The space between “clinical” and “fitness”

By: Brian Dolan | Jul 30, 2009        

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Brian Dolan, Editor, MobiHealthNewsWireless healthcare is, ultimately, a consumer play. That was one key message built-in to both West Wireless Health Institute’s Dr. Eric Topol’s presentation and CardioNet’s Director of Business Development Aaron Goldmuntz’s presentation this week at the Qualcomm Smart Services Leadership Summit.

There are currently 1.2 million people who use mobile fitness products to track their vital signs while working out, Topol noted. It starts with fitness, but use cases for health and medical wireless health services are set to become increasingly popular. A recent ABI report found that 90 percent of the current wearable wireless sensor market is dominated by the fitness industry. By 2014, the market will swell to 400 million units, thanks in large part to growing use of sensors for healthcare and medical uses.

CardioNet may be one company that helps lead that change.

While we have long considered CardioNet’s MCOT solution a clinician-facing diagnostic tool, Goldmuntz stressed throughout his presentation that the end user, the patient, is still one of its key customers. CardioNet’s system must be comfortable for the patient to wear and easy for them to use. In the end, of course, the system is also designed to help them get well, too.

Wireless remote monitoring of arrhythmia may not be quite like the empowering experience that many consumer-facing wireless health services promise to bring to market in the coming years, but CardioNet has its eye on wireless solutions that address everything from diabetes and sleep apnea to hypertension management. While the company may not expand into those areas for years to come, it certainly points to a growing consensus that the consumer side of wireless health looks to be a robust opportunity.

The overt stress at Qualcomm’s event on the consumer opportunity in wireless health was not lost on me, especially since last week I noted in this column that it seemed like funding dollars were only chasing clinician-facing wireless health start-ups right now. While last week’s conclusion stands as a snapshot of the wireless health industry today, the greater opportunity clearly remains in leveraging wireless health services to empower and enable patients to take better care of their own health.

If you disagree, be sure to check out our coverage of Cisco’s Dr. Danny Sands’ keynote from the World Health Congress’ Wireless Health event in Boston this past week. Sands illuminated the (many) challenges facing those looking to get doctors to add another “whiz bang” gadget to their already comically-crowded Batman utility belt.

So while the venture capitalist’s focus may be on clinical products with a good chance at attaining reimbursement and the majority of wireless sensors are being used for fitness applications and services instead of consumer-facing medical ones, the space between the “clinical” and the “fitness” opportunities for wireless health is still very much the sweet spot for this emerging industry.

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  • Tom Moore

    It may be true that the ultimate end play is the consumer, but won’t it take a company like Apple, GE, or Philips to market to the end consumer? What chance does a start-up have of reaching the end consumer? They simply don’t have the marketing mechanisms or supply-chain management capabilities. The start-ups have to chase clinical dollars because the buyer is defined (much like a pharmaceutical sales force knows its target: the doctor and the insurance companies) – otherwise, there is no adoption method.

  • Isaac Ezell

    I double Tom’s thoughts. Honestly, it is difficult to see how companies could take these products to market right now. I don’t think that consumer demand is there yet, and huge investments in product development may all be lost quickly if demand for the product is not realized. Too risky.

    I would be interested to hear what others think would be successful products in this space.

  • http://motionPHR.com Marie Brandt

    I am a representative of the exact scenario that Tom Moore has portrayed.

    How is the small company supposed to reach the end consumer and provide them with the knowledge that our little motionPHR application is available.

    I am founder of a startup, 20+ years in computer science, wireless and software development in cloud computing and 6+ years in Medical Informatics. Our company is very in tune with the ARRA and the opportunities offered but have not found dollars that we felt were an “opportunity” worth pursuing for our own company. In fact I am a member of the HITSP and a volunteer participate on the Care Management and Health Records committee, which is funded by the government. To state the obvious, the ARRA and government are very much behind PHRs and we at CSI, my company, now have two PHR products available on the iPhone (motionPHR and motionPHR Lite) iTunes market. We are marketing our little hearts out with web2.0 social media, blogging, press releases http://tinyurl.com/mgtnsc. Our bigger challenge is marketing and a lack of funding or a revenue stream. We are strictly bootstrapping and we know we have a long road ahead.

    As much as our government is helping providing “help” to promote healthcare reform, with much emphasis on wellness and prevention, the “help” definitely isn’t coming in the form of help to small business. Please don’t tell me about the opportunity to borrow money for small business…. I would much rather bootstrap that dig myself a hole! So, I still totally believe in our recovery package and I also believe that it won’t help me directly, but I have hopes for the message that it is sending our citizens and that the wellness and prevention is a subtle, very subtle message to drive them to buy our product.

    We, with motionPHR are looking hopefully to get picked up on somebodies radar to get reviewed or an article written. We have a great app, especially for the chronically ill, to help keep themselves to achieve better health. We have one customer with AIDS that has shared with us how much our medications category and reminders has helped him. Almost every customer we have connected with, the medication component has been key. Also tracking information for multiple family members in the same app, we have backups and encryption. Our product road map is focused on ODL’s and on specific types of the illness where we believe people are or can be motivated to help themselves and it’s proven that their participation in their own health can made a difference.

    On the topic of pursuing our market, we hope to connect with a company that has the same target markets demographics that we have, as you mentioned a Pharmacautacal company would be ideal. We have a number of strategies, but getting that initial momentum that brings so much value, is the first step. We know we have a great product, but the marketing and budget restraints are huge challenges.

    Since we are really ahead of the curve in getting a product that is viable, stable, secure, encrypted, with backups, which is CCR compliant out on the market, we believe there is opportunity to build key relationships.

    Thanks for the post, if your interested in smartphone medical apps, check out motionPHR.com, we also support the Android platform!

  • Brian Noland

    To Isaac’s point about the lack of a market, please check this out from mobihealthnews (this site):

    http://mobihealthnews.com/3322/report-73-of-us-wants-to-track-vital-signs/

    The PwC report claims that 73% of us would like to track vitals if they had a good way to do it. I think it boils down to giving the consumer high quality information that is actionable and shown to them in a way that keeps them engaged. I think more people would live healthier lives if they had some real time feedback showing them how their choices affect their health.