Virtual hospital research framework launches in Ireland

Cisco has announced a joint initiative with the University of Galway and CÚRAM, SFI Research Centre for Medical Devices in Ireland, to create a research framework for the world’s first ‘Virtual Hospital’, serving patients with diverse conditions at every stage of their healthcare needs.

As part of the Cisco Country Digital Acceleration (CDA) programme, the initiative, which is already in pilot, is aligned to the ambitions of Ireland’s 10-year health and social care reform Sláintecare, to avoid unnecessary hospital admission and support patients at home.

Greater patient power

The objectives of this initiative, powered by Cisco technology, are to help increase access to services, convenience, and improve outcomes for patients. It will also seek to provide patients the ability to play an active role in their own recovery. The virtual platforms are designed to mean patients will not only be able to monitor their progress, but also provide patients direct access to educational materials, and the ability to participate in the decision-making process with their healthcare providers.

Unlike other initiatives around the world which deliver individual speciality virtual wards, this initiative brings together multiple clinical areas and stages of treatment to provide seamless care. These include community virtual care pathways for enhanced monitoring of chronic conditions such as COPD to enable admission avoidance. In addition, it is enabling virtual outpatient clinics for remote appointments with integrated multiparameter diagnostics.

Delivering virtual care

Cisco technologies, including networking, cybersecurity, Webex devices and application visibility solutions, are delivering mission critical digital infrastructure to power operations, connecting patients with their healthcare providers, wherever they may be, and ensuring reliable mobile data connectivity for seamless virtual care.

Underpinned by Cisco networking infrastructure, myPatientSpace and patientMpower mobile health apps provide the virtual hospital’s digital platform that helps patients track key health metrics and monitor symptoms from home. Clinician’s will connect to real-time dashboards that display information on a patient’s condition, alerting medical professionals to changes so they can detect deterioration early and deliver timely care.

Initial feedback from patients during the setup of the initiative has been highly positive with comments including: “you're not having to travel to go to a consultant, and they can do it from their office as well… you have the GP on it, and another doctor too. For me, that’s a complete positive”; “all my information from the monitoring was there in front of me on the screen. I found it all very useful, and in some way better than in person.”

The University of Galway HIVE Lab has developed a range of digital care solutions for local patients in this groundbreaking study, enabled by Cisco technology such as Webex integrated Virtual Consultations. The initiative is using innovative AI technology such as dynamic appointments where patients with chronic diseases are automatically triaged to an appropriate outpatient clinic slot based on their clinical need (e.g. Blood Pressure, HbA1c values). In addition, the HIVE lab has developed smartphone-based software that uses AI enabled cameras to help monitor patients’ rehabilitation exercises to ensure that they are doing them in the way their physiotherapists prescribed to aid rapid recovery from operations.

Reduced workload and financial pressure

The virtual hospital research initiative is leading the way in tackling rising pressure on Ireland’s health system, particularly its funding and staffing needs. It will aim to prove a framework that could contribute to the lightening the workload of healthcare professionals thereby increasing staff retention, while minimising operational costs and optimising the use of healthcare resources.

According to the National Institute for Health and Care Excellence (NICE) in the UK, early value assessment study on virtual ward platform technologies demonstrated their cost-effectiveness, with an estimated £872 (€1,020) saving per person compared with inpatient care and by £115 (€135) per person compared with care at home without a virtual ward.

To date, in the initial setup stage of the project in Ireland, approximately 350 ‘bed days’ have been saved by patients who have been supported at home via a COPD virtual care pathway as part of this project work.

Quotes:

Professor Derek O’Keeffe, Project Principal Investigator, Professor of Medical Device Technology at the College of Medicine, Nursing and Health Sciences at University of Galway, said: “This research project offers an innovative virtual solution to a real global healthcare problem. It will explore new ways of providing care to our patients using next generation technology and new clinical pathways to improve health and economic outcomes”.

Brian Jordan, Country Digital Acceleration Lead, Cisco Ireland, said: “Digital technology is critical to the future of healthcare and is capable of extending care well beyond hospital walls, right into patients’ homes and in the heart of their local community. Cisco is proud to be supporting this ground-breaking 360° care delivery model that aims to streamline processes, alleviate staff workload, and reduce financial pressures on public healthcare services.”

Commenting on the significance of the initiative, CÚRAM Director, Professor Abhay Pandit, said: “This project is one of the largest industry collaborations our centre has supported to date. It is an excellent example of the impact that collaborations between CÚRAM and industry can have on local communities and society at wide.”

Reaching more patients

The initiative expects to support hundreds of patients across the Diabetes, Chronic Obstructive Pulmonary Disease (COPD) and Heart Failure and Atrial Fibrillation virtual care pathways in the Galway region. With the development and rollout of virtual outpatient clinics this is expected to extend to thousands of patients next year.

Remote digital solutions

This latest project builds on other pilot digital healthcare studies supported by Cisco in remote parts of Ireland. Enabled by its CDA programme, this includes the Home Health project in Clare Island, home to an aging population of 160 residents and challenged by extreme weather conditions. Care solutions in the Home Health project include smart wearables to track vital signs; drones to fly in prescriptions; virtual reality headsets to deliver training for nurses; and a robotic dog to triage emergency health issues.