Team ORANGE
02 April, 2009 3
Project ManagerNoah DiCenso
SoftwareJonathan Kriebel
HardwareKevin Tindall
MarketingJamil Pickett
DocumentationChris Norton
Finances/Risk Mgt.Generoso Nunez
So What’s the Problem?
02 April, 2009 4
A viable, practical, and Mobile solution for conveyance and tracking of Patient Medical Information is needed within the hospital
environment!
Who Does It Affect?
Patients
• Concerned with current medical status
• Uncomfortable awaiting scheduled procedures, tests, etc.
Families
• Concerned with medical status of loved ones
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How is the Medical Establishment Affected?
Doctors and Nurses• Often must repeat instructions, etc. for concerned family
Hospitals
• Helps reduce malpractice - patient conveyance of info is
recorded - and can show that the patient did not divulge
important facts
• Uninformed families seeking information impede efficient
hospital operations
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Communication• Patients/families should have access to up to date medical
information
Coordination• Better patient care can be arranged if patients/families are
“in the loop”
Cooperation• Patients/family are better care partners with access to up to
date medical information
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How is the Medical Establishment Affected?
Who benefits the most from our solution?
Use the device View results remotely
• Elderly• Children • Terminally ill
• People who frequent the hospital
• People who require longer term care
• Patient’s families
• Concerned loved ones
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Market Defined• Hospitals
Can help to mitigate persistent problems between patients/family and doctors/nurses in a way that is meaningful.
• Nursing HomesCan provide the perfect environment for the mobile advocate because of the increased emphasis on a closed medical environment.
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Proposed Solution
A mobile device that will allow Patients and their families to
centrally store and access up to date information about the
patient’s current medical and treatment status.
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Solution Capabilities
Voice Recording
• Audio Recording of Doctor/Patient Notes
Electronic ID Detection
• Identifies Patient
• Identifies Medical Personnel
Manual Text Entry
• Supports Conventional Note Taking
• Patient tracking/scheduling
• Tracks current patient location in hospital
• Maintains list of pending tests/procedures
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Through the door…
1. Patient checks in to hospital and rents device2. Doctor/Nurse visits
• Patient can scan Dr/Nurse id with device• Patient can record pertinent notes for later review
3. Doctor schedules procedure• Patient can view list of outstanding procedures• Patient is notified when gurney man is en route
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…to the procedure lab…
4. Patient on Gurney• Patient’s location track updated to which gurney and time
5. Patient arrives at procedure lab• Patient’s location track updated with location and time• Any pertinent discussion with lab technicians, etc. can be
recorded
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…back to the room…
6. Patient on Gurney• Patient’s location track updated to which gurney and time
7. Patient Back in Room• Patient’s location track updated with location and time
8. At the end of the day• Results stored to server for later potential review• Results are deleted to maintain privacy
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…and out the door!
9. Patient is discharged• Patient has option of saving electronic recordings and tracks• Data is wiped from device and server
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What it will do
• Will allow patient and family members to access pertinent
medical data
• Will track patient tests/procedure, etc
• Will notify patients when gurney man is en route to transport
patient to test/procedure
• Will Not Replace the Medical Record
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Benefits
Improved:
• Efficiency of Patient Data Management
• Patient Tracking
• Patient Care
• Patient and Family Advocacy
Reduced:
• Medical Malpractice Lawsuits (Potentially)
Increased:
• Interoperability for Medical Staff and Patient/Family as
care partners02 April, 2009 17
02 April, 2009 18
Component Diagram (MFCD)
Wireless access point
Mobile device
RFID
Database
Wireless control server
Remote client
Internet
Application server
Remote client
Hardware issues
Patient created content – Security
• Data needs to be protected from unauthorized access
• Ensure device to server and device to person security
– Space on mobile device • Requires large amount of space on device
– Voice data – Scheduled events – Basic vitals
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Hardware “The Bones”
Mobile Device
• Interfaces with Server
• Identifies medical staff
• Receives alerts
• easy to use - simple push of record and pause, etc for very ill
patients
Wireless access points
• Provide coverage for mobile device throughout the hospital
campus
• Supports encryption to be HIPAA compliant
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Hardware continued
Servers
• Provide access control and authentication to the wireless
network
• Host the database servers which contain patient and user
information
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Software "The Brains"Mobile Device Software
• Java Interface
Database
• Provide coverage for mobile device throughout the hospital
campus
• Supports encryption to be HIPAA compliant
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Website features
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Secure Login
• SSL using latest encryption
• Secure data access
• Role based security for various family members
Access to patient created data
• Audio file storage for limited time
• Patient tracking updates
• View scheduled procedures
• View completed procedures
Risk Matrix
2402 April, 2009
PROBABILITY
I M P A C TNegligible Minor Moderate Serious Major
Highly-Unlikely
Unlikely T1, T3, T4 M2, L1, L2
Possible M1 T2
Higly-Likely
Inevitable
Risk Matrix Legend
2502 April, 2009
Item Technological Risk Probability Impact
T1 Website Outage 2 3
T2 Data Security 3 4
T3 Device Malfunction 2 3
T4 Hospital Process Integration 2 3
Item Legal Risk Probability Impact
L1 HIPPA Violations 2 4
L2 Hospital Lawsuit Risk 2 4
Item Market/Financial Risk Probability Impact
M1 First to Market 3 3
M2 Doctor’s Approval 2 4
Competition Matrix
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Prognosis eCare Aware Gateway MedProtocal Designer eClinicalWorks AccuNurse MPA
Secure –HIPPA Compliant x x x x x x x
Role Based Security x x x x x
Accuracy of Data x x x x x x x
Electronic Patient Identification
x x
Real-time data x x x x x x x
Mobile x x x x x x
Complete x x x x x
Adaptability to current systems
x
Low cost x
Simple to use x
Alerts provided x x x
Patients perspective x
Potential Problems
• Medical Staff Buy-In and Adoption
• Effective Integration With Existing Process
• Data Security
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General risks & mitigation
Risk
• HIPPA compliance
• Data Security
Mitigation
• Seek Legal Counsel regarding HIPAA Compliance
• Use up to date data security methods and Industry Standard Encryption
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Resource risks & mitigation
Risk
• Qualified staff
• Market relevance
Mitigation
• Aggressive development timeline
• Conduct periodic surveys and studies
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Other risks & mitigation
Risk
• Doctor and Hospital acceptance.
• This device may open up more Doctors and Hospitals to lawsuits
Mitigation• Demonstrate to the Hospital that
this will help them enforce code of conduct and other standards on there staff
• Improve public image and patient trust. They don’t have anything to hide
• Work with staff to ensure successful integration
• Show the benefits of this device which includes more revenue and patient trust
02 April, 2009 30
Return On Investment
Hospital/Insurance Companies
• Reduced malpractice
• Reduced repeated information to patients
• Reduced patient advocacy work for nurses
• Increased accuracy/timeliness of decision making
• Increased patient care
• Can defray cost by renting MPA device to patient
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Conclusion
02 April, 2009 32
In short, MPA may not change your life… but can it change the way you provide care for the
lives of your loved ones?
Yes we can…Yes we should!
Can we and should we build it?