TeleTracking Overview Booklet

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Contents

TeleTracking: Background

TeleTracking: Credibility and Credentials

TeleTracking: Our Impact

TeleTracking: Coordinating Care

Working with TeleTracking: Methodology

Hospital Outcomes

Contact

Our

Operational

Platform

Enables:

Workflow automation, with services integrated around the patient

Visibility of beds, patients, staff, & equipment across the entire network of care

Business analytics, with meaningful, real-time information

Contextual communication

Interoperability

Company Background

Our Mission

Founded in 1991, TeleTracking Technologies is the world’s leader in healthcare operations management

and patient flow, with over 850 clients across the globe representing approximately 350,000 hospital beds

and more than 15 million patient stays every year.

Who We Are

We equip frontline staff and care providers with the IT and innovation tools needed to coordinate care

across the patient’s journey. TeleTracking’s platform and services combine proprietary technology with deep

domain knowledge on patient flow and healthcare operations across the continuum of care, from the

community to the acute setting to post-acute care.

TeleTracking provides hospitals with real-time visibility to patients, beds, assets and staff. This visibility

allows healthcare systems to increase patient throughput and access, reduce overcrowding, accelerate

patient discharge and transfers, and create more efficient resource utilisation by driving real-time and

historical data for continual operational improvement and NHS trust intelligence.

Whether at a single healthcare system or multiple networks of care, we enable ‘best in class’

operational processes to ensure patients are cared for in the right place at the right time with the right

resources and care.

What We Do

How We Do It

With over two thirds of hospitals struggling to stay within budget and a target of £22 billion in productivity

improvement savings, we recognise the challenges that the NHS is facing and we believe that we have the

operational tools needed to support care providers in integrating services around the patient in the most

efficient and appropriate setting, across any care network, and in a safe timescale.

Why We Do It

Our mission is to improve operational efficiency within healthcare systems by providing solutions and

services that enable caregivers to deliver patient centred, safe, and high quality care.

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TeleTracking: Credibility and Credentials

850+ clients in USA

27+ clients in UK

28+ clients in Canada

400+ employees around the world

“Technology and IT to Improve Patient Safety” in partnership with

The Royal Wolverhampton Hospitals NHS Trust TeleTracking’s

Capacity

Management

Suite™ is an

integrated set

of solutions that

reduces

operational

costs by

improving

patient

throughput,

better utilising

beds and

equipment, and

reducing

transport and

environmental

services

staffing needs.

Building Better Healthcare Awards winner for “Best Product for

Improving Working Practices” in partnership with The Royal

Wolverhampton Hospitals NHS Trust

Radio Frequency Identification (RFID) Journal Awards 2015 finalist

for “Most Innovative Use of RFID” in partnership with The Royal

Wolverhampton Hospitals NHS Trust

Awarded Healthcare Financial Management Association (HFMA)

peer review designation for Capacity Management Suite™ system

Ranked first in its category by independent healthcare market

intelligence researcher KLAS 2006, 2007, 2008, 2009, 2011,

2012, 2013, 2014

Healthcare Informatics Magazine “HCI 100” national list of top

Healthcare technology solutions

HSJ Award 2015 finalist “Improving Care with Technology”

EHI Live 2015 Awards finalist “Best Use of IT to Promote Patient

Safety”


Under the NHS’ New Models of Care Programme, care providers are moving towards multispecialty

community providers and integrated primary and acute care systems with an emphasis on

communication and coordinated care for patients across systems of care, not just organisations.

TeleTracking’s platform provides hospitals and networks of care with real-time visibility to patients, beds,

assets and staff through a centralised coordination centre that creates transparency across care

networks to drive patient flow from the community to the acute settings to post-acute care.

Where We Fit

TeleTracking’s centralised coordination centre addresses key hospital challenges:

Average Wait Times

Patient Placement Times

Trolleys Waiting in Corridors

Average Length of Stay

Room Turnaround Time

(A&E, Examination, Theatre, Procedure)

Discharge Readiness

Number of Procedures Per Day

Fixed Asset Utilisation (X-Ray, MRI)

Mobile Medical Equipment Utilisation

Staffing and Scheduling

Staff Productivity and Resource Allocation

Demand Levelling and Forecast Planning

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Day in the life of frontline staff and how they might interact with TeleTracking’s system:

Throughput and Access to Care

Capacity Starts with Discharge

Patient’s discharge is pending

The nursing ward staff, case management, and

clinicians accomplish discharge milestones,

which are visible at ward and organisation level

Ward staff requests transport

When transporter goes ‘in progress’ leaving the

room, housekeeping and patient placement are

notified that the bed is dirty

Patient placement can target the bed for the

next patient

When cleaning is complete, requesting area is

notified that the assigned bed is now clean

Requesting area sends patient to nursing ward

Clinical Operations

Another Patient Needing Surgery Arrives

Patient Placement calls Theatre charge nurse to

request an Operating theatre

Theatre charge nurse knows room status and

assigns to A&E patient

Add-on case is communicated to all appropriate

Surgical teams

Critical patient is immediately transported to

surgery and arrives just as surgical room and

staff are ready

Labour Productivity and Care Support

A Unit’s Supply of Clean Infusion Pumps Just

Dropped Below Par Level

Materials Management receives an alert to

restock the clean utility room and assigns the

work to the appropriate employee

A Patient Needs Acute Care

Her referring clinician calls a transfer nurse

The transfer nurse records critical information

and calls attending clinician

He can also target a ward, trigger a bed request

and note mode of transportation to the A&E

Once patient placement assigns a bed, the

transfer nurse can instantly see the bed

assignment

The receiving ward also sees the bed

assignment and begins planning for patient

arrival

The A&E requests a transporter upon patient

arrival and patient moves swiftly to the

receiving ward

A Patients Surgery is Near Complete

Room turnover staff including cleaners, lift

team, and anesthesia team are notified

PACU and Preop are notified

Theatre charge nurse is notified

When a nurse needs a pump, she knows that

one will be available in the clean utility room.

She is able to retrieve one quickly and minimise

time spent away from the patient

Her patient receives medication without delay

Outcomes

Optimises available capacity by allowing real-time visibility of all patients coming into the organisation

and those that are already in the system

Minimises Length of Stay (LOS) by impacting on all operational processes that drive flow, including:

Placing patients in the correct clinical care location from the time of admittance

Delivering patients to the r ight place in a timely manner through a dispatcherless, priority-driven

portering system

Streamlining delivery of interventions, both in the Operating Theatres and Radiology

Efficient and appropriate bed cleaning, thus reducing the bed turn t ime

A coordinated discharge process, allowing for:

Reduced A&E and PACU hold times through visibility of available and appropriate beds

Reduced Left Without Being Seen (LWBS) incidences through coordinated care delivery driven by the

transparency and accountability that TeleTracking’s system provides

Decreased bed turnover time through automatic alerts and escalations to the housekeeping team

Reduced wait times in all areas, including Outpatients, by streamlining the operational processes that drive

clinical care

Improves patient experience by helping the organisation deliver efficient, patient-centred care

Increases staff satisfaction by automating processes and providing them with the data that

enables them to optimise workflow and give them back the time they need to spend caring for patients

Reduces harms through visible real-time patient location, and accurate asset tracking with individual

asset ‘clean’ status; additionally, patient risk scores, such as the Waterlow Score, are captured and

displayed

Reduces and prevents spread of infection through the Hand Hygiene Tool, which logs every hand

hygiene event, such as gelling or washing hands, and creates a t raceable and transparent

environment

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Solution

Categories

Throughput and

Access to Care

Clinical

Operations

Care Support and

Labour Productivity

Solutions and

Services

PreAdmitTracking

TransferCentre

Community Access

On-Call Scheduling

Behavioural Health

PatientTrackingPortal

Orchestrate

ServieTracking

BedTracking

TransportTracking

RTLS Automated Discharge

Hand Hygiene Monitoring

Care Interaction Monitoring

AssetTracking

TempTracking

Cloud Based Analytics

and Custom Reporting

Tool

Lean Process

Redesign

REAL-TIME INFORMATION AND FORECAST

CENTRALISED PATIENT LOGISTICS

The Operational Platform

By harnessing the right technology, care providers have the ability to significantly improve healthcare

operations. TeleTracking’s operational platform combines TeleTracking’s solutions into a unified cloud-

based software service that provides a role-specific user experience.

The platform fully supports interoperability across disparate hospital information systems, and efficiently

integrates with EHRS/EPR/PAS in a single view so that staff have the data and information needed to be

successful in delivering safe, quality care.

100+ TeleTracking and Epic Shared Clients

150+ TeleTracking and Cerner Shared Clients

Inbound Referral

Management

Ready to Move

Blocked Beds

Discharge Milestones

Procedure Visibility

Asset Availability

Outbound Referrals

Labour Forecast

Automated Discharge

Pre-sales Support

Discover Needs

Solution Presentation and Demo

Technical Assessment

Statement of Work and Project Initiation

Document (PID)

Contract

Post-sales Support

Kick-off Key Stakeholder Workshop

Discovery

Design

Validate

Deploy

Go-Live

Process Optimisation Workshops

Account Management Optimisation

TeleTracking: Methodology

TELETRACKING OFFERS 24/7 TECHNICAL

SUPPORT, ONLINE CLIENT COMMUNITY TO SHARE

BEST PRACTICES, AND A DEDICATED HOSPITAL

SUPPORT TEAM.

Through lean process improvement principles and change management tools, our team of 35 clinical experts

can assess where you are, help you define improvement objectives and track performance indicators to

ensure that people, process, and technology are aligned to deliver care more efficiently and increase your

organisations return on investment.

Working with TeleTracking is designed to be a structured journey from implementing the solutions to

supporting sustainable change management:

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Hospital Outcomes

With a 95% client retention rate and over 100 certified reference hospitals across the US, UK and

Canada, we take great pride in our ability to serve as a trusted partner to our clients.

NEW CROSS HOSPITAL

WOLVERHAMPTON,

UNITED KINGDOM

More than 700 beds

Over 600,000 patients

annually

Major acute care facility

serving Wolverhampton and

West Midlands

CHALLENGE

Hospital Associated Infections are believed to cost the UK

National Health Service at least £1 BILLION ANNUALLY and

cause at least 5,000 DEATHS

The human and financial cost associated with HAIs has

made the issue a top priority of the NHS and focus of media

attention

New Cross Hospital, The Royal Wolverhampton Hospitals NHS TrustCase Study

TELETRACKING PARTNER SINCE 2013

Largest global RTLS deployment with nearly 4,000 staff, all inpatients and over 1226 assets tagged

ACTION

New Cross Hospital implemented an RTLS-

enabled hand hygiene monitoring system in

late 2013 and early 2014

First hospital worldwide to use RTLS as the

enabling technology to automate all care

delivery support processes

Equipped nearly 4,000 employees, all

inpatients and 1,226 assets with RTLS sensor

badges to track patient, staff and asset

interactions

A Hand Hygiene Index is now collecting data

24/7 on 32 wards and 744 beds-giving

feedback every 30 minutes to show how

each ward is performing and drive behaviour

change, when necessary

New Cross tracks the performance of 3,500

clinical staff, include the chief executive and

chief nursing officer

THE WORLD’S FIRST “REAL-TIME HOSPITAL”

EARLY RESULTS

Improved patient flow and bed availability by

removing process lag time

In July 2014, New Cross Hospital was awarded

the Patient Safely and Care Award for its Safe

Hands/RTLS program

75% of patients are automatically discharged

upon exiting, which triggers housekeeping to

clean vacated beds and reduces lost bed time

Beds are turned over and available for a new

patient in less than 40 minutes

Finding a tagged asset now takes 25 seconds,

which means patients are given timely

intervention

HAND HYGIENE OBSERVATIONS

BeforeTeleTracking

AfterTeleTracking

600 1.4mManual Hand Hygiene

ObservationsAutomated Hand

Hygiene Observations Over the Same Period

of Time

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Health First Holmes Regional Medical Centre

Case Study

HOLMES REGIONAL

MEDICAL CENTRE

MELBOURNE, FL

514 beds

Annual A&E Visits: 50,308

CHALLENGE

Most American hospitals are well below the Medicare

reimbursement breakeven point each year, and must rely on

commercial payers to bolster their response. This tactic has

reached a point of diminishing returns, especially in light of

new quality guidelines established by the Affordable Care

Act

Health First saw an opportunity to standardise and

implement Lean as a method of meeting its financial goals,

while also attaining new quality guidelines


ACTIONS

Health First created a special leadership

position to oversee operational excellence and

hired an analytics expert from the

manufacturing sector to determine ways to cut

operational costs without eliminating jobs

It then implemented TeleTracking’s

operational platform to provide real-time

monitoring and data to eliminate wasted time

resources

RESULTS

No A&E diversion in several years

Reduction in Length of Stay (LOS) from 5.75 to

4.25

80 more beds per day open for new patients

12% increase in A&E visits

70% reduction in A&E wait times (33,000

hours/year)

60% reduction in internal transfers (saving £330

transfer)

30% increase in transfer volume

12.9% reduction in Cost Per Adjusted Discharge

Discharge window reduced from 9 hours to 1.7

hours

A&E Hold Time costs down significantly

“We have over 180 reports that are built and run on a daily, weekly, and monthly basis, and it allows our

operational team to make changes immediately, instead of waiting till month-end to figure out that they

had a problem.”

-Bill Griffith, MBA, CSSBB, CQA, Director of Operational Excellence

RESULTS

12%Increase in

A&E Visits

70% Reduction in

A&E Wait Times

60% Reduction in Unnecessary

Internal Transfer

12.9% Reduction in Cost Per

Adjusted Discharge

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Methodist Healthcare System

Case Study

METHODIST HEALTHCARE

SYSTEM

SAN ANTONIO, TX

Eight-hospital system

1,800 beds

78,737 annual admissions

Nation’s largest, most

experienced living-donor

kidney program

CHALLENGE

Increased congestion from a decade of population growth

and an aging population in its 26-county service area was

delaying patient care, including access to the nation’s top

live donor kidney transplant centre and paired kidney

exchange


#1 organisation initiative was to improve patient flow

Achieved a transfer acceptance rate of 99.6%

Reduced diversion hours from 600 to 8

Reduced A&E hold hours by about 50%

Reduced request-to-assign times by 68%

Reached bed turn target time of 60 minutes in all facilities

Reduced total time-to-place from 193 to 108 minutes (time from bed request-to-bed assigned to bed

clean-to-bed occupied)

Increased patient and clinician satisfaction

RESULTS

TRANSFERS LENGTH OF STAY

990Transfer Increases Per Month

1.39Days Decreased

0

500

1000

1500

2009 2013

0

2

4

6

2009 2011

SUMMARY

Decreased Cost

Increased Capacity

Increased Transfers

£33MANNUAL NET

MARGIN IMPACT

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Contact

OFFICE INFORMATION

UK Head Office

48-54 Charlotte Street

London, W1R 2NS

Main Office

+44 (0) 20 3701 0590

Vice President of Clinical Operations, Dr. Julia Fishman

+44 (0) 79 8459 0979

Regional Director, Simon Halstead, RN

+44 (0) 78 2566 4896

Gabrielle Zamagias, UK Marketing and Communications

+44 (0) 79 5746 7484

www.teletracking.co.uk

Notes

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Notes

Documents

TeleTracking Overview Booklet