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

                                                                                           

http://www.infantxpress.com/depot/20061

Web Babies

http://www.st-margarets.com/WebNursery.asp

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

BabyView* (VU) GrowingFamily Independent HospitalEquipmentCamera(s) 6000 3000 600Computer 500 500 500

Server 3000 0 3000Wireless 0 NA NA

DevelopmentWebsite/JAVA 0 0 1500

Database 0 0 500Staffing

Daily Picture Taking/Loading on Website 0 14625 14625Cataloging Information 2925 0 2925

MaintenanceEquipment Maintenance 0 0 0

Website Maintenance 0 0 100Total 12425 18125 23750

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 ServerBaby Info

Baby Info

InternetFamily 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”

– 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 EngineeringAssociate Professor of Mechanical Engineering

• Ray Erlandson– Department of Biomedical Engineering

• Dr. Dan Lindstrom

Questions, Ideas, Suggestions?