Monitored Medical Oxygen Reducing Operating Costs & Increasing Patient Safety PRESENTATION www.engaugeinc.net 11 Commerce Road Rockland MA 02370 888-364-2843 (888-engauge)
The O2 Tank Nexus Portable medical oxygen is mission critical to all hospitals, yet many facilities utilize antiquated, costly processes that compromise safety, compliance and outcomes. There is a better way
Introducing Smart Oxygen Regulators
We reduced our oxygen expenditures 50% in one month Rick Kennedy, COO Aventura Medical Center
Addressing Four Critical Needs en-o2 technology offers healthcare facilities immediate value in four vital areas: Patient Safety Hospital Operations Continual Code Compliance Improved Economics
Traditional O2 Tank Practices are Inefficient, Unreliable and Riddled with Excess Labor and Costs
Violation: Despite Labels, All These Tanks are Empty.
Empty Cylinders in Transport Threat Patient Safety & Code Violation
Excessive Number of Cylinders in a Single Location. Code Violation
Inefficiencies & Safety Threat: O2 Challenges Interrupt 55% of Transports Harborview Medical Center study
During Hurricane Sandy, Hospitals Could Not Find O2 Tanks Threat to Patient Safety & Operational Inefficiencies
en-o2 Improves Operations Hospital Wide
A Better Approach Instant Visualization & Status of Medical Assets
RTLS Enabled Oxygen Tracking Provides real-time insight into the Pressure & Location of 100% of your oxygen inventory UL Listed, high durability O2 regulator UL Listed Smart Gauge Smart RTLS Tag
Continual Accountability Utilizing RTLS backbone to deliver transparency
Continual Accountability Know the moment there is an issue & where
Process: Pull at the Rate of Demand When storage locations need O2. Management is notified allowing inventory to be delivered based on demand (LEAN)
Reduce Compliance Risk What is the value of risk when facing an accreditation evaluation? Compliance Each stand alone cylinder represents a point of risk. Presently, no way of knowing if or when a cylinder is used, missing or inoperable. Technology ensures continually accountability, taking hundreds of points of risk and reducing them to zero. Fire NFPA 99 - When more than 12 full O2 tanks are in one storage location, technology issues an alert.
JCAHO NPSG.02.05.01 National Patient Safety Goal Transport: Document Equipment Appropriate oxygen therapy. Appropriate oxygen reserve in the tank. Reference sheets for the oxygen calculation delivery (in minutes). Verify oxygen flow and the oxygen tank PSI. Reference sheets for the oxygen calculation delivery (in minutes). Identified oxygen refueling units for long intra-hospital transport.
Improving Operational Flow Empty on Crash Cart Empty in ER Storage Empty on a Gurney Empty in the Full Rack
The Milk Run Spiral 1. Tanks delivered (some empty) 2. Multiple daily internal Milk-Runs 3. Techs and RNs grab from any stack 4. Empty tanks go unnoticed 5. Empty tanks are not returned 6. More tanks than needed delivered (some empty) 7.
Recover The Lost Time
Positive Economic Impact Rent only the O2 tanks needed 30-50% reduction in tanks rented Rent lower cost post valve tanks 30-70% reduction in tank rental cost Refill only when necessary, stop sending full tanks out 30-50% reduction in number of tanks filled Avoid charges for lost or missing tanks 10-20% reduction in annual costs Minimize the labor needed to manually manage O2 inventory 70-80% reduction in labor
Recover Hidden Costs Recover RN and tech time RNs and techs loose valuable time looking for O2 tanks. Up to 10 minutes per RN per shift just looking for tanks (up to $2000.00 annually per RN) Improve patient flow Difficulty finding full tanks directly disrupts patient flow 10 minutes on 3% of transports Increased patient risk Staff frustration Lost OR time or procedural time due to tank searching directly impacts revenue
Empower LEAN Healthcare Enabling electronic Kanbans for O2 Pull by Par-Value demand Enabling LEAN Safety Ensure right tools are in the right place, right time Enabling Setup Reduction Reduce the time needed to execute key procedures A key tool for Poka-Yoke Mistake Proofing O2 increases safety
Oxygen Case Study Before: Patient safety impeded by empty O2 at point of use Patient flow slowed by empty O2 at point of use Non-controlled system Device hoarding Over charging by gas supplier After: 70% reduction in O2 related hard cost 14 Month ROI >$50,000 in hard cost annual savings 99% par-value filled at point of use 75% Reduction in tank associated labor Increased strategic control over supplier
Clear Benefits, Clear Return Better economics Operational Excellence Superior Patient Safety Better Emergency Preparedness Improved Compliance LEAN