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© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 1

Connected Healthcare

Jerzy WysockiBusiness Development Manager - Healthcare Cisco Systems

© 2008 Cisco Systems, Inc. All rights reserved. 2

Agenda

1. Today’s healthcare challenges

2. How IT Can Create Opportunities out of Challenges? –Cisco Connected Health vision

3. Our Partners and joint solutions

4. Healthcare Applications – Case Studies


State of Healthcare – Europe

Constraints

� Security concerns

� Regulatory constraints

� IT budgets remain low

Trends and drivers

� Demographic shifts� Staffing shortages � Increased competition � Medical errors � Pan-European EU initiatives� Demand for improved service


Reduce Risk of Medical Errors – Why?

� Patients are exposed to serious health risk when admitted to hospitals

15-20% serious ”mishappenings”

Kermode-Scott, B. BMJ 2005;331:1100-a

Taking The Pulse Of Health Care Systems: Experience s Of Patients With Health Problems In Six CountriesCathy Schoen, Robin Osborn, Phuong Trang Huynh,Michelle Doty, Kinga Zapert, Jordon Peugh, and Karen DavisHEALTH AFFAIRS 3 November 2005


The Key Word – Efficiency

� 40% of the nurses time spent on coordination

� 8 minutes face-time per day per in-patient

� More than 50% time spent on non-care activities e.g. administrative work

� 4 hours/week : to look for medicalrecords

� Nurses walk on average 6 km per day(1.5 hours)

Source: Survey done at Arras Hospital in France


Patient moves faster than the information

Today‘s Clinical Workflow

21st Century technologies built on 19th Century Information Approach


Health IT Can Help

� Health IT spending lags other industries. Spending per full time employee remains relatively low and competes with medical technology and buildings.

� Care Delivery Organizations that adopt IT are frequently rated as high quality

� IT enabled organizations have better mortality rates

� Health IT adoption impact is high; requires networked systems for full impact to be felt


What’s Driving Healthcare Transformation

Security

Access Quality

Costs


Connected Health Vision

The Next Revolution

� Information drives patient-centric care that is safe, effective, and efficient

� This is Connected Health

.


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

The Connected Health Community


Challenges

� Costs/limited budget

� Access/wait times/patient experience

� Quality/patient safety

� Labor shortages

� Population Demographics:0- 5 & 60+

� Deploy IT to enable delivery of the right information at the point of care, so the right care can be delivered at the right time .

Connected Hospital: Challenges and Opportunities

Problem Resolution


CONNECTED HOSPITAL

Employers

Public Health Organizations

Laboratories

Pharmacies ConnectedClinicians

Social Services

Clinics

Emergency / First Responders

Suppliers

Gov’t and Private Payers

Home and Long-Term Care

Connected Hospital

� Interoperable

� Patient-centered, science based

� Integrated


Patient Experience, Aging Population, Cost Challeng es, Labor Shortages, Inadequate IT Infrastructure

Clinical Connection Suite

• Mobile Clinician• Location-based Services• Bedside Terminal

Bus

ines

sIs

sues

Connected Imaging (PACS)

• Secure Image Acquisition• Collaboration and Reporting• Performance Management

Clin

ical

A

pplic

atio

n

MedicalMedical --Grade NetworkGrade Network

Routing / SwitchingRouting / SwitchingMobilityMobility SecuritySecurity Data Data CtrCtr UnifiedUnifiedCommComm

ITA

rchi

tect

ure

Connected Hospital


StorageComputing for Imaging

and Data Centers

Mobility, LANS, WANS

Secure Image

Transfer

Collaborative Applications

Medical Grade NetworkSolid Architectural Foundation

Protected

VirtualizedNetworkServices

Resilient Responsive

Interactive

Components and CharacteristicsMedical Grade Network


A Day in The Life…The Cisco Medical-Grade Network

movie




• Mobile Clinician• Location-Based Services• Bedside Terminal• Collaborative Care


• Secure Image Acquisition and Access

• Collaboration and Reporting• Performance Management

Clin

ical

A

pplic

atio

n



Connected Hospital

ITA

rchi

tect

ure

Bus

ines

sIs

sues


2. Performance and Management

4. Collaboration and Reporting 3. Secure Image Access

1. Secure Image AcquisitionPACS - Application, Web, DB

Servers

RIS

Tape

DiskModalities

Interpretations

Dictation

Archives & Storage

MGN Network

Transcription

Medical-Grade Network

Referring Doctor

Exam Consult

Order

Results Clinical Review

Web Review

Connected Imaging




• Mobile Clinician• Location-Based Services• Bedside Terminal• Collaborative Care


• Secure Image Acquisition and Access

• Collaboration and Reporting• Performance Management

Clin

ical

A

pplic

atio

n



Connected Hospital

ITA

rchi

tect

ure

Bus

ines

sIs

sues


Nurse Call

Nurses' Station

Mobile NursePatient in Room

101


x1010Cisco SystemsCall ManagerIP Phone 792X

Clinical Connection Suite: Mobile Nurse


MobileClinician

Results Available

Lab Technician


Cisco SystemsCall ManagerIP Phone 792X

Lab Information System

Clinical Connection Suite: Mobile Clinician

…and across the hospital lab results can be accessed 75% faster.

….80 hours per day saved for the hospital overall.

Asklepios Hospital, Germany, Intel ROI study


Medical-Grade NetworkHealthcare Application Provider

WiFi Tags

802.11 End-PointsPDAs / LaptopsIP Phone 79XX

Cisco 2700 Wireless Location Appliance

Cisco 4400 Series Wireless Controller

Cisco Aironet Access Points

Clinical Connection Suite: Location-Based Services


BedsideTerminal• Radio

• Video on demand

• Mobile Nurse call

• Patient self service

• Menu of the day

• User survey

• Kiosk

• Internet

• Games

• EHR

• IP telephony or analogue• Facility control (light, temperature,

blinds..)


Healthcare Application and Industry Partners


AeroScout


Turning Visibility into Value

Track…current and

historical location of medical devices and people, from a

Web interface

Alert…automated alerting and notification (pump leaving a protected zone, overdue for maintenance, requiring

delivery, etc.)

Manage…the utilization of equipment, control the workflow and

utilize location data for operational

analysis

Integrate…location and status

information to existing hospital applications

(asset mgmt, ORIS, EMR, etc.)

AeroScout complete Wi-Fi-based visibility solutions use standard Wi-Fi networks to accurately locate assets, patients and staff, and utilize that location to deliver direct benefit:

Healthcare Business Challenges:Equipment utilization & control; Patient throughput ; Patient safety


AeroScout Visibility SolutionAeroScout MobileView• Track, alert, manage, integrate• Enterprise grade software and database, reports, event engine, alerts, visualization tools, integration to hospital applications

Location Engine• Locate thousands of assets• Real-time accurate location, chokepoint detection, sensor and telemetry data

Network Infrastructure• Cisco Wi-Fi Access Points• AeroScout Exciters – chokepoint devices

Tags• AeroScout T2 & T3 Tags• 4 years battery life, CCX compliant, water proof, temperature sensor, motion sensor, call buttons, tamper proof


movie


Imatis


• TV and Radio via IP

• Video

• Internet/ E-mail

•Telephone (VoIP)

• Access to hospital information system

• Lights control

• Nurse call system

• Console Games

Access for clinicians to the hospital information system via smart card

Nurse Call

Microphone / Head set

Speaker

USB HubSmartcard

IMATIS Bedside Terminal


Infrastructure ( Cisco Medical Grade Network, AD, Security etc ...)

IMATIS Platform and application framework• Presentation server

• Application server

•Database server

• Integration and orchestration server

• Tag Engine

• Location based services

• Instrument Link

• Digital Forms services

Patient Portal

• Access to Clinical Data• Patient Chart• EPR

• Patient Entertainment• Patient Room Control

Imatis Platform

Hospital Messaging

• Nurse call• Crash Team Assembly • Porter Services

Hospital Applications

• Asset Tracking• Digital Forms

Clinical Applications

• Patient monitoring• Lab/Radiology requests• Dictation


IP based Healthcare Solutions (Unified Communications)

Patient terminal

LAN/WLAN

IP converterESPA 4.4.4

MDA/PDA

PC Mobile phones(SMS/GSM)

IP wirelessphones

OPC, SMTP, SMNP

I/O signalconverter

Patient monitoringmedical equipmentImage integration

Location Based Services:WiFi tagsUltrasoundIP devices

Facilitycontrol

IMATIS®

Middleware HUBPACSEPREHCCharts /vital SignsLaboratory etc.

Nurses’PortalWhiteboard

GSM

Nurse call

PagerIP phones

Everything over IP – IP Everywhere -- Mobile Healthcare

Cisco Medical Grade Network


IMATIS Whiteboard (Nurse Station)• Department overview• Bed Status• Location Based Services• Nurse Call Status


Intel


Early and Effective Care

Wireless Convergence

Integrated Digital Hospital

Mobile Point of Care

Healthcare Usage Models Healthcare Usage Models

targeting Workflow Optimization, Quality of Care and Cost Reducttargeting Workflow Optimization, Quality of Care and Cost Reductionion

Standards based, Integrated, Standards based, Integrated,

High Availability, Medical GradeHigh Availability, Medical Grade ArchitectureArchitecturess


movie


Connected Hospital

Healthcare Applications – case studies


Customer Success: Karolinska University Hospital, Sweden

CHALLENGE

SOLUTION

• Single, converged Medical-Grade Network providing p oint-of-care communications and enterprise wide security

• Connected Imaging for fast image access and cost-effective VSAN storage

IMPACT

• Improve information sharing across many sites• Imaging systems segmented on separate networks• Growing image volume and size

• Increased productivity and patient satisfaction• Savings of thousands of dollars per patient • Support for multimedia applications


Challenge:• Inefficient use of equipment and people in a missio n critical ER environment

• A very distributed ER layout with 57 patient rooms

• The need to manage and track ER human resources

• Loss/theft prevention for expensive equipment

Solution:• Active RFID Tags

• Cisco Wireless Control System and 2700 Series Locat ion Appliance

Impact:• Significant savings from improved equipment use

• Increased efficiency and patient satisfaction—patie nts stay an average of 45 minutes less in the ER

• Maximized technology ROI by leveraging existing IT i nfrastructure

• Increased asset/staff utilization

Location-Based Services:Beth Israel


Location-Based Services:Bronson HealthcareChallenge:• Eliminate wasted time and costs searching for wheel chairs

• Protect asset investments by minimizing loss and ma ximizing use

• Meet the needs and exceed the expectations of every patient

Solution:• Cisco Unified Wireless Network and high-density Cis co Aironet® access points

• Cisco Wireless Control System and 2700 Location App liance for asset tracking

Impact:• Superior customer service, contributing to a positi ve, memorable experience

• Tagging 25 percent of wheelchairs eliminated tracki ng problems

• Gained a foundation for tracking other critical ass ets (IV pumps, dialysis equipment) in the future

• Savings of $28K per month using Location-Based Serv ices


Location-Based Services:Rockford MemorialChallenge:• Hospital productivity losses of nearly $1.5 million /year because of

asset mismanagement

• Delays in patient care due to lost or misplaced hos pital equipment

Solution:• Deployed Wi-Fi based asset tracking solution

• Leveraged existing Cisco WLAN infrastructure—no add itional hardware or readers required

• Initial production system tracks 600 assets with pl ans to add 1,000 assets per year for the next several years

Impact:• Cost and time savings from productivity improvement s—reduced

equipment rentals, fewer lost assets, and more time ly maintenance

• Increased ROI

• More efficient patient care


• Goal to increase productivity and improve co-ordination between different functions

• Cisco Unified Communications including voicemail, unified messaging, contact center functionality, and bedside terminals

• Building Automation systems converged into the Medical-Grade Network

• Cisco IP wireless phones used for receiving alarm calls

1000 beds covering over 65,000 people

“We believe that IP telephony is the future. Integrating telephony with other solutions opens up great opportunities. We’ll be using telephony for more than making calls” –

Tore Smevik, IT Strategist, St. Olav’s Hospital

St. Olavs Hospital, Norway


Bethesda Hospital, Budapest

� Wireless & RFID technology to track assets, patients (infants, contagious), and doctors

� Voice & IP Telephony for paging doctors & nurses

� E-Patient Records access using PDA’s and Tablets

� Distance learning applications

� Internet services for patients & families

� In partnership with local companies (T-Systems Hungary and local application developers)

Benefits:

� Significant reduction of costs

� Better managements of assets

� Increased patient satisfaction


Cable DSL Dial

Patients / MDs at homePatients / MDs at homeRetailRetailPharmaciesPharmacies

U N I V E R S I T YU N I V E R S I T Y

State / Fed AgenciesState / Fed Agencies

NationalHealth

InformationNetwork

SuppliersSuppliers

Organ donor /Organ donor /harvestingharvesting

Health InsurersHealth Insurers

Reference labsReference labs

HospitalsHospitals ClinicsClinics

EmployersEmployers

(( ))

ResearchResearch

UniversitiesUniversitiesUrgent Urgent CareCare

Long Term Long Term CareCare

Outpatient Outpatient CentersCenters

Connected Connected Health CoreHealth Core

Join the Journey…

connected healthcare - cisco · connected healthcare jerzy wysocki ... 4 hours/week : to look for...

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