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eNewsletter

May 2009


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Application Spotlight

  • State of Michigan Improves Efficiency and Saves Money with Polycom Telepresence
  • SiliconSky GPS Designs First AGPS-Enabled Asthma Inhaler for Landmark Research Program

Product and Services News

  • Ideal Life Introduces Releases Bluetooth-Enabled Chair Scale for Home Use
  • Penny Imaging Exchange, Inc. Acquires New Technology to Capture Medical Records from Microfiche

Industry News

  • Continua Health Alliance Awarded for Innovation in Telemedicine
  • Healthy Growth for Wireless Patient Monitoring, Says IMS Research

Event Listing

  • Sixth Annual Healthcare Unbound Conference & Exhibition
    June 22-23, 2009
    Seattle, WA. 
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APPLICATION SPOTLIGHT  

State of Michigan Improves Efficiency and Saves Money with Polycom Telepresence
As state governments face the toughest economy in decades, Michigan is saving hundreds of thousands of dollars, improving worker productivity and bolstering public safety with high definition (HD) telepresence solutions from Polycom, Inc., a telepresence company that focuses on video and voice communication solutions.

Like all states, Michigan has sought ways to reduce costs without sacrificing the services – not to mention the safety – it provides to citizens. The Michigan Department of Corrections and the Michigan Department of State Police have found the answer in HD visual communication, which allows them to cost effectively serve facilities scattered across 58,110 square miles to the most remote corners of the Upper Peninsula.

Department of Corrections Partners with Polycom to Control Costs
The Michigan Department of Corrections (MDOC) links its broad network of 48 correctional facilities via an expanding network of Polycom visual communication infrastructure. With 85 video conferencing locations, MDOC keeps costs in check by providing a range of services including telemedicine, parole hearings, judicial hearings and administrative hearings.

MDOC has deployed 144 Polycom systems ranging from desktop video conferencing software for PCs to Polycom HDX 8000™ room telepresence solutions. Polycom systems equip staff at every MDOC facility, no matter how remote. The agency’s telemedicine program enables physicians in Detroit, Lansing and Jackson to evaluate patients, provide follow-up care, and prescribe treatment and medications to prisoners located at any MDOC facility.

In 2007, MDOC conducted more than 1,000 telemedicine visits, producing an estimated savings of $125,000 in transportation costs alone. “The savings we’re seeing – both in money and in time – would be impossible to achieve without video conferencing,” said Lynette J. Holloway, video conferencing coordinator for MDOC’s Bureau of Fiscal Management.

The telemedicine program also reduces transports of potentially unstable and violent “Level 5” prisoners to local health care facilities – a move that Holloway said helps keep communities safe: “A Level 5 prisoner is the last person you want to put in a car and drive to another location.”

Forensic Scientists Increase Efficiency with Video Testimonies
Scientists at the Michigan State Police (MSP) Forensic Science Division analyze evidence for all Michigan law enforcement agencies. In addition to DNA, firearms, explosives, fingerprints and other evidence, toxicologists at MSP’s Lansing Laboratory analyze and process some 15,000 alcohol and 5,000 drug cases annually. 

Nearly 1,000 times a year, MSP forensic scientists deliver expert testimony at criminal trials around the state. “We receive between 75 and 100 blood alcohol cases a day,” said Inspector Greg Michaud, assistant division commander for MSP’s Forensic Science Division. Although testimonies usually last just 15 minutes, traveling to and from the courts can keep an analyst “away from the bench” for up to three days.  That has contributed to a growing case backload, while budget cuts have left the department with less money for travel and overtime.

Looking to increase efficiency in the Toxicology Unit, MSP administrators considered a new idea: delivering testimonies remotely over video. In the first program of its kind, MSP launched a video testimony program last year. Today, the HD videoconferencing network includes Polycom HDX 4000 personal telepresence solutions, Polycom HDX 7000 room telepresence solutions, and multiple Polycom VSX 3000 personal video conferencing systems.

The HD telepresence solutions equip not only the Lansing laboratory, but all seven of the Forensic Science Division’s labs throughout the state, and are available for testimonies and remote consultation with other labs. In the program’s first six months, MSP forensics experts delivered 25 testimonies via video, saving hundreds of hours of analyst bench time, not to mention travel costs.

Launching the groundbreaking, award-winning program meant working with legislators to change Michigan Court rules and secure buy-in from prosecutors, judges and defense attorneys. “I’m seeing great value in it,” said Mark Esqueda, chief assistant prosecutor for Delta County, which has prosecuted more than a dozen cases using remote expert testimonies. “It’s efficient, and it works so well.”

Esqueda said the quality of the Polycom UltimateHD video and audio technology makes all the difference. “It’s almost as if the person is there live,” he said. “I’ve spoken with jurors after trials and they didn’t have a problem that the witness wasn’t physically there in the room.”


SiliconSky GPS Designs First AGPS-Enabled Asthma Inhaler for Landmark Research Program
SiliconSky GPS, a leading US-based GPS integrator and product design firm, has completed the design, development and beta-manufacturing of the first-of-its-kind asthma inhaler enabled with GPS tracking for a pioneering researcher.

Behind every great GPS product inventor, stands an innovative engineering team ready to design and build a product that has the potential to revolutionize an industry. Such is the story of two forward-thinking partners – an epidemiologist from the University of Wisconsin working to better understand the triggers of asthma and an engineering firm that is dedicated to bringing the most useful and innovative GPS products to market.

Edward Olson, CEO of SiliconSky GPS, and David Van Sickle, a University of Wisconsin researcher and entrepreneurial inventor, set out to create a medical device that would allow tracking of asthma inhaler use trends, including exact time and geographic location of uses. The result was a GPS-enabled standard asthma inhaler.

Due to the nature of asthma attacks and inhaler use, the medical device needed to function inside buildings as well as outdoors. The unit had to be small enough to fit in the palm of a user hand, comfortably in a pocket or bag. Additionally, inhaler data needed to be reliably gathered and relayed back to Van Sickle’s research database in real-time, where information could be compiled, managed and interpreted.

The GPS inhaler design utilized state-of-the-art Assisted GPS (AGPS), a GSM modem, integral antennas, an embedded microprocessor and an internal rechargeable lithium ion battery. Aggressive battery management techniques allowed for 10 days of operation between charges. The use of 3G GPRS communication technology allowed the device to report usage data from anywhere in the nation to the research center. The product was designed, tested and manufactured for trial studies in just over six months. 

One of the more challenging aspects of the design was achieving the necessary small form factor. “Our client needed the medical device to be compact enough for convenient daily use. To achieve that end, it took efficient circuit design and meticulous 3D modeling to fit the electronics, battery and antennae into a package the size of a Zippo lighter,” as Edward Olson explains the device design hurdles.

With many GPS asthma inhalers currently in use in Van Sickle’s University of Wisconsin program, meaningful data is now being collected to assist with asthma research.

PRODUCT & SERVICES NEWS

Ideal Life Introduces Releases Bluetooth-Enabled Chair Scale for Home Use
ideal life chair scaleIdeal Life has released an affordable and practical Bluetooth-enabled “chair scale”* - designed for individuals who are too frail or obese to use conventional weighing.

Bluetooth-enabled, working with any mode of communication, including cell phones, telephone lines, and the Internet the chair was designed to wirelessly and automatically capture, store and share important health information; no extra steps, no computer, no installation or training is required.

Developed using an open technology platform allowing for complete customization of services and integration into existing information based systems; it is available at a fraction of the cost of other systems.

(*Patented with patents pending)


Penny Imaging Exchange, Inc. Acquires New Technology to Capture Medical Records from Microfiche
Penny Imaging Exchange, Inc. (PIE) has acquired new technology from Germany to process the conversion of microfiche records to digital form – the DRS Digitizer. With the Obama administration pushing to make healthcare more efficient, this new technology is in the forefront of streamlining the process of electronic medical records (EMRs).

Many, if not, all healthcare institutions currently have archived medical history on microfiche.  Though microfilm storage was very popular some odd 20 years ago, many hospitals and doctors’ offices are getting on the digitization bandwagon. They are finding that there are benefits to having electronic records. Ease of access and mobility of information has allowed for greater improvements in workflow and clinical efficiencies. Plus, digitization eliminates the detrimental factors that may occur when microfilm is not properly stored, such as redux, a condition which causes spotting of the film, fading, disintegration over time and loss of records.

Converting microfiche medical records requires an expert level of quality control, high quality images and archiving, and the use of specialized professional equipment and software that is able to overcome the major issues associated with microfiche conversion.  

Unlike current scanners which scan across an image at a slow rate, the DRS Digitizer uses modern CCD cameras providing a full image snapshot (“overview” scan) and digitization into grayscale for excellent archival image quality. This is a completely new approach to digitize microfiche records offering better validation and indexing.

INDUSTRY NEWS

Continua Health Alliance Awarded for Innovation in Telemedicine
Continua Health Alliance, the non-profit, open industry coalition of leading healthcare and technology companies from around the world, was honored with the 2009 ATA President’s Innovation Award at a ceremony held in conjunction with ATA 2009. Recognized for advances, creative thinking and development of technology in the telemedicine industry, Continua joins past American Telemedicine Association (ATA) President’s Award winners who have been saluted as valuable contributors to the industry.

Each year ATA recognizes an organization for advances in telemedicine by bestowing the ATA President’s Innovation Award. These organizations are acknowledged for their innovative new technology development, novel use of technology leading to innovative health applications, new ways of thinking and creative strategies for removing barriers to implementation and adoption.

By providing the necessary technical information to build and design certified interoperable healthcare products and services, Continua is spurring the worldwide innovation of telehealth applications and social services while removing barriers to global implementation and adoption of telehealth solutions. The publication of the Continua Health Alliance Version One Design Guidelines and the first Continua-certified products entering the market have ushered in a new era of interoperable personal telehealth solutions. These developments reflect the collaborative efforts of more than 190 leading technology, medical device manufacturers and telehealth member companies.


Healthy Growth for Wireless Patient Monitoring, Says IMS Research
The impact of the economic downturn and the ever-growing cost burdens the healthcare industry have taken on, has had somewhat of a positive effect on driving opportunities for the use of wireless technologies within the healthcare industry forward. By investing in telehealth opportunities, a new positive pro-active approach, offers potential cost and time saving benefits when monitoring patients who are suffering from chronic diseases and/or ageing independently.

A number of medical device and mobile handset manufacturers are beginning to invest in telehealth and associated services, which could provide the support that is needed to drive these cost saving initiatives. Even Apple’s iPhone is jumping on the healthcare bandwagon, by introducing a new revolutionary application which enables the user to monitor their blood pressure and glucose levels. Thus, with the support from a number of smart phone manufacturers, which are already Bluetooth enabled, it, seems inevitable that Bluetooth will become dominant in yet another industry.

However, alternative technologies being considered by the Continua Health Alliance are beginning to make headway within this market; Home health hub manufacturer AT&T have invested in Zigbee’s healthcare device application profile and ANT technologies are being used in a number of supporting heart rate monitors and mobile phone applications. With this in mind, Bluetooth technology may not have an easy ride as it first thought.

The choice of technologies available for integration within these devices, is vast. Is it really a case of one size fits all within this industry or is one technology perhaps more suited to a particular application? The report recently published by IMS Research “Wireless opportunitites in Remote Patient Monitoring Devices,” discusses and forecasts the potential for a variety of wireless technologies to be integrated within remote consumer healthcare devices such as blood pressure, blood glucose, heart rate monitors and pulse oximeters.

EVENT LISTING

TCBI logoSixth Annual Healthcare Unbound Conference & Exhibition
June 22-23, 2009
Seattle, WA

This nationally recognized event focuses on innovative remote monitoring, home telehealth and e-health applications to promote wellness and manage diseases.  Key topics for this year include: 1)the economic stimulus package and other government initiatives and their impact on the market 2)implications of the patient centered medical home 3)the evolving role of wireless technologies 4)recent developments in aging-in-place technologies.  Supporting publication: Telehealth World. Supporting organizations include: AAHSA/CAST, DMAA: The Care Continuum Alliance and Continua Health Alliance. Earlybird discount on registration fees. Website: www.tcbi.org

TELEHEALTH WORLD E-ZINE  

Download a PDF copy of the spring issue of TeleHealth World today!

Issue Includes:

  • Applying Systems Engineering Management to a Medical Environment
  • Community Hospital Finds Secure Remote Access to Critical Systems and Devices
  • St. Vincent Hospital Uses Acesis Software to Measure Doctor Performance, Reduce Medical Errors
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June 2009

8-11
MDM East, New York, N.Y.

22-23
Sixth Annual Healthcare Unbound Conference, Seattle, WA


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