Nurse Call A_and_E Powerpoint_DOC0696731

Transcription

Nurse Call A_and_E Powerpoint_DOC0696731
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!