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© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 1
Connected HealthcareLibya Cisco Expo 23rd June 2010
Graham Porter
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 2
CONNECTED HOSPITAL
Employers
Public Health Organizations
Laboratories
Pharmacies ConnectedClinicians
Social Services
Clinics
Emergency / First Responders
Suppliers
Gov’t and Private Payers
Home and Long-Term Care
Connected Hospital
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 3
Patient Safety, Quality of Care, Patient Satisfaction, Cost Challenges, Staff Satisfaction, Regulatory Compliance
Medical-Grade NetworkArchitecture
Connected Hospital Framework
Mobility for Healthcare
• Context Aware Mobility
• Mobile Collaboration
• Secure Wireless
Busin
ess
Drive
rsNe
twor
k Te
chno
logies
Busin
ess
Solut
ions
UC for Healthcare
• Mobile Care• Collaborative Care
Routing & SwitchingRouting & SwitchingMobilityMobility SecuritySecurity StorageStorageNetworkingNetworking
UnifiedUnifiedComCom
Connected Imaging
• Medical Image Architecture
• Collaboration and Reporting
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 4
Connected Hospital
Unified Communications Solutions
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 5
Communication Inefficiency Impacts Staff Productivity and Patient Care
Source: Forrester Research, Feb. 2006Based on survey of nursing supervisors and hospital administrators
Message sendand retrieval
Finding experts
Experiencingdelays
Tracking mobilepersonnelWaiting forresponses
Send multiplemessages
Current situation: Nurses lose valuable time each shift
“Every minute engaged in tracking and locating others reduces a nurse’s availability for the patient.”
– Forrester
65% → 20–60+ min. / dayjust trying to reach staff
80% → Save 15-60 min. / day if they could reach
physicians on the first try
57% → Message retrieval and attempted callbacks take
more than 30 min. / day
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 6
Cisco’s Clinical Collaboration Portfolio for Healthcare
Provide alarm and alert notification out to mobile clinicians and caregivers via their wireless phones
Enable more efficient collaboration and patient care through automated sending of lab results to mobile phones
Coordinate sending alarms and alerts to the people who are in closest
proximity to deliver the care or task required
Enable video communication for caregivers to provide language interpretation services, education, poison control help and psychiatric services remotely
Provide real-time information on
assets and patients through context-aware services
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 7
Mobile Collaborative CareIncrease Responsiveness
� Improves physician accessibility and responsiveness with one- number reach� Wireless network connects mobile healthcare providers regardless of location.� Instant collaboration and enhanced decision making in or out of the office� Increases workflow productivity and communications efficiency:
Benefits
Nurse notes change in patient condition.
Physician located via Presence. Collaborative consult
determines treatment.
Nurse dials one number & reaches physician. Physician contacts specialist.
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 8
Transport Requests and Lab Results
BENEFITS: More efficient use of orderly’s time,less wait time for patients and nurses requesting service, and faster delivery of test results to caregivers
Patient is transportedto appointment
3
Nurse or Patient Care Aidegenerates request for orderly to transport patient to lab. Lab order is entered in LIS system.
1Orderly checks task as complete on their phone and proceeds to the next task on the list.
4
Nearest available orderly accepts alert and replies and the task is placed on their phone’s work list
2
Doctor or nurse has option to call lab back directly to discussresults / close loop
8Values input in LISand EMR
6
Lab work completed
5 Values and/or results availability notificationsent to nurse or doctor
7
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 9
Live Collaboration via Video and Web —From Anywhere� Easy access to face-to-face communications.� Improved decision making for faster, more informed patient care.� Scale limited resources. � Reduce time and travel costs.� Over 50 percent of communications are non-verbal in patient
encounter.
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 10
SummaryCisco Unified Communications provide caregivers with access to patient information, hospital services, and each other, from anylocation—inside or outside the hospital walls to deliver an enhanced patient experience.
� Provides a Mobile Unified Communications Solution for each type of caregiver� Increases efficiency and improves patient care by enabling collaboration at the bedside� Streamlines business operations and reduces costs by enhancing the visibility of mobile assets
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 11
Connected Imaging:Medical Image ArchitectureCollaboration and Reporting
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 12
Connected Imaging addressing key issues faced by healthcare organizations
Business DriversLarger, more complex images and image libraries
Need for efficient collaboration between specialist staff
Supports scalable image transport, routing, and storage
Medical Image Architecture
Collaboration & Reporting
Promotes multi-specialty and multi-radiologist collaboration & results reporting for effective image consultations
Medical-Grade Network
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 13
Cisco’s Connected Imaging Portfolio for Healthcare
Align communications tools with urgency and acuity of carethrough caregiver collaboration and delivery of results notifications and acknowledgements
More patient-centric diagnostic imaging through single-view
of PACS images
Reduce scan times and increase patient satisfaction through intelligent image routing
Reduce costs, improve performance and protect data with storage virtualization
and application optimization
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 14
Connected Imaging addressing key issues faced by healthcare organizations
Business DriversLarger, more complex images and image libraries
Need for efficient collaboration between specialist staff
Supports scalable image transport, routing, and storage
Medical Image Architecture
Collaboration & Reporting
Promotes multi-specialty and multi-radiologist collaboration and results reporting for effective image consultations
Medical-Grade Network
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 15
Cell Network Interop
CollaborationStudy
Context List Presence
Auto Login Integrated Voicemail
Instant Messaging
Cell Network Interop
CollaborationStudy
Context List Presence
Auto Login Integrated Voicemail
Instant Messaging
Connected Imaging - Collaboration and Reporting
Physician Orders Urgent Scan
Alert: Image Study Available
Provides radiologist, physician and technologist collaboration, delivery of results notifications and acknowledgements, and aligns communications tools with urgency and acuity of care
Critical Result Found: Doctor-Radiologist
Collaboration Required
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 16
Connected Imaging: Summary – Q&A� Improves image availability� Provides scalable imaging services and boosts PACS performance � Provides standards-based image archive to lower storage costs� Improves image study consultations with collaboration� Enhances physician relationships with easier collaboration� Lab-validated designs for Cisco Medical-Grade Network, UC and Data Center Architectures
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 17
Connected Hospital
Mobility Solutions
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 18
Cisco Mobility Solutions for Healthcare
Enhanced collaboration between caregivers to increase
responsiveness and employee satisfaction
Mobile Collaborative CareSolution to monitor and
streamline operations involving medical equipment and staff
Context Aware Mobility
Wireless foundation that enables regulatory compliance and patient privacy as well as provides access to crucial information anywhere
Secure Wireless CiscoMedical-GradeNetwork
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 19
Mobile Collaborative Care: Waveform to the Phone
BusinessValue
� Increase patient safety – provide more timely care� Enhance nursing staff productivity� Improve patient satisfaction & experience – faster response
2
Waveform and alert forwarded to nurse’swireless phone(secondary alert)
Nurse receives notification and reviews data
3
Abnormal rhythm on patient monitor
Patient receives timely care
41
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 20
Mobile Collaborative Care: Nurse Connect in Action—Quick Response
Facilitates collaboration among mobile caregivers and patients, enabling them to reach each other and to be reached no matter where they are — for faster patient care from any location.
Nurse identifies type of alert based on the message
Patient pressescall button
Nurse calls back
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 21
Mobile Collaborative Care: Nurse Connect in Action—Reassignment of Service Requests
Nurse is able to re-route request to aide and continue performing skilled nursing work for most efficient use of personnel resources.
Nurse re-routes request to aide
Patient pressescall button
Dome light changes color to indicate request status
Aide calls patient on pillow speaker and
delivers requested items
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 22
The Cisco Unified Wireless IP Phone 7925G Facilitates Mobile Collaboration
The Cisco Unified Wireless IP Phone 7925G allows easy access to productivity applications� Nurse call alarms� Integrated alerts and notifications for laboratory
information systems � Text messaging� Location-based alarms using integrated radio-
frequency identification capabilities� Cisco Unified Presence to simplify colleague
contact � Facility alarms� Code team notifications� Emergency bulletins� Integration to multiple healthcare applications
where messaging to mobile devices aids in patient care process
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 23
� WiFi (802.11a/b/g) and Bluetooth � Cisco Compatible version 4� Natural pen or speech input� Optional integrated bar code scanner � Integrated 2 mega pixel camera and
RFID reader� Theft prevention system� Highly durable and simple to disinfect
� Electronic Health Records � Electronic Medication Administration
Record (eMAR)� Computerized Physician Order Entry
(CPOE)� Clinical documentation & Practice
Management
� Increased mobility and accessibility� Automation of forms, processes and workflows � Greater and timely access to data at the point of care� Elimination of duplicate efforts� Facilitation of real-time communications to improve the overall patient experience � Improvements in patient charge capture
Motion C5Motion C5 Product DescriptionProduct Description
Applications Applications BenefitsBenefits
Mobile Collaborative CareMotion C5 – A Mobile Clinical Assistant
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 24
Ensuring that there is always a physician in ER
Securing all the members of a
core team prior to a surgery
Knowing which physicians and
nurses are on duty at a certain time
Locate medical equipment in a minimum time
such as wheelchairs
� Less time looking for mobile assets means more time with patient
� Alert can be timely sent to the relevant people to ensure their presence when necessary
� Monitor business flows to avoid unnecessary tasks or cost
Solution answers the question:
Where it is?
Asset TrackingRequirements� Wireless pervasive coverage with Cisco Unified Wireless Network
� Cisco Mobility Services Engine with Context Aware Software
� Third party Wi-Fi tags
Benefits
Context Aware HealthcareLocate Assets and People
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 25
� Eliminate paper work and ensure up-to-date inventory at all time
� Increase the utilization of medical devices and reduce unnecessary back-up orders
� Reduce waiting time for patients thanks to a greater availability of the equipment
Solution answers the question:
Is it in this room?Solution
� Wireless pervasive coverage with Cisco Unified Wireless Network
� Cisco Mobility Services Engine with Context Aware Software
� Third party Wi-Fi tags with alert buttons and chokepoints
Automate bed management applications
Prevent medical equipment to
leave the facilities without
authorization
Update the number of heart monitors left in the storage room
Initiate a request to sterilize the infusion pumps
Benefits
Context Aware HealthcareAutomate Inventory Management
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 26
� Improves patient comfort without additional workload for staff
� Avoid waste, ensure medication efficiency and increase equipment lifetime
Solution answers the question:
In which condition?
Sensoring Requirements
� Wireless pervasive coverage with Cisco Unified Wireless Network
� Cisco Mobility Services Engine with Context Aware Software
� 3rd party Wi-Fi tags with sensor capabilities
Provide patient comfort in a
responsive manner
Monitor storage conditions for equipment or medication
Ensure that perishable goods are kept in the right condition or
alert
Benefits
Context Aware HealthcareMonitor Environmental Conditions
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 27
� AeroScout MobileView 4.0 to allow non IT end-users to perform asset tracking and temperature monitoring � AeroScout Wi-Fi tags with sensor capabilities and Cisco compatible� Aeroscout chokepoint for room level accuracy� FDA compliant solution
� Real time asset management� Equipment maintenance� Temperature monitoring� Patient & staff safety� Workflow and resources management
Leverage Wi-Fi infrastructure for temperature monitoring solution:� Regulatory compliance for ongoing and recorded temperature monitoring and stable storage of medications � Ensures patient safety by maintaining safe temperature ranges� Improved quality of care by freeing up caregivers time� Eliminates spoilage
Temperature Monitoring SolutionTemperature Monitoring Solution Product DescriptionProduct Description
Applications Applications BenefitsBenefits
Context Aware HealthcareA solution for temperature monitoring
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 28
Cisc
o M
edica
l-Gra
de N
etwo
rk
Security
Integration
High Availability
Predictability
Performance
Intrusion Detection and PreventionRogue Devices Detection
Guest Access
Wired and Wireless for QoSSecurity, and
Unified Communications
Failover RecoveryLoad Balancing
Network Infrastructure
802.11nSpectrum Analysis
QoS, Traffic ModelsVoice, Data, and Video BandwidthPlanning and Design Services
Secure Wireless in HealthcareComponent of the Cisco Medical-Grade Network
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 29
Secure WirelessNetwork and Data Security
Benefits� Provide physicians, nurses and administrators with secure
access to information and medical applications� Protect privacy of patient information � Maintain network security and prevent unauthorized access� Prevent unauthorized devices and unauthorized guest access� Maintain compliance with industry regulations—PCI and HIPAA
Keeping the Wireless Network Secure
Protect Confidential Data and
Transmissions
Detect Unauthorized Devices and
Network Attacks
Maintain PCI Compliance for Secure Wireless Transactions
MaintainHIPAA
Compliance for Health Services
� Cisco Unified Wireless Network� Cisco Mobility Services Engine (MSE)� Cisco Adaptive Wireless Intrusion Prevention System (wIPS)� Cisco Context-Aware Mobility Solution
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 30
Healthcare provider institutions are acutely challenged by budget limitations, labor shortages and quality of care issues. ICT innovation offers the opportunity to challenge these issues by enhancing mobility and communications between clinicians nurses and patients in order to improve patient outcomes and create clinical efficiencies.
Connected Hospital:Challenges and Opportunities
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 31