My IoT Day Interview With Sudha Jamthe

Oops: I’ve been preoccupied with all sorts of dreck since returning from my SAP event, so I haven’t been able to post.

Did want to call your attention to a long IoT Day interview I did with the estimable Sudha Jamthe, author of The Internet of Things Business Primer.  We covered a range of topics, including the state of the IoT in Boston (and my enthusiasm about GE’s move here, because of their track record of working with IoT startups and even individuals), how I got involved in my IoT-based “SmartAging” crusade, and how the IoT may make possible “circular enterprises” orbiting around real-time IoT data.  Enjoy!

Amazon Echo: is it the smart home Trojan Horse?

Could Amazon’s Echo be the Trojan Horse that gets the smart home and IoT inside our homes — and consciousness?

Typical Amazon Echo commands

I’ve always suspected Amazon was critical to corporate adoption of e-commerce in the ’90s because so many C-level executives were introduced to the concept by doing online holiday shopping for their families.  Just a hunch …

Fast forward to this holiday, and I suspect Amazon’s Echo will have a similar impact for the IoT and, in particular, smart homes (aided, no doubt, by the redoubtable Oprah, who gave it her imprimatur as one of her Favorite Things — which now, conveniently, has its own page on Amazon — for this year!).

In case you’ve been hibernating for the past few months, during which time the Echo has taken off, it’s the slim (9.25″ x 3.27″) cylinder that sits on your counter, and, after starting out largely to access Amazon’s streaming music service by voice, seems to take on new functions every week.

I suspect it’s the voice input that’s most important about Echo: because voice doesn’t require any technical skills.  I can’t think of any dedicated device (Apple’s Siri, a service on almost all its devices but the computers, is right up there, but a service, not a device. Again, obligatory disclaimer that I work part-time at The Apple Store but am not privy to any inside secrets) that better embodies the dictum of IoT “father” Mark Weiser, that:

The most profound technologies are those that disappear.
They weave themselves into the fabric of everyday life
until they are indistinguishable from it.

Alexa shopping list "recipe" on IFTTT

Alexa shopping list “recipe” on IFTTT

For me, the critical step was when Echo was added to my fav IoT site, IFTTT, which makes the IoT’s benefits proliferate by allowing you and me to create “recipes” to trigger devices without requiring any programming skills.

The number of new recipes allowing Alexa to “trigger” an action by a device, including Hue lights and the Nest thermostat, is constantly growing (you’ll notice that many of them relate to actions such as adding to shopping lists, a clever way of making it easier for users to shop at a certain online behemoth..).

An indication of exactly how far-reaching Echo could be as a hub?  It now even interfaces with the Automatic device, to help manage your car more effectively: “Alexa, how much gas is left in my tank?”

I’m also excited about Echo’s potential role as a hub for my “SmartAging” concept: granny starts out listening to Guy Lombardo’s “Managua Nicaragua” streaming on Amazon Prime, and the next thing you know, she’s saying “Alexa, turn down the thermostat 3 degrees.”  What could be easier? Haven’t seen any Echo links to Quantified Self devices yet, but I suspect that’s only a matter of time, and others are now enthused about its benefits to the disabled.


 

PS: You can track new developments with Echo on its Twitter feed, as well as one from Dave Isbitski, the Echo’s chief evangelist.

I’ll Speak Twice at Internet of Things Global Summit Next Week

I always love the Internet of Things Global Summit in DC because it’s the only IoT conference I know of that places equal emphasis on both IoT technology and public policy, especially on issues such as security and privacy.

At this year’s conference, on the  26th and 27th, I’ll speak twice, on “Smart Aging” and on the IoT in retailing.

2015_IoT_SummitIn the past, the event was used to launch major IoT regulatory initiatives by the FTC, the only branch of the federal government that seems to really take the IoT seriously, and understand the need to protect personal privacy and security. My other fav component of last year’s summit was Camgian’s introduction of its Egburt, which combines “fog computing,” to analyze IoT data at “the edge,” and low power consumption. Camgian’s Gary Butler will be on the retail panel with me and with Rob van Kranenburg, one of the IoT’s real thought leaders.

This year’s program again combines a heady mix of IoT innovations and regulatory concerns. Some of the topics are:

  • The Internet of Things in Financial Services and the Insurance sector (panel includes my buddy Chris Rezendes of INEX).
  • Monetizing the Internet of Things and a look at what the new business models will be
  • The Connected Car
  • Connected living – at home and in the city
  • IoT as an enabler for industrial growth and competition
  • Privacy in a Connected World – a continuing balancing act

The speakers are a great cross-section of technology and policy leaders.

There’s still time to register.  Hope to see you there!

 

 

AliveCor Mobile ECG: the IoT Can Save Your Life!

Got your attention? I find there’s nothing like the fear of death to focus one’s attention.

AiiveCor

AliveCor

Somehow I managed to forget blogging about one of the real highlights of last Spring’s RE-WORK Connect Summit here in Boston: the AliveCor Mobile ECG.*

Perhaps the most important thing about the Mobile ECG is that it is not just a helpful Quantified Self fitness device, but has past the rigors of the FDA licensing process, building both users’ and docs’ confidence in its reliability as a diagnostic tool, and also underscoring that  IoT devices can be significant parts of mobile health strategies. As Dr. Albert said to Forbes, ““No one cares whether their Fitbit is accurate or not …. A point of here or there. With ECGs, that’s different.”  In 2015 the FDA also approved an algorithm instantly letting you know if your reading was normal.

Because of the FDA approval, I put the Alive ECG in that special category of IoT devices and services that are important both in their own right and because of their symbolic role, especially when they meet my test of the IoT allowing “what can you do that you couldn’t do before,” in this case, a self-administered device that isn’t just generally informative about your fitness level, but also gives reliable medical documentation (especially since this allows that documentation to come as part of your activities of daily living, not requiring you to be in the artificial setting of a doctor’s office or hospital). 

I see it as a critical tool in my “Smart Aging” paradigm.

Atrial fibrillation (a common abnormal heart rhythm), the condition the ECG documents, is a huge, and growing, problem. The latest figures I could find, from four years ago, show that people who suffer from it are hospitalized twice as frequently as those who don’t have it, and the annual costs in the US alone are $26 billion.

I found the price on Froogle as low as $86 for one to fit a 5s. Sweeeet!

Here’s how it works.  The AliveCor is always available when you suspect you may have a heart problem, because it’s your smart-phone’s case! How brilliant is that?  You just rest the two metal pads on your fingers or chest to record an ECG in 30 seconds.

AliveCor ap reading

AliveCor ap reading

AliveCor has recently beefed up its app by adding the “Heart Journal.” After each reading, you just tap on a Symptom, Activity or Diet tag to add it to your recording, or, like a lot of Quantified Self apps, you can also add in notes between readings about possible indicators such as what you’re eating or your activities. The Beat Fluctuation feature lets you see how your heartbeat changes from beat to beat.

I couldn’t help but think how the AliveCor would have helped me last Winter, when Boston endured the 1-in-26,315-years-Winter-From-Hell (nope: no typo!) .  Like everyone else, I was perilously perched on my ladder, 20′ high, sticking my left hand through the ladder to pound away at an ice dam to my right with a REALLY heavy sledge hammer.  Unlike many others doing the same thing, I’m old enough (ahem..) that this counted as Risky Business.  After several hours, I started to feel chest pain.  Two days and many heart tests later, I emerged from the hospital with my own diagnosis confirmed: just a muscle strain caused by the weird position of my hammering. Couldn’t help thinking that if I’d had an AliveCor on my phone, I could have just whipped it out, taken a reading while on the ladder, and, as the web site sez,” AliveCor’s FDA-cleared Normal Detector will determine right away when your ECG is normal,” and gone back to chipping away!

Loved this quote about the AliveCor’s significance:

“Just as the introduction of thermometers and blood pressure cuffs in the past century helped patients to monitor their health, now the ability to record one’s own electrocardiogram – and get an interpretation instantly – empowers the 21st century patient to take charge of their heart health.” –Ronald Karlsberg, MD Clinical Professor of Medicine, Cedars-Sinai Heart Institute


 

*in my defense, I was mesmerized by AliveCor founder  Dr. David Albert’s colorful bowties….

 

Criteria to evaluate IoT “SmartAging” devices

Posted on 25th July 2015 in aging, design, health, home automation, m-health

I haven’t been able to put a lot of time into fleshing out my “SmartAging” paradigm, which combines Quantified Self devices to change seniors’ relationship to their doctors into a partnership and give them incentives to improve their fitness, with smart home devices that make it easier to manage their homes through automation.

So here’s an attempt to move that along, a draft of (hopefully) objective criteria.  I’d love to hear your comments on additional criteria or changes to these, and hope to soon set up a formal system where seniors will evaluate devices in their homes using these criteria.

Smart Aging device evaluation criteria:

Ease of Use

  1. Does it give you a choice of ways to interact, such as voice, text or email?
  2. Is it easy for you to program, or allow someone else to do it remotely?
  3. Does it have a large display and controls?
  4. Is it intuitive?
  5. Does it require professional installation?
  6. Is it flexible: can it be adjusted? Is it single purpose, or does it allow other devices to plug in and create synergies?
  7. Does it complicate your life, or simplify it?
  8. Do any components require regular charging, or battery replacement.

Privacy, Security, and Control

  1. Is storage local vs. cloud or company’s servers? Is data encrypted? Anomized?
  2. Do you feel creepy using it?
  3. Is it password-protected?
  4. Is security “baked in” or an afterthought?
  5. Can you control how, when, and where information is shared?
  6. Will it work when the power goes out?

Affordability

  1. Are there monthly fees? If so, low or high? Long term contract required?
  2. Is there major upfront cost?
  3. Does full functioning require accessories?
  4. Minimum cost/maximum cost

Design/UX

  1. Is it stylish, or does the design” shout” that it’s for seniors? “Medical” looking?
  2. Is the operation or design babyish?
  3. Would younger people use it?
  4. Is it sturdy?
  5. Does it have “loveability” (i.e., connect with the user emotionally)? (This term was coined by David Rose in Enchanted Objects, and refers to products that are adorable or otherwise bond with the user.)

Architecture

  1. Inbound
    1. Protocols supported (eg. Bluetooth, BluetoothLE, WiFi, etc)
    2. Open or closed architecture
  2. Outbound
    1. Protocols supported (eg. WiFi, Ethernet, CDMA, GSM, etc)
    2. Data path (cloud, direct, etc)
  3. Remote configuration capability (i.e., by adult child)

Features and Functions

  1. Reminders
    1. Passive, acknowledge only
    2. Active dispensing (of meds)
  2. Home Monitoring
    1. Motion/Passive Activity Monitoring
    2. Environmental Alarms (Smoke, CO, Water, Temp)
    3. Intrusion Alarms (Window etc)
    4. Facilities/Infrastructure (Thermostat)
  3. Health Monitoring
    1. Vitals Collection
    2. Wearables Activity Monitoring
    3. Behavioral/Status Polling (How are you feeling today?)
    4. Behavioral Self-improvement
  4. Communications Monitoring
    1. Landline/Caller ID
      1. Identify scammers
    2. eMail and computer use
      1. Identify scammers
    3. Mobile phone use
  5. Fixed Personal Emergency Response System (PERS)
  6. Mobile Personal Emergency Response System (PERS)
  7. Fixed Fall Detection/Prediction
  8. Mobile Fall Detection/Prediction
  9. Telehealth (Video)
  10. New and Innovative Features

McKinsey IoT Report Nails It: Interoperability is Key!

I’ll be posting on various aspects of McKinsey’s new “The Internet of Things: Mapping the Value Beyond the Hype” report for quite some time.

First of all, it’s big: 148 pages in the online edition, making it the longest IoT analysis I’ve seen! Second, it’s exhaustive and insightful. Third, as with several other IoT landmarks, such as Google’s purchase of Nest and GE’s divestiture of its non-industrial internet division, the fact that a leading consulting firm would put such an emphasis on the IoT has tremendous symbolic importance.

McKinsey report — The IoT: Mapping the Value Beyond the Hype

My favorite finding:

“Interoperability is critical to maximizing the value of the Internet of Things. On average, 40 percent of the total value that can be unlocked requires different IoT systems to work together. Without these benefits, the maximum value of the applications we size would be only about $7 trillion per year in 2025, rather than $11.1 trillion.” (my emphasis)

This goes along with my most basic IoT Essential Truth, “share data.”  I’ve been preaching this mantra since my 2011 book, Data Dynamite (which, if I may toot my own horn, I believe remains the only book to focus on the sweeping benefits of a paradigm shift from hoarding data to sharing it).

I was excited to see that the specific example they zeroed in on was offshore oil rigs, which I focused on in my op-ed on “real-time regulations,” because sharing the data from the rig’s sensors could both boost operating efficiency and reduce the chance of catastrophic failure. The paper points out that there can be 30,000 sensors on an rig, but most of them function in isolation, to monitor a single machine or system:

“Interoperability would significantly improve performance by combining sensor data from different machines and systems to provide decision makers with an integrated view of performance across an entire factory or oil rig. Our research shows that more than half of the potential issues that can be identified by predictive analysis in such environments require data from multiple IoT systems. Oil and gas experts interviewed for this research estimate that interoperability could improve the effectiveness of equipment maintenance in their industry by 100 to 200 percent.”

Yet, the researchers found that only about 1% of the rig data was being used, because it rarely was shared off the rig with other in the company and its ecosystem!

The section on interoperability goes on to talk about the benefits — and challenges — of linking sensor systems in examples such as urban traffic regulation, that could link not only data from stationary sensors and cameras, but also thousands of real-time feeds from individual cars and trucks, parking meters — and even non-traffic data that could have a huge impact on performance, such as weather forecasts.  

While more work needs to be done on the technical side to increase the ease of interoperability, either through the growing number of interface standards or middleware, it seems to me that a shift in management mindset is as critical as sensor and analysis technology to take advantage of this huge increase in data:

“A critical challenge is to use the flood of big data generated by IoT devices for prediction and optimization. Where IoT data are being used, they are often used only for anomaly detection or real-time control, rather than for optimization or prediction, which we know from our study of big data is where much additional value can be derived. For example, in manufacturing, an increasing number of machines are ‘wired,’ but this instrumentation is used primarily to control the tools or to send alarms when it detects something out of tolerance. The data from these tools are often not analyzed (or even collected in a place where they could be analyzed), even though the data could be used to optimize processes and head off disruptions.”

I urge you to download the whole report. I’ll blog more about it in coming weeks.

Apple & IBM partnership in Japan to serve seniors a major step toward “Smart Aging”

As Bob Seger and I prepare to turn 70 (alas, no typo) on Wednesday (as long as he’s still singing “Against the Wind” I know I’m still rockin’) my thoughts turn to my “Smart Aging” paradigm, which combines Quantified Self devices that can change our relationships with doctors into a partnership and give us encouragement to do more fitness activities and smart home devices that make it easier for seniors to run their homes and avoid institutionalization.

That’s why I was delighted to read this week about Apple (obligatory disclaimer: I work part-time at The Apple Store, especially with “those of a certain age,” but am not privy to any of their strategy, and my opinions are solely my own) and IBM teaming with Japan Post (hmm: that’s one postal service that seems to think creatively. Suspect that if one B. Franklin still ran ours, as he did in colonial days, we’d be more creative as well…) to provide iPads to Japan’s seniors as part of Japan Post’s “integrated lifestyle support group” (the agency will actually go public later this year, and the health services will be a key part of its services).

Apple and IBM announced, as part of their “enterprise mobility” partnership that will also increase iPads’ adoption by businesses, that they will provide 5 million iPads with senior-friendly apps to Japanese seniors by 2020.  IBM’s role will be to develop app analytics and cloud services and “apps that IBM built specifically for elderly people .. for medication adherence … exercise and diet, and … that provide users with access to community activities and supporting services, including grocery shopping and job matching.”

The overall goal is to use the iPads and apps to connect seniors with healthcare services and their families.  I can imagine that FaceTime and the iPads’ accessibility options will play a critical role, and that current apps such as Lumosity that help us geezers stay mentally sharp will also be a model.

According to Mobile Health News, the partnership will offer some pretty robust services from the get-go:

“If seniors or their caregivers choose, they can take advantage of one of Japan Post Groups’ post office services, called Watch Over where, for a fee, the mail carriers will check in on elderly customers and then provide the elderly person’s family with an update. 

“In the second half of this year, customers can upgrade the service to include iPad monitoring as well.After Japan Post Group pilots the iPads and software with 1,000 seniors for six months, the company will expand the service in stages.”

Lest we forget, Japan is THE harbinger of what lies ahead for all nations as their populations age. 20% of the population was already over 65 in 2006,  38% will be in 2055.  As I’ve said before in speeches, the current status quo in aging is simply unsustainable: we must find ways for seniors to remain healthy and cut the governmental costs of caring for them as they grow as a percentage of the population.  As Japan Post CEO Taizo Nishimuro (who looks as if he’s a candidate for the new services — y0u go, guy!) said, the issue is “most acute in Japan — we need real solutions.”

IBM CEO Ginni Rometty said her company will take on a 3-part mission:

“First, they’ll be working on ‘quality of life apps,’ both by building some themselves and by integrating others, all of which will be aimed at accessibility first. The key target will be iOS, since it’s a mobile-first strategy in keeping with our changed computing habits. Second, they’re working on developing additional accessibility features not yet available, and third they’re helping Japan Post with the service layer required to deliver this to the elderly.”

Sweet! — and it reminds me of the other recently announced IBM/Apple announcement, in that case with J & J, to build a robust support structure for Apple’s new open-source ResearchKit and HealthKit platform to democratize medical research.  The IoT ain’t nothin’ without collaboration, after all.

Cook, according to TechCrunch, put the initiative in a global context (not unlike his environmental initiatives, where, IMHO, he’s become THE leading corporate change agent regarding global warming):

“Tim Cook called the initiative ‘groundbreaking,’ saying that it is ‘not only important for Japan, but [also] has global implications. Together, the three of us and all the teams that work so diligently behind us will dramatically improve the lives of millions of people.’

“…. The Apple CEO talked about how the company aims to ‘help people that are marginalized in some way, and empower them to do the things everyone else can do.” He cited a UC Irvine study which details how remote monitoring and connection with loved ones via iPad help instill a sense of confidence and independence in seniors. He added that he believes what the companies are doing in Japan is also scalable around the world.”

It will be interesting to see exactly how the partnership addresses the challenge of creating those senior-friendly “quality of life” apps: as someone who’s on the front-lines of explaining even Apple’s intuitive devices to older customers, I can tell you that many seniors begin are really frightened by these technologies, and it will take a combination of great apps and calm, patient hand-holding to put them at ease.

As I enter my 7th decade, I’m pumped!

Smart Aging: Kanega watch for seniors Kickstarter campaign ends today

“Independence with Dignity” is the motto for Jean Anne Booth’s Kanega Watch, which is in the last day of its Kickstarter campaign.

I’m not crazy about it, but in general I like what you see, and hope you get on board.  It addresses three major concerns for the elderly:

Kanega watchlike what I see, and hope you’ll get on board!  It’s designed to deal with three critical aging concerns:

  • falls
  • medication reminders
  • wandering.

I met the woman behind it at a conference in Boston last Summer, and even though the prototype at that point looked very unappealing, this looks more promising.

I’m in the process of creating a list of 10 objective criteria for evaluating devices and apps that fit with my “Smart Aging” paradigm shift, which combines Quantified Self devices to encourage healthy habits and change your relationship with your doctor into a partnership, and smart home devices, which make it easier to manage your home when elderly, so you can “age in place.”  Here’s how it stacks up against my criteria (which, BTW, are still in development — comments welcomed). Bear in mind that I haven’t seen current prototype, and the site doesn’t answer all of my questions. :

Is it easy to use?

  1. Does it give you a choice of ways to interact, such as voice, text or email?
  2. Does it give you reminders?
  3. Is it easy for you to program, or allow someone else to do it remotely?
  4. Does it have a large display and controls?
  5. Is it intuitive?
  6. Does it require professional installation?
  7. Is it flexible: can it be adjusted? Is it single purpose, or does it allow other devices to plug in and create synergies?

YES: voice-activated, rather than requiring buttons. No programming.


Does it protect privacy & security?

  1. Is storage local vs. cloud or company’s servers? Is data encrypted? Anomized?
  2. Do you feel creepy using it?
  3. Does it protect against exploitation by scam artists (such as identifying callers)?
  4. Is it password-protected?
  5. Is security “baked in” or an afterthought?

NO CLUE.


Does it complicate your life, or simplify it?

YES: doesn’t require a smartphone to function, and is voice-activated rather than using buttons.

Does it protect privacy and security?

NO CLUE.

 

Is it affordable?

  1. Are there monthly fees? If so, low or high?
  2. Is there major upfront cost?
  3. Does full functioning require accessories?

IFFY: You can get one by contributing $279 to the Kickstarter campaign. If that’s the retail price, it’s a little pricey, but lower than the Apple Watch base, $349, and probably a good price considering the value added services . Didn’t see anything about a monthly fee for the fall reporting & response service.

Does it stigmatize and/or condescend?

  1. Is it stylish, or does the design” shout” that it’s for seniors?
  2. Is the operation or design babyish?
  3. Would younger people use it?

NO: it doesn’t have a stigmatizing button, & uses a familiar form factor (watch).

Does it use open or proprietary standards?

NO CLUE.

 

Is the information shareable if you choose to do so?

NO CLUE.

 

Can you learn something from it to improve your life and empower yourself?

  1. For example, does health data encourage you to exercise more, or eat better?

NO: doesn’t give you feedback, measure your activity, etc.

Does it help you do something you couldn’t do before?

  1. Does it create a new range of services that were simply impossible with past technologies?

YES: The wandering alert (offers directions home) is new. Otherwise, just does some things such as medication alerts and calling for help that other devices have done.

Is it sturdy?

YES.

 

Does it have “loveability” (i.e., connect with the user emotionally)?

(This term was coined by David Rose in Enchanted Objects, and refers to products that are adorable or otherwise bond with the user)

YES: it has a Siri-like voice, which you can name, which gives reminders about taking meds and gives you directions home if you wander.
I’d give it about a 5 out of 10: I wouldn’t call this a must have — I’d like a little more of a multi-purpose tool that combines smart home and Quantified Self functions — like the Apple Watch (again, disclaimer that I work part time at Apple Store — but don’t have any proprietary info.) The watch is a little too clunky looking for me (prefer the Jony Ive-aesthetics of the Apple Watch), but it looks promising — and doesn’t require coupling to a smartphone, which is befuddling to a lot of seniors.

Kickstarter backers will begin receiving their Kanega watches in February 2016, with general market availability in summer 2016. The site doesn’t say anything about price.

Only a few hours left to join the Kickstarter campaign!


Yeah, I couldn’t figure out the names either. Turns out it’s from Cherokee: “Unalii” is “friend”, and “Kanega” is “speak.”  You learn something every day….

Apple ResearchKit will launch medical research paradigm shift to crowd-sourcing

Amidst the hoopla about the new MacBook and much-anticipated Apple Watch, Apple snuck something into Monday’s event that blew me away (obligatory disclaimer: I work part-time at The Apple Store, but the opinions expressed here are mine).

My Heart Counts app

Four years after I proselytized about the virtues of democratizing data in my Data Dynamite: how liberating data will transform our world book (BTW: pardon the hubris, but I still think it’s the best thing out there about the attitudinal shift needed to capitalize on sharing data), I was so excited to learn about the new ResearchKit.

Tag line? “Now everybody can do their part to advance medical research.”

The other new announcements might improve your quality of life. This one might save it!

As Senior VP of Operations Jeff Williams said in announcing the kit,  the process of medical research ” ..hasn’t changed in decades.” That’s not really true: as I wrote in my book, the Quantified Self movement has been sharing data for several years, as well as groups such as CureTogether and PatientsLikeMe. However, what is definitely true is that no one has harnessed the incredible power of the smartphone for this common goal until now, and that’s really incredible. It’s a great example of my IoT Essential Truth of asking “who else could use this data?

A range of factors cast a pall over traditional medical research.

Researchers have had to cast a broad net even to get 50-100 volunteers for a clinical trial (and may have to pay them, to boot, placing the results validity when applied to the general population in doubt).  The data has often been subjective (in the example Williams mentioned, Parkinson’s patients are classified by a doctor simply on the basis of walking a few feet). Also, communication about the project has been almost exclusively one way, from the researcher to the patient, and limited, at best.

What if, instead, you just had to turn on your phone and open a simple app to participate? As the website says, “Each one [smartphone] is equipped with powerful processors and advanced sensors that can track movement, take measurements, and record information — functions that are perfect for medical studies.” Suddenly research can be worldwide, and involve millions of diverse participants, increasing the data’s amount and validity (There’s a crowdsourcing research precedent: lot of us have been participating in scientific crowdsourcing for almost 20 years, by installing the SETI@Home software that runs in the background on our computers, analyzing data from deep space to see if ET is trying to check in)!

Polymath/medical data guru John Halamka, MD wrote me that:

“Enabling patients to donate data for clinical research will accelerate the ‘learning healthcare system’ envisioned by the Institute of Medicine.   I look forward to testing out Research Kit myself!”

The new apps developed using ResearchKit harvest information from the Health app that Apple introduced as part of iOS8. According to Apple:

“When granted permission by the user, apps can access data from the Health app such as weight, blood pressure, glucose levels and asthma inhaler use, which are measured by third-party devices and apps…. ResearchKit can also request from a user, access to the accelerometer, microphone, gyroscope and GPS sensors in iPhone to gain insight into a patient’s gait, motor impairment, fitness, speech and memory.

Apple announced that it has already collaborated with some of the world’s most prestigious medical institutions, including Mass General, Dana-Farber, Stanford Medical, Cornell and many others, to develop apps using ResearchKit. The first five apps target asthma, breast cancer, cardiovascular disease, diabetes and Parkinson’s disease.  My favorite, because it affects the largest number of people, is the My Heart Counts one. It uses the iPhone’s built-in motion sensors to track participants’ activity, collecting data during a 6-minute walk test from those who are able to walk that long. If participants also have a wearable activity device connecting with the Health app (aside: still don’t know why my Jawbone UP data doesn’t flow to the Health app, even though I made the link) , they are encouraged to use that as well. Participants will also enter data about their heart disease risk factors and their lab tests readings to get feedback on their chances of developing heart disease and their “heart age.” Imagine the treasure trove of cardiac data it will yield!

 A critical aspect of why I think ResearchKit will be have a significant impact is that Apple decided t0 make it open source, so that anyone can tinker with the code and improve it (aside: has Apple EVER made ANYTHING open source? Doubt it! That alone is noteworthy).  Also, it’s important to note, in light of the extreme sensitivity of any personal health data, that Apple guarantees that it will not have access to any of the personal data.

Because of my preoccupation with “Smart Aging,” I’m really interested in whether any researchers will specifically target seniors with ResearchKit apps. I’ll be watching carefully when the Apple Watch comes out April 24th to see if seniors buy them (not terribly optimistic, I must admit, because of both the cost and the large number of seniors I help at The Apple Store who are befuddled by even Apple’s user-friendly technology) because the watch is a familiar form factor for them (I haven’t worn a watch since I got my first cell phone, and most young people I know have never had one) and might be willing to use them to participate in these projects.

N0w, if you’ll excuse me, I just downloaded the My Heart Counts app, and must find out my “heart age!”


 

Doh!  Just after I posted this, I saw a really important post on Ars Technica pointing out that this brave new world of medical research won’t go anywhere unless the FDA approves:

“As much as Silicon Valley likes to think of itself as a force for good, disrupting this and pivoting that, it sometimes forgets that there’s a wider world out there. And when it comes to using devices in the practice of medicine, that world contains three very important letters: FDA. That’s right, the US Food and Drug Administration, which Congress has empowered to regulate the marketing and research uses of medical devices.

“Oddly, not once in any of the announcement of ResearchKit did we see mention of premarket approval, 510k submission, or even investigational device exemptions. Which is odd, because several of the uses touted in the announcement aren’t going to be possible without getting the FDA to say yes.”

I remember reading that Apple had reached out to the FDA during development of the Apple Watch, so I’m sure none of this comes as a surprise to them, and any medical researcher worth his or her salt is also aware of that factor. However, the FDA is definitely going to have a role in this issue going forward, and that’s as it should be — as I’ve said before, with any aspect of the IoT, privacy and security is Job One.

 

 

I’ll be on “Game Changer” Radio Today @ 3 EST Talking About IoT

Huzzah!  I’ll be a guest on Bonnie Graham’s “Coffee Break With Game Changers” show live, today @ 3 PM to discuss the Internet of Things. SAP Radio

Other guests will include David Jonker, sr. director of Big Data Initiatives at SAP, and Ira Berk, vice-president of Solutions Go-to-market at SAP, who has global responsibility for the IoT infrastructure and middleware portfolio.

Among other topics that I hope to get to during the discussion:

  • The “Collective Blindness” meme that I raised recently — and how the IoT removes it.
  • The difficult shift companies will need to make from past practices, where information was a zero-sum game, where hoarding information led to profit, to one where sharing information is the key. Who else can use this information?
  • How the IoT can bring about an unprecedented era of “Precision Manufacturing,” which will not only optimize assembly line efficiency and eliminate waste, but also integrate the supply chain and distribution network.
  • The sheer quantity of data with the IoT threatens to overwhelm us. As much as possible, we need to migrate to “fog computing,” where as much data as possible is processed at the edge, with only the most relevant data passing to the cloud (given the SAP guys’ titles, I assume this will be of big interest to them.
  • The rise of IFTTT.com, which means device manufacturers don’t have to come up with every great way to use their devices: use open standards, just publish the APIs to IFTTT, and let the crowd create creative “recipes” to use the devices.
  • Safety and security aren’t the other guy’s problem: EVERY device manufacturer must build in robust security and privacy protections from the beginning. Lack of public trust can undermine everyone in the field.
  • We can cut the cost of seniors’ care and improve their well being, through “smart aging,” which brings together Quantified Self fitness devices that improve their care and make health care a doctor-patient partnership, and “smart home” devices that automate home functions and make them easier to manage.

Hope you can listen in.  The show will be archived if you can’t make it for the live broadcast .