AT&T has built CodeHeart, a custom application for Washington Hospital Center to view live streaming of vital sign data from cardiac, stroke and trauma patients.
AT&T and Washington Hospital
in the Washington, D.C., area have unveiled a custom
application called CodeHeart to allow doctors to examine patients in an
emergency using real-time video and audio.
in the Washington area have adopted the real-time CodeHeart application,
announced Oct. 19.
the health system are using the application on desktops, laptops and tablets as
well as Apple mobile devices to view video over the Internet on AT&T's network.
CodeHeart, doctors would use a fax machine to transmit ECG data, a process that
takes more than 10 minutes and puts patients' lives in danger, Dr. Lowell
Satler, director of interventional cardiology at Washington Hospital Center,
application, doctors can communicate with patients' first responders, examine
test results such as ECGs and prepare for a patient to enter an ER. Doctors can
view the ECGs as PDFs. Following the session, hospitals can archive the video
for future reference.
ECGs and video files can be stored as part of patients' electronic health records (EHRs)
, Satler noted.
ECGs conducted in a remote setting such as an ambulance or the patient's home,
doctors will know sooner, before patients arrive at the hospital, if the
diagnosis is a heart attack or another ailment such as trauma.
adheres to Health Insurance Portability and Accountability Act (HIPAA) privacy laws
, according to Satler.
"This custom mobile application was created to help Washington Hospital
Center take patient care to a new level, by giving them the ability to more
rapidly respond and prepare treatment for cardiac patients in critical
situations, even while a patient is in a remote location or en route to the
hospital," Steve Mitchell, vice president of health care at AT&T,
in an email.
using software such as CodeHeart appealed to Satler because it saved the cost
of using special modems and servers, he said. Satler liked the idea of using a
mobile phone to discuss and view ECGs live with patients and first responders
over the Internet.
Internet was the backbone of transmitting the information, and AT&T was
providing the applications for connectivity as well as security," Satler
of the Apple iOS platform was another benefit in implementing the CodeHeart application,
according to Satler. "After the first pilot, we had a better understanding
on how to make it simpler, so the end user who had no experience at all could
click and launch the program with no delay," he said.
nurses can also view the application on traditional computers on wheels (COWs)
and workstations on wheels (WOWs).
hardware to transmit images from one location to another is not HIPAA-compliant
like the mobile application option, Satler noted. With standard hardware,
there's "no way of focusing on a unique set of health care
providers," he said.
physicians and hospital workstations can download the mobile application to
iPhones and iPads. An Android version will follow within two weeks, Satler
Hospital Center developed the idea for the application and then approached
AT&T to lead development, according to Mitchell.
spearheaded the app's development, utilizing our human and technical resources
and alliances," Mitchell said. "Washington Hospital Center then
collaborated with AT&T to test and roll out the application within its
expertise in security appealed to the hospital system, according to Satler.
needed a strong cellular company that was comfortable with mobility and medical
networking and had a lot of experience with understanding the unique quality of
security," Satler said.
CodeHeart was developed to treat heart problems, doctors can also use the video
technology for sessions with patients suffering a stroke or trauma.
Hospital Center is the only hospital system to use the CodeHeart application,
Satler noted. As a custom, secure application, CodeHeart is unavailable to the public
on iTunes. "You wouldn't be able to get it unless I pushed it to you
because it is a HIPAA-compliant protected network," Satler said. "We
load on iTunes but wouldn't be able to push it on iTunes."