OPERATING ROOM and Azure Machine Learning, to help


drive enhanced patient outcomes.


Cybersecurity and data standards The Internet of Medical Things (IoMT) refers to the countless devices that collect and transmit patient data over various networks, from vital signs monitors to fitness trackers. COVID-1 has driven a surge in IoMT devices, as clinicians and patients seek ways to monitor and manage health remotely.


With device connectivity and transfer of


ePHI comes heightened concerns over pro- tecting data from cyberattacks. A recent development that points to growing wor- ries around medical device cybersecurity is the U.S. Food  Drug Administration’s (FDA) February 2021 appointment of Kevin Fu as the acting director of medical device cybersecurity within the Center for Devices and Radiological Health (CDRH), which is a newly created position. There is also movement among the U.S. government and industry stakeholders to create a framework for interoperable, safe, effective and secure integrated medical systems, including the implementation of remote and autonomous care. Referred to as the medical device interoperability reference architecture (MDIRA), the initiative is funded by the Defense Health Agency through the U.S. Army Medical Research and Development Command (USAMRDC) and led by the Johns Hopkins Applied Physics Laboratory (APL). APL is collabo- rating with a multidisciplinary team that includes the Johns Hopkins Armstrong Institute for Patient Safety and Quality;


Massachusetts General Hospital’s Medical Device Interoperability and Cybersecurity Program; Drger; Philips Healthcare; DocBox; Trusted Solutions Foundry and Arcos.7 Drger is contributing expertise in stan- dardized medical device interoperability based on the I 1103 service-oriented device connectivity (SDC) family of stan- dards, which defines a communication protocol for point-of-care (POC) medical devices. The SDC facilitates interoper- ability among POC medical devices, and secure data exchange between POC devices and HL7 compatible clinical and hospital information systems, such as electronic health records (HR). “Medical device interoperability (MDI) can improve patient safety through stan- dardization of healthcare delivery, but medical device industry contribution is needed to define technical aspects of interoperable platforms, architecture, medical devices, standards and data models that can be used across multiple medical areas,” said Tobias Klotz, Systems Architect at Drger. “Our contributions to the MDIRA proj- ect from a research and development, and hardware and software perspective are important to the establishment of a reference implementation for secure data sharing and use to facilitate advances in healthcare diagnosis and treatment for both the military and civilian healthcare systems,” he added.


The future of patient monitoring


The push toward care outside of the hos- pital and into the home has no signs of


How high-quality consumables support care continuity


When it comes to patient monitoring and continuity of care within the four walls of the hospital and beyond through to long-term care and the patient’s home, high volume medical supplies and accessories are an important consideration, explains David Karchner, Sr. Director of Marketing, North America, Operating Room, Patient Monitoring, Enterprise Services, Dräger: “Despite their small price tags, their impact on clinical outcomes and cost can be signifi- cant. Products such as blood pressure cuffs, breathing circuits/components, ECG leads and temperature probes come into direct contact with the patient so they must be both comfort- able and durable.” Karchner notes how when patients are transferred between departments in a hospital, let’s


David Karchner


say from the operating room (OR) to the intensive care unit (ICU) to the step-down unit, it is common for a patient’s monitoring accessories to be switched so they are compatible with different monitoring devices in each of those care settings. He says a better approach is for the hospital to select disposable and reusable supplies that are compatible with a variety of manufacturers’ devices when used with appropriate adapters and trunk cables. Dräger provides a variety of high-quality single patient use and reusable medical accessories


that can help manage infection control; support the care and comfort of the patient; provide caregivers with products that are intuitive to use and balance administrative challenges.


16 October 2021 • HEALTHCARE PURCHASING NEWS • hpnonline.com


stopping, rather it continues to accelerate. In response to this trend, patient monitor- ing manufacturers, healthcare IT solutions providers and healthcare organizations must find ways to keep pace with the change.


The global remote patient monitoring market is projected to reach 11.1 billion by 202, up from 23.2 billion in 2020.8 While this presents significant opportunity for all stakeholders, it also presents chal- lenges and responsibilities. Frank says there are two key factors that the healthcare industry must address to unlock greater value from connected care. “The first challenge is taking our proven


and trusted hospital-grade technology and making it more consumer friendly,” said Frank. “A nurse may be able to operate a monitor a certain way but that doesn’t mean if I send it home with the patient, they will do the same. We really need to transform our ability to bring functionality into the hands of consumers.” “The second aspect critical to unlocking value is how we position ourselves to drive our own solutions, while partnering with others in the industry on advancements,” Frank added. “As a device manufacturer, the days where we believed we could do everything ourselves are over. That is not the reality anymore. We will increasingly find ourselves collaborating with others in our space, and companies that may not currently play in healthcare. The question becomes, how do we do that effectively to move together with greater speed for inno- vation in the heavily regulated healthcare environment?” HPN


References:


1. How the medtech industry can capture value from digital health, The McKinsey Global Institute, May 7, 2021, https:// www.mckinsey.com/industries/pharmaceuticals-and-medical- products/our-insights/how-the-medtech-industry-can-capture- value-from-digital-health


2. Hospital Revenue Trends, Deloitte, February 21, 2020, https:// www2.deloitte.com/us/en/insights/industry/health-care/ outpatient-virtual-health-care-trends.html


3. CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19 Surge, CMS, November 25, 2020, https://www.cms.gov/newsroom/press-releases/cms- announces-comprehensive-strategy-enhance-hospital-capacity- amid-covid-19-surge


4. Acute Hospital Care at Home Resources, CMS, accessed August 25, 2021, https://qualitynet.cms.gov/acute-hospital- care-at-home/resources


5. Long-term Care and Patient Safety, AHRQ, https://psnet.ahrq. gov/primer/long-term-care-and-patient-safety


6. Trends in Remote Patient Monitoring 2019, Spyglass Con- sulting, October 2019, https://www.spyglass-consulting.com/ wp_RPM_2019.html


7. Better and Safer Care: Johns Hopkins APL Leads Effort to Improve Performance of Medical Device Systems, Johns Hopkins APL, September 28, 2020, https://www.jhuapl.edu/ PressRelease/200928-medical-device-interoperability


8. Remote Patient Monitoring Market by Product End User - Global Forecast to 2025, ReportLinker, November 2020, https://www.reportlinker.com/p05982888/Remote-Patient- Monitoring-Market-by-Product-End-User-Global-Forecast-to. html?utm_source=GNW


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44