Face2Face Health: Concierge Care for Children

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Children running

Face2Face Health is a web & mobile-based holistic pediatric telehealth platform with a mission to help parents and caregivers accurately learn about, identify, and manage their children’s health and well-being challenges –all in one simple place.

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Dr. Ami Shah, MD, FACP, FAARM
, founder of Face2Face Health is not only a physician for over two decades, but she’s also a Mom, who was frustrated when her own children were diagnosed with physical delays and she couldn’t easily find access to care or evidence-based information.

Shah says, “I was shocked as both a doctor and parent. The top three health websites had such outdated information. I couldn’t believe it. So much traffic means millions of parents are misinformed. I couldn’t even find another parent going through the same thing.  I wanted everything in one place. That’s when I took a step back to create a solution.”

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She realized parents, caregivers, and educators face the following fragmented approach to health and wellness:

CARE: Services are disconnected and not coordinated. Just 30% of 90M U.S. children are screened for challenges or receive timely and comprehensive care. Average wait time for a physician specialist can be 19 days & rural areas are underserved. One third must travel 40+ miles for care.

LEARN: According to the U.S. Dept of Health & Human Services, almost 90% of the population is health illiterate. Health and well-being information on several top websites is inaccurate, hard to find, incomplete and not reviewed by experts.

SHARE: Parents and caregivers feel isolated. Communities are needed that provide advocacy and support.

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She’s not alone. 1 in 4 U.S. children have developmental, emotional, physical or learning issues and only 30% of all children are screened or have access to care, information and support.

AND the top 20 challenges in pediatrics cost our healthcare system $200B annually.

So she created Face2Face Health as a solution to offer people a complete digital wellness platform that allows access to multidisciplinary care via phone, video or concierge interactions; 200+ validated, evidence-based screening tools; 125+ peer-reviewed e-learning courses, and online support communities.

The Face2Face Health platform includes centralized Electronic Health Records (HIPAA, MU2, MU3, high tech). The EHR offers an integrative health approach covering over 70 traditional/alternative disciplines, SOAP forms, prescriptions, labs, remote monitoring, exercises, and other valuable resources.

This integrated hub streamlines clinical workflows and care coordination to expeditiously coordinate diagnoses, early intervention, comprehensive treatment, education, and optimized care.

It can be white-labeled, integrated, and adapted for different population segments & care conditions.

For many conditions, best patient outcomes can only be achieved through a coordinated, collaborative, comprehensive approach to care.

Surveys show parents & caretakers want expert-reviewed, trustworthy information in one place.

So if you’re seeking that one place, look no further than:

Face2Face Health at http://www.f2fhealth.com

On Twitter: @f2fhealth

Progress to date:User interface/user experience/product market fit: Questionnaire and phone survey of 500 multi-disciplinary providers and potential customers received over 85% product market offering support and guided site design. Developmental: Alpha tests and user experience feedback, each stage for optimizing product offering. We will be conducting beta testing with 500 to 1,000 parents and providers in Q4 2017, which has already been paid for as part of our UI/UX development. Pilots: we have partnered with a privately held company offering a B2C subscription testing service for children with over 500,000 parent subscribers and another organization involving both educators and parents. Competitive market gap analysis: Companies in the market offer limited services in comparison; few focus exclusively on pediatrics. Partners: We have partnered with a leading screening company and testing company.

E-Learning Development Progress:

1.Topic Identification

The use of Google Analytics drove selection of nearly 130 topics to be included in the Learning Module Development Series within Face2Face Health’s 5 (F2F) Knowledge Integrative silos:

a. General Health

b. Emotional Health

c. Development

d. Mind/Body/Nutrition

e. Education and Advocacy

2. Source Selection

Several top analytically driven consumer and professional websites were selected as information sources for each of the various topics, including:

a. Top medical literature and professional references

b. Popular referenced sites such as WebMD, Wikipedia

c. Reference databases such as PubMed and Google Scholar

3. Collection

Professional consultant researchers collected, referenced and tracked all relevant data to prepare for analysis of all available topic information.

4. Compare and Curate

Several subject matter experts compared and curated information to identify content reflecting the highest relevance, credibility and educational value.

5. Gap Analysis

To ensure comprehensiveness and quality control of our Learning Management System (LMS), global subject matter experts such as physicians, alterative health practitioners, developmental and educational experts further researched any gaps in integrative knowledge within the silos to guide further content collection as needed.

Transformation

The information was then transformed to original health-literate and referenced

copy materials.

7. Expert Review

Subject matter experts, including Advisory Board members representing expertise

across the 5 silos reviewed all modules for comprehension and accuracy.

8. Production Design and Development

Modules were then given to our design team for customized E-learning design

and development in collaboration with LMS consultant and content experts.

9. Delivery and Management

E-learning modules integration into the online LMS platform for interactive E-learning delivery and  management in process, including learning performance analyses and revisions and new content development as needed.

Face2Face Health Team:

Creator: Ami Shah

Education: Wright State University School of Medicine

Bio: Ami Anand Shah, MD FACP, FAARM is an entrepreneur, pharmaceutical industry executive, active part- time integrative medicine practitioner, philanthropist and leader in several local, state and national medical non-profit organizational communities.

She has over 15 years of both clinical practice and global versatile pharmaceutical industry executive experience with demonstrated leadership, people management and global expertise in the arenas of pharmacovigilance and risk management, clinical development, strategic business development/due diligence, global labeling, OTC/nutritionals formulation, clinical trial development and medical marketing from small sized to big sized pharmaceutical companies.

She is a Board Certified Internal Medicine physician and fellow of the American College of Physicians.

Board Certified in Integrative Medicine and also fellowship trained in Anti-aging, Regenerative and Functional Medicine, as well as Aesthetics.

She currently practices part-time Integrative, Personalized Medicine which focuses on integrative evidence based, peer reviewed holistic health, e consulting, physician health coaching, and telemedicine services for over 15 years.

Dr. Shah has held several leadership positions at the local, state and national levels (see Affliations section).

To date, she has mentored several next generational leaders, performs various free health care services in clinics or lectures in the community.

She has travelled to over 20 countries on medical missions.

Dr. Shah is also a member of countless other non-profit organizations too numerous to name but have in common a focus on children and women’s global health and education issues.

She has been the recipient of the prestigious top 50 Outstanding Asian Americans in business 2012.

She is also featured as one of the top 101 Indian American Emerging and Global Leaders by Roshni Media published in 2015.

Hospital Affiliation: ACP Fellow, NY Country Medical Society, SAHI, AAPI, Clinical Associate Prof, Wright State University

Title: Founder & CEO

Advanced Degree(s): MD FACP, FAARM

WARNING: LONG BIOS AHEAD!  About Team Members

Raj Jhaveri
Co-founder and Chief Technology Officer, MS

Biography:
Raj Jhaveri is an innovator, entrepreneur, social media persona, philanthropist, hip-hop dancer, and a former TV Host for Sony Entertainment Television and UrbanAsian.com.

He is known for his unique ways of charitable fundraising through entertainment and has been featured in multiple media outlets such as Entrepreneur Magazine, MTV, Vice Magazine – Motherboard, Wall Street Journal, Motley Fool, MedCity News and MedCrunch.

By day, Raj is a visionary entrepreneur and strategist in the Digital Health, Medical and Biotechnology Industry, who has worked with Bio-Reference Laboratories, Sage Science, Bio-Genex, Pfizer, Abpro Labs, Ferring Pharmaceuticals, Genentech and the Department of Defense in the past.

He obtained his Bachelor’s at Ohio State University and continued his graduate studies at Harvard Medical School. Later, he co-founded Manethryn Technology, Inc. and assisted in launching Fermentöme, Inc.

Raj is a partner at The Catalan Group, a strategy consulting firm based in New York. It successfully founded and launched Canopy Apps, a company focused on medical translation services and education with over 200,000 medical provider users.

He is also an in-house mentor at Techstars and, an industry consultant for General Catalyst Partners in regards to their healthcare investments.

In his spare time, he partakes in the fashion, film, music, and dance industry, and enjoys being a true “Curious George” exploring anything that is new and intriguing, hence his former social media persona as “The Urban Nerd.”

This allowed him to become the brand ambassador for a rising fashion brand, Convey.

Raj is also known for hosting The Annual Aquarius Charity Affair, an annual free event held in January/February, which has attracted and raised thousands multiple charities since 2008.

He is currently working on forming his first non-profit, The Urban Nerd Effect, where global causes and charities are conveyed through entertainment and free networking events.

Title:
Co-founder and Chief Technology Officer
Advanced Degree(s): MS
LinkedIn: https://www.linkedin.com/in/rajpjhaveri/

Dale McManis
Head of Education and Advocacy, BS, MEd, PHD

Biography:
Lilla Dale McManis is President and CEO of Parent in the Know and Early Childhood Research Solutions, launched to focus on assessment of the parental role and child functioning, and a consultant for numerous start-ups to improve and position products and services.

She holds a PhD in educational psychology with a concentration in learning and cognition, a master’s in special education, and a bachelor’s in child development.

She has taught special needs K-12 students in the public-school setting, served as Academic Coordinator and instructor for court-ordered teens in a non-traditional educational setting and as an instructor of prospective teachers at the University of Florida.

She has held senior research positions at the Massachusetts Department of Education as lead evaluator for the state’s school health programs and the Massachusetts Department of Public Health in the Division of Maternal and Child Health as Project Manager for the state’s school and adolescent programs and Co-Director of the Office of Statistics and Evaluation.

She was on the faculty at the University of Texas-Houston in the School of Public Health and then the Medical School-Developmental Pediatrics in the Children’s Learning Institute and the State Center for Early Childhood Development as part of multi-disciplinary teams on CDC, USDOE, and NIMH research grants.

She is the former Research Director for Hatch Early Learning, a leading technology content development company, where she was on the product development team and conducted product efficacy studies.

She is a founding member of the Early Childhood Technology Collaborative, has served as research consultant on a number of large projects, presented frequently at national conferences, & has published a number of academic papers.

She has been inducted into several honor societies: Golden Key, Phi Kappa Phi, & Phi Lambda Theta graduated summa cum laude, on the National Dean’s List, and received the Gamma Sigma Delta Outstanding Senior Award.

Title:
Head of Education and Advocacy
Advanced Degree(s): BS, MEd, PHD
LinkedIn: https://www.linkedin.com/in/dalemcmanisecars/

Doron Wesly
Chief Marketing Officer, BS

Biography:
Doron Wesly is Senior Vice President and Chief Marketing Officer for Lotame, where he spearheads global marketing, communications, and research and insights for a global team of data management specialists, enabling marketers, agencies, and publishers to harness audience data across all digital devices.

Prior to Lotame, Doron spent more than three years at Tremor Video (NYSE: TRMR) as head of Market Strategy, where he helped brand marketers understand the advertising impact of online video relative to all screens.

As online video expanded to more viewers and devices, Doron played a critical role in helping advertisers understand the advanced analytics emerging from these campaign, enhanced by his deep knowledge of cross-media studies, marketing mix models, attribution modelling, and more than 20 years of experience spanning traditional media planning to the frontiers of digital.

Prior to joining Tremor Video, Doron served as Senior Managing Partner, Managing Director, Leader Business Science and Planning, North America, for Mindshare, based in New York, where he led a multi-disciplined team that included consumer insights, competitive intelligence, digital analytics, business planning, and advanced analytics.

Doron’s marketing and research career has also included time as Global Media Director at Cheil Worldwide, Samsung’s in-house ad agency, based in Seoul, South Korea, and Millward Brown’s Strategic Services.

He spent time at the Interactive Advertising Bureau (IAB) leading industry research efforts, and he has worked for Terra Lycos, Interevco, and Hotbar.com. Doron is a citizen of both the Netherlands and Israel and is fluent in Dutch, Hebrew, and English.

He is also proficient in German and French and enough Korean (to be dangerous).

Doron speaks regularly on marketing and media topics at industry events and universities in the U.S., Europe, and Asia.

Title:
Chief Marketing Officer
Advanced Degree(s): BS
LinkedIn: https://www.linkedin.com/in/doronwesly/

Richard Hamilton
Head of Learning Management Systems, BA, MA

Biography:
Richard Hamilton is a veteran Communications Services provider experienced in Instructional Design, Sales and Marketing Communications and Multi-Media Production in corporate, agency, private business and independent markets.

His credits include pioneering effort in the development and implementation of many industry innovations involving computer-based learning, blended learning, distance learning, online interactive learning, online accredited Continuing Medical Education, Intranet portals, learning management systems, sale force automation and integrated marketing strategies.

As a consultant, Richard provided communication services to Affymax, Allergan, Amgen, Baxter Bioscience, Centocor, Genentech, Medicis, Neutrogena, Pharmacia, Roxro Pharma and Scios in the pharmaceutical industry and to Medical Communication firms Chandos Communications, Churchill Communications, HLS, IntraMed West, Pacific Communications and Triage Health Communications.

Prior to consulting, Richard held corporate positions as Training Media Producer, Sr. Instructional Designer, Communications Analyst and Product Marketing Manager at Syntex Laboratories; Distance Learning Manager and Corporate Multimedia and Information Development Manager at Applied Materials; and World-Wide Sales and Marketing Programs Development Manager for Sun Microsystems.

During his early career, while pursuing an education in Behavioral Sciences, Communication and Education Technology, Richard worked as a Community Worker, Training Media Producer and Rehabilitation Counselor for the Santa Clara County Department of Health.

Title:
Head of Learning Management Systems
Advanced Degree(s): BA, MA
LinkedIn: https://www.linkedin.com/in/rwhamilton/

Florence Michelet
Head of Medical Communications, MS, MBA

Biography:
Florence Michelet founded EosMorae, LLC in 2011, after more than 20 years of senior global and domestic US medical communications experience in major global corporations.

She has spent her entire career developing sound educational solutions for healthcare professionals (physicians, nurses, pharmacists, physician’s assistants, etc.) and patients in a variety of therapeutic areas.

A French native, Florence started her career in Paris as a statistician. After moving to the United States in 1989, she earned her MBA degree in international marketing and joined the field of strategic medical communications immediately thereafter.

In 1998, she joined Physicians World (a Thomson Reuters corporation), holding positions of increasing responsibility and ultimately being appointed as General Manager for GeoMed Global Communications, the company’s global division.

Florence moved to Oxford Clinical Communications (OCC) in 2004 as President of North American operations (including the global and US promotional medical education activities, and the Oxford Institute for Continuing Education, the CME-accredited division).

Prior to starting her own business, Florence was Senior Vice President, Director of Client Services, at Publicis Groupe Company for over 5 years, where she provided strategic leadership to a number of the company’s clients, both at the domestic and global level.

Title:
Head of Medical Communications
Advanced Degree(s): MS, MBA
LinkedIn: https://www.linkedin.com/in/florencemichelet/

Jennifer Kirschenbaum
General Counsel, BA, JD

Biography:
Jennifer Kirschenbaum is a managing partner of Kirschenbaum & Kirschenbaum, P.C.’s healthcare department.

She devotes her practice towards assisting practitioners in all aspects of private practice, Office-Based Surgery practice, Article 28 facility formation and operation, Independent Practice Association formation and operation and hospital based practice and hospital relationships/arrangements.

Jennifer began her career focusing on third party payor and government payor audit defense, OPMC and OPD licensure matters and general practice matters, including license agreements, during her time as an associate at Abrams Fensterman, et al.

Her practice expanded when she joined Rivkin Radler LLP, where she focused on regulatory compliance and transactional matters.

After bringing healthcare to Kirschenbaum and Kirschenbaum, P.C. in 2008, Jennifer has grown the firm’s healthcare department to representing over 800 practices, Article 28 facilities, IPAs and small to mega-group private practices.

K&K’s healthcare department represents MDs, DOs, DPMs, DDS, DMDs, DCs, PTs as well as other practitioners. Jennifer operates the healthcare department in conjunction with the other practice areas of law at the firm.

When necessary our litigation, real estate, trust and estates or bankruptcy attorneys are available to assist in matters related to healthcare, issues involving practice break-ups, trademark infringement, breach of contract, etc.

Practitioners contact Jennifer at all stages of practice, from their first employment agreement review and negotiation, their first lease, first partnership agreement, first patient issue, first lawsuit, first HIPAA complaint, first hospital contract, collection issues, audit through partnership structuring, mergers and acquisitions, practice sale, hospital employment or closure and everything in between.

We are here to assist in any and all issues that arise that cannot be easily addressed internally or require third party consultation.

Title:
General Counsel
Advanced Degree(s): BA, JD
LinkedIn: https://www.linkedin.com/in/jennifer-kirschenbaum-1a169a17/

 

 

 

For More Information Visit:  www.f2fhealth.com

 

stayhealthy

contact: maria.dorfner@yahoo.com

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One Woman Starts Legislation Sweeping Nation To Inform Women Of Dense Breast Tissue

 

nancycappello1In 2004, Nancy Cappello, PhD from Connecticut, was diagnosed with advanced stage breast cancer.

She was shocked as she had no prior risk factors, and normal screenings for a decade.

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“I was shocked my cancer had metastasized to 13 lymph nodes and was the size of a quarter, I asked my team of doctors, with my latest ‘normal’ mammogram report in hand, how could this happen since I just had a normal mammogram.” -Nancy

Each physician told her that her cancer was hidden by the mammogram due to her dense breast tissue.

Dense breast tissue is comprised of less fat and more connective tissue which appears white on a mammogram. Cancer also appears white thus tumors are often hidden or masked by the dense tissue.

As a woman ages, her breasts usually become more fatty. However, 2/3 of pre-menopausal and 1/4 of post menopausal women (40%) have dense breast tissue. 

Additionally, as the density of the breast increases, the risk of breast  cancer also increases.

Radiologists have been reporting a woman’s dense breast tissue to her referring doctor for twenty years.   Most often, that information is not conveyed to the patient.

Displaying heterogeneously or extremely dense breast tissue on a mammogram is considered dense (BIRADS C, D). 

Learn More

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Amy Colton, Nancy Cappello

“After an extensive search of the literature, which existed for decades before my diagnosis, I learned that 40% of women have dense breast tissue, that mammograms are limited in ‘seeing’ cancer in dense breasts and that there are other technologies, such as ultrasound or MRI that can significantly ‘see’ cancers that are invisible by mammogram.”

When Nancy asked her doctors to report dense breast tissue to women in her community, each of them refused.  

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Nancy Cappello featured in the New York Times

“My Italian heritage with our tenets of truth and justice immediately kicked in.”

 

Her doctors’ rejection led to action when in 2009, Connecticut became the first state in America to report dense breast tissue to the patient through the mammography report.

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As of today, thanks to Nancy Cappello’s unplanned advocacy, thirty-one states have a density reporting law and more are pending.

 

Nancy Cappello: One of 8 ‘chemo’ infusions 3 months before 11th NORMAL mammogram

Nancy has since been honored by UNICO at its national convention with the 2017 Americanism Award for her breast health advocacy through the work of her two non- profit organizations, Are You Dense Inc. and Are You Dense Advocacy Inc.

The Americanism award recognizes an Italian-American who has made an enduring impact on humanity which encompasses the cornerstone of UNICO’s foundation.

“When I received notice of this prestigious honor, I bowed to give thanks to my parents and my Italian ancestors, who paved the way for me to relentlessly pursue an early diagnosis for women with dense breast tissue, through the democratic process, turning an injustice to justice for women’s breast health.”

Unico National President Tom Vaughn, Nancy Cappello and her husband Joe, Francine Nido, Unico’s National Secretary

Check out the following map link to find out if your state has a law and updates:

http://www.areyoudense.org/news-events/density-reporting-bills-spread-across-country/

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For More Information on Nancy’s incredible advocacy work please visit: http://www.areyoudense.org

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So much valuable information for women on http://www.areyoudense.org

 

Thank you, Nancy!

 

UPDATE:

BREAKING HEALTH NEWS:  Senators Dianne Feinstein (CA) and Dean Heller (NV) and Representatives Rosa DeLauro (CT) and Brian Fitzpatrick (PA) introduce a national bill requiring physicians to notify patients whether or not they have dense breast tissue.

On Twitter: Representative Mike Rohrkaste  and Senator Alberto Darling  introduce bill in Wisconsin to prompt patient notification if they have dense breasts, which increases cancer risk.

#NotifyMeNow

New Study: Diet Soda During Pregnancy Could Mean Overweight Child Later

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Many pregnant women worry about what’s safe and not safe to drink while expecting.

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A recent study says women with gestational diabetes who drink diet soda during their pregnancy could be putting their children at risk for weight gain.

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Salena Zanotti, M.D., of Cleveland Clinic did not take part in the study, but said previous studies have shown that drinking diet soda in moderation during pregnancy is generally safe, but this most recent study is the FIRST to look at the potential impact long-term.

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Researchers looked at data from more than 900 pregnant women with gestational diabetes between 1996 and 2002.

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About nine percent of the women surveyed drank at least one diet soda per day.

“”What they found, when they looked up to seven years – which is a long time so far for these studies – that their infants, especially the boys, had a higher risk of being overweight and being obese,” says Dr. Zanotti.

Researchers say the women who consumed diet soda were 60 percent more likely to have babies with a high birth weight compared with women who did not drink any diet soda during pregnancy.

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Likewise, the children born to the women who drank water instead of sweetened beverages were 17 percent less likely to be overweight by age seven.

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Dr. Zanotti adds,  “What remains to be determined is whether the diet soda alone was the problem, or whether the women who drank diet soda also ate diets high in fat and sugar.”

She says sometimes pregnant women will eat sugary and high fat foods and think it’’s okay if they’’re drinking diet soda, when really it’’s only okay to drink it if they’’re eating a well-balanced, low fat, higher protein diet.

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“If you wanted to have an occasional soda, you could have one a day, if that’s what you want to have,” says Dr. Zanotti. “

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For some people they’’ve given up a lot of things that they really like and this is their one vice and I think that’s fine, if they’’re doing everything else correctly.”

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Dr. Zanotti says, “Water should be a woman’s beverage of choice during pregnancy.”

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She says too much sugar is a problem whether it’’s real sugar or a sweet substitute.

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“Excessive sugar intake leads to excessive pregnancy weight gain, which means a higher risk of having bigger baby and a higher risk of having to deliver the baby via a cesarean section.”

 

 

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SOURCE: https://academic.oup.com/ije/article/doi/10.1093/ije/dyx095/3861466/Maternal-consumption-of-artificially-sweetened

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Bottom line:  Stick to water.

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Also, if you’re unaware an updated American Academy of Pediatrics recommendation urges parents to avoid giving fruit juice to children under one year of age.

Children’s health is so important and it begins at pregnancy.

MEDIA:  For Soundbites and B-roll:

Other Ways to Access CCNS Video: 

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Cleveland Clinic Newsroom
Video download password: CLEclinic1921
Username: dailyvosots
Password: dailyvosotsftp
Username: CCNews
Password: CCNews1

Pathfire: If you’re using the web browser, click on the ‘Provider Directory’ and look for the ‘Cleveland Clinic’ tab. Use the ‘Video News Feed Locator’ if you’re getting Pathfire via satellite.

 

*Also, now available using app.extremereach.com – select the ‘Cleveland Clinic’ destination to view the files. If you need assistance, contact videonetwork@extremereach.com

 

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Stay healthy!

contact: maria.dorfner@yahoo.com

GAME CHANGER: NEW SMART HEART MONITOR

 

Super excited to tell you about a new smart heart monitor you can use at home. It will help 28 million heart disease patients in the U.S. keep track of their heart.

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Keep track from the comfort of their home at any time. And it’s just been FDA approved.

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Meet Eko DUO.  The first handheld mobile, wireless, EHR-connected stethoscope, which connects to your smart phone.

It allows you to amplify, visualize and record crystal clear heart and lung sounds.

Imagine not needing to wait for your next followup appointment to transmit a concern to your physician. It works under the supervision or prescription from a physician.

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Eko Duo is set to help millions of heart disease patients who are often discharged with little more than an info packet and instructions to monitor their weight.

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Now patients can be sent home from the hospital with a direct link back to their physician, helping reduce readmissions and false alarms.

“The goal is to bring hospital-quality care to the home.”
Connor Landgraf, CEO and co-founder, Eko DUO

The device wirelessly pairs with Eko’s secure, HIPAA-compliant app, enabling remote monitoring and diagnosis by a clinician or specialist.

It works with the Eko app on any iPhone, iPad, Windows PC or Android device.

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Eko DUO can also be used by clinicians as an enhanced stethoscope for in-clinic cardiac screenings, enabling physicians to quickly diagnose and monitor patients.

Clinicians can use it bedside or remotely to quickly spot heart abnormalities including arrhythmias, heart murmurs, and valvular heart diseases.

I interviewed Ami Bhatt, M.D., a Cardiologist at Massachusetts General Hospital and Director of Outpatient Cardiology and the Adult Congenital Heart Disease Program at Massachusetts General Hospital and she believes Eko DUO will improve outcomes through early intervention.

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Dr. Bhatt says, “Cardiology programs are looking for ways to deliver hospital-quality healthcare at home.  The ability to capture digital heart sounds and an ECG expands our portfolio of mechanisms to remotely monitor the heart – and brings diagnosis and opportunities for early intervention even further upstream.” 

Heart disease can strike people of all ages.

I spoke with Stacy Bingham, a registered nurse from Oregon with 5 children, who knows this firsthand. She and her husband have no prior history of heart disease in their family, yet 3 of her 5 children end up needing heart transplants.

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When Stacy noticed her oldest child, Sierra acting tired with a loss of appetite for a few weeks, she never suspected the cause was an underlying heart condition.

“I noticed her face and eyes were swollen. She complained her stomach hurt.”

That’s when Stacy and her husband took her to a family practitioner.

“The doctor told us it’s probably a flu bug and sent us home. When her condition worsened she had an x-ray.”

X-ray results revealed Sierra’s heart was enlarged.  Dilated cardio myopathy. She later learned two of her other children also had heart problems.

“If they had not finally found Sierra’s heart condition, she may not have survived. We live in a really rural part of Eastern Oregon and we now have three kids with heart transplants that need to be monitored for life.”

Today, Stacy’s family takes nothing for granted, especially innovations that help.

“If this device can be used at home and we can rule out scary things and know when it’s not something we need to rush to a hospital for that would be wonderful.” –Stacy Bingham

James Young also knows how life can change in a heartbeat.

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Young was just 40-years-old when he first experienced symptoms of heart failure. Symptoms he ignored until they were severe and his sister insisted on it.

“I was coughing in mornings and throughout the day. I thought it was simply allergies. I vomited phlegm some mornings and still didn’t see a doctor.”

But the coughing became more painful. While shoveling, it stopped him in his tracks.

“I was outside shoveling snow when I turn behind me and  see a trail of blood.”

His sister noticed he didn’t look well and insisted he go see a physician.

“That’s when I was diagnosed with congestive heart failure. I was shocked.”

James felt anxiety, depression and uncertainty about his future at this time. Young believes Eko DUO will not only help alleviate false alarms and unnecessary hospital readmissions, but needless worrying as well.

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“Eko DUO would have given me assurance the doctor knew where I stood daily. If there were any issues outstanding needing to be addressed immediately. It gives the doctor an opportunity to respond expeditiously to those concerns.”

Today, James is doing great and is a national spokesperson and heart failure Ambassador for the American Heart Association.

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“I went from a 25% functioning heart to being an avid runner and cycler. I’ve taken on a new lease in life. As a community advocate I can help inspire others and give them hope.”

Ami Bhatt, M.D says that hope also translates to much needed continuous care rather than outpatient care.

“Robust toolkits for caring for patients in the community will hopefully lead to more appropriate healthcare utilization through continuous rather than episodic outpatient care.”

HERE’S HOW EKO WAS DEVELOPED:

Eko’s co-founder & CEO, Connor Landgraf, is also a heart disease patient.

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Connor navigated countless cardiology visits, screenings and referrals.

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In 2013, during his senior year as at the University of California at Berkeley, Connor attended a panel discussion at UC San Francisco on technological shortcomings facing modern medical practices.

One technical gap cardiologists claimed stood out beyond the rest: the stethoscope.

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So Conner and his co-founders welcomed the stethoscope, a two-century old tool, into the 21st-century.

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Photo: Connor and his co-founders, Jason Bellet and Tyler Crouch

 

The newly FDA approved Eko DUO brings that to the next level.
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To learn more about this remarkable 21st Century technology we love visit:  http://www.ekodevices.com

 

 

Factoids:

  • According to the CDC, heart disease is the leading cause of death in the U.S.
    The American Heart Associations says the U.S. currently spends over $26 billion annually on heart failure hospitalization. 25% of heart failure patients are readmitted within 30 days — 50% are readmitted in 6 months with hospitals now being penalized for high readmission rates.
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  • Fact: 83% of parents experience anxiety surrounding their child’s referral to a pediatric cardiologist for an innocent murmur.
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  • Fact: Average cash price for an echocardiogram is $2,275 and even with insurance, patients can expect to pay 10 to 30% of this cost.
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  • Fact: For a pediatric subspecialist such as a pediatric cardiologist, patients must wait between 5 weeks and 3 months to get an appointment.
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  • Fact: Internal medicine residents misdiagnose more than 75% of cardiac events.
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  • Fact: 70% of all pediatric cardiac referrals for murmurs are unnecessary.
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  • Fact: Average PCP needs to coordinate care with 99 other physicians working across 53 practices.
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  • Fact: Only 50% of initial referrals are accompanied by information from the PCP.
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  • Fact: Patients in rural communities must travel an average of 56 miles to see a specialist.
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  • Fact: About 46.2 million people, or 15% of the U.S. population, reside in rural counties.

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Eko DUO.  A real game changer for heart patients worldwide.

http://www.ekodevices.com

 

 

Expert Newborn Screenings A Heartbeat Away!

jimmy-kimmel-baby-billy2-1This week, Jimmy Kimmel shared the emotional story of his beautiful newborn son’s heart surgery.  He and his wife Molly welcomed their second child, William “Billy” Kimmel.

At three days old, Billy had successful open heart surgery at Children’s Hospital Los Angeles and is now home with his family.  On his show, Jimmy opened up about his son’s birth and health complications. He also underscored the need for the accurate and timely screening of congenital heart disease (CHD).

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Essential to early CHD diagnosis is the detection of a murmur using a stethoscope during a newborn’s first physical exam.

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But routine neonatal examination without specialist consults fail to detect more than half of babies with heart disease.

Approximately 160 infants pass away from undetected Congenital Heart Defects each year in the United States.

William “Billy” Kimmel, who is absolutely adorable below is one of the lucky ones; looks like he’s already laughing at Dad’s jokes too.

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Billy thankfully had the condition detected early, but many children with CHD get discharged with undetected or misdiagnosed conditions.

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After the events of this week, expecting parents have every right to question if their child is being screened appropriately or if clinicians known to misinterpret heart sounds are interpreting their child’s heart sounds accurately.

Kimmel’s story is really a wake-up call that we need more nurses like the wonderful ones who treated his baby boy.

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Now, there’s a device that will make sure congenital heart screenings more effective for infants.

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And it’s not just infants. Over 1.3 million adults live with congenital heart disease in the U.S, which now surpasses the number of children with congenital heart disease.

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Three entrepreneurs are well on their way to making sure accurate screenings are a heartbeat away. Their innovation paves the way for a new era of cardiac screenings.

They want to do what Shazam did for music, only for heartbeats.

Their new device called Eko [pronounced like Echo, as in a heart echo] offers the potential to dramatically improve the efficacy of newborn screenings, especially for newborns far from a pediatric cardiology center.

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The San Francisco based digital medical device company, launched Eko, an FDA-cleared digital stethoscope that enables ANY clinician, regardless of their training level, to secure a virtual pediatric cardiology opinion on heart sounds recorded with their FDA-cleared digital stethoscope.

It was a pleasure interviewing one of the founders, Jason Bellet.

Bellet says, “The silver lining in Jimmy Kimmel’s story is that the congenital heart failure was detected early through a murmur using a stethoscope and could be treated, but very often these murmurs go undiagnosed and undetected and infants leave the hospital with potentially life threatening situations.” [:27]

“Eko Devices would enable nurses and clinicians to get Cardiologist’s second opinion to immediately decrease the number of missed cases.” [:12]

Bellet is the co-founder and a brilliant former student from the University of Berkley.  He graduated in 2014 and founded Eko Devices with two fellow students, Connor Landgraf and Tyler Crouch out of the Start-up accelerator at Berkley.

The three founders successfully pitched their idea and raised $5M to bring it to market quickly and bring it to as many clinicians as they can.  It received FDA approval in September of 2015.

QUESTION: WHAT IS EKO?

ANSWER:  It’s basically a Smart Stethoscope that can bring the sounds to a trained ear immediately.

The vision is to bring machine learning and physician support tools to every clinicians stethoscope to make their screening process as easy as Shazaming a song.

QUESTION:  HOW DID YOU COME UP WITH THE IDEA FOR EKO?

ANSWER:  The idea stemmed from the fact that we realized the stethoscope is used as the primary screening tool for cardiac health, including for newborn babies.

But, it’s extremely outdated and ultimately leading to misdiagnosis and lack of cardiac conditions because you hear the heart sounds, but don’t understand what you’re hearing.

Cardiologists are the ones who can differentiate what is normal and what is not.

So, what we wanted to do was make it easy for clinicians to modernize their own stethoscopes to bring it into the modern era and send concerning or confusing heart sounds immediately to cardiologists in real time using this platform or capture it to send it to a specialist.

QUESTION:  There are other digital stethoscopes out there. Why is this one unique?

Bellet says, “Our digital stethoscope is the first to allow clinicians to stream sounds wirelessly from the stethoscope to a smartphone and to a cardiologist anywhere in the world.”  [:15]

QUESTION: Is it HIPPA compliant?

ANSWER:  It’s the ONLY digital stethoscope on the market that has built a HIPPA compliant software platform to stream heart sounds from any clinician to any specialist anywhere in the world.

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QUESTION: THAT’S GROUNDBREAKING. WHERE IS IT CURRENTLY BEING USED?

ANSWER:  Eko is now used at over 700 institutions across the country and has been adopted by pediatric cardiology programs.

QUESTION: WHO NEEDS EKO?

The technology is applicable in many aspects of patient care, but especially in newborns.

QUESTION:  WHAT IS YOUR ULTIMATE GOAL WITH EKO?

ANSWER: The ultimate goal is bringing it even one step further.  Our idea is have machine learning tied directly into the stethoscope itself, so one day clinicians can be as accurate as cardiologists in their initial interpretation of what they hear.

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Next, I spoke with renown adult congenital heart disease specialist Ami Bhatt, M.D. F.A.C.C. who says identifying congenital heart disease in the community can be challenging at any age whether we are trying to identify a high risk newborn like Jimmy Kimmel’s or catching congenital heart disease in a school age student or adulthood.

Ami Bhatt, M.D. F.A.C.C.  is director of outpatient cardiology at the Massachusetts General Hospital in Boston as well as a renown adult congenital heart disease specialist.  She innovates with the Healthcare Transformation Lab, serves as a scientific advisor for Eko Devises and runs a telemedicine practice.  She can be reached at mghachd@partners.org

Bhatt says,  “Because congenital heart disease is relatively rare it’s difficult for clinicians to identify it. The use of digital stethoscopes and other telemedicine technology which can connect the patient and caregiver in the community with experts at academic centers can improve initial diagnosis AND longterm followup.”

QUESTION:  WHAT HAPPENS WHEN KIDS WITH CONGENITAL HEART DISEASE AGE?

ANSWER:   Two things. One, as kids with congenital heart disease age, we know there are complications that may arise. Technologies like digital stethoscopes and the use of algorithms can help monitor their progression and track changes in disease BEFORE they progress too far.

And two, lack of follow-up is a persistent problem with children with congenital heart disease become adults. One of the main drivers is the challenge of access to subspecialty care.

Additionally, distance from medical centers, along with the time it takes and sometimes the cost of being away from work and family drives young adults to ignore their own healthcare needs.

The advent of digital health in congenital heart disease care empowers the patient to engage in a partnership to their health without taking away from their ability to live a full and active life.

QUESTION:  DO YOU THINK TECHNOLOGY HELPS OR HINDERS DOCTOR-PATIENT RELATIONS?

ANSWER: As the delivery of healthcare changes, caregivers are desperate to return to the ideal  doctor patient relationship, which is based on a human connection. As we build digital technology, and use machine learning to support our physicians at at time when there are so many diagnosis to be made, it allows us to concentrate on a shared patient and provider centered experience.

QUESTION:  HOW DOES AN ADULT KNOW WHEN TO GET THEIR HEART CHECKED?

ANSWER: If they had heart disease or heart surgery as a child, they should check in with their cardiologist to find out if they need any longterm care.

QUESTION: HOW DO THEY FIND A SPECIALIST?

There are advocacy websites, such http://www.ACHAheart.org which report self-identified Specialists in congenital heart disease or they can call a major center like Massachusetts General who can find a local center that can partner in their care.

QUESTION: HOW CAN THEY FIND OUT WHO USES THE EKO DEVICE?

ANSWER: If they want to find a specialist using the Eko Device people can contact Massachusetts General http://www.massgeneral.org\adultcongenitalheart for more information and ask about centers near them. They can also contact any hospital and ask for their telemedicine department and inquire if they use Eko.

QUESTION: HOW DO CLINICANS FIND EKO IF THEY’RE INTERESTED IN USING IT?

ANSWER:  Clinicians are able to access the device by going to the Eko Devices website at http://www.ekodevices.com and then if they’re interested in testing it they can purchase a unit directly from the website and send it back if they don’t like it. But that’s a rarity as the success rate has been high with over 5,000 clinicians across the country using it.

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This truly is a hot technology that will save kids like Jimmy’s, as well as those who aren’t at top hospitals in the country.

Billy will have another open-heart surgery within six months to repair the hole, and Our thoughts, well wishes and prayers are with him and his family.

“As a cardiologist, we sometimes worry about technology interfering with the doctor patient relationship. However, in these cases, it is technology that brings us to meet the patient where they live. Technology is finally bringing us home.” 

-Ami Bhatt, M.D. F.A.C.C.

If you haven’t seen Jimmy Kimmel’s story see it on Emmy-award-winning @GMA:

WATCH: @jimmykimmel shares emotional news about newborn son’s emergency heart surgery; son now at home recovering. http://abcn.ws/2pSPakE

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QUICK FACTS:

According to the CDC, 40,000 babies in the U.S. are born each year with congenital heart disease.

Recent studies estimate approximately 160 infants or 1 in 25,000 live births die per year from unrecognized CHD.

The reported sensitivity for detection of a pathologic heart murmur in newborns ranges from 80.5 to 94.9 percent among pediatric cardiologists, with specificity ranging from 25 to 92 percent.

A study in the American Journal of Medicine discovered internal medicine residents misdiagnose as many as 75% of murmurs with a stethoscope.

Routine neonatal examination fails to detect more than half of babies with heart disease; examination at 6 weeks misses one third.

A normal examination does not exclude heart disease.

Babies with murmurs at neonatal or 6 week examinations should be referred for early pediatric cardiological evaluation which will result either in a definitive diagnosis of congenital heart disease or in authoritative reassurance of normal cardiac anatomy and function.

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Take care of your heart everyone!

 

For more on Eko visit: http://www.ekodevices.com

UPDATES:

Good Morning America
ABC NEWS
May 9, 2017
Jimmy Kimmel returns to TV with update on his son’s health, defends his call for children’s health care coverage

One week after Jimmy Kimmel revealed that his son, Billy, had been born with a heart defect, the comedian returned to host his late night show with an emotional update on his son’s health and a defense of his foray into the country’s heated debate on health care.

The “Jimmy Kimmel Live!” also thanked his fans for their “humbling outpouring of support” and said that he and his wire “very grateful” for the multitude of donations made to the Children’s Hospital of Los Angeles, where his son was treated.

“First I want to tell you because so many people have asked: Our son Billy is doing very well,” Kimmel said. “He’s eating. He is getting bigger. He is sleeping well. He can read now — which they say is unusual [for a child his age].”

Kimmel, 49, revealed last Monday that his son underwent surgery on his heart three days after he was born, and will require another procedure when he’s a little bigger in three to six months.

During his monologue, Kimmel asked all politicians to come together to ensure healthcare for all Americans, especially those who have pre-existing health conditions.

Though there were many who supported Kimmel’s point of view, he noted that there were many others who called him an “out of touch Hollywood elitist.” To those critics, the late night host offered a sarcastic apology.

“I’d like to apologize for saying that children in America should have health care,” he joked. “It was insensitive – it was offensive – and I hope you can find it in your heart to forgive me.”

To further the conversation, he interviewed Bill Cassidy, a Republican senator from Louisiana who last week tweeted that there should be a “Kimmel Test” for any healthcare bill passed.

The Jimmy Kimmel Test, he noted, would be in place to ensure that any healthcare plan would adequately cover pre-existing conditions “but in a fiscally conservative way that lowers cost.”

“I happen to like [it] a lot,” Kimmel said. “He is a doctor – a gastroenterologist. He is married to a retired doctor — his wife Laura, was a surgeon. And he co-founded the Greater Baton Rouge Community Clinic, which provides free dental care and health care to the working uninsured. So obviously – this is someone who cares about people’s health.”

 

 

Today Is National Walking Day!

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THE FIRST WEDNESDAY IN THE MONTH OF APRIL IS DESIGNATED AS NATIONAL WALKING DAY.

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MY FAVORITE NON-COMPETITIVE SPORT!  BUT ACCORDING TO THE C-D-C, EIGHTY PERCENT OF AMERICANS DO NOT GET THE RECOMMENDED TWO AND A HALF HOURS OF MODERATE-INTENSITY AEROBIC EXERCISE EACH WEEK.

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ERICA STEPTEAU IS A HEALTH COACH AT CLEVELAND CLINIC. SHE SAYS THAT STARTING A WALKING ROUTINE IS THE FIRST STEP TOWARDS GETTING YOUR BODY MORE ACTIVE.

CG: Erica Stepteau, MPH/Cleveland Clinic “Get up every five to ten minutes. Put a timer on your phone and see that those are ways that can actually help you get up more instead of just sitting all day.”[00:08]

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STEPTEAU SAYS WE TEND TO UNDERESTIMATE THE POWER OF WALKING.

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SHE SAYS IT DOESN’T TAKE A GYM MEMBERSHIP OR A PERSONAL TRAINER TO GET YOURSELF UP AND MOVING.

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WALKING IS SOMETHING THAT YOU CAN FIT INTO YOUR DAY ALMOST ANYWHERE. AND IT NOT ONLY HELPS YOUR HEALTH, BUT CAN ALSO BOOST YOUR MOOD.

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STEPTEAU RECOMMENDS WALKING DURING YOUR LUNCH BREAK, TAKING THE STAIRS, AND WHEN YOU GET HOME, GET YOUR PETS OUT AND MOVING WITH YOU.

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SHE ALSO SAID THAT SPRING IS A GREAT TIME TO TAKE ADVANTAGE OF THE WEATHER CHANGING TO START WALKING OUTDOORS.

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IF BRISK WALKING IS YOUR GOAL, SHE SAYS YOU WANT TO WORK YOUR WAY UP TO THE POINT WHERE IT’S A LITTLE CHALLENGING TO TALK WHILE WALKING.

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AND LIKE ANY EXERCISE PLAN, STEPTEAU SAYS YOU’LL HAVE BETTER RESULTS IF YOU CAN FIND A BUDDY TO WALK WITH.

CG: Erica Stepteau/Cleveland Clinic “It can help you push you beyond your own limits because that person may be at a different level than you; higher or lower, depending; but it helps you either be the encouragement that that person needs to step it up, or it could be the encouragement for you to step it up for yourself.”[00:14]

IF GETTING YOURSELF MOVING IS A REAL CHALLENGE, STEPTEAU SAYS THAT IT’S IMPORTANT NOT TO BEAT YOURSELF UP ABOUT IT AND TO JUST START SLOW.

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SHE SAYS IF YOU’VE BEEN INACTIVE FOR A LONG PERIOD OF TIME, IT’S A GOOD IDEA TO CHECK WITH YOUR DOCTOR BEFORE STARTING A NEW EXERCISE ROUTINE.

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[MEDIA SEE Pathfire#:10752 FOR VT]

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HAPPY NATIONAL WALKING DAY!  Stay healthy.  -Maria Dorfner

http://www.clevelandclinic.org

 

 

Digital Strategy & Value-Based Care

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Digital Strategy and the Shift to Value-Based Care
by Guest Author, Terence Maytin

The U.S. healthcare system is rapidly transitioning from fee-for-service to value- based care as part of massive and ongoing industry-wide transformation. Digital strategy is evolving to meet new challenges, help drive disruptive innovation, and better engage a large, growing audience of connected health consumers.

Already complex and fragmented, the healthcare sector will look very different over the coming years. The Affordable Care Act (ACA) has spurred rapid innovation and disruptive change across the entire ecosystem in the quest for better quality care across the entire population at lower per capita cost. Payers are accelerating rollout of value- based payment models with providers, and the shift to pay for performance arrangements with Pharma companies is increasing as well.

Moving an entire industry from volume-oriented reimbursement requires aggressive, innovative approaches to move from traditional siloed care to collaborative models, with system-wide provider coordination, patient engagement and proactive interventions. Technology will continue to act as a critical change agent, enabling large- scale improvements in process efficiency, automation, connectivity, collaboration, interoperability and advanced analytics.

With the convergence of healthcare and digital technology, industry stakeholders are reassessing their digital strategies to help tackle new business opportunities and challenges. Just a few years ago, digital health efforts largely focused either on acquisition marketing, community aggregation, or customer service portals designed to redirect volume from higher cost channels. However amid the current environment, digital offers much greater and far-reaching impact potential than ever before.

Digital investments are ramping up to support the shift from volume to value, particularly in the areas of care coordination, patient engagement, post-discharge monitoring, measurement, and behavior change. Since 2014, venture capital has provided $10B in new funding for clinical tools, analytics, consumer engagement, mHealth, telemedicine, wearables, and business services. In 2016, firms have raised a record $1.8B.

Two important trends drive home the relevance and importance of having a comprehensive, well articulated digital strategy: the rise of consumerism and nearly ubiquitous web/mobile adoption. Across all age groups, large audiences not only already consume digital services but also expect high quality, omni-channel experiences. In order to deliver on this promise, companies must design optimized, journey-based experiences that balance customer needs, preferences, and behaviors against desired business objectives and outcomes. Companies must embrace the concept of “putting the customer first” throughout the organization and across functions (e.g. strategy, product development, marketing, operations and technology). This also must be accompanied by an insights-driven, decision-making approach.

Essentially, digital strategy will be most effective if viewed as an organizational imperative. Armed with a holistic vision and comprehensive strategy, stakeholders will be better able to leverage and capitalize on digital’s full disruptive potential to help solve some of the most pressing challenges facing healthcare today.

Healthcare Industry Transformation

The transformation of healthcare is multidimensional and complicated. Disruptive innovation, technology and consumer trends are upending traditional business models. The competitive landscape is getting ever more crowded with new entrants while at the same time, insurer and provider consolidation is accelerating.

Consumers are motivated with more skin in the game and greater information access than ever before. Payment models are shifting from volume to value, and payers, providers, pharma, and medtech will need to collaborate and coordinate to a much larger degree within a more integrated care delivery system. These factors along with intense focus on quality improvement and evidence-based outcomes have big implications for the entire care delivery continuum…

Click here to read full article

TerenceMartin  Guest Author, Terence Maytin is VP/Director | Head of Digital Strategy and Delivery | Digital Health Business Analytics and Technology  and  Strategic Advisor for First Growth VC.

Stay healthy!

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Maria Dorfner is the founder of NewsMD and Healthy  Within Network. This is her blog.
She can be reached at maria.dorfner@yahoo.com
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On Twitter:  Maria_Dorfner