monitoring and diagnosis: wearable sensors in cardiac care ...dc38fc1d-996b-48e9-82cc...60 to 100...
TRANSCRIPT
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Monitoring and diagnosis:
wearable sensors in cardiac care
Swiss Re
Centre for Global Dialogue30th of November, 2016
Jon P. Otterstatter
Co-Founder, Chief Executive Officer
Copyright © Preventice Solutions, Inc. All Rights Reserved.
1. Humans emit an immeasurable number of physiological signals
2. Which sensors read and accumulate signals into data does matter
3. Converting the data into insight and information is essential
4. The greatest challenge of all is integrating into the workflow of the user
Presentation Message
2
Copyright © Preventice Solutions, Inc. All Rights Reserved.
60 to 100 bpm average resting heart rate
72 * 1,440 = 103,680 bpd
Raw ECG data per day
256hz sample rate = 2 bytes per sample per second
512 bytes per seconds = 30.7K/minute or 44.2M/day
44.2M * 4,500 patient days per day = 199.1B per day
Plus patient, device, event and alerting data
R to R interval, respiration, activity level, body position, battery level
4,500 patient days per day * 174K/day = 783M/day
199.1B + 783M = 199.8GB per day or 72.66TB per year
A day of heart beats
3
Copyright © Preventice Solutions, Inc. All Rights Reserved.
And what about the other inputs?
4
• Heart rate
• Respiration rate
• Activity level
• Body position
• Movement
• Feeling
• Blood pressure
• Weight
• Glucose
• SpO2
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Preventice Device Portfolio
5
• Heart rate
• Respiration rate
• Activity level
• Body position
• Movement
• Feeling
• Blood pressure
• Weight
• Glucose
• SpO2
BodyGuardian Verité
• One component
• Transmits data in
near real-time
• Symptoms &
activities capture
• Onset & offset of
arrhythmias, AF
• Query data
• Service for 30
days
Post-Event
• Documents
post-symptom
• Manual
recording only
• No lead wires
• Data sent over
landline phone
• Service for 30
days
H3+ Holter
• Compact
• Continuously
records
• Detects
arrhythmias
• Data must be
uploaded
• Service for
24 hours
BodyGuardian Heart
• Dual-component
monitor offers full
convertibility
between MCT and
CEM
• Automatically
detects and captures
data
• Seamless operation
allows continuous
near real-time
cardiac monitoring
for up to 30 days
Holter
Monitor
MCTNon-Looping
Event (CEM)
REMOTE MONITORING
CEM
BodyGuardian Holter
• Easy-to-read
display
• Allows for 3-
channel ECG
capture and
storage
• Convenient upload
capability
• Real-time ECG
data provides
immediate
validation of the
patient hook up
• Service for
24 hours
Holter
Monitor
MCT
CEM
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Sensor data as part of the whole…
6
Copyright © Preventice Solutions, Inc. All Rights Reserved.7
…care path scenario
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Entertainment Exercise Education Evaluation Diagnosis Treatment
FDA 510k
Easier More difficult
Longitudinal, analytical view of the patient
8
The sensor matters
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Data into insight
9
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Data into insight
10
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Workflow integration (user)
11
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Workflow integration (group)
12
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Evolution of EMR and workflow
13
+
Preventice Care Platform
Clinical andObservational
Patients
Data EMR Staff
Preventice
Monitoring Center
Provider Classic EMR (Transactional)
• View Health Records
• Schedule Appointments and get reminders
• Communicate with HCP
• Request Refills
• Pay Bills
Care Plan Management
RemoteMonitoring
Relationship Management
Integrated Analytics
Copyright © Preventice Solutions, Inc. All Rights Reserved.
EMR Integration is critical
14
Options for Integration:
Uni-directional with reports in various formats (PDF, TIFF, text, etc.)Bi-directional integration to enable easy enrollment.Uni-directional or bi-directional with discrete data elements.Encrypted transmission of HL7.
Benefits:
Reduce multiple data entries for patient demographic information.Eliminate manual processes (like faxes and photocopying).Ensure accurate placement of clinical reports into patient records. Streamline business process (via workflow automation).Enhanced value and utility of structured clinical data.
We partner with practices to integrate enrollment information and monitoring data into their
existing EMR.
Prior integrations with EMRs from Epic, Cerner, OnBase, eClinicalWorks, Allscripts, Epiphany,
NextGen, Athena, GE Centricity, and others.
Customer EMR Systems
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Wrapping it all together
15
PROVEN SENSORS
HIPAA-compliant SaaS
platform leveraging the
latest technologies to
securely integrate into
organizational workflows
INNOVATIVE SOFTWARE
UNRIVALED
SERVICE
Data from360°
Superior customer
experience for
patients,
physicians and
payers
Innovative remote monitoring
technologies to gather near real-
time data
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Data feeds the results
16
Copyright © Preventice Solutions, Inc. All Rights Reserved.
Data feeds the results
17
Better care
Better outcomes
It all begins with
better listening
What can better listening accomplish?
Designing the industry’s superior customer service
experience. Using data insights to create revolutionary
monitoring technologies and services that connect patients
and caregivers. A tech-enabled, service-based approach
can ultimately reduce the cost of care and improve health
outcomes.
Effective healthcare solutionsusing a portfolio of services,sensors and software.
Remote patient systems andsolutions that streamline themonitoring process.
Superior customer service
experience.
Talk to Preventice Solutions
We’re listening
Copyright © Preventice Solutions, Inc. All Rights Reserved.18
Basic Copyright Notice & Disclaimer
©2016 This presentation is copyright protected. All rights reserved. You may download or print out a hard copy for your private or internal use. You are not permitted to create any modifications or derivatives of this presentation without the prior written permission of the copyright owner.
This presentation is for information purposes only and contains non-binding indications. Any opinions or views expressed are of the author and do not necessarily represent those of Swiss Re. Swiss Re makes no warranties or representations as to the accuracy, comprehensiveness, timeliness or suitability of this presentation for a particular purpose. Anyone shall at its own risk interpret and employ this presentation without relying on it in isolation. In no event will Swiss Re be liable for any loss or damages of any kind, including any direct, indirect or consequential damages, arising out of or in connection with the use of this presentation.