Telemonitoring Enterprise Back Ends
S3 provides award-winning consultancy in the requirements, architecture and development of scalable, efficient, interoperable and secure back end infrastructures to companies seeking to address the health and wellness needs of the connected consumer.
The Enterprise Back End plays a critical role in delivering integrated Consumer Healthcare services to consumers. It interfaces to Healthcare providers, Payers, Care-givers and the service-provider’s Call Centers, while providing information to empower and educate the consumer.
The next generation of Enterprise systems will need to be architected to be:
- Interoperable
- Highly scalable to be able to deliver service to hundreds of thousands to millions of customers per system
- User friendly, delivering compelling, intuitive services to customers
- Efficient in order to reduce the operational expense associated with running these services, ensuring that costs do not rise linearly with the numbers of customer’s served
- Flexible to provide lower-cost entry points for service providers that can scale as the number of subscribers grow
- FDA and HIPAA compliant
- Secure
The functions provided by the enterprise back end include:
Consumer Enrolment; A care plan is prepared for the consumer based on their current health state which sets the thresholds against which future readings are compared. The person’s existing electronic or personal health record data is accessed or imported. Carers or Trusted Assessors are identified who will also be informed in the event that some readings are outside the acceptable ranges. A personalized portal provides the consumer with access to his/her health and wellness data.
Storing monitored results; The results received from the consumer’s health gateway device are stored in the Consumer’s Electronic Health Record (EHR) or Personal Health Record (PHR).
Early detection of potential problems; If the readings from a consumer’s sensor devices are outside the ranges defined in their care plan, or if the readings have not been received when expected, the back end will trigger an alarm which may result in an automated response consisting of a request for more information, the delivery of educational material or the direct intervention of a health professional or a care-giver to help empower the consumer to bring their health state back in line with their care-plan.
Providing secure and authorized access to the gathered data; The data stored in the system is highly sensitive in nature and the system must ensure that it is only accessible by authorized people. This part of the system is implemented according to the HIPAA regulations, and access is controlled such that for example, employers cannot gain access to specific employee’s data. Payers would receive aggregated, overall population data to enable them to track the health status of their entire population of subscribers for example.
Performing data analysis to detect health trends over population sets.
Integration with external information systems and remote services; Health information is retrieved and stored in the Consumer’s PHR/EHR, and shared with health providers that the consumer has authorized.
Storing Auditing Information; So that the recommendations provided to consumers can be tracked to ensure that the system has at all times operated according to specification (e.g. it has delivered safe, accurate data and advice to consumers), and to track all accesses to the consumer’s data to ensure that security policies have been adhered to.

