Abstract:
The present disclosure provides for systems, devices, and methods which address needs of seniors, disabled persons, or any other similar users, at a stage in life when they can still live independently while benefiting from monitored care. Embodiments described herein enable a higher level of connectivity without requiring the member to be technologically savvy, and provides a simple mechanism for personalized emergency support. Embodiments utilize at least one personal communication device which may allow for remote interactions with medical and concierge personnel in a monitoring center or other emergency contacts, in order to fulfill requests for everyday needs, ranging from providing directions to a locations, to health alerts based on health and status measurements collected electronically and remotely.

Description:
TECHNICAL FIELD 
       [0001]    The present disclosure is directed to remote monitoring and communications devices. More specifically, the present disclosure is directed towards systems and methods for active monitoring, tracking, and emergency response, for users of a portable communications device from a central monitoring center. 
       BACKGROUND OF THE INVENTION 
       [0002]    Many people are in a stage of life that whether due to age or disability or other conditions, they require some form of health, emergency monitoring, or other communication services while living independently. Unfortunately, many of these services offer limited connectivity and features, and therefore under serve the desires of their respective users. Further, devices which offer additional connectivity and features generally require more technological skill to operate than is feasible to expect from the users of these products. 
         [0003]    Current monitoring and communications systems of this type are also generally restricted to being home-based systems. As a result, users of such systems are often left unprotected in the event that they want to go out and conduct every day activities. Another disadvantage of home-based designs is that even when in the home, a user-worn device generally communicates with an intermediate device which is tied to a home-based phone system, which are more prone to failure in power-loss and other emergency situations. 
       BRIEF SUMMARY OF THE INVENTION 
       [0004]    The present invention is directed to a system and method which addresses needs of seniors, disabled persons, or any other users, at a stage in life when they can still live independently while benefiting from monitored care. Embodiments described herein enable a higher level of connectivity without requiring the member to be technologically savvy, and provides a simple mechanism for personalized emergency support. Moreover, embodiments may also allow for remote interactions with medical and concierge personnel, in order to fulfill requests for everyday needs, ranging from providing directions to a locations, to health alerts based on health measurements collected electronically and remotely. 
         [0005]    Embodiments may utilize a companion device communicatively coupled to a cellular network. The companion device is preferably configured to establish voice and data communication with a monitoring center via the cellular network. Additionally, the companion device may be configured to allow for communication between a user and at least one other designated source, such as an emergency contact, via said cellular network. The companion device may be configured to measure, remotely obtain, and transmit health information, vital statistics, and other user emergency information. 
         [0006]    Embodiments may utilize a personal user device communicatively coupled to the companion device. A personal device may be worn as a wrist device, necklace, or placed in any suitable manner according to desired functionality. Communication between the personal device and companion device may be implemented by any suitable protocol such as Blue Tooth, RF, Zigby, and the like. The user device is preferably configured to be disposed proximate to the user and may be further configured to actively monitor at least one user condition. The user device may report the monitored condition to said monitoring center through said companion device. The user device may be further configured to initiate or receive calls or alerts from any of the user device, companion device, or monitoring center. 
         [0007]    A monitoring center, manned by medical and/or other professionals, will monitor and retain user medical statistics that are transmitted regularly, or on-demand, by devices available to users with specific needs. Such devices could be accelerometers (for fall detection), electronic scales, blood pressure cuffs, thermometers, blood sugar monitors, and many others; as such devices become available to market. These devices may be contained within the above-described user device, companion device, or both. These devices may also be implemented on a stand-alone basis and be placed in communication with a companion or personal user device. The measurements transmitted are automatically compared to individual profiles set for each user. A specialist alert is triggered when an abnormal reading is detected. 
         [0008]    Embodiments may trigger alerts which correspond to personalized sequence of actions in the monitoring center, based on each user&#39;s medical profile, which could range from dispatching local medical help, contacting family, caregivers, or the users with alerts, medical recommendations and advice. 
         [0009]    Other non-emergency services may also be provided either directly via the Internet or thru a phone call to the center. These services may include: account management, reporting on collected medical information, location services based on current GPS data, medical advice on common illnesses and conditions, setting up reminders and check-up calls, relaying messages to and from designated family or caregivers, e-mail, text messages, 3-way conferencing and others. 
         [0010]    Based on cellular technology, all these services will be rendered without the need for the user to be restricted to the user&#39;s home, a medical facility, assisted home, or the like, thereby providing users with the independence to continue to live an active healthy life, while keeping family and caregivers confident that their well being is monitored. 
         [0011]    The foregoing has outlined rather broadly the features and technical advantages of the present invention in order that the detailed description of the invention that follows may be better understood. Additional features and advantages of the invention will be described hereinafter which form the subject of the claims of the invention. It should be appreciated by those skilled in the art that the conception and specific embodiment disclosed may be readily utilized as a basis for modifying or designing other structures for carrying out the same purposes of the present invention. It should also be realized by those skilled in the art that such equivalent constructions do not depart from the spirit and scope of the invention as set forth in the appended claims. The novel features which are believed to be characteristic of the invention, both as to its organization and method of operation, together with further objects and advantages will be better understood from the following description when considered in connection with the accompanying figures. It is to be expressly understood, however, that each of the figures is provided for the purpose of illustration and description only and is not intended as a definition of the limits of the present invention. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0012]    For a more complete understanding of the present invention, reference is now made to the following descriptions taken in conjunction with the accompanying drawings, in which: 
           [0013]      FIG. 1  illustrates an embodiment of an overall system in accordance to the present disclosure; 
           [0014]      FIG. 2  illustrates an example embodiment of a personal user device in accordance with an exemplary embodiment of the present disclosure; 
           [0015]      FIG. 3  illustrates an embodiment of a companion device in accordance with an exemplary embodiment of the present disclosure; 
           [0016]      FIG. 4  is a functional block schematic implementing an embodiment of a companion device in accordance with an exemplary embodiment of the present disclosure; and 
           [0017]      FIG. 5  illustrates a functional data flow diagram in accordance with an exemplary embodiment of the present disclosure; 
           [0018]      FIG. 6  illustrates a flowchart which outlines a method of handling a call transaction in accordance with an exemplary embodiment of the present disclosure; 
           [0019]      FIG. 7  illustrates a flowchart which outlines a method of handling a sensor detection transaction in accordance with an exemplary embodiment of the present disclosure; 
           [0020]      FIG. 8  illustrates a flowchart which outlines a method of routing an emergency call transaction in accordance with an exemplary embodiment of the present disclosure; 
           [0021]      FIG. 9  illustrates a flowchart which outlines a method of routing a non-emergency call transaction in accordance with an exemplary embodiment of the present disclosure; 
           [0022]      FIG. 10  illustrates a flowchart which outlines a method of displaying user information at a monitoring center in accordance with an exemplary embodiment of the present disclosure; 
           [0023]      FIG. 11  illustrates a flowchart which outlines a method of mapping a user&#39;s location in accordance with an exemplary embodiment of the present disclosure; 
           [0024]      FIG. 12  illustrates a flowchart which outlines a method of tracking a user&#39;s location history in accordance with an exemplary embodiment of the present disclosure; 
           [0025]      FIG. 13  illustrates a flowchart which outlines a method of finding a primary or secondary contact for a user in accordance with an exemplary embodiment of the present disclosure; 
           [0026]      FIG. 14  illustrates a flowchart which outlines a method of contacting emergency services personnel in accordance with an exemplary embodiment of the present disclosure; 
           [0027]      FIG. 15  illustrates a flowchart which outlines a method of accessing a user portal in accordance with an exemplary embodiment of the present disclosure; and 
           [0028]      FIG. 16  illustrates a flowchart which outlines a method of accessing a user portal in accordance with an exemplary embodiment of the present disclosure. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0029]      FIG. 1  illustrates an embodiment of an overall system  100  in accordance to the present disclosure. System  100  includes a companion device  300  which may be in communication with user device  200 . A detailed discussion of companion device  300  and user device  200  is provided below with respect to  FIGS. 2-3 . Companion device  300  may receive a GPS signal from one or more GPS satellites  101  such that companion device  300  may know its location and may broadcast such location information to monitoring center  102  via cellular network  103  or web interface  104 . 
         [0030]    Cellular network  103  may be any type of communications network such as a GSM, CDMA, EDGE, WiMAX network, and the like. Cellular network  103  may also provide GPRS and SMS data services between companion device  300  and monitoring center  102 . Companion device  300  may also be connected to monitoring center  102  through the web interface  104  via a home network, WiFi hotspot, or similar connection when such networks are accessible. Because companion device  103  is able to connect to such networks, a monitored user is not restricted to being within a particular area such as their home, and are more able to go out and accomplish every day tasks while still having the security of being monitored. 
         [0031]    User computer  105  may be connected to monitoring center  102  via web interface  104 . User computer may be utilized to provide profile information to monitoring center  102  for a user of companion device  300  and may be configured to obtain information from companion device. 
         [0032]      FIG. 2  illustrates an example embodiment of a personal user device  200  in accordance with an embodiment of the present disclosure. Personal user device  200  is designed to accompany a monitored user. The design of such a device may be such that it can be worn on by the monitored user, such as around the writs using wrist band  201 . User device  200  is communicatively coupled to companion device  300  by any via communications link  202  which may utilize any suitable communication means (e.g., cordless phone protocols, Bluetooth, Zigby, and the like). 
         [0033]    User device  200  may include processor  203  which controls various systems in user device  200 . For example, processor  203  is connected to communications link  202  such that when a call is received over communications link  202 , processor  203  may direct audio to output at speaker/microphone  204 . Processor  203  may likewise direct audio obtained at speaker/microphone  204  to communications link  202  for transmission to companion device  300 . Processor  203  may also monitor other systems of user device  200  and trigger alerts for a user. The types of alerts triggered can vary based on preferences of the type of system employed or based on preferences of the user. Alerts may include: an alarm when the communication like connection is disconnected due to long distance, an alarm to indicate low battery life on user device  200 , a distress alarm when a user desires to draw attention to themselves, a fall alarm may be sent to monitoring center  102  upon sensing a monitored user has fallen, an emergency alarm sent to monitoring center  102 , and the like. Such alerts could be audible and output through speaker  204 , could be in the form of a vibrating alert using vibrating alert module  206 , or could be silent and sent to monitoring center  102  which will respond accordingly. 
         [0034]    In some embodiments a data transmission may be obtained over communications link  202 . Such data transmissions could originate from monitoring center  102  for the purpose of activating or configuring user device  200 . A configuration message may be stored to memory module  205 . Data transmissions may also trigger pre-determined alters or notifications, and may function to activate portions of user device  200  such as to allow for the monitoring center  102  to talk to the monitored user using speaker/microphone  204 . 
         [0035]    Sensor module  207  may be provided to sense various aspects related to a monitored user. Sensor module  207  may be linked to devices on user device  200  which are configured to monitor health information such as pulse, blood pressure, blood sugar levels, blood-oxygen levels, etc. Sensor module  207  may also be equipped with accelerometers or other similar sensors which may sense when a monitored user falls or has a potentially harmful impact. In response to receiving data from sensor module  207 , processor  203  may relay a data communication to communications link  202 , which can then be delivered to the appropriate destination. 
         [0036]    Call button  208  may be included on user device  200  to accept an incoming call, or to make an outgoing call. Call button  208  may be programmed to call monitoring center  102 , or one of several other contacts to assist the monitored user. Processor  203  may be further configured to accept voice commands via speaker/microphone  204  upon activation of call button  208 , and route communications to a requested destination. 
         [0037]      FIG. 3  illustrates an embodiment of a companion device  300  in accordance with an exemplary embodiment of the present disclosure. Companion device  300  may include a speaker  301 , microphone  302 , and display screen  303 . The illustrated embodiment also includes a plurality of functional buttons  304   305 , which may be pre-configured to execute desired functions. For example, companion device  300  includes a help button  304 . When pressed by a monitored user, help button  304  may cause companion device  300  to contact monitoring center  102 . An agent at monitoring center  102  may then interact with the monitored user via the speaker  301  and microphone  302 . In the event that the agent receives no response, protocols may be implemented within the monitoring center that locate and the monitored user and send assistance to the location. 
         [0038]    Companion device  300  further includes call button  305 . When pressed, call button  305  may be configured to call one or more preselected numbers, and in some embodiments the user may select those numbers from a list or speak a voice command to dial a pre-designated number. 
         [0039]    Display screen  303  may be included with companion device  300 . Display screen  303  may include various signal strength indicators such as cellular network strength  306 , and GPS network strength  307 . Display screen  303  may also provide for a display of battery power indicator  308 , Bluetooth connection indicator  309 , date and time  310 , and audio mode indicator  311 . Because many times a monitored user will not necessarily be technologically adept, it may be preferable to display only items that are simple to understand. 
         [0040]    It is further noted that companion device  300  may be configured to implement any of the functionality described with respect to user device  200 , e.g., sensor module, alert, and communications functionality. Companion device  300  may also include additional capabilities such as an local area tracker which may indicate to a monitored user when they are leaving a specified service area. Companion device  300  may also be configured to trigger alerts when a user is experiencing low signal qualities, low battery, and the like. 
         [0041]    Referring now to  FIG. 4 , an embodiment of the electronic aspects of companion device  300  is shown. The type of connection between the various components is a matter of design choice, and may vary depending upon the specific component chosen to perform for a particular function. Further, where a specific component is indicated, those skilled in the art will appreciate that the indicated component may be substituted with other, functionally equivalent components that are readily available in the marketplace. 
         [0042]    Electronics  400  includes microprocessor  401 . Microprocessor  401  controls overall operation of the device according to programming stored in memory  402 , which can be SRAM memory. Electronics  400  may include inputs  403 , which can be inputs such as switches or buttons, are included as inputs to microprocessor  401  and can be used to input data or provide for activation of pre-designated functionality controlled by microprocessor  401 . In embodiments of the companion device, there is one button dedicated for activation of voice communications with the monitoring center. LEDs/Display  404  may be used to display function and status indicators. The programming stored in memory  402  may be placed there at the time of manufacture, and additional, new or modified programming may be uploaded to the device using a wired connection via the included diagnostic interface  405 , user interface  406 , or wirelessly via the cellular transceiver  407  received by antenna  408 . 
         [0043]    Cellular transceiver  407  may be of the GSM/GPRS variety, and may include a SIM card  409 . Cellular transceiver  407  allows two-way voice and data communication between the remote device and the monitoring center  104  from  FIG. 1 . Voice communications are further enabled by a direct connection between cellular transceiver  407  and an audio codec  410 , which encodes and decodes the digital audio signal portion of the wireless transmission, and an associated speaker  411  and microphone  412 . Data communications preferably use the cellular data channel and/or the cellular control channel, which can make use of short message service (SMS) capabilities in the network. This has additional benefits in that it provides redundancy for cellular systems in which service for both types of data communication is supported. Also, for those cellular systems in which the voice channel cannot be used simultaneously with the data channel, or in which the data channel is simply unavailable, the control channel can provide a data link between the call center and the device. 
         [0044]    Electronics  400  may also include short range wireless transceiver  413  and associated antenna  414 , which, if included, allow for short range wireless voice and data communications with peripheral devices such as personal device  200 . Wireless transceiver  413  may be designed and implemented using any wireless communication standards such as Bluetooth, 802.11 protocols, and the like, or any others which are known in the art. Microprocessor  401  can be programmed to pass through voice communications received by cellular transceiver  407  to a voice-capable peripheral when such a peripheral is employed when communications on the companion device and are activated. Voice communications received from a voice enabled peripheral, such as personal device  200 , can be passed through to cellular transceiver  407  for transmission. Data generated by the device or received from a peripheral, if any, may be stored by microprocessor  401  in memory  415 , which can be non-volatile memory such as serial flash memory until required by microprocessor  401  or until it is to be transmitted by the device. 
         [0045]    GPS receiver  416  and antenna  417  receive signals transmitted by GPS satellites, the signal used to establish the geographical location of the device and the person being monitored. In one embodiment, data from GPS receiver  416  is passed through to microprocessor  401 , which in turn processes the data to determine a location and associated time, and stores it in the serial flash memory  415  pending transmission using cellular transceiver  407 . While electronics  400  are shown with a GPS receiver which passes the GPS signal data to the microprocessor for processing, a GPS engine which includes both the GPS receiver and the capability to process the GPS signal to produce a location determination and associated time indication may also be used according to the concepts described herein. Using a stand alone GPS engine would free processing bandwidth in the microprocessor, thereby allowing the microprocessor to perform other additional functions. 
         [0046]    Cellular transceiver  407  may also be used to geographically locate the device through well known methods of cell tower triangulation, or may be used to provide location information used in assisted GPS schemes. Geographical location using cellular transceiver  407  may be performed in addition to, in conjunction with, or as a substitute for the GPS receiver  416 . Other known methods for geographically locating the device may also be employed. 
         [0047]    Either of memories  402  and  415 , or memory resident on the microprocessor, may be used individually, or may be used in any combination to store the operating program and parameters for the operation of the device, as will be discussed later, and may further be used to store prerecorded messages which can be played through speaker  411  as part of the monitoring and alarm management system which may be utilized in response to various user situations. A siren/speaker  423  may also be included in the device and controlled by microprocessor  401 . Siren  423  is also used as part of the alarm system and can be activated to provide an audible alarm. This alarm can be utilized to notify a user of a possible problem or to act as a panic alarm to warn those in the vicinity that the person being monitored may be in need of assistance, and can aid responders in the location of the person being monitored. The siren can be activated automatically by the microprocessor as part of the alarm management system or can be activated remotely by sending a signal to the microprocessor using cellular transceiver  407 . Siren  423  can be a separate device or could be combined with the functionality of speaker  411 . 
         [0048]    In the embodiment shown in  FIG. 4 , power to the processor and other electronic components is provided though power controller  418  by external battery  419 , or internal battery  420  when the external batter is disconnected or the voltage of the external battery falls below a threshold. External battery  419  is removable and is preferably rechargeable by a separate recharging unit. Also, the user will preferably have multiple external batteries so that a charged external battery can be immediately inserted when a discharged battery is removed. Internal battery  420  is preferably internal to the housing and not accessible by the person being monitored. The internal battery allows the device to continue to operate normally while the external battery is being replaced. As the internal battery is intended to supply power to the device only during the transitioning from a depleted external battery to a charged external battery, or to provide a short amount of time to acquire a charged battery; the internal battery does not need to have a large capacity. Internal battery  420  is charged using power from external battery  419  using voltage converter  421  and/or a battery charger which may be connected to the device through voltage converter  421 . 
         [0049]      FIG. 5  illustrates a functional data flow diagram of an embodiment of a system  500  as provided in the present disclosure. The first actor is the companion device  501  or device that initiates a call to the monitoring center  502 . At the same time as the call, a data packet is sent with location information and conditions of the device. 
         [0050]    The data packet is received by a [GPRS] gateway  503 , that unwraps the ‘envelope’ of the message and calls the web services component  504  and ‘post’ the payload of the original message plus parameters associated to the message, such as timestamp, mobile originator, a message identifier and the gateway  503  that handled that packet. Web services component  504  will in turn store that message and its parameters on a table within data services block  505 . 
         [0051]    The same web services component  504  will provide a user portal  506  that allows members to access and update their information, and perform other member-oriented functions such as locating devices. In some embodiments, user portal  506  may be accessible to other authorized persons beside the user of device  501 , to enable those persons to locate the user, update information on behalf of the user, and the like. 
         [0052]    The voice call that was initiated by the user is received by the telephony services component  507 , which routes it to help desk specialist  508  in standby. Telephony services component  507  also stores the call and routing information on data services block  505 . Help desk application component  508  immediately loads the information and plots the location of that device and member, based on the call information that was stored on data services block  505  by telephony services component  507 . 
         [0053]    Business services component  509  runs in the background performing tasks that are independent of any actors initiation, such as message receiving, parsing, decoding and storage of monitoring information, monitoring alert thresholds, etc. 
         [0054]    The system components discussed above may be implemented in many ways which will be apparent to those of skill in the art. Some example implementations are provided below: 
         [0055]    Data services block  505  may include business database  510  where all data is stored and maintained. A simple implementation of business database  510  may use Microsoft SQL Server 2005 or 2008 Standard edition. MS SQL Server is a very efficient database server and it can be easily deployed either on the premises of monitoring center  502  or hosted by a 3rd party data provider. A logical design of the database may be implemented which includes generating tables, indexes, columns, relationships, etc. These elements will vary based on the data requirements, and the need for storing and maintaining data. 
         [0056]    A message gateway can include GPRS gateway  503  and SMS gateway  511 . The Message Gateway is a logical entity that can receive and process an IP message. 
         [0057]    For GPRS messages GPRS Gateway  503  is preferably implemented as an on-premise Windows Service that encapsulates a socket application that can read a stream of bytes and interpret it as an individual message. The message itself is described by a data protocol and it is dependent on the device manufacturer. Messages from the same manufacturer will follow a single standard and will be self-describing based on message types and sub-types. 
         [0058]    The message gateway will ordinarily be designed such that it is able to handle large volumes of messages. For that, in some embodiments it is preferable that the message gateway does not implement any business logic, but rather, limit itself to receiving, validating and storing the payload of the message. In such embodiments, business services component  509  is primarily responsible for the decoding of the payload and storing the contents of the message according to its categories and association with a specific account. 
         [0059]    For receiving SMS messages, the most common and efficient method to implement an SMS gateway  511  is to contract a 3rd party provider that can abstract the intricacies of the operation and just provide us with the payload of the data message by calling an exposed web service, implemented on web services component  504 . 
         [0060]    In one embodiment, business services component  509  is a stand-alone service that implements business rules. Those rules could be from how to handle an incoming data packet, processing it, decoding it and storing it in the proper tables on the database, to thresholds on medical profiles and alerting, sending out automated text messages, or activating a help desk specialist if such thresholds are exceeded. 
         [0061]    A typical implementation of business service component  509  is one or more Microsoft Windows Services that perform a specific function or a well defined set of functions. The advantage of such technology is that is perfectly integrated to the Windows Server Operating System, it can be installed, monitored and controlled (start, stop) using resources on the operating system making for a simple and easy implementation. The other advantage is that you can create multiple instances of such services allowing for horizontal scalability. 
         [0062]    Those services can monitor a queue from Microsoft Message Queuing product, or lookup a database table for an incoming message, and take an action such as reading the message, translating it and storing into other specialized tables and at the same time associate. 
         [0063]    In general, business service component  509  can be an instance of any business rule that needs to be performed on a regular basis, or based on a trigger, but independently of a human action. The complexity of business service component  509  will depend on the function it is designed to perform, e.g., the type of data that will be monitored for a user, automated actions to be taken, etc. The cost in this component is primarily on the development life cycle. 
         [0064]    An embodiment of a help desk application  512  may be a Windows Forms (Desktop) application that allows help desk specialist  508  to interact with business services component  509 , data service block  505 , business database  510 , and telephony system  507 , and implement the mapping component of the application. Other possible alternatives are to develop the application as a web application hosted by the monitoring center&#39;s  502  web services component  504  or even leverage an existing help desk application  512  from a 3rd party company that already performs that kind of service and then ‘plug-in’ or extend their application. 
         [0065]    Help desk application  512  preferably implements a dynamically-created script that takes in consideration specific member needs, medical conditions and personal selections. Help desk application  512  may load the most basic information about the caller so that the specialist can start handling the call knowing the caller name and other few basic information. The application  512  may also start loading the complementary information and plotting charts or maps. 
         [0066]    The telephony service  507  infrastructure represents the set of services provided either on-premise or remotely that, as a basic service, has the ability to receive and route a call to a ‘ready and able’ help desk specialist  508 . Other requirements for the telephony service  507  infrastructure are the ability to re-route calls in case no specialists are available to take calls, update the business database  510 , either directly or indirectly, record calls, perform 3-way and conferencing and outbound calls, aside from automated dialing. 
         [0067]    Embodiments of user portal  506  may be implemented as a web application that allows members or surrogates to subscribe to services, maintain information about themselves and execute a basic set of services such as locate device(s) on a map. The web application of user portal  506  may be hosted by web services component  504  and may have access to many aspects of the monitoring center infrastructure such as data services block  505 , and business database  510 , it may also provide access to a help desk specialist  508 . 
         [0068]    Examples of possible monitored user situations, and possible steps taken within the monitoring center and systems in general will be described below. It is noted that these examples are given for the purposes of illustrating the capabilities of the described devices, user portal, and monitoring center, and are not meant to be limiting in any manner. Many steps may be rearranged, combined, added to, or omitted based on preferences of a manufacturer, service provider, and/or user of embodiments of the present disclosure. 
         [0069]    Case 1: Help Button Pressed by Monitored User 
         [0070]      FIG. 6  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of handling a transaction where a help button is pressed by a monitored user. In block  601  an emergency button, such as help button  304  or call button  208  on a device, is pressed. An emergency call is placed to a monitoring center, such as monitoring center  502 , and device/subscriber identification and GPS location data are transmitted with the call  602 . The call is received by the monitoring center  603 , is prioritized as an emergency, and routed to a specialist based on the specialist&#39;s availability, language match, specialty, and the like  604 . A specialist  508  may then be assigned to the call  605 . After the specialist  508  makes contact, the caller either responds  608 , does not respond, cannot be understood, or the call is dropped  609 . 
         [0071]    In the event that the caller responds to voice contact, successful communication with specialist  508  is established  610 . The specialist determines the type of emergency  611 . In some circumstances the monitored user may have specific health concerns which are already known to and displayed to specialist  508  in monitoring center  502 . The specialist may then check to see if the caller has an established protocol for the type of emergency  612 . If an established protocol for the type of emergency exists, the specialist follows the protocol  613 . If there is no established protocol for the type of emergency, a default emergency protocol may be followed by the specialist  614 . Default emergency protocols may be user specific or based on a best practices approach for a monitoring center. Such protocols will vary and may be configured to account for many types of scenarios. 
         [0072]    In the event that the caller is unable to respond verbally, unable to be understood, or the call is dropped  615 , a specialist  508  may initiate a default emergency protocol for the caller  616 . After the call is ended, a specialist may log the call, the actions taken, and may note any further follow-up that may be required  617 . The call may then be dispositioned and added to the consumer&#39;s history  618 . 
         [0073]    Case 2: Fall Detection from Device 
         [0074]      FIG. 7  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of handling a transaction where a fall detection is registered from a monitored user. This method may be used in conjunction with the systems and devices described above. In this scenario, a fall or sudden impact is sensed by the device  701 . Such a fall may be sensed by sensor module  207  and may cause a device to initiate an emergency call to monitoring center  102 . When an emergency call is automatically placed to center, the device/subscriber identification and GPS location data may be transmitted with the call  702 . The call is then received by the center  703 , is prioritized as a “fall,” and routed to a specialist based on the specialist&#39;s availability, language match, specialty, and the like  704 . After the specialist accepts the call  705 , the caller&#39;s account profile, history, and GPS location may be displayed to the specialist  706 . 
         [0075]    The specialist may then attempt voice contact with the user  707 . The user will either respond  708 , will not respond, cannot be understood, or the call will have been dropped  709 . In the event that the caller responds, successful communication with the specialist is established  708  and the specialist follows the user&#39;s fall protocol preferences  710 . In the event that the caller is unable to respond verbally, unable to be understood, or the call is dropped  709 , the specialist may initiate a standard emergency protocol for the caller  711 . 
         [0076]    After the situation is handled and the call transaction is completed, the specialist may log the call, document the actions taken, and note whether any further follow-up required  712 . The call may then be dispositioned and added to the consumer&#39;s history  713 . 
         [0077]    Case 3: Route a Call to a “Ready” Help Desk 
         [0078]      FIG. 8  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of routing an incoming, user initiated, emergency call to a monitoring center. In the flowchart, a button, such as help button  304  or call button  208 , is pressed on a device  801 . An emergency call is automatically placed to center, and device/subscriber identification and GPS location data may transmitted with the call  802 . The call is received by a telephony infrastructure  803 , such as telephony services component  507 , which is in communication with other portions of monitoring center  502 . When the call is received, it may be prioritized as emergency and routed to a specialist, e.g., specialist  508 , that is in ‘Ready’ status  804 . A specialist accepts the call  805 . The specialist is activated and the member&#39;s information is populated in a help desk application  806 , such as Help Desk Application  512 . 
         [0079]    Case 4: Non-Emergency Call from Device to Monitoring Center 
         [0080]      FIG. 9  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of routing an incoming non-emergency call from a user to a monitoring center. In this flowchart, a non-emergency button, such as call button  305  or  208  on a device, is pressed  901 . A non-emergency call is placed to center, and device/subscriber identification and GPS location data may be transmitted with the call  902 . The call is received by the monitoring center  903  and is prioritized as a “non-emergency” call and is routed to a specialist based on the specialist&#39;s availability, language match, specialty, and the like  904 . 
         [0081]    A specialist accepts the call  905  and the user&#39;s account profile, history, and GPS location may be displayed to the specialist  906 . This display may be made via Help Desk Application  508  discussed above, in combination with other elements of monitoring center  502 . The specialist may then attempt voice contact  907 . In the event that the caller responds to voice contact, successful communication with the specialist is established  908  and the specialist determines the type of non-emergency service being requested  910 . The specialist may check to see if the caller has the proper account level for the type of non-emergency service being requested  911 . If the caller has the proper account level for the non-emergency service requested, the specialist renders the service according to company guidelines  912 . If the caller does not have the proper account service level for the non-emergency service being requested, the specialist may attempt to up-sell the account level or flag the account for follow-up by sales staff  913 . 
         [0082]    In the event that the caller is unable to respond verbally, unable to be understood, or the call is dropped  909 , the specialist may follow a company standard non-emergency dropped call protocol  915 . 
         [0083]    After a non-emergency call, the specialist may log the call, document the actions taken, and note any further follow-up actions that may be required  916 . The call may also then be dispositioned and added to the consumer&#39;s history  917 . 
         [0084]    Case 5: Display User Information to Help-Desk Specialist 
         [0085]      FIG. 10  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of displaying user information to a help-desk specialist in a monitoring center. For example, when a button on device is pressed  1001 , a call is placed to the monitoring center, and device/subscriber identification and GPS location data may be transmitted with the call  1002 . When the call is received by the monitoring center  1003 , a ready specialist may be selected. The member&#39;s telephone number is detected by Automatic Number Identification (“ANI”) and may be matched to the receiving specialist on the Business Database, and the call is routed  1004 . The receiving specialist accepts the call  1005 . The initial member information matching the calling ANI is displayed on the Help Desk Application and detailed information for that member is displayed  1006 . 
         [0086]    Case 6: Map User&#39;s Last Location 
         [0087]      FIG. 11  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of mapping a user&#39;s last known location for use at a monitoring center. When a button on a device is pressed  1101  a call is placed to center, and device/subscriber identification and GPS location data may transmitted with the call  1102 . The call is received by the monitoring center  1103 , a ready specialist is selected, the user&#39;s ANI may be matched to the receiving specialist on the Business Database and the call is routed  1104 . The receiving specialist accepts the call  1105 . The initial user&#39;s information matching the calling ANI may be automatically displayed on the Help Desk Application  1106  and a map component may load and display a map with the user&#39;s last reported location  1107 . This information may then be used by the specialist to provide a number of services, including giving directions to a user, or directing a third party to a user&#39;s location. 
         [0088]    Case 7: Track User Location History 
         [0089]      FIG. 12  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method of tracking a user&#39;s location history. Similar to case 6 above, when a button on device is pressed  1201 , a call is placed to center, and device/subscriber identification and GPS location data may be transmitted with the call  1202 . The call is received by the monitoring center and a ready specialist is selected. The user&#39;s ANI may be matched to the receiving specialist on the Business Database and the call is routed  1203 . The receiving specialist accepts the call  1204 . The initial user&#39;s information matching the calling ANI may be automatically displayed on the Help Desk Application and a map component may load and display a map with the member&#39;s last reported location  1205 . The receiving specialist may select one or more points to be tracked  1206 . The initial member&#39;s information matching the calling ANI may be displayed on the Help Desk Application  1207 , and a map component may load and display a map with the member&#39;s last reported location(s)  1208 . As with case 6 shown above, this information may then be used by the specialist to provide a number of services, including giving directions to a user, or directing a third party to a user&#39;s last known location, or toward a last known path traveled by a user. 
         [0090]    Case 8: Find Primary/Secondary Emergency Contacts for User 
         [0091]      FIG. 13  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method finding a primary or secondary emergency contact for a user in the context of a user event. An emergency contact may include a family member/guardian, medical personnel, or any other person that a user may desire to contact. Such contacts may be pre-determined, or stated in the context of a user-initiated call. 
         [0092]    In this method a button on device is pressed  1301  which causes a call to be placed to center. The device/subscriber identification and GPS location data may be transmitted with the call  1302 . When the call is received by the center  1303 , a ready specialist may be selected, the user&#39;s ANI may be matched to the receiving specialist on the Business Database, and the call is routed  1304 . The receiving specialist accepts the call  1305  and the initial member&#39;s information matching the calling ANI may be automatically displayed on the Help Desk Application, and the map component may load and display a map with the user&#39;s last reported location  1306 . 
         [0093]    Optionally, the receiving specialist may select a number of points to be tracked  1307 . In this case, the map component may re-load to show the last reported location, and/or the number of points requested by the specialist and those points are in chronological [reported] order  1308 . The receiving specialist may select, e.g., by right-clicking or hovering over, a location point and request an emergency contact  1309 . The Help Desk application displays a list of emergency contact information and locations  1310 . Optionally the receiving specialist may request an emergency contact&#39;s location to be plotted on the map  1311 . The selected emergency contact&#39;s location may then be displayed on the map  1312 . 
         [0094]    Case 9: Specialist Call Out and Conference in Emergency Services 
         [0095]      FIG. 14  illustrates a flowchart in accordance with an embodiment of the present invention which outlines a possible method for a monitoring center specialist to communicate with an emergency services contact in the context of a user event. When a button on device is pressed  1401 , a call is placed to center. The device/subscriber identification and GPS location data may be transmitted with the call  1402 . The call is received by the center, a ready specialist is selected, the user&#39;s ANI may be matched to the receiving specialist on the Business Database, and the call is routed  1403 . The initial user&#39;s information matching the calling ANI may be displayed on the Help Desk Application and the map component may load and display a map with the user&#39;s last reported location  1404 . The specialist may then select the last location point and requests emergency services  1405 . The Help Desk Application displays the phone numbers to the closest emergency services  1406 . The specialist initiates a call out to the emergency service provider  1407 . After the EMS provider answers  1408 , the specialist may conference the EMS provider with the member&#39;s cell phone  1409 . 
         [0096]    Cases 10-11: Access to User&#39;s Portal for Information Update and Services 
         [0097]      FIGS. 15-16  illustrate flowcharts in accordance with embodiments of the present invention which outlines possible methods for accessing a user portal for obtaining information, adding services, updating user information, and the like. As stated above, an authorized user may utilize the portal for many reasons including account maintenance, profile/service updates, etc. 
         [0098]    From a computer, member may navigate to the web services public internet user portal URL  1501   1601 , this portal may be user portal  506  as described above. A login page may be displayed  1502   1602 , wherein a user enters his/her login information and hit enter  1503   1603 . Initially, it may be preferred to display a welcome page with a name, basic user information, and a list of services that can be performed by the user  1504 ,  1604 . The user may select the data he/she needs to maintain and updates it  1505 . After selections are made, the portal may update the information in the Business Database and display the updated information  1506 . The portal application may also be utilized by a user to track a monitored user. After logging on, a user may select a tracking option  1605 . The mapping interface may be displayed with a number of points and related information for the last number of reported locations  1606 . This feature may assist a family member or guardian in tracking a monitored user in the event that the monitored user may be lost or unavailable. When a portal session is completed, a user may log off  1507   1607 , or the session may be automatically terminated. 
         [0099]    Although the present invention and its advantages have been described in detail, it should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims. Moreover, the scope of the present application is not intended to be limited to the particular embodiments of the process, machine, manufacture, composition of matter, means, methods and steps described in the specification. As one of ordinary skill in the art will readily appreciate from the disclosure of the present invention, processes, machines, manufacture, compositions of matter, means, methods, or steps, presently existing or later to be developed that perform substantially the same function or achieve substantially the same result as the corresponding embodiments described herein may be utilized according to the present invention. Accordingly, the appended claims are intended to include within their scope such processes, machines, manufacture, compositions of matter, means, methods, or steps.