This publish was co-authored by Stuart Bailey, Product Director, Capita Healthcare Selections
This weblog is a part of a sequence in collaboration with our companions and prospects leveraging the newly introduced Azure Well being Information Companies., a platform as a service (PaaS) providing designed solely to help Protected Well being Data (PHI) within the cloud is a brand new manner of working with unified knowledge—offering care groups with a platform to help each transactional and analytical workloads from the identical knowledge retailer and enabling cloud computing to rework how we develop and ship AI throughout the healthcare ecosystem.
As pressures on the Nationwide Well being Service (NHS) in the UK proceed to develop, so does the necessity for protected and efficient dwelling well being care. Head House is a distant affected person monitoring (RPM) answer that appears to streamline present at-home look after sufferers and their well being and care professionals.
The NHS is at the moment experiencing probably the most extreme pressures it has in its 70-year historical past, with an already strained system being stretched past its limits by the affect of the COVID-19 pandemic.1 In hospitals, the variety of normal and acute beds obtainable has been declining since 20102, and it has been estimated that as much as 15 p.c of beds are being utilized by individuals ready for care3. Discovering modern methods to alleviate these pressures stay crucial in supporting the NHS’ restoration.
To seek out options to this problem, a key space to handle is facilitating extra environment friendly affected person discharge and at-home care. Affected person surveys have lengthy proven that the majority older individuals desire to obtain care at dwelling, and up to date analysis by the College of Oxford has discovered that this will likely enhance affected person outcomes and satisfaction, whereas concurrently serving to to scale back hospital pressures.4 This strategy is named “hospital-at-home” and its use has been accelerated by the pandemic. Hospital-at-home goals to permit well being and care professionals to offer distant monitoring and communication for sufferers from their very own properties, while serving to healthcare amenities to unlock very important sources. Nevertheless, whereas wearable units akin to temperature displays, pulse displays, blood strain displays, and even coronary heart displays are available, options that allow them to be monitored remotely are much less frequent and the hospital-a-home strategy is at the moment reliant on costly, laborious to keep up units and bespoke producer software program.
That is largely as a result of knowledge nonetheless being saved on-premises in a siloed healthcare trade, and an absence of interoperability amongst these on-premises techniques. Disparate datasets are collected from quite a lot of wearables and not using a unified answer to handle them, making it tough for suppliers to entry affected person knowledge collected from wearable units at dwelling in a well timed vogue. This leads to delays in affected person monitoring and formulating therapy plans when sufferers are out of the hospital, making monitoring and treating sufferers remotely unachievable.
To assist clear up this drawback, Microsoft launched, a set of purpose-built applied sciences for protected well being data (PHI) within the cloud constructed on the worldwide open requirements Quick Healthcare Interoperability Assets (FHIR)® and Digital Imaging Communications in Drugs (DICOM). This answer permits suppliers to unify and handle knowledge on a trusted cloud, making it potential to standardize numerous knowledge streams akin to medical, imaging, machine, and unstructured knowledge utilizing FHIR, DICOM, and MedTech companies. Information collected from varied wearables and in numerous codecs might be ingested and persevered in Azure Well being Information Companies, permitting knowledge to be managed in a single place, and subsequently decreasing the necessity for quite a few producers’ software program. It permits suppliers to view the standardized knowledge in context with different medical datasets, supporting the objective of transferring from reactive care to proactive care whereas decreasing value, empowering a more practical and customized strategy to at-home care.
Increasing healthcare help with Azure Well being Information Companies
Aiming to allow the hospital-at-home strategy to higher help sufferers and assist to alleviate present pressures on the NHS, Capita Healthcare Selections leverages Microsoft Azure Well being Information Companies which permits healthcare professionals and sufferers to handle affected person knowledge within the cloud. Head House by Capita is a distant affected person monitoring (RPM) answer that allows the well being indicators of sufferers to be monitored by well being and care professionals from inside their very own properties. By Head House, customized well being indicator thresholds might be set, guaranteeing that if there’s a change within the situation of a affected person, then their care crew is notified over the popular interface by the supplier (SMS, push notification). This enables well being and care professionals to react in an applicable and well timed method, while reassuring sufferers that, ought to their wellbeing change, they are going to be cared for. Head House can at the moment help the monitoring of blood oxygen stage, coronary heart fee, physique temperature, respiratory fee, blood strain, and single-lead ECG, guaranteeing a variety of key well being indicators might be successfully monitored in a hospital-at-home.
Along with the indicator monitoring and warning system, Head House permits sufferers to speak to a private assistant by way of voice interface to speak with their care crew, guaranteeing a larger connection for sufferers receiving care at dwelling. Such a communication between a affected person and their well being and care professionals has been proven to be crucial for restoration, serving to to develop belief and transparency in the course of the care course of. This verbal communication is being recorded within the Head House dashboard, alongside notes from affected person appointments and check-ins, serving to to enhance medical documentation and effectivity.
The hospital-at-home mannequin sees the supply of sooner entry to applicable and focused care in individuals’s properties and introduces the suitable digital infrastructure to ship the system advantages, in addition to serving to to sort out the elective care backlog. With Head House, Capita Healthcare Selections has pioneered a digital answer to allow clinicians to help affected person restoration at dwelling by offering a better-connected real-time monitoring answer while decreasing the necessity for healthcare supply sources.
As present suppliers of medical determination help software program, Capita Healthcare Selections makes use of the Azure Well being Information Companies to persist well being knowledge within the cloud. This permits speedy change of knowledge backed by a PaaS providing on a trusted cloud. As well as, Azure Well being Information Companies permits Capita Healthcare Selections to ingest the affected person knowledge from wearables suppliers (HealthKit and Google Match) and machine aggregators for persistence and evaluation, enabling new alternatives to realize new insights in analysis and enhance affected person care. By integrating this with quite a lot of Web of Medical Issues (IoMT) units and making use of private assistant voice interfaces, Capita Healthcare Selections goals to ship an accessible and easy-to-use service that may present the monitoring required to maintain sufferers protected throughout their care at dwelling. By utilizing the FHIR customary, Capita Healthcare Selections is leveraging the facility of an open-source customary that can evolve with the science of healthcare and allow interoperability with knowledge flows in present healthcare techniques. The interfaces that sit between the monitoring units themselves and Capita Healthcare Selections’ intuitive monitoring platform permits these available, comparatively low-cost units to be simply deployed at scale. By offering these complementary features, Head House helps to ship a extra viable hospital-at-home surroundings.
At a time when NHS sources are being stretched to new ranges, modern expertise platforms akin to Head House provide a much-needed answer. Leveraging Microsoft Azure Well being Information Companies, Capital Healthcare Selections affords an agile solution to monitor the well being of sufferers remotely, guaranteeing that at-home care might be delivered safely and successfully, all with the related potential to enhance outcomes, affected person satisfaction, and cut back healthcare supply prices.
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®FHIR is a registered trademark of Well being Stage Seven Worldwide, registered within the U.S. Trademark Workplace and is used with their permission.
1. (2021). The British Medical Affiliation Is the Commerce Union and Skilled Physique for Medical doctors within the UK.
2. (2021, November 5). The King’s Fund.
3. Pollock, B. I. (2021, November 18). BBC Information.
4. The College of Oxford. (n.d.). www.ox.ac.uk.