Services Description

GPSoC Service Name

HomePod

GPSoC Service ID

HomePod

Functionality/Service Overview

Medvivo™ HomePod facilitates telehealth services, specifically designed for the monitoring of Long Term Conditions at home and to enable and promote self-care.

Description of Medvivo ™ HomePod: The diagram below describes at a summary level how the service works:

The Medvivo™ HomePod is a tablet computer used within a patient’s home. It uses questions / protocols to take patients through a daily set of tests and readings from paired medical devices appropriate for the monitored condition (such as blood pressure meter, pulse oximeter, weighing scales and other peripherals). These are communicated via mobile or broadband to the Medvivo central system (CUI). As a result, alerts may be created where certain questions are answered in a way that causes concern, or if vital sign readings are out of pre-defined patient tolerances.

Within the Medvivo™ HomePod service the central Medvivo CUI system is used by responsible clinicians to review alerts. They then have all of the relevant contact details for the patients and other clinicians to manage the alert and agree an action or response, which they then record within the CUI. Responsible clinicians may be Medvivo clinicians (if using Medvivo’s Long Term Condition Monitoring Service), but also will include practice-based or community-based specialist nurses, or other nominated staff. All of this information is then available to the GP through the CUI, and will be available through their PCS in a future release. The central Medvivo CUI system is accessible through a web service.

Summary of Medvivo ™ HomePod Service:

The diagram below describes what is included in the Medvivo™ HomePod service:

Meeting the Implementation Challenge

Medvivo has significant experience in addressing meeting the challenges of implementation and has developed a suite of documentation, tools, training courses and events to support a client seeking to rollout the service. The suite includes:

Referral pathways to assist in the selection of patients

Patient acceptance forms

User guides for the HomePod (for patient use) and for the Web CUI web-browser access to the central database (for clinician use)

A detailed training workshop for GPs and clinicians in the technology, the data and the processes to be followed typically including discussion with one of the Medvivo nurses they will be working with

A patient launch event, including clinicians and other stakeholders

Key benefits of Medvivo ™ HomePod:

The Medvivo™ HomePod service has been shown to

reduce GP appointments

reduce GP home visits

reduce unplanned hospital admissions

reduce attendance at A&E

reduce re-admission rates

reduce length of stay in hospital

increase patient engagement and care plan adherence

Key features of Medvivo ™ HomePod:

Easy to use – the HomePod is a touch screen, designed to be intuitive and leads the patient through the required questions and readings, with large text and graphical display

The HomePod is a flexible ehealth system that enables personalised care plans – the questionnaires can be updated at any time remotely

Educational resources such as documents, videos and web sites are available through the HomePod to promote self-care

No data is stored on the HomePod and is securely transmitted to the central database

Results are available in real-time for clinician review

SIM card included with no hidden line rental fees

Access through the internet and Medvivo’s WebCUI software to the central CUI database to access patient information (5 licences included per 100 HomePods)

Access through the internet and Medvivo’s Metrix software summary statistics and service information data (5 licences included per 100 HomePods)

HomePod with Video consultation (Medvivo ™ Connect)

The HomePod service can optionally be extended by facilities providing secure consultation from the clinician to the HomePod using video services.

Video consultation assumes Wifi availability for the patients, as this will support better picture quality and reduce costs. 3G will also be provided as an option. Clinicians will be able to use a

normal desktop or laptop computer as the video consultation will be a flexible, incremental, web-enabled videoconferencing facility provided by Medvivo as part of the total solution. The system will only allow clinicians to access patients with whom they have a legitimate relationship.

Key features and benefits of Medvivo ™ Connect

Easy to use one button connection between clinician and patient

Reduce the need for home visits as initial visual assessment can be performed remotely

Improved quality of care through remote face-to-face interaction

Secure connection

No additional hardware required

Current Integrations with Principal Clinical Systems:

None currently

All PCS integrations will be supplied in future releases.Support Standard Service Performance & Support:

Our technology enabled care services are accredited to platinum level by the Telecare Services Association (TSA), which defines minimum standards for SLAs and response.

Service contact and support will be provided through the support desk.

Clients will be allocated a Medvivo Client Service Manager to provide additional service management support and escalation. Regular service reporting will be supplied by the Client Service Manager, which will include both the IT elements of the service and clinical elements.

Availability Standard: 99.5%

The HomePod posts its data to a central database but should this database not be available it retains the information and will post it with the next set of data. The availability standard reflects the availability of this central database (‘the CUI’).

Availability = (total service hours - unscheduled downtime hours) / (total service hours)

This is calculated per calendar month. Service hours are from 09:00 to 17:00 Mon to Fri excluding public holidays.

Incident Fix Times Standard: 2 days

Typical fixes requiring visits are to check or replace peripheral medical devices, or where the patient needs additional support in understanding or resolving an issue. We use our own highly-trained engineers, or that of our one partner subcontractor, to ensure the quality of the service, the capability of the staff and an awareness of safeguarding issues.

Helpdesk Standard: 09:00 to 17:00 Mon to Fri excluding public holidays

Most calls can be resolved over the telephone, or by gaining remote access to the HomePod to fix the incident. Remote access also allows remote training and advice to be provided when required.

Dependencies Infrastructure dependencies

Patients must have a mobile signal available from within their home OR broadband. Patients using Medvivo™ Connect for video contact are recommended to use broadband.

Clinicians will require access to the WebCUI, and optionally to Medvivo™ Connect for video contact with patients. WebCUI requires access to an N3 connection to attach to the application and database.

WebCUI Medvivo™ ConnectOperating SystemWindows XP yes yesWindows Vista yes yesWindows 7 yes yes

RAMNA

1 GB

Hard disk space NA 40MB minimum

Display 1024x768 or higher recommendedNA

Web browser

Internet Explorer 7 (or higher) Flash Player 10 (or higher)JavaScript enabled

NA

External Applications Microsoft .Net framework 3.5.1

.Net framework 4.0Window media player 10 (for Windows XP)

Service dependencies

The Call Off Ordering Party will be required to validate and approve all of the pathways, patient letters, communications and training. A project initiation meeting will be arranged to do this, and is included within the costs.

Local Personnel dependencies

A half day training course will be arranged within the key clinicians or stakeholders to explain the agreed pathways, patient impacts, roles and responsibilities as well as system training of the HomePod and WebCUI. This is for up to 10 clinicians. Additional courses for clinicians or key stakeholders can be purchased.

Engagement will be required with all key stakeholders involved in patient care, though the level of detail and involvement will vary by implementation. These will include:

GP Practice Long Term Condition leads Community Long Term Condition Specialists

Pricing Information

Pricing Approach

HomePod ServiceStandard Price (£’s)

£900 per device one-off charge

HomePod Annual Support £300 per device per annum

Where alternative prices are available for variant levels of service, these must be elaborated below. These variant services must be consistent with those identified within Annex A of Schedule 4.1 (Supplier Solution).Description of Variant Service (as elaborated in Annex A of Schedule 4.1 (Supplier Solution)

Price of Variant Service

Homepod Bluetooth peripherals PulseOximeter £125Scales £125

Thermometer £125Blood Pressure £125

(all one-off charges)Medvivo Connect for HomePod(secure video consultation service)

£400 annual charge per HomePod Device£400 annual charge per clinician (using their own computer)

HomePod Additional Clinician Service Training

£500 per half day courseFor up to 10 clinicians, including materials and expenses(note one course already included in the base price)

HomePod Additional Patient or Stakeholder Events

£500 per eventIncluding expenses

Where there is a current or proposed integration with a Principal Clinical System Provider, details should be provided of any price differences that apply for:

Compliant / non-compliant Lot 1 integrations or variations; and

Price Variations that are dependent on the identity of the Principal Clinical System Provider

Medvivo’s HomePod has no plans for price differentials for existing interfaces and no plans for price differentials for future compliant integrations.

Integrations with Principal Clinical System Providers

Invoice frequency (e.g. monthly, quarterly, annually)

One-off charge on service commencement and support fee monthly in arrears annual as appropriate

Invoicing Terms

Invoice delivery period (e.g. 5 working days after end on month; 15th of month following service period etc.)

5 working Days after end of month

Other invoicing terms:

None

Due date for payment (e.g. 30 days after receipt of invoice)

30 days after invoice receipt

Payment Details of any early payment discounts

TermsNone

Any other payment terms

None

Details of any volume discounts, including details of the volume bands and the discounted price applying to each discount band

A discount of 8% on total invoice value is available where 40 or more HomePods are purchased.

Discounts Details of any multiple service discounts, including the service combinations that qualify for a discount and the discounted prices applying to each combination

None

Details of other available discounts. e.g.to different customer types(e.g. large/small; new/existing), by geographical area, by sector

None

Dependencies

Detail all dependencies on 3rd parties (e.g. Call Off Ordering Party, Practice, other supplier) relating to the provision of the product or serviceInfrastructure dependencies

Patients must have a mobile signal available from within their home OR broadband. Patients using Medvivo™ Connect for video contact are recommended to use broadband.

Clinicians will require access to the WebCUI, and optionally to Medvivo™ Connect for video contact with patients. WebCUI requires access to an N3 connection to attach to the application and database.

WebCUI Medvivo™ ConnectOperating SystemWindows XP yes yesWindows Vista yes yesWindows 7 yes yes

RAMNA

1 GB

Hard disk space NA40MB minimum

1024x768 or higher

Display recommendedNA

Web browser

Internet Explorer 7 (or higher) Flash Player 10 (or higher)JavaScript enabled

NA

External ApplicationsMicrosoft .Net framework 3.5.1

.Net framework 4.0

Window media player 10 (for Windows XP)

Service dependencies

The Call Off Ordering Party will be required to validate and approve all of the pathways, patient letters, communications and training. A project initiation meeting will be arranged to do this, and is included within the costs.

Local Personnel dependencies

A half day training course will be arranged within the key clinicians or stakeholders to explain the agreed pathways, patient impacts, roles and responsibilities as well as system training of the HomePod and WebCUI. This is for up to 10 clinicians. Additional courses for clinicians or key stakeholders can be purchased.

Engagement will be required with all key stakeholders involved in patient care, though the level of detail and involvement will vary by implementation. These will include:

GP Practice Long Term Condition leads Community Long Term Condition Specialists

Related Products or Services

Where multiple products and services are offered that have some form of interdependency e.g. one product or service needs to be first in place before this one can be provided or vice-versa then this should be identified here;

None

Related products or services that can be provided at a lower price consequent to this product or service being in place

None

Medvivo provides a Long Term Condition Monitoring service, where our own specialist nurses undertake initial case management for patients, responding to alerts, making the initial contact and providing advice, then contacting the patient’s other health care workers as required. This service is available but is not within the remit of this GPSoc Framework agreement.

Related products or services that need to be in place to enable this Product or Service or to allow this Product or Service to be delivered more efficiently

None

Resource Based Pricing

Where charges contain an element of charging for staff time (e.g. training, consultancy services or bespoke activity) then such charges should be referenced to the SFIA day rates contained within the supplier details section of the catalogue together with any non-staff components contained within the charge (e.g. training materials, room hire etc.)

There are no planned additional resource based activities associated with an implementation or deployment of the service. Any bespoke, exceptional or change activity will be charged using the rates the following rates, which are extracted from those described in the SFIA Day Rate card.

Role SFIA Level

Daily Rate

Business Case / Implementation Strategy Consultant

7 £1000

Senior Project / Service Manager 6 £900

Project / Service Manager 5 £750

Development (all roles) 2 to 6 £750

Configuration Analyst 3 to 5 £450

Administration 1 to 4 £375

Other pricing information

Deployment arrangements: costs, duration and activities associated with the deployment of this product or service

The pricing model above includes the deployment costs associated with HomePod, including:

Deployment to Surgery Installation at the patient’s home and training of the

patient

Patient User Manual Project management

The pricing model also includes the following deployment costs associated with clinicians:

Project initiation workshop to agree pathways and protocols

Training course for up to 10 clinicians Creating access to the WebCUI for trained clinicians (this

is a web application so there is no deployment) WebCUI Manual

Exit arrangements: costs, duration and activities associated with the termination of the supply of this product or service

Our primary concern during the exit period will be the continuity of care for the patient. Medvivo will undertake a reasonable level of activity at no additional cost during the exit process, including:

Removal of users from the various applications for security purposes

Transfer of electronic data to the new supplier Meeting with new incumbent to explain the data

Costs will not include the recovery of the equipment from the patients, but if requested will be £125 per unit, with all units and their associated equipment being returned to the client’s central location. An additional charge of £50 per unit will be payable if decontamination is also required before return.

Additional activity will be charged through the Standard rate Card provided, with scope and estimated being agreed in advance through change control.

Other

None