Nurse Call Communications

Transcription

1 Nurse Call Communications

2 Meeting Outline The GE Healthcare Business Market Trends and Demands GE Healthcare & Clinical Information Logistics GE Nurse Call Portfolio Telligence Overview Telergy Overview

3 GE Healthcare

4 GE Healthcare The General Electric Company Founded by Thomas Edison in 1878 The only company listed in the Dow Jones today that was in the original index in ,000+ employees worldwide Fortune Magazine s Global Most Admired Company in 2006 for 2 nd straight year $183 billion revenue in 2008

5 GE Healthcare GE business segments Technology Infrastructure Healthcare Aviation Transportation Enterprise Solutions (GE Security) Energy Infrastructure Energy Water Oil and Gas GE Capital NBC Universal Commercial Finance GE Money Corporate Treasury

6 GE Healthcare Business overview $17B global business unit of GE 50,000 employees worldwide $1B+/year R&D investment Core strengths in bio-sciences, technology, & business

7 GE Healthcare Meeting needs across the enterprise Radiology Cardiology Surgery Women s Health Information Technologies Urology Oncology Labor & Delivery ICU / CCU Emergency Pharmacy Lab Bio-Medical Engineering Gastrointestinal Orthopedics Facility Services Pediatrics

8 Monitoring Solutions GE Healthcare

9 Monitoring Solutions Challenges in healthcare An aging population Sicker, higher-acuity patients Staff overload and fatigue Quality and safety imperatives EMR directives Increasing public transparency Consumer-directed healthcare

10 Monitoring Solutions Importance of communication & workflow Patient Safety Goal #2 Improve the effectiveness of communication among caregivers Communication is required to enhance patient outcomes. Ineffective communication is the most frequently cited category of root causes of sentinel events.

11 Monitoring Solutions Importance of communication & workflow The vision of GE Healthcare is to be uniquely positioned to bring together the best in science, technology and business to redefine the frontiers of prediction, diagnosis, treatment, monitoring and information management.

12 The call is not just for change

13 but for transformation.

14 Clinical Information Logistics

15 Clinical Information Logistics Importance of communication & workflow Clinical Information Logistics is the right information, at the right time, for the right clinician. Jennifer Jackson Assistant Director Biomed Eng. Brigham and Women s Hospital

16 Clinical Information Logistics Clinical Information Logistics (CIL) is the process of planning, implementing and controlling the effective procurement, flow, storage and distribution of information about patient performance and clinical events from the point of origin to a point of consumption.

17 Clinical Information Logistics Healthcare communications in action Reliability Information when and where it s needed, to help make better decisions, earlier and faster. Efficient Workflow A suite of technologies that help acquire and deliver clinical intelligence in the most fluent manner possible. Simplicity Easy to learn, easy to configure, easy to manage. Quality of Care Management Reports helps to support JAHCO, HCAHPS, and adverse event reporting needs Scalability and Connectivity VoIP technology and integration-friendly middleware helps to ensure seamless, scaleable implementation

18 Clinical Information Logistics What I expect from GE is that it will listen to us very carefully so carefully that it can provide us not what we ask for, but rather, what we really need. James Philip, M.E. (E), M.D. Anesthesiologist Brigham and Women s Hospital

19 Commitment to Excellence

20 Improving care one step at a time Our Heritage 1952 Dukane Corporation enters U.S. nurse call market 1980 Dukane Corporation introduces the first microprocessor Nurse Call system 1999 GE acquires Marquette, enters monitoring segment 2000 GE acquires Data Critical event paging 2003 GE acquires IDX Electronic Medical Records (EMR) 2006 GE acquires Dukane and introduces Telligence, the first VoIP Nurse Call System in the U.S GE acquires Agility RTLS integration and workflow solutions 2009 Nurse Call business is acquired by GE Healthcare Compatible Accessories Commitment to excellence Wireless Phones: Polycom, Ascom, Vocera, Cisco, NEC Location: GE Agility, Versus Accessories: Curbell Integrations: Stryker, Emergin

21 Nurse Call Solutions GE Healthcare

22 Nurse Call Solutions Nurse Call overview ProCare 1000 Tone/Visual Lights, tones ProCare 2000 Audio/Visual Lights, tones & intercom features (Reminder, Nurse follow, Priorities, Group page, 2600 interface) StaffCallPro Audio/Visual Microprocessor based low cost/feature rich ProCare 6000 Full Feature Integrate options Modular & flexible Telligence Advanced, IP Based Nurse Call

23 Reliability Key benefits Scalability & Connectivity Efficient Workflow Reliability - Information, when and where it s needed, to help make better decisions, earlier and faster. Quality of Care Simplicity Efficient Workflow - A suite of GE technologies that helps to acquire and deliver clinical intelligence in the most fluent manner possible. Simplicity - Easy to learn, configure, use and manage Quality of Care - PC Reporting delivers quality of care data, including response times, frequency of events and performance versus targets Scalability & Connectivity - VoIP technology and integration-friendly platform helps to ensure seamless, scaleable implementation

24 Telligence System Components Patient Stations

25 Telligence System Components Telligence system overview patient stations

26 Telligence System Components Patient stations Choice Programmable Soft Key Technology Station buttons are configurable based on template menus Button labels can be customized to meet specific terminology functional Full-Duplex Audio with Intelligent Controls Clear intercom communication between patients and staff Separate Talk and Listen volume settings for every conversation between staff areas and patient rooms NiteLite Convenience Lighting Helps to simplify station operation in low light Helps to minimize patient disruptions Cleaning Mode Helps to prevent false calls while cleaning Helps to prevent infection transmission Station Supervision Monitors Telligence stations and generates alerts at Staff Consoles, Annunciators and BioMed pagers

27 Telligence System Components Smart patient stations One design meets the needs of many!

28 Telligence System Components 5 stations in one Helps to save Back box $ Cable $ Conduit $ LABOR $$

29 Telligence System Components Patient stations HC-PSTN1 HC-PSTN1-BED HC-PSTN2 HC-PSTN2-BED

30 Telligence System Components Smart patient stations Single point of connection Helps to lower cost no need for additional receptacles, conduit or back boxes (2) ¼ input receptacles configurable for call cords or auxiliary hardware* Reliable GE DuraPin pillow speaker receptacle Private and semi-private models BedConnect receptacle (optional) Easy Installation Convenient RJ45 terminations Mounting Plate No exposed hardware * Auxiliary hardware that is FDA cleared for connection with Nurse Call systems may be connected to our nurse call systems. End users should consult with auxiliary hardware manufacturers to determine whether the auxiliary hardware meets this criteria.

31 Telligence System Components Telligence system cabling Smart Patient Station Connections Cable in from Dome Light Cable out to next smart device (if present) To Bed interface (Bed A) when present To Bed interface (Bed B) when present To TV and light controls

32 Telligence System Components Staff / duty stations (HC-DUTY) Configurable as a Staff or Duty station via programming Same great features as the Smart Patient Stations

33 Telligence System Components Smart stations

34 Telligence System Components Peripheral Stations

35 Telligence System Components Peripheral stations

36 Telligence System Components Peripheral devices Fully Supervised Configurable Buttons One, Two or Three button With or Without Pull Cord NiteLite for low light visibility Each unit ships with optional switch types Additional or printable switch types available Non-contaminant pull cord material

37 Telligence System Components Peripheral devices

38 Telligence System Components Generate configurable events Telligence supports clinical and workflow events Housekeeping Transport Procedure Start/Stop Clean Room Pain Med Ice Chips IV Start Clergy Requests can be sent to wireless devices and annunciation locations, wherever information is needed

39 Telligence System Components Peripheral devices Auxiliary Inputs Isolated and non-isolated models available Inputs can be labeled Multiple units can be installed per bed Additional inputs to what patient station provides Isolated Inputs Non-Isolated Inputs Auxiliary Inputs may be connected to auxiliary hardware having an FDA cleared nurse call connection. Equipment shall be listed to UL safety standards (UL544 or IEC6061-1) and provide a latching, normally open dry contact relay.

40 Telligence System Components Hardware overview Telligence Station Gateway Telligence PowerSwitch

41 Telligence System Components Efficient workflow Generate clinical and workflow events Telligence peripheral devices can be configured to initiate clinical and workflow events, helping to automate staff processes No need for expensive LCD staff terminals One station can initiate up to three different event types and can be easily reconfigured as needs change 1-Gang stations can be located just about anywhere Configurable clinical events like IV Therapy, Pain Med, Patient Turn, etc. Configurable workflow events like examples such as Transport, Housekeeping, etc.

42 Telligence System Components Patient Devices

43 Telligence System Components Patient call devices Pillow Speakers Easy to clean design helps to improve infection control Digital and DirectAccess models Durable GE DuraPin design Units can now be programmed to connect to compatible brand Healthcare TV s no longer does the brand of TV dictate the model of pillow speaker

44 Telligence System Components Patient call devices Call Cords Various models available Air pad Pressure Pad Breath call (sip & puff) Standard push button Standard 14 jack

45 Telligence System Components Corridor / Dome Lights

46 Telligence System Components Infinity corridor lights LED s (Lifetime usage) Each Section Programmable Colors Nine to chose from Can Light/Flash multiple sections for high priority calls Junction point for room & hallway cabling 1 or 2 Gang Mounting Supervised

47 Telligence System Components Staff Console Annunciator

48 Telligence System Components ColorTouch console Full-color, 5.7 touchscreen display One touch call answer capability Adjustable tilt on touchscreen display Full-duplex audio Small footprint Administrative features Configurable soft keys Password Protect selected functions

49 Telligence System Components ColorTouch annunciator Provides functionality of a Staff Console Can serve as: Tone Visual Annunciator Duty Station with display Wall Mount Staff Console Code Blue Annunciator (as a centralized code blue annunciator, it will only see calls for the Telligence bridge/system that it is connected to. Cannot view call activity across different systems) Full-color, 5.7 touchscreen display

50 Telligence System Components Staff console & annunciator sample screens Pending Call Window Communication Window Reminder Window Room List Window

51 Telligence System Components ColorTouch staff console and annunciator Simplicity Screens are easy to learn and use, helping to simplify training Convenient touchscreen interface puts most key functions just one touch away Alphanumeric tabs and function buttons are easy to navigate

52 Telligence System Components Central Equipment

53 Telligence System Components Telligence central equipment Only 2 Central Equipment Components - include room connections, power, and audio 1-RMU rack-mount modules conserve precious wall space in crowded communication rooms Capacities: PowerSwitches support up to 8 IP Devices (Station Gateway, Console, Annunciator) Station Gateways support up to 40 smart devices (Dome Light, Patient Station, and Staff/Duty Station) also includes all necessary power for these rooms

54 Telligence System Components Cable Plan

55 Telligence System Components Telligence system cabling CAT AWG CAT5 Any pair of wires Key Colors: E P E P S P

56 Telligence System Components Telligence system cabling CAT AWG CAT5 Any pair of wires Key Colors: E P E P S P

57 Telligence System Components Telligence system cabling CAT AWG CAT5 Any pair of wires Key Colors: E P R C E P S P

58 Telligence System Components Block Diagrams

59 Telligence System Components Telligence system architecture Equipment Closet To Hospital LAN or next PowerSwitch Lav 1 Patient Room 1 Lav 2 Patient Room 2 Staff Areas CAT5/5e/CAT6 CAT5 or any pair 16AWG, Power Key Colors:

60 Telligence System Components Telligence system architecture Telligence PowerSwitch 4 Layers 8 ports per switch Telligence Station Gateway Supports up to 40 devices* 1 Voice path per Gateway Staff Consoles / Annunciators Each tie to a port on switch Lights & Stations Up to 512 stations per system (Up to 1024 beds) Peripheral Devices * devices include: patient, staff/duty, and 2/4 section corridor lights

61 Telligence System Components Telligence system architecture Telligence PowerSwitch Unit A Telligence Station Gateways Unit B Telligence Station Gateways 40 Devices 40 Devices 40 Devices 40 Devices 64 Stations / 128 beds 4 Staff Consoles / Annunciators

62 Telligence System Components Telligence system architecture Telligence PowerSwitch Telligence PowerSwitch Telligence PowerSwitch Telligence PowerSwitch Unit A Unit B Unit C Unit D Unit E Unit F 192 Stations / 384 beds 12 Staff Consoles / Annunciators

63 Telligence System Components Telligence system architecture Uplink Telligence PowerSwitch 512 Stations /1024 beds 32 Staff Consoles / Annunciators

64 Telergy Integration Platform

65 Telergy Integration Platform Telergy integrations Telergy provides integration of ProCare 6000 and Telligence systems into Assignments Messaging Reporting List view Map view Wireless device integration Directly interface to Ascom, Vocera & Polycom without the need for middleware NetBoard (whiteboard) ADT/HL7

66 Telergy Integration Platform Network and data sharing Increased staff mobility requires new ways of communicating Helps to improve direct links between patients, caregivers, families, physicians, and even equipment Helps to consolidate your I.T. network by using your PC s as nurse call terminals Point of Work efficiency

67 Telergy Integration Platform Network and data sharing Telergy helps to support staff mobility by automatically delivering patient calls to wireless devices Telergy helps to support improved workflow by processing inputs and RTLS data and delivering it to the appropriate device Telergy helps to support Clinical Information Logistics by linking systems and delivering critical patient information wherever it s needed Telergy helps to support JCAHO & HCAHPS documentation requirements with response time data and quality measures Telergy uses your existing workstations as nurse call terminals, enhancing your IT investment and preserving precious workspace

68 Telergy Integration Platform Telligence system architecture Equipment Closet Hospital LAN Nurses Station Lav 1 Patient Room 1 Lav 2 Patient Room 2 CAT5/5e/CAT6 Any pair of wires 16AWG, Power Key Colors:

69 Telergy Integration Platform Telligence Telergy Integrated Patient-Staff Communications Network

70 Telergy Integration Platform Telligence Telergy One Convenient GE Nurse Call Infrastructure

71 Telergy List View Client

72 Telergy PC console ListView (pending calls) Highest Priority Pending Call Other Pending Calls in Priority Order Patient Names and Room List

73 Telergy PC console ListView (general) Once answered, more information displayed General Patient and Room Information Staff Assignment Information

74 Telergy PC console ListView (patient) Patient Data

75 Telergy PC console ListView (events) Recent Event History

76 Telergy PC console ListView (staff) Staff Assignments

77 Telergy Map View Client

78 Telergy PC console MapView Color-Coded Room Events Color-Coded Staff Location Icons Pending Call Popup Window Color-Coded Reminders

79 Telergy PC Assignments

80 Telergy PC assignments Onscreen Help and Step-by-Step Wizard Shortcuts Active Staff and Device ID s

81 Telergy PC Messaging

82 Telergy PC messaging Bed, Staff or Device Option Message Menu or Free Text Typing Staff Level Option

83 Telergy PC NetBoard

84 Telergy NetBoard electronic whiteboard Select from a wide choice of column options can be arranged in any order Staff and Device Details imported from PC Assignments Attending Physician from ADT via HL7Interface

85 Telergy NetBoard electronic whiteboard

86 Telergy PC Reporting

87 Telergy Management reports Activity & Response Time Analysis Browser application access reports from any PC Author your own reports and save them as templates for future use Schedule automatic reports hourly, daily, weekly or monthly Have reports delivered to your address Operates on robust SQL database

88 Telergy Report setup screen This screen is one example of some of the choices made during the report authoring process. Date, Shift, Event Pair and Call Priorities are selected on this screen. The next screen would allow you to select the nursing units to include in the report.

89 Telergy Overall response time by priority This report displays call activity for the desired Call Priorities, Nursing Areas and Event Pairs (call set to call clear). Report compares actual staff response times against established target times. Data is shown in both tabular and graphic formats.

90 Telergy 13 week historical response time performance This report displays response time trending for the past 13 weeks (3 months). It shows the percentage of calls that were responded to within the target response time. Ideally this chart would remain level or rise slightly from left to right.

91 Telergy Target / exception details This report builds on the previous section to provide additional details associated with each exception event. Patient names removed for HIPAA purposes.

92 Thank you!