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Online Diagnosis and Treatment App – Zipnosis

I was recently introduced to an online diagnosis and treatment app called Zipnosis. The video embedded below does a pretty good job describing how the app works and what they’re trying to do with the company.

In some ways, this technology reminds me of Vinod Khosla’s famous quote that “technology will replace 80 percent of doctors.” In the case of Zipnosis, it seems that the technology isn’t quite replacing the doctor, but it’s one step closer to being able to do so. I’m not sure if that’s their vision, but you can see how this could be the start of a very interesting algorithm that could treat patients.

I’m sure many people reading this are wondering how a doctor can treat someone who they’ve never talked to, met, touched, etc. In fact, it seems that with Zipnosis the doctors is treating and prescribing for a patient who has just filled out what amounts to an online form (in the form of a mobile app). Lest you get too concerned, here’s the list of conditions they treat:
Zipnosis Online Diagnosis Treatment Options

I’ll be interested to see how this list expands and contracts. No doubt, there are a lot of situations where a form on a mobile phone is probably more than enough to treat the patient. Add in pictures and you have a bunch more things you can treat. Add in other external devices and you can treat even more. I’ll be interested to watch Zipnosis and see how they expand and how the market responds to what they’re offering.

October 22, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Creating mHealth Apps That Do Something for You

There was a great LinkedIn discussion happening around the Fitness Tracker Fallout post that I did previously. One of the comments by Dean Tucker, Founder & CEO at MyNightCare, LLC, provided some really interesting insights into the mHealth app market:

The focus of the current crop of devices and apps requires one to “do” something, engage in a social competition, analyze our own data, and follow advice from someone or something we don’t know or trust.

The secret to successful apps and their utilization will be revealed when the apps and tracking devices the apps rely upon provide the answer to the question, “what does this do for me”, rather than telling me, “here is what you need to do.” What I want is the ability is to have a life monitoring ecosystem, with the sensors and devices we already have in our lives, complemented by new passive sensors, and the active tracking devices we choose to use, when we want or need them. That is where Apple, Google, Samsung, and all of other aggregators, will play the lead role. The supporting specialty apps will be there for when I want to drill down, or focus on a particular activity or health related issue.

What a powerful concept to consider. Most apps could really benefit from thinking about what the mHealth app can do for the user as opposed to what the user needs to do for the app. That’s not to say that the user shouldn’t have any involvement in doing something with the app. However, it takes a very specific situation and motivation for a user to be willing to do the work before receiving the reward.

Dean is right that we’ll see an amazing shift in fitness tracking once the devices collect the data automatically with no intervention from the user. We’re heading that direction and those that master that kind of health tracking are going to be the big winners.

October 16, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

3D Printed Heart Saves Child’s Life

No, they didn’t print a 3D printed heart that they could put inside a patient (maybe that will come one day), but this is still a great story. They 3D printed a model of a heart to help the surgeons prepare for heart surgery. Here’s an excerpt from The Independent article:

Surgeons at a New York hospital have credited 3D printing with helping to save the life of a 2-week-old baby who required complicated heart surgery.

Using MRI scan data, Morgan Stanley Children’s Hospital in New York City 3D printed a copy of the child’s heart, which was both riddled with holes and structured unusually.

Surgery was going to be complicated and dangerous, but this 3D printed heart provided the surgeons the opportunity to study the organ, and develop a detailed surgery strategy.

“The baby’s heart had holes, which are not uncommon with CHD, but the heart chambers were also in an unusual formation, rather like a maze,” Dr Emile Bacha, who performed the surgery, told Connecticut local media.

Really cool stuff. The article also noted that normally this type of surgery would have required multiple operations to complete. With the 3D printed heart, they were able to repair the baby’s heart with one operation.

I’d never thought about using 3D printed objects for teaching, learning and preparing for surgeries. It makes a lot of sense and is a really great innovation. I love when technology comes together and benefits us in ways we likely wouldn’t have expected.

October 8, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Cerner Wellness Integrates with Apple’s HealthKit

When Apple announced HealthKit, they announced a few healthcare partners including Epic. Many thought this was an interesting announcement, but I was (and still am) skeptical that anything really meaningful will come. As one person put it, we’re suppose to be excited that two of the most closed companies in the world are working together?

I recently saw the news come out that Epic’s main competitor, Cerner, announced that they’d integrated with Apple’s HealthKit. In fact, I believe their integration seems to have come out before Epic’s integration (unless I missed it, or maybe Epic just likes to keep quiet). Here’s a short excerpt from the Cerner announcement:

To me, HealthKit is about making it more convenient to manage your health and wellness, and share that information with the people that are helping you reach your goals. It’s less about trying to get real-time clinical insights or make new diagnoses. HealthyNow has the features that consumers and wellness experts are looking for in these apps, and by integrating with HealthKit, we’ve opened up the experience to a whole array of health apps for our members to choose from. This integration enables the feeding of key health metrics into our platform for sharing with health coaches, earning of incentive points, and identification of new opportunities to improve your health. By promoting healthier habits, consumers lower their premiums, health plans reduce their spend on treating avoidable diseases, and everyone lives a healthier life. (emphasis added)

The details on what Apple’s HealthKit would really do have been pretty foggy. Although, this paragraph illustrates where I figured HealthKit was going. Notice the part of the quote where I added emphasis. Cerner is just looking to suck data from HealthKit into Cerner. Maybe they have future plans to make Cerner data available to HealthKit, but the announcement seems to say they haven’t done so yet. This one way interface is exactly why I’m skeptical that HealthKit will really have a huge impact on healthcare.

What do you think? Have any of you integrated with HealthKit? I’d love to see if you have other views of where HealthKit might be headed.

October 1, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Difference Between Google Fit and Apple Healthkit

There’s an article on iMedicalApps which looks at both Google Fit and Apple Healthkit’s offerings. The cliff notes version is that they both store the information in a very similar way (standard format based on type of data). The big difference is that Apple Healthkit also has an Apple Health app that provides a user display of the health data that’s being stored. Google has opted not to provide such an app, but to allow the app ecosystem to take care of it instead.

This shouldn’t really be a surprise. Apple has always been about providing the fully integrated experience. Google has always been about opening up their data and empowering a community of developers to innovate on top of that ecosystem. Look at Android vs iPhones to see what I mean.

These differences aside, I was intrigued by the idea that Apple Healthkit and/or Google Fit would basically create a standard for health data. You can imagine they’re starting with simpler data elements like heart rate, blood pressure, and other fitness measures like steps. I haven’t seen a full list of the various health data they’re standardizing, but it would be interesting to see.

I’m particularly interested to see how they handle a standard for more complex health data. Even something that many might consider simple, like blood pressure, has its own complexities. It’s more than just two numbers. How was the blood pressure taken? Was it sitting, laying down, or standing? Was it the wrist, arm, etc? Depending on what you’re doing this might not matter, but in other cases it does. Does their standard take these things into account?

The challenge for Google, Apple, and any other company that’s working in this space is making sure that the data they collect and share can be trusted. If there’s no trust in the data, then it doesn’t matter how much or what data you collect. A half baked standard leads a lot of healthcare professionals to not trust the data.

I’m hopeful that Google and Apple have put some serious, thoughtful effort into their health data standards. If someone knows where I can find those standards, I’d love to see them.

September 25, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Goggles Help Surgeons See Tumors

I found this great article on the BBC news site which talks about a new Goggle technology that helps surgeons “see” cancer cells in their patients. The article is a bit old (April), but it’s a fascinating look at the amazing power of technology to transform healthcare.

Here’s a short excerpt of how the technology works:

In the study, patients are being injected with a dye before their surgery. The dye has a peptide – a small protein – attached to it that allows it to seek out and bind specifically to cancer cells.

The dyed cancer cells emit light at a wavelength that cannot be seen by the human eye, but can be detected by a sensor in the goggles worn by the surgeons.

“The sensor captures the fluorescence from the dye lodged in cancer tissue and projects the image into the surgeon’s [field of] view,” explained Dr Achilefu.

“This creates an augmented reality that allows the surgeons to see cancer cells glowing, providing real-time guidance during surgery.

The article does note that we still need a much larger set of patient trials for this technology to go mainstream, but it’s easy to see the potential.

I love these types of genius approaches to the use of technology in healthcare. The mix of technology with science is such a powerful combination. Unfortunately, we don’t have a lot of organizations that are doing a great job bridging both sides of the healthcare community. Are there other examples where you’ve seen the mix of science and technology in healthcare?

September 17, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Apple Watch and Other Apple News

Yesterday you probably heard that Apple came out with the new iPhone 6, Apple Pay, and the new Apple Watch. The iPhone 6 wasn’t terribly exciting. They have some new form factors that are similar to what Samsung’s been doing with the Android and will be a pain for developers who have to deal with multiple form factors. The iPhone 6 also has a bunch more storage.

Apple Pay is an interesting announcement since it has the chance to really change the way we pay for things. I’m still torn on how retailers and consumers will adopt the technology, but it’s a big bet and could really revolutionize the way we buy things. Our phone literally could become our credit card like many have envisioned for a long time. Of course, the recent iCloud leaked celebrity nude photos was bad timing for the announcement that Apple wants you to use your iPhone as your credit card. In reality, they are two very different security issues, but for the consumer that will get lost in the discussion.

The bigger news from a health standpoint is the Apple Watch (they chose not to go with the iWatch name). As you’d expect from Apple, the design is beautiful and well thought out. They’ve added a scroll wheel on the side to do things like zoom and also can be pressed to go to the home screen. Hard to say how functional this feature really will be until we get a chance to try it.

The Apple Watch does have some health features, but it basically feels like a Fitbit, Fuelband (discontinuted), or Jawbone on your arm. It does have a heart rate sensor and accelerometor. I thought they’d probably announce more health features. So, that was a disappointment. Maybe they are working on other health features, but they didn’t announce them. The Apple Watch doesn’t come out until early 2015 and will have a $349 price point.

I expect that many will buy the Apple Watch, but they’ll do it more for the status of the watch than the functionality. The smartwatch space hasn’t done all that great. Will the Apple Watch change that dynamic? It doesn’t feel like enough for me to want to go back to wearing a watch. Apple is leading with style and so they’ll get some uptake, but I’d like to see a little more substance.

September 10, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

The Fitness Tracker Fallout

We’ve talked about this a bit before. Fitness trackers are all the rage, but they have yet to overcome the challenge of becoming an enduring product line.

Maybe we shouldn’t be so surprised by this fallout. When I look at the graveyard of fitness products that my wife has purchased, they’ve all gone through a similar fallout. They get purchased, used briefly and then set to the side. It’s very much the nature of the fitness market.

Unfortunately, I have yet to see anything in the fitness market that will change this reality. The closest I get is the health sensors that are integrated directly into the cell phone. Our cell phones have GPS, accelerometors and other health related sensors built in. We’re really close to being able to track much of our health on our smartphone with no interaction from us as the end user. That will be a game changer.

Another example of this is some of the amazing ways that our health data can be calculated and tracked through our cell phone’s video camera. Imagine if much of our health data could be collected by taking a selfie a day. I can’t market a product that asks you to sit in front of a camera every day. I can market taking a selfie a day. We’re almost there.

Other wearables like smart clothing are interesting as well. Last I checked we all wore clothing regularly. There’s no change of habit required to wear smart clothing that monitors your health. This is going to be the key to avoiding the fall out.

What else do you see happening with health tracking? What will help us avoid the seemingly inevitable fall out?

September 4, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Aetna Shuts Down CarePass – What’s It Mean?

Looks like MobiHealthNews was the first to break the story that Aetna had chose to shutdown their CarePass product. This is big news since CarePass was Aetna’s baby and calling card in the mobile health world. They had a lot riding on it. Although, I think that iTriage, which Aetna acquired, was certainly the most used app under their umbrella.

If you’ve been on the mobile health/mHealth conference circuits you know that Aetna has been everywhere. Plus, the CEO of Aetna was even a keynote speaker at HIMSS (makes you wonder how much they paid for that spot). Without their CarePass product I’ll be interested to see what Aetna does in this space. Will they basically pull out almost completely?

Sure, Aetna will always take part in some way or another, but will they be pumping money into it like they’d been doing for a while now? I don’t think they will. I think we’ll see Aetna take a backseat approach to the IT part of the industry and just hop on board other people’s work like they did with iTriage.

Another piece of the MobiHealthNews article mentioned above that really intrigued me is this:

The company found no shortage of willing partners to feed data into the app. Over the two years of its existence, CarePass interfaced with MapMyFitness, LoseIt, RunKeeper, Fooducate, Jawbone, Fitbit, fatsecret, Withings, breathresearch (makers of MyBreath), Zipongo, BodyMedia, Active, Goodchime!, MoxieFit, Passage, FitSync, FitBug, BettrLife, Thryve, SparkPeople, HealthSpark, NetPulse, Earndit, FoodEssentials, Personal.com, Healthline, GoodRx, GymPact, Pilljogger, mHealthCoach, Care4Today, and meQuilibrium.

I think there’s a lesson here when it comes to API integrations. Who would have guessed that after making such a huge investment in CarePass, Aetna would just close up shop? I’m quite sure none of these companies that integrated with CarePass’ API thought CarePass would be gone. These types of integrations can be very time consuming and now all that effort is down the drain.

Although, the bigger lesson here is that just because you integrate a bunch of data from other applications doesn’t mean your app is going to be a success. It’s what you do with the data that’s integrated that matters. That’s why I’m really skeptical about Apple Health and HealthKit. Getting the data is one thing. Making that data useful is something very different.

August 27, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Timex SmartWatch Doesn’t Need a Smartphone

We’ve been covering a lot of the movement in the SmartWatch space. It’s a really interesting set of technology since every one of them integrates some piece of healthcare into their technology. One of the features of pretty much every smartwatch out there is that they’re essentially just a second screen for your smartphone. That means you need a smartphone to be able to use the smartwatch. That’s not really too much of an issue since most of us have smartphones.

While it’s true that most people have smartphones, when it comes to health and fitness you often don’t want to carry around your smartphone while you’re running, swimming, biking, etc. With this in mind, I was intrigued by the announcement of the Timex Ironman smartwatch that doesn’t require a smartphone. Here’s a short description from the WSJ article:

The point, for Timex, was to create a device that could keep someone connected during hardcore workouts without having to bring along a smartphone or music player. It’s waterproof down to 50 meters, so it’s fine for swimming and even diving, and has a Qualcomm Mirasol display, which is more visible in direct sunlight than many LCD screens.

The watch tracks a user’s speed, distance traveled and pace in real time, and can share it with friends and family who want to follow along. The wireless connectivity enables the watch to send email messages, and a “find me” mode allows users to send an alert to emergency contacts such as friends and family if trouble arises.

I see this as another great evolution of the smartwatch environment. First, it provides a health and fitness alternative that makes a lot of sense. Second, it’s really interesting to see a company like Timex getting involved in the space. It will be really interesting to see how Timex does developing a touchscreen watch since that’s not their usual skill set.

August 20, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.