As published in Labcompare and American Laboratory Magazine

SafeBeing Is An Effective Tool To Remotely Monitor Patients During Epidemics

By Dr. Charles Herman, CEO, and Dr. Amit Sawant, COO, of Somatix

Now more than ever, patients and especially senior citizens, are depending on the healthcare system to keep them safe and healthy. Yet amidst the global viral pandemic, massive staff shortages and isolation protocols have left many patients, both at home and in a care facility, without the support they need.

Understandably, attention has recently turned to telemedicine and remote patient monitoring solutions to help treat patients during this pandemic. Somatix’ SafeBeing is a commercially available, wearable-based, AI-powered gesture detection technology, that translates real-time sensor data from smartwatches or smartbands into clinical insights and predictive analytics to keep patients safe, monitor their health and wellbeing, and enable healthcare providers to observe the most at-risk patients. SafeBeing’s 24/7 monitoring platform identifies changes in clinical condition by monitoring changes in activities from each patient’s machine-learned baseline.

SafeBeing’s AI-powered remote patient monitoring platform has been employed to observe at-risk patients in need of further evaluation, to reduce hospitalizations, and to monitor the health and wellbeing of patients and seniors at home and in healthcare facilities that are left vulnerable due to COVID-19.

The SafeBeing platform translates sensor data from smartwatches or smartbands into alerts and clinical insights. SafeBeing’s 24/7 passive monitoring and advanced analytics identify changes in a patient’s condition by monitoring reductions in activity from their machine-learned baseline, reduction in fluid intake and risk for dehydration, disturbances in sleep patterns, smoking frequency, and risk for developing urinary tract infections. For seniors, SafeBeing can also detect falling and wandering as well as identify risks for falling or developing pressure injuries.

SafeBeing leverages Machine Learning and Big Data analytics to deliver alerts, reminders, notifications, actionable insights and predictive analytics in real time. Using these tools, SafeBeing not only provides clinicians with a 24/7 profile of patients’ activities, but also detects variations in activities of daily living that can be a cause for concern, triggering alerts to clinicians and family members as necessary.

Abnormalities that are a cause for concern can be personalized to each patient, and alerts and notifications can be adjusted accordingly to avoid overloading clinicians with non-critical data.

Applicable scenarios:

Use Case 1: MONITORING OF SENIORS AT HOME AND IN ELDER CARE FACILITIES

Seniors are in need of monitoring now more than ever. To date, seniors have relied on healthcare professionals, family caregivers, and senior day care centers to oversee their health and wellbeing. Yet, both at home and at care facilities, seniors are left unprotected because of the isolation and social distancing protocols that are in place now due to COVID-19. In practice, families are keeping their distance from their loved elders to avoid the risk of exposing them to the disease, healthcare professionals are unable to provide the same level of care, and seniors are staying home, missing both medical appointments and other day-to-day interactions that provided them with a layer of protection. These seniors can benefit from a simple way of monitoring their health and wellbeing. SafeBeing can remotely connect both caregivers and family members with seniors, identifying falls, emergencies, risks for hospitalization, and overall decline.

In senior communities, SafeBeing creates a safer environment by remotely monitoring patients in their rooms as well as preventing patient roaming to minimize patient-to-patient and patient-to-provider transmission of the illness.

Use Case 2: MONITORING OF COVID-19 PATIENTS IN QUARANTINE AT HOME FOR SIGNS OF DECLINE

People who were identified as carriers of COVID-19 and need to stay quarantined at home are currently completely unmonitored. Their health and wellbeing can be monitored with SafeBeing and those at-risk for decline can be identified earlier and at-scale. SafeBeing’s insights can be integrated with data from thermometers, blood pressure cuffs, and oxygen saturation monitors, as well as electronic health records to further increase their predictive power.

Use Case 3: MONITORING AT HOME OF HIGH-RISK PATIENTS AFTER HOSPITAL DISCHARGE TO INCREASE HOSPITAL CAPACITY

Other patients with non-COVID-19 related conditions are being sent home to free healthcare resources to deal with the emergency COVID-19 response. However, these patients still need to be monitored. SafeBeing can monitor these patients at scale with no installations or complicated setup, and it can identify those that need provider attention. Reductions in hospital readmissions through earlier detection of clinical decline has already demonstrated in the elder care population and will help maintain hospital capacity for COVID-19 patients.

 In all three scenarios, SafeBeing creates a way for high-risk patients and seniors to be monitored and cared for as needed without constraining the healthcare system or putting them at risk of exposure to the virus. SafeBeing will enhance provider productivity by triaging at-risk patients based on symptoms and signs of decline and provide an automated layer of oversight that manual labor resources currently do not have due to the COVID-19 response.

SafeBeing components:

The SafeBeing solution has the following components:

Caregiver dashboard – A web interface that presents alerts, reminders, notifications, insights and predictive analytics to the healthcare professional
User app – It can be used by the patient on his mobile phone
Caretaker app – It can be used by caregivers as a “mobile dashboard” or by family members of the patient
Smartband – A lightweight, water-proof band that is being worn by the patient on his/her dominant hand

Insights and predictive analytics:

The existing version of SafeBeing is ready and deployable within 48 hours’ notice. It supports the following specific insights:

  • Decline in sleep quality or quantity overtime
  • Decline in activity over time
  • Wandering beyond designated safe zones
  • Fall detection and risk for falling
  • Risk for pressure ulcer through movement analytics
  • Risk for developing urinary tract infection
  • High daytime somnolence
  • Low fluid intake
  • Risk of dehydration
  • Emergency button
  • Compliance management
    • Low battery alerts
    • Missing data/no connectivity alerts
    • Reminders to wear the band

To better assist providers with patient monitoring needs, the SafeBeing functionality is being enhanced to include better communication, heart rate monitoring, oxygen saturation, medication management and intake detection, a HIPAA-compliant chat feature, and symptoms surveys. With SafeBeing, patients can have the monitoring they need at home, relieving the healthcare system and connecting caregivers and family while maintaining isolation protocols. In elder care applications, the platform has already demonstrated reduced rehospitalizations, earlier identification of symptomatic and at-risk patients, viable in-place monitoring and greater productivity per healthcare provider.

The next version of the platform (Q3 2020) will have additional functionality including heart rate, oxygen saturation, Wi-Fi connectivity, HIPAA-compliant messaging, symptom surveys, and more.

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