This paper presents a solution for remote health monitoring for chronic diseases like chronic diseases like diabetes, asthma, cardiac arrhythmia, sleep disorders, and hypertension. It commences with the definitions for a better understanding of the terms used, and then excavates into perceiving what technology-enabled care is.

1. ASighofReliefforPatientswith
ChronicDiseases

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TableofContents
Abstract
Abbreviations
MarketTrendsandChallenges
Solution
CaseStudy
ConclusionConclusion
Reference
AuthorInfo
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TableofContents

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Healthcareprovidershavealwaysendeavoredtoprovidethebestcareacrossallsegmentsofthepopu-
lation.Severalfactors,suchastheavailabilityofresources,reachability,andservicecosthavemadethisgoal
quitedifficulttoaccomplish.Healthcaresystemsarestrugglingtoimprovequalitycareinthefaceofchal-
lengessuchasthegrowingdemandsofchroniccarepatients,alessernumberofclinicians,andasystem
beingrequiredforthetreatmentofacuteconditions.
AccordingtoWHO,chronicdiseasesareamajorcauseofprematuredeaths,accountingfor60%ofallsuch
deathsworldwide.Incidencesofchronicdiseasearerisingandhugecostsarebeingincurredtoprovide
healthcaretotheaffected.Theleasteffectivewaytoprovidecareforsuchpatientsisthroughhospitals,
becauseoftheriskofinfection.Variousstudieshaveconfirmedthatcareforchronicconditionsisbestdeliv-
eredathome,anddeliveringremotecarecansignificantlyreducethechancesofinfectionandhospitalvisit
frequency.
WithWiththeemergenceoftransmutingtechnologies,therearehumongousopportunitiesforprovidersand
patientstoexplorenewmethods,givinganewmagnitudetohealthcare.RemotePatientHealthMonitoringis
onesuchtransmutingtechnologythatisemerginginthehealthcaremarket,whichaimstoimprovethe
qualityofcareprovidedtopatientswithchronichealthconditions.Suchasystem offerspatientmonitoring
outsideoftheconventionalclinicalsetting,andaimsatincreasingaccesstohealthcareserviceswhile
bringingdownthedeliverycost.
ConnectedConnectedhealthcaresystemshelphealthserviceproviders’accesspatienthealthdataremotelytopre-
scribemedicinesordiagnostictestswithoutthepatientactuallybeingpresentatthehospital.Thisallowsthe
patienttobemonitoredforphysiologicalhealthparametersusingmedicaldevicesthatcancaptureandsend
thesehealthparameterstotheserver.Thedataintheserverisfurthersecurelyprocessedasperthestan-
dardizedmedicaldataformat.Thedatacanthenberetrievedbyhealthcareserviceprofessionalsforan
accuratediagnosistoprescribetherightmedicinestothepatient.
Thispaperpresentsasolutionforremotehealthmonitoring.Itcommenceswiththedefinitionsforabetter
understandingofthetermsused,andthenexcavatesintoperceivingwhattechnology-enabledcareis.
Abstract
ASighofReliefforPatientswithChronicDiseases|3

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Sl.No
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EMR
PHR
PHI
HL7
ElectronicMedicalRecord
PatientHealthRecord
PatientHealthIndex
HealthLevel7
FullFormAcronyms
Accordingtoastudy,morethan200millionpeopleintheworldsufferfrom oneormorechronicdiseaseslike
diabetes,asthma,cardiacarrhythmia,sleepdisorders,andhypertension.Theseconditionsreduceboth-the
qualityoflifeandexpectancy,andalsocausesubstantialcosts.
AnAnincreasinglyageingpopulationburdensthehealthcaresystem.In2010,207millionpeopleworldwide
wereovertheageof75years.Thisfigurewillreach265millionby2020.Withtheincreaseintheageingpopu-
lation,asignificantlyhigherburdenwillrestonthehealthcaresystems.Therewillbeaneedtoachieve“value
formoney”withinhealthcarebudgets.Astheageingpopulationdesirestocontinuelivingindependently
foraslongaspossible,thereisaneedforassistedlivingsolutions.
Thehealthcaremarketismovingfrom apay-for-servicetoapay-for-outcomesmodelforcaredelivery,which
isbeingdrivenbythreemajorforces:
Patientswithchronicillnesseswantabetterqualityoflifeandpreferminimal
hospitalvisits,therebyretainingtheirindependence,preventingcomplications,and
minimizingtheirhealthcarecosts.
Payerswanttoensurelowerinsurancepayoutsbyreducinghospitalizationtimeand
controllinghospitalvisitsandadmissions.
Careprovidersconfrontincreasingcostpressuresoftheburdenonthehealthcare
deliverysystem broughtaboutbyanincreaseinpatientvolumes.
MarketTrendsandChallenges
Abbreviations
ASighofReliefforPatientswithChronicDiseases |4

5. Challengesintheexistingsolutions:
MostmedicaldevicesdonotgatherdatainthestandardformatspecifiedbytheContinuaHealthAlliance
Highpowerconsumptionbyexistingmedicaldevicesposesaproblem forthepatienttomove
around,affectingtheirqualityoflife
Problem inintegrationwithexistingEMR
Notoperatinginasecureenvironmentthatprotectsdataintegrityandconfidentiality
Donotofferscalabilitytoaddnewerdevicestoanexistingremotepatientmonitoringsolution
Thesolutioncomprises:
APersonalHealthDevice(PHD)–awearabledevicethatcollectsvitalparametersofthepatient.
Comprisesofvarioussensorsthatcollectapatient’sphysiologicaldatasuchasECG,SpO2,body
temperature,heartrate,andbloodpressure
Hasconnectivity,tosendthedatatoacloud
Thefollowingsolutionisidealtoprovidecareathomeforpatientswithchronicdiseases.Itinvolvesa
home-basedmonitoringsystem thatintegratesthepatient’svitaldatawiththeEMR,therebyenablingphysi-
cianstoremotelymonitorthehealthofthepatient.
Thissolutionaimsatachievingahighlevelofpatientengagementandcareacrosstheglobe.
Figure:SolutionDesign
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ASighofReliefforPatientswithChronicDiseases |5
Solution

6. Cloud–providescloud-baseddatastorageanddataanalyticsforeffectivedecisionmakingby
healthcaremanagement.
Theapplicationhostedonthecloudprovidesinteroperabilityandensurestheintegrationof
patientdatawithpresentMedicalHealthRecordsbytranslatingthereceiveddevicedatainto
IHEprofiles
Sendsalerts,reminders,consultation,andmonitorspatientdataviamobileandwebapplication
The4C’softheSolution
Figure:4C’sillustrated
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ASighofReliefforPatientswithChronicDiseases |6
SolutionFeatures
Portable,wearabledeviceforhasslefreemovement
Installationrequiresnopatientintervention–justpoweron
thedeviceanduse
Alwaysavailable,transmitsdataatanytimeofday
Real-timeaccesstothepatient’sdatafordoctors–provides
betterclinicaloutcomesforpatientsoutsidethehospital
Reducesre-admissionrisksbycontinuouslymonitoringthe
patient
ThresholdMonitoring-Onreachingpatient-specificthresh
olds,sendsanalertviaSMSoremailtothecaregiver/physi
cian
Flexiblearchitecturewithsupportforaddingmultiple
sensors
ValueProposition
-Improvedpatientexperience
-Independencetoeffectively
self-managehealth
-Reducedhealthservicecost
-Seamlessplug-n-playoperation
--EasyintegrationwithEMR
-Secureclouddatastorage
-Optimizeduseofhealthcare
serviceresources
-Scalablesolution
·Anytimeanywhereavailabilityof
realtimevitalpatientdata
·Easytousesolution
·Easyintegrationofpatientdata
withEMR
Cardinal
·Helpsinachievingthegoal
·Devicerecordsandtransmits
realtimedatatophysician
Coordinator
·Timelytreatment
·Reducedhospitalvisitand
durationofhospitalstay
·Improvedqualityofhealthcare
andreducedcostofdelivering
care
Completeness
·Transform thewayhealthcare
serviceisdelivered
·Personalcaredeliveredwithin
thecomfortofthehome
·Optimizeduseofmedical
resources
Conclusion

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ASighofReliefforPatientswithChronicDiseases |7
Whowillbenefitfrom theSolution?
Patients
Patientswillbenefitfrom lowcostpersonalhealthmonitoringathome.
Improvedqualityoflife
Real-timesupportandinterventions
Extensionofcareathomeafterdischargefrom thehospital,therebypreventingemergencies
andre-admissions
Reducedhospitalstays
CareProviders
ThedeviceoffersPHI,makingiteasyforcaregiverstoascertainthehealthstatusofapatientin
ablink
Easyaccesstoapatient’shealthdata
Regardlessofpatientlocation,thedevicecontinuouslymonitorsthepatient’shealth
Reducedcostfrom readmissionsandhospitalstays
HealthcareServiceProviders
Abletoserveanincreasinglylargenumberofpeople
Reducethechancesofinfectionfrom chronicdisease
Optimizeduseofhealthcareservicesandresources
PatientdataisintegratedintotheEMR
InsurancePayers
Reducedcostofcare
Providesdashboardstocliniciansforhealthmanagementanddecisionmaking
Providesapatientportaltothecaregiverforaccesstohealthinformationandtreatmentplans
Allowsavailabilityofhealthcareservicestomorepeopleatanygiventime,therebyoptimizingtheuseof
healthcareresources

8. Ifanyofthevital
parameterfall
outsideofa
pre-specified
normalrangefor
Ms.XYZ,thealertis
senttoherdoctor
andsonandson
Figure:SolutionDeployment
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ASighofReliefforPatientswithChronicDiseases |8
MeetMs.XYZ.Sheis52yearsoldandhasdiabetesandcardiacarrhythmia.Sheis
abletolivesafelyathome,thankstotheproposedremotehealthmonitoring
solutionthatmonitorsherhealthwithouttheneedoffrequentvisitstothedoctor.
CaseStudy
Thedatafrom thePersonalHealthDevicesignalshercareteam
(cliniciansandfamilymembers)whensupportisneeded.
ThePersonalHealthDeviceautomaticallyuploadsthevital
readingsviaasecurewirelessconnectiontoXYZ'spersonal
healthrecord.
Ms.XYZperformsherdailychores,mentallyassuredthatherMs.XYZperformsherdailychores,mentallyassuredthather
doctorismonitoringhercondition.Basedonthevitalreadings,a
changeinmedicationdosageisrecommendedandcommuni-
catedbacktoherwhenneeded.

9. Conclusion
DataCollection&Transmission
ThepatientwearsthePHDwhichcollectshis/hervitalsignsperiodically,orasadvisedbythe
physician
DatacollectedbythedeviceissenttothecloudovertheInternet
DataAnalysis
Thepatient’sdataisanalyzedandtransformedaspermedicalstandards.Thetransformed
dataisthentransmittedtotheEMRsystem.
Vitalsignsdataiscomparedagainstapre-specifiedreferencerangeorthreshold,toidentify
‘outofnormal’rangereadings.Alertsandnotificationsaregeneratedtothecaregiverand
membersoftheclinicalteam,cautioningthem oftheabnormalreadings.
Theclinicianhasaccesstotheweb-portaltoreviewthepatient’sinformation.Theweb-portal
offersthefunctionalitytomakeclinicalnotes,andmodifythepatient’streatmentplan.Once
thetreatmentplanisupdated,analertissenttothecare-givertoviewtheupdatedplanon
thepatient’sportal.
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ImplementationSteps
Theusefulnessofusecasevariesbasedonthefollowingkeypoints:
Thereisahighdegreeofinconstancyinmaintainingpatientdata.Theproposedsystem isgenerally
deployedinco-existencewithlegacysystemsusedtomanagepatienthealthcare,andtypically,verylittle
integrationexists.
Thetype,frequency,andscheduleoftheinformationcollectedfrom thepatientishighlydependenton
thepatient’sconditionandotherfactorsprevailinginthesystem.Thedatacollectedistransformedinto
standardizedinformationbyusingmachinecomputabilityandadvancedanalytics.
Asthepervasivenessofchronicdiseasealarminglyrises,thestrainontheworldeconomyandhealthcare
system cannotberelievedwithoutthecreationofaninnovative,cost-effectivesolutionthatinvolvespatients
proactivelymanagingtheirhealthcare.
Thesolutionfulfilstheneedsofpatients,careprovidersandpayers,andeffectivelyaddressestheproblem of
deliveringcareforchronicconditions.Itaimsattransformingthehealthcaremarkettobecomemoreaccessi-
ble,available,andaffordableforall,andthehealthcareservicecostforbothpatientsandtheGovernment
providingpublichealthsystems,canbesignificantlyreduced.
ASighofReliefforPatientswithChronicDiseases |9

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Reference
AuthorInfo
[1]http://en.wikipedia.org/wiki/Remote_patient_monitoring
[2]http://searchhealthit.techtarget.com/definition/remote-patient-monitoring-RPM
[3]http://www.preventice.com/mobilehealthsolutions/remotemonitoringsolutions/
Thesolutionbenefitspatients,caregivers,andhealthserviceprovidersbyoffering:
Consistentandinstantdataavailability
Datasecurityandconfidentiality
Widersupportofmedicalhealthstandards
Easytousefeatureslikereal-timedatadisplay,PHIandfeedback
TheThesolutionmakespatientcareathomearealitybyreducingthecostofservicedeliveryandtheinsurance
cost,whilealsoimprovingthepatient’sexperience.
ASighofReliefforPatientswithChronicDiseases|10