Nurse Call a and E Powerpoint DOC0696731 BY GE

Nurse Call Communications

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

GE Healthcare

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 1896 310,000+ employees worldwide Fortune Magazine’s “Global Most Admired Company” in 2006 for 2nd straight year $183 billion revenue in 2008

GE Healthcare

GE business segments Technology Infrastructure

Healthcare

Aviation

Transportation

Energy

Water

Oil and Gas

Commercial Finance

GE Money

Energy Infrastructure

GE Capital

NBC Universal

Corporate Treasury

Enterprise Solutions (GE Security)

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

GE Healthcare

Meeting needs across the enterprise Radiology

Lab

Cardiology

Bio-Medical Engineering

Surgery

Gastrointestinal

Women’s Health

Orthopedics

Information Technologies

Facility Services

Urology

Pediatrics

Oncology Labor & Delivery ICU / CCU Emergency Pharmacy

Monitoring Solutions GE Healthcare

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

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.

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.

The call is not just for change…

…but for transformation.

Clinical Information Logistics

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

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.

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

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

Commitment to Excellence

Improving care one step at a time Our Heritage 1952 1980 1999 2000 2003 2006 2008 2009

Commitment to excellence

Dukane Corporation enters U.S. nurse call market Dukane Corporation introduces the first microprocessor Nurse Call system GE acquires Marquette, enters monitoring segment GE acquires Data Critical event paging GE acquires IDX Electronic Medical Records (EMR) GE acquires Dukane and introduces Telligence™, the first VoIP Nurse Call System in the U.S. GE acquires Agility™ RTLS integration and workflow solutions Nurse Call business is acquired by GE Healthcare

Compatible Accessories • Wireless Phones: Polycom®, Ascom™, Vocera™, Cisco™, NEC™ • Location: GE Agility, Versus

• Accessories: Curbell® • Integrations: Stryker, Emergin®

Nurse Call Solutions GE Healthcare

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

Reliability

Key benefits Reliability - Information, when and where it’s needed, to help make better decisions, earlier and faster.

Scalability & Connectivity

Quality of Care

Efficient Workflow

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

Telligence System Components Patient Stations

Telligence System Components

Telligence system overview patient stations

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

Telligence System Components

Smart patient stations One design meets the needs of many!

Telligence System Components

5 stations in one Helps to save Back box $ Cable $ Conduit $ LABOR $$

Telligence System Components

Patient stations HC-PSTN1

HC-PSTN1-BED

HC-PSTN2

HC-PSTN2-BED

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.

Telligence System Components

Telligence system cabling Smart Patient Station – Connections Cable out to next smart device (if present)

Cable in from Dome Light

To Bed interface (Bed B) when present

To Bed interface (Bed A) when present

To TV and light controls

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

Telligence System Components

Smart stations

Telligence System Components Peripheral Stations

Telligence System Components

Peripheral stations

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

Telligence System Components

Peripheral devices

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

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.

Telligence System Components

Hardware overview

Telligence Station Gateway

Telligence PowerSwitch

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.

Telligence System Components Patient Devices

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

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

Telligence System Components Corridor / Dome Lights

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

Telligence System Components Staff Console Annunciator

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

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

Telligence System Components

Staff console & annunciator sample screens

Pending Call Window

Communication Window

Reminder Window

Room List Window

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

Telligence System Components Central Equipment

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

Telligence System Components Cable Plan

Telligence System Components

Telligence system cabling Key Colors:

CAT5 + 16 AWG CAT5 Any pair of wires

EP

EP

SP

Telligence System Components

Telligence system cabling Key Colors:

CAT5 + 16 AWG CAT5 Any pair of wires

EP

EP SP

Telligence System Components

Telligence system cabling Key Colors:

CAT5 + 16 AWG CAT5 Any pair of wires

RC EP

EP

SP

Telligence System Components Block Diagrams

Telligence System Components

Telligence system architecture To Hospital LAN or next PowerSwitch

Equipment Closet

Lav 1

Patient Room 1

Lav 2

Patient Room 2

Staff Areas

Key Colors: CAT5/5e/CAT6 CAT5 or any pair 16AWG, Power

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

Telligence System Components

Telligence system architecture Telligence PowerSwitch

Unit A

Unit B

Telligence Station Gateways

Telligence Station Gateways

40 Devices

40 Devices

40 Devices

64 Stations / 128 beds 4 Staff Consoles / Annunciators

40 Devices

Telligence System Components

Telligence system architecture Telligence PowerSwitch

Telligence PowerSwitch

Unit A

Unit B

192 Stations / 384 beds 12 Staff Consoles / Annunciators

Telligence PowerSwitch

Unit C

Telligence PowerSwitch

Unit D

Unit E

Unit F

Telligence System Components

Telligence system architecture Uplink

512 Stations /1024 beds 32 Staff Consoles / Annunciators

Telligence PowerSwitch

Telergy Integration Platform

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

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

Telergy Integration Platform

Network and data sharing • Telergy helps to support staff mobility by automatically delivering patient calls to wireless devices

• Telergy uses your existing workstations as nurse call terminals, enhancing your IT investment and preserving precious workspace • 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 Integration Platform

Telligence system architecture Equipment Closet

Hospital LAN

Nurses’ Station

Lav 1

Patient Room 1

Lav 2

Patient Room 2

Key Colors: CAT5/5e/CAT6 Any pair of wires 16AWG, Power

Telergy Integration Platform

Telligence – Telergy Integrated Patient-Staff Communications Network

Telergy Integration Platform

Telligence – Telergy One Convenient GE Nurse Call Infrastructure

Telergy List View Client

Telergy

PC console – ListView (pending calls)

Highest Priority Pending Call

Other Pending Calls in Priority Order Patient Names and Room List

Telergy

PC console – ListView (general)

Once answered, more information displayed

Staff Assignment Information General Patient and Room Information

Telergy

PC console – ListView (patient)

Patient Data

Telergy

PC console – ListView (events)

Recent Event History

Telergy

PC console – ListView (staff)

Staff Assignments

Telergy Map View Client

Telergy

PC console – MapView

Color-Coded Room Events

Color-Coded Staff Location Icons Pending Call Popup Window

Color-Coded Reminders

Telergy PC Assignments

Telergy

PC assignments

Onscreen Help and Step-by-Step Wizard

Shortcuts

Active Staff and Device ID’s

Telergy PC Messaging

Telergy

PC messaging

Bed, Staff or Device Option

Message Menu or Free Text Typing

Staff Level Option

Telergy PC NetBoard

Telergy

NetBoard electronic whiteboard Select from a wide choice of column options – can be arranged in any order

Attending Physician from ADT via HL7Interface

Staff and Device Details imported from PC Assignments

Telergy

NetBoard electronic whiteboard

Telergy PC Reporting

Telergy

Management reports Activity & Response Time Analysis • Browser application – access reports from any PC

• Have reports delivered to your email address

• Author your own reports and save them as templates for future use

• Operates on robust SQL database

• Schedule automatic reports – hourly, daily, weekly or monthly

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.

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.

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.

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.

Thank you!