Orange Team CS 410 Spring 2009 Presented by: Jonathan Kriebel 02 April, 2009 1.

Orange TeamCS 410

Spring 2009

Presented by: Jonathan Kriebel

02 April, 2009 2

Team ORANGE

02 April, 2009 3

Project ManagerNoah DiCenso

SoftwareJonathan Kriebel

HardwareKevin Tindall

MarketingJamil Pickett

DocumentationChris Norton

Finances/Risk Mgt.Generoso Nunez

So What’s the Problem?

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A viable, practical, and Mobile solution for conveyance and tracking of Patient Medical Information is needed within the hospital

environment!

Who Does It Affect?

Patients

• Concerned with current medical status

• Uncomfortable awaiting scheduled procedures, tests, etc.

Families

• Concerned with medical status of loved ones

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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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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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How is the Medical Establishment Affected?

Who benefits the most from our solution?

Use the device View results remotely

• Elderly• Children • Terminally ill

• People who frequent the hospital

• People who require longer term care

• Patient’s families

• Concerned loved ones

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Market Defined• Hospitals

Can help to mitigate persistent problems between patients/family and doctors/nurses in a way that is meaningful.

• Nursing HomesCan 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 device2. 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

• Will Not Replace the Medical Record

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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 partners02 April, 2009 17

02 April, 2009 18

Component Diagram (MFCD)

Wireless access point

Mobile device

RFID

Database

Wireless control server

Remote client

Internet

Application server

Remote client

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

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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

• View scheduled procedures

• View completed procedures

Risk Matrix

2402 April, 2009

PROBABILITY

I M P A C TNegligible Minor Moderate Serious Major

Highly-Unlikely

Unlikely T1, T3, T4 M2, L1, L2

Possible M1 T2

Higly-Likely

Inevitable

Risk Matrix Legend

2502 April, 2009

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

Competition Matrix

02 April, 2009 26

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 x

Accuracy of Data x x x x x x x

Electronic Patient Identification

x x

Real-time data x x x x x x x

Mobile x x x x x x

Complete x x x x x

Adaptability to current systems

x

Low cost x

Simple to use x

Alerts provided x x x

Patients perspective x

Potential Problems

• Medical Staff Buy-In and Adoption

• Effective Integration With Existing Process

• Data Security

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General risks & mitigation

Risk

• HIPPA compliance

• Data Security

Mitigation

• Seek Legal Counsel regarding HIPAA Compliance

• Use up to date data security methods and Industry Standard Encryption

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Resource risks & mitigation

Risk

• Qualified staff

• Market relevance

Mitigation

• Aggressive development timeline

• Conduct periodic surveys and studies

02 April, 2009 29

Other risks & mitigation

Risk

• Doctor and Hospital acceptance.

• This device may open up more Doctors and Hospitals to lawsuits

Mitigation• 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

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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

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In short, MPA may not change your life… but can it change the way you provide care for the

lives of your loved ones?

Yes we can…Yes we should!

Can we and should we build it?

Questions and Answers

02 April, 2009 33