by Susan Eusyis
Bosch Healthcare is composed of two business segments: Tele-health and Tele-care. The combination of these two areas allows positioning to provide real benefit to hospitals and care delivery organizations trying to effect care delivery in the homes. Bosch has a broad portfolio of products, systems and services that support patients with chronic conditions and older persons in their homes.
Bosch Tele-health provides over 100 health management programs in more than 30 medical conditions; these programs support home care, transitional and long-term care coordination for patients with chronic conditions. Their tele-health programs are developed in line with evidence-based guidelines and provide data and decision support tools to give healthcare providers valuable insight about their patients‘ health status at home. In addition, these programs provide patients with valuable knowledge and reinforcement to improve their self-management skills, a critical element of improved quality of life. Over 50,000 patients connect to their healthcare providers on a daily basis using Bosch Telehealth products and systems.
Using evidence-based telehealth Bosch permits people to achieve comprehensive health management. The Bosch Health Buddy System uses telehealth to help patients manage a broad range of chronic illnesses and serious mental illness. This unique offering allows the care team to focus on the patient in their entirety when there are co-morbid health and mental health conditions, as opposed to treating solitary diseases. In addition to chronic care management, Bosch telehealth programs include post-acute programs for the recovery process and programs for serious mental illness.
The Health Buddy’s health management programs utilize standard practice guidelines to focus on monitoring of signs and symptoms, promoting self-management, facilitating education and providing patient guidance. Each program is designed to collect standard outcome measures, including healthcare resource utilization, patient satisfaction, quality of life, health management compliance and patient population reporting. Many programs are also written with the caregiver in mind to enable Bosch telehealth systems to monitor their patient or family member while providing caregiver support.
by Susan Eustis
Telemedicine IBM Watson, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems
Clinical diagnosis is being impacted by the decision support systems. Clinical decision support systems (CDSS) have been a key aspect of telemedicine. Bosch offers the ability to track and update on a daily basis, questions that are able to address actual situations that patients face.
Diagnostic support expert systems promise to revolutionize healthcare. The mandated electronic health record (EHR) systems in all healthcare facilities, is a key enabler of diagnostic support expert systems. The objectives are to promote better and cheaper healthcare using diagnostic support based on the patient data collected from the telemedicine systems. With the large amount of new data collected by the newly installed EHR systems, computers like the Watson will be able to find optimal answers to clinical questions much more efficiently than the human mind.
Two major categories are diagnostic support tools and treatment support tools. Chronic conditions requires continuous diagnostic support because a continuous flow of information on patient change in conditions helps physicians make a better diagnosis based on the patient symptoms, medications, and medical records. Treatment support helps clinicians stay compliant with known treatment guidelines such as avoiding known drug interactions, dispensing the right medication to the right patients, and staying on schedule with response to changes in patient condition.
Differential diagnostic tools support differential telemedical treatment. The decision process take into account clinical findings form the home monitoring devices and from symptoms verbally communicated.
by Susan Eustis
Bosch Health Buddy Decision Support Tools
The Bosch Health Buddy decision support tools provide secure access to clinicians ready to monitor chronic patient conditions on a daily basis. A series of features and reports are designed to risk-stratify patient populations, enabling health professionals to improve clinical outcomes and patient quality of life while reducing the total cost of care.
Tools enable paperless data collection and disease management. Bosch Health Buddy system works by improving the frequency and quality of data collected without increasing administrative burdens. A task list offers care providers improved workflow when managing multiple patients with high and medium risk responses.
Trend graphs and patient reports allow care providers to understand, respond to and communicate patient data to other healthcare professionals. Care providers can create summary reports that look like a heat map to consider conditions of individuals or to compare groups of patients in an intuitive manner. Compliance reports, patient trend and result reports, and electronic patient records are generated. With the versatile design, the Bosch Health Buddy decision support tools can be applied to a wide range of disease states, disease management systems and patient populations.
The Bosch ViTelCare T400 home health monitor is another similar device.
Home health tele-monitoring supports the safety and well-being of patients with congestive heart failure, diabetes, chronic obstructive pulmonary disorder (COPD), asthma, or mental health issues, as well as many combinations of these conditions. By providing a daily assessment of the patient’s vital signs and symptoms, the monitors alert clinicians to changing conditions, so someone can intervene before a home visit or hospitalization is required.