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Power Quality Solutions for Medical Applications in the 21st Century

Chris Loeffler

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Current healthcare market drivers

Health Reform Act• Making health insurance more affordable

• 32 million more people covered

• New competitive health insurance market

• Health care facilities will have to be more efficient (frugal)

• Greater accountability

• Higher reliance on technology

• End discrimination against existing conditions

• Increased care required for those in need

Purpose: Help stabilize the budget and the economy

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Supporting the health reform act

EHR = Electronic Health Records

American Recovery and Reinvestment Act (ARRA)

• Investing $19 billion in computerized medical records that will help to reduce costs and improve quality while ensuring patients’ privacy

• $1 billion for prevention and wellness to improve America’s health and help to reduce health care costs

• $1.1 billion for research to give doctors tools to make the best treatment decisions for their patients by providing objective information on the relative benefits of treatments

• $500 million for health workforce to help train the next generation of doctors and nurses.

• The HITECH Act, part of the ARRA includes Medicare incentives for adoption and “meaningful use” of certified EHR technology

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Certification Commission for Health Information Technology (CCHIT)

Health Information Technology for Economic and Clinical Health (HITECH)

Policing the health reform act

The HITECH Act requirements are governed by:

• CCHIT - requires backup of 24x7 application operation that a UPS provides when integrated with the EHR system.

• Including a UPS is crucial to demonstrating meaningful use of an EHR system and thus eligibility for stimulus bill funding.

• Grants and Medicaid incentives begin in 2011 for those meeting the meaningful use clause.

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HITECH Act

HITECH Act Regulations

• 42 CFR: Parts 412, 413, 422 and 495

• 45 CFR: Subtitle A, Subchapter D

• Subchapter D – Health information technology

• PART 170 – Health information technology standards, implementation specifications, and certification criteria and certification programs for health information technology

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Additional legislation impacting healthcare

Public Law 104-191-Aug.21,1996• Health Insurance portability and accountability act of 1996

• Health care clearinghouse-The term 'health care clearinghouse' means a public or private entity that processes or facilitates the processing of nonstandard data elements of health information into standard data elements.

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What’s important: Create the Electronic Health Record via the digitization of patient data for real time access of lab, financial, imaging, and clinical documents, with unsurpassed security

Achieve IT transformation

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What’s important: Create a 21st century enterprise for healing that is able to serve an increasingly sophisticated and growing population

Replace aging facilities

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What’s important: Deliver quick and efficient outpatient and ambulatory services using the most advanced technologies available

Rising outpatient utilization rates

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What’s important: Provide large, comfortable single patient rooms which accommodate new technology required for changing levels of acuity

Provide healthcare hospitality

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What’s important: Make required investments in technology that improve operational efficiency and desired clinical outcomes

Keep pace with technology

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What’s important: Set the “Green” example for the community by maintaining an energy efficient and environmentally sustainable enterprise

S U S T A I N A B I L I T Y

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Healthcare

Operating Cost Efficiencies

EnhancedSafety

Risk Mitigation

Greater Reliability

Effective Use of Capital

Paralleling Switchgear

Systems Analysis

and Design

Automatic Transfer Switches

Generator Quick

Connect

UPS, power distribution,Enclosures,

software

Power Xpert

Software

Sustainability

UPS,surge strips

UPS,surge strips

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Standby generators aren’t enough…

UPSs clean the utility power ensuring pure, uninterrupted power during transition from utility to generator and back to utility.

Utility PowerOr Generator

Critical Systems

CleanPower

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Utility PowerOr Generator

3-phase UPS

3-phase UPS

DC Systems

DC Systems

Clean AC

Power

Clean AC

Power

Clean DC

Power

SoftwareSoftware Data Centers Diagnostic

Imaging

Clinical Lab equipment

Servers Networks Call/Patient

Monitoring

Telecom PBX Wireless Central Office

Comprehensive Power Quality solutions

ServicesServices

1-phase UPS

1-phase UPS

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Knowledge building tools (Interactive Hospital)

What’s important: IT systems typically represent 1/3 of a hospital’s capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

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Knowledge building tools (Interactive Hospital)

What’s important: IT systems typically represent 1/3 of a hospital’s capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

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Knowledge building tools (Interactive Hospital)

What’s important: IT systems typically represent 1/3 of a hospital’s capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

http://powerquality.eaton.com/About-Us/Markets/Healthcare/Interactive-Hospital.asp

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Powering nurses stations

What’s important: Protecting the IT systems used for patient data entry and communication, including IT / Computer systems, Computerized Physician Order Entry (CPOE) systems, and PoE phone systems

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Powering laboratory systems

What’s important: Protecting the analysis systems used for diagnosis of the patient data entry including Hematology analyzers, blood/gas analyzers, centrifuges, and PoE phone systems

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Powering imaging systems

What’s important: Protecting the imaging systems used for critical picture diagnosis of patient conditions including MRI, CT, X-ray, PET, Ultrasound Mammography, picture archiving and communication systems (PACS)

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Powering molecular imaging systems

What’s important: Protecting the vivo and in-vivo imaging systems used for diagnosis of patient conditions including florescence, bioluminescence, absorption or reflectance optical imaging, SPECT, PET and magnetic imaging

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Powering front office systems

What’s important: Protecting the patient records input systems used to admit patients capturing ailment reasons with billing and insurance information including: computer systems, telecommunication systems

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Powering EHR storage and transmission

What’s important: Protecting the data center / computer rooms used for gathering and safeguarding all the patients EHR data, and storing or transferring that data to meet the demands of 21st century healthcare facility

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Typical question about UPS systems

Do I need a medical grade UPS system?

• UL 60601-1 or EN/IEC 60601-1 rated systems are used for patient contact equipment

• Standards are written around patient safety

• Medical Devices (MD)

• In-Vitro Diagnostic Medical Devices (IVD)

• MD devices typically need to meet UL 60601-1

• Syringe pumps, artificial respirators, surgical lasers, patient monitors

• In Vitro Diagnostic Devices (IVD) do not

• Centrifuges, hematology analyzers, blood/gas analyzers, other lab equipment.

Most EHR equipment will fall outside these requirements

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Eaton powers healthcare technologies

Power management solutions and UPSs help assure the integrity of patient care by ensuring mission-critical diagnostic imaging, IT, clinical, and monitoring systems operate at optimum levels at all times.

• Trusted by key mission-critical organizations• Diagnostic imaging providers – GE Medical

Systems, Siemens Medical Solutions, Phillips & TomoTherapy

• Clinical lab vendors – J&J Ortho-Clinical Diagnostics

• Group Purchasing Organizations (GPO) – Premier, Inc., AmeriNet & Mercy Resource Management, Inc.

•Preferred vendor – Triad Hospitals

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Our experience

• Baptist Health System of Alabama • St. Vincent’s• Jackson Hospital• Healthsouth• Triad Hospitals• Children’s Hospital of Wisconsin• Harvard Medical School• UAB Health System• Charlton Hospital

…and 1500 more healthcare facilities

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• Eaton in Institutions

• Education and Training seminars

• Case studies and solution

brochures

• Content leadership, videos, media placement and print contribution

Professional advice and real world information

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Additional resources

• Power Quality (Uninterruptible Power Supplies / Power Distribution) healthcare portal - • www.powerquality.eaton.com/Healthcare

• Eaton Electrical overall healthcare portal -• www.eaton.com/EatonCom/Markets/Electrical/Markets/Institutions/Healthcare

• Eaton interactive hospital -• www.powerquality.eaton.com/About-Us/Markets/Healthcare/Interactive-Hospital.asp

• Eaton healthcare guide –

www.powerquality.eaton.com/Healthcare Includes qualifying questions to help healthcare providers determine a solution

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Where to start

• Familiarize yourself with the data input, storage and transmission needs for meaningful use

• Investigate suppliers that can support the equipment needed to accomplish meaningful use

• Call in experts from companies currently supporting the healthcare industry, who can help you determine what products make sense

• Reap the benefits of meeting or exceeding the meaningful use clauses, and enter the 21st century

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• Eaton has a long history of technology leadership to give you the best power protection

• Trusted solution provider with over 1500 hospital installations

• Understands healthcare needs and partners with key healthcare-critical organizations such as GE Medical Systems and Siemens Medical Solutions

• The most complete line of power protection, distribution, metering and monitoring hardware and software to fit your 21st century needs

• A world-class service organization to provide you the peace of mind

Summary

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Contact information

www.powerquality.eaton.com

Phone: 1-800-356-5794

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