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Developing a STEMI care monitoring app for a New York based multi-specialty hospital

Unthinkable helps a leading multi-specialty hospital in New York City with over 7000+ practitioners and specialists build an emergency response app for STEMI patients.

Healthcare January 14, 2021

Customer: A multi-specialty hospital in New York City
Country United States
Industry: Healthcare

Customer Profile: A leading multi-specialty hospital in New York City with over 7000+ practitioners and specialists.

Challanges:The client wanted to reduce the communication gap between paramedics and the emergency response team for the treatment of STEMI patients. For this, they were on the lookout for a technology partner who could help them in building a solution for rapid assessment of STEMI and easy transfer of patients to the hospital for immediate care.

47%

reduction in door-to-balloon time

50%

reduction in app development time

1000+

STEMI patients monitored

The medical treatment for STEMI and cardiogenic shock is affected due to the communication gap between the paramedics and doctors while patients are transferred from the emergency department to the cath lab. The effects of pre-hospital system delays on the treatment efficacy of STEMI patients are mortal.

According to Biomed Central, the time from the first medical contact (FMC) to the first ECG performed by the EMS should be ≤10 min in order to quickly diagnose STEMI. Also, the time from FMC to mechanical reperfusion of the occluded artery should be ≤90 min and in some patients (high-risk patients with a large MI and with symptoms lasting < 2 h) even ≤60 min.

Challenges

The client wanted to reduce the communication gap between paramedics and the emergency response team for the treatment of STEMI patients.

Hence, they aimed to develop an integrated mobile-based solution for direct transmission of ECG data as well as all other healthcare information of the patient from paramedics in the field to the cardiology team in the hospital.

Solution

The Unthinkable Software team developed mobile apps for Android and iOS platforms that help to improve clinical outcomes in patients with STEMI and cardiogenic shock. The app offers an interface that allows doctors, nurses, and health assistants to communicate with each other.

Once a STEMI case is identified, a group chat gets created with referrers, acceptors, and the ambulance team as its participants. If it's the case of cardiogenic shock, the coronary care unit (CCU) or Congestive Heart Failure (CHF) team becomes part of the chat group.

Depending upon the responsibility that a member in the system holds, different user roles are defined in the app:

● Alarm Initiator (Referrer): The referrer is situated outside the hospital, can practically be a doctor, nurse, or health assistant, who can raise a transfer request. The referrer here will send ECG images and details about the patient to the MD in the hospital and transfer center.

● The team at Hospital (Acceptor): This user is the cardio specialist at the hospital. Depending upon details shared by the referrer team, the acceptor team checks the case of STEMI and updates the status to the transfer center.

Unthinkable’s team has immense knowledge and understanding about what they are doing for their client. The solution is implemented on all levels in our organization and is getting applauded by everyone. The team has been highly responsive and dedicated to us.

Sr. Cardiologist, New York based leading hospital

Impact

The solution aims to streamline the treatment process by ensuring that the right, on-time treatment is given to the patient once they arrive at the hospital. The paramedics in the ambulance can directly share the patient outcomes with the cardiology team at the hospital so that they are well prepared when the ambulance reaches the hospital. There are also significant resource utilization advantages, Since physicians can rapidly review ECG findings, appropriate modifications to EMS and in-hospital STEMI activations can be made rapidly.

Developing a STEMI care monitoring app for a New York based multi-specialty hospital

47%

50%

1000+

Challenges

Solution

Sr. Cardiologist, New York based leading hospital

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