100Plus app to highlight how small health behavior changes tweak life expectancy

By: Brian Dolan | Oct 16, 2012        

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100PlusAt the Health 2.0 event in San Francisco last week, 100Plus, the first startup to leverage Practice Fusion’s data set demo’d a number of concepts from its upcoming app, which aims to help people get interested in the “small things” they can do to live a healthier life.

100Plus co-founder Chris Hogg told Health 2.0 attendees that his startup was not interested in activity at the gym but rather in alerting people to health opportunities or “hops” like walking hills with views in your neighborhood and “healthifying” your commute by taking stairs instead of the escalator. Hogg said that these small things have become very undervalued and people have been trained to think that the only way to be healthy is to go for a run or head to the gym.

Perhaps the most interesting concept embedded in 100Plus’ forthcoming signature app is its Lifescore, which gives users a sense of how these small actions can affect their longterm health by adding small increments of additional time to their life expectancy, which starts at 78.1 years for everyone since that is the general life expectancy, according to Hogg.

“As we learn about you the Lifescore changes,” Hogg said. “Because I’m a man my score actually automatically goes down because women live longer than men on average… because I live in San Francisco it goes up because people here live longer on average.” Age, height, and weight can affect the Lifescore based on a comparison between a user and the average BMI of people like them. Hogg said the data is all based on CDC data sets available from the federal government as well as structured clinical data from its parent company PracticeFusion.

Users of the 100Plus app will be able to see how these small actions — these hops — might change their Lifescore if they did them on a regular basis. The app also shares a hop that one user creates with others and 100Plus users can see how their hops have inspired others to lead healthier lives. Currently each hop requires the user to snap a photo of the activity, which — given the requisite image and crowd sourcing strategy is reminiscent of Massive Health’s The Eatery app.

For more: 100Plus has a promo video that explains some of the concepts featured in its forthcoming app and that can be viewed over at Vimeo here.


NY state accelerator commits $4.2M, enlists major providers as mentors

By: Neil Versel | Oct 16, 2012        

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Nirav Shah NYeCThe latest in a growing line of accelerators for small digital health companies is distinct from many of the others in that it is backed in part by public money and the mentors are provider organizations seeking technological help in delivering better, more efficient care. It also claims to be the best-funded health IT accelerator in the nation, with an initial commitment of $4.2 million.

The New York Digital Health Accelerator, which announced its inaugural class of eight companies Monday, is backed by the New York eHealth Collaborative (NYeC), a not-for-profit funded with federal and state grants to promote health IT in New York state, as well as by the Statewide Health Information Network of New York (SHIN-NY) and the Partnership for New York City Fund, a private group promoting local economic development.

Funding for the eight companies comes from investors including Aetna, Johnson & Johnson’s Janssen Healthcare Innovation, Milestone Venture Partners, New Leaf Venture Partners, the Partnership for New York City Fund, Quaker Partners, Safeguard Scientifics and UnitedHealth Group. Other public and private groups are providing operating capital for the New York Digital Health Accelerator.

“The accelerator provides much-needed, valuable tools for providers in support of New York State’s Medicaid Redesign initiative,” New York State Health Commissioner Dr. Nirav R. Shah says in a statement.  “The initiative, which promotes a shift from the costly fee-for-service model to a more effective and efficient managed care approach, is resulting in better care — at lower cost — for patients across the continuum of care. The accelerator is an essential first step to stimulate the market and nurture innovation within the entrepreneurial community,” Shah adds.

These companies will be the first software vendors to gain direct access to the SHIN-NY platform, according to said David Whitlinger, executive director of the NYeC. Each will receive $300,000 and mentoring from executives at 22 providers across the state, including the New York City Health and Hospitals Corp., New York-Presbyterian Hospital, North Shore LIJ Health System, Catholic Health System, Adirondack Health Institute and Stony Brook University Medical Center.

In exchange, the companies have agreed to open offices in New York State. Accelerator officials believe the initial $4.2 million investment will create 1,500 jobs over the next five years and say the eight companies could attract as much as $200 million in additional venture capital as they grow.

Here is information about the companies, from the press release: Keep reading>>

Elderly still not using apps for health, but tomorrow’s seniors might

By: Neil Versel | Oct 16, 2012        

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Neil_Versel_LargeAs baby boomers age, many are taking greater control over their own healthcare than any generation before them, and mobile technology is be a big part of that movement. But today’s elderly might not be interested in gadgets and apps.

“Seniors aren’t using apps for health,” healthcare technology consultant and futurist Mary Cain, managing director of San Francisco-based HT3, said at last week’s Health 2.0 Conference in that same city. In fact, that’s pretty much how Cain led off a session she moderated on digital tools for healthy aging, in case any of the many startup companies and venture capitalists in attendance had any wrong ideas.

Calling someone “senior” or “elderly” is tricky business in the context of healthcare, and those terms do not mean what they did a generation or two ago. Average life expectancy at birth in the U.S. hit 78.5 years in 2009, up from 76.8 in 2000 and 73.7 in 1980. Turning 65 makes you eligible for Medicare, but it sure doesn’t make you elderly in today’s America. There’s a big difference between being 65 and being 85.

While I admittedly don’t talk to as many poor, uneducated people as I perhaps should in this line of work, just about every 60-something I know now has a smartphone and is just as willing to download apps and send text messages as younger adults. But that’s not so much the case with those over the age of 80. That might change as the boomer generation hits their 70s and 80s in the middle of next decade, but I can’t imagine my 93-year-old grandmother ever having a smartphone.

(You may remember that I was looking for home monitoring technology for her earlier this year, but my family determined that even the most basic touch-screen tablet would be too confusing for her. We were leaning toward a “passive” wearable monitor that would automatically summon help in case of a fall, but we eventually moved her into an apartment building where all residents are issued “active” monitoring pendants that require the wearer to push a button – not exactly practical when the person is unconscious or disoriented. Old, tired technology that somehow is considered acceptable, just like so many other aspects of healthcare. But I digress.)

Sure, there are some companies selling gadgets for aging in place that have made apps, but that’s not their primary line of business and the apps aren’t for the seniors themselves, but rather for clinicians and caregivers.

Laura Mitchell, VP of business development for GrandCare Systems, maker of communication and monitoring systems for independent living since 2006, said that the West Bend, Wis.-based company has no immediate plans to create an Android, iOS or Amazon Kindle version of its software. GrandCare’s technology for delivering news feeds and communications from clinicians, family and friends and for collecting “observations of daily living” and vital signs from patients is proprietary code written in Linux, and that works just fine for now, Mitchell said.

I just hope there is interoperability with electronic health records at some point because the last thing healthcare needs is more data silos. But the EHR vendors need to get serious about breaking down the silos, too. I think they are heading in the right direction, though we might not be there until Stage 3 of “meaningful use,” which will not begin before 2016.

I’ve now been to four of the six annual Health 2.0 events since Matthew Holt and Dr. Indu Subaiya launched the movement in 2007. Each time, I’ve seen a little bit of the breathless hype fade away and a little more realism set in. It’s no longer a novelty for older Americans to have mobile phones, but marketing smartphone apps to them isn’t like selling games to younger people.

The time for apps will come. Just don’t count on the World War II generation being your best customers.

Healthrageous scoops up $6.5 million to personalize health coaching

By: Brian Dolan | Oct 15, 2012        

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HealthrageousBoston-based Healthrageous, which spun out of Partners Health Care in 2008, has announced a $6.5 million second round of funding from North Bridge Venture Partners, Egan-Managed Capital, Long River Ventures, and an undisclosed investor. The health coaching platform company has now raised more than $15 million in funding, including a $6 million first round of funding, which it announced in 2010 at the time it rebranded from HopSkipConnect. The same three investors participated in that first round.

Healthrageous plans to use the funds to enhance its user interfaces (both on the web and through its mobile app), analytics engines, and machine learning platform. The company expects this to make the program more personalized for users. Healthrageous’ offerings aims to help users prevent and self-manage chronic conditions by incorporating goal setting, health journey maps, gaming dynamics, biometric feedback, and interactive digital coaching that includes inspirational messages, challenges, trackers, reminders, and more.

When Healthrageous first came out of beta its sales strategy appeared to be appealing directly to employers, while this still appears to be a key customer group for the company it has also begun working through health plans like Highmark, which is sponsoring a six-month trial at Acosta Sales and Marketing, a self-insured company in Jacksonville, Florida, for diabetes self-management. That pilot leverages Healthrageous’ partnership with Telcare for its cellular-enabled glucose meters.

MobiHealthNews caught up with Healthrageous CEO Rick Lee just a few weeks ago to discuss the company’s strategy and Highmark pilot — revisit that interview here.

Pariscribe bets on Microsoft Surface for mobile EMR

By: Neil Versel | Oct 15, 2012        

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Microsoft SurfaceAt $499 per download, the most expensive piece of software in the new online Microsoft Windows Store for the forthcoming Windows 8 operating system is a mobile electronic medical record from Pariscribe, a Toronto-based health IT vendor. It also is the first EMR built for the Microsoft Surface line of tablets that will hit the market when Windows 8 is released Oct. 26.

Pariscribe introduced the product, called EMR Surface, last month, in anticipation of the latest version of Windows, which Microsoft is positioning as a more business-oriented operating system than the two platforms that hold almost a duopoly on the mobile market, Apple iOS and Android. “We feel Microsoft Surface and Windows 8 will dominate, at least in the office environment,” Pariscribe President and CEO Manny Abraham tells MobiHealthNews.

Pariscribe has been developing EMR Surface since January and testing it in physician offices since May, Abraham says.

Abraham believes Windows 8 will bridge the mobile and desktop environments better than the two major mobile operating systems, making Surface potentially more useful for enterprises than the iPad or any of a number of Android tablets. It also allows software developers to create common views on fixed and mobile computers; many organizations have struggled with translating a PC view to a tablet screen.

EMR Surface, like other Pariscribe products, is available in the U.S., but not yet certified for “meaningful use,” though Abraham says testing is underway and the EMR should have 2014 certification in the next couple of months. The new 2014 certification standards cover both Stage 1 and Stage 2 of the federal health IT incentive program.

EMR Surface, which is intended for primary care, is the first mobile offering from Pariscribe, and there are more in the pipeline. Abraham promised specialty medical and dental versions around the beginning of 2013. The specialty EMR will, like its desktop equivalent, have full support for medical imaging through Pariscribe’s existing picture archiving and communications system (PACS) suite.

Pariscribe also is working a kiosk-style clinic patient check-in system for Surface tablets that will sell for $249.

ZocDoc adds remote check-in for doctors appointments

By: Brian Dolan | Oct 11, 2012        

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ZocDocLast week New York City-based online appointment booking site ZocDoc added its first new product since its launch: Remote check-in. On its company blog ZocDoc heralded the launch of ZocDoc Check-In as “the end of the clipboard”. The company said that making the tedious check-in process easier and remote has been the top request from its user base since launch.

Up until now ZocDoc has focused simply on helping patients find nearby doctors, gain access to their schedules, and book appointments online. Now ZocDoc users will take it one step further and get at least some of their basic medical history information into the doctor’s office system before they arrive on-site and are handed the check-in clipboard.

ZocDoc is offering Check-In as a free feature for its patients — just like the rest of its service — and as of this week the feature will be available to about 10 percent of the company’s users. When making an appointment online, ZocDoc will inform the patient that this particular doctor has enabled Check-In and invite them to enter in medical background information, insurance details, and more. The information is then saved so that the next time the user books an appointment, they don’t have to re-enter it if there have been no changes.

This feature, of course, means ZocDoc will know much, much more about its users.

Other companies have worked to make the check-in process easier or more engaging. Phreesia offers medical practices tablet devices that come pre-loaded with check-in software, payment mechanisms, and sometimes relevant advertisements for patients to review when they check-in once they arrive on-site at the doctor’s office. Another company, Digital Assent, raised $7.5 million last year for its tablet-based check-in offering, PatientPad.

Once Check-In is fully deployed, payment seems like a likely next step for ZocDoc.