Orange Team
CS 410
Spring 2009
Presented by: Jonathan Kriebel
02 April, 2009
1
Team ORANGE
Project Manager
Documentation
Software
Noah DiCenso
Chris Norton
Jonathan Kriebel
Hardware
Marketing
Finances/Risk Mgt.
Kevin Tindall
Jamil Pickett
Generoso Nunez
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2
So What’s the Problem?
A viable, practical, and Mobile solution for conveyance and tracking of
Patient Medical Information is needed within the hospital
environment!
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3
Who Does It Affect?
Patients
•
Concerned with current medical status
•
Uncomfortable awaiting scheduled procedures, tests, etc.
Families
•
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Concerned with medical status of loved ones
4
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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How is the Medical Establishment Affected?
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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Who benefits the most from our solution?
Use the device
• People who
frequent the
hospital
• People who
require
longer term
care
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View results remotely
• Elderly
• Children
• Terminally ill
• Patient’s
families
• Concerned
loved ones
7
Market Defined
• Hospitals
Can help to mitigate persistent problems
between patients/family and doctors/nurses
in a way that is meaningful.
• Nursing Homes
Can 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 device
2. 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
•
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Will Not Replace the Medical Record
15
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
partners
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Component Diagram (MFCD)
Remote client
Wireless access point
Internet
Mobile device
Remote client
Application server
Wireless control server
RFID
Database
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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
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
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•
View scheduled procedures
•
View completed procedures
22
Risk Matrix
P
R
O
B
A
B
I
L
I
T
Y
IMPACT
Negligible
Minor
Moderate
Serious
Unlikely
T1, T3, T4
M2, L1, L2
Possible
M1
T2
Major
Highly-Unlikely
Higly-Likely
Inevitable
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Risk Matrix Legend
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
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Competition Matrix
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
Accuracy of Data
x
x
x
x
Electronic Patient
Identification
x
x
x
x
x
Real-time data
x
Mobile
x
Complete
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Adaptability to current
systems
x
Low cost
x
Simple to use
x
Alerts provided
x
x
x
Patients perspective
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x
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Potential Problems
•
Medical Staff Buy-In and Adoption
•
Effective Integration With Existing Process
•
Data Security
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General risks & mitigation
Risk
Mitigation
•
HIPPA compliance
•
Seek Legal Counsel
regarding HIPAA
Compliance
•
Data Security
•
Use up to date data
security methods
and Industry
Standard Encryption
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Resource risks & mitigation
Risk
Mitigation
•
Qualified staff
•
Aggressive
development timeline
•
Market relevance
•
Conduct periodic
surveys and studies
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Other risks & mitigation
Risk
Mitigation
•
•
Doctor and Hospital
acceptance.
•
•
This device may open
up more Doctors and
Hospitals to lawsuits
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•
•
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
29
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
In short, MPA may not change your life… but
can it change the way you provide care for the
lives of your loved ones?
Can we and should we build it?
Yes we can…Yes we should!
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Questions and Answers
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