Services Description

GPSoC Service Name CareHomePod

GPSoC Service ID CareHomePod

Functionality/Service Overview The CareHomePod is designed to assist GPs and other local providers in

their provision of service to the residents of Care Homes.

A mobile, portable CareHomePod (based on our SurgeryPod and HomePod) will enable health care workers in a Care Home to measure vital signs and work through protocols and questionnaires with the results recorded on a central database. The system could either be used by the patients themselves or by the health care worker on behalf of the patient.

A secure video link capability (Medvivo™ Connect) will also be provided to allow the health care worker to contact additional support, for example a GP, so that further assessment and investigation can take place remotely.

The results posted to Medvivo’s central database (CUI) will be analysed with alerts raised if questions are answered in a way that causes concern, or if measurements are outside pre-defined tolerances. Data will be passed to a PCS.

The summary diagram below describes the Care Home Pod service:

The benefits to the Care Home include the regular assessment and logging of assessments of patients, the early identification of conditions, and more immediate support for Care Home staff.

Key Features and Benefits of Medvivo ™ CareHomePod:

GPs and providers of specialist nursing will be able to see the results of any local assessments made in the Care Home

Capability to see and talk to carers and patients within the Care Home without the need to travel using the Medvivo™ Connect video

capabilities

Reduce GP and Nurse visits to the Care Home

GPs and specialist providers will be able to suggest appropriate interventions based on alerts in the CUI

Prevent and reduce unnecessary hospital admissions and ambulance call outs

Reduce unplanned hospital admissions as there will be greater scope for earlier intervention and management

The Medvivo ™ CareHomePod Package:

The portable CareHomePod package will include:

Touch screen tablet computer with built in video and speakers

Medvivo™ CareHomePod software with protocols

Blood pressure monitor

Scales

Height tape

Connection to Medvivo’s central configuration system (CUI) using Medvivo’s WebCUI (5 licences included)

Connection to Medvivo’s Metrix management information database (5 licences included)

Connection to Medvivo™ Connect for video consultation

Remote assistance (MobiControl support software)

Connection to practice networks

This service will implement two major protocols with particular relevance to Care Homes:

Lower Urinary Tract Infection

Tissue Viability

Our tissue viability protocol will address and improve the end-to-end process for tissue viability for what can be an onerous paper-based activity. The protocol will support the care assistant or clinician in gathering data, which will be sent and stored with the results. Alerting within the CUI system will then be used to identify patients that may not be improving and evidence for the case to be assessed.

Additional Questionnaires and Protocols:

The service will also provide the potential for each client to utilise the following protocols (which are also available through our SurgeryPod service):

New patient check Smoking Status Audit C – Alcohol Feedback Audit - Alcohol Epilepsy Asthma FAST - Alcohol Activity (GPPAQ) PHQ-9 – Personal Health Questionnaire (Depression) HADS (Hospital Anxiety and Depression Score) GAD7 (Generalised Anxiety and Depression) EuroQol 5D – Quality of Life for Long Term Conditions IAPT Phobia – Improving Access to Psychological Therapies (Phobia)

Current Integrations with Principal Clinical Systems:

None currently

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

Our standards for service and support for CareHomePod are driven by our Telecare Services Association (TSA) Platinum joint registration.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 with 5 or more CareHomePods 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.

Availability Standard: 99.5%

The CareHomePod 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

The Care Home must have Wifi and broadband a 3G/4G signal..

Clinicians at the GP Practice or other provider services will require access to the WebCUI, and optionally to Medvivo™ Connect for video contact with the Care Home.

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 may include:

GP Care Home Staff, particularly any super-user Practice Long Term Condition leads Community Long Term Condition Specialists

Pricing Information

Pricing Approach

CareHomePod ServiceStandard Price (£’s)

£4525 One Off charge Per Device

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

CareHomePod Peripherals (Dependent on Conditions Monitored)

Pulse Oximeter - £125Scales - £125Thermometer - £125Blood Pressure - £125Urine Analyser - £600

All one-off charge per deviceCareHomePod Annual Support £1000 per device per annum

Medvivo Connect for CareHomePod(secure video consultation service)

£400 per CareHomePod device per annum£400 per clinician per annum

CareHomePod 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)

CareHomePod Additional Patient or Stakeholder Events

£500 per eventIncluding expenses

Integrations with Principal Clinical System Providers

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.

Invoicing Terms

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

One off charge for hardware on successful deployment and monthly in arrears

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

Payment Terms

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

30 days after invoice receipt

Details of any early payment discounts

None

Any other payment terms

None

Discounts 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 CareHomePods are purchased.

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

The Care Home must have Wifi, broadband and a mobile signal available.

Clinicians at the GP Practice or other provider services will require access to the WebCUI, and optionally to Medvivo™ Connect for video contact with the Care Home.

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

RAM NA 1 GB

Hard disk space NA 40MB minimum

1024x768 or higher

Display recommendedNA

Web browserInternet 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 may include:

GP Care Home Staff, particularly any super-user Practice Long Term Condition leads Community Long Term Condition Specialists

Related Products or Services

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

None

Related Products or Services that are enabled or can be provided more efficiently 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 informing 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 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 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

Medvivo’s costs above include the cost of deployment including: Project Initiation meeting to review and approve protocols, pathways and processes Initial On-Site Training Course for up to 10 clinicians, including CareHomePod and

WebCUI training Installation at client’s site User manuals for the HomePod and WebCUI Management of patient’s and clinician’s access to system

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 Care Home, 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 in Appendix C, with scope and estimated being agreed in advance through change control.OtherNone