Pulse Health App (#3229)

Creation
Draft
Signpost/Archive
Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
Pulse Health App is a *FREE to use secure closed instant message platform for the NHS available on iOS and Android. Featuring chats, voice/video calls, full NHS directory and much more. Log in via NHSmail credentials. www.pulsehealth.co.uk
Overview of Innovation:
Pulse Health App is a communication platform designed for the NHS; available on iOS, Android, and Web Client (coming soon). GDPR compliant, fully encrypted to the latest data and cybersecurity standards, safe for patient identifiable data (PID) and integrated into NHSmail.

Communication amongst healthcare professionals is moving away from the traditional email, the extension number, and the archaic bleep system. Users require instant messaging. It is inefficient to log on to a computer and find a contact, bleep them, and await a callback. Doctors, nurses, managers, and all other employees within the healthcare sector are using mobile phones and instant messaging solutions such as Whatsapp to organise themselves.
The use of Whatsapp and other unauthorised third-party social media/instant message systems by healthcare professionals is endemic. This poses a significant risk to the individual, the organisation, the NHS, and the patient. Whilst the majority of these systems are encrypted; images can integrate with the cloud, messages can be accidentally sent to personal contacts, and messages are not always anonymised to avoid data breaches.

The users are NHS mail only users who are actually verified by their respective organisations. Password management is done via NHS mail.

It is a completely closed system. The directory contains over 1.7 million contacts who can be contacted to download and use it. The users are already in the directory by proxy.

The organisations who do not use NHS mail can be added in a similar fashion alongside their directory.

There are no patients on this platform, and no one can get in with Yahoo or Hotmail etc.

The revenue is generated using advert banners which can be taken off for a small fee. There are no trial period and no restrictions as we want every user and every organisation whether they pay or not to be able to use it.

The images do not sync with the camera roll. There are pin and fingerprint protection and lockout time protection. Upon password change, the app automatically logs out.

There are call and video call facility at no extra charge. We have the ability to remote wipe all data in case needed.


*Free version contains adverts. The adverts are Admob by google, it uses users search history and browsing history to generate relevant content. It has nothing to do with the content of the messages or Pulse Health App itself. It does not affect the security of the app. Nonetheless they can be taken down for a small fee.



Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
Similar Content3
Innovation 'Elevator Pitch':
MediShout uses Apps and AI to turn hospitals in smart, automated buildings. Our technology prevents infra-structure and logistical problems (e.g. broken IT, missing stock, faulty equipment) from delaying staff who can focus more time on patient care.
Overview of Innovation:
THE PROBLEM 
IT, Equipment, Facilities, Estates, Stock... clinicians rely on these logistical Departments to deliver care, but often don’t report problems with them because:
1) Reporting-channels are too slow e.g. it often takes over 10 minutes to call a Helpdesk, and some Helpdesks get over 100,000 calls annually!
2) Staff don’t know how report issues as each Helpdesk has a different contact number, bleep, email etc
3) Sometimes NO reporting channel even exists
 
THE SOLUTION
MediShout solves this huge problem by giving staff a single-interface App to instantly report ANY logistical issue they encounter, such as broken IT or faulty equipment. Users simply select their ward, type their issue and press Shout. Our algorithms send this information to the correct administrator or Helpdesk who create change. Users can attach photos which helps Engineers fix problems faster. Two-way messaging and feedback provide regular updates to users on their issue.
 
MediShout captures data on the CLINICAL impact of each logistical problem reported; allowing hospitals to triage and fix the issues impacting patient care first. Our artificial-intelligence (machine-learning) algorithms can predict in advance when problems will occur, such as broken equipment, so hospitals can perform planned maintenance and prevent down-time in service provision.
 
BENEFITS
MediShout brings an excellent Return-on-Investment. Independent analysis by Health Enterprise East and Eastern AHSN, shows our platform can save NHS Trusts over £1million in efficiency savings per year. It can also generate direct cash-releasing savings, for example by requiring fewer administrative staff to operate Helpdesk telephones.

We improve the working environment and morale for staff, and can save 15 minutes per clinician daily.

Patient care improves as staff have more time with them. Our case studies also demonstrate faster patient discharges occurred from improved work-flow.
 
INNOVATIVE
MediShout is globally the first product to integrate all logistical Departments onto one platform, giving staff a quick single-interface App to report issues. We are the first to collect real-time data on the clinical impact of logistical issues whilst using AI to predict problems.

TRACTION
We've had traction across multiple Trusts in different regions plus acceptance by over 10 NHS hospitals and 2 pharmacies. We are on the NHS Clinical Entrepreneur programme, the WMAHSN Digital Health Accelerator and TechHub Accelerator.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption
Benefit to NHS:
HEALTH ECONOMIC IMPACT

1. Cost-Savings 
Health Enterprise East Ltd (HEE) undertook an independent, retrospective economic evaluation of Medishout, based on the above data. To create a robust cost-saving estimation, HEE created a mathematical economic model combining the data available with NHS tariff and unit costs.
 
The outcomes demonstrated that MediShout can save NHS Trusts over £1million per year in efficiency savings. This is predominantly from reducing wasted resources and staff-time and would equate to approximately £200million for the NHS annually. Furthermore, our platform also makes cash-releasing savings e.g. needing fewer administrative staff to operate telephones, or cancelling fewer operations.
 
2. Improved Efficiency
a) Q Health’s analysis praised MediShout for eradicating “ward inefficiencies” by enabling staff “to connect their issue with the right person”
b) At Imperial, the ED Matron believes MediShout gives managers “a much more robust oversight of the issues affecting our service delivery”, which is allowing their Department to batch-fix issues like carpentry faults.
c) By receiving photos, Engineers assess problems in advance and attend jobs with correct tools
d) AI-algorithms predicting problems allows advanced equipment maintenance
 
3. Improved Workflow / Faster Discharges
A publication in Journal of mHealth demonstrated that MediShout led to improved use of IT resources, which resulted in faster patient discharges at Watford General.

IMPROVED EXPERIENCE FOR STAFF
 
4. Improved Workforce Efficiency
MediShout saves clinicians up to 15 minutes per day, by reducing issue-reporting from 10 minutes to 35 seconds.
 
5. Improve Staff Morale
MediShout improves morale as 97% of staff (87/90) felt MediShout gives them more time with patients and 100% of staff approved use of our app.

IMPROVED OUTCOMES FOR PATIENTS
 
6. Prioritise Issues Affecting Patient Care
MediShout helps hospitals to identify which issues are most affecting patient care, so these can be fixed first.
 
7. More Time With Staff
At the international EUSEM Conference, we showed MediShout saves staff-time which can be spent at the patient-bedside, checking results or communicating with families.
 
8. Better Stock
Having better stocked wards, for example Crash Trolleys or Drugs Cupboards, is vital for preventing medical catastrophes.
 
9. Mental Health Harm Reduction
MediShout is currently working with a Mental Health Trust, for our platform to virtually map ligature fixtures, thus reducing risk of patient suicide. 
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
HEALTH ECONOMIC IMPACT

1. Cost-Savings 
Health Enterprise East Ltd (HEE) undertook an independent, retrospective economic evaluation of Medishout, based on the above data. To create a robust cost-saving estimation, HEE created a mathematical economic model combining the data available with NHS tariff and unit costs.
 
The outcomes demonstrated that MediShout can save NHS Trusts over £1million per year in efficiency savings. This is predominantly from reducing wasted resources and staff-time and would equate to approximately £200million for the NHS annually. Furthermore, our platform also makes cash-releasing savings e.g. needing fewer administrative staff to operate telephones, or cancelling fewer operations.
 
2. Improved Efficiency
a) Q Health’s analysis praised MediShout for eradicating “ward inefficiencies” by enabling staff “to connect their issue with the right person”
b) At Imperial, the ED Matron believes MediShout gives managers “a much more robust oversight of the issues affecting our service delivery”, which is allowing their Department to batch-fix issues like carpentry faults.
c) By receiving photos, Engineers assess problems in advance and attend jobs with correct tools
d) AI-algorithms predicting problems allows advanced equipment maintenance
 
3. Improved Workflow / Faster Discharges
A publication in Journal of mHealth demonstrated that MediShout led to improved use of IT resources, which resulted in faster patient discharges at Watford General.

IMPROVED EXPERIENCE FOR STAFF
 
4. Improved Workforce Efficiency
MediShout saves clinicians up to 15 minutes per day, by reducing issue-reporting from 10 minutes to 35 seconds.
 
5. Improve Staff Morale
MediShout improves morale as 97% of staff (87/90) felt MediShout gives them more time with patients and 100% of staff approved use of our app.

IMPROVED OUTCOMES FOR PATIENTS
 
6. Prioritise Issues Affecting Patient Care
MediShout helps hospitals to identify which issues are most affecting patient care, so these can be fixed first.
 
7. More Time With Staff
At the international EUSEM Conference, we showed MediShout saves staff-time which can be spent at the patient-bedside, checking results or communicating with families.
 
8. Better Stock
Having better stocked wards, for example Crash Trolleys or Drugs Cupboards, is vital for preventing medical catastrophes.
 
9. Mental Health Harm Reduction
MediShout is currently working with a Mental Health Trust, for our platform to virtually map ligature fixtures, thus reducing risk of patient suicide. 
Current and planned activity: 
1. We are on the NHS Clinical Entrepreneur Programme
2. We were previousl accepted to the WM AHSN Digital Health Acclerator
3. We have a commerical partnership with Eastern AHSN who have paid for our economic impact study
4. Our has been accepted by over 10 NHS hospitals
5. We are in discussions with many NHS hospitals in the London and East of England Regions
6. Our next natural step is to gain a footprint in the Midlands especially as our software developers (Bronze Labs) are Midlands based
What is the intellectual property status of your innovation?:
We own all our own IP including the source-code. Data we have derived with hospitals has been shared with freedom to use (although we must sometimes anonymise this)
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
2
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Innovation 'Elevator Pitch':

UD is a unified communication platform, available across all key device types, built for efficient collaboration by health professionals. Features: powerful Group and Individual messaging, calendaring, mail, voice & audio calling and secure storage

Overview of Innovation:

See www.uniquedoc.com

Key features:

  • Confidential text chat
  • Audio - call up to 5 separate participants
  • Video calls over Wi-Fi or suitable wireless connections (reducing call costs)
  • InMail
  • Upload, Share and view images and files from encrypted Secure Storage
  • Create local specialist groups with healthcare professionals, agencies, patients or suppliers
  • Schedule events for individuals or groups
  • Email alerts updating you on new messages and events
  • Powerful Search function across all communication types

 
UNIQUEDOC is an intuitive, visually engaging unified communications platform. Borrowing familiar stylings from social media, it’s ease of use encourages focus on improving care and effective workplace collaboration, while reducing training requirements.
Confidential Chat and InMail Messaging combine with Audio and Video Calling options for effective communication while users can Store, Share and Access Files securely. As well as messaging, users can create unlimited and specialist groups, schedule Calendar Events with individuals or groups. There are Automated Message and Event alerts to keep your work on track while your corporate communications will benefit from secure broadcasted News updates to all users.
UNIQUEDOC means easy access to your communications, with ubiquitous availability; all major web browsers are supported as well as applications being available for iOS App (iOS8 and up) and Android (4.4 and up) through their app stores. UNIQUEDOC enables secure employee device usage (BYOD) in the work place.
UNIQUEDOC comes with a range of Secure Storage capacities, and a large 1GB file upload size. File Sharing is simplified and is not via local devices for improved security, while the interface features an auditable file sharing trail. The unique UNIQUEDOC Secure Vault gives you exclusive control of the most important documents.
UNIQUEDOC ends the frustration and inefficiency of multiple messaging softwares. Search all your files, communications and storage from a single, powerful engine.
UNIQUEDOC can support you with online help, tips and tutorials as well as 365/24 SLA and in-house Technical Support. We use a clustered, scalable, resilient architecture to ensure your data and communications are perfectly secure. UNIQUEDOC is fully Data Protection Act Compliant.
We have a simple business model, with a low, fixed cost implementation per user. You can also have unlimited free accounts for partners/patients.

Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Education, training and future workforce / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:

Specific benefits would depend very much on the installation; the UNIQUEDOC Platform is very flexible in its deployment. In general:

  1. Low barriers to use means very low training requirements; we use familiar social media styles
  2. Fast collabortaion across teams and departments; UNIQUEDOC is great for when different departments (or even different services) that have incompatible existing systems need to work together
  3. Effective collaboration produces patient centric care
  4. Users can share documents, images and video securely with a large upload size, making video consultations a real possibility
  5. A single searchable app that can replace Skype, Dropbox, Windows Messenger etc reduces lost documents, increases security, reduces instances of communication app mis-match between staff
  6. Available across major browsers, Android and iOS (mobile and tablet), enables staff to use their own familiar, existing Smart device; reducing training time, device overheads etc
  7. VOIP calls and internet video calling reduce telephone calls costs between departments
  8. Reduced cloud storage costs through centralisation
  9. Excellent for public communication; free accounts (with access restrictions) can be used by patients
  10. Video Ad feature enables public awareness of key health issues
  11. UNIQUEDOC can be implemented without integration into other systems
  12. UNIQUEDOC can be deployed flexibly; on NHS servers, cloud services, UD servers dpending on requirements
Initial Review Rating
3.60 (2 ratings)
Benefit to WM population:

Key areas outlined in the Five Year Forward View that UNIQUEDOC can address are as follows:

  • Partnerships with local communities, local authorities, and employers
  • Employee Health
  • Patient control of health; carer support
  • Reduce barriers and increase co-operation between family Doctors, hospitals, health and social care
  • MCPs are multi discipline and will need to work together
Current and planned activity: 

We are engaging with NHS England (Tracey Grainger and team) and pursuing CCGs to undertake working trials. There is trial activity underway now with NHS Scotland/West Lothian. Meanwhile we are engaging with other digital companies already working with the NHS to expand our offering via strategic partnerships. UNIQUEDOC excells in scenarios where multiple departments need to work together so we are pursuing areas such as Health and Social Justice as well as Health and Social Care. We are reaching out to the Patient & Information Directorate through the four regional Heads of Digital Technology

What is the intellectual property status of your innovation?:

UNIQUEDOC is entirely privately owned and funded by a consortium of investors. IP Rights registration underway.
 

Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Innovation 'Elevator Pitch':
An app, designed by doctors, to promote safe and effective handover both within and between teams. With the inforamtion captured for handoer, clinical leaders can better review and manage patient flow through their team and the wider organisation. 
Overview of Innovation:
Careful is an app designed by clinicians. It helps doctors, nurses and allied health professionals share and protect critical patient information.

At its heart, it answers two pressing questions - who is currently looking after the patient and what is their clinical plan? It uses our Handover® system to keep track of the former and for the latter it provides a job-tracking system, with free-text clinical updates.

It has been designed to be simple, easy to use and mobile-first — so it can replace traditional paper-and-memory handover sheets.

This information, gathered from clinicians at the bedside, provides an exceptionally rich set of data that is currently lost in handover sheets and verbal order, or is buried in notes. By making this accessible, the app provides an overview that allows clinical leaders to review and manage the flow of patients through their team and the wider organisation.

By capturing structured information about actions and patient diagnoses, the system also creates the opportunity for 'clinical coding at the bedside' - a potentially huge cost saving.

Finally, we are developing a patient-centred app to enable patients to access and contribute to their own record and to communicate directly with the teams looking after them.

They will also, in response to the General Data Protection Regulation which comes into force in May, have direct oversight of their own record, ensuring that they can identify who has accessed it, and exercise control over who views the information.

We have tested and revised the first version of the system and are now ready to deploy version 2 of the clinician app. This is developed and ready for deployment in 2018. We need further support so that we can ensure that it is refined in response to customer feedback and to add further features. We also need funding for the patients’ app.
 
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
The NHS is facing an unprecedented strain on its resources - particularly in secondary care. Many hospitals stuggle with patient flow. The object of this app is to allow doctors, nurses and other team members to share the clincial plan for patients - making the status of patients much more visible and improving the handover of clinical data. It is estimated that in the average 400-bedded trust, as many as 120 patients may be ready for discharge. We aim to improve the visibility of this information.

The cost-savings from effective patient flow managment in secondary care could run into billions, and this app will be a useful tool both to improve trusts' understanding of patients' status and to make handover more effective for the teams involved.
 
​It will also significantly benefit patients. - We know, from the investigation of serious incidents, that communiation is a prominent factor in around 80% of the thousands of incidents in which patients die each year in hospitals from preventable harm. It is also acknowledged that handover is a time of great risk for the loss of critical information.

The Careful app is designed to improve the communication and handover process between clinicians - and to encourage multidiisciplinary use, where doctors, nurses and other professionals all have access to the same information. We believe that it can save lives - although this will, again, be hard to quantify.

Finaly, the Careful app can help with the transfer of care between organisations. Becasue it is cloud-based, it is 'organisation-agnostic' and can therefore allow the transfer of patient records between organistions as easily as between teams in the same organisation. This is a perennial 'tough nut to crack' - as any clinician will tell you. We belive that the Careful app can do this without the inherent issues found in paper, fax and phonecalls. The cost and patient safety implications of this are significant.
 
Initial Review Rating
4.00 (2 ratings)
Benefit to WM population:
Our intention is to use this app with Birmingham Children's Hospital. We have contacts there but have not, as yet, secured an agreement - largely because we have other trusts in Yorkshire and the South East who are further ahead in their adoption.

We would use any money raised through this process to ensure that the app was made available to all hospitals in the West Midlands.
Current and planned activity: 
We have recently finished Version 2 of this app - which has significant information governance and privacy improvments (we have attached our Privacy Impact Assessment for more information). The app has also had a complete overhaul of its user interface (UI). We have also recently completed the status-flow elements of the app, allowing us to provide overivew patient-flow data at the organisation level.

We are testing this in two NHS trusts and two private hospitals in the next 3-6 months. These trials are 'pre-revenue', designed to refine the app before being launched on the wider healthcare market. The outline terms and benefits of this trail are provided in one of the attachments.

We intend to use any further funding to expand our user base to organisaitons that will pay, and to start the devleopment of the patient app.
What is the intellectual property status of your innovation?:
We own all intellectual property in the form of code and design. We also own the Careful and Handover trademarks in the UK.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
3 years +
Ease of scalability: 
2
Co-Authors:
Regional Scalability:
Our businss model is based on scalablity. The app runs in the cloud (in a Microsoft Azure implmentation) and allows new organiations to be added with no overhead. Moreover, the design of the app is expressly to allow inter-organisational referrals and information sharing across the normally tight boudnaries between primary/community care and hospitals.

Scaling is 'built-in' to this app.

.
Measures:
For the business, the main meausre are user adoption and, of course, revenue. However, for the users themselves, the measurable benefits would depend on their role (see below).

Primarily, however, the financial / cost-benefit is improvement of flowand reduced length of stay

Benefits are: 

1) Juniror doctors - pimarily time-saving
  • Less time ‘polishing the list’
  • More accurate and timely communication about patient jobs and patient status / location 
2) Senior doctors and clinicians - primarily patient safey measures
  • More clarity on the individual patient status
  • No more ‘safari ward rounds’
  • Ability to monitor individual clinician activity
  • With ‘action bundles’ - the ability to standardise care for patients with particular conditions 
3) Site practitioners/Bed managers - time saving and improved flow
  • Less walking-the-floors to determine what is happening to patients
  • Clarity on the status of beds and patients throughout the organisation
  • Faster bed-turnaround times 
4) Finanical / service managers
  • Shorter length-of-stay
  • Higher bed utilisation
  • Patients admitted and discharged more efficiently
5) Information governance leaders
  • Ability to provide granular data to patients, in accordance with the General Directive on Data Protection (GDDP)
  • The ability to control which clinicians see what patient data.
  • No more IG breaches from handover sheets 
6) Coding departments
  • Faster coding - using machine-readable medical input
  • 'Codling at the bedside' in later versions
Adoption target:
As described, we want to use this in Birmingham Children's hospital initially, but we would like to see it adopted in all hopstials in the region.
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