Phase III Communicator

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Phase III Communicator

• Approval Presentation

Aaron Auger Jonathan Holloran Justin Hollingsworth
Kimberly Cook Masudur Rashid Jitu Zachary Young
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Organizational Chart
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Contents

• Societal problem
• Our solution
• Project schedule
• Funding Plan
• Budget
• Marketing Plan
• Management Plan
• Evaluation Plan

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Cardiac Rehabilitation Phases

• Phases of Cardiovascular Rehabilitation
• Phase I
• Inpatient
• Hospital staff will take the patient for a walk
• Phase II
• Outpatient
• Patients come into the hospital for monitored
  exercise
• Phase III
• Maintenance
• Patients have to exercise on own
• Usually joining a gym or recreation center

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Problem

• Individuals with cardiovascular diseases that do
  not continue in a proactive approach to improving
  their well-being are more susceptible to future
  cardiovascular problems.

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Characteristics of the Problem

• Patients who participate in Phase III are 20-30
  less likely to die as a result of cardiac issues2
• Cardiovascular Disease in America
• 61.8 Million Americans with a CVD1
• 945,836 Americans die each year from CVDs1
• Phase III participation generally ranges between
  10-20
• Low rate of Phase III participation generally
  attributed to lack of motivation and knowledge

1 Heart Disease and Stroke Statistics 2003
Update, American Heart Association 2 ACSMs
Resource Manual for Guidelines for Exercise
Testing and Prescription, Third Edition, 2003.
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Characteristics of a Solution

• Foster communication between healthcare
  professionals and phase III patients
• Provide a forum for patients to communicate
  together
• Incorporated with hospitals
• Easy to use
• Workout Tracking
• Give health care provider a way to monitor and
  motivate a large number of people with minimal
  staff

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Support for Solution

• Anything that fosters communication between a
  cardiac rehabilitation patient and his/her
  healthcare provider is invaluable.
• Dr. David Swain, PhD FACS
• It breaks my heart to see patients regress
  after leaving phase II
• A low cost communication option is a great idea
• Considered communication program, but it was too
  expensive
• Jennifer Bloomquist, Head of Cardiac
  Rehabilitation Balboa Naval Hospital

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Stanford Study1

• Control Group n 300
• Standard procedures for phase III patients
• Assumed normal dropout rates

• Experimental Group n 300
• Received phone call from nurse
• Higher participation rates

1The American Journal of Cardiology Volume 79,
Issue 1 , 1 January 1997
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Proposed Solution

• A software application designed to track specific
  characteristics of physical fitness in cardiac
  rehabilitation patients and facilitate continued
  communication with healthcare providers.

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Functional Component Diagram
Internet
Hospital
Phase III Patients
Hospital
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P3C Application Overview
Database Server
Exercise Data
Update Patient Info
Progress Graphs
Display Call / Alert Lists
Exercise Updates
Email notifications
Display Patient Progress
Internal messages
Nurse
Phone calls
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Patient view
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Patient list 01
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Patient list 02
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Alert Criteria

• Patient participation low
• Patient health progress is slow
• Patient threshold values exceeded
• Patient communication frequency

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P3C Communication Model
Periodic Phone Call Email Notifications Messaging
Slacker
Alert Phone Call
Active Participant
Chat
Alerts Extra Motivation
QA Exercise Updates
Phase III Patients
Motivation
Friendship
Collaboration
Information Sharing
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P3C Component Diagram
Internet
P3C App Server
Database Server
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P3C Component Diagram
Internet
P3C App Server

• Accepts new exercise data
• Displays patient progress diagrams
• Sends automatic email notifications
• Provides messaging service
• Provides Chat service
• Coordinates with the DB for data storage and
  retrieval
• Processes statistics

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P3C Component Diagram
Internet
P3C App Server
Database Server

• Accepts new exercise data
• Displays patient progress diagrams
• Sends automatic email notifications
• Provides messaging service
• Provides Chat service
• Coordinates with the DB for data storage and
  retrieval
• Processes statistics

• Processes requests from P3C App
  Server
• Stores patient exercise data
• Stores patient communication data
• Stores internal messaging data
• Stores statistical data

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Prototype Requirements

• Required Hardware
• Three personal computers
• One personal computer each
• Home user
• Nurses workstation
• P3C Server software
• Handle website
• Database Server software

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Funding Plan

• Small Business Innovation Research Program (SBIR)
  - NIH
• Phase I Max 100,000 from SBIR
• Phase II Max 750,000 from SBIR\Insurance
  Partnerships
• Phase III Insurance Partnerships

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Phase 0 and I
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Phase I Budget
Source www.salary.com Median Salaries for Zip
Code 23454
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Phase I Organizational Chart
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Phase II
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Phase II Budget
Source www.salary.com Median Salaries for Zip
Code 23454
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Phase II Organizational Chart
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Phase III
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Phase III Budget
Source www.salary.com Median Salaries for Zip
Code 23454
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Phase III Organizational Chart
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Budget Recap
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Production Out-Years
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Customer

• Hospitals
• Providing or looking to provide phase III cardiac
  rehabilitation
• Desiring better services to market to customer
• Hospitals expenses
• Hospital client
• Server
• Additional staff

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Industry Partners

• Insurance Companies
• 26.3 billion in payments to Medicare
  beneficiaries for hospital expense due to CVDS
  Average 7,883 per discharge 1
• Total cost 351.8 billion1
• Insurance companies expenses
• User client
• Monthly service fees

1 Heart Disease and Stroke Statistics 2003
Update, American Heart Association
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Target User

• Cardiovascular Disease Patients
• Those who have already experienced a CVD
• 50 of all heart attacks are recurrent1
• 70 of all CHD(coronary heart disease) deaths1
• Those with a high risk for future CVD
• Primary Focus -- Ages 35-60
• Internet User
• Deal with Cardiovascular Diseases
• Almost 150,000 Americans under 65 die each year
  from a CVD 1
• Increasing percentages of Cardiovascular Diseases

1 Heart Disease and Stroke Statistics 2003
Update, American Heart Association 2 NTIA and
ESA, U.S. Department of Commerce, using U.S.
Census Bureau Current Population Survey
Supplements
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Individuals with Cardiovascular Diseases
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Internet Use and CVD Rates
Males w/ CVDs
Females w/ CVDs
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Hospitals Benefits

• Marketing to Hospitals
• Hospitals are businesses
• Increased Reputation
• Providing additional community services
• Increased Business
• Retain patients past phase II rehab
• Increased Revenue
• Large space to revenue return

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Marketing Plan - Insurance

• Marketing to Insurance Companies
• Reduced Spending on Repeat Cardiovascular
  Patients
• Initial Costs
• Bypass Surgery- 1st 90 days 30,000
• http//www.acc.org/clinical/guidelines/bypass/bypa
  ss8.htm
• Heart Attack 38,000
• http//www.nber.org/digest/oct98/w6514.html

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Test Market

• Sentara Norfolk General Hospital
• Cardiac Program ranked 21st in the United States1
• In 2002 more than 40 cardiac research projects
  were in progress by Sentaras cardiac
  physicians.1
• 1,612 open heart surgeries performed at Sentara
  Norfolk General Hospital in 20002
• More than any other hospital in Virginia2
• Recently announced plans to build a dedicated
  cardiac hospital on the Sentara Norfolk General
  Hospital campus2

1 U.S. News and World Report, 2003 2
http//www.sentara.com
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Test Plan

• P3C Proposed Experiment
• Done in cooperation with Sentara Norfolk
  Generals cardiac rehabilitation department
• Intend to publish in professional journal
• Control Group n 300
• Standard rehabilitation process
• Experimental Group n 300
• Incorporation of P3C starting in Phase II
  rehabilitation
• We will provide
• Hospital Server and P3C software
• Funds for Additional Staff

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Competition
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Cost of Production
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When will we profit
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Anticipated Profits

• 104,608,623 people in U.S. between 35-601
• 21,256,472 of those suffer from CVDs (20.32)2
• 11,265,930 of those have Internet Access (53)3
• 112,660 of those would join program (1)
• Expected Revenue 112,660 100 11,266,000
• Expected Profit RevenueSBIR Funding Cost
• 11,266,000 847,694.79 - 1,093,911.85
  11,019,782.94

1 Data gathered from 2000 U.S. Census 2 NHANES
III (1988-1994) CDC/NCHS 3 NTIA ESA, US Dept of
Education
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Evaluation Plan

• Per Milestone
• Review progress
• Review specifications
• Implement next phase
• During Development phase
• Thorough unit and integration testing

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Phase Success

• Phase I Success
• Project Approved
• Funding Approved
• Phase II Success
• Software complete with zero defects
• Installation Testing complete zero defects
• Phase II Success
• Product in full production
• Significant products sold, Breakeven
• Indoctrination Course complete

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Project Management Plan

• Progress Performance Assessment
• Monthly progress reports
• Program Management Reviews

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Risks / Issues
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Conclusions

• 61.8 million people have CVDs
• Our low cost software designed to foster
  communication between CVD patients and cardiac
  rehab facilities should be developed

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Phase III Communicator

• Approval Presentation

Aaron Auger Jonathan Holloran Justin Hollingsworth
Kimberly Cook Masudur Rashid Jitu Zachary Young