Friday, September 30, 2011

Amazon negotiating for Palm? It does make sense...

The rumors are that Amazon is negotiating to buy Palm and WebOS from HP.

http://www.geekwire.com/2011/amazon-buying-palm-lot-sense

Todd Bishop at GeekWire doesn't think this makes sense. I disagree.

Amazon has been working with Kindle and developed a great e-Reader. They are now cannibalizing the RIM playbook hardware to produce the Amazon Fire, which is now available for Pre-Order. They have to manage two OS platforms to deliver these products. May be they want to evolve around one platform that they control.

I don't think they are so bothered about the hardware assets of the HP tablet - the real value is in the WebOS software. Remember, developing for WebOS is basically developing for HTML5. If Amazon acquires WebOS they can integrate their app marketplace, streaming, kindle and other services on a platform they own. However, there is another benefit. The apps they develop for WebOS can run as HTML5 web Apps on Android and iOS with very little development effort. 

Amazon will have control of their own platform and won't be at the mercy of Google's choice of development direction. You already see this on their Android platform. Amazon has been promoting it's own marketplace rather than depending upon Google's Android store.

WebOS is already highly portable. Apps developed for the HP tablet were ported to IOS for the iPad and ran faster than on HP's own tablet. 

No, Buying WebOS makes a lot of sense. Take ownership of their own destiny with a good OS platform and continue to use contract manufacturers to build the hardware.

Is Microsoft dissuading Facebook from buying their own OS?

What I am amazed at is that Facebook hasn't snapped up WebOS. It would be a great way for them to get their own OS platform for phones and tablets and allow them to compete in a vertically integrated way with Apple and Google. 

The reason they haven't done this is probably Microsoft. 

As a major investor in Facebook I am sure Microsoft won't want Facebook buying their own OS. They would prefer Facebook to build functionality in to Windows Phone/ Windows 8 to give Microsoft an edge in the phone and tablet wars.

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Tuesday, September 27, 2011

@reginaholliday preparing behind the scenes to rock the world at #health20 representing #patients20

Photo

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#health2con behind the scenes getting miked up for #patients20 session

Photo

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#Health2con

I wish I had been able to attend all of this session, but I was preparing for my participation in the Patients 2.0 session later this afternoon.

Data Utility Layer, Unplatforms … and Now Personal Sensors, Too!

GRAND B (Main Ballroom)

Sponsored by:
Pioneer

Don’t blink but while you were working at your mHealth strategy, we’re going beyond the smartphone. In our rush to get digital, we’ve ignored the analog world. But hardware that measures a variety of human activities is back and transforming consumer engagement. Increasingly, people’s data is automatically being added to the Data Utility Layer from a multitude of devices, including automatic updates from wearable sensors. Is this the year when Unplatforms go mainstream?

WITH DEMOS AND COMMENTARY FROM:

There were some great demos from Withings - Blood Pressure Meter for the iPhone. AgaMatrix Glucose tester that is an IPhone accessory, RunKeeper (A device I am experimenting with myself),

The best devices fit in to our lifestyle unobtrusively.

WiMM Labs device is very cool micro android  device. Connects via WiFi to the cloud. http://www.wimm.com/

I should look at RunKeeper for tracking my skiing. 

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Pledge | HealthIT.gov

HealthCamp Foundation pledges to spread the word about the move to put the "I" in Health IT - a critical step in empowering patients and enabling them to be equal partners in their own care.
http://www.healthit.gov/pledge/

#Health2con Devices and Sensors session led by @stephenjdowns

Great devices and sensors session at Health 2.0:

Self Management Devices, Tools and Trackers

FRANCISCAN C/D

Moderated By: Steve Downs, Chief Technology & Information Officer, RWJF

FEATURING:

Check out Textweight.com. free for next 3 months. Simple SMS interface coupled with the web site.

Simplee ADDRESSING THAT OXYMORON  - The EOB - Explanation of Benefits

Great graphical drill down that explains the indecipherable EOB.

They now offer e-payment.   

Simplee - often called the Mint of Health. 

Free to consumers.

WellApps - demonstrating an iPhone app for GI monitoring. Recently added is "Socialize" to allow people to share info.

The Web Apps allows you to graph readings, turn on and off data to allow quick and easy correlation. You can connect your Foursquare checkins and correlate them on the chart. Great way to gain insight and improve Quality of Life.

Expect this to expand to other conditions that are dependent on subjective measurement.

Ginger.io - collects mobile interaction data. 

Uses Accelerometer, use of phone and other passively collected data. 

Also have questionnaires to collect subjective data.
User owns the data and select who they want to share with.

Currently focused on Diabetes and depression. 

Combination of active and passive data collection provides feedback loops to improve outcomes.

Foo.log

Food Log Calculator. Neat - capture a photo of a meal. Image processing and analysis to recognize food items. Developed at University of Tokyo.
Uses color and texture information to identify food items. 

QuickCheck Health

The home-based Strep test is really cool. 
 A device and delivery company that uses the internet.

We spend about $8B on negative Strep tests. (75% of Strep tests are negative)

UTI, Strep, Flu and more tests. 

This is a very cool  product that offers real disruption potential.

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#Health2con @geHealth doing fascinating stuff for Aging In Place

The Deep Dive at Health 2.0 is from GE and they have some interesting technology solutions that address Aging in Place. A massive and growing market as baby boomers start retiring.

Careinnovations

Intel-GE Care Innovations™ creates technology-based solutions that give people confidence to live independently, wherever they are. We are a unique joint venture between Intel Corporation and GE, based on a long history of driving innovation, solving hard problems, and creating new markets. In our Deep Dive session, CEO Louis Burns and Director of Clinical Development Julie Cherry will discuss Care Innovations’ vision for healthcare, and our role in the health transformation occurring today. This overview will set the stage for attendees to interact with four of our product solutions:

  • Care Innovations™ Guide, a home-based health hub that enables patients to age in place and manage their health from their own homes. An FDA-cleared system, the Guide lets healthcare organizations and providers face the challenges of chronic care, increase efficiency, and achieve organizational objectives.
  • Care Innovations™ Connect, a new wellness communications tool and social networking hub designed to address social isolation in older adults. Connect includes an easy-to-use digital device that serves as a wellness communication tool and social networking hub all in one.
  • GE QuietCare®, a network of sensors that are placed in the homes and apartments of senior community residents, which assists caregivers to provide personalized, preventative care that is individualized for each senior. GE QuietCare learns the daily living patterns of senior community residents and sends alerts when certain out-of-the-ordinary events occur. A prototype falls risk assessment system, quantifying the standard “Timed Get Up and Go” test with on-the-body sensor technology and algorithms that provide an assessment of likelihood of falling.

GE QuietCare provides passive sensors that use an intelligent backend to determine behaviors. This is really interesting technology. There is a VA-based company BeClose.com that is competing in this market.

Sophistication  does not mean a flashy interface. Instead it should be designed for purpose and the sophistication should be hidden in the internals and back end services.

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#Health2con Next Generation of Health 2.0 In the Doctors Office

In the Doctors Office

The Next Generation of Health 2.0 in the Doctors Office

GRAND B (Main Ballroom)

Sponsored by:
Kareo

SaaS and cloud-based medical record products and services are heading aggressively for physician offices. In parallel, the race for meaningful use dollars is on and legacy enterprise vendors are competing with startups offering more modular, lightweight tools across a variety of unplatforms. So who’s going to win in the race to getting EMRs to the 70% of American practices that don’t have them? And what services are needed – is software even enough? We’ll be looking at the cutting edge in products for the clinic and hearing from the upstarts and the incumbents—and seeing if we can tell the difference.

FEATURING:

Matthew Holt interviews Pierce Graham-Jones Project Officer, Beacon Program, Office of the National Coordinator for Health IT

Pierce will be commenting on demos relating to the Doctor's Office.

Areas in the office (per Matthew Holt)

- Patient Communication Asynchronous
- Patient Communications Synchronous
- Patient Chronic Management Systems
- Patient Communities
- Practice Management
- Charting
-

all wrapped around  Clinical Workflow

First demo:  James Mault, CEO, Healthy Cirlces

Portal for Professionals and consumers that connect medical teams with patients and their families.

Consumer portal and Professional portal. Easily customizable surveys for clinical teams.

James Mault applauds ONC for DirectProject.org

Second demo:  Russell Olson, VP Product Management, Phytel

Population Management System. Dashboard to manage conditions and compliance to evidence-based guidelines.


Created Atmosphere platform. Open platform available to other developers.

Third Demo: Adam Odessky, Product Manager, Orange

Orange is a global telecoms company. Demonstrating DocPal.

Fascinating use of Microsoft Kinnect technology, avatars. Augmented Reality.  - Very cool. Use to measure range of movement.

Very cool!

Kareo Passionate about meeting the basic needs of the physician. Addressing those needs frees up time for the medical teams to deliver better care.

Fourth Demo: Albert Santalo, President & CEO, CareCloud 

A Practice management platform in the cloud.  Works on any computer/browser.
They believe that it should be beautiful and social - social at the core

Even Analytics has social built in.

Live with clients since March 2010. VC-backed.

Fifth Demo:  Tina Joros, Director of Developer Relations Group, Allscripts

AllScripts launched developer program. Demonstrating an App Store - ClientConnect. 

Is this more like window shopping?

Demo seven: Rick Peters, GM Clinical Technology, GE Healthcare
Simplify things so you can demo an EMR in 3.5 minutes - on an iPad.

We need to simplify EMR so we can demo in 3.5 mins because that is how much time many docs have with their patients

Impressive! 

The iPad is what health care has been waiting for.

GE - just pointed to the driver for a retina display for iPad 3. Good enough to view xrays will make iPad totally compelling for health care.

Demo Eight: Daniel Kivatinos, Co-Founder & COO, Dr. Chrono
DrChrono - focusing on patient doctor interaction.

10,000 sign ups in 9 months. The first EMR for the iPad

Make it fun for the doctor. use the capabilities of the iPad. 

Freedraw allows you to draw on video. Very cool.

A very engaging application that really takes advantage of the iPad platform.

iPad adoption in healthcare amongst doctors is expected to be very high.

Demo Nine: Ed Park, Executive Vice President & COO, athenahealth

Demonstrating new data.  The whole team read "Reality is broken"
AthenaHealth set out to provide a gaming layer for meaningful use. Providing a feedback loop for meaningful use.

Putting a gaming layer on Meaningful Use - Gamification and feedback for docs - very cool.

Meaningful Use is the first objective game layer to change healthcare. 

All these programs demand and depend on transparency.

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#health2con Health eVillages - Using Mobiles to transform healthcare one village at a time

The RFK center for Human Rights announces the Health eVillages project. Born out of the Haiti Earthquake.

Each of us can work to change a small portion of events. Each time a man and woman stands up for an ideal......

Yes together, each working to improve the lot of others... Health 2.0 is a meeting of 1500 people where the vast 
majority are committed to improving the lot of others.

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#health2con three ceos talking @23andme @healthline @Caringbridge

Day 2 of the Health 2.0 Conference:

In Conversation with 3 CEOs

GRAND B (Main Ballroom)

Sponsored by:
Clouddx

We’ll hear 3 CEOs of companies transforming, and being transformed by, Health 2.0 in conversations about the future of their businesses.

HEAR FROM:

Sona Mehring interviewed by Chris Rauber
A non-profit largely funded 90% by individual donations. 
Connecting people on a care journey.

The site has no advertising on a site. 

The site emerged out of an incident where Sona was asked to help inform friends of the status of a friend that was going through a care incident.

West Shell, Chairman and CEO, Healthline interviewed by Zina Moukheiber, Forbes

Largest and fastest growing Health information provider to 50 companies and 100M consumers. 
Yahoo, AARP, AETNA, AOL   delivering contextually relevant content.

Healthline - secret sauce looks to be the taxonomy they have built that translates from medical to consumer speak

Pharma is moving online from TV to find audiences for niche therapies. 

HealthLine and ShareCare have announced a partnership.

Transparency is critical. Pharma has immense data resources. It is ridiculous to exclude them from the conversation.

People don't want general information. They want it personalized. 

Yahoo is the number 1 Health web resource - powered by Healthline.

The industry is ripe for new business models. 

Consumer Health sites are about Mass Personalization. 

Anne Wojcicki, Co-Founder and CEO, 23andme…interviewed by Russ Mitchell, Kaiser Health News

Pilot project to existing customers to get access to their full x-ome sequence for $1,000. 100 people will be accepted.

People want to explore their own data

An Exome is the functional genes. about 50M pairs. This is what leading researchers are working with.

The $99 + $9/month Personal Genome product looks at just a snapshot of the genome that is known to vary.

23andMe is also evolving as a research organization and not just a product company.

Your Genome is fascinating for many reasons including genealogy. But there is power in the crowd.

Engaging consumers in research is incredibly powerful. Patients are empowering researchers.

Education is a big focus for 23andme.

Where is this going... Genetics needs to be integrated in to healthcare.

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Monday, September 26, 2011

#health2con @adrane and the Unmentionables

Alexandra Drane and The Unmentionables (Sounds like a new pop group)

Yet More & Different Unmentionables

GRAND B (Main Ballroom)

Sponsored by:
Caring

Last year, in a first for Health 2.0 (or any health care technology conference) we plunged into issues that don’t get talked about enough in health care – sex, alcohol and your crappy boss. This year we’re going to take a deeper dive into a new set of unmentionables to see what Health 2.0 can do to change lives and behavior.

PRESENTATIONS AND COMMENTARY FROM:

  • Alexandra Drane, President, Eliza
  • Marcus Osborne, Vice President, Healthcare Savings Programs and Global Sourcing, Walmart
  • Charlotte Yeh, CMO, AARP
  • Wendy Lynch, Co-director of the Center for Consumer Choice in Health Care, Altarum Institute
  • Ben Rubin, Chief Technology Officer and Co-Founder, Zeo
  • Peter Levin, Chief Technology Officer, Veterans Affairs
  • Kyra Bobinet, Managing Director, Strategic Diversification, Aetna & Brent Poole, CEO, Mindbloom
  • David Wamsley, Co-Founder & CEO, GravityEight

Even committed health people can't usually check off the requirements for perfect health. Because life tends to get in the way.

Issues that get in the way:

1. Money Concerns
2. Unhealthy Sex Life
3 Relationships
4. Caregiver Stress
5. Job Stress

95% of surveyed people recon they have at least one of these issues.

Getting Enough Exercise and Diet issues are low importance. There is support for these areas from around the health care industry.

People with 4 or 5 issues are 5 times more likely to have have poor health. 

Where is the ROI of better health from fewer unmentionables.

How many people are asking for help?
80% under financial stress want help form their health plan or doctor. For caregiving the rate is 95%. Their is no difference in the answer when asked if they wanted help from their employer.

Sleep issues, Depression and Substance use magnify the impact of unmentionables. . 
Buffers lessen the impact (such as peers, spirituality)

Health and Productivity are related. 

But Magnifiers and Buffers (good and bad life contexts) magnify impact of health to Productivity.

Does Health equate to the theory of the the planets revolving around the earth. Is our life context the equivalent of the planets revolving around the sun?

Marcus Osborne - Walmart

There is a massive cost to CareGiving. For Walmart's customers that equates to an average of $6k per year.

Caregiving is a women's burden. 60% are female. 

Caregivers purchase more poor food. e.g Chips and beer.
But they purchase more intimate items. 

Caregiving is a chronic disease.

Walmart is looking for solutions that can work for 150M people. They want global solutions.

Solutions that work under stress at scale.

Charlotte Yeh - CMO, AARP

Financial Stress leads to bad health.

When people are in debt they are more likely to have migraines. to a factor of 2 or 3

Obesity, Drinking, Smoking all are exacerbated by financial stress.

Financial Stress = chronic health conditions.

Should Financial Stress be treated like a disease?

80M people over 50
12k people turn 50 every day

Wendy Lynch - Co-Director Altarium Institute.

Life and work challenges hve to be considered together from a health and work performance perspective.

Positive work environments provide balance.

A demanding job is not bad in itself. But High Demand with low control is bad (100% more likely to suffer depression and 50% more likely to have a heart attack.

More control over their work life leads to more control and better health.

Effort is not unhealthy. But if there is no reward you have low performance poor health etc.

- People need to know what is expected and be measurable. 
- People need autonomy
- consistency in application of rules.

Without these you have a toxic work environment.

Ben Rubin - CTO co-Founder of ZEO

Sleeping better loses you 14.3 lbs per year.
Better sleep boosts testosterone.

Launching Android/iOS app to measure sleep from ZEO headset.

Peter Levin, VA  - CTO 

The unmentionables interfere with our ability to connect with others.

Waiting for large retailers to take decision to stop selling tobacco products.  But in politics much of this is unmentionable.

Unmentionable to whom and when?
Can be very context specific?
There must be a terrain of safety.

27,000 in 54 countries have downloaded the VA's PTSD App.

Kyra Bobinet, Managing Director, Strategic Diversification, Aetna & Brent Poole, CEO, Mindbloom

Mindbloom - Farmville for your life?

David Wamsley - CEO, GravityEight

Wellbeing is measurable. 

Allows you to bring data together from different devices.

When you form meaningful social contracts with others  then it has more lasting impact.

Alex Drane:

Myths

1. Health is measured at the Doctor's Office. - Health  is life

2. It's not my problem - It is it is our opportunity

3. If they build it they will come - No they won't - promote, promote,promote. Beguile, beguile, beguile.

4. Bait and Switch is bad - Not always. We need to solve the real problems people have and care about. 

5. Better to be safe than sorry. - Always best to be brave.

The Unmentionables: Health, Sex and a crappy Boss

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#health2con wow! I am so honored @Lygeia @onc chief cosumerista immortalizing me as troublemaker in @reginaholliday painting

I am now officially designated by the federal government as a health care disruptor...

Photo

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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