FULLY SUPPORTING TODAY’S MOBILE HOSPITAL

AGENDA

Secure text messaging

The current state of mobility Tools to manage mobility

WHAT YOU’LL LEARN

• Hospitals are still wrestling with how to incorporate mobile devices into clinical workflows–Most support a myriad of different devices

with equal parts BYOD and hospital-owned• Creating a mobile strategy and

implementing tools to support it is key to deriving value from mobile devices

• Secure text messaging can play a significant part in enabling a mobile strategy

THE CURRENT STATE OF MOBILITY

SPOK ANNUAL MOBILITY SURVEY

Designed comprehensive survey Issued in June 2015 Collected 450 responses

WHICH TYPES OF MOBILE DEVICES DOES YOUR ORGANIZATION SUPPORT?

*Responses included voice badges, radios, and laptops

WHAT TYPES OF SMARTPHONES DOES YOUR ORGANIZATION SUPPORT?

WHAT PERCENTAGE OF DEVICES ARE PERSONAL VS. HOSPITAL-ISSUED?

DOES YOUR ORGANIZATION CURRENTLY ALLOW SOME FORM OF BYOD?

WHICH STAFF MEMBERS ARE ALLOWED TO PARTICIPATE IN BYOD?

TOP DRIVERS?

TOP BYOD DRIVERS AND CHALLENGES?

TOP CHALLENGES?

IF YOU ALLOW BYOD, DO YOU HAVE A DEFINED POLICY?

WHAT AREAS DOES YOUR POLICY COVER?

DOES YOUR HOSPITAL USE A MOBILE DEVICE MANAGEMENT (MDM) SOLUTION?

DOES YOUR HOSPITAL USE A SECURE TEXTING SOLUTION?

TOP DRIVERS FOR SECURE TEXTING?

The mix of devices remains diverse1

BYOD remains popular, but many hospitals do not have a policy2

Most hospitals still do not use EMM/MDM tools3

Secure texting is in about half of hospitals and growing 4

Top mobility drivers: improved workflow, better communication5

KEY TAKEAWAYS

TOOLS TO MANAGE MOBILITY

PILLARS OF MOBILE STRATEGY

CREATE A MOBILITY

COE

1DEFINE MOBILE

SERVICES

2DEVELOP A

BYOD PROGRAM

3IMPLEMENT

AN EMM SOLUTION

4

DEPLOY SECURE TEXT MESSAGING

5

THE MOBILITY CENTER OF EXCELLENCE

• Isolate the vision for mobility• Identify mobile projects and initiatives• Take a mobile inventory• Develop policies for compliance• Ensure mobile is integrated• Discover and share best practices• Involve appropriate stakeholders• Develop app and virtualization strategy• Define what devices will be included• Assist in defining IT mobile services

*2014 statistics

DO YOU HAVE A DOCUMENTED MOBILITY STRATEGY AT YOUR HOSPITAL?

DEFINING MOBILE SERVICES

• Strategic hospital initiative

Business strategy

DO YOU HAVE A BYOD POLICY?

“BYOD remains popular, but many hospitals do not have a policy”

Eligibility

Expense Allocations

User Roles and Responsibilities

Security and Feature Management

IT Involvement

Penalties and Sanctions

User Agreement

BYOD POLICIES

ENTERPRISE MOBILITY MANAGEMENT

DO YOU USE MDM?

“Most hospitals still do not use EMM/MDM tools”

DEPLOYING AND INTEGRATING MOBILE APPS

Nurse Call

Critical Lab Results Patient Monitoring

EMR system

Exchange

Secure messagesPatient alarmsLab results

Medical recordsHospital emailsSchedulesHospital contactsDrug reference

SECURE TEXT MESSAGING

SECURE TEXT MESSAGING

“Secure texting is in about half of hospitals and growing”

SECURE TEXT MESSAGING

TOP DRIVERS FOR SECURE TEXTING?

HIPAA-Compliant Messaging of patient health information

Auditable messaging records archive

Encryption

BASICFUNCTIONALITY AND BENEFITS

BASIC VENDORS MENTIONED BY PROVIDERS

AlertMDAmerican MessagingAMTELCOAT&TAvayaCellTrustCisco

Doc HaloDocbook MDEverbridgeHiplinkIodineLuaMicrosoft Lync

MTSIMutareNotify.comqliqSOFTTigerTextVerizon

Other functionality and benefits: mobile and desktop application, communication between clinicians (e.g. nurses, physicians), pager replacement, Active Directory, and photo and voice capabilities

BASIC SECURE TEXT MESSAGING

Quieter hospital environment (e.g. alarm routing, reduced paging and phone calls)

Improve clinical efficiency through interfaces

Rules engine for messaging hierarchy

STRATEGICFUNCTIONALITY AND BENEFITS | BEYOND BASIC CONSIDERATIONS

STRATEGIC VENDORS MENTIONED BY PROVIDERS

AscomAthenahealthCernerDrFirstExtension Healthcare

Practice UniteSpokTelevoxVoalteVocera

ImprivataM2 Information SystemsMobile HeartbeatPerfectServePatientSafe Solutions

Other functionality and benefits: device consolidation (e.g., COW, pagers, wireless phones, BCMA, specimen collection, lactation, bloodwork), better patient specific communication across the continuum of care, MDM oversight, policy creation, securely enabled BYOD, improved hospitalist workflow, bed-flow housekeeping and communication in transitions of care, documentation capabilities on mobile device, surveillance, telemonitoring, mobile waveform, and mass messaging (e.g., code blue, natural disasters, etc.).

✔

STRATEGIC SECURE TEXT MESSAGING

DEVICE DIVERSITY

PAGERS

REMOTE MONITORING DEVICES

WI-FI DEVICES

SMARTPHONESTABLETS & WEARBLES

“The mix of devices remains diverse”

Coverage

Cost Culture

Continuity

A HOLISTIC MOBILE STRATEGY: SECURE PAGERS

CLINICAL SYSTEMS INTEGRATION

IMPROVING CLINICAL EFFICIENCIES THROUGH INTERFACES

NURSE CALL

TELEMETRY

VENTILATOR

MODES OF INTEGRATION• SMTP• HL7• API• URL

CLINICAL SYSTEMS INTERFACES

STAFF MEMBERS

PAGERS

REMOTE MONITORING DEVICES

WIRELESS TELEPHONY

SMARTPHONESTABLETS & WEARBLES

CRITICAL TEST RESULTS

Results are sent immediately to the physician’s device and

includes audit trail

Results are critical. The patient’s physician

must be notified

Physician recommends patient has chest x-ray

Attending physician takes immediate action

Results are entered into Spok

WITH

BED MANAGEMENT

System logs message receipt and acceptance

Nurse receives and acknowledges message

Patient is admitted Admissions staff updates ADT system

Nurse completes assessment

WITH

Nurse Call Request:7523

Thx!

Ms Avery 523 requesting more pain control

I’ll enter an order

Nurse messages attending physician for instructions

Nurse calls patient to determine need (pain)

Patient presses nurse call button.

Notification is automatically sent to

nurse’s smartphone with patient’s room number.

Patient receives medication quickly

NURSE CALL

WITH

Nurse and team arrive in patient room quickly and

begin defibrillation

Nurse receives urgent priority

V-fib alarm on smartphone and calls for staff

assistance on the way to patient room

Patient monitor V-fib alarm

goes off

WITH

PATIENT ALARMS

Urgent:V-Fib alertRoom 203

Biotech engineer able to quickly replace battery without Nurse or other

resources being disrupted.

Biotech engineer receives notification via Spok Mobile to replace the

battery.

Patient monitor low on battery, goes into alarm

WITH

MEDICAL DEVICE ALARMS

Replace battery in patient heart monitor, room 234A

WORKFLOW MANAGEMENT

ON CALL CALENDARS

DEVICE PREFERENCE ENGINE

Spok® Device Preference Engine (DPE) empowers clinicians to control how and when they receive messages based on their communication preferences and escalation protocols.

Dr. Wise

For urgent messages only call my cell phone

If I don’t respond in 2 minutes, escalate to Dr. Jones

Escalate

Dr. Jones

For normal messages first try my Spok Mobile device; after 5 minutes try my pager

AUTOMATING CARE COORDINATION

MODES OF INTEGRATION• SMTP• HL7• API• URL

ESCALATION

ON CALL

NURSE CALL

TELEMETRY

VENTILATOR

CLINICAL SYSTEMS INTERFACES

STAFF MEMBERS

PAGERS

REMOTE MONITORING DEVICES

WIRELESS TELEPHONY

SMARTPHONESTABLETS & WEARBLES

END-TO-END AUTOMATION

Patient is admitted Admissions staff updates ADT system

WITH

System looks up on call nurse, Nurse Smith, and finds Nurse

Smith’s messaging rules

System automatically sends a secure text message to Nurse

Smith’s iPhone.

After 2 minutes of no response, system sends a secure message

to Nurse Smith’s pager

After 2 more minutes of no response, system automatically looks up on call backup nurse,

Nurse Phillips

System sends secure text message to Nurse Phillips –

Nurse Phillips acknowledges the message and responds

IMPACT OF SECURE TEXTING ON WORKFLOW EFFICIENCY

2%

13%

85%Improved Workflow

Efficiency

Reduced Workflow Efficiency No Impact On Workflow Efficiency Improved Workflow Efficiency

“Top mobility drivers: improved workflow, better communication”

MESSAGING PRODUCTS VS WORKFLOW SOLUTIONS

NURSE CALL

TELEMETRY

VENTILATOR

MODES OF INTEGRATION

• SMTP• HL7• API• URL

DIRECTORY

ON CALLCLINICAL SYSTEMS

INTERFACES

STAFF MEMBERS

PAGERS

REMOTE MONITORING DEVICES

WIRELESS TELEPHONY

SMARTPHONESTABLETS & WEARBLES

KEY TAKEAWAYS

• Hospitals are still wrestling with how to incorporate mobile devices into clinical workflows–Most support a myriad of different devices

with equal parts BYOD and hospital-owned• Creating a mobile strategy and

implementing tools to support it is key to deriving value from mobile devices

• Secure text messaging can play a significant part in enabling a mobile strategy

ADDITIONAL RESOURCES

WWW.SPOK.COM/RESOURCES

SPOK COMMUNITY spok.com

WWW.SPOK.COM

THANK YOU!

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