Thursday, May 3, 2012
What can service delivery organizations do with remote monitoring tools? The answer is almost anything. Our team has been studying the wide array of new remote monitoring tools and their many uses. I’ve been impressed, and a little surprised, at the array of functions that can be performed remotely. Here are a few examples…
Diagnostics — Many diagnostic processes can be done with remote monitoring tools. One example is MyM3 (My Mood Monitor) , a self-administered checklist screening tool that can assess the risk for depression, an anxiety disorder, bipolar disorder and post-traumatic stress disorder (PTSD) (see M-3 Information Releases Mobile Mental Health Screening Application ).
Consumer education/decision support — The use of mobile applications for consumer self-management marks another evolution in the health care market. One example is a U.S. Department of Veterans Affairs line of mobile applications (including PTSD Coach and Breathe2Relax) that provides users with self management education about PTSD, a PTSD self-assessment, information on where to find support, and tools that can help users manage the stresses of daily life with PTSD (see Free Mobile PTSD Apps ‘PTSD Coach’ & ‘Breathe2Relax’ on the Market; ‘iHeal’ on the Way ).
Clinical treatment — Computer and mobile-assisted treatment planning and clinical expert systems are delivering clinical services that providers can monitor and support. eCBT Mood is an iPhone/iPod Touch electronic cognitive behavioral therapy application that allows consumers to systematically track daily and weekly depression severity, progress over time, and share those results with support or professional caregivers (see MindApps Releases iPhone/iPod Cognitive Behavioral Therapy Applications ).
Early detection of relapse — Remote monitoring can be used to monitor biological changes, which can then be used to detect relapse of certain conditions. For example, schizophrenia and bipolar disorders are characterized by abnormalities in circadian rhythms. This knowledge is being utilized in the Motionlogger watch, a device that captures both the frequency and intensity of sleep and locomotion and enables consumers to track changes in these key indicators (see the Motionlogger Actigraph).
Relapse prevention — Smartphone-based relapse-prevention systems are helping provide timely monitoring, reminders and alerts for consumers. An example currently in development and set for a clinical launch in the UK in September 2012 is Helius, an “intelligent pill” with a sensor that emits a digital signal detected by a device attached to the skin to monitor medication use, heart rate, respiration, and temperature. These data can then be relayed to a patient’s mobile telephone and shared with caregivers (see British Pharmacy To Sell ‘Smart Pills’).
Remote monitoring of patient health — Advances in consumer health management are helping providers proactively intervene before conditions become acute. The Health Buddy® appliance allows patients to answer a series of questions about their health and wellbeing using, which risk-stratifies the answers and sends them for review by health professionals. Current modules include health management programs for psychiatric disorders: bipolar disorder, schizophrenia, depression, and PTSD (see Veterans Administration Selects Six Vendors for Home Telehealth Devices & Services Contracts ).
For more information on the state of remote monitoring technologies, check out Using Technology To Manage In-Home Services & Assistive Technologies all members. And for a live demonstration of one of these remote monitoring technologies, join my session, Remote Monitoring & Community-Based Care: The Trends Shaping The Market & The Future Of Service Delivery, on June 6 at the 2012 OPEN MINDS Planning & Innovation Institute, where I’ll be teaming up with Valerie Daley, RD CD-N, Clinical Specialist with Bosch Healthcare Systems, Inc.; M3 Information CMO Gerald Hurowitz, M.D.; and M3 Information CMIO Steve Daviss, M.D.
Laura L. Morgan,
Senior Consultant, OPEN MINDS
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