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Neurostatus Systems GmbH
Roland John (COO) and Beat Gersbach (CTO)

IBM Health Innovation 2013
Table of contents
− Neurostatus e-Scoring
− Business Challenge
− Solution
− Summary, Q&A

05-NOV-2013

Neurostatus Systems GmbH

2
Neurostatus e-Scoring
− Electronic Data Capturing
(EDC)
− Clinical Trials
− EDSS scale: Gold Standard to
assess the overall status of
patients in Multiple Sclerosis
– Expanded Disability Status Scale
05-NOV-2013

Neurostatus Systems GmbH

3
Background
Full Neurological Examination:
120 Sub-Scores
8 Functional System Scores
1 EDSS Step
05-NOV-2013

Neurostatus Systems GmbH

4
Process until now
1.
2.
3.
4.
5.
6.

Analog data capturing (paper)
FS Score and EDSS Step calculation (brainwork)
Data Transfer to Sponsor (Fax)
Digitizing of data (partially)
Quality control (manual calculation)
Queries to EDSS rater

−
−

too many steps
too much time, noise and ressources
bad data quality

05-NOV-2013

Neurostatus Systems GmbH

5
Direct and fast !
Bring the solution to the
end user:
−Electronic data capturing
−On site quality control
(e-Scoring Algorithm)
−Instant feedback and data
clarification
Mobile solution
05-NOV-2013

Neurostatus Systems GmbH

6
Improved data quality

05-NOV-2013

Neurostatus Systems GmbH

7
Numbers

05-NOV-2013

Neurostatus Systems GmbH

8
System Components
Neurostatus e-Scoring

Web Application

05-NOV-2013

NS Server

Neurostatus Systems GmbH

iPad

9
Business Model
Neurologists / Hospital (End User)
Pharma Companies / Clinical Trials (Customers)
Neurostatus Systems

UHBS, Basel

System development and operations

Prof. Kappos, Scientific background

05-NOV-2013

Neurostatus Systems GmbH

10
350 Sites in 30 Countries

05-NOV-2013

Neurostatus Systems GmbH

11
Business Challenges
− Enterprise Level, but worldwide distributed
end users

05-NOV-2013

Neurostatus Systems GmbH

12
Regulatory Requirements
− Qualified and Validated infrastructure
according to FDA/EMA regulatory
requirements
− Validated = Controlled and documented
installation according guidelines
Authenticity
05-NOV-2013

Integrity
Neurostatus Systems GmbH

Traceability
13
Infrastructure Requirements
− Controlled Access / Profiling
− Secure Data Transfer
− Remote Control
Integrated Neurostatus Infrastructure
05-NOV-2013

Neurostatus Systems GmbH

14
Solution

05-NOV-2013

Neurostatus Systems GmbH

15
Main Infrastructure Components
− Dedicated App Store (Apple Enterprise Store)
– To be (almost) independent on Apple guidelines

− Mobile Data Communication (Swisscom)
– Secure data transfer; M2M with VPN / APN

− Qualified Infrastructure (Symotech AG)
– Regulatory Compliance

− Mobile Device Management (IBM Endpoint Manager)
– Sophisticated Profiling, Remote Control

05-NOV-2013

Neurostatus Systems GmbH

16
Why IBM Endpoint Manager ?
− Multi Platform
– Scalability, Diversification

− Fixlets
– Optimization, Operations and Reporting

− Supports Apple Profiling
– Controls and Restrictions
05-NOV-2013

Neurostatus Systems GmbH

17
Operations
− Before delivery
– Staging and Profiling

− After delivery
– Establishing Connectivity remotely
– Support and Maintenance

05-NOV-2013

Neurostatus Systems GmbH

18
Summary
− Challenging
− Regulatory compliant but flexible Solution
− Expected growth
− Pros and Cons with Apple
− Close Collaboration with IBM Engineering
05-NOV-2013

Neurostatus Systems GmbH

19
Thank you!

05-NOV-2013

Neurostatus Systems GmbH

20

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IBM Health Innovation Forum 2013 - Health Innovation with Neurostatus Systems