Intensivists, the physicians who specialize in the care of critically ill patients, in the neurosurgery department at UCLA are using RP-6 to provide additional monitoring from their homes and offices of ICU patients in response to studies showing that intensivist presence in the ICU can decrease morbidity, mortality, length of stay and cost of care.
The project, to be funded through an assistance agreement with the U.S. Army Medical Research and Materiel Command, Telemedicine and Advanced Technology Research Center, located at Ft. Detrick, Maryland, will be led by professor and Chief of Neurosurgery Dr. Neil Martin, associate professor Dr. Paul Vespa and associate professor Valeriy Nenov, all of the David Geffen School of Medicine at UCLA.
There is a nationwide shortage of intensivists. There are fewer than 6000 practising intensivists in the United States today and more than 5 million patients admitted to ICUs annually. Therefore, only about 37 percent of ICU patients receive intensivist care, yet having trained intensivists in the ICU results in better outcomes and decreased length of stay in the ICU and hospital. These specialists are familiar with complications that may occur and are therefore better able to minimize errors.
UCLA will test the RP-6 robot as a way to extend the reach of the intensivist. The patient sees, hears and interacts with the doctor through the nearly 5-foot-6-inch tall robot, which displays a live video image of the physician's face on its monitor/head. The physician, seated at a computer console called a ControlStation, also sees and hears the patient through a live video image projected on a monitor. The ControlStation comes equipped with a joystick, which allows the physician to drive the robot to the patient's bedside, control movements of the robot's head and even zoom in to take a closer look at the patient or bedside monitors.
"The RP-6 robot will increase doctor access for patients, their families and hospital staff, and UCLA is excited to test the newest addition to our intensive care team", Dr. Martin stated. "We recognize that leveraging the health care expert's time offers the possibility of improved patient care, reduced length of stay and cost savings. UCLA has combined our in-house electronic medical information system, Global Care Quest, with the RP-6 remote presence system, and we are able to monitor and access our patients anytime from our homes and offices in a way not previously possible."
Global Care Quest, or GCQ, founded by Dr. Martin, Professor Nenov and Farzad Buxey, is a commercially available, remote wireless mobile patient data system developed at UCLA Medical Center. Patient and family reaction to the robot has been very positive. In a study done by Johns Hopkins Hospital in Baltimore, Maryland, half the patients preferred a tele-rounding visit by their own doctor to a "real" visit by another physician. And 80 percent of the patients felt that the robot increased physician accessibility.
Dr. Louis Kavoussi, vice chairman of urology at Johns Hopkins Hospital, stated: "Patients love it. I was very surprised at how much our patients enjoy remote video interactions via the robot." UCLA is the first hospital to test the RP-6 robot in the ICU, though more than a dozen other institutions are using the robot to provide remote medical expertise in areas such as emergency rooms and patient wards.
UCLA Medical Center ranks as one of the best hospital in the Western United States for the 15th consecutive year according to a U.S. News & World Report survey of 2550 board-certified physicians from across the country. UCLA Medical Center is a non-profit, self-supporting 668-bed hospital providing patient care in all medical specialities. It is the primary teaching hospital for the David Geffen School of Medicine at UCLA.
Global Care Quest is a privately held medical software company based in Torrance, California. This state-of-the-art software solution allows clinicians to view medical data remotely, including patient monitors, imaging systems, and medical lab results and reports. Data can be accessed through WiFi and cellular wireless networks on the latest, most popular handheld devices and smart phones. With functions far beyond pagers and cell phones, GCQ represents the next generation of wireless medical communication and remote patient monitoring. The company has plans to commercialize the technology through a license agreement with UCLA.
InTouch Health is a privately held company which provides technology solutions that dramatically increase the effectiveness of health care professionals. The company is addressing the impending demographic crisis in acute care by pioneering the use of Remote Presence in health care with its RP-6 robotic system. Through a proprietary communications and mobile robotic platform, skilled medical professionals are projected to other settings where a patient or caregiver is located to provide care, coach and train staff, or monitor health care services. The InTouch Health solution leverages the time and expertise of health care professionals across multiple care-facilities, improving the efficiency and effectiveness of care delivery.
For more information about the robot, you can read the VMW September 2004 article University of California Davis Medical Center tests robot that brings doctor to patient after surgery.