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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Jun 29 / 5:35am

Ten Principles for Fostering Development of an “iPhone­-like” Platform for Healthcare Information Technology

http://www.chip.org/platform

  1. Technology platforms that support substitutable applications should be promoted.

  2. Messages and protocols for data exchange should be allowed to emerge on demand in a market-driven approach, and specified transparently at every level.

  3. Protocols and application programming interfaces should allow the possibility of multiple platforms co-existing.

  4. Application programming interfaces should be open.

  5. Substitutable application or platform vendors should not have control over what is installed on the platform.

  6. Application installation should be turnkey.

  7. The intellectual property of platforms and applications should be kept separate.

  8. All applications should be removable and none should be required to run a platform.

  9. The platform should have a highly efficient delivery mechanism for applications.

  10. Certification requirements for platforms and applications should be kept minimal to maximize substitutability.
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Filed under  //  application   healthcare   iphone   mhealth   technology   webdev  

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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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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 11 / 2:10pm

Karl Brown (Rockefeller Foundation) on mHealth development

"Now that connectivity is no longer a hurdle, providers can and must work together to build integrated, interoperable systems, before the world ends up with a mishmash of incompatible efforts"
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Filed under  //  mhealth  

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Apr 22 / 1:50pm

Summary of some wireless/remote health monitoring devices

in random order
The Toumaz Sensium™ provides the complete technology platform to allow healthcare providers to monitor the human body continuously, wirelessly, intelligently and at low-cost – with the robustness and medical compliance associated with considerably more expensive capital equipment.
Sensium enables the development of a new generation of non-intrusive body-worn wireless devices that can continuously monitor multiple vital signs in real-time, and feed back high-quality information to health professionals via PCs, PDAs and cell phones.
ECG / Temperature / Blood glucose / Oxygen / ...
Sensium: low power sensor -> plug into PDA/smartphone (where data can be filtered)
System diagram: Wearable sensor nodes -> basestation -> linked to target stations
Sensium life pebble: ultra small size vital signs monitor -> Sensium USB adapter or data logger

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
(Sensor -> cellphone) Source: http://is.gd/tX05
LifeLink Monitoring offers a powerful suite of telemonitoring services to combat congestive heart failure, diabetes and hypertension. We provide immediate feedback to patients and accurate, objective data to clinicians.
Our telemonitoring services enable patients to monitor blood pressure & heart rate, weight, blood glucose and hemoglobin A1c at home, and to send objective data to clinicians over the telephone. Patients also report their subjective symptoms and medication compliance. 

Corventis develops wireless cardiovascular solutions that offer unprecedented visibility into a patients health status
PiiX™:  An unobtrusive, water-resistant, patient-worn device that adheres to the skin and automatically collects and transmits physiological information
Piix -> wireless communication -> zLink -> wireless communication -> data collection -> clinician
zLink™:  A small portable device (similar to a cell phone) that wirelessly transmits information received from PiiX to Corventis
Corventis Web Services:  A hosted application for data analysis and storage that also includes the Corventis website (www.corventis.com), which enables secure access to physiological trends and clinical event information for interpretation and diagnosis

CardioNet is the world's leading supplier of mobile cardiac outpatient telemetry. CardioNet provides the next-generation ambulatory cardiac monitoring service with beat-to-beat, real time analysis, automatic arrhythmia detection and wireless ECG transmission.
Sensor -> wireless monitor
CardioNet provides a comprehensive suite of post-symptom, looping, and auto trigger event monitors as part of its turn-key cardiac event monitoring service. 

For a monthly fee, the new MedNet Healthcare Technologies Service lets heart patients transmit data from their heart monitors to Bluetooth enabled cell phones that work on the AT&T Cellular Network. 
Older monitor systems by MedNet require patients to use a landline to connect to their monitor device in order to upload data. So it is hoped the new Bluetooth service would make it easier to keep cardiologists better informed about a patient’s heart health which could ultimately spot heart problems sooner.

Our vision is to revolutionize patient safety by enabling the early detection of deterioration in patients who are mobile and free to move about in the hospital or the home. With adequate warning of adverse events, clinicians can intervene more quickly and confidently and patient outcomes can be dramatically improved.
Triage Wireless Inc. has developed a new method for measuring continuous blood pressure without a cuff. The technology has expanded to become a platform for wireless body-worn patient monitoring. The company is funded and supported by a strong group of investors that include Qualcomm Ventures, Intel Capital, Sanderling Ventures, and 3i Group.
Now, Triage Wireless is developing a Rapid Response Monitor, ViSi TM,a wireless platform for continuous vital signs monitoring that keeps clinicians connected to their patients, whether in transport, in the emergency room or in general inpatient units.  Featuring comfortable body-worn sensors that allow for freedom of movement and multiple vital-sign capture, the technology also enables continuous accurate blood pressure measurement for ambulatory patients without the need for frequent cuff inflation.

Home Monitoring is an automatic telecardiologic service for efficient therapy management using the cellular phone network.
Cardio Messenger: The CardioMessenger® II connects the implant with the BIOTRONIK® service center. This exterior device receives the data sent by the implant (trend, event, or patient-initiated message) and forwards the information to the service center via the cellular phone network.
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Filed under  //  healthcare   mhealth   monitoring   wireless  

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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 20 / 2:00pm

Are we getting a digital motherboard on our body? « Mobile WellBeing

The Chilean based Company BioDevices recently unveiled Vital Jacket. A wearable vital-signs monitoring system. Is it comfortable yet? Vital Jacket uses microelectronics embedded into a T-shirt that will continuously monitor heart rate and electrocardiogram (ECG) waves of the wearer.

The Vital Jacket joins textiles with microelectronics. It was designed and developed to be a usable pragmatic approach for different clinical and normal life scenarios, in hospitals, home or on the move, that need continuous or frequent high quality vital signs monitoring from the patient or healthy subject. It can be used with fitness, high performance sports, security, and medical applications.

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Filed under  //  healthcare   mhealth   monitoring   wireless  

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Mar 9 / 9:16am

Google Translation of 10 trends in mhealth

1. Having mobile internet on your cellphone is more important than having a laptop 
2. The personal electronic patient file (EHR / EMR) will be a part of your mobile phone instead of a stick or web-based data.
3. Doctors are increasingly using mobile to faster diagnosis and quicker effective implementation of a treatment plan
4. 3G calling-with-images will be used by people and patients in emergency use as they are not in the vicinity of a doctor but require urgent help or medical advice. It can also be used as remotely control and diagnostisize.
5. Mhome and mtechnologie will replace the current, computer controlled, home automation. Everything in your own home with a Smartphone, domotics in the future will be the rule rather than the exception that people more independent in their own homes can continue to function.
6. mHealth, part of the eHealth replace.
7. MFitness applications will offer more results in the fight against obesity and will improve the sports and exercise than the regular gym.
8. The use of smart phones in care will greatly increase.
9. mHealth knowledge will open up faster in the care
10. mhealth the healthcare in Second and Third World access to a wider audience
MHealth the next revolution in healthcare, it will be the basis of many applications, it will save costs, the power of the Internet in the care and improves the quality of healthcare. I expect the first results of mHealth in 2009.


 

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Filed under  //  healthcare   mhealth   mobile   phr   trends  

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Mar 3 / 2:52pm

Microsoft’s HealthVault highlights AllOne Mobile mhealth

Crouse wrote that all speakers agree on one thing that the cell phone has become an indispensable tool not only for business but for each and every one of us in our personal lives… we are only now beginning to uncover its full potential in health; in the management of chronic diseases, as a tool for accessing timely information, as an essential device for capturing information, as a way to collaborate across time and distance, as a means to interact in new ways with our patients, and as a platform for education and entertainment. That’s a good summation of the mHealth opportunity.

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Filed under  //  healthcare   healthvault   mhealth   mobile   phr  

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