Mission Bay Hospitals Program
CTG - Mission Bay IT Update
Date: Feb 6, 2014
Interactive Patient Care
 Successful Oneview Pilot Completed
• Pilot objectives and success metrics achieved. Core system
functionality and hardware solution demonstrated for both Peds and
Adult patient rooms in Mission Bay Hospital
• 8 Demos held over 2 days with 75+ participants from across the
enterprise including Patients, Patient Advocates, Family Advisory
Council members, Clinicians, Nursing, Executive stakeholders,
Construction Management and Information Technology teams.
 Clinical and Technical Workshops
• 2 half-day workshops held to validate Business Requirements for Day 1.
Confidential: University of California San Francisco Medical Center
Slide 1
Interactive Patient Care - Next Steps
 Feedback Analysis and Reports
• Evaluate Feedback Surveys from Demonstrations
• Consolidate Feedback from Clinical Workshops
• Prepare Report Summary by 2/7/14
 Finalize and Sign-Off of Business and Technical Requirements
• Lead break out Work Groups
• Update Business and Technical Requirements (BRD/TRD)
• Executive Stakeholder Approval of BRD and TRD by 2/28/14
Confidential: University of California San Francisco Medical Center
Slide 2
Interactive Patient Care
Confidential: University of California San Francisco Medical Center
Slide 3
Interactive Patient Care
Confidential: University of California San Francisco Medical Center
Slide 4
Interactive Patient Care
Confidential: University of California San Francisco Medical Center
Slide 5
Voalte Pilot Project – Current Status
Scope:
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Pilot on two units: Parnassus 15 Long (15L) and Mt. Zion 5 East/West (MZ5EW)
100 devices, distributed 60 on 15L; 30 on MZ5EW, 10 in back up status (5 each unit).
Pilot devices will not have cellular service. Devices will communicate via Wi-Fi network, using Voice, Text and
Alarm capabilities supplied by VOALTE product.
Integration with Nurse Call alarms on 15L
Integration with voice system via PRI (for 5-digit dialing within the Medical Center)

Pilot Completed on 11/6/13

Post Pilot Surveys distributed on 11/13/13
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•
•
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15L and 5E/W issuing surveys to user through staff meetings and other gatherings
Survey results presented to stakeholders on 1/27/14
Known Issues Still Outstanding with iPhones:
•
•
Dropped calls and/or poor call quality
• During a call - the call drops completely (waiting for Wi-Fi)
• Caller places a call, call connects and user cannot hear other person
– Vice versa – the call recipient cannot hear the caller
Delayed/Missed Text Messages
• Users state they receive texts delayed by 5-10 minutes and some by hours
• Users state they send messages and never receive a receipt – end up speaking (verbal) with the
text recipient and they never received the text
Confidential: University of California San Francisco Medical Center
Slide 6
Voalte Pilot Project – Acknowledgement of Facts
Root Cause of Issues
 Apple iPhone Hardware
• iPhone 5 / 5C / 5S has a bug in the wireless chipset. The bug makes it difficult for an iPhone 5 / 5C
/ 5S to switch between different wireless access points. The result is dropped calls or poor call
quality.
 Apple iPhone Operating System
• Different versions of the iPhone Operating System (iOS) have had bugs that cause the iPhone to
disconnect from the wireless network. The iPhone will only reconnect when a user “awakens’ the
iPhone. The result is a delay in messages being delivered or sent.
 Wireless Network
• The current Cisco wireless network is approximately 6-7 years old and there is an opportunity to
optimize the network for device connectivity.
Next Steps
 Test new Motorola MC40 wireless voice-over-IP (VOIP) phone on the new UCSF Aruba
Wireless Data Network infrastructure – End of February
• Test iPhones with new iOS and Voalte application version
 Engage Voalte to initate workflow development for departments moving to Mission Bay
• Integrate the workflow development with Nurse Call and Alarm Integration/Management
 UCSF IT will develop a fallback plan in the event that Voalte testing on the new UCSF Aruba
Wireless Data Network infrastructure results in a fail result
Confidential: University of California San Francisco Medical Center
Slide 7
Children’s Hospital Lobby
Kick-off and launch meeting – 12/12/13
Design documents approved – 2/21/14
Prototype submitted – 5/12/14
Prototype approved – 6/12/14
Installation begins – 6/30/14
Installation completed – 7/31/14
Acceptance – 8/14/14
Confidential: University of California San Francisco Medical Center
Slide 8
Teleconferencing - Meeting Use Cases
Use Case
Examples
Communication
Content
Where
How
“Basic”
Meeting
Conference call
Voice only
Desktop
PowerPoint
Conference room
Office
WebEx
Webinar
BMS weekly
seminar
Grand Rounds
Two-way audio
One-way video
PowerPoint
Conference room or
auditorium
WebEx
Video
Conference
Staff Meeting
Candidate
Interview
Two-way HD
video
Video
PowerPoint
Conference room
Office
Jabber
Case
Conference
Tumor Boards
Fully Interactive
Multiparticipant
Conference
Audio + Video +
Content Sharing
Radiology
Images
(PACS)
Pathology
Slides
EEG
PowerPoint
Large Conference
Room
WebEx
Neuroradiology
Conference
Vascular
Conference
Confidential: University of California San Francisco Medical Center
Slide 9
TeleHealth - Use Cases
Use Case
Examples
Communication
Content
Where
How
Telehealth
Encounter
patient exam
Video
High
Definition
Audio and
Video
Exam room
Jabber or
video-enabled
cart
Telehealth
Encounter
Patient
observation
Video
“”
Patient Bedroom
Interactive
Patient Care
(IPC)
Telehealth
Encounter
Home follow-up
Video
Desktop
Patient from Home
WebEx
Telehealth
Consult
Physician to
physician
Video
Apex, PACS
Office, Consult Room
Jabber or
WebEx
Integrated
OR
Surgery, transplant
Video
OR
cameras
Mission Bay OR
Stryker
Solution
VMI
Medical Exam
Video
Video
Outpatient* Exam
room
Video phone
* In-patient Interpreting Services to be provided via Telephone or In Person
Confidential: University of California San Francisco Medical Center
Slide 10
Applications Timeline
Confidential: University of California San Francisco Medical Center
Slide 11