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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 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

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 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

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 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

Apple Health and HealthKit – I’m Extremely Skeptical

Everyone is buzzing over the latest announcement from Apple at the World Wide Developers Conference (WWDC) that an Apple Health app and HealthKit (for healthcare developers) will be included in the latest iOS release (iOS8). The announcement was a little weak for me because it had already been leaked that the announcement was coming and also because the details of what it will do are really glossed over.

Whenever I hear an announcement without many details I start to wonder if it’s just vaporware right now. I think it is in this case. Instead of Apple offering a healthcare product that they know people need and will use, it feels like they’ve seen the growth of the health tracker and wearables market and they’re just throwing something out there to see if it works.

This HuffPo article compared the Apple HealthKit to what Apple did in iTunes. That’s so out of touch with the reality of healthcare apps. Music is a simple thing (not the rights part, but the usage part) that everyone understands. If you give them the music, then the consumer can go to town with it. Health data is much more complex.

The reality of health data is that it often has little value without some sort of outside expert analysis. This becomes even more important when you start mixing multiple sources of data into one interface like Apple will be doing with HealthKit. Sure, if Apple was focused on making all of the data they collected from all these third parties into smart, actionable data, then I’d be really excited. However, they’re not doing this at all. They’re just going to be a dumb platform that anyone can connect to and the smartest thing it will do is send you a notification. However, the outside application will have to prompt it to even do that.

I don’t think that Apple HealthKit is all bad. Maybe it will make it easier for developers to code their application once and then be able to connect their application to any blood pressure cuff out there. If they can do that, it would provide a lot of value to entrepreneurs in the space. However, it won’t transform health as we know it the way some people are describing it.

I also love people propping up the names of the Mayo Clinic and Epic. Google Health and Microsoft HealthVault had some similar names as well. How are they doing? A name doesn’t mean you’ll get a result.

The Epic name is interesting. However, I’m not very confident that bringing one closed garden together with another closed garden is really going to produce a lot of results. I’ll get back to you when I actually see them announce what they’re really doing together. Until then, this just feels like Epic and Apple had dinner together and said that it would be great if they could work together. If they had more, they sure didn’t talk about it on stage. So, I’m skeptical of what will really come out of the partnership.

June 4, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

What’s Next for Smartphone Innovation?

GigaOm recently reported that Apple is working on a curved screen smartphone and pressure-sensitive touch censors for future iPhones.

Samsung had already announced a curved screen smartphone as is demonstrated in this video:

As I think about these new smartphone innovations, I don’t see anything real game changing with this technology. Certainly I understand that the biggest game changers in technology are often when a company combines a bunch of relatively innocuous innovations into one tight package. I believe the iPhone is the perfect example of this principle.

With that said, I have to feel a little disappointed by even the small innovations that are coming out in the latest smartphones. Bigger screens, curved glass, and pressure sensitive sensors don’t do much for me. I’d love to hear what you think about the pace of smartphone innovation. What could they innovate that would really be a game changing innovation for healthcare?

The hardware piece aside, I think on the smartphone software side there is still a ton of potential for innovation coming very soon. We’ll see where it takes us. I’m not expecting huge hardware innovation in smartphones anytime soon. When it comes to eyewear computing like Google Glass, that’s a different story.

November 13, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

Breaking Down the Mobile Health Apps by Number

Dan Munro has a great blog post on Forbes that offers an overview of the IMS Institute for Healthcare Informatics report on the mobile health app market. Check out his whole article for all the findings, but I was really intrigued by his list of study results:
1. Every app categorized as “health and wellness” or “medical” in Apple’s AAPL -0.11% iTunes store was reviewed
2. Of the 43,000+ mobile health apps assessed for the report – only 23,682 were classified with a legitimate health function
3. 5 apps accounted for 15% of all downloads
4. 16,275 were considered patient facing
5. 7,407 were considered provider facing
6. Smartphone use is lowest (18%) in the 65+ demographic
7. More than 90% of the apps tested scored less than 40 on a scale of 100
8. Apps were further categorized by 7 capabilities:
– Inform (10,840 apps)
– Instruct (5,823 apps)
– Record/Capture data (5,095 apps)
– Display User entered data
– Guide
– Remind/Alert (1,357 apps)
– Communicate
– None of the 7 capabilities (1,622 apps)

I always love data and this is some interesting data. Dan’s headline was also another interesting piece of data: “Over 50% Of Mobile Health Apps Are Downloaded Less Than 500 Times.” We’ve talked about this before. It’s one thing to build a mobile health app and another thing to get someone to actually use it. Many fall short of the later objective.

One other stat in the list above that stood out to me was the split between provider facing mobile health apps and patient facing mobile health apps. I would have thought that more of them would be patient facing. That’s a lot of provider focused mobile health apps considering the size of the provider market. Of course, each of those doctors do control a lot of consumer spend.

October 31, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

Apple’s October 22nd Mac and iPad Event – What’s Coming?

I was excited to read this Techcrunch article on the next Apple event that is scheduled for Tuesday, October 22nd in San Francisco. Of course, Apple always tries to keep their announcements private, but the tech press has done a good job getting the leaks just the same. So, I was interested to see what might be coming out of Apple.

The unfortunate part of the Techcrunch post is that there was no game changers listed in the post. Basically, a little bit faster, a nicer screen, better resolution, and a small change in weight. None of those really impact how you use the device. Sure, they’re all nice and in aggregate we gain some benefit, but it’s nothing that will change how we’re using the devices today.

Of course, Techcrunch was just trying to guess what Apple’s going to announce. So, I hope that they’re totally wrong. I hope that Apple comes out with a cool wristband technology that changes the way we consider the battle for the wrist. Something new and different. Sure, there are some apps that are limited by the processing power of a phone or by the screen resolution, but all of that will come.

Anyone else have predictions on what Apple could announce that would provide an amazing opportunity for healthcare?

October 16, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

iWatch Video

It looks like the iWatch is still coming. Check out this video from Business Insider where they talk about the future iWatch.

Check out our previous smartwatch coverage of Samsung, Qualcomm, and even Nissan.

September 30, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

iPhone Fingerprint Recognition and Healthcare

Many people I read were disappointed by the latest announcements coming out of Apple and particularly with their new “inexpensive” iPhone. It turns out it’s not that inexpensive and seems to show a lack of understanding on Apple’s part of the inexpensive smart phone market. This tidbit aside, I was quite interested in the announcement of the iPhone fingerprint recognition that’s built into the “home” button on the iPhone. Here’s a description of this feature from the Journal of Mobile Technology in Medicine:

With the introduction of Apple’s Touch ID fingerprint recognition, there is no longer an excuse not to have a “passcode” (this time in the form of a fingerprint) on your smartphone. The new Apple iPhone 5S has a fingerprint recognition module built into the “home” button on the iPhone. After registering your finger print, simply touching the home screen button will unlock the device for you seamlessly. Should the phone be lost, without your fingerprint, the contents of the device will be secure.

iPhone Fingerprint Recognition - TouchID

I recently discussed in detail various possible options for biometrics in healthcare. The smartphone is another place where we’re likely to see more and more biometric integration. As is discussed in the comments of that post, there are still security challenges with biometrics, but I still believe that overall it’s more secure.

In healthcare we still have that thing called 2 factor authentication. However, this integrated fingerprint recognition on the iPhone home screen sure makes one factor of the authentication quite easy. Of course, this assumes that in fact the iPhone fingerprint recognition works well. I hope and expect that it will work well, but you never know until the device hits the market.

Apple hasn’t yet made the fingerprint recognition feature available to other iPhone applications, but I expect they’ll make that happen sooner rather than later. I’m sure many in healthcare will utilize that feature in their applications.

September 16, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.

Which Type of Cell Phone Do You Use?

Today my sister was evaluating the various types of cell phones out there. I told her a couple of options that she couldn’t go wrong with, but it prompted me to wonder which types of cell phones readers of this site use. Sure, I could look at the stats for the website, but that would just be people who read the site on their cell phone. No doubt many read it from tablets, desktops, laptops, emails, and feed readers.

I look forward to seeing the results.


August 28, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 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 and LinkedIn.