Healthcare Facilities

Electrocardiography

Diagnostics of cardiac arrhythmias

Event Recorder

Outpatient remote monitoring

Blood pressure remote monitoring

Telespirometry

Remote monitoring of oximetry

Telediabetology

Tele-ultrasound

Teledermatology

Electrocardiography

The service offers the possibility of carrying out a 12-lead electrocardiogram, “in real time” 24 hours a day, making available to the health facility a device that records and sends on the web, to the user’s personal health file, the electrocardiographic trace detected.

The facility can:

make the recording of the electrocardiogram;

send the electrocardiographic trace in telematic / telephone mode (also with mobile phone) to the HTN Service Center;

request teleconsultation/report to the cardiologist on duty;

access the user’s personal health file and directly print the report.

The service is useful for checks:

in primary prevention for users at risk (diabetics, hypertensive, dyslipidemia etc ..) or for screening, in healthy subjects for sports practice etc

in secondary prevention after a cardiovascular event

for the onset of signs and / or symptoms of a cardiovascular nature

related to the definition of cardiovascular risk

related to the evaluation of the effects of cardiovascular therapies.

The telereportation and the related teleconsultation by HTN cardiologists are delivered and made printable within 10 minutes.

Cardioline Microtel Electrocardiograph »
Mortara WAM PC Electrocardiograph »

Diagnostics of cardiac arrhythmias with Dynamic Electrocardiogram 24 Hours according to HOLTER

The dynamic electrocardiography service according to HOLTER allows the healthcare facility to make available to its users a device that records and sends on the web, to the personal health dossier, the entire sequence of the electrocardiographic trace recorded in 24/48 hours.

The healthcare facility can at any time access the user’s personal health file, in the “SmartTelemedicine Platform” of HTN, with its own password for:

view the sent tracks;

print the report directly;

request a teleconsultation/ report to the cardiologist on duty.

The service is useful for:

a diagnostic confirmation of the presence of the arrhythmic state;

a more accurate definition of cardiovascular risk by assessing the presence of minor and/or major arrhythmias;

an evaluation of the effects of antiarrhythmic therapy.

The telereport by HTN cardiologists is printable within 24 hours.

Cardioline Walk400h Holter Monitoring »
Mortara H3+ Holter Monitoring »

Event Recorder (monitoring and diagnosis of sporadic and symptomatic cardiac arrhythmias)

The service allows the remote monitoring of sporadic and symptomatic cardiac arrhythmias 24/24 through an Event Recorder.

Palpitations (perceived as irregular heart rhythm or feeling of missed heartbeat) is a symptom common to many patients and its presence can be difficult to document. The basic electrocardiogram and the recording of the dynamic electrocardiogram according to Holter are the most used methods to investigate this symptom; often they do not give encouraging results especially in patients in whom the symptom is “accessual”. In these cases, the aid of Telecardiology is a valid element in the diagnostic approach.

The Event Recorder is entrusted by the doctor to the user for a period of 7-15 days. The user, when the palpitations symptom occurs, applies the device to the chest, presses a button, records 30″ of heart rhythm (which is stored in the device) and sends it, transtelephone / telematic, to the HTN operations center where a cardiologist specialist provides the teleconsultation / report of the arrhythmic event.

The doctor of the facility can at any time access the user’s personal health file, in the “SmartTelemedicine Platform” of HTN, to:

view the sent tracks

print the report directly

request a teleconsultation / report in real time with the specialist doctor on duty.

The service is useful for:

a diagnostic confirmation of the presence of the arrhythmic state

a more accurate definition of cardiovascular risk by assessing the presence of minor and/or major arrhythmias

an evaluation of the effects of antiarrhythmic therapy.

Reports and reports of the telemonitoring period can be printed within 24 hours of the return of the Event Recorder while any teleconsultation by HTN cardiologists is immediate.

24-hour outpatient blood pressure remote monitoring (MAP/ambulatory blood pressure monitoring – ABPM/ambulatory blood)

The Ambulatory Pressure Monitoring allows the health facility to make available to its users a device that records and sends on the web, to the personal health dossier, all the pressure values detected in the 24 hours.

The healthcare facility can at any time access the user’s personal health file, in the “SmartTelemedicine Platform” of HTN, to:

view the data sent;

print the report directly;

request a teleconsultation / report in real time with the specialist on duty.

The service is useful for:

a diagnostic confirmation of the hypertensive state;

a more accurate definition of cardiovascular risk by assessing the pressure load, variability, differential pressure and average heart rate;

an evaluation of the effects of antihypertensive therapy.

The telereport is printable within 24 hours while any related teleconsultation by HTN cardiologists is immediate.

Omron M24-7 BT 24h Monitoring of Blood Pressure »
Walk200b 24h Monitoring of Blood Pressure »
Watch BP03 24h Monitoring of Blood Pressure»

Blood pressure monitoring

The service allows the healthcare facility to entrust the user with a device for the detection of home blood pressure values (with bluetooth wireless transmission or NFC Near Field Communication).

All the pressure values detected, both at home and on the move, are automatically sent, through smartphones or tablets, to the user’s personal health file.

Their progressive memorization allows the HTN cardiologist the accurate definition of cardiovascular risk through the evaluation of pressor values, transient peaks, pressure load, variability, differential pressure and average heart rate.

The service offers the possibility to:

carry out unlimited measurements at home and/or on the move of the pressure values;

easily and permanently store all the pressure values detected;

compare them with those present in the database;

view value trends;

periodically receive the report from the HTN cardiologist and take advantage of his 24-hour teleconsultation;

access the printing of the report always and immediately;

issue the user with a personal password for viewing the data.

The advantages are represented by the 200s of being able to:

carry out checks in primary prevention for all those who are familiar with hypertensiveness, stress, obesity, kidney diseases etc …;

carry out checks in secondary prevention (users with diabetes mellitus, cerebral stroke, dilated heart disease, etc…);

evaluate the effects of antihypertensive therapy.

The service has two possible variants:

the pressure detection device can be rented from the structure to its users who do not have a smartphone (in this case the user periodically returns to the clinic to download all the values recorded at home);

it can also be activated through the use of blood pressure monitors already supplied to the clinics or to the user (in this case the pressure data are, from time to time, manually entered in the personal health dossier).

The 2013 Guidelines of the European Society of Hypertension underline that the blood pressure values detected at home have a prognostic significance more predictive of cardiovascular accidents than the values detected in the clinic.

A&D 767BT Blood Pressure Monitor »
iHealth BP5 Blood Pressure Monitor »

Telespirometry

The service provides the possibility of recording a standard spirometry, with all the values related to lung capacity and the degree of airway parity.

The health facility therefore has a spirometer with which it can:

record the spirometry track;

send it electronically, on the web, to the user’s personal health file;

access the user’s personal health file to view the data sent;

provide directly to the printing of the report;

request teleconsultation/reporting to the pulmonologist on duty.

The service is useful in order to:

activate “screening” programs with respect to the population at risk (e.g. smokers/former smokers);

verify and confirm the certainty of the diagnosis of COPD (chronic obstructive pulmonary disease);

make a certain diagnosis of COPD flare-up whenever a patient is instable;

define a diagnosis of certainty and have, through teleconsultation with the pulmonologist specialist, an appropriate therapy.

The telereport is printable within 24 hours while any related teleconsultation by HTN pulmonologists is immediate.

MIR Minispir Spirometer »

Remote monitoring of oximetry

The service involves entrusting the user with a wireless oximeter for extemporaneous or continuous remote monitoring of oximetry values.

The user, through smartphones, transmits the oximetric data to the “SmartTelemedicine Platform” of HTN.

The service allows you to:

record the oximetric track in extemporaneous or continuous mode;

send it automatically, on the web, to the user’s personal health file;

access the user’s personal health file to view the data sent;

print the report directly;

request teleconsultation/reporting to the pulmonologist on duty.

The telereport is made printable within 24 hours while any teleconsultation by HTN pulmonologists is immediate.

iHealth Oximeter »
O2Ring Oximeter »

Telediabetology

The health facility has a service that allows you to automatically detect and store, 24 hours a day, all the blood glucose values of its users.

The diabetic patient is entrusted with a USB / wireless transmission glucometer that (through PC / smartphone) sends in telematic mode on the web, to the personal health dossier, all the home measurements of glycemic values.

The health facility may, at any time:

access the user’s personal health file;

view the data sent by the device;

print the report directly;

request teleconsultation from the diabetologist on duty.

The service is useful in terms of users with diabetes mellitus who need to:

constant tele-monitoring of hematochemical values (blood sugar, glycated hemoglobin, etc…);

therapeutic adjustments (insulin, oral antidiabetics);

specialized teleconsultations on their own co-morbidities (heart disease, retinopathy, arterial disease in the lower extremities, peripheral neuropathy, etc…).

iHealth Glucometer »

Tele-ultrasound

The service allows you to:

a remote outpatient workstation equipped with a digital ultrasound;

compression equipment\encoding\signal transmission;

media server platform for encoded signal reception and streaming;

central platform of telemonitoring services for the visualization of images / movies and archiving within the SmartTelemedicine Platform in DICOM format;

a remote videoconference station, at the clinic equipped with ultrasound, for e-learning by the HTN specialist during the execution of the exam.

Teledermatology

The service allows you to:

activate a teleconsultation with a dermatologist after sending the images of the lesions to be diagnosed collected with a digital camera or, alternatively, with a digital transmission dermatoscope;

access the SmartTelemedicine platform with your password and directly print the images and comments of the specialist.
“Intensive” clinic-instrumental telemonitoring

The “Intensive Telemonitoring” services are designed and implemented in favor of health facilities such as small hospitals, individual hospital divisions, nursing homes, RSA that do not have professional figures available 24 hours a day such as emergency doctors, cardiologists, anesthesiologists-resuscitators; the continuous and intensive health surveillance of critical patients is therefore, in full, delegated to HTN.

Instrumentation supplied to the facilities

In the structure are prepared beds with the following multi-parameter telemonitoring instruments that allow the remote control 24 hours a day of the vital parameters of the user by HTN’s specialist doctors.

Philips M3150 IntelliVue Monitoring Centre:

monitors in real time and automatically the electrocardiographic, oximetric and blood pressure traces of the patient;

allows the programming of specific alarms for each track;

allows the simultaneous display of the tracks of 4 portable MP2 monitors and similar alarms (visual / sound) generated by the patient-monitor;

provides for the export via the web of data to HTN, with the electronic sending of the traces of each alarm generated and its automatic archiving in the personal health dossier.

MP2 portable monitor connected to the IntelliVue monitoring panel:

MP2 portable monitor connected to the IntelliVue monitoring panel. The monitor is able to display the values of blood pressure, oximetry, electrocardiographic waveforms and record a 12-lead track (with a 10-cable set) or continuous monitoring of the 3-lead track (with a 5-cable set). It is able to analyze the parameters of the track with respect to pre-established limits (always visible on the main screen), triggering an alarm in case of deviations.

Exceeding an alarm threshold is signaled by the monitor through the emission of an acoustic signal, of variable intensity depending on the severity.

In addition, a message appears that, for real alarms, flashes red in case of potentially dangerous situations, in yellow for simple conditions that exceed the preset limits of vital parameters.

Conversely, in case of technical alarms, the message on is fixed and blue (alarms from signal quality problems, malfunction or disconnections of the equipment).

How “Intensive Telemonitoring” works

Workflow:

the doctor of the structure identifies the patient eligible for continuous intensive telemonitoring;

access, through the authentication credentials (username and password) in the “SmartTelemedicine Platform” of HTN;

subject to informed consent, enroll the patient (in the personal health dossier) by entering personal data and any other information useful for telemonitoring (anamnesis, therapy, events etc…);

enters the patient’s personal data in the Monitoring Centre;

applies electrodes/sensors (electrocardiograph, oximeter-blood pressure) to the patient;

activate the device for continuous monitoring.

The Philips Intellivue control panel continuously and automatically analyzes the monitored traces, identifying any alarms for arrhythmias, beat/beat deviations in the measurement of QT, ST-T, blood pressure, oximetry.

The specialist on duty in HTN provides, in real time in the “SmartTelemedicine Platform” of HTN, the remote surveillance of the patient and the reporting of the signals received, making them available and printable to the department.

All alerted traces are stored in the patient’s personal health file.
Philips IntelliVue Telemonitoring Center »
Hospital protected discharges

The services designed and implemented to manage “protected hospital discharges” are addressed to health facilities (hospitals, individual hospital divisions, nursing homes) that intend to discharge in advance their patients suffering from chronic diseases (such as heart failure, diabetes, bronchopneumopathies, etc…).

For the realization of the protected discharge activities, HTN makes available to the health facility a software and services equipment structured as follows:

1. Telemedicine Station

The telematic station present in the health facility must provide at least:

PC with Pentium processor 128Mb ram memory (or higher);

CD ROM;

10/100 LAN card on board;

Windows 2000 professional, Xp professional, Vista (or higher);

Microsoft Word;

Laser printer.

The connection to the HTN data center must be guaranteed in broadband mode.

The setting up of the remote telemedicine station involves the configuration of the software necessary for access by the health facility to the HTN SmartTelemedicine Platform.

In particular, the following are envisaged:

“on site” health card software licenses for all enrolled patients;

right to access and processing of proprietary sensitive health data.

For each workstation HTN guarantees the following set-up activities:

configuration of the telematic station at the health facility by a specialized technician;

roll-out of the remote connection with the HTN Service Center in Brescia;

creation, at the HTN CED, of a hard disk partition for the configuration of the database dedicated to the activity of the health facility;

system testing;

training for medical/ nursing staff who will have to use the station.

2. Operational Management Flow of the service:

the doctor in charge of the health facility reports to the HTN Service Center the name, subject to informed consent, and the relative follow-up plan of the patient in protected discharge;

the Service Centre generates the personal health dossier;

the patient is sent to the home, from time to time, with telemedicine equipment suitable for monitoring his clinical situation;

the workflow includes scheduled contacts by the health facility to the patient and occasional contacts by the patient to the health facility whenever he feels symptoms or discomfort;

for scheduled contacts, the Service Center, following the dates of the follow-up set by the health facility, provides to call the patient, to activate the possible reception of biological signals and to make them immediately available to the nurse tutor of the health facility;

the nurse tutor of the health facility, in communication with the patient during the scheduled contact, updates the personal health dossier with the intervention plan and the agenda of the medical staff;

at the end of the remote surveillance period HTN will notify the health manager and close the personal health file;

HTN manages telemedicine equipment online;

HTN periodically transmits to the health facility concerned the reporting of the activities;

at any time, the personal health dossier is made available via browser or terminal server to users with the appropriate credentials (the computer system manages login, user profiling, authorization management and data back-up).

For all occasional contacts outside the time slots of activity of the health facilities (or night-holiday back-up or in case of non-response within five minutes) the Service Center intervenes in any case with its staff (nurse / specialist doctor) updating the personal health dossier and subsequently communicating to the head of the reference health unit the actions taken.

3. Organizational model:

The healthcare facility and patients can make an unlimited number of calls to the HTN Service Center.

The Call Center is active 24/365 days, with online response.

All HTN professional staff (medical specialists and nurses):

is always on connected (VPN) in telework;

has a consolidated experience in the specific specialist field at excellent healthcare facilities;

attends periodic training and updating courses with respect to the main guidelines of the various pathologies.

All conversations that pass through the HTN Service Center in Brescia are recorded.

HTN guarantees full compliance with the legislation on sensitive personal data pursuant to Legislative Decree 193/2003.

These services allow Healthcare Facilities to activate a Telemedicine service at the chosen Hospital Division in a short time and “turnkey”, avoiding expensive structural investments.

iHealth Oximeter »
O2Ring Oximeter »
iHealth Body Analysis Scale »
iHealth Activity Tracker »

Electrocardiography

Diagnostics of cardiac arrhythmias

Event Recorder

Outpatient remote monitoring

Blood pressure remote monitoring

Telespirometry

Remote monitoring of oximetry

Telediabetology

Tele-ultrasound

Teledermatology

Electrocardiography

The service offers the possibility of carrying out a 12-lead electrocardiogram, “in real time” 24 hours a day, making available to the health facility a device that records and sends on the web, to the user’s personal health file, the electrocardiographic trace detected.

The facility can:

make the recording of the electrocardiogram;

send the electrocardiographic trace in telematic / telephone mode (also with mobile phone) to the HTN Service Center;

request teleconsultation/report to the cardiologist on duty;

access the user’s personal health file and directly print the report.

The service is useful for checks:

in primary prevention for users at risk (diabetics, hypertensive, dyslipidemia etc ..) or for screening, in healthy subjects for sports practice etc

in secondary prevention after a cardiovascular event

for the onset of signs and / or symptoms of a cardiovascular nature

related to the definition of cardiovascular risk

related to the evaluation of the effects of cardiovascular therapies.

The telereportation and the related teleconsultation by HTN cardiologists are delivered and made printable within 10 minutes.

Cardioline Microtel Electrocardiograph »
Mortara WAM PC Electrocardiograph »

Diagnostics of cardiac arrhythmias with Dynamic Electrocardiogram 24 Hours according to HOLTER

The dynamic electrocardiography service according to HOLTER allows the healthcare facility to make available to its users a device that records and sends on the web, to the personal health dossier, the entire sequence of the electrocardiographic trace recorded in 24/48 hours.

The healthcare facility can at any time access the user’s personal health file, in the “SmartTelemedicine Platform” of HTN, with its own password for:

view the sent tracks;

print the report directly;

request a teleconsultation/ report to the cardiologist on duty.

The service is useful for:

a diagnostic confirmation of the presence of the arrhythmic state;

a more accurate definition of cardiovascular risk by assessing the presence of minor and/or major arrhythmias;

an evaluation of the effects of antiarrhythmic therapy.

The telereport by HTN cardiologists is printable within 24 hours.

Cardioline Walk400h Holter Monitoring »
Mortara H3+ Holter Monitoring »

Event Recorder (monitoring and diagnosis of sporadic and symptomatic cardiac arrhythmias)

The service allows the remote monitoring of sporadic and symptomatic cardiac arrhythmias 24/24 through an Event Recorder.

Palpitations (perceived as irregular heart rhythm or feeling of missed heartbeat) is a symptom common to many patients and its presence can be difficult to document. The basic electrocardiogram and the recording of the dynamic electrocardiogram according to Holter are the most used methods to investigate this symptom; often they do not give encouraging results especially in patients in whom the symptom is “accessual”. In these cases, the aid of Telecardiology is a valid element in the diagnostic approach.

The Event Recorder is entrusted by the doctor to the user for a period of 7-15 days. The user, when the palpitations symptom occurs, applies the device to the chest, presses a button, records 30″ of heart rhythm (which is stored in the device) and sends it, transtelephone / telematic, to the HTN operations center where a cardiologist specialist provides the teleconsultation / report of the arrhythmic event.

The doctor of the facility can at any time access the user’s personal health file, in the “SmartTelemedicine Platform” of HTN, to:

view the sent tracks

print the report directly

request a teleconsultation / report in real time with the specialist doctor on duty.

The service is useful for:

a diagnostic confirmation of the presence of the arrhythmic state

a more accurate definition of cardiovascular risk by assessing the presence of minor and/or major arrhythmias

an evaluation of the effects of antiarrhythmic therapy.

Reports and reports of the telemonitoring period can be printed within 24 hours of the return of the Event Recorder while any teleconsultation by HTN cardiologists is immediate.

24-hour outpatient blood pressure remote monitoring (MAP/ambulatory blood pressure monitoring – ABPM/ambulatory blood)

The Ambulatory Pressure Monitoring allows the health facility to make available to its users a device that records and sends on the web, to the personal health dossier, all the pressure values detected in the 24 hours.

The healthcare facility can at any time access the user’s personal health file, in the “SmartTelemedicine Platform” of HTN, to:

view the data sent;

print the report directly;

request a teleconsultation / report in real time with the specialist on duty.

The service is useful for:

a diagnostic confirmation of the hypertensive state;

a more accurate definition of cardiovascular risk by assessing the pressure load, variability, differential pressure and average heart rate;

an evaluation of the effects of antihypertensive therapy.

The telereport is printable within 24 hours while any related teleconsultation by HTN cardiologists is immediate.

Omron M24-7 BT 24h Monitoring of Blood Pressure »
Walk200b 24h Monitoring of Blood Pressure »
Watch BP03 24h Monitoring of Blood Pressure»

Blood pressure monitoring

The service allows the healthcare facility to entrust the user with a device for the detection of home blood pressure values (with bluetooth wireless transmission or NFC Near Field Communication).

All the pressure values detected, both at home and on the move, are automatically sent, through smartphones or tablets, to the user’s personal health file.

Their progressive memorization allows the HTN cardiologist the accurate definition of cardiovascular risk through the evaluation of pressor values, transient peaks, pressure load, variability, differential pressure and average heart rate.

The service offers the possibility to:

carry out unlimited measurements at home and/or on the move of the pressure values;

easily and permanently store all the pressure values detected;

compare them with those present in the database;

view value trends;

periodically receive the report from the HTN cardiologist and take advantage of his 24-hour teleconsultation;

access the printing of the report always and immediately;

issue the user with a personal password for viewing the data.

The advantages are represented by the 200s of being able to:

carry out checks in primary prevention for all those who are familiar with hypertensiveness, stress, obesity, kidney diseases etc …;

carry out checks in secondary prevention (users with diabetes mellitus, cerebral stroke, dilated heart disease, etc…);

evaluate the effects of antihypertensive therapy.

The service has two possible variants:

the pressure detection device can be rented from the structure to its users who do not have a smartphone (in this case the user periodically returns to the clinic to download all the values recorded at home);

it can also be activated through the use of blood pressure monitors already supplied to the clinics or to the user (in this case the pressure data are, from time to time, manually entered in the personal health dossier).

The 2013 Guidelines of the European Society of Hypertension underline that the blood pressure values detected at home have a prognostic significance more predictive of cardiovascular accidents than the values detected in the clinic.

A&D 767BT Blood Pressure Monitor »
iHealth BP5 Blood Pressure Monitor »

Telespirometry

The service provides the possibility of recording a standard spirometry, with all the values related to lung capacity and the degree of airway parity.

The health facility therefore has a spirometer with which it can:

record the spirometry track;

send it electronically, on the web, to the user’s personal health file;

access the user’s personal health file to view the data sent;

provide directly to the printing of the report;

request teleconsultation/reporting to the pulmonologist on duty.

The service is useful in order to:

activate “screening” programs with respect to the population at risk (e.g. smokers/former smokers);

verify and confirm the certainty of the diagnosis of COPD (chronic obstructive pulmonary disease);

make a certain diagnosis of COPD flare-up whenever a patient is instable;

define a diagnosis of certainty and have, through teleconsultation with the pulmonologist specialist, an appropriate therapy.

The telereport is printable within 24 hours while any related teleconsultation by HTN pulmonologists is immediate.

MIR Minispir Spirometer »

Remote monitoring of oximetry

The service involves entrusting the user with a wireless oximeter for extemporaneous or continuous remote monitoring of oximetry values.

The user, through smartphones, transmits the oximetric data to the “SmartTelemedicine Platform” of HTN.

The service allows you to:

record the oximetric track in extemporaneous or continuous mode;

send it automatically, on the web, to the user’s personal health file;

access the user’s personal health file to view the data sent;

print the report directly;

request teleconsultation/reporting to the pulmonologist on duty.

The telereport is made printable within 24 hours while any teleconsultation by HTN pulmonologists is immediate.

iHealth Oximeter »
O2Ring Oximeter »

Telediabetology

The health facility has a service that allows you to automatically detect and store, 24 hours a day, all the blood glucose values of its users.

The diabetic patient is entrusted with a USB / wireless transmission glucometer that (through PC / smartphone) sends in telematic mode on the web, to the personal health dossier, all the home measurements of glycemic values.

The health facility may, at any time:

access the user’s personal health file;

view the data sent by the device;

print the report directly;

request teleconsultation from the diabetologist on duty.

The service is useful in terms of users with diabetes mellitus who need to:

constant tele-monitoring of hematochemical values (blood sugar, glycated hemoglobin, etc…);

therapeutic adjustments (insulin, oral antidiabetics);

specialized teleconsultations on their own co-morbidities (heart disease, retinopathy, arterial disease in the lower extremities, peripheral neuropathy, etc…).

iHealth Glucometer »

Tele-ultrasound

The service allows you to:

a remote outpatient workstation equipped with a digital ultrasound;

compression equipment\encoding\signal transmission;

media server platform for encoded signal reception and streaming;

central platform of telemonitoring services for the visualization of images / movies and archiving within the SmartTelemedicine Platform in DICOM format;

a remote videoconference station, at the clinic equipped with ultrasound, for e-learning by the HTN specialist during the execution of the exam.

Teledermatology

The service allows you to:

activate a teleconsultation with a dermatologist after sending the images of the lesions to be diagnosed collected with a digital camera or, alternatively, with a digital transmission dermatoscope;

access the SmartTelemedicine platform with your password and directly print the images and comments of the specialist.
“Intensive” clinic-instrumental telemonitoring

The “Intensive Telemonitoring” services are designed and implemented in favor of health facilities such as small hospitals, individual hospital divisions, nursing homes, RSA that do not have professional figures available 24 hours a day such as emergency doctors, cardiologists, anesthesiologists-resuscitators; the continuous and intensive health surveillance of critical patients is therefore, in full, delegated to HTN.

Instrumentation supplied to the facilities

In the structure are prepared beds with the following multi-parameter telemonitoring instruments that allow the remote control 24 hours a day of the vital parameters of the user by HTN’s specialist doctors.

Philips M3150 IntelliVue Monitoring Centre:

monitors in real time and automatically the electrocardiographic, oximetric and blood pressure traces of the patient;

allows the programming of specific alarms for each track;

allows the simultaneous display of the tracks of 4 portable MP2 monitors and similar alarms (visual / sound) generated by the patient-monitor;

provides for the export via the web of data to HTN, with the electronic sending of the traces of each alarm generated and its automatic archiving in the personal health dossier.

MP2 portable monitor connected to the IntelliVue monitoring panel:

MP2 portable monitor connected to the IntelliVue monitoring panel. The monitor is able to display the values of blood pressure, oximetry, electrocardiographic waveforms and record a 12-lead track (with a 10-cable set) or continuous monitoring of the 3-lead track (with a 5-cable set). It is able to analyze the parameters of the track with respect to pre-established limits (always visible on the main screen), triggering an alarm in case of deviations.

Exceeding an alarm threshold is signaled by the monitor through the emission of an acoustic signal, of variable intensity depending on the severity.

In addition, a message appears that, for real alarms, flashes red in case of potentially dangerous situations, in yellow for simple conditions that exceed the preset limits of vital parameters.

Conversely, in case of technical alarms, the message on is fixed and blue (alarms from signal quality problems, malfunction or disconnections of the equipment).

How “Intensive Telemonitoring” works

Workflow:

the doctor of the structure identifies the patient eligible for continuous intensive telemonitoring;

access, through the authentication credentials (username and password) in the “SmartTelemedicine Platform” of HTN;

subject to informed consent, enroll the patient (in the personal health dossier) by entering personal data and any other information useful for telemonitoring (anamnesis, therapy, events etc…);

enters the patient’s personal data in the Monitoring Centre;

applies electrodes/sensors (electrocardiograph, oximeter-blood pressure) to the patient;

activate the device for continuous monitoring.

The Philips Intellivue control panel continuously and automatically analyzes the monitored traces, identifying any alarms for arrhythmias, beat/beat deviations in the measurement of QT, ST-T, blood pressure, oximetry.

The specialist on duty in HTN provides, in real time in the “SmartTelemedicine Platform” of HTN, the remote surveillance of the patient and the reporting of the signals received, making them available and printable to the department.

All alerted traces are stored in the patient’s personal health file.
Philips IntelliVue Telemonitoring Center »
Hospital protected discharges

The services designed and implemented to manage “protected hospital discharges” are addressed to health facilities (hospitals, individual hospital divisions, nursing homes) that intend to discharge in advance their patients suffering from chronic diseases (such as heart failure, diabetes, bronchopneumopathies, etc…).

For the realization of the protected discharge activities, HTN makes available to the health facility a software and services equipment structured as follows:

1. Telemedicine Station

The telematic station present in the health facility must provide at least:

PC with Pentium processor 128Mb ram memory (or higher);

CD ROM;

10/100 LAN card on board;

Windows 2000 professional, Xp professional, Vista (or higher);

Microsoft Word;

Laser printer.

The connection to the HTN data center must be guaranteed in broadband mode.

The setting up of the remote telemedicine station involves the configuration of the software necessary for access by the health facility to the HTN SmartTelemedicine Platform.

In particular, the following are envisaged:

“on site” health card software licenses for all enrolled patients;

right to access and processing of proprietary sensitive health data.

For each workstation HTN guarantees the following set-up activities:

configuration of the telematic station at the health facility by a specialized technician;

roll-out of the remote connection with the HTN Service Center in Brescia;

creation, at the HTN CED, of a hard disk partition for the configuration of the database dedicated to the activity of the health facility;

system testing;

training for medical/ nursing staff who will have to use the station.

2. Operational Management Flow of the service:

the doctor in charge of the health facility reports to the HTN Service Center the name, subject to informed consent, and the relative follow-up plan of the patient in protected discharge;

the Service Centre generates the personal health dossier;

the patient is sent to the home, from time to time, with telemedicine equipment suitable for monitoring his clinical situation;

the workflow includes scheduled contacts by the health facility to the patient and occasional contacts by the patient to the health facility whenever he feels symptoms or discomfort;

for scheduled contacts, the Service Center, following the dates of the follow-up set by the health facility, provides to call the patient, to activate the possible reception of biological signals and to make them immediately available to the nurse tutor of the health facility;

the nurse tutor of the health facility, in communication with the patient during the scheduled contact, updates the personal health dossier with the intervention plan and the agenda of the medical staff;

at the end of the remote surveillance period HTN will notify the health manager and close the personal health file;

HTN manages telemedicine equipment online;

HTN periodically transmits to the health facility concerned the reporting of the activities;

at any time, the personal health dossier is made available via browser or terminal server to users with the appropriate credentials (the computer system manages login, user profiling, authorization management and data back-up).

For all occasional contacts outside the time slots of activity of the health facilities (or night-holiday back-up or in case of non-response within five minutes) the Service Center intervenes in any case with its staff (nurse / specialist doctor) updating the personal health dossier and subsequently communicating to the head of the reference health unit the actions taken.

3. Organizational model:

The healthcare facility and patients can make an unlimited number of calls to the HTN Service Center.

The Call Center is active 24/365 days, with online response.

All HTN professional staff (medical specialists and nurses):

is always on connected (VPN) in telework;

has a consolidated experience in the specific specialist field at excellent healthcare facilities;

attends periodic training and updating courses with respect to the main guidelines of the various pathologies.

All conversations that pass through the HTN Service Center in Brescia are recorded.

HTN guarantees full compliance with the legislation on sensitive personal data pursuant to Legislative Decree 193/2003.

These services allow Healthcare Facilities to activate a Telemedicine service at the chosen Hospital Division in a short time and “turnkey”, avoiding expensive structural investments.

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Services for healthcare facilities

HTN Vitual Hospital’s telemedicine services designed for healthcare facilities are designed to meet the needs of small hospitals, individual hospital divisions, private nursing homes, RSA, RSD, polyclinics.

Operational Services

services related to “second level cardiovascular and pneumological instrumental diagnostics”;
“intensive telemonitoring” services (in favor of structures that do not have professional figures available 24 hours a day such as emergency doctors, cardiologists, anesthesiologists-resuscitators, the continuous and intensive surveillance of “critical” patients is delegated to HTN);
services to manage “hospital protected discharges”.

All services are attested on the advanced “SmartTelemedicine Platform” that realizes remote healthcare in web-based mode.

Healthcare Facilities

Healthcare Facilities

Electrocardiography

Diagnostics of cardiac arrhythmias with Dynamic Electrocardiogram 24 Hours according to HOLTER

Event Recorder (monitoring and diagnosis of sporadic and symptomatic cardiac arrhythmias)

24-hour outpatient blood pressure remote monitoring (MAP/ambulatory blood pressure monitoring – ABPM/ambulatory blood)

Blood pressure monitoring

Telespirometry

Remote monitoring of oximetry

Telediabetology

Tele-ultrasound

Teledermatology

“Intensive” clinic-instrumental telemonitoring

Hospital protected discharges

Electrocardiography

Diagnostics of cardiac arrhythmias with Dynamic Electrocardiogram 24 Hours according to HOLTER

Event Recorder (monitoring and diagnosis of sporadic and symptomatic cardiac arrhythmias)

24-hour outpatient blood pressure remote monitoring (MAP/ambulatory blood pressure monitoring – ABPM/ambulatory blood)

Blood pressure monitoring

Telespirometry

Remote monitoring of oximetry

Telediabetology

Tele-ultrasound

Teledermatology

“Intensive” clinic-instrumental telemonitoring

Hospital protected discharges

Services for healthcare facilities

Operational Services

Telemedicine

Services

Telemedicine

Services