Client
Hygenix, Inc is a patient safety technology company
Industry
Healthcare
Services
Product Development, DevOps
Tech
Java, Spring Framework, Integration Tests, PostgreSQL, AWS, Kotlin, Reactive Extensions, ReactJS + Redux, ES6, ES7, Jenkins Pipeline

Challenge

What we’ve learned from 2020 for sure is that hand hygiene compliance is vital. Back in 2015, our client started a project dedicated to reducing the rates of hospital-acquired infections (HAIs). Being a digital healthcare company with a focus on hygienic, they came up with the concept of an innovative IoT environment. Hyginex uses wearable technology to provide healthcare workers with actionable feedback on the frequency and quality of hand hygiene. As health workers move within a medical facility, sensors track their activity and send data to the server. Via smart wristbands, workers are notified of proper timing and duration of hand hygiene events. Hand hygiene compliance of all staff can be easily monitored with a desktop platform. Our team's duty was to design a robust IoT ecosystem to monitor handwashing events of hospital staff, while also not heightening an already tense work environment. We faced the following challenges

We faced the following challenges:
Define the domain logic relevant to health care providers.
Revise the concept of a smart hospital environment.
Create a platform to examine that a particular hospital is compliant with all required cleanliness and hygienic standards.
Provide backend solutions to integrate a wristband IoT technology (multiple Bluetooth devices that constantly send data to database servers).
Visualize data aggregated from the IoT cloud-connected with multiple remote and mobile devices, such as smart wristbands, sanitizers with sensors, tablets.
Design a secure pixel perfect app that would convert all gathered data into actionable content.
Ensure database stability as data loss can cause measurement errors taking a toll on patients health.

Solution

A full cycle of development and maintenance including platform design, implementation, bug fixing and system monitoring.
The scalable automated 24/7 Remote Patient Monitoring (RPM) platform that improves hand hygiene behavior in real-time.
Integration with a wearable hand hygiene improvement system that connects hundreds of medical devices to the server.
Various tracking features for collecting and processing Big Data on an individual’s hand hygiene activities: frequency, duration, compliance of these events.
UI & Data Visualization: all aggregated data is being processed and displayed in actionable reports to encourage medical staff either to clean hands more frequently or for a longer time.
An Android app with Agile-style dashboards. The app contains the Achievement feature: staff can set goals and get notifications if goals are reached or not. Health workers can also set any kind of reminders they might need to improve hand hygiene behavior.
An advanced dashboard for hospital administrators where they can monitor hand hygiene compliance data on a daily, weekly, monthly or even hourly basis.
Stress tests to make sure that the platform will be stable under real-world conditions.
Post-release platform stability monitoring with quick response to server downtimes.

Impact

The platform detected that healthcare workers clean their hands less than half of the times that they should in order to prevent the spread of HAI.
Participating hospitals saw an increase in Hand Hygiene compliance by more than 70 percent within a week. According to the Duke University Study, just a 1% increase in hand hygiene can save a 200-bed hospital about $40,000 annually.
The duration of hand hygiene increased from 10 seconds to 24.
The usage of hand sanitizer increased by three times.
The solution significantly reduces inpatient mortality and morbidity caused by HAI, thereby mitigating all the accompanying financial and legislative burdens on health providers.
Healthcare providers have all the necessary data and tools at their fingertips to stop HAIs.
One of the big benefits of working with the ITRex Group is that they make sure the right work is being done at the right time by the right people. That's probably the biggest selling point – knowing that when you hire them, you're actually going to get something valuable. You can use the deliverables and not be stuck with something that doesn't give you anything.
Daniel Schuler
CTO
Hygenix

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