mHealth :: Mobile Health and Medical Apps, Devices, Software & Technology

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Video Recap of the mHealth Summit 2010 in Washington DC

Jay Couse Senior Vice President of Business Development at Diversinet. Transcript: Hi, I’m Jay Couse Senior Vice President of Business Development for Diversinet. What we do is we connect you and we protect you in terms of your health information. I’d like you to point you on our screen here. Our technology runs over hundreds of different of cell phones whether they could be consumer phones or whether they are smart phones. Now we are looking at the MobiSecure Vault, this is the place where I’m going to define the application for the patient or the member of the insurance company. What I’m going to do here is here, where going to select the Card Type to define the actual application and as you can see here we have all the different card categories in terms of all different kinds of health summaries, claims information, treatments, messages, applications, questionnaires. What I’m going to do is actually define allergies a little bit further and I’ve got different kinds of allergies: drug, food and environmental allergies. And then I’m going to look at the properties here and I can make a read only, private, you know, is it a mobile, create mobile update and all various different things in terms of import export, sharing this information. So these are all the attributes for that data. So what you see here now is the application that the user, whether they have an iPhone or java phone or brew or symbian, it doesn’t matter. You define the application once, and it publishes to over 7 different mobile platforms. So you don’t have to recode the application for every type of mobile phone out there. The user would have download the application and what we’re going to do here, is, I’m just going to put the personal pin code in and now unlocks the cryptology and I’m going to open the application up and now we can see, that what we saw on the mainframe, our server is now summaries, claims information and all the various different types of information that’s available. So now what we’re going to do, is we’re going to go look at the questionnaires. So in terms of questionnaires I can select my questionnaires and I can see I got all the various different types of questions that I can answer. I’m going to go do one of my mood status, and you know there’s a different detailed questions, these are very complex nested questions, automatically takes me to the next level, takes me to the next level and then I can just keep going, deeper and deeper and you know then I completed the questions.. So I’m going to go back now to the main menu here and I’m now going to take a look at all my health information. And here’s an information I got, my demographics, my insurance, emergency contact. Now let us take a look at allergies. One of the things we found talking to Medical professionals is that there’s always by mother, my pediatricians, there is always a requirement to have all this kind of information available for the kids in terms of signing up for a camp or sport programs etc. So I’ve got the information. Let us say this is my information (I can also have my children’s information on here ) I can now basically, choose whether fax, text or email this information directly to a trusted third party and I can do that right from my phone. So it is very flexible and it’s very easy to use. It’s all based on allowing the patient or the insurance plan member to be able to communicate securely with a trusted third party regarding their secure health information.

Theresa Gallick and I’m the Vice President of marketing at BodyMedia.  Transcript: Hi, I’m Theresa Gallick and I’m the Vice President of marketing at BodyMedia. BodyMedia developed an armband that an individual wears on his upper arm all day long and all night long. This is an armband that on the back of it has some sensors and those sensors pull data off of your body. It pulls off about 9,000 data points per minute. Goes into a big algorithm and this armband can accurately let you know the calories that you burn, the amount of time you spent in vigorous as well as moderate activity, the number of steps you’ve taken as well as the quantity and quality of sleep that you have. This data is used primarily to help people who are trying to loose weight. In fact over 80% of our users are trying to loose weight. We have 2 generations of the armband, this is the 1st generation that pops out of this frame and then you load it up, you upload your data via usb cable but we are going to introduce a blue tooth armband. This data comes from me so it shows that so far today I burned a little over 3,000 calories and about 1,700 calories I have and an hour and 14 minutes in moderate activity and I’ve taken about 12, 000 steps and last night I slept a whopping 5 hours and 51 minutes. The app also allows a consumer to log one’s food throughout the day and also allows you to do a workout where you can set your objectives base on time, steps, calories burned or total activity.

Kian Saneii, CEO of Independa. Transcript: Hi, I’m Kian Saneii, CEO of Independa, it’s good to be with you here. I’m going show you our system here, defined, where we allow a caregiver to use a standard browser to allow their loved one to stay at home longer, safer and more comfortably. So the caregiver sets up policies here and the care receiver has a picture frame, that’s an android based tablet and here she gets to have access, single touch access to email, to the web to games and exercises, cognitive exercises but at the same time they get integration into environmental sensors and health sensors. This is the dashboard view so you if i’m a caregiver, this is a picture of my dad and I get to see his medication list, I get to set alerts if there’s any red alerts, orange alerts I get to look at that. I get to go to a video into his home and see if he’s doing okay and talk to him. I also go to look at alerts on threshold so I get to define what a red alert is to me, so I say let me know once for an instance and I need to be alerted via email and also call me here’s my number, I’ll pick a number. And if I don’t respond actively just stop it. Also, let my brother know, and he needs also to be called and in his case put his number down. And also I define what an orange alert is and a yellow alert simply something goes to a report. And then I go to thresholds and once I go to thresholds I go through the system and define if my dad’s home is too cold for instance below 50 degrees then I want that to be red alert to me, it’s very important. And I have a whole range of these environmental areas, I have a whole range of them in health areas so if dad is a CHF patient, if he gains too much weight in a very short period of time for instance here i go down and look at if he’s weigh gain for a day is 4 pounds, 3 pounds in a day that’s a red alert because he is a CHF patient. And last but not the least activities,so if he visits the bathroom more than 4 times in a day that’s a red alert and so on and so forth. So this allow me as a caregiver to take of of dad without having to be there whether he is 3,000 miles away , 8,000 miles away or simply at home while i’m at work. And allows me to help dad stay at home and be where he wants to be instead of having to go into a dreaded assistance living facility and spend a lots of money.

Margaret Morris Senior Researcher at Intel.  Transcript: Hi, my name is Margaret Morris, I’m a Clinical Psychologist, I work at Intel and I do exploratory research. And in this project, what we did was, create a type of psychotherapy for the mobile phone and the idea was to provide help when or where the people need it and also to use the phone to see how we can bring psychotherapy concepts to many, many people -- many more people than have access to psychotherapy today. So throughout the day you map your mood using this interface called the mood map. And drag a little red dot around to indicate whether you are on a high, high energy or low energy state and how positive or negative you are feeling. And the phone asks you frequently, so that over time you can view trends of your mood. So if we look at this display, I can see my mood based on where I am, who I am with, so here you can see that my mood is more positive around my son than my boss or mood as a function of what I’ve eaten. Maybe eating a lot of sugar and caffeine isn’t the best combination when I’m around my boss. So in addition to mapping mood states, people could map states of conflict. So, am I getting a little bit irritated or am I in the midst of an argument. And in response to each one of these states, the phone offers what we call mobile therapy. So for example, if I’m in a midst of a fight, it may ask me if I want an exit strategy or go out of the room. One of the other mobile therapies that was very popular is this breathing exercise and progressive muscle relaxation techniques where the phone just prompts people to reflect on where they might be holding tension, and where they could relax. The primary content of the phone was inspired by cognitive behavioral therapy and this is based on the idea that if people can question the way they are thinking about things to develop meta awareness that they’ll be better able to handle stress.

Grameen Intel pilot project in Bangladesh Transcript: Hi, my name is Jeff and I am here demoing a very simple java application that runs on a mobile phone and it has a web back end that is utilizing the clinic. It is a simple case management system and it is for prenatal care. The mobile health worker would log in via a simple password which we’ll go ahead and enter and so then when the community health worker is out in the field you wan to register a new pregnancy, you just go in and click that and then Register New Pregnancy. And so then you want to enter the case id for the mother and you can see you just go through the phone and let’s just say 52 and ask her some simple questions which get entered into the phone. And as the mobile health worker goes through those questions of her, there’s some simple logic for determining whether or not the pregnancy is considered a high risk pregnancy. And for high risk pregnancies you very much want those mothers to go to the clinic as speak with the doctor. So once the mobile health worker goes through all the questionnaire on the phone the information gets sent via a gprs, via the phone network. The doctor at the clinic can now then see the back end system and he can look at pregnant mothers, he can look at the high risk pregnancies. This is the information that was entered in by the community health worker. You can see that there’s a high risk factors associated with that mother and then if the mother hasn’t come in, if there’s no record that the mother has come and visited the clinic, the doctor can click the follow up button and can send a text message via sms to the community health worker’s phone reminding that community health worker that he or she needs to go visit his mother and remind her to come to the clinic. So it’s just a very simple system that’s being piloted in Bangladesh, right now by the Intel Grameen Initiavie.

Mike Gann, Sales & Marketing Group, Director Global Health Care at Margaret Morris Senior Researcher at Intel shows us an example of a portable clinic solution deployed by the Nigerian Ministry of Health. Transcript: Okay, so here’s a great example of using technology that’s been intended for the classroom and taking that in to the health care space. So Intel worked with the Nigerian Ministry of Health, Local Tribe Leaders and some of the business to essentially and find a way to improve access to health care. One of the things they were challenged with this providing primarily health care services to some 800 villages that have little or no access to health care. So they designed a program where they were going to, instead of building, brick and mortar clinics, lets equip a 4 wheel drive truck with a doctor, a nurse, a driver and a mobile health worker and bring them in to communities like this. This is in a federal capital territory and provide basic health care services and this is where they being screened for vaccinations, providing basic services, providing assistance on birth deliveries. But we also thought it was important to capture some of that information, so what you see here is a Class A PC, this is a 2nd generation Class A PC designed for k-8 kids. But we put open source software, the district health information software and loaded that on so as people are doing the work you’re capturing the type of activity and services that are delivered in some of these remote set up clinics and at the end of the day this information is captured and stored and brought back to a central database. And from there a local state of provincial ministry of health can start to make more informed decisions about where they want to deploy those resources if they have a specific area of need, whether it’s TB popping up in a certain area. They can take those TB programs and resources and deploy into those areas of most need. So it’s combining traditional primary care with ICT and improving the access to health care. And we’ve got some information that shows just how many more people receive access to health care that never had it before. So a great example of combining heath care and ICT technology to improve access.

Transcript: Thank you for joining us. I would like to show you an Intel Mobile Clinical Assistant which is a reference design created by Intel in the 2007 era and is represented here by the Motion C5 clinical tablet. Motion was one of the first manufacturers to pick up this reference design and make a product out of it available to clinical end users in both in acute care as well as a home clinical environment. Communications are supported by Wifi and or 3G and there’s a number of capabilities included within the motions c5 device itself unique to the health care environment. One is you might see the most obviously, obvious visual difference is the handle allowing clinical users to carry the device. Another very important character is the disinfect ability of the device by virtue that its not having seams that are open to allow the liquid to sip in and impact the operation of the device. Also the device is currently mounted in a docking station which charges the device and allows the attachment of external devices such as monitors, keyboards and the like. But most of technologies that mobile clinical assistant include are embedded within. And it includes such things as a bar code reader, a biometric reader or fingerprint reader, an rfid reader, there is a remote power attachment capability here so that the device can be plugged in if it’s away from the docking station. There’s also a 3 mega pixel camera on the back of the device allowing such things as wound documentation to record by the clinical end user. Some models have more than one battery to allow perhaps, swap battery,exchange, without powering down the device. The purpose of the device is to provide and improve clinical care in a variety of environments, either in an acute care care environment, home care or other. To do that, requires access to information in real time, also requires the ability to document for example in the medication administration, document the medication, patient’s identification, the appropriate route of administration etc. what we call the five rights of medication administration management. All of which are supported and enhanced by the functionality provided within this device.

Code Cubitt COE of  Zephyr Technology. Transcript: Hi my name is Code Cubitt. I’m the chief operating officer for Zephyr Technology. I’m going to take you through today what we do, which is remote biosignal monitoring. In front of me is a Zephyr Bio Harness, is fabric based strap, with sensors on the backside, they go against the chest, and they pickup EKG signals. Those signals are captured and sent into a bio module which talks through with Bluetooth to a cellphone. so we measure EKG signals from which we derive heart rate. We also measure breathing rate, posture, temperature. And then through external devices, we measure blood oxygen levels as well as blood pressure. All of those signals are captured and logged on to the device for up to 21 days, and in live mode, they’re sent directly over bluetooth to a cellphone. On the cellphone you can see of what we call a biogauge - which shows the heart rate, the breathing rate at 4 at the moment. And you can drill down into to an individual gauge, this is heart rate over time, or you can look at an EKG signal which is live at this moment. That data is then pumped from the cellphone over the 3G network into the internet onto a portal like this, where you can see trendlines of heart rate, breathing rate, activity, and even a EKG trace. The data is captured from one to many people and data can be analyzed and compared with other people or previous sessions of an individual. Applications include sports and fitness, individual consumers and certainly e-health, whether they are monitoring long term trends of blood pressure and resting heart rate, or you are comparing clinical data across a trial, across in number of patients.

Mathew Tendler. VP at Telcare.  Transcript: I’m Matthew Tendler, Vice President at Telcare. We are the medical device manufacturer based of Bethesda, Maryland. What we’ve created here is a glucose meter with a cellular embeded chip in it. So it works just like a normal glucose meter except there’s one really big exception, and that is that it has a cellular chip in it, so as soon as a person with diabetes takes their blood glucose it gets automatically updated in to our HIPPA compliant web server. So this is an example of the portal. Automatically after I take my blood glucose readings, my numbers get sent directly to the portal via cellular chip. So I don’t need to be near another hub, I don’t need to be near another phone like an iphone for an example, it goes directly to the portal. What I have here is my average glucose level, the amount of times I take my blood sugar level per day against what my prescription says, and my compliance of that numbers. So it shows my compliance is actually low. Here I see my list of readings. So I can see before exercise, my numbers are extremely high. Not surprisingly, after exercise my numbers grow lower. So my doctor, if he/she wanted to message me, could actually go to the messaging portion and send me a message “hey numbers too high before exercise, call me”. And send that message directly to the glucose meter, because there’s a cellular chip in here.

Tom Evangelisti, Vocel. Transcript: Hi my name is Tom Evangelisti and I work for VoCell and we’re based in San Diego, California, and we have an application on the market called the Pillphone application. And it’s designed to help consumers better manage their medications over their mobile device. And it’s designed to do 3 things: 1 - to help people better remind to take their medications, 2 - to give them information, personalized information about their medications, and 3 - and track their medications on a dozes diary in real time. So for example, I look at my medications here, and as you can see, I’m in a lot of medications, but you can see here Plavix, Lipitor, Adderall. So the application has 1,800 medications available to the consumer to download. What I could do is, if I am on Plavix, I can press Plavix to show me what it is. It will tel me what it is and then I am also able to look up like generic ingredients, cautions, possible side effects, drug interactions, and food interactions with one push of a button. So if my doctor said that, you know put me on Lipitor today, and I forgot what foods I can eat with it, and able to push one button to get that information in real time.

Tracy Campbell. Director National Sales at iMetrikus. Transcript: Hi, my name is Tracey Campbell, and I’m the director of National Sales for iMetrikus. And we have a FDA cleared connectivity gateway that takes data by actually objective by a metric data from a variety of different devices. Here we got a blood pressure cuff, this is a pedometer. And down below here we have a weight scale, and we use the Qualcomm 3G network. What we do is use the iPhone to actually upload this data. So let me go ahead and take my pressure right now. there it’s connected my blood pressure and now Rajeev is showing now the iPhone, he uploads that data. So there it is showing the data that was collected in the blood pressure cuff which sent through the iPhone in the 3G network back to a certified security database and now it is springing it back to display to me, and it’s moving the data onto this individual’s electronic medical record, their personal health record, where they are in collaboration working with their health team to better manage their condition.

David Sanderson. Director of Business Development at IVT Corporation. Transcript My name is David Sanderson, I’m the director of Business Development for Medapps. We’re a remote health care technology company. From the devices, to the health pal, to the server, to the information, and the software back end. It’ll also connects us to PHR such as Microsoft health vault and Google Health. Now, I will demonstrate a quick demo with pulse oximeter. I’m going to take my blood oxygen level as well as my standing pulse rate. It’ll be captured on our device wirelessly in one moment. As that information is collected, it then is sent back real time to the database. Our concept is simple, flexible and mobile. What we try to do is connect the patient outside the hospital in the doctor’s office providing real time information with these devices that are recording their readings. Such as the diabetic that will have a blood glucose level, or a person on CHF who will want to know their weight or blood pressure. Today, that has to be done manually, we provide a simple, flexible way of the patient and the doctor to interact and receive information real time, as well as notify and intervene an act from doctor/ physician standpoint to be able to monitor and work with their patients remotely.

Qiang Gao. CEO at IVT Corporation. My name is Qiang Gao I’m the founder and CEO of IVT corporation. IVT is a world leading Bluetooth software company and a mobile health turnkey solution provider. Today, I’m going to present you a remote health rescue care system which is a completly end to end solution. First of all, it has devices like the ECG, blood pressure, oximeter. All these devices can be connected and transmit the data wirelessly, while bluetooth linked to pc or mobile phones or smart phones, and then send the data to the network site where you have a personal e-health record and put all this data, and with analytical software and analyze the data and then give feedback the person in real time. This a 7 segment ECG and it shows you the data in the tablet PCs. And this one is my oxygen level. It’s a wireless oximeter and transmits data to the tablet PC wile bluetooth linked.

Bruce Ahern. Chief Marketing Officer at Entra Health Systems. Transcript: Hi, im Bruce Ahern. I’m the chief marketing officer for IntraHealth Systems. We manufacture the myglucohealth blood glucose meter. This is the first and FDA cleared blood glucose device with bluetooth enabled. A patient would test their blood, much like they normally would. The data would be uploaded through mobile phone, to the web. The system would send out some alerts and messages to the patient, to their caregiver, or to their doctor, whoever is in their care team to help them monitor their results, to send them reminders to tests, and to help them better control their blood glucose. The importance of a system like this, is a diabetic who tests regularly, costs on average about one-tenth as much to care for as a patient who is out of compliance wit their testing. This is a difference between $6,000 dollars a year and $60,000 dollars a year. Our goal is to integrate a solution like this into a connected care teams,to help patients better manage their glucose and save money for the solution in general.

David Zar. CTO at Mobisante. Transcript: So this is a cellphone ultrasound machine, taking a standard USB ultrasound probe and a standard Cellphone. And what we can do is do some imaging on the cellphone. We’re collecting all the raw data on the cellphone - the cellphone is producing the image. So the advantage of that over the traditional ultrasound machine, is we can save the data and then when i want to go back later, i can review some of the exams that i have done. For example, this exam here, what we can do, since we all have the data on the cellphone, once it loads my data here is that we can email this file which is saved data that I have. I can email this, send it to an electronic medical records system and it can be reviewed on an another cellphone, or laptop, or PC or whoever medical professional I want to review the image. And because its the raw data, I could still adjust the image for my viewing preferences for doing whatever diagnosis that I want to do. So take the image data on the phone, send it remotely via email, put it on a website, or go directly into an EMR, and then a physician somewhere else remotely in the world can look at the data and help with the diagnosis. And we have a system, a cellphone, you can send a message an SMS message back with information about what to do next.