Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Monday, October 31, 2011
#hcla the grid takes shape for healthca.mp/la tomorrow
Saturday, October 29, 2011
Some locals are in a time warp. Thanks to snow today they think it is Christmas!
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Friday, October 28, 2011
#73Cents - A thought provoking day
Random thoughts from a small gathering of thought leaders in Patient Centered Care.... Held at the Kaiser Permanente Center For Total Health on Friday October 28th. Twitter is a virtual team of valued colleagues giving succinct open feedback @tedeytan is a great shortcut to special people. A meta connector. Are we at a #tippingpoint for transformative change in moving to Patient centered Health Care How do we bring palliative experts in to the conversation? They have such valuable insights to offer. Can we (patient voice) be the voice for those that can't speak out? Why don't we create a degree program for Patient Engagement?
The 7 Iconic, Transparent, Empowering Business Buzzwords That Need To Die | Fast Company
When I started writing a blog to support my book, Talk Normal: Stop the Business Speak, Jargon and Waffle, I had an inkling that many of the words I loathed were common in the offices where I was working.
But this could be an illusion: Once we’re bothered by something, we tend to notice it more. So it could be that the business buzzwords that make me cranky are no more significant than the guy who bumps my chair when he walks past--which, on second thought, isn’t a big deal, he’s been doing it for years.
Not so, it seems.
I started to run quick statistical analyses of the published language when readers requested an investigation, and found that many idiotic, annoying, or just useless buzzwords and phrases really have infested our inboxes in the last 10 years. Some words are fun or informative. These words are not. If you find that these catchwords frequently litter your conversations or presentations, it's probably time to consult a thesaurus.
- "Issue"
When did we stop having problems and decide to have “issues” instead? The ratio of problems to issues in our magazines and newspapers show that there are about three times as many issues per problem as there were 10 years ago. Are we really so fragile? After all, if we can’t call what’s happening to the economy at the moment a “problem,” we’re setting the bar pretty high for the problems of the future."Passion"
The CEO of a firm emailed me to ask why all his interviewees claimed to be “passionate about marketing” these days. A quick Google check on what people are claiming to be passionate about in the last 24 hours: secured loan leads; transformation; rubbish; logistics; plankton. The recruiter’s question: “Are you passionate about...?” is now just a test to see how well we fake it. At least “passionate about plankton” would make a good T-shirt."Unique"
As a Brit I can be proud that HMS Unique was, confusingly, built as one of 49 identical submarines. Don’t let anyone tell you that we didn’t ruin the language first. Yet, as I write, there have been 826 press releases claiming that something is “unique” in the last seven days. Everything, we must conclude, is now special in its own exquisite way."Iconic"
We’re supposed to find a person or thing desirable, but we don’t know why. Iconicness seems to be a 21st-century phenomenon: Since 2000, we’re about eight times as likely to find something “iconic” in the press. Two areas in which this growth rate has been twice as fast: accountancy and solid waste. You can't make it up."Role"
Our parents had jobs or, if they were lucky, careers. We entertain ourselves by claiming we have roles, as if our work is a personal soap opera. During the long boom, the ratio of roles to jobs went from 10:1 to about 4:1. You will not be surprised to learn that, since 2007, this ratio has returned to pre-2001 levels."Transparency"
Six times as popular in the business press as it was in 2002; about one in 40 press releases claim it. It’s taking over “honesty” and “integrity,” maybe because you can claim transparency without any suggestion you’re doing something that improves anyone’s life. Note: The glass industry uses “transparency” in marketing less than the average, but the audit industry uses it ten times as often. Draw your own conclusions."Empowerment"
Not a bad word in itself--but if I buy something from you, you are not “empowering” me. It’s a sneaky way of dodging what the wafflers call the brand promise: They didn’t say the jeans would make me a better person; their clothes just “empowered me” to lay claim to my own betterness. I get it: If my life is as crappy as it was before, it’s my fault. If it improves, all hail the denim.Tim Phillips is a freelance journalist. He is the author of Talk Normal: Stop the Business Speak, Jargon and Waffle, Knockoff, Fit to Bust and co-author of best selling Scoring Points, all published by Kogan Page.
[Image: Flickr user Vu Bui]
via fastcompany.com
Is this a Unique Issue on an Iconic subject where we all have a Role in demonstrating Transparency and Empowerment.
Or is this just a one-off special problem on a desirable subject where we all have a job to demonstrate with honesty and integrity how you can take charge of your own destiny.
Thursday, October 27, 2011
How to Use Social Media at Medical Meetings | HealthWorks Collective #hcsm
Some great insights in use of Social Media in a Medical meeting context. We all have a duty to amplify useful content to promote health care engagement.
the understatement: Android Orphans: Visualizing a Sad History of Support
Great analysis to compare Apple v Android in the area of OS updates.
The pice that struck me was this assessment:
"Apple’s way of getting you to buy a new phone is to make you really happy with your current one, whereas apparently Android phone makers think they can get you to buy a new phone by making you really unhappy with your current one."
- Student Competition by Siemens: Ideas on the Future of Healthcare
Siemens have actually come up with an interesting process to bet and recruit the brightest young talent to promote innovation in healthcare. Check out this post: http://medgadget.com/2011/10/student-competition-by-siemens-ideas-on-the-futu...
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Wednesday, October 26, 2011
Apple and Steve Jobs: The Innovation solution - Don't let Profits over ride Passion.
THere is a great article in the Harvard Business Review, by James Allworth, about how Steve Jobs' solved the Innovators Dilemma. Steve Jobs was profoundly influenced by: The Innovator's Dilemma: The Revolutionary Book That Will Change the Way You Do Business by Clay Christensen.
In the HBR article one phrase really sticks with me: "Don't let profits over ride passion"
Apple focused on building insanely great products rather than look for niches and target for a given level of profitability. When you build something special, something magical people will demand it.
We need more passion in the work we do. As we face big challenges in health care let's make sure we inject passion in to what we do and build something really special that solves real problems for patients, physicians and other members of the care team.
Google I you want usage to increase get a usable #GooglePlus API out to developers. Let us integrate in to our social workflows.
I see that Google is going to integrate Blogger with Google Plus. This makes some sense. Especially if the Blogger API is retained and it means that services like Posterous can post to Blogger and hence to GooglePlus, as can bloggers use the post from email tools. Until Google provides integration to Google Plus that allows users to integrate Google Plus in to their daily workflows it will continue to be an outlier in the Social Space. At the present time Google Plus requires us to do a double posting. One to our regular Social Workflow and the second to Google Plus. My other gripes are concerning iOS and Adding people to Circles. The Google Plus App on iOS has been regularly crashing. Something that I believe others including +Robert Scoble have experienced. On my Mac, regardless of browser I find it impossible to add people to circles. Every time I try to do this I get an "Error Changing Circle Memberships" error. It makes the circles feature unusable. The only way I can use Circles is to assign people to circles using the iOS app on my iPhone.
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At the Web 2.0 Summit in San Francisco last week, Google held a special press roundtable with Google co-founder Sergey Brin and SVP of Engineering for Google Plus Vic Gundotra. As he had been earlier ...
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Tuesday, October 25, 2011
#RainbowButton Initiative - the best show NOT @Health2con
A great troupe got together to produce the Rainbow Button Initiative show at Health 2.0 in San Francisco.
Dr. Ross Martin wrote the lyrics and Regina Holllday directed and wrote the script.
An amazing group of health disruptors came together for this one night event.
Dr. Ross Martin wrote the lyrics and Regina Holllday directed and wrote the script.
An amazing group of health disruptors came together for this one night event.
Sunday, October 23, 2011
#HCOR Here is the TweetReach Report from HealthCamp Oregon
Here is the Tweetreach report from HealthCamp Oregon (#HCOR). It was a great event and thanks go to our sponsors:
- Urban Airship
- Kaiser Permanente
- The Center for Health Research
- GeoLoqi
We reached 98,200 people via 316 tweets. I am sure if you ask any of the attendees it is not about the quantity but the quality of the interactions.
If you want to experience the vibrancy of a HealthCamp come to Los Angeles on November 1st, 2011. Tickets are available here: http://healthca.mp/LA/tickets/.
33 Hours in Portland for HealthCamp Oregon (#hcOR)
I am sitting in Newark Airport early on a Sunday morning. It is the day after HealthCamp Oregon. The Portland, Oregon event was made possible through two major sponsor (Kaiser Permanente and Urban Airship). HealthCamp Oregon was also supported by The Center for Health Research and GeoLoqi. Without the support of our sponsors HealthCamp would not be possible. 
Nate DiNiro of OpenAffairs.TV did an incredible job as our local organizer. Hats off to him!
When you look simply at the number of attendees you might think HealthCamp Oregon was less successful than other HealthCamps. But this is one of the hidden secrets of HealthCamp. The numbers do not tell the story. It is the quality and diversity of the participants that make every HealthCamp invaluable.
As one of our attendees told the group at the recap "I learned more in 3 hours at HealthCamp than by attending one of the leading multi-day uber Health Conferences."
HealthCamp Oregon with 30+ attendees allowed a much more fluid camp than our larger events. The tone for the day was set by Dr. Yong Shin of Kaiser Permanente. We usually have a 10 minute fire starter talk but Dr. Shin has been instrumental in establishing the Kaiser Permanente North West Center for Heart and Vascular Care and his talk and Q&A session extended for close to an hour. As a surgeon who has transitioned from the Fee for Service world to an organization committed to Total Health for it's members. We were privileged to gain a rare insight in to the challenges that the traditional health care market place faces as Health Care reform gathers pace. Health may be a team sport but cardiologists and surgeons in the Fee for Service world are not necessarily on the same team. It's a competition out there and the patient is the football.
Another amazing highlight that just reaffirmed the special nature of HealthCamp was a lunchtime "Fireside chat" between Ward Cunningham and Tom Munnecke. Yes, It was an amazing, intimate chat between the father of the wiki and the father of Vista (the Veteran's Administration health record platform). They provided some sage advice to anyone who is willing to listen in health care. Keep it Simple! We love to make it complex but the original wiki took just 300 lines of Perl code and the core of Vista was made up of 19 commands. When 75% of health care costs are driven by lifestyle choices we need to keep the simplicity factor firmly in mind.
The rest of the sessions at HealthCamp seemed to fall in to two main themes: 1) Health Records and their Information interoperability and portability 2) Mobile applications.
It was great to meet people that I have followed on Twitter. The opportunity to expand a dialogue beyond 140 characters is worth it's weight in gold!
All in all, HealthCamp Oregon proved once again that HealthCamp intellectually is a heavy hitting event that brings exceptional minds together and focuses them on the issues and challenges we face in Health Care. The relationships and friendships that are built at HealthCamp are enduring and it shows that when we share our expertise and insights freely we can be far smarter than any individual industry expert.
I will look forward to returning to Portland, Oregon for another HealthCamp in 2012. In the meantime my attention is focusing on Tuesday November 1st in Los Angeles for HealthCa.mp/LA where more than 100 people are scheduled to come together from Kaiser Permanente and the Los Angeles County Health Services to develop ideas to address improving community health in Southern California. It should be another fascinating HealthCamp event! Why not join us!
Saturday, October 22, 2011
#hcor @wardcunningham Wiki originator another benevolent dictator
Ward Cunningham guided the evolution of the wiki like a benevolent dictator for the first few years. Take the energy of the 2% and use it to fuel development. Tom_munnecke had similar issues with vista. Direct connection to end users drove vista's evolution. We new an epidemic of health. Design for health not for disease. We need to infuse a vocabulary of health in to the community. No table of contents in a wiki but you can find information. No academic smart enough to write the whole book. You need a community. How do you create a community of competitors - which is frequently found in healthcare. The hospital is the most complex entity in our world. Cats v toasters. You can rebuild a toaster. Healthcare is a cat. Ie more than sum of its parts and you can't reconstruct a cat after a dissection. Technology has a special power. A philosophy is learnt through use of a simple technology that people think they understand. Let's think composition and not decomposition. Hummm were does ICD-10 fit in all this?? Think about patterns as a way to explain complexity. Simple rules that enable extension of understanding. A system of rules can generate behavior rather than attempt to specify behavior. Generative solutions... Healthcare complexity: the complex legislation. ICD-10 500 definitions for sickness. None for health. Lack of budget will drive innovation. We can't spend our way out of the health care crisis. Turn healthcare upside down and put patients at the center. Personalized medicine. Social networks. Personal genomics. Think 5-8 years out. Health care is to medical care is like changing the oil against needing a toe truck. Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
B: http://ekive.blogspot.com
....Sent from my iPhone
#hcor @wardcunningham simplicity of the wiki "just felt right"i
The profound power of letting go...
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
B: http://ekive.blogspot.com
....Sent from my iPhone
#hcor bulgogi beef burrito w/ kimchi. Yumm!
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#hcor kai fusion food truck for lunch at healthca.mp/OR
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#hcor talking open emr
Manhattan research Cyber citizen health study looks at use of health records EMR - fishing ground for future law suits? How do we address that? How do we avoid docs becoming data entry clerks? I get the feeling that the directproject.org is a major change agent aka the white button in the rainbowbutton initiative. We need a life stream not a health or medical record. EMR help and hinder health delivery. We need to work to reduce. The hinderances and magnify the benefits. Relationship centered care is not included in ICD-10 coding.
More talk about health reputation scores.
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
More talk about health reputation scores.
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#hcor here is the HealthCa.mp/or wall
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#hcor dr. Yong Shin connecting with his inner geekdom
Dr Shin is the fire starter at HealthCamp Oregon 
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#Hcor HealthCamp Oregon @urbanairship the conversations have started
A great day in store in Portland. Great people and fascinating diverse conversations already underway. 
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
If you are what you eat I am in trouble at HealthCampOR in Portland #hcor
I think this should be titled "be good to yourself at least once a day" 
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Get here early to HealthCa.mp/OR #hcOR before Lox is gone!
The food arrived and a food truck is scheduled for lunch. We need to feed those minds at HealthCampOR in Portland. Thanks to Urban Airship for the fabulous facilities an to Kaiser Permanente for sponsoring the food and refreshments. 
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Friday, October 21, 2011
Back to my #Apple Airport broken by iCloud update on Apple Routers
In a recent post ("#Apple Airport Extreme due for firmware update? iCloud causing mobile me error to flash on base station?" ) I asked if anyone else was seeing an error on their Apple Airport Router after migrating their Mobile Me account to iCloud.
It appears that I am not alone in discovering that migrating from Mobile Me to iCloud breaks the Back to my Airport feature on Airport Extreme, Express and Time Capsule.
You can flag the error in the Airport Utility application so that the Airport is not constantly flashing an amber light but the point is that Apple should be working on a firmware update for their Airport Routers so that the mac.com or me.com email address and password is recognized.
It may be possible that they can fix this on their server back end by re-directing the routers to an account that will correctly authenticate. The challenge with that is that not everyone has transitioned to iCloud so a simple server redirection in DNS will probably break authentication for people that have not migrated and are still on Mobile Me.
Wednesday, October 19, 2011
Right Management Supporting Veterans and their families looking for job opportunities in MD
I recently received this notice from Right Management and wanted to let any of my followers on Twitter, Facebook and LinkedIn that are Veterans or a family member of a veteran. The program that Right Management is offering is a one day program. This is being offered by Right's offices in Hunt Valley, MD but other Right Management offices around the country are looking to provide similar courses. If you are not near Hunt Valley I suggest you check with a local office. You can find one by using their Office Locator
Sunday, October 16, 2011
#Apple Airport Extreme due for firmware update? iCloud causing mobile me error to flash on base station?
I have just completed an upgrade to iOS 5 on my iPhone and upgraded my Mac computers to OS X Lion 10.7.2 in order to access all the iCloud goodness. However, since doing that my Airport Extreme base station is flashing orange. When you go in to the Airport Utility the base station reports that my mobile me userid and password is wrong. 
My userid and password is unchanged from before the iCloud upgrade. I was able to suppress the error by choosing to ignore the error but it looks like we need an Airport EXtreme Firmware update in order to connect with the Back-to-my-Mac feature that is now part of iCloud.
Has anybody else experienced this issue? Is this something that Apple overlooked in the major sweep of upgrades to support iCloud? It seems a little strange because the mobile me mail address and password are migrated to iCloud. May be Apple have changed the target server and when people migrate from Mobile Me to iCloud they are disabling the account on the Mobile Me platform after migrating to iCloud, but the Airport Extreme is still pointing to Back-To-My-Mac on the Mobile Me platform and the userid and password combination is disabled. This is my theory. Can anyone confirm?
I will try to use the Back-To-My-Mac feature and see if I can reach my Airport Extreme when I am away from home.
Saturday, October 15, 2011
Stevenson University Marching Band
Friday, October 14, 2011
#ITrans Moving to Action
Moving to wrap up the day with a plan of action: Survey results: Priority Problem Statements: - There is no care plan that includes my medical and social factors coordinating interdisciplinary input - including the patients.
- The care providers who may have the most input may not have visibility to inform or see the plan. Existing IT Solutions that can be scaled: - Interoperable information exchange
- Get a model that works effectively and scale it.
- More effective risk stratification
Innovation Opportunities:
- Feedback loops when things don't happen.
- EHR/PHR that can merge a medication record, including community pharmacies Beacons:
- Rhode Island offers itself as a Petri Dish looking for partners. - Hawaii - Challenges of an island community - Idaho - 3,000 rural providers in a test of care transitions. - Bangor - Feedback Loops
- Iowa - Patient should own, control and vet the care plan - This is an experiment they will undertake. Feedback loops and cost containment. Plenty of evidence available to show cost reduction potential. NY - Home care: Happens today via paper and fax. Home Care Vendors developing interoperable standards for home care: Treatments, patient goals etc. Things that aren't addressed in other parts of the Care Transitions Efforts.
Start a conversation on http://medicaring.org
- The care providers who may have the most input may not have visibility to inform or see the plan. Existing IT Solutions that can be scaled: - Interoperable information exchange
- Get a model that works effectively and scale it.
- More effective risk stratification
Innovation Opportunities:
- Feedback loops when things don't happen.
- EHR/PHR that can merge a medication record, including community pharmacies Beacons:
- Rhode Island offers itself as a Petri Dish looking for partners. - Hawaii - Challenges of an island community - Idaho - 3,000 rural providers in a test of care transitions. - Bangor - Feedback Loops
- Iowa - Patient should own, control and vet the care plan - This is an experiment they will undertake. Feedback loops and cost containment. Plenty of evidence available to show cost reduction potential. NY - Home care: Happens today via paper and fax. Home Care Vendors developing interoperable standards for home care: Treatments, patient goals etc. Things that aren't addressed in other parts of the Care Transitions Efforts.
Start a conversation on http://medicaring.org
#ITrans Moving to Action
Moving to wrap up the day with a plan of action: Survey results: Priority Problem Statements: - There is no care plan that includes my medical and social factors coordinating interdisciplinary input - including the patients.
- The care providers who may have the most input may not have visibility to inform or see the plan. Existing IT Solutions that can be scaled: - Interoperable information exchange
- Get a model that works effectively and scale it.
- More effective risk stratification
Innovation Opportunities:
- Feedback loops when things don't happen.
- EHR/PHR that can merge a medication record, including community pharmacies Beacons:
- Rhode Island offers itself as a Petri Dish looking for partners. - Hawaii - Challenges of an island community - Idaho - 3,000 rural providers in a test of care transitions. - Bangor - Feedback Loops
- Iowa - Patient should own, control and vet the care plan - This is an experiment they will undertake. Feedback loops and cost containment. Plenty of evidence available to show cost reduction potential. NY - Home care: Happens today via paper and fax. Home Care Vendors developing interoperable standards for home care: Treatments, patient goals etc. Things that aren't addressed in other parts of the Care Transitions Efforts.
Start a conversation on http://medicaring.org
- The care providers who may have the most input may not have visibility to inform or see the plan. Existing IT Solutions that can be scaled: - Interoperable information exchange
- Get a model that works effectively and scale it.
- More effective risk stratification
Innovation Opportunities:
- Feedback loops when things don't happen.
- EHR/PHR that can merge a medication record, including community pharmacies Beacons:
- Rhode Island offers itself as a Petri Dish looking for partners. - Hawaii - Challenges of an island community - Idaho - 3,000 rural providers in a test of care transitions. - Bangor - Feedback Loops
- Iowa - Patient should own, control and vet the care plan - This is an experiment they will undertake. Feedback loops and cost containment. Plenty of evidence available to show cost reduction potential. NY - Home care: Happens today via paper and fax. Home Care Vendors developing interoperable standards for home care: Treatments, patient goals etc. Things that aren't addressed in other parts of the Care Transitions Efforts.
Start a conversation on http://medicaring.org
#ITrans Standards and Interoperability - Common solutions to shared problems.
Transitions of Care and interoperability.
Doug Fridsma - Direcotr of ONC Office of Standards and Interoperability.
Take the test, grade the test, pass the test.
Give people the credit for passing the test.
Curate a set of building blocks
Enforce the rules and celebrate when people follow the rules.
Jitin Asnaani - Coordinator of the ONC S&I Framework
Care Transitions are complex and hard.
Enablers:
- Infrastructure
- Standards
Drivers:
- Clinical Outcomes
- Financial incentives
Components:
- Data
- Technology
- Processand Workflow
- Timelines
What if every care transition included a core set of high quality clinical data
Three issues:
- Not accessible to the clinicians (clinically based definitions of the data)
- Multiple standards used
- Insufficient tools to implement the standards effectively.
Holly Miller - MD, Med Allies
What if the Patient's PCP is notified of a patient admission to hospital - before the patient leaves the hospital.
The Patient is copied on each transaction
Keep the patient at the center (or their delegate)
Push data to end users in the systems they use normally.
No data overload is also an important factor to be considered.
Jitin Asnaani - Coordinator of the ONC S&I Framework
For 1st time there is a single broadly supported standard for electronic exchange of patient care transitions. (Consolidated CDA)
So far 10 HIT Vendors and HIE Organizations committed to refine implementation through 4 pilots.
1-2 pilots will demonstrate consolidated CDA in conjunctions with Direct Project transport specifications. Makes it possible for little guy to cost-effectively exchange standardized care transition information.
S& I Framework Wiki: http://wiki.siframework.org
#ITrans @farzad_ONC with HealthAffairs @jlneptune and Paul McGann talk about how we get the word out.
@Farzad_ONC talks with:
Innovators engaging in Health Care are often those that have had a personal experience with the Health Care system and realize the it is completely nuts!
Paul McGann -
HHS Partnership for Patients : http://www.healthcare.gov/compare/partnership-for-patients/join/index.html
Reduce patient harm through Hospital Acquired Infections by 40% to Save 1.8B and 60,000 lives
The Patient Stories are the most powerful lever in driving change.
In Transitions - Affordable Care: c.3025 and c.3026 are the carrot and stick in the legislation.
First time that Medicare has not dictated HOW to deliver care.
Community-based applications. No price dictated by Medicare. The requirement is to achieve the 0 day readmission goal.
Susan Dentzer - Health Affairs
The Leading journal on Health Policy
taking a new approach: Interested in interesting stories. Something that addresses a broadly perceived need.
You can submit a story via their website:
How can we save 1M lives lost unnecessarily each year.
Jean Luc Neptune - Health 2.0
Talk to people outside the industry.
Bring people from outside the industry with their skills involved in Health Care.
Healthcare is a $2T Industry that is undergoing transformation in ways that no one knows.
How do we do Fierce Innovation on an industry that bites back
Insuring Safe Transitions from Hospital to Home. $40,000 in prizes.
#ITrans @Farzad_ONC We can prepare for discharge well before the day of discharge.
Farzad: How can we converge transitions Now we wish we had consumer technology at work. We need that thinking in Health Care. Liberate the data and workflows to embrace consumer solutions. We need to invest in the science of improvement George Bo-Linn - Think how we can use today's tech to solve problems. Stop thinking patient - that is prisoner mentality. Think outside the box to apply today's technology to solve problems. We have to disintermediate. There will not be enough doctors.
Who thought we would have to pump our own gas. Give people the power to care for themselves. Scott Young: This is not a science agenda. This is simple logistics and innovation to solve everyday problems.
Who thought we would have to pump our own gas. Give people the power to care for themselves. Scott Young: This is not a science agenda. This is simple logistics and innovation to solve everyday problems.
Putting the IT in TransITions at #KPCTH #ITrans
I am at the Kaiser Permanente Center For Total Health for the "Putting the IT in TransITions" event.
This is also being broadcast in a live webcast and the Tweet stream is on the hashtag #ITrans.
Aaron McKethan is introducing the day.
The day is a discussion on how we create seamless care transitions in Health Care.
Janhavi Kirtane from the Beacon Communities.
- George Bo-Lin, MD, The Gordon and Betty Moore Foundation
- Scott Young, MD, Kaiser Permanente
- Chris Langston, PhD, The John A Hartford Foundation
Posing a challenge: improve the health of older Americans. They bear the biggest burden of our system's defects. So many times we fail in the Care Transitions
How can Beacon Communities show the way for a better health care system. Aim high and show the way.
Transitions are ubiquitous in Health Care - so why aren't we better at it?
The Industry thinks transitions happen in the hospital but patients think it happens at home. People will sign anything to get out of the hospital.
How can we perform a transition when the patient isn't ready to participate in the transition.
Next up:
- Farzad Mostashari, MD, Office of the National Coordinator for HIT
The health care system is in trouble
There are 3 things we have to do and we are making incredibly fast progress.
1. How patients are cared for
2. How care is paid for
3. How patients care for themselves.
Keep the eye on the ball and Unite the tribes.
How do we engage innovation
How do we unleash data
How do we embrace diversity across communities
The role of Government is to NOT be an anchor.
Convene, lead, enable, facilitate.
It is a life and death struggle for many of us.
- Todd Park, US Dept of Health and Human Services
Unleashing Data to help millions of americans.
Todd recounts the Georgetown Health 2.0 Developer Challenge and the Food Oasis app that uses Text Messages.
Food Oasis is about to receive an investment that is going to allow it to scale to seven cities.
The message - You don't need to know about Health. You just need to care to change it.
Put a big freakin' hole in the paper thin wall of NO.
Friday, October 07, 2011
#COEHITR The final panel - Partnerships to benefit the Health Care ecosystem
Panel Discussion: How the University can Benefit the Health Care EcosystemBrian Darmody, Associate Vice President of Research and Economic Development, University of Maryland, & Special Assistant Vice Chancellor for Technology Development, University System of Maryland
Mark Turner, PhD, CEO, Optimal Solutions Group
Colonel Jesus Zarate, CIO, United States Air Force Medical Service
Mark Turner, PhD, CEO, Optimal Solutions Group
Colonel Jesus Zarate, CIO, United States Air Force Medical Service
Moderator: Dushanka Kleinman, D.D.S., M.Sc.D., Associate Dean for Research and Professor, School of Public Health
Mark Turner: CEO Optimal Solutions
Jesus Zarate: CIO USAF Medical Service
Looking to partnerships to manage 8-10M electronic health records.
Have a lot of data but not necessarily the research knowledge. Therefore partnering with U of MD.
National Priorities: Suicide Research, Child Abuse post deployment, PTSD (working with VA).
Brian Darmody: AVP or Research and Economic Development - U of MD
The power of place still has value in this connected world.
More outcome oriented research is needed.
Looking to double research to $2B from $1B annually currently.
#COEHITR John Rust talking - Economics of Disability
Economics of disability
John Rust, Ph.D., Professor of Economics, University of Maryland
John Rust, Ph.D., Professor of Economics, University of Maryland
Disability in USA - Two programs: SSDI and SSI
In 2010 12M receive SSDI SSI= 3.2M and 1.4M on both.
Explosive growth in submissions and awards.
SSDI application can be done online. There has been explosive growth in online applications. 8% in 2007 growing to 35% in 2010.
Self-reported health status has been flat but an increase in applications for disability. An increasing use of Attorneys and Vocational Experts in the appeals process.
#COEHITR Nancy Staggers - Wicked problems in Health IT - Care Coordination
Nursing informatics and usability
Nancy Staggers, Ph.D., RN, FAAN, Professor, OSAH, School of Nursing, University of Maryland
Nancy Staggers, Ph.D., RN, FAAN, Professor, OSAH, School of Nursing, University of Maryland
The problems come between departments and specialties: Care Coordination.
Transitions in Care.
Typical problems - Nursing Summary Report.
No visual trend indications
Orders arbitrarily truncated
Missing information
Static information
No grid of medications data across patients.
This note is carried with the nurse.
Support needed for team-based care.
Nurses want high level information on goals for the patient.
Need to be able to find critical data quickly.
#COEHITR Ben Shneiderman - EHR usability and SHARP Projects.
Electronic health record usability
Ben Shneiderman, Ph.D., Professor, Computer Science, UMIACS, Founding Director of Human Computer Interaction Lab, University of Maryland
Ben Shneiderman, Ph.D., Professor, Computer Science, UMIACS, Founding Director of Human Computer Interaction Lab, University of Maryland
Working on SHARP Projects:
- Security of HIT
- Patient Centered Cognitive Support
- Healthcare Application and Network Platform Architectures
- Secondary use of EHR Data
EMR software vendors are requiring NDAs to be signed to see software manuals. This is ridiculous. They must be ashamed of the quality of their development.
35 different ways to show Blood Pressure readings.
UMD involved with Cognitive Information Design and Visualization: Enhancing Accessibility and Understanding of Patient Data.
UMD HCIL Early Directions:
Missing Lab Reports (Fedex for lab results)
Medication Reconciliation (reconcile medication usage information from multiple sources)
Alarms and Alerts Management
www.cs.umd.edu/hcil/sharp
#COEHITR - Panel Discussion about #HIT strategic Roadmap in MD
Panel Discussion: Health Reform in Maryland and the
Carolyn Quattrocki, Executive Director, Governor's Office of Health Reform
David Sharp, Ph.D., Director, Center for Health Information Technology
Ben Steffen, Acting Executive Director, Maryland Health Care Commission
Moderator: Ritu Agarwal, Ph.D., Professor and Robert H. Smith Dean's Chair of Information Systems, Director of CHIDS
David Horrocks: CRISP
CRISP is the MD Health Information Exchange. Started looking at how to improve the sharing of health data to support seniors.
CRISP is a not for profit membership corporation.
28 of 46 hospital systems connected. Pushing to get rest online.
Also run the Regional Extension Center (RECs out of HHS/ONC)
Carolyn Quattrocki, Governor's Office of Health Reform
Health Reform - one of 15 of Governor's goals is to establish a state-wide HIE.
David Sharp - Center for HIT
Health IT is more than just Technology. Empowered to expand use of technology. How to get EMRs adopted.
Telemedicine and Telehealth.
Ben Steffen - MD Healthcare Commission
Broad authority across MD Health economy. $40B industry in the state.
Work with MD Insurance Administration.
Collaboration is critical as we move forward.
Oversee quality reporting initiatives.
Policy think tank for policymakers.
Distribution of physicians is sub-optimal.
Working out how to take advantage of Health IT
Q & A
How do we make MD the Number one state in Health Transformation?
David H: HIE in the top quartile. MD may have more hospitals connected than any other state. North East states have made the biggest investments in interoperability. Medicare waiver: State handles medicare differently. This gives some flexibility. 50 different organizations participate on advisory boards for the HIE.
David S: Trust - very successful in building trust amongst all the players in Health. This puts the State ahead of every other State in the country. Sharing data was agreed as an area that it was not beneficial to compete. Collaboration was more effective. One of first 3 states to have plans approved by ONC.
Carolyn Q: medical leaders combined with political leadership has created a great foundation for transformation.
Ben S: Don't care where we are. Challenge is to connect all Acute Care Hospitals by end of 2011. 2nd goal is subscription of primary care practices to HIE. More daunting challenge is how we engage small practices.
What happens when Federal Funding dries up. What Business Models are we establishing to create a sustainable environment?
David S: $26M of Fed funding for training. + $10M of state funding. State model is that everyone pays to participate. Is there value to consumers participating? Still uncertain.David H: Feds applying $20B to push adoption of EMRs because existing incentives are misaligned. ie/ we reward pay for volume not quality. We need payment reform that drives quality. incentives are needed to keep patients out of hospitals.
Carolyn Q: we need to look at direct and indirect incentives. We need HealthCare Delivery reforms to create a sustainable health economy. Health Benefit Exchange may bring opportunities. Use clearinghouse approach - like UTAH, or use purchasing power of the exchange to drive change. e.g. requires incentives for HIT adoption.
How do we address Health Disparities:
Ben S: Too often we don't focus on the injustice of unequal access to health services.
What Research Question would you like to see answered?
Rapid Cycle Evaluation - We need help to tune initiatives not posthumous reviews.
How can we engage consumers in all socio-economic categories that will improve health literacy and access and will improve the health system.
What will bring the Consumer to the Table?
Key to health reform is in cost and quality changes.
We need to make Health easy. People will pay for convenience! Steve Jobs proved this when iTunes/iPod effectively competed against music piracy.
We will know we are making progress in Health when a tagline like "I'm Lovin it" is associated with Health and Wellness not fast food
How about using Amazon shopping-style analytics to help consumers take better care of themselves. Crowd as a Service to drive behavior change.
Hey folks give up on looking for the silver bullet. We need lots of 10% solutions people can choose from to meet their own needs.
Transparency/Coverage/Cost all come together. Give us the facts so we can make sensible decisions. Otherwise we are not partners in our own care.
#COEHITR Dr.David Hunt Medical Director from ONC talking about a Meaningful Moment - Putting the I in Health IT
Current
David Hunt, M.D., FACS, Chief Medical Officer, Office of National Coordinator for Health Information Technology
Medical Director of Office of Provider Adoption Support. - A Surgeon by trade.
"A Meaningful Moment - Islands, Tides and Questions."Voltare: Doubt is not a pleasant condition, but certainty is absurd.
History may not repeat itself but it certainly does rhyme.
We are not solving a technology problem. we are solving the challenge of improving our health.
How well can the technology make a difference on death rates from Heart Disease, Cancer, Stroke, Respiratory Disease etc.
We still have no insight in to the aggregate health of populations a doctor manages.
Diabetes care (a great self-tracking community) has proven better outcomes when EMRs are used instead of paper-based systems.
44% patients achieve outcome standards when EMRs are used v. 16% for those supported by paper-based systems.
Direct cost of disparities in health care was running at $60B in 2006. That is 30% of the increase in Health Care Spending ($160B).
Doctors may have computers - most are for billing. They are not used for managing Health or for EMRs.
Mental Health is a major area of disparity yet this area has been excluded. Legislative directives limited what could be done.
There are some very thorny foundational issues to address around privacy and security.
Psychiatrists can apply for Meaningful use incentives. We are also seeing ambulatory systems starting to address mental health issues.
Advanced research grants - SHARP - are addressing privacy and security.
#COEHITR Health IT Resources for Entrepreneurs and Industry
10:45am UMD Health IT Resources for Entrepreneurs and IndustryDean Chang, Director, Mtech Venture Programs and Technology Advancement Program
Joseph Naft, Associate Director, Maryland Industrial Partnerships
Asher Epstein, Managing Director, Dingman Center for Entrepreneurship
Joseph Naft, Associate Director, Maryland Industrial Partnerships
Asher Epstein, Managing Director, Dingman Center for Entrepreneurship
Dean Chang
2nd Tuesday of each month - Entrepreneur Office Hours
U of MD Technology Startup Boot Camp - Friday October 14th. One day workshop and networking event.
UMD $75K Business Plan Competition
Maryland Intellectual Property Legal Resource Center. Free legal service for entrepreneurs and emerging tech companies. Help with patent applications, prior art searches, license agreements, non-disclosure agreements, company formation and much more.
Based at MTech's TAP incubator building.
TERPS Lab Incubator. over 90 graduate companies with $2B exits. 22 companies in the labs.
Joseph Naft - Maryland Industrial Partnerships
MIPS work with MD companies to do collaborative research with Universities in the Maryland system.
Looking for commercialization opportunities. Will ideas and research lead to jobs in Maryland.
Proposals accepted in May and October of each year. 60 day turn around from application to award. Next deadline October 17th, 2011.
Scientific and technical overview, business model review.
Offers up to $100k per year for 2 years. Large companies get 50/50 share. Mid-size gets 65/35 share. Small companies up to 12 people 90/10 split.
In-kind contribution from companies is expected. This can be sweat equity.
MIPS companies can get exclusive license to IP created by research teams during a project.
Asher Epstein - Dingman Center for Entrepreneurship
Dingman Impact:
Very early stage growth.
75+ operating companies
200+ jobs created
$25M+ funded.
Starting from the back of a napkin to early stage financing and proof of concept.
Dingman works with Mtech and Office of Technology Commercialization to promote technology commercialization.
Find valuable research and move it to the market.
Dingman runs a China Business Plan Competition. Also doing the same in Israel.
Q & A
Finally some discussion of Mobile Health. You don't need a full market solution - especially overseas in developing countries. You need focused solutions.
40% improvement of measurement of diabetes by using cell phone as a platform. This was a result of a research study at U of MD. They are talking about WellDoc. A Baltimore based company.
#COEHITR Jeff Herrmann talking - Systems Engineering in Health Care. Using Models to predict impact of changes
Systems engineering for health care
Jeffrey Herrmann, Ph.D., Associate Professor, Department of Mechanical Engineering, Institute for Systems Research, A. James Clark School of Engineering, University of Maryland
Jeffrey Herrmann, Ph.D., Associate Professor, Department of Mechanical Engineering, Institute for Systems Research, A. James Clark School of Engineering, University of Maryland
Model Based Systems Engineering to improve Health Care Operations. Allow changes to be predicted.
Component Models combine with system level models that can be analyzed for potential outcomes.
Trying to use Open Source modeling tools. Expertise is in integration of different types of models.
#COEHITR Eliot Siegel talking IBM's Watson in Health Care - Also refers to potential of SIRI in #iphone 4S. renewed public interest in AI
Advanced clinical decision support with IBM's Watson
Eliot L. Siegel, M.D. (invited), Professor of Diagnostic Radiology and Nuclear Medicine, School of Medicine, University of Maryland
Eliot L. Siegel, M.D. (invited), Professor of Diagnostic Radiology and Nuclear Medicine, School of Medicine, University of Maryland
Eliot calls out SIRI in new iPhone - AI for the common man.
We are just beginning to explore the potential for Artificial Intelligence in Health Care.
IBM software uses Deep Q/A. A set of algorithms that uses parallel processing to discover data. It is not a database of Questions and Answers.
Crowd sourcing with multiple computer algorithms and a rating system to determine best possibility. Also weighing positive and negative evidence.
Why do we need this in health care:
Diagnostic errors outnumber other medical errors by 2-4 times.
Clinicians jump to conclusions and short circuit the diagnostic process.
Personalized medicine is emerging and this adds many other factors to the diagnostic process. AI can help with this analysis.
To improve Dr. Watson's effectiveness we need to bring book knowledge, experiential learning and access to EMR data.
The challenge is that there is plenty of data out there but they are not public and not discoverable.
We also have to teach Dr. Watson bedside manners.
There is a lot of potential - it is like a promising medical student.
#COEHITR - Bo XIe talking Older Adult eHealth Literacy
Consumer informatics and improving older adults’ e-health literacy
Bo Xie, Ph.D., Assistant Professor, College of Information Studies, University of Maryland
Bo Xie, Ph.D., Assistant Professor, College of Information Studies, University of Maryland
12% of US Adults have adequate Health Literacy.
eHealth Literacy is a lifelong process.
We need senior friendly design.
We also need to understand the wants of the consumer regarding eHealth Literacy.
Electronic Health Information for LifeLong Learners (eHiLL)
700 participants - majority socially, economically, technologically underserved.
Leverage existing infrastructure wherever possible. eg. Libraries, NIH sites.
Older Adults that graduate from training programs get incorporated in to participatory design sessions to develop new programs for older adults.
An exciting component of the research is looking at how to use Grand kids to promote cross generational learning.
#COEHITR Sheila Weiss Smith - talking PharmaCovigilance
Sheila Weiss Smith - Department of Pharmaceutical Health Services Research
Pharmacovigilance is about monitoring and evaluating adverse effects of medical products. (A great use of the Green Button) Research, Services such as data mining, training, resources such as adverse event reports, Qscan analytic reports. Interesting analysis tools for drug comparisons. Fascinating use of data, geospatial information and various data sources . Toolset is accessible enough that clinicians can be trained to do data analysis very quickly.
Pharmacovigilance is about monitoring and evaluating adverse effects of medical products. (A great use of the Green Button) Research, Services such as data mining, training, resources such as adverse event reports, Qscan analytic reports. Interesting analysis tools for drug comparisons. Fascinating use of data, geospatial information and various data sources . Toolset is accessible enough that clinicians can be trained to do data analysis very quickly.
#COEHITR Gordon Gao talking CHIDS
Center for Health Information and Decision Systems - CHIDS Founded in 2005. Looking at issues of integrating information and decision systems in to health care. Everyone wants information from a Health Information Exchange - but no one wants to give information. The vision for HIEs seems broken. There is no patient but the Patient is the de facto HIE. The Center has also done research on Doctor Ratings in Social Media.
3-5% of docs are unfit to practice. Good luck finding out which 3-5% Increasing number of Doctor ratings sites (40+). 1 in 6 US Adults have referred to these sites.
3-5% of docs are unfit to practice. Good luck finding out which 3-5% Increasing number of Doctor ratings sites (40+). 1 in 6 US Adults have referred to these sites.
Thursday, October 06, 2011
Leaving - Steve Jobs' Greatest gift to Apple
Brian Ahier pointed to this Smithsonian interview with Steve Jobs. from 1995. One section stood out for me given yesterday's sad news of Steve's passing:
"I've always felt that death is the greatest invention of life. I'm sure that life evolved without death at first and found that without death, life didn't work very well because it didn't make room for the young. It didn't know how the world was fifty years ago. It didn't know how the world was twenty years ago. It saw it as it is today, without any preconceptions, and dreamed how it could be based on that. We're not satisfied based on the accomplishment of the last thirty years. We're dissatisfied because the current state didn't live up to their ideals. Without death there would be very little progress."
While Steve Jobs was busy building great products he also set about building a great company. He seems to have followed his beliefs and by leaving Apple he has avoided the risk of Apple slipping in to stasis.
He would not have wanted to be a figurehead chairman. Instead he has got out of the way and given Apple the opportunity to create more great products and services.
Wednesday, October 05, 2011
October 5th 2011 - A Sad Day as we lose a visionary genius RIP Steve Jobs
As I sat down on my Mac Laptop and took a look at Google Plus Robert Scoble's post stopped me in my tracks. ABC was reporting that the visionary genius of Apple, Steve Jobs has been lost to us. It is a sad day. For those of us in Technology this is like losing Elvis and Michael Jackson on the same day.
Steve Jobs was a visionary. A genius with insight and focus. He built Apple, not once, but twice. He stuck to his guns and created the most valuable company in the world. Whether it was Technology, Music or Movies Steve touched the lives of so many people on this planet. His vision has shaped not just technology but entire industries. Steve bought a discipline and a sense of elegance to technology. Something that set Apple apart from just about every other company. Whether you carry an iPhone or a music player or any other modern smartphone in your pocket your life has been touched by this man's genius. Before Steve Jobs introduced the iPhone we were at the mercy of the wireless carriers and had to battle with our Smartphones. Steve made technology accessible. He made companies like Google, RIM and Microsoft rethink their approach. Yes, it is a truly sad day in the history of technology. The day after the launch of a new iPhone Steve trumps everyone in a way none of us wanted. People may have been underwhelmed by the Apple announcements yesterday but these were just steps in the evolution of a great product line. As I blogged earlier today. Yesterday's announcement was about putting in place the building blocks for the next step forward. The iPhone 4 is in the middle of it's life cycle. The 4S with Siri will astound us. Once more Steve has changed the game. Yes, Apple and the world has lost a true visionary but I am confident that Apple will continue to thrive. If there is one thing Steve Jobs accomplished, it was to build a great team at Apple that understood his vision. There may not be one individual that can match Steve, but as a team they bring a world beating capability that can steer Apple to success in the years ahead.
Steve Jobs - R.I.P. you will be missed by so many. Thank you for all you have given us.
Steve Jobs was a visionary. A genius with insight and focus. He built Apple, not once, but twice. He stuck to his guns and created the most valuable company in the world. Whether it was Technology, Music or Movies Steve touched the lives of so many people on this planet. His vision has shaped not just technology but entire industries. Steve bought a discipline and a sense of elegance to technology. Something that set Apple apart from just about every other company. Whether you carry an iPhone or a music player or any other modern smartphone in your pocket your life has been touched by this man's genius. Before Steve Jobs introduced the iPhone we were at the mercy of the wireless carriers and had to battle with our Smartphones. Steve made technology accessible. He made companies like Google, RIM and Microsoft rethink their approach. Yes, it is a truly sad day in the history of technology. The day after the launch of a new iPhone Steve trumps everyone in a way none of us wanted. People may have been underwhelmed by the Apple announcements yesterday but these were just steps in the evolution of a great product line. As I blogged earlier today. Yesterday's announcement was about putting in place the building blocks for the next step forward. The iPhone 4 is in the middle of it's life cycle. The 4S with Siri will astound us. Once more Steve has changed the game. Yes, Apple and the world has lost a true visionary but I am confident that Apple will continue to thrive. If there is one thing Steve Jobs accomplished, it was to build a great team at Apple that understood his vision. There may not be one individual that can match Steve, but as a team they bring a world beating capability that can steer Apple to success in the years ahead.
Steve Jobs - R.I.P. you will be missed by so many. Thank you for all you have given us.
#Siri -This is your Personal Assistant: HealthCare sit up. Take notice. @Drchronos are you ready to embed Siri?
Paul Miller posted a great assessment of Siri on the new iPhone 4S on the "This is My Next" Blog. http://thisismynext.com/2011/10/04/siri-work/
The message for me is one I have been thinking about for a long time. 5 years ago when I was writing for AOL I was pointing out that the context provided by mobiles added incredible context to search. Siri really confirms this. By having access to our Calendar, our reminders, Our Address Book, our messages and our location We can deduce a lot more from the context of a conversation. This is where Siri strikes a home run.
Now imagine that this capability was applied to HealthCare. Imagine a doctor on their rounds in a hospital. If their phone, or tablet (yes - surely we can expect Siri to arrive in the iPad3) knows where they are and can match that to the room or bed and patient they are attending to suddenly a deep new layer of context is added to the Doctor's interaction with their phone or tablet.
I can't wait for tablet EMRs like DR Chronos to gain access to the Siri API and for HealthCare companies to build a HealthCare cognizant lexicon for Siri. A doctor could interact with Siri to update a patient's health record. Siri might prompt to make sure all the relevant checks and balances are completed during the session with a patient with a copy of the record being sent via the Direct Project (The Rainbow Button Initiative's White Button) to the patient at the conclusion of an appointment.
If you want to think about transforming HealthCare - Now you are talking!
#Apple #iPhone 4 or 4S Can you Spot the difference? It's all under the skin
Jonathan Richman's Tweet made me smile today. He like many others seem underwhelmed by the Apple announcements yesterday. But this could be a classic Apple move.
Siri is the big game changer in yesterday's news. We knew it was coming but we didn't know how smooth Apple would make the integration. Know we know - very smooth. Yesterday was the culmination of many threads of development for a 1.0 launch with some beta (Siri) included. In that regard the iPhone 4S makes total sense.
Apple have:
- Optimized the iPhone's internals
- Launched iOS 5 which is a major upgrade and we can expect a series of updates as the software gets heavy real world use.
- Launched Siri as a beta assistant
- Maximized the profitability of the design cycle by getting another 12-15 months value out of the original iPhone 4 design.
This will really help to drive the profitability of the iPhone product line.
What it does do is give some interesting pointers for the iPad 3. They packed all of this goodness in to the iPhone and extended the battery life. This points to the ability to reduce the weight of the iPad 3 while increasing to a Retina style display.
It also makes the most sense for the iPhone 5 next year. Apple will take the experience of millions of users of the iPhone 4S and optimize the integration of iOS 5, Siri and iCloud and deliver that in a sleek new design that people will no doubt lust after.
This is Apple evolutionary design in practice.
Monday, October 03, 2011
So thats the Answer:New @FitBit Ultra( healthca.mp/fitbit ) Now counts stairs climbed. Nice
I love the Fitbit (check it out via the links at http://healthca.mp/fitbit ). I am currently comparing it to the Bodymedia armband. I must admit I prefer the passive nature of the Fitbit and the immediate feedback from the OLED display. I will take a look at the steps I have done during the day. I know it changes my behavior immediately. If I have not walked much that day I will grab my iPhone and go for a walk while I catch up on emails or make a few calls.
I also prefer the FitBit's more open architecture. The API is a cool feature. I hacve successfully imported Fitbit data to a Google spreadsheet. I alos like that I can export my fitbit data to my Personal Health Record (I was using Google Health but now that is dead - as of January 1, 2012 - I am now exporting the data to Microsoft HealthVault.) This is the way it should be. I don't want to create more islands of health data and Bodymedia seems to be it's own walled garden.
Anyway, I was looking at the Fitbit site yesterday and noticed a reference to steps climbed. I was intrigued. However, the answer is simple. There is a new FitBit in town. The Ultra. Not only does it come in multiple colors. Don't get too excited - it is just the inside of the clip that comes in a different color. But the FitBit Ultra counts steps climbed thanks to a new built-in altimeter. All this for the same price of $99.99.
I was lucky enough to win a Bodymedia armband at Social Health and have been promised a years subscription to the Bodymedia service. I am going to keep at it and see if my views change but at the moment Fitbit offers enough information for me. The mobile app is good for tracking weight and calories consumed. The immediate feedback on steps, miles and level of activity is a real positive and I don't have to have a device strapped to my arm.
I am also really confused with the BodyMedia activity manager. I have the iPhone App installed and use Bluetooth to sync the data from the armband to my phone. Yes, that is a neat feature, so I can get updates through out the day by just opening the app on my phone and pressing the button on the armband. But what really confuses me is the online Activity Manager. If I go to my laptop and go in to the Activity Manager at the Bodymedia.com web site the Activity Manager there doesn't seem to see the data that has been synced to the iPhone app. It does see the calorie data I have logged in to the iPhone app but if I have synced the armband with the phone that data does not seem to be uploaded to the web based activity manager. To me that seems plain stupid and confusing. So I am assuming I have to connect my armband via the USB cable and it will sync with the SYNC software and update the web Activity Manager. I much prefer the simplicity of the FitBit where I just have to walk within 15 feet of my computer at home and the charging base wirelessly uploads any data from my Fitbit.
Saturday, October 01, 2011
@lygeia of ONC brands me as a HealthCare Disruptor at #Health2con Thanks to @cindythroop for great pics/cc @reginaholliday @adrane @mindofandre
Cindy Throop catches Lygeia Ricciardi, Chief Consumerista at ONC, painting me in to the Health Disruptor panel of the Mural that Regina Holliday created with the help of many friends at the recent 2011 Health 2.0 Conference.
I also added Alex Drane and the unmentionables to the same disruptor panel.
Hi ekivemark!
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Lygeia Paints Mark Scrimshire
A set by ThroopCat
Here are the 3 panels showing the disruptors on the left with traditional Health 1.0 on the right meeting in the middle at Health 2.0.
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