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
04 May, 2009 2Old Dominion University: Computer Science CS 411 Orange Team - HEART
Cardiac Rehabilitation Retention
Cardiac patients do not commit to the
long-term rehabilitation necessary to
extend their life.
04 May, 2009 3Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 4Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 5Old Dominion University: Computer Science CS 411 Orange Team - HEART
80% of Patients Cease Cardiac Rehabilitation
Completion of Rehabilitation
20%
Pre-Mature Death63%
Survival Absent Rehabilitation
17%
Rehabilitation Outcomes
Team Orange SBIR page 9
04 May, 2009 6Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 7Old Dominion University: Computer Science CS 411 Orange Team - HEART
Challenges to Monitoring Cardiac Patient Exercise
Team Orange SBIR Appendix J
04 May, 2009 8Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 9Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 10Old Dominion University: Computer Science CS 411 Orange Team - HEART
Current Rehabilitation System
Team Orange SBIR page 11
04 May, 2009 11Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 12Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 13Old Dominion University: Computer Science CS 411 Orange Team - HEART
Modified Rehabilitation System
Team Orange SBIR page 12
04 May, 2009 14Old Dominion University: Computer Science CS 411 Orange Team - HEART
H.E.A.R.T. Technical Overview
Team Orange SBIR page 13
04 May, 2009 15Old Dominion University: Computer Science CS 411 Orange Team - HEART
H.E.A.R.T. Cardiac Patient Use
Team Orange SBIR page 14
04 May, 2009 16Old Dominion University: Computer Science CS 411 Orange Team - HEART
Patient and Rehabilitation Software
Team Orange H.E.A.R.T. Prototype User’s Manual
04 May, 2009 17Old Dominion University: Computer Science CS 411 Orange Team - HEART
Cardiac Patient Software Report
Team Orange H.E.A.R.T. Prototype User’s Manual
04 May, 2009 18Old Dominion University: Computer Science CS 411 Orange Team - HEART
Required Measurements for Cardiac Rehabilitation Tools
Team Orange SBIR Appendix J
04 May, 2009 19Old Dominion University: Computer Science CS 411 Orange Team - HEART
H.E.A.R.T. Capabilities
Team Orange SBIR page 16
04 May, 2009 20Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 21Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 22Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 23Old Dominion University: Computer Science CS 411 Orange Team - HEART
H.E.A.R.T. Prototype Constraints
04 May, 2009 24Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 25Old Dominion University: Computer Science CS 411 Orange Team - HEART
H.E.A.R.T. Prototype Demo
04 May, 2009 26Old Dominion University: Computer Science CS 411 Orange Team - HEART
Please refer to the H.E.A.R.T. Prototype Demonstration Scenarios Handout
H.E.A.R.T. Risk Mitigation
04 May, 2009 27Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 28Old Dominion University: Computer Science CS 411 Orange Team - HEART
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
04 May, 2009 29Old Dominion University: Computer Science CS 411 Orange Team - HEART
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