organizations are trying to address those rapidly.

However, the new generation of mobile devices has a way to go before physicians can use them for electronic documentation. iPad screens--unlike those of smartphones--are large enough to view whole sections of an EHR at once, but they're not ideally suited for data entry. Even checking off pick boxes can be a challenge without a stylus.

Perhaps IBM Watson and Nuance Communications will come to the rescue with a breakthrough in natural language processing. If and when that happens, doctors simply could dictate their notes and have them go into the record as discrete data. (The EHR for the iPad uses voice recognition to transcribe dictation as free text.) With that feature added, mobile devices could achieve their full potential in healthcare. - Ken


Read more: Despite mHealth's growth, device maturation still needed - FierceHealthIT

No comment yet.
Scooped by dbtmobile!

Mobile phones to play key role in healthcare

WASHINGTON – At the close of the third annual mHealth Summit, held Dec. 5-7 in Washington, D.C., keynote speakers highlighted the vast impact mobile phones and other mobile devices are having -- and will continue to have -- on healthcare delivery in the United States and worldwide.

Closing keynote speaker Paul Jacobs, chairman of the board and CEO of Qualcomm, said “it isn’t any hype” to call the wireless system one of humanity’s greatest achievements. More than 5.6 billion people are using cell phones, and the smartphone has outpaced computers. “Really, computing has moved to mobile,” he said.

Jacobs predicted 4 billion smart phones will be sold between now and 2014, half of which will be going into markets where there hasn’t been connectivity before. On the 3G level, Jacobs said the world will see “tremendous growth.” The connection will expand to doctors, as well.

“The mobile device in your hand gives you access to all of humanity’s collective knowledge," he added. "We’re going to see the full computer environment coming over. Over the next year, really cool stuff is coming.”

Jacobs predicted mobile devices will play a significant role in managing chronic diseases, helping people to remain well longer. By 2020, he said, 160 million Americans will be treated remotely. Clinical data supports the effectiveness of wireless health solutions, some of which may be located inside the human body in the not so distant future.

[See also: Venture Fair experts: The timing is right for mHealth entrepreneurs.]Qualcomm has invested $100 million to accelerate wireless health, said Jacobs. “This is a really exciting industry. Over the next 5-10 years, you will be thinking of yourself connected to your doctor through your phone as you are to your family and friends now. It’s going to absolutely change the world and improve everybody’s standard of living.”

According to keynote speaker Sangita Reddy, executive director of operations for Apollo Hospitals Group, one of Asia’s largest healthcare groups, doctors’ growing comfort with mobile health is key to the transformation of healthcare. “It’s a great beginning,” she told attendees. “Thank you for all for making this change happen.”

“Reimbursement is one of the most powerful motivators of change,” said Reddy.

[See also: Doctor or patient? Who will drive mHealth?.]

Two changes Reddy recommended included, reimbursement for doctors who use of mobile phones in caring for their patients, and coordinated care.

“We have to find a way to collaborate and not compete," she said. "We’re delaying ourselves from the true fruit by arguing over these things."

Reddy said a time is soon coming when healthcare can be delivered 24/7 through the use of mobile devices, with patients given a choice between bricks and mortar care or mobile care, “because the individual is ready to stay healthy.”

No comment yet.
Scooped by dbtmobile!

Jewish doctor battles obesity through social media

Jewish doctor battles obesity through social media | Mobile Health: How Mobile Phones Support Health Care |
While most may be skeptical of health tips disseminated over a Twitter feed, it helps if the person tweeting is a doctor.

That's where Beachwood resident and lifelong Park Synagogue member Sara Stein comes in. Stein, a physician and bariatric psychiatrist, turned to social media tools after noticing how often she repeated the same information to many of her patients.

"This is information people have to have, so I'm going to put it out there for anyone to have," said Stein, who started using social media in 2009, initially to promote her self-published book Obese from the Heart. "These are questions that are common questions for people trying to lose weight that have had years and years of weight problems."

Stein has found her use of social media drastically altered how she circulated information to both colleagues and patients.

"Twitter has essentially transformed how we communicate major concepts and news reporting and events," Stein said. "What we used to do (was) wait for the main news services to tell us breaking news. But now we've become the breaking new reporters."

The "transformation" Stein refers to also applies to how patients gather information, she said. It helps create what those in the medical field call "the ‘e-patient,' which stands for the ‘empowered patient,' "somebody who gathers and synthesizes information," she said. "Doctors are extremely uncomfortable, because not only is it redefining the doctor-patient (relationship), but now the expectations from the patient are infinitely higher. ‘Why do I need that prescription? I heard there are bad side effects of that. There was a story about someone who died from that.'"

But Stein remains careful not to diagnose anybody in 140 characters or less. If someone asks her how much vitamin D one should consume daily, Stein will link to a study or tweet the general recommended amount, she said.

"I'm not giving them a personal medical treatment," she said. "I give out information mostly about obesity ... I'll answer anybody, anywhere, because people don't know what to do about obesity. There's so much bad information out there and confusing and conflicting information ... everyone's out there telling you what you should or shouldn't do."

Stein estimates she spends an hour a day on social media, always looking for the newest data or a recent study to share with her 4,789 followers. Stein said her role is to wade through all the information and try to make sense of it, a task made more difficult by most doctors' attitudes toward obese patients.

"A majority of healthcare providers don't want to interact with patients about their weight," said Stein, citing a weight bias study done by the Rudd Center for Food Policy and Obesity at Yale University in New Haven, Conn., that found 60% of doctors strongly dislike interacting with fat people.

"As a result, people with obesity tend to present with more advanced disease because they avoid medical treatment," Stein said. "If you're going to go somewhere and someone's going to make you feel bad, no one's going to go there. If I can give you some information that will help your psyche, shouldn't I do that?"

No comment yet.
Scooped by dbtmobile!

Sebelius: Let’s keep mobile health safe, secure, American | mobihealthnews

Sebelius: Let’s keep mobile health safe, secure, American | mobihealthnews | Mobile Health: How Mobile Phones Support Health Care |

“We are talking about taking the biggest technology breakthrough of our time and using it to address our greatest national challenge,” Kathleen Sebelius U.S. Department of Health and Human Services said during her keynote presentation at the mHealth Summit in Washington DC this morning. Sebelius envisioned a “remarkable future” where control over a patient’s own health was always within their control. She listed off a number of potential use cases for mobile health, including remote diagnosis of skin conditions using smartphone cameras; scheduling lab tests without a physician or medical office staff “lifting one finger”; working with your doctor to manage your own health every day instead of just once a year, she said.Sebelius said that few industries have grown as quickly as mobile health has in the past two years since the first mHealth Summit in 2009, which Sebelius also keynoted. Sebelius noted the rapid growth of smartphones – more than half of all phones sold in the US this past year were smartphones – and that we are “increasingly” using our phones to track and manage our health.

Recent survey data published by Pew might throw a little cold water on that last statement: Pew found statistically insignificant growth for health app adoption among those surveyed for its 2010 and 2011 reports.

Sebelius also noted that there are “nearly 12,000 apps related to health” currently available in app store, and that’s a number “that is probably going up as I speak this morning,” she said. (This is true – dozens of health-related apps launch each week.)

Mobile technology has improved the consumer experience for almost every part of our lives, Sebelius noted, but healthcare has been until recently a notable exception. Sebelius said that healthcare has “stubbornly held on” to its old ways while other service industries like banking have embraced mobile.

Part of the problem facing healthcare in this country today is a lack of information, Sebelius said, since patients often have little access to their own healthcare information, which is often stored out of sight in a hospital, doctor’s office, or pharmacy database. Even basic information like the side effects of particular medications can be hard to access. Physicians also often have too little information about their patients and whether they just came out of the emergency room or have had difficulty managing their diabetes, Sebelius said.

Sebelius point to the Obama Administration’s “historic” effort to speed up adoption of electronic health records as a first step toward solving those types of problems around accessibility and connectivity of health information.

“Mobile health is a natural extension of this trend,” Sebelius said. “It is bringing this health information from computers to pockets and purses and the advantage of mobile health is that it is always with us.” Sebelius also said that mobile health is also a channel to reach African Americans, Latino Americans, and “too many young people.”

Sebelius noted that the free, SMS-based Text4Baby service, which provides information to young expectant mothers each week, now has 250,000 users. The HHS Text4Health Taskforce is also prepping a launch for SmokeFreeTXT, a similarly SMS-based, smoking cessation service.

While Sebelius conceded that mobile health tools are often “empowering” for consumers and can help them manage their own health, there are some aspects of healthcare that consumers should be “happy” and “wise” to leave to medical professionals – like open heart surgery, she quipped. There are other health-related tasks that we should want to be involved in are eating healthy diets, choosing our doctors, or managing our chronic diseases – three use cases where mobile health is key.

Sebelius highlighted Healthagen’s app, iTriage, which she said “helps make finding a local healthcare facility as easy to find as a lunch spot.” She also pointed to “Pillbox” and app that makes it easier to find medication information.

Mobile health is not just for patients, Sebelius said, as technologies “built for consumers” (smartphone and tablets) loaded with apps like Epocrates are finding their way into lab coats. These are becoming “almost as required” for practice as a stethoscope is.

Despite the positive trend, Sebelius said that “everyone in this room would acknowledge that we have a long way to go.

Sebelius closed her talk with a handful of challenges for those in the room. Her first challenge: Those working in mobile health should encourage any change that empowers patients and encourages providers to work more closely together since that kind of change will encourage demand for mobile health products. Sebelius said that mobile-focused companies should “be supportive of all technologies” that could drive that kind of change. “If you want mobile technologies to succeed, help us move to a patient-centered healthcare system that would enable those technologies to make the biggest impact.”

Her second challenge was for those working on mobile health to work with the FDA to develop regulations that ensure the safety of mobile health services. She also pushed those in the room to work toward creating mobile health services that protect the privacy of personal health information. Sebelius said that a large share of privacy violations come from mobile devices with unencrypted health data on them being lost. Her final challenge was to make the United States the world leader in developing mobile health technologies.

Countries like China and India are growing rapidly and it is not a question of “if” but from “where” will those countries buy mobile health technologies, Sebelius said. “There’s no reason” that shouldn’t be the USA, she said.

MobiHealthNews’ coverage of the mHealth Summit 2011 is sponsored by Preventice.

No comment yet.
Scooped by dbtmobile!

Verizon Previews Remote Monitoring, Telehealth Platforms at mHealth Summit

Verizon demonstrates new remote-monitoring and virtual-care platforms from WellPoint and Zipnosis at the mHealth Summit in Washington, D.C.


Verizon Wireless will develop a new suite of digital health care products focused on treating and preventing chronic conditions such as diabetes and chronic heart failure, the company announced at the 2011 mHealth Summit in Washington, D.C. It also unveiled projects with the insurer WellPoint and telehealth provider Zipnosis to focus on virtual care.

The new digital care management platform will work off of Verizon's cloud-based health network and incorporate biometric medical data from companies such as Entra Health.

Biometric remote monitoring is a growing industry with players such as AT&T, MedApps, and Sprint active in this area. On Dec. 5, Qualcomm launched a new subsidiary that will connect mobile devices to remotely monitor patient vital signs.

Verizon's mobile health platform will incorporate technology from companies such as medical software provider iQMax and Calgary Scientific. AT&T and Sprint also incorporate Calgary Scientific's medical applications with its mobile products.

The pilot project links medical monitoring devices such as glucose meters to Verizon's 4G Long-Term Evolution (LTE) network on a 4.3-inch HTC ThunderBolt Android smartphone, Tighe said.

For chronic heart failure, blood pressure monitors and pulse oximeters connect to Verizon smartphones to send readings to doctors. Doctors or health plans can receive alerts if patients have difficulty regulating their blood pressure or blood sugar, and readings from remote-monitoring devices fall outside a normal range.

In the virtual care collaboration with health insurer WellPoint, Verizon plans a telehealth product that will connect doctors and patients on smartphones, tablets and laptops using the company's 4G LTE technology. Patients in rural or remote areas often have difficulty getting to an actual doctor's office.

WellPoint will provide secure video conferencing between patients and the company's nurse care managers, according to Michael Tighe, executive director of m-health solutions for Verizon Wireless.

Telehealth will provide a less costly option for patients rather than visiting urgent-care centers or emergency rooms, Tighe told eWEEK. Urgent care or the emergency room is often the only physical option available due to distance, Tighe added.

The virtual-care platform will allow patients to connect with their primary-care physicians when distance and time prevent in-person exams, Tighe said. If a patient develops a skin rash on the weekend, they could use the less expensive virtual-care service through video, rather than visiting the ER, he suggested.

"By leveraging video, we hope to enhance engagement in health care management, improve the quality of services provided and help consumers stay on track with their programs," Tighe said. Verizon plans to bring the new digital health and virtual care products to market in 2012, according to Tighe.

At the mHealth Summit from Dec. 5-7, Verizon also demonstrated online consultations from telehealth provider Zipnosis, an online Web portal that allows patients to virtually meet with clinicians to be treated for sinus infections, bladder infections, allergies and other minor health ailments. Zipnosis consultations cost $25 and integrate Verizon's network infrastructure.

"Zipnosis' digital platform is an innovative way for patients and providers to connect for acute medical needs using wireless devices like smartphones and tablets to access the portal," Arthur Lane, associate director of health care strategy and new market development for Verizon Wireless, said in a statement.

No comment yet.
Scooped by dbtmobile!

Telehealth: still largely (science) fiction

The government is keen on promoting the benefits of telehealth and telecare in the NHS. But it’s less enthusiastic about coughing up the funds that could make it all happen

We welcome the Department of Health’s promise to ‘rapidly accelerate the use of assistive technologies in the NHS, aiming to improve at least three million lives over the next five years.’ This was made in its report Innovation Health and Wealth, Accelerating Adoption and Diffusion in the NHS.

It comes on the back of positive results from the Whole System Demonstrator programme, which showed that telehealth and telecare can genuinely reduce hospital admissions, emergency attendances, hospital bed days and mortality.

But the Department proposes working with industry ‘to identify ways of reprofiling [capital] costs so that they can be met from downstream revenue savings.’ It’s naive to think that industry will meet the start up costs of telehealth. Even if it did, that places all of the risk on industry and of course risk always comes with a premium.

The danger here is that telehealth is seen as something that can be implemented through outsourcing rather than using the kit as part of a suite of tools to tackle long-term costs and ultimately remove cost from the health economy.

Central government isn’t footing the bill for telehealth, so how will the fundamental costs of engaging clinicians, project management, service redesign and pathway redesign be met? All of that requires significant resource from the NHS side.

We’ve calculated that providing assistive technologies to three million people over five years will cost £0.5 billion, assuming of course you exclude the low-cost text messaging solutions only appropriate for those further down the pyramid of need. Where, in these difficult times, will the money come from?

The frustration is that never before has an opportunity to change the way that care is delivered been scrutinised so thoroughly and demonstrated such a significant return on investment; a 20% reduction in non-elective admissions. Will anything change without the upfront investment?

Incentive schemes will be needed to fund a local enhanced service or pay the difference in the quality and outcomes framework. We’ve mooted the idea of creating a tariff and were pleased to see that the Department will be developing a tariff for telehealth and telecare as an incentive. It will also introduce a ‘shared savings formula’ – something forward thinking commissioners and providers are doing already.

The construction of a commercial deal that allows telehealth providers to benefit from downstream revenue savings is very problematic, what constitutes a saving when telehealth is about the avoidance of admissions and other health events? How do you take into account the regression to the mean (i.e. what the normal profile of patient activity looks like)? Basing the deal on deployment of units is far simpler but places the risk of savings being delivered on to the NHS organisation.

The Department has acknowledged the benefits of assistive technologies and that service redesign and incentives are needed to drive adoption and diffusion. This is progress, but buyer beware; the kit represents only a fraction of the challenge.

Matthew Rutter is senior manager and Joe Stringer is a partner at Health Advisory Services, Ernst & Young

No comment yet.
Scooped by dbtmobile!

Lab on a TouchScreen Might Make Smart Phones into Pathology Labs

Lab on a TouchScreen Might Make Smart Phones into Pathology Labs | Mobile Health: How Mobile Phones Support Health Care |

We at Medgadgethave been covering an increasing number of lab-on-a-chip (LOC) technologies over the last number of years. Many of these existing LOC devices consist of a microfluidic cartridge containing reagents which typically needs to be analyzed by larger bench top devices. Recently, researchers from the Korea Advanced Institute of Science and Technology have come up with an interesting low-cost concept for performing these analyses using the touchscreen of a smartphone.The researchers’ approach takes advantage of the capacitive nature of the touchscreen. Most modern touchscreens are large arrays which store electrostatic charge across their capacitive layers. When another electrical conductor, such as a human finger, comes into contact with the screen, the electrostatic charge is disturbed and a contact point is registered. By applying a bio-sample such as blood, saliva, or even urine from a LOC cartridge to the screen, the researchers hope to register specific changes in the screen’s capacitance which is indicative of the contents of the sample. In this way an app on the phone could perform the analysis and report the results.

To date the researchers have demonstrated a proof of concept which was published in the journal Angewandte Chemie International Edition at the end of October. They demonstrated that their touch-screen analysis was capable of distinguishing between solutions containing three different concentrations of DNA sourced from the bacteria that causes chlamydia using only 10 micro-liter samples.

The technology is currently unable to detect pathogens, but the ability to distinguish between sample concentrations would appear to be a significant first step. Of course a number of issues exist, namely the need to apply the sample to your phone’s screen. For the moment however, we think we’ll stick with more conventional sampling methods.

Abstract in Angewandte Chemie International Edition: A Touchscreen as a Biomolecule Detection Platform

No comment yet.
Scooped by dbtmobile!

Tablets in healthcare: 7 ways the iPad is transforming the field

Tablets in healthcare: 7 ways the iPad is transforming the field | Mobile Health: How Mobile Phones Support Health Care |
Has the iPad had more of a transformative effect on healthcare than any other industry?

Has the iPad had more of a transformative effect on healthcare than any other industry?

In announcing iOS 5 in October, Apple CEO Tim Cook said: "Over 80 percent of the top hospitals in the US are now testing or piloting iPad."

Perhaps even more telling, Chilmark Research, a Cambridge, Mass.-based health IT industry analysis firm, estimated in November 2010 that 22% of all physicians in the U.S. had already bought an iPad—a remarkable figure, given that Apple had only been selling the now-iconic tablet for eight months. Physician iPad adoption is "approaching 35 percent now," according to Chilmark's John Moore. (Android tablets and other platforms really haven't gained much traction among doctors, Moore said.)

Those are phenomenal numbers, especially given healthcare's reputation as being years behind other industries in terms of IT adoption.

So how exactly are tablets changing healthcare? Here are seven important ways.

1. Physicians making IT decisions on their own. Not only has healthcare been slow to embrace technology, doctors are particularly notorious for resisting technological advances. Physicians may still stubbornly cling to their paper charts and prescription pads, but they have willingly gone out and bought iPads with no prompting from hospital or practice executives—just as they did with personal digital assistants a decade ago and smartphones more recently. Why? Because, unlike many electronic health records (EHR) systems, tablets are simple to use and actually make doctors more productive.

2. Hospital rounding. Historically when doctors have gone on rounds in hospitals, they would take a glance at a clipboard at the foot of the bed, trying to get a quick update on each patient's status. If a test result hadn't come back from the lab, there was little they could do. With an iPad connected to an EHR, doctors can view charts before they get to the room and have test results in front of them immediately. This not only saves a lot of time, it lets doctors act immediately when something is abnormal.

3. Remote image manipulation. Teleradiology has been around for some time now, letting physicians read digital medical images from afar. Usually, though, the remote readers still are tethered to fixed workstations and can't really collaborate with doctors on site. With the iPad, physicians now can not only receive images while on the go, but there are apps that allow people in different locations to manipulate and mark up images together. One vendor, Nephosity, was founded by a former DreamWorks Animation image-rendering pro—who also happens to be a physician. "[The iPad] is much more of a collaborative tool than a laptop is," Moore says.

4. Patient education. Physicians also are using iPads to collaborate with patients. Instead of giving verbal instructions or a boilerplate printout with educational information, doctors and nurses now can visually demonstrate what they are saying, with all kinds of multimedia tools. "What devices like this let us do is bring quality tools to the bedside," Dr. Henry Feldman of Beth Israel Deaconess Medical Center in Boston says in a video from MIT Technology Review.

5. Patient registration. Though software to collect patient history online prior to an appointment has been around for years, the hated clipboard that patients have to fill out before every doctor visit still is pretty ubiquitous. The iPad is hastening the clipboard's demise. DrChrono, producer of a native iPad EHR, recently introduced a check-in app to automate the check-in process. Web-based systems such as Instant Medical History and work great on tablets, too.

6. Relaxing patients during surgery. Watching yourself get cut open while under local anesthesia can be scary, stressful and generally not much fun. Now, one hospital in Britain is helping to alleviate the anxiety with iPads. Patients who visit Queen Elizabeth Hospital in Birmingham, England, for outpatient surgery are offered iPads to listen to music, play games or just watch TV while being operated on. “What we’ve found is that pretty much 100% of people feel more relaxed because they forget about the operation; not being able to hear anything is paramount for a lot of people," anesthesia assistant Mark Leonard told E-Health Insider.

7. Consumer engagement. Healthcare policy wonks have talked about consumer empowerment and engagement for a long time now. Mobility may finally be making it a reality. Why would the average person care that a drug store has an iPad app? Because that app makes one part of the complex healthcare universe easier to navigate. An app from Walgreens lets users find locations with 24-hour pharmacies, walk-in clinics and order prescription refills by scanning medication labels. That's a lot faster and more accurate than keying the prescription number into an automated phone service.

Neil Versel has covered the changing healthcare IT landscape since 1996

No comment yet.
Rescooped by dbtmobile from Doctor!

'I haven’t used a stethoscope in 2 years'

'I haven’t used a stethoscope in 2 years' | Mobile Health: How Mobile Phones Support Health Care |

'Eric Topol’s 2011 mHealth Summit keynote, titled “The Creative Destruction of Medicine” after his recently released book, focused on his belief that right now is medicine’s “kairos”, the Greek term for a supreme, opportune moment.


“We’re moving from the population level to the individual level” in health, he said. The digital world and the longstanding medical world cocoon are intersecting, creating an “extraordinary” convergence.'

Via Andrew Spong
No comment yet.
Scooped by dbtmobile!

Project HealthDesign Blog:Developer Challenge Roundup


From new PHR platforms to creative mobile health applications, the opportunities for improving health and health care seem to multiply daily. We hope to see more developers and designers become passionate innovators in the health and health care space. Participating in developer challenges such as these upcoming opportunities might help you catch the vision!

Robert Wood Johnson Foundation Challenge


No comment yet.
Scooped by dbtmobile!

Telemedicine moving from novelty to necessity for hospitals - FierceMobileHealthcare

Telemedicine moving from novelty to necessity for hospitals - FierceMobileHealthcare | Mobile Health: How Mobile Phones Support Health Care |
Tapping into telehealth may be the secret to long-term success for hospitals, according to an intriguing article published recently in Hospitals & Health Networks magazine. The piece opines that Read more...
No comment yet.
Scooped by dbtmobile!

Facebook Aims To Prevent Suicides With Online Help : NPR

Facebook Aims To Prevent Suicides With Online Help : NPR | Mobile Health: How Mobile Phones Support Health Care |
If you're considering suicide, Facebook now stands ready to get you some help.

The gigantic social-networking site said Tuesday that if any of its 800 million users type a post saying they are contemplating suicide, the site will offer to connect them to a crisis counselor through the site's chat system.

But the system requires human intervention, in the form of a friend who clicks on a link next to a troubling comment, the Associated Press reports today. Facebook says it then will send an email to the people concerned, encouraging them to call a crisis hotline or click through to a confidential chat with a counselor.

But a quick cruise over to Facebook shows no friendly button, so it's not clear exactly how this will work in real life. As of this afternoon, Facebook's help center recommends that people who've come across a direct threat of suicide "immediately contact law enforcement or a suicide hotline."

Google has tweaked its search engine so that the National Suicide Prevention Lifeline turns up first when a person types in "suicide," but this appears to be the first active effort by a social media site to connect users to health care professionals.

Facebook has been trying to do more to make its site more socially responsible. In March, the company announced new tools to protect users from online bullying, including a way to report threats to Facebook, and to let a parent, teacher, or trusted friend know.

Last year, the social-media giant started partnering with gay rights organizations to combat anti-gay cyberbullying.

But the anti-suicide effort is the first that isn't intended to reduce malicious use of Facebook. Instead, it's using Facebook's vast networks to try to identify people in the midst of a mental-health crisis, and get them help.

"This is really problematic," says Pam Dixon, executive director of the World Privacy Forum a nonprofit public interest research group. We all want to prevent suicide, she says, "but I'm not sure this is the right way to do it."

The biggest problem, Dixon says, is that Facebook is a public forum. Companies regularly scrape the site for information, and could use that to market worthless treatments to people in the midst of a mental health crisis. And because the site is public, health information posted there is not protected by HIPAA, the federal medical privacy law.

Information on a person's mental state might be subpoenaed from Facebook, Dixon adds, for a custody battle or other litigation. And Facebook could also be liable for the quality of mental health care delivered as part of their recommendation.

Despite those issues, many people say that sharing medical information with others on Facebook has helped them manage serious health issues, as I reported earlier this year.

This latest move by Facebook sounds like it could open the door to dozens of other potential interventions. Before too long, hearty eaters could perhaps start getting referrals to Weight Watchers, or the American Diabetes Association. And the legions of teenage binge drinkers who post their misadventures on Facebook, could suddenly be hearing from Alcoholics Anonymous.

No comment yet.
Scooped by dbtmobile!

Happtique Custom Mobile App Delivery for Clinical Settings

Happtique Custom Mobile App Delivery for Clinical Settings | Mobile Health: How Mobile Phones Support Health Care |
Mobile apps for tablets and smartphones are rapidly transforming how clinics and hospitals conduct business, treat patients, and provide post-op therapy an...
No comment yet.
Scooped by dbtmobile!

The Impact of iPads on Pharma + iPad and Smartphone Combo - a FirstWord Dossier report

Every day, it seems better, faster and more advanced mobile digital devices are being launched, along with apps, operating systems and user interfaces.

The challenge isn’t just keeping up with new technology—but how it’s changing the way the industry does business. That’s why FirstWord is offering a special price for two timely and critical reports on the ‘super mobile’ revolution and how it’s affecting pharma and health care providers.

Report Overviews

Our latest report, iPad and Smartphone: Pharma and the Super Mobile Revolution examines the rapid changes in mobile and tablet technology, including the trend by HCPs and the industry to use multiple devices to positively impact work flow and business operations. The report tracks how the industry is addressing training, security, consumerization of IT within organizations and advances such as HTML5-Flash and apps.

As a bonus, we’re also offering The Impact of iPads on Pharma: a Primer, which offers a complete examination of what the industry has learned about tablets and how the post-PC tablet is changing internal productivity, growth and sales.

Key report features

…in iPad and Smartphone: Pharma and the Super Mobile RevolutionExamination of the major tablets, smartphones and competitorsDiscussion of purchasing and leasing behaviours by major companiesAnalysis of security issues surrounding private device useDiscussion of the key issues surrounding Flash, HTML5, app trends and new skillsForward-looking analysis of the future of smart technology…and in The Impact of iPads on Pharma: a PrimerThe business case for tablets in rep-physician interaction, increasing internal efficiency, minimizing costs and improving customer perceptionProfile of major devices, including the debate over android alternatives and cloud-based contentExamination of the four key points business must address in creating a tablet strategyMaximizing the benefits of statistics gathered to close the marketing loop

Key Benefits

…in iPad and Smartphone: Pharma and the Super Mobile RevolutionExpert insight from pharma marketers, agencies and physicians on the impact of mobile technology on communications, client relations and workflowPractical tactics for adopting a 'super mobile' approach and addressing security, leasing, training and digital trainingKey insights into future trends in mobile strategies, search, social apps and the consumerization of IT…and in The Impact of iPads on Pharma: a PrimerClear guidelines on what tablets mean for the industry and how to implement themA step-by-step approach that touches on all the major issues, benefits and possible problemsExpert input that presents a balanced and intelligent approach to tablets

Who should read this report:

Sales directors and managersBrand managersMedical affairs managersKey account and territory managersSFE/CRM managersCommunications and technology support teams

Expert Views:

…in iPad and Smartphone: Pharma and the Super Mobile RevolutionAlex Butler, Founder and Owner, The Social MoonNick Dawson, Administrative Director Community Engagement, Bon Secours Health SystemCraig DeLarge, Director, Professional Relationship Marketing, Novo NordiskShwen Gwee, VP of Digital Health, Edelman…and in The Impact of iPads on Pharma: a PrimerBill Drummy, Founder and CEO of Heartbeat IdeasSandra Muzinich, e-Capabilities Lead, Lilly UKBob Harrell, Director of Integrated Marketing at Shire PharmaceuticalsWendy Blackburn, Executive Vice President of Intouch Solutions

No comment yet.
Rescooped by dbtmobile from NTIC et Santé!

Innovation Excellence | mHealth and Sustainable Change - StumbleUpon

Not many of us have an extra hour to spare, but one Twitter chat that you may want to squeeze into your schedule is #leadershipchat on Tuesday evenings at 8PM EST, co-hosted by author and CEO of C-Level Strategies, Inc., Lisa Petrilli and, The Connection Agent, Sam Woodruff. Last night, the subjects were – Is It Too Late For Today’s CEOs? and The Future of Leadership – with guest hosts Ted Coine (@tedcoine) and Shawn Murphy(@shawmu). You’ll find that this chat is fast moving and most participants have executive experience under their belts. Last night’s content prompted me to the larger questions that face healthcare executives – what are the solutions that will help our healthcare system in an industry that has been slow to innovate?The answers will not come from the top down old guard, but from those companies and leaders that are investing in innovation to adapt to the changing needs and behaviors of the consumer. This week in Washington, D.C. at the mHealth Summit, Richard Migliori, EVP of UnitedHealth Group, emphasized that sustainable change will come from tools that will help the health system perform better – tools that adapt to the patient’s lifestyle and the physician’s workflow. During his exceptional presentation he made the following statements that capture the value of mHealth:

We see mHealth as being the best promise for creating sustainable change within healthcareWe must do more than increase access… it must be affordablemHealth is a means to connect with actionable informationWe have invested in high powered analytics, to help us understand the needs of individuals; we can get down to the issues of what they have, what’s been done for them, and still what needs to be done – the problem has been getting people to pay attention to that informationmHealth tools, those personal communication devices, where people have adopted them into their lifestyle – a year ago it was promising, now it is delivering

Regarding the future of leadership in the healthcare sector, sustainable change will come from those leaders that invest in good ideas that factor lifestyle into the innovation equation. While today’s CEOs stand to lose a lot if they are not equipped with a rapid product development team or neglect to design solutions around the “social” side of how people interact – the biggest mistake will be not realizing that innovation is possible beyond the halls of the C-Suite.

“We believe that there is no more powerful force for innovation than America’s entrepreneurs…”
- Kathleen Sebelius, Secretary of Health and Human Services – mHealth Summit, 2011

No comment yet.
Scooped by dbtmobile!

mHealth: Closing the Gap Between Promise and Adoption

mHealth: Closing the Gap Between Promise and Adoption | Mobile Health: How Mobile Phones Support Health Care |
Speakers at the recent mHealth Summit touted mobile tools as a way to improve preventive health care, reduce unnecessary physician visits, curb rising health care costs and empower patients.


mHealth: Closing the Gap Between Promise and Adoption

by Kate Ackerman, iHealthBeat Managing Editor

FORT WASHINGTON, Md. -- Stakeholders at this week's third annual mHealth Summit in the Washington, D.C., area touted the potential of mobile health technology to improve health care quality, increase patient centeredness and reduce costs. However, they also acknowledged that while mobile tools have helped revolutionize nearly every other industry in the U.S., the health care field has lagged behind.

The mHealth Summit -- which was presented by the Foundation for the National Institutes of Health in partnership with the mHealth Alliance, the Healthcare Information and Management Systems Society and NIH -- attracted nearly 3,600 attendees from 46 states and 48 countries, up from 2,400 attendees last year.

HHS Secretary Kathleen Sebelius -- one of the summit's keynote speakers -- said, "Virtually every American today has a cellphone. ... And every year, our phones have more features and computing power." She added, "As our phones get more powerful, they are becoming our primary tools for doing everything from getting directions to deciding where to eat. And, increasingly, that includes using our phones to track, manage and improve our health."

The promise of mobile health is not new. Health care leaders for several years have advocated for increasing use of mobile tools to help improve preventive health care, reduce unnecessary physician visits, curb rising health care costs and empower patients. Yet, widespread mobile health adoption has remained elusive.

Sebelius said, "Over the last few decades, we've seen information technology improve the consumer experience in almost every area of our lives. We've gone from waiting until a bank opened to make a deposit to 24-hour ATMs and paying bills online," adding, "But health care has stubbornly held onto its cabinets and hanging files."

Entrepreneurs Eye Mobile Health Market

Entrepreneurs and technology vendors see health care as a market ripe with potential.

Noting that the iTunes store boasts nearly 12,000 health-related applications, Sebelius highlighted several promising apps on the market, such as iTriage, which "makes finding a local care facility as easy as finding a local lunch spot," and Pillbox, which can help individuals identify unlabeled medicine.

Eric Topol -- vice chair of the West Wireless Health Institute and a practicing cardiologist at Scripps Memorial Hospital in La Jolla, Calif. -- demonstrated how mobile tools can aid health care providers.

Topol, who said he "once diagnosed a patient who was having a heart attack on a plane," used an iPhone to give himself an echocardiogram. Later, he used a mobile device and some hotel room lotion to give himself an ultrasound. Topol said that because of mobile ultrasound technology, he hasn't used a stethoscope in two years.

Rick Cnossen -- director of worldwide health information technology at Intel -- said he believes in the next 10 years 50% of health care could provided through the "brickless clinic," be it the home, community, workplace or even car. Cnossen said the technology -- such as mobile tools, telehealth, personal health records and social networking -- already exists to make this possible. He said, "We have the technology. ... It's time to move out on it."

Cnossen said, "At the end of the day, mHealth is not about smartphones, gadgets or even apps. It's about holistically driving transformation," adding, "mHealth is about distributing care beyond clinics and hospitals and enabling new information-rich relationships between patients, clinicians and caregivers to drive better decisions and behaviors."

Addressing mHealth Barriers

So if the technology already exists and leaders from both the public and private sectors see the need, why has progress in mobile health been slow?

Cnossen said, "The challenge is not a technology problem, it's a business and a workflow problem."

He said health care clinicians can be resistant to change, adding, "We need to introduce technology into the way to do their business, not the other way around."

Cnossen also said that payment reform is essential for "mHealth to survive and thrive." He said, "We should not be fighting for reimbursement codes for each health device and app. That is ultimately a losing proposition. Instead, we must fight for payment reform to pay for value over volume, regardless of whether the care was provided in a bricks and mortar facility or was it at the home or virtually through electronic means."

Krishnan Ganapathy, president of the Apollo Telemedicine Networking Foundation in India, said patients will not widely adopt mobile health unless their health care providers also are using the tools. However, primary care providers don't have any incentive to use mobile health under a fee-for-service model, he said. In fact, the use of mobile health technology could hurt physicians' bottom line if chronic diseases are better managed and patient visits are prevented.

Joseph Kvedar -- founder and director of the Center for Connected Health at Partners HealthCare -- took a different stance, saying that "maybe, the doctor isn't the center of the universe." He noted that patients could help drive mobile health care. Kvedar said mobile health "can really empower patients and consumers to take care of themselves," adding, "Patients are our biggest untapped resource."

Kvedar said, "Other industries have done it. Health care needs to jump on board."

Donna Ramos-Johnson -- chief of technology operations at the District of Columbia Primary Care Association -- said the challenge is to make mobile health tools relevant, affordable and culturally sensitive to the patients who stand to benefit the most from the technology. She said doctors need to be incentivized to monitor patients' health remotely and patients need to be incentivized to monitor their own health.

Stephen Ondra -- senior policy adviser for health affairs at the Department of Veterans Affairs -- said the health care reform law is starting to address the payment barrier. He noted that accountable care organizations will receive incentives for reducing costs and that CMS in 2015 will use a value-based payment model to pay physicians based on the quality of care they provide, rather than the cost of care they provide. He added that this health care system disruption "is great for entrepreneurs."

Officials from federal agencies such as CMS, FDA, the Office of the National Coordinator for Health IT, the Health Resources and Services Administration and the Federal Communications Commission said they are working collaboratively to advance mobile health technology, while ensuring patient safety.

Yael Harris -- director of the Office of Health IT and Quality at HRSA -- acknowledged that the federal government often doesn't "move as fast as we'd like" but said that HHS entities and other federal agencies are working to "leverage collective knowledge and really advance the field."

Sebelius said that "there is no more powerful force for innovation than American entrepreneurs" but that the "government can play a limited but crucial role as a catalyst." She said, "That starts with taking the vast amounts of public health, medical and other data our department collects and making it available to innovators," adding, "So what we did is unlock the data, put it in a central clearinghouse called and then told developers: 'Have at it.'" She said HHS data already are being used in dozens of health care apps for consumers and health care providers.

Sebelius also noted that the federal government is working directly on several mobile health projects such as Text4Baby and SmokeFreeTXT. In addition, the government, along with private-sector groups, has launched contests challenging developers to create innovative apps that address some of the country's health care needs.

Sebelius said, "When we talk about mobile health, we are talking about taking the biggest technology breakthrough of our time and using it to take on one of the greatest challenges of our time." She added, "And, while we have a way to go, we can already imagine a remarkable future in which control over your health is always within hand's reach."


Read more:

Dorothy Retha Cook's curator insight, March 11, 2016 3:24 PM

The Veterans kept their promise to their Country and others but now why is there a problem with their cCountry keeping their promise to them? Why are they ha ing to fight for things they already earned because they are being denied benefits such as but not limited to health care, housing and such things a bill passed and the same government they served for the time they stood up for. There are issues that veterans have because of their time served and to release them back into day to day free life with no demands as was when they served an say they are on their own now is more than wronged as some were injured physically which can be seen with the natural eyes but some are injured inways they themselves have hrd time explaining or understanding why things are the way they are Nd how to make it better. I recall hearing about a young man that had been in an war and he experienced those they were in battle with having placed a crying baby that there was no one around and his platoon was going to go help the baby so it would stop crying but the leader said no that was a trap meant and set to blow them to kingdom come. They did find that the ba by was wrapped with a bomb strapped to it. He talked about how he,saw members of his platoon taken out. After that he said it was a they kill them or be,killed thing childeee whatever but the,fact he experienced having to do the very oppisite of those, things he stood for like having to kill a child because the enemy was using,their own children to terminate all of them they could without giving it a second thought. I often think about how can our,government retuen those,that live,theough such horrific things during war or any time serving their country then in,their time of need,tell them the government is sorry you have to deal with all the issues the,best way you can for now but do this paper woek and we will get to you by the number in line,you are which sometimes end up after you are deceased, homeless, hungey,no medical coverage,dead veterans dont need,living help but their families do why make,them jump,thru government hoops to?









Scooped by dbtmobile!

Medicaid patients reduce hospitalizations with WellDoc | mobihealthnews

Medicaid patients reduce hospitalizations with WellDoc | mobihealthnews | Mobile Health: How Mobile Phones Support Health Care |

At the mHealth Summit today George Washington University Center’s Dr. Richard Katz presented findings of a demonstration program called DC HealthConnect. The program tested WellDoc’s mobile health program DiabetesManager during a 12-month period. The results: DiabetesManager reduced ER visits and hospital stays by 58 percent on average compared to the previous year — when they weren’t using the program.

The DC HealthConnect project included 32 patients recruited by Chartered Family Health Center in Washington, DC. The aim of the project was to determine what kind of impact a real-time, mobile phone-based diabetes management program would have within a Medicaid patient population. Patients who participated in the program used their own cell phones, but they were offered a monthly discount of $20 off their phone plans.

The results of the program followed on WellDoc’s randomized controlled trial (RCT) — one of the few conducted by a mobile health company to date. The results of that study were published in the ADA’s medical journal Diabetes Care this past September. Here’s how WellDoc summed up the results of the RCT: “In this trial, patients using the DiabetesManager plus their usual care had an average decline in A1C of 1.9 percentage points compared to a 0.7-percentage-point decline seen among patients treated with usual care alone, regardless of starting baseline A1C.”

MobiHealthNews’ coverage of the mHealth Summit 2011 is sponsored by Preventice.

More on WellDoc’s latest efficacy study in the press release below:

The WellDoc DiabetesManager Cuts Hospital and ER Visits in Half

Real-world Demonstration Results to be Presented at mHealth Summit

BALTIMORE — Today WellDoc will announce results showing that type 2 diabetes patients who used the WellDoc DiabetesManager® in a demonstration project significantly reduced their need for hospital stays and emergency room (ER) visits. The demonstration program, titled DC HealthConnect, was part of the Chronic Care Initiative sponsored by the DC Department of Health (DOH) and was conducted by the George Washington University Medical Center under the supervision of Richard J. Katz, M.D. The patients using the WellDoc DiabetesManager for an average of 12 months reduced their ER visits and hospital stays by 58 percent compared to the 12 months prior to the program.

“We’re excited about the potential to drive down the costs of ER visits and hospitalization stays, while improving patient health.”

Dr. Katz is presenting his team’s findings today, December 6, at 11:15 a.m., during the “Diabetes Management” session at the mHealth Summit. The WellDoc DiabetesManager is the first clinically tested and Food and Drug Administration (FDA)-cleared mobile health (mHealth) solution to provide automated, real-time behavioral patient coaching and clinical decision support.

The DC HealthConnect project followed 32 patients recruited by the Chartered Family Health Center in Washington, DC. This real-world demonstration project confirmed the positive impact that real-time, cell phone based diabetes management, powered by an Automated Expert Analytics System™, can have on a Medicaid population. In 2010, Medicaid covered nearly 53 million people and accounted for about 16 percent of all health care spending. Patients in the program used their own cell phones and were offered a $20 monthly discount for their phone plan.

Exit surveys indicated patients were highly satisfied with the WellDoc DiabetesManager. For instance:

100 percent of patients found instant coaching feedback helpful

100 percent agreed that the system increased their glucose testing

Only six percent found it to be a bother to enter their diabetes information

Only six percent were worried about data privacy

“This project demonstrated that a mobile health diabetes self-management program can benefit a high-risk Medicaid population using their own cell phones. Patients were better engaged in their chronic disease management with lower emergency room visits and reduced hospitalizations. We learned that an mHealth self-management system can be successful and should support all ‘links in the chain,’ including patients, providers, educators and nurses,” said Dr. Katz, director, Division of Cardiology professor of medicine at George Washington University Medical Center. “We’re excited about the potential to drive down the costs of ER visits and hospitalization stays, while improving patient health.”

Diabetes care costs the United States $218 billion annually, according to the American Diabetes Association (ADA). Specifically, in 2008, diabetes hospital fees alone cost Americans $83 billion a year — representing 23 percent of total hospital spending and an average cost of $10,937 per diabetic hospitalization, according to a report from the Agency for Healthcare Research and Quality (AHRQ). Report author Dr. H. Joanna Jiang told the Financial Times, “One of the key messages here is that some of the hospital admissions and costs could be prevented if the patient could take care of their own conditions: monitor their blood sugar level, their behavior or lifestyle — you know, watch their diet and exercise more.”

Furthermore, on November 24, 2011, the New England Journal of Medicine published data from the Centers for Disease Control and Prevention (CDC) finding that 25 percent of all emergency room visits related to adverse drug events are due to mis-administration of diabetes medications. By 2013, the federal Partnership for Patients seeks to reduce unnecessary ER visits by 20 percent. “While the project was of modest size, the results are very compelling,” said Malinda Peeples, M.S., R.N., CDE, vice president clinical advocacy at WellDoc and past-president of the American Diabetes Educators Association. “We believe that this demonstrates that WellDoc has the potential to help the federal Administration achieve its goals and save billions of dollars by enabling people with type 2 diabetes to stay out of the hospital.”

The DC HealthConnect project follows on the heels of a landmark randomized controlled trial (RCT) that used the WellDoc system and was published in the September 2011 issue of Diabetes Care, the world’s preeminent diabetes focused scientific journal, published by the ADA. In this trial, patients using the DiabetesManager plus their usual care had an average decline in A1C of 1.9 percentage points compared to a 0.7-percentage-point decline seen among patients treated with usual care alone, regardless of starting baseline A1C.

“WellDoc’s DiabetesManager supports people with type 2 diabetes as they manage their medications, communicate with care providers and better control their outcomes,” said Suzanne Sysko Clough, M.D., founder and chief medical officer at WellDoc. “Now there is a growing body of evidence indicating that, in addition to lowering A1C, DiabetesManager can help patients self-manage their diabetes which may help keep them healthy and out of the hospital.”

At the mHealth Summit in Washington DC, in addition to Dr. Katz’s presentation of the demonstration results, Dr. Charlene Quinn, R.N., Ph.D., University of Maryland School of Medicine, will present the results of the RCT data that was published in September. Also, WellDoc will exhibit in booths #734/736, Dr. Anand Iyer, WellDoc president and chief operating officer will speak during the session, “Mapping Mobile Health Regulatory Experiences for Small and Large Companies,” and Chris Bergstrom, WellDoc chief strategy and commercial officer, will speak at the round-table, “The Future of mHealth Business Models in Diabetes.”

No comment yet.
Rescooped by dbtmobile from!

mHealth moves to accountable care, not just tech, experts say - FierceMobileHealthcare

mHealth moves to accountable care, not just tech, experts say - FierceMobileHealthcare | Mobile Health: How Mobile Phones Support Health Care |
A change in the culture of healthcare, particularly with regard to reimbursement, will be a major factor in the success of mobile healthcare in care coordination going forward, according to panelists participating in this week's FierceMobileHealthcare executive breakfast--"Powering the Care Models of Tomorrow: mHealth's Pivotal Role in Care Coordination & Accountable Care"--at the mHealth Summit in Washington, D.C.

Audie Atienza, senior health technology advisor at the U.S. Department of Health & Human Services, said mHealth has become less about "cool and new" technology and more about the solutions.

"We're at the beginning of learning how mobile care can intersect with accountable care," he said. "[Mobile healthcare] has great potential, but there are a lot of moving parts," he added.

Specifically, West Wireless Health Institute Chief Strategy Officer Mohit Kaushal said mHealth's success in both care coordination and accountable care won't be only a simple cause and effect but a gradual shift over time. According to Kaushal, the problem with the system now is that we pay for volume.

"It needs to be about pushing the right information at the right time," he said.

A case in point is the mCare program developed for soldiers. According to Atienza, caregivers and sergeants, in addition to doctors, receive alerts about patients, but not all at once. Rather, if a problem escalates, information goes to various parties as necessary. "It's a more holistic view of care," he said.

From a hospital and a technology perspective, device agnostic mobile systems will help to provide such care, Virginia-based Inova Health System Director of Telemedicine Operations Steven Dean said. As more disparate parties are involved, interoperability for each provider or caregiver becomes more and more crucial to accountability.

"We're not there yet," Dean said. "Hopefully when it's all said and done, we will be."


Via Chatu Jayadewa, Bart Collet
No comment yet.
Scooped by dbtmobile!

Value and values will drive the adoption of mobile health | Health Populi

Value and values will drive the adoption of mobile health | Health Populi | Mobile Health: How Mobile Phones Support Health Care |

This week’s mHealth Summitin Washington, DC, features scores of presentations, posters, and corporate announcements demonstrating the typical chaos of emerging technology markets: the Big Question at this stage on S-curves for new tech is always, “what’s the timing of the pace of change,” or for you mathematically-inclined readers, “what’s the slope of the mHealth adoption curve?”Before we address that question, let’s be transparent about the fact that there are several definitions of just what ‘mHealth’ is: purists may conceive it as covering only those health tools and applications that ‘go’ mobile–that is, that are deployed via mobile phones and devices like tablet computers. Then there’s the other end of the spectrum (pardon the tech-pun) embodied by the West Wireless Health Institute‘s concept of infrastructure-independent health care. My friend and long-time colleague Matthew Holt, co-founder of the Health 2.0 Conference, addresses this idea with his paradigm of “un-platforms.”

Wherever your own idea about “mhealth” sits on this continuum, it’s crucial to recognize that mHealth does not equal only mobile phone apps. There is a lot of hype around health apps for smartphones, but the traction is already with text messaging on simple phones in developing countries, doctors accessing prescription drug information on their beloved iPhones, and a growing number of people quantifying themselves through wearable devices that provide health-promoting nudges throughout the day.

What’s driving the adoption behind these programs? First, it’s about the value that the program offers the health system, health provider, and individual health consumer. Cash-strapped developing countries have leapfrogged over developed nations’ health systems– where health capital is sunk into hospital beds, legacy IT systems, and incentives that aren’t well-aligned with providers to deliver health care at the most appropriate, efficient site. In the developed world, providers deliver care based on how to maximize reimbursement — often in higher-cost-than-necessary settings — but paid-for by both public and private payers. In poorer countries, necessity is indeed the mother of invention — read “adoption” — of mobile health.

For doctors, mHealth adoption is rooted in being productive - another kind of profit maximization based on doing more in less time. For patients, growing co-pays and coinsurance sharing can motivate the patient-as-consumer to opt into self-care through tools like the FitBit and Withings scale that I personally use, or Fooducate for making healthy food buying decisions at the grocery store (which I also regularly use).

So, value becomes an underlying driver of mHealth adoption, where there is transparency of transaction costs in health care, and flexibility for stakeholders to make choices.

What of “values” driving the adoption of mHealth? That’s a softer issue, but no less potent than “value.” We’ve learned through the Great Recession of 2008 (ongoing in much of the U.S. and world economies) that individuals want to engage with organizations and institutions that embody their values. One of the big consumer shifts in the post-recession is DIY - the emergence of the creative economy, where people want to do more for themselves, from home improvement to self-improvement and cooking. People have lost more than a little faith in institutions – business and government – being hard-hit in the stock market seeing retirement funds fall, witnessing home values plummet, losing jobs, or losing faith in public institutions.

For health providers, autonomy and self-determination continue to be a value in practice. So adopting tools that bolster practice productivity and empowerment can delight the health practitioner. Those organizations who enable that garner trust, appreciation and brand loyalty. We’ve seen this, for example, with Epocrates, which continues to enjoy high take-up by physicians for its growing portfolio of mobile applications.

Whatever analyst forecast you read on the mHealth market — and you have your pick of many these days — remember that value + values will drive adoption.

Health Populi’s Hot Points: While there’s a go-go mood about mHealth adoption, a few significant barriers remain to be addressed: building out broadband to people who especially need it and don’t have it, aligning payment for health care so that providers will adopt the right tools for value-based and connected health; and patient engagement with their own health.

While a cadre of pioneering doctors, providers and patients have begun to engage with mobile health tools and apps, 2012 could be the year when we may begin to stop using the “m” and see mobile as just another infrastructure option for delivering health to engaged, activated patients.

No comment yet.
Rescooped by dbtmobile from Patient!

UK patients will be required to opt out of clinical trials data-sharing plan

UK patients will be required to opt out of clinical trials data-sharing plan | Mobile Health: How Mobile Phones Support Health Care |

'Plans to share confidential NHS records with private medical researchers have been revealed by Prime Minister David Cameron.


The government said in a statement yesterday that it was announcing a consultation "to change the NHS Constitution so that patient data is automatically included in clinical research, but giving patients a clear opportunity to opt out if they wish to do so".'

Via Andrew Spong
No comment yet.
Scooped by dbtmobile!

The New York Times : Bring Health Care Home

The New York Times : Bring Health Care Home | Mobile Health: How Mobile Phones Support Health Care |
Patients who are treated at home by a doctor are happier and healthier.
No comment yet.
Scooped by dbtmobile!

Apple’s Secret Plan to Steal Your Doctor’s Heart

Apple’s Secret Plan to Steal Your Doctor’s Heart | Mobile Health: How Mobile Phones Support Health Care |

Nancy Luo didn’t expect an answer when she e-mailed Steve Jobs one Wednesday evening two summers ago. But less than a day later, an Apple emissary knocked on her door at the University of Chicago Hospitals.

It was Aug. 25, 2010, the last day of a long heatwave in Chicago. Luo — a second-year resident at the hospital’s internal medicine department — had been assigned the tricky task of figuring out whether a pilot program that put iPads in the hands of the hospital’s residents was working out. So she sent a note to the CEO of Apple.

The iPad had hit the market just four months earlier, but the young, tech-savvy residents at the hospital were already using Apple’s tablet to access medical data on the go. Luo thought that with some internal tweaking, she could measure whether the students were actually saving time with the iPad. “I just wanted to see if maybe Apple wanted to help us out,” she remembers.

Jobs didn’t get back to her, but at 5:21 a.m. the next day, she had an answer. Luo didn’t even read the e-mail at first, assuming it was some sort of automatic response. But when she did, she was amazed. The note was from an Apple employee named Afshad Mistri, who offered to swing by the hospital later that afternoon — he just happened to be in Chicago that day. “Your e-mail was forwarded to me for follow up from Steve,” wrote Mistri, Apple’s medical market manager, the company’s go-to guy for the medical industry.

Apple is a company that builds stuff for consumers. Macs. iPods. iPhones. iPads. Though these devices may show up inside businesses, the company rarely promotes them for corporate use, and it has slowly pulled away from the few products it does sell to businesses. Its XServe servers died a premature death this past January. But for some reason, Apple is pushing the iPad into hospitals, playing against its well-polished image as the world’s most successful consumer gadget company.

Afshad Mistri is Apple’s secret weapon in a stealth campaign to get the iPad into the hands of doctors. And it’s a campaign that seems to be paying off.

If you talk to technical staffers at any large hospital that is using — or even thinking of using — iPads today, Afshad Mistri’s name is pretty likely to come up. Earlier in November, he organized a cross-Canada series of invitation-only conferences for medical professionals in Vancouver, Calgary, Montreal, and Toronto who are looking at using the iPad at work.

He’s also the guy who in September launched a special iTunes room for healthcare, and promoted it to a select group of healthcare app developers.

Everybody who’s met him seems to like him. Luo describes him as “super friendly, super charasmatic, down-to-earth guy.” True to his name, and Apple’s inscrutable public relations practices, Mistri declined to comment for this article.

He can’t talk to us because Apple fires employees who talk with the press without permission, but also because the company must walk a fine line in the medical arena. Right now, the U.S. Food and Drug Administration seems set on regulating the software that runs on the iPad, not the device itself, but if the FDA were to decide that Apple is marketing the iPad for regulated medical uses, it could unleash a regulatory nightmare on the company.

Apple has to carefully watch what it says when it talks about the iPad in medicine, says Bradley Thompson, a partner with the law firm Epstein Becker Green and an expert on FDA regulations. As long as they promote it as a general-use computing device, Apple should be fine. But “if they were promoting it for specific medical device uses,” he says, “they would cross a line.”

Mistri isn’t new to the medical profession. According to his LinkedIn profile, he got a bachelor’s degree in computer science and then cut his teeth as an engineer on the Tomahawk Cruise Missile Program during the late 1980s. He got into using computers to display 3-D images, including an x-ray technology known as computerized tomography (CT) during a 15-year career at Silicon Graphics before jumping ship to Apple five years ago.

Like some rare subatomic particle, he’s existential proof that Apple sees iPads in the hospital as a special phenomenon. “Just the fact that he exists, that there’s a director for medical marketing, tells you it’s different because Apple never does vertical markets,” says Elliot Fishman a professor of radiology at Johns Hopkins. “The fact that two years ago they assigned someone to that position tells you there is a difference.”

No comment yet.