Elevating Healthcare Advanced Communication Solutions for Collaboration and Intelligent Notification Page 1 June 08 Copyright © 2007. All rights reserved. Siemens Communications Agenda Addressing Today’s Healthcare Challenges DAKS Overview and Benefits Questions and Answers Page 2 June 08 Copyright © 2007. All rights reserved. Siemens Communications Siemens Technology Partner Impact Technologies – Solutions with Impact Effective training – a whole new way! Easy to use, cost effective solution for network, call center, console and CDR WEB managed telephony conferencing High performance, mission critical communications Page 3 June 08 Drive incremental revenue Build customer satisfaction Enable competitive advantage Copyright © 2007. All rights reserved. Siemens Communications Challenges for Healthcare Today’s Environment Enhancing Patient Care Mobility of personnel resources Critical care collaboration High visibility and liability associated with errors and failures Improving Incident Mitigation and Response Management Heightened possibility of threats to public safety First responder collaboration Off-duty staff mobilization Stress-induced human error Multiple constituency situation updates Reducing Operating Costs Mobility of personnel resources Reduce conference costs Reduce resource requirements for routine procedures Keys to success: Assume a readiness posture – proactive and reactive Page 4 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare Enhancing Patient Care Key Factors Prompt attention to patient needs Available, informed and highly mobile staff Accessible, available and operational equipment Improved workflow and process throughput Solutions for the Collaborative, Mobile Healthcare Enterprise Application Scenarios Nurse Call Mobility Patient Monitor Alerting Code Blue Test Results and Orders Critical Resource and Asset Tracking Page 5 June 08 Copyright © 2007. All rights reserved. Siemens Communications Enhanced Patient Care Alerting and Collaboration Workflow Reliably drive urgent information to mobile staff Point-of-Care Workflow and Messaging Alerts issued to mobile nursing and clinical staff 2 Page 6 Mobile and Fixed Staff and Assets 1 Staff can quickly react, communicate and collaborate Wireless Controller-based wireless LAN solution for optimized LAN voice communication Phones Vital sign monitor for alarming and observation Quality of Service Bandwidth management to secure life critical alarming VoIP Server Communication between patient and nurse Alerting Engine High reliable distribution of alarms and critical events Location Tracking Integration Integration platform for test results, orders and other patient care related alerts Nurse Call Nurse call system for alarming and communication Patient Monitor Patient Phone June 08 Mobile and desktop phones for managing alarms and call back to patient Providing alarms to any kind of device Staff and equipment location, tracking and alert triggers Copyright © 2007. All rights reserved. Siemens Communications Enhanced Patient Care Nurse Call Mobility Can‘t Answer Alert Next Nurse 0 Patient Call Mobility and Enhanced Productivity of Nursing Staff in Responding to Patient’s Request for Assistance Patient Call Phone Rings 1 Accept Request Proceed to patient room to clear request Connect to Patient Room 5 Answers Call Integrates with: Rauland-Borg Nurse Call Consult, hang up and clear request (except shower cord requests) or HiPath HiMed Nurse Call ST 3 RM 11 B2 HiPath DAKS HiPath 4000 Reassert request based on assessment of severity: 1 STAT (emergency) optiPoint WL2 2 Green (high) CorNet IP 3 Yellow (medium) HiPath Wireless Copyright © 2007. All4rights reserved. Siemens Communications Orange (low) Page 7 June 08 Enhanced Patient Care Patient Monitor Alerts Mobility and Improved Responsiveness of Clinicians Monitoring Changes in Patient’s Vital Signs 1 Mobile wireless monitors and fixed wired monitors raise threshold alarms Care staff are called on wireless phones with emergency ring tone and text display of critical values 2A Notify attending physician ALERT Mon 6 Bed 2: HR 68 Integrates with: Draeger Monitor 2B Draeger Infinity Gateway Notify on-duty nurse HiPath DAKS HiPath 4000 HiPath Wireless 3 optiPoint WL2 CorNet IP Page 8 If nurse does not answer, another nurse is called and/or nurse station is alerted June 08 ALERT Mon 6 Bed 2: HR 68 Copyright © 2007. All rights reserved. Siemens Communications Enhanced Patient Care Code Blue Immediate Notification and Collaboration for Emergencies 1A 2A Response Center alerted and connected to calling nurse Nurse pushes Code button in patient room or unit Integrates with: Rauland-Borg Nurse Call 2B HiPath DAKS HiPath 4000 1B HiPath Wireless optiPoint WL2 CorNet IP Ekahau RTLS Responding to shout from attending nurse unable to reach Code button, associate nurse uses speed dial to initiate Code response Ekahau WiFi Tags Page 9 June 08 CODE BLUE ICUCODE Unit 490 BLUE ICUCODE Unit 490 BLUE ICU Unit 490 Code Team called on wireless phones with emergency ring tone and text display of Code location Copyright © 2007. All rights reserved. Siemens Communications Enhanced Patient Care Test Results and Orders Physician views results and posts orders Efficient and Timely Delivery of Critical Test Results to Clinicians Integrates with: OPENLink HiPath DAKS HiPath 4000 4 DAKS alerts physician to availability of test results 3 1 Test results post for a patient of interest 2 6 HiPath Wireless optiPoint WL2 5 CorNet IP Page 10 June 08 DAKS alerts duty nurse or nurse station to availability of posted orders OPENLink performs rulesbased mapping of posted results to a DAKS notification request Copyright © 2007. All rights reserved. Siemens Communications Enhanced Patient Care Critical Resource and Asset Tracking DAKS DPS View Improved Availability and Security of Staff, Mobile Assets and Critical Diagnostic and Treatment Equipment Alert service technicians and scheduling managers Monitor service and fault alerts on critical equipment Leverages: HiPath DAKS with DPS View Ekahau WiFi Tags and EPE HiPath 4000 HiPath Wireless Locate patients wearing WiFi tags Locate mobile assets optiPoint WL2 CorNet IP Page 11 Locate staff carrying WL2 phones June 08 Copyright © 2007. All rights reserved. Siemens Communications Enhanced Patient Care Critical Resource and Asset Tracking Ekahau RTLS and DAKS DPS Improved Availability and Security of Staff, Mobile Assets and Critical Detect assets or individuals Diagnostic and wandering away from Treatment authorized areas Equipment Alert service technicians and scheduling managers Monitor service and fault alerts on critical equipment Leverages: HiPath DAKS with DPS View Ekahau RTLS Ekahau WiFi Tags and EPE HiPath 4000 HiPath Wireless Alert security personnel or caregivers Locate patients wearing WiFi tags Locate mobile assets optiPoint WL2 CorNet IP Page 12 Locate staff carrying WL2 phones June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare Improving Incident Mitigation and Response Management Key Factors Detection and reporting of critical incidents Immediate and effective collaboration on situation assessment and response strategy Rapid deployment of response resources Rapid notification and ongoing communication with affected constituents Communications is the single most important component of how an organization responds to a disaster. Application Scenarios Campus Threat Staff Call Back Silent Alarm and Panic Button Emergency Response Center Personal Security Page 13 June 08 Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management Campus Threat Initiate First Responder Emergency Conference Integrated Emergency Collaboration and Alert Notification 1 Intelligently Mobilize Response Resources and Alert Affected Constituents Simultaneously Page 14 Send Alerts 2 Rescue Services June 08 Endangered Persons Activate Dial-in Announcement Services to provide access to situation updates Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management IT or Facilities Management Simultaneously Call Multiple Expert Resources I have a virus on my PC The First Resource to Answer is Connected Directly to Caller and Other Phones Stop Ringing Page 15 June 08 Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management Staff Call Back Automated Mobilization of Appropriate Resources Automated dial-out to home and/or mobile phones with alert announcement and instructions Track each staff resource: Success or failure of contact and message delivery Positive or negative response to the call back request through Automatic escalation if the call back quota is not satisfied Intelligent Notification Page 16 Automatic notifications to supervisors of the result of the call back June 08 Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management Emergency Response Center 1 Emergency number is dialed Caller and security agent are set-up in two-party, no-hold conference with caller location displayed on phone. Swift, 2 Intelligent, 3 and Effective Local security agent can dispatch internal resources and/or join municipal 911 services to the call. Conference call remains active even if the emergency caller disconnects. Mobilization Page 17 June 08 Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management Silent Alarm 1 Employee presses alarm button, telephone key or smart badge Alert notifications delivered to internal security and management personnel With No Audible Sound a Distressed Person Can Request Assistance 2 Emergency conference established among emergency responders Page 18 June 08 3 Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management Personal Security Periodically Contact Staff Members to Assure Safety 1 Worker with mobile phone logs in to activate surveillance 2 Calls are placed to worker on a cyclical basis 3 Worker answers surveillance call and reports status Monitor People in Hazardous Work Assignments 4 If worker fails to answer, alerts are issued to monitoring and/or rescue teams with worker’s last status report Page 19 June 08 Copyright © 2007. All rights reserved. Siemens Communications Incident Mitigation and Response Management Multi-faceted Resolution Support Comprehensive Response and Resolution Workflow Page 20 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare Reducing Operating Costs Key Factors Do more with less Automate manual processes Eliminate unpredictable usage fees Efficiencies drive lower operating costs Application Scenarios Reduce conference costs Leverage existing systems and network Reduce resource requirements for routine procedures Page 21 June 08 Copyright © 2007. All rights reserved. Siemens Communications Reducing Operating Costs Routine Collaboration Convene Scheduled and Ad Hoc Conferences Leveraging Dial In Premise Dial Out Network Page 22 June 08 Copyright © 2007. All rights reserved. Siemens Communications Reducing Operating Costs One Number Calling Algorithmically Call Multiple Contact Numbers to Reach a Key Resource Office Phone Phase 1 Call Dr. Brett @ 1234 Caller Can Be Informed of the Status of Dialing Business Cell Phone Home Phone Personal Cell Phone Phase 2 Delayed Phase 2 Dialing Page 23 June 08 Copyright © 2007. All rights reserved. Siemens Communications Reducing Operating Costs Nurse Mobility and Alerting ROI Example Issues % of on-duty time lost traveling to answer phones and waiting at nurse stations Journal of Nursing Administration estimate: 10.1% Siemens customer survey estimate: 5.2% Assumption 25% of 5.2% represents 1.3% increase in available work time or reduction in required FTEs per bed Interview Data for 266 Bed Facility 5.0 FTEs per severity adjusted occupied bed 76.6% annualized occupancy Pre-implementation requirement: 1,019 FTEs Cost Savings and/or Incremental FTE Resource Availability 13.25 FTEs based on 1.3% of 1,019 FTEs $551,200 per year based on average salary of $41,600 Investment in mobility and alerting solutions: $180,000 Estimated payback time: < 5.25 months Page 24 June 08 Copyright © 2007. All rights reserved. Siemens Communications Reducing Operating Costs Typical Mobile Asset ROI Example Mobile Asset Allocation 60% utilization 25% of unit locations are unknown 15% allowance for backup/spare units *Source: For Mobile Infusion Pumps as cited in Ekahau Case Studies Sample Cost Scenario* Standard requirement for IV pumps: 600 units Adjusted requirement for “tracked” IV pumps: 500 units IV pump cost per unit: $5,000 Total acquisition cost savings and/or replacement cost deferral: $500,000 Investment in asset location tracking solution: $180,000 Savings after investment: $320,000 Page 25 June 08 Copyright © 2007. All rights reserved. Siemens Communications DAKS Product Overview Reliable Communications in Critical Situations Intelligent Notifications High Performance Conferencing On Demand Updates One Number Calling Service Copyright © Siemens Communications Copyright © Siemens Enterprise Communications GmbH & Co KG 2008. 2007. All All rights rights reserved. reserved. Elevating Healthcare with DAKS Mission Critical Solution Platform Flexible Support simple notification scenarios Support comprehensive incident response and resolution workflows High Performance Integrated Applications No moving parts Intelligent notifications No magnetic storage High performance and emergency conferencing High MTBF – 400,000 hours On-demand updates Support routine operations as well as emergency situations One number calling services Strong HiPath integration – protocols and applications Page 27 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare with DAKS Intelligent Notifications Contact Strategy Broadcast Priority Parallel or sequential dialing Subscriber priority level dialing Email notifications Contact Acknowledgement Broadcast Success Criteria Simple “any key” acknowledgement Positive / Negative confirmation PIN Required Subscriber calls back, enters PIN and confirms Specific number of acknowledgements received Specific number of contacts completed Conditional followup broadcasts Call back for completed message Launch telephone, pager, and/or e-Mail messages to prescribed notification groups quickly and reliably Page 28 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare with DAKS Conferencing High performance and emergency conferencing Routine Collaborative Conferences Pre-set, Meet-Me, Ad-hoc and Progressive conferences Emergency Conferences Any combination of participants Tries any alternate phone number Leverage enhanced CorNet-NQ features Priority setting to arbitrate allocation of resources Triggered with or without Operator intervention Conferees can be automatically dialed or added via “no hold” Convening and Triggering Internal or external telephone Attendant from operator console Integrated applications Time-scheduled Page 29 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare with DAKS On Demand Updates (Info Telephone) Emergency Scenario Support Provide situation updates following emergency alerts without burdening support services staff Optionally allow subscribers to dial in and listen to the last one or two broadcast alert notifications Routine Information Announcements Post recorded announcements accessible to staff, customers, partners…etc. Message selection based upon: Last digits of dialed number OR digit input prompted during call Announcements are played immediately and always from the beginning Multi-channel dial-In announcement services for up-to-date status or information messages Page 30 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare with DAKS One Number Calling Services Group Calling Dialing a published number calls all members of a group simultaneously The first person to answer takes the call Personal Calling Individuals can be called simultaneously on several phones assigned to him/her via a single number Global “follow-me” number management Significantly increases the availability of mobile users and callers do not wait as long to reach the user Reach key decision maker in a crisis situation Page 31 June 08 Features Different announcements for callers before, between and during dial-up phases Special announcement to called subscribers before connecting to caller Call Screening with up to 20 authorized callers with up to 9 levels of authorization RESULT: Reach people quickly and easily at oneCopyright published number © 2007. All rights reserved. Siemens Communications Elevating Healthcare with DAKS Leverage CorNet-NQ Ring and Announcement Options Signals: Alarm, Normal, Urgent Automatic Speaker Activation Variable Text Display Station Busy Strategies Forced Release Intrusion with neutral announcements Emergency Disconnect Call Waiting Trunk Busy Strategies Emergency intrusion with neutral alerting announcements Automatic Truck Release Redirection Override Strategies Ignore Call Forwarding, Pick-up, DND Direct access to executive in configuration Elevates Awareness, Assures Connection and Extends Reach Page 32 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare with DAKS Premised Based Solution Advantages Integration Tight integration with on-site applications and facilities Alarms, sensors, management and support systems Nurse call, patient monitoring, locations services, HIS Availability Ready when needed most Eliminates risk of access to resources during widespread crisis Integration into daily operations assures user familiarity Security Value Page 33 Eliminate risk of providing personnel data to 3rd party Only authorized personnel access confidential data Runs on internal secured servers and workstations No data exposure to the Internet Lower total cost of ownership Eliminate unpredictable usage fees assoc. with hosted solutions Buy it once, use it all you want – not usage or time sensitive Expand feature capabilities as needs evolve June 08 Copyright © 2007. All rights reserved. Siemens Communications Dearborn County Hospital Business Drivers Advance quality and efficiency of patient care with cardiac and emergency codes to alert mobile staff Timely medical, weather and facility emergency notifications Siemens Solution HiPath Wireless with WL2 phones DAKS Intelligent Notification Tight integration of switch and notification system Leveraged advanced CorNetNQ features “DAKS integrated with HiPath Wireless went beyond the original scope of the RFP to enhance our capabilities while introducing the benefits of increased mobility, efficiency, collaboration and responsiveness to our patients.” – Albert Mathews, Assistant Director of Information Systems and Project Manager, Dearborn County Hospital Business Benefits Reduced facilities costs due to leveraging internal telecom infrastructure Enhanced workflow and productivity of staff Efficiency and cost savings of single mobile device (elimination of pagers) Page 34 June 08 Copyright © 2007. All rights reserved. Siemens Communications Elevating Healthcare Summary Why DAKS for Healthcare? Enables greater mobility while enhancing Patient Care Provides highly reliable communications for improved incident mitigation and response management Leverages your investment to support routine operational needs Easy to use, highly adaptive Secure, internal system Lower total cost of ownership Page 35 June 08 Copyright © 2007. All rights reserved. Siemens Communications