Care Communications Patient Flow for Clinics and Hospitals To Save and Drive Efficiencies Throughout the Patient s Journey Features at a Glance - Improve patient flow, room turnover times & exam room usage - Anticipate & proactively respond to changes in patient schedules - Know where patients are located & wait times - Patient status (ready for oncologist, chemo ordered/ready, infusion vitals taken, etc.) - Drive patient & relative satisfaction - Identifies and reduces bottlenecks - Extensive historical analysis tools - Integrate phlebotomy, lab and pharmacy, reducing delay to infusion - Organising outpatient clinic visits to reduce wasted and idle time - Automatic KPI capture - ROI justify your investment Introduction You want more time with each patient, but you need to see more patients. What if you could have both? Improve efficiency in your clinic with the most deployed RTLS for patient flow. When is of the Essence Much of healthcare focuses on time: patient wait time, infusion time, room turnover time, operating times, throughput times, overall length of stay, etc. Whether you run an oncology centre or an operating theatre, you ll know efficiency is key to doctor, staff and patient satisfaction. How Does it Work? Badges and asset tags with unique ID s constantly report back their location to ceiling mounted infra-red/ radio frequency receivers. We establish a clinical-grade standard by combining safe, invisible infrared (IR) light and the communication capabilities of Radio Frequency Identification (RFID). This is the most precise locating technology available to healthcare. Staff, patients, visitors and assets can all be located in real time to deliver workflow operational efficiencies. Key Advantages: Increase patient throughput Identify & eliminate bottlenecks Reduce wasted and idle time Drive patient visit satisfaction DRAFT. December 1 Safer. Smarter. Tyco.
Streamline Processes & Meet your Goals Badge Assignment & EHR Integration On arrival to the clinic, patients are assigned one of our badges. Optionally, we can also match the badge to existing electronic health records by using a barcode scanner. Improve Patient Satisfaction & Increase Volume/Revenue By providing location awareness combined with real-time patient status and cueing, no one gets lost in the system. The wait for testing, the wait for medications, the wait for feedback all are reduced and every staff member is inherently aware of how long each stage of care is taking. Hand Hygiene Monitoring By monitoring hand hygiene participation in real-time, we enable infection control managers to foster a culture of safety and accountability. You ll know the who, when and where details on dispenser use and allow caregivers to see how their participation rates against peers along with compliance rates. Managing a Virus Outbreak In the event of an outbreak from a deadly virus such as MERS, your facility will immediately know who had come into contact with the contagious patient by using our powerful Exposure analytics software. Automatic KPI Capture - Average doctor time with patients - Ratio of nurses to infusion patients - Percentage time exam rooms utilised - Infusion duration - Average wait time - Average alone time - Bone marrow transplant duration - Overall length of stay Performance Metrics The average infusion chair seats. patients per day for chemotherapy and other fluids. Can you imagine what it would mean to your clinic and to your patients if you could increase this by % and serve two more patients each day? How busy are your exam rooms and could you use the existing space more efficiently? Return on Investment The key to getting any capital investment approved is so often Return On Investment (ROI). We ll help justify these goals with our technology. Feature Focus Hardware IR/RFID Badges Safe and Reliable These lightweight portable units transmit their location in real time to the ceiling receivers. The wearer s ID card can be affixed. An integrated staff attack button is also included. Ceiling Mounted IR/RF Receivers Discreet and Effective The receivers are available in two types a short range infra-red (IR) for accurate positioning and a longer range unit (RF) for a more general supervision. DRAFT. December 1
'Glance & Go' Screens For your next Move Improve Patient Satisfaction & Increase Volume Wait times for tests, medications and feedback are all reduced. Staff can focus on exactly how long each stage of care is taking. This improves communication for both staff and patients whilst increasing patient satisfaction which in turn leads to greater revenue. Calm & Efficient Environments Glance and Go screens eliminate the need for overhead paging and phone calls, creating a calmer, quieter environment. This frees caregivers from tedious manual entry, enabling them to spend more time with patients. Room Status at a Glance: Enterprise View Floorplan graphically represents the locations of staff and patients within the department, as well as at-a-glance room status, helping you assess current conditions and respond more quickly, optimising room turnover, patient flow and resource utilisation. Clinical grade granular location also allows for monitoring treatment times and patient-staff interactions for chair-based treatments such as infusion therapy. List View A Real Electronic Whiteboard for Clinics: Automatically updated and fully configurable, these require zero data entry and show the patient s progression throughout their visit. It updates patient locations, room status (busy, ready, dirty etc) acuity levels and lab and x-ray orders. It also allows caregivers to automatically 'claim' patients. Optional wait time alerts based on acuity level help ensure timely visits and patient satisfaction. You can also add useful notes. Real- KPI Dashboard: Enterprise View Dashboard, configurable to each facility s needs, allows executive- and management-level staff to monitor key performance metrics and make adjustments to staffing and other resources on the fly. While reports help you make projections, dashboards allow you to monitor processes and make real-time decisions in response to the unpredictable nature of your clinic s environment. DRAFT. December 1 3
Reduce Patient Journey s Automate Clinical Workflow To Save Per Stage Average Per Stage Before Implementation Minutes Average Per Stage After Implementation 4 Minutes Cutting the Journey by 33% By automating processes, using real time visibility and reminder prompts, the total journey time was reduced by 33%. Source: The State of Family Medicine, American Academy of Family Physicians, 1 Value-Added Non-Value-Added Reduce Case Costs & Improve Turnover s Reducing Staff Costs So much of your operating costs are staff related. That s where our solution makes a tremendous difference by helping you maximise patient access in relation to your staffing costs. Increase Turnover s We ll enable you to increase turnover time, lower per-case expense and increase profitability. When a recognised event occurs, i.e: a nurse and patient together, we can automatically initiate pre-configured responses. Keeping Patients & Relatives Informed By keeping patients and their relatives informed of their progress via screens in waiting areas, you ll improve satisfaction levels whilst reducing the amount of often distracting queries that your staff receive. Saving Proactive Prompts and Alerts Keeping Staff Informed and Next Steps Actioned: Prompts and alerts are a simple and effective, time saving way of informing staff and getting next steps actioned. Receiving Event & Alert Messages Event and Alert Messages Sent Via: - E-mail - ipad, iphone or ipod Touch - PC pop-up alert window and sound file (.wav) - Custom interfaces (HL) to other applications - Pagers The series of responses may include recording that the patient nursing assessment is completed or displaying the milestone on the Glance and Go Screens 4 DRAFT. December 1
List Views Typical List View Room Status (Free, Occupied, Being Cleaned, Reserved etc) Patient Assigned Rooms Patient Name (or Discreet No) Level of Urgency Since Last Seen Overall Length Of Stay Current Location Qty of Labs (Ordered/ Completed) Medical Image Ordered/Returned ECG Ready Search Box to Locate Patients, Staff and Assets Nurse/Doctor Presence Assigned Nurse & Doctor This 'List View Option' automatically updates patient locations, room status (busy, ready, etc) acuity levels and lab and Xray orders. Systems Integration Automate Data Entry & Display Disparate Data These days you need an integrated approach to healthcare. EHRs, Scheduling Systems, Asset Management Software, Laboratory Platforms and more can be automated and integrated with RTLS. Common Integration Requests: - Automate bed assignments & more in your EHR - Badge presence for Single Sign On - Add location data to asset management software - Patient name and appointment time from scheduling - Patient acuity from EHR - Labs ordered/completed from labs - X-rays ordered/complete These are a few examples of what can be pulled in from Scheduling, EHR, Lab and Imaging Systems: DRAFT. December 1
Floorplan Views Typical Floorplan View Search Box to Locate Patients, Staff and Assets Tabs to Switch between Customisable Views Blood Draw Ordered/ or Phlebotomist in Room/Needed Level Acuity = (Via EMR system) Staff ECG Machine Needed Being Cleaned Labs Ordered Awaiting Cleaning Patient Asset Nurse JI Present Meds / Pharmacist Needed Assigned Nurse: Ind.J Patient Mr Samir Patient receiving Xray/ Xray location Available Assigned Doctor: LAI, K. Patient in Isolation 14A is Out of Service 'Enterprise View Floorplan' graphically represents the locations of staff, patients and assets, as well as at-a-glance room status, helping you assess current conditions and respond more quickly. Healthcare Analytics Previously unattainable, but now easily accessible, our RTLS analytics package help you compare your operations against healthcare benchmarks. RTLS automatically, objectively and accurately documents hard-to-capture performance metrics such as: - Equipment Utilisation Rates - Patient Wait s - Door to Doctor s - Overall Length of Stay - Plus much more Reports Plus Analytics helps you: - Reveal patient flow bottlenecks - Track trend data per stage of care/ department - Compare benchmark performance - Assess equipment utilisation and fleet management - Track potential exposure diseases - Plus over total standard reports (or build your own bespoke reports) DRAFT. December 1
Dashboard Views Typical Dashboard View Search Box to Locate Patients, Staff and Assets Average Count of Patients in the A&E Dept at One Patient Averages at a Glance Average Interval s Average Length of Stay Glance The Patient Status at a Glance All of these Views can be Changed to Suit your Needs View Average Turnaround s for Lab Orders & Radiology Nursing/Patient Ratios Many of our clients prefer to view their key metrics in our much appreciated graphical format and some chose a balance of formats to suit different users. Sample Analytic Reports: - Tracking Detail by Badge - Room Activity - Alarms Report - Response Report - Compliance Report - Contamination Report - Visit Detail Report - Visit Summary Report - Create custom SQL queries Degree of Exposure Average Milestones DRAFT. December 1
1 3 4 1 3 1 3 4 8 9 11 1 4 1 3 1 3 4 8 9 11 1 4 18 1 1 9 18 3 1 1 9 18 3 1 1 9 3 1 3 4 8 9 11 1 Care Communications Overview of Technology The IR Advantage The IR Advantage IR-RFID Badges The & Tags IR Advantage 1 IR-RFID Badges & Tags 1 IR-RFID Badges & Tags 1 EXAM 1A 1B EXAM A B EXAM 3A 3B Enterprise View Floorplan Enterprise View Floorplan Enterprise View Floorplan Exam 1 Exam Exam 3 JEN, A BIL, J BIL, J TAY, F TAY, F IND, J Exam 1 Exam Exam 3 JEN, JS A FT JEN, A BIL, TS J BIL, BA J TAY, 14 F TAY, F TAY, AJ F IND, J Exam 1 Exam Exam 3 144 PD TS BA JEN, JS A FT JEN, A BIL, J BIL, J TAY, 14 F TAY, F TAY, AJ F IND, 144 J SMITH JS FT PD SANDERS TS ARUN BA A B A B A B 14 AJ 144 SMITH DAVIDSON SANDERS ARUN A B A B A B SMITH DAVIDSON SANDERS ARUN A B A B A B ED Census Nursing Ratio ED Census by Hour Average ED Census Patients RNs ED Census 3 Nursing Ratio ED Census by Hour Average ED Census Patients 8 8 RNs ED Census 3 Nursing Ratio ED Census by Hour Average ED Census Patients.4:1 8 8 RNs ED Milestones 3 Average Interval s Average Interval s.4:1 Waiting: 8 8 ED Milestones Door-Doc: 4 Average Interval s Tx: Average Interval s 13 Dispo-DC: 4.4:1 Waiting: ED Milestones LOS: Door-Doc: 4 Waiting Door-Doc Tx Dispo-DC LOS Average Interval s Tx: Average Interval s 13 Dispo-DC: 4 Waiting: LOS: Door-Doc: 4 Waiting Door-Doc Tx Dispo-DC LOS Tx: 13 Dispo-DC: 4 LOS: Enterprise View Dashboard Enterprise View Dashboard Enterprise View Dashboard Low-Power RFID 3 Low-Power RFID 3 Low-Power Accurate RFID Sensory 3 Network 1 Accurate Sensory Network 1 Accurate Sensory Network 1 EXAM 1A 1B EXAM A B EXAM 3A 3B EXAM 1A 1B EXAM A B EXAM 3A 3B Waiting Door-Doc Tx Dispo-DC LOS Enterprise View List Enterprise View List Enterprise Room Patient View Acuity List RS LO LC MI Nrs Phy Nurse Exam 3B Arun, B Indra, J Billington, J Reports Exam 3A Sanders, Plus T Analytics Indra, J Billington, 8J Exam 3B Arun, B Indra, J Billington, J Reports Plus Monthly Analytics Average Milestones 8 Identifies the average time by month to complete process intervals over a designated period of time Reports Plus Reporting Monthly Period Analytics 1/1/13 Average 1:AM Milestones 1/31/13 11:9PM 8 Average Average Minutes Average Minutes Minutes 3 3 3 Physician Exam 1A Smith, J Taylor, F Jennison, A RS Room Patient Acuity LO LC MI Nrs Phy Nurse Physician Exam 1B Exam 1A Smith, J Taylor, F Jennison, A Exam A Davidson, P Taylor, F Jennison, A Exam 1B Exam B Exam A Davidson, P Taylor, F Jennison, A Exam 3A Sanders, T Indra, J Billington, J Exam B Triage Assessment Identifies the average time by month to complete process intervals over a designated period of time Start to Physician Reporting Monthly Period 1/1/13 Average 1:AM Milestones 1/31/13 11:9PM Start to Nurse Triage Assessment Identifies the average time by month to complete process intervals over a designated Total period Start of time to Physician Reporting Period 1/1/13 1:AM to 1/31/13 11:9PM Waiting for Start to Nurse in Radiology Triage Total Assessment Response Waiting Start for to Physician Physician Start to Discharge in Radiology Start to Nurse Nurse Assessment Total Response Admission to Departure Physician Waiting Start for to Discharge Cleaning Nurse in Assessment Radiology January Response Admission to Departure Physician Cleaning Start to Discharge Nurse Assessment January Admission to Departure Cleaning January 1 3 8 Legend IR-RFID Badges & Tags Badges, worn by people, and tags, affixed to equipment, emit safe Infrared (IR) and Radio Frequency signals. The IR Advantage IR is a form of invisible light bound by walls. With focused sensors, IR provides the accuracy necessary to locate people and assets. Low-Power RFID The signal travels through walls to identify the badge s general location, to carry the call/alert message when the badge button is pressed and to confirm badge activity. Enterprise View Location information in several formats via our web-based Enterprise View software. With rule sets, our patient flow Applications show room status, caregiver assignments and more. Reports Plus Analytics Behind the real-time visibility that Tyco provides lies an enormous amount of data. With our reporting software, that data is at your fingertips, enabling you to continually improve processes. What is RTLS? Just what is a real-time locating system? Think of RTLS as GPS for the indoors a system that displays the real-time locations of people and things on a floor plan of a building, or in a list. Tyco combines location information with sophisticated rules-based software to also automate workflows, reducing data entry. Accurate Locating Technology Unlike other RTLS technologies, infrared (IR) and radio frequency (RFID) technology allows for very precise locating. Since IR signals cannot penetrate walls, we can easily achieve room-level locating. By focusing IR sensors, we can define smaller, sub-room areas to distinguish two or more locations for bed or chair level locating. Zetsafe Safety & Efficiency Platform The system sits on our established Zetsafe Safety & Efficiency platform. This enables you to easily add nurse call components whilst keeping cost and disruption to a minimum. Since our system is divided into independent segments, any rule exceptions to normal operation will be immediately detected and only affect the system locally. Trademarks: Versus Technology, Inc. product photos are used with permission. All rights reserved. This product or its systems are covered by one or more of the following U.S. and Europe patents and trademarks that are listed at www.versustech.com. Contact us for further information: RTLS Communications Ltd. 1- Shelton Street, Covent Garden, London, WCH 9JQ Tel.: 8 988 39, E-mail: info@rtls.uk.com, Internet: www.rtls.uk.com 9.E_RTLS V1.1. December 1 DRAFT. December 1