Nurse Call Communications

Meeting Outline
The GE Healthcare Business
Market Trends and Demands GE Healthcare & Clinical Information Logistics GE Nurse Call Portfolio Telligence Overview Telergy Overview

GE Healthcare

GE Healthcare

The General Electric Company

Founded by Thomas Edison in 1878
The only company listed in the Dow Jones today that was in the original index in 1896 310,000+ employees worldwide Fortune Magazines Global Most Admired Company in 2006 for 2nd straight year $183 billion revenue in 2008

GE Healthcare

GE business segments
Technology Infrastructure
Enterprise Solutions (GE Security) Healthcare Aviation Transportation

Energy Infrastructure

Energy

Water

Oil and Gas

GE Capital

Commercial Finance

GE Money

Corporate Treasury

NBC Universal

GE Healthcare

Business overview
$17B global business unit of GE
50,000 employees worldwide $1B+/year R&D investment Core strengths in bio-sciences, technology, & business

GE Healthcare

Meeting needs across the enterprise

Radiology
Cardiology Surgery Womens Health Information Technologies

Lab
Bio-Medical Engineering Gastrointestinal Orthopedics Facility Services

Urology
Oncology Labor & Delivery ICU / CCU Emergency Pharmacy

Pediatrics

Monitoring Solutions
GE Healthcare

Monitoring Solutions

Challenges in healthcare
An aging population
Sicker, higher-acuity patients Staff overload and fatigue Quality and safety imperatives EMR directives

Increasing public transparency

Consumer-directed healthcare

Monitoring Solutions

Importance of communication & workflow

Patient Safety Goal #2

Improve the effectiveness of communication among caregivers Communication is required to enhance patient outcomes. Ineffective communication is the most frequently cited category of root causes of sentinel events.

Monitoring Solutions

Importance of communication & workflow

The vision of GE Healthcare is to be uniquely positioned to bring together the best in science, technology and business to redefine the frontiers of prediction, diagnosis, treatment, monitoring and information management.

The call is not just for change

but for transformation.

Clinical Information Logistics

Clinical Information Logistics

Importance of communication & workflow

Clinical Information Logistics is the right information, at the right time, for the right clinician.
Jennifer Jackson Assistant Director Biomed Eng. Brigham and Womens Hospital

Clinical Information Logistics

Clinical Information Logistics (CIL) is the process of planning, implementing and controlling the effective procurement, flow, storage and distribution of information about patient performance and clinical events from the point of origin to a point of consumption.

Clinical Information Logistics

Healthcare communications in action

Reliability Information when and where its needed, to help make better decisions, earlier and faster. Efficient Workflow A suite of technologies that help acquire and deliver clinical intelligence in the most fluent manner possible. Simplicity Easy to learn, easy to configure, easy to manage. Quality of Care Management Reports helps to support JAHCO, HCAHPS, and adverse event reporting needs Scalability and Connectivity VoIP technology and integration-friendly middleware helps to ensure seamless, scaleable implementation

Clinical Information Logistics

What I expect from GE is that it will listen to us very carefully so carefully that it can provide us not what we ask for, but rather, what we really need.
James Philip, M.E. (E), M.D. Anesthesiologist Brigham and Womens Hospital

Commitment to Excellence

Improving care one step at a time

Our Heritage
1952 1980 1999 2000 2003 2006 2008 2009

Commitment to excellence

Dukane Corporation enters U.S. nurse call market Dukane Corporation introduces the first microprocessor Nurse Call system GE acquires Marquette, enters monitoring segment GE acquires Data Critical event paging GE acquires IDX Electronic Medical Records (EMR) GE acquires Dukane and introduces Telligence, the first VoIP Nurse Call System in the U.S. GE acquires Agility RTLS integration and workflow solutions Nurse Call business is acquired by GE Healthcare

Compatible Accessories
Wireless Phones: Polycom, Ascom, Vocera, Cisco, NEC Location: GE Agility, Versus

Accessories: Curbell
Integrations: Stryker, Emergin

Nurse Call Solutions

GE Healthcare

Nurse Call Solutions

Nurse Call overview

ProCare 1000 Tone/Visual
Lights, tones

ProCare 6000 Full Feature

Integrate options Modular & flexible

ProCare 2000 Audio/Visual

Lights, tones & intercom features (Reminder, Nurse follow, Priorities, Group page, 2600 interface)

Telligence
Advanced, IP Based Nurse Call

StaffCallPro Audio/Visual
Microprocessor based low cost/feature rich

Reliability

Key benefits
Reliability - Information, when and where its needed, to help make better decisions, earlier and faster.

Scalability & Connectivity

Efficient Workflow

Quality of Care

Simplicity

Efficient Workflow - A suite of GE technologies that helps to acquire and deliver clinical intelligence in the most fluent manner possible. Simplicity - Easy to learn, configure, use and manage Quality of Care - PC Reporting delivers quality of care data, including response times, frequency of events and performance versus targets Scalability & Connectivity - VoIP technology and integration-friendly platform helps to ensure seamless, scaleable implementation

Telligence System Components

Patient Stations

Telligence System Components

Telligence system overview patient stations

Telligence System Components

Patient stations
Choice Programmable Soft Key Technology
Station buttons are configurable based on template menus Button labels can be customized to meet specific terminology functional

NiteLite Convenience Lighting

Helps to simplify station operation in low light Helps to minimize patient disruptions

Cleaning Mode
Helps to prevent false calls while cleaning
Helps to prevent infection transmission

Full-Duplex Audio with Intelligent Controls

Clear intercom communication between patients and staff Separate Talk and Listen volume settings for every conversation between staff areas and patient rooms

Station Supervision
Monitors Telligence stations and generates alerts at Staff Consoles, Annunciators and BioMed pagers

Telligence System Components

Smart patient stations

One design meets the needs of many!

Telligence System Components

5 stations in one
Helps to save
Back box $ Cable $ Conduit $ LABOR $$

Telligence System Components

Patient stations
HC-PSTN1

HC-PSTN1-BED

HC-PSTN2

HC-PSTN2-BED

Telligence System Components

Smart patient stations

Single point of connection
Helps to lower cost no need for additional receptacles, conduit or back boxes (2) input receptacles configurable for call cords or auxiliary hardware*

Reliable GE DuraPin pillow speaker receptacle

Private and semi-private models BedConnect receptacle (optional)

Easy Installation
Convenient RJ45 terminations
Mounting Plate No exposed hardware

* Auxiliary hardware that is FDA cleared for connection with Nurse Call systems may be connected to our nurse call systems. End users should consult with auxiliary hardware manufacturers to determine whether the auxiliary hardware meets this criteria.

Telligence System Components

Telligence system cabling

Smart Patient Station Connections
Cable in from Dome Light Cable out to next smart device (if present)

To Bed interface (Bed A) when present

To Bed interface (Bed B) when present

To TV and light controls

Telligence System Components

Staff / duty stations

(HC-DUTY)
Configurable as a Staff or Duty station via programming Same great features as the Smart Patient Stations

Telligence System Components

Smart stations

Telligence System Components

Peripheral Stations

Telligence System Components

Peripheral stations

Telligence System Components

Peripheral devices
Fully Supervised
Configurable Buttons
One, Two or Three button With or Without Pull Cord

NiteLite for low light visibility

Each unit ships with optional switch types

Additional or printable switch types available Non-contaminant pull cord material

Telligence System Components

Peripheral devices

Telligence System Components

Generate configurable events

Telligence supports clinical and workflow events Housekeeping Transport Procedure Start/Stop Clean Room Pain Med Ice Chips IV Start Clergy Requests can be sent to wireless devices and annunciation locations, wherever information is needed

Telligence System Components

Peripheral devices
Auxiliary Inputs
Isolated and non-isolated models available Inputs can be labeled

Multiple units can be installed per bed

Additional inputs to what patient station provides

Isolated Inputs Non-Isolated Inputs

Auxiliary Inputs may be connected to auxiliary hardware having an FDA cleared nurse call connection. Equipment shall be listed to UL safety standards (UL544 or IEC6061-1) and provide a latching, normally open dry contact relay.

Telligence System Components

Hardware overview

Telligence Station Gateway

Telligence PowerSwitch

Telligence System Components

Efficient workflow
Generate clinical and workflow events
Telligence peripheral devices can be configured to initiate clinical and workflow events, helping to automate staff processes No need for expensive LCD staff terminals 1-Gang stations can be located just about anywhere Configurable clinical events like IV Therapy, Pain Med, Patient Turn, etc. Configurable workflow events like examples such as Transport, Housekeeping, etc.

One station can initiate up to three different event types and can be easily reconfigured as needs change

Telligence System Components

Patient Devices

Telligence System Components

Patient call devices

Pillow Speakers
Easy to clean design helps to improve infection control Digital and DirectAccess models Durable GE DuraPin design

Units can now be programmed to connect to compatible brand Healthcare TVs no longer does the brand of TV dictate the model of pillow speaker

Telligence System Components

Patient call devices

Call Cords
Various models available
Air pad Pressure Pad Breath call (sip & puff) Standard push button

Standard 14 jack

Telligence System Components

Corridor / Dome Lights

Telligence System Components

Infinity corridor lights

LEDs (Lifetime usage)
Each Section Programmable
Colors Nine to chose from

Can Light/Flash multiple sections for high priority calls

Junction point for room & hallway cabling

1 or 2 Gang Mounting Supervised

Telligence System Components

Staff Console Annunciator

Telligence System Components

ColorTouch console
Full-color, 5.7 touchscreen display
One touch call answer capability Adjustable tilt on touchscreen display Full-duplex audio Small footprint

Administrative features
Configurable soft keys Password Protect selected functions

Telligence System Components

ColorTouch annunciator
Provides functionality of a Staff Console
Can serve as:
Tone Visual Annunciator Duty Station with display Wall Mount Staff Console Code Blue Annunciator (as a centralized code blue annunciator, it will only see calls for the Telligence bridge/system that it is connected to. Cannot view call activity across different systems)

Full-color, 5.7 touchscreen display

Telligence System Components

Staff console & annunciator sample screens

Pending Call Window

Communication Window

Reminder Window

Room List Window

Telligence System Components

ColorTouch staff console and annunciator

Simplicity
Screens are easy to learn and use, helping to simplify training Convenient touchscreen interface puts most key functions just one touch away

Alphanumeric tabs and function buttons are easy to navigate

Telligence System Components

Central Equipment

Telligence System Components

Telligence central equipment

Only 2 Central Equipment Components include room connections, power, and audio
1-RMU rack-mount modules conserve precious wall space in crowded communication rooms

Capacities:
PowerSwitches support up to 8 IP Devices (Station Gateway, Console, Annunciator) Station Gateways support up to 40 smart devices (Dome Light, Patient Station, and Staff/Duty Station) also includes all necessary power for these rooms

Telligence System Components

Cable Plan

Telligence System Components

Telligence system cabling

Key Colors:

CAT5 + 16 AWG
CAT5 Any pair of wires
EP

EP

SP

Telligence System Components

Telligence system cabling

Key Colors:

CAT5 + 16 AWG
CAT5 Any pair of wires
EP

EP SP

Telligence System Components

Telligence system cabling

Key Colors:

CAT5 + 16 AWG
CAT5 Any pair of wires
EP RC

EP

SP

Telligence System Components

Block Diagrams

Telligence System Components

Telligence system architecture

Equipment Closet To Hospital LAN or next PowerSwitch

Lav 1

Patient Room 1

Lav 2

Patient Room 2

Staff Areas

Key Colors: CAT5/5e/CAT6 CAT5 or any pair 16AWG, Power

Telligence System Components

Telligence system architecture

Telligence PowerSwitch 4 Layers 8 ports per switch Telligence Station Gateway Supports up to 40 devices* 1 Voice path per Gateway Staff Consoles / Annunciators Each tie to a port on switch Lights & Stations Up to 512 stations per system (Up to 1024 beds) Peripheral Devices

* devices include: patient, staff/duty, and 2/4 section corridor lights

Telligence System Components

Telligence system architecture

Telligence PowerSwitch Unit A Telligence Station Gateways Unit B Telligence Station Gateways

40 Devices

40 Devices

40 Devices

40 Devices

64 Stations / 128 beds 4 Staff Consoles / Annunciators

Telligence System Components

Telligence system architecture

Telligence PowerSwitch

Telligence PowerSwitch

Telligence PowerSwitch

Telligence PowerSwitch

Unit A

Unit B

Unit C

Unit D

Unit E

Unit F

192 Stations / 384 beds 12 Staff Consoles / Annunciators

Telligence System Components

Telligence system architecture

Uplink Telligence PowerSwitch

512 Stations /1024 beds 32 Staff Consoles / Annunciators

Telergy Integration Platform

Telergy Integration Platform

Telergy integrations
Telergy provides integration of ProCare 6000 and Telligence systems into
Assignments Messaging Reporting

List view
Map view Wireless device integration
Directly interface to Ascom, Vocera & Polycom without the need for middleware NetBoard (whiteboard) ADT/HL7

Telergy Integration Platform

Network and data sharing

Increased staff mobility requires new ways of communicating
Helps to improve direct links between patients, caregivers, families, physicians, and even equipment Helps to consolidate your I.T. network by using your PCs as nurse call terminals Point of Work efficiency

Telergy Integration Platform

Network and data sharing

Telergy helps to support staff mobility by automatically delivering patient calls to wireless devices Telergy uses your existing workstations as nurse call terminals, enhancing your IT investment and preserving precious workspace Telergy helps to support improved workflow by processing inputs and RTLS data and delivering it to the appropriate device Telergy helps to support Clinical Information Logistics by linking systems and delivering critical patient information wherever its needed
Telergy helps to support JCAHO & HCAHPS documentation requirements with response time data and quality measures

Telergy Integration Platform

Telligence system architecture

Equipment Closet Hospital LAN

Nurses Station

Lav 1

Patient Room 1

Lav 2

Patient Room 2

Key Colors: CAT5/5e/CAT6 Any pair of wires 16AWG, Power

Telergy Integration Platform

Telligence Telergy
Integrated Patient-Staff Communications Network

Telergy Integration Platform

Telligence Telergy
One Convenient GE Nurse Call Infrastructure

Telergy
List View Client

Telergy

PC console ListView (pending calls)

Highest Priority Pending Call

Other Pending Calls in Priority Order Patient Names and Room List

Telergy

PC console ListView (general)

Once answered, more information displayed

Staff Assignment Information General Patient and Room Information

Telergy

PC console ListView (patient)

Patient Data

Telergy

PC console ListView (events)

Recent Event History

Telergy

PC console ListView (staff)

Staff Assignments

Telergy
Map View Client

Telergy

PC console MapView

Color-Coded Room Events

Color-Coded Staff Location Icons Pending Call Popup Window

Color-Coded Reminders

Telergy
PC Assignments

Telergy

PC assignments

Onscreen Help and Step-by-Step Wizard

Shortcuts

Active Staff and Device IDs

Telergy
PC Messaging

Telergy

PC messaging

Bed, Staff or Device Option

Message Menu or Free Text Typing

Staff Level Option

Telergy
PC NetBoard

Telergy

NetBoard electronic whiteboard

Select from a wide choice of column options can be arranged in any order

Staff and Device Details imported from PC Assignments

Attending Physician from ADT via HL7Interface

Telergy

NetBoard electronic whiteboard

Telergy
PC Reporting

Telergy

Management reports
Activity & Response Time Analysis
Browser application access reports from any PC Author your own reports and save them as templates for future use Have reports delivered to your email address Operates on robust SQL database

Schedule automatic reports hourly, daily, weekly or monthly

Telergy

Report setup screen

This screen is one example of some of the choices made during the report authoring process. Date, Shift, Event Pair and Call Priorities are selected on this screen. The next screen would allow you to select the nursing units to include in the report.

Telergy

Overall response time by priority

This report displays call activity for the desired Call Priorities, Nursing Areas and Event Pairs (call set to call clear). Report compares actual staff response times against established target times. Data is shown in both tabular and graphic formats.

Telergy

13 week historical response time performance

This report displays response time trending for the past 13 weeks (3 months). It shows the percentage of calls that were responded to within the target response time. Ideally this chart would remain level or rise slightly from left to right.

Telergy

Target / exception details

This report builds on the previous section to provide additional details associated with each exception event.

Patient names removed for HIPAA purposes.

Thank you!