Fresh from Health 2.0: two dozen of the most innovative new health apps

medicalrecordsThe Health 2.0 conference is probably the only “2.0″ conference that doesn’t belong to the O’Reilly empire (it was founded by healthcare visionaries Matthew Holt and Indu Subaiya in 2007). However, like many of the other “2.0″ conferences, it also has a little identity crisis — exactly what does “Health 2.0″ mean? Well, that’s one of the questions 1000+ healthcare pioneers came together to discuss at this week’s conference in San Francisco.

On a high level, Health 2.0 is about putting consumers back in the driver’s seat of their own care and giving tools to doctors and providers to make this happen. But take a closer looks and it’s clear that there are several different areas of innovation that will get us to that point.

Here, divided up by category, are some of the more memorable products and tools I saw launched or demoed at the conference:

Perhaps the most important aspect of Health 2.0 is for consumers to take responsibility for their own health, and take proactive actions to live a more healthy life style. Tools that help consumers to change their behavior in this way were featured prominently at the conference. One launch in this category that got quite a bit of fanfare was the beta launch of Keas. Started by Adam Bosworth, who used to run Google Health and of the BEA fame, Keas is a web site that provides personalized wellness/healthcare action plans based on a user’s personal health information, including both self-report questionnaires and medical records. Users can also share information about what treatment works and what doesn’t in self-organized online communities. You can read more about Keas here. While Keas is focused on bringing web 2.0-style health programs to the general public, US Prevention Medicine (USPM) has been selling web-based wellness, disease prevention, and disease management programs to employers for several years. Companies like Keas and USPM provide a clear case for ROI for Health 2.0 — it saves money to motivate consumers to take better care of themselves.

The online platform is arguably not the best tool for gathering the kind of detailed life stream data that truly drives behavior change. After all, few of us would check out our weight/blood glucose/cholesterol trends on a PC before we eat a big meal, and few would log the calories on a PC after that meal. The mobile platform is much better suited for both data gathering and trending. TheCarrot is an iPhone app that tracks a large number of activities in daily life, and they have a sleek web site that will let you plot any two matrix against each other to discover, say, whether exercise triggers your headaches. Polka is another cool iPhone app that manages a mini-PHR right on the iPhone, with the capability to record data streams on the phone and manage the data with a variety of interesting tools they have integrated into their web site.

MedHelp, WebMD, and Livestrong are all established players that are also announcing new iPhone apps in the conference. My company, Ringful, falls into this category, too. It provides a collection of medical/fitness journaling apps across several mobile phone platforms (iPhone, Android, BlackBerry, and more), and builds the middleware platform to connect mobile data to a variety of backend medical record systems for doctors to access.

While the iPhone is cool, at least for younger people, the long-held promise of mobile healthcare is actually in tele-medicine. A big focus in Health 2.0 tools is to enable primarily doctors, specialists, and patients to assemble virtual teams, and deliver healthcare services via online video chats/messaging. Obviously, there are many challenges to this as doctors are currently only get paid when they see patients face-to-face. But the potential benefits of tele-medicine for convenience (same day appointment!) and cost reduction are so great that companies are now building their own doctor networks and partnering with insurance payers to try out this new model. Examples of those innovators include Myca/helloHealth (partnering with BlueCross BlueShield); Optum Health (partnering with United Healthcare); and American Well (partnering with US Military).

The idea of building electronic health record systems (EHRs) as platforms to support “app stores”, which would then support many consumer apps to use the data, is also gaining ground. Close to my heart, HealthForge is an open source EHR platform that lets anyone contribute functional modules to “scratch an itch”; Dr. Chrono is a SaaS EHR platform that is API-enabled; Boundary Medical, Phytel, and emerge.md all build EHRs that keep track of patient’s long term wellness — potentially via plugin apps.

As I suggested in a previous story, consumers need transparent information for making informed healthcare decisions. A lot of tools demonstrated at the conference make it easy to find information about diseases, medical procedures, drugs, as well as provider reputation and pricing. Startups like WebLib, Wool Labs, and RightHealth demonstrated new search engines for consumer-friendly medical content; PharmaSurveyor and First Data Bank give consumers access to comprehensive drug databases and help consumers analyze potential conflicts and side effects of their prescriptions to ensure safety; and companies like HealthGrades and change:healthcare provide quality and price comparison for consumers.

Finally, any “2.0″ conference would not be complete without social networks. Social networks for patients actually make a lot of sense as people with serious conditions like to band together to share experiences, encourage each other, and search for cures together. There are communities built around blogs such as DiabetesMine and ePatients Dave. There are social networks that pull patients together to crowd-source clinical research for treatment options of specific diseases. PatientsLikeMe and Cure Together are such examples. They ask users to enter their own medical records into the system for sharing, and then run automated data mining routines on the clinical data. Both of them highlighted previously unknown correlations discovered using their communities — talk about high impact innovations! Of course, clinical trials are heavily regulated by the FDA, and the crowd-sourced results are only suggestive to researchers — they have to be validated by vigorous scientific process in real trials. But those hints could potentially help shape the trial protocols early on and save a lot of money.

michaelyuan1Dr. Michael Yuan is the CEO of Ringful, a personal healthcare startup focused on mobile applications and connections to backend PHR/EHR systems. He is a well-known mobile technologist, enterprise data integration expert, and the author of 5 books from Addison-Wesley, Prentice Hall, and O’Reilly. He has previously worked in various product and technical roles for JBoss, Red Hat, and Nokia.

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  • Harry Blaney
    FatSecret has the #1 health applications on both Android and BlackBerry mobile platforms, that's the future dude.
  • JanyKatrie
    Really a educative and informative post, the post is good in all regards,I am glad to read this post.

    http://ezinearticles.com/?Looking-to-Buy-Resver...
  • Though we didn't present at this Health2.0 (probably next one), please do check out MEDgle http://www.medgle.com/ MEDgle's goal is to help patients understand their medical options. From symptoms to diagnoses, diagnostic tests, types of doctors and more. Feedback is most welcome.

    Cheers

    Ash
  • Ash,

    MEDgle looks very cool. Is it competing against sites like WebMD or MedHelp?

    cheers
    Michael
  • ria mody
    it was very informative article! I am a design student and working on this direction to develop some new conceptual ideas. So I found your article very useful. What would you say about the healthcare summit which is going to take place in London.
    http://www.mobilehealthcareindustrysummit.com/

    how health 2.0 is special? I am evaluating to participate in it..so your opinion would be helpful
  • Michael
    Please take a look at www.doctations.com
    We presented at Health2.0 and you did not mention us at all.
    Thank you
    Dr. C
  • Louis,

    Sorry, I missed the doctations deep dive session, and was not able to get a full understanding of your products. This article is just my personal observations of the conference, and there will be things I miss!

    Anyway, I am going through your web site right now, and will keep you guys in mind when I write another article. :)

    cheers
    Michael
  • I absolutely love all the new software and technology, but getting it out into the real world is another issue. I didn't attend but published some nice items on the blog like the technology being used by Cisco and others so readers could see what's going on out there. We get back once again to training and education to get these things out in the world and it's a slow grow.

    Part of the problem exists in the fact that we have no role models too. I don't see Oprah or Jay Leno talking it up:) For that matter is could be anyone in the public eye, just to draw attention to how important technology in healthcare is. Congress doesn't talk much about it either with anyone seeing the value. The link below might tell the story a bit better. Once you are on the front line trying to help others learn and comprehend the problem of getting more on the band wagon is apparent in about 5 minutes or less, doctors, patients, CEOs, etc.

    http://ducknetweb.blogspot.com/2009/10/one-hell...

    We have the struggling PHR pilot program in Arizona that has not caught on yet either. All of this technology is wonderful and creates better healthcare and efficiencies, but we have to do more than just build it as they are not coming yet.
  • dwax
    Great synopsis of the conference and what is coming down the pike. having attended the MSFT HealthVault Partnership Conference in June 2009, i had a chance to see some interesting applications, services, etc that will be coming to market. my favorite service i saw was a health monitoring system that syncs with HV and gives the type of readings that until now were out of reach of most people, i think the cost was around $99 and it tracked a host of vitals that then when you couple in the ability to tie this data together w/ smart search/apps the possibilities are endless
  • We were also presenting at Health 2.0: http://www.healthmash.com
  • ria mody
    How can I trust the information which is on web? did any of u who are designing these websites have tried to get help by these way?
  • It is definitely better to search on a website built for medical search than a general search engine. However there is no information what is surrogate your personal visit to a doctor.
  • ria mody
    how different your search engine would be? if google adds...health search ..special..because anyways they are in healthcare now so it is most likely that they will do that. How your search engine would be special or different?
  • CO_Smalls
    This is a great recap of the companies and discussions featured at the health 2.0 conference. Thank you for sharing this info and for keeping those of us who were unable to attend the event up to date.

    Regarding Health 2.0 social networking, I'd like to mention another site that is a little different than PatientsLikeMe and CureTogether. www.FacetoFaceHealth.com matches people directly and privately to others who share their medical condition and experiences. Many other healthcare networking sites depend on forums to unite people, this site connects patients directly to each other. As are sites such as DailyStrength and RevolutionHealth which offer treatment journals.