clinical-grade locating
DESCRIPTION
Certainty-based location* accuracy with the capability of segmenting the work space into clinically meaningful zones (or areas). For clinical workflow, zones are typically patient rooms, patient bays, nursing stations, hallway segments, and other areas meaningful to provide care to patients. Mobile zones such as wheelchairs and stretchers are also opportunities to define a patient care area. Accuracy is thus defined as the ability to know with certainty that an asset is in a defined zone. If there is significance to know where the asset is within a zone, then the zone should be divided into smaller zones.TRANSCRIPT
Confidential & Proprietary / Please do not copy or distribute.
CLINICAL-GRADE LOCATING™
C L I N I C A L - G R A D E L O C A T I N G™
Agenda
o Introductions o Thomas Hamelin, Director of Radiology and
Imaging Services at UCSD Medical Center o Mary Jagim, RN, BSN, CEN, FAEN, Enterprise
Visibility Associate Director at Wake Forest Baptist Medical Center
o What is Clinical-Grade Locating? o What are the Benefits? o Clinical-Grade Locating at Wake Forest Baptist
Medical Center o Value of RTLS and Advanced Use Cases
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C L I N I C A L - G R A D E L O C A T I N G™
Technology Landscape The RTLS technology landscape has been very wide. Some of the major deployed RTLS technologies include Wi-Fi, Zigbee, Ultrasound, and Infrared. Much has been discussed about the level of accuracy that is needed in healthcare such as “room-level accuracy”. While this is important ,what is really needed is certainty-based location knowledge at the bed-level. This way you can accurately determine the association of the medical device specific to the patient as well as distinguish patient from patient when in close proximity to each other.
Clinical-Grade RTLS – The new standard for Healthcare
C L I N I C A L - G R A D E L O C A T I N G™
What is Clinical-Grade Locating?
o Certainty-based accuracy at the room-, bed-, bay- and chair-level
o Rapid location updates o Enterprise-class device and tag management o Extreme battery life o Small, full-feature tag form factors
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Not Clinical-Grade RTLS Clinical-Grade RTLS
C L I N I C A L - G R A D E L O C A T I N G™
Certainty-Based RTLS
Not Clinical-Grade RTLS Clinical-Grade RTLS
Defined as the ability to know with certainty that an asset is in a defined zone. If there is significance to know where the asset is within a zone, then the zone should be divided into smaller zones.
C L I N I C A L - G R A D E L O C A T I N G™
Clinical-Grade Locating = Precise Location (Room 101) .
RF-only “error” At 20’ to 30’ radius – Clean Utility Room, Hallway, Rm 101 or Rm 102 At 10’ radius – Room 101, Clean Utility Room or Hallway
The Importance of Accuracy for: PAR-level management – Proximity of in-use, soiled and available assets present a challenge for PAR-level management; inaccurate location data = inaccurate PAR-level settings Available / In Use Status – Asset availability can be determined with logical business rules, but only if the RTLS has location certain accuracy. Cross Contamination Alerts and Reporting – Ensuring pumps and equipment went through the proper cleaning protocol requires accuracy.
Certainty-Based RTLS
C L I N I C A L - G R A D E L O C A T I N G™
One Infrastructure
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o Certainty-Based RTLS o Open and Unified Platform o Enterprise-level Maintenance & Management
Patient & Staff Workflow
Temperature & Humidity Monitoring
CLINICAL-GRADE RTLS
Asset Management
Nurse Call Automation
Patient & Staff Safety
Staff Rounding
Monitoring
C L I N I C A L - G R A D E L O C A T I N G™
Asset Management: Healthcare Applications PAR-Level Management This is the ability to set accurate PAR levels based on RTLS data. PAR-Level management includes automating equipment replenishment before departments run out. Also, staff members will never need to look for equipment, which reduces equipment hoarding and increases staff satisfaction.
Movement/Interaction Rules Asset management RTLS deployments enable the development and ongoing use of movement/interaction rules. These rules may be driven by each facility to enhance efficiency and safety.
Alerts and Alarms Asset Management applications should be able to leverage accurate location data to trigger alerts and alarms such as: • Cross-contamination alerts to reduce
infections • Exit alarms to prevent theft and loss • Alerts can be device- and/or
department-specific Process-Improvement Expertise Collection of 100% reliable asset utilization and asset interaction data may be used to improve business processes. RTLS data which is 100% accurate can support process improvement and effective change management to alter work habits.
Clinical-Grade Locating for Asset Management
C L I N I C A L - G R A D E L O C A T I N G™
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o Enterprise Visibility Program o Team
o Director o Associate Director o Software Engineer o Optimization Specialist o Project Manager o Hardware Specialist o Support Specialist o Software Specialist
Clinical-Grade Locating at Wake Forest Baptist
C L I N I C A L - G R A D E L O C A T I N G™
Why Clinical-Grade?
RTLS Applications Deployed at Wake Forest o Asset Management
o Utilization o Loss Prevention o Preventative Maintenance Management o Capacity Management (Wheelchairs) o Purchasing reduction (via better Utilization) o Equipment rental management o Visibility to critical life saving mobile assets (equipment,
medicine, blood, etc.) o Temperature/Environmental Monitoring
o Improved accountability and compliance (by meeting Joint Commission guidelines)
o Risk Reduction - ensures the protection of temperature-sensitive consumables
o Alerts/notifications – Enables quick response when temperatures are out of acceptable ranges
o Time and cost savings -- Reduction of low-value staff time manually checking temperature readings
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C L I N I C A L - G R A D E L O C A T I N G™
Why Clinical-Grade?
Other Benefits o Patient Safety and Accountability
o Falling/injury in patient room – Did staff use a lift for transfer?
o Location history and identify whether proper medical equipment was in the room (infusion pump and other critical equipment validation)
o Management of potential HAIs o Track location and temperature of blood and
temperature-sensitive materials o RTLS has been the impetus for daily safety
meeting attended and led by senior hospital executives o RTLS data is routinely leveraged to take corrective
action and preventative action o Improved Healthcare Experience
o Real-Time Analysis via hand-held tablets to help staff quickly find available equipment
o Improve Staff Member and Patient Experience
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C L I N I C A L - G R A D E L O C A T I N G™
STAIRWELL
Why Clinical-Grade?
Example use case – equipment availability, and safety o Necessary for capacity management applications o Prevent regulatory violations
o Quickly find abandoned equipment in elevator areas and stairwells
o Improve utilization and streamline workflow (increased visibility to available wheelchairs in critical areas)
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STAIRWELL
Scenario 1 Scenario 2
C L I N I C A L - G R A D E L O C A T I N G™
Why Clinical-Grade?
Future Clinical-Grade RTLS applications at Wake Forest o EMR integration (access RTLS data through
Epic interface) o Staff Locating
o Resource management and utilization o Nurse Call Integration o Staff/patient interactions o Staff Safety/Duress Applications
o Patient Tracking o Bed management o Reduced wait times o Patient Safety o Asset/Staff/Patient Associations
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C L I N I C A L - G R A D E L O C A T I N G™
Events & Decisions Triggered by Information “AUTOMATION”
data must be certainty-based!
Requires Certainty-based
Estimated
Why Clinical-Grade?
Locate Track Event Workflow Utilize Perform
Ent
erpr
ise
Valu
e
HIGH
LOW
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Patient & Staff Tracking Workflow
Asset Management
Asset Tracking
Confidential & Proprietary / Please do not copy or distribute.
Visit www.clinicalgradelocating.com for more information or to download an
RTLS RFP.
Presenter Contact Info: Mary Jagim, MS, RN, CEN, FAEN
Chief Nursing Officer Infinite Leap, Inc.
c: 701.730.4817 e: [email protected]