Gezondheidsmeter

Remote Care Monitoring Gezondheidsmeter

One platform, multiple workflows, tailored to individual needs

CE certified

Gezondheidsmeter is a software toolbox enabling the monitoring of diseases via targeted structured, data-driven instruments.

Intended use

Gezondheidsmeter PGO+ is standalone software which enables individuals (persons) to create a personal health environment where they can receive, collect and enrich medical information of one or more clinical pathways. Collecting this information will help the individual to gain insight, supports monitoring of progress, shared decision making and patient empowerment in their health situation. It is intended for a health care professional to be involved because this involvement adds significantly to the effectiveness of the application. The health care professional uses the information from the patient, added with information from his own tests, for shared decision making with the patient on diagnosis and treatment. Gezondheidsmeter is not intended for use in life-threatening circumstances. The toolbox has a modular structure. To all modules (in Dutch).

Clinical claims:

Shared decision making in the medical procedures, based on real-life patient data and medical records.

Monitoring approach: stepped care

The stepped care model is a way of providing and monitoring care and treatment. The aim is to provide persons with the most effective, yet least resource intensive treatment.

With this approach, it is only 'step up' to more intensive/specialist services if it is considered the right thing to do clinically.

Modules of Gezondheidsmeter are categorized:
(1) selfcare
(2) non-active monitoring by health care professionals
(3) active monitoring (with alerts) by the health care professional.
Risk assessment is in concordance with the stepped care model.

Personalized and multilingual:
Danish, Dutch, English, French, German, Greek, Norwegian, Portugese, Polish, Spanish, Turkish.

Risk assessement

The stepped care approach involves different potential risks in the assessment.
Gezondheidsmeter uses a 3-step model, depending on the involvement of the professional.

Low - Self care

The module can be activated by an individual. Health care professionals are involved during the design and validation phase of the content.
Professionals may activate the module for a patient at their discretion, but they are not actively involved during the use of the module.

Medium - Non-active monitoring.

A healthcare professional invites the patient to participate in a module.
The objective is to coach the patient based on the data collected by the patient.

The healthcare professional can access the patient's data via a professional dashboard and can render advice during a (online) consultation or via eConsult.

High - Active monitoring.

A healthcare professional invites the patient to participate in a module. The objective is to actively monitor the patient using predefined individualized values that may generate alerts. Alerts can be generated when:
a single value like a pain-score, fever or a blood pressure is submitted;
combined values are submitted.

a "delta"-value is calculated, like "the lung function has deteriorated with more than 10% in the last two consecutive days".

The healthcare professional receives the alert via mail, sms, push-message or in the system the professional uses.

The healthcare professional can access the patient's data via a professional dashboard and act accordingly.

Data driven cloud solution

Gezondheidsmeter employs the software toolbox as a data-driven cloud-based eHealth platform. The platform is modular and configurable. Each user (patients and professionals) has a unique record to which chosen modules are paired. Data used in the modules are collected from three sources:

Questionnaires (PROMs / PREMS)

Devices (like blood pressure meter, spirometry)

Electronic Health Record (Patient summary)

The platform is very user friendly and can be entered via personalized apps & mobile websites.

Layered Architecture

Data are stored in an Oracle database and included in data models. Interoperability is key, connecting Gezondheidsmeter to electronic health records of hospitals and GP practices (SAML / OAUTH).

Our development process

We use the "Waterfall" method. This method is detailed, precise, and produces accurate documents to describe the system in production. This approach is a perfect match for CE certification.

The phases of the waterfall model are: Requirements, Design, Implementation, Testing, and Maintenance.

Each New Module or Request for Configuration (RFC) associated with a Module, is deployed along our DTAP line (Development / Testing / Acceptance / Production). The release cycle is every six weeks, planned one year in advance.

The Waterfall Model — From Software Engineering, 9th edition, Chapter 2, by Ian Sommerville

Certification

Gezondheidsmeter is CE class I certified under MDD, registration number NL-CA002-2020-50354. Gezondheidsmeter is in the process of certification for class IIa.