Patient Services based on RFID - Acute medicine Services based on RFID Employing ... • EMV risk analysis for medical devices ... Results due to the improved transparency are reductions

Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.

© Siemens AG, 2008 Alle Rechte vorbehalten.

Thomas Jell,

Senior Principal Consultant

Director of RFID

SIS SSW SCM

Patient Services

based on RFIDEmploying

Technology

to the Best Effect


SIS SSWSiemens One Projects

SBS InventorySixt Rental Car ReturnEurohypo Inventory ManagementElsa diary (pallet tracking)Mobilkom A (Asset Tracking Mobilfunk Basestations)Wella (product distribution)BVG (train identification at the Berlin subway)Rotring (Warehouse and Distribution Centre)Quelle (mail order centre )Grundig (access to goods, stock overview and transparent warehouse)British American Tobacco (raw material integrity)Cinram (production process)Unilever (froozen good process)Setila (process for yarn production)Lavazza (entire production process, including packing and palleting)Johnsons Control (BE) (RFID for vehicle seats)Stadtwerke Kiel (Assetmangement)

Intel US, (Warehouse, PC and Laptop shipping)Uni Magdeburg (Equipment for RFID Testlab)

Epping & Partner (Document tracking)Vossius & Partner (Document trackingInsurance Companies / Goverment



Designer Knock Offs (Theft and Copy Protection (documents)

Theft Protection (laptop, …)

Security (passport, visa)

EventsOCE Inhouse, CeBIT, SBS Cust. Events, WM2006, …

Bibliotheken

Dubai International Airport (Baggage Handling)EADS Airbus (Process Improvement)Berlin Tegel + Schönefeld (ID for tank system authorization )

BMW (car localization) (wheel supply to line) (wire harnesses ID) (skid conveyor system for body assembly)

Daimler Chrysler (Ladungsträger)Knaus (Truck Delivery, car localization)GM (US) (harsh paint shop environment)Peugot (Door Trim Assembly)Porsche (Cayenne) body identificationSkoda (mobile data carrier on all skids)VW (phaeton) body id in paint process) (ship to line seats)Vöst Alpine (productions logistics. Reusable containers)



Gerry Weber shops at Kaufhof / MetroRewe, Otto (retail)SCA (motherreel process and shipments )Craemer (palet tracking)

Intel Germany (repair and maintenance)Fiege (Premiere, AutoID)Laurel 1 (Logistic MUC – New York)Intel US (ISMC, Logistic Demo Solution)VDO Regensburg (Consulting, Warehouse and Logistics)VDO Babenhausen (Consulting, Warehouse and Logistics)Siemens TS (Logistics)

Licon Consortium


SIS SSWWhere are we today ?

Patient Identification and medication safety

Blood Bags Process and Usage, cold chain with temp sensor

Baby Tracking (Security)

Tracking of Disoriented (Security)

Bed Management and bedside process

Asset Tracking

Pharma (counterfeit, ePedegree, ...)

Identification of vials (samples or probes)

„loss“ of equipment (Tücher, Tupfer, ...)

Prediction, Optimization and Utilization (Surgery,CT, ...)

Disaster Management, Tracking and Identification



Klinikum Rechts der Isar in Munich (OP tissues, OP personal)

ISI Imaging Science Institute in Erlangen (patient tracking)

Klinikum Graz (blood bags with temp sensors)

Medic Alert (Patient ID Card)

North Central Bronx Hospital, HealthSouth (patient identification)

Klinikum Bielefeld (bed management)

Inselspital Bern (bed management)

Merck Serono (ePedigree)

Klinikum Saarbrücken (patient identification, medication safety, unit

dose, blood bags)

Johanniter Krankenhaus Bonn (WLAN access and bed management)

Klinikum Suhl (HiMed, bedside terminals)

Klinikum Wien (Warenlogistics)

Klinikum Duisburg (Warenlogistig)

Membrana (Haemodialysis membranes, transport containers)

Klinikum Ingolstadt (undercarriage and container transport)

New England BioLabs (Biochemicals)

Zeiler (CH) (package supplier for Roche)


SIS SSWIdentification of vials

Identification of vials, containing samples and probes

Identification of vials, containing patient material

Secure identification of single vials

Bulk reading of hundreds of vials

Lots of different materials

vials, ampoules, cartridges, blister, tubes

With the right technology even bulk reading

of over 200 items possible


SIS SSWSIEMENS – Strategy on Tracking and Tracing

Strategy Patient Identification <-> Tracking

• Identification: passive 13.56 MHz

wrist bands, clocks, …

no tracking

cheap technology (single use, reuse)

no medical device (FDA, MPG)

• Tracking: Active 2.45 GHz, 5 GHz

wristbands, cards (with LED feedback)

tracking in dedicated areas (zone based or triangulation)

long battery life (> 1 year) -> no WLAN Tags

WLAN for the communication of the receivers

reasonable prices


• EMV risk analysis for medical devices (OP, bildgebende Systeme, …)


SIS SSWPatient Identification

• Identification: passive 13.56 MHz

wrist bands, clocks, …

no tracking

cheap technology (single use, reuse)



SIS SSWPatient Tracking

Active and Semiactive chips Transponder give instant tracking and may be activated

in an antenna field or by software (ticks) f.i. exits, …

Reduced radiation in protected area,

Transponders will become active (Alarm) when leaving protected area without

authorization

Wide read range including tracking

High protection and security

Wristband solution with integrated RFID software

Tags with display and buttons for user interaction

Reusable tags for easy ROI

Tracking of special Patients (Alzheimer, ...)

Baby security


SIS SSWJacobi Medical Center in New York

Jacobi Medical Center provides quality

healthcare for more than one million New York

area residents

It's the largest public hospital in the Bronx with

more than 800 beds

The hospital is in the midst of a modernization

program that calls for updating processes

Jacobi Medical Center decided to improve its

system for retrieving patient information using

identification numbers


SIS SSWPatient tracking at New York Central Bronx Hospital

Patients are equipped with RFID wristbands for shortrange

tracking (entrance, …)

Optional: Patients are equipped active RFID watches for

open field tracking (park, …)

Wristband with name printed

13.56 MHz chips with

Link to medical records

Secure access to patient data (PKI)

Antennas at doors, floors, …

1


SIS SSWNew York Central Bronx Hospital


SIS SSWNew York Central Bronx Hospital

Jacobi Medical Center provides quality

healthcare for more than one million New

York area residents, and, with more than

800 beds, it is the largest public hospital in

the Bronx.

The hospital is in the midst of a

modernization program that calls for

updating processes.

Jacobi Medical Center decided to improve

its system for retrieving patient information

using identification numbers.


SIS SSWDaniel Morreale, CIO Jacobi Medical Center:

"I thought, „If I can just wave the PC over the patient‟s wrist and bring up the problem list, medications, allergies and other critical information, it will simplify patient identification and save clinical-staff keystrokes.‟”

“It does work. It saves keystrokes and is an effective clinician timesaver. Siemens Business Services listened and delivered a solution that not only meets our immediate needs, but also leaves us with the flexibility to explore further options. We value our partnership.”

“Hospitals are seeing a return on their investment in RFID technology in the form of improved patient care, increased productivity and cost savings. Daniel Morreale, chief technology officer for the North Bronx Healthcare Network, which owns and operates the Jacobi Medical Center, predicts the RFID system will save $1 million per year if deployed throughout the hospital.

1

“We get 100% accuracy of identifying patents and an overall savings of clinical time because doctors and nurses get the patient information they need at the bedside. This enhances patient care, supports our safety gals, and enhances the patient's experience by limiting disturbances .”


SIS SSWResults

Pilot at „Jacobi Medical Center“ run successful

Award by Health Care Research & Innovations Congress in

Washington for best medical innovation in 2005

Patient identification and integration of the clinical patient information

system is working secure (PKI)

Results due to the improved transparency are reductions and savings

in the clinical processes.

Projects will be extended (in NY and in other hospitals) with additional

features like

Real time patient data (heartbeat, blood pressure, …)

Real time tracking of patients (Alzheimer, ...)


SIS SSWWireless LAN

Lab Systems

Misys CPR Patient

Information System

Siemens

Medical

Billing SystemWireless Tablet PC with

RFID Reader and Misys

Frontend

Patient with RFID

Wristband

Access Point

Conceptual

Architecture for

NBHN RFID

Patient Tracking -

BedsideSiemens

Medical

UNITY

Registration

System

MRN

Solution based

on Microsoft .Net


SIS SSWKlinikum Saarbrücken

Klinikum Saarbrücken is operated by Landeshauptstadt

Saarbrücken

Annual Budget is around 90 Million Euro. 70% of it are labor

costs.

695 beds

Annual patients:

stationary 27.000

Ambulant 84.000


SIS SSWPatient tracking at Uni Klinikum Saarbrücken

Patients are equipped with RFID wristbands for

short range tracking (entrance, …)

Medication safety

Added values for patients

ROI for hospital logistics

13.56 MHz chips with

Medical record number

Secure access to patient

data (PKI)


SIS SSWSaarbrücken


SIS SSWBenefits

Optimale Nutzung der verfügbaren Zeit für Diagnose

und Behandlung.

Deutlich bessere Pflege und höhere Sicherheit der

Patienten, da das medizinische Personal die

Patienten schneller und einfacher identifizieren

kann.

Einfachere Zuteilung der Medikamente –richtiger

Patient, richtiges Medikament, richtige Zeit,

richtige Dosis und richtige Verabreichungsart.

Einfachere, genauere und schnellere Ein- und

Weitergabe von Patientendaten in das Patienten-

InformationsSystem beim Point of Care.


SIS SSWData privacy and legal issues

Storing of patient ID only is fine

If storing ID and patient data

- Misuse by third must be avoided

- No unidentified reading

- Nor unidentified change of stored data

Use of encrypted chips required


SIS SSWCreation and Use of the RFID-wristbands


SIS SSWPatientendaten Check


SIS SSW

Abbildung des gesamten Medikationsprozesses

Verordnen (RpDoc Solutions)

Richten - Unit dose (swiss log)

NEXUS - Pyxis

Digitales Medikationssystem

Patienten - Identifikation

Applikations - Dokumentation


SIS SSWInfo-Terminal für Patienten


SIS SSW

Klinikum Rechts der Isar, MITI

Sponge Counting and OP Tracking

Alien Objects (passive 13.56 MHz)

Sponge Counting

OP Tracking (active 2.4 GHz)

Tracking of involved clinical personal

analysis of unusual situation


SIS SSW


Sponge Counting


SIS SSW


Sponge Counting


SIS SSW


Sponge Counting


SIS SSWBed Management

Inselspital Bern

UHF at Bed

UHF at Mattress

Active Chip at Bed

Klinikum Bielefeld

UHF Bed

UHF Mattress


SIS SSW

Slide 1

DEZ-05

Installation Inselspital

chabugn0 3|4

• 3 central bed locations• Storage areas (Lory building)• Check-Outs with traffic lights für visuelle Bestätigung


SIS SSW

Slide 1

DEZ-05

Identification Bed & Mattress

chabugn0 2|4

Matratze

Bettgestell

Passive RFID Tags für

das Matratzen- und

Betttracking

Aktiver RFID Tag für die

Bett-Localisierung

Passiver

RFID Tag


SIS SSW

Slide 1

DEZ-05

Nutzen und Vorteile

chabugn0 4|4

Entlastung das Personal bei Routineaufgabe in den Bereichen

Hauswirtschaft, Transport, Reparatur, Buchhaltung und Pflege

42 000 Reinigungen pro Jahr (Betten & Matratzen) können mit

gleich viel Personal infolge steigender Patientenzahlen, höhere

Anforderungen an die Hygiene) erfüllt werden

Verbrauch von Reinigungsmitteln erheblich gesenkt werden

Die Bettenzahl kann reduziert werden

Effizienzsteigerungs-Potential liegt laut Bernhard Leu,

Betriebsdirektor am Inselspital Bern, bei rund 200 000 Franken

pro Jahr

Die Investitionskosten sind in weniger als zwei Jahren amortisiert


SIS SSW

Challenge

Blood

A precious good

Facts & Figures Limited resource

500,000 blood

donations required

in Austria every

year*

Up to 2500 blood

bags required every

day

Limited storage life

*Source: Austrian Red Cross

Decreasing readiness to donate

10,000 blood bags - 1 million

euros - destroyed every year due

to a lack of cold-chain monitoring

Seamless temperature

monitoring by RFID

Traceability and

documentation

Reduction of rejection rate

Avoidance of mix-ups

Making possible to take

back non-transfunsed

blood bags

RFID - Quality assurance of blood products by seamless temperature monitoring


SIS SSW

RFID chip under endurance test

Under extreme conditions

Preparation

Development of new rechargeable

battery technology

Desinfection in liquid before reuse

Processing - Storage

Centrifugation with up to 5000 g

Gamma irradiation with caesium-137

Deep-freezing


SIS SSW

Our research project

Producing

Tracking and Tracing of blood bags using RFID chips with temperature sensors

from the Department of Blood Group Serology and Transfusion Medicine of

Medical University Graz

From vein to vein

Development and supply of temperature tags

Schweizer Electronic AG, Schramberg/ Germany

Applying Processing Storing Administering

Development and production of blood bags based on RFID

MacoPharma, Mouvaux/France

Consortium leader, implementation of RFID technology

Siemens Deutschland und Österreich

Execution of the project

Department of Blood Group Serology and Transfusion Medicine of Medical University Graz/Austria


SIS SSWMEMBRANA

RFID for largest Production of Dialysis Membranes worldwide

Haemodialysis membranes for heart surgery involving 20 million treatments per year.

13.56 MHz Transponder

RFID for transport containers, in a high temperature, membrane drying process and cleaning agents for more than 8,000 MDS tags.


SIS SSWIngolstadt Clinical Centre

RFID for Hospital Logistics

Tracking of undercarriage and container transport along 500m long rail line with 90 readers.

13.56 MHz Transponder

Tracking of more than 1,000 container daily with 11 stopping points and multiple rail switching groups.


SIS SSW

Pharma, Single Item Tagging

Keeping tabs on tablets for the Pharmaceutical Industry

Together with the Swiss packaging expert Limmatdruck/Zeiler, the sole supplier for Roche, Siemens offers a comprehensive RFID solution for the pharmaceutical industry.

13.56Mhz chips attached either to the outer packaging or the packaging for individual products, ampules or syringes


SIS SSWSolution: Siemens ONE

Logistic ManagementAsset TrackingInventory SystemEvent Management

Incl. Offline FunctionsRFID Strategy

Opportunity Identification Pilot Design and Implementation ROI

Siemens One Design - Build - Operate Hardware Consulting Solution (Pilots, Project management, …) Integration AutoId Infrastructure

Medizinisches Verordnungssystem RpDoc Solutions

Demo IFF Magdeburg Intel Lab in Feldkirchen


SIS SSW

Intranet

http://diamond.sbs.de

Internet

http://www.siemens.com/RFID

Email

[email protected] me on LinkedIn, Xing an others

Further Information


SIS SSW

Smail Thomas Jell, Siemens IT Solutions and Services

[email protected]

GermanyOtto-Hahn-Ring 6, D-81730 Munich, Germany

Tel.: +49 89 636-47405, Fax: +49 89 636-41344

East Coast: Princeton, NJ755 College Rd. East, Princeton, NJ 08540

Tel.: 001 (609) 734 3380 , Fax: 001 (609) 734 6565

West Coast: Seattle, WA24439 NE 19th St., Redmond, WA 98074

Tel.: 001 (425) 898-7203, Fax: 001 (425) 836-3594

Further Information


SIS SSWQuestions ?

Documents

Patient Services based on RFID - Acute medicine Services based on RFID Employing ... • EMV risk analysis for medical devices ... Results due to the improved transparency are reductions