Blending mHealth and Telemedicine

The World Congress hosted three conferences in one space this week at the Colonnade here in Boston with a great pool of innovators and thought leaders in the mHealth and telemedicine space.

While the three conferences – mHealth, mHealth Innovation Exchange and the Leadership Summit on Telemedicine – were all unique in focus, I think they could have easily been combined into one conference. With discussions on the latest technologies and initiatives transforming healthcare today, it was hard to choose between attending an mHealth or telemedicine sessions, as they are really one in the same.

Alex Nason, Director of Telehealth at Johns Hopkins Medical, summarized the three conferences’ theme well. ‘It’s the connection to health service delivery that matters.’ Both mHealth and telemedicine are services and means for improving the quality and delivery of care. Connecting payers, providers with patients, we’re all in the ‘service’ of innovating care. And it’s a good service to be in.

In case you missed it, here are the highlights:

mHealth: 

-Consumer Trends for Mobile Solutions

-Building Scalable and Sustainable mHealth Behavior Change

-Joslin Everywhere Diabetes Mobile Health Initiative

-Connected Mobile Health Apps and Consumer Engagement

-Intersection of Social Media, Games and mHealth

-Mobile Monitoring for Chronic Conditions

-Global mHealth Perspectives and Challenges

Telemedicine Summit:

-Transitioning to Virtual Care Models

-Telemedicine Funding Opportunities and Current Initiatives

-Pediatric Specialist Care Delivery via Telemedicine

-TelePsychiatry

-Legal Requirements of Telemedicine

-Virtual Care Team Coordination

-Social Media and Telemedicine

-Prescribing via Telemedicine

iMedicine and Mobile Panel

SBR Health hosted a panel discussion at Boston’s first ever iMedicine and Mobile Summit on ‘Trends in Utilizing Mobile Televideo Technologies to Improve Healthcare Access.’

Studies have shown that successful use of real time communications such as televideo can profoundly benefit patients and doctors alike. Health care outcomes improve when truly collaborative communication takes place among doctors, specialists. However, until recently the specialized equipment, complexity and expensive network infrastructure required by video, as well as poor Medicare/Medicaid reimbursement policies made it impractical to utilize televideo technologies for the delivery of care unless the patient was a great distance from the doctor.

Now, changing reimbursement models and low-cost mobile based televideo technologies are making it easy and cost effective to utilize televideo in a wider array of patient and inter-clinician interactions. Hence, it is now practical to utilize televideo for a much larger population of patients who may not need to travel long distances but still be able to be better served if they could avoid traveling. With these types of applications, health care professionals would have simple efficient communications tools to increase access to specialists, raise the overall levels of patient care, and improve delivery of treatment.

Our featured panelists included Rick Hampton, Wireless Communications Manager at Partners HealthCare; John Moore, Founder and Managing Partner at Chilmark Research; Adam Strom, Director of Research and Design at WorldClinic; David Judge, Medical Director, Ambulatory Practice of the Future at Massachusetts General Hospital; and Shawn Farrell, Telemedicine and Telehealth Program Manager at Children’s Hospital Boston.  Chris Herot, CEO of SBR Health, served as moderator for the panel.

SBR Health Q&A: The mobile shift in healthcare

Everything is moving to mobile these days, and healthcare is no exception. Christopher Herot, co-founder and CEO of SBR Health, is a recognized business and technology leader who has spent years developing and evaluating video, mobile and real-time video communications solutions. In this one-on-one interview, Chris shares his thoughts and predictions for how mobile technology will transform the healthcare space and beyond. From how we buy care to keeping in touch with family, mobile’s intersection and influence on our daily lives is significant.

How have you seen this shift?

There was a time when every young ambitious professional had a day planner. The iPad is now the equivalent. It’s your phone, calendar, email, entertainment, and computer – your method of communication for everything. This has really transformed a number of industries. Retailing is now different. People can do comparison-shopping using their phone. It’s even changed travel to some degree. You can get your boarding pass on your phone and check into places on Foursquare. For the longest time, it looked like healthcare was not a tech-savvy field but this is quickly changing.

What role does mobile play in the healthcare space?

iPads are taking the medical world by storm. They’re just the right form factor for healthcare. Apple reimagined what you can do with a tablet and has provided for an entirely new experience. Doctors don’t want other tablets. They want the iPad.

Some thought early tablets failed in terms of usability based on size but Apple demonstrated it wasn’t just about size but more about the user experience. There’s something truly unique about being able to type medical information while looking at your patient. This increases physician-patient engagement.

What’s the benefit?

There’s proven clinical value. Tablets have given doctors better access to tests and other medical information. A recent study published in the Archives of Internal Medicine found that iPads help doctors be more efficient at ordering tests and procedures for their patients. My thesis is that iPads allow physicians to do more in real time and make healthcare more convenient.

The real and long-term benefit of mobile technology is in bending the cost curve in healthcare. This goes beyond getting doctors to accept lower fees and cut down on unnecessary tests. The bulk of the cost is to get Americans to stop eating so many donuts. The way you make people healthier is to make it easier and convenient for people to see their doctor. This will drastically cut healthcare costs.

Why?

The demand for mobile reflects where we’re at as a society. The doctor is not always in his office ready to take your call, and so many of us are on the go. Being able to get access to the healthcare system wherever you are – work, home, out and about – is really critical. To make that work, we have to be able to see the patient and share what we see with other people. Tablets are small enough to be portable but also have real data on the screen.

How will this be adopted?

It will happen fastest where the payment model is evolving away from the fee for service. You’re seeing this with concierge practices. Once you make it easier for patients and doctors to do a virtual visit, I expect the adoption will expand to other parts of the world. There are places like the payers and insurance companies who see this as a way to improve healthcare delivery. You’ll see this first in places that have the luxury of not having to worry about restrictions. Concierge and post-acute follow up are prime examples.

SBR Health is developing the technology that will enable videoconferencing and real-time communications to benefit patients and doctors alike. Healthcare outcomes improve when collaborative communication that’s convenient takes place among doctors, specialists and patients, and we’re working to make it as simple and secure as possible.

This Week: SBR Health at the WHITv7.0 Conference

I’m onsite in Vienna, VA for two days attending the World Healthcare Innovation and Technology (WHIT) conference and thought I would share some highlights of the first day with our readers.

Todd Park, Chief Technology Officer, U.S. Department of Health and Services, kicked off the event, giving a fantastic, animated and passionate keynote on a confluence of market and health policy forces that have created an extraordinary environment for health innovation. I especially like his insightful remarks on how information liberation – new initiatives allowing patients to download and transfer their own data – is creating especially significant opportunities for entrepreneurs.

Vivian Funkhouser, principle of Health IT at Motorola, spoke about issues around managing the exploding number of devices to use in acute care settings. Her talk focused on the need to create scalable wireless infrastructures and multiple use devices.

Expanding on this topic, Brian Wells, an Associate Chief Information Officer for the University of Pennsylvania Health System talked about mobile device adoption within the health system and what they are doing to support the iPad is the device of choice. He asserted their users are overwhelmingly wanting iOS enabled applications – in fact, not one person has come to him to ask why applications were not being supported on Android or RIM devices. Brian also found that support issues for the iPad applications they have deployed are extremely low – iPad users generated .05 calls per user over 6 months. However, getting wider adoption of the devices is not without it’s challenges – one of the biggest issues he is facing is that their system just spent millions of dollars to put PCs in patient rooms for the physicians to use. So, it is still an uphill fit to convince leadership to purchase and deploy more mobile devices like the iPad. If he had it his way, Brian stated he would replace all the COWS (computers on wheels) with iPads!

In the afternoon, Will Yu, Special Assistant of Innovations and Research Office of the National Coordinator (ONC) spoke on how now is the best time to innovate in healthcare, as the market and incentives are aligned. He elaborated on how his office is attempting to create the ecosystem for their programs to be coordinated with healthcare innovator’s efforts, outlining their innovation framework which is based on communication, collaboration and support.

Closing the day with a well presented keynote, Paul Grundy, MD, the Global Director of Healthcare Transformation, IBM, spoke on new delivery models to drive down costs and improve care, focusing primarily on giving a very compelling argument for the Primary Care Medical Home model. He had perhaps one of the best and shortest definitions for a PCMH I have heard to date:

“A relationship based team with a project manager.”

One of the more poignant remarks he made to show how bad our current state of medical care coordination was that his cat is in a care registry so that no vaccinations missed, but his wife has to remember to get her own mammograms scheduled.

I’d be interested to hear your feedback on that last remark in the comments section.

That’s it for today – please check back tomorrow when I’ll report on some of the highlights for day two. –Peter Eggleston, Chief Marketing Officer SBR Health Inc.

The Maribel Foundation: LA Children’s Hospital and Telemedicine

Some may know her for her memorable characterization of Selena, others may remember her vast and ever changing music career, and most are just getting acquainted with Jennifer Lopez in the latest season of American Idol, but no matter how you know her, Jennifer Lopez, better known as J.Lo, is doing something worth remembering. Partnering up with her sister, Lynda, the pair founded the Maribel Foundation, their mission:

That’s why Lynda and I are working to create the Maribel Foundation. Our goal is to dramatically increase the availability of quality health care and health education for women and children, regardless of their ability to pay.

While this goal is no small task, they’ve taken it a step further and announced to launch a Telemedicine campaign, mainly in Los Angeles’ Children’s Hospital.

Jennifer and Lynda Lopez at the Telemedicine Launch in San Juan

Information from their Website:

The Foundation will work to expand the number of telemedicine clinics both domestically and abroad, increasing access to top quality pediatric care for the most serious cases. Telemedicine is a remarkable new healthcare delivery system that uses telecommunications technology to conduct medical diagnoses, consultations, treatments, transfers of data, education of physicians, and dissemination of public health alerts and/or emergency updates.

Simply stated, this technology allows patients located all over the world to receive access to care by the physicians at one of America’s top pediatric hospitals, the Childrens Hospital Los Angeles.

Patients living in under-served and under-privileged areas, two groups that are especially vulnerable to inadequate healthcare, can greatly benefit from telemedicine.

Some of the potential benefits of telemedicine are as follows:

Access: Telemedicine can allow children with serious childhood diseases in other areas of the world to be examined, diagnosed, and/or treated by the top pediatric oncologists, hematologists, and pediatricians at the Childrens Hospital Los Angeles. Doctors can virtually give patient care to children in different parts of the world.
Quality: Telemedicine permits consultations to take place among the referring physician, the consulting physician, the patient, and the patient’s family through interactive video and medical equipment and instruments, with the added benefit of having critical patient information available on-line. Additionally, the physicians or other personnel at remote or under-served locations can be educated before or during the consultations with specialty physicians and other experts, increasing their ability to treat other similar cases in the future.
Cost: The travel cost of the patients for specialty care, the travel cost of the health care professionals for continuing education or consultation, the personnel / equipment cost for not having to keep specialty care facility in rural or under-served hospitals, and other costs can be either eliminated or reduced.
To learn more about their campaign, watch the video here: Maribel Foundation

SBR: Proud Sponsor of the AAP Pediatric Office of the Future

 

After attending the American Academy of Pediatrics National Conference and Exhibit earlier this month, we are proud to announce that SBR Health is a sponsor of the AAP Pediatric Office of the Future.

New for 2011: Pediatric specialists work in hospitals, in clinics, and on the go. This year the much expanded Pediatric Office of the Future (POF) exhibit is highlighting all 3 “offices”! In addition to our primary outpatient booth, we’re featuring the new “Hospital of the Future” booth showcasing hospital-related technologies for the high tech hospital “office.”

~AAP Pediatric Office of the Future

October 15-18, 2011, SBR Health attended the AAP National Conference in the Hospital of the Future, situated between the Hospital of the Future and the Tech Talk Theatre.

Here, SBR’s Chief Marketing Officer, Pete Eggleston and Inbound Marketing Specialist Jenna Antonelli set up the company’s demo, providing real-time video for preventing readmissions and increasing referrals.

The Tech Talk Theatre housed several speakers, including “Taking Your EHR Selection Process from Confusion-to-Confidence” and “Telemedicine and Robotics Innovation for Advancing Care Deliver”. 

Above, Thomson Reuters Pediatrics presents, “Neonatal and Pediatric Patient Safety – Focus on Drug Therapy and Parenteral Nutrition”. Below, Health Nuts Media attracted a large crowd during, “Animation, Health Literacy & the Engaged Patient”.

 

To learn more about the American Academy of Pediatrics Pediatric Office of the Future, visit here.