Wednesday, April 21, 2010

Remote Care System Architecture


Philips buys Visicu

AMSTERDAM, Netherlands – Royal Philips Electronics will acquire healthcare IT vendor Visicu in a $430 million deal, Philips announced today.

The purchase is a step towards Philips' goal of expanding its healthcare business. The Dutch firm bought Boca Raton, Fla.-based Emergin, a medical software provider, in early December.

Baltimore-based Visicu supplies medical services and systems for hospitals' intensive care units. The transaction includes $130 million cash representing an enterprise value of $300 million, or $12 per share, of Visicu, Philips said in a release.

"Philips is a market leader in patient monitoring systems in the hospital, so we know the challenges our customers face - rising patient numbers, staff shortages and concerns about patient safety," Steve Rusckowski, chief executive of Philips' Healthcare division, said in a release. "By investing in clinical IT solutions like those offered by Visicu and Emergin, we believe we can offer customers more attractive patient monitoring solutions that improve hospital productivity as well as patient outcomes."

Visicu's signature product is the eICU Program, which tracks ICU patients and provides monitoring of vital information. The tool also sends triggered "Smart Alerts" to clinicians treating the patients.

"Making these investments we believe will drive further growth in our patient monitoring business," Rusckowski added.

"Philips could leverage its extensive sales network for Visicu's products to boost its profitability and revenues," SNS Securities analyst Victor Bareno told Reuters. Bareno noted that Philips is paying an estimated 30 times EBITDA (earnings before interest, tax depreciation and amortization) for Visicu.

The deal is expected to close in the first quarter of 2008.

Hi Group, Attaching an email response I recieved from Dr Zubrow who is director at Christiana Medical Center which has eCare, their version of tele-ICU. Think these are things we can talk about if anyone asks questions about real-life system, or licensing/regulatory problems.

Hello Dr Zubrow,

Thanks for helping! I am a Nurse Practitioner in DC, and an MBA student at Hopkins. I am presenting information on E-ICU tonight and was hoping to use Christiana as an example of its success. Could you give me a little information about your system?

1. How many ICU beds do you have monitored by the eCare system? Up to 61 at Christiana and up to 36 in the Maryland eCare program
2. During which hours is the eCare monitoring vs the Hospital team? The nurses monitor 24/7 and an intensivist is there 7 pm until 7 am Mon.-Friday and 24 hours on weekends and holidays.
3. How do orders and notes become integrated in the medical record of the patient? Is there a shared CPOE/EMR between the two sites? Depends on the site and local IT situation. Some of the notes are electronically integrated into the local medical record, some are printed locally. Orders are placed utilizing the local CPOE if it exists, if not, they are type and printed locally in the individual ICU.
4. Who makes up the eCare staff? Nurses are all Christiana Care employees, the physicians are all casual pool (moonlighters) from a variety of places. Are Christiana personnel taking shifts? Yes, the nurses are sometimes shared staff positions and some of the local intensivists work shifts. Some of the nurses are full time for eCare. Or are they seperate staff from the hospital?
5. Do you provide eCare for beds at other hospitals? Yes, Google Maryland eCare for more information.
6. Are there any licensing or regulatory issues which are problematic if the eCare site is in a different state from the hospital where the patients are located? Yes, real and theoretic. All the Docs and nurses have local State licenses. The Docs must have DEA for each State in addition to licenses. All Docs must be credentialed at each individual hospital. There is the theoretical concern that a malpractice case would end up in federal court because of crossing State lines. I hope not to find out the real answer to that one!

Again, many thanks for any information you can provide. It will be nice to have some specifics about a real case to demonstrate the benefits of the technology.

Kristen Nelson

Tuesday, April 20, 2010

Updates

Hey team, I've transferred much of the references we had on the blog to the slides, so I think we're done with that, no one needs to spend time on it. I also find some pics on the web to add to the slides, just to liven things up.

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Monday, April 19, 2010

Slide 12 - Implementation diagram

During our meeting we discussed slide 12 - implementation diagram of eICU. We didn't come to a conclusion whether to keep this diagram, replace it with another simpler document, or get rid of it all together. What does the group think?