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Apple Is Making a Mistake Acquiring Gliimpse

The big news this week was that Apple has acquired PHR vendor Gliimpse. This was supposedly the first acquisition by Apple’s new Digital Health team. Plus, it’s the first big news since Tim Cook commented that Apple’s opportunity in healthcare “may even make the smartphone market look small.”

Many are touting this as a the start of the move by Apple into healthcare. No doubt it’s interesting that Apple would make a vertical acquisition like this, but it’s a mistake. Unfortunately, it’s a mistake that Apple is likely to do over and over again.

Apple certainly was and in many respects still is in a unique position to be able to innovate in healthcare thanks to its massive iPhone user population. They really could do some interesting things in healthcare since so many people have iPhones and so many healthcare companies want to say they’re working with Apple. The problem is that Apple doesn’t understand healthcare.

If you think this is a small thing, you’ve probably never tried to do a healthcare startup company. Healthcare is a unique market and requires a unique understanding to be successful. All the bravado in the world will only get you so far in the world of healthcare. Then, the harsh realities set in and you realize that the current against you is a lot stronger than you first realized.

Let’s take the example of the PHR Gliimpse (and generalizing to any PHR). This is a hard market with very little consumer demand. That’s been proven over and over again by hundreds of companies who have tried. The harsh reality is that most patients don’t care enough about their health to want to aggregate their health record. It’s worth noting that aggregating your health record is hard work. I even know one company that is paying doctors to send them health records and even then it’s hard to get doctors to act. Plus, there’s little value to healthy patients if they actually did aggregate their record. This is a tough, tough business.

Certainly, a case can be made for chronic patients that it’s worth the effort to aggregate this data into a PHR. Many have been doing this out of necessity. It was happening before cell phones became ubiquitous as people carried around massive folders or binders with their health records. While this value is understood, this makes for an extremely small market. When did Apple last do good in a small market? Is Apple going to really give up iPhone real estate when only a small portion of their users can actually get value from the PHR?

It’s great to have Apple interested in healthcare. However, I think the acquisition of a PHR company is a mistake and won’t yield them the rewards in healthcare that they seek. Of course, when you have a few billion to spend, what’s a few million on a PHR company? No doubt it’s a really small bet by Apple, but one that I don’t think will pay off for them. At least now they’ll have some people with health experience on the team and maybe they can innovate something new.

August 24, 2016 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.

Virtual Reality and Treating Dizziness

Mark Cuban has a pretty amazing post that talks about his experience as an active, engaged patient in his care and how he found virtual reality helped him achieve the desired relief from dizziness that he desired. If you’ve stayed up with the virtual reality space, you’ll find this quite intriguing since virtual reality is often condemned because of the dizziness it causes. Obviously, what you’re watching on VR matters a lot.

Go ahead and read Mark’s full post to see his experience as an active patient trying to deal with his Dizziness. We’ll be here when you get back. You can also watch this video he made:

It’s pretty amazing how active Mark Cuban was in his care. Sure, he has the money to be as active as possible. He literally was looking at buying a massive medical device or even investing in a business to bring the treatment he wanted to Dallas. That’s extraordinary and something that most of us can’t do as patients.

For those who haven’t read the whole story, Mark Cuban was getting treatment in California that was helping him with his dizziness from Dizziland.com. However, he couldn’t stay in California to finish the treatment. That’s when he discovered that the Samsung VR set he had might be the solution to creating a portable solution for him. Turns out, it did the trick for him. As a true businessman, he’s now working with the company to commercialize the product.

To be clear, this device setup is not FDA approved. It’s something that Mark found and tried that worked for him. We won’t be seeing doctors prescribing this for a while to come. Although, it will be interesting to see if and how solutions like this do go to market. Will they need to be FDA approved? Will they be regulated? How much will they cost? Lots of interesting questions since the videos and technology to watch them are quite cheap.

I love the story of technology making an impact on someone’s health for good. I also love seeing an active patient taking a serious interest in their care. Although, it’s amazing how a billionaire’s interest in their health is similar to any person with a major health issue.

July 20, 2016 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.

The Balance of Moving Fast and Not Breaking Things

The right path forward for the digital health industry begins with a significant shift in the Silicon Valley mindset: “Move fast and break things” just won’t work. Source

That’s a powerful quote from Vic Gundotra, CEO of AliveCor. He’s right that you have to be much more careful in healthcare. That’s not always true. You can experiment on certain parts of healthcare without damaging a patient or a physician. However, you do have to be careful because it can quickly move into a regulated portion of healthcare. It’s a challenging balance.

Plus, even if you’re working in a regulated portion of healthcare we need to have more people who move fast and break things. They just need to do it within the regulations. While this is a challenge, it’s still possible. Plus, it becomes a massive competitive advantage when you do finally comply with all the regulations and provide value to the end user.

Vic offers this added insight:

What has been seen as a burden needs to be seen as a benefit. It’s time that we stop viewing regulatory bodies as obstacles and start viewing them as valuable partners.

In healthcare, entire industries are created around regulation. Regulations can be an enormous opportunity for entrepreneurs. That’s certainly a shift in mindset for many of those in silicon valley. Maybe that’s why so many big health IT companies come from places other than the valley.

July 13, 2016 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.

The Promise of Wearables for Healthcare

In a recent interview I did with Dr. Rhew, Chief Medical Officer of Samsung, and Dr. Nick, CMO of Dell, we got this great insight from Dr. Rhew on the promise of wearables for healthcare (only takes 45 seconds):

It’s worth listening to the full discussion with Dr. Rhew and Dr. Nick so you have context, but I love how he framed the promise of wearables for healthcare. I especially like how he talks about these devices just being integrated into our lifestyle.

The challenge with this promise is that many of the current wearables have fallen short. They don’t integrate well with our lifestyle. They’re a pain to connect to get the data (although, that’s gotten better). The data they collect has questionable accuracy. The data they collect isn’t clinically relevant. I could keep going, but you get the idea.

While many of the wearables have fallen short, that’s a necessary part of the learning process. We’re going through a wearable revolution and that requires a product evolution. Many of the things we see as failings today will be considered laughable in the future.

Like Dr. Rhew, I think the promise of wearables is extremely exciting for healthcare. The integration of wearables into your lifestyle is happening. It’s not going to happen overnight, but each of these products will lay the groundwork for wearables that will become invisible to our day to day life.

June 29, 2016 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.

Perfect Description of Current Digital Health App Market

In this interview with Dr. John Torous, he perfectly describes the current digital health app market:

There are some useful apps currently available today that many patients would benefit from — and there are also some frightening ones that no one should ever use. Jennifer Nicholas of the Black Dog Institute in Australia published a paper looking at the quality of apps for bipolar disorder on the Apple and Android app stores. The results were not encouraging and to use the words from her paper, “the content of currently available apps for bipolar disorder is not in line with practice guidelines or established self-management principles.” She even found one app telling patients to drink hard alcohol if they had trouble falling asleep. Researchers have revealed similar findings for apps offering to help with substance abuse, suicide, anxiety, and depression.

We know there are many great apps out there, but there are a lot more unhelpful and even dangerous ones out there too.

This is exactly the problem today. Although, it’s worth noting Dr. Torous’ cautious words “would benefit from”. He didn’t say that digital health apps would cure disease, prevent mental health issues, solve health problems, or some other stronger statement. However, digital health apps could provide some benefit.

Although, he also points out that many of them shouldn’t be used at all. In fact, many of them could be doing a lot of damage. That’s a scary thought.

Most of the digital health apps I’ve seen are quite benign. They may not produce the desired results, but they also aren’t going to really harm a patient either. That’s the good thing, but it’s going to change. In order to differentiate themselves, these apps are going to have to do more. Along with that curve, we’re going to have plenty of digital health apps selling the digital health “snake oil” which has become so popular since the AMA talked about EHRs as digital “snake oil.”

Considering how most providers are approaching digital health, I’m not afraid that they’ll get hit with digital snake oil health apps. However, most of these apps are going straight to the consumer. That means that doctors have to know about the apps that do work, but also the apps their patients are using on their own. That’s going to make for an extremely hard situation for doctors. My guess is most will just set aside any apps they don’t know about as risky, but that has its own danger.

Regardless of whether a clinic wants to deal with digital health apps or not, they’re coming and your patients will be using them. It behooves every clinic to think about their digital health strategy.

June 22, 2016 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.

Technology is Just a Tool, It’s Not The Solution to Healthcare’s Problems

Today I’m dipping my toes in an area that’s not familiar with me. I’m attending the AHIP Institute conference in Las Vegas. For those not familiar with AHIP, it’s a coming together of the health plans across the US. This group is particularly interesting when you remember that most healthcare providers are also health plans today. In fact, we’re quickly seeing the merging of healthcare providers and payers.

The conference has just begun, but it’s already clear to me that there’s a general tone that technology is going to play a major role in the future of healthcare delivery. What also seems to clear to me is that most of these people aren’t sure what role technology will play.

The problem I think many of these people have is that they think that technology can be implemented to solve all their problems. That’s not how it works. Technology in and of itself is not a solution to most problems. Technology is just a tool. How you use that tool can be effective or not. Plus, you have to make sure that you have the right tool. If you need to drive a nail into a piece of wood, a screwdriver doesn’t do you much good.

I’d also add that even if you have the right tool, you still need the right plan. If you’re trying to build a table and you have the blueprints for a chair, then you’re not going to get the result you want. My gut tells me that most of these people are overwhelmed by the operational requirements of their day to day job and so they don’t have any time to actually explore what solutions are out there for their problems.

I agree with those at AHIP that technology shows a lot of promise. However, we need to spend a lot more time making sure we’re using the right solution at the right time in the right place. That’s a challenge we haven’t quite solved.

June 16, 2016 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.

The Real Challenge of Digital Health Solutions: Human Idosyncracies

David Shaywitz, in his Forbes article, pulls out this great nugget of wisdom from Marc Andreessen about the challenge of applying AI to the VC business and compares it to AI replacing your doctor. I agree with David that it provides a tremendous insight into AI replacing the doctor.

Andreessen’s response (at around the 40-minute mark) speaks for itself–but also, I’d argue, for most in healthcare (emphasis added):

The computer scientist in me and engineer in me would like to believe this is possible, and I’d like to be able to figure this out–frankly, I’d like us to figure it out.

The thing I keep running up against–the cognitive dissonance in my head I keep struggling with, is what I keep seeing in practice (and talk about in theory vs. in practice)–like in theory, you should be able to get the signals–founder background, progress against goals, customer satisfaction, whatever, you should be able to measure all these things.

What we just find is that what we just deal with every day is not numbers, is nothing you can quantify; it’s idiosyncrasies of people, and under the pressure of a startup, idiosyncrasies of people get magnified out to like a thousand fold. People will become like the most extreme versions of themselves under the pressure they get under at a startup, and then that’s either to the good or to the bad or both.

People have their own issues, have interpersonal conflicts between people, so the day job is so much dealing with people that you’d have to have an AI bot that could, like, sit down and do founder therapy.

My guess is we’re still a ways off.

Who knew that developing data-driven tech solutions could be challenging in a profession that at its core is focused on human idiosyncrasies, especially under conditions of stress?

I love the description of the challenge as Human Idosyncracies. What’s interesting to me from a healthcare perspective is if we can generalize these idosyncracies in the way we treat patients.

June 8, 2016 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.

Using Your Mobile Trail to Improve Your Health

Mobile Health Trail

I’d always heard people talk about the value of the data collected on a mobile device and how that could be leveraged to benefit your health. However, this is the best illustration of this concept that I’ve ever seen. It’s really easy to see how much of this data could be leveraged to improve your health. There’s certainly some privacy questions, but the next generation seems to not care about it. I wonder what apps we’ll see that leverage all of this data about our habits.

June 1, 2016 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.

Is Healthcare Overhead Holding Back New #DigitalHealth Solutions?

Earlier this year I wrote an article that questioned whether the Fitbit was really a digital health solution. I essentially came to the conclusion that Fitbit’s health data wasn’t clinically relevant and so that’s why we didn’t see it really impacting healthcare as we know it.

While Fitbit’s data may not be clinically relevant, Fitbit has still gone on to be an extremely successful wearable technology solution for consumers. For some reason we enjoy tracking our steps whether it really improves our health or not. Of course, maybe they’re also riding our own misconception that tracking steps improves health. Regardless, they’ve been extremely successful and haven’t had to prove that they actually do anything to move the needle in healthcare.

I wonder if this is the model that we’ll see happen most with digital health solutions. Instead of trying to actually take part in the ruthless, brutal, and complex healthcare infrastructure, I expect we’ll see most digital health solutions work on the outside.

Think about the overhead that comes with becoming FDA cleared or the overhead that comes with proving to a hospital that your solution really does improve patients’ health. That’s a lot of work compared with just creating the illusion of health and selling it directly to consumers. Maybe the illusion will play out as reality or maybe it will not. From a company’s point of view, all you have to do is keep the illusion in play and you can be successful.

No doubt this later strategy appeals to the startup culture that’s been created in the US. There’s so little that’s “lean startup” of MVP (minimum viable product) in healthcare. Most people in healthcare are afraid of anything that’s not mature. Healthcare regulations certainly discriminate against experimentation and show bias to mature technologies.

The only case that really can be made to entrepreneurs who want to pursue the harder path of proving their technologies is that once they’ve proved it they have a great defense against competitors who haven’t gone to that effort. That’s a powerful incentive, but not one that most will appreciated when starting a digital health startup company.

My gut tells me that the complexities of healthcare are holding many innovations from happening in healthcare. That’s unfortunate.

May 18, 2016 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.

Walgreens Goes Big on Telemedicine Including New Behavioral Health Service

This was extremely big news for Telehealth in general, but even more so from a mental and behavioral health perspective. In case you missed the news, Walgreens and MDLIVE are partnering to offer telehealth and behavioral telehealth services (technically MDLIVE is partnering with Breakthrough for the behavioral health piece).

Walgreens involvement in telemedicine is such a big deal and is going to really push telemedicine much faster than it’s already going. Currently they can offer their telehealth medical services in 37 states (this announcement added 13 states). Here’s the type of services you can receive through these services:

  • Acne
  • Allergies
  • Cold / Flu
  • Constipation
  • Cough
  • Diarrhea
  • Ear problems
  • Fever
  • Headache
  • Insect bites
  • Nausea / Vomiting
  • Pink eye
  • Rash
  • Respiratory problems
  • Sore throats
  • Urinary problems / UTI
  • Vaginitis
  • And more

On the behavioral telehealth front, you can get non prescription services in all 50 states and behavioral health prescribing services will be available in 20 states. Here’s a look at the list of services they can offer in behavioral health:

  • Addictions
  • Bipolar disorders
  • Child and adolescent issues
  • Depression
  • Eating disorders
  • Gay/Lesbian/Bisexual/Transgender issues
  • Grief and loss
  • Life changes
  • Men’s issues
  • Panic disorders
  • Parenting issues
  • Postpartum depression
  • Relationship and marriage issues
  • Stress
  • Trauma and PTSD
  • Women’s issues
  • And more

This announcement has been met by much rejoicing in the mental health community. I think that many of them see these telehealth services as a great way to get more mental health services out to patients who wouldn’t otherwise get treatment. It sure feels like telehealth has finally arrived.

May 12, 2016 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.