Implementing Benghazi's First Emergency Response System
The Lean Nurse
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News & Updates

Practice Fusion launched a free tool to help patients track health care spending. The platform is available through Practice Fusion’s recently launched Patient Fusion and includes insurance claims information.

Gamgee, a stealthy mobile health care startup, raised $2 million in equity funding. The Palo Alto startup does not have a website, but CEO Bob Quinn’s Linkedin suggests the startup is developing an app related to chronic illness.

Voxiva announced the addition of new interactive features to their Text4baby service, which texts expectant mothers content timed to their due date. Subscribers can now access an interactive mobile website with educational content and informational videos.

The U.S. Department of Defense will investigate commercial options for an EHR system instead of developing one based on the Department of Veterans Affairs’ VistA system, Nextgov reported. Defense Secretary Chuck Hagel wrote in a memo that he was “convinced” a competitive process was best.

UnitedHealthcare and the Caregiver Action Network (CAN) partnered to raise awareness of free online caregiver resources available in English and Spanish. The resources are focused on navigating Medicare.

Syntermed, an imaging and informatics software company received 510(k) clearance from the FDA for its nuclear cardiac software called Emory Cardiac Toolbox. It is a cloud-supported reporting tool that allows diagnosticians to perform faster, more accurate nuclear cardiology reports from heart scans.

India-based ThinkHealth Services, a mobile health and wellness solutions company launched a mobile health care service named Jivananda in collaboration with Airtel, a cellular services provider, and Jiva Ayurveda, an Ayurvedic medicine company, to provide medical advice to subscribers in small towns and rural areas of the country.

Health care information technology company Healthland acquired American HealthTech, an EHR software provider, to develop a complete EHR solution for hospitals to help reduce re-admissions and improve patient outcomes.

iHealth Lab, producers of mobile personal health care products, debuted the Wireless Pulse Oximeter, a blood oxygen monitor, and the Wireless Activity and Sleep Tracker, a daily activity and sleep monitor. Both wearable devices are supported by the iHealth SpO2 and the iHealth MyVitals mobile app, respectively.

dashboardMD, a business intelligence reporting provider, partnered with Healthpac, a billing software provider. The partnership will allow Healthpac’s clients to use dashboardMD’s business intelligence enterprise reporting solutions and turnkey health care analytics tools.

ConsultingMD announced a $10 million funding raise from Venrock. ConsultingMD created a technology platform that creates a “virtual clinic” where expert physicians in the network access a comprehensive digital profile of a patient’s history and medical records to speed and streamline diagnosis.

Scanadu launched an Indiegogo campaign to sell its SCOUT device. The company launched its crowdfunding campaign without FDA 510(k) clearance, with the intention of conducting the usability tests needed to get the clearance via the campaign. Scanadu surpassed its funding goal in a mere three hours.

Announcing the Novartis Thalassemia App Challenge

Health 2.0 is excited to announce the launch of the Novartis Thalassemia App Challenge sponsored by Novartis Oncology. There is a critical need to develop an innovative app solution that assists Thalassemia patients and their families in managing the disease, including monitoring/tracking of key parameters, treatment/medication adherence and recording of daily personal facts.

Thalassemia is a diverse family of genetic disorders affecting red blood cell production, causing anemia and consequently, patients suffer significant complications.1 Thalassemia can range from milder types to severe cases that start in infancy and require regular blood transfusions for patient survival.2 Clinical complications can vary by type of thalassemia, and patients also may develop iron overload as a consequence of the disease or because of extra iron absorbed from blood transfusions.3 Most patients with thalassemia are of South and Southeast Asian, Mediterranean or Middle Eastern origin, with immigration broadening the global prevalence.4

Phase I of the challenge focuses on ideation and closes on June 30, 2013. Five submissions will be awarded $5,000 based on the quality and viability of their idea. Phase I requirements include:

    • Mock-up or drawing of concept
    • 5-page written document explaining the proposed application

Phase II of the challenge will challenge the finalists to develop working prototypes of the applications proposed in Phase I of the competition. Submissions for Phase II are due September 8th and the top three submissions will receive $100,000, $20,000, and $5,000, respectively.

If you’re interested in participating in the challenge, please visit the challenge website and register for the informational webinar.

References:
1. Weatherall DJ. The definition and epidemiology of non-transfusion-dependent thalassemia. Blood Reviews. 2012:26S:S3-S6
2. Taher AT, Musallam KM, Karimi M, El-Beshlawy A, Belhoul K, et al. Overview on practices in thalassemia intermedia management aiming for lowering complication rates across a region of endemicity: the OPTIMAL CARE study. Blood. 2010;115:1886-1892.
3. Musallam KM, Cappellini MD, Wood JC, Taher AT. Iron overload in non-transfusion-dependent thalassemia: a clinical perspective. Blood Reviews. 2012;26S:S16-19.
4. Thalassaemia International Federation. The Thalassaemia International Federation’s (TIF) New Focus: Addressing the Management of Non-Transfusion-Dependent Thalassaemias (NTDT). Position Paper 5.2. March 20, 2012. Accessed at: http://www.thalassaemia.org.cy/pdf/NTDT_Position_Paper_Final.pdf.

 

Health Care Professionals Tapping into Mobile Devices

Optimized-TabletMobile devices are moving quickly from convenient social gadgets to legitimate accessories for health care workers and other professionals. Doctors, nurses and hospital administrators are discovering that mobile technology can be used in a variety of practical and efficient ways to improve administrative, technical and medical tasks.

In fact, more than eight in 10 physicians in the United States own a smartphone, according to Manhattan Research. Meanwhile, 62% owned a tablet computer in 2012, with half of the physicians using the devices at the point of care. A year before, just 27% of physicians owned a tablet, Manhattan Research reported.

The advantages are obvious: mobile devices quickly deliver medical records and other information directly into the hands of the treating physician and other members of the health care team. Tasks are synched and streamlined, meaning health care professionals can focus more on patient care than on administrative duties.

As the availability, functionality and quality of handheld devices increases – at the same time as price points are decreasing – it’s a safe bet that health care professionals will be using mobile technology for many of the same functions they previously performed from behind a desk.

Also, physicians and other medical providers are increasingly likely to use mobile devices to consume medical news and information. A March 2013 report by BulletinHealthcare found that 52% of health care professionals accessed the company’s news briefings via handheld computers or smartphones. That represented a 25% increase over 2012.

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Q&A with Castlight: Selling to Corporations, Designing for Consumers

Optimized-PraterQ. Can you give us an overview of Castlight Health?

Ethan Prater: Castlight Health makes tools for self-insured employers and their employees and also the members of health plans to make better decisions about health care primarily on the basis of cost and quality. So we offer tools to help people understand the cost of their care, the quality of their care, and alternatives to their care so they can make good decisions. This is really important in the world where a lot of the cost of health care is being transferred from employers to their employees.

The company has been around about five years and our major market self-insured employers, and our users are the employees and spouses of those large self-insured employers in the U.S.

Q. And what are you specifically working on at Castlight?

A. I’m specifically in charge of product marketing and product management so, what do we build, in what order, and why? The main goal of Castlight is to make sure that our products are easy to use and meaningful to the end employee or the end consumer of health care, and that they make the health care system somewhat accessible and somewhat approachable at least to the end consumer.

Costs vary hugely in health care and if they know before they go, they can get much better quality at lower costs just by using conventional e-commerce style, consumer shopping tools to help make their decisions about which providers to see and which services to get.

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Powered by Local Health Data: The Location of Cardiac Arrests Near You and Yelp’s Public Health Foray

Optimized-YelpScreenThere was a lot of humility on stage when members of government organizations presented this week at the Healthy Communities Data Summit (HCDS) in San Francisco: “We could never pull this off on our own.” “We move at snail’s pace.” “We are poor.”

Like its cousin event Health Datapalooza, taking place in Washington, D.C. next month, HCDS’ purpose is to rally different groups around open data. Last year at Datapalooza, the government showcased applications and tools built with the data it had released. It called on private organizations to follow suit and to release their own data. And its strongest call was to anyone and everyone able to make useful things with that data. The message was to keep trying.

Government organizations in the Bay Area, and all local governments for that matter, have a big advantage over the federal government when making the same call to action. On their side is the fact that local developers are motivated to work on projects that can have a direct and observable impact on the place they call home.

Take the technology executive turned fire chief of the San Ramon Valley Fire Protection District in California. He was having lunch one day when he heard sirens nearby. They continued to get closer and closer. It wasn’t until the fire chief left the restaurant that he realized an emergency team was responding to a man who had gone into cardiac arrest next door. Had he known, he could have reached the man and started administering CPR long before EMS arrived.

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News & Updates

Goopatient, a personal health record app, is now available for Android. The mobile app allows patients to keep everyday health records, store personal electronic medical cards, use #hashtags to organize records, and attach medical files.

The San Francisco Department of Public Health’s Program on Health, Equity and Sustainability recently published a dataset in the form of an interactive map plotting housing affordability in San Francisco neighborhoods. The map is part of an effort to raise public awareness about the link between affordable housing and public health.

Doximity, a professional network for physicians, announced a new system of continuing medical education (CME) in collaboration with Cleveland Clinic. The digital platform gives physicians a flexible and social way to earn CME credits on Doximity’s social network.

VHA, a network of not-for-profit health care organizations, partnered with Phytel to help its members tackle population management. Phytel’s technology combined with VHA IMPERATIV, a suite of advisory services, will help hospitals establish value-based care delivery models.

The American Stroke Association, American Heart Association, and Ad Council launched Spot a Stroke F.A.S.T., an app that aims to help users identify when someone is having a stroke.

Informatics Corporation of America, a health information exchange platform, achieved full accreditation with the Direct Trusted Agent Accreditation Program (DTAAP) from DirectTrust.org and the Electronic Healthcare Network Accreditation Commission (EHNAC) for excellence in health data processing and transactions, and ensuring compliance with industry-established standards, HIPAA regulations and the Direct Project.

Hello Health, an EHR service provider, launched a patient-facing app called Portal Connect. This app allows patients to access and update their health data, and securely exchange information with their providers who use the Hello Health EHR system.

DoctorBase, a provider of mHealth-as-a-Service, grew its user base to 10K physicians, a growth of 104% within one year. DoctorBase’s PANDA software allows more than 4.1M patients to communicate with their health care providers through smartphones.

Online health community PatientsLikeMe invited medical researchers to take part in the first pilot run of its Open Research Exchange (ORE) platform. ORE will allow researchers to pilot, deploy, share, and validate new methods for measuring diseases among the PatientsLikeMe members.

Researchers at the Sahlgrenska University Hospital in Sweden found that a modified version of the dermatology consultation app, iDoc24, is comparably effective in identifying cancerous legions on skin as an in-person examination. Called the iDoc24 PRO, this app works with a dermoscope attachment on the phone to capture high resolution pictures.

Looking Back — Health:Refactored in 12 Tweets

Optimized-HRScreen

Confused? The #hrefactored Twitter stream will explain.

Constraints create creativity. But they have to be the right constraints for the problem you’re trying to solve. @aza#hrefactored

— Rachel Kalmar (@grapealope) May 13, 2013

Vice President of Jawbone Aza Raskin via Rachel Kalmar, a data scientist at Misfit Wearables, managed to put into 140 characters what most people can only intuit. And what better constraint than Twitter to force Health:Refactored attendees to get creative as they summarized, synthesized, and interacted with the conference?

Over the course of two days, Health:Refactored generated nearly 2,000 tweets, averaging 16 tweets per hour and five tweets for each of 387 participants. The folks at symplur did the number crunching, but the #hrefactored stream was a constant companion at the conference.

The selection below is a completely subjective grab bag of tweets, but they all reflect the constrained creativity Raskin alluded to. Let’s just hope the health care constraints we delved into over the course of Health Refactored continue to fuel the sort of creativity we’ve seen thus far and on display in the tweets below.

For all non-techies at the conference, confusion was no constraint. The event was a time to learn something from the experts:

Bryan Sivak issued an invitation to wrestle with bureaucratic constraints when he asked who wanted to be a part of something that could fundamentally change the nation. Many in the room took the bait:

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Implementing Benghazi’s First Emergency Response System

Presentation

Note: there is an audio file embedded in this post. If the player doesn’t appear, try loading the post in a different browser, or listen here.

A Libyan man named Mafi drives through the streets of Benghazi. Mafi’s vehicle suddenly collides with another car, and the accident leaves him seriously injured. A witness to the accident moves quickly and takes him to the closest hospital.

The problem is that the hospital is closed. A militia group came in, and the staff felt unsafe and left the facility. But Mafi still needs help and he needs it soon.

This is the story that Kim Garcia, a public health graduate student at UC Berkeley, told during a recent presentation. The story isn’t true, but it’s based on true recent events.

“In doing our research we found that this is a reality,” Garcia said. “The Libya Herald reported that four weeks ago, a militia group came into the Benghazi Medical Center and intruded on the laboratory testing center, which forced a closure for about three hours and put patients at risk.”

Garcia was enrolled in a class this past semester called Designing Innovative Public Health Solutions. She and two of her classmates were charged with helping a client to create Benghazi’s first ambulance system.

“We were brought on to address a very specific problem within the establishment of that ambulance system, which is how do you create an ambulance system in a part of the world that has no formal addressing system,” Bobby Stahl, Garcia’s team member, said.

As the group dug into its research, it concluded that the lack of addresses wasn’t the crux of the problem. The issue they first had to tackle was how to create a reliable way to tell residents about hospital closures.

They came up with several text messaging solutions. One allows residents to opt in to a message alert system, which sends a text when a hospital is closed. Another lets users text a number so that they can receive a list of local medical facilities and their current open or closed statuses.

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News & Updates

The Obama administration announced a $1 billion initiative to fund innovations in federal health care programs aimed at cutting costs and improving outcomes. This initiative marks the second round of Health Care Innovation Awards.

Stanford engineers have developed a flexible, skin-like heart monitor that can be worn under an adhesive bandage on the wrist. The device functions as a pressure sensor and is sensitive enough to help doctors detect stiff arteries and cardiovascular problems.

AdhereTech won first prize and $50,000 at the Healthcare Innovation World Cup, an international diabetes innovation challenge. The wireless, smart pill bottles earned the top spot by demonstrating impact, innovation, feasibility and financial sustainability.

Ringadoc, a San Francisco startup that helps doctors manage patient phone calls, has raised an additional $700,000 in seed funding, which brings its total round of funding up to $1.9 million.

A tech accelerator called The Iron Yard in South Carolina launched its own digital health accelerator. Startups will receive $20,000 in seed funding and other benefits in exchange for 6 percent equity in their company. The demo day for the first class will be at Health 2.0’s fall conference at the end of September.

PathCentral, a pathology oriented cloud technology company, is a finalist in the Health and Medical Technologies category for the 2013 TechAmerica Foundation American Technology Awards (ATAs) for its web-based anatomic pathology laboratory information system (APLIS).

The U.S. House of Representatives approved $344M in preliminary spending for developing a joint EHR system between the Department of Veterans Affairs and the Department of Defense.

TigerText, a secure mobile messaging platform, and Airwatch, a mobile security and enterprise mobility management provider, partnered to offer a HIPAA compliant communication platform for hospitals and health care organizations. The solution is being implemented by Community Hospice of Texas.

According to a report released by the Institute of Health Technology Transformation(iHT2),  data analytics is crucial for population health management and the success of accountable care organizations. The report also featured critical findings and recommendations for using data to reduce cost and improve efficiency.

PingMD, an app facilitating communication between pediatricians and patients, raised $2.5M in new funding from angel investors, as reported by GigaOm. The company recently expanded the scope of this app to include patients from other disciplines as well as allow peer-to-peer communication.

The Lean Nurse

Six SigmaIn order to squeeze waste out of the health care system, campaigns have been developed mostly on two fronts, informing both providers and receivers of care about the actions they can take to hold down increasing spending. For example, through education and information, Costs of Care aims to get both doctors and patients to reject unnecessary medical tests and treatments. There’s also Choosing Wisely, which encourages patients to start conversations with their doctors along the same lines. On a third front for nurses, there is Lean Six Sigma.

Lean Six Sigma isn’t actually a formal campaign. It’s a managerial strategy meant to help businesses eliminate process waste, and it’s the basis for a proposed course at the College of Nursing at the University of Alabama in Huntsville. The curriculum is being developed by two UAH associate professors, one in the nursing school and one in the School of Industrial and Systems Engineering and Engineering Management.

Lean Six Sigma incorporates ideas from both the Lean and Six Sigma methodologies. Lean’s goal is to eliminate waste while Six Sigma aims to streamline processes. In the context of health care, it’s easy to imagine that these manufacturing methods promote conveyor belt medicine, encouraging nurses to see patients one by one without paying attention to the individuals and their varied needs.

On the other hand Lean Six Sigma applied to health care is, by definition, patient-focused. That’s because the strategy calls for identifying what customers, in this case patients, define as quality and then using that as a performance measure. For example, since patients value shorter wait times, part of a medical facility’s success would be determined by how well they keep wait times low.

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