Cloudphysician is democratizing quality healthcare to small and medium sized hospital ICUs. With its smart-ICU solution, Cloudphysician is able to increase the number of ICU beds that an intensivist can reach in a timely, and cost-effective manner.
We are able to leverage our doctors/medical experts across a larger number of beds thereby providing efficient solutions.
Our intensivists, located at our command center, are remotely connected to Hospital ICUs and leverage technology to provide round the clock 24/7 ICU coverage. At Cloudphysician, patient autonomy and privacy are paramount. All our services are HIPAA compliant.
What We Do
Cloudphysician blends modern technology with quality healthcare and seamlessly brings it to hospital ICUs in a cost efficient manner. With our smart-ICU solution, we are able to increase the number of ICU beds that an intensivist can reach thereby improving efficiency and affordability while leading to improved patient outcomes.
How We Help
Improved patient outcomes
Round the clock access to a specialist reduces wait times and delivers dedicated higher quality care. An accessible doctor also improves patient and family satisfaction due to better and more frequent communication.
Greater confidence and bedside accountability
As a result of a solid support team and dedicated personnel with ICU expertise able to provide 24/7 coverage via a smart-ICU, the bedside team is empowered to admit and manage more complicated cases.
By pooling scarce resources at our center Cloudphysician offers client ICUs the most efficient way to staff and run their units. This results in a more sustainable and economically stable ICU system without sacrificing quality and patient satisfaction.
Increased ICU patient retention
Backed by a specialized team, hospitals are able to retain severe cases that would have previously been transferred out to other centers. In the first six months, ICU occupancy went up by nearly 40% with Cloudphysician.
An intensivist is a specialist in critical care with specialized training after post graduation (MD or DNB). The duration of training is usually 1-3 years. In India, FNB, DM, IDCCM and IFCCM are MCI or ISCCM approved courses that impart this additional training. The doctors at Cloudphysician will always have one of these additional qualifications, or US/UK/Canada equivalents after their MD (in general medicine, anesthesia or pulmonary medicine).
India has a shortage of intensivists. There is only one anesthesiologist per 1,00,000 people. The majority of intensivists in India are anesthesiologists which makes the shortage of critical care specialists even more acute.
Case Study 1
Mrs. T*, age 60 years admitted to the ICU on Day 0 for esophageal resection for cancer of the food pipe.Severe respiratory failure after the surgery required her to be on a ventilator (breathing machine).*Name changed to protect privacy
Standard Review of Reports
Cloudphysician was able to detect postoperative acute tubular necrosis (kidney failure) early.Cloudphysician team diagnosed the cause of her respiratory failure to be TRALI, an under recognized complication of blood transfusion and whose management requires a high level of expertise.
Recommendation and Orders
Cloudphysician team instituted measures, including alteration of the patient’s medications, to prevent further decline in kidney function early.
Early diagnosis and treatment of this type of kidney disease can lower the chance of chronic kidney disease requiring dialysis.
Over the next several hours utilizing standard of care practices and 24/7 critical care monitoring the Cloudphysician guided the bedside team and together were able to wean the oxygen requirement from 100% (high) to 30% in under 12 hours.
Mrs. T was liberated from the ventilator the next day and made a rapid recovery thereafter.Due to prompt and effective management, the kidney complication was treated and her kidney parameters normalized on Day 6.
The Hospital was able to effect high quality and timely care to this patient using Cloudphysician services. All of this was done at a cost that did not burden the family.
Case Study 2
Mr M a fourteen-year-old boy was admitted to the ICU with severe respiratory distress and a diffuse skin rash. The patient was previously diagnosed with right-sided pneumonia and was started on oral antibiotics in the outpatient setting.
Standard Review of Reports
He was diagnosed to have acute respiratory distress syndrome, or ARDS, a severe and often fatal form of lung disease. The patient was intubated and ventilated due to his high oxygen requirements. In the following days, the patient was put on high PEEP, low TV settings for his ARDS, however, his condition further worsened.
Recommendation and Orders
It was then suggested by the smart-ICU team, who had experience with the technique, to consider prone ventilation in this case. This was received enthusiastically by the bedside team and in the next few hours, the bedside nurses were trained by our team in how to safely prone the patient using the available audio-video resources.
Prone ventilation as a strategy in refractory hypoxic respiratory failure is a cheap and effective method of managing ARDS where the expertise of nursing staff can greatly help the patient. Through our smart-ICU care we were able to help the bedside team deliver this life saving and evidence-based treatment to the patient.
In the sixteen hours following the successful proning, the patient's respiratory status showed a significant improvement and in the next three days, the patient steadily improved until he was finally liberated off the ventilator.
Advanced therapies require specialized expertise and round the clock monitoring to ensure optimal outcomes. Frequent evaluations and detailed daily rounds make this possible and significantly minimize the chances of errors in such complex cases.
The patient not only got discharged from the ICU but returned to the out patient clinic with his family. The family were grateful to the team for the world class care they received. For Cloudphysician and its partners, there can be no greater joy.
"Cloudphysician is absolutely committed to patient care.They treat our patients as their own. With Cloudphysician we have vastly improved the care that we deliver and our team is more knowledgeable too. Overall Cloudphysician is a 10/10!"
Measurement and institution of infection prevention strategies to minimize infections in the ICU and manage them early, including central line infections, catheter infections, ventilator associated infections
Institution of disease specific protocols to manage specific diseases based on international guidelines
Early detection of organ failures and initiation of concerned specialist consultation
Blood transfusion strategies to ensure timely transfusion of blood when required and prevent unnecessary transfusions
Timely and appropriate resuscitation of patients
Appropriate ICU prophylaxis
Ventilator management and utilization of lung protective strategies
Medication interaction verification and correction
Dosing of medications and appropriate alterations to be made in cases where the kidney function is changing
Early recognition of drug reactions and blood transfusion reactions and prevention and management of complications
Latest @ Cloudphysician
Our doctors presented four abstracts at the national critical care conference this year organised by ISCCM. We looked at antibiotic prescription practices, stress ulcer prevention and tele-CPR this year.
COMSNETS is a premier international conference dedicated to advances in Networking and Communications Systems.
American Heart Association (AHA) is a US organization that educates on healthy living and fosters appropriate cardiac care to reduce disability and deaths caused by cardiovascular disease and stroke.
We recently published our case report in the British Medical Journal under their Global Health series, on Home Tele-ICUs and how they can be a cost effective tool in delivering care at home.
One of our nurses, Hamsaveni CG, RN presented an abstract at the international RFCCN SAARC conference on prone ventilation in underserved areas using our telemedicine platform.
Cloudphysician is selected to be a part of the 5th cohort of Cisco Launchpad for 2019.
Dileep gave insights on models of Tele-ICU care in resource limited settings and how it adds value to underserved areas.
Resuscitation is the official journal of the European Resuscitation Council. Our latest publication looks at how Tele-CPR can potentially help improve outcomes in remote areas.
"Cloudphysician 24/7 monitors critical cases and guides the bedside staff in patient care. They are knowledgeable in patient care and approachable any time of the day or night. I would recommend Cloudphysician to anyone who takes care of ICU cases. I am very happy with their service and give them 5 stars and wish them best of luck!"
What our clients say
We had a case of heart block with suspected MI and it turned out to be demand ischemia due to bradycardia. Using Cloudphysician's advice we placed a permanent pacemaker and the heart block was successfully managed. Cloudphysician helps us 24/7, it's a wonderful experience!
"It's a wonderful experience to work with the Cloudphysician tele-ICU team. They are concerned about patients and have build a healthy relationship with the staff at the hospital. The team is supportive and available 24/7, help us make right decisions at the right time and in a very short span of time since the initial few minutes are the crucial. There is no doubt that they use latest treatment methodologies and it is helpful for our doctors to also learn these latest updates. Last but not the least, the team is not just supportive but also humble, and I am so happy to work with the doctors at Cloudphysician."
Hospitals looking to partner
Cloudphysician works with ICUs of all sizes and its command centers are built to connect with ICUs remotely. If you are a hospital interested in talking to us about how we can improve the quality of care that you deliver to your patients and increase efficiency.Please reach out to us at firstname.lastname@example.org.
Cloudphysician Healthcare Pvt Ltd
7, Bellary Road
Ganganagar, Bangalore 560032
Ph: +91-80-2309 2922