Archive for the ‘Healthcare’ Category

[Infographic] Swipe Right: How Telehealth is Changing the Face of Healthcare

Posted on: April 6th, 2017 by Jeff Renoe No Comments

Healthcare is a worldwide issue, and never has it been more front and center in this country than today. People all around the US have been picking up the phone to dial their local representatives to let them know where they stand in the debate over the topic and how they believe future policy should be written.

More people than ever are also using their phones to call their doctors in order to find treatment. It’s the new (okay, not so new. It’s technically been around for 40 years), way patients are connecting with doctors to receive treatment. It’s called telehealth and it’s expected to do more than $30 billion worth of business annually by 2020. That’s a big number, but it’s nowhere near the $3.2 trillion that patient’s spent on care in 2015.

Still, it represents a growing segment of Americans that would rather pick up a phone to text or dial their doctor than go in to see one in person. Why is that? At SXSW this past March a number of reasons were put on full display.

Rural Living

There are hospitals all across the country. They’re in major metropolitans like New York City where New York-Presbyterian Hospital has 2,236 beds. Hospitals are also peppered throughout US suburbs. Their sizes can vary dramatically but they’re available, regardless of how many beds they have. It means suburban patients are often a short trip away from a hospital bed whenever it’s needed.

Compare this to Rural Hospitals where you’ll not only find hospitals serving locals with as few as 25 beds, but many communities that have seen their local hospitals close down. According to an article in USA Today, This exact issue has forced many in the small town of Richland, GA to travel 40 miles for care.

That’s why the National Advisory Committee on Rural Health and Human Services has spent time exploring Telehealth in Rural America. In places where care does exist, top specialists, often, do not. Telecommuting to doctors in these types of programs provides insight otherwise unavailable to patients.

According to the committee, “…Telehealth has the potential to be an important tool in health care delivery system reform and believes the technology can help rural areas take advantage of the ACA’s focus on improving access to care, enhancing quality, and reducing costs.” Only time and additional experience will show us whether those thoughts are true.

The LGBTQ Community

HIV may disproportionately impact segments of this community in comparison to others, but, in reality, healthcare for LGBTQ  “isn’t just about HIV. It’s smoking, drugs, alcohol… a lot of lifestyle diseases.” That is, at least, according to the LGBT Community Driving Digital Health Innovations panel at SXSW. Based on their research, and experience, “95% of health issues in the community are based on lifestyle, social exclusion, etc.”

Exacerbating the issue is that LGBT patients are reluctant to visit the doctor and end up being underserved. This according to not only the panel’s discussion, but also American Medical News. These patients sometimes postpone care out of fears of discrimination. In order to avoid the fears, some patients have shown a willingness to travel as far as 500 miles for healthcare.

“Some patients of family physician Robert J. Winn, MD, travel more than 500 miles for routine care at the Philadelphia health center where he works. Most are transgender. Others are lesbian, gay and bisexual.

“They live in East Coast towns that stretch from upstate New York to southern Virginia. And all are looking for the same thing — a physician who understands them.”

There’s enough discord that having a doctor has even been considered “Straight Privilege” for some who fear medical care. These are the reasons why telehealth has become so important to the community. Telehealth offers this community the promise of access to sympathetic personal care in a private, personalized setting to help reduce the fear of discrimination. It’s why it has become the main user of a mobile app called pager, an uber like telehealth service that calls a doctor to you.

Tech Savvy Millennials

It isn’t just about tech. It’s about living through a recession in an age when healthcare costs are continuing to skyrocket. According to research conducted by Becker’s Hospital Review, 50% of Millennials avoid seeing the doctor to save money. It means that they are Googling everything first. Whether that be “why do I have a rash?” or “How much do meds cost?”, the fact is that they are turning to technology to research and address their health issues.

This always connected group also tends to find it difficult to find time to set up an appointment, travel to a doctor, wait in a waiting room, wait through delays, get called to an office, wait longer for the doctor to see them, and then finally be treated. Telehealth removes that roadblock. These are the reasons why 74% of Millennials would prefer a virtual doctor’s appointment. It’s another one of the many reasons why telehealth is such an attractive treatment option and business opportunity.  

Telehealth vs Traditional health

According to research conducted by Harvard Medical School, your opinion on the cost of telehealth would depend on your belief of an opportunity cost. Telehealth appointments require more of a monetary investment, thanks to an additional telehealth provider fee, but they also cost you, on average, nearly two hours less time per appointment.

Including travel time, the average doctor appointment required 121 minutes of time, whereas the average telehealth appointment was a 15 minute investment. Based on estimates by Amwell, that’s the equivalent of more than $30 in savings. That means you payed as much as 200% more in opportunity cost than you did in the form of an actual visit. It’s a true representation of how time does, in fact, equal money.

While the adoption of telehealth has exploded over the last five years, from 350,000 users to an estimated 8 million by 2018, it’s important to remember that no two states define telehealth services the same. Here is an excerpt from the Center for Connected Health Policy’s 2016 paper on State Telehealth Laws and Medicaid Program Policies that begins to touch on these differences.

“Although each state’s laws, regulations, and Medicaid program policies differ significantly, certain trends are evident when examining the various policies. Live video Medicaid reimbursement, for example, continues to far exceed reimbursement for store and forward and remote patient monitoring. While there was an uptake in states reimbursing for store and forward and remote patient monitoring (RPM) between 2013 and 2015, in recent months that number has stagnated remaining the same since our last report was issued in July 2015. Some states, however, are making progress just as others are pulling back.”

Even as telehealth becomes more normalized, and as more apps like Pager find their way into society, critical monitoring will still be necessary, if not more so. The applications may however change. Instead of having to only monitor a refrigerator with vaccines in it, caregivers may need to monitor and collect data when transporting medications to patients. It’s why we’ve continued to innovate and one of the reasons why we brought our new DSB logger to market. When every point matters you have to be willing to answer every call, whatever reason they ring.  

Doing More With Less: How BioTech is Impacting Wounded Warriors

Posted on: March 23rd, 2017 by Jeff Renoe No Comments

Shot of young  mountain bike rider with leg prosthesis raising up his arms

There are few things more heart wrenching than hearing about American soldiers being wounded, or worse, in combat. There are also few things more inspiring than listening to America’s wounded warriors talk about moving on after personal tragedy.

At this year’s SXSW conference, we were lucky enough to hear the stories of three incredible warriors who have become more with less. That wasn’t any more clear than when Melissa Stockwell took the stage.

I’ve been able to do more with one leg than I ever could have with two.”

Stockwell was the first female from the Iraq war to lose a limb in active combat. Since then, she’s become a bronze winner in the Paralympics in the sport of Paratriathlon. She also helped co-found the Dare2tri Paratriathlon club in Chicago where athletes with physical disabilities are introduced to the sport of triathlon.

Wounded WarriorsShe wasn’t the only wounded warrior to speak in the session either. Joining her were Christy Wise of the US Air Force and Heath Calhoun, an American alpine skier and a veteran of the Iraq war. Calhoun lost both of his legs in combat and found himself confined to a wheelchair.

“I really struggled for 2.5 years. I can’t explain the difficulties in the beginning.”

A major hurdle in his way involved prosthetics. It was difficult for him to find one that properly fit. Even then, it wasn’t easy. He had to relearn how to walk.

“It wasn’t until four years (after the injury) when I shook off the wheelchair,” Calhoun said. “I was able to function again.”

What may be most amazing about all of this is how far prosthetic technology has come. Cali Solorio of Ottobock North America moderated the panel. She’s the company’s Market Manager for Microprocessor Knees. People aren’t going to be confused for Arnold Schwarzenegger in Terminator anytime soon, but the technology has come a long way.

“The knee’s internal computer (microprocessor) controls an internal fluid, which may be hydraulic or pneumatic,” according to Ottobock’s website. “The internal computer monitors each phase of your walking pattern (your “gait cycle”) using a series of sensors. The continuous monitoring and control of fluid allows the processor to make adjustments in resistance so you can walk more efficiently at various speeds and walk more safely down ramps and stairs.”

Prosthetics aren’t just for walking either. Wise, who lost her leg in a boating accident, actually has a portion of her closet dedicated to the many legs she owns.

“This leg,” Wise said, pointing to the prosthetic she was currently wearing, “is called Xena, Warrior Princess. I named the leg I run with Bolt, and the leg I swim with is Ariel.”

Regardless of what she uses her legs for, one thing is evident. Prosthetics aren’t just appendages anymore. They’re devices, and they’re smarter than ever. It’s just another example of devices that are innovating the way things are done in society helping to make things easier and more manageable for users.

Vaccinating a Pandemic: The Hurdles Ahead for the Zika Virus

Posted on: March 23rd, 2016 by Jeff Renoe No Comments

This week marks the beginning of spring. And now that it’s here, summer is right on deck. That of course means a few months of sustained sunshine, outdoor festivals, and dining al fresco.

This summer, though, could also mean terror. That’s because this year’s mosquitoes will bring with them more than the usual annoyances and everyday itching. These mosquitoes could mean outbreak, paranoia, and fear. This, inarguably, is the summer of Zika.


As we spoke about In February, the World Health Organization has declared the Zika outbreak as a public health emergency. Zika has spread to more than 20 countries, and counting. As of Thursday, there were nearly 450 people infected with Zika in the U.S., 93 of which had been diagnosed as travel-related infections, across 22 states.

While Zika isn’t life-threatening to most adults, the main concern is its link, albeit unproven, to microcephaly, a birth defect in which babies’ brains don’t fully develop. It’s that unknown that has made the production of a Zika vaccine so tricky.

In a best-case scenario, developing a vaccine is difficult. Researchers pore over a multitude of combinations and correlations. Scientists work to strike the perfect balance: stimulate the immune system enough to produce antibodies but avoid actually infecting the disease. From concept to market, the average process takes about 15 years.

That process encompasses three stages: exploratory, preclinical, and Investigational New Drug, or IND. After passing through those stages, testing generally begins, again, in three phases: on 20 to 80 people (Phase I), several hundred people (Phase II), and ultimately several thousand (Phase III).

This process, for any vaccine, can be protracted and byzantine. The vaccine for the dengue virus, a sometimes deadly mosquito-borne germ that’s a close cousin of Zika, took over 20 years to develop. In September 2014, an Ebola vaccine entered Phase I testing, but progress has since halted; there is still no legitimate Ebola vaccine produced in the U.S.

In Zika’s case, the process is even more complicated (paywall) because of the link the virus has had to birth defects. The risks, and regulations, inherent in developing a vaccine for pregnant women are innumerable. Researchers and scientists are split on whether to even offer a Zika vaccine to pregnant women due to fear of harming the unborn.

Other factors contribute to the potential vaccine’s plight. A lack of funding, inadequate distribution, deficient administration, and improper transportation and storage—storing the vaccine outside the proper temperature range can lead to its invalidation by the health department—all serve as sizable roadblocks.

Despite the obstacles, there is hope. According to NBC News, a new dengue vaccine may form the basis for a Zika version. The dengue vaccine is currently being tested in Brazil in a 17,000-person volunteer trial. In theory, researchers would add on a Zika component to help shorten development time.

Until that plays out and a vaccine is available, there are things you can do now, like spray for adult mosquitoes and eliminate standing water to reduce their ability to breed. Whether you’re looking forward to outdoor festivals or alfresco dining as the seasons continue to change, do all you can to protect yourself and don’t forget to stop and enjoy spring.



Ukrainian Polio and the Hindsight Solution

Posted on: October 15th, 2015 by Jeff Renoe No Comments

Vaccines for Children: Resources for Providers

A recent threat of a Polio outbreak in Ukraine has left parts of Europe scrambling for answers.

As a whole, the nation’s population of children is under vaccinated when compared to the rest of the globe. In a recent interview, Ellyn Ogden of the United States Agency for International Development said, “Ukraine went from 90% coverage a decade ago, to 14% today. This is one of the lowest coverages in the world, including countries at war and those facing security and economic challenges.”

The lack of mass inoculation has led to the first two documented cases of polio in Europe since 2010. Having been caused by a vaccine-derived strain, they both could have been prevented if the population had a higher level of immunization. Once the cases had been diagnosed conversations quickly began to address the potential paroxysm.

In response to the threat, the UN donated 3.7 million vaccines to help fill the gap that’s developed over the last decade to protect the country, and those that surround it, from the disease. What’s followed has been an interesting case of he said, she said that’s played out through the international media.

The local All-Ukrainian Council for Patients’ Rights and Safety lobbyist group claims that the vaccines are unsafe because of mishandlings during transport. The World Health Organization says that the process was carried out in line with internationally defined best practices. One blames the other for recklessness. The other’s made references to a lobby group that’s out to protect the interests of a few of individuals. The back and forth has caused a delay in the immunization efforts, pushing them back, well past the 15 day guideline according to Ogden.

The plan may have been implemented in a much quicker manner had the vaccines been transported with loggers that monitored the ongoing temperature of the vials. The arguments could have been rendered moot had data been available to the public to prove one side over the other. Now, every day that goes by increases the risk of a major outbreak.

  • Click here for more information on how to properly transport, store and handle vaccines according to the Center for Disease Control 
  • To learn more about the global initiative to eradicate polio visit
  • To learn more about data loggers that can be used to monitor the condition of a package in transit visit




Vaccine Temperature Buffers: Glycol? Glass Beads? Or What?

Posted on: September 6th, 2015 by Dickson No Comments


Glycol or Glass Beads?

The CDC, in its Vaccine Storage and Handling Toolkit for Vaccine and VFC Providers, uses the following language when describing temperature buffers as a necessary edition to a data logger probe: ”Probe in thermal buffer such as glycol . . .”

For Vaccine Providers looking for a data logger, the key part of that sentence is ”such as.” The CDC has yet to fully commit, require, or even recommend a data logger probe be immersed in glycol and glycol only. Here at Dickson, we use glass beads instead of glycol.


Because they offer the same temperature stability as glycol, without as great of a threat of spillage.
This has been a confusing topic as of late, and the verdict isn’t out yet on whether one type of material to immerse your probe in is better than the other. (When the jury decides, we will be sure to let you know.) But, check out the graph below:

One of our excellent engineers thought he would test each solution, to see if there was any variance in temperature readings. So he did. The probes were placed in the same environment, and thus monitored the same temperature. As you can see, we found very little difference between the two solutions. They each followed the exact same curve at the exact same time as the temperatures they monitored rose and fell.

But why submerse a probe into a bottle filled with glass beads or a glycol solution? Because it takes longer for vaccine temperatures to change than it does the air of your refrigerator or freezer. A sensor (that includes internal device sensors!) without an attached glycol bottle or vial of glass beads records the temperature of the atmosphere. Thus, the sensor will show extraneous temperature readings caused by air fluctuations (for example, the opening and closing of a refrigerator door) which may not be indicative of the temperature of the individual vaccines.

So, get yourself a thermal buffer for your data logger. We recommend glass beads, but we can always do glycol as well.