SMART Technologies

- Vocera Vina
- Hillrom – Smart Beds
- Real Time Location System (RTLS)
- MyCare
Vocera Vina:
CVH Overview
What is Vocera Vina?
• Vocera Vina is an application on a smartphone that works within the
building over the hospital Wi-Fi network.

Available Features for Vocera

• Calling by name or role

• Secure messages

• Custom staff & patient templates

• Integrations for alerts & alarms from various hospital systems

• Integrations with Epic EMR 3

 Secure Care Team Communication
Presence State
Priority Alerts
In scope areas include:
• Medicine and Surgery
• Critical Care Staff Alert Templates
• Emergency
• Women & Child Program
• Mental Health
• Dialysis
• Peri-Operative Services
• Medical Imaging
• Lab
• Pharmacy
• Central Equipment
• Biomed
• EVS
• Food Services
• Logistics Secure Messaging
• Transport Frequent Calling
• Call Center
• Security
• MDR
• Volunteers…and more!
Calling with Vina
Ways to Place a Call
1. Staff Directory by staff
name or role
2. Using the Keypad
3. From a conversation
4. Genie: voice command

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 Making Calls Using the Directory
• Tap the Call icon
on the bottom of
the home screen

• Select a recipient
from your
department or
from your
Favorites list

• Presence
indicators show
for all possible
recipients
 Making Calls using the Genie
• Genie allows for voice commands
such as Alexa or Siri for example

• Standard call commands can be

used to call users, groups, and
address book entries
Messaging with
Vina
 Starting a Conversation

Start a New Chat, New Pick someone from your Compose the message in the
Group Chat, Staff unit, your favorite list, space provided and send
Template, or Patient search the Directory, or
Template here select the multiselect option
Staff & Patient Alert
Templates
Staff & Patient Alert Templates
• Templates are custom quick communications that are received as
Alerts. The two template types are:

1. Staff Templates are general notifications that are sent to the department

2. Patient templates require you to select a patient to associate to the

notification

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Staff Alert Templates

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Patient Alert Templates

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Alerts & Alarms
 Alerts & Alarms
• Normal, High & Urgent
priority alerts through
various available integrations

• Staff have the options

to accept, view and
decline alerts

• Epic EMR Integration for

patient information displays
where applicable

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 Austco Nurse Call Alerts
Code Blue, Code
Blue Pediatrics, Bed
Code Pink, OB Alert Disconnect

Staff Assist* Pain

Assistance

Calls can initiate

from wall panel or
from pillow speaker
Patient Call Toilet
Assistance

Bathroom Drink
Assist Assistance

Equipment
…and more!
Alerts
 Hill-Rom Falls Prevention Alerts

Bed Rails Bed not in lowest Head of bed angle

position

Bed exit not on Bed exit Bed Offline

 Centrak Real Time Location Services
(RTLS) Alerts & Features

Patient Wandering & Infant Protection: Alerts for

Door Ajar or Unauthorized Egress where applicable
Smart Technologies
Hillrom – Smart Beds
Smart Technologies - Hillrom Smart Beds
• Hillrom smart beds are beds that are connected to our WiFi
network and able to be located by RTLS.

• There are 2 models of Hillrom smart beds at CVH:

– Centrella

– Progressa

• Generally, smart beds have a GCI/LCD display panel on the side

headrails

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 NPS SCOPE

CVH Units & Smart Beds In-Scope for NPS

MEDICINE & SURGERY
CRITICAL CARE UNIT
WOMAN & CHILD

Centrella® Smart+ Bed Progressa™ Pulmonary ICU Bed

Centrella® Smart+ Bed in “Comfort Width”

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© 2020 Hill-Rom Services, Inc. ALL RIGHTS RESERVED.

 What do Smart Beds do?

1. Monitor the safety settings on the bed based on patient presence

2. If the bed enters an unsafe state and the Caregiver is not in the room, then the
following wireless phone alerts are sent to Vocera:

– Bed Exit

– Bed Exit Not On

– Bed Rails

– Bed Height

– Bed Angle (if patient is a pulmonary risk)

– Bed Offline

– Bed Disconnect

• Smart beds also have the ability to weigh patients and send this information to Epic, 23
to be recorded in the patient information
NPS:
NPS HOW DOES IT WORK?

Patient Attempts to Exit the Bed

Navicare Patient Safety Software

Bed Exit Vocera Alert is

sent to the Caregivers.

Bed Exit Alarm on the

bed will annunciate.

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© 2020 Hill-Rom Services, Inc. ALL RIGHTS RESERVED.

Real Time Location System at CVH

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Real Time Location System
Asset Location Tracking (Cetani)

Environmental Monitoring (Cetani)

RTLS Staff Duress/Code White (Cetani)

Hand Hygiene (Cetani)

Infant Protection / Patient Wandering 26

(CenTrak)
1. Asset Location
• Tags are applied by Central Equipment to assets that
meet the following criteria:
– Expensive mobile equipment
– Limited equipment needed urgently for patient
safety
– Equipment needing to be found for preventative
maintenance
• Shows exact location of equipment in the building

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2. Environmental Monitoring
• Applies to fridges and freezers where constant temperature is
needed to be maintained to prevent product loss.

• Refer to the Corporate Refrigerator Monitoring Policy.

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3. Staff Duress / Code White
• Staff duress badge is used to activate a Code White by pressing any
Infrared “eye” colored button for 2-3 seconds. LED feedback is not required
to successfully send location data. Vocera alert is sent to the Code White
Response Team.

• Badge must be worn HORIZONTALLY on a scrub top with the

infrared “eye” located on the side of the badge facing upward with the
coloured buttons visible.

• Consistent with Mackenzie policy, badges will be distributed to all F/T

and P/T staff working in patient care areas and other roles as needed.
There will be a badge sign-out process for casual staff through Security.

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4. Hand Hygiene

• Staff should continue good infection control practices to reduce the

number of health-care associated infections and support our
commitment and culture of improving patient safety.

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5. Infant Protection and Patient Wandering
• This RTLS system consists of computer software, patient security tags, and 3 types of
hardware:

– a) LF exciter with antenna – creates infrared field to detect tag presence

– b) Door controller – locks doors

– c) Card reader – CVH facility badge swipe at card reader clears the alarm

• The default security level is “Floor” for both infant and adult tags

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5. Infant Protection and Patient Wandering
• Alarms:

▪ Door Ajar – a door is not latched closed for longer than 75 seconds. Alert is sent to Vocera

▪ Loiter – a tag remains in the sensor field for longer than 15 or 30 seconds depending on the door
(enabled only at public entrances to units)

▪ Unauthorized Egress – tag is detected through open doors. Alert is sent to Vocera

▪ Tag Tamper – band has been cut

• An audible alarm with message details and CCTV camera views will appear at the workstation for
Unauthorized Egress events for their pod if the patient's risk level is set to "Pod".

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5. Infant Protection & Patient Wandering

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 MyCare:
CVH Overview
What is MyCare?

MyCare is a patient-centered program that engages and empowers

patients & families to take an active role in their health journey.

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What is MyCare?
• At CVH, this includes:
– Public Messaging TVs throughout the Hospital

– Patient Room TVs and Tablets (iPads)

– Digital Signage on iPads outside of rooms called MyCare Signal

Public Messaging TV Patient Room Tablets Signal 36

Available Features for MyCare
• Room Control (blinds, temperature and lights)

• Meal Ordering

• Patient education videos

• Premium Services & Entertainment: Movies, Internet, TV,

Games and Radio

• Whiteboard

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 MyCare Experience Home Screen
The MyCare experience is built to increase utilization by placing the most important
features of the system front and center.
A
A. Personalized Greeting
B
B. My To-Do List: This displays all of the
Patient Priorities on one screen, shows
the patients all of the tasks they have left
to complete as well as allowing them to re-
access completed Priorities. C
C. Priority Spaces: Tasks patients are asked
to complete to actively engage in their
care
D. Favorite Spaces: Shortcuts to primary D
features of the system
E. Unit/Room Location

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E
Clinical Features & Pathways
Automated tasks gets triggered based on patient:

1. Patient Education Pathway

2. Medication Teaching Pathway

3. Falls Prevention Pathway

4. Discharge Readiness Pathway

5. Patient Experience Perception Pathway

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Falls Prevention Pathway
• Falls Prevention Pathway’s goal is to create safety awareness for
patients and families

• This pathway highlights fall risk factors & promotes education on

preventing falls

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Patient Experience Perception
(PxP) Pathway
• The PxP pathway includes questions on various topics to get a sense of
patient and family perceptions during their stay & may create
opportunities for service recovery

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Interactive Patient Whiteboard
• The Interactive Patient Whiteboard can be accessed through the
bedside tablets or Patient Display TVs from the Patient Experience
Page priority space

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 MyCare Signal
Overview
At CVH - MyCare Signal to
display:

1. Friendly Location Name

2. Preferred Language
3. Interactive Isolation
Status Tiles
4. High Falls Risk
5. NPO
6. Violence indicator (if
applicable)

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Interactive Isolation
Status & Precaution
Screens

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 Questions?

Next up: IPO Day 1 Evaluations