By Marco Smit
There are, unfortunately, many ways for care transition innovation companies to fail at achieving large-scale adoption among hospitals. Making smart choices (e.g. pilot / evidence strategy), having realistic expectations (e.g. 12-18 months innovation adoption cycles), and learning from the experiences from others can improve the odds of becoming a trusted partner in care transitions for many hospitals. Health 2.0 Advisors released a report at the mHealth Summit in Washington D.C. yesterday that aims to bridge key gaps between hospitals that want to adopt care transitions innovations and the young companies that are developing these innovations. The report can be downloaded here: Innovations In Care Transitions.
I run Health 2.0 Advisors, Health 2.0’s Innovation Analytics and Acceleration business unit. We help organizations navigate/make sense of the – often ‘noisy’ – innovation landscape. The ‘Acceleration’ part of our work is all about helping those organizations who want to innovate find the right emerging innovation companies to start working with them.
As I mentioned during my presentation at the mHealth Summit yesterday, this report synthesizes barriers to adoption of such innovation in hospitals, lessons learned from those who succeeded, and shares information about important areas of need/opportunity for technology companies going forward.
This report is based on a project done for the Gordon and Betty Moore Foundation, for which Health 2.0 Advisors interviewed, surveyed, and conducted focus groups with more than 100 hospital executives (e.g. CIOs, CMIOs), clinicians, technology company leaders and representatives from other health related organizations.
So, what are some key findings from this project?
1) Targeting the right hospitals is critical. Interviews with those who succeeded, those who failed, and those who were trying to transition from failure to success all made it very clear that:
- Innovation adoption for care transitions is hard and often takes 12-18 months
- If a hospitals is preoccupied with other performance improvement needs, this period will be longer and it will be exceedingly hard to develop the required multi-stakeholder engagement to succeed
- The report includes tips on how to identify hospitals for whom care transition innovation is a top priority to address now/soon
2) Staircase of cumulative evidence framework: Hospitals don’t buy technology features; they adopt technology based on evidence that it works in similar settings elsewhere. Many technology companies focus on improving or adding product features when they hit roadblocks in acceptance by hospitals. But the key is to develop the evidence that hospitals rely on to make their innovation adoption choices.
- Health 2.0 Advisors developed the Staircase of evidence framework to make that evidence development process smarter and more efficient for young companies, who can easily fall prey to ‘death by a thousand custom pilots’ as one CEO called it, if there is no strategy to the pilots/evidence development.
- The top of the staircase (demonstrating that your technology’s success can be replicated in many different clinical settings) is most difficult to achieve, but the key to reaching large scale.
3) The next 1-3 years are all about data: We researched current and future use of technologies to address care transitions and it is clear that hospitals have invested significant efforts in optimizing internal processes (incl. standardized checklists for patient dismissal) in recent years. But what hospitals are most focused on next are a) shared care plans across different settings and providers, b) ways to integrate patient data as means to better understand the patient population, and c) predictive analytics to better target patients at higher risk of experiencing adverse events.
These are just some highlights from the report. There is much more to be discovered in the report about how hospitals search for innovation externally, how to develop that smart evidence strategy, etc., etc. You can download the report here: Innovations In Care Transitions. And feel free to share any questions or feedback you have on the report with us on firstname.lastname@example.org of course.
The Allscripts Open App Challenge, which awarded $750,000 to 20 applications, wrapped up earlier this year. The competition lives on as a huge success and a model for other companies betting on “open” strategies. We wanted to take the opportunity to share some insights gathered from the Sponsor and Winner of competition, and will be running a series of interviews with challenge participants over the next few weeks.
We kick-off our interview series with Tina Joros, Director of the Allscripts Developer Program, focusing on the inspiration behind the challenge and next steps for Allscripts. Enjoy!
Tina is the Director of the Allscripts Developer Program and the lead coordinator of the challenge within Allscripts. Her attention to detail and care in making sure participants had everything they needed were vital to the competition’s success.
HealthLoop, Inc. has been developing a feedback system that creates a communication loop between patients and providers, to help keep track of the treatment progress in between clinic visits. This ‘loop’ consists of reminders, questions and care instructions based on the treatment plan. Patients are urged to regularly check-in online, providing feedback on the prescribed timely ‘action items’ and answers clinical questions based on where they along the recovery process. The system also alerts the doctor if a patient appears to be at risk of a complication, treatment failure or hospital readmission.
Today, HealthLoop announced that it raised $10M in Series A. The round was led by Canvas Venture Fund, an early-stage venture fund managed by the Morgenthaler Technology Investment Company. Other investors include Subtraction Capital.
HealthLoop has been a part of the Health 2.0 since its debut in 2009. The Health 2.0 Spring Fling: Boston 2009 provided the first sneak preview of its cloud-based automated patient follow up solution. It formally demoed at the Health 2.0 San Francisco Fall Conference 2011 stage, as a part of the annual Doctors 2.0 panel which showcases latest tools transforming physician practices. The same year, HealthLoop made another appearance at the Europe Fall Conference in Berlin as a part of the ‘Cool tools to connect stakeholders and promote the co-production of health care’ panel. We invited them back to our San Francisco Fall 2012 conference to as a part of the showcase of technologies transforming care delivery.
HealthLoop was also among the top five finalists of the DC to VC HIT Showcase 2012. Health 2.0 and Morgenthaler Ventures, the parent company behind HealthLoop’s key investor, jointly organize this event every year to find and promote the most promising health tech startups from across the nation.
In this exclusive interview Indu Subaiya, CEO of Health 2.0 talks with Ginger.io’s CEO Anmol Madan and Julia Winn, previous CEO of BetterFit Technologies, to discuss how their respective companies came together to make sense of the duality of active and passive patient data collection. They also dive into the challenges facing clinicians to make timely interventions across a large-scale patient population and how Ginger.io is creating the solution.
Join Health 2.0 at the 2013 mHealthSummit on Monday December 9th in Washington DC to see Julia Winn demo how BetterFit Technologies has integrated with Ginger.io on the panel Future of Self-Tracking and Personalized Medicine. Register here.
Indu Subaiya: Let me start by welcoming you, Anmol and Julia, to the conversation. We’re looking forward to having you at Health 2.0. Why don’t we begin by starting with you, Anmol. Give us a bit of a background and history of Ginger.io. We had you present at Health 2.0 in 2011. Tell us a bit about your roles in the company and how you’ve developed in the last couple of years.
Anmol Madan: We’ve been around for about 2 ½ years and presented at Health 2.0 in our very early days. At Ginger.io we work with passive mobile phone data and behavior analytics for chronic patient populations. For providers and other players in the health care ecosystem, we help them manage their patient populations better so we help identify which of their patients are likely asymptomatic at that point of time. The idea is to enable doctors, nurses, and also family members and friends to reach out to their patients and support them when they need help the most.
Indu Subaiya: The term that you use often in describing what you do is ‘passive data’. Can you tell us a little bit more about what that means specifically and how you distinguish passive data from other types of data that consumers are collecting about themselves?
Anmol Madan: Absolutely. Every one of us is carrying a mobile phone and it’s an incredibly powerful diary of your life because it has all sorts of sensors built in. There is a tremendous amount of data generated, and the complexity around interpreting this data, delivering insights, and making them actionable is a really interesting problem for us at Ginger.io.
Indu Subaiya: One last question for you, Anmol, and then I would love to bring in Julia’s perspective here. How are providers integrating the data that they get from Ginger.io? And tell us a little bit about your observations from how that has gone so far.
Anmol Madan: There is an ongoing transition in health care, and at Ginger.io our platform is revolutionizing how providers, nurses, and institutions manage their patient populations at scale. Providers use the Ginger.io platform to determine who needs help, have timely outreach, and a meaningful conversation with their patients around their real-world behavior. This helps the health care system achieve the triple aim: better care and outcomes, a better experience for patients & families, and lower costs. Continue reading →
By Matthew Holt
I’ve been a busy world traveler lately. The focus of the health care tech and policy crowd in the US has been on the fix to one high visibility website. Before I talk about the rest of the world it’s worth noting that the Administration painted itself into a corner here. When healthcare.gov failed on take-off they didn’t make the obvious choice of letting other brokers and plans enroll people directly–and worry about correcting subsidies on the back end. I spoke with one big online broker this week who told me that his company still couldn’t get reliable access to the subsidy calculator API, and so can’t enroll people. I suggested the solution to that back in October but apparently no one is listening at HHS–although Sen. Mary Landrieu was. The White House was however listening to the Fox news crowd ranting about cancelled insurance policies and made the bad policy (if necessary political) call to allow current individual market policies to continue–even if they are rightly now illegal under the ACA.
But elsewhere the impetus that the US has been seeing on the health technology side–with over $2 billion in venture funding this year–is spreading. The UK just confirmed that it’s releasing the equivalent of $800 million for new health technology, and we just returned from a very successful Health 2.0 Europe conference. All kinds of activity is going on over there–did you know there were over 100 digital health start-ups in Finland & the Baltics alone? Well, you do now.
Today the Health 2.0 international roadshow is in Sao Paulo, Brazil–a city that has the size and energy of New York–albeit before Giuliani cleaned up the graffiti. And yes, even in Latin America, there’s lots of activity in using technology to change health care. I’ll tell you more next time, but it’s clear that there’s way more than one website in healthcare.
Hope to see you at our Health 2.0 at the mhealth Summit Session in DC on Monday.
Shareable Ink, the enterprise cloud computing company that transforms point-of-care clinical documentation to structured data and analytics, closed $10.7M in Series C financing. Lemhi Ventures led the round.
GE Healthcare launched Centricity 360, a cloud service that streamlines clinical collaboration among unaffiliated caregivers and patients to help reduce duplicate testing, avoid unnecessary patient transfers, and lower diagnostic imaging distribution costs.
Kaiser Permanente opened a retail store in Modesto complete with iPads, laptops, and employees to help consumers shop for medical coverage on Covered California, or with Kaiser.
StartUp Health received a $500,000 grant from the Robert Wood Johnson Foundation to teach entrepreneurs to develop tools specifically for underserved populations.
iPatientCare, a cloud based EHR and practice management solution provider, became compliant with the Michigan Care Improvement Registry (MCIR) to submit and receive immunization information between its EHR system and MCIR.
According to a new study by MarketsandMarkets, the European Home Healthcare Market for Respiratory Therapy and Rehabilitation Therapy will be worth $57.2B by 2017.
Happtique, a mobile health solutions company, released its inaugural list of 19 health and medical apps through its Health App Certification Program (HACP).
Sense4Baby, the company behind the wireless fetal heart rate monitoring system used to perform non-stress testing (NST) for high-risk pregnancies, received 510(k) clearance from the U.S. Food and Drug Administration (FDA), and a CE mark from the European Commission.
Rest Devices, a developer of sensor enabled tracking devices, raised $1.2M for its mobile based baby tracker Mimo. The round was led by Experiment Fund, Andy Palmer (Founder of Koa Labs), and Nuland & Arshad.
After months of competition, we are excited to finally announce the grand prize winners of the Robert Wood Johnson Foundation (RWJF) Hospital Price Transparency (Apps and Tools) Challenge! This high stakes competition launched on June 3rd at the Health Datapalooza IV and consisted of two phases, with the Phase 1 concept submissions due on August 4, 2013. Applicants were tasked to use recently released CMS inpatient and/or outpatient hospital charge data to create apps and tools that can help consumers make more informed decisions about which hospitals provide the highest quality and low cost procedures.
The challenge received over 85 submissions in the ‘Apps and Tools’ category. The five finalists - Consumer Reports, Habersham Health, NerdWallet Health, Procedure Tap, ReferMe – were announced October 1st and each won $5,000.Then these five finalists (and any non-finalists) were asked to take their concepts and wireframes to actually develop working apps. We are thrilled to announce the winning solutions:
Starting with 3rd place, we have NerdWallet Health! Their web app provides users with recommended hospitals in their location best suited for their treatment, winning $5,000.
In 2nd place was ReferMe Health. Similar to Kayak or Yelp, ReferMe asks patients what they are looking for with regards to cost, quality, and distance, and then chooses the best hospital based on the patient’s preferences. They took home $10,000.
Finally in 1st place was Consumer Reports! This tool, created specifically for the RWJF Challenge, is personalized for health-care consumers seeking the best hospital for hip or knee replacement surgery. Consumers are then able to compile all their research, including outside experiences, and notes all in one place. This grand prize app won $50,000!
We congratulate the winners for their tremendous efforts and look forward to seeing their applications enter the market to help millions of consumers. Learn more about the challenge and winning submissions here.
By Marco Smit
A few weeks ago Lisa Suennen, founding partner of Psilos Group and fledging best-seller author, wrote ”Times of massive system transformation, such as we are in today, pave the way for new market entrants and disruptive technologies a la Clayton Christensen’s stories about other industries that have endured dramatic change. ” She was talking about health insurance exchanges, but could just as well have been talking about care transitions.
Health 2.0 Advisors is the Innovation Analytics and Acceleration business unit of Health 2.0, helping companies make sense of the – often ‘noisy’ – innovation landscape. Recently, innovation in care transition improvement became an important area of demand among hospitals and many startups have been developing new technologies, tools, and solutions to improve care transitions. Next week, Health 2.0 Advisors will be publishing a report that synthesizes barriers to adoption of such innovation in hospitals, lessons learned from those who succeeded, and share information about untapped areas of opportunity.
This report is based on a project done for the Gordon and Betty Moore Foundation, which included interviews with (100+) CIOs, CMIOs of hospitals, as well as startups of varying sizes and degrees of success in working with hospitals.
Check out the special presentation of highlights from this report during the mHealth Summit in Washington D.C. on the 8th. The report will be available for download after that and I will write a follow up post with some additional highlights and perspectives. If you want to receive a copy of this report but cannot make it to the mHealth Summit, send an email to email@example.com and we will email you the download link after the mHealth Summit presentation.
Nancy Fabozzi, Principal Analyst at Connected Health, shares her thoughts.
What is Health 2.0?
We recently attend the Health 2.0 7th Annual Fall Conference held at the Santa Clara Convention Center in early October. This meeting is held every fall in the San Francisco area and is considered to be one of the premier events to gage the latest trends in disruptive health IT, particularly related to consumer health and patient engagement. The conference was put on by Health 2.0, a San Francisco-based organization that provides events and media services designed to showcase innovative companies, technologies, and thought leaders focused on shaking up the status quo in healthcare. They also run the Health 2.0 Developer Challenge, a platform for connecting healthcare organizations to health technology developers, operate a media channel, and provide market intelligence services among other things. Health 2.0’s various conferences, developer challenges, and live code-a-thons have a global reach, extending across major U.S. cities as well as Europe, Latin America, the Middle East, and India. Matthew Holt and Indu Subaiya, M.D. founded the organization in 2007. Holt serves as Co-Chairman of Health 2.0. His background includes over 20 years in healthcare and healthcare IT market research and strategy consulting, and he is also the founder and publisher of The Health Care Blog, a highly influential and popular blog that features contributions from leading figures across the healthcare industry. The blog launched in 2003 and currently attracts around 50,000 visitors a month. Indu Subaiya, Health 2.0’s Co-Chairman and CEO, is a physician who also has a background in strategy consulting and business. The Health 2.0 enterprise has become a powerhouse in the world of health IT start ups. According to their website, the organization has introduced over 500 technology companies to the world stage, hosted more than 11,000 attendees at their conferences and code-a-thons, and awarded over $5,277,000 in prizes through their developer challenge program. In addition, they have inspired the formation of 70 new chapters in cities around the world.
Event Demographics – Global Constituents, Focused on Disruption
The Health 2.0 Fall Conference featured 2000 attendees, 250 speakers, and approximately 3,000 associated companies. Kaiser Permanente and the XPRIZE Nokia Sensing XCHALLENGE was the key sponsor for the event and was joined by a generous roster of global corporate sponsors including large commercial healthcare payers (Cigna, Aetna, and UnitedHealthcare), non-profit organizations (California Healthcare Foundation, Robert Wood Johnson Foundation, Knight Foundation), numerous established and emerging health IT vendors, and provider organizations. The majority of IT vendors were smaller start-ups mostly focused on wellness and consumer health apps. We also saw a lot of vendors offering various tools for care coordination and population health management. The presence of Allscripts and athenahealth was notable as most of the large established, “mainstream” health IT vendors were not in attendance at Health 2.0 as sponsors or exhibitors. Retail giants Walgreens and Target had a noticeable presence—the Target logo was actually displayed on the event bag. Health 2.0 has a broad global reach so there was good representation from global companies. Of note, was a 70-person delegation from Finland (Team Finland) promoting the message that “Finland is the hottest spot in Europe for health and wellness innovations.” Another interesting global participant was Tim Kelsey, National Director for Patients and Information for the U.K.’s National Health Service (NHS). Kelsey, who emphasized the fact that the NHS spends $100 billion on healthcare per year, was promoting the new NHS initiative that seeks to “unleash the power of people” with new IT tools including patient feedback. Kelsey said he was attending the event to actively solicit relationships and gather information from vendors who want to serve the NHS as they open up data for this new push to engage patients. Vendors take note! Continue reading →
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ONC’s Division of Science and Innovation is hosting a series of webinars designed for health IT innovators, developers and everyone who wants to jump feet first into the pool. First up on December 5 is a session moderated by Leonard Kish that looks at the economic evidence for Health IT and features the ONC’s Mike Furukawa and Jon White of AHRQ. You can learn more at http://www.healthit.gov/newsroom/webinars.
Thursday, December 5, 2013 12:00 – 1:00 pm EDT
Economic Evidence for Health IT
- Speaker: Michael Furukawa, ONC; Jon White, AHRQ
- Moderator: Leonard Kish
Join the webinar. For audio only: dial 1-888-397-9935 and use code 5048034.