Wireless Solutions for Healthcare. Connect to vital information

and perform critical functions at the point of care.

Jacques De KegelSensor & Actuator Solutions EBO

Leader Benelux IMT

Agenda

Level 1: Introduction WirelessLevel 2: How RFID innovates HealthcareLevel 3: How IBM innovates RFID

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Wireless TechnologiesWireless Converged Voice and Data

–Enhanced Healthcare Campus Communications

–Infrastructure Architecture, Design & Deployment

–Voice-Insight

RFID–Patient / Asset tracking

–Secure ID – SmartCard (including Single Sign On)

–Point of Care Meds Admin

Point of Care Technologies–IT Device Management Services

–CPOE ePrescribing

–Charge Capture

Emerging Technologies – IBM Research–Disease Management and Home Health: mHealth

–eChart (IBM Research & Nextel)

What makes RFID important?

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RFID will skyrocket to 8.8B by 2010, “RFID & Emerging Technologies Guide to Healthcare”

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Some examplesMeds Administration – Asset Tracking - Patient Tracking – Specimen Tracking

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Recent Announcements (1)

Diabetic Device Uses RFID to Administer InsulinCambridge Consultants and Philips Semiconductors have built a prototype system that uses near-field communications to link a glucometer and an insulin pump. U.K. Health Agency Plans RFID Trial to Staunch Transfusion ErrorsNational Patient Safety Agency is seeking hospitals to participate in a 2007 trial, hoping to reduce the number of ABO-incompatible transfusions by 50 percent. FDA Seeks ID System for Medical Devices and SuppliesThe agency is requesting comments on using RFID and other auto-ID technologies to identify and track everything from bandages to insulin pumps. U.K. Surgery Ward Tags Patients, Tracks OperationsHeartlands Hospital's ENT surgery unit uses an RFID system allowing it to perform more surgeries and reduce the potential for errors. Fort Hood to RFID-Tag Medical RecordsWith more than 150,000 soldiers and their dependents using the base's six health clinics, the Army is seeking a better system to track their medical files.

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Recent Announcements (2)

Medical Distributor Puts RFID Tags on EquipmentTo improve product maintenance and reduce shrinkage, Wren Medical Systems is adding active RFID tags to wheelchairs, oxygen concentrators and other equipment it rents to its customers. Hospital Tries ZigBee to Track PatientsTo expedite the treatment of patients at its emergency department, Saint Luke's East-Lee's Summit, in Missouri, tracked patients by means of ZigBee-based RFID tags.Blood Storage Provider Plans RFID PilotLifeForce believes RFID can be a more secure and economical technology for tracking small cryogenic vials containing white blood cells. Medical-Tube Couplings Get RFID TechnologyColder Products has added RFID tags and readers to subminiature plastic connectors typically used on tubing in medical and surgical equipment German Hospital Expects RFID to Eradicate Drug ErrorsJena University Hospital is installing a pilot RFID system to track medication from the time the hospital's pharmacy dispenses it until the patient receives it.

How RFID Innovates Healthcare

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The Innovation Process

Creative Process Harvesting

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The Innovation Process

Creating Harvesting

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How do objects communicate to objects?

Creating Harvesting

Where are the infusion pumps?Where are the infusion pumps?

Where does this sample comes from?Where does this sample comes from?

Do I have the right Do I have the right StentStent for my patient?for my patient?

I am sure there will be no sideI am sure there will be no side--effects for effects for this patient?this patient?

Where is this doctor, now?Where is this doctor, now?

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Improved asset managementImproved asset management

Improved sample mgtImproved sample mgt

Reduced inventoriesReduced inventories

Reduced medical errorsReduced medical errors

Improved access controlImproved access control

………………

How do objects communicate to objects?

Creating Harvesting

UHF

Gen2

EPC

EPCIS

RFID

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Today, hospitals are beginning to investigate a number of potential applications for RFID technology.

MaterialsMaterialsTrackingTracking

EnablingEffectiveEnablingEffectiveAsset Asset

Management Management

Improving Improving Inventory Inventory

ManagementManagement

PatientPatientTrackingTracking

Providing an Providing an abduction safety abduction safety

netnet

Preventing ED Preventing ED ElopmentElopment

DocumentationDocumentationEnhancementEnhancement

Streamlining Streamlining Medication Medication

ReconciliationReconciliation

Automating Chart Automating Chart RetrievalRetrieval

CapacityCapacityManagementManagement

Rationalizing OR Rationalizing OR UtilizationUtilization

Tracking Patient Tracking Patient StatusStatus

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Some thoughts on the Return on Investment

1. Capital Investment

2. Operational Costs

3. Benefits

4. Adding new applications

Start Start SmallSmall

Think BigThink Big

How IBM innovates RFID

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XyLoc

1. The clinician approaches the workstation.2. The clinician is identified by XyLoc active

proximity and authenticated in combination with a password.

3. The clinician can single sign-on and single sign-off to all needed applications through Encentuate.

4. Patient data is aggregated across applications via Fusion from CareFx context integration functionality.

5. TIM ensures that the clinician is provisioned to the applications and patient data, based on policy.

IBM QuickAIM – Authentication and Identity Management

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Commercial Lab – Specimen Tracking PilotUse RFID Passive Technology to Track Samples and Specimens

– Route drivers to tag at point of pick up – Record, store and communicate all items being transported– Gather RFID transactions and develop exception reports along key process

milestones in the lab analysis processObjectives:

– Determine feasibility of RFID technology in the workflow of specimen pick-up and transport to the lab to eliminate loss, especially of irreplaceable biopsies

– Overcome challenges of liquids, packaging, transport containersScope:

– Limited to small sample of drivers– One lab location– All specimens and biopsies– RFID labeled pharmaceuticals tested

Results: So far -– Special “tent” RFID readers developed for cartridges of specimens– HF tags better performing than UHF – Formalin based specimen storage– Mobile Aspects test tube cartridge reader investigated

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Patient Tracking – Nice – New Generation Hospital

Goal : patient path optimization

Complex EventProcessing

CEPDefinition Manager

CEPEngine

Situation :Waiting Alert

LOCALIZATION

REGISTRATION

CONSULTATION

Patient admissionPatient location

Patient consultation

Conditionon events

Conditionon events

Conditionon events

ActionActionActions

RULE

UPDATABLE DURING RUNTIME

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GeolocationManager

Rules&EvtsRules&

Evts

Registration Staff Medical Staff Patient

MQEJBPortlet

Patient Tracking: - Nice - Functional Architecture

LocalizationMessage Queue

FunctionalArchitecture

RFID Tag

RFID Tag

Emergency Unit Flow Manager

DB CEP

RegistrationForm

GlobalDashboard

LocalizedDashboard Patient DossierPortal

RFID Antenna+ Readers

Patient Dossier Medical Staff Medical Resources GeolocationBusiness Layer

Edge & PremisesServices

LocalizationCEP

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IBM has a proven engagement model for staged development of RFID solutions

Optional activities

Step 1 Step 2

Solution Definition Workshop

Pilot Planning

& Design

Step 3Pilot

System Develop

-ment

Test Pilot

System

Step 5 Step 6

Execute Pilot

Rollout Planning

Pilot Infra-structure

Setup

Step 4

Develop Business

Case

RFID Feasibility

Study

Pre/post pilot activities

Core pilot activities

Step 2b

ApplicationWorkshop

Step 0a

Step 0c

Step 0b

RFID Technology and Product

Testing

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Tag Reader • Embedded

in devices or on objects (e.g. IV Pump)

• RF data transfer with reader

• Aggregates/ assembles data from multiple tags & readers

• Controls actuators based on RFID business rules

• Receives & processes tag level data

• Writes data to active tags

• Executes enterprise business processes

• Integrates RFID data from multiple sites with enterprise apps

ControllerLocal

Computer• Aggregates/

assembles data from readers & controllers

• Executes RFID business processes

• Integrates to the enterprise

Enterprise IT Integration

Enterprise Applications

• Asset Management

• PM• Other

Applications

Asset

RFID Infrastructure

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WebSphere RFID Device InfrastructureOpen standards RFID

embedded infrastructure for smart readers and

controllers

WebSphereRFID Premises

ServerOpen standards

RFID middleware for remote

servers located at stores,

distribution centers,

warehouses, and manufacturing

locations

WebSphereBusiness

Integration WebSphere

Portal Server WebSphere

Product CenterTivoli Systems Management

DB2 Information Integrator

Enterprise Systems ERP, SC, etc.Local ComputerReader ControllerTagsAntenna Edge Premises Business Process Enterprise Apps

The RFID Software / Architecture

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There is no substitute for hands-on learning.

Recognize that standards & technology will continue to evolve

Build a scalable foundation today

Business transformation and long term success will requireflexible, scaleable and manageable infrastructure.

Integrate RFID into the context of a broader business strategy

Gain benefits today applying RFID capabilities to specific business processes

IBM’s Point of View for RFID solutions clientsGetting started and achieving return on investment

What the future can bring?

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Thanks!Thanks!

Patient Record Display from RF Identification : IBM Everywhere Display, Holographics, Voice Interaction (iRounds)

UWBUWBSmartSmartDustDust

SmartSmartShelvesShelvesSmartSmart

ReadersReadersPlasticPlasticTagsTags

NanoblockNanoblockICsICs