Posts Tagged ‘lifeoptimization’

Self Surveillance

Monday, June 8th, 2009

Just ran across an interesting essay(ish) about Self Surveillance, the act of keeping track of yourself using the tools around you. This is something that popped into my head after visiting the hospital of the future folks at the Global Research Center. One of the things they’re working on is home monitoring equipment and I wondered how you could make this feel more normal for folks that need it by getting people to voluntarily use it to monitor (and optimize) their own behavior.

As this article points out, collecting data around health is pretty natural:

Self-surveillance naturally lends itself to tracking physical health and biometrics. If we think of our bodies as fine-tuned machines, then it is perhaps best we pay close attention to how we take care of them with a healthy lifestyle. Numerous studies have shown that the food we eat and the amount of time we exercise plays a major role in how we feel, and preliminary research suggests that self-monitoring increases awareness, which leads to better decisions.

The Role of Companies in Health

Tuesday, May 12th, 2009

One of the things that struck me at Thursday’s health briefing was the trend of companies taking an active role in the health of their employees. As we’ve been thinking about preventative health (which we’ve been tending to think of under the heading life optimization), it’s pretty clear that people aren’t so good at taking care of themselves. For better or worse, they tend to value today over tomorrow. The same isn’t true for businesses, however, where a sick employee can carry a hefty price tag. With that in mind, some businesses are beginning to invest in the wellness of their employees in all sorts of different ways.

One of those companies is General Mills, who were actually represented at the event. On one of the panels they mentioned an article about them in the New England Journal of Medicine which I quickly pulled up and purchased. It was super interesting and actually started to put some meat on the bones of some of the preventative health ideas we’ve been throwing around.

Essentially these companies are putting rewards (and sometimes penalties) for not keeping healthy. While I’m sure that sounds a bit big brotherish for some, I have to say it doesn’t bother me a whole lot (after all, employment is an agreement between both parties). What’s more, it reflects some of the stuff going on in government with cities all over the world banning smoking (and even trans fats in New York City).

Anyway, one of the core features of the General Mills program s a thing called the “health number”:

Employees at General Mills assess their risk factors and compute their “Health Number” by answering seven behavior-related questions — concerning exercise, diet, alcohol intake, tobacco use, stress management and mood, seat-belt use, and cancer screening — plus three questions concerning body-mass index, blood pressure, and blood lipid levels. Employees with a Health Number indicating intermediate risk are advised to consider lifestyle changes, and those with high risk are urged to initiate such changes, either on their own or with the company’s help.

This was especially interesting as we’ve been thinking a lot about how you begin to make health a little bit more like a game. Actually one of the conversations we had at the briefing was about just this, where we were told about some company (whose name I can’t remember) that does something similar and then creates an anonymous leaderboard for you to see how you stack up against the competition. Not sure how effective this stuff is, but would love to find out more.

Anyway, lots of good stuff to think about.

Great Bones!

Thursday, May 7th, 2009

So we are in DC for a big GE healthcare event, and got to see the Achilles Express, which analyzes your bone strength and provides information that doctors use to help check for osteoporosis (among other things? ). Its pretty cool, its almost an industrial appliance in the sense that it can be used at a Health Fair to quickly analyze hundreds or thousands of people, and then they come in for follow-up care if something is spotted.

Pretty cool, and I hadn’t heard of a Health Fair, which is basically where a bunch of people can come get some health tests, seems like half public service, half marketing outreach for hospitals.  This is interesting territory to explore.

One question/thought I had is that most people are sometimes nervous to use devices like this because you either get baseline feedback (no problem) or negative feedback (this is how bad your bones are)  but there’s no positive feedback.  Like if you have really superb bone strength, you will get a higher number, but I don’t think this thing lights up like a pinball machine and makes you feel awesome about your great bones.  Might be interesting to think about how to balance the good/bad feedback so you can have a really positive experience and thus motivate folks to get themselves checked out even earlier?  Maybe something with the device, and maybe just the communications around what your motivation is in the first place to stick your foot in one of these.

Psychology of Saving

Wednesday, April 29th, 2009

So I may be a little obsessed with behavioral economics, but this article about how Obama is using it had some gems for both energy and health.

Which message would persuade homeowners to save electricity: a call to their environmental conscience, or an appeal to their wallet? Cialdini tested those approaches in a San Diego experiment, and the answer was neither. What worked was an appeal to conformity. Residents used less power when they were told their neighbors were using less power. We’re a herdlike species, more likely to be obese if our peers are.

Interesting to think about, especially as part of smart-grid applications. Maybe just showing savings isn’t enough.

And this quote about health data, while not exactly about behavioral economics is worth sharing/thinking about:

More information can make us healthier too, which is why the stimulus poured $1.1 billion into “comparative effectiveness” research. Orszag has reams of charts showing that medical tactics and costs vary wildly across the country, with little regard for what works. He’d like to document best practices — from emergency-room to-do lists that dramatically reduce infections to protocols for when pricey tests and surgeries really help — and then have all medical providers adopt them. This approach has helped American anesthesiologists reduce deaths as well as costs.

How can GE help to make more of this data public, available and easily sharable between both medical organizations and individuals?

Birth in the Age of Majority

Tuesday, April 21st, 2009

I had never heard this term before we went to the hospital -  Age of Majority.  Basically, it means you are a legal adult – you can drink, smoke, vote, join the army, buy stocks, get married.  Probably you can’t rent a car yet.  In most of the USA the age is 18.  As it relates to the medical profession, the key age it seems is 28. It is 28 because that is how long most hospitals keep records of a birth.  Because if there was a criminal error during your birth and it caused problems later in life, you could sue when you are an adult if it is within a statute of limitations

To quote a government study about health related data retention:

AHIMA Standards and State Law Data: As a matter of professional practice, AHIMA has established the following recommended retention standards: 10 years after the most recent encounter (adult health records); age of majority plus statute of limitations (minor health records); 10 years after infant reaches age of majority (fetal heart monitor records); 10 years (disease, operative, and physician indexes); five years (diagnostic images such as x-ray films); and permanently (master patient index; registers of births, deaths, and surgical procedures).

I found this out when we were researching GE’s infant care products, and talking about Electronic Medical Records.  Apparently, one of the compelling reasons for a hospital to switch to EMR is because they can gather more data, and it is easier to store for longer periods of time, so they can defend against lawsuits.

Now, this is not the only reason, practicing more accurate medicine is certainly important, but this seems to be a critical reason why hospitals will pony up the money to make the switch, because it could save them 10x the money in the long term.  Digital insurance.

It seemed super messed up to me, until I found out that hospitals get sued enough that apparently some hospitals will not even give birth anymore, you have to go somewhere else.  !! !   Now I don’t know enough to presume that this is because people are more litigious or doctors are doing a bad job, or how widespread this really is, but it sure put the situation into a different light for me.

I am constantly surprised that the medical industry is so backwards-seeming with regards to technology.  Writing everything down on paper, storing it in a box for 10 years.  Sending slides through the mail instead of scanning & emailing.   But then I guess a hospital is a business, and if you are forced to think about the legal ramifications on a scale of nearly three decades for data retention/implementation, I can understand being slow to move on it.

So EMR solves some of the problem a hospital might have – basically covering their butt so they can stay in the baby business, and I am sure that having a more accurate process for record keeping saves TONS of mistakes due to human error, handwriting, etc.  But again, thinking that choosing a hospital to give birth in is a unique chance to make a great first impression as a brand (both for GE and for the hospital)  it seems like the pitch for EMR is kind of negative – do it because the industry is behind, or because there are errors, or because you might get sued.

Is there a positive way – can your baby’s medical records becoma keepsake, like how you can get those books printed from iPhoto , maybe a little timeline with ultrasounds and baby pictures that tie in to checkups?  Or maybe this ties into your baby’s upcoming preventative health regime, depending on the results of the birth and tests, you get a booklet thats the start of your new child’s future health plans.

Make Health More Fun (Baby Edition)

Tuesday, April 21st, 2009

Back on the topic of making health fun (which we’ve been thinking of as life optimization), I ran across this article over at Technology Review about taking all those photos parents take of baby and making them useful. Basically the software asks parents to log milestones along with photos as a way to track development. As the article describes:

Researchers found that parents who used the program recorded nearly twice as many of these milestones as those who used a basic medical record-logging program instead. Pediatricians urge parents to monitor these milestones so they can be aware of early warning signs of developmental disorders, like autism or deafness.

But this was the real kicker for me: “Making medical record keeping more fun and less medical actually motivates people and can have positive influences.” Exactly!

Thinking About Health Before You’re Sick

Thursday, April 9th, 2009

I already wrote a little about the life optimization angle, but I want to delve a little deeper in to the question of how to get people think about their health before they’re actually sick. This seems like a pretty classic behavioral economics problem, where people devalue the future even though it’s against their own best interest.

One of my favorite quotes on the subject comes from someone named David Laibson in a Harvard Magazine article titled The Marketplace of Perceptions. He explains, “People very robustly want instant gratification right now, and want to be patient in the future. If you ask people, ‘Which do you want right now, fruit or chocolate?’ they say, ‘Chocolate!’ But if you ask, ‘Which one a week from now?’ they will say, ‘Fruit.’ Now we want chocolate, cigarettes, and a trashy movie. In the future, we want to eat fruit, to quit smoking, and to watch Bergman films.”

Changing this is not an easy task (financial institutions have exactly the same issue where people would rather spend today and save tomorrow). You’ve got to overcome a whole lots of inertia (tried to start a diet lately?). With that said, it’s clearly one of the biggest issues facing our healthcare system.

I went to the PSFK conference last week and one of the panels that was really fantastic was called “Building Healthy Brands with Heart.” On the panel was Jay Parkinson from Hello Health (the Wired article from a few years ago gives a pretty good insight into what he’s all about).

Anyway, the thing Jay said that blew me away was, “I make $10,000 for treating asthma and $300 for preventing it.” That’s pretty nutty. What’s more, when you consider the economic incentive structure together with the psychological barriers people have to being healthier we have a truly out of whack system. The big question that needs to be solved is clearly how you move these incentives around, helping people be more preventative with their own health and make it more in doctor’s interest to help people before they’re sick. Clearly this isn’t something GE can or should tackle alone, but it seems like something we all need to be thinking about.

Photo credits: Money photo by jenn_jenn used under a Creative Commons Attribution 2.0 Generic license.

The one time you plan a hospital trip…

Tuesday, April 7th, 2009

overheadlamp

We just got back from a trip to Maryland and learned a lot about what technology GE has for childbirth (pre, during, post) and we will update on a few topics.  Lets start with something that Noah and I, being sans children, had no idea about.

Hospitals trick the hell out of the rooms you give birth in.  Sliding fake paintings conceal medical equipment, the ceiling opens up and there is a robot arm with a lamp on it, most of the gear that rolls around folds up into an armoire.

Also, I never really thought about it, but childbirth is the only time you “shop around” for a hospital.  In fact it is the main thing that hospitals advertise, going so far as to install hardwood floors, etc. in their fancy suites.  They do this because if they get you in and happy for Child No. 1 then you are coming back for No. 2 & 3, and probably to get hubby’s prostate checked out or whatever.  Its the one time you are happily and willingly going to a hospital and are expressing an emotional preference, asking around with your friends.

slidingpicture

This is inspiring, and relates to things we have already been discussing here:

a yelp for hospitals
life optimization

and ties into a bigger theme that we will tackle as we go – preventative medical technology.  Basically we might have found the only time that someone makes a real conscious choice to pick a hospital based on personal research, and this might be an interesting time to change someone’s mind about the preventative healthcare habits they will have for themselves, but more importantly for that new kid that just had.

Life Optimization

Thursday, April 2nd, 2009

During our chat with the folks working on the hospital of the future (who are focused on helping hospitals run a lot more smoothly), there was some talk about in-home health monitoring devices (some of which are in the photo below).

The idea of devices like these, at least in part, is to take some of the stress off the medical system by helping people more proactively manage/monitor their health. The only problem with this approach as I see it is that monitoring your health isn’t a particularly fun sounding pursuit. In thinking about devices like these, I wonder if there isn’t an opportunity to get them into the larger culture by offering them up as “life optimization” devices. If healthy people could constantly monitor themselves with the goal of finding opportunities to be more efficient (maybe something could tell you the best time to exercise or the optimal time to eat).

Basically, I think there’s an opportunity to make it feel a lot more like a game and a lot less like a chore. Not quite sure how to make that happen yet, but certainly seems like a worthwhile goal.

iPhone + Medical Devices

Tuesday, March 17th, 2009

Was just watching the Engadget Live from Apple’s iPhone 3.0 introduction and this photo piqued my interest:

iPhone + blood pressure

Apple has added support for hardware on the iPhone. I got to thinking about what kind of devices GE could build to help people monitor/optimize their health (more to come on that idea soon). Making keeping yourself healthy seem more like a game seems like something GE should champion.