Then taking my first children's session of the season at Ski Liberty 
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Friday, December 30, 2011
Wednesday, December 14, 2011
The One Resolution You Need To Make In 2012 | Fast Company
As the New Year approaches, many of us are thinking about our resolutions. What will we vow to do this coming year to be better--both at what we do for a living, and as members of the human race?
There’s only one resolution you need to make and keep. Do this one thing and you’ll be good to go for the year: Do what you say you are going to do, otherwise known as accountability. This one resolution can have any number of permutations:
- If you say you are going to call, call.
- Promise to send someone information? Send it.
- Finish a job when you promised--or earlier--with quality work.
- Let people know as soon as you can when you are running late for a meeting or won’t make it at all.
- And, my personal favorite, make good on the promise "Let’s get together sometime." Make a note on your calendar in the near future to set something up. Or don’t say it at all.
Every goal begins with your own accountability, whether it is business success, losing weight, developing your personal brand--whatever your goals may be this coming year.
Start now. This very second. You’ll be ahead of most of the world, long before their hangovers have worn off on January 1, 2012.
Happy New Year!
Dayna Steele is a marketing strategist, success speaker and the author of the forthcoming book 101 Ways to Rock Your World: Everyday Activities for Success Every Day! Follow her on Twitter @daynasteele. Her resolution in 2012 is to break 100 on the front nine.
[Image: Flickr user C.M.]
via fastcompany.com
I will endeavor to follow up in 2012.....
Tuesday, December 13, 2011
Seven Reasons to be Thankful for Health Reform this Holiday Season | The Health Care Blog
dennis byron says:This post is inaccurate and/or misleading as it relates to Medicare so I would be careful with other “facts” cited. The editorial says:
“If you are 65 or older — (and eligible for Medicare) — seniors who are enrolled in Medicare Advantage plans (that’s Part C or the managed care part of Medicare) may have seen their premiums reduced this year. Some may even have access to ZERO premium health plans. Seniors also now receive free preventive treatments and a rebate of $500 if their drug coverage hits the “donut hole” in 2011.”
1. Everyone 65 or over — and some people under 65 — are “eligible” for Medicare. For almost everyone, Part A is free and Part B is $100 per month. The rare exceptions are:
– for Part A if you did not work enough SSA hours, it is not free (but you are still eligible to buy it)
– for Part B if you make over $85,000 a year your premiums go up2. Many people on Parts B and D — not just some on Part C — saw their premiums decrease for 2012. And some saw them increase. ZERO-premium Part C plans have been around for years. None of the raises or decreases had any thing to do wth the 2010 Patient Protection and Affordable Care Act
3. There is no $500 rebate if your drug costs hit the donut hole in 2011 (or 2012). There are 50% discounts on expensive brandname drugs and much smaller discounts on generic drugs if you fall into the donut hole.
Too many people don't understand the benefits that are already accruing to people as a result of the Affordable Care Act. Most people think change doesn't come until 2014 but the removal of spending caps, access to pre-existing condition plans and the extension of coverage to kids up to age 26 have all made a difference for a growing number of people.
Sunday, December 11, 2011
Obamacare to the Rescue | The Health Care Blog
By Spike Dolomite Ward
I want to apologize to President Obama. But first, some background.
I found out three weeks ago I have cancer. I’m 49 years old, have been married for almost 20 years and have two kids. My husband has his own small computer business, and I run a small nonprofit in the San Fernando Valley. I am also an artist. Money is tight, and we don’t spend it frivolously. We’re just ordinary, middle-class people, making an honest living, raising great kids and participating in our community, the kids’ schools and church.
We’re good people, and we work hard. But we haven’t been able to afford health insurance for more than two years. And now I have third-stage breast cancer and am facing months of expensive treatment.
To understand how such a thing could happen to a family like ours, I need to take you back nine years to when my husband got laid off from the entertainment company where he’d worked for 10 years. Until then, we had been insured through his work, with a first-rate plan. After he got laid off, we got to keep that health insurance for 18 months through COBRA, by paying $1,300 a month, which was a huge burden on an unemployed father and his family.
By the time the COBRA ran out, my husband had decided to go into business for himself, so we had to purchase our own insurance. That was fine for a while. Every year his business grew. But insurance premiums were steadily rising too. More than once, we switched carriers for a lower rate, only to have them raise rates significantly after a few months.
With the recession, both of our businesses took a huge hit — my husband’s income was cut in half, and the foundations that had supported my small nonprofit were going through their own tough times. We had to start using a home equity line of credit to pay for our health insurance premiums (which by that point cost as much as our monthly mortgage). When the bank capped our home equity line, we were forced to cash in my husband’s IRA. The time finally came when we had to make a choice between paying our mortgage or paying for health insurance. We chose to keep our house. We made a nerve-racking gamble, and we lost.
Friday, December 09, 2011
The grand central apple store is just simply amazing!
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Article: Official Google Mobile Blog: Google Currents is hot off the press
Google Currents is above app. The ability to share is great but I am not sure about some design choices in the UI. You have to flip sideways to move from page to page in an article. This probably takes a design cue from traditional magazines but on an iPhone it means a constant flipping from page to page when the natural tendency is to want to scroll down the page with a flick of the finger.
I have also been comparing Currents to Flipboard. Flipboard's interface is simply gorgeous with delicate touches such as the page flapping that very simply suggests that you can flip the page up or down without cluttering valuable screen real estate with UI controls.
If you haven't tried it yet give Flipboard a spin.
Official Google Mobile Blog: Google Currents is hot off the press
http://googlemobile.blogspot.com/2011/12/google-currents-is-hot-off-press.html?m=1(Sent from Flipboard)
Mark Scrimshire
....Sent from my iPhone
GigaOM: If you want to get consumerization right, get emotional
Google has launched Currents, a Pinboard competitor. Here is one article that is worth reading. If you want to help your employees be productive then get passionate and embrace consumer technology.
This is a message that the healthcare industry should take to heart for both employees and customers.
If you want to get consumerization right, get emotional
If there’s one thing Claudia Kotcha will tell you about building apps that employees want to use, it’s to think about your employees really want. Kotc...
Source: http://goo.gl/mag/COi7b
Shared via Google Currents
Mark Scrimshire
....Sent from my iPhone
Wednesday, December 07, 2011
#MHS11 Wil Yu (@HlthInnovation) introduces Qualcomm CEO for last keynote
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Wil Yu (@HlthInnovation)introduces the last Keynote of #MHS11Wednesday, December 7, 2011
9:30–10:00 AM — Morning Keynote
 | ||
 | ||
Paul Jacobs:
More people use cell phones than toothbrushes (5.6B)
Smartphones out shipped PCs.
Next year the installed base of mobile phones will surpass PCs.
Mobile broadband has passed fixed broadband in 2010.
Consumers expect the amazing in mobile.
Mobile will see more lightweight instant on devices. The weight of accessories will also drop.
The Internet of Things - Everything will be connected - and it will be wireless.
The phone will be the personal mediator for the internet of things.
Chronic Disease is a critical issue. 300M chronic disease sufferers in North America and Europe.
By 2020 160M americans will be remotely monitored for a chronic disease
88% of physicians want patients to be able to self monitor at home.
Wireless enabled CRTs and ICDs halve mortality rate in clinical trials of 100,000 patients.
Qualcomm have announced QualcommLife and the 2Net platform.
$100M investment in wireless health.
Telcare, Alivecor, Duofertility, sotera, worksmartlabs.
We are entering the era of connected health. We need open connected health and not a bunch of walled gardens.
Next up....
Sangita Reddy
Giving thanks to those propelling change in health care.
We are now at base camp in the use of technology.
In India there are 870M mobile users.
Apollo Hospitals Group - a transformation of the organization that looks at the circle of life.
"India - Islands of excellence in an ocean of inadequacy."
Innovation is the key - Quality, Accessibility and Equity.
The hospital is the last stop and not the first. ie. preventative care.
Perfect timing for mHealth. Wireless Carriers are interested and engaged. "Two birds with one phone"
"Are we there Yet?"
Pricing model - one of most powerful levers for behavior change.
Complex stakeholder matrix - cooperate and not compete.
Lack of integrated services. Multiple Chronic diseases are common. We can't silo care.
How do we incentivize the doctor for change.
Biology - Bytes and Bandwidth. The 3 Bs of Change
Are we ready for 24x7 Ubiquitous Health Care.
mhealth deliver care and information to the point of action.
Bricks and Mortar and mHealth is not an absolute choice. Just like retail we need brick and click health care
The Health Ecosystem - Each of us will not be a passive recipient but rather an active partner
Directproject.org gets a shout out and BlueButton will be used by Apollo.
((tag: mHealth, mHealth Summit, Mobile))
#MHS11 Day 3 - Discussion group - Diet and Physical activity
a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
This is the last day of the conference. It is wet and dreary in Washington but the discussions are buzzing.
Great discussion around Diet and Physical Activity.
How can researchers get data.
Can we create a BlueButton file for Fitbit. Then add it to RainbowButton.com and allow researchers to have data donated to them.
Motivation - we need to think about design.
How do we engage the 85% that are not motivated - to engage in healthier practices.
Inter-disciplinary studies. We need usability, visualization, health promotion, User Experience etc.
I heard a plea for HealthCamp. Involve people from across disciplines in conferences. We have done that for three years with HealthCamp.
Create a database of measurement tools. Identify which are validated products and tools.
Just gave my mantra of:
"Health may be private, Exercise is solitary but wellness is social."
Two year olds can unlock an iphone and find their favorite videos or games - how do we harness that for wellness.
Food fights - socially healthy eating games.
Challenge your own assumptions about Obesity. All the motivation in the world will not make a difference if the options are not there.
Don't just think about the individual - think about their social networks. Look at the community. Look at policy.
Per Carol Torgan - @ctorgan - there is a national physical activity plan
Research mapping Seattle points to no linkage between food desserts and dietary intake.
Okay - yes I did pitch for HealthCa.mp as a venue for the brainstorming sessions that were suggested.
((tag: mHealth, mHealth Summit, Mobile))
Tuesday, December 06, 2011
#mhs11 FDA regulations around medical devices and apps mHealth regulatory coalition recommendations
Notes from mhealth summit. Today if you connect to a medical device you are a medical device. Now everything is connected. Medical device data is:
Storage,
Conversion, transfer,
Display. Not:
Active patient monitoring
Device control
Modify
Analyze Mobile medical apps guidelines. Three tier pyramid. 1. Connects to a medical device
2. Transforms the mobile device I'm to a medical device
3. algorithm that output a patient specific result It is not:
Medical text books
Providing clinicians with training
General health and wellness apps
Automate general office operations
Generic aids eg. Word processor
Electronic health records
Manage weight = wellness
Manage obesity = disease Latter is medical device The middle group that is undetermined:
- automate common medical knowledge
- self manage their disease
- automate common clinicians diagnostic ad treatment tasks The mHealth regulatory coalition proposes changes to FDA proposed rules for mobile medical apps.
This is what FDA proposed: Type A - aid in the use of parent device. Class 1 device
Type B - extends intended use - same level as parent device
type C - created a new intended use - bass on new risk. Framework needed more clarity Near term solution: Type A - general purpose - unregulated Type B- not reasonably expected to directly affect safety and effectiveness - class 1
Type C - changes fundamental intended use- based on new risk Type D - regulated products that are not toe a-c. Same as connected device. We need new classification regulations. Need to clearly define categories. Propose software modularization - use standard desin principles to create functional independence and reduce inherent risk of discrete modules. Other agencies like FAA have embraced modularization for regulatory purposes. Consider evolution of technology. Redefine fda's original manufacturer definition: 1. Mobile medical app manufacturer
2. Mobile platform manufacturer In 1. The distributor is excluded. Eg. ITunes apps store. In 2. Component manufacturers are excluded. Their platform is produced with no intended use. Alternative: Medical device manufacturers are exactly that. Don't regulate distributor and component manufacturer categories. MRC suggests: 1. Promoting investment and innovation
2. Clarify scope of FDA jurisdiction
3. Recognize current approach is an intrusion on the practice of medicine.
4. Recognize global nature and harmonization of regulation
5. Create an mHealth division in CDRH
6. Define regulatory state of EHR and HIE. 7. Consider CDS software software separately (clinical decision support) Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Storage,
Conversion, transfer,
Display. Not:
Active patient monitoring
Device control
Modify
Analyze Mobile medical apps guidelines. Three tier pyramid. 1. Connects to a medical device
2. Transforms the mobile device I'm to a medical device
3. algorithm that output a patient specific result It is not:
Medical text books
Providing clinicians with training
General health and wellness apps
Automate general office operations
Generic aids eg. Word processor
Electronic health records
Manage weight = wellness
Manage obesity = disease Latter is medical device The middle group that is undetermined:
- automate common medical knowledge
- self manage their disease
- automate common clinicians diagnostic ad treatment tasks The mHealth regulatory coalition proposes changes to FDA proposed rules for mobile medical apps.
This is what FDA proposed: Type A - aid in the use of parent device. Class 1 device
Type B - extends intended use - same level as parent device
type C - created a new intended use - bass on new risk. Framework needed more clarity Near term solution: Type A - general purpose - unregulated Type B- not reasonably expected to directly affect safety and effectiveness - class 1
Type C - changes fundamental intended use- based on new risk Type D - regulated products that are not toe a-c. Same as connected device. We need new classification regulations. Need to clearly define categories. Propose software modularization - use standard desin principles to create functional independence and reduce inherent risk of discrete modules. Other agencies like FAA have embraced modularization for regulatory purposes. Consider evolution of technology. Redefine fda's original manufacturer definition: 1. Mobile medical app manufacturer
2. Mobile platform manufacturer In 1. The distributor is excluded. Eg. ITunes apps store. In 2. Component manufacturers are excluded. Their platform is produced with no intended use. Alternative: Medical device manufacturers are exactly that. Don't regulate distributor and component manufacturer categories. MRC suggests: 1. Promoting investment and innovation
2. Clarify scope of FDA jurisdiction
3. Recognize current approach is an intrusion on the practice of medicine.
4. Recognize global nature and harmonization of regulation
5. Create an mHealth division in CDRH
6. Define regulatory state of EHR and HIE. 7. Consider CDS software software separately (clinical decision support) Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#mhs11 raj shah CEO of CTIS
Raj is managing chronic care through mobile. 100M Americans have 1 chronic disease.
MHealth value proposition: comfort, clinical, collaborative, convenience.
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
MHealth value proposition: comfort, clinical, collaborative, convenience.
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#MHS11 Open Standards for mHealth Interoperability in Severely Resource-Constrained Environments
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Session 5 | 2:15–3:15 PM |
Open Standards for mHealth Interoperability in Severely Resource-Constrained Environments
Many of the world’s funders of mHealth programs are interested in seeing international standards adopted by tools providers in order to expand the reach of programs they are currently supporting. To identify and decide on the appropriate standards is one of the key focus areas for the funders and implementers of national scale mHealth deployments. NetHope is undertaking a study for PEPFAR on this topic and they are interested in using the findings to initiate a broader discussion with industry stakeholders. Preliminary documentation will be published on HealthUnbound.org for review prior to this panel discussion.
Many of the world’s funders of mHealth programs are interested in seeing international standards adopted by tools providers in order to expand the reach of programs they are currently supporting. To identify and decide on the appropriate standards is one of the key focus areas for the funders and implementers of national scale mHealth deployments. NetHope is undertaking a study for PEPFAR on this topic and they are interested in using the findings to initiate a broader discussion with industry stakeholders. Preliminary documentation will be published on HealthUnbound.org for review prior to this panel discussion.
| Moderator | |||||
 Fredrik Winsnes Healthcare Working Group Lead NetHope |  Alice Borrelli Director Intel |  Michael Gehron PEPFAR HIS Coordinator Deapartment of State |  Jonathan Jackson CEO Dimagi, Inc. |  Derek Ritz Principal ecGroup Inc. |
Good News / Bad News.
- Good: Projects are proliferating
- Bad: Projects do not interoperate
Discussion group on mhealth alliance web site. This session is to start a discussion.
NetHope doing a study for Department of State in the use of open standards.
Michael Gehron:
mHealth Apps are like piles of bottles of water rather than a reservoir
Info systems are developed as part of wider initiatives
Assistance is provided in an emergency setting that over rides long term needs.
Derek Ritz:
Deliverable: A design Specification onhow selected interoperability standards may be adopted.
NO NEW STANDARDS!
Leverage and extend artefacts from MNCH Framework and active projects.
Use Case Story defined business need. Processes were defined using UML.
Use cases based on maternity community care event in Africa - A real requirement from an active project.
Check out HUB on mHealth Alliance. Provide feedback to design team.
Jonathan Jackson:
Dimagi founded in 2002 at Harvard and MIT Media Lab. An Open Source software company.
Co-Developed national medical record system for Zambia Smartcare.
Co-founded: OpenROsa and JavaRosa, RapidSMS, CommCare, Coded in Country Initiative.
Tend to integrate more than interoperate.
See little demand for plug and play interoperability.
Little capacity to consume interoperability standards.
Better to focus on open and available data than standards
But... they still think standards are great.
Contracts should demand vendors provide one-click download of data.
Facebook and Twitter do not follow standards but they are massively consumed.
Alice Borrelli:
Personal Connected Health
244 companies that have developed and adopted inter connected devices/systems.
40+ products certified.
Established 5 years ago and now starting to see solutions hit the market.
Personal Connected Healthcare can:
- reduce mortality: 35-56%
- hospitalization: -47%
- 6 day reduction in hospital stays
- 40-64% reduction in physician time performing checks.
Continua does not create standards.Depend on standards bodies to do so.
[This seems to be an odd statement since they are developing a standard for interoperability with EHR platforms.]
Singapore and Japan are adopting Continua as requirement for devices interoperating with national health record platforms.
Special pricing for non-profits and emerging market companies.
Generic interoperability can lead to us missing the problem. Trade-off between functionality and interoperability.
Confusion between interoperability and the ability for applications to work together. e.g. Google Maps, Twitter, Facebook APIs.
Point to Point strategies perish with scale.
Did this panel really address the issue of "Severely-resource constrained environments"
We need to make sure standards are Open and light weight. If not this will limit adoption in end user devices and increase their cost.
Simple, Lightweight, Open. That will make easy adoption. Simple on the Internet wins.
1 in 10 medical procedures result in an error that is medically adverse. Standards help us drive towards the levels seen in Aerospace and other high reliability industries.
((tag: mHealth, mHealth Summit, Mobile))
#MHS11 Basic Building Blocks of mHealth - Role of Patient Education and Monitoring of their medical compliance
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
Founder & CEO
GetWellNetwork 
John de Souza
CEO
MedHelp International Inc. 
Ryan McWhorter
President
Logistimo 
Eric Schultz
CEO
QuantiaMD
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Day 2:
As patients better understand the use of applications for remote monitoring technologies, adoption of these applications may increase, bringing with it an increase in compliance. This panel discussion explores patient education in remote monitoring technologies, including education of specific disease states and how data is gathered and used. |
Tuesday, December 6th | |
11:15 AM–12:15 PM | |
| Moderator |
 Michael O'Neil |
Founder & CEO
GetWellNetwork
John de Souza
CEO
MedHelp International Inc.
Ryan McWhorter
President
Logistimo
Eric Schultz
CEO
QuantiaMD
mHealth is an opportunity to change the game in patient engagement.
Eric Schultz - CEO QuantiaMD
We need practical ambition. People have too many distractions. Lack of compliance comes from multiple sources.
Just more reminders don't work. You have to overcome the distractions. Media and life distractions, cognitive impairment.
Fight fire with Lorum Ipsum..... No wonder we lose.
mHealth services not apps - not download and forget.
Apps - 6% of apps are downloaded and still used after 4 weeks. There is an engagement issue.
Nurses and clinicians are a critical ally.
Educate them to be comfortable so they will prescribe the service/app to the patient.
Quantia's DAibetesIQ - described by iMedicalApps.com as Angry Birds: Diabetes Edition.
Ryan McWhorter - Logistimo
The intersection of patient and inventory management.
Logistimo works off-grid in remote locations. Doesn't mean disconnected. Use classic mobile phones plus the cloud (GPRS or SMS).
10,000 new HIV cases in Congo (due to rape)
PEP Kit needs to be received within a few days to be effective.
A project was developed to track episodes of rape, where a PEP Kit is located and whether a PEP Kit was administered.
Mobile Phones used to record data. Web used to manage.
Project is ready to go in January.
John de Souza - MedHelp
MedHelp - 12M monthly uniques.
longest established community.
Bring Data, Communities and Data together.
350 different communities.
mobile traffic is 30% of traffic. Set of mobile apps.
Can also pull data from devices (eg. Withings scale)
Able to aggregate data across the country.
People want to communicate with their doctors.
Doctors want an extract of PHR by specialty - addresses Doctor's liability concerns.
People don't care about data or devices - they care about their health.
Q & A Session
What business models will stick?
John de Souza - if you have a bad solution making it mobile just makes it a mobile bad solution.
You need to deliver real value. It needs to be compelling so you get continued use.
Employers need solutions.
In place contextual sponsorship is a viable business model.
Convenience in a model that scales is financially viable with a low cost payment model.
Will clinicians be comfortable operating in a sponsor model.
Clinicians are more concerned in finding a viable patient education solution that gets the patient out of the office and doesn't take them more effort to operate. It needs to have good value for patient and not run counter to care guidelines.
The danger in the USA is the slowness with which we move. We are and will be lagging what is happening in the rest of the world.
An unintended outcome is an increase in personal accountability. People are more engaged and motivated.
What are top 2 or 3 criteria to create a healthy angry birds:
1. Interoperability and integration of data
2. Health is not one dimensional
3. Don't make me work.
4. Speak to me in my own language. We need a simple vocabulary.
5. Fit the lifestyle
6. Use indirection - use other actions to infer data.
We don't want to care for our health - we want to enjoy our life.
What barriers would the panelists like to remove:
Logistimo:
1. Reduce the number of decision makers/voices in international projects. no clear lead
2. Simplification
3. understandable language
MedHelp;
1. FDA guidance
2. HIPAA (used as a barrier to sharing)
Quantia:
1. Misalignment of incentives. Healthcare is done to patients as a disengaged bystanders. Align to outcomes.
Major companies have challenges understanding where things are in the supply chain. These are same challenges for health care. Coke and Tobacco are leading on the cutting edge.
((tag: mHealth, mHealth Summit, Mobile))
#MHS11 Basic Building Blocks of mHealth - Role of Patient Education and Monitoring of their medical compliance
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
Founder & CEO
GetWellNetwork 
John de Souza
CEO
MedHelp International Inc. 
Ryan McWhorter
President
Logistimo 
Eric Schultz
CEO
QuantiaMD
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Day 2:
As patients better understand the use of applications for remote monitoring technologies, adoption of these applications may increase, bringing with it an increase in compliance. This panel discussion explores patient education in remote monitoring technologies, including education of specific disease states and how data is gathered and used. |
Tuesday, December 6th | |
11:15 AM–12:15 PM | |
| Moderator |
 Michael O'Neil |
Founder & CEO
GetWellNetwork
John de Souza
CEO
MedHelp International Inc.
Ryan McWhorter
President
Logistimo
Eric Schultz
CEO
QuantiaMD
mHealth is an opportunity to change the game in patient engagement.
Eric Schultz - CEO QuantiaMD
We need practical ambition. People have too many distractions. Lack of compliance comes from multiple sources.
Just more reminders don't work. You have to overcome the distractions. Media and life distractions, cognitive impairment.
Fight fire with Lorum Ipsum..... No wonder we lose.
mHealth services not apps - not download and forget.
Apps - 6% of apps are downloaded and still used after 4 weeks. There is an engagement issue.
Nurses and clinicians are a critical ally.
Educate them to be comfortable so they will prescribe the service/app to the patient.
Quantia's DAibetesIQ - described by iMedicalApps.com as Angry Birds: Diabetes Edition.
Ryan McWhorter - Logistimo
The intersection of patient and inventory management.
Logistimo works off-grid in remote locations. Doesn't mean disconnected. Use classic mobile phones plus the cloud (GPRS or SMS).
10,000 new HIV cases in Congo (due to rape)
PEP Kit needs to be received within a few days to be effective.
A project was developed to track episodes of rape, where a PEP Kit is located and whether a PEP Kit was administered.
Mobile Phones used to record data. Web used to manage.
Project is ready to go in January.
John de Souza - MedHelp
MedHelp - 12M monthly uniques.
longest established community.
Bring Data, Communities and Data together.
350 different communities.
mobile traffic is 30% of traffic. Set of mobile apps.
Can also pull data from devices (eg. Withings scale)
Able to aggregate data across the country.
People want to communicate with their doctors.
Doctors want an extract of PHR by specialty - addresses Doctor's liability concerns.
People don't care about data or devices - they care about their health.
Q & A Session
What business models will stick?
John de Souza - if you have a bad solution making it mobile just makes it a mobile bad solution.
You need to deliver real value. It needs to be compelling so you get continued use.
Employers need solutions.
In place contextual sponsorship is a viable business model.
Convenience in a model that scales is financially viable with a low cost payment model.
Will clinicians be comfortable operating in a sponsor model.
Clinicians are more concerned in finding a viable patient education solution that gets the patient out of the office and doesn't take them more effort to operate. It needs to have good value for patient and not run counter to care guidelines.
The danger in the USA is the slowness with which we move. We are and will be lagging what is happening in the rest of the world.
An unintended outcome is an increase in personal accountability. People are more engaged and motivated.
What are top 2 or 3 criteria to create a healthy angry birds:
1. Interoperability and integration of data
2. Health is not one dimensional
3. Don't make me work.
4. Speak to me in my own language. We need a simple vocabulary.
5. Fit the lifestyle
6. Use indirection - use other actions to infer data.
We don't want to care for our health - we want to enjoy our life.
What barriers would the panelists like to remove:
Logistimo:
1. Reduce the number of decision makers/voices in international projects. no clear lead
2. Simplification
3. understandable language
MedHelp;
1. FDA guidance
2. HIPAA (used as a barrier to sharing)
Quantia:
1. Misalignment of incentives. Healthcare is done to patients as a disengaged bystanders. Align to outcomes.
Major companies have challenges understanding where things are in the supply chain. These are same challenges for health care. Coke and Tobacco are leading on the cutting edge.
((tag: mHealth, mHealth Summit, Mobile))
#mhs11 intel uses the BUT model
Intel: Business
Usage
Technology Human centered design Change management - teach business process change Payment reform with value over volume We don't want reimbursement for devices. Allow care to take place in least restrictive place possible consistent with quality outcomes. Focus on people and workflow. Clinic is not the only place that care can occur.
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
Usage
Technology Human centered design Change management - teach business process change Payment reform with value over volume We don't want reimbursement for devices. Allow care to take place in least restrictive place possible consistent with quality outcomes. Focus on people and workflow. Clinic is not the only place that care can occur.
Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
#MHS11 Day 2 Keynotes.
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
The day 2 Keynotes:
Tuesday, December 6, 2011
9:30–10:00 AM — Morning Keynote
 | EVP & COO Verizon Wireless | |
 | Surgeon General of the United States U.S. Department of Health & Human Services | |
Verizon's Stratton tells us we spent $1.1T on Chronic Disease in 2010 & cost $2.2T by 2020-12% of GDP & 7 of 10 deaths
John Stratton points to the banks. Redefining customer relationship and reduced cost. HealthCare and Education are the last stand outs for change.
The Verizon approach to Digital Care Solutions:
- Mobile Clinicians
- Digital Care Management
- Virtual Care
- Independent Living
All built on 4G LTE.
Home based telemedicine is promising: 20% reduction in hospitalizations. 70% increased days between visits.
Mainly based on fixed wired line solutions. This needs to go mobile to give additional flexibility.
Leverage mobility and the cloud to transform chronic care management.
Building a scalable cloud-based digital care management platform.
I wonder how open Verizon's care management platform will be?
Integrate best of breed connected medical devices to track health goals. Personalized care plans integrated in to daily life via all major smartphones.
I am wondering if Personalized Care Management is just the next consumer lock-in strategy?
Launching Mid-2012 focused around key chronic diseases. So they must be looking at providers buying smartphones for members. Or they will push consumers to switch to Verizon.
Verizon is partnering with Duke University: UPMC and Wellpoint in various pilots..
Verizon is pushing for reimbursement advocacy - allow mobile health tools to be charged for.
Good to push for inter-state credentialling to unleash telemedicine applications.
It will be interesting to compare AT&T's mHealth strategy to Verizon's. I suspect Verizon is further ahead in presenting a coherent mhealth strategy.
Next Up Dr. Regina Benjamin
The National Prevention Strategy.
Good health extends beyond health care. Change the way we think about health. An integrated approach that includes housing, food, road safety. preventive health services, empowered people and eliminate disparities.
Increase the number of americans who are healthy at every stage of life.
Prevention needs to be profitable and joyful.
Be more positive. Tell people what they CAN DO. - Stepping out with the Surgeon General.
60 second Surgeon General Dance Break. - Let's encourage Radio stations to help people get active - e.g by dancing.
There is now a Surgeon General App Challenge -
1.Physical Activity
2. Healthy Eating
3. Integrated Health
Something easy and simple to use. Open until December 30th. Checkout SurgeonGeneral.gov.
The final word: Remember to take your flu shot.
((tag: mHealth, mHealth Summit, Mobile))
#MHS11 day 2 starts with discussion groups: EHR and mHealth
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
This is the start of day 2. I am attending one of the discussion groups ( http://www.mhealthsummit.org/program_morning.php ):
EHR and MHealth
Moderator: Abdul Shaikh, NCI
There are about 35 people with a diverse background attended this session.
We have the following representation:
- National Institutes of Health
- National Cancer Institute
- Consultants
- Academia
- Integrated Health Systems
- Software companies
- Mobile Startup companies
- Device Manufacturers
- Consultants
- NGOs
- Social Media
- Digital Agencies
- Physicians
- eHealth Government Initiative
- Europe
- Africa
- North America
Fascinating discussion that touched on #RainbowButton initiative and Rainbowbutton.com and use of BlueButton data.
We need to be able to convert BlueButton data to a structured format for interoperability.
We need to capture Observations of Daily Living including patient preferences. These are not currently included in EHRs
Look at ONC and FDA for guidance on security guidance.
Who is doing anything on security toolkits for phones: Good and Better are two companies.
At a chip set level there are AES Encryption tools for phones. For transmission HTTPS is widely used for banking.
We should get government to declare our health data as an organ that we can donate upon our death. This just requires a redefinition of the scope of the organ donation clause when people apply for or renew their drivers license.
DirectProject.org got a shout out because people want to know how to move data between EMRs
GreenCDA - Simplified format for expressing data in CCR or C32. Progressing through standards process.
HDATA - Standard for transfer - RESTful.
((tag: mHealth, mHealth Summit, Mobile))
Monday, December 05, 2011
#MHS11 ONC Town Hall Meeting on Consumer Engagement - Led by @Lygeia
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
http://www.mhealthsummit.org/program_special_onc.phpThis is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Special Session:
ONC TownHall Meeting on Consumer Engagement
Monday, December 5, 2011, 4:30–6:00 PM
Overview: Join Lygeia Ricciardi, Senior Advisor for Consumer e-Health at the Office of the National Coordinator for Health IT, and other members of ONC’s new Consumer e-Health program for a TownHall meeting to learn more about their strategy to boost consumer engagement in health via information technology. ONC is making an unprecedented push toward promoting consumer access to and use of health information to better manage health and health care. Learn about the strategies and initiatives of this new program---the first-ever of its kind in the federal government. Additionally, find out how your organization can participate in a pledge program that offers a variety of benefits, including:
- An opportunity to help shape ONC’s consumer engagement strategy
- A forum to elevate issues and provide input on policy barriers/challenges that the federal government could help address
- Access to a community of peers to exchange best practices
- Input into the development of tools to educate and engage consumers
- Opportunities to network and partner with consumer organizations, provider organizations, and other stakeholder groups that share a similar vision
Lygeia Ricciardi leads the Office of the National Coordinator's Town Hall session on Consumer Engagement.
1/3 of US Population is engaged in Health. 1/3 not engaged and 1/3 in the middle.
We want people to have EFFECTIVE engagement. ie. When it matters.
Technology and Community changes are driving change. mHealth is part of that change.
ONC's role is to act as a catalyst for change.
ONC Strategic Approach
1. Access
2. Action
3. Attitude
Get access to information . Support the creation of tools and services that help consumers take actions. Attitude is about changing expectations.
1. Access to Information - The Pledge for Consumer Engagement in Health. Data Providers and Non-Data Holders.
HealthCamp Foundation has taken the Non-Data Holder Pledge.
More than 200 organizations have taken the pledge. This provides access to personal health information for more than 100 Million Americans.
Lygeia asked me to explain why HealthCa.mp Foundation took the Non-Data Holder Pledge. We have to put the Patient at the center.
Fight Disassociated Patient Syndrome (Fight DPS!)
ONC is also involved with challenge.gov and is putting up incentives and prizes to entrepreneurs to improve care transitions.
"Putting the I in Health IT"
ONC is looking for interesting and inspiring stories for people getting engaged in their care.
Crowd sourced video contest and animated film to help create awareness around health care engagement.
ONC will use online media to develop a series of messages:
1. Healthcare is getting an upgrade via IT (build awareness)
2. Choose a provider who uses Health IT for your convenience and safety.
3. Get a copy of your own health info and check to make sure it is right.
4. Use e-health tools to engage in your health.
Frontier Issues:
1. Integration of patient generated data in to EHR's/Clinical Care
2. Use of Social media for Health
3. Enabling proxy access to personal data
4. Integrating information about costs and quality with clinical info to help consumers understand context of their decisions.
((tag: mHealth, mHealth Summit, Mobile))
#mhs11 The impact of cloud computing and online solutions on mHealth
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
Founder & Managing Director
Rock Health 
Jesse Coleman
mHeallth Project Manager
BC Centre for Disease Control 
Nadine Levick
Founder/Research Dir.
EMS Safety Foundation 
Mehul Shah
EVP & CEO
CTIS, Inc. 
Flaura Winston
Scientific Dirc. Professor
The Children's Hospital of Philadelphia / University of Pennsylvania
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Session 3 | 3:15–4:15 PM |
The Impact of Cloud Computing and *Online Solutions on mHealth
Taking mHealth solutions to scale is an inevitable consequence of successful deployments. As public and private entities seek ways to optimize mHealth to help control costs and improve access to tools, information, and resources, they are are exploring the promise of cloud computing services. Organizations in highly regulated sectors such as healthcare must be prioritize security and other cloud issues when considering cloud computing solutions and online storage tools. This session approaches the mHealth cloud computing from a variety of perspectives including defining need, deployment, and evaluation.
Taking mHealth solutions to scale is an inevitable consequence of successful deployments. As public and private entities seek ways to optimize mHealth to help control costs and improve access to tools, information, and resources, they are are exploring the promise of cloud computing services. Organizations in highly regulated sectors such as healthcare must be prioritize security and other cloud issues when considering cloud computing solutions and online storage tools. This session approaches the mHealth cloud computing from a variety of perspectives including defining need, deployment, and evaluation.
| Moderator |
 Halle Tecco |
Founder & Managing Director
Rock Health
Jesse Coleman
mHeallth Project Manager
BC Centre for Disease Control
Nadine Levick
Founder/Research Dir.
EMS Safety Foundation
Mehul Shah
EVP & CEO
CTIS, Inc.
Flaura Winston
Scientific Dirc. Professor
The Children's Hospital of Philadelphia / University of Pennsylvania
Nadine Levick - iRescu
300,000 out of hospital cardiac arrests per year. Less than 25% receive CPR.
Developing a CPR/AED multimedia two-way support management system using smartphones.
Develop an App that avoids using medical jargon to teach use of AED.
Using Crowd sourcing to supplement database of AEDs.
Jesse Coleman - mHealth Content Management
Using a Content Management System to target Health Text messaging.
mHealth Content Management System -
Ruby on Rails Platform
PHP Interface
SQL Database
Secure Web Interface
Mehul Shah - CEO of CTIS. Inc.
Current health trends is that 50% of US Population will have at least one chronic condition by 2025.
Innovative Intervention.
((tag: mHealth, mHealth Summit, Mobile))
#MHS11 Medical Grade Wireless Testing: Accelerating Deployment in Health Care Settings through Test Environments
This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.
CIO
El Camino Hospital 
Anura Fernando
Research Engineer
Underwriters Laboratories 
David Hoglund
President
Integra Systems, Inc. 
Ira Keltz
Deputy Chief - OET
FCC 
Chris Riha
Clinical Engineer
Carilion Clinic
This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
Medical Grade Wireless Testing: Accelerating Deployment in Healthcare Settings through Test Environments
Test beds play a promising role in advancing wireless innovation. To be successful, supportive policies and coordinated activity are needed across the private sector and government. Help shape the path forward.
Test beds play a promising role in advancing wireless innovation. To be successful, supportive policies and coordinated activity are needed across the private sector and government. Help shape the path forward.
| Moderator |
 Gregory S. Walton |
CIO
El Camino Hospital
Anura Fernando
Research Engineer
Underwriters Laboratories
David Hoglund
President
Integra Systems, Inc.
Ira Keltz
Deputy Chief - OET
FCC
Chris Riha
Clinical Engineer
Carilion Clinic
Medical Grade usually means expensive.
Proprietary networks in health care are dead. The move is to use the IT Wired and Wireless Infrastructure.
But IT don't want the liability and risk of having medical devices on their IT network.
The typical Wireless LAN in a hospital has not been designed for medical device use.
Computing has entered every area in which we function: medicine, home, work...
((tag: mHealth, mHealth Summit, Mobile))
Subscribe to:
Comments (Atom)