Emerging Consumer Health Technology Industry

economickiteInternet and Web Development

Oct 21, 2013 (3 years and 9 months ago)

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Emerging Consumer Health Technology Industry

AJ Chen


Healthcare reform is trying to shift our healthcare system to a patient
-
centered health care. To
realize this transformation and make it long
-
lasting, it requires a whole new segment of health IT
industry to produce tools and services that empower the consumers. This is what’s happening
right now


a new consumer health technology sector is emerging. Most of the innovators come
from IT sectors not related to healthcare.


Consumer health needs



I ha
ve secure access to my health records from anywhere any time.



My health records should be portable because I will use many different health services and
health plans in my life.



Since doctors have no time for me, I need an online system that can assist me
to gather
health information that matter to me, remind me to care my chronic health conditions, and
make my tough health decisions.



I want to have the latest evidence
-
based health care regardless where I live. The long
-
cycle
of new medical knowledge genera
tion is not acceptable to me.



Prevention is hard to do because my bad habit can’t change by itself. Please invent some
ways to help me change my behavior for good health.



The country’s great public health resources should connect to me and improve my healt
h
directly.



Please find affordable ways to deliver cares to me otherwise I’ll be broke.


Current consumer health technologies and products

To make better sense of the emerging consumer health technology industry, the following
categories are used to orga
nize the new technologies and products.

1.

EHR and patient portal

2.

HIE and NHIN

3.

PHR

4.

Disease management

5.

Decision support

6.

Health portal and search engine

7.

Health social network

8.

Health games

9.

Mobile health apps

10.

Telehealth

11.

Healthy food

12.

Fitness

13.

Public health

14.

Technologies for new care delivery models


EHR and Patient portal


Health IT reform in the first phase focuses on adoption and meaningful use of EHR in doctor offices.
Patients should have access to medical records directly from provider’s EHR or patient p
ortal,




Blue button

VA patients can download patient records easily from VA EHR.




Kaiser patient portal

Patients can make appointment with family doctor, email doctor, and view lab results right away. More
features …




AthenaHealth athenaCommunicator


Cen
trally hosted services that help clinics meet “meaningful use” requirements for engaging patients.





RelayHealth

RelayHealth SaaS provides connectivity that enables all participants in the delivery of healthcare to
communicate with each other more efficie
ntly, effectively, and securely. BENEFITS TO PATIENTS:



Connectivity to healthcare providers for routine communications



Access to lab and other diagnostic test results



Consultations for non
-
urgent health matters



Access to view healthcare account information

and pay bills



Set up and management of Personal Health Records (PHR)




Practice Fusion free EHR

Free EHR also provides online personal health record (PHR) platform for patients to connect directly to
medical practice. It allows individuals to:



View
diagnoses, immunizations and prescriptions as reported by your practice



Track medical record updates made in real time



View and schedule appointments with your office


HIE and NHIN


NHIN is still emerging. Ultimately, networks like the “learning health sys
tem” described by IOM will
provide consumers the latest evidence
-
based health care information.




Aetna Medicity


On Medicity patient data platform, applications can be built for consumer use. Aetna recently unveiled
this platform, but it’s not clear yet
what consumer apps are available.


PHR

General PHR helps consumers organize their health and medical information, but adoption
remains low. The right incentives for ordinary consumers are still missing in PHR tools or online
services.




Google health (to be

discontinued before 2012)


Google believes you should have easy access to your own health information
-

anytime, anywhere. With
a Google Health account, you can store, manage and share all of your health and wellness information in
one central place. It’s

available from Google at no charge. Features:



Manage your Health Information Online



Set Personal Health Goals



Track your Progress



Share your Health Information



Personalize your Health Needs with Content and Apps/Devices




Microsoft HealthVault

HealthVault
is a free online service that stores your health records in a central location, then lets you use
the information with online health tools to manage health conditions, create fitness plans, prepare for
doctor visits, and more.

HealthVault can help you trac
k and manage your chronic condition, and communicate your results to your
healthcare providers. Upload your data automatically: blood pressure monitors, glucometers, peak flow
meters, and weight scales.




Indivo

Indivo is the original personally controlled
health record (PCHR) system. It enables an individual to own
and manage a complete, secure, digital copy of her health and wellness information. Indivo integrates
health information across sites of care and over time. Indivo is free and open
-
source, uses o
pen,
unencumbered standards, and is actively deployed in diverse settings, including Children's Hospital
Boston.

It is a platform for health
-
data innovation. Indivo is built to be extended and customized: users can
connect their record to third
-
party appl
ications that enhance the management and analysis of their health
information. It provide web
-
based API. The SMART research program is using Indivo in its architecture to
create an “iPhone
-
like” health IT platform that aims to transform the way health IT

supports health care
by facilitating the development of medical applications that are scalable and substitutable.



Mayo Clinic Health Manager from Mayo Clinic


Free online service will help you organize and manage your family’s health online, offering pers
onalized
guidance developed by the experts at Mayo Clinic.



Create and update a profile for each family member so health information is organized and
easy to find.



Get advice from Mayo Clinic experts when you need it. Health guidance is created just for
you

and updated in response to your health information.



Get more out of your medical appointments. Arrive with informed questions and printouts of
the data you've been tracking.



With health assessments and trackers, you can record data, track progress toward
your goals
and assess your risk of common diseases. Monitor vital health stats like blood pressure,
weight, and cholesterol, and print graphs and charts to share with your health care providers.



Disease management


Disease management information systems,

particularly for chronic diseases, are expected to help
patients to better manage their medical conditions outside of hospitals.




Healthways


Provides chronic disease management programs.



Circle of Sharing
from American Cancer Society

Circle Of Sharing™
helps cancer patients and their caregivers get personalized information about the
disease, and share that information with family and friends. You can create a Circle Of Sharing™ for
yourself, or create one on behalf of someone you're caring for. It's all
done through Microsoft
®

HealthVault™, a secure Website that will store your personal health information.



Heart360 Cardiovascular Wellness Center
from American Heart Association

Heart360
®

is a convenient and secure location for you to track and manage you
r heart health. Record
your health data with our online trackers, access additional information and resources on how to be heart
healthy, and even share your results with your provider.



Diabetes 24/7
from American Diabetes Association


Diabetes 24/7

is a p
ersonal health record that

allows

you to manage your diabetes

and share valuable
health information with others on

your health

care team. This application integrates with Microsoft’s
HealthVault, which allows you to securely import data from your doctor, p
harmacy, or laboratory and
share the data with anyone you choose, such as your doctor, a family member, or a school nurse.


Decision Support


Decision support systems are traditionally designed for and used by physicians. There is a big need for
these tool
s to be transferred to consumers’ hands. Currently, few tools can be considered as consumer
-
oriented medical decision support.




Health

Dialog


Whenever medical evidence does not clearly point the way, the doctor and the individual need
to make a decision together. Our DECISIONDialog program puts you and your members on the
same side.
Fully informed individuals tend to choose less invasive care


so greater efficiency
comes hand in hand with higher consumer satisfaction. Individuals we coach are happier with
both their care and with their health plan.Our Shared Decision Making® process
is empowering
and satisfying for individuals, and doctors welcome the richer discussions that take place when
individuals are properly informed.


Health portal and search engine


Currently, consumers are finding medical information primarily from the
health portal and search engines.




MedlinePlus

MedlinePlus is the National Institutes of Health's Web site for patients and their families and friends.
Produced by the National Library of Medicine, it brings you information about diseases, conditions, and
wellness issues in language you can understand. MedlinePlus offers reliable, up
-
to
-
date health
information, anytime, anywhere, for free.

You can use MedlinePlus to learn about the latest treatments, look up information on a drug or
supplement, find out the

meanings of words, or view medical videos or illustrations. You can also get links
to the latest medical research on your topic or find out about clinical trials on a disease or condition.

The new MedlinePlus Connect free service allows health organizatio
ns and health IT providers to link
patient portals and electronic health record (EHR) systems to MedlinePlus.




HealthCare.gov


Take health care into your own hands:



Find Insurance Options: See which public, private and community programs meet your needs



Le
arn how to keep yourself healthy and prevent disease



Compare Care Quality




Medicare.gov


You can manage your health and find medicare benefits. It also has tools to compare hospitals,
doctors, nursing homes, home cares, etc.




open

data


New HHS Website To Provide Entrepreneurs and Consumers With Data.




WebMD


WebMD provides valuable health information, tools for managing your health,
and support to
those who seek information. It is a source for original and timely health information as well as
material from well
-
known content providers. Tools include health search, symptom search, and
doctor search.




Healthline Networks


Healthline pro
vides powerful concept
-
based search (in contrast with full
-
text search) based on its
Semantic Taxonomy. The company's Medically Guided Search platform crawls, indexes and presents
clinically accurate search results that can be drawn from a customer's datab
ase of health information
and/or library of health content or from licensed medical reference content that Healthline makes
available for redistribution (Site Search); and from the Healthline HealthWeb, a filtered set of more than
200,000 consumer health p
ublic web sites (Web Search).


Healthline Networks has extended its health search technology services to include specialized health
tools that address the patient pathway
-

from symptoms to treatments, to doctors, to medications.
Symptom Search, Treatment
Search, Doctor Search, and Drug Search.


Healthline's Semantic Taxonomy also powers unique navigation products, which help consumers move
around health content and resources to maximize their research efforts rather than being constrained by
the 'silos' im
posed by the content in its native form. BodyMaps, HealthAnswers and HealthLinks.




OrganizedWisdom


OrganizedWisdom®, an expert
-
driven platform for health and wellness, is on a mission to close the
"Online Health Gap" and elevate the standard of care by in
spiring all doctors and health experts to
embrace the power of digital media and share their wisdom. The company aggregates, organizes, and
promotes online wisdom shared across the Web by more than 5,000 vetted health and wellness experts.
With this first
digital mapping of health experts, OrganizedWisdom is creating a trust filter to better help
people discover and connect with credible health resources.




HealthGrades

HealthGrades is the leading health care ratings organization, providing ratings and profi
les of hospitals,
nursing homes and physicians to consumers, corporations, health plans and hospitals. Millions of
consumers and hundreds of the nation's largest employers, health plans and hospitals rely on
HealthGrades independent ratings, consulting and

products to make health care decisions based on the
quality of care.

Visitors to HealthGrades.com find quality ratings and cost information for the nation's 5,000 hospitals and
16,000 nursing homes as well as in
-
depth profiles of the nation's 750,000 phy
sicians. As a leader in the
consumer revolution in health care, HealthGrades receives more than

eight million unique visitors to its
consumer websites each month.




Everyday

health


EverydayHealth.com is a leading provider of online health information. We're here to help you manage
your own and your family's conditions and overall well
-
being through personalized advice,

tools, and
communities.



Health.com

Health.com is produced by editors and journalists dedicated to delivering accurate, trusted, up
-
to
-
date
health and medical information, for consumers. We focus on problem
-
solving content to help you make
decisions during

complicated, stressful times.




HealthCentral


HealthCentral’s mission is to empower millions of people to improve and take control of their
health and well
-
being.



Our 35+ sites provide clinical resources and r
eal
-
life support to those with life
-
changing conditions.



Our wellness resources and tools help people to live healthier, more fulfilled lives.



We are honored to serve more than 23.1 million visitors each month.




HealthTap

HealthTap is a health and technolo
gy company passionately dedicated to improving your health and well
-
being by personalizing information for you. We're here to help you better understand your health, and to
help you make the best evidence
-
based decisions for yourself and your family.


Health social network


Social networking is a natural fit for consumers to learn from each other for better health.




PatientsLikeMe


PatientsLikeMe is committed to putting patients first. We do this by providing

a better, more effective way
for you to share your real
-
world health experiences in order to help yourself, other patients like you and
organizations that focus on your conditions. Users in the network can find similar patients or relevant
clinical trials
.



CureTogether

Imagine patients around the world coming together to share quantitative information on over 500 medical
conditions. They talk about sensitive symptoms and compare which treatments work best for them. They
track their health. New research
discoveries are made based on the patient
-
contributed data. This is
happening at CureTogether, and we believe it can have a massive global impact.


Health games

People want to live healthier, but they soon find out it’s hard to change the routine. Games ar
e designed
to help consumers change behaviors and keep body and mind healthier.




Keas


The Keas online social game utilizes game mechanics, social networking, rewards and recognition, and
team
-
based support to engage employees and inspire them to adopt hea
lthier habits. Individuals set their
personal health goals, select weekly, actionable “To Do’s” related to their health goals and form teams of
six to engage in numerous fun activities that will improve their health and earn them points leading to
rewards,

status and recognition. The real
-
time newsfeed where participants report their activities and
accomplishments to their team members and their entire workplace community is a key factor in
motivating employees to play their way to health.


With its new onl
ine social game, Keas is bringing into the corporate wellness market the gamification of
health, which Gartner identifies as one of six key areas in the rapidly emerging gamification trend.
Describing gamification as “using game mechanics to influence huma
n behavior in nongame
environments,” Gartner notes that gamification turns “everyday, real
-
world activities into more pleasurable
experiences by recreating the stimuli that occur in game worlds,” and ultimately results in increased
engagement and changed b
ehaviors. (
Gamification Primer: Life Becomes a Game
)




RedBrick Health


The company's health engagement platform blends a fresh, personalized consumer experience, impactful
social networking tools and rewards that link individual financing to healthy behavi
ors. As a result,
RedBrick delivers employers engagement rates far exceeding industry norms and the ability to fairly and
responsibly control costs through increased employee accountability.




Lumosity.com


At Lumos Labs, we believe in improving brains


an
d lives. That’s why we created the most effective
online tool for cognitive enhancement. Drawing on the newest developments in neuroscience,
Lumosity.com offers brain training exercises that work. Regardless of your age, Lumosity can make you
smarter and m
ore mentally fit. If you want a brighter brain, join Lumosity.com today.


Over 14 million people already use Lumosity.com, and we’re adding hundreds of thousands more each
month. These users join us because they know Lumosity.com offers the web’s most comp
rehensive and
effective training program. Thanks to this training, users report positive and often profound results.


Mobile health apps


Mobile apps allow consumers to manage health at any time and from anywhere.




Healthagen ITriage


Consumers can use
iTriage mobile apps to find providers for acute symptoms.




Epocrates


Epocrates, Inc. creates point
-
of
-
care digital solutions that enhance the practice of medicine. More than
1.3 million healthcare professionals, including 45 percent of U.S. physicians, us
e Epocrates to help
improve patient care and practice efficiencies with its drug reference, educational and clinical apps.


Telehealth


Telehealth devices are for routine monitoring of health condition and activities at remote locations like
home.




Asthmapolis


Patients can track inhaler use anytime and anywhere to improve asthma management. The data in
aggregate can help understand time and location variations of asthma symptoms. It can be linked to

environmental conditions as well for public health purpose.




iRhythm Technologies


A new breakthrough technology designed to improve diagnosis of cardiac arrhythmias.


The Zio™ Patch is a long
-
term cardiac rhythm monitor that provides continuous monitorin
g for up
-
to
-
14
days (significantly longer than the time period of a typical Holter).

By providing a longer time period of
continuous recording, the Zio™ Patch improves the likelihood of capturing arrhythmias and provides for
an equal or higher diagnostic y
ield versus other devices on the market.



The Zio™ Patch is indicated for use on patients who may be asymptomatic or who may suffer from
transient symptoms such as palpitations, dizziness, light
-
headedness, pre
-
syncope and syncope,
shortness of breath,
anxiety and fatigue.

As with all iRhythm products, the Zio™ Patch is 100%
recyclable.

No part of the device will end up in a landfill, minimizing the impact of disposable devices on
the environment.





Zeo

Your quality of sleep is central to your quality of

life. Zeo is designed to help you analyze your sleep and
improve it, so you can be your best every day. It’s composed of a lightweight wireless headband, a
bedside display, a set of online analytical tools, and an email
-
based personalized coaching program
.



FitBit

The Fitbit accurately tracks your calories burned, steps taken, distance traveled and sleep quality. The
Fitbit contains a 3D motion sensor like the one found in the Nintendo Wii. The Fitbit tracks your motion in
three dimensions and converts thi
s into useful information about your daily activities.


You can wear the Fitbit on your waist, in your pocket or on undergarments. At night, you can wear the
Fitbit clipped to the included wristband in order to track your sleep. Anytime you walk by the inc
luded
wireless base station, data from your Fitbit is silently uploaded in the background to Fitbit.com




Project ECHO at
UNM


Project ECHO™ (Extension for Community Healthcare Outcomes) is an innovative healthcare program
developed to treat chronic and com
plex diseases in rural and underserved areas of New Mexico. Through
the use of technology, ECHO bridges the gap between urban healthcare specialists and providers in rural
settings.


Collaboration between specialists and rural providers enables patients to

receive state
-
of
-
the
-
art
healthcare from the professionals they know and trust in their own communities.

For providers, co
-
management of the often lengthy and involved treatments brings added depth and technical
competencies and reduces professional isola
tion.

With continued involvement providers become highly
skilled in the treatment of these chronic and complex diseases, thus creating a center of excellence in
their community.


The end result is better quality of care and greater access to specialty care

for all people.




Medtronic CareLink


Medtronic markets a diabetes management solution called CareLink that consolidates and analyzes data
from a patient’s insulin pump, continuous glucose monitoring device and blood glucose meter and makes
it available to

the individual’s doctor. Having a

real
-
time view of blood sugar and the ability to deliver insulin precisely when needed helps diabetics
reduce the risks associated

with erratic sugar levels.


Healthy food




Fooducate


Are you confused by ingredient lists, nutrition labels, health claims and marketing hype? Fooducate is
here to help. We are a team of parents, dietitians, and techies. We realize that at the supermarket you
have very little time to analyze food labels and
extract the information that is important to you. We'd like to
help you make better choices for you and your family.

Get the Fooducate mobile application and use it to:



Automatically scan a product barcode



See product highlights (both good & bad)



Compar
e products



Select better alternatives



Dig deeper and learn more about food and nutrition




Shopwell:


Sho
pWell is a free food information site that scores products on how well they meet your unique needs.
With easy
-
to
-
understand nutrition information and customized product scores, ShopWell gives you easy
tools to find better products for you and your family.
We take the work out of reading nutrition labels so
that you can focus on buying what you want as quickly as possible. We help you shop smarter so that you
can eat better. Personalize food selection based on health profile, scoring algorithm, FDA guide.


F
itness




Strava


It’s a web cycling club. Benefits:

Track Everything

Visualize Your Ride

Compete Against Yourself and Your Friends

Analyze Your Performance

Follow Your Cycling Community Online

Track Equipment Use

Maintain Control of Your Privacy


Pub
lic health

There are huge gaps in our nation’s public health information system. We desperately need new
industry innovation in the public health space.



Esri

Community Analyst is a Web
-
based solution that provides GIS capabilities in a simple and easy
-
to
-
u
se
framework. Thousands of demographic, health, economic, education, and business data variables,
combined with instant reports and interactive color
-
coded maps, allow you to quickly explore the
geographic characteristics of any area. Designed specifically

for government agencies, policy makers,
civic organizations, and non
-
government organizations, Community Analyst allows you to analyze data in
a geographic context as granular as congressional district, block groups, census tracts, or ZIP Codes.


Technolo
gies for new care delivery models


ACO is going to be powered by technologies. What consumer
-
oriented technologies are
appropriate remains to be seen.




Walgreens


Walgreens provides consumers with health guide right in the drug store.