VTT Technical Research Centre of Finland and A*STAR Agency for Science, Technology and Research from Singapore have developed remote healthcare services that allow patients to be treated globally independent of time and location and irrespective of the solutions provided by hardware and data system suppliers. In Finland, the first trial services for treating cardiac patients and patients suffering from chronic illnesses have been promising.
Concurrently, A*STAR kick-started its trial in Singapore on the monitoring of sleep pattern of senior patients and gathered results for deeper analysis by physicians.
For VTT, the new remote healthcare service has been tested during the autumn for treating cardiac patients in Finland. In addition to VTT and Emtele Oy, Comptel Oyj and the Cardiology Centre of the Pirkanmaa Hospital District have participated in the trials. Emtele Oy provides a new business concept for data management services.
The IT service is based on a standards-compliant data traffic and management platform, to which the health monitoring and measuring instruments of different manufacturers can be connected in an interoperable manner. The Internet-based service platform GHMP (Global Health Monitoring Platform) enables remote healthcare services provided across organisational boundaries, time zones and country borders. All the parties in the value chain are required in implementing the service: the measuring instrument supplier, service operator, the supplier of data processing applications and the consultant physician service.
The trial, carried out in the area of operation of the Tampere Cardiology Centre, also has the involvement of the local Health Centre and Emergency Outpatient Clinic; they can send the patient’s EKG graph and a consultation request to the on-duty cardiologist at the Cardiology Centre. The consultant cardiologist is informed about the consultation request by e-mail, allowing him/her to analyse the EKG graph at his/her workstation.
Attached to the request, the cardiologist receives the patients background details to assist in drawing up the consultant’s report. Combining these with the EKG findings, the consultant makes the initial diagnosis and a recommendation for the patient’s treatment. The consultation request and reply are entered on electronic forms that can be attached to the electronic patient record. In the remote service trial, the consultation request is conveyed to the expert via the PIR document service developed by VTT. The EKG graph is analysed in the digital EKG archive of the Laboratory Centre of the Pirkanmaa Hospital District. The consultation form has not been integrated in the electronic patient record as yet.
In Finland, the initial experience of the tested consultation services is positive. During the very first weeks of the trial, cases of arrhythmia were diagnosed, medication amended and high-risk patients were identified following consultations.
It is likely that remote care will allow limited healthcare resources to be allocated more systematically. Experience gained in other countries from remote consultations by cardiologists is encouraging.
Besides acute cardiac monitoring, the GHMP system can be utilised in other healthcare areas as well. This is intended to be demonstrated in the use-case scenario studied by A*STAR, where the objective is to monitor the sleep activity pattern of elderly patients in order to assess patients’ quality of sleep. It has been established that sleep is closely related to physical wellbeing, and disturbed sleep patterns have been shown to be linked to medical conditions such as stress and cardiovascular diseases.