Tuesday, June 30, 2015

#Health Articles saved on Delicious by @ekivemark

It’s Tuesday, June 30, 2015 at 09:00AM
and time to bring you some Delicious #Health posts




via WordPress http://2.healthca.mp/1Hs70wb

Tuesday, June 23, 2015

#Health Articles saved on Delicious by @ekivemark

It’s Tuesday, June 23, 2015 at 09:00AM
and time to bring you some Delicious #Health posts




via WordPress http://2.healthca.mp/1Gxfo8S

Saturday, June 20, 2015

#CHSD15 Day 2 Walgreens the Pharmacy Giant – @greg_Orr Omni-channel digital Health

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

Omni-Channel Digital Health

Walgreens is expanding globally. Walgreens owns Boots in the UK.

“Helping people across the world lead healthier and happier lives”

8,200 US Drugstores. 80% of US within

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1QJduwR

#CHSD15 Digital Plecosystem @Johnemattison: Great Thought leader in HealthCare

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

THE HEALTHCARE PLECO-SYSTEM: TAKING THE DATA THAT EXTRA MILE
John Mattison, CMIO, Kaiser Permanente @johnemattison

I was excited to hear John Mattison speak. This was the highlight of the Conference for me. John is one of the great thought leaders in Healthcare and it is a privilege to know him. This session was a firehose of information and ideas that brought together so many emerging trends and put their inter-relationship in to perspective. John really puts in perspective the need for an inversion in healthcare where the system is truly oriented around the person/consumer/individual because when the consumer is at the center a lot of the complexity of healthcare (HIPAA) disappears.

Prepare for a deluge of information that will take time to absorb and digest. John is always dealing with really cool things on the cutting edge of Healthcare.

Using the Plecosystem and modern technology to restore ancient wisdom

Neologisms may be good for your health. Replace old assumptions with new realities.

Much of published medical literature is subsequently refuted. The half life of facts is getting shorter.

The inverted Big Bang – Big Data is the inversion. Data is converging.

Two modes: Hypothesis Generation v Hypothesis Testing. Visualization tools have a key role.

Big data need people who can cross domains. The meta-topical BrianForests. Collaborative Discovery.

Meiosis: the ultimate innovation engine. What we learn in science has already been done in evolution.

Evolution is a generational mashup.

The Digital Plecosystem is a multi platform ecosystem.

Dimensions:
1. Service platforms (clouds)
2. Data Platforms
3. API Platforms Smart on FHIR, Open Mobile Health
4. Experience Platforms (UX, Empathic Design, social connected)

Principles:
1. Exponential growth
2. Synergy
3. Data Liquidity – Federation of Data
4. Person-centricity. – LEARN ABOUT BLOCKCHAIN. http://2.healthca.mp/1Gz30bH

Move analytics to the data whenever possible

The emergence of “Little Data”

Personalized Medicine is better than Precision Medicine.

No such thing as a “common” disease.

1x cells, 100x genes in microbiome..

6 Dimensions in management of Personal Data:
1. Archetypes of Data: (time Series, Text, Graphic)
2. Filters (value, trend, aggregation, aggregate trends, NLP)
3. N=1
4. M2M, M2C Algorithmic Filters and Escalators (machine 2 machine, Machine to Consumer)
5. Staged Cycles of Learning (stepped Wedge research, Accordion model of learning)
6. Topology of data and analytics. (Bring analytics to the data whenever possible)

Use mHealth,Sensors and Big Data to personalize and humanize the experience.

People trust different people for different things.

Inpatient – need simple tools for patient control over bridging personal and professional social networks

role of pervasive sensing.

4 Tiers:
1. Athlete Warrior,
2. Acute Illness,
3. Chronic Illness,
4. Restoring Wellness through mindfulness.

Three conversations – Vizualization:

  1. Patient to Professional Care Team
  2. Patient with Personal Care Team
  3. Patient with Person that houses patient persona.

Community and Population Health:

how do they fit with Personalized Medicine.
Evidence-based approach.
Validated Metrics for Progress
Create Self-sufficiency and Resilience.

Need Match.com for Gov, NGOs and Foundations.

Everyone is different. Different communities have different issues.

We need Personalized and Community Health rather than Population Health.

Homo Fast Fooderus – The contribution of MacDonalds to our obesity.

The Mindful person can restore the ancient wisdoms in a Digital world.

This is a session that will create thought provoking ideas for days and weeks to come!

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1LqqroC

#CHSD15 Tom Boyle – GE Healthcare

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

CORPORATE WELLBEING – THE EMPLOYERS PERSPECTIVE
Tom Boyle, Commercial Center of Excellence Healthcare Sales Lead at GE

Tom Boyle presents the final session:

Why be optimistic:
– Companies are motivated.
Early Pilots andProof of Concepts point to:

  • Cost Savings
  • Improved Employee Health

Self insured companies in the US = 80% (1,000+ employees)

Spending per enrollee is growing.

Costs are growing for employers and employees.

Choice:
1. Incent
2. Punish
3. Nothing

Large employers predominantly cover family plans

Incentives are the preferred approach. But employees are not taking up the incentives.

Disease Management programs have the biggest impact on health and costs.

51% of health are lifestyle choices.

The aging population is going to keep pushing the cost curve.

Issuing a device is easy. It is the following integration requirements that make it hard.
Devices need Deployment with Call Center support and an underlying IT Infrastructure and then clinical evaluation.

We need to make technology simple.

Employers want reduced healthcare costs becuase it is eating in to their profits.

Take Diabetes:

308M US Population. 25.8M with Diabetes

Diabetic population = 12.2%. In a 10,000 employee population = 1,220 Diabetics.
Average cost = $7,900 per diabetic.
Cost = $9M / year to employer.

Assume that the employer pays a $1,000 benefit to employees = $1.22M
If 1/2 take advantage
Save 50% of the costs of their chronic condition = $3,950.

Total Net Value to Employer = $1.2M + less absenteeism,

60% of the US Workforce works for self-insured enterprises.
Disease Management reduces cost, improve quality of life and improve member engagement.

The GE Healthcare business has 13 CEOs.

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1BupRGg

#CHSD15 THE RISE OF THE CONNECTED PROVIDER – UCLA

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

THE RISE OF THE CONNECTED PROVIDER
Rachel Linonis, Program Manager, UCLA Connected Health, Manager, Strategic Technologies, UCLA Health
Lori Keim, Senior Director of Business Initiatives at Planned Parenthood of the Pacific Southwest

UCLA

Gridlock in LA is a great reason for connected providers and video visits.

in 2015 UCLA will embed Video visits in to the EMR. Patients are becoming more comfortable with their devices.

11 specialities are conducting Video Visits and Consults.

Endocronology – using Video visits for post-op care. A quick Video consult is more efficient than patients having to travel.
It also improves provider efficiency and frees up space.

Psychiatry with the military is popular.

In house built survey tool for depression screening. Feeds data and interpretation to the provider.

Planned Parenthood Direct – Confidential mobile STD Testing and Treatment.

New to the area of teleservices.

700 health centers and 61 affiliates across the USA.
2014: 10.6Mservices to 2.7M patients (approx. 5M visits)

An estimated 84% of millennials want mobile health care

New contraceptive methods are leading to declining visit volumes.

Mobile App for Apple and Android. Mail-in Chlamydia and Gonorrhea testing kit and treatment services.

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1BupPOt

#CHSD15

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

THE TECHNOLOGY ROAD MAP: WHO ARE WE DESIGNING FOR
Moderator: Gunnar Trommer, Principal, Digital Health, Boston Consulting Group
Alan Portela, CEO, AirStrip @AirStripmHealth
Richard Boxer, Chief Medical Officer, Pager @getpager
Katya Hancock, Director Strategic Partnerships, Startup Health @katyahancock
Fadesola Adetosoye, MS, Telehealth and Telemedicine Practice Lead, Dell @FadesolaCares

BCSG Ventures brings development resources to create joint ventures with corporate partners to create new businesses that may ultimately get absorbed back in to those corporate partners after they are established.

Dell

Fadesola – background in CMS payment reform.
Dell has $11B Healthcare portfolio. Enterprise Hardware and software solutions. Bluetooth enabled clinical devices, retail kiosks.

Pager

Mobile application Service in Manhattan, NY.

Pager – Founders from Finance, Gaming and Uber.
Geolocated doctor or other healthcare professional in a mobile app.

Use DrChronos for EHR capability at Pager.

AirStrip

Venture-backed company that focuses on medical device mobility. 530 hospitals use their products.

Startup Health

Global platform and academy. 3yr startup program. 102 startups in 50 cities and 10 countries.

Portela: New patients coming in to the system are higher cost patients.
Interoperability is essential to help improve clinical outcomes in context of existing platforms. It will not be rip and replace.

Boxer: You need to know what the marketplace wants. Connected Health world is doing what Apple/Steve Jobs did.
1. Provide what the market needs.
2. See what the market WILL need
3. Create an environment where people can’t live without your solution.

Remote monitoring at enormous scale creates new paradigms for healthcare.

Medical Boards are just trade associations protecting the [broken] status quo.

Adetosoye: How do we converge consumers with the greater healthcare system. How does technology make it easy for providers and health plans to connect their members with the resources they need for their care.

No one has figured out to address socioeconomic factors that impact health outcomes.

Hancock: Great products fade in to the background of your everyday life.

Adheretech has a smart pill bottle that is connected. They are not trying to change behavior. They are augmenting.

Adetosoye: Tech companies can deal with the integration.

Portela: BYOD means we need to support many different devices. Aggregating data on real time basis how are you formatting and providing semantic understanding.

What doesn’t work:

Portela: We have a mess of systems. Too many proprietary protocols. As we move to patient-centric model the challenge if we have EHRs etc mobilize their applications we just perpetuate the current mess and keep the lock in. They are also blocking write back.

Boxer: Should the Federal Government demand uniform standards?

Portela: Standard exist. Let the private sector help. Pool IP to create standards to simplify.

Adetosoye: Encourage Agnostic approaches. We need more empathic players in healthcare.

Boxer: Pager is enabling house calls. It is a referral engine for the health system. Health Systems are integrating Pager to make their system more consumer friendly.

Center for Medical Interoperability is bringing Providers together to identify Interoperability needs but is not involving EHR Vendors.

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1BupRGd

#CHSD15 Tom Boyle – GE Healthcare

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

CORPORATE WELLBEING – THE EMPLOYERS PERSPECTIVE
Tom Boyle, Commercial Center of Excellence Healthcare Sales Lead at GE

Tom Boyle presents the final session:

Why be optimistic:
– Companies are motivated.
Early Pilots andProof of Concepts point to:

  • Cost Savings
  • Improved Employee Health

Self insured companies in the US = 80% (1,000+ employees)

Spending per enrollee is growing.

Costs are growing for employers and employees.

Choice:
1. Incent
2. Punish
3. Nothing

Large employers predominantly cover family plans

Incentives are the preferred approach. But employees are not taking up the incentives.

Disease Management programs have the biggest impact on health and costs.

51% of health are lifestyle choices.

The aging population is going to keep pushing the cost curve.

Issuing a device is easy. It is the following integration requirements that make it hard.
Devices need Deployment with Call Center support and an underlying IT Infrastructure and then clinical evaluation.

We need to make technology simple.

Employers want reduced healthcare costs becuase it is eating in to their profits.

Take Diabetes:

308M US Population. 25.8M with Diabetes

Diabetic population = 12.2%. In a 10,000 employee population = 1,220 Diabetics.
Average cost = $7,900 per diabetic.
Cost = $9M / year to employer.

Assume that the employer pays a $1,000 benefit to employees = $1.22M
If 1/2 take advantage
Save 50% of the costs of their chronic condition = $3,950.

Total Net Value to Employer = $1.2M + less absenteeism,

60% of the US Workforce works for self-insured enterprises.
Disease Management reduces cost, improve quality of life and improve member engagement.

The GE Healthcare business has 13 CEOs.

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1GqTN1U

#CHSD15 Kim Tyler-Knott – The Regulatory Rocking Chair

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

THE REGULATORY ROCKING CHAIR
Kim Tyrrell-Knott, Partner, Epstein Becker and Green

FDA regulation of Clinical Decision Support happens today.

  • Information
  • Conversion
  • Clinical Decision

Take in data. Evaluate and then make patient-specific actionable recommendations.

FDA focus on:

  • High risk decision support
  • Computer-aided detection/diagnostics
  • Remote display/notification of real-time alarms
  • Radiation treatment planning
  • Robotic Surgical Planning and control
  • Electrocardiography analytical software.

New Reality: Health and Device industries under attack

Malicious attackers are targeting healthcare related systems including Medical Devices. This includes targeting intellectual property and development data from manufacturers.

Medical Devices are impacted by:

  • HIPAA Privacy Rule
  • HIPAA Security Rule
  • State Law
  • FTC
  • FDA Guidance (Cyber security issues that they care about)

Federal focus on Cyber Security. Cyber attacks as National Security, economic and safety issue

State: NY proposed Data Breach Law. Allow third party audits and certifications to offer rebuttable presumption of reasonable data security.

FTC – Privacy enforcement is top priority

A lot of health data that is not covered by HIPAA.

FDA: Cybersecurity – what are risks to patients.

Telemedicine Reimbursement:
Medicare Chronic Condition Management – $42 per patient/month

Still a preference for real time over store and forward.

Medicaid has a different framework and is more forgiving than Medicare. Also look at private Payers.

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1BupPyb

#CHSD15 Day 2:Walgreens the Pharmacy Giant:@greg_Orr Omni-channel digital Health

connected Health 2015

Realtime notes from Day 2 of ConnectedHealth 2015 in San Diego #CHSD15.

WALGREENS: DIVING DEEP INTO MOBILE HEALTHCARE
Greg Orr, Director, Consumer Digital Health, Walgreens @greg_orr

Omni-Channel Digital Health

Walgreens is expanding globally. Walgreens owns Boots in the UK.

“Helping people across the world lead healthier and happier lives”

8,200 US Drugstores. 80% of US within 5 miles of a pharmacy.

a typical diabetic can be in store 20 times per month and touched digitally 100 times/month.

Creating a frictionless experience.

Enhance.Expand.Evolve

Serving 1 RX per second. Can refill by scan on smartphone in under 30 seconds.

10,000 chats per week.

No Apple strategy just going where the customer is.

Balance Rewards offer points (redeemable in store) for walking, measuring glucose. 2 billion points awarded. 1000 = $1.

50 Mobile App Partners.

Paying for engagement not outcomes.

Partnership with WebMD – Digital Health Advisor. 17,000 users and 40,000 goals set. Moves from engagement to outcomes. Managing asthma, weight and diabetes.

Introduced a Web Dashboard – incorporating Walgreens and partner content. eg. PatientsLikeMe to provide top 5 medication side effects.

Walgreens One Touch Connect in the Apple App store. Using Qualcomm connected devices. Seamless connection to Balance Rewards program. A lot of wearables are just trackers. Walgreens are using connect for remote monitoring devices. Target the “Non-connected” user base.

Walgreens branded devices. These use Bluetooth to connect to Walgreens Connect App, which is in the App Store for your phone.

Walgreens doing Telemedicine. Plan to be in 25 states by End of 2015.
Pharmacy chat works with regulations to offer centralized solution unlike medical telemedicine which hits the state-based control of doctor credentials.

People wearing devices are more adherent to their medications.

Digital Health is the tip of the spear. It allows rapid experimentation and then work out how to tie back to the stores and to work in the pharmacy workflow that makes them more efficient.

[category News, Health]

[tag health cloud, bluebutton]

Mark Scrimshire

IT and Health Data Ninja

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark

Disclosure:

I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries. This involves creating a Data API. Watch out for more about BlueButton on FHIR.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.

Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1GqTN1O