Category Archives: home tech

what google brillo means for healthcare IT

today google announced brillo, their IoT operating system based on android and it’s matching communicating protocol. brillo will be  live later this year and so will weave, the communication protocol. google is now making moves to join apple and microsoft, a timely move.

brillo and weave will work well on light weight devices, like cameras, door locks, etc. essentially home devices. in the growing market of health related devices and monitors, this announcement means another stride in that direction, in the shape of affordable scales, wearables, remote monitoring, telehealth and other means to collect specific and relevant information from patients where they are.

with small computers scaling up, a low memory foot print we should expect a wave of innovation when it comes to healthcare related products.

patient engagement

doctor-and-patientpatient engagement as defined by healthcareITnews.com:

“Patient engagement refers to ongoing and constructive dialogue between patient and practitioner. Within the scope of healthcare IT, patient engagement is driven by technology ranging from patient portals, which enable patients to view test results and records online and communicate with doctors, to electronic data capturing platforms that result in more accurate and streamlined diagnostic information. A high emphasis has been placed on patient engagement in Stage 2 meaningful use.”.

the healthcare system in the US is wonderful in focusing on one thing that has gone wrong and fixing it. it is not so effective in dealing with comorbidities and not so much when it comes to taking daily actions to maintain a state of harmony. mobile devices seem like the right channel to revolutionize the current state. can healthcare be as engaging as our digital social lives? can the same social circle serve as a catalyst to push us in the right direction when it comes to making healthier choices?

why does it seem like we are not getting patient portals and PHR right? to start off, the sicker the patient the less likely they are to use the portal. to put this in perspective, 78% of physicians use EHR while 17% of patients use portals (this data dates back to 2013 by Research Ancker). it is clear that patients do not see the value of the portals yet nor gaining access to their PHR. what is the right model to bond the patient and provider together?

considering that PHR is mostly provider facing, i.e. they are laid out and detailed in a clinical way which makes more sense for the physician than the patient. take clinical notes for example which include terms which do not make much sense to the patient.

but hold on for a second. aren’t the patient already so very much engaged? they suffer the pain, go through the medical procedure, pay the bill… patient are indeed engaged as they fill out the same form multiple times as they visit different departments within the same hospital. as they are expected to accurately name the medications they are taking and the dosage. isn’t it the system that, inadvertently, discourages engagement?
today providers are almost exclusively responsible for deciding a patient’s treatment, next site of care, medications, etc. seeking patient engagement, those key decisions should include the patients and their families, where they can voice their opinion, participate and share responsibility.

consider nutrition and financial wellness as important gaps. patient should know who is responsible for delivering their care. critical data elements can be tied to services rendered to improve outcome in a clear and concise way. regardless of a patient’s spoken language, in order to engage them they should be able to specify clearly and effectively specify what is going on, why they need help and know that someone got their message and is “working on it”. all that within as little clicks as possible.

patient engagement may be the holy grail when it comes to improving outcome and reducing costs. having the patient and their family and friends participate in the process in a meaningful way and be proactive in a timely manner can assist advancing the healthcare system in our country forward.

 

 

top-10-iphone-apps

top picks for 2010 from the appStore

2010 has been an incredible year for the mobile space, and as crazy as things may appear, this is only the beginning. with the advent move of the smart TVs and slated devices, we are bound to see more innovation for both corporates and consumers alike.


here is my short list of top apps for the iphone first, at random order:

VOIP:
skype: veteran at it’s field. skype is affecting the bottom line by saving money. $3/month for unlimited calls in the US, the ability to work over 3g and soon facetime is where the industry will be, no matter how much carriers want to extort the end users. bar none, skype is keeping us all connected. with PBX integration and a future IPO this company will continue to dominate and lead the way in it’s field.

SOCIAL:
facebook: this facebook app is a fantastic example of how apps can pack zest with style. this is the top used app because it’s well done. nothing much to say, we are all on it and loving it.

foursquare: i am a big fan of the NY based company. real time, location based (and soon NFC), 4squre has started something great that is echoing throughout. mayorships, badges and a solid business plan. i hope for more goodness from these guys.

PHOTOGRAPHY:
fotomecha: probably my favorite camera app (for still photos) in the appStore, because it allows me to be creative and capture moments i.e. more than one moment, and create a flow in time.

itimelapse: for video capable iphones, this app allows timelaps video creation with some nifty features for creative control. you need to be patient and stable, or maybe you need the glif.

MUSIC:
FiRe: top recorder which integrates well with soundcloud. i use it often to record music,conversations etc. these guys are fantastic with performance and know the audio frameworks well. money well spent.

SPL meter: i use this app to know when the sound around me is affecting my hearing. hearing gone bad cannot be regained. those tiny hairs in the hearing tube will not grow back. sounds particular and you may call me old fashioned, but no concert/club in the world is worth loosing our hearing for.

READING:
goodreads: bar none, the top app to sync your pdf files for offline reading. i also sync movies to it and this is the reason i get more done. 30m on the subway is a great time to launch this app (both iphone and ipad). with the ability to sync documents from dropbox, google docs and others, this app packs a punch of useful features.

HOME:
airphones: great little app that turns the iphone into a wireless headset over wifi. you will need to install a server on your mac or windows machine.

mobile mouse: while you have airphones streaming audio from your mac mini, which is hooked up to a 50″ plasma, you will need to launch a browser and go on veetle.com. this app is the best i’ve seen and worth every penny. again, you will need a server running on your machine.

Pure West for iPhone and iPod touch on the iTunes App Store

My first iOS app is live on the app store. It is an iPhone compatible schedule for Pure Yoga West, one of the top yoga centers in NYC in the upper west side. The app is free for download from the AppStore.

This project started off when I joined Pure West as a member. Yoga became a big part of my life as I practice on daily basis. Since Pure West offers around 27 different kinds of yoga between 5 studios, starting as early as 6am – you can imagine the teachers they have as staff and the frequency they update the schedule.

Something was broken. The paper schedule provided at the front desk was out of date as soon as it was printed. Could be a minor change to a single class, to time of full moon where ashtanga is not practices (which can not be reflected in a single week sheet), to the twice a month led practice of mysore.

Pure uses spa-booker as their service provider, doing all the heavy lifting with proprietary database system and interfaces to both manage the content and display it to the public. it gets more complicated than that as some classes are special and specific where members (or non members) need to pay and more.

Since spa-booker is working on their own version for the mobile devices, and I knew I am in need of a solution for myself that can probably serve others – I jumped on the challenge to create something.

Working closely with two friends, Tomer and Claudio, together we build this app that does the following well:

– single click to get class schedule and class info
– fast loading of the data
– layout that matches the small iphone screen

Essentially we build a system that scrapes the HTML of the entire week. Then we parse the content diligently and store it in our XML proprietary format. The interface picks up the XML whenever someone launches the application and displays it on screen accordingly.

For performance reasons we are re-visiting Pure’s website every two hours to see what had changed, parse the content and re-write the XML. On the client side only one day is loaded from the server. When a user changes a day, we go back to the XML and look for the content of that day exclusively.

The app is a UIWebView essentially, as the app is developed as a web application. The release to the AppStore will help the discovery, but also for us to learn the process and time line for doing so, as we plan to move forward with other developments of our ideas and our client’s.

The beauty of iOS apps is that they strive to keep things simple. When you launch the application, it is really hard to judge how much work was put into it, and how much lifting is done in the background. Things just work as they should, both in layout, style and user experience, including performance specifically.

One of the advantages of designing this app abstractly, is that now we can custom create it for any spa-booker customer within the day.

We are in touch with Spa Booker who are supporting our efforts. Future plans may include using their API’s to book classes directly from the phone, add more specific information to classes, like which element of zenyasa is being practices today, and provide a delta of changes since a user last visited the schedule.

The Pure East application (the 2nd location for Pure on the upper east side) is pending approval by Apple. Based on the approval of Pure West, it is a matter of days before that one will be approved as well.

Why Apple TV and Ping will fail

Major snore from Apple in my opinion. I think that the event itself, and the fact it was streamed to Mac machines and Safari browsers only is THE reason why Apple had failed and will continue to fail (in my eyes) with the latest announcements. I am talking about a close eco system and spoon fed experience.

Apple failed with the TV expenditure. Steve did not show us numbers, but clearly it was a failure. The big changes were sizing, pricing of shows and streaming, as opposed to storing. Is that what the users really want? To a certain degree, yes. Users do not want to worry about storage, they want to pay less for a device and for content. Apple did deliver on this, but it will not be enough, I believe, to be a killer device like the iPhone, and take over the living room with a storm. WHY? Because of the closed eco system and spoon fed experience.

Apple did a great job in educating the users and providing a great user experience across the board. I argue that user experience is what Apple is really selling and why people are using it. Coupled with the motivation to challenge and innovate, and you have a winning strategy.

This does not and will not work for the TV because only Apple fanboys will forget everything they know, and start a fresh with Apple TV, and forget all they know and do with their many years of habit. The TV is one area where users do not want to get the Apple filter applied to. Users don’t mind it with their iPod shuffle. They don’t mind it with their Mac OSX based machines, and to a certain degree they agree to it with their iPhone (mainly because Android did not step up it’s UX game to be considered a worthy competitor. yet).

Apple will gain a small market share and will have to come up with something much better than that to capture the imagination of the bigger market. I believe that can be done by turning the Apple TV into a real entertainment center to compete head to head with the Sony PlayStation and the Nintendo Wii as a console, introducing the iOS appStore for the TV. That can be killer. But even that is not enough. An Apple TV can only be better than, let’s say, a Mac Mini hooked up to a TV, if it is open. By open I mean I can do whatever I want to do, as opposed to whatever Jobs wants me to do (buy his content that he chose for me).

Examples for this behavior are ample and sad. Apple removed Camera+ from the AppStore recently because TapX3 released a hack which allows you to fire up the camera from the volume button. Apple initially declined the feature, claiming it will confuse people. So Apple is stepping up to the plate as our parents (more like a big brother), deciding what is confusing for us. Clearly, releasing the shutter speed in an ergonomic way may confuse us. I feel over estimated, and I do not think it is for Apple to decide for me what’s confusing and what’s not.

Apple’s attempt at social media is probably the most interesting news to date from that event. A social network around music, which is mutually exclusive from Facebook. Did I snore yet again? While I do believe this is a GREAT idea and a fantastic opportunity for Apple to increase sales on iTunes – the segregation is peculiar. Even worse – who wants to live inside iTunes? Though revolutionary, iTunes is hate by many. Looks and feels old and clunky. Navigating through your music sucks and discovery with genius is, well, boring…

Apple’s notion that people will have iTunes open to see what their friends are listening to is optimistic at best. Not web based, not facebook integration. Only one hope – it integrates with iTunes on your mobile device. I cannot imagine myself opening up iTunes when I want to listen to some music, and getting up to speed with what’s going on with my music buddies.

Apple can definitely relax a little. Let go of the grip and think of a more open way to provide users what they do best. Or not. My personal opinion is that they will not do that, and continue to thrive with a small market share that pays hefty sums to be a part of the cult.