I will be making this announcement to 58,000+ members of the Digital Health group on LinkedIn. If you’re on LinkedIn, please do join the group, which allows you to opt in to receiving these announcements in addition to connecting with thousands of other global stakeholders in digital health. Note that I will continue to update this announcement up until sending out the final version via LinkedIn. I’m also now using Constant Contact to send an html and image-rich version of my announcements. You can subscribe to that version here.
The Digital Health Update by Paul Sonnier ⋅ Sep 9, 2017 ⋅ #291
Dear Group,
I’ve published two issues of my newsletter since last week’s group announcement. You can read both newsletters via the following links. The full text of each is also included below.
The Digital Health Newsletter for Sep 5, 2017
The Digital Health Newsletter for Sep 9, 2017
Also, please note that I’m seeking a direct role with a company or organization that would, ideally, complement and leverage all that I’ve built and am doing, including my keynote speaking, weekly newsletter, Digital Health LinkedIn group management/curation, and contributing editor role at Innovation and Tech Today. My professional bio is viewable here. Please contact me if you see a potential fit or would like to advertise in my announcements, newsletter, and website.
The Digital Health Newsletter for Sep 5, 2017
In an interview in Men’s Health, Apple’s director of fitness for health technologies, Jay Blahnik, claims that over the past five years the company’s fitness lab has collected more data on activity and exercise than any other human performance study in history. To date, there have been over 10,000 unique participants (contrast this with a typical clinical trial of less than 100 enrollees), who have completed 33,000 sessions and generated more than 66,000 hours of data. Apple employees exercise in group classes, on rowing machines, treadmills, cable machines, and even swim in an endless pool, all while 13 exercise physiologists and 29 nurses and medics monitor the data from the Apple Watch, metabolic carts, ECGs, and a mask that tracks calorie burn, oxygen consumption, and VO2 max. There are also rooms with microclimates that simulate Arctic conditions (subfreezing) and desert heat (100°F-plus). All of this work is intended to optimize the health of users of the company’s apps and devices, like the Apple Watch, which will soon be upgraded to WatchOS 4 and include high-intensity interval training and wireless connection to gym cardio machines. Apple’s next launch event is Sept 12.
In what has become a common theme of the digital revolution, a new self-learning algorithm leveraging data from wearable devices could add a new layer of activity monitoring that fills in the gaps missed by current tools. Scientists at the University of Sussex have developed a machine learning system that can detect and record daily activities in real-time and fill in the missed motion that current systems don’t account for or accurately label. For example, the algorithm could track you while you are lying down, sitting still, or doing some activity or notable trend and identify what you’re doing, including if it’s related to another activity.
LIVING AND SOCIETY
Verizon has a new system called Hum, that features an app and two component devices: One that plugs into your car’s On-board Diagnostics (OBD) port and anther that clips onto your sun visor, doing double duty as a speaker phone. The system includes vehicle diagnostics, a WiFi hotspot (upgraded system only), and can automatically call emergency services if it detects an accident and even send help. You can also connect to emergency services at the push of a button. As I tweeted to Joel Winston, I am curious about what Verizon does with the data it collects.
Bosch’s concept X-Spect stain scanner device can detect what you spilled on your clothes and can tell what type of fabric its on in order to help you better wash your clothes. Future applications could also include analyzing your food for consumption, like whether or not it’s ripe.
One of Samsung’s new washing machine leverages AI and other techniques in order to wash clothes faster. The companion Q-rator app incorporates a virtual assistant to help you plan your laundry based on various factors (like fabric types), make suggestions, and can alert you to issues.
WEARABLE TECH
Samsung has announced its new Gear Sport smartwatch, a new version of the Gear Fit fitness band, and new Gear IconX wireless earbuds. The buds are not just for listening to music, but can also be used to track workouts. The Gear Sport smartwatch comes with improved heart-rate monitoring, automated activity tracking, and apps from its partner Under Armour. While it is waterproof, unlike the new Fitbit, it doesn’t track breathing or oxygen consumption.
REGULATION
- Design their devices with interoperability as an objective
- Conduct appropriate verification, validation, and risk management activities
- Clearly specify the relevant functional, performance, and interface characteristics to the user
The FDA has also released its final guidance on the “Use of Real-World Evidence (RWE) to Support Regulatory Decision-Making for Medical Devices” (PDF). The agency states that this will clarify how it evaluates Real-World Data (RWD) to determine whether it is sufficient for generating the types of RWE that can be used in FDA regulatory decision-making for medical devices. This guidance is applicable to all devices, as that term is defined in the FD&C Act, including software that meets the definition of a device. It adds that RWD are data relating to patient health status and/or the delivery of health care routinely collected from a variety of sources, including electronic health records (EHRs), claims and billing data, data from product and disease registries, patient-generated data (including in home-use settings), and data gathered from other sources that can inform on health status, such as mobile devices.
The Digital Health Newsletter for Sep 9, 2017
With the inroads being made to reduce costs and improve care via digital health (for example, Kaiser Permanente’s achievements, include providing 52% of patient interactions via digital tools and a continuing reduction in heart attack rates among its Northern California members), it’s a shame to see pharmaceutical companies doing things that keep costs unnecessarily high in the name of profits over patients. The latest example is by drug maker Allergan, which has made a deal to transfer its patent for the drug Restasis to the the Saint Regis Mohawk Tribe in New York state. The result is that Allergan gets to maintain the patent protection (from which the company derived $1.5 billion in worldwide sales of the drug last year), and the Native American Tribe—which is a sovereign entity immune from patent reviews—gets $15 million/year plus upfront money of $14 million. And consumers—plus other payers—get to pay more than they should for an important eye care drug.
As Kaiser Permanente CEO Bernard Tyson wrote in a Forbes piece Why Pharma Must Change Its Model , “Every part of the industry has been shaken up by this new era of doing better for less. Countless industries outside of health care have already gone before us, understanding that technology and productivity gains must be passed along to the consumer for businesses and our nation to remain competitive. The pharmaceutical industry remains our lone holdout, and we cannot succeed without it. If the cost of new drugs continues to rise at this rate, any progress we make in other parts of the health ecosystem will be irrelevant.”
Alternatives to the current system of higher prices due to drug patent monopolies exist, including one suggested by economist Dean Baker that involves replacing patent supported drug research with direct public funding.
—END—
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