Could Ford make mobile healthcare a standard feature?
Dan Bowman, FierceMobileHealthcare
“By now you’ve no doubt read about the Ford Motor Company’s intriguing move into the world of mobile healthcare.
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heart
AHA: Telephone-based remote HF monitoring reaps no rewards
CMIO
“Telemonitoring of heart failure patients did not improve outcomes and researchers say the results indicate the importance of a thorough, independent evaluation of disease-management strategies before their adoption, according to the Tele-HF study reported at the American Heart Association (AHA) conference in Chicago this week, and simultaneously published online Nov. 16 in the New England Journal of Medicine.
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Why Telemedicine Is Overhyped
Harlan Krumholz, Forbes
“What happens to patients after they leave the hospital is becoming a national focus for health care organizations. We have discovered that patients return to the hospital at a distressingly high rate – among those who are hospitalized for heart failure, almost one in four of them end up in the hospital again within 30 days. The health care reform law has added economic incentives for hospitals to reduce re-hospitalization rates.
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Heart patients not helped by phone monitoring as much as hoped
Thomas H. Maugh II, Los Angeles Times
“Heart failure patients who called daily to report their weight and symptoms were just as likely to be readmitted to a hospital or suffer another heart attack or die as those who received conventional care, a six-month trial shows.
It was a good, commonsense idea that simply didn’t work out.
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Connecting the Circle from Home to Heart-Failure Disease Management
Desai AS, Stevenson LW. N Engl J Med, 2010
Rates of death and readmission after hospitalization for heart failure remain high despite considerable advances in evidence-based medical treatment. In 2009, the Centers for Medicare and Medicaid Services began public reporting of rates of readmission for any reason among patients who had been hospitalized for heart failure, and earlier this year, the Patient Protection and Affordable Care Act was signed into law, establishing financial incentives for hospitals to reduce readmissions for cardiovascular disease.
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Testing Technology vs. Enabling a System of Chronic Care – Results of the NIH Tele-HF Trial
Randy Williams, e-CareManagement
“The results from the National Institutes of Health (NIH)-sponsored Tele-HF trial are in, and the findings are worth considering . The results are counter to most of the findings of other studies examining telemonitoring for heart failure and at face value are disappointing to us, and the industry.
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Telemonitoring in Patients with Heart Failure
Chaudhry SI et al, N Engl J Med, 363(24)
Background
Small studies suggest that telemonitoring may improve heart-failure outcomes, but its effect in a large trial has not been established.
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Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial
Webster R et al, J Med Internet Res, 12(3)
Background:
Elevated low-density lipoprotein (LDL) cholesterol is a leading risk factor for cardiovascular disease. Despite the availability of proven interventions to lower LDL cholesterol, their use remains subobtimal. Many websites provide interactive, tailored advice on cardiovascular risk in an attempt to help bridge this evidence-practice gap, yet there is little evidence that provision of such a tool is effective in changing practice.
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Computerised monitoring systems help doctors save lives
newKerala
“Automatic transmission of information takes place via a wireless modem in the patient’s room from an electrocardiograph unit fitted under the skin.
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A neuro-fuzzy decision support system for the diagnosis of heart failure
Akinyokun CO et al, Medical and Care Compunetics 6, 2010
A neuro-fuzzy decision support system is proposed for the diagnosis of heart failure. The system comprises; knowledge base (database, neural networks and fuzzy logic) of both the quantitative and qualitative knowledge of the diagnosis of heart failure, neuro-fuzzy inference engine and decision support engine. The neural networks employ a multi-layers perception back propagation learning process while the fuzzy logic uses the root sum square inference procedure. The neuro-fuzzy inference engine uses a weighted average of the premise and consequent parameters with the fuzzy rules serving as the nodes and the fuzzy sets representing the weights of the nodes. The decision support engine carries out the cognitive and emotional filtering of the objective and subjective feelings of the medical practitioner.
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A Novel Handheld Device for Use in Remote Patient Monitoring of Heart Failure Patients—Design and Preliminary Validation on Healthy Subjects
Pollonini L et al, Journal of Medical Systems, 2010
Remote patient monitoring (RPM) holds great promise for reducing the burden of congestive heart failure (CHF). Improved sensor technology and effective predictive algorithms can anticipate sudden decompensation events. Enhanced telemonitoring systems would promote patient independence and facilitate communication between patients and their physicians. We report the development of a novel hand-held device, called Blue Box, capable of collecting and wirelessly transmitting key cardiac parameters derived from three integrated biosensors: 2 lead electrocardiogram (ECG), photoplethysmography and bioelectrical impedance (bioimpedance).
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The Doctor Is Out, but New Patient Monitoring and Robotics Technology Is In
Carolyn Whelan, Scientific American
“A new generation of medical devices using wireless communications, sophisticated software and data center-driven “cloud” computing promises to deliver health care in ways previously limited to the confines of fancy hospital rooms.
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Wireless sensor for sleep apnea and heart attacks
Brian Dolan, Mobihealthnews
“The FDA recently approved a 15-centimeter wireless sensor that aims to reduce hospitalizations by automating early detection of heart failure. The waterproof sensor is attached to the patient’s skin and transmits data to a mobile phone or similar device in the patient’s pocket.
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Kansas a telemed leader, schools also connecting
“Kansas has been a leader in the development of telemedicine technology.
“Kansas has been involved since, really, the very early stages. It’s one of the pioneers — especially the people at the University of Kansas Medical Center,” said Jonathan Linkous, CEO at the American Telemedicine Association.”
Article
Dave Ranney, KHI News Service, 15 September 2008
