Touch-free Life Care (TLC) A NEW outlook on Care Management
Pressure Ulcers and Falls Pressure Ulcers and Falls are targets for immediate cost savings around the world: Facts on Pressure Ulcers: Facts on Falls: Across the world falls cost the economy 0.32% of GNP. as 40,000. Pressure ulcers are preventable, yet estimates of the In the UK, falls are the leading cause of injury among people annual NHS bill for treatment are up to 3.4bn, i.e. approximately over 65, with approximately one in three (3.4m) suffering a fall each 4% of the overall NHS budget.6 year, costing the NHS an estimated 4.6 million a day or 1.7billion per year.2 In England the cost to treat a pressure ulcer can be as much Pressure ulcers are the single most chronic wound in the NHS where 1 in 5 acute care patients experience a pressure ulcer.8 in fractures and the current trend is rising.5 In Ireland Gethin et al4 estimated that pressure ulcers cost It is estimated that there are 310,000 falls a year that result 250 million p.a. could save 3m each year for the public purse.3 In the USA Pressure Ulcers cost over $10 billion p.a. (www.ahrq.gov) For our SOLUTION see page 4 The DoH estimates that investing in fall prevention services In Ireland Gannon et al1 have calculated the cost to the economy of falls is over 550 million pa, and on track to double this value by 2020. In Australia the cost of falls in NSW alone in 2007 were estimated to be $560 million p.a. In the USA falls are estimated to cost $30 billion p.a. (www.cdc.gov) For our SOLUTION see page 7 2
Our SOLUTION BAM Labs Touch-free Life Care (TLC) It enables caregivers to receive, direct to their PC or mobile devices, health data and alerts about their clients in care. Using the BAM Labs TLC System, healthcare professionals and caregivers, while performing their other daily duties can monitor a group of clients continuously. They can also review long term trend data for sleep patterns, resting heart and breathing rate, and sleep quality, to identify adverse changes in health for early intervention. Turning your bed into a Smart Bed, BAM Labs TLC sensor mat is an innovative and modern system, which when placed under any bed mattress continuously detects heart rate, breathing rate, motion, and presence. This system then transmits data seemlessly to the BAM Labs cloud-based platform. BAM Labs TLC Sensor Mat has various applications or functions that can lead to better care. The Position Change Application and Interactive Falls solutions are vital to the process of care, especially when pressure ulcers and falls have become major cost reduction targets for the NHS and Social Care. 1. Gannon B, O Shea E & Hudson E (2007) The Economic Cost of Falls and Fractures in People aged 65 and over in Ireland Technical Report to NCAOP/HSE/DOHC p49 2. Fracture Prevention Services: An economic evaluation, Department of Health, November 2009 3. Falls and Fractures: Effective Interventions in Health and Social Care, Department of Health, 2009. 4. Gethin G, Jordan-O Brien J, Moore Z. (2005) Estimating costs of pressure area management based on a survey of ulcer care in one Irish hospital. J Wound Care. 14,162-5. 5. National Audit of the Organisation of Services for Falls and Bone Health of Older People, Royal College of Physicians, March 2009. 6. Posnett J & Franks PJ. (2007) The costs of skin breakdown and ulceration in the UK. In skin breakdown: the silent epidemic, Smith & Nephew Foundation, Hull, pp 6-12 7. Stop falling, start saving lives and money Age Concern, 2011 8. Vowden KR & Vowden P. (2009) The prevalence, management, equipment provision and outcome for patients with pressure ulceration identified in a wound care survey within one English health care district, Journal of Tissue Viability, 18, 20-6 3
Our SOLUTION for Pressure Care Management Changing position in a periodic and timely manner can reduce the risk of pressure ulcers and damage to skin tissues. BAM Labs Position Change Application is a solution to this challenge. Benefits of using the Position Change Application 4 Records and manages clients change activity, live and continuously. 4 Creates automated, detailed, and easy to understand data, giving caregivers easy monitoring of up to 60 clients at a time under one system. 4 Helps to track the time of last position change, and the duration since the client was last turned. With this information, the application generates alerts 15 minutes before the next change is due. 4 Carers can also record direction of position change, and create an automated log, which will validate that appropriate turns have been carried out. 4 Since the information is stored within a cloud based system, it helps carers access and monitor their clients from anywhere through a PC or a mobile device via their secure login. 4 Helps clients get timely attention from caregivers with respect to movement and position change thus reducing the risk of pressure ulcers. 4
Screenshot of Position Change Recordings Missed Change False Recorded Change No motion event No motion event 5
Harms Free Care Campaign Bam Labs Touch-free Life Care (TLC) Bam Labs TLC system is an effective tool to help the NHS reduce two major harms, falls and pressure ulcers as part of the Harm Free Care initiative. BES not only aims to help reduce falls and pressure ulcers, in as many hospital wards as possible, but also aims to provide financial benefits by saving money on falls and pressure ulcer treatments, improving turn-around, reducing number of hospital bed days per patient, and improving staff efficiency. Did you know? Every Hospital within the NHS in England is currently taking up the Harm Free Care campaign a campaign aimed at reducing the four major HARMS (Falls, Pressure Ulcers, VTE & Urine infections) by 95%! (Delivering the NHS Safety Thermometer CQUIN 2012/13: A Preliminary Guide to Measuring Harm Free Care. Department of Health, 2012) 6
Our SOLUTION for Falls The ability to track out of bed excursions allows caregivers to assist their clients during and after bed exits, hence reducing the risk of falls. BAM Labs Interactive Falls Prevention Solution provides caregivers with instant alerts, on their PC or mobile device, of their clients activities. Benefits of using the BAM Labs Interactive Falls Prevention Solution 4 These functions and trend patterns help in proactive planning of intervention by the caregiver before the bed exit occurs. 4 Allows the monitoring of multiple beds at a glance. 4 Shows in and out of bed status, client movement and position, duration of time spent in or out of bed, heart rate, and respiration rate. The movement bar shows 10 second increments with warnings of increased motion preceding a bed exit. 4 The home screen automatically moves alerts and notifications to the top of the page, and brings to the carer s notice clients that might need assistance, thus allowing the carer to assess and assist clients on a needs basis. 7
Developing Applications Trend Reporting - available now BAM Labs TLC s biggest advantage is that caregivers can get factual information and trend reports on their clients through a wireless cloud based system. The trend reporting ability on sleep patterns, heart and respiratory rate, motion, and position change helps carers to know and understand their clients better, and in turn helps clients to get the better care and attention they need. Sleep Analysis - available now Poor sleep has been directly correlated with higher risks of stroke and heart disease. The BAM Labs Sleep Analysis Application monitors nightly sleep quality by comparing sleep duration, restlessness, nightly heart rate, and breathing rate, against long-term trends and medical standards. A nightly sleep score of 1 (poor) to 100 (best) provides an easy to understand interpretation of sleep quality, which helps track the impact of medications, lifestyle choices, and exercise programmes on sleep quality. Heart Rate and Respiratory Rate Trend Reporting Resting heart rate is an indicator of overall health, and a predictor of health issues. The BAM Labs Heart Rate Monitoring Application measures heart rate all night, every night, during sleep. This data can then be converted into easy to read reports, which are colour coded to help interpret high, low, and normal heart rates, and track long-term trends to identify health issues proactively, and also the impact of medications, lifestyle choices, and exercise programmes on resting heart rate. Similarly the BAM Labs Breathing Rate Monitor measures breathing rates all night, every night, during sleep and produces colour coded, easy to interpret, daily reports, which can then be analysed to prevent health issues. Professionals now have a research tool to establish paradigms for predicting life threatning events BES Healthcare - A division of BES Rehab Ltd 131 South Liberty Lane Ashton Vale, Bristol, BS3 2SZ. UK T: +44 (0)1179 666 761 F: +44 (0) 1179 637 373 Orders: orders@bescorporate.net General Enquiries: info@beshealthcare.net www.beshealthcare.net 2013 BES Rehab Ltd EOE