Northwell Health touts Philips collab for ICU and ED improvements at HIMSS

March 07, 2018
by John R. Fischer, Senior Reporter
ICU mortality has dropped by up to 20 percent in ICU units throughout Northwell Health.

This is but one of several improvements experienced by New York State’s largest health care system, with the implementation of Philips Virtual Hospital Services portfolio, explained Dr. Purna Prasad, vice president and chief technology officer for Northwell during a Philips roundtable discussion on Tuesday, March 6 at HIMSS 2018 in Las Vegas, noting that continuous care from the beginning is essential for enhancing these outcomes.

“We need to get the pulse of the patient before they come into the geographic area of the hospitals. Hospitals are hosts of sick people,” he said. “Preventative care pays off not only financially but also from the health quality point of view. How do we basically start monitoring a patient that we’ve picked up in the parking lot or in the house or as they’re walking to the ICU because they cannot breathe? In the ICU, the nurse to nurse pressure is always a challenge. How do we use technology so that there is a third set of eyes that can provide care?"

Critically ill patients in Northwell ICUs are monitored through Philips eICU program, which offers telehealth bedside support.

The health system has also implemented Philips telestroke program to create collaboration among telehealth centers, stroke care teams, neurologists and ED clinicians to manage care for patients during time-sensitive stroke phases.

Further support is garnered through the use of IntelliSpace eCare Manager, which aggregates structured and unstructured data and integrates EHR information to provide comprehensive views of ICU units.

Such innovations, in addition to ICUS, have also impacted other areas of Northwell hospitals, doubling, for instance, both the numbers of organ donation referrals and patients in emergency departments assessed and prescribed the lifesaving, clot-busting drug, tPA.

The advent of these successes, especially within the ICU, has propelled Northwell to expand its relationship with Philips through the launch a pilot program that combines the enterprise’s general care solutions with its IntelliVue Guardian and wearable biosensor for ED patients.

The biosensor can be placed on patients upon picking them up for transport to hospitals, automatically and continuously measuring their heart and respiratory rate as well as posture.

It also detects falls with all information transmitted to the IntelliVue Guardian software for analysis.

Should the software detect signs of patient deterioration, clinicians will be notified to step in and manage care.

Patients enrolled in this program have indicated higher levels of satisfaction, with 80 percent referring to the biosensor as innovative care, and 73 percent saying they feel better taken care of when wearing the sensor. In addition, 95 percent rate the sensor as comfortable to wear on their chests.

Prasad says in addition to improving clinical outcomes and patient satisfaction, these innovations are furthering Northwell Health’s confidence in its ability to determine and provide the right set of care to patients at the earliest possible moment.

“We are excited to go forward with this innovation strategy to catch the patient before the patient becomes a real patient, and add this continuum of care from the ED to the ICU to the home, and hopefully keep them there for a long time,” he said.

In addition to Northwell’s successes with Philips, the roundtable also addressed Philips’ integration and views on AI capabilities for imaging technologies, such as Illumeo; the launch of its next-generation patient monitoring solution in the U.S.; its acquisitions of Forcare and VitalHealth; and its partnership with Phoenix Children’s hospital to accelerate the creation of solutions for addressing the needs of children.

Other speakers included Carla Kriwet, CEO of Philips Connected Care and Health Informatics; David Higginson, CIO of Phoenix Children’s Hospital; Derek Ross, business leader of population health management for Philips; Yair Briman, the CEO of health care informatics at Philips; and Felix Baader, Philips’ business leader for monitoring and analytics.