Monitoring and diagnosis: wearable sensors in cardiac care ...dc38fc1d-996b-48e9-82cc...60 to 100...

Copyright © Preventice Solutions, Inc. All Rights Reserved.

Monitoring and diagnosis:

wearable sensors in cardiac care

Swiss Re

Centre for Global Dialogue30th of November, 2016

Jon P. Otterstatter

Co-Founder, Chief Executive Officer


1. Humans emit an immeasurable number of physiological signals

2. Which sensors read and accumulate signals into data does matter

3. Converting the data into insight and information is essential

4. The greatest challenge of all is integrating into the workflow of the user

Presentation Message

2


60 to 100 bpm average resting heart rate

72 * 1,440 = 103,680 bpd

Raw ECG data per day

256hz sample rate = 2 bytes per sample per second

512 bytes per seconds = 30.7K/minute or 44.2M/day

44.2M * 4,500 patient days per day = 199.1B per day

Plus patient, device, event and alerting data

R to R interval, respiration, activity level, body position, battery level

4,500 patient days per day * 174K/day = 783M/day

199.1B + 783M = 199.8GB per day or 72.66TB per year

A day of heart beats

3


And what about the other inputs?

4

• Heart rate

• Respiration rate

• Activity level

• Body position

• Movement

• Feeling

• Blood pressure

• Weight

• Glucose

• SpO2


Preventice Device Portfolio

5

• Heart rate

• Respiration rate

• Activity level

• Body position

• Movement

• Feeling

• Blood pressure

• Weight

• Glucose

• SpO2

BodyGuardian Verité

• One component

• Transmits data in

near real-time

• Symptoms &

activities capture

• Onset & offset of

arrhythmias, AF

• Query data

• Service for 30

days

Post-Event

• Documents

post-symptom

• Manual

recording only

• No lead wires

• Data sent over

landline phone

• Service for 30

days

H3+ Holter

• Compact

• Continuously

records

• Detects

arrhythmias

• Data must be

uploaded

• Service for

24 hours

BodyGuardian Heart

• Dual-component

monitor offers full

convertibility

between MCT and

CEM

• Automatically

detects and captures

data

• Seamless operation

allows continuous

near real-time

cardiac monitoring

for up to 30 days

Holter

Monitor

MCTNon-Looping

Event (CEM)

REMOTE MONITORING

CEM

BodyGuardian Holter

• Easy-to-read

display

• Allows for 3-

channel ECG

capture and

storage

• Convenient upload

capability

• Real-time ECG

data provides

immediate

validation of the

patient hook up

• Service for

24 hours

Holter

Monitor

MCT

CEM


Sensor data as part of the whole…

6

Copyright © Preventice Solutions, Inc. All Rights Reserved.7

…care path scenario


Entertainment Exercise Education Evaluation Diagnosis Treatment

FDA 510k

Easier More difficult

Longitudinal, analytical view of the patient

8

The sensor matters


Data into insight

9


Data into insight

10


Workflow integration (user)

11


Workflow integration (group)

12


Evolution of EMR and workflow

13

+

Preventice Care Platform

Clinical andObservational

Patients

Data EMR Staff

Preventice

Monitoring Center

Provider Classic EMR (Transactional)

• View Health Records

• Schedule Appointments and get reminders

• Communicate with HCP

• Request Refills

• Pay Bills

Care Plan Management

RemoteMonitoring

Relationship Management

Integrated Analytics


EMR Integration is critical

14

Options for Integration:

Uni-directional with reports in various formats (PDF, TIFF, text, etc.)Bi-directional integration to enable easy enrollment.Uni-directional or bi-directional with discrete data elements.Encrypted transmission of HL7.

Benefits:

Reduce multiple data entries for patient demographic information.Eliminate manual processes (like faxes and photocopying).Ensure accurate placement of clinical reports into patient records. Streamline business process (via workflow automation).Enhanced value and utility of structured clinical data.

We partner with practices to integrate enrollment information and monitoring data into their

existing EMR.

Prior integrations with EMRs from Epic, Cerner, OnBase, eClinicalWorks, Allscripts, Epiphany,

NextGen, Athena, GE Centricity, and others.

Customer EMR Systems


Wrapping it all together

15

PROVEN SENSORS

HIPAA-compliant SaaS

platform leveraging the

latest technologies to

securely integrate into

organizational workflows

INNOVATIVE SOFTWARE

UNRIVALED

SERVICE

Data from360°

Superior customer

experience for

patients,

physicians and

payers

Innovative remote monitoring

technologies to gather near real-

time data


Data feeds the results

16


Data feeds the results

17

Better care

Better outcomes

It all begins with

better listening

What can better listening accomplish?

Designing the industry’s superior customer service

experience. Using data insights to create revolutionary

monitoring technologies and services that connect patients

and caregivers. A tech-enabled, service-based approach

can ultimately reduce the cost of care and improve health

outcomes.

Effective healthcare solutionsusing a portfolio of services,sensors and software.

Remote patient systems andsolutions that streamline themonitoring process.

Superior customer service

experience.

Talk to Preventice Solutions

We’re listening

Basic Copyright Notice & Disclaimer

©2016 This presentation is copyright protected. All rights reserved. You may download or print out a hard copy for your private or internal use. You are not permitted to create any modifications or derivatives of this presentation without the prior written permission of the copyright owner.

This presentation is for information purposes only and contains non-binding indications. Any opinions or views expressed are of the author and do not necessarily represent those of Swiss Re. Swiss Re makes no warranties or representations as to the accuracy, comprehensiveness, timeliness or suitability of this presentation for a particular purpose. Anyone shall at its own risk interpret and employ this presentation without relying on it in isolation. In no event will Swiss Re be liable for any loss or damages of any kind, including any direct, indirect or consequential damages, arising out of or in connection with the use of this presentation.

Monitoring and diagnosis: wearable sensors in cardiac care ...dc38fc1d-996b-48e9-82cc...60 to 100...

Documents

Transcript of Monitoring and diagnosis: wearable sensors in cardiac care ...dc38fc1d-996b-48e9-82cc...60 to 100...