Philips is addressing global industry challenges and supporting best practices for helping to reduce hospital readmissions, as well as improve the quality of life for cardiac patients and support their spectrum of caregivers. Philips believes that a collaborative approach is necessary to better manage readmissions. Its comprehensive portfolio of hospital and home health care solutions can help address this issue, and they are on display at the Hospital to Home Learning Destination.
The transition from the inpatient to the outpatient setting is a critical point along the care continuum where there is an opportunity to improve care through better communication and enhanced disease management. Health care outcomes are not only dependent on a patient receiving quality care in the hospital, but on receiving consistent care in the physician’s office as well as self‐care at home. Philips offers solutions for the hospital and the home to provide diagnosis, treatment and patient surveillance across the care continuum and to help coordinate the transitions of care. Providing this view throughout many aspects of the caregiving process allows clinicians to make more informed decisions about when to discharge patients, and to better manage them when they return home to help avoid unnecessary readmissions.
Philips offers several solutions to address patient care within the hospital setting and during the discharge process to help improve care and reduce hospital readmission rates. Solutions are designed to diagnose, treat and monitor a variety of cardiovascular issues ranging from acute onset to chronic conditions, such as acute myocardial infarction (heart attack), heart failure, sudden cardiac arrest and arrhythmia.
Diagnosis and Treatment
The first step on a cardiac patient’s journey is diagnosis.
- Diagnostic solutions: Philips has several diagnostic solutions available to help enable fast and accurate patient triage and care, aimed at improving patient outcomes. Quick diagnosis can also provide reassurance to patients.
- PageWriter TC70 with DXL Algorithm: When preparing cardiac patients for discharge, it is important to properly assess the electrical conduction of the heart. The electrocardiogram (ECG) report is an important tool to help plan patient care. The DXL algorithm offers clinical decision support, displaying a graphical image of a patient’s ECG, and a preliminary ECG interpretation drawing on up to 16 diagnostic leads. The resolution of ST-segment elevation myocardial infarction (STEMI) can be quickly confirmed and conduction abnormalities on previously difficult to diagnose areas of the heart can be easily identified.
- iE33 Ultrasound with xMATRIX technology: Philips’ iE33 xMATRIX and the X5-1 transducer provide clinicians with a clear view of the cardiac anatomy transthoracically in either 2D or 3D image modes. The Philips iE33 xMATRIX helps clinicians make confident assessments in their ongoing management and surveillance of heart patients.
Once the diagnosis has been determined, appropriate treatment is administered.
- Treatment: Philips offers tool to help restore heart rhythm.
- MRx Hospital Defibrillator: The MRx defibrillator with its SMART biphasic wave form can safely and with high efficacy, convert patients out of abnormal rhythms. The MRx provides personalized medicine by measuring the impedance across the patient and using that information to automatically adjust the defibrillation shock.
Monitoring, preparation and patient education for discharge
Philips offers a number of clinical informatics tools to track a patient’s condition in the hospital, providing a comprehensive picture of a patient’s health, helping clinicians make informed decisions, from admission until discharge.
- CVIS (Cardiovascular Information System): The Philips CVIS aggregates data coming from a wide variety of clinical systems, to create a repository for cardiology information. Philips CVIS connects to most major third party manufacturer solutions through a list of nearly 50 interfaces.
- Xcelera: The Xcelera is a multimodality cardiology image management, analysis and reporting solution that can provide a broader perspective of the clinical condition. This perspective supports cardiologists in their decision making process for patient care. By helping cardiologists have a more complete picture of the patient condition, they may make better decisions as the patient is prepared to be discharged.
- Patient Monitoring: Solutions include early warning systems as well as wireless monitoring, which allows for continuous monitoring throughout the hospital, regardless of setting, including transport.
- MP5 SC with Early Warning Score/Bedside Patient Monitoring: Hospitals are faced with a shortage of trained clinicians to care for patients. Specific to the Med-Surg setting, “early warning” of patient deterioration has become important. As such, there is a need to detect changes in patient status and to define interventions needed to address these changes. Philips has developed an automated solution to bring Early Warning Scoring and alerting to the bedside with the MP5 SC monitor.
- Cableless Progressive Care Monitoring: Patient mobility is important for many reasons. Patients hooked to traditional monitoring equipment may have a difficult time walking and transferring to chairs due to the number of cables tethered to stationary monitors. Cable clutter significantly restricts patient movement, and may also contribute to the risk of falls. Philips IntelliVue Cableless Measurement Solution eliminates the cables between the noninvasive blood press and pulse oximetry measurement devices and the telemetry transmitter, thereby reducing cable clutter and increasing freedom of movement.
- Telehealth Center: Patients deserve to get the same high level standard of care regardless of whether they are seen at an academic medical center, community hospital or rural hospital. It should be irrelevant where the patient is situated, or their acuity level, for high quality patient care. Taking advantage of proven eICU technology, the centralized Telehealth Center leverages clinical resources and improves transitions through advanced technology and proven processes to provide greater access to clinical specialists; improve patient care; and reduce health care costs.
Patients can use their time in the hospital preparing to go home.
- CareServant (not available for sale in the U.S.): Lack of patient adherence to care plans is repeatedly cited as one of the main reasons patients return to the hospital. Improved patient education before discharge is seen as a big opportunity to improve patient adherence and thereby reduce readmissions. CareServant serves as an interactive, in-hospital, multi-media solution patients can use to engage with educational training videos (diet, lifestyle, medication) that the hospital provides.
To allow clinicians to make more timely care decisions that may help prevent unnecessary hospitalizations after patient discharge, Philips offers several remote monitoring solutions. These sophisticated surveillance capabilities provide continuous care to the home following discharge:
- Remote Cardiac Services (RCS): RCS offers effective and intuitive home health care solutions designed to help advance the efficiency of a cardiologist’s practice and allow clinicians to monitor and care for more patients simultaneously—helping to improve care and reduce expenses. The RCS portfolio supports a single source for all cardiac monitoring needs, including diagnostic arrhythmia monitoring, implanted device monitoring and PT/INR patient self-testing. Philips monitoring centers are staffed by highly qualified, trained technicians 24/7 who can address patient and physician needs at any time.
- Diagnostic Arrhythmia Monitoring: Philips’ arrhythmia monitoring service offers a variety of technologies (holter and event monitors) to help secure the valuable details of a patient’s heart rhythms, enabling diagnosis and timely patient management.
- Implanted Device Monitoring: Philips performs transtelephonic tests, as well as remote web-based pacemaker and implantable cardioverter/cardiac resynchronization therapy defibrillator (ICD/CRT-D) interrogation evaluations, offering patients the highest level of monitoring and patient care from the comfort of their home.
- PT/INR Patient Self-Testing Service: Philips INR@Home service supports the INR self-testing patient at home or on-the-go. Not only does Philips make it simple for patients to self-test, it also helps verify patients are compliant and test according to their prescribed schedule. Philips also provides a trended report to physicians, so they can immediately adjust dosage, as necessary.
- Philips Telehealth Solutions (PTS) for the Home: PTS supports patient education and allows health care providers to remotely monitor chronic patients in their homes. Clinicians can track vital signs and send patients short health status surveys to make more timely care decisions. It also empowers patients to play an active role in their care. By tracking this information daily, clinicians can spot negative trends and aim to intervene before hospitalization is necessary.
As part of a commitment to the continuum of care, Philips offers long-term home care solutions. This is just a sampling of the many products and services offered by Philips.
- Medication Dispensing Service: The Philips Medication Dispensing Service assists with complex medication regimens. Poor adherence poses an increased risk of hospitalizations due to poor health outcomes. Non-adherence to medication regimens has a huge impact not only on individuals but also on the health care industry. The National Pharmaceutical Council estimates that non-adherence to medication regimens costs more than $100 billion a year.
- HeartStart Home Defibrillator: Sudden cardiac arrest can come without warning to people of any age at any time. Approximately three-quarters of incidents happen in the home. Philips’ HeartStart Home defibrillator is safe, easy-to-use and ready when needed. The HeartStart Home Defibrillator is the first and only defibrillator available without a prescription.
- Sleep Solutions: Obstructive sleep apnea (OSA) affects approximately one third of heart failure patients. Philips Respironics has several advanced home solutions to support patients with their OSA management:
- AlicePDX: The Alice PDx is a diagnostic recording device with advanced features intended for the diagnostic assessment of cardio-respiratory sleep disorders.
- BiPAP AutoSV Advanced: Bi-level positive airway pressure (BiPAP) allows for easier exhalation through inspiratory positive airway pressure (IPAP) and a lower expiratory positive airway pressure (EPAP). Bi-Flex technology provides pressure relief for the patient to enhance patient comfort.
- GoLife Mask: This mask conforms to the unique contours of the male facial structure and includes a minimalist frame with contour arms that hug the face to maintain a secure and stable seal even with movement during sleep.
- EasyLife Mask: The EasyLife nasal mask’s lightweight design delivers Auto Seal™ technology. The dual-cushion construction features a soft inner cushion that creates a flexible, self-adjusting seal around the nose and the supportive outer cushion provides an additional level of stability.
Solutions to help manage independent living and a healthy lifestyle
- Lifeline with AutoAlert: Seniors are living longer and remaining in their own homes; however, falls have become an epidemic problem that jeopardizes seniors’ chances to live independently and can contribute to hospital readmission. Philips Lifeline with AutoAlert features the only pendant-style help button that can automatically call for help if a fall is detected and a senior is unable to push the help button.
- DirectLife: Exercise programs are a standard part of cardiac care plans, yet patients often struggle to adhere to their clinical instructions to regularly exercise; lack of exercise adherence has been linked to worsening clinical outcomes The DirectLife monitor not only continuously records all body movements, it also offers activity coaching with structured guidance, motivational support, and goal setting, to help patients sustain their activity program. This activity information is presented on a software application for review in an easy to understand graphical user interface.
The Hospital to Home Learning Destination at ACC will have an adjacent 3D CV theater, which will feature presentations, roundtables and videos. Topics will include health care reform/reimbursement issues for home care, discharge process and case studies.
For more information about these products and more at the American College of Cardiology’s Annual Scientific Session, visit the Philips booth located in Hall D, #3329, and the Hospital to Home Interactive Learning Destination located in Hall D, #3347. The Learning Destination is also available to provide insight to readmission management as seen from the patient journey.