Clinical Communications for Hospitals & Heatlhcare SystemsRaise the Bar:

March 2017

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Agenda

Raise the Bar with Everbridge CareConverge

+ Housekeeping and introduction

+ Overview of Everbridge

+ Introducing CareConverge

+ Customer success stories

+ Audience Q&A

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Housekeeping

Webinar Functions

FOLLOW US ON TWITTER

@EVERBRIDGE

USE THE Q&A FUNCTION TO SUBMIT QUESTIONS

WE WILL SEND OUT A RECORDING FOLLOWING THE WEBINAR

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Introduction

Our Presenters

Eric ChetwyndGeneral Manager, Healthcare Solutions

Everbridge

Ranya Habash, MDCMO, MABEverbridge

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Everbridge Profile

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MIR3

Send Word NowOmnilert

SunGard Availability Services

Twenty First Century Communications

Federal Signal

Global Alert Link

CHALLENGERS LEADERS

NICHE PLAYERS VISIONARIES

AS OF MARCH 2012

COMPLETENESS OF VISION

ABIL

ITY

TO E

XECU

TE

Blackboard Connect

Cooper Notification

Varolii

Cassidian Communications

AtHoc

MARKET LEADERSHIP

While most Sony employees already were on the Everbridge Emergency Notification

System, workers recruited the rest to sign up. If he had to do it again, Sony Pictures CEO Michael Lynton said he would have made it “mandatory for all employees to already

be on it.”

MIR3

AtHoc

Send Word Now

xMatters

Omnilert

SunGard Availability Services

Twenty First Century Communications

Federal Signal

Blackboard Connect

Global Alert Link

CHALLENGERS LEADERS

NICHE PLAYERS VISIONARIES

AS OF MARCH 2014

COMPLETENESS OF VISION

ABIL

ITY

TO E

XECU

TE

The Company Behind Emergency Alerts

October 2015

Burlington’s Everbridge Tapped for Super Bowl Emergency-Alert

TextsJanuary 2016

Improving Emergency Messaging in The Cloud with Everbridge

August 2014

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Some of our 800+ Healthcare partners

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“We believe that Crisis Management will go beyond communication and coordination activities associated with classic emergency scenarios to address the operational challenges within the hospital

that impact the effective delivery of care. Already, some vendors ….such Everbridge, offer limited clinical communications and collaboration capabilities.”

- Gartner recently including Everbridge in its 2016 “Hype Cycle for Real-Time Health System Technologies”

Critical Communication and Collaboration across the Hospital

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Challenges Facing Emergency Departments

Critical delays during the “Golden Hour”, DTN, and DTB times lead to increased costs from longer LOS, increased post-acute care and higher readmits

Sentinel events caused by communication or assessment failures

Emergency departments are overcrowded• 4.8 hours ALOS• 242 diversion hours/yr• 2-3% patients LWBS

$4.5B Nationally

62%Over Capacity

Real-time communication is key

37% 9 out of 10 ED Handoffs have communication errors

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Pre-Hospital

TasksEMS notifies hospital

Steps• Paramedic sends HipaaBridge text to Nurse

• Preset contact list

• Triage Nurse notifies ED MD

I have a possible stroke patient.

ED NOTIFY

RESPONDING

39YOM, responsive to verbal, 8 breaths/min, BP: 100/60, Onset: 11:20PM

Today 11:47 PM

Onset to Treatment Time

Triage Nurse

ED MD

EMS

27 minutes

Average Time 3 hours

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Consult Request

TasksRequest consult

Steps• ED MD launches Stroke consult/

assessment (Care Events)

• Via On-Call Scheduling: Notification to remote Neurologist

• Neurologist confirms availability

• Neurologist is added to group chat

ED NOTIFY

RESPONDING

CONSULT REQUEST

RESPONDING

Today 11:49 PM

Medic1, let’s do a stroke assessment

Today 11:50 PM

Triage Nurse

On-CallNeurologis

t

ED MD

EMS

Onset to Treatment Time

30 minutes

Average Time 3 hours

I have a possible stroke patient.

39YOM, responsive to verbal, 8 breaths/min, BP: 100/60, Onset: 11:20PM

Today 11:47 PM

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Video Consult

TasksPatient Assessment

Steps• Neurologist lets Paramedic know

he wants to do a video assessment

• Neuro video-calls Paramedic

• Neuro performs NIHSS with patient

• Neuro confirms CVA onset timeand severity. Stroke Code initiated.

STROKE CODE

RESPONDING

CONSULT REQUESTED

RESPONDING

Today 11:49 PM

Medic1, let’s do a stroke

assessment

Today 11:50 PM

Let’s fast track Mr. Thomas for CT scan

Today 11:55 PM

VIDEO CONSULT

Triage Nurse

On-CallNeurologis

t

ED MD

EMS

Onset to Treatment Time

35 minutes

Average Time 3 hours

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Activate Team

TasksLaunch Stroke Code

Steps• ED Nurse activates Stroke Code

• Notifies ED HUC to begin orders

• Notifies Lab Tech

• Notifies CT Tech

• Notifies Pharmacy

• Notifies Stroke Coordinator

• Notifies Admin Supervisor

RESPONDING

Today 11:49 PM

Medic1, let’s do a stroke assessment

Today 11:50 PM

VIDEO CONSULT

Let’s fast track Patient for CT scan

Today 11:55 PM

STROKE CODE

RESPONDING

RESPONDING

Triage Nurse

On-DutyTech

On-CallNeurologis

t

ED MD

EMS

Onset to Treatment Time

36 minutes

Average Time 3 hoursToday 11:56 PM

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Share Images

TasksRun diagnostics and stabilize patient

Steps• CT Tech sends photo of CT scan

to group

• Neurologist views CT scan and calls for tPA

• ED Nurse administers tPA

Let’s fast track Patient for CT scan

Today 11:55 PM

We’re all set for Patient’s CT scan

Here’s the scan

Administer tPA

Today 12:12 AM

Today 12:46 AM

Triage Nurse

On-DutyTech

On-CallNeurologis

t

ED MD

EMS

Onset to Treatment Time

91 minutes

Average Time 3 hours

STROKE CODE

RESPONDING

RESPONDING

Today 11:56 PM

Patient Arrival - 12:16 AM (56 mins)DTN: 35 mins

Today 12:51 AM

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Hand-Off

TasksTransfer patient

Steps• Neurologist notifies Intensivist of patient

transfer

• Intensivist notifies Admin Supervisorof transfer

RESPONDING

RESPONDING

We’re all set for Mr. Thomas’ CT scan

Here’s the scan

Administer tPA

Today 12:12 AM

Today 12:46 AM

STROKE CODE

Transferring patient to Intensivist

Confirming Transfer

Triage Nurse

On-DutyTech

On-CallNeurologis

t

ED MD

EMS

Intensivist

Onset to Treatment TimeAverage Time 3

hours

91 minutes

Patient Arrival - 12:16 AM (56 mins)DTN: 35 mins

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Close Care Event

TasksClose code

Steps• Admin Supervisor closes Care Event

• Notify Stroke Supervisor

RESPONDING

We’re all set for Patient’s CT scan

Here’s the scan

Administer tPA

Today 12:12 AM

Today 12:46 AM

CLOSE CODE

Transferring patient to Intensivist

Confirming Transfer

Triage Nurse

On-DutyTech

On-CallNeurologis

t

ED MD

EMS

Intensivist

Admin Superviso

r

Today 12:57 AM

Onset to Treatment TimeAverage Time 3

hours

91 minutes

Patient Arrival - 12:16 AM (56 mins)DTN: 35 mins

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Telestroke – Mayo Clinic

• Feasibility study to see if triaging stroke patients from the ambulance is possible (It is!)

• NIH Stroke Scale was able to be performed in transit

• Time saved on treatment (door-to-needle time) was 7.45 minutes

• Decreased hospital stays & complications

• Cost savings versus $1.5 M telemedicine robot

• Lives & brain cells saved: Priceless

13.4

millionneuron

s saved

Average IP stay saves

$4,500

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Increasing use of Telemedicine

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Code Response – Renown Health

• Code Alerts - stroke, STEMI, sepsis response teams

• More than 1,000 high-acuity patients/yr

• Faster response times impact patient functional outcome

• Improved functional outcome equates to shorter stays and reduced post-acute care

$3MEst.

savings per year

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Physician Call-backs – Renown Health

• Calls received via switch board are transferred to physician answering service

• Include patients and clinical staff• 7-8,000 hospitalist calls/month• 120 specialist physicians• If no reply in 15 minutes,

automatically escalates to medical director

• Closed loop process

Reduced call-back times for

patients

Est. answering service savings $121,000/y

r

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Emergency Department Communication

• Large health system• Launched secure messaging for

ED Team collaboration• Decreased time to locate and

communicate with key team members

• 27% reduction in ED Throughput Time

• Resulted in increased capacity to accept new patients and better patient experience

48minute

s saved

on ALOS

4,100

patients/ yr

Estimated

capacity increas

e

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Behavioral Health Telehealth

• Centerstone Research Institute• Recent pilot at four sites in

Indiana and Tennessee • Targeted at high-utilizing

Medicaid patients with behavioral issues

• Combined case management, wellness coaching and smartphones apps

Reduction in number of emergency room visits

Reduction in the number of inpatient hospital days

Significant improvement in Patient-Provider Communication

39%

53%

“I was able to reach out to patients very easily, daily, if they needed it”

- Teresa Higham, Health Coach

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Everbridge Telemedicine & Telehealth Programs

• Worked with the Mayo Clinic to develop a stroke study which decreased door-to-needle (DTN) time by 7.45 minutes. Results published

• Pilot study with Brigham & Women’s Hospital to decrease ED readmits with at-home & remote monitoring program. Early data is promising.

• Headhelpers study for high school football. Reduced time to clinical encounter and increased access to concussion specialist.

• Several teleconsult programs from physician-to-physician for wide variety of specialists including cardiology, neurology, pediatrics, etc… across health system

• Outpatient telehealth programs for variety of ambulatory practices including Family Practice, Ob-Gyn, Dermatology, Ophthalmology, etc…

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• Secure Enterprise Platform• Triple encryption (in-transit, at-rest, and each conversation

has own unique key) using RSA2048 and AES256; NIST compliant

• Audit conversation history• Remotely wipe care team collaboration on mobile devices• Lock user care team collaboration accounts• Require care team collaboration passcode and configurable

timeout• Configurable secure data retention term (default is 1 year).

SOLUTION OVERVIEWSecure Care Team

Collaboration & Tele-consult

Care teams are able to quickly and easily communicate about their patients.• Intuitive communication: photos, texts, video calls, push-to-talk, group messaging and audio calls• Can be used on any mobile device and desktop

Care EventsAlert multiple care team members with the click of a button or based on an automated event (e.g. Stroke Code) based on changing conditions for a patient• Customizable, templated, multi-step workflows• Real-time events dashboard • Event reporting

Dynamic Care TeamsEngage the right care team members at the right time in the diagnosis and treatment of a patient.• On-call scheduling • Care event response escalation• User messaging for taking on-call shirts• Automatic shift rotation and assignable shift quotas• Scheduling integration via .ical/.ics

Platform and Services• Integration

• Active Directory integration• SAML 2.0 SSO Integration• EHR Integration ability (ADT, Lab Results,

etc...)

• Services• Implementation and Rollout Services• On-going Health Checks• HIPAA Business Associate Agreement (BAA)