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

2. 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

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

4. Incumbent Technologies Provide Digital Images of newborn Often part of a prenatal information website at hospital Used in both NICU and regular nursery http://www.infantxpress.com/depot/20061 Web Babies http://www.st-margarets.com/WebNursery.asp

5. 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

6. 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

7. 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

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

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

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

11. 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

12. 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

13. 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

14. 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

15. Future Work Finish Database Debug Program Program Testing Install In NICU

16. 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

17. Questions, Ideas, Suggestions?