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Alarm Management Solutions for Point-of-Care Connectivity

Presented by:Emergin

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General Overview

Presentation Agenda Presentation Agenda Healthcare Challenges

Emergin Solution

Hospital Wide Benefits

About Emergin, Inc.

Q & A

Recap & Action Items

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Healthcare Challenges

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Communication is Key

Source:Source:

Root Causes of Root Causes of Delays in TreatmentDelays in Treatment

(1995-2003)(1995-2003) 86% 66%

Root Causes of Root Causes of Sentinel EventsSentinel Events

(1995- (1995-2003)2003)

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Current Challenges

Business need• Desire to improve patient satisfaction

• Patient complaints about high noise levels, particularly in ICU’s

• Perceived response time delays

• Quality improvement initiatives

Solution and value delivered• FTE’s seeking greater efficiency

• Desire to reduce # of devices (“Toolbelt”)

• Staff complaints about workload, workflow duplications

• Too much time away from the bedside

• Inefficient paths of communication

• Lack of standard practices

• National patient safety goals

• Improve the effectiveness of communications among caregivers

• Improve the effectiveness of clinical alarm systems

• Healthcare systems operate using variety of closed, proprietary systems

• Integration and connectivity difficult

• Interoperability challenging

• Care across units not standardized

• Proliferation of clinical alarms/alerts

Improving Patient Care Increasing Staff Satisfaction

Industry Compliance Controlling Costs

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Problem - “Accidental Architecture”

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Emergin SolutionOverview

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Solution Background

Who We AreWho We Are

Emergin is recognized as the market leader of automated event notification and alarm management solutions for the healthcare enterprise.

What We DoWhat We Do

We support process improvements in healthcare through a combination of a unique software platform and experience-based client services.

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Solution – Emergin Integration Suite

A Service Oriented Architecture (SOA)Standards-based, holistic approach to systems design and interoperability

Modular and scalable. Begin with a single system and add service components incrementally.

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Solution Highlights

• Open, vendor-neutral, and device-independent

• Highly scalable architecture

• Extensive set of 3rd party interfaces using off-the-shelf adapters

• Centralized view of all connected, disparate systems

• Validated w/ nearly all best-in-class clinical system vendors

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Nurse Call

Patient Monitoring

Nurse CallAdapter

MonitoringAdapter

EnterpriseService Bus

Topology Overview

Application Layer Integration Layer Communication Layer

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Interoperable with more than 200 best-in-class vendors

Platform Adapters & Key Partnerships

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Emergin SOA Module

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What is SOA?

• Not a technology per-se

• SOA is an architectural style that manages services throughout the enterprise

• A planning and design guide for integrating best-in-class systems

• A process-centric approach for driving a standards-based infrastructure

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Why SOA?

• Unites departments and communications

• Leverages existing legacy systems

• Drives standardization and interoperability across the healthcare enterprise

• Focuses on process flow

• Enables healthcare organizations to pick and choose any technology

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‘Point-to-Point’ vs. an SOA Service

• Focus on single application only (event sources) and destination

• Focus on point-to-point connectivity – get data from monitor to a pager, phone, sign

• Focus primarily on nurse only

• Managing the assignment process is typically not an issue

• Clinical process and workflow is not typically a big concern

• (“Gateway”)

• Focus on multiple applications (event sources) and destinations

• Focus on management of end-to-end process of managing alarms

• Focus on nurses, but also all clinicians and staff (biomeds, RT’s, security officer, etc.)

• Managing the assignment process is often a primary issue

• Improvements in clinical process and workflow is a key driver

• (“ESB”)

Point-to-Point Connectivity Service-Oriented Integration

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Event Driven SOA Project Framework

Process-Centric Approach - Focus on Workflow and Clinical Processes

ProjectPreparation

ProjectDesign

Installation &Integration

Training Go LiveSOA

ConstitutionProject

Requirements

Process DesignSystem Design

Functional Design

Testing/StagingUAT

Production Roll-Out

ClinicalAdministrative

Project Plan Optimization

SOAAssessment-ReadinessConsulting

SOAService Library

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Conclusion

• Evaluate service performance

• Change process flows based on best practices and learning lessons

• Filter nuisance alarms/reduce alerting fatigue

• Identify, mitigate and prevent repeatable communication errors

• Integrate reporting for real-time scorecards/dashboards

Optimize Performance Drive Standardization

• A service-oriented architecture enables hospitals to pick and choose any combination of technologies without compromise

• An IT framework and architecture will help drive standardization, efficiencies and patient outcomes

• Communications will be continuously optimized because it is measurable

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Emergin Orchestrator Client (EOC)

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Message Dispatch

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Staff Assignments

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Staff Assignments (Con’t)

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Whiteboard

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Command Center

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The Nursing Reports provide the following to evaluate staff-patient ratios and nurse vigilance:

Total Alarms Per VendorTotal Alerts Per VendorAlarms Per LocationAlarms Per Sensitivity

The IT/Communication QoS Reports provide the following to monitor IT Quality of Service:

System MalfunctionsTotal Successes/Failures Per VendorTotal Messages Per System TypeTotal Messages Per CarrierTotal Messages Per Recipient

A Patient Safety Officer can review an root cause analysis transcript of activity to trace errors and omissions to the second:

Alarm SetDelivered to Communication SystemDelivered to Communication DeviceDelivered to RecipientRead by RecipientAcknowledged by RecipientAlarm Reset

Reporting – Dashboards & Scorecards

Nursing Leadership Information Technology Patient Safety Officer

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Reporting – Root Cause Analysis

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Hospital WideBenefits

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Benefits for Clinicians

• Clinical alarms sent to caregivers’ device (ECG, SPO2, Vent, IV Pump)

• Auto-escalation “safety net” to ensure alarms are not missed

• Code team dispatch• More time with patients• Less walk time• Elimination of “nurse tool belt”

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Benefits for Laboratory

• Provides automatic alert for critical values or abnormals

• Automatic notification for STAT blood draws• Immediate communication on test results• Redirect mobile staff while on the move• Supports Joint Commission for CTRM - closing

the loop within 1 hour

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Benefits for Information Technology

• Greater appreciation from hospital for IT staff

• Maximize/leverage existing technologies• Build interoperability by design

• Cost Savings – leave, leverage and extend the life of existing point-of-care systems

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Benefits for Administration

• Cost Avoidance – eliminate duplicate technology purchases

• Process Improvements – eliminate duplicate job functions and data entry errors

• Patient Outcomes – Improve hospital care by continuously improving communications

• RCA Time – Significantly reduce investigation times

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Return on Investment

• Leverage Existing Technologies – Do not “rip-and-replace” them

• Technology Cost Avoidance – Assignments, management reports, communication systems

• Nurse Productivity Gains

51% improvement in completing patient tasks, $37,700 per care unit per year (*U of Maryland Study)

• Patient Safety – Root cause analysis transcripts for adverse events including sentinel events

• Patient Satisfaction – Raise scores by improving response time

• Staff Satisfaction/Retention

Improve the clinical processes to reduce workload

Quantitative ROI Qualitative ROI

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Conclusion

Business need• Managing the patient experience in real-

time

• Improved response times

• Noise reduction

• Communication of critical clinical communication

Solution and value delivered• Objective data generation of decision-

making

• More satisfied patients equals more satisfied staff

• Noise reduction

• National patient safety goals

• Improve the effectiveness of communications among caregivers

• Improve the effectiveness of clinical alarm systems

• Service-oriented architecture enables hospitals to pick and choose any combination of technologies without compromise

• An IT Framework and architecture will help drive standardization, efficiencies and safety

Improved Patient Care Increased Staff Satisfaction

Compliance with Industry Controlled Costs

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Corporate Overview

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Emergin Background

Who We AreWho We Are

Emergin is recognized as the market leader of automated event notification and alarm management solutions for the healthcare enterprise.

What We DoWhat We Do

We support process improvements in healthcare through a combination of a unique software platform and experience-based client services.

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Emergin Fact Sheet

• Began in 1995, contract services firm• Outgrowth of Motorola, chief architect

for Air Apparent software• Ranked top 25% Inc. 5000 (8/07)• Global Frost & Sullivan Award

Winner for Patient Monitoring Integration (2006)

“The solution offers flexibility through modularity and scalability that are required to meet ever-changing customer needs.”

Antonio Garcia - Frost & Sullivan Research Manager

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Quality and Regulatory

• Emergin has achieved ISO 9001:2000 and ISO 13485:2003 certification

• Internationally recognized quality standards

• Audit conducted by TUV America

• Passed rigorous quality requirements and standards, regular audits

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Customer Scorecard

Recognized as a LeaderRecognized as a LeaderEmergin has helped more than 1,000 healthcare organizations achievetheir satisfaction and quality goals.

Key Customer StatsKey Customer Stats• 5 Malcolm Baldrige Award Winners• 35% of the Nation’s Magnet Hospitals• 43% of the 100 Most Wired• 6 of Top 10 Children’s Hospitals

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Partial Customer List

• Allina Health Systems • Baptist Health System• Boca Raton Community Hospital• Boston Medical Center• Central Baptist Hospital• Concord Hospital• Doctor’s Community Hospital• Douglas County• Fairmont General• Florida Hospital• Gundersen Lutheran• Johns Hopkins – Bayview• Memorial Hermann

• Methodist Hospital – Houston• Riverview Medical Center• Ochsner Foundation• St. Luke’s Hospital• Univ. of Pennsylvania Medical

Center• Washington Hospital• Wesley Medical Center

Key Enterprise Customers

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Emergin Client Services

• Full spectrum of implementation services

• We manage projects from start to finish

• Emergin assigns a Project Manager as central point of contact with hospital

• Joint, collaborative effort between hospital, Emergin, and third party vendors

• Detailed project phases essential in the delivery of a successful project

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Client Services – Five Project Phases

• Project Preparation (4 weeks)

• Project Design (8 weeks)

• Installation & Implementation (2 weeks)

• Training (1 week)

• Go Live (1 week)

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Contact Emergin

White Papers Brochures

Case StudiesData Sheets

Thank you for your time!

Web site: www.emergin.com

Tel: (866) EMERGIN ext. xxxx

E-mail: first.last@emergin.com

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Q & A

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Communication IntegrationSupporting Slides

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Output Devices

• Cisco CallManager Wireless VoIP–Cisco 7920 Wireless Handsets

• Vocera Wirelesss VoIP–Voice Activated Communication Badges

• SpectraLink Wireless Telephone System–Link – separate, proprietary wireless infrastructure

–NetLink – VoIP, common WLAN infrastructure

–Also rebranded under Nortel, Avaya and others

• Ascom Wireless Telephone System–Freeset – separate, proprietary wireless infrastructure

–FreeNET – VoIP, common WLAN infrastructure

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• TAP “Pocket Page” – many, many systems–Very standard input/output protocol

• XML/SOAP – Emergin developed standards based alarm/event input protocol, 2-way

• HL7 – Hospital and Clinical Information System (HIS/CIS)• SMTP – Intranet Email integration• ASCII – Various systems, strong and flexible fall back• OAI – SpectraLink• OAP – Ascom• VMI – Vocera• IP/XML – Cisco• Wide Area Protocols – WCTP, SNPP, TNPP, SMS, SMTP

Common Integration Protocols

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Alarm Samples

Sample Alarms: V-TACH, ASYSTOLE, CODE BLUE

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Workflow Demonstration