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Apple to Introduce Health Records API

June 5, 2018
by Rajiv Leventhal
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Apple has announced that it will be introducing a Health Records API (application programming interface) for developers and researchers with the goal “to create an ecosystem of apps that use health record data to better manage medications, nutrition plans, diagnosed diseases and more.”

According to a June 4 announcement, the Health Records feature allows patients of more than 500 hospitals and clinics to access medical information from various institutions organized into one view on their iPhone. “For the first time, consumers will be able to share medical records from multiple hospitals with their favorite trusted apps, helping them improve their overall health,” Apple officials stated.

In January, Apple announced that it would be launching the Health Records feature that will allow consumers to see their medical records right on their iPhone. The tech giant began testing out the feature with 12 hospitals, noting at the time that it has “worked with the healthcare community to take a consumer-friendly approach, creating Health Records based on FHIR (Fast Healthcare Interoperability Resources), a standard for transferring electronic medical records.” Then, in March, Apple said that 39 health systems have already signed on to launch Health Records.

And now, with the new API set to be delivered starting this fall, officials say that developers building health apps can individualize experiences, with the user’s permission, based on the user’s unique health history across several key categories, including:

  • Medication tracking: Medisafe, a medication management app, will connect with the Health Records feature so consumers can import their prescription list without manual entry.
  • Disease management: A diabetes app could access a patient’s lab results from their Health Records as well as their diet and exercise details through the existing iOS HealthKit integration.
  • Nutrition planning: A healthy eating app could offer consumers tailored programs based on their high blood pressure or cholesterol results by serving up low salt or high fiber meal plans.
  • Medical research: With the new Health Records API, doctors can integrate patient medical data into their ResearchKit study apps for a more complete view of their participants’ health background.

Apple officials note that Health Records data is encrypted on iPhone and protected with the consumer’s iPhone passcode. When consumers choose to share their health record data with trusted apps, the data flows directly from HealthKit to the third-party app and is not sent to Apple’s servers.

“Medical information may be the most important personal information to a consumer, and offering access to Health Records was the first step in empowering them. Now, with the potential of Health Records information paired with HealthKit data, patients are on the path to receiving a holistic view of their health,” Jeff Williams, Apple’s chief operating officer, said in a statement. “With the Health Records API open to our incredible community of developers and researchers, consumers can personalize their health needs with the apps they use every day.”

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Vanderbilt Transplant Center Launches Mobile App for Providers, Patients

January 22, 2019
by Rajiv Leventhal, Managing Editor
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The Vanderbilt Transplant Center is now giving patients and providers instant access to critical transplantation data—such as educational resources and donor information—on their smartphones and mobile devices.

According to the organization’s officials in a recent announcement, the app is designed to be a resource for transplant information at the Nashville-based Vanderbilt University Medical Center (VUMC) for both patients and providers.

“It helps patients find information about transplant programs as well as educational links about transplantation. Patients can customize what organ they are interested in learning more about, meet the transplant team and find provider locations. Living donor information is also available as well as a living donor referral form,” officials stated.

The Vanderbilt Transplant Center, Tennessee’s only full-service transplant center, provides chances for patients to participate in clinical trials and studies, as well as access to other specialists. Its transplant teams have performed more than 9,500 solid organ transplants since 1962, including all the major organs—heart, kidney, lung, liver and pancreas, according to its officials.

For providers, the app aims to offer improved access in the referring process for both adult and pediatric referrals through REDcap referral forms. The app gives referring physicians a secure process to contact the on-call VUMC transplant physicians to enable better communication, while also containing a direct link to call the VUMC Transfer Center for urgent transfers of patients to VUMC facilities. Providers also have access to outcome data, officials noted.

The Vanderbilt Transplant Center has debuted a new free app available for iOS and Android devices, available by searching “VUMC transplant” in the respective app store.

“Development of this app will allow patients unprecedented ability to connect with our system, schedule appointments and interact with our providers,” Seth Karp, M.D., H. William Scott Jr. professor and chair of the Department of Surgery and director of the Vanderbilt Transplant Center, said in a statement. “We have every expectation this service will increase our ability to reach patients and provide outstanding care.”

Edward Zavala, transplant center administrator, added, “The Vanderbilt Transplant app is a significant addition for our referring providers to access the transplant center. Additionally, the patient education component of the app provides patients ready access to transplant-specific education.”

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Report: At-Risk Medicare Seniors the Next Apple Watch Target?

January 18, 2019
by Rajiv Leventhal, Managing Editor
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Apple is engaging in discussions with multiple private Medicare insurers about subsidizing the cost of the Apple Watch for at-risk people over 65 years old, according to a CNBC report.

This week’s report, from health tech reporter Christina Farr, noted, “The insurers are exploring ways to subsidize the cost of the device for those who can't afford the $279 price tag, which is the starting cost of an older model.”

The latest version of the Apple Watch—the Series 4—was launched in September, and as officials of the tech giant stated at the time, brings “advanced activity and communications features, along with revolutionary health capabilities, including a new accelerometer and gyroscope, which are able to detect hard falls, and an electrical heart rate sensor that can take an electrocardiogram (ECG) using the new ECG app.” This version retails for at least $399.

According to the CNBC report, “Apple has paid a visit to several of the largest insurers in the market, as well as some smaller, venture-backed Medicare Advantage plans. The people declined to be named as the discussions are still private.”

The watch’s electrocardiogram function and fall detection capabilities particularly make it appealing and valuable for seniors; about 19 million seniors, and growing, are enrolled in a Medicare Advantage plan, which are private health plans that receive government payouts for providing services to seniors—about $10,000 per member, on average, Farr’s report noted.

According to Apple, the new Series 4 Apple Watch intermittently analyzes heart rhythms in the background and sends a notification if an irregular heart rhythm such as AFib is detected.  It can also alert the user if the heart rate exceeds or falls below a specified threshold.

And, the Apple Watch’s fall detection function utilizes a next-generation accelerometer and gyroscope, which measures up to 32 g-forces, along with custom algorithms to identify when hard falls occur, the company has stated.

To this end, data from health technology company HealthMine shows that 21 percent of Medicare Advantage beneficiaries use a fitness/activity/steps tracker; and 70 percent currently use digital tools, with a blood pressure monitor being used by 50 percent of beneficiaries.

In this realm, Apple is working with other major insurers as well. It was recently announced that UnitedHealthcare Motion, an employer-sponsored wellness program, is telling its participants they can get a free Apple Watch if they meet the insurer’s daily walking goals over a six-month period. For this initiative, program participants can use the Apple Watch to see how they are tracking against the program’s three daily goals—frequency, intensity, and tenacity—helping integrate physical activity and engagement with their health plan.

Industry observers have already begun to offer some reaction to CNBC’s story. In Farr’s report, Bob Sheehy, the CEO of Bright Health, an insurance start-up with a Medicare Advantage plan, and the former CEO of United Healthcare, spoke to the idea of seniors potentially avoiding expensive care visits by leveraging the device. “Avoiding one emergency room visit would more than pay for the device," said Sheehy.

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PerfectServe Acquisition of Telmediq Consolidates Secure Communication Platforms

January 17, 2019
by David Raths, Contributing Editor
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Combined companies have more than 500,000 clinical users across 250 hospitals, 27,000 physician practices and post-acute care organizations

PerfectServe, a provider of cloud-based clinical communication and collaboration solutions, has acquired competitor Telmediq, a secure communications platform provider for health settings.

Knoxville, Tenn.-based PerfectServe said it plans to support both solutions going forward, taking advantage of each platform’s cloud-based, service-oriented architecture to integrate complementary features.

Telmediq is deployed across 300 healthcare organizations and 80,000 users. It offers a call center solution, nurse mobility, advanced alert and alarm management capabilities, and mass notification functionality. Combined, PerfectServe and Telmediq have more than 500,000 clinical users across 250 hospital sites and 27,000 physician practices and post-acute care organizations. 

PerfectServe said the acquisition is an important step in its effort to build a care team collaboration platform that unifies the entire care team across the continuum, from inpatient, to outpatient, to patients at home. “Our vision is to build a platform that is separate from, transcends, and is fully integrated with the EHR and all other point-of-care technologies,” said Terry Edwards, president and CEO of PerfectServe, in a prepared statement. “The goal is to make it easy for clinicians to overcome persistent care coordination challenges that have existed in the industry for years.”

The Telmediq acquisition follows an investment last year in PerfectServe by private equity firm K1 Investment Management.

 

 

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