What problem are you intending to solve?
Children miss hours/days of school for routine & specialty health care. Attendance & performance are directly related. School telehealth programs don't/can't support parental remote participation.
What is the technological approach, or development roadmap?
Utilizing next generation networks, Brief+Case Health (BCH) will be an affordable solution for school-based telehealth centers (SBHC) to host routine as well as specialty health care appointments between the school/child, the provider AND the parent(s). This multi-point, real-time telemedicine requires a great deal of bandwidth, 100Mbps or more. This type of bandwidth is provided by Google High Speed Fiber, which is first planned for installation in Kansas City into schools, hospitals/health-care facilities and select businesses. Once the fiber is available, BCH will connect Children's Mercy Hospitals and Clinics to area schools and to the businesses where parents work. Leveraging this next generation network, BCH will allow for a child's health-care appointments to be conducted where the child is located with remote parental participation, completely eliminating time away from class for students and work for parents as well as providers due to travel. <br/> BCH is a portable telemedicine unit that delivers high quality voice with echo cancelation, full high-definition video at 60p, digital ancillary exam device interface, interactive collaborative technology (SightDeck Systems), up to 16 points of access per encounter, and fully automated, real-time, encryption of transmitted data. BCH also records fully encrypted still as well as video imaging that can be transmitted to/from Cloud systems for expert consulting or storage into an electronic health record via a health information exchange network. (BCH) filters and de-identifies data for local, state & federal health care reporting. BCH blends together existing technologies, with proprietary SightDeck hardware and medical software programming.<br/>
How will end users interact with it, and how will they benefit?
Through BCH's simple interface that supports one-touch dialing, one click screen sharing and fully automated audio-visual (AV) exchange between multiple contributors a provider will contact a school health tech/child and guardian(s) for a scheduled health-care appointment. Digital ancillary exam devices are manipulated by the health technologist with the patient as directed by the provider allowing for full assessment of the patient. The provider will conduct the encounter as he/she would in person (like existing telemedicine appointments, only with the addition of the necessary third party. Parents are able to join child's health care appointment from work without time away for travel. Children are able to keep their appointments without missing extra class time for travel. Health care compliance is increased because children go from class to doctor back to class escorted by school health tech. System is interoperable with health information exchange systems to keep child's health records up to date/comprehensive. De-identified data is captured automatically for local, state, & federal reporting requirements, automating a largely paper-based system. BCH intends to apply this same architecture for persons in long-term care facilities. A typical encounter would include a provider who contacts skilled nursing facility/patient and adult guardians/powers of attourney for health appointments/care conferences. Adult guardians i.e. siblings can all join health appointments/care conferences for their elderly family member's benefit regardless of where in the world they are located at time of appointment.
How will your app leverage the 1Gbps, sliceable and deeply programmable network?
The bandwidth requirements for the necessary quality of multi-point telemedicine encounters is huge. The data transfer between access points, to health information exchange networks and entities for reporting has to be highly encrypted. Brief + Case Health technology includes: -High Quality voice (echo cancelation) -Full HD video 60p (the highest video enable evaluation person or surroundings) -Digital collection data and real time transmission to from several location 2-16 location collaborating at same time -Collaboration with host (expert consulting, recording, for example SightDeck systems) High Bandwidth requirements for multi point and real time transmission (audio/video/prompting/controls) 100 Mbps or more. Brief+Case Health version 2.0 with include use of Ancillary Devices for medical decision/diagnosis support: -Digital Stethescopes, Opthalmoscopes, Endoscopes, Dermascopes, Otoscopes, and many more.
Further application information
Will your work be beta-ready by the end of the Development Challenge?
Parts of the system are already in development and testing. Two and three way transmission, quality audio/voice and decoding, encoding connection has been tested well with SightDeck Systems using 100Mbps network connection. The multi-point connection and real time collaboration will be tested on bandwidth more than 100 Mbps once Google High Speed Fiber becomes available at the hospitals, businesses and schools across Kansas City. Kansas City is actively installing Google fiber across the city today.
How much effort do you expect this work to take?
We anticipate this project to take 3-5 months with 3 Full-time employees to complete several BCH demo units and validate through Children's Mercy Hospitals and Clinics and participating school systems.
Do you need help?
Our team consists of Richard Welnowski, Lisa Large and Morgan Waller with Kashif Hasnie consulting. We welcome an experienced medical programmer and likely an additional developer for growth of our project.
If you can help let them know in the comments below.
and team members
Brief+Case Health is represented by Morgan Waller, Richard Welnowski and Lisa Large. Morgan Waller is an expert in the field of Telemedicine and also has an extensive background in critical care nursing and information systems. For this project she has served as a subject matter expert for the review of current Telemedicine practice, shortcomings of current technology available on the market today, and advised the group on the challenges Telemedicine encounters today. Richard Welnowski has over twenty-five years of experience in image creating, compositing, directing and editing for professional and commercial work with areas of expertise including high-end digital hardware/software, film and still image production using state of the art technology. Richard is currently the CEO for Sight Deck Solutions and served as the hardware and software expert for our project advising on feasibility, cost effectiveness, and state-of-the-art software/hardware solutions. Lisa Large is a Biomedical Engineer with experience developing, testing and reviewing medical devices. Additionally, Lisa has several years of experience in information systems technology related to electronic health records (EHR) and has recently turned her focus on Telemedicine. Dissatisfied with the traditional model of delivering healthcare to patients, Lisa is focused on developing new ways to leverage technology to better meet the needs of patients via telemedicine through research and clinical studies related to the use, function, improvement and development of telemedicine programs locally, regionally, and beyond. Our success so far can be attributed to blending our collective knowledge and experience to collaborate on this project. A brief description of our backgrounds are listed here: Morgan Waller, RN BSN, is the Director of Telemedicine Operations & Management for Children’s Mercy Hospitals & Clinics (CMHC). Previously, Morgan began her career providing superior care as a Pediatric Critical Care Registered Nurse. Morgan is gifted with possessing a “big picture” perspective while staying committed to fine details which led her to succesfully combining her critical care experience with technology when she joined Information Systems as a Critical Care Clinical Systems Analyst developing the EHR system at CMHC. It was during this time that Morgan had a vision for how to better serve the patients of CMHC and this launched her passion and dedication for telemedicine. In addition to Director of Telemedicine, Morgan is involved in several local and national committees where she shares her expertise in telemedicine and healthcare. Morgan participates on the KC Digital Infrastructure Health Care Team through Mid-America Regional Council (MARC), KC Downtown City Council Education Sub-committee, American College of Healthcare Executives, American Association of Telemedicine and American Association of Critical Care Nurses (AACN). Richard Welnowski is the CEO of SightDeckKC. Richard is an Engineer, film producer, technical director, director, cinematographer, photographer and lecturer. Richard’s expertise has awarded him with a Primetime Emmy Award. Richard has over twenty-five years of experience in image creating, compositing, directing and editing for professional and commercial work. Areas of expertise include high-end digital hardware/software, film and still image production using state of the art technology. From 1980 -1987 engineer, working for “Matrix Instruments”, designing video imagers and laser recorders for medical and science applications. Experienced with HD technology from its early introduction in 1987 up to today’s most advance technological developments. He served as real-time compositor for Lazy Town, a children’s television program aired on Nickelodeon and served as Executive Producer and Technical Director for the feature film “No Network,” which premiered in Europe and won more than 20 international awards. He played a key role as Director of Photography and Technical Director for three 50-minute episodes for the National Geographic series titled Day Under Fire, The Vietnam, Wilderness and Saipan-WW2, which was broadcast on National Geographic HD channel. In addition, he also has managing experience as owner and CEO of film and video companies in the United States and Europe. Lisa J. Large, MSBE, Telemedicine Training Coordinator for Children’s Mercy Hopsital & Clinics. Prior to her current position, Lisa began her professional career at Cerner Corporation in Kansas City, Missouri as a Consultant supporting the design, development and implementation of electronic health records (EHR) for healthcare systems around the world. A few years later Lisa joined Children’s Mercy Hospital & Clinics to grow and further develop the hospital’s existing Cerner EHR system. Lisa has a Bachelors and Masters Degree in Biomedical Engineering from the University of Missouri. As a graduate researcher Lisa developed and implemented 2 clinical studies in conjunction with the College of Nursing, College of Engineering and the Department of Dermatology to test the effectiveness of various medical devices to improve the health of amputees, diabetics and the elderly. Lisa has had a lifelong passion for healthcare and technology that has fueled her educational and professional pursuits.