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Smart Patient Rooms
Smart Patient Rooms
The project "Smart Patient Rooms" is a part of the innovation programme "Helse Stavanger 2.0", Stavanger University Hospital's strategic venture, designed to meet the current and future challenges of the healthcare system. Through the facilitation and implementation of patient-centered technology, the project wishes to give patients a greater degree of participation in their care. In addition, care resources can be used where they are needed the most.

The project "Smart Patient Rooms", specifically aims to:

- Support interaction with frontline service providers and within specialist healthcare services
- Strenghten patient participation and improve coping capacities
- Contribute to establishing an organization and corresponding organizational structure that maximises health and welfare technology

The project has its basis in solutions developed during Lyse's "Joint Development Project in Welfare Technology" - a collaboration between Lyse, Altibox, Stavanger University Hospital, University of Stavanger and the municipalities of Stavanger and Randaberg. The project also incorporates solutions from Lyse's consumer market venture, "Smartly" ( http://www.smartly.no ) and " Altibox TV Everywhere " (http://www.altibox.no/privat/tv/tvoveralt ).
In it's initial phase, the project will mainly revolve around solutions allowing patients to control the temperature, curtains, lights and TV from the tablet. There will be possibilities for notifying care staff and also remote control possibiltiies for nursing/care staff using mobile technologies, whether they are in the duty room or out elsewhere. Provisions are also made for video communication with nursing staff through the tablet. Tablet-based solutions from eSeng 2012 will be continued using the same platform.

In 2012, a pilot project, "eSeng 2015" was started upon receipt of a grant from Innovation Norway. In 2013, Stavanger Health Trust decided to continue the eSeng 2015 project. "Smart Patient Rooms" is a direct offshoot of this project, which aims to provide tablet services that allow for entertainment, information, patient training, dialogue and user participation. The technology also enables decision support and documentation for health professionals. 

Through the project "Smart Patient Rooms", Stavanger Health Trust will work with Lyse to develop, test and pilot the next generation of patient rooms for health institutions. The use of welfare technology is central to this project, in terms of  facilitating both a greater degree of user control of the immediate environment and contact with health professionals, and by extension, enhanced coping skills for the patient. The lessons learned from the pilot project eSeng 2015 show that solutions for the consumer and domestic market cannot simply be transferred to the clinical environment of a health authority . Considerable efforts have been made in assessing challenges related to security, infection control, interaction with medical equipment and adaptating interfaces according to the patient's functioning levels. These lessons have already provided a solid basis for collaboration with relevant user groups . "Smart Patient Rooms" will build on these contacts and commence its work in the same department as "eSeng 2015".

Project Deliveries and Main Tasks

The project will develop and establish solutions for environmental management and video communication between patients and health professionals in the patient rooms at the Stavanger Health Trust. The project results will provide a valuable knowledge base from lessons learnt and will enable the deployment of these solutions to patient rooms at the Stavanger Health Trust, other hospitals in the region and the country at large. The solutions will also be transferred to nursing homes and similar care facilities.

Recent deliveries from the project are:
- Technical, disease-control and security clarifications, facilitating the use of environmental management in patient rooms.
- Tailoring video communication between patients and health professionals
- Technical solutions for environmental management and video communication, including the development of a remote control/administrative interface for the nursing staff
- The completion of six "smart patient rooms ". Three of these room are in ward 2K at the  Department of Oncology and the remaining three in the isolation rooms of the Stavanger Health Trust
- Development of a common user interface for remote control of multiple wards from the duty room / mobile devices.
- Training plan and implementation of training for staff and patients
- Evaluation of the tested solutions

Project Stakeholders 
In the startup phase, the proejct group will conduct a thorough stakeholder analysis. Interested stakeholders at the curren time can be listed as follows: 

Internal Stakeholders
- Lyse Energi AS 
- Lyse Smart AS 
- Altibox AS 
- Stavanger Health Trust (management, health professionals, clinical and technical departments) 
- The User's Committee at Stavanger Health Trust
- The Western Norway Regional Health Authority

External stakeholders 
- Patients and their next of kin
- Politicians 
- Media 
- Greater Stavanger 
- Other regional health authorities, namely,  Bergen Health Trust, Ahus and St. Olav Hospital Trust. Contact was established with these hospitals to enable transfer of experience through the eSeng 2015 project

Innovation
"Smart Patient Rooms" is a national pioneer project. Earlier, St. Olav's Hospital in Trondheim has used technological solutions to control lights and blinds from the patient terminal, but to date, no hospital in Norway has set out to create such comprehensive environmental management as planned in "Smart Patient Rooms". Nor has any hospital employed solutions based on mass market products such as standard Apple/Android tablets. This is an important factor considering the patient's prior knowledge and need for training, and also one which lowers purchasing and operating costs significantly, thus ensuring continuing development . This is in stark contrast to proprietary solutions which were exclusively offered to hospitals earlier. The earlier solutions also did not make easy notification and communication with nursing staff available to users.

By employing the solutions created by Lyse for the domestic market , "Smart Patient Rooms" performs an important task evaluating and and testing the transfer of these solutions to other hospitals and nursing homes. One of the major challenges to be addressed is the approval of the use of "mass market solutions" for use in hospitals and other places where high uptime, robustness and security are crucial factors. The project also focuses on the importance of limiting the technical scope of such solutions, so that one can avoid a massive and complex course of integration every time a solution is to be installed. Lyse's new solution should be simple to set up and easy to use, remove and change.  while it can easily be removed and changed. This is partcularly important, given that these solutions are to be integrated into care homes in the future. 

Project Management

The project is an integral part of the programme "Helse Stavanger 2.0." The project is owned by the CEO of Stavanger Health Trust. The project's steering committee and the programme's steering group are one and the same, and this includes members from Stavanger Health Trust, Helse Vest IKT and The Western Norway Regional Health Authority. Additionally, a representative from Lyse will be in the project steering committee. Stavanger Health Trust will be responsible for project management, while Stavanger Health Trust, Lyse and Helse Vest IKT will all be represented in the project group. Within Lyse, the project will be led by a Senior Business Developer from the Department of R&D & Innovation, who will coordinate the efforts of the following resources: Electrical Installers (custom installation and development), network engineers (with a focus on security) and programmers and interaction designers (UI).

 

 

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