Debbie Pope – Capsule Tech Delivering Intelligent Care

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1990 TODAY

The World is Changing

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Digitalisation transforms our world

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More

Data More

Analytics

More connected

devices

Data provides an opportunity for deeper customisation and personalisation

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Predictive analysis Data collection from different sources

Trending Insights

Data provides an opportunity for deeper customization and personalization

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Also Recommended:

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Data visibility is the 1st step

How about in health care?

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In the life and death care of patients in the ICU and OR, clinicians are missing critical data and insights that could

enable better care

* ICU Patient when connected to 10 devices.

Data on file. Qualcomm Life 2017

of medical device data

generated is not recorded and

charted in the EMR* 99.9%

• Ambulatory patient care is episodic and sporadic

• EMR’s are only snapshots of information

• Trial and error is the universal norm in Medical Practice

• We lack the sensors, data, and tools for smarter care

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Practice of Medicine is not yet “efficient”

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DATA OVERLOAD IS REAL!

“Clinicians are

Overloaded with Data

Entry & Yet Rampantly

Under Informed”

CMS Acting Administrator Andy Slavitt MD

(2018)

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FRUSTRATED WITH EMR

& STEPS REQUIRED TO

FIND INFORMATION

STRESSED WITH DEMANDS

OF INCREASED PATIENT

LOAD

FATIGUED DUE TO

PREPONDERANCE OF

(FALSE) ALARMS

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Intelligent Care Starts With

Capturing and Utilising Data

Intelligent care starts with….Data

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Patients now freely

move between care

settings necessitating

informed connected

care that surrounds the

patient

CONNECTED

CONTINUOUS

NEAR REAL-TIME

SECURE

HIGHLY RELIABLE

FLEXIBLE

Review accurate, timely &

comprehensive patient vitals

history

Deliver

personalised

patient care

Reduce the Noise.

Focus attention on

escalated patients

SIMPLIFY Clinical Workflow

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Simplify

Surveillance

Reduce Alarm Fatigue

• Analyze Alarm Limits

• Send Contextual Alarms

• Waveforms with rich history

Simplify

Evidence-Based

Interventions

Automate clinical

protocols supporting

• High Frequency data

• Point of Care Delivery

Simplify

Documentation

Reduce

• Charting Time

• Patient data mismatch

• Transcription Errors

• Data Gaps & Lags

POWER Data-Driven Insights

Support Better Collaboration & Communication

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Improved Experience • More Time with clinicians

• Engaged in their own care

• Reduced length of Stay

• Better Outcomes

Patient

Improved Satisfaction • Increase time at bedside

• Reduce clinical variability

• Improve oversight & support

• Decrease burnout

• Decrease turnover

Clinician

Improve Patient Safety, Satisfaction & Overall Experience

Data’s Journey

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Turning proprietary streaming data into context rich information

CONTEXT

RICH

INFORMATION 3 TRANSFORM

2 SELECT

1 CONTEXTUALIZE

5 TRANSMIT

4 AGGREGATE

+ Device ID

+ Patient ID

+ Time SPO2

SPO2

Pulse

PROPRIETARY

DATA

601595

High AcuityPatient Monitor

SIMPLIFY

DOCUMENTATION

SIMPLIFY

SURVEILLIANCE

SIMPLIFY

EVIDENCE-BASED

INTERVENTION 522110

|NM|605|

OBX|11|

O|OBX|33|NM|

|11|NM|4153|

|9||||F|||20

FDA Software as a Medical Device (SaMD)

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SaMD defined outputs

(inform, drive, diagnose,

treat)

SaMD outputs SaMD inputs

Patient Data

(lab results, image

medical device data,

physiological status,

symptoms, etc.)

Algorithm, inference

engine, Equations,

Analysis engine Model

based logic, etc.

Reference Data Knowledge

Base, Rules Criteria

SaMD Algorithm

SaMD Running on Capsule Data Stream

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Labs

Flowsheet H&P

Monitor

Outcomes Measures*

SaMD Group

n = 8,042

Historical Controls: n = 8,008

p-value Parallel Controls:

n = 11,055 p-value

Myocardial Infarction n (%)

124 (1.5%) 221 (2.8%) <0.001 237 (2.1%) 0.003

Kidney Failure n (%) 1111 (16.3%) 1331 (19.5%) <0.001 1650 (17.5%) 0.048

30-day mortality n (%) 186 (2.3%) 263 (3.3%) <0.001 297 (2.7%) 0.86

Median LOS, days 5 6 <0.001 6 <0.001

6-yr SaMD Operating Room Results

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*Presented at STA Jan 2017; Accepted for Publication in Journal of Anesthesia

The Value of Unlocking and Integrating Data

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Reduce Risk &

Improve Quality

of Care

Staff

Satisfaction Reduce

resource impact

on IT

Improve

Data reporting

At least 50% more

data in the EPR

0% error in

transmission

Hours of nursing

time saved

Single agnostic

integration end point

Real Results: 800 bed hospital in UK

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In Critical Care & Intra-op

• Released time to care

• £2.6m equiv. annual staff time saving

• Reduced errors associated with manual charting

• Data collection at shorter intervals

In Anaesthesia / Theatres

• Anaesthetist can focus on patient

• Increase in productivity - 235 more procedures per year

• Decreased turnaround time by 3 minutes per op

Across both areas

• Improved data accuracy (data & units)

• Device / patient evidence

• Incident reporting

• Devices usage statistics

• Devices location tracking

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Making patients happy & healthy

It is possible to

deliver intelligent

customised

patient care

Nothing in these materials is an offer to sell any of the components or devices referenced herein. © 2019 Capsule Technologies, Inc. All rights reserved. Capsule is a trademark of Capsule Technologie SAS. 2net is a trademark of Capsule Technologies, Inc., registered in the United States and other countries. Other products and brand names may be trademarks or registered trademarks of their respective owners.

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