The COVID pandemic became the catalyst for our new cloud based
Home video EEG telemetry service model (HVET 2.0). This novel
approach has led to a transformation from a supervised to a remote
supervision using cloud-based technology. Since June 2020 we have
recorded over 1100 studies.
I will review the features of this new approach from a Clinical
physiologist’s perspective:
 Remote supervision with live streaming of synchronised video
and EEG recording, in contrast to the traditional model. (
HVET 1) Virtually abolished the off-site work.
 Cloud based recording made remote working/working from
home possible increasing the flexibility and productivity of our
physiologist work force.
 Daily and secure online data review with ease provided an
opportunity for earlier termination of the study and clinical
intervention.
 During the pandemic, many patients preferred the HVET
model over an inpatient VT study.
 The lack of community work allowed us to involve more junior
physiologist to get involved in HVET service
 At King’s we started using 24HR HVET recordings for failed
sleep EEG studies and were able provide online video-EEG
telemetry recordings at local DGH, eg for status monitoring.
 HVET 2:0 is reliable and sustainable with minimal disruption.
The power of cloud based “HEVT 2.0” has demonstrated safe and
sustainable practice throughout the pandemic and has led to an
80% increase in HVET demand compared to 2019.