Orange Team Ryan Null Project Manager CS 411 Orange Team 04 May, 2009 1 Old Dominion University:...

Orange TeamRyan Null

Project Manager

CS 411 Orange Team04 May, 2009

04 May, 2009 1Old Dominion University: Computer Science CS 411 Orange Team - HEART

Team OrangeProfessor Brunelle

DavidAlgorithm and

Integration Developer

RyanSimulation Interface

developer

AndrewSensor Integration

Developer

SpencerGUI and Database

Developer

NicoleGUI and Database

Developer

Experts

Dr. Daniel Garland M.D.President of Pathologist

DepartmentObici Hospital

Suffolk

Mrs. Janet Jackson BSN RNHCMSDM Regulatory Compliance Manager

Amerigroup CorporationVirginia Beach


Cardiac Rehabilitation Retention

Cardiac patients do not commit to the

long-term rehabilitation necessary to

extend their life.


Societal Cost of Cardiac Failure

The direct and indirect cost to the U. S. in 2008alone are staggering. [1]

• $156 billion for Cardiac Heart Disease

• $448 billion for Cardio Vascular Disease

[1] http://www.americanheart.org/presenter.jhtml?identifier=3050603


Need for Cardiac Rehabilitation Is Increasing

• 22 million people experience heart failure every year [1]

• 5 million people in the United States are living with a heart condition [2]

• 500, 000 additional cases are diagnosed each year

[1] Popular Science Magazine, December 2008, 61 - 63[2] http://www.americanheart.org/presenter.jhtml?identifier=3047844


80% of Patients Cease Cardiac Rehabilitation

Completion of Rehabilitation

20%

Pre-Mature Death63%

Survival Absent Rehabilitation

17%

Rehabilitation Outcomes

Team Orange SBIR page 9


Rehabilitation Exercises Extend Life

Doctor prescribed exercises are essential to successful rehabilitation.[1]

• Increased heart strength and mobility• Lower blood pressure, cholesterol, and BMI• Reduced emotional stress, depression, and

anxiety

[1] http://www.mayoclinic.com/health/cardiac-rehabilitation/HB00017


Challenges to Monitoring Cardiac Patient Exercise

Team Orange SBIR Appendix J


Tools to Encourage Rehabilitation Are Needed

According to Dr. Suaya M.D., Ph.D., and lead author of a study in Circulation: Journal of the American Heart Association.

“We need to find ways to increase the use of cardiac rehabilitation, because it is used very little by patients who could benefit a lot…” [1]

The A.H.A. “recommends physicians aggressively encourage cardiac rehabilitation…”

[1] http://www.americanheart.org/presenter.jhtml?identifier=3050603


Patient Involvement Is Key to Rehabilitation

A rehabilitation study at Beaumont Hospitals concluded:

• “Active involvement of the patient and family is vital to the success of the program.”[1]

And ABC reports

• “[…] If the patient is actively engaged […] they feel like they have some control over what they will do and how they will do it.”[2]

[1] https://www.beaumonthospitals.com/health-library/P06321[2] http://www.abc.net.au/rn/healthreport/stories/2007/2023663.htm


Current Rehabilitation System



Goals of Cardiac Rehabilitation Retention Solutions

Lifestyle Education• Increase involvement in rehabilitation process• Illustrate concrete benefits of changes through

historical data

Support• Accountability and control of exercise regimen• Positive feedback on progress

Team Orange SBIR page 9-10


Heart Exercise Accelerometer Rehabilitation Tool

• Contains mechanics to monitor and record patients’ heart rate, exercise type, repetitions, and duration each time they exercise

• Give feedback to reinforce positive progress with reports on exercises performed and heart strength

• Be utilized during rehabilitation, home exercises, and patient follow-ups

• Be non-intrusive and not substantially modify established rehabilitation processes


Modified Rehabilitation System



H.E.A.R.T. Technical Overview



H.E.A.R.T. Cardiac Patient Use



Patient and Rehabilitation Software

Team Orange H.E.A.R.T. Prototype User’s Manual


Cardiac Patient Software Report

Team Orange H.E.A.R.T. Prototype User’s Manual


Required Measurements for Cardiac Rehabilitation Tools

Team Orange SBIR Appendix J


H.E.A.R.T. Capabilities



Target Market: Rehabilitation

Team Orange SBIR Appendix B

$977,421

$434,898

$67,931

$0

$200,000

$400,000

$600,000

$800,000

$1,000,000

$1,200,000

Pro

fit in

Do

lla

rs

Rehabilitation Market Analysis

Large Medium Small


H.E.A.R.T. Risk AnalysisProbability

Not Likely Low Moderate

High Expected

ImpactExtreme T1, F1

High F2 C1

Moderate T3 C2 T2 F3

Low

Negligible

Item Technical Risks Probability Impact

T1 Hardware and Software Interoperability 2 5

T2 Hardware and Software Accuracy 1 3

T3 Malfunction (Device and Software) 3 3

Item Financial Risks Probability Impact

F1 FDA Rejection 2 5

F2 Insurance Rejection 2 4

F3 Market Competition 4 3

Item Customer Risks Probability Impact

C1 Rehabilitation Rejection 3 4

C2 Proper Utilization 2 3


Budget Overview

Phase Staffing Hardware Phase Total

Phase 1 (6 months) $23,835 $1,599 $99,800

Phase 2 (Two Years) $567,034 $137,397 $704,430

Phase 3 (Per Year) $362,028 $266,044 $628,072

Total Phases 1-3 $952,897 $405,040 $1,357,937

Team Orange SBIR page 29 - 31


H.E.A.R.T. Prototype Constraints


Condition Type Effect on RequirementsCost prevents integration of a programmable unit and hard-wired sensors.

Constraint Simulation Interface uses third-party and proprietary

software to integrate. Cannot demonstrate

synchronization without hard-wired sensors.

Constraint Synchronization between GUIs and prototype will be

simulated.

Prototype GUI’s are not fully developed.

Constraint Installation of GUI will not be demonstrated.

Algorithms discriminate unknown exercises

Assumption A representative set of exercises has been selected.

Patient will use proper form for exercises.

Assumption Discrimination complexity reduced by consistent data.

H.E.A.R.T. Prototype


H.E.A.R.T. Prototype Demo


Please refer to the H.E.A.R.T. Prototype Demonstration Scenarios Handout

H.E.A.R.T. Risk Mitigation


Probability Not Likely Low Moderate High Expected

Extreme T1 High C1

Impact Moderate T3 C2 T2

Low

Negligible

Item Technical Risks Probability Impact

T1 Hardware and Software Interoperability 1 5

T2 Hardware and Software Accuracy 2 3T3 Malfunction (Device and Software) 1 3Item Customer Risks Probability Impact

C1 Rehabilitation Rejection 2 4C2 Proper Utilization 1 3

H.E.A.R.T. Conclusion Financial Incentives

• Generate historical data on exercises and their associated heart rate for scientific study and innovation

• Reduce health care costs by decreasing future cardiac intervention and hospitalization


H.E.A.R.T. Conclusion Cardiac Rehabilitation Patient Incentives

The patient will• Be involved in managing their rehabilitation

through feedback on progress• Develop and maintain positive long-term

lifestyle changes as recommended by their rehabilitation specialists

• Be educated and accountable for their long term exercise and rehabilitation regimen


Orange Team Ryan Null Project Manager CS 411 Orange Team 04 May, 2009 1 Old Dominion University:...

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