Continuous Connected Patient Care

How We Are Solving It

The Continuous Connected Patient Care (CCPC) platform project, led by Medtronic, in partnership with St. Paul’s Hospital, Providence Health Care, Simon Fraser University, 3D Bridge Solutions Inc., Excelar Technologies, Cloud DX and FluidAI proposes a solution to this problem. The CCPC platform is a medical-grade digital monitoring solution, which allows patients to receive care safely in their own homes after discharge. It is intended to support safe and effective patient recovery with the use of data analytics, artificial intelligence, and home monitoring technology. This digital platform solution integrates with existing medical monitors and software systems for a seamless transition and continuous care, from the hospital to patients’ homes.

Wireless sensors, in combination with a digital platform and dashboard, provide a flexible way for clinicians to monitor patient vitals, such as pulse rate, blood pressure, temperature and weight, as well as medication adherence. Patient health data is securely and seamlessly transmitted to the hospital network, where the clinician can receive relevant patient data from anywhere in the hospital. This continuous remote monitoring solution also enables clinicians to anticipate and identify potential harmful events in real-time and improve patient outcomes.

Use of the Continuous Connected Patient Care platform will initially focus on adults with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), especially in internal medicine and geriatrics. With the collaboration of patients, families, clinicians and industry partners, a strong testing and evaluation plan will demonstrate the applicability and efficacy of the Continuous Connected Patient Care platform.

The Result

The resulting CCPC platform represents a fully integrated solution to enable high quality homecare experiences for recovering patients, with the option for hospitals to customize its technological components based on their unique needs. The innovations and enabled experiences within the CCPC platform include:

• Enabling near-continuous remote patient monitoring via the creation of Medtronic Canada’s wrist-wearable vitals patient data transmission and visualization to care providers that enables safe and reliable patient vitals data monitoring on an easy-to-interpret healing journey timeline. As of the project’s completion, the vitals wearable prototype created is ready for clinical trial.
• Capturing comprehensive patient vitals with the incorporation of peripheral device capabilities from CloudDX for blood pressure monitors, scales, thermometers and oximeters; which are commonly required by hospital-at-home programs to monitor essential parameters also necessary for at-home care decisions. The project was able to prioritize the development of continuous sensing abilities within their platform; better equipping CloudDX to meet the growing demand for continuous patient telemetry in commercial remote patient monitoring and hospital-at-home deployments.
• Giving clinicians the full picture with Excelar’s Careflow Orchestrator for interconnecting data and workflows across the systems, with readied capabilities of surfacing these data in the Cerner EMR in the future. Careflow Timeline allows clinicians to easily visualize patient information across the patient care continuum regardless of their location at home or in hospital, such as medication, vitals, anastomotic leak, medical/surgical procedures, symptoms and much more. Careflow Insights provides researchers and clinicians with privacy and security compliant access to de-identified patient data for research and clinical quality improvement.
• Supporting medication adherence via Bridge Health Solutions’ medication adherence software to reduce medication errors by patients and increase their adherence. The resulting software was also ready for clinical trial as of the completion of the project.
• Critical early prediction of anastomotic leaks via FluidAI’s Origin device and Stream App provides continuous measurements of wound fluid biomarkers to predict postoperative leaks during the recovery period – enabling a patient and caregiver-led process of maintaining drains at home.
• Making sure it works through Providence Health Care’s critical expertise to ensure consortium partners developed their technologies in alignment with actual clinical needs in hospital settings, addressing gaps in workflow, and connecting to hospital systems and data via rigorous privacy, ethics, legal and security frameworks. The aforementioned clinical trials for Medtronic Canada’s wrist-wearable prototype, Bridge Health Solutions’(BHS) medication adherence software, Cloud DX integrated solutions, FluidAI’s Origin device, and all integrated via the Excelar’s platform will take place at PHC’s St. Paul’s Hospital and patient homes in early 2025

The ideas, collaborations and IP resulting from this project have directly led to additional follow-on DIGITAL projects, including for postoperative patient monitoring, pressure injury care and reducing alarm fatigue.