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ASighofReliefforPatientswith
ChronicDiseases
©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved.
TableofCo...
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Healthcar...
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Sl.No
1
2...
Challengesintheexistingsolutions:
MostmedicaldevicesdonotgatherdatainthestandardformatspecifiedbytheContinuaHealthAlliance
...
Cloud–providescloud-baseddatastorageanddataanalyticsforeffectivedecisionmakingby
healthcaremanagement.
Theapplicationhosted...
©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved.
ASighofRe...
Ifanyofthevital
parameterfall
outsideofa
pre-specified
normalrangefor
Ms.XYZ,thealertis
senttoherdoctor
andsonandson
Figure...
Conclusion
DataCollection&Transmission
ThepatientwearsthePHDwhichcollectshis/hervitalsignsperiodically,orasadvisedbythe
ph...
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A Sigh of Relief for Patients with Chronic Diseases

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This paper presents a solution for remote health monitoring for chronic diseases like chronic diseases like diabetes, asthma, cardiac arrhythmia, sleep disorders, and hypertension. It commences with the definitions for a better understanding of the terms used, and then excavates into perceiving what technology-enabled care is.

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A Sigh of Relief for Patients with Chronic Diseases

  1. 1. ASighofReliefforPatientswith ChronicDiseases
  2. 2. ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. TableofContents Abstract Abbreviations MarketTrendsandChallenges Solution CaseStudy ConclusionConclusion Reference AuthorInfo 1 3 4 4 5 8 99 10 10 TableofContents
  3. 3. ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. Healthcareprovidershavealwaysendeavoredtoprovidethebestcareacrossallsegmentsofthepopu- lation.Severalfactors,suchastheavailabilityofresources,reachability,andservicecosthavemadethisgoal quitedifficulttoaccomplish.Healthcaresystemsarestrugglingtoimprovequalitycareinthefaceofchal- lengessuchasthegrowingdemandsofchroniccarepatients,alessernumberofclinicians,andasystem beingrequiredforthetreatmentofacuteconditions. AccordingtoWHO,chronicdiseasesareamajorcauseofprematuredeaths,accountingfor60%ofallsuch deathsworldwide.Incidencesofchronicdiseasearerisingandhugecostsarebeingincurredtoprovide healthcaretotheaffected.Theleasteffectivewaytoprovidecareforsuchpatientsisthroughhospitals, becauseoftheriskofinfection.Variousstudieshaveconfirmedthatcareforchronicconditionsisbestdeliv- eredathome,anddeliveringremotecarecansignificantlyreducethechancesofinfectionandhospitalvisit frequency. WithWiththeemergenceoftransmutingtechnologies,therearehumongousopportunitiesforprovidersand patientstoexplorenewmethods,givinganewmagnitudetohealthcare.RemotePatientHealthMonitoringis onesuchtransmutingtechnologythatisemerginginthehealthcaremarket,whichaimstoimprovethe qualityofcareprovidedtopatientswithchronichealthconditions.Suchasystem offerspatientmonitoring outsideoftheconventionalclinicalsetting,andaimsatincreasingaccesstohealthcareserviceswhile bringingdownthedeliverycost. ConnectedConnectedhealthcaresystemshelphealthserviceproviders’accesspatienthealthdataremotelytopre- scribemedicinesordiagnostictestswithoutthepatientactuallybeingpresentatthehospital.Thisallowsthe patienttobemonitoredforphysiologicalhealthparametersusingmedicaldevicesthatcancaptureandsend thesehealthparameterstotheserver.Thedataintheserverisfurthersecurelyprocessedasperthestan- dardizedmedicaldataformat.Thedatacanthenberetrievedbyhealthcareserviceprofessionalsforan accuratediagnosistoprescribetherightmedicinestothepatient. Thispaperpresentsasolutionforremotehealthmonitoring.Itcommenceswiththedefinitionsforabetter understandingofthetermsused,andthenexcavatesintoperceivingwhattechnology-enabledcareis. Abstract ASighofReliefforPatientswithChronicDiseases|3
  4. 4. ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. Sl.No 1 2 3 4 EMR PHR PHI HL7 ElectronicMedicalRecord PatientHealthRecord PatientHealthIndex HealthLevel7 FullFormAcronyms Accordingtoastudy,morethan200millionpeopleintheworldsufferfrom oneormorechronicdiseaseslike diabetes,asthma,cardiacarrhythmia,sleepdisorders,andhypertension.Theseconditionsreduceboth-the qualityoflifeandexpectancy,andalsocausesubstantialcosts. AnAnincreasinglyageingpopulationburdensthehealthcaresystem.In2010,207millionpeopleworldwide wereovertheageof75years.Thisfigurewillreach265millionby2020.Withtheincreaseintheageingpopu- lation,asignificantlyhigherburdenwillrestonthehealthcaresystems.Therewillbeaneedtoachieve“value formoney”withinhealthcarebudgets.Astheageingpopulationdesirestocontinuelivingindependently foraslongaspossible,thereisaneedforassistedlivingsolutions. Thehealthcaremarketismovingfrom apay-for-servicetoapay-for-outcomesmodelforcaredelivery,which isbeingdrivenbythreemajorforces: Patientswithchronicillnesseswantabetterqualityoflifeandpreferminimal hospitalvisits,therebyretainingtheirindependence,preventingcomplications,and minimizingtheirhealthcarecosts. Payerswanttoensurelowerinsurancepayoutsbyreducinghospitalizationtimeand controllinghospitalvisitsandadmissions. Careprovidersconfrontincreasingcostpressuresoftheburdenonthehealthcare deliverysystem broughtaboutbyanincreaseinpatientvolumes. MarketTrendsandChallenges Abbreviations ASighofReliefforPatientswithChronicDiseases |4
  5. 5. Challengesintheexistingsolutions: MostmedicaldevicesdonotgatherdatainthestandardformatspecifiedbytheContinuaHealthAlliance Highpowerconsumptionbyexistingmedicaldevicesposesaproblem forthepatienttomove around,affectingtheirqualityoflife Problem inintegrationwithexistingEMR Notoperatinginasecureenvironmentthatprotectsdataintegrityandconfidentiality Donotofferscalabilitytoaddnewerdevicestoanexistingremotepatientmonitoringsolution Thesolutioncomprises: APersonalHealthDevice(PHD)–awearabledevicethatcollectsvitalparametersofthepatient. Comprisesofvarioussensorsthatcollectapatient’sphysiologicaldatasuchasECG,SpO2,body temperature,heartrate,andbloodpressure Hasconnectivity,tosendthedatatoacloud Thefollowingsolutionisidealtoprovidecareathomeforpatientswithchronicdiseases.Itinvolvesa home-basedmonitoringsystem thatintegratesthepatient’svitaldatawiththeEMR,therebyenablingphysi- cianstoremotelymonitorthehealthofthepatient. Thissolutionaimsatachievingahighlevelofpatientengagementandcareacrosstheglobe. Figure:SolutionDesign ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. ASighofReliefforPatientswithChronicDiseases |5 Solution
  6. 6. Cloud–providescloud-baseddatastorageanddataanalyticsforeffectivedecisionmakingby healthcaremanagement. Theapplicationhostedonthecloudprovidesinteroperabilityandensurestheintegrationof patientdatawithpresentMedicalHealthRecordsbytranslatingthereceiveddevicedatainto IHEprofiles Sendsalerts,reminders,consultation,andmonitorspatientdataviamobileandwebapplication The4C’softheSolution Figure:4C’sillustrated ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. ASighofReliefforPatientswithChronicDiseases |6 SolutionFeatures Portable,wearabledeviceforhasslefreemovement Installationrequiresnopatientintervention–justpoweron thedeviceanduse Alwaysavailable,transmitsdataatanytimeofday Real-timeaccesstothepatient’sdatafordoctors–provides betterclinicaloutcomesforpatientsoutsidethehospital Reducesre-admissionrisksbycontinuouslymonitoringthe patient ThresholdMonitoring-Onreachingpatient-specificthresh olds,sendsanalertviaSMSoremailtothecaregiver/physi cian Flexiblearchitecturewithsupportforaddingmultiple sensors ValueProposition -Improvedpatientexperience -Independencetoeffectively self-managehealth -Reducedhealthservicecost -Seamlessplug-n-playoperation --EasyintegrationwithEMR -Secureclouddatastorage -Optimizeduseofhealthcare serviceresources -Scalablesolution ·Anytimeanywhereavailabilityof realtimevitalpatientdata ·Easytousesolution ·Easyintegrationofpatientdata withEMR Cardinal ·Helpsinachievingthegoal ·Devicerecordsandtransmits realtimedatatophysician Coordinator ·Timelytreatment ·Reducedhospitalvisitand durationofhospitalstay ·Improvedqualityofhealthcare andreducedcostofdelivering care Completeness ·Transform thewayhealthcare serviceisdelivered ·Personalcaredeliveredwithin thecomfortofthehome ·Optimizeduseofmedical resources Conclusion
  7. 7. ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. ASighofReliefforPatientswithChronicDiseases |7 Whowillbenefitfrom theSolution? Patients Patientswillbenefitfrom lowcostpersonalhealthmonitoringathome. Improvedqualityoflife Real-timesupportandinterventions Extensionofcareathomeafterdischargefrom thehospital,therebypreventingemergencies andre-admissions Reducedhospitalstays CareProviders ThedeviceoffersPHI,makingiteasyforcaregiverstoascertainthehealthstatusofapatientin ablink Easyaccesstoapatient’shealthdata Regardlessofpatientlocation,thedevicecontinuouslymonitorsthepatient’shealth Reducedcostfrom readmissionsandhospitalstays HealthcareServiceProviders Abletoserveanincreasinglylargenumberofpeople Reducethechancesofinfectionfrom chronicdisease Optimizeduseofhealthcareservicesandresources PatientdataisintegratedintotheEMR InsurancePayers Reducedcostofcare Providesdashboardstocliniciansforhealthmanagementanddecisionmaking Providesapatientportaltothecaregiverforaccesstohealthinformationandtreatmentplans Allowsavailabilityofhealthcareservicestomorepeopleatanygiventime,therebyoptimizingtheuseof healthcareresources
  8. 8. Ifanyofthevital parameterfall outsideofa pre-specified normalrangefor Ms.XYZ,thealertis senttoherdoctor andsonandson Figure:SolutionDeployment ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. ASighofReliefforPatientswithChronicDiseases |8 MeetMs.XYZ.Sheis52yearsoldandhasdiabetesandcardiacarrhythmia.Sheis abletolivesafelyathome,thankstotheproposedremotehealthmonitoring solutionthatmonitorsherhealthwithouttheneedoffrequentvisitstothedoctor. CaseStudy Thedatafrom thePersonalHealthDevicesignalshercareteam (cliniciansandfamilymembers)whensupportisneeded. ThePersonalHealthDeviceautomaticallyuploadsthevital readingsviaasecurewirelessconnectiontoXYZ'spersonal healthrecord. Ms.XYZperformsherdailychores,mentallyassuredthatherMs.XYZperformsherdailychores,mentallyassuredthather doctorismonitoringhercondition.Basedonthevitalreadings,a changeinmedicationdosageisrecommendedandcommuni- catedbacktoherwhenneeded.
  9. 9. Conclusion DataCollection&Transmission ThepatientwearsthePHDwhichcollectshis/hervitalsignsperiodically,orasadvisedbythe physician DatacollectedbythedeviceissenttothecloudovertheInternet DataAnalysis Thepatient’sdataisanalyzedandtransformedaspermedicalstandards.Thetransformed dataisthentransmittedtotheEMRsystem. Vitalsignsdataiscomparedagainstapre-specifiedreferencerangeorthreshold,toidentify ‘outofnormal’rangereadings.Alertsandnotificationsaregeneratedtothecaregiverand membersoftheclinicalteam,cautioningthem oftheabnormalreadings. Theclinicianhasaccesstotheweb-portaltoreviewthepatient’sinformation.Theweb-portal offersthefunctionalitytomakeclinicalnotes,andmodifythepatient’streatmentplan.Once thetreatmentplanisupdated,analertissenttothecare-givertoviewtheupdatedplanon thepatient’sportal. ©2015,HCLTechnologies.ReproductionProhibited.ThisdocumentisprotectedunderCopyrightbytheAuthor,allrightsreserved. ImplementationSteps Theusefulnessofusecasevariesbasedonthefollowingkeypoints: Thereisahighdegreeofinconstancyinmaintainingpatientdata.Theproposedsystem isgenerally deployedinco-existencewithlegacysystemsusedtomanagepatienthealthcare,andtypically,verylittle integrationexists. Thetype,frequency,andscheduleoftheinformationcollectedfrom thepatientishighlydependenton thepatient’sconditionandotherfactorsprevailinginthesystem.Thedatacollectedistransformedinto standardizedinformationbyusingmachinecomputabilityandadvancedanalytics. Asthepervasivenessofchronicdiseasealarminglyrises,thestrainontheworldeconomyandhealthcare system cannotberelievedwithoutthecreationofaninnovative,cost-effectivesolutionthatinvolvespatients proactivelymanagingtheirhealthcare. Thesolutionfulfilstheneedsofpatients,careprovidersandpayers,andeffectivelyaddressestheproblem of deliveringcareforchronicconditions.Itaimsattransformingthehealthcaremarkettobecomemoreaccessi- ble,available,andaffordableforall,andthehealthcareservicecostforbothpatientsandtheGovernment providingpublichealthsystems,canbesignificantlyreduced. ASighofReliefforPatientswithChronicDiseases |9
  10. 10. Formoredetailscontact:ers.info@hcl.com Followusontwitter:http://twitter.com/hclersand Ourbloghttp://www.hcltech.com/blogs/engineering-and-rd-services Visitourwebsite:http://www.hcltech.com/engineering-rd-services Hello,I’m from HCL’sEngineeringandR&DServices.Weenabletechnologyledorganizationstogotomarketwithinnovativeproducts andsolutions.Wepartnerwithourcustomersinbuildingworldclassproductsandcreatingassociatedsolutiondeliveryecosystems to help bringmarketleadership.Wedevelop engineeringproducts,solutionsand platformsacrossAerospaceand Defense, Automotive,ConsumerElectronics,Software,Online,IndustrialManufacturing,MedicalDevices,NetworkingandTelecom,Office Automation,SemiconductorandServers&Storageforourcustomers. ThiswhitepaperispublishedbyHCLEngineeringandR&DServices. Theviewsandopinionsinthisarticleareforinformationalpurposesonlyandshouldnotbeconsideredasasubstituteforprofessional businessadvice.TheusehereinofanytrademarksisnotanassertionofownershipofsuchtrademarksbyHCLnorintendedtoimply anyassociationbetweenHCLandlawfulownersofsuchtrademarks. FormoreinformationaboutHCLEngineeringandR&DServices, Pleasevisithttp://www.hcltech.com/engineering-rd-services Copyright@ HCCopyright@ HCLTechnologies Allrightsreserved. HarshaVachher HCLEngineeringandR&DServices Reference AuthorInfo [1]http://en.wikipedia.org/wiki/Remote_patient_monitoring [2]http://searchhealthit.techtarget.com/definition/remote-patient-monitoring-RPM [3]http://www.preventice.com/mobilehealthsolutions/remotemonitoringsolutions/ Thesolutionbenefitspatients,caregivers,andhealthserviceprovidersbyoffering: Consistentandinstantdataavailability Datasecurityandconfidentiality Widersupportofmedicalhealthstandards Easytousefeatureslikereal-timedatadisplay,PHIandfeedback TheThesolutionmakespatientcareathomearealitybyreducingthecostofservicedeliveryandtheinsurance cost,whilealsoimprovingthepatient’sexperience. ASighofReliefforPatientswithChronicDiseases|10

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