online remote monitoring of cardiac patients
TRANSCRIPT
Company & Product Presentation 1
Birgitte Lønvig, PhD
Co-founder and Co-owner
Online Remote Monitoring of Cardiac Patients
– ECG monitoring regardless of the patient’s location
Company & Product Presentation 2
Presentation outline:
• Background
• Drivers for Remote Monitoring
• Our solution - ECGLink
• Lessons learned & Challenges
• Conclusions
Company & Product Presentation 3
Company details
• Care2Wear A/S is providing mobile communication services as a virtual operator
• The overall vision for Care2Wear A/S is to provide communication services and technology enabling continuous remote monitoring of care data
• Care2Wear A/S was founded in 2004
• Physical Facilities in Roskilde-DK
Company & Product Presentation 4
Background
• Hospitalized cardiac patients are frequently monitored (24x7) – Stationary – bedside monitoring
– Telemetry – restricted mobility
– Scandinavia is leading in use of telemetry
• Techologies exist– Portable devices
– Wireless data transport
Company & Product Presentation 5
Drivers for remote monitoring
• Patient mobility – send the patients home– Comfort – avoid or reduce
hospitalization
– Diagnostic context – monitor in 'real life' – quick feedback
– Reduced risk of infections
• Multi-diagnosis patients– Orthopedic
– Surgical
– Psychiatric
• 'Expert backup'– Telemedicine
Company & Product Presentation 6
World’s first commercial online continuous 24x7 real-time remote heart monitoring service, ECGLink
Company & Product Presentation 7
The components…
• ECGLink– Small, battery-driven, portable
ECG device
– Mobile gateway (phone) – Server (transformation, logging,
link supervision) – Interfacing to hospital backend
– 24x7 operation
Patient’s Suitcase
Company & Product Presentation 8
Financial drivers
• Cardiac-ward bed– 2500-7500 DKK/day
• ECGLink
– Typical 500 DKK/day
• Depends on license agreement
Company & Product Presentation 9
Status
• Stable technology– Matured for several years
• Commercially available– Since mid-2006
• In daily use at 6 danish hospitals– Moving approx. 30MB / patient
• Even the media found out...– http://www.berlingske.dk/article/20080313/danmark/703130052/
Company & Product Presentation 10
Limitations
• Patient selection is important– Non-risk patients only
– Response time
• GPRS/3G/4G/WiFi coverage– DK not a problem
• Cost– Roaming
Company & Product Presentation 11
Lessons learned
• Focus on usability is required– Battery change
– Charging
– Power-on
– Indicators
– Checklists and guidelines
• Training is vital– and so is follow-up
• Users like it– Patients, nurses & doctors
Company & Product Presentation 12
- more lessons
• Patient contact– Simple solutions work well
– VideoCall tried
• BT effective range is sensitive– Varies from 6m to 100m
– Device location is important
Company & Product Presentation 13
Challenges
• Market inertia– Budget owners <> decision makers
<> users
• Roaming cost– International
• Internet access from hospitals
Company & Product Presentation 14
Online Remote Monitoring of Cardiac Patients -conclusions
• Commercially available
• Happy users
• Works well
• Market inertia
