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Looks like the HealthVault is off the Personal Health Information Exchange table for me...  Like that it connects via API to the leading EHRs, and extracts the data into discrete elements. Missing a few components, but it'll replace HealthVault for me. 
 Enjoyed the book. In summary, the book outlines 12 Tech Forces (Defined as verbs). that will shape our future.
These verbs do seem pertinent to healthcare, like Cognifying (Adding AI), Flowing, Screening, Accessing, Sharing, Interacting, Tracking, Questioning. And the first and last ones, Becoming and Beginning, are the reasons why healthcare tech is so interesting to me...  Enjoyed The Business of Blockchain by William Mougayar.
There are two keys for me within the healthcare business blockchain. Data trust, data control and data sharing. Gives me great hope that one day I might actually be able to create, store and share my personal health information, without having to enter any data manually. And really like the concept of crytotech and cryptocurrency.
 Encouraged with my Apple watch. While miles walked, sleep, heart rate are helpful, I’m looking forward to these devices to expand their capability, enabling me to track more physiological variables, and tying them to my health records.
And, unfortunately, my record is still fragmented, and it’s difficult to make sense of the impact of the different chunks of information! Excited this market is growing - Global self-monitoring health technologies market – moved from $1.1b in ‘13 to $3.2b in ’14. (BCC Research) And it’s expected to grow to $18.8b in ‘19. This should drive more innovation and more data to play with!  Excited to see Apple leveraging their consumer footprint to help medical researchers find and engage people in clinical studies, to help them make life-changing discoveries that benefit us all.
And while I recognize it's self serving for Apple to provide ResearchKit in an open source software framework, it seems like this approach will make it easy for researchers and developers to create apps, revolutionize medical studies and transform medicine.  With the acquisition of Razor Insights, it seems like athenahealth will help HealthcareIT cross the chasm and fully embrace cloud-based services for a healthcare enterprise.
Reasons why this combination is encouraging: o Finally a single vendor cloud-based solution for the hospital and practice market. o athenahealth has FHIR by supporting the ArgonautProject. o RazorInsights targets the price sensitive CAH market. o Jonathon Bush's passion to change the healthcare industry*. Will be interesting to see if athenahealth can overcome the integration issues that have plagued other vendors, like Allscripts and McKesson (prior to the Horizon platform), etc. *Based on his book Where does it hurt? 
 The health platform market is getting more interesting. Microsoft launches a fitness-focused smart watch, Microsoft Band and their health tracking platform, Microsoft Health. Will be interesting to see how this works with HealthVault.
 Disappointed that Fitbit and Apple's HealthKit are not planning to link between the two. While I recognize Fitbit is the wearable leader, and maybe there is a threat from the Apple wrist device, the consumer is left to integrate the data. Will need to look into Fitbit options...
 Polo Tech Shirt - Looking forward to wearable bio sensing fiber clothing. What's not clear is how the biometric data will be made available to aggregate with my personal health information exchange.
 Did a test of my HealthVault and Quest Direct email addresses. Used my Direct Trust account. HealthVault was able to send/receive from the Health Trust account. Quest failed both ways. HealthVault wins.   BioSport In-Ear Headphones - Built-in optical sensor for continuous heart rate monitoring and integration with RunKeeper to supplement heart rate tracking with pace, distance, elevation, and calorie tracking metrics. I'll be able to see when I'm relaxed and when I'm working hard. (Not that I can't figure that out myself...)
http://mobihealthnews.com/35834/intel-partners-with-headphones-maker-to-develop-health-sensing-earbuds/  Moving towards more wearable / quantified self apps, my plan is to create an mHealth only password strategy.
The reason: Symantec's study of available devices and apps. Some apps - transmitted sensitive data like username and passwords in clear text; used very low level and easily crackable types of security; exposed other personal information like email addresses. Good article by iMedicalApps http://www.imedicalapps.com/2014/08/risky-behavior-health-tracking-quantified-self-apps-devices-play-loose-data/ |
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