Impact of VRI use in Healthcare
Stratus Video
The Leader in On-demand Video Remote Interpreting
Connect to a live interpreter in less than
30 seconds.
Nationwide Children's Interpreting Services
Dan Gatti
Tony Bradshaw
1
Objectives
• Technology will always improve skills of interpreters

This presentation will make you aware of new technology and impact on healthcare
• How can on demand video can help meet the register of the patient

Not all video is the same
• How does the cloud help interpreters?
 What is available in social networking to improve skills?
 Are they secure?
• How do we take the mystery out of technology?


Establish standards, train and educate interpreters.
How will iPads, Smart Phones, Tablets and wireless PCs impact interpreting?
• What are the issues/ best practices for interpreters adapting new technology?

How do supervisors work with hospital administrators and IT departments?
• Privacy, security and network integrity become very important.
 As they strive to be HIPPI compliant.
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Language Service Provider Market
26,000 companies - $13B revenue
65% have between 2 and 5 employees
25% have between 5 and 20 employees
Source: Nataly Kelly-Common Sense Advisory
Interpreting Dynamics
• Largest cost is scheduled interpretation (in person)

Typically 2 hours plus travel
• Over the Phone (OPI) largest volume.


Specialized phone with two handsets
Difficult to meet the register of the patient
• Video Remote Interpreting (VRI) requires skill and training
 Medical terminology much more difficult
 Training, More Training, Practice, Practice, Practice
• How do we take the mystery out of technology?


Establish standards, train and educate interpreters.
How will iPads, Smart Phones, Tablets and wireless PCs impact interpreting?
• What are the issues/ best practices for interpreters adapting new technology?

How do supervisors work with hospital administrators and IT departments?
• Privacy, security and network integrity become very important.

As they strive to be HIPPI compliant.
4
Technology Today
New Terminology (Something as a Service)
• What is a Cloud?
 Google Mail
 All kinds of Devices connect to the cloud
• Doximity

social network for healthcare professionals
• WebMD

Timely health and medical information
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IT Challenges
• Wireless everywhere
Public and Private
• Virtual Private Networks (VPN)
• Security
• Encryption
• HIPAA
• iPads
• Video
Legacy devices
SIP
H.323
• Firewalls
Network Engineer opening Firewall
“Hey You, Get off of my Cloud”
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Changing Technology Shapes the Industry
• There are all types of technology providers including:
Language Service Providers
Processor manufactures like Intel
Computer companies like IBM, HP, Dell
Audio Visual providers (AV)like Williams Sound
Telecommunications companies like AT&T or Verizon
Networking companies like Cisco and Juniper
Video Phone companies Polycom and Tandberg
Video Remote Interpreting companies like Stratus Video
System Integrators like Cerna
Modality companies like GE, Siemens
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ODI- On Demand Interpreting
Nationwide Children's Interpreting Services
Connect to a live interpreter in less than
30 seconds.
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Stratus Video a ZVRS Company
• Process 40,000 Video Calls Every Day

50,000 active users on the network
• 400+ Certified Interpreters (ASL, Spanish & Portuguese)

24X7X365
• On-Demand

Connects to Live Interpreter via Video in less than 30 seconds
• Supports any platform
 iPad, Tablet, PC, Mac, iPhone, Android
 All Legacy Video Phones, Polycom, Tandberg, Lifeline
• Leveraged ZVRS’ video technology
• Industrial strength redundant Video Telephone Network

Just like Verizon and AT&T
• 54 Million Video Calls Per Year
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Software Works Across All Common Platforms
• PC or MAC
• iPhone and iPad
• Smartphone and Tablet
• Polycom and other Video
Android
Connect over Wi-Fi, 3G, 4G or LAN
Rolling Cart
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Bedside Technology
ODI
interpretation
iPad or Tablet
Intelligent
Monitors
at bedside
• Intelligent
Monitors
•
Access
Audio
Visual
providers
your
patient
record(AV)like
Williams Sound
• 
SeeTelecommunications
medication
companies
like AT&T or Verizon
• Order from pharmacy
 Networking companies like Cisco
and Juniper
• Select food
• Video Phone companies Polycom and
• TandbergIntelligent
Internet access Monitors
• Interpretation available
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Every device should connect the same way!
Call Flow for VRI and OPI
1. Patient/Nurse/Dr. selects
language option on
touch-screen
1
2. Client (ODI) calls
Interpreter
– Answers in less than
30 seconds (24x7x365)
Patient
Doctor/Nurse
Other VRI
Interpreters
OPI Partner
2
Stratus
ASL
ASL Interpreters
Interpreters
Stratus
Spanish
Spanish
Interpreters
Interpreters
OPI Interpreters
Other Languages
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Hospital Call Center
Overflow from Call Center
1.Patient/Nurse/Dr. selects
language option on
touch-screen
2. Call routed to Video Call
Center
3. Call overflowed to VRI
if required
- extends resources
- any time of day
- any day of week
1
Patient
Doctor/Nurse
Video Call Center
2
Other VRI
Interpreters
OPI Partner
3
Stratus
ASL
ASL Interpreters
Interpreters
Stratus
Spanish
Spanish
Interpreters
Interpreters
OPI Interpreters
Other Languages
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What to expect from VRI Interpreter
Features
1. Name and identifier #
-Kat 7511
2. Window in Window
-Can be moved
3. Privacy Window
-Close view from Interpreter
4. Audio Control
-Mute
5. Digital Whiteboard
Video Interpreting requires training to meet register of patient
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Over 400 Highly Qualified On-Demand Interpreters
• US Citizen
• At least 3 years interpreting experience
• Stratus Employee in Call Centers.
National Certifications
• Completed medically accredited training.
• Hold national or state equivalent
certification
• Achieved 4.0 CEU RID certification.
• NIC, NIC Advanced, or NIC Master,
RID CI, CT, IC/TC, CSC,
SCC:L or MCSC
• NAD Level IV or V
• ACCI Level IV or V,
• Texas BEI-3 or higher
• Provided over 100 hours of interpreting
services in a medical environment.
• Have processed in excess of 1000
medically related video calls
• Adhere to Professional Code of Conduct
• HIPAA Certifiedf Ethics
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Interpreter Call Center Work Area
• Purpose built for Interpreters
• Customized software video phone client
specifically designed for the interpreter
• Same configuration everywhere


HP Elite 8200 (dual monitors 19” and 22”)
Web Cam
Screen
Agent
Information
Larger monitor for administration
• Ergonomic Design


Table moves up and down
Quiet
Stratus can build same configuration for you
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26 Stratus Call Centers
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Redundant Nationwide Video Telephone Network
Private HIPAA Compliant Secure Network
over 3 years interoperability with Cisco
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What’s an Interpreter to do?
It’s not what you know that makes the difference. It’s what
you DO with what you know that makes the difference.
 ” Dr. Julie White
Learn technology
“Interpreters will never be replaced by technology,
they will be replaced by interpreters who use technology.”
Make a friend with IT
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ODI- On Demand Interpreting
Nationwide Children's Interpreting Services
Connect to a live interpreter in less than
30 seconds.
20