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Is this Cisco commercial reflective of the real world?

Cisco Systems is running this commercial about the “Internet of everything,” with a focus on connected healthcare.

 

It all sounds great, but how much of this is grounded in the real world today and how much is wishful thinking? I mean, connected medical records? It sounds so idealistic.

May 19, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

So many types of telehealth

Here’s a short video (720p HD) I put together from the just-concluded American Telemedicine Association’s annual conference in Austin, Texas. No wonder it’s so hard to get a real sense of the size of the telehealth and telemedicine market when there are so many components and so many different definitions. This is a row of banners outside the meeting rooms highlighting the various types, not to mention some of the ATA’s constituencies and important topics at the conference. I did the voice-over at 1:30 in the morning.

May 8, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Podcast: HIMSS CEO Steve Lieber: 2013 edition

Once again, as has become custom, I sat down with HIMSS CEO Steve Lieber at the organization’s Chicago headquarters the week before the annual HIMSS conference to discuss the conference as well as important trends and issues in the health IT industry. I did the interview Monday.

Here it is late Friday and I’m finally getting around to posting the interview, but it’s still in plenty of time for you to listen before you get on your flight to New Orleans for HIMSS13, which starts Monday but which really gets going with pre-conference activities on Sunday. At the very least, you have time to download the podcast and listen on the plane or even in the car on the way to the airport. As a bonus, the audio quality is better than usual.

Podcast details: Interview with HIMSS CEO Steve Lieber about HIMSS13 and the state of health IT. Recorded Feb. 25, 2013, at HIMSS HQ in Chicago. MP3, stereo, 128 kbps, 46.0 MB. Running time: 50:17.

1:00        Industry growth and industry consolidation
2:50        mHIMSS
3:45        Why Dr. Eric Topol is keynoting
6:00        New Orleans as a HIMSS venue
6:50        Changes at HIMSS13, including integration of HIT X.0 into the main conference
8:55        Focus on the patient experience
9:35        Global Health Forum and other “conferences within a conference”
13:00     Criticisms of meaningful use, EHRs and health IT in general
17:00     Progress in the last five years
20:45     Healthcare reform, including payment reform
22:30     Why private payers haven’t demanded EHR usage since meaningful use came along
23:50     Payers and data
26:28     Potential for delay of 2015 penalties for not meeting meaningful use
29:15     Benefits of EHRs
30:40     Progress on interoperability between EHRs and medical devices
32:52     Efficiency gains from health IT
35:27     Home-based monitoring in the framework of accountable care
36:55     Consumerism in healthcare
39:40     Accelerating pace of change
41:10     Entrepreneurs, free markets and the economics of healthcare
43:25     Informed, empowered patients and consumer outreach
46:30     Fundamental change in care delivery

March 1, 2013 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

New technology for the 90-plus set

Meet my grandmother.

She is less than two weeks away from her 93rd birthday. She lives alone, in the same apartment she and my grandfather retired to in 1984 (my grandfather died in 2001). Her closest relative is 100 miles away. Her children and her grandchildren all live more than 1,400 miles away.

Her bones are brittle from osteoporosis and osteoarthritis. She is losing her hearing. Her vision has been bad for as long as I’ve known her. She lives on the second floor of a walk-up building, with no elevator.

Last weekend, she had to be hospitalized for a fall she took when the car she was getting out of moved slightly while she was removing something from the back seat. She had had another fall in her home less than two months earlier. She is out of the hospital now, in a rehab facility, where she is supposed to stay for as long as three weeks while she gets physical therapy so she can stand and walk without pain. But what happens after that?

In the past, she has flat-out refused to move to be closer to one of her children because she doesn’t want to deal with winter weather anymore, and, as she says, “This is my home.” She has also said she does not want to go into assisted living or nursing home because she has always been stubbornly independent.

I know this story is not unique to my family. I’m sure many of you have faced similar dilemmas with elderly relatives.

My mom and my aunt have both suggested that my grandma get some sort of “panic button,” more formally known as a personal emergency response system. They were thinking of the old “I’ve fallen and I can’t get up” variety, which requires the user to push the button to summon help. Of course, that does no good if the wearer is unconscious or is disoriented.

I explained, based on my coverage of health IT and wireless health technologies, that there are some new types of personal emergency response devices that are passive, i.e., they can automatically detect a fall and call for help, no matter what condition the user is in. Some more comprehensive systems monitor vital signs and movement.

Most of my family did not know about these options.

When I visited back in December, I showed my grandma videos of a few technologies. She wasn’t interested in anything that looks like a computer or a touch-screen tablet because, frankly, new technology is confusing. I mean, she doesn’t even know how to use her DVD player, and has no interest in learning. Caller ID was a big step for her.

She also did not seem too interested in wearing a vitals monitor, even something as simple as a chest strap. Her heart is fine. While she did survive cancer twice in the past 15 years (!), I am not aware of any chronic ailments other than the arthritis and osteoporosis. There is no Internet access in her home, and she does not have a cell phone. She begrudgingly said that she would be OK with wearing a sort of panic button. I have a feeling she would also agree to have a motion sensor installed in the apartment, but only if the landlord would allow it. (I’m pretty sure the landlord would, and that she was just making excuses.)

So, what would you suggest? Vendors, whatcha got?

I’m not looking for any handouts or freebies here by virtue of the fact that I have this public forum. My family would be willing to pay the regular price for your products and services. But I am going to use my soapbox to do the right thing for my grandma.

January 26, 2012 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Podcast: Intel’s Eric Dishman on connected care management

Did you miss Eric Dishman’s keynote address Tuesday at the Medical Group Management Association‘s annual conference in Las Vegas? That’s OK, because I secured a few minutes with Dishman, director of health innovation and policy at Intel, immediately after his talk, and the results are right here.

This podcast, recorded in the somewhat noisy press room at the Las Vegas Convention Center, is a companion piece of sorts to my coverage in MobiHealthNews on Thursday, so I hope you have a chance to check out both.

Podcast details: Intel’s Eric Dishman on connected care management, recorded Oct. 26, 2011, at MGMA annual conference in Las Vegas. MP3, mono, 64 kbps, 5.2 MB. Running time 11:08.

0:30 Virtual care coordination in nontraditional settings
1:05 Overlap/collaboration with Care Innovations joint venture
2:10 Prototype device for monitoring symptoms of Parkinson’s patients
4:00 Home monitoring of “classic” chronic diseases
4:55 Tracking behavioral changes for prevention and early detection
6:05 Realizing the potential of mobile health
6:55 Care coordination and health reform
8:30 ACOs and payment for quality
9:35 Intel’s future providing “strategic blueprints” for healthcare
10:20 How to share ideas with him

October 26, 2011 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Post-HIMSS Health Wonk Review is heavy on health IT

The first Health Wonk Review since last week’s HIMSS conference is up, courtesy of Jared M. Rhoads of the Lucidicus Project. While I’m no fan of organization’s ideological bent (it seems to think CMS Administrator Don Berwick is more interested in socialism than in improving healthcare), I’m happy to say this roundup has more IT than normal.

For one thing, Rhoads mentions my post detailing my injury at HIMSS and the consumerism and EMR use that played into the care I received at a walk-in clinic in Orlando, Fla. I’m happy to report that I got the stitches out on Tuesday and the deep laceration is healing well. There’s a good chance that the resulting scar might kind of blend into my eyebrow, so I’m hoping it won’t be too conspicuous.

Four other IT-related items made it into this biweekly roundup of healthcare blogging and punditry, including Jane Sarasohn-Kahn’s discussion of remote health monitoring, based on a just-published white paper she wrote for the California HealthCare Foundation. You’ll also find posts about health insurance exchanges, the Direct Project to foster health information exchange and the recent “Developer Challenge” that Microsoft sponsored in the Boston area.

March 3, 2011 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.