CONNECTING YOU TO THE POWER OF INFORMATION IMMEDIACY™ Hamilton Health Sciences - Family of 7 unique hospitals and a cancer center and an urgent care site Over 145,000 emergency visits a year Over 30,000 visits to our urgent care centre a year Over 29,000 operating cases a year Approximately 80% of all cardiac surgery for the central South Ontario region performed here - Serves a population of approximately 2.3 million people in Central south and central west Ontario - Hamilton’s largest employer with over 11,000 employees (Named 1 of Canada’s Top 100 Employers in 2006, onward) - More than 1,700 physicians working at HHS The region we serve MAJOR PROGRAMS AND SERVICES • • • • • • • • Cardiac and Vascular Program Neurosciences & Trauma Digestive Diseases High-risk obstetrics and gynecology Pediatrics Acquired Brain Injury Prosthetics and Orthotics Children’s Exercise and Nutrition Program • • • • • • • • • • • Oncology (Cancer care) Orthopedics Rehabilitation Palliative Care Nuclear Medicine Critical Care Infectious Diseases Emergency Medicine General Surgery Senior’s Services Children’s Hospital The Challenge • Reduce Operating Budget • Streamline processes • Consolidation of Switchboard to one site for all of HHS. Life and Safety Challenges Redirect all Code Reds & Blues and Gas alarms from multiple sites to one single site. Required installation of secondary panels in an area manned 24 / 7 to meet code requirement Provide full redundancy for connected with Connexall. our life systems The How Connexall was brought in by the fire panel support team to develop the solution to push these codes and alarms across the network to a single site Connexall provided a full redundancy solution; High Availability that provides automatic CNS failover and realtime database synchronization to reduce downtime caused by hardware failure or server maintenance. As such, end users of the system will experience minimal disruption to their business processes. Project Check List Step 1 Identify Internal Stakeholders - Switchboard management - Clinical – for code blue - Facilities – fire alarm - Bio Med - medical gas - IT – data networks / data drops / servers - Coordinate the external system supplies Project Check List Step 2 Review and document other services provided by Switchboard Staff. - Stocking batteries - Pager replacement service - Keys to service closets - Others… Project Check List Step 3 Inventory the Systems, Makes Models and Locations - Code blue / nursecall - Fire alarm - Medical gas Important Confirm with system suppliers the ability to configure output data for integration to Connexall Network Topology SJHH JCC General DARK FIBER Juravinski MUMC Chedoke St. Peter’s Urgent Care McMaster University WLMH Network Diagram Connexall Notification Server Network Diagram with Rehab Pre Consolidation Switchboard Staffing General 8.28 FTE’s Henderson 7.53 FTE’s Days Evenings Nights Days Evenings Nights 3.8 2.33 1.4 TOTAL 28.18 3.8 2.33 2.15 MUMC 12.37 FTE”s Days 6.25 Evenings 2.20 Nights 3.92 * 10 hour shifts @ MUMC Post Consolidation Switchboard Staffing MUMC 16.6 FTE’s Days 8.6 Evenings 5.2 Nights 2.8 Reduction 11.58 Post Consolidation Savings FTE’s Site Pre Consolidation Post Consolidation General 8.28 Henderson 7.53 MUMC 12.37 16.60 Total 28.18 16.60 Savings -11.58 Tasks/Activities That Needed Other Homes - Battery replacements On-call room allocation Key distribution Pager distribution Post Consolidation Information Desk Additional Duties - Pager Support and Repairs - Backup of other site Information Desk when Staff on breaks Challenges - Training New Location New Mixture of Staff Cultural Changes Process Changes Policies & Procedures Change Not Necessarily Embraced Staff Need to Know All Sites Testimonial “Our centralized switchboard has allow us to centralize services, redefine and improve processes, provide consistent service across our entire organization as well as reduce operating costs.” …..Marg Johnson, Supervisor, Telecommunications, HHS What have we done since - redevelopment projects which required more integration with newer nurse call systems for Code Blue and additional Fire Panel Systems for Code Red - Vocera project – push alarm alert from SpaceLabs to Vocera badge in our PICU - implemented a “ geographically redundant high availability solution” Network Diagram High Availability Connexall provided a full redundancy solution; High Availability that provides automatic CNS failover and real-time database synchronization to reduce downtime caused by hardware failure or server maintenance. As such, end users of the system will experience minimal disruption to their business processes. High Availability at HHS Questions Thank you