Objectives of the service
CliniTouch Vie 2 creates a 24/7 accessible virtual clinic providing monitoring, chronic disease management and education to patients, all within a mobile device and all at home. Clinicians are provided with real-time visibility of their most at-risk patients through an enhanced system that provides advanced warning of when a patient’s condition is likely to deteriorate by vital signs monitoring and poor air quality - enabling prompt pre-emptive interventions from the patient and the healthcare practitioner.
Users and their needs
CliniTouch Vie 2 is a flexible, real-time remote monitoring solution that is integrated into a live clinical setting across sectors to provide personalised digital solutions that empower patients and improve clinical outcomes. It provides the digital leverage to enable patients to take a more active role in their own health and care while creating capacity to increase workforce productivity to meet rising demands.
- Reduce hospital admissions – through real time management of high-risk patients preventing admissions
- Deliver workload efficiencies – support better patient self-management, reduce the need for direct interventions and enable staff to focus on priority patient care
- Support early discharge – provide hospital level diagnostics and monitoring in the home enabling early discharge and remote clinical support post-surgery or in care-home settings
- Enhance care for patients with chronic conditions – Inform and engage patients as part of NHS prevention agenda
- Offer locality wide cost savings – improve outcomes across multi-disciplinary teams
Provision of accurate, location-based satellite air quality data enhances care provision and patient self-management options.
preview of the CTV2 user interface
Service/ system concept
CliniTouch Vie 2 provides fast, simple and easy to use satellite air quality data to the digital remote monitoring system. This information helps a patient make health care decisions, such as, ‘The air quality is so poor today I will stay at home and close my windows’. Through real time monitoring, health care management and meaningful education to patients such as ‘ How to get the most out of your inhaler treatment’ or ‘Exercise for COPD patients to take outside when the air quality is good’, clinicians have an unprecedented real-time visibility of their most at-risk patients and those patients who through empowerment and intervention are being managed at home and avoiding the revolving door of hospital admissions.
Space Added Value
A number of Earth Observation data will provide inputs for the provision of the service. For instance:
▪ Data from the Copernicus Atmosphere Monitoring Service (CAMS) will be used for a range of species including NO2, O3, PM2.5 and PM10. These inputs will be critical to informing surface concentrations of key pollutants.
▪ Direct L3 NO2 data from Sentinel 5P can enhance regional import estimates within the air quality modelling.
▪ Meteorological data (EUMETSAT via ECMWF) contributes vital wind vector information to enable pollution dispersion to be accurately calculated
▪ A satellite-enhanced digital elevation model is used to provide surface feature information (including buildings and trees)
In addition, GNSS data is used for location tracking for both patients and mobile air quality sensors, and provides tailored position-based information on pollution concentrations
The project plan continues on track and Clinitouch Vie has been used in the management of Covid -19 patients to help monitor their recovery at home and in care homes, supporting the monitoring of residents. The Site Acceptance Test (SAT) was successfully completed in November 2020. The Pilot Plan is now running for 8 weeks among a cohort of COPD patients. Patients and clinicians involved in the trials can now access real time Air Quality data, learn about the impact of this data on their day-to-day lives and help them plan accordingly. Clinicians can video chat with patients and message them as needed. Patient and clinicians can monitor health trends, use Bluetooth peripheral devices such as pulse oximetry and blood pressure and continue to access health education material.
Overview of CTV2 features
Stakeholders are now turning their attention to supporting the Pilot and the evaluation that will come out of this.