Telemonitoring pacjentów z niewydolnością serca Doświadczenia oddziału kardiologii uzyskane podczas realizacji projektu MONITEL-HF

Abstract

In hereby publication the authors shall present the solution encompassing the combination of well-known and verified organisational and technological solutions in the new field of services, namely telemedical monitoring in patients with heart failure, on the example of the research and development project MONITEL-HF co-financed by the National Centre for Research and Development within STRATEGMED Programme. Dynamic development of modern medical devices with integrated electronics saving or supporting life has caused the increase of diagnostic data sent in a specific format and time regime to medical centres for the purpose of their verification. The decisions which may be made on their basis depend on the quality and speed of processing of these data to the form acceptable to the medical personnel as well as on the degree of an organisation preparation for the process of their analysis. MONITEL-HF uses the elements of the Information Technology Infrastructure Library (ITIL) for IT departments. ITIL constitutes the most widespread collection of the best practice applied in many enterprises and governmental organisations for the purpose of appropriate management of IT services. An application was developed, for which the basic premise of its implementation was the principle of minimalism in the approach to communication, understood as the ability to eliminate sources of useless information. Only those data that are needed to perform the work by the person concerned or that may influence the quality of life of the monitored patient (eg patient activity constituting a good indicator of his or her own health) are collected and processed. This selection has made it possible to reduce the burden on physicians, redirect the majority of activities to more nursing staff, and focus on the most urgent cases. Productivity has been enhanced and the foundation for providing the best possible relationship with the patient, regardless of the history of pacemaker implantation, cardioverter defibrillators or resynchronizing devices. Cardiology is one of the few areas where healthcare professionals can start medical intervention in a patient who may not be aware of the risk. Focusing on really important information is extremely important when medical data is slowly beginning to meet the definition of Big Data.