mHealth News: Speed Again Equals Success for Kaiser Permanente

Kaiser Permanente hospitals in Northern California are delivering clot-busting medication to new stroke patients more than twice as fast as the national average, notes a release issued to media this week.

Our sister site MHW reports that this development follows the regionwide adoption of an integrated telemedicine program, according to new research published Dec. 15 in the journal Stroke.

This is the among the first peer-reviewed, published studies to show how the successful implementation of standardized treatment protocols and telemedicine for acute ischemic stroke in a large, integrated system of hospitals can dramatically reduce the time it takes to start critical treatment.

“When a stroke happens, minutes matter,” said lead author Mai Nguyen-Huynh, MD, MAS, vascular neurologist and research scientist with the Kaiser Permanente Division of Research. “Faster treatment with intravenous r-tPA, which dissolves the stroke-causing clot and restores blood flow to the brain, is strongly associated with better functional outcomes for stroke patients.”

Intravenous r-tPA, also known as alteplase, is the only medication approved by the Food and Drug Administration to treat acute ischemic stroke.

With the Stroke EXPRESS program (EXpediting the PRocess of Evaluating and Stopping Stroke), all Kaiser Permanente emergency departments in Northern California were equipped with telestroke carts, which include a video camera and access to scans and tests results, enabling the stroke specialist to conduct a patient’s neurologic physical exam even when they are many miles away.

Telemedicine was integrated into a complete reorganization of how acute strokes are managed in Northern California, said co-author Jeffrey Klingman, MD, chair of chiefs of neurology for Kaiser Permanente Northern California.

“Processes that used to happen sequentially during a stroke alert, one after another, are now happening at the same time, allowing us to quickly, safely and confidently provide evaluation and treatment with intravenous r-tPA to stroke patients who can benefit,” he added.

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mHealth News: The Headlines You Might Have Missed

mhealthHere are some of the top stories in healthcare, telemedicine, and mobile health that our sister site mHealthWatch has been monitoring this past week.

Humana Launches ‘Innovation Challenge’ to Make Digital Health Records More Useful
MHW learned today that Humana Inc. is sponsoring an Innovation Challenge in California to make digital health records – specifically in the Medicare space – more useful to patients, physicians, caregivers and others who need to see complex data in a more human-centered way.

GE Touts New Healthcare Technology Company to Revolutionize Blood Collection
On Wednesday, GE introduced Drawbridge Health, a privately-held healthcare technology company focused on enabling personal diagnostic testing — anytime, anywhere.

First Look: Bernoulli Health Collaborates with GE Healthcare
MHW has learned that Bernoulli Health, developer of the advanced Bernoulli One clinical surveillance, medical device integration (MDI), and real-time data analytics platform, will collaborate with GE Healthcare on the new CARESCAPE Connect data aggregation solution.

Health Improvement in Diabetes Patients Noted after Downloading mHealth Apps
According to a statement emailed to MHW, new research “Empowering Patients Using Smart Mobile Health Platforms: Evidence from a Randomized Field Experiment,” from NYU Stern Professor Anindya Ghose and co-authors, Beibei Li of Carnegie Mellon University and Xitong Guo of the Harbin Institute of Technology, explores how emerging mobile health (mHealth) technologies can persuade chronic-disease patients to modify their behaviors, better manage their care, and achieve improved health outcomes, including reductions in hospital visits and medical expenses over time.

Nomad Health Announces First Ever Telemedicine Jobs Marketplace
Nomad Health, which operates the first online marketplace for freelance healthcare jobs, today announced that it has expanded into the rapidly growing telemedicine jobs market.

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mHealth in Practice: Mobile technology for health promotion in the developing world

mHealth in Practice: Mobile technology for health promotion in the developing world

mHealth in Practice: Mobile technology for health promotion in the developing world

There has recently been an explosion of interest around the application of mobile communication technologies to support health initiatives in developing countries (mHealth). As a result, there is a need to promote and share rigorous research for better informed policy, programming, and investment. There are, however, few platforms for the exchange of information and proven practice between practitioners and researchers.

The subtopic of prevention, well-being, and health promotion within mHealth is particularly ripe for deeper exploration. While many reports tout the potential of mobiles to influence behaviour change for health, there is limited knowledge about what works (and what does not work), and about how to evaluate current and future programs. This is a focused edited volume with contributions from leading researchers and practitioners to identify best practices in using mobile technologies to promote healthy behaviours (and reduce unhealthy ones) in resource-constrained settings with a special focus on developing countries.

This topic is inherently interdisciplinary. Though the opportunities to leverage mobile phones for health are new, the challenges confronting researchers and practitioners are well-established and theoretically complex, with roots in decades of work on mediated behaviour change campaigns and theories.

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