Approval Presentation
Phase III Communicator
Aaron Auger
Jonathan Holloran
Justin Hollingsworth
26-Jul-16
Kimberly Cook
Masudur Rashid [Jitu]
Zachary Young
1
Organizational Chart
26-Jul-16
2
Contents
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26-Jul-16
Societal problem
Our solution
Project schedule
Funding Plan
Budget
Marketing Plan
Management Plan
Evaluation Plan
3
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
26-Jul-16
4
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.
26-Jul-16
5
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
 Phase III participation generally ranges between
10-20%
 Low rate of Phase III participation generally attributed to lack of
motivation and knowledge
26-Jul-16
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
26-Jul-16
7
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
26-Jul-16
8
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
26-Jul-16
1The
American Journal of Cardiology Volume 79, Issue 1 ,
1 January 1997
9
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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10
Functional Component Diagram
Internet
Phase III
Patients
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Hospital
11
P3C Application Overview
Database Server
Exercise Data
Update Patient Info
Progress Graphs
Email notifications
Display
Call / Alert Lists
Exercise Updates
Display Patient
Progress
Internal messages
Phone calls
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Nurse
12
Patient view
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Patient list 01
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Patient list 02
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15
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17
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18
Alert Criteria
Patient participation low
Patient health progress is slow
Patient threshold values exceeded
Patient communication frequency
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19
P3C Communication Model
Slacker
Periodic Phone Call
Email Notifications
Messaging
Alert Phone Call
Chat
Alerts
Extra Motivation
Active
Participant
Q&A
Exercise Updates
Phase III Patients
Friendship
Motivation
Collaboration
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Information Sharing
20
P3C Component Diagram
Internet
P3C App Server
26-Jul-16
Database Server
21
P3C Component Diagram
Internet
P3C App Server
Accepts new exercise data
● Displays patient
progress diagrams
● Sends automatic email
notifications
● Provides messaging
service
● Provides Chat service
● Coordinates with the DB for
data storage and retrieval
● Processes statistics
●
26-Jul-16
22
P3C Component Diagram
Internet
P3C App Server
Accepts new exercise data
● Displays patient
progress diagrams
● Sends automatic email
notifications
● Provides messaging
service
● Provides Chat service
● Coordinates with the DB for
data storage and retrieval
● Processes statistics
●
26-Jul-16
Database Server
Processes requests
from P3C App Server
● Stores patient exercise
data
● Stores patient
communication data
● Stores internal messaging
data
● Stores statistical data
●
23
Prototype Requirements
 Required Hardware
 Three personal computers
 One personal computer each
 Home user
 Nurses workstation
 P3C Server software
 Handle website
 Database Server software
26-Jul-16
24
Funding Plan
 Small Business Innovation Research
Program (SBIR) - NIH
 Phase I – Max $100,000 from SBIR
 Phase II – Max $750,000 from
SBIR\Insurance Partnerships
 Phase III – Insurance Partnerships
26-Jul-16
25
Phase 0 and I
Project Development Schedule (Milestones) Phase 0 and I
2003
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Conduct Prelimenary Research
Develop Plan
Deliver Feasibility Presentation
Deliver Milestone Presentation
Deliver Approval Presentation
Develop Website
SBIR $100 K
Phase 0
2004
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Product User's Manuals
Project WWW Page
Product Prototype
Production Development Specifications
SBIR $750 K
Budget Analysis
Preliminary Marketing Plan
Phase I
26-Jul-16
26
Phase I Budget
Phase I
Yearly Salary
$72,764
$56,997
$55,940
$67,732
$62,772
$45,933
Resources (Personnel)
Project Manager
Software Engineer II
Medical Advisor
Financial Analyst
Product Marketing Analyst III
Documentation Specialist
Total Personnel Salaries Costs
Required Hardware Resources
mySQL License
1 Copy of VS .Net Professional
Website Hosting ($100 per month)
4 Copies MS Office 2k3 Professional
4 Computers ($1056 per PC)
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:
26-Jul-16
Work Length
6 Months
2 Months
1 Month
3 Weeks
3 Weeks
2 Months
Source: www.salary.com Median Salaries for Zip Code 23454
Salaries
$36,382.00
$9,499.50
$4,661.67
$3,896.91
$3,611.54
$7,655.50
$65,707.12
Costs
$449.00
$1,079.00
$400.00
$1,796.00
$4,224.00
$7,948.00
Amount
$65,707.12
$7,948.00
$26,282.85
$99,937.96
27
Phase I Organizational Chart
26-Jul-16
28
Phase II
Project Development Schedule (Milestones) Phase II
2004
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Finalize Software Specifications
Marketing Plan
Final Management Plan
Software Development
2005
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Software Development
Client Installation and Testing
2006
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Client Installation and Testing
Shift to Production Phase
Phase II
26-Jul-16
29
Phase II Budget
Phase II
Yearly Salary
$72,764
$75,000
$69,596
$56,997
$56,997
$55,940
$91,278
$62,772
$67,732
$58,092
$76,147
$52,398
Resources (Personnel)
Project Manager
Software Manager
Software Engineer III
Software Engineer II
Software Engineer II
Medical Advisor
Legal Advisor
Product Marketing Analyst III
Financial Analyst
Web Developer
Data Architect
Quality Assurance
Total Personnel Salaries Cost
Required Hardware Resources
2 Copies of VS .Net Professional
6 Copies MS Office 2k3 Professional
1 Copy of Dreamweaver MX 2004
6 Computers ($1056 per PC)
Webhosting ($100 per month)
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
26-Jul-16
Work Length
24 Months
19 Months
12 Months
6 Months
6 Months
10 Months
3 Months
1 Month
1 Month
2 Months
2 Months
7 Months
Salaries
$145,528.00
$118,750.00
$69,596.00
$28,498.50
$28,498.50
$46,616.67
$22,819.50
$5,231.00
$5,644.33
$9,682.00
$12,691.17
$30,565.50
$524,121.17
Costs
$2,158.00
$2,694.00
$399.00
$6,336.00
$2,400.00
$13,987.00
Amount
$524,121.17
$13,987.00
$209,648.47
$747,756.63
Source: www.salary.com Median Salaries for Zip Code 23454
30
Phase II Organizational Chart
26-Jul-16
31
Phase III
Project Development Schedule (Milestones) Phase III
2006
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Production Plan
Continue Marketing Plan
2007
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Continue Marketing Plan
Primary Indoctrination Course
2008
Project Steps:
Qtr 1
Jan
Feb
Qtr 2
Mar
Apr
May
Qtr 3
Jun
Jul
Aug
Qtr 4
Sep
Oct
Nov
Dec
Shift to Out-Years
Phase III
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Phase III Budget
Phase III
Yearly Salary
$72,764
$62,772
$45,933
$58,092
Resources (Personnel)
Project Manager
Product Marketing Analyst III
Documentation Specialist
Web Developer
Total Personnel Salaries Cost:
Required Hardware Resources
Webhosting ($100 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
26-Jul-16
Work Length
18 Months
7 Months
5 Months
2 Months
Salaries
$109,146.00
$36,617.00
$19,138.75
$9,682.00
$174,583.75
Costs
$1,800.00
$1,800.00
Amount
$174,583.75
$1,800.00
$69,833.50
$246,217.25
Source: www.salary.com Median Salaries for Zip Code 23454
33
Phase III Organizational Chart
26-Jul-16
34
Budget Recap
Costs
Total Personnel Costs
Administrative Costs
Total Hard Resources Costs
Total Phase Budget
Phase I
$65,707.12
$26,282.85
$7,948.00
$99,937.96
Total Budget:
26-Jul-16
Phase II
$524,121.17
$209,648.47
$13,987.00
$747,756.63
Phase III
$174,583.75
$69,833.50
$1,800.00
$246,217.25
$1,093,911.85
35
Production Out-Years
Production Out-Years
Resources (Personnel)
Yearly Salary Work Length
Salaries
Tech Support
$50,000
12 Months
$50,000.00
Software Engineer II
$56,997
3 Months
$14,249.25
Product Marketing Analyst III
$62,772
6 Months
$31,386.00
Web Developer
$58,092
3 Months
$14,523.00
Total Personnel Salaries Cost:
$110,158.25
Required Hardware Resources
Costs
Webhosting ($100 per month)
$1,200.00
Total Non-Personnel Costs:
$1,200.00
Production Out-Years Budget Summary
Amount
Total Personnel Costs
$110,158.25
Total Hard Resources Costs
$1,200.00
Administrative Costs (40% Personnel Costs)
$44,063.30
Total Production Out-Years Budget
$155,421.55
26-Jul-16
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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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26-Jul-16
Hospital client
Server
Additional staff
37
Industry Partners
Insurance Companies

$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


26-Jul-16
User client
Monthly service fees
1
Heart Disease and Stroke Statistics – 2003 Update, American Heart
Association
38
Target User
Cardiovascular Disease Patients

Those who have already experienced a CVD

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
Those with a high risk for future CVD
Primary Focus -- Ages 35-60
Internet User
Deal with Cardiovascular Diseases


26-Jul-16
50 % of all heart attacks are recurrent1
70 % of all CHD(coronary heart disease) deaths1
Almost 150,000 Americans under 65 die each year from a CVD 1
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
39
Individuals with Cardiovascular
Diseases
26-Jul-16
40
Internet Use and CVD Rates
Males w/ CVD’s
26-Jul-16
Females w/ CVD’s
41
Hospital’s Benefits
Marketing to Hospitals

Hospitals are businesses
 Increased Reputation

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Increased Business
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26-Jul-16
Providing additional community services
Retain patients past phase II rehab
Increased Revenue
 Large space to revenue return
42
Marketing Plan - Insurance
Marketing to Insurance Companies

Reduced Spending on Repeat Cardiovascular Patients

Initial Costs

Bypass Surgery- 1st 90 days


26-Jul-16
http://www.acc.org/clinical/guidelines/bypass/bypass8.htm
Heart Attack

~$30,000
~$38,000
http://www.nber.org/digest/oct98/w6514.html
43
Test Market
Sentara Norfolk General Hospital

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


26-Jul-16
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
44
Test Plan
P3C Proposed Experiment

Done in cooperation with Sentara Norfolk
General’s cardiac rehabilitation department

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Control Group n = 300
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Incorporation of P3C starting in Phase II rehabilitation
We will provide
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26-Jul-16
Standard rehabilitation process
Experimental Group n = 300
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Intend to publish in professional journal
Hospital Server and P3C software
Funds for Additional Staff
45
Competition
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46
Cost of Production
Cost of Production
$1,200,000
$1,000,000
Dollars
$800,000
Cost
$600,000
SBIR Funding
$400,000
$200,000
$0
0
3
6
9
12
15
18
21
24
27
30
33
36
39
42
45
48
Production Month
26-Jul-16
47
When will we profit
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48
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 = $11,266,000
 Expected Profit = Revenue+SBIR Funding – Cost
 $11,266,000 + $847,694.79 - $1,093,911.85 = $11,019,782.94
26-Jul-16
1 Data
2
gathered from 2000 U.S. Census
NHANES III (1988-1994) CDC/NCHS
3 NTIA & ESA, US Dept of Education
49
Evaluation Plan
 Per Milestone
 Review progress
 Review specifications
 Implement next phase
 During Development phase
 Thorough unit and integration testing
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50
Phase Success
 Phase I Success
 Project Approved
 Funding Approved
 Phase II Success
 Software complete with zero defects
 Installation Testing complete zero defects
 Phase II Success
 Product in full production
 Significant products sold, Breakeven
 Indoctrination Course complete
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Project Management Plan
Quality Project
Management
Project
Management
Marketing Plan
Systems Quality
Project Plan
Installation
Test Plan
Software
Management
Plan
Project
Managemaent
Plan
Production
Plan
Research Plan
Risk Management
Plan
Funding Plan
Documentation
Plan
 Progress Performance Assessment
 Monthly progress reports
 Program Management Reviews
26-Jul-16
52
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.
26-Jul-16
53
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
26-Jul-16
54
Approval Presentation
Phase III Communicator
Aaron Auger
Jonathan Holloran
Justin Hollingsworth
26-Jul-16
Kimberly Cook
Masudur Rashid [Jitu]
Zachary Young
55