Himss 2013 - Remote Monitoring Rising...Slowly, by Jim Bloedau
HIMSS 2013 - Remote Monitoring Rising...Slowly by Jim BloedauBy Jim Bloedau of Information Advantage GroupWhere on the remote monitoring adoption curve thevendors exhibiting at HIMSS 2013 were was the focus ofmy attention at this year’s conference. Keeping in mindthat a large part of HIMSS’ audience are large IDNs and“chiefs” of the care continuum who are leading theautomation and innovation efforts, history has shownthat what vendors were showing is a reflection of whatthe market is asking for. Here’s what I saw.Remote Monitoring Devices: Remote monitoring waslimited to the garden variety of BP, O2Sat, peak flow,weight and communication hubs. Although somevendors have not migrated their monitoring devices towireless (Cardiocom) the newer wireless devices stood out. Among these, Numera appears to have thelongest list of device partners and most modern wireless lineup of vendors of the group. They have alsopositioned themselves with an ultra modern update of the ancient “help I can’t get up” personalemergency response (PERS) device that can delineate between real falls and just someone dropping it,geo-locate and make the call for help – a very nice product. It will be interesting to track how the marketmatures around this and other remote monitorin technology that includes long term players Honeywell“Hommed”, Bosch “Health Buddy” and the market leader Philips “Healthcare at Home”.Population Health Management: Population health management was one of the top three buzz wordson the exhibit floor. This was limited more to the professional side and was mostly a renaming of diseasemanagement.What fits into this category is the advent of intelligent home health hubs that can individualize suggestedwellness steps based upon the answers of a couple of simple questions. These questions may lead to whatto do suggestions and feedback loops showing progress trending, mood trending, calendaring ormedication adherence. These hubs are rudimentary and intended for the aging at home patient who isnot technologically savey. The daily questions they offer have branching logic that is used to determinewhat content to serve up based on a profile of you - similar to adds that Google search individualizes foryou. It is an exploratory way to keep the content fresh and engaging to prevent user fatigue andpatients slipping back into unhealthy habits.Another vein of population management is “patient engagement”- another prevalent buzz word - whichuses behavioral design thinking to get us to be better at healthy habits. When speaking with Philips, theterm “behavioral science” came up several times when talking about their DirectLife product. One of theleaders in behaviorial design for healthcare application is the Persuasive Technology Lab at Stanford andbeing led by BJ Fogg and his "Behavior Design" model - interesting and attacks the biggest problem inhealthcare - compliance.Amoung the leading EHR vendors, there was a paucity of remote care technology. The exception was Epicwho demoed MyChart Bedside, a tablet concept for the home, where the patient can be monitored andmanage activities of daily living (ADL) like “meals on wheels.”Implications: Clearly both of these examples indicate the beginnings of a trend from a one to manydelivery of healthcare to a one to one "engagement." We already see this 1-2-1 in our daily online livesas ads are served up to us based on some mysterious database somewhere being common. This is also
the beginning of a platform model for healthcare where the consumer/patient also creates value bybecoming a source of data that allows individualization of message for better wellness and if physiologicmonitoring is included, preemptive interventions that avoid acute care episodes. What I saw at theconference is that everyone is very focused on ICD 10, Meaningful Us, ACO/PCMH and EHRimplementations. What I heard was that all see the possibility and value of BYOD, mHealth and remotecare technology, but lacked of bandwidth to do much with it now.