1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Updated list of news links and journal articles - 25 July 2011 to 1 August 2011 Prepared by Mike Clark This week: *** There were 468 applicants for DALLAS at the 27 July close DALLAS _Connect Sub Group Join the Sub Group at: https://ktn.innovateuk.org/web/dallas Innovate 2011 11 Oct 2011 - Business Design Centre, London https://ktn.innovateuk.org/web/innovate-2011 Slides from the WSDAN Roadshow (Hull) - Mainstreaming Telehealth and Telecare (30th June 2011) - #WSDANHull http://www2.hull.ac.uk/pgmi/centrefortelehealth/wsdan.aspx ATA 2012 – call for papers Abstracts required before September 15, 2011 http://www.americantelemed.org/i4a/pages/index.cfm?pageID=3863 TSA Conference and Crystal Award - update The International Telecare and Telehealth Conference 2011 takes place at the London Hilton Metropole Hotel, on 14-16 November 2011. This is the largest event in Europe focusing exclusively on telecare, telehealth and mHealth, and this year features a wealth of keynote speakers from across the globe, including Archbishop Desmond Tutu, Global Ambassador for eHealth, Dr Peter Carter, Royal College of Nursing, Jonathan D Linkous, American Telemedicine Association and John Turner, NHS 24, Scotland. The conference carries CPD certification, and with twenty-five breakout sessions to choose from, sixteen keynote speakers, panel discussions and an Exhibition Zone showcasing the very latest in telecare and telehealth innovations, this is a prime opportunity to Learn, Challenge and Network. A call for posters has been announced – see the conference website for more details and to book your place: www.telecare-and-telehealth-conference.com The TSA Crystal Awards 2011 are now open and the deadline for entries is 19 September 2011. Following the success of the inaugural award in 2010, there are four awards available for 2011: For Service Providers Real benefits for the service user or patient: what demonstrable differences has your telecare or telehealth service made to individual(s) using your service? 1 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS For Suppliers Best Innovation: what creative or innovative telecare or telehealth technology has made a real difference to the patient or service user, commissioners and/or service providers? For All Going the extra mile: demonstrate how a member of your team has gone beyond the call of duty to ensure the best possible product and/or service for your customers? Overall Winner 2011 Chosen from the shortlisted entries, the overall winner will demonstrate the very best in telecare and telehealth delivery. The TSA Crystal Awards have been designed to recognise this excellence within telecare and telehealth across the UK, and are open to all members of the TSA (who supply the majority of the telecare and telehealth connections and most of the industry technological innovations, across the UK). All entries are anonymised and are judged by an independent panel of judges from across the UK, including Mike Clark (England), Jonathan G Wallace (Ireland), Lee Davies (Wales), Dr. George Crooks (Scotland) and Trevor Single, TSA. Further information and the entry form can be found at: http://www.telecare-and-telehealth-conference.com/crystal.html WSDAN News WSDAN - the Whole System Demonstrator Action Network funded by the Department of Health officially ended in June 2011 following a successful roadshow held in Hull. The King’s Fund has now taken on direct responsibility for the continuation of this work. Over the coming months, relevant content of these WSDAN web pages will be transferred to the main King’s Fund website. In the interim, relevant news items will continue to be posted each weekday here on the WSDAN site. The evidence database will continue to be updated and remains accessible via the Resources tab on this page. We will also report here the details of any news on the publication of evidence around the WSD pilot evaluation. Registered users will continue to be kept updated on the latest evidence and developments via enewsletters. For the future, The King’s Fund will focus on the evidence-base for telehealth and telecare as part of its priority programme looking at integrating services for people with long-term conditions. It will run a major international conference in March 2012 and also develop a study tour to the USA to study innovations in telehealth adoption. 2 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS We are grateful to our funders, the Department of Health, and all the members and registered users of WSDAN for their support over the past three years. We hope that our future work can build on the legacy of the WSDAN project. http://www.wsdactionnetwork.org.uk/ This week’s Headlines Sir John Oldham: A chronic problem for the health service Sir John is in charge of improving how the national health service deals with Long Term Conditions and Urgent Care - two of the most costly and complex problems facing the service. He says the £15 billion ‘Nicholson Challenge’ is an opportunity for the NHS to get ahead of the curve. “Sir John says he has seen some of the country’s telehealth schemes in action, and says the most technologically simple are often the best. At the same time, he said elderly patients with chronic illnesses should not be underestimated in their ability to manage their conditions with new technology. Shortly it will be the Facebook generation who will want to download an app about their diabetes on their phone. They will be quite happy to input their data about blood pressure and get some information, and pull in resources as they need them. He says a technological revolution is coming to healthcare, and that it can make a big difference to how services are provided”. http://www.inpharm.com/news/163372/chronic-problem-health-service Cochrane Review: Telehealthcare for chronic obstructive pulmonary disease In this review, ten trials met the inclusion criteria. The authors conclude that telehealthcare in COPD appears to have a possible impact on the quality of life of patients and the number of times patients attend the emergency department and the hospital. However, further research is needed to clarify precisely its role since the trials included telehealthcare as part of more complex packages. http://www2.cochrane.org/reviews/en/ab007718.html New telehealth service set to take sector to next level (UK) Appello will provide nurse-led, home-based, personal monitoring, advice and support without the need for a large capital outlay. Appello plans to provide a complete service for a low, monthly ‘payas-you-use’ charge. Appello brings together the expertise of CarelineUK, CentriHealth, Numera Health and commences later this year. http://ta-images.s3.amazonaws.com/images/pdfs/appello-launch-28jun11.pdf Use of Telehealth to Improve Chronic Disease Management (US Study) Bonnie Britton’s article available as a pdf reports on a feasibility study on 198 patients with CVD/Diabetes in North Carolina. Information is provided about hospital charges, bed day and ED use etc “The total charges for hospital care among these patients decreased from $1.34 million during the 6 months before implementation of the telehealth model to an average of $121,000 per 6-month period after discharge from telehealth. This represents a reduction in hospital charges of more than $1.2 million every 6 months”. http://www.ncmedicaljournal.com/wp-content/uploads/2011/05/72311-web.pdf 3 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Feasibility and Impact of Telemonitor-Based Depression Care Management for Geriatric Homecare Patients This US study examined home healthcare telemonitoring technology to deliver depression care management (DCM) to48 elderly homebound recipients of homecare services. Preliminary clinical outcomes suggest improvement in depression severity, although these findings require testing in a randomized clinical trial. http://www.liebertonline.com/doi/abs/10.1089/tmj.2011.0011 The evidence base for telehealth and telemedicine in the management of obesity (WSDAN) http://www.wsdactionnetwork.org.uk/news/features/the_evidence_base_2.html Mobihealthnews: WellDoc publishes mobile diabetes study WellDoc have released a pre-print version of an RCT (n=163) using an mHealth solution to track reduction in blood glucose levels over one year compared against usual care. The mean decline in A1C was 1.9% in the intervention group and 0.7% in the usual care group, a difference of 1.2%. A clinically significant change in A1C was seen whether patients began the trial with a high or low A1C. http://mobihealthnews.com/12210/welldoc-publishes-mobile-diabetes-study/ Mobile Phone Technology Helps Patients Manage Diabetes http://www.medicalnewstoday.com/releases/232034.php Best In Class: Remote Monitoring Products http://www.dorlandhealth.com/case_management/cip_magazine/Best-In-Class-RemoteMonitoring-Products_1864.html DH: A simple guide to Payment by Results The aim of this guide is to provide an introduction for newcomers to PbR. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D H_128862 Health IT Doesn't Please Insurance Customers (US) Despite major technology investments, insurance users in the US do not see a customer service benefit, says Accenture study. http://www.informationweek.com/news/healthcare/patient/231002912?cid=RSSfeed_IWK_ALL Guardian: A barrel of contradictions The Patient from Hell worries whether the government has thought through how to sort out the conflicting demands of competition and integration in healthcare. “What happens when a commissioning consortium decides to go with one organisation, but the patient wants another. One of the speakers at the forum pointed out that "commissioner choice is not patient choice". And what happens when a commissioning consortium wants to go out on a limb, against the wishes of the central NHS Commissioning Board? Or what if a GP commissioning consortium decides not to play ball with a county council in implementing a telecare initiative, or any "integrated" service that requires input from the NHS and social services?” 4 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://www.guardian.co.uk/healthcare-network/2011/aug/01/competition-integration-tensionshealth-service 3 Ways to Make a Phone Age-Friendly Kyocera’s new Mi-Look phone has three large buttons to control its three basic functions: It’s a very basic cell phone It’s a tracking device. Mi-Look tracks how many steps the user takes and automatically sends this data, via email, to a caregiver It’s an alarm. In the event of an emergency, the Mi-Look user pulls the phone’s strap http://www.leadingage.org/Article.aspx?id=2585 Tunstall Healthcare launch new myclinic@home telehealth solution http://www.news-medical.net/news/20110801/Tunstall-Healthcare-launch-new-myclinichometelehealth-solution.aspx Mayo Clinic and remote patient monitoring A recent edition of the Mayo Alumni Magazine (Page 2) covers remote patient monitoring. http://www.mayo.edu/pmts/mc4400-mc4499/mc4409-0511.pdf Chronic Care, Chronic I.T. Problems Interesting, Long US article covers health records, telehealth etc. http://www.healthdatamanagement.com/issues/19_8/chronic-care-i.t.-disease-management42885-1.html Summit on mHealth: The Device Dilemma When adding mobile and wireless technology to its IT infrastructure does a healthcare organisation buy the smartphones, tablets or other mobile devices outright or manage what caregivers bring through the front door? The wildcard is data that’s stored on personal devices. What if a nurse takes a photograph of a wound on her personal smartphone, in order to show the doctor and then later loses the device? http://www.mobilehealthcaretoday.com/news/2011/08/summit-on-mhealth-the-devicedilemma.aspx?utm_source=twitterfeed&utm_medium=twitter Pulse: One in three calls to NHS 111 service diverted back to GPs Data on the performance of four NHS 111 pilot sites in County Durham and Darlington, Lincolnshire, Luton and Nottingham, show 42% of callers are told to attend primary care. 33% of all callers – are told to attend general practice. In June there were 33,632 calls to the 111 service - this would represent 12 million calls per year across England – with nearly four million patients then referred back to their GP. http://www.pulsetoday.co.uk/newsarticle-content/-/article_display_list/12479476/one-in-threecalls-to-nhs-111-service-diverted-back-to-gps 5 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Eldercare robots ready to help tend to needs of aging population http://www.thedaily.com/page/2011/02/11/021311-news-elderbots-1/ ‘Fast’ blood testing system unveiled AssayQuest is a portable analysis platform that performs point-of-care testing from a finger-prick blood sample. The Test-card contains blisters filled with customisable reagents that are ruptured in an automated sequence. AssayQuest will connect to smartphone devices. The smartphone will control the system, capture the result and analyse it. The application enables transmission and sharing of test data over 3G cellular networks as well as Wi-Fi, Bluetooth and GPS location tagging. http://www.medtechbusiness.com/news/2011/07/e28098Faste28099-blood-testing-systemunveiled Crimestoppers and Openreach join forces to tackle cable theft in Doncaster – telecare services could be affected Dave Hunter, Crimestoppers’ Regional Manager for Yorkshire and Humberside, said: “Cable theft not only causes inconvenience to the local community, but it is also dangerous as it can impact the 999 network, phone-based telecare systems and isolate vulnerable individuals with no other means of communication”. http://www.crimestoppers-uk.org/media-centre/news-releases/2011/crimestoppers-andopenreach-join-forces-to-tackle-cable-theft-in-doncaster-6652215 Home Blood Pressure Monitoring as an Intervention to Control Hypertension The justification of out-of-office BP monitoring is that there is steadily increasing and substantial evidence that both ambulatory and home BP measurements give a better prediction of risk when compared with office BP monitoring. http://archinte.ama-assn.org/cgi/content/extract/171/13/1181 Guardian: Japan earthquake survivors find comfort in robot seals Robotic therapeutic Paro pets befriend residents of retirement home 17 miles from stricken Fukushima nuclear plant. http://www.guardian.co.uk/world/2011/aug/01/japan-earthquake-survivors-comfort-robots NICE COPD Quality Standards - Review within 2 weeks of discharge Local services and commissioners should agree the specific service arrangements for reviewing patients within 2 weeks of discharge, following an admission with an exacerbation of COPD. This review may take place in primary or secondary care depending on local agreement. Last updated: 28 July 2011. http://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/reviewwit hin2weeksofdischarge.jsp HS reforms: Issues MPs and the media have missed in Lansley’s bill A letter in the BMJ suggests that the alteration of "any willing provider" to "any qualified provider" 6 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS in the Social Care Bill does not significantly change the procedure or procurement issues. http://www.bmj.com/content/342/bmj.d3194.full/reply Integrating Social Media into Emergency-Preparedness Efforts http://healthpolicyandreform.nejm.org/?p=14975&query=TOC Summit on mHealth: Mobility Liability Healthcare providers face varying risks during two distinct phases of mHealth technology roll-outs: implementation and ongoing operation examples include simple errors, inconsistent use, bugs or defective applications, documentation gaps, more encounters = more exposure, thoroughness, negligence, timeliness, information overload. http://www.mobilehealthcaretoday.com/news/2011/07/summit-on-mhealth-mobilityliability.aspx?utm_source=twitterfeed&utm_medium=twitter It helps when patients get the message (Australia) MumBubConnect, run in conjunction with the Australian Breastfeeding Association, showed that SMS support for new mums improved breastfeeding rates. The women were sent weekly messages and were asked to respond with a predetermined word that most accurately described their breastfeeding experience at that time, such as "great", "tired" or "sore". At the end of eight weeks, nearly 80% of the women were still fully breastfeeding, compared to a national average of 46%. "Text messages are ubiquitous, relatively simple, personal and cost-effective. These qualities make it a particularly attractive tool for mental health." In a project lead by researchers at Oxford University, an SMS system allows people with bipolar disorder to monitor their own condition and keep GPs updated. Julie Walker, a bibliotherapist in Yorkshire has commenced a scheme that sends short passages from fiction and poetry by SMS to help people with depression. http://www.theaustralian.com.au/news/health-science/it-helps-when-patients-get-themessage/story-e6frg8y6-1226103579621 HSJ: DH announces commissioning reform milestones and single comms service (requires subscription) This new document covers the development of commissioning up to 2013. Milestones include: July 2011 - Clusters will ensure that 90% of GP practices are in CCG pathfinders August 2011 - Clusters will have begun ensuring that a clear percentage of budgets are delegated to CCG pathfinders September 2011 – Clusters identified staff current involved in directly commissioning services which will pass to the NHS Commissioning Board October 2011 – All CCGs have completed authorisation self diagnostic 7 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS October 2011 – All GP practices are within an emerging viable CCG October 2011 – Establish regional communication and engagement hubs in line with SHA Clusters. December 2011 – Clusters agree with CCGs their commissioning support arrangements March 2012 – Clusters operating according to single model for functions which are due to be transferred to NHS Commissioning Board April 2012 – Clusters “started delivery of at least 3 any qualified provider community and mental health services”. April 2012 - Nationwide shared comms and engagement service “will be fully functioning” http://www.hsj.co.uk/story.aspx?storyCode=5033255 DH: Shared Operating Model for PCT Clusters This DH publication supports the development of PCT Clusters to help ensure they deliver their twin objectives of overseeing and accounting for delivery during transition and supporting the development of the new system. Structured around six key business areas, it also sets out where there are processes or functions that all PCT Clusters will need to perform and where it is important that there is consistency between them. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D H_128735 The future of mHealth and the signs that’ll tell us we’ve made it http://mhealthinsight.com/2011/07/29/the-future-of-mhealth%C2%A0and-the-signs-thatll-tell-usweve-made-it/ Guardian: Top tips: Older people's services Summary from the Guardian’s recent live discussion about providing services for older people. Telecare reference via Surrey County Council. “Offer choices to ensure independence: Housing is a critical ingredient for supporting older people to live independently in the community for as long as they wish to do so. Investment in telecare is an important way of ensuring this independence whilst maintaining safety and unintrusive support”. http://www.guardian.co.uk/local-government-network/2011/jul/29/top-tips-older-people-services U.S. advisers call for new medical device regime The Institute of Medicine found the fast-track approval process, called 510(k), does not adequately protect patients and recommended a more thorough approval process likely to raise the costs. Critics say the accelerated process is too widely used and leads to inadequate testing for some risky devices, but it is defended by the industry as necessary to speed technologies to patients. http://www.reuters.com/article/2011/07/29/us-fda-devicesidUSTRE76S6R520110729?feedType=RSS&feedName=healthNews&utm_source=twitterfeed&utm_ medium=twitter&utm_campaign=Feed%3A+reuters%2FhealthNews+%28News+%2F+US+%2F+Healt h+News%29 8 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Burnside Telecom: the largest mobile phone manufacturer – telecare reference This UK-based designer and manufacturer produces a variety of mobile devices. Managing director Colin Aitken plans include: “…..a series of new products targeted to the telecare market, where you’ve got a lot of elderly residents that would love to have a telephone in their home but unfortunately the expense of leading a landline to it is often prohibitive.” http://thefonecast.com/Opinion/tabid/87/EntryId/4411/Burnside-Telecom-the-largest-mobilephone-manufacturer.aspx Major improvements in support for people with learning disabilities (North Yorkshire) “In Scarborough, the council will spend £2.4 million redeveloping the Elder Street resource. New facilities will include day care for people with learning disabilities and complex needs and it will provide activity rooms, two sensory rooms, a quiet room, a kitchen, changing facilities, a community café, an assisted technology (telecare) demonstration room, and numerous meeting and activity rooms for the wider community”. http://harrogate-news.co.uk/2011/07/27/major-improvements-in-support-for-people-withlearning-disabilities/ Everybody's talking...about mobile medical apps While the 30-page draft establishes three categories of devices that would fall under FDA perusal, it leaves out – either specifically or by omission – several other uses. Among them: App sellers (like Apple), telecommunications providers and handset manufacturers, to name a few. “What we have done is we have taken that approach and formulated policies that were narrowly focused on a very small subset while allowing apps that are out there to foster and continue developing that space,” said Bakul Patel, an FDA policy advisor who helped draft the guidelines, in news reports. “We wanted to make sure that we are consistent in regulating medical devices so nothing has changed. … (If) somebody makes a stethoscope on an iPhone, it doesn’t change the level of oversight we have of a stethoscope.” http://www.govhealthit.com/blog/everybodys-talkingabout-mobile-medical-apps GPs and Pharmacists working together to improve patient care The Royal College of General Practitioners (RCGP) and the Royal Pharmaceutical Society (RPS) have produced a joint statement detailing how GPs and community pharmacists can work together to improve the care provided to patients in the community. http://www.rcgp.org.uk/news/press_releases_and_statements/gps_and_pharmacists.aspx New data-based strategies and treatment models can improve diabetes care for older AfricanAmericans Better data are needed to evaluate access to care by minority groups at increased risk for diabetes. The authors focus on treatment models that incorporate advances in information technology such as telehealth and geo-mapping for improved data sharing, Diabetes Self-Management Education and Training (DSME/T) programs, national collaboratives, and a multilevel diabetes education team approach that relies on less-skilled team members such as community health workers, supervised 9 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS and supported by a multidisciplinary team of professional health care providers to facilitate community-based diabetes care, education, and prevention. http://www.eurekalert.org/pub_releases/2011-07/mali-nds072511.php Telehealth expansion bill gets a push from home care group (US) The National Association for Home Care & Hospice (NAHC) is advocating for a bill in Congress that would incentivize home care agencies, which often are owned by hospitals, to offer telehealth services. The Foster Independence Through Technology (FITT) Act of 2011 (S. 501) seeks to "expand the use of telehealth under Medicare by offering incentives to home health agencies who demonstrate the use of remote monitoring and communication technologies that serve rural and underserved urban communities," according to NAHC. “No incentive payments will be paid to the participants of these pilot projects unless savings have been documented, a background paper says. It is unclear whether the home care agencies would have to make the initial investments in remote patient monitoring before receiving any incentives”. The background paper also notes that the Department of Veterans Affairs achieved substantial reductions in hospital admissions and bed days by using remote monitoring devices. http://www.fiercehealthit.com/story/telehealth-expansion-bill-gets-push-home-care-group/201107-28#ixzz1TZLZEiyL mHealth: Helping Americans with Chronic Disease (video) CTIA Vice President of Public Affairs John Walls spoke on Capitol Hill at the Institute for Policy Innovation panel on “Mobile Health: Innovations in Care & the Spectrum Challenge.” He explains how mHealth applications can save the health care industry approximately $21 billion by remote monitoring chronic diseases. http://blog.ctia.org/2011/07/29/mhealth-helping-americans-with-chronic-disease/ A new device from HP (HP Mobile Health Monitoring Solution) to check your blood pressure HP has developed a new medical device called HP Mobile Health Monitoring Solution which is able to check blood pressure. http://ways2tech.com/tag/hp-mobile-health-monitoring-solution-specification/ New Healthcare Technology to Save the United States $700 Billion “38 of the Fortune 50 companies currently have substantial investments in the space, compared to just five companies 10 years ago”. http://www.wallstreetdaily.com/2011/07/29/healthcare-technology-to-save-the-united-states-700billion/ Ontario Telemedicine Network (OTN) Extends Reach Into Patient's Homes Using Vidyo technology, OTN will bring videoconferencing into homes and onto PCs rather than requiring patients to go to a facility with telepresence capabilities. OTN is used by more than 3,000 healthcare professionals in more than 1,175 sites. The network uses videoconferencing systems and tele-diagnostic instruments. Last year, the network hosted nearly 135,000 patient events, which included 450 instances in which neurologists were linked to emergency rooms to diagnose stroke 10 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS patients through its tele-stroke service. http://www.informationweek.com/news/healthcare/mobile-wireless/231002922 Digital health care from home The eSteth is a digital stethoscope that allows users to log their vital readings online from home, which doctors or nurses can then access. http://www.bclocalnews.com/news/126422918.html Redesigning reablement: why these services need to focus on patient independence (HSJ requires subscription) Reablement services must be designed as a route to greater independence and not reliance on care, says the Social Care Institute for Excellence’s director of adult services David Walden. Latest thinking and evidence on reablement. http://www.hsj.co.uk/resource-centre/best-practice/referral-management-admissions-anddischarge-resources/redesigning-reablement-why-these-services-need-to-focus-on-patientindependence/5032542.article?referrer=RSS&utm_medium=twitter&utm_source=twitterfeed NICE: Initial assessment for long term oxygen therapy – updated 28 July 2011 People with #COPD who may need long-term oxygen therapy are assessed in accordance with NICE by specialist oxygen service http://www.nice.org.uk/guidance/qualitystandards/chronicobstructivepulmonarydisease/initialasse ssmentforlongtermoxygentherapy.jsp How Cloud Computing Will Change IT: 6 New Predictions “For example, we won't be looking at our watch to read our blood pressure. The watch will take the blood pressure, send it off to the blood pressure monitoring system, which will raise an alert for a health care professional, if warranted based on typical medical experience and the specifics of our individual health situation. We will be surrounded by these kind of devices and won't even pay attention to them, unless we need to.” http://www.networkworld.com/news/2011/072911-how-cloud-computing-willchange.html?hpg1=bn Medicare rule would decrease payments to hospitals with high re-admission rates In an effort to save money and improve care, Medicare, the federal program for the elderly and disabled, is about to release a final rule aimed at getting hospitals to pay more attention to patients after discharge. Hospital care is the largest chunk of Medicare spending; Medicare says readmissions alone cost $26 billion a decade. http://ht.ly/5RB8J DH: NHS Health & Well-being Improvement Framework http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D H_128691 The King’s Fund: Health and wellbeing boards: Making them work Health and wellbeing boards are an important feature of the NHS reforms and have emerged from the NHS listening exercise with strengthened powers. This project has three main aims. 11 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS To gain insight into how local authorities and their health partners are implementing health and wellbeing boards in the context of the government’s NHS reforms, its vision for adult social care and the localism bill. To capture the overall approach of a sample of English councils in establishing these new arrangements, supported by a more detailed examination of the experience of two early implementer sites whom The King’s Fund has been assisting. To identify the lessons that could be applied to the roll-out of health and wellbeing boards elsewhere, the issues that local authorities and their health partners need to address in the next stage of their development and the implications for policy. http://www.kingsfund.org.uk/current_projects/health_and_wellbeing_boards_making_them_work/ health_and_wellbeing.html Report: Telehealth Could Ease Health Disparities in Rural U.S. Americans living in rural areas are less likely to have access to quality health care than people living in urban areas, but telehealth technology could help address the disparity, according to a report by the UnitedHealth Center for Health Reform and Modernization, Reuters reports. http://www.ihealthbeat.org/articles/2011/7/27/report-telehealth-could-ease-health-disparities-inrural-us.aspx#ixzz1TKh9hWKR DH: Healthy Staff, Better Care for Patients: Realignment of Occupational Health Services to the NHS in England http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/D H_128692 Pulse: NHS Direct to offer medical advice via Facebook The proposals were revealed at the NHS Direct annual general meeting, with Alan Bentall, the chief information officer at NHS Direct, saying that offering patient confidential advice via Facebook could be an option for the future. He said: ‘We may decide that we want to offer an entry to our services via the social media channel and under those circumstances, similar to the way that we have with our use of third party websites for access to our health and symptom checkers, we would make sure that we held patient information and any advice given in a confidential way, under appropriately signed off terms and conditions.' http://www.pulsetoday.co.uk/newsarticle-content/-/article_display_list/12454300/nhs-direct-tooffer-medical-advice-via-facebook Community Care: Government promises standards for personal assistants Personal assistants employed directly by service users on personal budgets will have access to minimum levels of training, and service users given guaranteed support in employing them as part of a new DH framework for PAs. http://www.communitycare.co.uk/Articles/2011/07/27/117230/government-promises-training-forpersonal-assistants.htm 12 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Guardian discussion on providing older peoples care – comment re Cheshire West “I feel that HIAs, and their ability to provide low-level re-ablement interventions and by the deployment of handyperson services can demonstrate a significant impact in this area. I draw your attention to the innovative work happening in Cheshire West local authority, where they have negotiated a deal with their local PCT whereby if the LA can demonstrate 'x' number of people have been prevented from being re-admitted to hospital, or facilitate a speedy discharge - the PCT will redirect the daily tariff fee for that hospital bed stay back to the local authority” http://www.guardian.co.uk/local-government-network/2011/jul/26/providing-older-peoplescare?commentpage=3#start-of-comments FDA regulation of mHealth, part 2 (of 3): FDA scope & culture http://www.imedicalapps.com/2011/07/fda-regulation-mhealth-part-2-fda-future/ Qualcomm employees compete via health devices The Qualcomm Wireless Fitness Challenge (QWFC), which started earlier this month, features 32 Qualcomm employees divided into four teams spread out over four countries and three continents. The groups will compete over eight weeks to increase activity and weight loss. Each participant will use a Withings weight scale and/or a BodyMedia FIT armband to track their weight loss, calories burned, sleep and activity levels. The aggregated data will be sent to an online information platform that Qualcomm has built specifically for the challenge. http://mobihealthnews.com/12100/qualcomm-employees-compete-via-health-devices/ USARAD.com launches national tele-echocardiography program (USA) Imaging firm USARAD.com has announced a new echocardiography remote reading program available to mobile ultrasound companies, imaging centers and hospitals nationwide. http://healthcareitnews.com/news/usaradcom-launches-national-tele-echocardiography-program Home health devices, mobile apps need to be connected to providers (USA) “Unfortunately, the guidance from the U.S. Food and Drug Administration on mobile apps and the report from the National Research Council on flaws in home health devices--both released last week-failed to address one of the main problems in health IT for home use: a general lack of connectedness between home and provider information systems. To really apply the new technologies in ways that will prevent readmissions, doctors must be online with their patients and their caregivers, and must receive relevant data from both in a way that's easy to use”. http://www.fiercehealthit.com/story/home-health-devices-mobile-apps-need-be-connectedproviders/2011-07-24#ixzz1TKcXHGuZ Azumio collects $2.5m to turn smartphones into health monitors Instant Heart Rate, is an iPhone app (8m downloads in 9 months) that measures a user’s heart rate through a smartphone camera. Users hold their finger over the camera for ten seconds, and the app is able to detect and measure their heart rate. Azumio will use the $2.5m to expand its product line, which now includes two new stress and treatment monitoring apps called Stress Check and Stress Doctor. 13 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://gigaom.com/2011/07/27/azumio-collects-2-5m-to-turn-smartphones-into-healthmonitors/?utm_source=social&utm_medium=twitter&utm_campaign=gigaom China’s chronic disease problem threatens its future: World Bank report Non-communicable diseases such as cancer, diabetes, cardiovascular diseases and chronic respiratory illnesses are China’s number one health threat, accounting for over 80 percent of annual deaths and contributing to 68.6 percent of the country’s total disease burden, says a World Bank report. According to the report, the number of cases of cardiovascular diseases, chronic obstructive pulmonary diseases, diabetes and lung cancer among Chinese people over 40 will double or even triple over the next two decades if effective prevention and control strategies are not implemented. http://www.stonehearthnewsletters.com/chinas-chronic-disease-problem-threatens-its-futureworld-bank-report/health-care/ Free app for Crohn's, colitis patients The free app helps patients track their pain, food, stool and frequency of bathroom visits on their mobile devices. It also provides access to educational tools and the latest information on managing their symptoms. http://www.cbc.ca/news/health/story/2011/07/25/myibd-app-sickkids.html?ref=rss Management of COPD (UK) “All GPs and trainees should have a comprehensive evidence-based and up-to-date knowledge of the management of COPD. Chronic management of COPD involves a multidisciplinary approach and the GP should be at the centre of this”. This article aims to review current management of COPD, using latest national guidelines and best available evidence. http://rcgp-innovait.oxfordjournals.org/content/4/7/390.abstract African American Participation and Success in Telephone Counseling for Smoking Cessation (USA) This study evaluated how effectively African Americans are served by telephone counseling (quitline) for smoking cessation based on empirical data from 45,510 callers and randomized clinical trial data from 3,522 participants. The study demonstrated that telephone counseling is a promising tool for addressing health disparities related to smoking among African Americans. http://ntr.oxfordjournals.org/content/early/2011/07/20/ntr.ntr129.abstract Abortion via Videoconference? http://www.foxnews.com/health/2011/07/27/abortion-via-videoconference/ Fetal Monitoring From Your Phone AirStrip takes clinical information that's usually tethered to a patient's bedside, including real-time and historical monitoring waveform data, and streams it to a physician's mobile device. Doctors can see data from fetal monitors "anytime, anywhere," says Bruce Brandes, AirStrip's executive VP and chief strategy officer. http://www.informationweek.com/news/healthcare/mobile-wireless/231002236 14 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Healthcare Today - The World of Health Care Applications http://blog.compassintelligence.com/post/2011/07/22/Healthcare-Today-The-world-of-HealthCare-Applications.aspx California Center for Tech & Aging: $447K in mHealth grants The Center for Technology and Aging (CTA) announced this week that they have issued grants totalling $477,150 to five organizations developing mHealth technologies for older adults with chronic health conditions. The five successful applicants are: CalOptima – “Preventing or delaying transitions of Medicare members with heart disease to higher levels of care settings using mHealth and wireless solutions.” Family Services Agency of San Francisco – “Using a cloud-based electronic health record with a tablet-based touchscreen assessment and care planning tool to improve assessment, service coordination and outcome evaluation for frail and isolated, low-income seniors, including some with behavioral health or substance abuse issues.” Front Porch Center for Technology Innovation and Wellbeing – “Addressing medication adherence among active, independent older adults using a medication adherence app for cell phones.” HealthInsight – “Using a SMS-based mHealth intervention to improve diabetes education and care management in older adults.” Sharp HealthCare Foundation - “Managing chronic obstructive pulmonary disease (COPD) care by remotely monitoring patients.” http://mobihealthnews.com/12165/center-for-tech-aging-447k-in-mhealth-grants/ Test Measuring Blood Glucose Control May Help Predict Risk of CVD Events in Patients With Diabetes Measuring HbA 1c levels in patients with diabetes is associated with improvement in models for predicting risk for cardiovascular disease (CVD), according to a report published by Archives of Internal Medicine. http://www.sciencedaily.com/releases/2011/07/110725162520.htm Guardian: NHS competition study splits academic community Almost 1,000 lives were saved because the NHS was subject to competition, a study by Dr Zack Cooper of the London School of Economics has found. This has led to a war of words in the academic community over claims the research was "extremely flawed" according to the Guardian. The Co-operation and Competition Panel (CCP) has found that patients are losing out as a result of restrictions on their choice of provider of NHS care. Nearly 50% PCTs were blocking competition by guaranteeing NHS providers set amounts of work before patients can be sent to the private sector, or restricting the number of services that private hospitals can offer at all. The panel said that the expected benefits of patient choice – both to patients and taxpayers – will not be realised to their full potential and recommended that commissioners such as GPs would in the future have to explain why patients were not being offered alternatives to the NHS. http://www.guardian.co.uk/society/2011/jul/28/nhs-healthcare-competition-lse-study 15 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Telegraph: NHS delays operations 'in hope that patients die or go private' http://www.telegraph.co.uk/health/healthnews/8668906/NHS-delays-operations-in-hope-thatpatients-die-or-go-private.html Daily Mail: NHS ‘cuts waiting lists by letting people die’ http://www.dailymail.co.uk/news/article-2020048/NHS-cuts-waiting-lists-letting-peopledie.html#ixzz1TTN41ttc BBC: NHS trusts 'delaying operations' to cut waiting lists http://www.bbc.co.uk/news/health-14337897 Telegraph: 300 heart attack patients saved a year under competitive NHS The lives of 300 heart attack patients have been saved every year since competition was introduced to NHS hospitals, according to a new study. http://www.telegraph.co.uk/health/healthnews/8666296/300-heart-attack-patients-saved-a-yearunder-competitive-NHS.html BBC: NHS bosses warned over anti-competitive behaviour http://www.bbc.co.uk/news/health-14309310 Independent: Cataracts, hips, knees and tonsils: NHS begins rationing operations http://www.independent.co.uk/life-style/health-and-families/health-news/cataracts-hips-kneesand-tonsils-nhs-begins-rationing-operations-2327268.html GP Online: PCTs restricting GP referrals may undermine Any Qualified Provider benefits http://www.gponline.com/channel/news/article/1082522/pcts-restricting-gp-referals-mayundermine-qualified-provider-benefits GP Online: PCTs move to control spend on clinical consumables PCTs have introduced a range of measures to control spending on clinical consumables such as glucose test strips and wound dressings, GPonline.com has found. http://www.gponline.com/channel/news/article/1082535/pcts-move-control-spend-clinicalconsumables Pulse: Major report concludes PCTs 'excessively' influence GP referral decisions http://www.pulsetoday.co.uk/newsarticle-content/-/article_display_list/12475712/major-reportconcludes-pcts-excessively-influence-gp-referral-decisions Co-operation and Competition Panel website http://www.ccpanel.org.uk/ Pulse: GP commissioning is struggling against a rising tide of bureaucracy – Dr Howard Stoate from Bexley http://www.pulsetoday.co.uk/comment-blogs/-/blogs/12476085/gp-commissioning-is-strugglingagainst-a-rising-tide-of-bureaucracy 16 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS On Twitter: NHSManchester "It's easy to use, I'm more involved in my care & I feel safer with it in my home" - COPD patient experience of a telehealth monitor #NHS Trinigyal44 Jackie Marshall-Cyrus And #DALLAS astonishes with over 900 registrations and 468 applications! Absolutely thrilled! TaraCRHealth Raja Rajamannar says Humana now lifelong wellbeing co not insurance co. Describing many hi-tech wellness pilots #mhealth11 #whccinnovations NHS_Evidence See our new QIPP case study to find out how text reminders reduced DNAs in one trust by 40% in under six months http://bit.ly/orn2NX #QIPP Study of Medical Device Rules Is Attacked, Unseen The Institute of Medicine, is scheduled to release a report on 29 July 2011 that could propose a tougher approval process for a wide range of devices like hip implants, hospital pumps and external heart defibrillators. The report, commissioned by the FDA comes after several well-publicized recalls in recent years of devices that have failed in thousands of patients, causing numerous injuries. A business group and others have taken the step of making a pre-emptive strike, arguing that the report is biased. http://www.nytimes.com/2011/07/28/health/28institute.html?_r=1 HIT Must 'Go Rural' (USA) US statistics: 50 million Americans live in rural areas. There are only 65 primary care physicians per 100,000 rural Americans — approximately 40 less than the 105 per 100,000 urban or suburban Americans. Rural areas have less than half the number of surgeons and other specialists than urban and suburban areas. In 70% of rural markets quality of care was measurably worse than in urban areas. Rural Americans are more likely to suffer from chronic health conditions such as diabetes, heart disease, and cancer. More than half of rural Americans must travel more than 20 miles for specialty care, with an average reported distance of 60 miles. “Rural uptake of EHR and HIE technology will allow for the seamless exchange of patient data between rural and urban healthcare facilities, and specialists and primary care physicians. Patient portal technology and PHRs (personal health records) will allow rural patients to become more engaged in improving and managing their own health. However, telemedicine and telehealth technologies offer, arguably, the greatest potential to transform rural healthcare — improving the accessibility, quality, and affordability of care. For example, with teleconferencing technologies, a rural patient can be seen by an urban specialist without either party ever leaving their own backyard. 17 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Remote patient monitors and other devices can provide physicians with real-time visibility into patient conditions without ever requiring the patient to come in for an office visit. These technologies can be vital to streamlining and improving chronic care management. However, to make full use of telemedicine's potential, a number of changes to the current healthcare system and technology grid will be required. These include: Expanding rural broadband capacity (estimated at approximately 60% in rural areas as opposed to 70% in urban areas). Improving public and private reimbursement models for telemedicine technologies and provider/patient interactions. The removal of outdated regulatory barriers to telemedicine adoption. http://www.healthcaretechnologyonline.com/article.mvc/HIT-Must-Go-Rural-0001 New UnitedHealth Group Report Identifies Innovative Solutions for Rural Health Care Coverage, Access and Quality Challenges Rural Americans experience more chronic health conditions such as diabetes and heart disease than urban and suburban residents, have greater difficulties accessing high-quality care, and from 2014 millions more of them will likely participate in Medicaid and government-subsidized insurance, according to a new paper released today by the UnitedHealth Center for Health Reform & Modernization. Innovations in care delivery, particularly telemedicine and telehealth, can absorb future strain on rural health care systems. At the same time, more use of technology, such as broadband access that would increase telehealth solutions, can help ease strain on the system and further promote healthier outcomes in rural communities. http://www.marketwatch.com/story/new-unitedhealth-group-report-identifies-innovativesolutions-for-rural-health-care-coverage-access-and-quality-challenges-2011-0727?reflink=MW_news_stmp Change of Patients' Perceptions of Telemedicine After Brief Use Brief use of a Web-based telemedicine service has a significant positive effect on patients' perceptions of this service. http://www.liebertonline.com/doi/abs/10.1089/tmj.2010.0208 Patient care via video could cut bills A US study pairs teleconferencing and patient care coordination. http://www.mndaily.com/2011/07/27/patient-care-video-could-cut-bills Telepresence - Telemedicine To Extend To All Parts of Globe if Doctors, Technologists Work Together Telemedicine has been around in the U.S. for quite some time, but experts at the IEEE (News Alert) have just announced that its “technologically ready to meet the growing demand” in developing nations and remote areas around the world, according to a press release posted at 18 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS finance.yahoo.com. But there’s a caveat. Widespread use of telemedicine will only happen if technologists and clinicians work together to ensure it can be used everywhere in the world, the story says. Towards this end, the IEEE will hold two conferences in Boston later this year. http://telepresence.tmcnet.com/topics/telepresence/articles/201185-telemedicine-extend-allparts-globe-if-doctors-technologists.htm EMR Adoption to Drive e-Health Market Growth in US http://www.sbwire.com/press-releases/sbwire-101448.htm Group cognitive processing therapy delivered to veterans via telehealth: A pilot cohort The treatment was delivered to 13 veterans with PTSD residing on the Hawaiian Islands. Results support the general feasibility and safety of using VT. http://onlinelibrary.wiley.com/doi/10.1002/jts.20661/abstract 10 Benefits of Health IT – infographic http://internetinnovation.org/library/special-reports/telemed-infographic/ Telehealth moves forward in the empire state A new $9.8 million telehealth network will link 48 medical facilities in eight counties in upstate New York in order to provide broader access to telehealth in less populated areas. http://civsourceonline.com/2011/07/25/telehealth-moves-forward-in-the-empirestate/?utm_source=rss&utm_medium=rss&utm_campaign=telehealth-moves-forward-in-theempire-state Medicare to expand coverage for telehealth, but leaves out critical care services The CMS has recently proposed increasing its coverage of telehealth services. While Medicare has covered telemedicine dating back to 1999, it has historically used a “comparability standard” in which physicians had to prove that their specific telehealth service was equivalent to in-person care. Now, the CMS may switch to covering telehealth that has “proven clinical benefit.” This would increase the range of services eligible to be covered, and in turn could increase access to providers, especially in rural and under-served areas. An important caveat, however, is that the CMS specifically states that they will not cover telehealth in the context of critical care. They argue that there is not strong enough evidence that technology such as tele-ICUs and remote care for stroke patients have the same diagnostic/therapeutic outcomes as having physicians in the actual ICUs. http://www.imedicalapps.com/2011/07/medicare-expand-coverage-telehealth-leaves-critical-careservices/ The King’s Fund: Learning from variations to increase value for money in the NHS (Prof Al Mulley's first blog for the Fund) http://www.kingsfund.org.uk/blog/health_variations.html Guardian: Cost of NHS changes rising by £1m a day, official figures show The cost of the government's plans to restructure the NHS is rising at almost £1m a day, the 19 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Guardian has learned. Buried in a spreadsheet put out by the Department of Health as part of its revised business plan, officials admitted that the cost of transition was now £1.49bn. http://www.guardian.co.uk/society/2011/jul/28/cost-nhs-changes-rising Telegraph: Elderly care: expert to review quality and regulation Ministers will set up an independent review of elderly care in England. http://www.telegraph.co.uk/health/elderhealth/8666626/Elderly-care-expert-to-review-qualityand-regulation.html?dm_t=0,0,0,0,0 Warning over prescriptions 'waste' In 2010, there were 927 million prescription items dispensed across England - a 68% rise on 2000, costing as much as £8.83bn. This compares with a 4.6% rise on 2009 levels. For every person in England, the average cost per head was £169 in 2010, compared with £113 11 years ago and £165 in 2009. http://www.nursingtimes.net/nursing-practice/clinical-specialisms/prescribing/warning-overprescriptionswaste/5033170.article?referrer=RSS&utm_source=twitterfeed&utm_medium=twitter&utm_campai gn=Managing+Long+Term+Conditions Nation’s Health Care Bill To Nearly Double By 2020 (USA) A report by the Medicare Office of the Actuary estimated that health spending will grow by an average of 5.8 percent a year through 2020, compared to 5.7 percent without the health overhaul. With that growth, the nation is expected to spend $4.6 trillion on health care in 2020, nearly double the $2.6 trillion spent last year. http://www.kaiserhealthnews.org/Stories/2011/July/28/health-care-spending-to-double.aspx The Lancet: Policy summary: Provider competition and health care quality http://ukpolicymatters.thelancet.com/?p=659 Patients want online communication with doctors, and more clinicians are listening (USA) 24% of physicians report “widespread” use of email to communicate with patients. 21% of physicians are regularly using a portal or website. Fewer than 1 in 10 doctors report “widespread” use of IM and videoconferencing. There is some limited use of social media, wikis, IM and videoconferencing, indicating the clinicians are stepping toes into these emerging platforms for patient communication. Most from the groups surveyed are not keen to connect on Facebook. Some providers are experimenting and learning about how to create trust and productive relationships in such online platforms, such as the Mayo Clinic which has a Facebook page and encourages patients to tell their stories on a YouTube channel. The most popular digital records include patient portals that can enable people to check on their lab results online, tap into personal health records, and schedule appointments. The American College of Physicians has stated that, “e-health activities have the potential to transform the healthcare delivery system” and “advance the patient-centered” medical model. http://cesaralonso.visibli.com/share/3NybJn 20 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Intelligent OrthoSensor Devices Provide Real-Time Reporting on The Condition of Your Orthopaedic Implant The technology includes an electronic sensor module which can be designed to be embedded into various orthopedic implants. The module provides remote, real-time monitoring of a range of sensed parameters such as kinematic and force data. The data is relayed wirelessly to the surgeon and displayed on a custom interface. http://medgadget.com/2011/07/intelligent-orthosensor-devices-provide-real-time-reporting-onthe-condition-of-your-orthopaedicimplant.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+Medgadget+ %28Medgadget%29 Intel-GE Care Innovations Connect Targets Social Isolation in Older Adults http://www.ehealthnews.eu/industry/2702-intel-ge-care-innovations-connect-targets-socialisolation-in-older-adults Guardian: NHS Top Leaders seeks help with QIPP The NHS Top Leaders programme is setting up a contract to provide expertise in enabling the health service to deliver improvements as part of the Quality, Innovation, Productivity and Prevention (QIPP) transformation programme. Karen Lynas, director of NHS Top Leaders, said that although the NHS has had no real terms reduction in funding, the growing pressures on the service from new technologies, drug treatments and an ageing population creates challenges in reaching the £20bn efficiency target. She told Guardian Healthcare: "One of the ways we can bridge this gap is to redesign services with patients in ways which provide better levels of care at a reduced cost and there is a strong connection between the redesign of services and the increasing use of technology. "There are lots of good examples of where these changes are being made, but they are not widespread enough and not happening quickly enough to realise the benefits we need to see. So we are looking to work with companies who have real expertise in these areas and bring those skills into the NHS by working with some of our very senior leaders to better understand the possibilities for change and improvement through technology." http://www.guardian.co.uk/healthcare-network/2011/jul/26/nhs-top-leaders-qipp-tender UK investment in healthcare IT to top £3bn by 2016 Ovum found that the UK's ageing population and the urgent need to cut costs in the sector is driving increased investment. "Of all the regions we analysed, the UK will experience the strongest growth over the forecast period," said Cornelia Wels-Maug, Ovum's healthcare technology analyst. "A key driver for the investment is the urgent need to do more with less, owing to the ever-increasing number of patients with chronic illnesses as the population lives longer," she said. Telehealth, which includes services that monitor conditions via telecommunications technology, and health information exchanges (HIE) are expected to see the strongest growth. 21 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://www.computing.co.uk/ctg/news/2097173/uk-investment-healthcare-gbp3bn2016#ixzz1TIwCmrDw Invicta Telecare secures second contract with the Guinness Partnership The latest contract means Invicta Telecare will provide the alarm monitoring service to a further 1500 Guinness Partnership residents living in 70 sheltered and supported housing schemes. This brings the total number of residents receiving the service to 4,500. Invicta Telecare is part of Circle Living and provides a service to over 94,000 people. http://www.24dash.com/news/housing/2011-07-26-Invicta-Telecare-secures-second-contract-withthe-Guinness-Partnership DH: Apply now for funding to support voluntary projects in health and social care The 2012-13 Innovation, Excellence and Strategic Development Fund is now open for applications. In the last round (2011-12), 57 projects benefited from funding under the scheme, at a total cost of just under £3.5 million for the year. These projects – from cancer services to mental health projects for young adults - are now benefiting patients across the country. Applicants are invited to submit proposals to develop new, innovative approaches to health and care, actively share excellent practice or improve integrated care and greater efficiency. http://www.dh.gov.uk/en/Aboutus/Features/DH_128725 On Twitter: @clarkmike The TSA Crystal Awards recognise UK excellence in #telecare and #telehealth - eligible entries by 19 September 2011 bit.ly/pGiltw Int'l #Telecare and #Telehealth Conference 14-16 Nov 2011, London. Programme and booking. Poster and abstract call soon bit.ly/oYL9Vi @dermotor Bruce Keogh's vision of NHS in 5 yrs inc: customer focus, telehealth keeping people out hosp, 7 day service, outcomes & safety priorities IPhone Detects Blood Sugar, Without Blood Professor Heather Clark at the North Eastern University has modified an iPhone to measure blood using "non-invasively monitor biomarkers." Instead of drawing blood, the system requires a person to be injected with a small amount of "nanoparticle solution," which glows when exposed to molecules such as glucose. http://www.mobiledia.com/news/99393.html Medical device companies keep pushing for medical device tax repeal The medical device industry is keeping the pressure on Congress to push for a vote to repeal the medical device tax, a 2.3 percent levy on U.S. sales of medical equipment from 2013, which was contained in last year’s landmark health care reform law. http://www.medcitynews.com/2011/07/medical-device-companies-keep-pushing-for-medicaldevice-tax-repeal/ 22 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Diabetes HbA1c test not so reliable for adolescents, according to study A new study has found that the widely accepted HbA1c test may not be as effective for diagnosing and monitoring diabetes in adolescents as previously thought. http://www.diabetes.co.uk/news/2011/Jul/diabetes-hba1c-test-not-so-reliable-for-adolescents,according-to-study-96793735.html What is HbA1c - Definition, HbA1c & Diabetes, HbA1c Testing & Blood Glucose Comparison http://www.diabetes.co.uk/what-is-hba1c.html Hemoglobin A1c As a Screen for Previously Undiagnosed Prediabetes and Diabetes in an AcuteCare Setting http://care.diabetesjournals.org/content/early/2011/07/13/dc10-0996.short?rss=1 Older doctors embracing tablets faster than younger counterparts A survey by QuantiaMD shows that physicians who have been in practice 31 years or more are about as likely as those fresh out of medical school to own a tablet computer or plan to purchase one. The survey of 3,798 physicians by QuantiaMD, an online learning collaborative, found that 19% of doctors in practice 31 years or more use a tablet in their work. An additional 25% said it's extremely likely they will get one in the future. Among physicians in practice less than 10 years, 20% use a tablet and 38% said it's extremely likely they'll obtain one. http://www.ama-assn.org/amednews/2011/07/18/bisa0718.htm FDA Regulation of mHealth, Part 1: FDA basics Part one of a three part series on the current FDA consultation on medical devices used in mobile health. http://www.imedicalapps.com/2011/07/fda-regulation-mhealth-part-1/ The future of mobile medicine hangs on the subtleties of “use” http://www.imedicalapps.com/2011/07/future-medicine-hangs-subtleties/ Open app and say aah: the perils of medical diagnosis on a mobile http://theconversation.edu.au/open-app-and-say-aah-the-perils-of-medical-diagnosis-on-a-mobile2506?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+conversationedu+% 28The+Conversation%29 New National Research Council Report on Home Health Technology http://medicalconnectivity.com/2011/07/19/new-national-research-council-report-on-home-healthtechnology/ Mobihealthnews: 7 medical phone peripherals you should know http://mobihealthnews.com/12062/7-medical-phone-peripherals-you-should-know/ Telehealth enables virtual cancer board meetings The University of North Carolina's Lineberger Comprehensive Cancer Center is using web-based telehealth to widen the reach of its multidisciplinary oncology tumor boards and provide a service to other specialists in the State. The weekly board meetings discuss diagnoses, treatment plans and other patient-specific issues. They include imaging, labs and test results. 23 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://www.fiercemobilehealthcare.com/story/telehealth-enables-virtual-cancer-boardmeetings/2011-07-25#ixzz1TEJD0S39 Chied Medical Officer, Sir Bruce Keogh speech at transparency event on 7 July 2011 A transcript of a speech by Sir Bruce Keogh, NHS Medical Director, during a transparency event on 7 July with Cabinet Minister Francis Maude (7 July 2011). “…How long, I ask you, before people expect to be the navigators and controllers of their own healthcare? I think the desire is already there. I think all they need is enough information, and I put it to you that today’s technology allows that. I think we should encourage it and lead it”. “I’d just like to finish off by saying, as Medical Director, my vision for the future of healthcare is underpinned by greater availability and the processing of data. I see a future where those who wish can take responsibility for their own healthcare. I see a future where the NHS is a service industry that will help people to achieve that aim. I see a future where patients have access to good information on the pros and cons of different treatments, and the relative outcomes of those treatments in different places. I see a future where they have greater knowledge which helps their doctors and nurses understand what they want. This will make consultations so much more meaningful and focused….” “I see a future where patients own their own records. A future where patients can book their appointments online. I see a future of digital consultations which will bring clinicians into the home via broadband. It’ll speed diagnostic times. I see that, in time, it will break down frustrating geographic and institutional boundaries. It will bring seven-day-a-week access to help from people who are fearful of their medical conditions. And, in time, access to personalised international consultations will be available 24 hours a day, seven days a week, around the world. Appreciation of the impact of these new technologies is limited only by our imagination….” http://www.cabinetoffice.gov.uk/news/sir-bruce-keogh-speech-transparency-event Medilink Yorks and Humber - Mobile applications in healthcare technologies; it's in your hands Sheffield (6 Oct 2011) Medilink, has joined forces with DesignIT, a leading design agency, to provide an insight into the development and integration of mobile applications and social media in healthcare systems. http://www.medilink.co.uk/events/event-detail/medilink__mobile_applications_in_healthcare_technologies_it_s_in_your_hands_11-07-15.aspx Guardian: Palliative care outsourced to voluntary sector at two trusts While some PCTs chose to transfer responsibility for palliative care to foundation trusts or community foundation trusts under transforming community services, Rotherham and Berkshire West outsourced to the voluntary sector. http://www.guardian.co.uk/society/2011/jul/26/palliative-care-outsourced-voluntarysector?CMP=twt_fd Telemedicine Technology is Ready but Deployments Need a Boost to Meet Exploding Demand for Healthcare Access Around the World, Say IEEE Experts 24 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Telemedicine is technologically ready to meet the growing demand for access to health services in developing nations and remote areas around the world, say experts from IEEE, the world's largest professional technical association. However, widespread use of telemedicine will require greater collaboration between technologists and clinicians to ensure it delivers on its promises in the real world – millions more people reached, with measurably better outcomes for those patients. http://www.virtual-strategy.com/2011/07/26/telemedicine-technology-ready-deployments-needboost-meet-exploding-demand-healthcare-acc Cambridge Healthcare going full throttle following launch of patient portal Cambridge Healthcare has launched its first product, e-health portal NHS.info and is planning a UK wide roll-out by the end of the year. NHS.info allows patients with long-term health conditions to take a more active role in their treatment by giving them a secure communication channel with their clinician as well as intelligently suggesting more information about a particular condition. The system is being piloted in the East of England before wider roll out during 2011. New features will be added to the system with the ability to video conference added in August; patient groups and the ability to give feedback on services in September; and a UK wide directory of GPs with ‘interactive practice applications’, like choose and book an appointment and an online triage service in October. http://www.cabume.co.uk/medtech/cambridge-healthcare-going-full-throttle-following-launch-ofpatient-portal.html Cambridge web portal liberates patients http://www.businessweekly.co.uk/biomedtech-/12414-cambridge-web-portal-liberates-patients Survey analysis: Telemedicine crucial part of health IT In the survey, 79 percent of respondents said that telemedicine is an important part of their health IT infrastructure. http://www.healthcareitnews.com/survey-analysis-telemedicine-crucial-part-health-it Telemedicine the answer to physician shortage and cost cutting? According to a recent US report, telemedicine could transform the way medicine is practiced for COPD and other respiratory diseases. In addition, telemedicine may allow isolated, rural hospitals to gain access to other resources. "There is currently, and will remain until about the year 2030, a shortage of health care workers to meet the demand for care. This warrants a change in the delivery of health care and may indeed alter the way individuals and populations receive health care." http://www.fiercehealthcare.com/story/telemedicine-answer-physician-shortage-and-costcutting/2011-07-26#ixzz1TIUHCR4l Revolutionary Baseline E-Health Platform for Kidney Disease Launched by Shad Ireland Foundation Individuals with Chronic Kidney Disease, (CKD), End Stage Kidney Disease, (ESRD), and kidney transplant recipients can easily monitor their health, tracking key indicators, nutrition and exercise, plus receive information regarding the disease 24 hours a day. 25 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://www.businesswire.com/news/home/20110721006227/en/Revolutionary-Baseline-E-HealthPlatform-Kidney-Disease-Launched Veterans use smartphone apps to fight PTSD Apps such as "T2 MoodTracker," "PTSD Coach" and "Breathe2Relax" have been developed by the Pentagon and Veterans Affairs Department to provide information about what the military calls "invisible wounds" of the wars in Iraq and Afghanistan and techniques for managing the symptoms. http://www.usatoday.com/tech/products/2011-07-26-military-smartphone-appptsd_n.htm?csp=34tech&dlvrit=279559 Telemedicine, What Is It All About? http://www.rtmagazine.com/issues/articles/2011-07_04.asp FDA's mobile medical app guidelines get everybody talking http://www.healthcareitnews.com/news/fdas-mobile-medical-app-guidelines-get-everybody-talking Digitally driven healthcare here by 2020, says report Some of the 20 possible future scenarios include: advanced genetic profiling becoming commonplace; customer data being instantly available for all parties and being used in a way to target advertising; Radio Frequency Identification implants monitoring our bodies’ vital signs; patients routinely sharing information and experiences online; a variety of healthcare at home becomes possible; health tourism will be popular; there will be advances in regenerative medicine; robodocs will exist; personalised medicine will be commonplace with pills containing monitoring microchips; and the power of the mind will be harnessed for the healthcare setting. Said Dickon Laws, digital account director at OgilvyOne worldwide (authors of report): “Nothing is impossible anymore. There are no walls. We just have to find the time and effort to put it together.” http://www.pharmatimes.com/Article/11-0726/Digitally_driven_healthcare_here_by_2020_says_report.aspx Digital Tattoo Gets Under Your Skin to Monitor Blood http://www.wired.com/gadgetlab/2011/07/blood-monitor-tattooiphone/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+wired%2Findex+ %28Wired%3A+Index+3+%28Top+Stories+2%29%29 Using smartphones for objective diagnosis and monitoring of Parkinson’s patients More than 10 million people in the US suffer from tremor-related disease, including Parkinson’s, essential tremor and multiple sclerosis. iTrem uses the iPhone’s built-in accelerometer to collect data on a patient in his or her home and/or office. Currently the App directly tracks tremor information as the patient holds the phone in their hand for an extended period at predetermined intervals over the course of days or weeks. http://www.imedicalapps.com/2011/07/smartphone-diagnosis-monitoring-parkinsons-patients/ Melding technology and health reform for 'patient empowerment' (USA) In January, Lygeia Ricciardi became the first national policy advisor for ‘consumer e-health,’ part of 26 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS the Department of Health and Human Services' health information technology office. She is working to bridge the divide between the traditional health system and a nascent world of digital health tools for the public, such as smartphone applications, text reminders, sensors, and online communities focused on particular health conditions. “The use of technology in the move toward greater patient engagement is vital, she said. Its potential to transform health care is extraordinary--and it's accessible now”. To help bring out the cultural shift the office is putting together an ambitious outreach campaign to educate consumers and providers about how technology can improve people's health and streamline the health care delivery system. And they're shaping policies that they hope will knock down barriers to data-sharing. http://www.ctmirror.org/story/13322/healthit IOM proposes blueprint for tracking chronic disease (USA) Federal regulators should take the lead in creating a national system to keep tabs on chronic diseases and provide guidance for stakeholders across the country, the Institute of Medicine has said. The IOM has released a blueprint for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung disease. http://thehill.com/blogs/healthwatch/public-global-health/173067-iom-proposes-blueprint-forchronic-disease-surveillance Google Health's Demise Shows Limitations of PHR Market http://www.ihealthbeat.org/features/2011/google-healths-demise-shows-limitations-of-phrmarket.aspx#ixzz1T990f0u2 4 Ways iPads Are Changing the Lives of People With Disabilities http://mashable.com/2011/07/25/ipads-disabilities/ New Japanese Cell Phone Aimed at Seniors http://allassistedlivinghomes.com/assisted-living-news/1794-new-japanese-cell-phone-aimed-atseniors.html BodyMedia is using wearable sensors to fight the obesity epidemic one step at a time BodyMedia FIT is a holistic weight management system consisting of the BodyMedia Armband monitor, online Activity Manager, and free apps for Android and iPhone. The system is regulated by the FDA as a Class II Medical Device. The BodyMedia FIT Armband uses four sensors to automatically collect more than 5,000 data readings every minute. The armband costs $259, plus $7/month subscription for the data. http://www.imedicalapps.com/2011/07/bodymedia-wearable-sensors-fight-obesity-epidemic-steptime/ Guardian: Leicestershire gets portal for personalised care Leicestershire county council and Leicester city council have set up an online marketplace for personalised social care. They have launched choosemysupport.org.uk to give social care recipients 27 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS more control over which services they receive. Registered users are able to search for services from approved providers and make payments with debit cards. Social care recipients can use the service to spend the budgets provided to them by the councils, and the system is also open to others who wish to obtain relevant products and services. http://www.guardian.co.uk/government-computing-network/2011/jul/25/leicestershire-leicesterchoosemysupport-personal-care The Glucose Level Monitor, And Four Other Futuristic Medical Smartphone Apps http://www.fastcompany.com/1768704/the-blood-oxygen-level-monitor-and-five-other-futuristicmedical-iphone-apps Toyota to Integrate ECG Sensors Into Steering Wheels In an experimental system installed in a Prius, the chart of the driver’s heartbeat and electrocardiogram can be viewed on the display of the in-car navigation system. In addition to alerting of any serious conditions, Toyota also sees the system being used as a daily health check. http://medgadget.com/2011/07/toyota-to-integrate-ecg-sensors-into-steeringwheels.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+Medgadget+ %28Medgadget%29 DH: Supporting personal assistants working in adult social care A new ‘Framework for Personal Assistants’ aims to make it easier for people with disabilities to employ PAs to help them to live as full a life as possible. http://www.dh.gov.uk/en/Aboutus/Features/DH_128748?utm_source=twitterfeed&utm_medium=t witter BBC: NHS unprepared for obese patients (video) http://www.bbc.co.uk/news/health-14287731?utm_source=twitterfeed&utm_medium=twitter Merton, Nottinghamshire and Bury issue smart cards for social care Three councils have begun to issue smart cards for social care recipients to pay for services under the personalised budget agenda. http://www.guardian.co.uk/government-computing-network/2011/jul/26/merton-nottinghamshirebury-smart-cards?utm_source=twitterfeed&utm_medium=twitter GP Online: GPC warns rising expenses could drive GPs out of business http://www.gponline.com/News/article/1081795/gpc-warns-rising-expenses-drive-gps-business/ BBC: Fragmented sleep 'harms memory' Broken sleep affects the ability to build memories, a study of mice suggests. The Proceedings of the National Academy of Science findings could help explain memory problems linked to conditions including Alzheimer's and sleep apnoea. http://www.bbc.co.uk/news/health-14279123 Give Patients Complete Access To Their Data (USA) “If there's one thing that's going to revolutionize healthcare, whether it's IT, ACOs, or any aspect of health reform, what you're going to see is patients taking back healthcare from their providers." 28 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS That's the prediction Neil Calman, MD, the CEO and co-founder of the Institute for Family Health, made at InformationWeek Healthcare's IT Leadership Forum in New York City recently. http://www.informationweek.com/news/healthcare/patient/231002235 Events, conferences, courses Living independently with the help of technology – Yorkshire and Humber HIEC, 13 September 2011, Doncaster http://yhhiec.org.uk/living-independently-with-the-help-of-technology/ Public Sector Digital Comms & Social Media Convention 2011 14 September, London http://publicsectorsocialmedia.com/ American Telemedicine Association Fall Forum 2011 September 19–21—Egan Convention Center, Anchorage, AK http://www.americantelemed.org/i4a/pages/index.cfm?pageid=3827 CUHTec: Using telecare to reduce the cost and increase the effectiveness of re-ablement and intermediate care, University of York 18 October, 2011 http://www.cuhtec.org.uk/download/FDetailsReableOct11.pdf General details about costs, link for booking form etc are here: http://www.cuhtec.org.uk/events.php CUHTec: Assistive technology and telecare for learning disability services University of York 19 October, 2011 http://www.cuhtec.org.uk/download/FDetailsLDOct11.pdf General details about costs, link for booking form etc are here: http://www.cuhtec.org.uk/events.php EHI Live 7-8 November 2011, NEC in Birmingham 7-8 November 2011 http://www.ehi.co.uk/events/ehi-live/ The International Telecare & Telehealth Conference 2011, London, 14-16 November 2011 http://www.telecare.org.uk/information/42301/48936/conference_11/ 2011 mHealth Summit December 5–7, 2011—National Harbor, MD http://www.mhealthsummit.org/ The Kings’ Fund - International Congress on Telehealth and Telecare 6-8 March 2012 (early booking announced) http://www.kingsfund.org.uk/events/international.html 29 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Global Health & Innovation Conference 2012: New Haven, CT, USA: 21-22 Apr 2012 http://www.cochrane.org/news/tags/cochrane-contributors/global-health-innovation-conference2012-new-haven-ct-usa Other Links "Super Mobile" doctors represent new type of professional mHealth user http://aerotel.blogspot.com/2011/06/super-mobile-doctors.html A Physician's Perspective on Self-tracking - How can we get the average patient to take charge of their health? http://www.technologyreview.com/blog/themeasuredlife/26918/ ABCD2 Score to Identify People at Risk of Stroke Has Limited Clinical Application, Experts Say http://www.sciencedaily.com/releases/2011/06/110606121927.htm?utm_source=twitterfeed&utm _medium=twitter AHRQ: Telehealth empowers docs to treat underserved http://govhealthit.com/news/ahrq-telehealth-empowers-docs-treat-underserved Alarms and CCTV are a life saver (South Ayrshire) http://www.ayrshirepost.net/ayrshire-news/local-news-ayrshire/ayr-news/2011/07/01/alarms-andcctv-are-a-life-saver-102545-28959042/ American Well Gaining Converts To Telemedicine http://www.investors.com/NewsAndAnalysis/Article/577871/201107111756/American-WellPushes-Telemedicine-Advance.aspx Care Innovations Connect: A Tablet To Keep Seniors From Getting Lonely http://www.fastcompany.com/1768731/care-innovations-connect-a-digital-device-to-keep-seniorsfrom-getting-lonely Cloud-based video conferencing for telemedicine. Interview with Nefsis http://www.healthbusinessblog.com/2011/07/cloud-based-video-conferencing-for-telemedicineinterview-with-nefsis/ Doctors driving IT development with their mobile technology choices http://www.ama-assn.org/amednews/2011/05/23/bisb0523.htm E-Health Case Study: Sprint http://www.telecoms.com/30262/e-health-case-study-sprint/ EMR Adoption to Drive e-Health Market Growth in US http://www.pr-inside.com/emr-adoption-to-drive-e-health-market-r2728669.htm 30 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS EU: New Project To Implement Telemedicine Solutions Into Everyday Practice http://www.egovmonitor.com/node/42709 Evidence based decision making taken to a new level by the BMJ http://www.imedicalapps.com/2011/06/evidence-based-medicinlevel-bmj/ FDA clears Telcare’s 3G blood glucose meter http://mobihealthnews.com/12226/fda-clears-telcares-3g-blood-glucose-meter/ FDA guidelines for Mobile Health apps - How to find a balance between regulation and innovation? http://www.mobilehealthlive.org/discussions/fda-guidelines-for-mobile-health-apps-how-to-find-abalance-between-regulation-and-innovation-/16511/ Forecasting Diabetes Prevalence in California: A Microsimulation http://www.cdc.gov/pcd/issues/2011/jul/10_0177.htm?s_cid=pcd84a80_x Frontline Innovation: Home Telemonitoring for High-Risk Patients (Health Care Innovations Exchange) http://fwtnow.com/frontline-innovation-home-telemonitoring-for-high-risk-patients-health-careinnovations-exchange Got the Picture? Using Mobile Phone Technology to Reinforce Discharge Instructions http://journals.lww.com/ajnonline/Abstract/2011/08000/Got_the_Picture__Using_Mobile_Phone_ Technology_to.28.aspx Growing diabetes levels in the young presents challenge to NHS http://www.diabetes.co.uk/news/2011/Jun/growing-diabetes-levels-in-the-young-presentschallenge-to-nhs-94811398.html Health Care Of The Future: Non-Invasive Blood Tests, Brain-Connected Avatars, Digital Pill Boxes http://www.fastcompany.com/1763785/the-telehealth-devices-of-the-future-non-invasive-bloodtests-brain-connected-avatars-digita Helping seniors live at home longer http://www.healthkey.com/la-he-long-term-care20110612,0,5891062.story?track=rss&utm_source=feedburner&utm_medium=feed&utm_campaign =Feed%3A+latimes%2Ffeatures%2Fhealth+%28L.A.+Times+-+Health%29 Hemoglobin A1c Predicts Healing Rate in Diabetic Wounds http://www.nature.com/jid/journal/vaop/ncurrent/full/jid2011176a.html Hospitals turn to telemedicine for remote care of patients http://yourlife.usatoday.com/health/medical/story/2011/07/Hospitals-turn-to-telemedicine-forremote-care-of-patients/49052916/1 How Mobile Tech Can Fight War On Diabetes 31 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://www.informationweek.com/news/healthcare/mobile-wireless/231000793 How telemedicine helped a stroke patient http://www.kevinmd.com/blog/2011/07/telemedicine-helped-stroke-patient.html How to schedule nurses via text, phone, email http://mobihealthnews.com/11378/how-to-schedule-nurses-via-text-phone-email/ mHealth: iPhones to Provide Mobile Means for Monitoring Blood Pressure http://www.mobilemarketingwatch.com/mhealth-iphones-to-provide-mobile-means-formonitoring-blood-pressure-16425/ Nearly 70,000 Americans die needlessly each year because they are not given optimal heart failure therapy http://www.latimes.com/health/boostershots/la-heb-heart-failure06062011,0,4047246.story?track=rss New Home Health Aide Guide Offers Free Information And Resources For Home Health Aides And Caregivers http://www.webwire.com/ViewPressRel.asp?aId=140644 NEW TRANSPLANT TOOL: Smartphone images of donor organs can speed critical consultations http://www.lfpress.com/news/london/2011/06/29/18353746.html North Yorkshire patients reap the benefits of telehealth http://www.tpp-uk.com/latest-news-stories/north-yorkshire-patients-reap-the-benefits-oftelehealth/ Obesity Epidemic May Make Mortality Gains Short-Lived http://healthaffairs.org/blog/2011/06/23/obesity-epidemic-may-make-mortality-gains-short-lived/ Philadelphia's Temple University uses text messaging to reach underserved communities http://www.govhealthit.com/blog/philadelphias-temple-university-uses-text-messaging-reachunderserved-communities Remote Home Patient Monitoring for Home Health http://alarmsystemsblog.com/video/remote-home-patient-monitoring-for-home-health/07/30/ Remote monitoring of cardiac devices is catching on gradually, but it still has much to prove http://www.theheart.org/article/1247425.do?utm_source=feedburner&utm_medium=feed&utm_c ampaign=Feed%3A+Theheartorg+%28theheart.org%29 Report: Telemedicine companies should explore granting free trial period http://aerotel.blogspot.com/2011/08/report-telemedicine-companies-should.html Slideshow: Demos of Sprint's telehealth, monitoring IT 32 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS http://www.healthcareitnews.com/slideshow/slideshow-demos-sprints-telehealth-monitoring-it South London and Maudsley NHS Foundation Trust to empower mental health patients with online personal health record http://www.healthtechwire.com/The-Industry-s-Newsunb.146+M5378d254454.0.html?utm_source=twitterfeed&utm_medium=twitter Southern Telecare falls devices http://southerntelecare.com/html/falling_devices.htm Tech firms push 'e-health' to help boost medical tourism in PH http://ph.news.yahoo.com/tech-firms-push-e-health-help-boost-medical-044910615.html Telehealth benefits and adoption: Connecting people and providers across Canada http://read.chcm.ubc.ca/2011/06/29/telehealth-benefits-and-adoption-connecting-people-andproviders-across-canada/ Telemedicine broadband network construction to start (USA) http://pressrepublican.com/0100_news/x650358983/Telemedicine-broadband-networkconstruction-to-start The evidence base for telehealth and telemedicine in the management of obesity (WSDAN) http://www.wsdactionnetwork.org.uk/news/features/the_evidence_base_2.html The New Paradigm of Home Health Care http://www.ifoundmydoctor.com/articles/785/the-new-paradigm-of-home-health-care.aspx TIGER: Preparing nurses and health professionals to use technology & informatics to improve patient care http://www.thetigerinitiative.org/ Timeline: Medical milestones for the iPhone http://mobihealthnews.com/11290/timeline-medical-milestones-for-the-iphone/ Top 10 Healthcare Systems Are IT Innovators http://www.informationweek.com/news/healthcare/leadership/229900027 Tough targets can be hit say Fife fire service http://www.fifetoday.co.uk/news/localheadlines/tough_targets_can_be_hit_say_fife_fire_service_1_1706963 Transplant Patients Benefit from Telemedicine Follow-Up Care http://advancingyourhealth.org/transplant/2011/07/29/telemedicine-transplant-follow-upemory/?utm_source=twitter&utm_medium=cotweet&utm_content=transplant&utm_campaign=blo g 33 1 August 2011 1 August 2011 TELE HEALTH AND CARE – WEEKLY NEWS Tweeting about Health Care http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=27548 Using Information Technology to Improve the Quality and Safety of Emergency Care http://onlinelibrary.wiley.com/doi/10.1111/j.15532712.2011.01070.x/abstract;jsessionid=0DFF1FF24E6EFF5CA3F73091D6F7AB2C.d02t04 Note: Mike Clark is not responsible for the content of external links and there is no endorsement of any suppliers or their products. Any claims made by organisations should be carefully evaluated as part of normal commissioning and procurement arrangements. For further information about DALLAS: DALLAS - Delivering Assisted Living Lifestyles at Scale http://www.innovateuk.org/content/competition/dallas-delivering-assisted-living-lifestyles-atsc.ashx DALLAS _Connect Sub Group Join the Sub Group at: https://ktn.innovateuk.org/web/dallas For further information about the WSD Programme: www.wsdactionnetwork.org.uk (daily journal articles, evidence database, WSD news) Twitter: @clarkmike 34 1 August 2011