IOT Med API Organizational Setting Value Add Proposition

IOT Med API Organizational Setting Value Add Proposition 

Robert Wahlstedt 

Liberty University 

BMIS 650-B01 

 

Meeting Patient Needs to Enable them to live in their own Homes: 

The fictitious company, IOT Med API processing, focuses on the need to enable senior citizens and disabled people the ability to lead more independent lives. Linda Moriaty, an oncology registered nurse says,  

“Starting with their initial visit, our patients are instructed to call us with any questions they may have including symptom management concerns, education needs, and any lapse in disease or treatment understanding. Our telephone triage efforts involve performing verbal assessments, triaging symptoms, providing advice, as well as navigating patients through their cancer journey (Pirschel, C, 2018). 

Susan Newton, another oncology nurse explains  

Back when treatment meant patients were sitting in chairs for hours at a time, oncology nurses could have conversations about side effects or issues experienced between therapies. Now, many patients are managed with non-infused chemotherapy like oral agents, and oncology nurses don’t get that face to face time with their patients that they used to”  (Pirschel, C, 2018). 

Telephone triage nurses have skill demanding tasks which are cumbersome.  

Our nurses need good interviewing and listening skills. They have to possess critical assessment and management skills, have to have the ability to elicit adequate information from the patients, have current knowledge about disease states and treatments and be knowledgeable about specific patients they’re speaking with. It’s important to acquire information through verbal clues. And recently, election medical records have improved our ability to know our patients and review their histories and treatment statuses before or during a call  (Pirschel, C, 2018). 

Some people who visit the emergency room are unable to discern they are undergoing medical trauma, including a stroke, heart condition or an asthma attack. Even should they call a nurse might not use all five senses to assess a patient’s condition over the phone. We’re not directly observing the patients, so in addition to verbal clues - we need to be listening to nonverbal clues like being short of breath when speaking or a hesitancy in their tone of voice” says Moriaty. Newton reports  

First ask patients to repeat back the details of what was discussed on the call. Make them say it in their own words, because that’s where you’re going to clear up any misconceptions and make sure they understand what they need to do. The second question asks if there’s anything that could would keep them from doing what you’ve discussed. Because you could have the best plan in the world, but if your patients aren’t able to follow through with it, then it doesn’t matter  (Pirschel, C, 2018). 

Project Definition:  

An open source community effort assembled to providing more unified  functionality to existing sensors and provide encouragement to shareholders to build IOT sensors and an ecosystem for developing IOT tools which connect with a network. Because we are using an agile method of development webwould seek out experts in zigbee modules, Internet, voice commands, and infrared. With a unified inter-messaging system using framework software such as the RabbitMQ AMQP. We offer this product as a framework which can have stronger conventions, reduced overhead, strong conformance for coding structure, dependencies, coding style guides.We hope to build in service management including deployment, monitoring, and self-heal automation kernel. 

Our Different Approach: Communication with the healthcare Providers 

Today IOT in the automated smart home can provide alerts to a nurse or provider but contextual metrics may be missing. The requirements of our product, the service of cultivating patient gathered data through distilling information acquired through situations and being able to triage this information. Obtaining data are different from obtaining information because data along with context is information (Nelson & Stagger, 2018). To adequately do our services we need to form partnerships with IOT vendors who can create devices, including flooring tiles which get weight to smart pill dispensers. These requirements, while of rigid, specific, and narrow use cases as opposed to goals and outcomes. Professor Andreas Holzinger of the Medical University of Graz reports that, “clinicians and patients have different perceptions about the value of (patient gathered data). As it becomes easier to collect large amounts of data that might be clinically relevant. Clinicians are at increased risk of data overload, likely to discourage them to adopt potentially useful (patient gathered data). To make (this data) useful for clinicians, we need to make it easy and not time-consuming to take action” (Choe et al., 2018). “‘The most pressing question is what is interesting and what is relevant.’ To make the explanation useful and diagnosis and treatment. ‘We want to augment human intelligence.’’ While useful IOT sensors are emerging, what this project seeks to do is build a trustworthy framework which others could build upon to bring these sensors together into a unified output. As it stands, many IOT devices are under the strict control of the manufacturer. I believe when our organization fosters an enthusiastic community, we can switch from a job shop to a lean business model which supports the ubiquitous promotion of the patients themselves who are our ultimate customer.  

Our Different Approach: Agile Methodology 

By adapting the agile tool release cycle with incremental releases with feature enhancements, I believe that step by step we can increase progress towards serving our ultimate customer. With a first iteration with planned development by the community who would do tasks associated with scrum including facilitation and maintaining a unified operations effort. Novice pilots are taught their first priority in am emergency is to fly the airplane as well as they can under the circumstances. In the healthcare profession stopping the bleeding is the first priority. To better serve our customers, we need to recognize that we bring no value if the system crashes when we troubleshoot. “Systems are complex. It is quite likely that there are many factors each of which individually is not the case, but taken jointly are causes. Real systems are path dependent, so they must be in a specific state before the error occurs” (Beyer, 2016). With the proper investments we hope to develop an infrastructure that is necessary to obtain the necessary platforms to develop the three elements of the security triad. These fulfill the legal requirements of the service level agreement, the service level object, and agreeable metrics for the service level indicator. We can have logs which use artificial intelligence to triage the data to transform it into information. Ben Shneiderman, a professor at the University of Maryland Chapel Hill says, “For designers, providing explanations of surprising decisions need not just be an extra headache, but it is going to be a virtuous thing for AI. If you have an explainable algorithm, you are more likely to have an effective one” (Monroe, 2018). 

I would like to give an account of an event which we are trying to prevent. When something goes wrong, how quickly can the developers find the error. With pacemakers this could be dangerous during the extraction of logs the computerized chip inside the pacemaker needs higher volts. This higher voltage imposes the increased risk of an unfortunate cardiac event. In addition, it would be easier for the smart home to more quickly inventoried. As it is without a common operating system, each new device can add an attack vector. 

A unified open source software platform and a strong community behind it supplies more transparency, testing, and a more service reliability. This lessens the learning curve for doctors and other healthcare professionals can be lessened for devices like pacemakers. Should we get angel fund investment, we can build an infrastructure for data storage and serve as a guardian for their patient driven by the community instead of a segmented market. When a corporation produces a product, the demand for the capacity would be segmented into different revenue and profit classes. 

Should this go forward, we would use the GNU license. Should we involve academic institutions and other shareholders who use the product can make a shortened process-flow and map how they use the software to meet their needs. They can compare and see how the actual output is different from the expected output under a regular workflow. This way should a bottleneck present itself, we can diagnose and resolve the issue. This would decrease the percentage of overbooking the fixed capacity of a service. Involving academics and other stakeholders who will depend on this product increases the probability of completion and shorten how long it would take until this project is complete. 

By asking ourselves what we can bring to the table, we can have a lean process focused. By being lean, we can cut forms of non-value-added activities through the supply chain. 

Long Term Goals: 

By supplying our services as a non-profit we are also able to offer an effective taxonomy as a standard way of labeling and applying vectors to transform data into information. This provides the most benefit of decentralizing data servers to cut the single point of failure and instead have a streaming protocol to send time sensitive data between the IOT components which sends the information to the healthcare facility avoiding failure much like Beyer et al approach (Beyer, 2016). 

Biblical Integration: 

It must be kept in mind, however, that optimism is not anything to be commanded or ordered. One cannot even force oneself indiscriminately, against all odds, and hope. And what is true for hope for the other two components of the triad inasmuch as faith and love cannot be commanded or ordered either. To the European, it is a characteristic of the American culture that, again and again, one is commanded and ordered to “be happy.” But happiness cannot be pursued; it must ensue. One must have a reason to “be happy.” Once the reason is found, however, one becomes happy automatically. As we see, a human being is not of one pursuit of happiness but rather in a search to become happy, last but not least, through actualization the potential meaning inherits and dormant in a given situation” (Frankl, 2006). 

This I call to mind, and therefore I have hope: Because of the Lord’s great love we are not consumed, for his compassions never fail. They are new every morning; great is your faithfulness. Lamentions 3:21-23. 

The Lord your God is with you, the Mighty Warrior who saves. He will take great delight in you; in his love he will no longer rebuke you but will rejoice over you with singing. Zephaniah 3:17 

Works Cited: 

Almeida, V., Goh, B. and Doneda, D. (2017). A Principles-Based Approach to Govern the IoT Ecosystem. IEEE Internet Computing, 21(4), pp.78-81.  

Ben Charrada, M. (2018). Thoughts on Being a Student Tech Entrepreneur. IEEE Potentials, 37(6), pp.11-15.  

Beyer, B., Jones, C., Petoff, J., & Murphy, N. R. (2016). Site reliability engineering: How Google runs production systems. Sebastopol, CA: Oreilly. Beyer, B., Jones, C., Petoff, J., & Murphy, N. R. (2016). Site reliability engineering: How Google runs production systems. Sebastopol, CA: Oreilly.  

Choe, E., Lee, B., Andersen, T., Wilcox, L. and Fitzpatrick, G. (2018). Harnessing the Power of Patient-Generated Data. IEEE Pervasive Computing, 17(2), pp.50-56.  

 Frankl, V., Boyne, J. and Winslade, W. (2006). Man's search for meaning. Boston: Beacon Hill, p.138.   

Monroe, D. (2018). AI, explain yourself. Communications of the ACM, 61(11), pp.11-13.  

Pirschel, C. (2018). How Oncology Nurses Provide Quality Care Through Telephone Triage. [online] ONS Voice. Available at: https://voice.ons.org/news-and-views/how-oncology-nurses-provide-quality-care-through-telephone-triage [Accessed 26 Jan. 2019].  

Meredith, J. and Shafer, S. (2015). Operations and Supply Chain Management for MBAs, 6th Edition. New York: Wiley.  

Nelson, R., & Staggers, N. (2018). Health informatics: An interprofessional approach. St. Louis, MO: Elsevier.