Cisco Health Care Solution

8/12/2019 Cisco Health Care Solution

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2006 Cisco All rights reserved. Cisco Confidential 1

Erik PetersenGlobal Healthcare Marketing

Cisco Healthcare Solutions


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2006 Cisco All rights reserved. Cisco Confidential 2

Cisco Connected Health VisionAccessibility, Affordability, Delivering Better Care


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2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 3 2006 Cisco All rights reserved. Cisco Confidential 3

Agenda

Healthcare delivery changes

Cisco Healthcare Portfolios and Solutions

HealthPresence Cisco on Cisco

Whats next


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State of healthcare

Healthcare

ReformLow IT

investmentStimulusPackage

Organizational

Silos

PatientSatisfaction/Safety

Alternate CareOptions

Medicare/MedicaidReimbursement

Joint Commission /

GovernmentmandatesProvider

Aging

Population

Patient

Capturing HITStimulus

Transformingthe PatientExperience

ClinicalProcess

Improvement

New Modelsof Patient

Care

Operating Margin

Pressures


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We Live in Exponential Times

Source: The Economist, March 2010

24 hours of content uploaded every minuteY O U T U B E I S F I V E Y E A R S O L D

38 Years Time to reach an audience of 50M


4 YearsWWW Time to reach an audience of 50M


1 Year Time to reach an audience of 50M


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Video Is Becoming Pervasive

Sources: Wired, Cisco estimates based on CAIDA publications, Andrew Odlyzko


7/21 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 7 2006 Cisco All rights reserved. Cisco Confidential 7

Why Video in Healthcare

1

Kandola, Pearn The Psychology of Effective Business Communications in GeographicallyDispersed Teams, Cisco Systems, September 2006

2Vision Group Research, FMRIB, University of Oxford, UK



Need for Collaboration Amongst CliniciansRoot Cause of Sentinel Events Is Lack of Communication

Up to 70% of sentinel events in healthcare are caused by poorcommunications, according to a Joint Commission study 19952006

Sentinel events are unexpected occurrences involving death or serious injury

Top sentinel events include wrong-site surgery, medication errors, delay in treatment

Root Causes

Statistics on Root Causes of Sentinel Events

Communication

Orientation/Training

Patient Assessment

Staffing

Availability of info

Competency/credentialing

Procedural compliance

Environ. Safety/security

Leadership

Continuum of care

Care planning

Organization culture

0 10 20 30 40 50 60 70Percent of 3548 events

All Categories; 2006 All Categories; 19952005

0 10 20 30 40 50 60 70

Source: The Joint Commission



Enhancing the Patient ExperienceGrowing in Importance

> 50% o f patients are

wi l l ing to swi tch hospi ta ls

for a better experience

Non-ClinicalCriteria Willingness to Switch(% of Patients)

Location

HospitalReputation

PatientExperience

Physicians

Decision

Factors Influencing PatientsChoice of Hospitals

Source: 2007 McKinsey Survey of >2000 US Patients with Commercial Insurance/Medicaid

and >100 US Physicians


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Cisco Connected Health Portfolio of Solutions

Care-at-a-DistanceSolutions that enable remote examinations, consultations, and

distance learning.

Healthcare Technology FoundationsSolutions that provide security, interoperability, and

regulatory compliance.

Clinical WorkflowSolutions that improve

communication, collaboration, and

education.



Patient Safety Quality of Care Patient Satisfaction Cost Effectiveness StaffSatisfaction Regulatory Compliance

Care at a Distance Clinical WorkflowHealthcare Technology

Foundations

HealthPresence

Clinical Presence Cart

Intern Cart

Expert on Demand

Webex for Healthcare

TelePresence for Healthcare

Umi

Nurse Connect

Context-Aware Healthcare

Digital Physicians Office

Medical Data Exchange Solution

PACS Collaboration

Wireless IP Phones

Cius

BioMed NAC

Secure Wireless

Data Center for Healthcare

PCI for Healthcare

Security and Compliance

Medical-Grade Network

Architecture

Connected Health Solution Framework

Business

Drivers

Network

Technologies

Business

Solutions



Collaborative Patient Room

Digital

Signage

Bedside

Services

Clinical Application

Access

Unified

Communications

Location

Based

Services

Remote Access

Wireless

Connected Imaging

Video Language

Interpretative Service

VideoSurveillance

Telepresence

Medical Grade Network

Nurse Call

Integration
http://virtualpalomarwest.org/http://virtualpalomarwest.org/http://virtualpalomarwest.org/http://virtualpalomarwest.org/http://virtualpalomarwest.org/http://virtualpalomarwest.org/



Care-at-a-Distance

2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 13



Case Study: Cisco Employees Connect withPhysician Across the U.S.

Physician in

San Jose,

California

Patient in

Raleigh, North

Carolina



Stats: Cisco HealthPresence at RTP

156 total HealthPresence visits since program began in 2009 Drop in physician visits / Increase in nurse only visits

Successful screening events

Skin screen - 65 patients

Know your Numbers screen - 75 patients



The Cisco HealthPresence Solution

Using the network as a platform; Cisco HealthPresence solution combines high-definition video,advanced audio, and patient medical data to create an environment similar to what most people

experience when they visit their doctor or health specialist.

BusinessValue

Increased convenience and access to healthcare for patients

Optimizes the use of scarce expert resources while containing costs andoffering a live, face-to-face visit experience

Offers the ability to augment and optimize the capacity and reach of care-delivery systems in a patient-friendly and convenient way

Patient in a remote area needsto see a doctor

Local attendant (a licensedhealthcare professional)

places patient at CiscoHealthPresence unit

Attendant placescall to a remote doctor with asingle touch

Medical instruments

provide vitals

Remote doctor sees patient inhigh-def video and views datafrom medical devices instreaming video



Components ofthe Cisco HealthPresence Solution

Components

Medical Devices

AMD-2500 General

Examination Camera

AMD-3700 Telephonic

Stethoscope

AMD-2015

ENT Scope

Welch Allyn Spot Vital

Signs Lxi

(blood pressure, temperature,

pulse rate, pulse oximetry)

Cisco SessionManagement Applicationfor interoperability withCisco Unified Communications,enabling intelligent routing and

management & one-touchdialing

CiscoTelePresencefor a realistic face-to-

face experience

Cisco

HealthPresenceConnect Softwarefor secure sessionmanagement,transmission of medicaldata, and viewing ofelectronic medicalrecord (EMR)



Health Services ExchangePowered by Cisco Cloud Solutions

Patient health and support services provided from the HSX cloud to many different endpoints dependingupon the consumers location, communication and needs

Extending Care Through the Network

Office Mobile HomeHospital

Secure dynamic service access anywhere, anytime

Economical - services at cloud prices

Agile - more new and customized services to meet demand


19/21 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID19 2006 Cisco All rights reserved. Cisco Confidential 19

Healthcare Services Exchange Cloud Concept

Datacenter Cloud Gateway

Healthcare Service Exchange

Medical

Information

Services

Video

ServicesTelemetry

Services

Application

Virtualization

Services

Health Services Marketplace

EMR PACS Clinic

Virtual Clinical Specialist

Health

Management

Health

Management

Episode Management

Pre-Admission Admission Post-Admission

Pre-Authorization

Telemedicine

Health Information

Exchange

Provider Services

Patient Services



Addressing a Range of Health Services Needs

Market Expansion New ServicesEnables existing capabilities to

new markets

Aligns strategically with the

Connected System

Health IT Investment Meaningful Use

EMR/HIE

State Exchanges

Health Reform

ACOReimbursement Changes

Compliance

Cost Capital Investment ReductionAutomation

Access

RuralSpecialty

Market Expansion

Quality

Improve OutcomesED, Readmissions

Predictive Techniques

Speed to Market Connecting a disparatehealth system


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Documents

Cisco Health Care Solution