cisco healthcare general 2010-09-17
DESCRIPTION
Slides presented by Cisco Canada's Brantz Myers to Algonquin College on Friday September 17, 2010TRANSCRIPT
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Cisco Connected Health
Brantz Myers
Director, Healthcare Business DevelopmentCisco Systems Canada
+1 416 306 7262, [email protected]
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Enhancing Three Principle Connections
Items
Find
Use
Information
FindInterpret
People
Find
People
Collaborate
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Smart+Connected Health Solutions
Healthcare Technology Foundations
Clinical Workflow
Connected Imaging
Smart Healthcare Facilities
Care-at-a-Distance
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Medical-Grade Network
4© 2009 Cisco Systems, Inc. All rights reserved.2009 HC Infrastructure
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Cisco’s Medical-Grade Network Portfolio for Healthcare
Data Centre
“Providing an Infrastructural Foundation Throughout the Continuum of Care”
Enable patients and guests to stay connected through secure connectivity
Enable an interoperable healthcare ecosystem through a flexible and scalable network framework
Bring connectivity to the hospital's
infrastructure through automated biomed
devices
Meet government and industry mandates through a regulatory
compliant architecture (ex: PCI)
Allow nurses and doctors to administer patient care from anyplace, anytime through secure wireless capabilities
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BioMed NAC
Automates device assignments to controlled zones on the hospital network (wired or wireless connectivity), providing patient-centric benefits.
Couple arrives with husband complaining
of breathing problems
Doctor seeks ventilatorto assist in breathing
Not in use, but room occupied
Patient and ventilator moved to unused room
BioMed NAC in PlaceNo BioMed NACWireless access to patient EMR
Self-provisioning ports utilize existing
infrastructure, reduce costs, enhance care
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Applications: Examples of Healthcare Applications on Medical-Grade Networks
Nurse Call Patient Monitoring Location-Based Services (RFID) Collaborative Care Imaging (PACS, DIR) Remote Translation Services
Electronic Health Records (EHRs)
E-Prescribing Transcription Healthcare Mobility TeleMedicine
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Clinical Collaboration
8© 2009 Cisco Systems, Inc. All rights reserved.2009 HC Infrastructure
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Wireless – the new Primary Network
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Mobile Care - Nurse Connect
Facilitates collaboration among mobile caregivers and patients, enabling them to reach each other and to be reached no matter where they are — for faster patient care from any location.
Nurse identifies type of alert based upon the message
on the Mobile IP Phone
Patient pressescall button
Nurse calls back
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Virtual Teaming: Expert Network
“81% of nurses report they would save 30 to 60 minutes with instant access to experts.”—Forrester Research, 2006
Source: Cisco IBSG, 2008
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Mobile Care – Cisco Unified Application Env.
Lab work orders submitted with critical value thresholds defined
Improves responsiveness by providing real-time notification of Lab results, enables flexibility to escalate alerts to workgroups, and increases timeliness of patient care.
Results delivered and prioritized
Physician contacts nurse with instructions for follow-up with patient
Nurse delivers required care and patient record
is updated
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Cisco WebEx Meeting Applications
Meeting Center
General Collaboration
Event Center
Webinars Online Events
Online Sales
Online Training
Remote Supportand Access
Sales Center
TrainingCenter
SupportCenter
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WebEx Meeting Center on Blackberry & iPhone
Native client for Apple iPhone & Blackberry
Integrated audio and web conferencing on 3G or WiFi
Attend a scheduled meeting on the iPhone
View presentations, applications and desktops with live annotations
View and chat with attendees
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Meet Cisco Cius
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Cisco Quad - Enterprise Social SoftwareAccelerate Business Productivity & Innovation
Develop & manage personal online profiles
Dynamically form and participate in virtual
communities
Easily create, publish, share, and consume
content and expertise
Subscribe to trusted content sources or people
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• Enables interoperability between disparate systems and data silos
• Enables the network as the platform for secure & standards based access & exchange
• Eliminates the need for manual transport of records & images
• Standards based (IHE) based PACS & EMR access
• Common patient identifier with network based IHE Cross Reference Manager (PIX & XDSi)
Medical Data Exchange SolutionEnabling Patient Centric Integration & Access of Records
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Interoperability is based on a federated concept
Avoids copying all data centrally (Cross Reference Manager)
Retains data where it was produced originally.
Data is kept as well on a regional level for redundancy purposes (orange level)
IHE‚ Cross Reference Manager enables communications between the regions (red) or countries (white)
Federated Data Distribution Enables Scaling
PIX/PDQXDS
(Repository,Registry)
Spirit Central Adapter (SCA)
Spirit Local Adapter (SLA)Spirit
Archive
DICOMClient
IHE Client, Legacy Client
SpiritArchive
PIX+Responding
Gateway
EnterpriseLevel
Community(Cross-Enterprise)Level
Cross-CommunityLevel(scalable to anyhierarchic level)
RespondingGateway
InitiatingGateway
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Radiology Information Easily Shared for Collaboration
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Provide visual, immersive collaboration for students and faculty through Global TelePresence
Enable on-demand course content and materials to desktops and live broadcasts to classrooms, etc., through digital media systems
Enable communications and collaborative learning giving students and faculty access
to resources through unified communications
Increase educational opportunities for students
through virtual classrooms
Next Generation Learning Environment
Provide enhanced learning and always-on access to information through secure wireless access
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Deliver Immersive, Long-Distance Medical Education With TelePresence
Extend the reach of Medical Teaching Institutions to Remote locations
Deliver Rich, high-definition video conferencing with high-fidelity, directional audio
Deliver immersive learning experiences that replicate face-to-face situations
Reduce travel for meetings and training with reduced Carbon emissions
Opportunity
Benefits
TelePresence
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Virtual Hospitals for Marketing, Training and Simulations
Source: Cisco IBSG, 2008
Simulated Diagnostic in Virtual World Animation
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Surgical Teaching Solution
Challenge: Create a solution that can show different views of the surgical suite, room including, but not being limited to:
• Detailed view of the area being operated.
• Patient conditions monitor
• Additional information such as X-Rays or analysis
reports
• Close up of the surgeon face with audio recording of the
explanations
• Overview of the room to show how the personal is
positioned
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Local LAN
Keyboard
Local Monitor
Consolidated MS,OS,VM server
with internal Storage
External Storage (optional)
Remote Site A LAN Remote Site B LAN
MS – Media ServerOM – Operations ManagerVM – Virtual Matrix
PC ClientVM Client (PC)
Remote Monitor (Full HD)
VM Client (PC)
Remote Monitor (Full HD)
PTZ
AD
HD IP Camera
Encoder(optional)
HD IP Camera
HD IP Camera
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Virtual Matrix – Four Video Layout
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Technology Convergence: A Catalyst for the “Information Utility”
ElectricityElectricityGasGas
3 Essential Utilities of past3 Essential Utilities of past
InformationInformation
New UtilityNew Utility
WaterWater
Reduce Cost and Complexity by Replacing Disparate Networks with One Simplified, Flexible, and Scalable IP
Network: Unified Infrastructure
Reduce Cost and Complexity by Replacing Disparate Networks with One Simplified, Flexible, and Scalable IP
Network: Unified Infrastructure26© 2009 Cisco Systems, Inc. All rights reserved.2009 HC Infrastructure
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High-Speed Internet
IP Telephony
Audio and Video Conferencing
Interactive media
Visitor management
VPN
Wireless
Unified Infrastructure
Digital signage
Ten
ant
Ser
vice
s an
d
Tec
hn
olo
gie
s
HVAC- Sensors
Fire
24/7 Monitor
Video surveillance
Elevators
Lighting
Energy
Access
Bu
ildin
g S
ervices and
Tech
no
log
ies
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Patient Implications: Improved Experience
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Lobby Reception/Concierge:
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Services: In-Hospital
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Scent AirInjects a Scent to Enhance the User Experience – Less “Hospital” smell
Digital SignageWay finding, Kiosks, Virtual Lobby
MuzakChanging the Music Experience – White Noise, Soft Sound, Spa Experience
Smart BathroomsIntelligent Lavatories, Soap Dispensers, Toilet Roll Holders, Nurse Call Integration
RFID Asset ManagementLocation-Aware Healthcare–Minimizes time finding equipment for more efficient staff
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The Bedside Terminal – The Bedside Terminal – Tip of the IcebergTip of the Iceberg
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Beyond the Bedside
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TeleMedicine Networks - Today
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TeleMedicine Tomorrow
Patient goes to DoctorDoctor decides they need to
talk to a Specialist
Provides patients and care givers with opportunities to consult and collaborate with specialists no matter the location, improving patient care and saving travel cost.
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Wide-Area Mobile access to Health Information
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Bluetooth® Enabled Devices
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Example: Diabetes - Regular monitoring of blood glucose levels is the best way to manage and maintain health. Remote tracking of these levels can drive timely clinical interventions.
Patient Generated Health Data
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In-Home TeleMedicine
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Advanced TeleMedicine:The Cisco HealthPresence Solution
Treat the “worried well” and the uninsured
Use a distance visit to renew prescriptions or periodically check on patients with chronic illnesses, especially in nursing homes
Mobile units, within a motor vehicle, are also possible, for roving care
Drugstores and other retailers can expand their services to include more sophisticated wellness and healthcare services
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Drug Dispensing Kiosks – Remote PharmacistDrug Dispensing Kiosks – Remote Pharmacist
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Comprehensive Remote Primary Patient CareComprehensive Remote Primary Patient Care
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Lots to think about…..
Technology is eliminating the traditional Bounds on Health Information
Aging Population is Driving New Technology
Clinicians Need Information at the Point of Care
New Technology can effect the way Care is Delivered
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Tomorrow: Advanced Telemedicine is an Alternative to Face-to-Face Care
Example “pod” for HealthPresence
Source: Cisco IBSG, August 2008