bartcollet’s posterous

bartcollet  //  Workflowhacking, mHealth, unwitching & Elderly Care

Aug 31 / 2:22pm

Increase possibilities of independent living by technology

Ambient Assisted Living
CAALYX aims at increasing older people's autonomy and self-confidence by developing a wearable light device capable of measuring specific vital signs of the elderly, detecting falls, and communicating automatically in real time with his/her care provider in case of an emergency, wherever the elderly person happens to be, at home or outside.
TRAIL In TRAIL, we develop innovative research that explores the implications of these changes and how they can promote sustainable collaboration between public, private and voluntary service providers. We utilise academic, business and community partnerships focused on participative research and design, encompassing living lab and open innovation methodologies and practices.
PERSONA aims at advancing the paradigm of Ambient Intelligence through the harmonisation of Ambient Assisted Living (AAL) technologies and concepts for the development of sustainable and affordable solutions for the social inclusion and independent living of Senior Citizen, integrated in a common semantic framework.
Grand Care The GrandCare system supports standard protocols which means that the list of supported sensors will continue to grow. Depending on the situation, we will provide sensors based on wireless X10, powerline X10, Zwave, or Zigbee standards. You can always start small and add new sensors as the situation requires.
eNeighbor (Healthsense wi-fi) Healthsense Integrated Solutions offers completely integrated systems including: Wi-Fi Wireless Nurse Call, Remote Monitoring, Telehealth and campus-wide Wi-Fi communication. These systems are scalable, flexible, and based on proven open network communication standards.
Fall prevention
Artesis + VUB Accelerometer based gait analysis
myHalo is a step ahead for you and your caregivers and it brings the future home. This is the only system offering automatic 24/7 vital signs and activity monitoring, including advanced fall detection. That means, you don’t have to push a panic button, because the system already knows when you have fallen.
U.Va.'s School of Engineering Wireless body sensor networks that monitor gait, being developed by University of Virginia researchers, could offer a solution on both fronts.
GE Ecumen Quietcare Video shot at Ecumen's Lakeview Commons community in Maplewood, Minnesota, was shown at GE and Intel press conference announcing proactive health technology partnership between the two companies. 
GeriatricAssistant (bug labs) This application is the combination of various geriatric assistance ideas(two to be exact). The first function of the application is a more modern “I’ve fallen and I can’t get up” device which actually attempts to detect when a fall has occurred using the Motion/Accelerometer module. If a fall is detected, a log is posted to a tumblr account complete with an image which pin-points the location of the fall based on the GPS coordinates retrieved from the GPS module. The second function of the application is used to help people with memory issues (Alzheimer's patients, etc.) by recording images throughout the day and allowing them to review those images in rapid succession before they go to bed, which has been proven to help increase their recollection of events.
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Filed under  //  healhcare   health   mhealth   mobile   wi-fi   wireless  

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Jul 1 / 3:35pm

Google mapping links, tools and healthcare use

Mapalist is a wizard for creating and managing customized Google maps of address lists

KMLCSV Converter is a free open source software that enables you to convert Google Earth KML file to a formatted CSV file (and vice versa). This CSV file can then be uploaded into your Garmin GPS by using Garmin POI Loader, which can be downloaded for free. This allows you to easily plot all custom point of interests (POI) through Google Earth first before transfering them into your Garmin GPS. For further instruction in how to use to do so, please refer to the Tutorial.

Use Yahoo pipes to display a Google calendar in Google Maps. Praise for Tony Hirst

XML to XLS conversion is easiest with Excel

Examples
New York citywide hospitals: here
Belgian carehomes (dutch): here
Google maps H1N1 Swine Flu tracker: here
Health Informatics Events calendar KML file (copy link and paste it in the Google Maps search window): http://is.gd/1kSGj

If you know more examples, please add.
Thanks!
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Filed under  //  application   google   google maps   healhcare   map  

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Jun 20 / 8:21am

DIY Telemedicine for at home monitoring

I think there’s giant market for DIY wireless healthcare monitoring @ home. 
Call it a Nokia Sports Tracker framework, with additional health monitoring functions and professional follow up.
People with broadband routers can buy devices (fitness, weighing scale, heart monitor, glucose meters, accelerometers, ...) that interconnect with the router via Wi-Fi.
Companies can offer:
  • non-expensive devices that are easy to use and install
  • services/platforms for interpretation of the data (and sharing?)
  • guidance/advice for end-users
  • alarm-procedures/interventions
Simplicity = key

What effect will this have on government spending?
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Filed under  //  business   healhcare   mhealth   monitoring   wireless  

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Jun 18 / 3:43pm

ROI of social media in healthcare #bbmtehc

ROI
  • Volunteers / Fundraising / Charity
  • Get media coverage (= also reputation?)
  • Expectancy / Reputation / Credibility
  • Patient guidance + empowerment
  • Blurring lines of geograpical borders / limitations (= also reputation?)
  • Follow up negative comments + conversation in general (= also reputation?)
  • Teaching / Education
  • If someone is searching for you on web, and doesn’t find you, you don’t exist! Ditto w/social media
REMARKS
  • Four primary social media tools for hospitals--Facebook, You Tube, Twitter, and blogs.
  • Doctor engagement when low cost in terms of time (flip video in stead of blog postings)
  • ROI <-> ROC =Return on Connections
  • Not focus on 1 medium, fast switching (ex. from MySpace -> Facebook)
  • "Social media is the 21st century evolution of Word of Mouth." -@LeeAase
  • "Our first step (at MD Anderson) was to think about identifying our audience. What content are they interested in?" -@JennTex
  • @JennTex - your hospital's target audiences will influence or dictate which #sm aand #hcsm sites & tools you will use
  • Loss of "control" difficult for many #hospitals to accept
  • The end of traditional "Push-only" Web sites
  • One great idea, use unique 800#s to measure interest from Social Media channels
  • should use more than just number of friends to track success, but use landing pages ie. specific url's to drive traffic and measure / Using a landing page in a tweet allows you to track the users activity on the site after they've followed the lead
  • How about Cost Of Not Investing in social media? / What's the "Return on Ignoring"? ==> 40% decrease in visitors after stopping sm activities
  • HIPAA is concern in tweeting medical and surgical procedures; but not significantly differ from video and articles from procedures
  • Love use of the word "moderate" rather than control. Too many ppl feel the need to control SM
  • Most effective videos come from simple cameras, person telling story in powerful, honest and truthful way. No polish.
LINKS
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Filed under  //  healhcare   health2.0   hospital   ROI   social media   twitter  

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May 14 / 12:54pm

The two most important lessons in mHealth… « 3G Doctor Blog

> If the patient cannot readily identify the benefit of a new healthcare IT system they will not use it – even if it is free at the point of care.

> If the work flow of front-line healthcare worker is not improved by using a new mobile healthcare system then they will not use it.

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Filed under  //  development   healhcare   mhealth   userfriendly   workflow  

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May 6 / 12:51pm

Defining “Meaningful Use" of Health IT | Trusted.MD Network

I contend that we should follow a path of radical innovation focused on developing secure, economical, interoperable, speedy, convenient, flexible, modular, ever-evolving, and easy-to-use HIT systems that fit into clinician's natural course of work (workflows). These radical innovations should provide continually evolving patient-centered cognitive support by:

  • Managing complete personal health information (PHI)
  • Supporting researchers and clinicians collaborating in loosely-coupled professional networks
  • Enabling development and management of computational models used by clinicians for cognitive support
  • Exchanging the computational models in loosely-coupled networks of clinicians and researchers
  • Fitting into clinical workflows.

Great summing up. Add "transparancy" (or quality by transparancy) to the mix and the conclusion is complete.

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Filed under  //  application   healhcare   hit   hospital   phr   software  

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Apr 22 / 2:25am

Lifelink: 3G-Based Mobile Telemedicine System (cardiac patients)

Lifelink, a mobile real-time telemonitoring and diagnostic facility, linked by mobile phones, was evaluated. Thirty 2-hour electrocardiogram (ECG) signals from cardiac patients were analyzed using detrended fluctuation analysis. This analysis detects long-range correlations embedded in non-stationary temporal series. The patient population was categorized in three classes: healthy, congestive heart failure, and atrial fibrillation. This system permits a physician to evaluate the mobile phone–based system as a novel approach to analyze ECG at a distance.

Current wired telemedicine systems encounter difficulties when implemented in archipelagic developing countries because of the high cost of fixed infrastructure. In this research, we devised Lifelink, a mobile real-time telemonitoring and diagnostic facility to command and control remote medical devices through mobile phones. The whole process is phone-based, effectively freeing offsite medical specialists from stationary monitoring consoles and endowing the system with the potential to increase the number participating consultants. The electrocardiogram (ECG) readings are analyzed using a detrended fluctuation technique and classified into pathological cases using an unassisted K-means clustering algorithm. We analyzed 30 batches of 2-hour ECG signals taken from cardiac patients (20 males, 10 females, mean age 46.7 years) with pre-diagnosed pathologies. The method successfully categorized the 30 subjects without user intervention into the following cases: normal (at 86.7% accuracy), congestive heart failure (86.7%), and atrial fibrillation (80.0%). The synergy of mobile monitoring and fluctuation analysis presents a powerful platform to reach remote, underserved communities with poor or nonexistent wired communication structures. It is likely to be essential in the development of new mobile diagnostic and prognostic measures.

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Filed under  //  healhcare   mhealth   mobile  

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Mar 25 / 1:54pm

Could the Mintpad excel in healthcare? #mhealth

Korean firm mintpass are planning to bring their super-compact mintpad touchscreen device to the US.  The 90g palm-sized mintpad has a 2.86-inch display, handwriting recognition, WiFi b/g and a 1.3-megapixel camera, and according to the company is currently being Anglicized for foreign markets.  The mintpad went on sale in Korea back in November 2008, priced at just 199,000 KRW ($143).

143 DOLLAR TOUCHSCREEN + HANDWRITING + WIFI

Big enough display + sweet price + excellent for registration of care OR consulting info

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Filed under  //  healhcare   innovation   technology   touchscreen  

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Mar 16 / 9:18am

4 steps to cure surging health costs - The Boston Globe

Electronic medical records. Building and using a system of electronic records with decision support features to prompt and guide physician behavior is critical to controlling costs and improving quality and efficiency. At Partners, all primary-care physicians use electronic medical records; they are already seeing some results in reducing unnecessary medical expenses. For example, software is being piloted at Massachusetts General Hospital that automatically searches for a similar exam when physicians order a high-cost radiology test. In early experience, this decision support has reduced follow-up tests by 10 percent.

There is more to do in utilizing the full cost-control capabilities of this technology and in working with other hospitals and physicians to expand the use of electronic records and make systems interoperable.

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Filed under  //  cost   healhcare   hit   phr  

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