supporting interoperability and technology migration at your hospital
TRANSCRIPT
SUPPORTING INTEROPERABILITY AND TECHNOLOGY MIGRATION AT YOUR HOSPITAL
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AGENDA
The evolution of healthcare
Healthcare technology and challenges today
Leveraging your investment in legacy technology
Smoothing technology migrations
Preparing for the future
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HEALTHCARE HAS CHANGED
Healthcare used to be simpler
Today, things are much more complex
• See 1-2 doctors per visit• Paper charts follow the patient
• Many sources of information: EHR, IoT, wearables• Many beeps and buzzes• Several specialists forming a care team• Many different ways to reach each person
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EVOLUTION OF HEALTHCARE IN THE U.S.
Medicare and Medicaid signed into
law1950s
1960s
1960s –present
Pagers change critical communications
Proliferation of department-specific systems and PBXs
The birth of the electronic health record (EHR)
Patient monitoring devices keep the pace
1970s
1960s –1970s
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EVOLUTION OF HEALTHCARE IN THE U.S.
On-call scheduling gets smart
Nurse! Nurse call technology puts patients’
needs first
HIPAA + HITECH signed into law
Smartphones put apps at our fingertips
1980s
PACS pivot radiology from film to digital
images
1980s
1980s –1990s
2000s
1990s
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THE HEALTHCARE TECHNOLOGY LANDSCAPE TODAY
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THE IMPORTANCE OF INTEROPERABILITY AND INTEGRATION
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HEALTHCARE CHALLENGES TODAY
• How do we provide better, faster patient care while reducing costs?
• Is our patient information secure?
• How is our payment model going to change with healthcare reform?
Organizational Challenges Tactical Challenges
• How do we incorporate new technology without hindering workflows?
• What if my physicians all want to receive messages on a different device?
• How do we get actionable information out of our EHR and into physicians’ and nurses’ hands?
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INTEGRATION WITH INFORMATION SYSTEMS
SMTP: Generic text-based messaging
HL7: Healthcare-specific formatted messaging
API: Programmed integrations
URL: Launch of 3rd-party application with
or without context
MODES OF INTEGRATION
INTEGRATION WITH A VARIETY OF INPUTS AND OUTPUTS
Flexibility of Inputs
MODES OF INTEGRATION• SMTP• HL7• API• URL
Flexibility of Outputs
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INTEROPERABILITY WITH LEGACY TECHNOLOGY
Goals: Protect your investments and extend their value
Millions of pagers still in hospitals
Legacy nurse call and patient monitoring systems prevalent and critical
Legacy technologies in process of evolving
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Patient, short of breath, hits nurse call
Communications platform messages assigned nurse with context
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INTEGRATION WITH MODERN TECHNOLOGY
Goal: Consolidate legacy and modern technologies onto a single platform, while limiting disruption seamlessly maintaining and/or enhancing your workflows
Which of the following hospital systems are currently integrated with your communications infrastructure?
EHR Secure text Messaging
Nurse call Patient monitoring
Emergency response
Critical Test Results Management
Bed management
Staff contact directory
Operator console
On-call scheduling
73% 54% 47% 36% 36%
31% 31% 30% 26%29%
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Intern orders portable chest X-ray
Radiologist sees new pneumothorax
Critical test alert goes to intern
5MIN
Escalated to resident
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Patient short of breathBlood pressure: 110/60Temperature: 102.5°Respiratory rate: 27 bpmHeart rate: 105 bpm
Rapid response team ordered
Sepsis possible
Nurse Supervisor
Critical Care RN
Respiratory Therapist
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Automated messages to transport, valet, and environmental services
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HEALTHCARE IN 2020 - PREDICTIONS
mHealth
3D Printing
Telemedicine
Interoperability
Value-based healthcare (fee-for-value)
Artificial intelligence spending to hit $46 billion
80% of healthcare data to travel through the cloud
Patient-centered and outcome-based delivery models
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RECENT SURVEY RESULTS
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Time
Tech
no
logy
Co
mp
lexi
tyBRIDGING THE GAP
You are here
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Smoothing technology migration
Creating a path to the future
Protecting your investment
KEY TAKEAWAYS
LET’S GET IN TOUCH!
Learn more:
CASE STUDIES VIDEOS
We’d love to hear from you!