Kibbe: Successful EMRs will be like the iPhone platform

By: Brian Dolan | Jun 24, 2009        

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Dr. David KibbeWhy does it seem like so many physicians have embraced the iPhone, but only 15 percent of them are using some form of electronic health record EHR technology? That’s one of the questions that Dr. David Kibbe posed to the audience at Healthcare Unbound here in Seattle, Washington. 

Kibbe suggested a number of reasons for why physicians are adopting smartphones like the iPhone while shirking EHRs, but the most striking reason was accompanied by a drawing of Apple’s basic UI: A screen with a button that said Push. On the following slide Kibbe showed what he called the typical EHR user interface design: A big mess of buttons and blinking boxes, including a blinking box that lights up when there’s an error. Design and ease of use are crucial barriers to any new technology’s adoption and Kibbe is wise to point out this simple but important point.  

Once EMR vendors begin to open up their APIs, the industry will begin to see thousands of new applications built on the EHR platform just like Apple’s AppStore, Kibbe predicted. Those apps would include remote monitoring apps, he said. Kibbe also predicted that in the beginning a number of EMR platforms will emerge and some of them will come from outside of traditional healthcare incumbents, but the ones to succeed will be the ones that create clinical groupware that is interoperable, substitutable, low-cost and low risk. Keep reading>>

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West Wireless Health Institute to conduct Corventis trial

By: Brian Dolan | Jun 23, 2009        

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CorventisAccording to a report from the Wall Street Journal, the West Wireless Health Institute will soon announce plans to conduct a clinical trial with Corventis, a remote heart monitoring company. Corventis makes use of a Band Aid-like wireless sensor-enabled patch that sends heart readings through Bluetooth to a patients’ iPhone or BlackBerry. The data is then transmitted to a physician’s office and the physician is alerted if any irregularities appear in the readings.

The West Wireless Health Institute told the Wall Street Journal that other device makers are looking to team up with the Institute to conduct trials of their own. For now, though, the focus will be on Corventis.

“The goal is to get it used in medicine, to get reimbursement, to shake up how medicine is practiced,” Dr. Eric Topol, the West Wireless Health Institute’s chief medical officer told the WSJ.

Topol is down in Washington D.C. for the wireless health event that CTIA organized. In a recent interview, Topol explained why the federal government should be focusing on wireless health instead of just EMR for its health reform plans: Keep reading>>

Kaiser Permanente touts SMS mood tracker

By: Brian Dolan | Jun 23, 2009        

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kendra-markle-director-of-internet-services-kaiser-permanenteKaiser Permanente’s Director of Internet Services, Kendra Markle told attendees at the Healthcare Unbound event here in Seattle that “wireless technology is revolutionizing health behavior change tools.” These tools can now reach people anytime, including during those moments directly before we make health-related decisions, she said. 

These tools can now reach people right when they sit down in front of their food, Markle said. Once location-based services are added into that picture, real-time monitoring of eating habits can take on a whole new (and creepy?) context as caregivers or friends can keep tabs on where we eat. Mobile social networks are already leveraging location-based services like “friend finders” so it’s not a stretch to see these services applied to changing health behaviors, too.

Markle offered up a great example for mood tracking via mobiles: HappyFactor.com, which enables users to track their moods through text message responses. At random times throughout the day, HappyFactor asks its users how happy they are and also what they are doing. The service then compiles the responses and maps them against the activities reported to determine which activities make the user happiest and which tend to bring them down. Users can then visit the site to review the trends and use that data to make better decisions in the future. (To be clear, Happy Factor was not developed by Kaiser Permanente.)

HappyFactor offers a similar service to the text message-based mood tracking service Living Profiles, which debuted at the Health 2.0 conference in Boston in April. Living Profiles plans to mine teenagers’ text messages for key words that are indicative of moods. The group tracks and categorizes words the teens use and then gives them updates that help the teens understand changes month-over-month.

For more on HappyFactor, check out the site here
For more on Living Profiles, check out this post from our Health 2.0 coverage

Related:
Kaiser Permanente has plans beyond text message appointment reminders
Kaiser Permanente to rollout nationwide text message reminders

Continua: Enough pilots, let’s move to deployments

By: Brian Dolan | Jun 23, 2009        

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charles-chuck-parker-executive-director-continua-health-allianceThe Continua Health Alliance, a consortium of wireless and medical companies, which aim to create an interoperable ecosystem of medical devices and systems, has been busy this year. After announcing its first two Continua-certified products, the Alliance also announced two new wireless technologies for its Version 2 guidelines: ZigBee and Bluetooth Low Energy. Most of the devices under Continua’s purview are in the wheelhouse of wireless remote monitoring.

Chuck Parker, Executive Director of Continua Health Alliance, told attendees at Healthcare Unbound in Seattle, Washington that the Alliance’s membership has swelled to 207 members, which marks a 17+ companies jump in just the past two months. Parker also revealed that two different companies had already had their hardware cleared by Continua’s certification process and should be announced soon. 

“We’re just waiting on the paper work,” Parker said.

Parker said that remote patient monitoring doesn’t need to do anymore trials or pilots. The Veterans Health Administration (VA) has done remote patient monitoring pilots with about 30,000 patients over the past four years, Parker said. That’s enough pilots, Parker said, we don’t need to do any more pilots for remote patient monitoring; we need to move to deployments, and look to the VA for their pilots’ findings.

Epocrates: One third of US physicians use us

By: Brian Dolan | Jun 23, 2009        

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EpocratesEpocrates prevents about one adverse drug event (ADE) per week for most physicians who use its mobile clinical software, according to a poll that the company recently conducted. Epocrates surveyed more than 2,000 physicians that use its mobile clinical reference app and 60 percent reported avoiding about one ADE a week and found the app more helpful than EMRs for actionable reference information.

Epocrates claims that more than 33 percent of US physicians use Epocrates, which means it prevents more than 100,000 ADEs each week, according to the company. 

“Having an EMR system is certainly helpful and key to modernizing our healthcare system, but Epocrates is my go-to source during patient visits,” Dr. Ronald Hirsch, Illinois-based internist, said in an Epocrates release. “It’s always within reach and the up-to-date content includes drugs, diseases and diagnostics.”

Some other metrics from the Epocrates survey: Keep reading>>

AAHSA: Transformation comes from small tech

By: Brian Dolan | Jun 23, 2009        

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AAHSAThe American Association of Homes and Services for the Aging (AAHSA) may be a national nonprofit organization that represents 5,000 not-for-profit nursing homes, retirement communities, assisted living residences and senior housing communities, but it’s President and CEO said he still knows a thing or two about Twitter. AAHSA’s Larry Minnix told attendees at the Healthcare Unbound event here in Seattle, Washington that anyone who doesn’t believe that “small technologies” don’t have the power to change things needs to pay attention to what Twitter has done to provide a media outlet for coverage of the Iran elections and related protests.

Transformation comes from small things, Minnix said. 

Those could include technologies that help seniors live more independently, while maintaining their mobility thanks to wireless sensors and remote monitors around the house, like the ones the Continua Health Alliance recently selected ZigBee technology to support.

Small things like wireless sensors could transform the lives of seniors and their caretakers alike.

Minnix noted that about 70 percent of people in the US “will face the opportunity of becoming a long-term caregiver for a loved one,” which costs about $5,500 a year to take care of an elderly person at home. If you are a remote long-term caregiver it typically costs closer to $9,000. Currently, 34 million people in the US provide care to someone who is over the age of 50, but that number is expected to balloon soon as Baby Boomers age.