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Leroy Jones, Jr. is the creator of Talking Technology with Leroy Jones, Jr.

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@TechnicalJones: Broadband and mHealth

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High-Speed Broadband Access, Mobile Apps Offer Hope for Improved Health Equity
 
People of color continue to suffer disproportionately from many diseases and chronic health conditions, many of which are preventable.  The U.S. Department of Health and Human Services designated April as National Minority Health Month in an effort to raise awareness and prompt solutions to this problem.   
 
These health disparities are a very real problem. They can contribute to shorter life spans, reduced quality of life, higher health care costs for people of color and increased pressure points on the US health care system.  Factors contributing to health disparities are numerous and complex, but expanded access to high speed broadband and advances in Internet-based technologies and services have the potential to remove many of the barriers that prevent our communities from accessing quality care.      
 
For example, African Americans are twice as likely to be diagnosed with diabetes, as compared with non-Hispanic whites, and they are more likely to suffer from diabetes complications like renal failure. The increase in diabetes diagnoses and the growing demand for mobile apps have resulted in the development of many mHealth apps for diabetes patients.

These apps can help people with diabetes monitor their blood glucose and track nutrition and activity levels, which can help prevent complications and improve overall wellness.  For many people, the ability to take charge of their own health is empowering, and more mobile apps for diabetes are on the horizon.  
 
Other innovations in health care technology have made a positive impact on our communities as well. Wireless, in-home health monitoring devices can improve health outcomes for people with chronic conditions, and their use is steadily on the rise. These monitors can collect and send health data, including blood glucose, blood pressure, and respiratory rates, directly to medical professionals.

Smart devices allow patients with conditions such as diabetes, high blood pressure, asthma, and heart disease to work with medical personnel to monitor their condition while remaining in their home, without the inconvenience of traveling to appointments. 
 
Heart disease--and risk factors for heart disease, including high blood pressure, diabetes, and obesity--also affects the African American community at a disproportionately high rate.  African Americans are 30 percent more likely to die from heart disease than non-Hispanic white males.  The Office of Minority Health also reports that 34 percent of African Americans have hypertension, compared with 24 percent of whites. 
 
These facts are sobering, but innovations in health technologies and expanded access to high-speed broadband offer hope and the possibility that we can overcome these statistics.  A variety of mobile apps are available to help people assess their heart disease risk, monitor sodium and caloric intake, quit smoking, track physical activity, and even determine heart rate.

These broadband powered mobile apps, along with other wireless technologies, have empowered those with heart disease (or accompanying risk factors) to take charge of their health and to work with medical professionals to achieve improved wellness, health, and quality of life.
 
Advances in these broadband-enabled health innovations, including telemedicine and mHealth, have helped many patients and families assess and reduce their health risks, leading to more vibrant lifestyles and an enhanced quality of life.  For communities of color, it is especially urgent that we increase broadband deployment to enhance the availability of these technologies and health tools, as well as encourage the development of new ones.  
 
Upgrading America's communications infrastructure to all high-speed broadband networks is a critical step.  Accelerating the transition to modern, lightning-fast broadband networks will bring expanded access and greater technological capabilities to our entire country.  An all-broadband network in the United States can support the services, speeds, and technologies of the future, and they will further advance innovation in mHealth and other health tools.
 
The theme of this year's National Minority Health Month is "Advance Health Equity Now."  It's a lofty goal, but not an impossible one.  Today's health technologies are already making a positive impact, and tomorrow's technologies promise even greater results.

Expanded and enhanced high-speed broadband networks will fuel more innovations that can help this goal become a reality for America's minority communities. Private investment and government policies that help accelerate broadband deployment to more of America will help improve people's access to online health tools and empower all consumers to actively take steps to improve their lives and lead healthier lifestyles.

LJJ


@TechnicalJones: mRx

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The brave new world of mHealth:

@TechnicalJones: Memorial Day 2012

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@TechnicalJones: "5 mHealth Questions" for Diversinet

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5 mHealth Questions

Diversinet (@Diversinet)


Would you please provide an overview of your company?

Diversinet is a mobile technology company with a platform to connect and protect the last mile of patient engagement.  The company's vision is to become the leader in mobilizing care coordination. Its mission is to enable care coordination through patient engagement using its patented, proven, healthcare-specific mobile technology and its expertise in mobile security.

Its MobiSecure® technology enables healthcare payers and providers, pharmaceutical companies, application developers and other healthcare organizations to enhance care coordination, while meeting all security requirements and supporting all major mobile devices and operating systems.

Diversinet was founded in 1997 and focused on secure mobile healthcare since 2009, Diversinet has invested $60 million in its award-winning technology and built a substantial patent portfolio.

What products/services does your company offer?

   1.  Care Coordination Engine: A mobile application development tool set with a flexible content management framework designed for secure patient engagement and two-way communication. The Care Coordination Engine enables secure, real-time communication and management of critical personal health information. Distinguishing factors include built-in advanced security features; configure once-deploy many capability spanning multiple platforms; support of smartphones, feature phones and tablets; flexible questionnaire and survey tools; and extensive ability to audit and track who does what with messages.

   2.  MobiSecure Software Development Kits (SDKs): A set of mobile and Web application programming interfaces (APIs) that enable customers to build custom mobile applications on top of existing apps, across multiple platforms. These SDKs provide sophisticated security features, including encryption and OATH-standards-based one-time passwords for strong authentication.

How does it work (i.e., does it work on mobile devices, cloud-based, etc., and can it be used to provide services outside of urban areas)?

The MobiSecure platform is compatible with all major mobile devices and operating systems.  It supports mHealth applications used to provide services outside urban areas, wherever mobile coverage is provided.

Diversinet


What are the health benefits of your products/services?

Diversinet products and services are designed to help healthcare organizations rapidly mobilize care coordination and patient engagement - key transitional trends necessary to improve service and outcomes, as well as reduce costs.  

Working with its partners in the healthcare ecosystem, Diversinet provides solutions that help healthcare organizations connect and protect patient health data in the last mile.

What do you think needs to be done to reform healthcare in the U.S.?

With chronic diseases accounting for $3 of every $4 spent on healthcare, the U.S. healthcare system needs to shift from episodic care to team-based patient engagement and care coordination. This trend will improve care quality and outcomes, as well as reduce costs.  Mobility is critical to accelerating this transformation.

Technological advances and adoption of mobile devices represent a significant opportunity for the healthcare community to empower and activate patients.  However, healthcare organizations will need to overcome many challenges, including security issues, regulation and standards, and rapidly changing and fragmented mobile environments.


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@TechnicalJones: "5 mHealth Questions" for Independa (@Independa)

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5 mHealth Questions


Independa
(@Independa)

Would you please provide an overview of your company?
Independa offers easy-to-use, comprehensive telecare solutions for the independent elderly. Independa's best-of-breed Integrated CloudCare services enable organizations and individuals to cost-effectively help older adults remain independent longer, more safely and more comfortably.

The company, recently featured in Entrepreneur Magazine, provides services including medication and appointment reminders, support for activities of daily living, social engagement opportunities, and wireless health and safety monitoring.

Knowing how care recipients are doing in real time enables remote caregivers to serve more people, gain peace of mind and intervene if necessary.

What products/services does your company offer?
Caregiver Web App: Caregivers use this cloud-based app to set up automatic reminders for the elderly of such important events as medical appointments, birthdays, planned visits and social engagements, as well as receive alerts if something may be amiss.

Reminders may be sent by phone or email, or delivered visually. All information is consolidated to form a complete health view. The Caregiver Web App also enables the elderly to conveniently record their memories by phone.  

Angela™: The Independa Angela social engagement solution, synched with the Caregiver Web App, provides a single point of communication for care receivers to help ward off social isolation.

Running on a touchscreen tablet or a computer, and coming soon to LG televisions in senior living facilities, Angela provides one-touch access to medication and calendar reminders, video chats, email, the Internet, photos, social media, games, puzzles and other interactive content. Care receivers don't need to be able to use a general-purpose computer. Angela also offers larger screen fonts, higher contrast and brighter colors geared to the needs of the elderly.

Artemis™: Artemis, also integrated with the Caregiver Web App, will help caregivers remotely monitor care recipients through such wireless biotelemetry devices as a scale, blood pressure cuff, glucometer and pulse oximeter, as well as safety and environmental sensors that can detect motion, pressure, flooding, room temperature, smoke, carbon monoxide and other conditions. Artemis is scheduled for general availability in the second quarter of 2012.





How does it work? 
The cloud-based Caregiver Web App may be accessed from a desktop or laptop computer, or a tablet. It can send alerts via a landline or wireless phone or Angela.

This app combines various kinds of information from diverse sources. The Health Measures feature, which enables health data to be phoned in, is particularly helpful for the elderly in rural areas and elsewhere who do not have a wireless infrastructure or wireless devices.

Angela provides an easy-to-use and fun single point of communication for care recipients. It is managed through the Independa Caregiver Web App.

Artemis connects sensors to monitor vital signs, safety and home conditions to the Independa cloud, via a wireless hub.

What are the health benefits of your products?
Independa enables professional caregivers (e.g., home care, home health and senior living professionals) to expand their scope of services and care for more people, more cost-effectively.

Having a one-stop shop for a comprehensive array of telecare services saves time and money for professional caregiving organizations and family members.

As a result, the elderly can live healthier, happier lives while remaining independent, which means avoiding high-cost, less-preferred institutional care. For example, medication reminders help prevent falls, and those reminders as well as remote monitoring reduce hospital admissions and loss of independence.

Independa telecare provides peace of mind for all involved - the elderly, their professional caregivers and their family members. 

What do you think needs to be done to reform healthcare in the U.S.?
We need to move from the current "sick care" system to a focus on wellness and preventive healthcare.

We need to do a better job of managing chronic conditions. Telecare can address these issues.

We also need to move toward more reimbursement for older-adult care and shift from private care to reimbursed care.


@TechnicalJones: Rural Health Care & Broadband

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I've always been a big supporter for using innovation and advances in technology to reform our health care system, especially for those living in remote areas where there are little, or no, medical resources.
 
It also takes changing some of the basic fundamentals for delivering these services.  Last week, the Federal Communications Commission redefined its definition of Universal Service, moving it from a time-honored voice-centric fund for basic phone service to one focused on the broadband needs of consumers and businesses in the 21st Century.  The transformation is really good news for people living and working in rural areas, where a majority of the government funding will be allocated to deliver broadband services.
 
While everyone might not agree with all the changes to the Universal Service Fund (USF), the FCC believes it should help spread the availability of broadband services to the more than 18 million American households in rural areas that have no access to high-speed Internet service and that aren't likely to get it soon because it costs too much to build the service out to their homes. 
 
One reason rural areas were left out of the "broadband build-out" was the cost associated with providing the service.  The new USF intends to provide subsidies for areas where there is no business case for companies to provide service on their own and would fund wireless broadband access in remote or rugged areas.
 
However you look at it, this is a positive step by government, and companies in the public/private sector, in supporting the delivery of broadband to rural communities.  And, when broadband services are available, offering mHealth services may not be far behind.  The delivery of broadband, as well as mHealth services, could also lead to job growth, as people working in the health care sector consider extending medical services to outlying areas currently underserved by their practice or hospital.
 
More detail on the FCC's overhaul of the USF will be forthcoming shortly.  Hopefully it won't take long to update and enact the new USF, have companies use the funds to build out broadband, and turn the promises and benefits of mHealth into reality for rural communities across the country.  




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@TechnicalJones: Tech Term - Access Point

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http://www.technicaljones.com/TechTerm_Image%202008.pngAccess Point

Definition:
Radio-based device that provides users of wireless devices with access to a local area network (LAN).

http://www.vicomsoft.com/images/learning-center/wireless-networking/extpoint.gif



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@TechnicalJones: Tech Term - Application Level Gateway

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http://www.technicaljones.com/TechTerm_Image%202008.pngApplication Level Gateway

Definition:  A firewall system in which service is provided by processes that maintain complete TCP connection state and sequencing.

Application level firewalls often re-address traffic so that outgoing traffic appears to have originated from the firewall, rather than the internal host.


@TechnicalJones: Tech Term - PHF

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http://www.technicaljones.com/TechTerm.pngPHF

Definition: Phone book file demonstration program that hackers use to gain access to a computer system and potentially read and capture password files.

http://www.ustelecom.org/uploadedImages/Issues/Industry/phoneBook.jpg




@TechnicalJones: G-Phone

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