Innovations for Advancing Healthcare: Real-Time Mobility and Collaboration  Chris TolmieUnified Communications Marketing

The Issues Facing Healthcare Globally…1. Growing Demand for Healthcare

as Baby Boomers come to age

2. Shortage of Staff Demand and Supply Gap for physicians and nurses

3. Increase in Wait Times

4. High Medical Errors Lack of data available and collaboration at the right time

5. Increasing Cost / Reducing RevenuesGlobal Healthcare expenses for 2007 £3.0 Trillion and growing now budgets are being cut

Healthcare providers are focused on improving efficiency of their limited staff and resources, reducing errors,

and improving capacity to match increase in demand2

Keeping Track of Expensive Assets in a dynamic and pressured environment

Asset Management Challenges

• Nurses spend up to >60min/shift looking/waiting for stuff• Equipment inventories are at least 25% too high• Lost and stolen equipment rates are unknown and not traceable• Equipment delays reduce outpatient through-put by 5-10%• Unknown equipment utilization drives mis-match in inventory to need

You can’t use them if you can’t find themKeeping duplicates and extras is a significant cost driver

3

The Advisory Board, RFID data

5

WLAN 2382(part of core

network)

Wireless APs (part of core network)

LAN

Location and Positioning

Engine

Asset Management

RFID Badges

RFID Tags RFID Soft-

Clients

End-to-end solutionincluding communications enablement

Tags, Badges or Clients (Ekahau) Identifies assets, inventory or people to be tracked. Soft Clients for many devices,

such as: Nortel wireless handsets, handheld RFID / barcode scanners, PDAs, laptops

Location and Positioning Engine (Ekahau) Calculates the current placement of assets, inventory or people

Asset Management software

Provides a holistic view - policy engine drives automated actions/alerts based on user rules

Dispatch and Transport software Time-saving streamlined workflow provides effective collaboration between staff

Archived data for performance metrics.

UC Integration (Nortel) Click-to-call GUI, generates event messages based on business rules

ServicesComplete service suite for life cycle of Asset Tracking & Management: design/deploy, implementation, training, support along with WLAN expansion and site survey services

Future Nortel ACE/WiSP software Business logic & higher-level location capabilities

Tags, Badges or Clients (Ekahau) Identifies assets, inventory or people to be tracked. Soft Clients for many devices,

such as: Nortel wireless handsets, handheld RFID / barcode scanners, PDAs, laptops

Location and Positioning Engine (Ekahau) Calculates the current placement of assets, inventory or people

Asset Management software

Provides a holistic view - policy engine drives automated actions/alerts based on user rules

Dispatch and Transport software Time-saving streamlined workflow provides effective collaboration between staff

Archived data for performance metrics.

UC Integration (Nortel) Click-to-call GUI, generates event messages based on business rules

ServicesComplete service suite for life cycle of Asset Tracking & Management: design/deploy, implementation, training, support along with WLAN expansion and site survey services

Future Nortel ACE/WiSP software Business logic & higher-level location capabilities

Location GUI

UC

Nortel Asset Tracking & Management UC Enabled

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Communications-enabled Map Portalfor locating People & Assets Map-enhanced

Communications Portal for reaching People

Location enhanced Presence:• Location (mapping) information

within OCS PresenceBenefit:

• Visibility to detailed location information for key resources – such as task assignment

Communications Enabled Asset Management:

• UC services (click to communicate) within Asset Management solution

• Asset Management alerts sent directly to UC clients

Benefit:• Efficiency through direct access to

communications services

ROI Impact of Asset management (400 bed hospital)• Detailed models included in back-up slides

Nursing Team

• Reduce time nursing spends “looking” for equipment by 2% >£250K/yr salary

Biomed Equipment needs

• Reduce lost and misplaced equipment & excess inventory £300k/yr CAPEX

Facility Capacity

• More efficient equipment location improves facility through-put >£500K/yr through patient throughput

(reduce out patient procedure time by 2 minutes)

Biomed / Support teams

• Reduce team used to “find” equipment from 5 to 2 >£30k/yr salary

Utilize Expensive Assets More EfficientlyFind expensive assets immediately when you need them

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Accomplish more with less through efficient asset utilizationROI is less than a year!

Asset Management fully integrated with mobile communications delivers improved utilization of clinical devices, improved staff efficiency and reduced spend on unnecessary equipment

Memorial Hospital at Gulfport

“Precise coordination of staff, patients and equipment is critical to providing the best possible care," said Richard Ferrans, MD, vice president and medical information officer, Memorial Hospital at Gulfport. "Now with Nortel's healthcare mobility solutions, we can automatically provide clinicians with lab results, patient status and other information. This promotes faster diagnosis and treatment and improved patient safety.”

Industry Segment: HealthcareRegion: North America (USA)

• Asset Tracking and Management Solution improves efficiency by providing real-time location and status information on equipment and patients., reducing loss by 40 percent while streamlining patient workflow up to 20 percent.

• The solution allows dispatching diagnostic and life-saving equipment to the point of need faster and easier, while maintaining inventory and lowering rental cost by approx. 25%.

• Collaborative Clinical Solution combines unified communications with this same real-time location to automatically direct alerts and information from clinical systems to clinicians' mobile devices or nearby phones. Clinicians get the information they need quicker.

Solution Components:

RFID tags, WLAN Access Points, LAN/WLAN, Syntrack Asset Tracking Software, Wireless Application Gateway, CS1000, MCS 5100, WLAN Handsets / IP Phones, Wireless IP Solutions and Integration & Global Services

Memorial Hospital at Gulfport is saving critical time, providing safer environment and enhancing productivity to improve care, with innovative healthcare solutions built on Nortel’s unified communications technology & network managed services

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The Smarter Hospital VisionDriven by Digitization of Healthcare

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Mobile accessin and out of facility – to

get information to the point of care

Mobile accessin and out of facility – to

get information to the point of care

Automation of business processes – drive efficiency gains

Automation of business processes – drive efficiency gains

Smart alerts and alarms – right message to right

person

Smart alerts and alarms – right message to right

person

Asset utilization & Real-time location to improve capacity /

efficiency and staff safety

Asset utilization & Real-time location to improve capacity /

efficiency and staff safety

Communications enabled Clinical

Processes - adding Unified Communications

with context to portals

Communications enabled Clinical

Processes - adding Unified Communications

with context to portals

Staff & Patient communications for

services – portals and user services

Staff & Patient communications for

services – portals and user services

Security - Information Protection to ensure privacy compliance

Security - Information Protection to ensure privacy compliance

The Smart Hospital

Communications is mandatory to enable the Massive Digitization Communications is mandatory to enable the Massive Digitization of Healthcare Processes & Workflows that is the future of Healthcareof Healthcare Processes & Workflows that is the future of Healthcare