ALERTIVE

Remote Patient Monitoring Solution

Brand

Alertive Healthcare

Industry

Healthcare

Live URL

alertive.com

Release

2021

Activities & Technology:

Healthcare

Microservices

AWS

React

UI/UX

Typescript

Results

Care team productivity boost

3.000.000

Patient readings handled

HIPAA

Requirements successfully fulfilled

Revenue generated per patient

What is Alertive Healthcare?

Alertive Healthcare is an emerging startup specializing in remote patient monitoring software and services to medical clinics and healthcare providers. Due to expanded growth, the company encountered obstacles in scaling to meet patient demand.

In response, Upheave Technologies joined the team, offering expertise in software development and DevOps. These contributions led to a significant ability to both scale and provide excellent customer satisfaction.

Challenge

Bottlenecks in Data Stream

With an increasing number of clinics and patients onboarded, Alertive's system was strained by large amounts of critical vital measurements it had to store and process. They faced challenges in:

Handling different methods of data input from LTE-supported devices, BLE-connected mobile apps, and entries by healthcare staff from their purpose built EMR.

Analytics and data representation in an easily digestible form for the care team leveraging reduced clicks for faster and more accurate care of patients.

Inconsistent Note-Taking

Another significant concern was the scaling of clinical documentation between the clinical care team and patients, exacerbated by:

Multiple versions of templates lead to inconsistent notes.

Tedious and error-prone manual copy-pasting tasks.

Unstructured and noisy output that made it difficult to find important information.

Solution

Data Stream Solutions

Deployed DynamoDB to store vital readings.

Employed AWS services like SNS and SQS for asynchronous operations.

Calculations and analytics were pre-calculated and stored in RDS, making it easily accessible for the care team through the dashboard.

While we evaluated the potential of integrating Amazon Kinesis for handling patient event data, we ultimately decided not to proceed with it at this time. The reasons were multifaceted, encompassing cost considerations, operational complexity, and our team's existing expertise with AWS Lambda and DynamoDB.

We also found that our current architecture sufficiently met scalability and real-time data processing needs for clinical escalation management, while already being compliant with healthcare regulations. Thus, we chose to focus on optimizing our existing technology stack, concluding that Kinesis could be a consideration for future phases of the project.

Note-Taking Solutions

The Note Wizard feature was developed to:

Minimize free-text input and automate boilerplate text.

Streamline the note-creation process to enhance completeness and accuracy.

Serve multiple purposes like aiding clinicians, ensuring compliance, and tracking patient history.

Code Optimization

To deal with the performance challenges, a comprehensive code optimization effort was undertaken to revamp the Patient Profile page. This included rectifying React rendering issues and enhancing state management using Redux Toolkit.

Features

Robust Backend Architecture

Leveraging a micro-services approach built on AWS, the architecture was designed to accommodate both asynchronous and synchronous operations efficiently. This robust foundation made use of AWS services like DynamoDB, RDS, SNS, and SQS and facilitated:

Real-time data processing and analytics.

Scalable and reliable inter-service communication using RPC mechanisms.

Note Wizard

To solve the note-taking challenges, the “Note Wizard” was introduced, a multi-step form aimed at:

Standardizing note templates.

Reducing errors and improving consistency.

Serving as a guide and training aide for the care team.

Mobile App Support

Complementary iOS and Android apps were developed for patients, offering an integrated experience across devices.

Conclusion

Our collaboration with Alertive Healthcare resulted in a groundbreaking transformation of their remote healthcare monitoring system's dashboard. The user-centric enhancements, performance optimizations, and expanded functionalities have reshaped the healthcare monitoring landscape, empowering healthcare professionals with tools for more informed decision-making and improved patient care.

Our commitment to innovation and excellence is evident in the remarkable evolution of this dashboard, marking it as a cornerstone in the advancement of remote healthcare monitoring systems. This case study highlights our journey in enhancing the dashboard's functionality, performance, and user experience, ultimately contributing to better patient care.