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Leroy Jones, Jr. is the creator of Talking Technology with Leroy Jones, Jr.

mHealth: Detroit

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Last week's two-day FCC telehealth event in Detroit was a testament to the Internet's empowering ability to deliver health care. Start with this eye-opening statistic from the Detroit Medical Center and Wayne State University: A mobile pediatric crisis team with access to an on-call psychiatrist equipped with telemedicine capacity reduced the emergency visit hospitalization rate from 82% to 20%.

 

Other sessions focused on digital inclusion, advances in online health care and using the Internet to spur health care entrepreneurship.  Doctors presented documentation of an Inpatient Diversion Program that used telemedicine to reduce unnecessary hospitalization and save Michigan's Medicaid program nearly $8 million in one year.

  

In short, the event offered the latest evidence of the Internet's potential for direct personal health care empowerment.

 

For federal policymakers, this bears directly on the FCC's misguided effort to begin regulating existing high-speed broadband services instead of promoting better forms of access. That effort has already sparked a noticeable pull-back in investment and deployment of new broadband services, which undercuts telemedicine's growth.

 

This issue is especially noteworthy since many of society's most vulnerable, including seniors, the physically disabled and those unable to afford their own transportation, have become dependent on telemedicine advances.

 

For federal policymakers, the common denominator linking Detroit's results and the ability of communities nationwide to adopt similar programs lies in the rapid deployment of broadband service. Few people understand this better than Jamal Simmons, who moderated a session last week on how broadband has become a "social determinant" of health.

 

For Jamal, tele-healthcare offers the chance for millions of people to finally gain the affordable health care access they need.  But the FCC's decision to regulate the Internet slows down our progress to this desired end.

 

Earlier this year, he explained this issue perfectly when he called on Congress to take action on Internet deployment.

 

Noting that the FCC's expensive "utility-style regulations... would increase costs on low- and middle-income people," Simmons urged Congress to protect Internet users in a way that doesn't add billions in new taxes and fees on our monthly service bills.

 

Jamal is right.  The Internet is far too important to allow the FCC to tie it down with expensive rules that we have to pay for.  No one benefits from that, least of all those who rely on Internet-based solutions in healthcare.

 

The FCC was wrong to overturn rules begun during the Clinton Administration that have served us well.  This week's events in Detroit should give further impetus to Congress to step in and pass a bipartisan solution.


LJJ

(TechnicalJones)

mHealth: Privacy & Security Rules

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The issues of of both Privacy & Security will always be of great importance to mHealth community.

Check out this interesting article on the regulatory questions being asked about the expanding technology.:




mHealth: Ten Cool Apps for Seniors

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mHealth: Why Health Care Access Needs a Lifeline

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A remarkable demographic change is happening among elderly Americans.  It's a trend that the U.S. Census Bureau recently called, "a gray revolution in living arrangements" and the implications for health care access are huge.


There are now almost 27 million households headed by someone 65 and older, a 24% increase over the past decade, according to Census. For women over 75, living alone has overtaken staying with relatives as the most common living scenario.


As a result, the need for dramatic improvements in health care delivery, especially in rural America, is becoming a crucial national issue. As The Journal put it, "Aging in place is proving difficult in places where the population is growing older, supportive services are scarce, houses are in disrepair and younger people who can assist have moved away."


The seniors profiled in that article - many living alone in rural areas - show the need for expanded telehealth and mHealthpractices. Telehealth and mHealth are vital to expanding access to diagnoses and monitoring services that would otherwise only be available after a long car ride.


But while Federal and State officials increasingly recognize the importance of telehealth and mHealth, the inevitable question is - how can we make this happen? Larry Irving, co-chair of the Internet Innovation Alliance, has an excellent idea: expand the federal Lifeline Program to include broadband Internet service.


Irving, who has been writing for decades about the need to expand broadband Internet service, envisions a scenario in which consumers in need receive direct subsidies to purchase broadband. This, in turn, stimulates competition for broadband deployment.  Administration of the new program would rest with an appropriate Federal agency. 


Perhaps the most important aspect of Irving's insightful idea is that Federal benefits will go directly to those most in need. As Irving correctly notes, the tens of millions of Americans still not connected to broadband "tend to be older, poorer, sicker or live in rural communities."  


The Lifeline program today is focused solely on telephone service.  To be sure, phone service remains vital. Yet in today's society, phone service without broadband is incomplete - like a car whose tires are almost, but not quite, flat. Modernizing the Federal Lifeline program would address this problem efficiently and effectively.


American society is changing and so are our health care needs.  Modernizing the Federal Lifeline program is an important step forward to address those needs.



LJJ

(TechnicalJones)

mHealth Apps: Privacy Gap?

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