Mission Bay Hospitals Program

CTG - Mission Bay IT Update

Date: Feb 6, 2014

Confidential: University of California San Francisco Medical Center

Successful Oneview Pilot Completed

• Pilot objectives and success metrics achieved. Core system functionality and hardware solution demonstrated for both Peds and Adult patient rooms in Mission Bay Hospital

• 8 Demos held over 2 days with 75+ participants from across the enterprise including Patients, Patient Advocates, Family Advisory Council members, Clinicians, Nursing, Executive stakeholders, Construction Management and Information Technology teams.

Clinical and Technical Workshops• 2 half-day workshops held to validate Business Requirements for Day 1.

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Interactive Patient Care

Confidential: University of California San Francisco Medical CenterSlide 3

Interactive Patient Care - Next Steps

Feedback Analysis and Reports• Evaluate Feedback Surveys from Demonstrations• Consolidate Feedback from Clinical Workshops• Prepare Report Summary by 2/7/14

Finalize and Sign-Off of Business and Technical Requirements• Lead break out Work Groups• Update Business and Technical Requirements (BRD/TRD)• Executive Stakeholder Approval of BRD and TRD by 2/28/14

Confidential: University of California San Francisco Medical CenterSlide 4

Interactive Patient Care

Confidential: University of California San Francisco Medical CenterSlide 5

Interactive Patient Care

Confidential: University of California San Francisco Medical CenterSlide 6

Interactive Patient Care

Confidential: University of California San Francisco Medical Center

Scope: Pilot on two units: Parnassus 15 Long (15L) and Mt. Zion 5 East/West (MZ5EW) 100 devices, distributed 60 on 15L; 30 on MZ5EW, 10 in back up status (5 each unit). Pilot devices will not have cellular service. Devices will communicate via Wi-Fi network, using Voice, Text and Alarm

capabilities supplied by VOALTE product. Integration with Nurse Call alarms on 15L Integration with voice system via PRI (for 5-digit dialing within the Medical Center)

Pilot Completed on 11/6/13

Post Pilot Surveys distributed on 11/13/13• 15L and 5E/W issuing surveys to user through staff meetings and other gatherings• Survey results presented to stakeholders on 1/27/14

Known Issues Still Outstanding with iPhones:• Dropped calls and/or poor call quality

• During a call - the call drops completely (waiting for Wi-Fi)• Caller places a call, call connects and user cannot hear other person

– Vice versa – the call recipient cannot hear the caller• Delayed/Missed Text Messages

• Users state they receive texts delayed by 5-10 minutes and some by hours• Users state they send messages and never receive a receipt – end up speaking (verbal) with the text recipient and

they never received the text Slide 7

Voalte Pilot Project – Current Status

Confidential: University of California San Francisco Medical Center

Root Cause of Issues Apple iPhone Hardware

• iPhone 5 / 5C / 5S has a bug in the wireless chipset. The bug makes it difficult for an iPhone 5 / 5C / 5S to switch between different wireless access points. The result is dropped calls or poor call quality.

Apple iPhone Operating System• Different versions of the iPhone Operating System (iOS) have had bugs that cause the iPhone to

disconnect from the wireless network. The iPhone will only reconnect when a user “awakens’ the iPhone. The result is a delay in messages being delivered or sent.

Wireless Network• The current Cisco wireless network is approximately 6-7 years old and there is an opportunity to

optimize the network for device connectivity.

Next Steps Test new Motorola MC40 wireless voice-over-IP (VOIP) phone on the new UCSF Aruba Wireless

Data Network infrastructure – End of February• Test iPhones with new iOS and Voalte application version

Engage Voalte to initate workflow development for departments moving to Mission Bay• Integrate the workflow development with Nurse Call and Alarm Integration/Management

UCSF IT will develop a fallback plan in the event that Voalte testing on the new UCSF Aruba Wireless Data Network infrastructure results in a fail result

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Voalte Pilot Project – Acknowledgement of Facts

Confidential: University of California San Francisco Medical CenterSlide 9

Children’s Hospital Lobby

Kick-off and launch meeting – 12/12/13

Design documents approved – 2/21/14

Prototype submitted – 5/12/14

Prototype approved – 6/12/14

Installation begins – 6/30/14

Installation completed – 7/31/14

Acceptance – 8/14/14

Confidential: University of California San Francisco Medical Center

Use Case Examples Communication Content Where How

“Basic” Meeting

Conference call Voice only DesktopPowerPoint

Conference roomOffice

WebEx

Webinar BMS weekly seminarGrand Rounds

Two-way audioOne-way video

PowerPoint Conference room or auditorium

WebEx

Video Conference

Staff MeetingCandidate Interview

Two-way HD video

VideoPowerPoint

Conference roomOffice

Jabber

Case Conference

Tumor Boards

Neuroradiology Conference

Vascular Conference

Fully Interactive Multiparticipant ConferenceAudio + Video + Content Sharing

Radiology Images (PACS)PathologySlidesEEGPowerPoint

Large Conference Room

WebEx

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Teleconferencing - Meeting Use Cases

Confidential: University of California San Francisco Medical Center

Use Case Examples Communication Content Where How

Telehealth Encounter

patient exam Video High Definition Audio and Video

Exam room Jabber or video-enabled cart

Telehealth Encounter

Patient observation

Video “” Patient Bedroom Interactive Patient Care (IPC)

Telehealth Encounter

Home follow-up Video Desktop Patient from Home WebEx

Telehealth Consult

Physician to physician

Video Apex, PACS Office, Consult Room Jabber or WebEx

Integrated OR

Surgery, transplant Video OR cameras

Mission Bay OR Stryker Solution

VMI Medical Exam Video Video Outpatient* Exam room

Video phone

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TeleHealth - Use Cases

* In-patient Interpreting Services to be provided via Telephone or In Person

Confidential: University of California San Francisco Medical CenterSlide 12

Applications Timeline