Trends in Healthcare Privacy and Security

A review by Government Health IT recently discussed the top ten trends in healthcare privacy and security.  You can find the top ten below, as well as the full article on their website.  It certainly raises a very interesting topic as we move forward into the new year.

Privacy and security are undoubtedly one of the biggest issues in the development of new technology.  In this increasingly connected world, it is essential that personal information be kept safe and secure.

I also can’t help bu think that the lack of mHealth specific guidance in one of the things keeping major breakthroughs from happening.  That being said we are starting to see approval of apps by government agencies that should create the framework for hard and fast legislation.

In the end, the most important aspect of this all is that patient privacy and security effectively protects the patient as well as the healthcare provider.

Top Ten Trends in Healthcare Privacy and Security

1. More policing, more penalties, OCR-style.

2. Increase in healthcare data breaches.

3. A wider use of mobile devices in medicine.

4. Massive-scale data breaches in healthcare.

5. Greater patient awareness.

6. Taking protected health information (PHI) to the cloud.

7. Increased use of business associates (BAs).

8. OCR starts the HIPAA audit program.

9. The use of cyberliability insurance to manage data breach risks.

10. Data breaches are costing hospitals more than ever.

December 28, 2011 I Written By

International mHealth vs. Domestic mHealth: Should Borders Define Our Efforts?

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mHealth is quickly becoming one of the most exciting parts of the healthcare industry, but according to this article, there is a competitive nature between mHealth developers internationally, versus those in the US.  There are a couple of very interesting points that are made by Kate Otto in her piece.

However it is crucial to note that the world is no longer divided, and perhaps never even was, by the boundaries of America vs. the rest, or developed countries vs. developing, or rich vs. poor nations. Within every country’s borders there are marginalized communities in need of improved access to quality healthcare. And this is where the true promise of mHealth lies: in deeply understanding the needs, behaviors, and norms of people at most serious risk of disease and death.

Healthcare is by no means the only arena where there can be a sense of America vs. everyone else, but of all industries shouldn’t doctors be the ones to look past any competition, real or perceived, to do what is best for the patient?  And maybe that is the difficulty in this area: developing tools that truly benefit the patient, but are also profitable.  If there is no profit in the business why would anyone be interested in pursuing it?

Sharing and discussing research designs and methodologies is even more crucial for this fast-moving field. As several Summit sessions discussed, testing specific tools, that could be rendered obsolete in a matter of months, will be a less useful tactic than testing how phone functionalities (adaptable to different devices) can impact health outcomes.

This is something I hadn’t really considered yet seems so obvious.  Technology is developing so rapidly that what is hot news today is old hat within a month or two.  Healthcare will be no different, which is why it is essential that the focus come back to the patient and their needs.  Along those lines, it is also essential that doctors be involved in development to ensure that new developments provide real value.

But I hope that by next year’s mHealth Summit, the mHealth community’s conversations are comparing not just geographic struggles, but strategies to understand end-user experience, human behavior, and how people function before technology enters the picture, no matter where they are on the planet. That way, we can fall into line not as two separate camps of international or domestic people, but more effectively, as thepeople-people.

This summarizes the whole message quite well.  Healthcare is not something that should be compartmentalized by the borders that we have established.  People are people no matter where they are, and technology should not impact that.  All that should matter in the development of mHealth is that people are being taken care of, and their needs are being fulfilled.

December 26, 2011 I Written By

Future of mHealth Dependent on Interoperability and Use of Available Technology

My education in the healthcare industry is still somewhat in its infancy, but I really enjoy learning about mHealth in particular.  This probably stems from my general love of technology, but also from my fascination with business and watching companies and industries grow.

One of the biggest stumbling blocks with mHealth is there are way too many people developing products rather than businesses.

One of my favorite shows is Shark Tank which gives everyday people the opportunity to present their business to billionaires looking for an investment of some sort.  One of the most common comments the investors make is that the person has a product and not a business.  It is such a thin line but essential to true success.  Products of some sort are essential to a business, but they are not in and of themselves a business.

That is the problem with most of the companies in mHealth at this point.  There are tons of apps and gadgets and other fun things out there, but there is no one company that is trying to bring it all together.  Interoperability is the real basis of success in this industry.  Having to go to ten different companies for your healthcare needs is no different from what we have always had, except you are using electronics instead of paper.

While that is a step in the right direction, it is not the level of change that will be needed for real success in the industry.  There will inevitably be more companies that fail than succeed, as is the case in any industry.

The healthcare industry is very similar to aviation in this area.  The air traffic control system is essentially the same system that has been in use for decades.  While there have been great advances in technology, namely GPS, we still use the same archaic tools that keep the industry inefficient and cluttered.  Clearly major advancements have been implemented in terms of aircraft and related systems that make air travel faster and safer, but we are not even close to using all of the tools available.

There are plans in development to better use the improved tools that are available, but they have still not been widely implemented for numerous reasons.  Instead aviation remains inefficient and the consumer is the one who suffers in the form of increased costs with reduced service.

Healthcare is quickly following the same path.  While there have been amazing developments in the technology doctors use on a day-to-day basis, the system itself is still incredibly inefficient.

That being said, I have great hope that this will change in the coming years.  As more major companies like AT&T, Qualcomm, Verizon, etc. become involved in the industry we will start to see the real breakthroughs that will give mHealth its legitimacy.  What will be even more incredible is when some of these tech companies really link up with traditional healthcare companies that have real power in the industry.

About a decade ago eHealth companies were all the rage, and now they are all essentially gone.  While there is no guarantee that mHealth will not end up the same way, you have to think they stand a better chance.  Smartphones are an increasingly essential part of everyday life for almost everyone.  It only makes sense to include healthcare in that arena.

December 22, 2011 I Written By

Flagstaff Medical Center to Send Patients Home with Smartphones

Smartphones are amazing tools that can do amazing things to help people in need, but if the patient can’t afford one, or doesn’t see the need then it really doesn’t matter how great they are.  One hospital in Arizona is trying to overcome that stumbling block by sending patients home with all the technology they need.

Flagstaff Medical Center’s Care Beyond Walls and Wires initiative is designed to help patients in more rural areas receive the care they need without having to repeatedly come into the hospital.  Here are some of the highlights from the press release:

In collaboration with Qualcomm Incorporated, through its Wireless ReachTM initiative, Zephyr Technology, Verizon Wireless, and the National Institutes of Health (NIH), Care Beyond Walls and Wiresuses advanced 3G wireless technology and health-monitoring devices to enhance the care of patients with congestive heart failure (CHF) or other related conditions.

Care Beyond Walls and Wires uses wireless broadband tools, such as smart phones and 3G technology, to allow in-home daily monitoring of patients with CHF. These tools will collect and transfer critical data, such as weight, blood pressure, activity and other important health indicators, to nurses at FMC who are following patients enrolled in the program. Information will be sent daily for three to six months after the patient’s discharge from the hospital. This daily exchange of information enables health care providers and patients to work together to manage CHF.

According to the Federal government, 25 to 50 percent of CHF patients are rehospitalized within three to six months of a hospital discharge. The primary reasons for rehospitalization include patients not taking medications as prescribed, failure to follow a dietary plan, not knowing the early signs of CHF and lack of planned follow-up with a healthcare provider after leaving the hospital. Each of these factors can be addressed on a daily basis through Care Beyond Walls and Wires.
Each monitoring kit includes: 3G-enabled Motorola Droid X2 smart phone, provided by Verizon Wireless, with a mobile application that allows patients to rapidly record and send information to FMC via a secure Internet portal; an oxygen and pulse monitor; blood pressure cuff; and weight scale. Additional items in the kit may include an advanced Zephyr health-monitoring system to measure other vital signs such as breathing rate, skin temperature, activity and posture.
While I really like the idea, and I personally am a fan of technology in any form, I am not sure how effective this will be.  It said in the article that one of the main problems patients have is taking their medication properly and failure to follow recovery plans.  If people are unable or unwilling to do those simple things, how likely are they to use all of this new equipment, or enter the data and send it to the doctor.
It seems to me that the people who are most likely to benefit from technology like this are people who already do what they are supposed to do, but are willing to put forth more effort to take their care to the next level.  That being said, if it helps to save any lives then the effort is definitely worth it.
December 20, 2011 I Written By

Aldebaran Robotics Launches NAO Next Gen: Can Aid Those with Autism

All I can say is I found what I want for Christmas.  I realize it would probably cost enough to take up all of the Christmases for the rest of my life, but it would be worth it.  It even has medical application as it can be used to help serve care organizations for the elderly, or even those with autism.  The full press release is below, but check out this video, and tell me you don’t want one. If anyone wants to get one for me, I would be happy to push it to its limits to find out what it can do.

 

 

Press Release:

Aldebaran Robotics, the world leader in humanoid robotics, has released its latest version of the NAO robot — NAO Next Gen. The power of NAO Next Gen, the new fully programmable humanoid robot that has the most extensive worldwide use, is opening up new perspectives and fields of application for its users.

(December 9, 2011 – Paris, France) “The inception of this new generation of NAO robots means a lot to our company. We are proud to be in a position to provide our customers with endless options, whatever their sector. With NAO Next Gen coming of age, we shall be able to make it serve organisations that care for autistic children and those losing their autonomy. I created Aldebaran Robotics in 2005 with this aim: to contribute to humankind‟s well-being,” states Bruno Maisonnier, Founder and Chairman of Aldebaran Robotics. See pictures: http://www.aldebaran-robotics.com/en/Pressroom/Photography/nao.html

Three years after it started selling its first NAO models, the company has sold 2,000 robots worldwide. Aldebaran Robotics has now released the latest generation of its programmable humanoid robots, which is intended for research, teaching and, more generally, for exploring the new area of service robotics.

Stemming from six years of research and dialogue with its community of researchers and users, NAO Next Gen is capable of a higher level of interaction, thanks to increased computing power, improved stability and higher accuracy. Therefore, the latest version of the NAO robot widens considerably the range of research, teaching and application possibilities made available to specific user groups.
One of the NAO Next Gen‟s novel and most remarkable features is the fact that it is fitted with a new on-board computer, based on the powerful 1.6GHz Intel® AtomTM processor, which is suitable for multi-tasking calculations. It also has two HD cameras that are attached to a field-programmable gate array (FPGA). This set-up allows the simultaneous reception of two video streams, significantly increasing speed and performance in face-and-object recognition, even under poor-lighting conditions.

As well as its innovative features with respect to hardware, NAO Next Gen boasts a new, faster and more reliable vocal-recognition programme called Nuance. This programme is coupled with a new functionality known as „word spotting‟, which is capable of isolating and recognizing a specific word within a sentence or a conversation.

“On top of this new hardware version, we shall be delivering new software functionalities like smart torque control, a system to prevent limb/body collisions, an improved walking algorithm, and more. We have capitalised upon our experience and customer feedback in order to deliver the most suitable and efficient platform. In terms of applications especially at high-school level, we are focused on educational content, while, when it comes to improvements in personal well-being, we are working on developing specialized applications,” explains Bruno Maisonnier.

“We are also pursuing our goal to provide a NAO intended for individuals through the Developer Program — a community of programmers who are working with us today to invent tomorrow‟s personal robotics,” adds the chairman of Aldebaran Robotics.

About Aldebaran Robotics

Founded in 2005 by Bruno Maisonnier and with offices in France, China, Japan and the United States, ALDEBARAN Robotics designs, produces and commercialises autonomous humanoid robots with the aim of contributing to the well-being of humans. Today over 2,000 NAOs are in use throughout the world as research and educational tools in 45 countries. ALDEBARAN Robotics brings together more than 150 staff, including 60 engineers and PhDs, who are involved in the development and production of the robots.

For further information, visit: www.aldebaran-robotics.com

December 14, 2011 I Written By

“Macaw(TM)” Launched by U.S. Preventative Medicine as the Ultimate Health Hub App Enabled by Qualcomm Life

Earlier this week I wrote about Qualcomm’s venture into the healthcare market with the launch of Qualcomm Life.  Well, they have wasted little time in making their mark on the mHealth market.  Yesterday they announced the release of a one-of-a-kind mobile health app: Macaw, which was developed in conjunction with U.S. Preventative Medicine.

The difference between this app and the myriad other apps out there is that it is a full personal health monitor.  Macaw not only tracks activity, it covers the full range of health information.  It brings together all of the information from health and fitness apps, plus lab results and wireless devices.

In this world of instant information people are looking for a one stop shop for healthcare just like everything else.  Macaw appears to be exactly that type of app.  Here are some of the highlights from the press release:

Features include:

7 questions to quickly assess your health

GPS to track exercise

Ability to set goals and track weight and calories

Reminders about recommended preventive screenings based on age and gender

Activity and knowledge cards that unlock chances for weekly prizes

Additional features for members of The Prevention Plan include:

A link to the Prevention Score, a unique tool that tracks an individual’s prevention efforts and key health indicators throughout the year

Activity auto-uploaded to The Prevention Plan

Exercise, weight and calories tracked

The Prevention Plan is a clinically-based program designed to help people live healthier lives and avoid having health issues in the first place.  By tying this program into an app on smartphones it only makes it easier for users to actually accomplish what they set out to do: live a healthier life.

I have used a few different apps and gadgets like this, but I am really excited to see how effective Macaw really is.  The fact that it is free only makes it that much more interesting.

Macaw is currently available on the iPhone as well as Android systems.

For the full press release please follow this link.

December 8, 2011 I Written By

Qualcomm Announces Healthcare Subsidiary and Wireless Connectivity Platform

Qualcomm is one of those companies that I don’t really think about when it comes to major companies, but they are definitely a major player in the wireless community.  I think it is because most of the time their technology is supporting a more major product.

According to an article on mHealthWatch, Qualcomm will be stepping away from the support role by launching a wholly owned subsidiary focused on wireless healthcare called Qualcomm Life.  This launch is tied directly with their release of a wireless connectivity platform.

This new platform will allow users to have wireless connectivity without needing a wireless carrier and paying for data, or even needing a password to use Wi-Fi networks.  If this technology sounds familiar that is because it is; Amazon uses the same technology in the Kindle e-readers, developed for them by Qualcomm.

This provides a whole new level of accessibility for existing devices, and for those that may be in development.  One of the biggest benefits to companies considering using it is that it has already been approved by the FDA, including meeting the security and privacy requirements that are so important in healthcare.

Providing this type of wireless connectivity takes so much of the guesswork out of developing devices.  Developers don’t need to create apps for iOs and Android and Blackberry and, you get the point.  It won’t matter what carrier a patient has either.  They can just get the devices that they need and not worry about it.

With this entry into the market by Qualcomm it will be really fun to see the type of things they create.  Wireless connectivity is an essential aspect of new medical devices, and advances like this are only going to make the market more interesting.

December 6, 2011 I Written By

Centricity Radiology Mobile Access Receives FDA Clearance for Advanced, Diagnostic CT and MR Image Review

GE is one of the oldest countries in America.  They have led the way in so many technologies that it is really no surprise that they are leading the way in mHealth apps.  GE Healthcare announced yesterday that their Centricity Radiology Mobile Access App has received FDA clearance for Advanced DiagnosticCT and MR Image Review.  This is not the first app to receive clearance, but it is probably the most important thus far.

A recent study from ABI Research predicted that the mobile health app market is on track to hit $400 million by 2016 (up from $120 million in 2010), and with that much money on the table, you have to think major companies are looking to see how they care share the wealth.  One thing that is undoubtedly holding some companies back is not knowing what regulations are going to be placed on mHealth apps.  With the Centricity Radiology Access App receiving their 510(k) clearance I have to think more companies will be following suit ver quickly.

While there is still some uncertainty as to what regulations may still be coming, announcements like this have to embolden other companies to get their own apps on the market.  We aren’t just talking about apps that measure your exercise, or give you tips about staying healthy.  These are apps that can greatly enhance patient experiences, drastically cut diagnosis times, decrease pain, and possibly even save lives.

The app allows radiologists to provide review and diagnose images while away from their hospital workstation within moments of the scans being taken, reducing test result wait times.  Most of your time as a patient is spent waiting for various phases of the visit to take place.  If they can dramatically decrease the amount of time it takes for tests to come back then the whole process will be expedited.

From the press release:

Centricity Radiology Mobile Access 2.0 is the industry’s only mobile product with clearance for primary diagnosis that accesses images and reports from Centricity PACS. This new mode of access removes a sizable productivity barrier for an increasingly mobile field.

“This application and its diagnostic clearance provide further validation of our continued investment in our Centricity PACS platform,” said Don Woodlock, Vice President and General Manager of GE Healthcare IT. “As a native application for the Apple iOS and Android operating systems, Centricity Radiology Mobile Access requires very little training and, we believe, provides a more productive user experience versus an emulated Windows application that was designed to be driven by a mouse. Today, Centricity PACS stores one in five exams in the US. These advanced wireless capabilities will only expand its utility.”

While this is clearly of great benefit to the radiology community, it is important news for the mHealth industry as a whole.  I have said for a long time that the real boom of mHealth will be when the major companies put their minds and money behind development to generate apps that truly help save lives.  Seeing more apps receive their 510(k) clearance from the FDA will only help push the movement forward.

December 2, 2011 I Written By