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enhanced safety and independent living.

With the proliferation of eHealth applications and other smart devices, it is becoming increasingly important that health personnel are able to manage equipment. In addition, more and more signals and data are generated whose relevance or trigger point can be different for specific patients and in specific situations. Care providers need an intelligent yet flexible and user-friendly solution to determine the relevance of all these data, filter out false positives and ensure that the right follow-up actions are triggered and matched with the appropriate caregivers.

With CareBuilder caregivers can do these things without programming skills or help from IT resources, helping realize considerable cost and time savings for hospitals and home care institutions. CareBuilder’s flexible solution enables care providers to tailor their services and e-Health solutions simply and quickly to the needs of individual [groups of] patients. This makes it easier e.g. to allow patients with complex care needs, whether driven by comorbidity, complications or social circumstances, to live at home and as independently as possible, or to have patients rehabilitate at home shortly after a hospital procedure.

As care becomes increasingly flexible, interdisciplinary, evidence-based and centred on the needs, goals, and circumstances of the individual, the role of e-Health will grow. CareBuilder helps integrate any e-Health device or application into intelligent real-time triage and escalation protocols. These are just some examples:


Trigger

Monique’s personal Health Plan requires that she measures her blood pressure at certain times. Monique’s caregivers have defined measurement ranges within the CareBuilder platform that they consider to be normal, to require additional checks, or to be reason for alarm in her specific case. The measurement reminders have been scheduled in Monique’s personal agenda by her nurse (sometimes the patient or their family take responsibility for their agenda, and at some organisations the Health Plan data in another system is continuously synchronised with CareBuilder). When it is time, Monique’s tablet-based Care Portal reminds her that “It is time to take your blood pressure”. The reminder in Monique’s agenda also contains animated instructions for placing the device on her arm, which she follows on her tablet. As soon as she unfolds the smart blood pressure monitor, the device starts communicating with the CareBuilder platform via her tablet. Once Monique confirms on her tablet that she is ready, CareBuilder automatically instructs the device to start measuring, and records the resulting data. When the blood pressure measurement falls above the normal range for Monique, a request for support with additional checks is automatically generated. Any e-Health device or application can be integrated into the CareBuilder platform in a similar manner.

Match

CareBuilder’s real-time triage engine matches the request to support Monique’s with appropriate caregivers – this could be a family member or a nurse, depending on the situation, the organisations’ policies and factors such as availability and location of appropriately qualified resources. The request is initially sent to a family member who appears to be online, via CareBuilder’s Family Portal. When the family member fails to pick up the request, it is automatically escalated to the assistant nurse nearest to Monique’s location at that moment.

Connect

Care tasks in CareBuilder are ‘broadcasted’ to appropriate caregivers along with relevant information concerning the nature of the situation and related task, instructions, customer location and contact details. CareBuilder offers a number of communication options to ensure connectivity: phone call, email, social media such as WhatApp, SMS or push messages within the CareBuilder Apps. In this case a nurse receives the request to support Monique with her blood pressure measurement via the CareBuilder Caregiver App on her smartphone. The nurse can immediately see that the request was triggered by Monique’s unexpectedly high blood measurement. Via the Caregiver App, the nurse accepts the request to support Monique – automatically letting her colleagues know she has picked up this care task.

Act

The CareBuilder app includes many features designed to support caregivers when performing a task. In this case, the nurse uses the CareBuilder app to video-call Monique. Monique picks up the video-call via the CareBuilder Client Portal on her tablet. The nurse can immediately see that Monique did not place the blood pressure measuring device correctly on her arm. With some extra instruction from the nurse, Monique now positions the device correctly. The nurse then initiates the measuring device, remotely from the Caregiver App on her smartphone (saving her a great deal of travelling time). Once satisfied that the measurement is within the range expected for Monique, the nurse asks how Monique is doing and concludes the brief call.

Report

If a measurement falls within a range that caregivers consider reason for alarm, CareBuilder automatically records the follow up actions taken by caregivers, including video calls or other communication, time of response and any additional notes taken by the caregiver. In Monique’s case, the nurse updates the task status to ‘done’ and closes off the task. This real-time information is continuously ‘broadcasted’ and used by care staff and by management to manage productivity, response times and quality of care. Additionally, this information is transferred to the organisation’s systems for managing declarations to insurers and staff payroll.

Evaluation & Improve

Over time, the organisation may decide to alter the measurement ranges that should trigger requests for support or alarms. Or the organisation may decide that certain combinations of measurements taken by different devices or at different moments should trigger specific alerts. CareBuilder offers an intuitive drag-and-drop environment for caregivers and operating managers, which enables them to change measurement triggers, triage and escalation protocols. CareBuilder automatically embeds the changes in the organisation’s way of working – ensuring compliance with new protocols at all times. Protocols can be customised to meet the needs of specific locations, groups of patients, smart devices, days of the week or even individual patients. This is a powerful tool for innovation and continuous improvement.