Patients can now share their Apple HealthKit data with NHS GPs

April 20, 2015



EMIS Patient Access with Apple Health

Although there’s still some NHS GPs who remain very negative about the idea of ‘healthy people using Health Apps’ it’s great to see that EMIS (the provider of the EHR used by most NHS GPs – follow them on Twitter) have enabled Patients using Apple HealthKit to share their data with their Primary Care Provider. It’s hard to begin to imagine what this is going to do for Patient empowerment and Clinical Research.

There’s no better time to train your GP practice staff on the mHealth opportunity. Get in touch with the Healthcare Informatics Society or with us here via this online form if you’d like to schedule us to provide the CPD accredited mHealth for Healthcare Professionals course at your next GP Practice meeting.

It’s not easy but we need to learn how to practice medicine in times of exponential change because doing nothing isn’t an option…

TomiAhonen 10 dollar iPhone4


2022 an Apple Watch for 7 dollars

*** Update 27 April 2015 ***

An interesting Twitter conversation that was triggered by this post:

Twitter discussion triggered by EMIS HealthKit integration

*** Update 27 April 2015 ***

Another interesting Twitter conversation that was triggered by this post:

how will GPs manage the accuracy of Healthkit generated Patient data

Click here to read more about how NHS GP Dr Amir Hannan has implemented Instant Medical History (the clinically validated Patient history questionnaires that are such a critically important part of the documented consultations we offer at 3G Doctor).


Mobile Health Meetup London launches with Max Little sharing his experience working with Apple’s ResearchKit

April 17, 2015



Screen Shot 2015-04-17 at 11.40.43

A full house (all 40 tickets were taken and there was a waiting list) welcomed the first Open mHealth Mobile Health Meetup to London on Monday and Max Little gave a great talk about his work with the University of Rochester and Sage Bionetworks to create the mPower Apple ResearchKit app to precisely measure data such as dexterity, balance, memory, and gait in an effort to better understand how various symptoms are connected to Parkinson’s disease:

mPower ResearchKit App

…(50min) I’m not an expert but for sure i know that there are significant examples happening in this kind of field you can even consider that there will be a point in time when we can do continuous proteomics and that’s an enormously powerful idea that we can basically collect continuous protein expression over a period of time and do this very very cheaply so this is coming, this is happening as we speak for sure I know this. And the same thing is happening with geneomics as well, even more so. If anyhting the developments in Geneomics in sequencing technology are happening much more rapidly than anything like smartphones or anything like consumer recruitment or consumer adoption it’s just that we’re starting from much further behind but that’s going to catch up incredibly rapidly. So these things will just hit a point where you realise that it’s now feasible to do whole exome sequencing for 100,000 people for a few $10’s or something like that. Now at that point you’re talking about collecting spit samples from people but you may even be able to send out disposable bits of technology that people will be able use to collect spit samples all by themselves. So I don’t see that being an issue. Moreover I see the issue being that we’re not thinking about it now. So we’re not thinking about what we should be collecting now that will mean that subsequently down the line we have a way to link this back to what we’re collecting. So in a way you can’t think about these studies as starting with a particular technology and by the time it finishes the technology is the same. That’s not going to be true. So an example of this would be the (Apple) Watch based platforms. So they have the opportunity to be on your arm on your skin so that means they collect for example heart rate information but more importantly they collect blood flow information continually so that can tell you about things like not only pulse rate but things that are much more interesting like ECG morphology which might tell you about things like long QT or heart rate variability. So if you collect this data now…

Related Posts:

How Mobile First Clinical Trials & Ratings will transform the $100B Clinical Research Industry

AllTrials or AllConsultations


Can mHealth applications even change our perception of Disco Dog coats?

April 16, 2015



disco-dog

Okay so it’s quite obvious most journalists are finding this ‘successful’ kickstarter project to be a really bad idea but does your perception change if the developers were able to add a wearable biosensor to the inside of that jacket (like the low cost FDA cleared Alivecor ECG sensor that are being bought by Veterinarians from AlivecorVet) and pair the biosensor output with the lights so dog trainers could more easily and effectively train their dogs olfactory system for cancer screening/detection (eg. detecting prostate cancer specific volatile organic compounds in urine samples).

The athlete opportunity is huge (some really innovative work is being done to enhance athlete training, prevent heart attacks, etc) but perhaps you’re still not convinced? What if a later version could be worn by a child who suffered from epilepsy and it could give them and their carers advance warning of a seizure?

Related posts:

Healthcare has a design problem/Wearables have a perception problem. Care Transforms our Perception of Technology.

my initial reaction to anyone I see wearing google glass is

Philippe Kahn shares his thoughts on wearables

How Mobile First Clinical Trials & Ratings will transform the $100B Clinical Research Industry.


BMJ Debates if ‘healthy people benefit from health apps”

April 15, 2015



BMJ Debate Can healthy people benefit from health apps

I found this head to BMJ head debate about health apps between two qualified Doctors, Dr Iltifat Husain (Editor-in-Chief at iMedical Apps) and Dr Des Spence (a GP in Glasgow), so disappointing to read that I checked the article wasn’t dated April 1st.

I discovered in my first few weeks of medical school that there’s no such thing as a normal healthy person (the ones that think they are just haven’t yet been fully investigated at a teaching hospital!) but it’s also important to appreciate that there are many healthy people who have disabilities who rely on mHealth apps (watch this video from 2011 to get an idea how healthy people with visual impairment can use the iPhone) and it should also be obvious to anyone that works with Patients that ‘healthy people’ benefit immensely from apps on their mobiles because they often have roles caring for people who aren’t as fortunate with their health.

It’s important to realise that this might not look like a fancy GPS/NFC/Video enabled Smartphone App or a hack that let’s a paramedic mother continually track her child’s blood glucose during a school day in realtime on her watch. More often it’s something as simple as sending a text (remember SMS is a mobile app – albeit another one that’s now preinstalled and expected by customers to be installed on their phone when they turn it on) to an elderly relative or being easily reachable in a time of need by the widow who lives alone next door and has been woken in the night with what might just be a small worry but one that left unaddressed would’ve kept her from getting any rest.

Healthy people also have a peculiar habit of becoming unhealthy and health apps are fortunately there for them when this happens. This is especially obvious when this happens dramatically eg. the health app that is a legal requirement on every single GSM mobile in use today that ensures that it will seamlessly connect a caller with emergency services even without a network registration/SIM/contract etc, the health app that the paramedic might use to get accurate directions so they can arrive quickly at the scene of a medical emergency, the health app that the Doctor might use to access the prescribing info they need to do their job (see the NICE BNF/BNFC apps), etc. etc.

Related Posts:

Successful mHealth applications are already here (August 2009)

NHS Commissioner: “Health apps won’t reach core NHS patients” (June 2013).

*** UPDATE 16 April 2015 ***

Don’t miss the discussion that Howard Green MD started over in the mHealth Networking Group:

Linkedin mHealth Group discussion of the BMJ head to head on health apps for healthy people

Links in above:

mHealth for Healthcare Professionals Course

http://www.cmaj.ca/content/178/7/820.short

http://www.bmj.com/content/349/bmj.g7858http://hms.harvard.edu/news/startling-benefit-cardiology-meetings

http://news.yahoo.com/blogs/upgrade-your-life/accurate-fitness-trackers-150220254.html

Can technology fix the attitude problem that exists when patients try to use information from the internet when consulting a Doctor? (Alexandra Von Plato quote).

http://mhealthinsight.com/2012/03/20/if-loneliness-is-deadly-for-the-elderly-isnt-it-time-we-recognised-the-life-saving-potential-of-sms/

http://mhealthinsight.com/2015/02/18/mark-bertolini-the-new-definition-of-quality-in-healthcare-is-convenience/

http://mhealthinsight.com/2011/12/28/

http://www.nejm.org/doi/full/10.1056/NEJM199710093371506

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2376894/

http://mhealthinsight.com/2013/01/31/if-susannah-can-have-her-skinny-jeans-why-cant-the-rest-of-us-use-the-pics-we-upload-to-facebook-from-our-mobiles/

http://mhealthinsight.com/2014/06/19/stroke-diagnosis-made-through-patients-selfie-video/

http://mhealthinsight.com/2013/01/02/have-you-made-plans-for-the-create-sharedo-it-yourself-economy/

http://mhealthinsight.com/2010/03/22/the-definition-of-mhealth/

http://www.journalslibrary.nihr.ac.uk/hta/volume-19/issue-28#abstract

http://research.microsoft.com/en-us/projects/databaseprivacy/dwork.pdf

http://mhealthinsight.com/2011/08/13/firetext-fires-the-m2m-mhealth-starting-gun/

http://mhealthinsight.com/2015/04/20/patients-can-now-share-their-apple-healthkit-data-with-nhs-gps/

http://mhealthinsight.com/2013/03/07/will-samsungs-smart-scroll-turn-the-world-upside-down-for-regulators/


Do I need a Doctor?

April 14, 2015



BBC Health Visions Do I need a Doctor

The great medical iconoclast Ivan Illich said 60 years ago that the greatest single advance in medicine would not be some new drug or procedure but an increased ability for Patients to care for themselves. Today I think that is what health policy is saying as well but we’re not putting our money where our mouth is and neither I think are we taking health as seriously as we’re taking disease. We focus too much on the operations on hearts and limbs and eyes for diabetics many years later on or gastric banding for those who are overweight but what we’ve got to start taking far more seriously is preventing those Patients needing those interventions in the first place because it’s not only better for them but it’s also important for making the healthcare service sustainable for the future…

Some interesting ‘Healthy Visions’ from Devon GP Dr Michael Dixon (from 5min this BBC Radio 4 programme).

Related posts:

“Total access 24/7/365 begins to be achievable only when we agree that the product we choose to make is not Visits”

mHealth: Toward a Hospital Without Walls… ……the 2000 year old model of healthcare is broken forever

How M2M Connectivity will Radically Transform Healthcare.

A Doctor discovers an important question Patients should be asked. Imagine if was possible to ask & document it for every Patient before they even entered a consult room?

“Please give me 36 seconds to tell my story”


Walgreens open #HIMSS15 by sharing how they plan to use Mobile Video Calls with registered Doctors to teleprescribe Antibiotics

April 13, 2015



Alex Gourlay, President of Walgreens Company (the world’s biggest drug retailer with more than 8200 stores in the US alone and 4,500 more that are branded as Boots in Europe) opened the HIMSS 2015 Conference in Chicago (the world’s biggest Healthcare IT Conference attended by 40,000 delegates) by sharing his vision of how the company will use Mobile Video calls with Doctors to teleprescribe antibiotics.

Join us at HIMSS tomorrow from 4-6pm for the mHealth networking group meetup.

UPDATE 14 April 2015: Alex also talked about the medication reminder app that Walgreens have developed for the Apple Watch. On sale from Friday there have already been 1 million customers paying for this new health sensing wearable. Android Wear SmartWatches’ have been around a while but the Care/Protection packages that Apple will sell to Watch customers will probably be the second biggest revenue generator in the Watch market until Apple takes things up to another level with a disruptive ‘hearable’.

We now live in a time when the world’s best developers are working on the latest devices to put out mHealth apps for us to evaluate and rate, can you begin to imagine the impact this will have on the clinical trial market in the next few years?

Screen Shot 2015-04-14 at 10.22.32

(HatTip: Cathy Van Beek who took a much better picture than my colleague in the audience who was recording it on video)

Related Post: Google is now giving away free Video Chats with Doctors to citizens searching for health info


Who’s going to be the Alivecor of Lung Spirometry?

April 11, 2015



who is going to be the alivecor of spirometry

Henry Wei MD asked an interesting question about a mHealth monitoring opportunity that I’ve been tracking for some time as I can’t wait to be able to help Patients who are managing respiratory conditions with smart mobile connected spirometers with remote coaching and documented 3G Doctor consultations.

I think PNMedical have the vision, passion and product expertise required to follow Alivecor‘s meteoric rise from Dr Albert’s original Fake-as-***** YouTube video in 2010 to being the FDA Cleared trailblazer for the mHealth monitoring market with more than 22 published abstracts & journal articles:

Why not join us at the mHealth group networking meetup on Tuesday at #HIMSS15 and meet with PNMedical‘s CEO & CTO Mark A Carbone.

Who do you think will be the Alivecor of Lung Spirometry?


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