Transmitter will be approved. The other side is that we allocate the effort. Spectrum is where mobile devices run. More collective sense, we have to collaborate and coordinate with other federal agencies but also with the private sector in helping innovators get to market. , we think about it on the cell phone or other technologies. How does it relate to health care . There is something called the fcc provided mband. Ed spectrum for allows monitoring without injuries of monitors. Allocated spectrum. Another way that we support innovation is with medical micropower networks. They need to have a spot on the spectrum or else there may be interference. Sectionere a special spectrum just for medical devices . Everything has its but. Its spot. Bluetooth and other things. You can understand how and health care this could be involved. Ising allocated back to him more and more important. Spectrum is more and more important. Showedas a study that that there are nearly 20,000 healthrelated apps on the marketplace. In this room you see a diversity, everything from , toless Gateway Networks solutions to connect people to networks, the whole world of remote monitoring, and even the apps and tools that are used andtext for baby, do they have to go to the fcc . Yes. Transmitterhat is a on spectrum requires fcc approval. Columbia thatin runs that. Under yourt fall jurisdiction . The office of in january and hearing engineering and technology. Under regulation with the fcc. Thatis the balance between and allowing for innovation . Ande worked with the fda the office of the National Coordinator. How was everyone from App Developers to medical device manufacturers. Mhealth not just with but with other i. T. At noted to look stifling innovation. To reducents interference. The fda is focused on patient safety. August, the fda put out technical guidance on wireless medical devices. We assisted them for both ringing those products to market. Every app does not have to come through us. It may or may not have to go through the fda. Any platform that is a transmitter would be included. When it comes to privacy and security what is the fcc role . That is a good question. We work closely with the National Coordinator. We have not staked out a specific role when it comes to help i. T. There is the Health Affordability and accountability act. That is about the privacy and security of health care but also administrative transactions. About your partnership and how you keep getting from getting in each others way . We understand what each other do. My first month at the fcc was a lot about explaining. How is the fcc involved in health care . Broadband fore Rural Health Care organizations. That is part of the World Program and the connect program. That is more and more rural and other providers. This aligns closely with efforts by medicare to Exchange Health information. Explaining that to them in that example, how a complete support their efforts is a real eyeopener. I spend every thursday afternoon at the fda. It and we have regular meetings with the office of engineering and technology. We did a workshop with them recently. We will do a workshop about Wireless Technology in the future. It is a technical conversation. But it is also getting to know people individually and personally conversation. The status report on rural areas, how a quick survey . How equipped are they . Gaps, asare still some the commissioner will tell you in getting broadband to people individually. The fcc is creating some exciting action in that regard. That is part of the universal service fund, like lifeline. It is a pretty exciting partnership. Medicare is also the managed care. Thepower of health and power of broadband, getting it into individuals hands as will as groups that are related but operate in different ways. Fundealth care connect only subsidizes broadband to health care organizations. Other programs are aimed at connecting people. And also bringing Broadband Service that to the rural areas. Fda,out meeting with the being at the fcc, how much of your job involves explaining what is happening in this world to the commission or the chairman himself . The chairwoman. Or she was the chairwoman, until recently. It is a new role. The role of director of Health Care Initiatives was recommended by the task force. You need somebody to work externally but also internally. I spent a lot of time just trying to learn what others in the agency are doing. Then i bring it to other agencies that might be interested. That dealst of hss with rule health care. Organized a health society. It is a big health i. T. Conference. It is a free conference symposia on rural health i. T. Opportunity for the programs. It is also great for the u. S. Department of agriculture and all of these folks. They talk about their programs and context. Joining us at the side of the mobile health conference. Alere connect is a remote Wireless Program that allows you to monitor patients in their homes. Uring wireless cellular technology. It is the kind of technology you find in your car, your laptop. It is very economical. What is a demonstration of how this Technology Works . Alere connect has a series of devices. We also do help management and Health Information exchange. Ptinralso readings. My mom does that to make sure her blood dinners are working correctly. S are working correctly. The data goes into this device. They can go to the service center. A can help monitor to the patient in case there is a problem. What we are doing with this device is we are connecting it to the mobile link, which i talked about gr. Take a reading, it will send it through the cloud. Ipad or some kind of device . A system or you can set the threshold right here. There are multiple systems. But this is the health comm 2 system. That you want the range to be between one and three. If they get outside of that, you can act on it. Well, then there is nothing she is to do at me today. Of that, there needs to be an intervention to occur. It they can talk to each other and it is webbased, what is this device . This is a little bit more of a device that allows you to talk to multiple devices. Scale. Blood pressure. Glucose. How does it work . We sent us home with the patient. This here that will take the oxygen. Do not look at my statistics. They are actually pretty poor today. But you will go through and look at the keck elation. It it will show you what my heart rate is. The cap chelation calculation. It will show you what my heart rate is. 107. Ur pulse is then you can start asking the patient questions. Depending on what program the patient is in, it will start asking questions like did you take your medication today . Did you exercise today . Has your blood glucose and below 60 . These are behavioral parameters to determine if the patient is having any type of problem. What do you look from from the fcc, as far as making the Technology Available . We were here when the empty fcc were here. We want to make it easier to get through the fda so we have the right patient safety. A will to side to be bring the most amount of spectrum to the organizations out there. That is what the fcc is doing. Theyre allowing him to work with additional spectrum. They are putting people through fcc certifications. We are concerned about the underserved reputation. Activities for veterans. If you are a veteran, or any citizen living in the u. S. , and you are three to five hours away timea physician, the first you present is going to be in the hospital. And it is going to be a Higher Health care costs. We want to get the technology in place to monitor people in the health care population, the rural population, the population that is consuming 80 of health care costs. That is we want to target. The chief executive officer of alere connect. Thank you. This is the director of the office of consumer ehealth. I am within the opposite of the National Coordinator for health i. T. Help the Health Care System use information technology. It is focused on bringing caregivers,nd actual people, into the process wherever possible. We believe in empowering people through technology. We believe that consumers are really underutilizing resources. This impacts their own health. When you think about it, your health is dependent on what is happening every day when youre miles away from home. The little choices that you make about what you eat, whether you exercise, whether to take your medication, not to mention things like when to seek care and where. Those are the things that save your help in the long term, just as much is the critical reactions where you need surgery or treatment. What is the Consumer Sentiment . Are they weary . How would you gauge that . There has been a massive upt ick in the use of mobile phones. That includes health care apps. Some folks are interested in using that. Some folks are having a hard time navigating. Some people have questions. Appyre wondering if the does what they say will do. One of the things my office is working on as providing a model for health apps. When you go to buy a can of soup, you know how there is that peopleent fda rule, some care about sodium, other people care about sugar or fat. We are developing a tool. And we have done this for Health Records. But we are now expanding it to address mobile and nonmobile tools. Say,is just to kind of these folks do not give information. Or this is how they do this. It will help the consumers navigate this newly growing field. Do mobile app makers have to follow the standard . Right now it is voluntary. We have set it up to be used in a voluntary way. We are going to promote these. We had several major vendors who are already using it carried it. Working with folks in the private sector to adopt it it. To launch aing website that is going to help people find that information. Consumers getting direct electronic access to their own Health Information. There will be a picture of a blue button. And you can download your health care information. You can do that from a variety of different sources. They could be from your doctor or Health Care System. But you can also get it from your help plan. It might include information about what kind of care you had, but similarly, you could go to your pharmacy and see the medications you have taken. Is we aree doing going to launch a website that helps individuals say, cool, i want to get my data. How do i know where it is available . And toolso some apps where i can get it. We will have that on the website. There will be a will to look at the different apps and tools. It will also show you how the companies are using the data. I was wondering about that. Who gets access to that, and who could look at it . You have in the hands of the , it is up to you to decide how to use your information. There will be increasing opportunity. You can read over your health care record and make sure it is correct. Ou can share with your doctor those things are important. It will do things like help you remember to take medication. Or maybe you want to have a competition with a friend or a Family Member to see who is exercising more, or managing a certain healthcare issue, keeping your ledger under control, not eating cookies during the holidays, whatever it is. Those tools are going to be useful. Because we are talking about sumers, do you have thick communicatethem to more clearly . People are realizing that the consumer is in an underutilized resource. It means not only more efficiencies, but better quality care. The only way that we are going to get there is if we engage with the consumer more. A lot of the efforts to report them reform payments are working toward that goal. There is this tool in our pocket that can really help us make better decisions and help us make better wills for better care. This is an Amazing Community that we need to take advantage of. Get direct consumer input . That is interesting. Absolutely. We bring consumers and at many points. To think about policy, technology, all of our businesses are open and transparent. One thing that we do is have challenges for the developer immunity to encourage them to grow. There is one that we are having here where the winner of a was codesigned to vote on what kind of apps they wanted to see and also give feedback on the outcome. We want to make sure that Consumer Voice is part of everything. What is interesting and in the Consumer Engagement arena is the cultural shift. That is for the consumer itself and for the health care providers. In the traditional model, the doctor called the shots. They would say use this to meet these goals. We are advocating for more collaborative model, where there is more shared decisionmaking about what the goals are, as well is a sharing of information. We feel that consumers can share this information in a way that will be radically helpful to health care providers. It will help them figure out why something is not working. Of wireless scales and other devices that can help you collect information about daily life and share it with providers. That is something that we are on of trying to figure out what will happen. Are the providers receptive . Some are receptive and innovative. Others are not so sure yet. It is a cultural change. It is about getting the consumers to embrace the idea. Other say, i would prefer that my doctor take every dang take care of everything for me. The reality is that you cannot assume that your doctor is coordinating properly or knows every detail of your life. Does not happen. You want to make sure that youre getting the best care and the best outcome. You as an individual need to get involved. And unique in and you can use technology to make that easier. Tell us about what you like . Some of the things i mentioned already. Scales thatf those automatically updates your scale wirelessly and put your weight on a graph. You can choose to look at that or not. But it is nice to know that is there, particularly over the holiday season. It is about making sense of the information and sharing it. And there are the Health Records that we can update for myself, but also for my kids. Hasmother who have kids with allergies. Id strip through. Repsed something st throat. I used something that didnt work. If i dont always use the same pa attrition, then i have that information right there. Information, then i have that information right there. You want to get your friends to see if they can do that. I am an Enthusiastic User personally. Where it easy this going in five years . Hopefully, it will be more widely embraced. I hope for this is going as that there will be a greater flow from the Health Care System and to consumers, and backand forth. Aght now, it is like different world where they dont share the information. I think, through policies that in increasing adoption, which we are requiring that consumers the able to view and download their data through a button, we will get that going. That is one thing that will help us bring together these world. Th. The director of eheal you have been watching the communicators. Cspan, created by americas Cable Companies in 1979. Brought to you as a Public Service to your television provider. Next on cspan, are series on first ladies continues with a look at the life and times of rosalynn carter. Then a Memorial Service or former South African president nelson mandela. I have learned that you can do anything you want to. They asked me if i thought the first lady ought to get paid. I said, i have to do what the