I think this is an interesting way to look at mobile health tools. Although, the most powerful part of this matrix is it shows the breadth of mobile health tools. The possibilities are nearly endless. In fact, it makes it a challenge to cover because the idea of mobile health is so broad.

Here’s the 3 reasons he gives for investor insecurity with healthcare IT investments:
1. Healthcare consumers don’t shop
2. The biggest buyer stifles innovations
3. Service, quality and competitive pricing aren’t rewarded.

Here are his 3 solutions:
1. Do good and do well
2. Get noticed
3. Serve the market that has a lot of buyers!

I really like his 3 challenges. I’m not sure his solutions are enough, but I’m glad he’s really cranking up the conversation on what it takes to be an entrepreneur in healthcare IT.

Most of these apps are free (though they may involve a paid subscription), though some cost less than $10. After reading about them, I can definitely see how they could be helpful. So, nursing friends, if you have an iPhone or an iPad that you use at work — these might be something you want to look into. Here’s a brief description, and cost, of each app that made Apple’s top apps for nurses list:

1.  Voalte One: Before you get too attached to this one, your hospital must be equipped with the Voalté Server. And if it is, then great! Because this app allows for phone calls through a hospital’s VoIP system, secure text messaging using a user directory, and alarm management. Medical professionals are able to receive alarms, and respond quickly, which helps with overall workflow.

Cost: Free 

2. Nursing Central: This is a comprehensive database designed to help nurses find answers to just about any question they might have.There is detail information on diseases, tests, drugs, and more, and a medical dictionary with more than 60,000 entries.

Cost: Free

3. NurseTabs: Fundamentals: There are a couple of NurseTabs apps, which are specifically designed for new nurses. This one covers the basic skills and procedures nurses need to know. After selecting a specific procedure, the nurse will be given step-by-step information, including what kind of equipment should be used.

Cost: 9.99

4. PatientTouch: This app was created to help improve workflow, and help nurses spend more time with their patients.  It assists in specimen collection, infant care, communications, and more. PatientTouch is completely HIPAA compliant, and hopefully will help increase quality of care, while decrease costs. 

Cost: Free

5. Medigram: Medigram is a simple way to securely send messages containing medical information. This makes it possible to collaborate with other medical professionals in a secure and quick manner.

Cost: Free

6. NurseTabs: Medsurge: Another app by NurseTabs that was created specifically for new nurses, or nursing students. It contains over 300 diseases and disorders, organized in an easily searchable way. After selecting a certain ailment, the user can access tons of information about it, including a nursing process approach on how to handle the situation. It’s also a great place to review for the NCLEX exam.

Cost: 9.99

7. Lab Values Reference: If you are working with lab results a lot, this could be very helpful. I actually might download this myself (access to my lab results immediately makes me constantly look things up until I hear from my doctor.) It has coverage of the 375 most commonly performed lab results, which includes the normal ranges or findings, results, explanations of abnormalities, and more.

Cost: .99

8. NCSBN Learning Extension Medication Flashcards: Stressing out about the NCLEX? No need to worry anymore. This app is a great resource for memorizing drug information, as you can sort cards into different categories, learn interesting facts, and more.

Cost: Free

9. The Merck Manuals for Mobile + Web: Merck Manuals are one of the most widely used and accepted medical reference guides. And now, you can have it at your fingertips. The app is free, but you have to pay for the subscription. There are three different manuals that can be downloaded — the 19th edition for mobile and web, patient symptoms guide, and Davis’ drug guide.

Cost: Free

10. Shots by STFM: Does anyone like getting shots? I sure don’t think so. And I imagine nurses don’t get any joy out of administering them. This app helps making the process a little easier when trying to determine the correct dosages, especially for unique situations. It contains the CDC recommended course for vaccines, information on ingredients, side effects, and more.

Cost: Free

11. Lexicomp: Lexicomp is a great resource with trusted information about drug and clinical information. There are quite a few databases available with information, pictures, videos, and more. These can be accessed with or without a data/WiFi connection.

Cost: Free to download, but you will need a subscription to Lexicomp as well

If you follow CNN on Facebook, you may have recently read this article. It talks about an Estonian start-up called Jomi Interactive. Several of their prototypes were released last week, and one of the most interesting is the Jomi Band and Sleeve. It’s basically a device that you can attach to your water bottle, and it tracks how much you drink. If it feels that you haven’t had enough fluids, it will let you know with flashing LED lights. The device will be created to link up to a mobile device, if that’s appealing to you for some reason. 

There’s another product already on the market called Hydracoach. It’s a water bottle that has the tracking device built in. So the only main difference I can find is that the Jomi Band can be used on multiple water bottles.

It seems like an interesting idea, especially for anyone who isn’t particularly good at keeping track of how much (or little) they drink. It may seem like an easy thing to do, but when sometimes…life gets busy. This could be very helpful for anyone that needs, or even just wants, to make sure they are drinking enough water. Granted, if the bottle is filled with something other than water, it may not be as helpful.

The Jomi Band is only in the developmental stages, but if you want to be informed of it making it’s big debut, go sign up over here. If it’s not too expensive, I might just get one myself.

Utah Valley Regional Medical Center, a hospital in Provo, Utah, has equipped all of the NICU beds with three cameras. These will give parents 24 hour access to a live video of their baby.

This hit home because, well, I live right across from the hospital this article talks about, and my son spent eight days there when he was just two weeks old. While we were allowed to be in his room with him the entire time, if he’d been in the NICU, this would have been wonderful to have. And, if we stay in Utah, and we had a baby who had to stay in the NICU, we may benefit from this. This is part of the redesign of the NICU department at UVRMC.

Stephen Minton, MD, is overseeing this project. He is a neonatologist at Intermountain Healthcare, and in an interview he emphasized the importance of communication with parents who have infants in the NICU. He has been at this particular NICU unit since 1979, cared for 26,000 babies, and in all that time never had a lawsuit filed against him. He said that this is not because he didn’t make mistakes, but because of how he interacts with the parents:

It’s really unusual in critical care medicine to go quite that long [without a lawsuit.] The reason is because I communicate with parents, and so they understand what you’re really trying to do. That’s really all what people want. They want to be involved, and they want to feel like they have a voice and that you care.

Minton believes that implementing these cameras will allow the parents to be involved even more, and have a better understanding of the care their infant is receiving.  They can see what is being done at all times, and communicate with the attending physician.

UVRMC isn’t the first hospital to implement this type of technology, but it is definitely one of the first. I hope to see more hospitals doing something like this in the future, and perhaps extend it to other areas in the hospital.

If you are familiar with Walk with Walgreens, Steps with Balance^® Rewards replace that program. Basically, you get rewards for doing simple exercise and health “tasks” throughout the day. By walking, running, or tracking weight management, you earn points that can be redeemed for products and other rewards at Walgreens.

There are a few popular devices that can be associated with your Steps with Balance account — BodyMedia, FitBit, and Withings. This makes it easier to earn rewards and track your progress.

I’m not sure if this is something I’ll sign up for, just because I feel like I have so many other programs I’m involved in, but it seems cool. It sounds like a good way to track your progress toward certain goals, and earn rewards while you are at it. It has the typical features of a health tracking program – you can connect with others, set personalized goals, and see your progress. It looks like it has been pretty successful so far, as there have been close to 10 million miles logged and around 600 thousand users. So if you shop at Walgreens a lot, and you are wanting to be rewarded for living a healthy life, this may be the program for you!

If you want to sign up, it’s free! Just head over here and get started today (and yes, it’s free)

As you can see, the study found that 74% (almost three-quarters!) of physicians are using smartphones for professional reasons. Of that 74%, 62% said they use smartphone apps for work. In addition, 52%  said they use diagnostic tools and clinical reference apps and 46% use apps that help with drug and coding references. The study also found that almost 40 percent of the physicians studied use both a smartphone and a tablet. Here are a few other interesting facts found in the study:

• 43% use smartphones for referencing drug data
• 39% find or perform clinical calculations (which jumped 35% from 2011)
• 31% of doctors make decisions for prescriptions using a smartphone.

I’m sure I don’t need to convince most of you about the benefits of a physician not just being willing, but also knowing how, to use smartphones and tablets in their practice. I think it’s exciting to see that more and more are getting on board. A few months ago when I was visiting with a doctor, I had a question about whether or not I could take a certain medication while nursing my son. He pulled out a drug interactions book, and for about 10 minutes, tried to figure out whether or not it was okay, and ultimately told me he had no idea. When I got home, I was able to find the information I needed in less than 10 seconds.

I also wonder if we will see more patients bringing a tablet or smartphone to their appointment. On another occasion when I was at the doctor, the physician I was seeing told me she never received the records from my other doctor. I wished that I had brought my tablet, where I could have easily pulled up all my test results right there (which I did do a few weeks later, which the doctor thought was really cool.) Doing this could definitely help bridge the gap that sometimes appears when you have to rely on doctor’s offices sending records via fax.

While using a smartphone or tablet in the office does raise concerns about patient engagement, I think it is an overall positive situation seeing more and more physicians using smartphones. Now we just have to get everyone on board with the smartphone physical.

After reading more about it, both my husband and I were so excited…so much so, that we’ve considered extending our time in Provo a little bit longer. But I also starting thinking about how Google Fiber could help transform healthcare. From what I understand, hospitals and schools in the cities where Google Fiber is implemented will have access to Internet that has a speed of 1 GB, which, to put it simply, is crazy fast.

Having experienced the speed (or lack thereof) of the Internet at Utah Valley Regional Medical Center here in Provo, I was just thrilled to hear they would be able to have faster Internet. After talking with a nurse at my son’s doctor’s appointment today, whose office is on the campus of UVRMC and will likely get the 1 GB of high speed Internet, I could tell that the hospital was very excited about this announcement. This made me start to wonder about what effect Google Fiber might have on Healthcare, so I did some Googling to see what others had to say about it.

Google Fiber has been announced in two other cities — Austin, Texas, and Kansas City, Kansas. There was a panel discussion just a few days ago, put on by Austin Health Tech, discussing what Google Fiber could mean for Austin’s healthcare technology scene. I haven’t been able to track down what was discussed, but I’m sure it would be interesting. I did, however, read this article about Google Fiber and the possibility of High Speed Health. Apparently, Kansas University Medical Center has already developed three pilot programs that will be using Google Fiber’s network in the community. These programs include:

• Virtual care of teens in their homes
• Support for caregivers of people with dementia
• Consulting and training at risk families through Project Eagle

Barbara Atkinson, Dean of KU’s School of Medicine, was a facilitator at a meeting discussing the possibilites of Google Fiber and healthcare last year. She said,

We’ve done some thinking about how much patient care could be done from hospital to home. Things like managing some chronic diseases — heart failure or something like that — if you have real high-definition teleconferencing and really good, simple machines that could be in people’s homes, you could manage many things. You really could cut health care costs by doing it that way, rather than having readmissions for [things like] health failure.

Reading this made me wonder if Google Fiber might make it even more possible for the smartphone physical that was demonstrated at TEDMED to become a standard practice. Even for those in the cities that have Google Fiber that don’t want to pay the monthly fee for the 1 GB of high-speed Internet will have free access to up to 5 MB of speed. People will have more access to the Internet than they have ever had before.

The article also quotes Dr. Sharon Lee, head of Southwest Boulevard Family Health Care, as saying that Google Fiber “holds promise for improving the level of care at her primary care clinic.” She believes that having the extremely high speed network available to her will give her “access to a quick way to communicate with other providers,” in ways like uploading and sending x-rays quickly from her clinic over to other specialists, which would allow for real-time evaluations.

Another article talked about a brainstorming session that took place last year in Kansas City, where it was suggested that children on home ventilators, elderly patients  or others who cannot travel easily would be able to be seen via remotely because of the high-speed Internet connection. This bounces off the same ideas that Barbara Atkinson discussed as well.

It’s fun to think about the implications Google Fiber could have on mHealth. I could see more doctors wanting to use tablets and smartphones in their offices, especially if they know they will have a reliable (and fast) Internet connection. What effect do you think Google Fiber could have on the future of healthcare?

Today Jawbone, the company that makes the wearable “quantified self” band UP, issued two announcements: it’s rolling out an API so the device can integrate with other apps and connected devices relating to health and wellness. It’s also acquiring BodyMedia, which makes an FDA-approved weight-loss device called FIT that’s been used on the TV show “The Biggest Loser.”
…
The BodyMedia acquisition is a talent and intellectual property grab – it has 87 patents in its IP portfolio – but it will retain its name, continue producing the FIT, and keep its office in Pittsburgh open. The company would not disclose any other terms of the sale. The acquisition is a smart move in building out the product’s abilities in the future. BodyMedia has a medical bent, so surely future iterations of UP will pay more attention to things like disease monitoring.

But the really intriguing news is the API. It will allow partner apps to be able to tap into a user’s Jawbone data so she can find out more about her health and wellness habits. For example, a user can log onto MapMyFitness and view workout data in UP. Or he can step on a Withing scale – another connected device – and import his weight into up and see it in the context of sleeping and eating habits.

I think the article is right that the biggest asset that Jawbone is acquiring is the patent portfolio of BodyMedia. The other hard part is that I think the BodyMedia brand is better known than the Jawbone brand. So, the company will have a tough decision in how to go forward. It will take some time for them to work through the existing inventories and merge the product lines. It will be fun to watch.

I find the Jawbone API a little disappointing since it’s just a partner API. I know they say their intent is to eventually open up the Jawbone data to anyone, but I don’t understand why they wouldn’t do this from the start.

Amy also taught be about their game to map the brain called EyeWire. It’s been around for ~5 months and already has 60,000 players from 130 countries mapping neurons in 3D to decipher information processing networks in the brain. More simply put, they have 60,000 people playing games to benefit science.

It’s such a beautiful concept. I logged in and started doing some of the mapping. It’s really simple to get started, but I can see how you’re going to have to be pretty creative and detail oriented to be successful at the game. Plus, it’s cool to think that you’re contributing in even a small way to future scientific discovery.

I’ve long loved the idea of crowdsourcing and I’m really glad to see it being applied to science and healthcare. It’s amazing what a crowd of people each contributing a little bit can create.