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Appworx and Streamlinemd Partner to Enhance EHR Functionality with integrated clinical photography management


Boca Raton, FL., rxphotoNovember 8, 2013, — AppwoRx, a leading provider of mobile health solutions, today announced that it has integrated its mobile and cloud based clinical photography platform with StreamlineMD’s award winning EHR software.

AppwoRx’s RxPhoto helps providers increase patient satisfaction and improve workflow through its patent pending mobile and cloud based patient photography and provider collaboration platform. RxPhoto eliminates the need for expensive and cumbersome photography equipment with its secure and intuitive image capture and sharing platform.  Providers can now use their ubiquitous mobile devices to take photos, catalogue them anatomically and capture additional clinical encounter data. A robust on-line image and data management platform provides for photo optimization and image and data sharing, with patients or other caregivers weight loss tablets.

With the combination of RxPhoto’s mobile photo management capabilities with StreamlineMD’s EHR software, providers gain access to the first fully integrated and cloud based system of its kind.

Jim Clark, CEO of AppwoRx, said “We are excited to bring this unique solution to market with StreamlineMD.  Providers are embracing the technology to not only improve workflow related to image capture and management, but also to providing more coordinated care. StreamlineMD is a leader in their chosen markets and through this partnership we offer additional ways for providers to reduce inefficiencies and improve their top line by measurably raising patient satisfaction”.

“We are constantly looking for new opportunities to expand our functionality and increase the value delivered to our providers”, said Sean Mullen, StreamlineMD CEO. “Through our AppwoRx partnership, we are significantly extending our mobile offering and responding to market demand for additional patient engagement capabilities”.

About AppwoRx 

AppwoRx is a leading provider of mobile health solutions, including clinical photography, patient engagement and provider collaboration tools.  AppwoRx mission is to help providers measurably improve outcomes and increase patients atisfaction through the use of secure mobile and cloud based communication. For more information, please visit or call 561-237-5500.

About StreamlineMD™

StreamlineMD™ is a technology-enabled healthcare business service company, offering a complete collection of services for physician office practices to help them streamline the management of their clinical and billing information. StreamlineMD™ solutions, offered on a subscription-basis, include full-spectrum EHR, Practice Management and Billing Services.


AppwoRx, LLC



Embracing mHealth – How Mobile Technology is Transforming Healthcare

AppwoRx is a company that realizes opportunities for developing new mHealth apps, content, products, and services are emerging daily. We believe mHealth will play a ubiquitous role in transforming the U.S. and global health systems, expanding access to decision support that permit consumers to engage effectively with their systems of care.
The evolu


tion of mobile technology in the past twenty years has revolutionized every aspect of industries across the board in the way they conduct business and communicate with their customers, and healthcare is no exception. The rapid growth and advancements in the technical field have compelled investors to reevaluate their current methods of commerce to determine how they can employ these advancements to better service their clients in the digital age.

Industry professionals have acknowledged the significant role that the field of healthcare plays in the mobile market. In a 2012 survey of senior executives in the US mobile sector, 78% of respondents said that the healthcare/life sciences market had the greatest potential for benefiting from emerging technologies and subsequently generating revenue. Further, data from this study indicated that the healthcare/life sciences market was the industry most likely to see high rates of growth in its business model over the next five years.
The demand for mobile apps will largely be driven by challenges encountered throughout the lifecycle of the population using them. Current and continuing healthcare reforms and rising costs of coverage as well as the natural aging processes and developing illnesses encountered by mobile users, along with the population’s increased awareness and desire to take a proactive stance on their health, will all propel growth in the mHealth field substantially.

As integral as mobile devices have become to the average user’s daily routine, the market is rife with opportunity for healthcare to emerge as a leader in mobile app revenue. Technologies currently available allow the user to view their own medical records on-demand instantly as well as to connect with providers in order to take active part in their own healthcare. There also exists the potential in the expanding global market to allow providers to connect with patients and caregivers in remote areas to assist in diagnostics and recommendations for treatment, which will in turn facilitate the provision of accessible and affordable healthcare worldwide.
As a company dedicated to reinventing the way patients and physicians engage, AppwoRx realizes opportunities for developing new mHealth apps, content, products, and services are emerging daily. We believe mHealth will play a ubiquitous role in transforming the U.S. and global health systems, expanding access to decision support that permit consumers to engage effectively with their systems of care.

The Convergence of mHealth and Accountable Care

It’s easy to see that G. Daniel Martich, M.D., chief medical information officer at the University of Pittsburgh Medical Center (UPMC), like many of his cohorts at the large integrated healthcare system and elsewhere in the industry, can see the big picture.

Dr. Martich, who is also a member of the Healthcare Informatics editorial advisory board, is focused squarely on accountable care, and better yet, he has an idea on how to get there. At HIMSS13, on the same day that was officially themed after “patient engagement,” Martich spoke with HCI Associate Editor Gabriel Perna on why this year at the annual conference he has really zeroed in on patient engagement and mobile health (mHealth).

“How we engage the patient in their own care ties into accountable care because we can’t continue to deliver the same care at hospitals, critical care units, and in emergency departments as we used to, because we can’t afford to,” Martich says. “So how do we care for those patients in a better, if not equal setting, moving them first to the outpatient center then the home? We need patients to engage. How do they do that? They can engage with a laptop or a desktop, but the reality is patients are engaging more and more with mHealth.”

At UPMC, Martich says the organization is attempting to extend this concept in a mobile fashion to their patient base in the ambulatory setting. The organization, he says, is working on a marketing effort that attempts to get patients to sign up for their shared personal health record. This means the patient sees what the doctor sees in terms of medications, upcoming appointments, and prescriptions.

Already, Martich says, the organization has gotten 150,000 patients on board. Furthermore, UPMC will be extending this mobile app to those who use the organization’s insurance product. Half of those patients don’t have a UPMC physician. But that doesn’t matter, as the organization is essentially an accountable care organization (ACO), he notes.

G. Daniel Martich, M.D.

“We have an insurance arm, we have a hospital division, and we have a physician division. Tying all of those together and going out beyond that is obviously a big step. And [it’s about] developing the tools and strategies around that, so you can do virtual care collaboration using the camera on a laptop and the camera on an iPhone. If you want to see the [practitioner], you can see the [practitioner],” Martich says.

ACOs, Martich says, are about access, quality care, and reasonable cost. Both UPMC and the UPMC Health Plan in this regard are incentivized to reduce costs, and one of the best ways to do that is to keep the patient out of the hospital. The mHealth is one way to do that, as is UPMC’s electronic visits (eVisits), a growing online platform at which has actually integrated with the mobile app. There are also non-technology answers, he says, such as extended hours clinics, which can keep a patient out of the emergency department.

“We still want to admit people to the ER, if they need to go. But we don’t want a system where people say, ‘My doctor is not available, so I’m defaulting to the most convenient option.’ That option happens to be the most expensive option. In reality, the most convenient option should be the least expensive option,” Martich says.

Patient-generated data is the future of care, VA official says

By: Neil Versel | Jul 18, 2013

Patient Engagement

Patient engagement is on the minds of a lot of people in healthcare, spurred not only by a requirement in Stage 2 Meaningful Use regulations, but by imperatives to improve the quality of care and boost patient satisfaction. Some providers beginning to open their minds, but technical and cultural challenges stand in the way, according to a high-level panel at last week’s Healthcare Unbound conference in Denver, Colorado.

“The future is PGD – patient-generated data,” said Dr. Susan Woods, director of patient experience for connected health at the Veterans Health Administration. “The voice of the patients and the caregivers has never been louder.”

Clinicians who resist growing demand to cede some of their authority and to accept health data from patients would be wise not to ignore changing expectations, for the sake of better care, Woods suggested. “Transparency breeds trust. Trust between patients and clinicians breeds outcomes,” she said.

The approximately 200 people who came to Denver for the 10th annual Healthcare Unbound already are well-versed in new technologies and emerging paradigms. Still, Lygeia Ricciardi, director of the Office of Consumer eHealth in the federal Office of the National Coordinator for Health IT, was pleasantly surprised by the thoughts of one physician in attendance.

After Dr. Kenneth Joslyn, a healthcare quality consultant from Plymouth, Minnesota, said he was more concerned with the “extraneous” nature of clinician-entered data in electronic health records than with information supplied by patients, Ricciardi smiled. “That’s so refreshing,” she said.

Leslie Kelly Hall, senior vice president of policy at consumer-focused health content developer Healthwise, said that it is essential to have structure to health data – not just plain text – to help physicians “separate wheat from chaff.” She believes taxonomies are less than ideal right now and must improve, but that should not preclude doctors from wanting to know as much as possible about their patients’ health. “Initially it will be messy, but isn’t it better to know?”

Stage 2 of Meaningful Use, the federal incentive program for providers to adopt electronic health records, requires hospitals and physician offices to offer at least 50 percent of their patients’ electronic access to their own medical records. At least 5 percent of patients actually have to view or download their records, either through portals, personal health records or an interface such as Blue Button, making patient engagement a necessary part of Meaningful Use compliance.

Blue Button, a program with roots in the VA, initially output unstructured text, but an offshoot called Blue Button Plus adds structure and formatting, acting as kind of an application programming interface for software developers. Ricciardi has previously suggested that Blue Button Plus could be part of Stage 3 Meaningful Use regulations, which will not take effect before 2016, or possibly later.

The format is important, but so is how clinicians and patient alike apply data to actual care. Health insurers have long encouraged the development of care plans, and Medicare, through Meaningful Use, is starting to require such plans for some patients. But Erin Mackay, associate director for health IT programs at the National Partnership for Women and Families, a left-leaning advocacy group that promotes wider access to healthcare services, said that the definition of a care plan needs to change, and freer flow of data can be the impetus.

“Our concept of a care plan as fixed in time is outdated and ineffective,” Mackay said. “What consumers really want is [a platform and dialog for] ongoing, bidirectional care.”

Woods said that quality of the data matters as well. “Blue Button is a concept. The most important thing is what’s behind the door. If it’s just your allergy list, it ain’t good enough,” the VA representative said.

But data sharing at least is a good start. “Sharing physician notes is a quality improvement,” Woods said, noting that two-way data exchange between provider and patient really is in its infancy. She compared the current state of affairs to the early days of television, when everything was in black-and-white. “I’m optimistic my kids will get color TV.”

Digital health sensing clothes are next in wearables

Someday soon having to remember to put on your digital health tracking device in the morning might no longer be an issue look at here now. If the latest crop of health-minded wearables companies succeed, health sensors will make their way into things we are already wearing — like undershirts, underwear, and socks.

Digital health wearables are slowly but surely making their way into clothing.

One longtime digital health company, Annapolis, MD-based Zephyr Technology, introduced its Zephyr BioHarness 3 Team Compression Shirt at a strength training event in Rhode Island last summer. The fabric of the shirt itself doesn’t have any sensors integrated into it, but it is designed so that the company’s BioHarness 3 can snap into place right where it should be on the wearer’s chest. The shirt is similar to the one Zephyr used to power for Under Armour, called E39, which was famously used in the NFL Combine in 2011.

Since then smart fabrics have evolved and new startups are springing up to bring them to market. OMsignal, which just announced a $1 million seed round from Real Ventures, Golden Venture Partners, and TechStars CEO David Cohen, is in early production with an undershirt that has sensors woven into the fabric. The shirt captures ECG, activity, breathing patterns and “emotive” states on a continuous basis and presents that data to the wearer via an app on their mobile device. While the shirt can track ECG, the app doesn’t show it in that form because the company itself isn’t looking to make the shirt an FDA regulated medical device.

Today dozens of people are testing OMsignal’s compression shirt — including people from high profile companies like Facebook and Google to create a buzz around the new product — not unlike Google’s marketing plan for Google Glass. The company also has a bra version of the wearable.

“Others have come at this from a textile perspective or an electronics perspective, but if you go from only one perspective, it is not going to work,” OMsignal Co-founder and Chief Product Officer Frederic Chanay told me. “If you want to do a shirt that is comfortable, wearable, washable and manufacturable at scale, you need to understand and respect textile technology.”

While most of the sensors are made out of smart textiles and woven into the shirt, OMsignal still requires its early users to wear a clip-on device that houses the accelerometer and the Bluetooth radio. Chanay says that while this device is currently about one-third the size of an iPhone, the company is working to make it smaller and get it integrated into the garment itself, too. OMsignal aims to get this piece of the device much smaller and, in time, maybe even down to the size of a shirt button.

Meanwhile, a couple of former Xbox Kinect developers have left Microsoft to create Heapsylon, a company that is developing sensor-laden socks. The socks, which the inventors call Sensoria and claim are washable and comfortable — not scratchy — are launching with very detailed tracking capabilities for runners. Some of the things the sock can track include: cadence, pronation, heel-striking, and I would imagine they might claim to be more accurate trackers of steps than their wristworn ancestors.

Of course, Misfit Wearables is also likely to offer up some kind of sensor-laden piece of clothing later this year or early next — the company’s second trademark filing, which was granted this past April, makes that pretty clear. According to the trademark filing the company is focused on: “Clothing, namely, outer jackets, shirts, pants, footwear, shoe soles, headwear and undergarments, all the foregoing having health monitoring sensors embedded.”

Goodbye, rubber and plastic wristbands. Hello, smart fabric.