babyview: real time monitoring of nicu patients erin lynne scott dr. bill walsh
TRANSCRIPT
BabyView: Real Time Monitoring of
NICU Patients
Erin Lynne Scott
Dr. Bill Walsh
Vanderbilt NICU
• 42 Feeding Hospitals – 500+ Transports a year– Distance of 100+ Miles
• 44 Patient Beds
• Cost in the NICU is ~$2000/day
• Average stay is 17 days
What is the problem?
• Parents and Families of babies in the Vanderbilt NICU are often 100+ miles away from child
Incumbent Technologies
• Provide Digital Images of newborn
• Often part of a prenatal information website at hospital
• Used in both NICU and regular nursery
http://www.infantxpress.com/depot/20061
Web Babies
http://www.st-margarets.com/WebNursery.asp
Estimated Hospital Costs(1 year – 30 Beds – 5 New Patients/Day)
*Development of BabyView (4 years of tuition?)
**Growing Family requires the family to purchase pictures
***Based on M-F Schedule
BabyView* (VU) GrowingFamily Independent HospitalEquipmentCamera(s) 6000 3000 600Computer 500 500 500
Server 3000 0 3000Wireless 0 NA NA
DevelopmentWebsite/JAVA 0 0 1500
Database 0 0 500Staffing
Daily Picture Taking/Loading on Website 0 14625 14625Cataloging Information 2925 0 2925
MaintenanceEquipment Maintenance 0 0 0
Website Maintenance 0 0 100Total 12425 18125 23750
Customer Requirements• No Interference w/ Other
Equipment• Minimum Development and
Deployment Costs & Schedule• Easy to use• Limited Maintenance Cost &
Effort• Secure Connections • Meets HIPAA Regulations
Suggested Uses• Live Image Feed of Child fed to
– Nurses Station– Doctor’s Offices
• Requiring Secure ID for each doctor
– Home Computers• Requiring Secure ID for each patient
– Mother’s Room in Hospital • Via portable computer w/ wireless access
• Paid for by the hospital, free service to the patient• HIPAA Regulations
– Secure Internet/Password Protected– Parent Consent for participation in BabyView
Logon Screen
HTML PAGE JAVA Applet Database
Runs the Applet on Server
Accesses
Baby Info
Logon Screen
Admin Page
Parent/Family
Hospital Staff
Administrator
Website Structure
Hospital A
Camera
Hospital ServerBaby Info
Baby Info
InternetFamily Home
Mother’s Hospital Room
Nursery
Hospital B
Baby Info
Mother’s Hospital Room
Baby Info
• Name• My Team• Attending• Fellow(s)• Residents
• Intern(s)• NDP(s)• Social Worker• Case Manager• Room #
Information already collected and
posted visibly in each patient room
Protocol
• Patient must be in NICU for at least 3 days
• No patients currently on ventilators
• Medical Team Approval– Dependent on health level of patient
• Parent sign off for participation
Safety Concerns
• Program Failure– Down Server or connection– Error in the program
• Electrical Malfunctions– Surges – Fuses
• Mechanical Failure– Camera Falling Off?
• Interference during HealthCare Procedures– Protocols for NICU use
Work to Date
• Visit to NEW NICU• Patient Protocol Decided• Camera Arrived and “Setup”
– Camera Wireless Issues Solved
• Final Story board Created• Websites completed• JAVA Program finished • Database
– Caspio Bridge
Future Work
• Finish Database
• Debug Program
• Program Testing
• Install In NICU
Acknowledgements
• Dr. Walsh– Professor of Pediatrics
Attending Neonatologist, Chief of Nurseries• Dr. King
– Associate Professor of Biomedical EngineeringAssociate Professor of Mechanical Engineering
• Ray Erlandson– Department of Biomedical Engineering
• Dr. Dan Lindstrom
Questions, Ideas, Suggestions?