BabyView: Real Time Monitoring of NICU Patients Erin Lynne Scott Dr. Bill Walsh

Vanderbilt NICU 42 Feeding Hospitals –500+ Transports a year –Distance of 100+ Miles 44 Patient Beds Cost in the NICU is ~$2000/day Average stay is 17 days

What is the problem? Parents and Families of babies in the Vanderbilt NICU are often 100+ miles away from child

Incumbent Technologies Provide Digital Images of newborn Often part of a prenatal information website at hospital Used in both NICU and regular nursery Web Babies

Estimated Hospital Costs (1 year – 30 Beds – 5 New Patients/Day) *Development of BabyView (4 years of tuition?) **Growing Family requires the family to purchase pictures ***Based on M-F Schedule

Customer Requirements No Interference w/ Other Equipment Minimum Development and Deployment Costs & Schedule Easy to use Limited Maintenance Cost & Effort Secure Connections Meets HIPAA Regulations

Suggested Uses Live Image Feed of Child fed to –Nurses Station –Doctor’s Offices Requiring Secure ID for each doctor –Home Computers Requiring Secure ID for each patient –Mother’s Room in Hospital Via portable computer w/ wireless access Paid for by the hospital, free service to the patient HIPAA Regulations –Secure Internet/Password Protected –Parent Consent for participation in BabyView

Logon Screen HTML PAGE JAVA Applet Database Runs the Applet on Server Accesses

Baby Info Logon Screen Admin Page Parent/Family Hospital Staff Administrator Website Structure

Hospital A Camera Hospital Server Baby Info Internet Family Home Mother’s Hospital Room Nursery Hospital B Baby Info Mother’s Hospital Room

Baby Info Name My Team Attending Fellow(s) Residents Intern(s) NDP(s) Social Worker Case Manager Room # Information already collected and posted visibly in each patient room

Protocol Patient must be in NICU for at least 3 days No patients currently on ventilators Medical Team Approval –Dependent on health level of patient Parent sign off for participation

Safety Concerns Program Failure –Down Server or connection –Error in the program Electrical Malfunctions –Surges –Fuses Mechanical Failure –Camera Falling Off? Interference during HealthCare Procedures –Protocols for NICU use

Work to Date Visit to NEW NICU Patient Protocol Decided Camera Arrived and “Setup”“Setup” –Camera Wireless Issues Solved Final Story board Created Websites completed JAVA Program finished Database –Caspio Bridge

Future Work Finish Database Debug Program Program Testing Install In NICU

Acknowledgements Dr. Walsh –Professor of Pediatrics Attending Neonatologist, Chief of Nurseries Dr. King –Associate Professor of Biomedical Engineering Associate Professor of Mechanical Engineering Ray Erlandson –Department of Biomedical Engineering Dr. Dan Lindstrom

Questions, Ideas, Suggestions?