By Tram Trinh

Bayer announced a new global head for digital health and finished its 3rd accelerator batch. Merck has officially doubled the size of its venture unit and is launching its 3rd accelerator batch in 2017. Many ‘big pharma’companies including Roche, Pfizer and Takeda have started to reach out to the startup world, attending most of the key European digital health events (Health 2.0, ECHAlliance, FT healthcare, Frontiers Health etc.). Not surprisingly, these initiatives created a flow of digital health entrepreneurs rushing towards partnerships with the big pharma companies in hope to engage with a potential exit candidate.

Startup-image-800x638

Pilot-isis – a typical infection of the pharma companies

Nevertheless the path to exit with a big pharma can be a daunting journey that can last a minimum of 2-3 years. Like any big corporations, they are huge organizations. Disseminating new digital health products across a base of a minimum of 100,000 employees (scattered around the globe) is a serious long-term effort that requires a lot of attention and time.

One of the major pitfalls a startup can fall into are pilots that end up getting stuck in one country/division/function and never scale globally. For example, if startups knock at the marketing door, chances are that their job priority in an affiliate or region is to launch a drug and deliver targeted numbers. Their focus is miles away from scaling up a newly experimented digital health innovation, often perceived merely as an add-on to their drug-selling business model (unless it’s an app that can be used immediately as a marketing channel to support drug branding).

“There is some unavoidable investment time”, says Fredrik Debong, co-founder of mySugr, a startup focused around diabetes. “It is important to define and agree on the KPIs with your C-level pharma contacts right from the start and maintain an up-to-date discussions you will most likely shorten the timeline.” If you start the relationship with no incentives for the pharma management to drive a project with vague uncertain envisioned results, you can be guaranteed your pilot remains a pilot for a long time.”

One success of mySugr with Novo Nordisk relies on the clarity of the promise from the start: educating the market fast based on a trusted loyal base of patients. MySugr B2C model represents a recurring loyal user base of close to 1 million patients. And recent news proved it right: Swiss Pharma € 50 bn Roche acquired MySugr in June 2017 at an estimated € 70-80  Million sale prices to advance with MySugr Roche’s own digital strategy on the diabetes market.

Medtech – alternative gate way to the health care system?

However, with medtech it appears that pilots are not needed and the timeframe between the date of initial discussions to rolling out the digital health solution can go down to 6 months, as demonstrated by mySugr in partnering with Roche. Traditional medtechs are currently in transition: they must adapt to several metrics shifts in reimbursement regulation, consumer empowerment, digital enablement and their competitive landscape. As a result they are opening up faster to increasing partnerships with the digital health startup ecosystem. Here are the 7 driving factors:

1)   New European MDR Medical Device Regulation

The 5th April 2017 EU Medical Devices Regulation requires more information transparency to consumers, vigilance and market surveillance, safety and reliability in medical devices. This is leading to portfolio rationalization at medtechs and represents an urgent incentive to invest “in new capabilities such as data analytics” EY 2016 medical technology report

2)   Shrinking revenues, pricing pressure from influential payers and hospital systems, in European socialized markets

This has forced medtechs to co-develop and partner with tech companies outside of their traditional boundaries to deliver shared-risk and value-based outcome to payers and patients. Omar Ishrak, CEO Medtronic, at JP Morgan Health Care Conference January 2016 already mentioned his “New Partnerships and Business Models based on Joint Accountability”. A few months later, Medtronic partnered with the digital brain of IBM Watson to improve diabetes treatments.

3)   Data as a common language

Christian Krey, CEO of Emperra, explains to us that “Medtech companies in our ecosystem have always been familiar with creating and using data for patients’ benefit. They understand the value of data and how to use and combine them to find new business models. Most Pharma companies still see their future in selling molecules, having a longer way to data-driven business models. For a digital health startup a partnership with a medtech company will leverage both partners.

patient centered care

4)   A “patient-centric offer” as the baseline

between medtechs and digital health startups, says Gabriel Enczmann, Director Business Development at mySugr. “They are both allowed to market and speak to patients directly while pharma is highly regulated on what can be said or not said about their product to patients “

5)   Moving “beyond the product“ into long-term Integrated health solutions.

Andreas Joehle, CEO & Chairman of the board of directors at Hartmann, stipulates clearly that his industry must re-think healthcare to create sustainable solutions: “we need to drop individual agendas and have an open-minded conversation about how to make real improvements. This needs to involve stakeholders from the entire healthcare value chain, as well as having people from outside the industry to bring new perspectives”. “Mobile apps have quickly established themselves on the healthcare scene and can help monitor everything from blood sugar levels to heart rates and cholesterol levels”

At Frontiers Health 2016, Dierk Beyer, Partner and co-founder of TransAct Advisory who see real-life digital health exit transactions confirms “If you combine a gadget with an IT platform, this can be interesting for both Medtech and startups. The links to disease monitoring represents a tremendous value to Medtech”

6)   The unique value of proximity and relationships built by startups with their end-users

Pritt Krus, CEO of Dermtest, from Estonia emphasizes how relationships catalyze sound  discussions: “As a digital health startup employing software and hardware solutions we have several potential cooperation points; yet quite often the extent and relevance of cooperation possibilities become clear only after a good relationship has been established with our main stakeholders first – doctors and patients – and there is initial traction with the service.”

This growing loyal community of doctors is what Touch Surgery, founded by CEO MD Jean Nehme, succeeded in building. Its cutting-edge surgery simulation app helps surgeons train ahead of complicated surgery procedures, or to familiarize themselves with new surgical procedures. Jean highlights that “The key to startup success is the ability to articulate the “new” and the “old” way in the startup “pain killer” value proposition to your Medtech partner. The winning agreement between both sides lies somewhere between the new disruptive way and the traditional model looking at long-term and existing practice”, which Touch Surgery did with J&J Ethicon, Stryker, Smith& Nephew and Zimmer to name just a few.

sm_digital-health_hilchshutterstock

7)   Medtechs and Digital Health Startups are ready from both an organizational and investment perspective to build strategic collaborations

Creating a global and local synergy in the partnerships

As Gabriel Enczemann from mySugr reveals, their successful startup approach has been on two levels as they are expanding from Austria, to the US, Germany, Italy, Belgium and Canada with the big Medtech Roche Diabetes. Speaking with champions and affiliates from two continents did help them build a global offering service that includes as well ready-to-pick options for country affiliates.

Synergy between startup R&D and medtech Regulatory know-how

“Partnering for a startup with a big medical device organization is like having an external regulatory department, and the startup is like the medical device organization’s innovation External lab” says Frederic Lordachs, co-founder and partner at Doctoralia from Spain.

One thing is sure: Roche’s acquisition of MySugr predicts further digital health acquisitions by Life Sciences companies, increased digital health valuations and investor interests. What digital health startups have recently built with Medtech companies will pay off in a shorter timeframe.

tram

About the author
Tram Trinh combines executive entrepreneurial and corporate health tech industry experience, as well as non-executive roles across Fortune 500, Privately-held Medium-Sized Business to Not-For-Profit organizations. She has lived and worked worldwide and founded VITANLINK to bring societal impact, co-founding and co-developing ventures in Medical Devices & Diagnostics | Telemedicine | Digital Health-eHealth | Artificial Intelligence

Picture sources
https://medtechboston.medstro.com/blog/2015/02/23/massachusetts-bets-on-digital-health https://www.healthcare-informatics.com/blogs/rajiv-leventhal/are-consumers-ready-patient-centric-healthcare
http://www.kpcb.com/blog/six-truths-digital-health-entrepreneurs-need-to-know

By Evgeniya Jung

If somebody told me just some years ago that hospitals would soon be using social media as a means to advertising their services and communicating with potential patients, I would be pretty surprised. However, big social media platforms deservedly earned their popularity in the healthcare sector due to their effectiveness in connecting those who provide healthcare services with those who are searching for them.  It is true that in many countries hospitals still don’t view powerful social platforms like Twitter or Facebook as a communication tool between a potential patient and a hospital. But the fact remains: In many countries it has proven to be effective and lucrative for hospitals to use social platforms, also due to significant changes to the health insurance system in Switzerland over the years and the need for hospitals to prove their function as an economic enterprise, using the structure of Swiss Diagnosis Related Groups, the Swiss version of a fee-per-case system.

But not only hospitals can use social media to their advantage.  Patients can also benefit from the use of social platforms in order to convey their wishes to those, whose services they might be using later. Being a frequent guest in hospitals due to diabetes and gaining deep understanding through my experience about how medical insurance, health centres and hospitals work, I took interest in the subject of hospitals’ involvement on social media. I am going to analyse the use of social platforms by some hospitals in Switzerland in order to show what catches an eye of a patient and what he expects from a hospital to publish on its page.

Sharing experience, seeking advice

healthcare_social_media_2

First of all, it is very important for a patient to be engaged in conversations with other people, especially with those who face the same difficulties with health. Sharing experience and seeking advice is an important part of the interaction between patients and doctors or other patients, who went through the same troubles. This kind of interaction on social media can be encouraged by letting patients speak on camera about their experience through an interview (for sure, if the patient himself agrees to share his story) or letting them leave reviews and comments on social platforms.  It is also advisable to let patients speak openly about their experience at the hospital, no matter if good or bad. I found it very nice that hospitals like the Universitätsspital Zürich or the Klinik Hirslanden are answering politely on Facebook to all kinds of comments from their patients and trying to solve conflicts with all possible means. It helps show people that their opinion matters and that measures are undertaken to improve the level of satisfaction with the services.

Information and trust

hospital_social_media_2

The second thing that is greatly appreciated by patients is the publication of educative videos and articles on the page of a hospital. I have found loads of informative articles on diverse health problems on the pages of different Swiss hospitals. However, the quality of content varies greatly. The best work done so far in this direction is the videos from the Klinik Hirslanden on YouTube. Their videos are very informative, helpful and comprehensible. It is essential to remember that most patients don’t have medical education and they shouldn’t get a feeling like they don’t understand what they are reading or watching. The information has to be easily interpreted and put in simple words so that even children can understand it. In this way hospitals can make connections between patients, create a friendly and caring atmosphere and build credibility and trust.

Concern and care

we_care_hospital

Another important thing that patients value greatly when it comes to relationship between hospitals and patients is the demonstration of concern and care for other people. One of the ways to show on social media that your team at the hospital is not indifferent to the suffering of others is by posting news about different humanitarian campaigns and encouraging those who are interested and want to help to take an active part in volunteering work. I found it touching, when I discovered a link on the Facebook page of the Stadtspital Waid in Zürich to a project that a group of doctors organized in order to help establish basics for accident surgery in Tanzania. The Stadtspital Waid reported about their trip and the work the doctors are doing there. It is a great way to show support for the people who have no access to good medical care and social media can help build awareness and sympathy.

Since social media platforms are gaining popularity not only among private internet users, but also in business, it is only left to say that every hospital that wants to ensure its further success and development needs to consider being active on social platforms. Many hospitals in Switzerland are moving in the right direction, providing all the information needed for the patients about the hospital itself and its services. It allows building a bridge between a patient and a hospital, because communication is the very first and most important step in promoting mutual cooperation and trust between the two parties.

Are you a hospital or another institution in the healthcare system, that would like to raise the attention of their stakeholders and improve communications to (potential) patients, medical doctors etc.? Then we might be able to help you.
Contact us here for more information.
(Services are available in German and English)

Picture sources:

https://radiantmarketingaz.com/6-dos-donts-healthcare-social-media-marketing/

https://www.linkedin.com/pulse/20141123074833-37618139-social-media-in-healthcare

http://blogs.aspect.com/improving-customer-engagement-in-healthcare-organizations/

Gender stereotypes are a persistent feature in society, so it is not unsurprising that these are still perpetuated in the artificial intelligence bots that have been produced over the years. According to a Maxus Survey in 2016, although 56% of gendered bots are female, 100% of Law bots and a majority of Finance bots are male. Yet most virtual personal assistants are female. It is clear that the utilisation of bots to complete routine tasks is a growing phenomenon that will continue to pervade people’s daily lives. Therefore, in our increasingly inclusive society, where equality and diversity are celebrated and stereotypes are often disrupted, there are hard questions that have to be answered: Should bots be assigned a gender? Or should gender be taken out of the equation completely? Join in the discussion as we uncover trends and development, share with you real examples and hear your views on this issue.

cortanahero-copy

Want to know more about bots and/or this topic?

Be part of the first fully digital Botscamp and discuss in our digital session on Wednesday Dec. 7!

Picture source: http://www.lifehack-abc.de

On September 9th 2014, Apple CEO Tim Cook detailed the company’s latest breakthrough product, “Apple Health”. It was proudly paraded promising the most comprehensive digital tracking of an individual’s health and wellbeing. From monitoring sodium intake to recording sleep cycles, it was tipped as a world’s first in its absolute breadth of tracked health data metrics. A game-changer in personalised healthcare, it aimed to empower users with vital information that informed better decision-making in lifestyle choices. Glaringly, Apple chose not include the tracking of menstruation in its comprehensive metrics; an exclusion that was pounced on by critics worldwide as a neglect of women’s healthcare. It has since rectified this oversight, and included fertility forecast and menstruation in its list but it still begs the question: how did a global tech company build a product, and forget about the needs of half of the world’s population?

Create what you need

The list of top health concerns that women have versus men reads very differently. Women are concerned about health issues such as breast and cervical cancer, maternal and reproductive health, depression, and violence against them (especially physical and sexual violence). Men on the other hand, are concerned about heart attacks, cancer, weight gain, and strokes. This difference in perspectives carries over into the discussions held by tech talent within the digital healthcare space, and ultimately determines which product gets made first (or at all).

women digital art antenna television wires cloths show

With the tech industry disproportionately male-dominated, women usually form the minority at these discussions. At Google, only 17 percent of its tech talent are female. At Facebook, it is 15 percent. As a result, there continues to be a lack of focus on addressing women’s needs in digital healthcare. With women not part of the conversation during the development process, it is then unsurprising that there are limited apps built focused on women’s healthcare.

Building digital products for women

In fact, an audit of women healthcare apps available found that 80 percent of these apps tracked fertility and menstruation cycles. This greatly overlooks the breadth of women healthcare needs that can potentially be addressed digitally. With more women and girls encouraged to enter the tech industry (and nurtured to pick up coding), this potential can finally be unlocked.

The Clue app for example, was created by co-founder Ida Tin and provides a more nuanced approach at tracking fertility and menstruation cycles for women. Its expanded feature set includes tracking PMT-related (pre-menstruation) symptoms like low energy level and moods – symptoms that continue to baffle the majority of men worldwide.

In Mumbai, a group of girls aged between eight and sixteen years old picked up coding through an innovation slum project, and created mobile apps that addressed women safety, access to water and education – issues that affect women more than men. In particular, the app “Women Fight Back” tackles women’s health concern of violence against them through features such as distress alarms, location mapping and emergency contacts.

Happy creative businesswomen using laptop together in office

The future of digital healthcare

The gender gap within the tech workforce is decreasing, with more girls and women formally or informally getting trained in tech. The progress however continues to be slow, so it remains to be seen to what extent women’s healthcare will be represented within digital tech. Ultimately, to create the best healthcare products, digital or not, it is important that the perspectives of men and women (and to expand it further, those within the LGBT communities) are equally included in the conversation and heard. With more women in technology, there is an opportunity that instead of being confined to the role of “consumer” and “user”, women will ultimately be able to create digital healthcare products personalised to their needs.

Do you wanna know how women can rock tech, discuss about it and get to know the code girls? Save your ticket for our next event in Zurich at the Impact Hub: http://healthinar-codegirls.eventbrite.de

Aisha Schnellmann is a Singaporean native who spent four years recently working within an international philanthropic foundation. A sociology graduate from the National University of Singapore, she was as often at the floating villages of Cambodia conversing with beneficiaries, and the boardrooms of multi-national companies, speaking with executives and donors.

Currently based in Zurich, her interest in digital healthcare grew from the conversations she had with committed medical staff in rural hospitals in Asia, who remain hard-pressed with the technology available to them.

Fotos sources
http://inform.tmforum.org/tag/women-of-the-digital-world/
http://www.stockunlimited.com
http://wallpaperswa.com/Art_Design/Digital_Art/women_digital_art_antenna_television_wires_cloths_show_1500x1077_wallpaper_73816

In the life of a person, for whom daily intake of various medications is a necessary evil, an easy-to-use and efficient reminder is a life-saviour. When it comes to meds, everything has to work precisely. I know how easy it is to forget to take a pill on time. I also understand that the price is high for forgetting to take the medicine. After all, you can never expect to reach the desired effect from pills if you don’t take them, right? The challenge of keeping track of the prescribed medications can be met with a smartphone in your hand and MyTherapy Med Reminder downloaded on it.

MyTherapy_Blutdruck

MyTherapy is a must-have application for every person who has to take medication regularly. This digital helper can take some weight off your shoulders by allowing you to set reminders for all kinds of medications, measurements and activities. I am going to present you a list of strong points of this application and explain why, in my opinion, it is one of the best reminder apps I have ever used.

  1. If you are looking for an application that can connect you with your doctor and do all the job of explaining him how successful you are in following the prescription, MyTherapy is a good tool for that. The application allows you to share reports with your physician. These reports are handy because they visualize the progress in your treatment which makes it easier for the doctor to detect any inconsistencies in your medication schedule. He can also decide if the dosage of your medication needs some correction, because all the measurements and symptoms can be entered and saved, making it easier for your doctor to understand the effect of the given medication portion.
  1. MyTherapy is an application that is incredibly easy and convenient to use. After registering and entering your personal data, you can create a list of all the medications you take throughout the day. If the medicament is not in the database, you can enter the data manually, thus saving all the necessary information about the medicament and creating a reminder. There is a long list of symptoms and activities that you can choose from when you are to report in detail how you feel and what you do during a day. You can also be reminded to describe how you feel after taking a medicament and save this information for later to review with your doctor. Another useful feature is the ability to set reminders for meds that demand a different schedule of intake – every hour, every day or every week. Afterwards, all you need to do is just cross them out as you complete the task, feeling satisfied and happy.

    Screenshot_4

  2. In many applications, the importance of communication between app developers and app users is neglected. However, the creators of MyTherapy seem to be willing to change that, communicating actively with the app users and trying to help in any way to work on the improvement of the app. They are working with us to deliver a product that meets our needs and ensures that all users are satisfied with the results. It is essential to be able to share your opinion and, in some cases, criticism with the people responsible for the usability and functionality of the app.

There was just one little drawback that I encountered while using the app. The list of medicaments that I could choose from was very short and I had to type all the information manually. Scanning the barcodes of the meds didn’t help, because all the medicines I take were not available in the database. It is just a minor flaw but it was a bit frustrating because the list of the pills I am taking is pretty impressive and not a single one could be scanned. Fortunately, this little thing doesn’t have a bad influence on the overall performance of the application, because once you are done with entering the data, you can relax while the app is working its magic.

Conclusion

All in all, I would say that this application is great. If you use it, you don’t have to be afraid to miss a single pill anymore. It takes all your medications and overall health data under control and helps you stay organized to help regulate potential health problems. The application does its job in simplifying complex medication schedules and taking your mind off from constant control over your health maintenance. This very sophisticated reminder has everything that a person with a chronic condition needs to maintain his health and lifestyle on the habitual level.

The application is free to download on the App Store or Google Play.

Evgeniya Jung, a digital nomad, studied at the department of International Relations in Russia. She moved to Switzerland two years ago and since then she has been travelling and working on improvement of her German skills. She has particular interest in digital healthcare due to having Type 1 Diabetes, which gained her vast experience with the health care systems in different countries.

Pictures: zVg by MyTherapy / http://www.smartpatient.eu/de/

Dependence on digital technology to improve personal health is a growing phenomenon.

Is there an app for that?

Last winter, I came down with a burning fever and spent the weekend drifting in and out of a self-medicated stupor. I don’t remember much of those two days, except the fifteen minutes I had spent downloading apps that promised to accurately take body temperature (if you place your finger on the smartphone’s camera).
With the market exploding with smartphone apps that suggest and advise on personal wellbeing by collecting and analyzing your data, there is now an app for almost everything related to personal health: from monitoring sleep cycles, moderating food intake, planning exercise regimes, to tracking ovulation cycles. Judging from the overwhelming focus on fitness digital products and wearables at CES 2016, this is only set to increase.

People now know their bodies better and are well equipped to make informed health choices based on their personal data. This personally collected data can additionally help doctors treat their patients better, with an accurate medical and health history available for easy download.
The entry of digital technology in healthcare fundamentally has the potential to reshape the way we approach personal healthcare (i.e. Predict-and-Prevent model versus Break-Fix) and increase the efficiency of healthcare delivery by nipping common illnesses in the bud before they are fully-blown, easing the workloads of overworked doctors in overcrowded hospitals.

Digital health data often overlooked

However, this true potential of personal digital healthcare remains unrealized. While going digital has made strides in informing lifestyle choices, the health data collected continues to be fragmented at best, and is often not incorporated in the patient diagnosis process. In fact, 42 percent of polled consumers using digital health data say their data often goes nowhere. Although most of the consumers are willing to share this data with their doctors, the uptake by medical health practitioners remains lower in comparison.
Doctors want to receive their patients’ health data feeds and do recognize the meaningfulness of such data in informing their diagnoses. But the lack of tools to unify and transform this data to inform smart medical decisions has halted their uptake.
The true potential of personal digital healthcare it seems, will only be realized when going digital shifts from just fitness and lifestyle to the establishment of an integrated digital environment that securely connects patients (and their data) with doctors at all stages of the medical process (diagnosis, treatment and post-treatment).

The future of healthcare

So what would a fully integrated digital healthcare environment look like?Wearable technology tracks accurate and long-term medical and fitness history (including measuring body temperature). This personal health data is automatically uploaded into a cloud, which is accessible by medical professionals. For minor illnesses, doctors are able to diagnose quickly and provide a treatment plan for the patient virtually, and arrange for medicine to be sent home (paid for via internet payment gateways). This leaves doctors with more time to focus on treating major illnesses that require a face-to-face interaction.

A major issue that needs to be tackled before integration can effectively take place is that of data privacy and security. It is one thing to share information about your sleep cycles with your mates, and quite another to share sensitive medical data (e.g. your DNA sequence) about your body to a cloud. In Switzerland, people are already uncomfortable about the national transport system retaining data of their daily commutes on the trains. It is then needless to say a fully integrated digital healthcare environment will take a lot of getting used to.

There are naysayers who also fear an overreliance on digital technology in healthcare can have devastating consequences. Like an elderly woman who does not take her regular medication because her notification app did not alert her to, as an example.

Ready or not

It is undeniable that the digital disruption in healthcare is underway. Judging from the current speed of innovation we are facing these days, a fully integrated digital healthcare environment may not be so far away in the making. Ultimately, the digital transformation will herald a new era in patient healthcare and personal wellbeing.

Aisha Schnellmann is a Singaporean native who spent four years recently working with an international philanthropic foundation. A sociology graduate from the National University of Singapore, she was as often at the floating villages of Cambodia conversing with beneficiaries, and the boardrooms of multi-national companies, speaking with executives and donors.
Currently based in Zurich, her interest in digital healthcare grew from the conversations she had with
committed medical staff in rural hospitals in Asia, who remain hard-pressed with the technology available to them.

Moodpicture: http://cohesivethinking.com/2014/06/11/digital-healthcare-marketing/

As a person who has had diabetes for 17 years, I am convinced that there is a way for people with this disease to live a happy and healthy life. However, we have to learn how to manage the disease in order to enjoy our time with family and friends.  Supervision of diabetes might seem hard, but, luckily for us, we have advanced smartphone technologies at our disposal.  There is plenty of different applications that help people with diabetes control the level of glucose in blood, set reminders for medication and doctor appointments or get information about healthy products.  I will share my experience with two popular applications – Glucose Buddy and Mysugr – in this blog post.

Glucose buddy

I have always been searching for an application that is functional and does not require additional apps in order to be able to control diabetes.  If you are searching for the same and you stumbled upon Glucose Buddy – you can keep searching further. This application certainly doesn’t live up to my expectations.

1_GB_Dashboard  The first thing that catches the eye immediately after opening the main page is the poor interface of the program. It seems as if the developers of the app did not put any effort into its layout and design.  It just looks bleak and boring. But nevertheless, I decided to give it a chance to prove itself as an effective tool in dealing with diabetes. After I have tested it, my worst fears were justified: The application was not of any use to me. I have encountered so many complications while using it, that I was really happy to delete it after testing. The most significant drawback was the inconvenience of data entry. I had to create an individual log for every product that I ate, for any kind of activity that I did and for every medication that I took (which may sound easy, but try spending the whole evening typing in every piece of bread you ate and you will understand me). I can’t even start explaining how hard it is to analyse all the data afterwards! After you are finished with creating thousands of new logs, you end up with a mixture of stuff showing what you did or ate throughout the day on one single log page without any order. You also don’t have an opportunity to edit the logs and the only possib ility to analyse the data is with graphs.

1_GB_Log_2

But the graphs are another sad story. First of all, the numbers on the graph are so small that it is impossible to see anything at all (considering that diabetics often have eye sight problems, this is something that is impossible to ignore). The option of zooming in and out is not available. Secondly, the graph does not show the exact time when I had high or low blood glucose levels. This information is kept on the log list, but only the information from the graph can be sent to the doctor. In that case, how can a doctor help you regulate your insulin dosage if he doesn’t even know when problems with hyper- or hypoglycemia occured? It would be more convenient to show the data with the time references because that helps patients and doctors understand how blood glucose functions during the day and help manage insulin dosage according to time.

Mysugr companion

If you like cute little monsters then you sure need to download Mysugr companion! But seriously, it is not only about the diabetes monster but about the program`s interface that I really enjoyed. I give this app 5 out of 5 points just because it doesn’t make me feel like a totally sick person when I am using it. The goal of the whole game is to tame the giggling diabetes monster by creating new logs for each day, filling out information about your diabetes measurements that you took throughout the day and receiving points for them.

2_Mysugr_1   2_Mysugr_2The first positive thing I noticed was that when you enter a blood glucose level, it indicates if it is too high or too low by marking it with an appropriate colour, so I could immediately see that something is wrong with my glucose level. The coloring is also used in the chart, so I can define if I have problems with glucose throughout a day, a week or a whole month.  In general, the application is very easy and entertaining to use.

It can be particularly helpful for children with diabetes type 1 because the app encourages them through different funny challenges to develop the habit of measuring blood glucose and learning how to take diabetes under control from the very early age.

A second useful characteristic that I have noticed was that you can take pictures of the meals, add them to a log and connect them with a specific location (which can be useful when you are going to a restaurant, for instance, and want to review later what you have eaten). This option is available free of charge for the first two weeks, later you have to go Pro for about 3 euros a month (which is a fair price for access to all the options that this app has to offer). The Pro version also has some extremely useful features, for example an insulin dosage calculator. It is very convenient for people who just got sick with diabetes and do not know yet how to calculate it correctly. I was genuinely amazed at how easy it was to use this application, how easy to enter and review the data, when you have all the information on one single page right in front of you. You can edit it as many times as you want and write down a detailed list of your activities and feelings that you can later review with your doctor. The application encourages you to type in every single detail, to plan every meal in advance, and that is exactly what helps bring diabetes under control: self discipline.

Conclusion

I reviewed two applications that aim to provide the essentials for diabetics. As you can see, they show different levels of usability. After testing Glucose Buddy for eight days, I came to realisation that my blood glucose levels were not better controlled than before I started to use the application. This fact proved the point that the application is ineffective in managing diabetes due to its failure to provide users with a convenient interface and with the good data analyses. Mysugr, on the contrary, has plenty of helpful options, is nice to use and it can easily fulfil its task as a diabetes helper. I am convinced that Mysugr can help diabetics improve the quality of their lives significantly.

Evgeniya Jung, a digital nomad, studied at the department of International Relations in Russia. She moved to Switzerland two years ago and since then she has been travelling and working on improvement of her German skills. She has particular interest in digital healthcare due to having Type 1 Diabetes, which gained her vast experience with the health care systems in different countries.

Mood picture: http://www.theatlantic.com/sponsored/ibm-transformation-of-business-part-2/diabetes-in-the-digital-age/562/

From 10th to 12th May 2016 the 7th edition of Health 2.0 Europe will be back in Barcelona. Ready to reshape digital healthcare, the fascinating venue comes along very internationally, with healthcare actors from all over the world, showcasing more than 50 live demos on stage. We asked Aline Noizet, one of the organizers of the conferences at Health 2.0 Europe about the objectives of the upcoming event and her engagement at the Bayer Grants4Apps® Coworking in Barcelona.

Aline, what makes the Health 2.0 movement so special and how does the upcoming Health 2.0 Europe conference in May 2016 differ from the many other venues about digital healthcare?

Health 2.0 conferences are very international, very hands-on and with a special focus on digital health startups. We believe that they will lead the way into the future of healthcare.

Aside from our 7 international conferences taking place once a year (US, Europe, Latin America, Middle East, India, Japan, Korea), we are spread around the globe with nearly 100 local health 2.0 chapters. And that’s very much reflected in our conferences: Our speakers and demoers on stage are from many different countries and we make a point in bringing diversity on stage in order to have an overview of what’s happening in the different countries, bringing different perspectives and sharing best practises.

We bring together different actors of the digital health ecosystem in order to improve the way healthcare is delivered through innovation and new technologies

In Health 2.0 Europe in May, you will be able to see more than 50 live demo on stage – 4min presentations where companies are demoing their solutions from a user perspective. No slides no video.

If you want to see how healthcare is being reshaped through innovation and new technology, mingle with international digital health champions who are shaking the system, investors interested in digital health projects, then Health 2.0 Europe is the place for you to be.

Which topics and issues will be discussed at the congress?

This year we really want to focus on bringing digital health champions. We don’t want just talks, we want action. We don’t want just predictions, we want experiences, results and outcomes.

In order to do that, we will be bringing on stage those who are shaking things:

  • Empowered physicians and nurses who are using digital tools in their daily routine
  • Investors who have been investing in digital health projects this past year
  • Successful entrepreneurs whose solution is improving efficiency, reducing costs and proved to be a positive return on investment.
  • Insurance companies that are reimbursing apps or medical devices
  • Empowered patients who have become CEO of their own health
  • Companies who are collecting and analyzing data, leading to better decision making
  • Governments who are references in adopting and implementing new technologies
  • Pharma companies who have found a solution in digital health in the ‘beyond the pill’ challenge

We are also preparing some thematic hands on sessions, which promise to be a great source of information, knowledge and entertainment. More information will be published soon on our website.

Which digital health champions are a must-see?

It’s complicated to pick some, as the champions who will be at the conference, on stage or in the audience are all really inspiring champions in their own way.

Patients like Domingo Escudero o Nuria Zuñiga are great examples of empowered patients who are not only using digital tools to manage their own chronic disease but also to help others.

Another inspiring champion is Rafael Grossmann, the surgeon who carried out the 1st surgery using Google glasses. He will be on stage to share his experience as a pioneer using new technologies and especially Augmented Reality tools. He will also share some insights on the new Google glass project.

Without a doubt, our other keynote speakers Esther Dyson,reference in US in digital health and investor in various digital health related companies, Julio Mayol, digital health reference in Spain,Pēteris Zilgalvis head of ehealth and innovation at the European Commission and Damien Marmion, head of digital at AXA will bit great source of inspiration too.

You are not only a passionate health innovator but also the program manager of the Bayer Grants4Apps® Coworking in Barcelona. What is this place offering for startups?

Grants4Apps® is a very exciting project and very much aligned with Health 2.0 vision, as it is bridging the gap between startups and big industry companies. It is part of Bayer’s global open innovation approach, which includes a number of successful crowdsourcing and co-working initiatives. It started in Berlin 3 years ago as a 3 month accelerator program and was brought to Barcelona last year in a slightly different format. The idea is to support and incubate digital health startups with promising projects and get more involved in the digital space which will without any doubt play an important role in the future of the pharma industry, especially in the ‘beyond the pill’ challenge that pharma are facing.

We always see Pharma as being the ideal target customer because they are said to have money, but Pharma can actually be more partners than customers. That’s what Grants4Apps® is proving.

Bayer has been pioneer in collaborating with startups and an early supporter of Health 2.0.

Arbeitsrecht

Die Nutzung von Social Media Kanälen von Grossunternehmen über Behörden und Verwaltungen bis hin zu KMU’s in der Schweiz nimmt von Jahr zu Jahr zu. Die Nutzung von sozialen Netzwerken kann jedoch auch zu arbeitsrechtlichen Problemen führen. In der Donnerstagsrunde vom 4. Februar 2016 an der HWZ in Zürich gab der Vortrag von Frau lic iur. Gabriela Baumgartner, LL.M einen Einblick in diese arbeitsrechtlichen Aspekte. 

Gabriela Baumgartner arbeitet als Juristin und Journalistin beim Schweizer Radio und Fernsehen. Zudem ist sie Redaktorin der Sendungen “Kassensturz” und “Espresso” und Dozentin an der Hochschule für Wirtschaft in Zürich. Durch Fälle aus dem Alltag ist der Vortrag vom 4. Februar entstanden.

Da Social Media von immer mehr Unternehmen genutzt wird, stellen sich auch immer mehr arbeitsrechtliche Fragen. Ist die Nutzung von Facebook während der Arbeitszeit zulässig und in welchem Umfang? Welche Äusserungen auf sozialen Plattformen könnten heikel sein? Welche Rolle spielt dabei die Meinungsfreiheit? Einen weiteren wichtigen Punkt stellt das Veröffentlichen von Bildern dar. Wann berührt ein benutztes Bild ein Persönlichkeitsrecht und welche arbeitsrechtlichen Konsequenzen kann schliesslich die Nutzung von sozialen Netzwerken nach sich ziehen?

Die private Nutzung von sozialen Netzwerken während der Arbeitszeit ist grundsätzlich zulässig. Dies halten die EMRK (Europäische Menschenrechtskonvention) und verschiedene Bundesgerichtsentscheide fest. Dabei hat der Arbeitnehmer den Anspruch während der Arbeitszeit private Tätigkeiten erledigen zu dürfen. Dennoch wird dem Arbeitgeber eine Regelungskompetenz durch das Obligationenrecht zugewiesen. Dabei kann der Arbeitgeber dem Arbeitnehmer verschiedene Weisungen angeben, wie er sich am Arbeitsplatz zu verhalten hat. Diese Weisungen sind je nach Unternehmen verschieden und auch unterschiedlich streng angelegt. Es kann also festgehalten werden, dass eine private Nutzung von Facebook, Twitter & Co. zulässig ist, aber der Arbeitgeber sich an die Weisungen des Arbeitgebers halten muss.

Auf sozialen Netzwerken werden täglich Äusserungen gemacht. Dabei muss aus arbeitsrechtlicher Sicht berücksichtigt werden, dass gewisse Äusserungen nicht getätigt werden dürfen. Trotz der Meinungs- und Informationsfreiheit der Bundesverfassung darf man im Namen des Unternehmens nicht alles äussern. So können zum Beispiel rassistische Bemerkungen strafrechtlich verfolgt werden.

Die Kommunikation via Social Media funktioniert heute stark über Bilder. So veröffentlicht beispielsweise die Kantonspolizei Zürich Bilder von gesuchten Straftätern und bittet die Bevölkerung um Hilfe.

Auch im Gesundheitswesen werden soziale Netzwerke stark genutzt, um Interessierte mit laufend neuen Informationen zu versorgen und potenzielle Patienten von einem Konzept zu überzeugen. Auch Nutzen immer mehr Ärzte soziale Netzwerke, um sich mit anderen Ärzten austauschen zu können. Ein schönes Beispiel stellt der Twitter-Auftritt des Universitätsspitals Zürich dar. Jedes Unternehmen in der Gesundheitsbranche muss dabei darauf achten, was geäussert wird und welche Bilder hochgeladen werden.

Ein spannendes Beispiel eines Arztes hat zu einem interessanten Fall geführt. Der betreffende Arzt wollte sich mit anderen Ärzten auf Facebook bezüglich eines Röntgenbildes einer Patientin austauschen. Dafür lud er ein Röntgenbild der betreffenden Patientin auf Facebook hoch und vergass dabei, den Namen auf dem Röntgenbild zu löschen. Welche arbeitsrechtlichen Aspekte können hier nun aufgezeigt werden?

Zum einen hat der Arzt das Persönlichkeitsrecht der Patientin verletzt. Dies wird durch den Art. 28 im ZGB geregelt. Dabei muss die abgebildete Person der Veröffentlichung des Bildes zustimmen. Dies konnte die Patientin nicht. Zum anderen könnte diskutiert werden, ob der Arzt gewissen Weisungen des Arbeitsgebers nicht gerecht worden ist, indem er das Bild veröffentlicht hat und eine Treuepflichtverletzung vorliegt.

Das Nutzen von Social Media-Plattformen ist eine neue Art der Kommunikation und Meinungsäusserung mittels Text und Bild und stellt die Nutzer einerseits vor neue Möglichkeiten, aber auch vor neue Probleme. Nicht alle Äusserungen können problemlos getätigt werden und nicht jedes Bild sollte auf soziale Netzwerke hochgeladen werden. Um arbeitsrechtlichen Konsequenzen ausweichen zu können, sollten die neuen Medien mit Vorsicht genutzt werden. Für Arbeitgeber wird empfohlen, Reglemente zur Nutzung von elektronischen Medien und sozialen Netzwerden zu erlassen. Zudem kann eine Schulung der Mitarbeitenden in Bezug auf Social Media hilfreich sein.

Carmen Schneider studiert im Master an der Universität Luzern und arbeitet neu als Redaktorin bei Healthinar. Mit grossem Interesse am Gesundheitswesen möchte sie bei Healthinar ihr Wissen in Kommunikation und Marketing in einem neuen Bereich vertiefen.

Bildquelle: http://www.verkehrsrecht-gladbeck.de und http://www.jobnet.de