Each month we compile a list of the 10 most popular articles we published that month, based on the number of page views.

Top 10 Most Popular Articles in July 2013

Each month we compile a list of the 10 most popular articles we published that month, based on the number of page views. Read More

For hospitals on the edge, Health IT is the tipping point

For Hospitals on the Edge, Health IT is the Tipping Point

“No aspect of health IT entails as much uncertainty as the magnitude of its potential benefits.” Read More

Is Google Glass the Future of Connected Health?

Is Google Glass the Future of Connected Health?

7 possibilities that Google Glass could unlock for connected health to enhance the transformation of health care. Read More


3 Basics of Effective BYOD for Your Healthcare Organization

Imprivata’s David Ting talks about the basics of effective BYOD for your healthcare organization in successfully establishing mobile security. Read More

Specialty Topic: The True Cost of EHR Downtime

As hospitals and offices transition from paper records to electronic records, one important, often overlooked consideration that organizations need to ensure is adequate system uptime. Very few organizations realize the true cost of a system outage – for example just 15 minutes of downtime for a 5 provider practice can cost over $500. 
In an effort to raise awareness to this problem, Stratus Technologies has created an infographic outlining the costs of EHR downtime.

CMS Proposes MU Attestation for Clinical Quality Measures in 2012

Hospitals, critical access hospitals and eligible professionals may continue to report clinical quality measures for meaningful use via attestation in 2012, just as they must do in 2011, according to two proposed rules from the Centers for Medicare and Medicaid Services.  Also, just like 2011, the measures must be calculated using meaningful use-certified electronic health records.
The provision, with varying language, is in separate proposed rules setting Medicare’s hospital outpatient prospective payment policies and the physician fee schedule for 2012. Both rules are available here now with the hospital rule being published on July 18 and the physician rule on July 19.
CMS, when publishing the final rule for Stage 1 of the Medicare EHR Incentive Program in July 2010, said clinical quality measures would be electronically submitted in 2012. However, that final rule left the door open for another year of attestation if CMS wasn’t ready to accept electronic measures.
“We also stated in the final rule that certified EHR technology will be required to calculate the clinical quality measure results and transmit under the Physician Quality Reporting Initiative Registry XML Specification,” the proposed physician fee schedule rule notes. “Since the publication of the final rule, we have determined that it is not feasible to receive electronically the information necessary for clinical quality measure reporting based solely on the use of PQRI 2009 Registry XML Specification content exchange standards as is required for certified EHR technology.” Similar language is in the hospital payment rule.

While hospitals and eligible professionals may attest to clinical quality measures in 2012, CMS in both proposed rules encourages voluntary participation in pilot programs next year under which participants will report clinical quality measures electronically.

Toolkits: eHI Releases Updated Health Information Exchange Toolkit

The eHealth Initiative recently released the second phase of the third generation of its Health Information Exchange (HIE) Toolkit, an online resource to empower health care leaders managing the challenges associated with developing, adopting, operating, and sustaining a health information exchange.
Phase II of the new eHI Toolkit is now online and available to the public. This “primer” addresses the next steps needed for starting an HIE – creating a sustainable model, technical aspects of connectivity, marketing and promoting of HIEs, enhancing services, and tracking progress. Links to sample sustainability documents and marketing materials are included. Phase I was published in April; it addressed creating a governance model, drafting legal and information sharing agreements, protecting patient privacy and more. The toolkit is available at http://www.ehealthinitiative.org/issues/health-information-exchange-hie/hie-toolkit.html

“Phase II of the toolkit includes essential elements for successful health information exchange,” said Jennifer Covich Bordenick, Chief Executive Officer of eHI. “Sustainability is an elusive concept; therefore HIEs needs to choose the right technical platform and appropriately market themselves to attain to be sustainable. Phase II offers best practices on how HIEs can meet the demanding needs of the future.”
Content for the Toolkit was developed through a collaborative process with the Connecting Communities Steering Committee, as well as interviews with leaders in the HIE field. Health information organizations across the country were consulted about the topics covered in this toolkit.
“The eHealth Initiative has a long history of providing valuable resources for those entities establishing an HIE”, said Glenn Keet, President of Axolotl Corp (now OptumInsight). “This is easily the best and most comprehensive HIE Toolkit they have ever released, and I am proud of the part Axolotl played to help make it happen.”
Since its inception in 2001, the eHealth Initiative has been a leading provider of resources to HIE initiatives around the country, and publishes the only comprehensive annual survey on the state of health information exchange. The survey was first distributed in 2004; last year a record 199 HIEs completed the survey.
The first HIE Toolkit, published in 2006, presented lessons learned from 12 HIEs. The second HIE Toolkit, published in 2008, incorporated best practices from 42 HIEs. The 2008 version was also built upon the vision of the eHealth Initiative Blueprint: From Consensus to Common Action, which provided principles, strategies and actions for improving health and health care through health IT and HIE.
The Toolkit is an evolving resource that will be modified by the continuing input of national, state and local leaders. Development of the HIE Toolkit was made possible through the generous support of Axolotl , now OptumInsight. Axolotl has been supporting HIE for over 16 years – and now powers 7 states and 21 Regional Health Information Organizations (RHIOs).
About the eHealth Initiative
The eHealth Initiative (eHI) is a Washington D.C.-based, independent, non-profit organization whose mission is to drive improvements in the quality, safety, and efficiency of healthcare through information and information technology. Working with its 210 member organizations, eHI works to create a world where consumers, health care providers, and those responsible for population health will have ready access to timely, relevant, reliable and secure information and services through an interconnected, electronic health information infrastructure to support better health and healthcare. For more information visit,www.ehealthinitiative.org.
About Axolotl Corp
Axolotl, now OptumInsight, part of Optum – a leading health services business has been providing products and services for secure health information exchange and management since 1995. Powering HIE for thousands of health care entities – including hospitals, health systems, regional health information organizations (RHIOs/HIEs), ACOs, clinics, laboratories, radiology centers and physician practices-they are reducing health care costs, eliminating redundancy and improving quality and efficiency. Axolotl’s SOA platform, community-wide Master Patient Index, EdgeServer(s), Interoperability HubTM (I-HUB), Community Virtual Health Record (VHR), and EHR solutions are all provided as software as a service (SaaS). For more information visit, www.axolotl.com.
SOURCE: eHealth

Specialty Article: Growing Pains: Medical Device Interoperability

Both provider organizations and medical device vendors have made significant, if slow-going, progress over the last several years to network their digitally-enabled medical devices. Recent strides in both the regulatory and standards arenas have provided renewed impetus on the part of both stakeholder groups to bring more interoperability to disparate medical devices, resulting in better security and quality of patient data.

As healthcare providers continue their steady march toward implementing electronic health records as envisioned in the Health Information Technology for Economic and Clinical Health (HITECH) Act, leading hospital systems are confronting head-on the challenge of integrating the disparate medical devices operating within their walls into EHR data flow. And while tying together those medical devices into a truly seamless network is still beyond reach, stakeholders in the effort can point to some victories that are bringing their goal just a bit closer to reality.
A good deal of the push for device interoperability has come from proponents in provider organizations. And, while medical device interoperability has not yet been explicitly mandated under meaningful use, it has been recommended to the Office of the National Coordinator for Health IT (ONC) for inclusion in Stage 3. In the view of more than one expert interviewed for this article, medical device interoperability is not just about moving data around a network; it means making sure that the health data maintains its integrity, and that it is delivered to the right place securely.

Tim Gee
Tim Gee

Julian M. Goldman, M.D.
Julian M. Goldman, M.D.

As noted by Jason Joseph, director of technology and information solutions at Spectrum Health, Grand Rapids, Mich., interoperability presupposes the comprehensibility of data, in a standard format. “I can get the data out of most machines and plug it into somewhere else, but does it mean the same thing across the board?” he asks.


One of the early advocates of medical device interoperability has been Julian M. Goldman, M.D., medical director of biomedical engineering for the Partners HealthCare system and an anesthesiologist at Massachusetts General Hospital in Boston. In 2004, he founded the Medical Device Plug and Play (MD PnP) Interoperability Program to encourage the adoption of open standards and technology to integrate medical devices.

Goldman says that interoperability is only a means to an end, which is effective and lower cost system integration. Working with clinicians and clinical engineers, his group identified clinical scenarios in which system integration could improve quality of care. One example: patient injuries and deaths that occur when x-rays are taken of patients on a ventilator. “There are cases where people have died because people turn off the ventilator to take an x-ray and forget to turn it back on,” he says. The clincher, he says, is that more than 10 years ago, a research group in Florida demonstrated that if you can interconnect the ventilator with the x-ray machine, they can be synchronized automatically, eliminating the need to turn the ventilator off in the first place.
The team used that example to elucidate potential interface solutions; for example, that the ventilator has a network connection that lets it be paused for 10 seconds and restart automatically. “If you have the right interoperable components that have the right features, when they are assembled into smarter networks for patient care, they will improve safety,” Goldman says. He calls for an “ecosystem” of interoperable medical products that will enable the development of applications that take advantage of the capabilities of medical devices to improve patient safety and quality of care. To that end, Goldman has participated in the creation of an ASTM standard (F2761), “Integrated Clinical Environments,” which creates a common framework in which devices can safely operate to enable decision support at the point of care.
Goldman has seen positive signs that his message is receiving some recognition. In October 2010, the MD PnP program received a $10 million Quantum grant over five years from the NIH/National Institute of Biomedical Imaging and Bioengineering to develop a “prototype healthcare intranet for improved health outcomes.” The grant is an affiliate of the ONC Strategic Health IT Advanced Research Projects (SHARP) program. In his view, the Quantum grant is a sign of the rising awareness of medical device interoperability issues. One of the current tasks under the Quantum funding is to develop a compendium of medical device interface requirements.


Tim Gee, principal at Medical Connectivity Consulting, Beaverton, Ore., observes that medical devices historically have been embedded systems-standalone black boxes that were not connected. That has been changing, Gee says, as some device makers have been migrating to the general-purpose IT world with devices that have built-in connectivity.
Making the change from manufacturing standalone devices to networked devices has presented challenges to medical device makers, Gee says. “It affects not just how they design their products, but their entire business delivery system, from regulatory issues to purchasing to manufacturing, installation, service and support, and even how they sell their products,” he emphasizes. He says he has seen a renewed commitment on the part of medical device manufacturers to better understand provider requirements for integrated systems, and to develop products that meet those requirements.
Gee notes that progress is being made on device interoperability, pointing to PACS and clinical laboratory systems as examples. “Those areas have industry standards, and they are almost plug-and-play-although not quite,” he says. That’s not the case when it comes to point-of-care systems, which are highly variable. “It’s a much more challenging environment from a workflow standpoint,” he says. Coordinating the activities of various departments, such as nursing, IT, and biomedical engineering, is a governance challenge for many hospitals today, he adds.


Dale Nordenberg, M.D., is a founder of the Medical Device Innovation, Safety and Security Consortium, which he describes as a provider-driven group that is focused on mitigating security and safety risks associated with connected medical devices. As medical devices have become increasingly digitally enabled, computerized, and networked, there is a lack of clarity over whether these devices should be treated as medical devices, as computers-or as both, he says. Consequently, the group or person responsible for purchasing, implementing or operating the device, often has shared, or even unclear, lines of responsibility within the provider organization, he says.


In his view, most healthcare organizations have not matured to the point where they can seamlessly manage medical devices across the different departments such as biomedical engineering and IT, he says. “As devices are becoming increasingly network-enabled and networked, we are increasing the risks around security and safety,” he says.
Those issues are compounded by the fact that as regulated devices under the U.S. Food and Drug Administration (FDA), “there is a good deal of concern about modifying the hardware and software associated with a digitally enabled, network-enabled medical device,” he adds. In his view, this is especially a problem with multigenerational medical devices that are running on older operating systems. “An administrative computer is more likely to be patched in a timely manner than a regulated medical device, because there is anxiety over changing its function by updating its operating system,” he says. That area of concern is being addressed by manufacturers, providers, and regulators, he says.


The question of who bears responsibility for modifying FDA-approved devices in a provider environment has been addressed in the last few months by industry standards and, on the regulatory side, by the FDA.
Rick Hampton, corporate manager for wireless communications at Partners HealthCare, uses the example of wireless cardiac telemetry systems to illustrate a point about shared responsibility. As a standalone system, the device manufacturer took full responsibility that every device it sold was safe and effective, as defined by the FDA. “They were required to verify that the system worked and validate that it worked as it was designed. They owned all of that responsibility,” he says. But when that same device is put on the hospital network, the scope of responsibility should expand to encompass everyone involved.
Last September saw the ratification of a new standard by the International Electrotechnical Commission, IEC 80001, “Application of Risk Management for IT Networks Incorporating Medical Devices,” which is focused on exactly that question. “It basically says that the person who put the system together to connect the medical device to the IT network is the responsible organization,” says Hampton, who worked on the standard. In his example, the provider must work as a team with the device vendor and the networking vendor to make sure that all of the components that comprise the system they are putting together are sufficient to support the medical device so it can continue to be safe and effective.
“The biggest driver in healthcare is informatics, and the fact that we are going to computerize everything,” Hampton says. “And the fundamental question is, if we automate everything, is it still safe and effective?” Hampton asks.
Yadin David is principal at Biomedical Engineering Consultants LLC and prior to that was director of the Biomedical Engineering Department at Texas Children’s Hospital, both of which are in Houston; as well as a senior member of the Institute of Electrical and Electronics Engineers. He has co-authored a handbook on the new standard. He calls IEC 80001 a “major breakthrough in trying to clarify the question of who is responsible and why we need to look at the question of responsibility.” He says the standard is the first one to look at medical device risk management issues from a systems perspective.

It says to the healthcare provider, “if you are connecting medical devices to an IT network, you are responsible for the safety, efficacy, and security of that environment,” he says. In addition, it recommends that the provider gets collaborative agreements with the vendors, and understand the risks involved and how to mitigate them, he adds.
On the regulatory side, the FDA in February announced a final rule that classifies certain off-the-shelf or custom hardware and software products used with medical devices as Medical Device Data Systems (MDDS), or class 1 low-risk devices, making them exempt from premarket review, but still subject to quality standards. MDDS products are used alone or in combination to display unaltered medical device data, or transfer, store or convert medical device data for future use in according to a preset specification. Examples include systems that store data from a blood pressure cuff for future use or that transfer thermometer readings to be displayed at a nursing station for future use.
By re-classifying these products as low-risk, the rule says manufacturers must register with the FDA, list their MDDS devices, report adverse events and comply with the FDA’s Quality Systems regulation. The rule also levels the playing field for medical device manufacturers, so that IT companies that design, install, or market these systems, as well as the hospitals that develop them in their facilities, are also considered “manufacturers” and must follow the class 1 requirements as well.
So, for example, if a hospital CIO directs his team to create a new software product, or modify someone else’s device to function as an MDDS, the hospital is considered an MDDS manufacturer, Hampton explains. In the past the assumption was that “it was just data and we know how to move it around. Now hospitals are being asked to prove that they can move data safely, that the data arrives intact, and that is hasn’t been corrupted. And when it absolutely has to get there, it does,” he says.


One example of an MDDS-registered device is the Vital Signs Capture (VSC) application, which was developed by Partners HealthCare. Nat Sims, M.D., physician advisor, biomedical engineering, at Massachusetts General Hospital, who heads the team that developed the device, says the VSC is part of an approach called Workflow Aware Connectivity, which he says allows individual sources and recipients of data to communicate at the bedside without the need for expensive IT infrastructure.
The VSC is designed to allow a medical assistant to capture vital signs from various patient devices onto a mobile device, and then send these data directly to the correct cell of the electronic health record. The data is time-stamped and bound to the patient’s identity and the caregiver’s identity, Sims explains. The caregiver scans a barcode on the vital signs monitor with a handheld computer, which tells a data integration engine that it should communicate with a specific monitor in a specific way. A communication channel is opened. The caregiver scans the barcode on the patient. The vital signs that are captured flow directly into the handheld device and into the EHR.
Partners has conducted more than 200,000 such medical device captures over a two-year period at its Boston-based Brigham and Women’s Hospital and Massachusetts General Hospital organizations, and it plans to continue implementing the device, says Sims.
He, for one, welcomes the opportunity to register the device as an MDDS. He sees it as a “thoughtful way for the FDA to have a little bit of regulatory jurisdiction inside the healthcare organization, and to make thoughtful comments about how we are supposed to do things.”

Healthcare Informatics 2011 July;28(7):14-20

Northern Virginia Regional Health Information Organization Inc. Launches Innovative Medication History Service

 In an emergency department (ED), where patients’ health and safety hang in the balance, every second counts. Now, Inova Alexandria Hospital ED clinicians can quickly access a patient’s prescriptions information, no matter where in the U.S. they were written, enhancing care quality and safety.
The April medication history service launch in this busy Washington, D.C. suburb ED marks the first project milestone for the Northern Virginia Regional Health Information Organization (NoVaRHIO). This new service helps providers working with patients in the ED to retrieve and access patient prescription medication information from data sources across the United States.
Until now, achieving multi system (semantic) interoperability using data from disparate sources and seamless workflow integration into an electronic health record (EHR) was not possible. This provides a foundation for extending to a full information exchange through the use of Continuity of Care Documents (CCD) and is a step toward “Meaningful Use” of electronic health records (EHRs) and health information technology as defined by the U.S. Department of Health and Human Services.
“The NoVaRHIO medication history project has added a new dimension to the care of our patients in the emergency department. The system enables comprehensive medication lists to flow directly into our electronic health record, resulting in faster and more focused emergency treatment by helping physicians avoid drug interactions and duplication. This system has helped to greatly enhance the safety of medication use for our patients in the emergency department,” said Dr. Martin Brown, M.D., FACEP, Chairman, Department of Emergency Medicine, Inova Alexandria Hospital.

As one example of the power of the new technology, a young girl recently came to the ED with her parents. During the review of the medication, a process called “medication reconciliation”, the parents mentioned some of the medications she was currently taking. However, this new service revealed that the child was on strong daily antibiotics for the past six months. Due to identification of this previously unmentioned information, the treating providers were able to better pinpoint the root cause of the girl’s symptoms and make an appropriate recommendation for treatment.
During the initial weeks of service operation, close to 90 percent of patients seen in the ED at Inova Alexandria Hospital consented to having their medication history accessed electronically by the medical staff, demonstrating confidence and a growing recognition of the value of health information exchange (HIE). By year end, NoVaRHIO estimates that more than 20,000 patients will have benefited from this technology. Ensuring that treating providers have a current and accurate medication list for each patient is not only part of the standard of care, but it also helps reduce adverse drug interactions and duplicate prescriptions.  For patients who are elderly, incapacitated at the time of admission, or taking multiple medications, the availability of this information can potentially improve their treatment.
NoVaRHIO consists of Northern Virginia hospitals, physicians, business leaders, local governments, health care providers, patient advocacy groups and universities including George Mason University and Northern Virginia Community College. NoVaRHIO is working with the Commonwealth to coordinate development of its health information exchange with statewide health information exchange initiatives. NoVaRHIO plans to build upon this initial milestone by extending the service to other hospitals and hospital systems, broadening the service to include laboratory and radiology results, allergy, and patient admissions/discharge information, and to offer additional services including physician access and patient personal health records.
This unique project, partially funded by the Commonwealth of Virginia, was the result of collaboration among a number of organizations. Inova Health System contributed substantial in-kind resources to enable this cutting-edge integration initiative. Inova offered its Alexandria ED as the initial pilot site, enhanced registration and clinical workflows, and provided clinical and technological subject matter expertise to optimize all aspects of the results delivery and use. GE Healthcare provided its eHealth Information Exchange as the health information exchange infrastructure along with connectivity to data sources, enhancing its flexible solution to meet Inova’s specific needs. Picis ED PulseCheckTM, the EHR vendor for Inova’s Alexandria ED, enhanced its product to allow for direct import of the medication results, using the latest standards (Integrating Healthcare Enterprise (IHE) profiles and CCD)), thereby greatly enhancing workflow and ease of use for clinicians. Audacious Inquiry, an innovative management and technology consulting firm, provided project management leadership to enable the complex integration project. NovaRHIO provided executive leadership support and project guidance and led the coalition through the successful grant funding process.
“From its very beginning, this project has been an example of how disparate groups can work together for a common goal—better healthcare,” said Phil Reilly, Chairman of the Board of NoVaRHIO. “I am proud to support this model of teamwork and collective focus. The Northern Virginia region is indeed fortunate.”
To learn more about NoVaRHIO’s health information exchange and this project, please join us for a webinar event on Wednesday, August 3rd at 1 pm ET. Click here to register.
Established in 2007, NoVaRHIO works to facilitate the availability of accurate and timely electronic health records with the goal of improving the health status and healthcare of those who live and work in northern Virginia. Partnering with physicians, hospital systems, local governments, patient advocacy groups, free clinics and local businesses, NoVaRHIO has the dual goals of furthering the development of a regional health information exchange and facilitating the adoption and interoperability of personal health records. NoVaRHIO is an active participant in the Commonwealth of Virginia’s statewide health information exchange efforts and is part of the Virginia Health Information Technology Advisory Commission (HITAC). It is recognized as a Virginia 501(c)(3) not-for-profit organization.
Inova Health System is a not-for-profit healthcare system based in Northern Virginia that consists of hospitals and other health services, including emergency- and urgent-care centers, home care, nursing homes, mental health and blood donor services, and wellness classes. Governed by a voluntary board of community members, Inova’s mission is to improve the health of the diverse community it serves through excellence in patient care, education and research. Inova provides a healthy environment for its patients, families, visitors, staff and physicians by prohibiting tobacco use on its campuses.
GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our broad expertise in medical imaging and information technologies, medical diagnostics, patient monitoring systems, drug discovery, biopharmaceutical manufacturing technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost. In addition, we partner with healthcare leaders, striving to leverage the global policy change necessary to implement a successful shift to sustainable healthcare systems.
Our “healthymagination” vision for the future invites the world to join us on our journey as we continuously develop innovations focused on reducing costs, increasing access and improving quality and efficiency around the world. Headquartered in the United Kingdom, GE Healthcare is a $17 billion unit of General Electric Company (NYSE: GE). Worldwide, GE Healthcare employs more than 46,000 people committed to serving healthcare professionals and their patients in more than 100 countries. For more information about GE Healthcare, visit our website at www.gehealthcare.com.
Audacious Inquiry is a management and technology consulting firm with domain expertise in health information systems, web application development and analytical services. The company works in partnership with client organizations, including healthcare provider organizations, businesses, non-profit associations, and government organizations to maximize positive outcomes and minimize the risks of the practical application of information technology. The company is based at bwtech@UMBC Research and Technology Park, in Catonsville, Maryland.  To learn more about AI, please visit www.ainq.com.
ABOUT Picis        
Picis, an Ingenix company, now OptumInsight is a global provider of innovative solutions that enable rapid and sustained delivery of clinical documentation, financial and operational results in the emergency departments, surgical suites and intensive care units of more than 2,200 hospitals in 19 countries. For more information about Picis, visit www.picis.com.

Mobile Application Spotlight: HP tests its new Mobile Health Monitoring Solution in Singapore

Link mobile health monitoring devices with cloud computing in the right way and you can change how we practice medicine. 
That’s the vision behind HP’s Mobile Health (mHealth) Monitoring Solution, a new, always-on, cloud-based healthcare offering that builds on research conducted at HP’s Data Center Design for Cloud Computing Lab in Singapore.
In a joint effort between HP in Singapore, telecommunications giant SingTel, medical device maker HealthSTATS and Singaporean health provider Frontier Healthcare, the HP Mobile Health Monitoring Solution recently began its first, 8-week long clinical trial. 
In its initial application, the solution aims to improve the early detection, treatment and prevention of cardiovascular conditions, which in 2009 accounted for more than 31 percent of all deaths in Singapore.
To effectively treat these diseases, medical professionals require regular updates on their patients’ blood pressure. The HP Mobile Health Monitoring Solution offers just that, but without the need for users to visit clinics or hospitals to get their vital statistics read. Instead, it deploys a mobile device to monitor and record patient blood pressures around-the-clock and then shares that information in near-real time with healthcare professionals, wherever they’re located. Any anomalies in the users’ health data trigger alerts to the healthcare service provider.
“Since common chronic conditions, such as hypertension, may remain undiagnosed in some patients, access to the most accurate and up-to-date health information can save many lives,” notes Lloyd Oki, vice president of Asia Pacific Sales, Communications & Media Solutions, HP.

In the trial, 100 patients from Frontier Healthcare are wearing HealthSTATS’ wireless BPro® watch-like monitoring device.  HealthSTATS software translates the patient data into meaningful clinical readings, including 24-hour blood pressure and heartbeat patterns.  The information is then relayed wirelessly to a centralized healthcare data repository powered by SingTel’s cloud infrastructure. 
HP integrates these different components and technologies into a single, secure health monitoring application. In addition, HP offers a service portal, where doctors’ comments, patient medical diaries and graphical clinical readings can be accessed anytime on any Internet-connected device.
Eliminating the need for users to visit clinics or hospitals for routine monitoring marks a major advance in healthcare, says HP’s Oki, who foresees the mHealth model being extended to monitor other conditions before long. 
“With its mobile and IT leadership, HP is enabling healthcare providers like Frontier to become Instant-On Enterprises by converging the mobile ecosystem with healthcare services,” Oki adds. “Instant-On healthcare connects patients to their doctors and healthcare professionals anywhere, anytime.”
Source: HP
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