Your engagement with patients (and others) using RTLS · 13/01/2016 · Cloud Platforms Cyber Protected NextGen Apps & DevOps Five Essential Technology Areas for Success in Digital

March 9, 2015

Your engagement with patients (and others) using RTLS

Clive Flashman

January 2016

© 2016 CSC Computer Sciences Ltd 2

Who is CSC? CSC Company Profile & Corporate Vision


Who is CSC? Global Leader in Healthcare & Life Sciences Delivery


Key Trends in HealthcareCritical to Create a Strategy and Platform for Digital Business

Source: CSC Leading Edge Forum

Mobility & Machine

Big & FastAnalytics

Cloud Platforms

CyberProtected

NextGen Apps & DevOps

Five Essential Technology Areas for Success in Digital Business

• Provide clinical information at the point of care.

• Coordinated care - not all the clinical data will be available within the Trust’s systems.

• Healthcare Is leaving the hospital (Wearables and Monitoring)

• Patient data will transcend organisational boundaries.

• Mobile is key enabler for breaking down boundaries between organisations.

• API management interoperability (FHIR) is a key enabler.

• Trusts needs to create an eco-system to address clinical needs.

• Trusts can’t do it all themselves -they need a sourcing strategy (AppFactory, MDM etc)

• Patient-Centred solutions.


Enabling Business TransformationCSC’s Hierarchy of Health IT(Apologies to Maslow)

AGILE ITas a SERVICE

POPULATION HEALTHENABLEMENT

eHEALTHOPTIMISATION

Infrastructure — Basic Equipment, Devices, Standard Desktop Software,Office Applications, Data Storage, Networks, Wireless, Help Desk, Security

Core Financial and Administrative SystemsPayroll, HR, Finance, Patient Management and Patient Accounting

EMRs/EHRsIntegrated clinical and patient-centric records

Health Information Exchange

Population Health Analytics

Care Management

Patient Engagement

PHYSIOLOGICALFood, Water,

Shelter

SELF ACTUALIZATIONFulfillment

INVEST AND GROW

• Add Clinical and Business Value

• Reduce Cost

Improved Outcomes

Where are you today? Where should you be? What are your blockers?


What are Real Time Location Tracking Systems?

iBeacon Nearby Eddystone

Bluetooth low-energy (BLE) wireless technology creates an innovative way of providing location-based information and services to your smartphone or tablets.

Apps installed on your phone listen out for the signal transmitted by these beacons and respond accordingly when the phone comes into range.

• Works on iOS 5+, and Android 4.3+, Windows 8.1+

• Range of 50m - 100m. Can change pulse rate and proximities.

• BLE is a technology meant for transferring data. It consumes minuscule amounts of energy. BLE only supports low data rates; you can't stream audio or send large files with it. It needs to work with WiFi (or 4G) for data services.

• Beacons can be stuck on walls to create a ‘web’, much like cellphone towers, but to triangulate indoor positioning. New ultra-thin Beacons are like band aids and can be stuck onto assets like crash trolleys.

• Batteries need to replaced every 2-3 years, new ones will be powered by induction – no batteries!


Other means of tracking

Infra red systemsInfra red systems

Used by companies such as Centrak, Ekahau

WiFi & RFIDWiFi & RFID

Used by companies such as Ekahau, Navizon

WiFi ProximityWiFi Proximity

Used by companies such as Navizon, Accuware

The basis for the Disney MagicBand


Demonstration


Use cases for Beacons in Healthcare - 1

Automatic patient check in into reception area, then sub-waiting areas

Provide patients with maps and directions, wayfinding

Alert patients that they are ‘lost’ if necessary

Notify patients what the waiting time is in each relevant area

Inform patients of their changing pathways and upcoming interactions

Present patients with intelligent (non-allergenic) menu choices



Provide links and prompts to collect experiential feedback

Link for patients to download a pre-populated PHR

As Dr walks to patient, pre-load tablet with correct EHR

Better patient identity verification

Track key medical devices such as O2 tanks and crash trollies

Proximity-enabled, automatic logon and logoff to EHR workstation



HAI Audit – track which staff have been near an infected patient

Adherence – monitor use of handwashing stations by staff

Generate patient checklist on nurse’s tablet, at right time

Track key staff and link to Omnilocation to optimise scheduling

Support mobile device management; geofencing

Track cycle and process times to improve patient flow


Nirvana?A combination of Beacons, WiFi (possibly HaLow), RFID & Radio (for inpatients and outpatients)

• Indoor triangulation using combination of Beacons and WiFi

• RFID for use with items/ things

• Radio for areas of poor WiFicoverage

• Need to redesign processes, this can’t just be a bolt-on. Remember:

• Disney took 2 years to develop the technology

• Another 2 years to redesign processes

• Around 1,000 people• 18 months to roll it out


March 9, 2015

Your engagement with patients (and others) using RTLS

Clive Flashman

January 2016

Documents

Your engagement with patients (and others) using RTLS · 13/01/2016 · Cloud Platforms Cyber Protected NextGen Apps & DevOps Five Essential Technology Areas for Success in Digital