Jon Coleman, President of Worldwide Sales, Professional Services, and Medical Affairs, Masimo
- Healthcare systems across the world have been set up in such a way that patients move through several hospital care areas, which vary in the type of intensity of care administered. In many settings, patients move from an area with a 1:1 caregiver-to-patient ratio, with 24-hour monitoring, to one with a 1:4 or 1:5 ratio, with no or very limited monitoring.
- While it might not be feasible to maintain a 1:1 caregiver-to-patient ratio across the hospital, using robust continuous monitoring solutions as a supplementary tool to circumvent this challenge is becoming a standard of care across the world.
- Often patients from the “no/low” monitoring zones end up back in critical care. This suggests that care areas without continuous monitoring may hazardous and further stress an already burdened critical-care infrastructure.
- This is particularly relevant to India because it is battling the twin issues of scarcity of infrastructure and of human capital: on one hand, it does not have enough medical personnel; on the other, it is challenged by the infrastructure requirements of critical care, both in terms of volume and of quality of care.
- While adding critical care beds is important, it is also beneficial to explore the more preventive route of reducing the number of patients who need to be [re-]admitted to critical care in the first place; 24-hour monitoring in non-critical care areas is one such important measure that can help optimize resources.
How will patients benefit from the installation of Masimo’s remote monitoring system at Artemis Hospital?
- The underlying pulse oximetry technology that monitors physiological parameters like SpO2 and pulse rate is considered a gold standard in the industry, and has been shown to significantly reduce the rate of false alarms and increase true alarm detection.
- Redundancies are built in the system to ensure that in case the primary assigned clinician is unavailable, notifications are escalated to additional clinicians.
How Artemis Hospital is using technology to advance its patient-centric care approach?
- In my interactions with Artemis staff, it was very refreshing to see a culture and ethos centered on patient safety. As an JCI accredited institution, Artemis not only followsindustry best practices in several facets of care delivery, but they are setting the benchmarks in others.
- Implementing 24-hour remote supplemental monitoring is one such step that shows their steadfast commitment to patient safety.
- Artemis is also very keen to streamline data flow through the entire hospital, and the automatic integration of data into their EMR provided by Patient SafetyNet will not only help to free up clinicians to spend more time with patients but also minimize the possibility of transcription error.
Decoding the features of Masimo Patient SafetyNet
- Patient SafetyNet is a supplementary remote monitoring and clinician notification system that would notifies clinicians when alarms breach customizable thresholds.
- It can also provide clinicians with trend data for up to 96 hours, helping to arm them with vital historical data to assist in forming clinical decisions.
- Patient data can be pushed to EMRs, thus providing seamless integration.
- Patient SafetyNet can also generate a variety of customizable reports, giving clinicians another tool to assist in analyzing patient histories.
The impact of Masimo’s Patient SafetyNet in other developing countries
- While each nation has its own set of unique challenges, some issues such as “resource crunch” and poor infrastructure cut across economies and geographies.
- We are working with government bodies across the world to identify their infrastructure problems and help them optimize resources.
- We are also customizing our value proposition to suit the needs of each organization: While some governments want the solution an in-hospital solution, while others want a community centric one.
- Masimo continues to evolve and offer solutions that meet the needs of diverse customers, and we are confident that Patient SafetyNet will play a major role in doing so.
Your vision of Indian healthcare system and what needs to be done to realize the vision?
- There is a major urban-rural gap in India and healthcare delivery seems to be consolidating in some urban pockets, leaving vast swathes of the countryside deprived of quality healthcare, so accessibility continues to be an issue, and therefore both a challenge and an opportunity for a healthcare technology innovator like Masimo.
- Bridging this divide will involve bringing together of multiple stakeholders that include government, clinicians, rural healthcare workers, and several other service providers apart from Masimo, to build a comprehensive plan to address this. We believe that Patient SafetyNet can play an important role in achieving this.
Major hospital consolidation is on the cards in the near future. Please comment.
- The industry lifecycle is such that consolidation and the creation of new niches will go hand in hand.
- The last couple of decades have seen a major transformation, with hospitals run more professionally than ever, and it will continue to get better. As in every industry, brand building is important to hospitals, so the smaller players in the industry will have to either carve out niches for themselves to remain profitable or match the spending and reach of bigger players; the latter has led to a dip in profitability for some institutions. We are in an era where market forces and dynamics determine the playing field and the players.
The role of Public-Private Partnership
- The PPP model has worked well in several sectors, and healthcare is no exception.
- While medical technology companies can bring in cutting-edge innovation to combat healthcare issues, other stakeholders bring much-needed reach and the critical mass to make such programs sustainable from an industry standpoint
- For instance, Masimo has been successful in working with governments across the globe to standardize CCHD screening for newborns and has seen exemplary results. My faith in the PPP model stems from this experience of driving tangible change.
- In India, we are working with several government bodies to assist in the fight against IMR, MMR, pneumonia, anemia.
Your expansion plans over the next couple of years
- India is definitely an area of key focus and we look forward to serving additional communities and regions. We hope to drive the adoption of SET® pulse oximetry, rainbow®, and SedLine® brain function technologies.
- We will also take an active interest in driving the benefits of round-the-clock continuous monitoring, which we hope to make a standard of care.
- We also hope to expand our work with the Indian government in several key areas, including combatting pneumonia and anemia.