HH Berlin

Charité Pre-Hackathon: Challenges in Patient Monitoring and Alarm Management

Hacking Health Berlin

German version of the text available below

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On July 6th, 2022 a somewhat different roundtable took place. As part of a kick-off workshop for a major Charité hackathon – we call it a pre-hackathon – our goal was to discuss what patient care will look like in the future in terms of monitoring and alarm management and how we can achieve this vision.

The following topics were addressed in a total of four clusters:

  1. Patient Monitoring: What does future patient monitoring look like?
  2. Alarm Management: What does future alarm management look like?
  3. What clinical questions can be answered with an ICU alarm dataset?
  4. How can we prepare an ICU alarm database for a hackathon?

Exciting results were generated during the discussions in the individual clusters. Visions of future patient monitoring and alarm management now seem more tangible than before. 

With these results, the groups were able to formulate challenges which might become the basis of a future data / hackathon. The challenges integrate all identified hurdles currently preventing future-oriented patient monitoring. With hackathon challenges like…

  • “What are low hanging fruits to tackle legal, regulatory and financial limitations to improve patient monitoring? How can we identify them?”
  • “How can we create a spirit for monitoring among all relevant staff (also within professional groups in different settings)?”

…we hope to get a little closer to our vision for the monitoring and alarm management of the future.

The next roundtable will take place on September 29th, 2022 (6pm) on the topic of “Tele-Surveillance” A hybrid format is again planned. Registration is possible here.

For organizational reasons, we ask for re-registration even if you have previously attended. 

We would like to thank all participants of the roundtable for their engagement and the captivating discussion. We are already looking forward to the next roundtable!

The Organization Team of the Patient Monitoring Roundtable

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The pre-hackathon was funded by Stiftung Charité.

The pre-hackathon was part of the Patient Monitoring Roundtable event series. The event series is organized by the Institute of Medical Informatics at Charité – Universitätsmedizin Berlin in cooperation with Hacking Health Berlin and INCH e.V. (Initiative for Collaboration and Innovation in Healthcare e.V.). 

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Charité Pre-Hackathon: Challenges in Patient Monitoring and Alarm Management

 

Am 06. Juli 2022 fand unser Roundtable in einem anderen Format statt als bisher. Im Rahmen eines Auftaktworkshops zu einem großen Charité Hackathon – wir nennen es Pre-Hackathon –  war es unser Ziel zu diskutieren, wie die Patientenversorgung in Bezug auf Monitoring und Alarm Management in Zukunft ausschauen wird und wir diese Vision erreichen können.

Dafür wurden folgende Themen in insgesamt vier Clustern behandelt:

  1. Patientenmonitoring: Wie sieht zukünftiges Monitoring aus?
  2. Alarm Management: Wie sieht zukünftiges Alarm Management aus?
  3. Welche klinischen Fragen können mit einem ICU-Alarm-Datensatz beantwortet werden?
  4. Wie können wir eine ICU-Alarm-Datenbank für einen Hackathon vorbereiten?

Bei den Diskussionen in den einzelnen Clustern sind spannende Resultate erzeugt worden. Visionen zum künftigen Patientenmonitoring und Alarm Management wirken nun greifbarer als zuvor. 

Mit diesen Ergebnissen konnten die Gruppen Challenges formulieren, die die Grundlage eines zukünftigen Data/Hackathon sein könnten. Die Challenges integrieren alle identifizierten Hürden, die zukunftsgerichtetes Patientenmonitoring aktuell verhindern. Mit Hackathon-Challenges wie…

  • “Wie sind die rechtlichen, regulatorischen und finanziellen Beschränkungen zur Verbesserung des Patientenmonitorings  zu überwinden? Wie können wir die notwendigen Schritte  identifizieren?” oder
  • “Wie können wir bei allen relevanten Mitarbeitenden (auch innerhalb von Berufsgruppen in verschiedenen Settings) eine Begeisterung für Monitoring schaffen?”

…hoffen wir, unserer Vision für das Monitoring und Alarmmanagement der Zukunft  ein Stück näherzukommen.

Der nächste Roundtable findet am 29. September 2022 um 18 Uhr zum Thema “Tele-Surveillance” statt. Geplant ist wieder ein hybrides Format. Eine Registrierung ist hier möglich.

Aus organisatorischen Gründen bitten wir auch bei vorheriger Teilnahme um eine erneute Registrierung.

Wir danken allen Teilnehmenden des Roundtables für das Engagement und die fesselnde Diskussion. Wir freuen uns auf bereits auf den nächsten Roundtable!

Das Organisationsteam des Patient Monitoring Roundtable

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Der Pre-Hackathon wurde mit einer Veranstaltungsförderung der Stiftung Charité unterstützt.

Der Pre-Hackathon war Teil der Veranstaltungsreihe Patient Monitoring Roundtable. Diese wird organisiert von dem Institut für Medizinische Informatik der Charité – Universitätsmedizin Berlin in Kooperation mit Hacking Health Berlin und INCH e.V. (Initiative for Collaboration and Innovation in Healthcare e.V.).

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Hacking Health BerlinCharité Pre-Hackathon: Challenges in Patient Monitoring and Alarm Management
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PMRT – Wearables in focus and upcoming pre-hackathon!

Hacking Health Berlin

German version of the text available below

***

At our fourth roundtable on May 12, 2022, we looked at various aspects of wearables – from our own experiences with smartwatches during sports (recording steps, jogging laps, etc.), to the difficulties of developing sufficiently sensitive devices, to potential areas of use in hospital and outpatient care.

With regard to the challenges to be overcome in patient care, various aspects were discussed, such as ensuring a sufficiently high level of adherence when wearing the devices (especially with patients suffering from dementia), the difficulties of insufficient battery life, and the question of whether the devices should only collect data or already be able to analyze it.

Furthermore, the aspect of data sovereignty was at the center of the discussion: Should patients be able to access their own data? How can an adequate and contextualized interpretation of the results be ensured? On the one hand, this could sensitize patients to their health and healthy behavior, but on the other hand, good values could lull them into a false sense of security. This problem could be prevented, for example, by a joint data evaluation with the treating general practitioners.

Despite the mentioned hurdles, the participants ultimately agreed that wearables are becoming increasingly relevant and will play an important role in improving patient care – especially for the early or rapid detection of events requiring intervention, such as a heart attack or falls.

The next roundtable will be different from the previous ones. Instead of a “normal” roundtable, a pre-hackathon is planned. At the event on July 6, 2022, on the topic of “Challenges in Patient Monitoring and Alarm Management” (hybrid event), problems from everyday hospital life will be extracted and the basis for a large hackathon at the Charité will be created.

Registration is available here. 

For organizational reasons, we ask for re-registration even if you have previously attended. 

We would like to thank all Roundtable participants for their engagement, the captivating discussion and we’re already looking forward to the next Roundtable event!

The organizing team of the Patient Monitoring Roundtable

> Back to Hacking Health Berlin

 

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Wearables im Fokus und anstehender Pre-Hackathon!

 

Bei unserem vierten Roundtable am 12. Mai 2022 wurden verschiedene Aspekte der Wearables beleuchtet – von den eigenen Erfahrungen mit Smartwatches beim Sport (Schritte erfassen, Joggingrunden aufzeichnen, etc.), über die Schwierigkeiten bei der Entwicklung ausreichend sensibler Geräte bis hin zu potenziellen Einsatzgebieten in der ambulanten und stationären Versorgung.

Mit Blick auf die zu bewältigenden Herausforderungen in der Patientenversorgung wurden verschiedene Aspekte wie das Sicherstellen einer ausreichend hohen Adhärenz beim Tragen der Geräte (vor allem bei dementen Patient:innen), die Schwierigkeiten einer zu geringen Akkulaufzeit und auch die Frage, ob die Geräte lediglich Daten sammeln oder bereits auswerten können sollten, thematisiert.  

Des Weiteren stand der Aspekt der Datenhoheit im Zentrum der Diskussion: Sollten Patient:innen auf Ihre eigenen Daten zugreifen können? Wie kann man eine adäquate und kontextualisierte Interpretation der Ergebnisse sicherstellen? Dies könnte Patient:innen zwar zum einen für ihre Gesundheit und ein gesundes Verhalten sensibilisieren, zum anderen aber durch gute Werte in falscher Sicherheit wiegen. Dieser Problematik könnte man beispielsweise durch eine gemeinsame Datenauswertung mit den behandelnden Hausärzt:innen vorbeugen.

Trotz der genannten Hürden waren sich die Teilnehmenden letztlich einig, dass Wearables an Relevanz zunehmen und eine wichtige Säule in der verbesserten Versorgung der Patient:innen spielen werden – vor allem zur frühzeitigen bzw. schnellen Erkennung von interventionsbedürftigen Ereignissen wie einem Herzinfarkt oder Stürzen.

Der nächste Roundtable wird sich von den bisherigen unterscheiden. Statt eines „normalen“ Roundtables ist die Durchführung eines Pre-Hackathons geplant. Bei der Veranstaltung am 06.Juli 2022 zum Thema „Challenges in Patient Monitoring and Alarm Management“ (hybrid) sollen Probleme aus dem Klinikalltag extrahiert und damit die Grundlage für einen großen Hackathon an der Charité geschaffen werden.

Die Registrierung ist hier möglich.

Aus organisatorischen Gründen bitten wir auch bei vorheriger Teilnahme um eine erneute Registrierung.

Wir danken allen Teilnehmenden des Roundtables für ihr Engagement, die fesselnde Diskussion und freuen uns auf bereits auf den nächsten Roundtable!

Das Organisationsteam des Patient Monitoring Roundtable

> Back to Hacking Health Berlin

 

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Joscha Hofferbert: Paves the Way Towards Innovation in Healthcare

Hacking Health Team Interview Blog Series

Meet Joscha Hofferbert, Hacking Health Berlin Chair, Psychologist, Neuroscientist, Vision Health Pioneer Incubator and Healthcare Studios Founder. We’re delighted to have such an ambitious digital health advocate and mental health leader such as Joscha on the Board of Hacking Health’s Berlin Chapter. 

Today, we want to share more about his journey as a healthcare innovation leader, founder of Vision Health Pioneers Incubator, his experience working in various healthcare organizations, his newly founded creative innovation agency, Healthcore Studios and his learnings from Hackathons and the digital health scene. 

This blog post outlines a recent interview we had with Joscha and will provide you with a good overview of his healthcare ambitions, professional background, digital health interests, eMental health applications involvement, social psychology research and more on his experience at Hacking Health. Enjoy getting to know our Team!

Interview with Joscha Hofferbert| Blog post by Alexandra Verzuh | Hacking Health Berlin

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Why did you decide to develop the Vision Health Pioneers Incubator and what did you learn on this journey? 

During my time organizing Hackathons and activities which foster innovation in healthcare to develop new solutions, I realized that Hackathon participants had huge potential and were highly motivated to develop new solutions for challenges they had seen in their professional and daily life. Unfortunately, most of the projects that have been developed during the Hackathons were not pursued further. The reasons for that are multifaced but what became apparent as the main factor for this issue was the missing support (in Berlin and Germany in general) for start-ups in their early stages. Especially in a highly regulated sector with such a high number of stakeholders involved, the early stages for start-ups can be very difficult and tiresome. As a result, young entrepreneurs need to get very specialized coaching and support that covers the needs and challenges in the healthcare sector. However, existing incubator and accelerator programs in Berlin were lacking this support and expertise. As one of the leading start-up, technology and healthcare hubs in Europe, Berlin already had the infrastructure, network and experts but needed the respective structure and concept.

But even with the respective structure, financial support, and knowledge we provide, success is not guaranteed. One of the main factors for a start-up to be successful are the people and the team they create together. From the individual motivation, drive, resilience, personality, and leadership skills of each of the team members to the team dynamic, structure, development, and identification, these have all been shown to be decisive factors for the success of start-ups in their early stages. 

My passion is to identify high potential experts, as well as innovative ideas to build successful teams with the needed motivation, drive and resilience and accelerate the development of their product with them. 

   

Can you tell us more about Vision Health Pioneers and who can get involved?

Vision Health Pioneers is an early-stage incubator with a focus on healthcare start-ups. We support young entrepreneurs in a 10-month program to develop their solutions from the concept idea to a product and then gain market access. An important aspect is that we provide the teams with all relevant information and knowledge to build a product and start a company in the healthcare sector. The stipends/teams get general and very specific coaching from experts from different fields alligned to their teams’ needs – ranging from business, regulatory, legal and marketing topics to lean product development, leadership, team building, and investment strategies. An important part of the incubator is the network of mentors, coaches, and partners we developed over the last three years. 

The program focuses on early-stage start-ups that have a compelling idea for a medical/healthcare solution and that have not received any substantial funding so far. As it is a full-time in person program, the participants need to be located in Berlin and stay here for the entire time of the program. But of course, we are happy to welcome start-ups and stipends from other cities and countries to come to Berlin and join the program. We’ve had very good experiences with companies from other countries in the past and are happy to help with all legal topics needed.

 

I can see that you’ve had an interesting career in various health organizations, can you share about your experience and learnings with us?

One thing that became obvious in most of my positions over the last eight years, is that the development and implementation of innovation in the healthcare sector is highly dependent on the cooperation and integration of a variety of different important stakeholders from healthcare and other relevant industries. One prominent example would be start-ups, who need to consider the responsibilities and dependences of multiple stakeholders in the market to develop solutions with a high product-market-fit and align them to their needs.

Without cooperation with healthcare insurers, corporates, hospitals, clinics, research institutions, healthcare professionals and/or others, start-ups and scaleups most likely fail to be successful in the long run. But this is also the case for providers, insurers and corporates that also highly depend on cooperation with start-ups, entrepreneurs, and innovators to develop and deliver high-class services and products, that are tied to the demands and needs of their customers and patients addressing the ever-changing challenges in the healthcare sector.

You just recently founded your own company (Healthcore Studios). Can you tell us more about it and what you do?

Healthcore Studios is a creative innovation agency that fosters innovation for institutions and companies in healthcare. Our basic approach is to support and empower individuals and organizations (both large and small) in healthcare to innovate services, products, and processes. Together with our clients, we identify their internal challenges, support them in the identification of business potentials, the development of innovation strategies, and the implementation of structures and processes for their long-term innovation strategy.

By organizing activities like Hackathons, workshops and innovation activities, we provide a platform for collaboration as well as hands-on ideation and development of innovative approaches and solutions. We use our experience of working with multiple partners in healthcare innovation over the past eight years to support organizations like clinics and hospitals, as well as large and small companies to develop their own innovation pathways.

How did your passion for digital health come about and what has your experience with it been to date? 

During my time as a student working in social psychology research, I was fascinated by the idea of using everyday data already collected through digital tools (cell phones, wristbands, and other devices), as well as social media data to better understand and predict human (social) behaviour. As a result, I started working in an innovation agency analysing social media and other behavioural data to be used for (consumer) predictions and forecasts. My focus was always on healthcare topics. Consequently, this drove me further into the digital healthcare scene where I worked in different positions (from start-ups to consultancies, etc.), as more and more digital solutions in the healthcare market emerged and the acceptance of such solutions slowly (but steadily) increased. My engagement with Hacking Health early on in 2015 only enhanced this interest and it remained ever since. 

 

What is you experience with eMental Health and what are your thoughts on the barriers, opportunities and trends that exist in such an industry?

As a Psychologist and Neuroscientist, I’m genuinely interested and engaged in the field of eMental Health applications. Over the last 5-10 years, there has been lots of movement in the field and many good approaches have been developed. However, there is still a huge potential for patient-centered applications that address the patients, as well as the caregivers’ needs and challenges. Most current applications digitalize existing therapy methods and components (iCBT for example), making them more accessible, more user-friendly and more effective. So far there are only a few applications using technology and its potentials to create new therapy methods and approaches. First existing approaches, such as using virtual reality for exposure therapy, have shown to be highly effective and could easily be integrated into standard patient care.

Another part of psychotherapy that provides a huge potential are trans-sectorial approaches that enable the transition of patients beyond the (still existing) sectorial borders, ensuring consistent and seamless quality of care. 

Unfortunately, strong regulations especially in Germany still make it extremely difficult to integrate such solutions into standard care with the respective reimbursement structures in place. But there is light at the end of the tunnel… 

It’s clear that you play a pivotal role at Hacking Health, can you tell us more about what you do there and why you think this type of organization is needed in this day and age?

As the first chair of INCH e.V., the legal organization that runs Hacking Health Berlin, my role is quite diverse. Besides leading the organization from an organizational and operational point of view, my task is mainly to build up our network of partners, members, and participants as well as to plan activities like workshops, Hackathons, and other events. But this is not my task alone, everyone at the organization is welcome to organize activities or suggest projects they would like to run. This is an important aspect for us within the organization, as we want to empower everyone to contribute to our activities. 

We’ve built a structure that enables experts and those interested to collaborate and interact with like-minded people to learn, create and grow. Unfortunately, in today’s professional life that is focussed on efficiency and process orientation, experts rarely get the chance to work on something they are passionate about and create something with like-minded people that can have a direct impact on their own and/or other people’s lives. We want to give everyone the opportunity to have an active part in our organization and work on projects they are interested in. 

 

What have been some key discoveries and/or findings from previous Health Hackathons that you found particularly interesting?

When I joined my first Hackathon in Strasburg (Hacking Health Camp) in 2014, I was very impressed with the huge amount of participant creativity and engagement during the two and a half days. This impressed me even more than the fact that the teams developed incredible ideas, solutions, and prototypes in such a short time. Back then I believed, new innovation needs a sophisticated and long process to be elaborated and developed. The Hackathons I attended as well as the ones I organized taught me that I was wrong, and creative ideas and concepts rather need a well-equipped team, relevant experts to support them with their expertise, and a framework that makes it possible for them to develop their ideas. All this is provided by the Hackathons we organize. 

Unfortunately, systematic collaborations, patient-centered innovative products, as well as awareness for innovation in healthcare fostered through the Hackathons and other activities are not established enough in healthcare so far. It is therefore great to experience what an event of only 2-3 days can accomplish if appropriate support systems during and after the event are provided and established for long-term support and engagement.

 

Can you recommend any health hacks you use in either your private life or day-to-day professional life?

I usually recommend the teams and entrepreneurs I’m coaching at Vision Health Pioneers, as well as at the Hackathons to take dedicated time off to reflect, educate themselves and do something that is totally unrelated to work. I personally enjoy my daily dose of sports with my friends. It’s good to see them and talk about work-unrelated topics, as well as to be active together. After a stressful day this is something that relaxes me and calms me down. 

I also have a dedicated morning routine which starts at around 5:30/6:00am to ensure I have time for myself. During this time, I do some yoga, answer emails, prepare for the day’s meetings and get important tasks done. Everyone should find the routine that best works for them. This helps people find balance, as well as dedicate time to tasks they need to focus on. For some, this might mean working late at night if they are more productive then, whereas for people like me it’s in the mornings. Also, I can recommend taking time during the day for short breaks to do some mindfulness activities or meditation. Even though I don’t do it regularly (unfortunately) it always helps me to calm my mind.

What have you learned from being involved with Hacking Health? 

As mentioned before, my biggest learning from being involved in Hacking Health and organizing Hackathons is that innovation is not magic that happens in someone’s room alone but is a collaborative process with a very strong human, social and interactive focus. It is fascinating to see how much a team made up of the right people can accomplish in a very short period of time, when they are motivated and driven to make a change. This is true for the team that find themselves and participate at our Hackathons but also for our Hacking Health team that consists only of volunteers.

Why do you think Health Hackathons are vital to the future of our healthcare systems?

Hackathons are a great opportunity to unfold the innovative potentials on multiple levels that scarcely exist or require large amounts of time and effort to be developed. Besides the opportunity to ideate, prototype and test potential solutions in just 2-3 days with highly skilled interdisciplinary experts, as well as end-users, Hackathons also provide the unique potential to educate participants on multiple levels through practical experience of innovative product ideation and development. During our Hackathons, event participants experience how we use innovative methods to develop new approaches and solutions for existing challenges in their everyday life. This is a great way, especially for healthcare professionals, to develop solutions for real life challenges they experience every day. 

Additionally, Hackathons bring together highly skilled experts from different fields that only meet very rarely in their professional and everyday life. The exchange provides the unique potential to develop meaningful collaborations between relevant experts and organizations based on a common goal and/or project, creating business potential. 

 

If you’re interested in connecting with Joscha, please reach out to him through the following channels:

Stay tuned for more upcoming blog posts about our Hacking Health Berlin team. But for now, read our recent blog post about our Patient Monitoring Roundtable. 

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> Back to Hacking Health Berlin

by Alexandra Verzuh
Alexandra is a strong marcoms professional with a global focus and over ten years of international experience in communications, writing and marketing; widely travelled with a passion for healthcare, health tech, digital innovation and technology. She is also a Certified Transformational Coach with a BA in Psychology and an MSc in International Business Management.

Hacking Health BerlinJoscha Hofferbert: Paves the Way Towards Innovation in Healthcare
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PMRT – Status Quo Alarm Management with Exciting Outlook

Hacking Health Berlin

German version of the text available below

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Our second roundtable (17.02.2022) focused on the status quo of alarm management in the clinical context. In a relaxed atmosphere, all participants were able to contribute their expertise regarding alarm management and take on the perspective of others as food for thought. 

The exchange focused on experiences, Standard Operating Procedures (SOPs) and tools used in alarm management in normal and intensive care units. The graphic below outlines the key points from the 2nd PMRT:

During the discussion, one participant referred to the people-process-technology model. The model describes three central factors for implementing new technologies: technology, processes and people. Changes in human thinking and behavior posed the greatest challenges (see graphic below).

With a view to future developments in the field of monitoring and alarm management, the discussion included requests for increased monitoring in the outpatient area for the purpose of earlier hospital discharge, an expansion of alarm signals (e.g. through vibration), and monitoring tools (e.g. bedside camera in addition to the monitoring system). Opportunities for prospective analysis of alarm data and work on Standard Operating Procedures (SOPs) and hospital project teams were also highlighted. 

The next roundtable will be held March 31, 2022, on “Alarm Management Standards for Patient Monitoring: Reality or Utopia” (online). 

Registration is available here. 

For organizational reasons, we ask for re-registration even if you have previously attended. 

We would like to thank all Roundtable participants for their engagement, the captivating discussion and we’re already looking forward to the next Roundtable event!

The organizing team of the Patient Monitoring Roundtable

> Back to Hacking Health Berlin

 

***

PMRT – Status Quo Alarm Management mit spannendem Ausblick

Bei unserem zweiten Roundtable (17.02.2022) ging es um den Status Quo des Alarm Management im klinischen Kontext. In lockerer Atmosphäre konnten alle Teilnehmenden ihre Expertise hinsichtlich Alarm Management einbringen und die Sichtweise der anderen als Denkanstoß nehmen.

Im Mittelpunkt des Austauschs standen die Erfahrungen, Standard Operating Procedures (SOPs) und die verwendeten Tools beim Alarm Management auf Normal- und Intensivstationen. Im Folgenden finden Sie unsere Grafik zu den Kernpunkten des 2. PMRT:

Im Rahmen der Diskussion wurde durch einen Teilnehmer auf das People-Process-Technology-Modell hingewiesen. Das Modell beschreibt drei zentrale Faktoren für die Implementierung neuer Technologien: Technologie, Prozesse und Menschen. Veränderungen in menschlichen Denk- und Verhaltensweisen stellten dabei die größten Herausforderungen dar (siehe Grafik unten).

In der Diskussion kamen mit Blick auf die zukünftigen Entwicklungen im Bereich Monitoring und Alarm Management Wünsche nach einem verstärkten Monitoring im ambulanten Bereich zwecks früherer Krankenhausentlassung, einer Erweiterung der Alarmsignale (z.B. durch Vibration), sowie der Monitoring Tools (z.B. Bettkamera zusätzlich zum Monitoringsystem) zur Sprache. Auch Chancen einer prospektiven Analyse der Alarmdaten und die Arbeit an Standard Operating Procedures (SOPs) und Projektteams aus der Klinik wurden beleuchtet.

Der nächste Roundtable findet am 31. März 2022 zum Thema „Alarm Management Standards für das Patientenmonitoring: Realität oder Utopie“ (digital) statt.

Die Registrierung ist hier möglich.

Aus organisatorischen Gründen bitten wir auch bei vorheriger Teilnahme um eine erneute Registrierung.

Wir danken allen Teilnehmenden des Roundtables für ihr Engagement, die fesselnde Diskussion und freuen uns auf bereits auf den nächsten Roundtable!

Das Organisationsteam des Patient Monitoring Roundtable

> Back to Hacking Health Berlin

 

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PMRT – Alarm Management Standards: Reality or Utopia?

Hacking Health Berlin

German version of the text available below

***

At our third roundtable on March 31, 2022 we looked at the extent to which standards for alarm management already exist and are applied, or whether this is still far in the future.

In an open mind map, all participants were able to express their thoughts on standards in alarm management, which were then clustered by the Patient Monitoring Roundtable team:

 

 

Many participants working in the clinic reported that standards do not exist or are only inadequately ensured. The processes differ from unit to unit and are accompanied by uncertainties regarding alarm prioritization and threshold settings.

However, a utopian vision can’t be stopped by the lack of standardization!

Artificial intelligence (AI), early warning scores or new notification tools in the clinic such as smartwatches were among the participants’ key visions. The discussion also highlighted potential hurdles and necessary steps in establishing alarm management standards. Relevant steps to make the utopian ideas a reality consist of clear definitions of alarm limits and profiles for each unit, consideration of age and medical history, training for new monitoring devices and – most importantly – expansion of interprofessionalism and interdisciplinarity.

The next roundtable will be held May 12, 2022, on “Wearables: Clinical Monitoring Device or Lifestyle Gadget?”. Fortunately, the current situation and the applicable directives allow us to hold a hybrid event!

Registration is available here. 

For organizational reasons, we ask for re-registration even if you have previously attended. 

We would like to thank all Roundtable participants for their engagement, the captivating discussion and we’re already looking forward to the next Roundtable event!

The organizing team of the Patient Monitoring Roundtable

> Back to Hacking Health Berlin

 

***

PMRT – Alarm Management Standards: Realität oder Utopie?

 

Bei unserem dritten Roundtable am 31. März 2022 haben wir uns mit der Frage beschäftigt, inwiefern Standards für das Alarm Management bereits existieren und angewendet werden oder ob dies noch in weiter Ferne liegt.

In einer offenen Mindmap konnten alle Teilnehmenden ihre Gedanken zu Standards im Alarm Management festhalten, die dann vom Team des Patient Monitoring Roundtable geclustert wurden:

 

 

Viele klinisch tätige Teilnehmende berichteten von nicht vorhandenen oder nur unzureichend sichergestellten Standards. Die Prozesse unterscheiden sich von Station zu Station gehen mit Unsicherheiten bei der Priorisierung von Alarmen und der Einstellung von Schwellenwerten einher.

Eine utopische Vision kann jedoch nicht durch fehlende Standardisierung aufgehalten werden!

Künstliche Intelligenz (KI), Early Warning Scores oder neue Benachrichtigungstools in der Klinik wie Smartwatches gehörten zu den wichtigsten Visionen der Teilnehmer.  Auch wurden bei der Diskussion potenzielle Hürden und notwendige Schritte bei der Etablierung von Alarm Management Standards beleuchtet. Relevante Steps zur Verwirklichung der utopischen Ideen bestehen aus klaren Definitionen von Alarmgrenzen und -profilen für jede Station, der Berücksichtigung von Alter und Krankengeschichte, Schulungen für neue Monitoring-Geräte und – besonders wichtig – dem Ausbau von Interprofessionalität und Interdisziplinarität.

Der nächste Roundtable findet am 12. Mai 2022 zum Thema “Wearables: Klinisches Monitoring-Device oder Lifestyle-Gadget?” statt. Erfreulicherweise erlauben es die aktuelle Situation und die geltenden Richtlinien, eine Hybrid-Veranstaltung durchzuführen!

Die Registrierung ist hier möglich.

Aus organisatorischen Gründen bitten wir auch bei vorheriger Teilnahme um eine erneute Registrierung.

Wir danken allen Teilnehmenden des Roundtables für ihr Engagement, die fesselnde Diskussion und freuen uns auf bereits auf den nächsten Roundtable!

Das Organisationsteam des Patient Monitoring Roundtable

> Back to Hacking Health Berlin

 

Hacking Health BerlinPMRT – Alarm Management Standards: Reality or Utopia?
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PMRT – Status Quo Alarm Management with Exciting Outlook

Hacking Health Berlin

German version of the text available below

***

Our second roundtable (17.02.2022) focused on the status quo of alarm management in the clinical context. In a relaxed atmosphere, all participants were able to contribute their expertise regarding alarm management and take on the perspective of others as food for thought. 

The exchange focused on experiences, Standard Operating Procedures (SOPs) and tools used in alarm management in normal and intensive care units. The graphic below outlines the key points from the 2nd PMRT:

During the discussion, one participant referred to the people-process-technology model. The model describes three central factors for implementing new technologies: technology, processes and people. Changes in human thinking and behavior posed the greatest challenges (see graphic below).

With a view to future developments in the field of monitoring and alarm management, the discussion included requests for increased monitoring in the outpatient area for the purpose of earlier hospital discharge, an expansion of alarm signals (e.g. through vibration), and monitoring tools (e.g. bedside camera in addition to the monitoring system). Opportunities for prospective analysis of alarm data and work on Standard Operating Procedures (SOPs) and hospital project teams were also highlighted. 

The next roundtable will be held March 31, 2022, on “Alarm Management Standards for Patient Monitoring: Reality or Utopia” (online). 

Registration is available here. 

For organizational reasons, we ask for re-registration even if you have previously attended. 

We would like to thank all Roundtable participants for their engagement, the captivating discussion and we’re already looking forward to the next Roundtable event!

The organizing team of the Patient Monitoring Roundtable

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PMRT – Status Quo Alarm Management mit spannendem Ausblick

Bei unserem zweiten Roundtable (17.02.2022) ging es um den Status Quo des Alarm Management im klinischen Kontext. In lockerer Atmosphäre konnten alle Teilnehmenden ihre Expertise hinsichtlich Alarm Management einbringen und die Sichtweise der anderen als Denkanstoß nehmen.

Im Mittelpunkt des Austauschs standen die Erfahrungen, Standard Operating Procedures (SOPs) und die verwendeten Tools beim Alarm Management auf Normal- und Intensivstationen. Im Folgenden finden Sie unsere Grafik zu den Kernpunkten des 2. PMRT:

Im Rahmen der Diskussion wurde durch einen Teilnehmer auf das People-Process-Technology-Modell hingewiesen. Das Modell beschreibt drei zentrale Faktoren für die Implementierung neuer Technologien: Technologie, Prozesse und Menschen. Veränderungen in menschlichen Denk- und Verhaltensweisen stellten dabei die größten Herausforderungen dar (siehe Grafik unten).

In der Diskussion kamen mit Blick auf die zukünftigen Entwicklungen im Bereich Monitoring und Alarm Management Wünsche nach einem verstärkten Monitoring im ambulanten Bereich zwecks früherer Krankenhausentlassung, einer Erweiterung der Alarmsignale (z.B. durch Vibration), sowie der Monitoring Tools (z.B. Bettkamera zusätzlich zum Monitoringsystem) zur Sprache. Auch Chancen einer prospektiven Analyse der Alarmdaten und die Arbeit an Standard Operating Procedures (SOPs) und Projektteams aus der Klinik wurden beleuchtet.

Der nächste Roundtable findet am 31. März 2022 zum Thema „Alarm Management Standards für das Patientenmonitoring: Realität oder Utopie“ (digital) statt.

Die Registrierung ist hier möglich.

Aus organisatorischen Gründen bitten wir auch bei vorheriger Teilnahme um eine erneute Registrierung.

Wir danken allen Teilnehmenden des Roundtables für ihr Engagement, die fesselnde Diskussion und freuen uns auf bereits auf den nächsten Roundtable!

Das Organisationsteam des Patient Monitoring Roundtable

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Hacking Health BerlinPMRT – Status Quo Alarm Management with Exciting Outlook
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Patient Monitoring Roundtable

Patient Monitoring Roundtable – an interdisciplinary, interprofessional network at Charité

Launched on January 27th, 2022 – regular event

Event | Hacking Health Berlin

German version of the text available below

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Next Roundtable: September 29th, 2022 at 6:00 pm

Topic: Tele-Surveillance

Purpose: creating a platform for a joint, interdisciplinary and interprofessional work on novel technologies.

Participants: up to 30 participants comprising nurses, physicians, patient advocates and industry representatives.

Language: English (German in small groups if needed)

Format:
hybrid

  • Join us and register here!

In the course of digitalization, new possibilities and opportunities are constantly arising in the care of patients. Especially in the field of (remote-)monitoring, the use of innovative technologies can improve patient outcomes and reduce the workload for clinical staff. The roundtable will bring together clinicians, patient advocates and industry representatives for small group discussions.

The exchange between clinicians and industry is of outstanding importance to shape the future of patient monitoring. With the help of the roundtable, a platform is created for joint, interdisciplinary and interprofessional work on new technologies. The aim is to work together on realistic and patient-oriented solutions for clinical pain points in patient care.

Benefits for clinicians and patient advocates:

  • opportunity for contact with industry representatives and chance to give feedback
  • get to know technologies before approval
  • exchange with other clinicians on the topic of patient monitoring
  • possibility for joint project proposals
  • work on a user/clinician- and patient-centered topic

Benefits for industry representatives:

  • contact with clinicians to get informal feedback on their own technologies
  • insight into the interaction between their product and the ecosystem of a workspace
  • insight into the daily clinical routine and experience of clinical pain points
  • opportunity for joint project proposal

Contact us if you want to be a Sponsor or Partner: patientmonitoring@inch.de

The Patient Monitoring Roundtable is a cooperation between Hacking Health Berlin and the Patient Monitoring and Alarm Management Research Group of the Institute of Medical Informatics at Charité – Universitätsmedizin Berlin.

 

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“Patient Monitoring Roundtable – ein interdisziplinäres interprofessionelles Netzwerk an der Charité” 

Gestartet am 27.Januar 2022, regelmäßiges Event

 

Nächster Roundtable: 29. September 2022, 18 Uhr

Thema: Tele-Überwachung

Zweck: Schaffung einer Plattform für eine gemeinsame, interdisziplinäre und interprofessionelle Arbeit an neuen Technologien.

Teilnehmer:innen: bis zu 30 Teilnehmer:innen, bestehend aus Pflegefachkräften, Ärzt:innen, Patientenvertreter:innen und Industrievertreter:innen.

Sprache: Englisch (ggf. Deutsch in den Kleingruppen)

Format: hybrid

  • Mach mit und registriere dich hier!

Im Zuge der Digitalisierung ergeben sich in der Versorgung der Patient:innen stetig neue Möglichkeiten und Chancen. Besonders im Bereich des Monitorings und der Telemedizin kann perspektivisch durch den Einsatz innovativer Technologien das Patientenoutcome verbessert und die Arbeitsbelastung für das Personal im klinischen Setting reduziert werden. Im Rahmen des Roundtables werden Kliniker:innen, Patientenvertreter:innen sowie Industrievertreter:innen für Kleingruppendiskussionen eingeladen. 

Der Austausch zwischen Klink und Industrie ist von herausragender Bedeutung, Mithilfe des Roundtables wird eine Plattform für ein gemeinsames, interdisziplinäres und interprofessionelles Arbeiten an neuartigen Technologien geschaffen. Ziel ist es, gemeinsam an realistischen und patientenorientierten Lösungen für klinische Painpoints in der Patientenversorgung zu arbeiten. 

Vorteile für Kliniker:innen und Patientenvertreter:innen:  

  • Möglichkeit für Kontakt mit Herstellern und Möglichkeit für Feedback  
  • Kennenlernen von Technologien vor der Zulassung 
  • Austausch mit anderen Kliniker:innen zum Thema Patientenmonitoring 
  • Möglichkeit für gemeinsame Projektanträge 
  • Arbeit an einem Nutzer/Kliniker:innen-und Patient:innen-zentriertenThema 

Vorteile für Industrievertreter:innen: 

  • Kontakt zu Kliniker:innen, um informelles Feedback zu eigenen Technologien zu bekommen 
  • Einblick in die Wechselwirkung zwischen einem Produkt und dem Ökosystem eines Arbeitsbereichs 
  • Einblick in den Klinikalltag und Erfahren von klinischen Painpoints 
  • Möglichkeit für gemeinsame Projektanträge

Der Patient Monitoring Roundtable ist eine Kooperation zwischen Hacking Health Berlin and der AG Patient Monitoring and Alarm Management des Instituts für Medizinische Informatik der Charité – Universitätsmedizin Berlin.

Kontaktieren Sie uns, sofern Sie Sponsor oder Partner werden möchten: patientmonitoring@inch.de 

 

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Hacking Health BerlinPatient Monitoring Roundtable
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Katarina Braune: From Cyborg to Resident Physician and Pediatrician

Hacking Health Team Interview Blog Series

Meet Katarina Braune, Hacking Health Berlin Co-Chair, digital clinician scientist, patient advocate and medical doctor. We’re pleased to have a leader and digital health enthusiast such as Katarina on the Board of Hacking Health’s Berlin Chapter. Today, we want to share more about her journey as a medical professional, a person living with type 1 diabetes, her recent success in becoming board-certified as a Pediatrician, as well as her involvement in the DIY digital health scene and her experience living as a cyborg.

Here’s a recent interview we had with Katarina which should give you further insight into her professional life and ambitions, digital health interests, more on why she joined Hacking Health and highlights from past digital health events. Enjoy getting to know our Team!

Interview with Katarina Braune | Blog post by Alexandra Verzuh | Hacking Health Berlin

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First of all, I heard you have now passed a huge step in your medical career. Congratulations on your recent achievement! What just happened?

Thanks a lot! I just finished my specialty training as a resident physician and am now a board-certified specialist in pediatric and adolescent medicine.

What did you have to do to achieve this? How do you feel now?

The exam preparation for the specialist exam felt a bit weird at first. During medical school, people basically study all the time and there are lots of skills to develop. On the one hand, it felt like just yesterday when I last sat down with a big pile of medical literature and exam protocols, and carefully went through them until I devoured all of the information – just like in the old days. On the other hand, I felt like “Wait a minute, I thought I already graduated from med school! Why do I have to do this again?”

The main difference between the exam prep for med school and the specialty examination was that I could combine a lot of my practical experiences with theory from textbooks. A piece of advice to my fellow residents: Trust the personal expertise you’ve developed over the years.

Also, no one knows all of the answers. If you have succeeded in your job in the past years, you will most likely pass the specialty exam. Don’t panic!

… and how it feels now that I’m done. Well, years and years of working hard and studying has finally paid off. Final destination: Pediatrics. It is an awesome feeling!

 

What motivated you to become a pediatrician of all things?

Working in pediatrics is something that you either love or hate. What I like about working with kids and their families is the important role that compassion and empowerment play as part of their care. Positive vibes and laughter are essential parts of our job. And don’t we all need a little more of that in healthcare? Also, I am more the companion-type of a physician than an old-school doctor with a god complex. My primary goal in delivering care is to make patients and their families experts in their own condition, and support them when and where they need it. Pediatrics is a perfect medical field for that.

What does digital health bring to your practice?

The potential of digital health is huge. It can provide wider access to care for people who would otherwise not be able to benefit from it and improves quality of care by offering better access to information and data. Unfortunately, the road of implementation is long in many healthcare settings and in day-to-day life, I often get frustrated with the available tools and the poor user experience on both the patients’ and the therapists’ sides. I wish regulatory frameworks and the speed at which we move in medicine and healthcare would be more on par with the otherwise rapidly evolving world we live in.

You’re no stranger to the hack yourself. How have you been involved in the DIY digital health scene?

Yes! In fact, I literally hacked (my own) health. I have lived with type 1 diabetes for 20+ years and am part of an online community of people with diabetes called #WeAreNotWaiting. Collaboratively, we create open-source systems for automated insulin delivery by using existing medical devices and re-engineering their wireless communication protocols. It has now been four years since I hacked into my own insulin pump and connected it to a do-it-yourself app on my smartphone for algorithm-controlled automation.

How is life as a cyborg?

Pretty good! I have lived most of my life with robot body parts. I started using an insulin pump as a kid, and ever since I have not spent a day without my body being attached to some sort of diabetes technology. But I can definitely tell the difference between human (essentially, my own) or artificial intelligence operating them. An algorithm is never tired, stressed or busy with other matters. Going “closed loop” made such a positive impact on both my physical and mental health. Managing type 1 diabetes is a 24/7 job and it was a huge game changer to automate it. By doing so, I’ve managed to take care of a good part of it.

What advice would you give to someone wanting to get into the looping scene?

Over the years, the #WeAreNotWaiting community has created excellent resources to read.  They are freely available online in many languages. My advice would be to start there and take the time to learn all of the aspects of managing diabetes with a closed-loop system. It’s important to understand how the systems and the components work. Also, make use of the amazing community that has evolved through open-source AID. I have met some of the smartest, kindest, most generous and genuine people there.

How and why did you get involved with Hacking Health?

When I joined the Charité as a resident physician, I was looking for others with an interest in digital health and found Akira Poncette’s profile on LinkedIn. Akira was one of the co-founders of the Berlin Hacking Health Chapter and a medical resident just like me. As we both wanted to connect with others interested in digital health, we initiated a series of meet-ups for digital health enthusiasts at the Charité. Later, we were able to establish Health Hackathons at the Charité and the Berlin Institute of Health, and continue to grow our network.

What have been some highlights from the previous events you would like to share?

It is always touching and inspirational to hear why people decide to commit a full weekend to attend a Hackathon. Some of them are motivated by their personal stories or because they have a loved one that lives with a health condition. Some work in a completely different field and are looking for purpose. 

Last year, we held an ad-hoc online remote Hackathon to combat the challenges around COVID-19. People from all over the world collaborated and I was stunned by how they even found out about Hacking Health and were willing to spend an entire weekend with us, even if they lived in a completely different time zone!

Furthermore, it makes me incredibly happy to see people thrive from Hacking Health events. This includes people who became successful with their hack later in life and are now CEOs of their own companies, researchers with a reputation in their field and people that have found their future cooperation partners at one of our events, to people who dared to take the next step to create a fundamental change in their lives. Hackathons are always full of unexpected surprises and opportunities.

What are the challenges you face as an organizer of such events?

As with every online or in-person event, things can go wrong all the time. It is important to note that none of us are professional event organizers by training. Most of us have a full-time job in healthcare, research or tech and do this as volunteers. It takes a dedicated team, a lot of creativity and definitely some caffeine to successfully prepare and run Hackathons.

Why are Hackathons important in this field?

The challenges of our time such as pandemics, hunger, antimicrobial resistance and climate change among others, won’t be solved within the four walls of a hospital or a research institute. We can only win as a society if we accept to take some of the responsibilities in our own hands, and think of how everyone can contribute individually. Hackathons bring members of the global community together that would otherwise never have met. We need to learn how to work together across different regions and backgrounds, and how to establish fast collaborations. 

It seems you are pretty engaged. What is something you do to unwind?

I am an ENFP personality type and thrive by spending time around great people. But when I do need to disconnect, there is nothing that charges my batteries better than spending time at the seaside, amongst good food, good music and other things. 

 

If you’re interested in connecting with Katarina, please reach out to her through the following channels: 

 

Stay tuned for more upcoming blog posts about our Hacking Health Berlin team. But for now, read our recent blog post about Hacking Health’s Berlin Chapter.

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> Back to Hacking Health Berlin

by Alexandra Verzuh
Alexandra is a strong marcoms professional with a global focus and over ten years of international experience in communications, writing and marketing; widely travelled with a passion for healthcare, health tech, digital innovation and technology. She is also a Certified Transformational Coach with a BA in Psychology and an MSc in International Business Management.

Hacking Health BerlinKatarina Braune: From Cyborg to Resident Physician and Pediatrician
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Wavy: MedTech App offering cardiovascular disease patients a tool to lower stress and relieve symptoms

Daryl Autar, CEO and Steve Thijssen, CTO at Wavy both share a passion for healthcare hackathons and launched their own MedTech app, Wavy, after winning the TechCrunch Disrupt HealthX World Series in San Francisco. 

It all started when Daryl and Steve recognized that there was a large gap in treatment for patients suffering from cardiovascular disease such as Angina Pectoris. The main issue is that current treatment doesn’t provide support in lowering stress and retraining the brain, which is much needed for CVD patients who suffer from physical and mental stress on a regular basis. And that’s where Wavy comes in!

Wavy is a medical app that monitors and lowers CVD patients’ stress to relieve their symptoms. The app provides different relaxation exercises and music therapy to assist in stress reduction. Read the full interview to find out more about healthcare hackathons, innovation in healthcare, Wavy and their journey from idea to startup.

Interview with Steve Thijssen | Blog post by Alexandra Verzuh | Hacking Health Berlin

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What exactly is Wavy and what’s the story behind it?

Wavy is a medical app which focuses on cardiovascular disease (CVD) patients, with an emphasis on Angina Pectoris and the subgroup Ischemia with non-obstructive coronary arteries (INOCA). Angina Pectoris is a medical condition where physical and mental stress have a large impact on their life. It affects over three million people in Germany and ten million people in the United States. The problem is that treatment and therapy is based on physical fitness, and there was no evidence-based treatment available to retrain behavior and lower stress. 

Wavy is a deep tech medical device app that monitors and lowers CVD patients’ stress to relieve their symptoms. The app combines quantitative data from smart wearables, with qualitative data from smart voice assistants, to form a personalized health profile for every individual heart patient. The app provides different relaxation exercises in combination with personal music therapy to lower stress. 

Our company started after winning the TechCrunch Disrupt HealthX World Series by Novartis in San Francisco. Daryl Autar, CEO at Wavy and Steve Thijssen, CTO at Wavy both share a passion for hackathons and met while working at the innovation department of a large bank in the Netherlands. Our passion for hackathons led us to the Vivatech Hackathon in Paris, where we made a solution for sign language with IBM software. It was an amazing experience and we were proud to win the IBM prize.

When we were back in the Netherlands, we decided that it would be a great challenge to compete at the TechCrunch Disrupt Hackathon in San Francisco. We found a very interesting challenge from Novartis, which was to help people with heart failure using consumer technology. When we saw the challenge, we immediately started brainstorming possibilities. Only the five best solutions would receive a ticket to San Francisco to present their solution at the Novartis stage. 

After weeks of working extremely hard on Wavy, we received an invite saying, “You are one of the five best solutions!” We arrived a few days earlier in our Airbnb in San Mateo, and during this time, we worked many hours into the night. But it was all worth it, because on the big day, we received a lot of positive feedback and won first prize at the TechCrunch Disrupt HealthX World Series by Novartis. This was when our company Wavy was born!

 

I hear you’ve been hackathon-hopping and have won multiple hackathons. Can you expand on this for us? Eg. What hackathons have you attended and won? How did they help you to further develop your product? How were they different/unique from each other? What do you think the real benefits of attending these hackathons have been for you as founders?

We love hackathons and it’s our passion to create solutions for big problems in this world! We’ve won over 40 hackathons worldwide over the past decade and each one has helped us improve our product, been great for growing our network and a good opportunity to share ideas and inspiration. 

In 2020, we won the following hackathons: Dutch Hacking Health Hackathon, reSTART HEALTHcare Hackathon, Global Hack 5G Hackathon and Odyssey Momentum Hackathon for the Future of Acute Healthcare track, one of the biggest hackathons in the world.

 

Prior to 2020, we won hackathons like: HLTH Hackathon in Las Vegas, Hackathon “Regie op Gegevens”, Blockchaingers Hackathon pension track, Hackathon in Los Angeles, London Angelhack: Best concept with Recowork (Description: Hackcellerator, where Recowork was selected as the best 15 products from more than 800 teams worldwide. Recowork was presented at the Global Demo Day in Silicon Valley), Brains Awards Best Social Innovation, Living Data City Challenge, Capgemini’s Innovator Race and many more. We even competed as the only Dutch team in the invitational Y Combinator Spring Hackathon!

We like healthcare hackathons because they focus directly on helping people’s lives and have a great atmosphere with amazing participants. The difficult part is to continue the project after the hackathon. Entrepreneurship requires a lot of energy and risk-taking. That’s also the reason why many great ideas aren’t continued after hackathons, when people go back to their day jobs. We decided to be different and quit our jobs to focus on Wavy.

It’s always great to work 48-72 hours on a solution with a talented team and work extremely hard to make something that can improve people’s lives.

Please tell us about the main highlights of your journey since the first hackathon in the Netherlands up until now.

Since the first hackathon we attended, we’ve had a number of noteworthy successes. Here’s a list of the main highlights of our journey to date:

  • Developed partnerships with Warner Music and Garmin
  • Been awarded more than €450k in non-dilutive grants
  • Got accepted in the Vision Health Pioneers program in Berlin
  • Got accepted into Fit4Start’s accelerator program and graduated as one of the five best health startups of the program, which secured us 150k total in non-dilutive funding
  • Received the medical device grant IMDI, together with five hospitals, a University, and patient organization
  • Signed partnership with five hospitals
  • Minimum viable product (MVP) being tested in trial
  • Got accepted in the ULabs from the European Institute of Innovation and Technology (EIT)
  • Starting a partnership together with Universitätsklinikum Jena + Erlangen and FAU

From your experience, what are your thoughts on how hackathons can leverage the development of new ideas and innovation in healthcare?

Hackathons are a great way to break the daily structure and work together on disruptive challenges. Nothing is impossible! We see that healthcare has big problems, especially with reference to mental health and caregivers. We cannot continue as we did in the past, and processes must change. Otherwise it will be impossible to give everybody good healthcare. In light of these big challenges, a hackathon can help to work with many stakeholders simultaneously, bringing them together to come-up with solutions and take the first step in the right direction.

Can you tell us about your experience as part of the Vision Health Pioneers Incubator as well as any key learnings you’ve had to date?

Vision Health Pioneers (VHP) is a program in Berlin that helps healthcare startups to launch their business in Germany. The program is divided in the three phases: 

1 – Validate & fine-tune the concept
2 – Develop product version and plan launch
3 – Think and talk business 

Our experience with this program was amazing and it helped us a lot! When you are accepted in VHP, you will get funding, workshops, access to more than 60 mentors, team coaching and much more. Before VHP, our goals were to focus on the Netherlands and to expand as quickly as possible into Germany. We know that Germany is a big country where the healthcare system is different, but there are many possibilities especially now with DiGA. We knew we could expand into Germany, but the question was how do we start? This is exactly where VHP has helped us step by step.

Thanks to our varied program mentors, we’ve managed to create a good value proposition, started our regulation certification process, and a nice collaboration with Universitätsklinikum Jena and Erlangen and FAU for a medical device trial next year. VHP is kind of like a family, where they always help you, it’s amazing!

What advice would you give to hackathon attendees wanting to develop their own health startup?

Never give up! It’s a long process but if you believe in it, it’s worth it. Some other advice is to find a good team with different experience and to be sure to include all stakeholders as soon as possible when creating the product.

What are the next steps for you in growing Wavy now?

Our next steps in growing Wavy include starting trials with 250 INOCA patients, expanding our team with two new employees, starting the Angina Pectoris Medical Device Trial in Germany with Universitätsklinikum Jena and Erlangen and FAU, getting ISO and CE certifications, as well as applying to DiGA Fast Track.

 

 

In your opinion, how beneficial has DiGA been for Germany? And should this model be applied to other countries?

DiGA is a very innovative model, and Germany is taking a step in the right direction. Germany is the first country in the world with a national model, ensuring all insurance companies will reimburse healthcare apps. We know that we need healthcare innovation, but at this moment, if we look for example to the Netherlands, it’s too complex and the process is too long. 

Negotiating with each insurance company separately takes a lot of time, and in Germany they have solved this issue by introducing DiGA. When your medical device trial shows benefits for a specific patient group and you have the CE classification, it’s possible to apply for DiGA. There are two possibilities, the regular DiGA process and the DiGA Fast-Track. 

With the regular DiGA process, you have already completed the whole evidence process, normally an RCT study. With the DiGA Fast Track process, you will get one year to do your RCT study and show the evidence. The great part of the DiGA Fast Track is that startups already get revenue, so this makes it possible for them to pay for the RCT study. The problem for healthcare startups is the extremely expensive process, resulting from the certifications and trials. New innovations, like DiGA, are needed to help healthcare startups move in the right direction and bring innovation to the public.

How is Wavy embracing patient-centricity?

At Wavy we have two important goals:

  1. Create a positive impact on people’s lives and increase their quality of life and lower their discomfort.
  2. Close the gender gap in cardiovascular disease. CVD is the number one killer for women and Wavy is a first step in empowering women with heart problems to take control of their health.

We work with leaders in the field like Prof. Dr. Angela Maas (MD, PhD, FESC): Professor of Cardiology for Women at Radboud University Medical Center, most influential woman in the Netherlands 2020 and UN Women’s Representative 2020/21. Currently, we’re also doing clinical trials with the same cardiologists who are writing the guidelines on CVD treatment, for example the Dutch and European guidelines for INOCA. In addition, we organize focus groups and interviews every month to understand the problems that our target audience has and to improve the app.

Can you share about the uniqueness of your UI?

Wavy focuses on stress monitoring and stress reduction. Most of the solutions in CVD focus on exercise and nutrition. Stress is now one of the five most important factors in treating CVD according to CVD guidelines. But the problem is that they do not fill in the “How”. Wavy is the first solution to market that answers the “How”. Together with cardiologists and patients, we create the best experience for the user. The uniqueness of Wavy is that it totally focuses on stress monitoring and stress reduction. 

What are the journeys of the patient and caretaker (from the UX point of view)? How does this compare to your competitors?

People with chest pain have many complaints when their stress levels increase, and some subgroups like INOCA patients experience chest pain two times a week on average. The problem is that to better understand the effects of stress, they simulated stressful situations at the clinic under cardiologists’ guidance, which does not reflect real-life conditions. Another problem is that it doesn’t give a long-term overview, just a glimpse in that moment. 

During the cardiac rehabilitation programs, they use meditation programs, which takes time and does not give a good overview of the symptoms. Wavy uses implicit learning. This means that stress is lowered by retraining subconscious behavioral patterns, rather than explicit learning. The app combines the quantitative data from smart wearables, with qualitative data from smart voice assistants, to form a personalized health profile for every heart patient. Wavy is able to monitor the patient’s behavior throughout the day, giving patients deeper insights into their health, which they can share with their cardiologist.

In your opinion what is the difference between the American and some of the EU healthcare ecosystems? How can Wavy benefit from those differences?

Both ecosystems are strict, because of the regulations which is understandable. A big difference is the investment ecosystem. In the United States, investors are more open to bigger investments than Europe. In Europe, investors want to avoid risk as much as possible, and they usually only invest if you already have evidence that your product is a success and all the certifications. This is a big problem because the investment is needed to get the CE and ISO certifications ready. In the United States, they are willing to take more risk, which is something that we can learn from.

Why did you choose Berlin?

The healthcare ecosystem in Berlin is huge and the city is ranked number one for MedTech. Also, many pharmaceutical manufacturers and large university clinics are based in Berlin, including the Charité, the Max Delbrück Center for Molecular Medicine and the Deutsches Herzzentrum Berlin. Another benefit is the city itself. The city has many cultures, beautiful museums, many parks and forests, and great restaurants. It’s the perfect city for a healthcare startup and staying healthy!

 

Learn more about Wavy by visiting their website: https://www.wavyhealth.com/

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> Back to Hacking Health Berlin

by Alexandra Verzuh
Alexandra is a strong marcoms professional with a global focus and over ten years of international experience in communications, writing and marketing; widely travelled with a passion for healthcare, health tech, digital innovation and technology. She is also a Certified Transformational Coach with a BA in Psychology and an MSc in International Business Management.

Hacking Health BerlinWavy: MedTech App offering cardiovascular disease patients a tool to lower stress and relieve symptoms
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Fostering Innovation with Hacking Health

Blog post by Alexandra Verzuh | Hacking Health Berlin

Hacking Health is a global movement to improve healthcare and fosters inclusive innovation by connecting people to solve real-world health problems. We have Chapters all around the world composed of volunteers who have come together to organize events and break down barriers to innovation in healthcare. Hacking Health’s desire is to drive impact, to focus on more action and less talk. By facilitating cross-disciplinary collaborations, we help generate creative solutions to real-world health challenges. Our methodology enables new ways to make the best ideas emerge and create a lasting impact.

Events & Hackathons

The Berlin Chapter has hosted a number of events ranging from hackathons and meetups to workshops, which have included diverse stakeholders from inside and outside the healthcare sector. Together, they address complex health challenges from a variety of perspectives, bringing fresh insights and helping us build new, innovative solutions.

During our events, we bring together patients, healthcare professionals, physicians, technologists, designers, entrepreneurs, decision-makers, business leaders, researchers, administrators, and governments to work collaboratively and resolve frontline health problems.

ThoughtWorks Hackathon

We partnered with software experts from ThoughtWorks, and held the first Healthcare Hackathon in Berlin, which focused on how using digital technologies can improve patient care. In five multidisciplinary teams, made of 25 experts from diverse professional backgrounds, participants generated innovative ideas to improve healthcare, worked on various healthcare challenges and competed in the hackathon.

 

Charité Hackathon

The Charité Hacking Health Berlin Hackathon, held at the Charité University Hospital, included 15 teams who created remarkable solutions for a wide variety of medical problems. The teams discussed health challenges, analyzed large amounts of data, as well as designed and created software and hardware tools to address medical issues. By the end of the hackathon, solutions against anxiety, depression, blood loss, diabetes, and many other health-related conditions were developed and presented at the final ceremony.

 

Hacking Female Health Hackathon

We organized a Hacking Female Health Hackathon, in cooperation with Fraunhofer Venture and the Berlin Institute for Health (BIH), a scientific institution part of the Charité University Hospital Berlin. The goal of the 48-hour hackathon was to create and implement concrete solutions for patient-oriented treatment options in healthcare for girls and women. Five different challenges were selected for the hackathon including breast cancer, infections of the female reproductive organs and urinary tract, endometriosis, female mental health and incontinence.

 

Learn more about our hackathons, meetups and workshops here.

 

Hacking Health Scientific Publications

Hacking Health has also developed scientific publications on hackathon topics to analyze its impact in healthcare innovation. For example, we created a case study in 2020 on hackathons as a stepping stone in healthcare innovation which was published in the Journal of Medical Internet Research.

This case study describes preparatory steps and the performance of a health hackathon directly involving patients and healthcare professionals at all stages. This study shows that hackathons are effective in bringing innovation to healthcare and are more cost- and time-efficient and potentially more sustainable than traditional medical device and digital product development.

→ Read the full study here.


In addition, we created another case study in 2021 on the steps and methods employed in the conduction of a remote online health hackathon centered on challenges posed by the COVID-19 pandemic. It aims to deliver a clear implementation road map for other organizations to follow. 

This study provides insights into how online hackathons can contribute to solving the challenges and effects of a pandemic in several regions of the world. The online format increases cross-regional collaboration, and can be executed much faster and at lower costs compared to in-person events.

Read the full study here.

 

 

 

Stay tuned for upcoming blog posts about our Hacking Health Berlin team. But for now, read our recent blog post about Advosense, a digital health startup that began at our Female Health Hackathon in 2018.

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by Alexandra Verzuh
Alexandra is a strong marcoms professional with a global focus and over ten years of international experience in communications, writing and marketing; widely travelled with a passion for healthcare, health tech, digital innovation and technology. She is also a Certified Transformational Coach with a BA in Psychology and an MSc in International Business Management.

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