Tag Archives: wearables

Precision Wellness at Mt Sinai

My Sinai announcement

Mount Sinai to Establish Precision Wellness Center to Advance Personalized Healthcare

Mount Sinai Health System Launches Telehealth Initiatives

Joshua Harris, co-Founder of Apollo Global Management, and his wife, Marjorie has made a $5 million gift to the Icahn School of Medicine at Mount Sinai to establish the Harris Center for Precision Wellness. As part of the part of the Icahn Institute for Genomics and Multiscale Biology, the new center will leverage innovative approaches to health monitoring and wellness management by integrating emerging technologies in digital health, data science, and genomics to enable people’s health to be treated in precise, highly individualized ways.

A first-of-its-kind at a major U.S. academic medical institution, the precision wellness research programs will be closely tied to clinical initiatives across the Mount Sinai Health System. The Harris Center’s immediate efforts will focus on digital health, molecular profiling, and data science. The Center is evaluating the usability of wearable devices to see how effective they can measure activity, stress, sleep, cognitive functioning, mood, and environmental exposures and using sequencing technology to bring DNA, Microbiome, and immune system profiles into predictive models of wellness.

Additionally, the new Center will apply state-of-the-science analytics and machine learning to the wealth of individualized metrics to produce actionable, data-driven insights into key aspects of wellness, and to help lead the way to a nextgen healthcare that is scalable and far superior to anything now available.

Joel Dudley, PhD, a highly regarded genomics and bioinformatics expert at the Icahn Institute, and by Gregory Stock, PhD, an accomplished life-science entrepreneur and technology-innovation expert will serve as the Harris Center directors.

“We are deeply grateful to Mr. Harris for his generosity, vision, and passion,” said Dr. Dudley. “His gift will help realize the promise we see in new digital health technologies such as wearable sensors and mobile applications. By drawing upon the core competencies in genomics, multiscale biology, bioinformatics, data science, population health, and clinical trial design at the Icahn Institute, the Harris Center initiatives will further enhance Mount Sinai’s reputation as one of the world’s premier innovators in personalized healthcare. It is exciting to have an opportunity to integrate and apply these emerging technologies in a meaningful and scientific way in the pursuit of optimal wellness, vitality, and preventive care.”

Cardiologists and Wearables

Mark Bard writes:

Your Cardiologist Does Not Want Your Wearable Data – Addressing the Concerns of Physicians As We Enter the “Connected Health” Era

Last week we discussed the current and future market opportunity for patients with heart disease to utilize health and fitness trackers. Only 12% of cardiovascular/heart disease patients are using trackers – and only 6% more report they are interested in using them in the future. However, understanding the patient side of the question is only one side of the equation. For connected health (and wearables) to drive the most value we really need the cardiologists/physician to be part of the equation through utilization of the data in care and treatment planning or by providing positive reinforcement to patients using the technology.

Recent data from Digital Insights Group show approximately 1 in 4 cardiologists currently have patients sharing data from fitness and activity trackers (such as Fitbit) with them in their practice. This number is higher than the number of patients using a device because it reflects the population of physicians with any patients using a device to share data with them in their practice.

Beyond the current population of cardiologists utilizing patient generated activity and fitness data, future interest (based on current devices and data streams) remains limited at the current time. In an effort to better understand what is holding back all those physicians we explored some of the barriers to making the move – or using data from patients attempting to share the data with their physician today.

The number one objection among cardiologists today is … Fear of Data Overload. Just over half of cardiologists agree the potential stream of user-generated health and activity data may be too much to assimilate, integrate, and utilize with regard to making treatment decisions. This underlines the importance of tools and dashboards to help physicians (and their team) better understand the trends, outliers, and how to quickly and efficiently integrate the data into their existing medical records platforms.

The next one (and perhaps understated given we don’t have a lot of examples in this space yet) is the liability of receiving this data from patients. In other words, imagine the deposition lawyer asking a cardiologist about when his practice received data showing the patient was clearly engaged in physical activity that placed them at risk given their recent diagnosis and proposed treatment plan. Yes, we’ll eventually be able to limit the scope and place the responsibility back with the patient … but until that time cardiologists (and physicians overall) will be cautious to blindly accept user-generated data.

Finally, one that will take time to address is the concern that the data generated from various devices lacks any sense of “data standards” that can be used to plan care for specific patients. In other words, will one or two platforms became the “gold standard” for key cardiovascular and heart related metrics generated by these platforms? Have those metrics been verified in clinical trials (or any trials) to show a correlation to health, wellness, treatment, and outcomes?

The transition to connected health has already begun and the latest push from Apple and Google should help move the industry forward. However, engaging the physician and addressing their key concerns (data overload, liability, standards) will be critical to making the transition effective for both the patient and their physician.