VA launches online consultations with American Well

By: Chris Gullo | Nov 8, 2011        

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American Well iPhone appThe U.S. Department of Veterans Affairs (VA) announced that it had inked a deal with American Well to deploy the telehealth vendor’s online care system for veterans, particularly those in rural areas of the US.

American Well’s service will enable veterans and their care providers to have online consultations via video, text, and phone messaging. The VA is creating three online practices to make up the new initiative, they include:

  • The Minneapolis VA Health Care System (MHCS)’s Behavioral Health Practice will create an online practice that remotely provides mental health services.
  • The Nebraska-Western Iowa Health Care System (NWIHCS)’s Oncology Practice will create an online practice that brings together healthcare providers from the Omaha VA Medical Center (VAMC) with cancer patients across the state, including many who live in rural areas.
  • The NWIHCS will also establish an online perioperative practice that brings post-operative care to patients with support from a home-based primary and extended care team.

American Well quietly launched an iPhone app for its Online Care offering at the end of August. The app, called Online Care Mobile is free and designed to be used by both iPhone and iPad users. The app is intended for use by healthcare providers who use the American Well Online Care platform with patients. The app enables users to read and send secure messages, see the day’s appointments, see who’s in the waiting room, and receive notifications and reminders. The VA announcement makes no mention of the app, but it is likely the VA would take advantage of it.

In October, the VA announced plans to acquire as many as 100,000 tablets, primarily for use by their medical clinicians staff, marking one of the largest such deployments by a civilian agency. A few weeks ago — before the iPad deployment began to roll out — one of the unopened iPads was stolen from the VA, according to a GovHealthIT report.

“VA is dedicated to providing Veterans with the highest quality, most patient-centric care possible – and we see technology as a critical enabler in our mission,” stated Jonah Czerwinski, director of VAi2, in a press release. “This initiative with American Well will allow VA to use telehealth to deliver needed care directly into the homes of veterans, who might otherwise struggle with barriers such as distance, mobility or the need to take time away from work or family.”

As we reported earlier this year, patient-to-physician video consultations are President Obama’s favorite use case for mobile health.

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Cedars-Sinai rolls out iPhones with Voalte

By: Chris Gullo | Nov 8, 2011        

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VoalteCedars-Sinai Medical Center will deploy Voalte’s point-of-care voice, alarm, and text group of services. The hospital plans to deploy 1,000 iPhones pre-loaded with the software over the course of the next 12 months.

Voalte’s offering combines high-definition voice calls, critical care alarms and presence-based text features and is intended for use by staff in acute care hospitals in the US and Canada — especially nurses. The company also bundles in medical reference information via a partnership it recently announced with Epocrates. Voalte says the offering enables faster response to patient needs. Voalte’s list of customers includes Nebraska Medical Center, Texas Children’s, Heartland Health, Huntington Hospital, and Sarasota Memorial.

“As a hospital dedicated to innovation and the patient experience, we realized several years ago that mobile-based technology was the leading edge of point of care,” stated Darren Dworkin, senior vice president and chief information officer at Cedars-Sinai, in a press release. “Choosing Voalte’s system is in alignment with Cedars-Sinai’s dedication to incorporate state-of-the-art technology to increase efficiencies, improve patient safety and keep nurses and clinicians continuously connected throughout the hospital’s units.”

Voalte added approximately 30 additional features focused on workflow, delivery and support technology to the application based on feedback from the new customer.

“By listening to Cedars-Sinai’s observations and incorporating the nurse and clinicians’ suggested features, we were able to provide advanced clinical efficiencies and faster responses to patient needs,” stated Trey Lauderdale, Voalte’s vice president of innovation, in a press release.

Last month, Voalte announced Voalte Connect, a mobile device management (MDM) solution for hospital networks that utilizes the AirWatch platform’s technology. The new service allows the company to remotely secure, monitor, manage and support mobile devices deployed across a hospital.

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BlackBerry lauded for enabling disaster recovery efforts

By: Chris Gullo | Nov 7, 2011        

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blackberryResearch In Motion (RIM) is this year’s recipient of the International Medical Corps’ Global Impact award for aiding disaster-recovery efforts worldwide with its BlackBerry smartphone. The 2011 Annual Awards Celebration takes place in Los Angeles next week.

International Medical Corps (IMC) is a non-profit organisation that provides first-response healthcare and medical assistance to areas affected by war, disease, or natural disasters. Other recipients at this year’s ceremony include Darfur country director Dr. Solomon Kebede and Wells Fargo.

On the BlackBerry’s effectiveness in global health, “You just don’t know what kind of a setting you’re going to arrive in,” Dr. Neil Joyce told BizCommunity. Dr Joyce helped lead the IMC’s Emergency Response Team in Haiti after last year’s earthquake. “As we arrived in Port-au-Prince, the cellphones were not working, but I was able to send messages with my BlackBerry smartphone.”

Dr. Joyce was also part of the disaster relief efforts in Japan earlier this year, and used his BlackBerry to communicate with hospitals and physicians, and direct material and equipment to relief areas.

Margaret Aguirre, director of IMC’s global communications, told BizCommunity that utilizing social media during the relief efforts was crucial to their operation. “Being able to upload pictures to social media was really important,” she said. “Our social media posts in the early days enabled military personnel to know the needs of various humanitarian groups on the ground and where to direct assets.”

While BlackBerry devices proved helpful in the trying situations discussed above, fewer and fewer physicians in the US are using the devices, which were as of May 2010, still the most popular smartphone in healthcare, according to Manhattan Research. This year the research firm said 75 percent of US physicians owned some kind of Apple device.

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Read the BizCommunity article RIM’s award here.

FDA small survey: Hospitals eye patient tracking

By: Chris Gullo | Nov 7, 2011        

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Awarepoint real-time dashboardA small FDA survey of nine hospitals found that the most popular use cases for RFID (radio frequency identification) technology are infusion pumps, portable monitors, wheelchairs, beds, and ventilators. Eight of the nine hospitals surveyed use RFID or RTLS (real time location services) technologies. These hospitals are part of the FDA’s Center for Devices and Radiological Health (CDRH) MedSun network, which aims to identify and solve problems in primary care hospitals and healthcare facilities related to medical device use.

According to the survey summary, the FDA wanted to learn how RFID and RTLS systems operated in a hospital with various medical devices, including their usage, planning and deployment, location within the hospital, and whether there was interference between the systems and other medical devices.

Interestingly, “several” of the respondents expressed interest in patient tracking services: “Some reasons include tracking patients who may be confused or have a brain injury and also for tracking patients in the Emergency Department to avoid delays with x-rays and lab testing,” the press release stated. “Two facilities are using RFID/RTLS technology to protect infants from abduction with a system that alarms when infants are taken outside of certain locations. In contrast, some respondents know that management and employee unions have concerns with implementing these types of systems. Additional comments relate to hospital cultures that are not ready to implement ‘tagging patients’ at this time.”

Other insights from the survey include:

  • Most of the hospitals use RFID technology throughout the entire facility.
  • Most do not use RFID devices to track medications or other pharmacy products. (One respondent’s facility uses bar codes for medication administration, and another expressed interest in using RFID to track expiration dates of medications.)
  • Times for transmitting information from the readers range from every millisecond to once every 10 minutes.
  • Minimal interference issues were reported using the devices.

Overall reaction to using RFID or RTLS was positive, and some respondents reported improved patient care.

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Read the FDA summary here.

Pages, text messages both fall short for medical alerts

By: Chris Gullo | Nov 5, 2011        

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amcomPagers for healthcare are going the way of the dodo, according to middleware healthcare device maker Amcom. MobiHealthNews recently spoke to Amcom president Chris Heim and mobile product manager Brian Edds about their company’s place in the evolving mHealth industry.

“When it comes to medical devices, input devices [oximeters, blood pressure monitors, glucometers, etc.] and output devices [smartphones, tablets] are getting more complex,” said Heim.”There’s a divergent universe of options. Housekeeping still might have a pager, nurses carry WiFi phones, doctors have smartphones… and you have to find a way to communicate between them all.”

Once doctors began adopting smartphones (now adoption has reached some 80 percent of MDs in the US), they quickly started using SMS as a way of communicating with other doctors and staff because of its speed and ease of use compared to older methods.

TigerText president and co-founder Brad Brooks recently stated that more than 70 percent of US physicians use text messages to discuss cases and exchange patient information with other physicians. Brooks made the comments during an online presentation last month.

“SMS is quick and simple, but not secure,” Heim said. “It might not necessarily get to the correct doctor or the correct device… and it offers no accountability.”

To combat that, Amcom’s Mobile Connect logs every message sent and delivered. Doctors receiving urgent messages get notifications on platforms like Android, BlackBerry, and iOS. With this month’s release of iOS5, Heim says alerts are even more efficient.

“With iOS5 [the notifications] are better now,” he said. “You can see them organized by app, so users will see [the app name] AMC (Amcom Mobile Connect). It’s much easier to differentiate.” The Amcom app notifies users with a loud ringtone, and continues to alert every 30 seconds the doctor doesn’t respond, for up to 5 minutes.

“There’s a shift now from messaging to communications — physicians want conversations, not pages,” Heim said. With so many physicians caring for the same patient — the average is about nine doctors contributing to the care of the average patient — “patients want their doctors to to be able to talk to each other, not a chart.”

In September, Amcom’s Commtech messenger middleware received FDA clearance as a Class II medical device. Following the MDDS rule clarifications, it was clear to Amcom that its middleware now required clearance, based on the revised medical device regulations that published last February.

Paging giant USA Mobility acquired Amcom back in March for $163 million. The company said the acquisition would help “modernize” USA Mobility’s messaging offerings, which are mostly paging systems. Despite the move by USA Mobility, not everyone believes that paging needs any more “modernization”. Some in the pager industry don’t feel that smartphones will ever fully replace pagers: Ted McNaught, president of paging carrier Critical Alert Systems, wrote an op-ed piece for MobiHealthNews in August that argued the cellular networks that smartphones run on and the devices themselves were not reliable enough to handle important healthcare messages and alerts.

Edds says that smartphone and tablets can be just as reliable as pagers, but there will be a long transition period.

“There’s going to be [pagers] for a long, long, time… but they are declining in healthcare. When it was introduced, paging was simple. Everything came from a single source: one company offered both the hardware and network via a pager tower placed on top of a hospital building. But there are downsides,” said Edds. “There is limited functionality, and you can’t really respond to people.”

Edds contends that though cellular signals have problems, like dead spots, the use of multiple networks, cellular in a combination with WiFi, helps protect against those dropout issues by providing redundancy.

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Jawbone launches Fitbit-like UP wristband

By: Chris Gullo | Nov 4, 2011        

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jawbone-up-lowres-001Bluetooth headset maker Jawbone released Jawbone UP this week, a continuously-worn wristband sensor that tracks daily activity and sleep patterns. The device retails for $99.99 and is available starting November 6 at retailers including Target, Apple Stores, and Best Buy.

The UP band’s sensors track steps walked, pace, calories burned, and active versus inactive time. Its sleep sensor tracks phases of sleep, hours slept, overall sleep quality, and includes a smart alarm, which are most but not all of the metrics tracked by the best known sleep management device, Zeo.

“As the global health crisis mounted, we felt a strong sense of responsibility to see if we could leverage our resources, talents, and ecosystem to try and help make a difference,” stated Hosain Rahman, Jawbone founder and CEO, in a press release. “UP is Jawbone’s first step in giving people tools to become engaged as consumers of their own health. It’s a complete system designed to integrate seamlessly into one’s total lifestyle, 24 hours a day, not just the few times a week people may work out.”

The collected data integrates with the UP App, a free download for iOS devices, which shows the user’s daily sleep and activity data, and includes a “Lifeline” that maps the data across a timeline. The app’s “food activity” metric is based on photos the user snaps of their meals. The app also locates where the user is eating and asks how the food affected them to tracks patterns in eating habits over time. The food feature sounds vaguely similar to Massive Health’s The Eatery app, which launched at the beginning of this week.

When the UP band was announced this summer, Rahman said that “it seems like a big departure [for the company], but once we start talking about the things it takes to make this whole category work, we get into things like making it tiny, having a long battery life, making it fashionable, making it waterproof, working with smart phones, having a rich, visual experience on your smart phone and making it social.”

Those social aspects include a team community feature, where members join teams of friends to motivate or compete against other teams, seeing their activity in a ‘news feed’ within the app, and health challenges. Health challenges can be competitive or collaborative and can be created by users or taken from health professionals and organizations, including DailyFeats, Healthier Generation, 24 Hour Fitness, and GE Healthyimagination.

“We think the magnitude of this health epidemic requires an entire community to affect real change and we are delighted to partner with leading innovators. There are so many great folks working on so many great ideas that we created our system as an open platform enabling health experts to connect with individuals in fun, engaging ways that have never been possible before,” continued Rahman. “We want users to find programs and challenges created by experts that are just right for them.”

Jawbone’s UP has a number of competitors, including BodyMedia, Basis, Nike+, and DirectLife. Based on the details provided in the launch release, it seems it’s most similar competitor is Fitbit, which offers much of the same functionality and tracks similar metrics.

The UP band is available November 6th for $99.99 in seven colors (Dark Black, Dark Brown, Dark Red, Bright White, Bright Silver, Bright Red, Bright Blue) and in small, medium, and large sizes.

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Read the press release below. Keep reading>>