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
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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
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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
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Nurse Call Mobility
Patient Monitor Alerting
Code Blue
Test Results and Orders
Critical Resource and Asset
Tracking
Page 5
June 08
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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
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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
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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
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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
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Campus Threat
Staff Call Back
Silent Alarm and Panic Button
Emergency Response Center
Personal Security
Page 13
June 08
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Siemens Communications
DAKS Product
Overview
Reliable Communications
in Critical Situations
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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
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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
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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
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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
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Internal or external telephone
Attendant from operator console
Integrated applications
Time-scheduled
Page 29
June 08
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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
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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
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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
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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