6th Patient Monitoring Roundtable: Focus on Tele-Surveillance

At our 6th roundtable on September 29, 2022, we addressed the following question: "Tele-Surveillance: replacement for the generall ward?" 

From the very beginning of the event, it became clear that the participants shared a similar understanding of the definition of tele-surveillance. The central aspect was that vital parameters are recorded continuously and remotely by a tele-surveillance device. This allows an optimal balance between freedom and safety, as the status of the patient can always be assessed and necessary measures can be initiated immediately in case of an emergency. 
The roundtable discussion was based on the People Process Technology model, which was already introduced in our series of events (2nd PMRT): Which aspects are important in the different dimensions for the implementation of tele-surveillance?
First, in the dimension of technology and infrastructure, the guarantee of data protection and privacy, the technological infrastructure (e.g. poor internet connection in rural areas) up to the device itself were identified as relevant aspects. Possible hurdles are the interaction between humans and machines or ensuring that measurements are always correct and reliable.
In the discussion of the process dimension, it came out that too much regulation and too high requirements make it difficult for new players to enter the market. This leads to a lack of competition and thus curbed innovation. In addition, all participants saw the need for clinical evidence and corresponding guidelines.
In the dimension of people (stakeholders), there were mixed opinions. Some saw patients as a possible obstacle, as they are often very sceptical about new technologies and tend to focus on the negative aspects. Others, however, argued that by closing a gap in care, tele-surveillance would increase the sense of security and thus strengthen trust in health care and the healthcare providers. Gamification could also be a possible solution to attract more patients to future technologies. Best practices listed for the successful implementation of tele-surveillance included the Jeroen Bosch Hospital in the Netherlands and the nephrology department of the Charité.

Based on the people process technology model and best practices, necessary steps for ensuring successful tele-surveillance on normal wards were identified. These consist of teaching the necessary digital skills, adapting or developing regulations and financing models, creating the necessary "early warning scores", ensuring interoperability and ultimately generating evidence. Certainly, one or the other aspect will be discussed in more detail in a future roundtable.

The next roundtable will take place on 15 November 2022 (6-8 pm). The event will be held exclusively in person, as we would like to make monitoring technologies experienceable and testable in a new format. Based on the previous events and the individual qualifications and experiences, we will therefore independently put together as diverse a field of participants as possible. If we are successful in this attempt, we plan to use the hands-on format for the Patient Monitoring Roundtables in the future and to schedule them for a larger group. We will inform all those interested in PMRT about the results of the upcoming event via our newsletter and blog posts and hope to welcome you again soon at our roundtable

The Patient Monitoring Roundtable is organized by Hacking Health Berlin and INCH e.V. (Initiative for Collaboration and Innovation in Healthcare e.V.) in cooperation with the Institute for Medical Informatics at Charité - Universitätsmedizin Berlin.

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CCM, Invalidenstraße 90

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