brown2020

Here’s the presentation I gave at the Quantified Self meeting at Institute for the Future in Palo Alto this week. Sixty smart and passionate people on the frontier of personal life and health monitoring technology joined the discussion about using lifestream data to improve memory and cognition, enhance self-awareness, and understand health. Some attendees were researchers trying to discover signals in lifestream data, starting with their own. Some were developers and investors in health and behavioral monitoring companies. Some were from Google. Some were simply curious.

One presenter from Fujitsu demonstrated his around-the-clock blood pressure, heart rate, and blood oxygen monitoring results in an effort to understand which medications influenced his sleep apnea. Esther Dyson showed her 23andMe genetic profile and compared it to her family members and colleagues, while another researcher showed the challenges of posting his genome on Twitter. (Hint: at 140 characters per Tweet and 1000 Tweets per day, it takes two years and you have a high risk of being flagged as a spammer.) Others logged symptoms and environmental factors related to medical issues, analyzed language to passively capture information and insights on mental health, while one person showed his 10 year mind map.

The common denominators at the Quantified Self meeting were that everyone was interested in taking notes on their life experience in a quantifiable way in order to better understand their own experience and to solve problems. In each case, the limiting factor seemed to be the ability and persistence to take notes that could be converted into something useful. It’s just too much darned work.

Simplicity is the key to any kind of self-monitoring and information capture, because no one needs a bunch of extra work. I learned the strength of simplicity working in the field of personal health monitoring for many years as the founder and former CEO of Health Hero Network, the developer of the Health Buddy System, a pioneering effort of electronic “lifestreaming” to improve chronic care. (more…)

NEWS RELEASE: Health Hero Network Says Recent Successes of Deployments with Medicare, VA Signal New Era of Telehealth. Successful Multi-Year Trials at VA, Medicare Show Telehealth-based Health Care Interventions Can Improve Care, Reduce Costs.

PALO ALTO Ca., January 23, 2009 Health Hero Network said today that the first large-scale, multi-year rollouts and evaluations of its Health Buddy® System have shown success in helping improve the care of high-cost Medicare beneficiaries and veterans while reducing costs and hospitalizations — signaling a new era of telehealth that will reshape an American healthcare landscape strained by an aging population, a reduction in caregivers and shrinking financial resources.

VA Results reported in TELEMEDICINE and e-HEALTH, VOL. 14 NO. 10. Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veteran Patients with Chronic Conditions. Adam Darkins, M.D., Patricia Ryan, R.N., M.S., Rita Kobb, M.N., A.P.R.N., Linda Foster, M.S.N., R.N., Ellen Edmonson, R.N., M.P.H., Bonnie Wakefield, Ph.D., R.N., and Anne E. Lancaster, B.Sc. Department of Veterans Affairs, Office of Care Coordination Services, Washington, D.C.

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News Release: Medicare Extends Demonstration to Improve Care of High Cost Patients and Create Savings

Health Buddy Telemonitoring Device

The Centers for Medicare & Medicaid Services (CMS) has granted three-year extensions, subject to certain conditions, for three participants in the Care Management for High Cost Beneficiaries Demonstration (CMHCB) that have demonstrated success in helping to manage the care for high cost patients.

“We have been striving for years to find ways to improve the quality of care for Medicare patients through greater coordination in a way that would also save money for Medicare,” said CMS Acting Administrator Kerry Weems.

“The success of these three partners shows us that better coordination and the introduction of information technology can improve a Medicare beneficiaries understanding of their condition and their ability to follow medical advice,” Weems said. “These programs are showing us yet another way to develop programs that will improve communication between health care providers and their patients, eliminate duplicative and unnecessary care, and improve overall quality.”

Care management for high cost beneficiaries is a provider-based service to improve quality of care and reduce costs for fee-for-service beneficiaries who have one or more chronic diseases. The services support collaboration among participants’ primary and specialist providers to enhance communication of relevant clinical information. They are intended to help increase adherence to evidence-based care, reduce unnecessary hospital stays and emergency room visits, and help participants avoid costly and debilitating complications.

The extensions were awarded to Key to Better Health, a division of Village Health; Massachusetts General Care Management Program; and Health Hero Network, Health Buddy Project.

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