Fundamentals of Biomedical Device Interconnectivity & Support for Bedside Clinical Decision Making<br />John R. Zaleski, P...
I will show…<br />Biomedical Device Connectivity Architectures & Supporting Technologies<br />Why biomedical device data a...
…If you take only one thing from this presentation…<br />Device connectivity should not be an afterthought<br />Plan as pa...
Meaningful Use<br />4<br />Sunday, May 29, 2011<br />
BIOMEDICAL DEVICE CONNECTIVITY ARCHITECTURES<br />5<br />Sunday, May 29, 2011<br />
Examples of biomedical devices that communicate<br />Devices that produce biomedical measurements from patients—patient ca...
Examples of biomedical devices that communicate<br />7<br />Anesthesia Machines<br />Mechanical Ventilators<br />Physiolog...
Examples of biomedical devices that communicate<br />8<br />Anesthesia Machines<br />Mechanical Ventilators<br />Physiolog...
Translating Data into the Clinical Record<br />A key objective is to ensure that data are translated accurately and in a t...
Translating Data into the Clinical Record<br />Sunday, May 29, 2011<br />10<br />
Translating Data into the Clinical Record<br />11<br />Data<br />Queries<br />Sunday, May 29, 2011<br />
Translating Data into the Clinical Record<br />12<br />Integrating the Healthcare Environment: Patient Care Device Domain<...
Nuvon’s Connectivity Architecture<br />13<br />Sunday, May 29, 2011<br />
Nuvon’s Mission<br />To deliver critical patient care data from point of care to any location, in any format<br />We devel...
Nuvon VEGA Platform Spans Longitude of Care<br />NUVON VEGA<br />MEDICAL DEVICE<br />CONNECTIVITY, INTEGRATION, INTEROPERA...
Streamlined Implementation and EMR/EHR PCD integration
Streamlined Support for clinicians, biomed, and IT
No Additional Infrastructure
No Additional Servers</li></ul>Home<br />IDN/ACO<br />Enterprise<br />Department<br />15<br />Sunday, May 29, 2011<br />
VEGA: Secure, Network Overlay Biomedical Device Connectivity Architecture<br />EMBEDDED CONNECTIVITY<br />SERIAL CONNECTIV...
Nuvon’s VEGA Platform Delivers Unique Value<br />17<br />Real-time data communication<br />Device-level notifications<br /...
Basic Building Blocks of VEGA<br />Hardware & Software appliances at the point of care<br />IDM-MG 1000<br />IDM-MG 3000<b...
Mobile Patient Care Data Validation<br /><ul><li>  Clinician focus-group tested
Built-in bar code for 2-point verification
  Multi-patient, multi-medical device
WiFi Enabled, secure data communication facilitates mobility
Support communication on cellular networks</li></ul>19<br />Sunday, May 29, 2011<br />
 Patient Care Data Monitoring on a Handheld<br />20<br />Sunday, May 29, 2011<br />
Example Uses: Mobile Biomedical Device Data Collection<br />Mobile mount on Dinamap stand<br />Mobile attachment to mechan...
Web access to bedside devices<br />22<br />Sunday, May 29, 2011<br />
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Fundamentals of Medical Device Connectivity

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I this three part series, John R. Zaleski, PhD, CPHIMS, Vice President of Clinical Applications & CTO of Nuvon, Inc. discusses 3 areas of Medical Device Connectivity beginning with the Fundamentals, to Clinical Decision Support, and next generation Mobile Device Connectivity.

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Fundamentals of Medical Device Connectivity

  1. 1. Fundamentals of Biomedical Device Interconnectivity & Support for Bedside Clinical Decision Making<br />John R. Zaleski, PhD, CPHIMS<br />Vice President of Clinical Applications & CTO<br />jzaleski@nuvon.com<br />C: +1 484 319 7345<br />O: +1 215 966 6142<br />
  2. 2. I will show…<br />Biomedical Device Connectivity Architectures & Supporting Technologies<br />Why biomedical device data are essential to the success of several clinical decision support (CDS) applications<br />How clinical workflow can be improved by employing biomedical device connectivity to support real-time decision making<br />Why point of care IT systems must learn to adapt and support real-time data<br />2<br />Sunday, May 29, 2011<br />
  3. 3. …If you take only one thing from this presentation…<br />Device connectivity should not be an afterthought<br />Plan as part of your overall IT strategy, not as a “bolt-on” after the fact<br />Device connectivity is part of an expanding framework that grows with clinical and organizational needs over time<br />You should consider those solutions that will meet demands of your enterprise as it expands and evolves.<br />Sunday, May 29, 2011<br />3<br />
  4. 4. Meaningful Use<br />4<br />Sunday, May 29, 2011<br />
  5. 5. BIOMEDICAL DEVICE CONNECTIVITY ARCHITECTURES<br />5<br />Sunday, May 29, 2011<br />
  6. 6. Examples of biomedical devices that communicate<br />Devices that produce biomedical measurements from patients—patient care data (PCD)—are essential tools in the care and treatment of patients<br />Sunday, May 29, 2011<br />6<br />
  7. 7. Examples of biomedical devices that communicate<br />7<br />Anesthesia Machines<br />Mechanical Ventilators<br />Physiological Monitors<br />Infusion Pumps<br />Devices that produce biomedical measurements from patients—patient care data (PCD)—are essential tools in the care and treatment of patients<br />Sunday, May 29, 2011<br />
  8. 8. Examples of biomedical devices that communicate<br />8<br />Anesthesia Machines<br />Mechanical Ventilators<br />Physiological Monitors<br />Infusion Pumps<br />All of these devices produce data—measurements and settings—that are essential to clinical use and clinical decision making<br />Sunday, May 29, 2011<br />
  9. 9. Translating Data into the Clinical Record<br />A key objective is to ensure that data are translated accurately and in a timely manner to Electronic Medical Record (EMR) or Patient Health Record (PHR)<br />Sunday, May 29, 2011<br />9<br />
  10. 10. Translating Data into the Clinical Record<br />Sunday, May 29, 2011<br />10<br />
  11. 11. Translating Data into the Clinical Record<br />11<br />Data<br />Queries<br />Sunday, May 29, 2011<br />
  12. 12. Translating Data into the Clinical Record<br />12<br />Integrating the Healthcare Environment: Patient Care Device Domain<br />http://www.ihe.net/pcd/<br />Intermediary<br />PCDEMR<br />: EMRPCD<br />Standardized<br />(i.e., Health Level Seven)<br />Proprietary<br />(i.e., vendor/device specific)<br />Sunday, May 29, 2011<br />
  13. 13. Nuvon’s Connectivity Architecture<br />13<br />Sunday, May 29, 2011<br />
  14. 14. Nuvon’s Mission<br />To deliver critical patient care data from point of care to any location, in any format<br />We develop a medical device connectivity, integration & interoperability platform<br />To enable management of PCD across complex healthcare ecosystem<br />To assist and facilitate with clinical decision making<br />Our 510(k) cleared platform is called VEGA<br />Sunday, May 29, 2011<br />14<br />
  15. 15. Nuvon VEGA Platform Spans Longitude of Care<br />NUVON VEGA<br />MEDICAL DEVICE<br />CONNECTIVITY, INTEGRATION, INTEROPERABILITY PLATFORM<br /><ul><li>Patient Care Data - Common, integrated architecture and integration environment across all physical locations
  16. 16. Streamlined Implementation and EMR/EHR PCD integration
  17. 17. Streamlined Support for clinicians, biomed, and IT
  18. 18. No Additional Infrastructure
  19. 19. No Additional Servers</li></ul>Home<br />IDN/ACO<br />Enterprise<br />Department<br />15<br />Sunday, May 29, 2011<br />
  20. 20. VEGA: Secure, Network Overlay Biomedical Device Connectivity Architecture<br />EMBEDDED CONNECTIVITY<br />SERIAL CONNECTIVITY<br />Standalone, possibly remote computing platforms:<br />IDM-MG 1000<br />IDM 500<br />Desktop Computer<br />16<br />IDM 500<br />IDM 500<br />IDM 500<br /> IDM-MG 4000<br />GATEWAY CONNECTIVITY<br />Workstations<br />on Wheels<br />HL7 I/F: 1200 simultaneous medical devices; warm failover<br />Sunday, May 29, 2011<br />
  21. 21. Nuvon’s VEGA Platform Delivers Unique Value<br />17<br />Real-time data communication<br />Device-level notifications<br />Securely transmitted (2048 bit)<br />Scalable (single server, 3000 IDMs)<br />Web-based dashboard<br />High Availability (no s.p.f.)<br />Resilient (warm failover of HL7 gateway)<br />VEGA captures, translates, displays biomedical device data, including physiological, alarm, device status in wired, wireless, mobile, and embedded form factors<br />VEGA Synchronizes data from disparate devices in real time to address key decision support analytics needs at point of care (e.g.: charting, guidelines, protocols)<br />Sunday, May 29, 2011<br />
  22. 22. Basic Building Blocks of VEGA<br />Hardware & Software appliances at the point of care<br />IDM-MG 1000<br />IDM-MG 3000<br />IDM-MG 4000<br />IDM-MG 500<br />18<br /> Mobility, portability<br /> In-room, multi-device<br /> HL7 Gateway, device broker<br />sw<br /> Virtualized VIP on workstations; also supports generalized monitoring (e.g.: PACs workstations)<br />Sunday, May 29, 2011<br />
  23. 23. Mobile Patient Care Data Validation<br /><ul><li> Clinician focus-group tested
  24. 24. Built-in bar code for 2-point verification
  25. 25. Multi-patient, multi-medical device
  26. 26. WiFi Enabled, secure data communication facilitates mobility
  27. 27. Support communication on cellular networks</li></ul>19<br />Sunday, May 29, 2011<br />
  28. 28. Patient Care Data Monitoring on a Handheld<br />20<br />Sunday, May 29, 2011<br />
  29. 29. Example Uses: Mobile Biomedical Device Data Collection<br />Mobile mount on Dinamap stand<br />Mobile attachment to mechanical ventilator<br />Mobile attachment to IV pole<br />21<br />Sunday, May 29, 2011<br />
  30. 30. Web access to bedside devices<br />22<br />Sunday, May 29, 2011<br />
  31. 31. Web access to bedside devices<br />23<br />All device data available for visual reference<br />Sunday, May 29, 2011<br />
  32. 32. Web access to bedside devices<br />All device data available for visual reference<br />Serial devices shown connected by port<br />24<br />Sunday, May 29, 2011<br />
  33. 33. HL7, Raw Data visible for comparison, assessment, troubleshooting<br />25<br />Sunday, May 29, 2011<br />
  34. 34. HL7, Raw Data visible for comparison, assessment, troubleshooting<br />26<br />HL7 Gateway can then tailor for a particular EMR or departmental system<br />Sunday, May 29, 2011<br />
  35. 35. HL7, Raw Data visible for comparison, assessment, troubleshooting<br />27<br />HL7 Gateway can then tailor for a particular EMR or departmental system<br />Sunday, May 29, 2011<br />
  36. 36. HL7 Gateway supports 16 simultaneous tailored feeds<br />28<br />Sunday, May 29, 2011<br />
  37. 37. Example: End-user real-time Charting/Viewing<br />Source: Nuvon, Inc.<br />29<br />Sunday, May 29, 2011<br />
  38. 38. Example: End-user real-time flowsheet<br />Source: Nuvon, Inc.<br />30<br />Sunday, May 29, 2011<br />

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