integrated approach to monitoring paediatric cases at home malcolm clarke - brunel alex jones – gt...
TRANSCRIPT
Integrated Approach to Monitoring Integrated Approach to Monitoring Paediatric Cases at HomePaediatric Cases at Home
Malcolm Clarke - BrunelAlex Jones – Gt Ormond StRussell Jones - Chorleywood
Case Study – Single Heart VesselCase Study – Single Heart Vessel
• Congenital abnormality of single heart vessel• Rare problem• Balance pulmonary and systemic blood flow• Prone to infection• Rapid deterioration• Small number specialist centres• Large distance to travel for review and management• Occupy valuable bed• Separation of family• Greater survival rate and longevity
Case Study – Single Heart VesselCase Study – Single Heart Vessel
• Desire to release from hospital but need safe environment at home• Frequent checks
– Nurse calls– Time consuming– Lack of objective information for management– Can be delay in recognising deterioration– Not pro-active
ApproachApproach
• Single platform– Extensible – add sensors for changing conditions and issues– Platform “grows” with child – change the sensor with age
• Inexpensive– Based on ubiquitous platform not bespoke– Deploy on wide scale – large number of conditions not specialist– Advantage of scale for cost and experience of use
• Simple to use– Not all families familiar with technology– Don’t add to complications of the family– Do not burden busy family– Optional aspects that “add value”
Telecare
Semantic interoperability
Functional interoperability
Telehealth Home controls
Protocol interoperability
Physical co-existence
Inter-related standardsInter-related standards
ApproachApproach
• Base on standards - IEEE 11073 • Apply guidelines – e.g. Continua Alliance• Support interoperability beyond immediate environment (in home,
out of the home, in the healthcare enterprise)
Continua ArchitectureContinua Architecture
7
NFC
HealthReportingNetwork
(HRN)Interface
Personal Device(PAN/LAN/TAN)
Weight Scale
Pulse Oximeter
Independent Living Activity
Cardio / Strength
Adherence Monitor
Glucose Meter
Pulse /Blood Pressure
Thermometer
Peak Flow
ApplicationHostingDevice
DeviceConnectivity
WideArea
Network(WAN)
Interface
WANDevice
HRN Device
EHR
PHR
NHIN
CCD
PCD 01
WaterGas
TemperatureFall
Low Energy
Integrated platformIntegrated platform
Simple home Simple home useuse
Home sensorsHome sensors
Clinician viewClinician view
Family viewFamily view
System investigatedSystem investigated
• SECA Model 336– Inexpensive base model– Internal connection for modules– Can be supplied with wireless USB and SECA proprietary protocol– Modified to take IEEE 11073 module using -10415 Standard Weighing
Scale• Nonin SpO2 Module and paediatric probe (not compatible with adult)
– IEEE 11073-10404• (Also investigate TaiDoc TD8201 Hand Held with paediatric probe)
ProgressProgress
• Proof of concept meetings with staff• Internal validation of sensors
What benefitsWhat benefits
1. Extensible range of devices
2. Single system for all patients3. Protect investment
– devices compatible and re-usable– lower cost
4. Modularise the system (common interfaces)a) Niche sensorsb) Specialist providers of system componentsc) Extend range of devices availabled) Improved system functionalitye) Competition from different device manufacturersf) Lower cost
5. Increased scalea) Can be used on patients with more prevalent diseasesb) System cost spread over more usersc) Lower cost
Innovative applicationsInnovative applications
1. Cardiac patients2. Many types of patients3. Extension to other centres
4. Instant install (by the patient)- Early discharge
- Reduce cost
5. System grows with need- Can support mother and child
- E.g. Pre-eclampsia (device can be mapped to patient)
Innovative applicationsInnovative applications
Malcolm Clarke
Department of Computer Science
Brunel University
Thank YouThank You