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© 2005 Cisco Systems, Inc. All rights reserved. IBSG - 1Cisco Confidential
“Transforming Healthcare Through Innovations and Technology”
Cisco Healthcare Web CastOctober 11, 2005
Jeffrey Rideout, MD, MA, FACPVP, Internet Business Solutions Group & Corporate Medical Director
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2003 Estimated Total Spending = $1.68 Trillion
($B)
Source: CMS, Office of the Actuary, National Health Statistics Group, Annals of Internal Medicine, 2003
$3000
$2500
1980 1995 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
ACTUAL PROJECTED
$2000
$1500
$1000
$500
$0 0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
GDP Share
• Redundant testing• Unnecessary hospital admissions• Medical errors• Manually handled paperwork
30% Average Annual Waste
U.S. Healthcare Costs as a Percentage of Gross Domestic Product (GDP)
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Poor Quality and Access
• Preventable errors…6th leading cause of death
• Evidence-based care… ½ time
• Reliability is worse than airline baggage handling
• 45M Americans uninsured… 28% of US workforce by 2013
Source: Henry J. Kaiser Family Foundation, 2004; Institute of Medicine
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Historically Low IT Spending
Education Services
Farms
Construction
Source: McKinsey Global Institute, U.S. Productivity Growth 1995–2000 (1999 data)
Bottom 5 Industries
$618
$885
$1030
$1103
Securities $15,606
Amusement andRecreation Services
Insurance(Includes Healthcare) $3276
Aggregate IndustryAverage $8000
Health Services $1156
Annual U.S. IT Spending per Employee
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Connected Health Vision Defined
Information driving care that is safe, timely, effective, equitable, efficient and patient-centred, safe
This is Connected Health
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Cisco’s Healthcare Mission
• Cisco will serve as a transforming and unifying agent for Connected Health throughout the world
• Cisco will catalyze the deployment and adoption of medical grade networks to improve citizen health and wellness, safety, access, productivity, affordability and the overall quality of healthcare
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The Connected Health Community
Connected Hospital
Connected Clinician
Connected Health Information Exchanges
Connected Life Sciences and
Research
Connected Health
Authorities
Connected Patient
Connected Public Health
Connected Funder
or Payer
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Projected Quality and Savings Impact Is High
Ease of Technology Implementation
HIGHHIGH
HIGHLOW
Disease Disease Management,Management,
Remote Patient Remote Patient MonitoringMonitoring$32.1B$32.1B3,53,5
Sources: 1. Center for IT Leadership, 2003; 2. American Health Quality Association, March 2004; 3. New England Healthcare Institute; 4. National Center for Policy Analysis; 5. Cisco analysis, April 2005
PhysicianPhysician--Patient Patient
MessagingMessaging$7.6B$7.6B3,53,5
BarcodingBarcoding$4.7B$4.7B22Electronic Electronic
Intensive Care Intensive Care UnitUnit
$8.0B$8.0B3,53,5
Ambulatory CPOE and Ambulatory CPOE and Electronic Health Record Electronic Health Record
(Standalone)(Standalone)$44B$44B11
Electronic Electronic PrescribingPrescribing
$29B$29B44
Total Savings = $280 Billion
Qua
lity
and
Safe
ty Im
pact
Inpatient CPOEInpatient CPOE$43.7B$43.7B3,53,5
Ambulatory Ambulatory Electronic Health Electronic Health
Records Records (Interoperable)(Interoperable)
$78B$78B11
Electronic Claims Electronic Claims and Eligibilityand Eligibility
$62B$62B55
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Benefits of Cost Reductions$280 Billion in Annual Savings Is Enough to…
• Cover all the uninsured in America
• Offset more than half of the $515 billion in wasted healthcare spending in 2004
• Reduce healthcare as a percentage of the total U.S. GDP from 15.3% to 13.0%
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Projected Quality and Savings Impact Is High
Ease of Technology Implementation
HIGHHIGH
HIGHLOW
Disease Disease Management,Management,
Remote Patient Remote Patient MonitoringMonitoring$32.1B$32.1B3,53,5
Sources: 1. Center for IT Leadership, 2003; 2. American Health Quality Association, March 2004; 3. New England Healthcare Institute; 4. National Center for Policy Analysis; 5. Cisco analysis, April 2005
PhysicianPhysician--Patient Patient
MessagingMessaging$7.6B$7.6B3,53,5
BarcodingBarcoding$4.7B$4.7B22Electronic Electronic
Intensive Care Intensive Care UnitUnit
$8.0B$8.0B3,53,5
Ambulatory CPOE and Ambulatory CPOE and Electronic Health Record Electronic Health Record
(Standalone)(Standalone)$44B$44B11
Electronic Electronic PrescribingPrescribing
$29B$29B44
Total Savings = $280 Billion
Qua
lity
and
Safe
ty Im
pact
Inpatient CPOEInpatient CPOE$43.7B$43.7B3,53,5
Ambulatory Ambulatory Electronic Health Electronic Health
Records Records (Interoperable)(Interoperable)
$78B$78B11
Electronic Claims Electronic Claims and Eligibilityand Eligibility
$62B$62B55
Clinical Connection
Suite
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Cisco Healthcare Vision
• IT can drive significant quality, safety and productivity gains in healthcare as it has in other industries
• Connecting the multiple entities in healthcare using interoperable standards is the key to transformation
• Global economies cannot support the projected increases in healthcare costs- the time is nowfor action
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“Introducing Cisco Clinical Connection Suite”
Cisco Healthcare Web CastOctober 11, 2005
Kent Gray, Global Healthcare Solutions Lead
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Clinical Connection Suite
Patient Safety, Quality of Care, Patient Satisfaction, Cost Challenges, Staff Satisfaction, Regulatory Compliance
MedicalMedical--Grade NetworkGrade Network
Clinical Connection Suite• Nurse Call• Patient Monitoring• Collaborative Care• Location-Based Services
Bus
ines
s D
river
sN
etw
ork
Tech
nolo
gies
Bus
ines
s So
lutio
ns
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Nurse Call
Alert / Notification Gateway
Nurse Call
Nurses' Station
Roaming Nurse
Patient Room
Medical-Grade Network
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Patient Monitoring
Nursing Station
Roaming NursePatient Room
Medical-Grade Network
Medical DevicesPhilips MedicalDrager Medical Systems
Alert Notification GatewayEmergin Wireless OfficeGlobestar Connexall
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Location-Based Services
Medical-Grade Network
Nursing StationPango LocatorAeroscout MobileView
WiFi TagsAeroscoutPango
802.11 DevicesPDAs/ LaptopsCisco 7920
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Collaborative Care
Medical-Grade Network
Cisco SystemsMeetingPlace CallManagerVT Advantage
Video Conferencing
Traditional Phone
Cellular
IP Telephony
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Global Clinical Connection SuitePartners
CollaborativeCare
Location-BasedServices
Patient Monitoring
Integration Partners
Nurse Call
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Key Partners
Michael McNealCEO
Michael McGuinessPresident & CEO
Joe D’IorioNorth American Healthcare Manager
Allison StegichHealthcare Marketing Mgr.
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Bottom Line
Capabilities:• Extend communication capability of
industry’s leading clinical alert / notification systems
• Streamline communications through an integrated medical grade network
Impact:• Improve staff efficiency
• Enhance quality of care
• Reduce capital / operating costs
• Increases patient / employee satisfaction
© 2005 Cisco Systems, Inc. All rights reserved. IBSG - 22Cisco ConfidentialPresentation_ID 222222© 2003 Cisco Systems, Inc. All rights reserved.
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• 547 bed Academic Medical Center
• Primary teaching affiliate of BU school of medicine
• Largest Level 1 trauma center in New England
• Mission : to provide exceptional care without exception
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• 28,000 Admissions
• 875,000 Patient Visits
• 100,000 Emergency Room Visits
• 80,000,000 in Research Spending
• 42 Residency programs – 620 Residents
• 1,000 Physicians
• 1,400 Nurses
• 4,700 Employees
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• 3.5 million square foot facility
• 32 buildings on campus
• Almost 1 million square feet “ Wired for Wireless”
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Business Problemout of date nurse call system
inefficient communications
opportunities to improve workflow
“silo” based or “closed”systems dominate the landscape
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SolutionRauland-Borg nurse call systemEmergin Orchestration EngineCisco converged network -
wireless VOIP (7920 phones)
XML based open standard system
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ResultImproved staff productivity
Increased patient satisfaction
Agile foundation to leverage further integration
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The Next StepsThe Next Steps
Converged Cisco IP network
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Wireless Asset Tracking
Wireless Asset Tracking
October, 2005October, 2005
Presenters:Brian Lindsey/Nancy Radcliff/Brett MelloPresenters:Brian Lindsey/Nancy Radcliff/Brett Mello
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Business Driver
The EnvironmentCommunity-owned, not-for-profit healthcare system located in Southwest Michigan with 343 beds and over 4000 full- and part-time employees
The ProblemWheelchair loss/theft
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Business Value
The Solution• Phase 1 – Wheelchair Tracking using Cisco Wireless LAN with integrated
Location-Based Services throughout entire campusCisco Wireless LAN (LWAPP) and WCS
Cisco 2700 Location Appliance
The Result• Customer service representatives can quickly and easily locate
wheelchairs and return them to patient entrances to improve service quality
• Real-time location services reduces asset loss to improve service quality and bottom line results
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www.bronsonhealth.comwww.bronsonhealth.com
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