Milestone Presentation
Phase III Communicator
Aaron Auger
Jonathan Holloran
Justin Hollingsworth
7/26/2016
Kimberly Cook
Masudur Rashid [Jitu]
Zachary Young
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Organizational Chart
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Contents
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Societal problem
Our solution
Project schedule
Funding Plan
Budget
Marketing Plan
Management Plan
Evaluation Plan
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Cardiac Rehabilitation Phases
Phases of Cardiovascular Rehabilitation
 Phase I
 Inpatient
 Hospital staff will take the patient for a walk
 Phase II
 Outpatient
 Patients come into the hospital for monitored exercise
 Phase III
 Maintenance
 Patients have to exercise on own
 Usually joining a gym or recreation center
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Problem
 Individuals with cardiovascular diseases
that do not continue in a proactive
approach to improving their well-being
are more susceptible to future
cardiovascular problems.
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Characteristics of the Problem
 Patients who participate in Phase III are 20-30%
less likely to die as a result of cardiac issues2
 Cardiovascular Disease in America
 61.8 Million Americans with a CVD1
 945,836 Americans die each year from CVDs1
 Low rate of Phase III participation generally
attributed to lack of motivation and knowledge
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2
1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association
ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third
Edition, 2003.
6
Characteristics of a Solution
 Foster communication between healthcare
professionals and phase III patients
 Provide a forum for patients to communicate
together
 Incorporated with hospitals
 Easy to use
 Workout Tracking
 Give health care provider a way to monitor and
motivate a large number of people with minimal
staff
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Support for Solution
 Anything that fosters communication between a cardiac
rehabilitation patient and his/her healthcare provider is
“invaluable.”
 Dr. David Swain, PhD FACS
 “It breaks my heart” to see patients regress after leaving
phase II
 A low cost communication option is a “great idea”
 Considered communication program, but it was too
expensive
 Jennifer Bloomquist, Head of Cardiac Rehabilitation Balboa Naval
Hospital
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Stanford Study1
Control Group n = 300
Standard procedures for phase III
patients
Assumed normal dropout rates
Experimental Group n = 300
Received phone call from nurse
Higher participation rates
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1The
American Journal of Cardiology Volume 79, Issue 1 ,
1 January 1997
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Proposed Solution
A software application designed to track specific
characteristics of physical fitness in cardiac
rehabilitation patients and facilitate continued
communication with healthcare providers.
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Functional Component Diagram
P3C Server
Internet
P3C Client
Home Users
Hospital Network
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P3C Application Software Overview
GUI
GUI
GUI
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Alert Criteria
Patient participation low
Patient health progress is slow
Patient threshold values exceeded
Patient communication frequency
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P3C Communication Model
Active Participant
Slacker
Alert Phone Call
Periodic Phone Call
Email
Chat
Alerts
Extra Motivation
Q&A
Exercise Updates
Phase III Patients
Friendship
Motivation
Collaboration
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Information Sharing
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System Requirements
 Linux Server
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P3C Server Software
Netscape/Apache Web Server
Database
Web Browser
Internet Connection
PGP/PKI
 Client PC
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Personal Computer
P3C Client Software
Internet Access
Email Access
Web Browser
PGP/PKI
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Prototype Requirements
 Required Hardware
 Two personal computers
 One personal computer
 Home user\Health provider client
 Personal computer to simulate server
 P3C Server software
 Handle website
 Database Server software
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Phase 0 and I
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Phase II
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Phase III
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Management Structure – Phase I, II, & III
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Funding Plan
 Small Business Innovation Research
Program (SBIR)
 Phase I – Max $100,000 from SBIR
 Phase II – Max $750,000 from SBIR
 Phase III – Insurance Partnerships
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Phase I Budget
Resources (Personnel)
Project Manager
Software Engineer III
Software Engineer II
Medical Advisor
Financial Analyst
Software Quality Assurance
Phase I
Yearly Salary Work Length
$72,764
141 Days
$69,596
41 Days
$56,596
41 Days
$55,940
41 Days
$67,732
35 Days
$52,398
48 Days
Total Personnel Salaries Costs
Required Hardware Resources
mySQL License
2 Copies of VS .Net Professional
6 Copies MS Office 2k3 Professional
Test Server
6 Computers ($1056 per PC)
Salaries
$28,108.83
$7,817.63
$6,402.40
$6,283.67
$5,644.33
$6,890.30
$61,147.16
Costs
$449.00
$2,158.00
$2,694.00
$1,499.00
$6,336.00
Total Non-Personnel Costs
Phase I Budget Summary
Total Personnel Costs
Total Hard Resources Costs
Administrative Costs (40% of Personnel Costs)
Total Phase I Budget:
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$13,136.00
Amount
Source: www.salary.com Median Salaries for Zip Code 23454
$61,147.16
$6,336.00
$24,458.86
$98,742.02
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Phase II Budget
Resources (Personnel)
Project Manager
Software Engineer III
Software Engineer II
Software Engineer II
Medical Advisor
Legal Advisor
Quality Assurance
Web Developer
Data Architect
Phase II
Yearly Salary Work Length
$72,764
22 Months
$69,596
12 Months
$56,997
12 Months
$56,997
12 Months
$55,940
12 Months
$91,278
1 Week
$52,398
6 Months
$58,092
22 Months
$76,147
4 Months
Total Personnel Salaries Cost
Required Hardware Resources
1 Copy of VS .Net Professional
3 Copies MS Office 2k3 Professional
1 Copy of Dreamweaver MX 2004
3 Computers ($1056 per PC)
Webhosting ($200 per month)
Miscellaneous Costs
Total Non-Personnel Costs
Phase II Budget Summary
Total Personnel Costs
Total Hard Resources Costs
Administrative Costs (40% of Personnel Costs)
Total Phase II Budget
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Salaries
$133,400.67
$69,596.00
$56,997.00
$56,997.00
$46,616.67
$1,750.54
$26,199.00
$106,502.00
$25,382.33
$523,441.21
Costs
$1,079.00
$1,347.00
$399.00
$3,158.00
$4,400.00
$5,000.00
$11,423.00
Amount
$523,441.21
$11,423.00
$209,376.48
$744,240.69
Source: www.salary.com Median Salaries for Zip Code 23454
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Phase III Budget
Phase III
Resources (Personnel)
Yearly Salary Work Length
Project Manager
Quality Assurance
Product Marketing Analyst III
Sr. Documentation Specialist
Web Developer
$72,764
$52,398
$62,772
$65,536
$58,092
7 Months
9 Days
7 Months
7 Months
7 Months
Total Personnel Salaries Cost:
Required Hardware Resources
Webhosting ($200 per month)
Total Non-Personnel Costs:
Phase III Budget Summary
Total Personnel Costs
Total Hard Resources Costs
Administrative Costs (40% Personnel Costs)
Total Phase III Budget
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Salaries
Source: www.salary.com Median Salaries for Zip Code 23454
$42,445.67
$1,292.00
$47,079.00
$38,229.33
$33,887.00
$162,933.00
Costs
$1,400.00
$1,400.00
Amount
$16,933.00
$1,400.00
$65,173.20
$229,506.20
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Budget Recap
Costs
Total Personnel Costs
Administrative Costs
Total Hard Resources Costs
Total Phase Budget
Phase I
$61,147.16
$24,458.86
$13,136.00
$98,742.06
Total Budget:
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Phase II
$523,441.21
$209,376.48
$11,423.00
$744,240.69
Phase III
$162,933.00
$65,173.20
$1,400.00
$229,506.20
$1,072,488.71
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Customer
Hospitals
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Providing or looking to provide phase III
cardiac rehabilitation
Desiring better services to market to customer
Hospital’s expenses
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Hospital client
Server
Additional staff
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Industry Partners
Insurance Companies
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$26.3 billion in payments to Medicare
beneficiaries for hospital expense due to
CVDS [Average $7,883 per discharge] 1
Total cost – $351.8 billion1
Insurance companies’ expenses
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User client
Monthly service fees
1
Heart Disease and Stroke Statistics – 2003 Update, American Heart
Association
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Target User
Cardiovascular Disease Patients
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Those who have already experienced a CVD
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50 % of all heart attacks are recurrent1
70 % of all CHD(coronary heart disease) deaths1
Those with a high risk for future CVD
Primary Focus -- Ages 35-60
Internet User
Deal with Cardiovascular Diseases
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Almost 150,000 Americans under 65 die each year from a CVD 1
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Increasing percentages of Cardiovascular Diseases
1 Heart
2
Disease and Stroke Statistics – 2003 Update, American Heart Association
NTIA and ESA, U.S. Department of Commerce, using U.S. Census Bureau Current
Population Survey Supplements
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Internet Use and CVD Rates
Males w/ CVD’s
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Females w/ CVD’s
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Individuals with Cardiovascular
Diseases
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Marketing Plan - Hospitals
Marketing to Hospitals
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Increased Reputation
Increased Business
Increased Revenue
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Marketing Plan - Insurance
Marketing to Insurance Companies
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Reduced Spending on Repeat Cardiovascular Patients
Initial Costs
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Bypass Surgery- 1st 90 days
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http://www.acc.org/clinical/guidelines/bypass/bypass8.htm
Heart Attack
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~$30,000
~$38,000
http://www.nber.org/digest/oct98/w6514.html
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Test Market
Sentara Norfolk General Hospital
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Cardiac Program ranked 21st in the United States1
In 2002 more than 40 cardiac research projects were in
progress by Sentara’s cardiac physicians.1
1,612 open heart surgeries performed at Sentara
Norfolk General Hospital in 20002
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More than any other hospital in Virginia2
Recently announced plans to build a dedicated cardiac
hospital on the Sentara Norfolk General Hospital
campus2
1
U.S. News and World Report, 2003
2 http://www.sentara.com
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Test Plan
P3C Trial Run
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Control Group n = 300
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Experimental Group n = 300
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Incorporation of P3C starting in Phase II
We will provide
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Standard rehabilitation process
Hospital Server (Provided from In-House Testing)
Software for Server (Provided from In-House Testing)
Funds for Additional Staff ($70,000/person)
Hospital Client Software (No Cost)
Patient Client Software (No Cost)
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Competition
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When will we profit
Break-Even Graph
1600000
1400000
1200000
Dollars
1000000
Revenue
800000
Cost
600000
400000
200000
0
10
00
20
00
30
00
40
00
50
00
60
00
70
00
80
00
90
00
10
00
0
11
00
0
12
00
0
13
00
0
14
00
0
15
00
0
0
Amount Sold
Need to sell 10,725 copies at $100 a piece to break even
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Anticipated Profits
 104,608,623 people in U.S. between 35-601
 21,256,472 of those suffer from CVDs (20.32%)2
 11,265,930 of those have Internet Access (53%)3
 112,660 of those would join program (1%)
 Expected Revenue = 112,660 * $100 = $11,266,00
 Expected Profit = Revenue - Cost = $11,266,000 $1,072,488.71 = $10,193,511.29
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1 Data
2
gathered from 2000 U.S. Census
NHANES III (1988-1994) CDC/NCHS
3 NTIA & ESA, US Dept of Education
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Management Plan
 Critical design reviews
 Communication with employees to ensure
tasks are completed
 Monitor work to ensure quality standards
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Evaluation Plan
 Per Milestone
 Review progress
 Review specifications
 Implement next phase
 During Development phase
 Thorough unit and integration testing
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Risks / Issues
Risk
Mitigating Factor(s)
User’s reluctant to
exercise/use software
Marketing campaign to show importance of exercise in order to increase
well-being, and to decrease risk of repeat cardiac issues.
Hospitals/Clinics reluctant to
use system
Convince them it is a great way to distinguish themselves from other cardiac
centers, and a means to attract new patients to their center.
Users incorrectly using
software
Vital stats can be downloaded from external measuring devices. Keep GUI
simple and intuitive to use. Be as explicit as possible with easy-to-follow
exercise instructions and directions. Include user manual.
Software too limited in scope
Intentionally limited for possible expansion, i.e. Nutritional feedback.
Legal Liabilities
Hire legal expert, create unambiguous terms of use/disclaimer, ensure
adherence to HIPAA, and FDA Software Policy, utilize PGP Encryption.
Bugs causing software to not
function as intended
Design phase to minimize the possibility of design errors, testing phase to
ensure that the critical/addressable software bugs are found and fixed.
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Conclusions
 61.8+ million people have CVD’s
 Our low cost software designed to foster
communication between CVD patients and
cardiac rehab facilities should be developed
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Milestone Presentation
Phase III Communicator
Aaron Auger
Jonathan Holloran
Justin Hollingsworth
7/26/2016
Kimberly Cook
Masudur Rashid [Jitu]
Zachary Young
42
Go back to P3C Software Application Overview
Patient view
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Go back to P3C Software Application Overview
Patient list 01
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Go back to P3C Software Application Overview
Patient list 02
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