Monitoring Young Ones Shishu Suraksha Samadhan

NICU Connect

RTWO Healthcare Solutions, Bangalore

Save the Children Campaign

About 0.76 million neonates die every year in India, the highest for any country in the world. – HIGH MORTALITY RATEAbout 70% of infant deaths and more than half of under-five child deaths occur in the neonatal period, the first 4 weeks of life.The three major causes of neonatal deaths are preterm birth complications, infections, and intrapartum related complications; together, they contribute to nearly 90% of total neonatal deathsShortage of Specialist doctors, shortage of beds, and absence of mechanisms for timely repair of equipment are the usual challenges. Non availability of neonatal vital health information to specialist doctors where ever they are and on time.Manual Data Capturing errors in NICU may result in wrong diagnosis and treatmentMortality rate in Rural India is high during extreme cold and hot conditions

Monitoring Young One – Shishu Suraksha Samadhan ( NICU Connect)

Problem Statement Government Hospitals and Private

Hospitals Need to shift from isolated and error

prone manual recording system to end to end integration and digitization.

Revamp monitoring of vital neonatal data and critical indicators in NBCCs, SCNUs, NICUs during early stages of the birth so that doctors can understand and control the treatment on time

Provide the cost effective technology based infrastructure to enable local doctor in NBCCs ,SCNUs, NICUs to consult with specialist doctors

Provide infrastructure for continues monitoring facility in Transport ambulances

Encourage industry to develop high quality, affordable equipment for newborn care through facilitation, resources and recognition.

NICU Device Manufactures Need to shift from insolated device

mode to integrated solution mode Adapt HL7 Standardization Mode to

enable smoother integration of device data with EMRs

People Improved Children Survival Rate Adapt to technology based quality care

Implications

An Innovative and Cost Effective solution that connects the NICU device measurements to Nurse and Specialist doctors in station and remotely . Solution that focuses on first one or two weeks of life that accounts for 70% of the death.Provide a way of predicting life threatening deseasesthrogh technology for saving babies from going into crisis.The long duration of transport is considered a probable risk factor for adverse neonatal health.

Need Statement

Country 2011 2012 2013 2014 2015INDIA 44 43 41 39 38

RTWO Healthcare Solutions LLP

Business Unit – RTWO Healthcare Solutions LLP, Bangalore

• Business Driver :Device Integrated Neonatal / ICU Monitoring and Dental solutions are the

major product portfolios for the company. Connecting device centric operations connected with mobile devices for remote monitoring is need of the day for better delivery of quality healthcare with affordable cost. Building smart device solutions through Internet of medical things.

• Objective : Strive towards building healthcare IT solutions for specialties like Dental and

Critical Care (Emergency , ICU and NICU).

• Team :• 5 Software Development Engineers• 4 Interns through University Collaborations. • 3 Consultant Architects and Senior Developers• Collaboration with Confident Electronics and Fanem Medical devices for

Electronics, Device and Channel Partnership

RTWO Healthcare Solutions LLP

Our Channel Partners • Fanem Medical Devices

Fanem is a Brazilian #1 multinational company, pioneer in the manufacturing of medical and laboratory equipment. It is the supplier and manufacturer of baby puff, infant warmer, radiant warmer, open care system , resuscitation warmer, phototherapy or LED phototherapy, Baby Incubators

• Confident Electronics:Confident Electronics is the R & D center for Electronics Board manufacturing

process. The company designs and Manufactures Electronics for Medical Devices and Non Medical Operations like Metro and Automobile

• Confident Dental Equipments CONFIDENT DENTAL EQUIPMENTS LTD. is one of the largest manufacturers of

Dental & Medical Equipments in India. The company is operating with workforce of more than 600 employees, 15 Branches with Dealers, Freelancers, Sales and Service Network throughout the country.

RTWO Healthcare Solutions LLP

Delayed Treatment == Denied Treatment

Patient Data is here It has to be here as well

NICU Connect – Scope of ContributionCONNECTED APGAR SCORING

2 hrs 10 hrs

Alert

Critical Parameter Monitoring, Transfer and Alert ( NICU Connect)

2days

Identify the Variation

and Transfer the info to Specialist

Remote Consultation and Action

Taken

Predict the crisis

Avoid Crisis

1 min 5 min 10 min 15 min 20 min 25 min

Onset of Crisis

(Sepsis)

In Observation

Baby Born

Sepsis Crisis

Transforming from device product to solution HL7 Compliance to the Devices Improve Market Value by providing integrated solution Leverage Vital data for research and development

Connect NICU to Neonatologist to understand and control the treatment on time . Improve Nursing care by automating vital parameter. recording , hence avoiding errorsPredicting the diseases before crisis.Round the clock monitoring of the neonates through parametersImprove the efficiency of specialists.Provide quality care at affordable cost.

Private Hospitals Reduce Child MortalityConnect NICUs, NBCCs with Specialized Neonatal Care Centers Continues health monitoring in transport ambulances Make Specialized Neonate consultation available every where.Reduce the Gap between NBCC and SCNUsConnected APGAR Provide quality care at affordable cost

The GovernmentBetter quality of care at lower costHigher survival rate due to availability of specialist care always Save their children

PeopleDevice Manufactures

RTWO Healthcare Solutions LLP

NICU Connect – Value Proposition

NICU Connect – Scope of Remote Monitoring

Avoid Crisis

NICUs / CENRAL MONITORING CENTER

NBCCSCNUs

NBCC

SCNUs

Existing Alternatives• No NICU specific remote monitoring solutions are available in the

market. • Current remote ICU solutions require huge IT investments and

making them expensive and unviable solution for smaller NICU setups.

Source : National Health Mission Report

RTWO Healthcare Solutions LLP

Healthcare Infrastructure to deliver new born care

Source : National Health Mission Report

RTWO Healthcare Solutions LLP

Typical NICU Clinical Devices Data ICU Bed• Weights, Verities of Alarms, Advisories …

Incubators • Body Temperature, Weight, Spo2 …

Phototherapy• Body Temperature, Weight, Spo2 …

Physiological Monitoring • Vital Signs with Alarms, Advisories …

IV Pump• Delivers medication as prescribed and reports drug therapy delivery, alarms,

advisories and events …

Ventilator• RR, Tidal Volume, Saturated O2 …

Bed Side DevicesNICU Monitoring

Solutions Hospital Enterprise Solutions

HIS EMR LAB CPOE …

DeviceInterfaces

SystemInterfaces

Device Connect and System Interoperability

13 Device Interfaces

Single DeviceAdapter and HL7 Export

Multi DeviceAdapter and HL7 Export

Clinical Focus – Predictability

• SEPSIS Predicting SEPSIS using heart rate variation Connecting with device integrated data.

• ASPHYXIA Predicting Asphyxia using heart rate variation and

Oxygen Saturation

• ARDS Predicting ARDS using SPO2 or FIO2

NICU Connect – Big Picture & Scope

Cloud

Remote Monitoring

during transport

NICU Occupancy

ICU Bed Occupancy

Critical Device Occupancy

NICU Remote Monitoring and Remote Consultation

Connected Devices

HIS / EMR Integration

HL7 Export and Device Compliance