Fully Supporting Today’s Mobile Hospital
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FULLY SUPPORTING TODAY’S MOBILE HOSPITAL
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Transcript of Fully Supporting Today’s Mobile Hospital
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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