Solutions for hospitals

« Think Smart »

Pascal.durdu@zetes.com

Zetes Group

e-Health

e-Health is the combined use of electronic communication and information technology in the health sector.

Quality (information, patient oriented…)

Efficiency (cost reduction, flexibility,…)

Safety(avoid high impact mistakes)

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Major e-health topics

Clinical information system

Non-Clinical system

Telemedecine

Integrated health network

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Innovation in e-health

Sharing experience and get to learn real business need !!!!

Avoid technology push

Re-use of what’s existing somewhere else, get inspired ….Adapt existing technologies in a smart way

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Technologies are there … we need the glue

PoC

People

Funding

Solution provider

HCProvider

Many stakeholders

Business model

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Let’s be open minded

18/04/20236 To solve business issues ….

Mobility … information aggregator

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GPS

Mobile data

DB

The mobile device becomes an identification/information aggregator

Mobility ….

e-recipe … en Mobilité ….Attestation ….PaiementRecommendation

Générix

Pre-commande pour les pharmacies

Find nearest pharmacy

Campagne de vaccinationSerialisation

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Data capture … a world of options

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• Barcode Datamatrix• RFID

(active/passive)• Vision• Voice• Sensors• Medical devices• GPS

Pharma vs e-health …

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Build on new regulation: serialisation

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Manufacturer Product Code 14 digits [GTIN or pseudo-GTIN]Unique Serial Number (randomized) 20 digitsExpiry Date 6 digits (yymmdd)Batch Number up to 20 alpha-numeric characters

GTIN

Expiry

Batch nr

Serial nr

THANKS

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Exchange best practice and business issue.

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Learn from other sectors

Medicine identification & serialisationCold chainEfficiency of distribution & supply chain

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What does it mean?

Need to improve & optimise

• Information flow• Physical flow• Cash flow

However, between 2008 and 2012 the situation is to evolve, with a major shift from Secondary Usage Systems to Clinical Information Systems (SUCIS). This suggests that eHealth systems are targeted more towards supporting the operational processes of healthcare professionals.

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eHealth services can play an important role for the current and current and future delivery challenges to be faced by healthcare services in Europe. They can provide responses to the socio-economic challenges faced by European healthcare systems in the near and long term. Industry is expected to continue to be involved in the development of these services, as eHealth represents a considerable market for European and international industry players. However, in order to tap into this potential, it is necessary for eHealth services to be devised in such a way as to respond directly to the specific operational needs of the healthcare delivery stakeholders towards whom they are targeted. Essentially, eHealth services have to create value for all stakeholders by devising appropriate supporting business models. Failing to do so will just create a situation where healthcare professionals and institutions would lose trust in these solutions and, as a consequence, refrain from exploiting the positive externalities brought about by these eHealth systems and solutions.

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What does it mean?

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Physical flow

Information flow

Supplier Manuf. Retailer Consumer

Introduction

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AssetMgt

Productivity

Safety

Report

Patient Tracking

Objectives

Improve patient safetyMake medication administration saferTrack specific patient (elderly,…)

Improve productivityMaximize bed turnover timesIncrease throughput across the operating roomImprove staff productivity

Improve asset managementHandle point-of-care materials across the hospital

Help hospitals more efficiently comply with regulatory reporting requirements

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Hospitals solution by Zetes

Voice nursingAsset trackingPatient TrackingGoods transfer between Hosptals building

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VOICE NURSING

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Introduction

Nurses are and will be missing.

Nurses are geting company car in Vilvoorde Hospital (Belgium)

Increase efficiencyRemove painfull administative task

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Voice nursing

In a nursing program, voice technology was shown to reduce documentation time by 75%, improve communication, and improve point of care documenting. The researchers also felt that infection may be reduced because nurses who used this voice technology were not touching as many items that may contaminate the patient. Voice assisted care technology provides hands and eyes free accurate documentation for nursing staff while enabling easy verbal access to patient information, effective communication and real time task management.

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Concept

With voice nursing , the purpose is to use voice commands instead of existing paper based or handheld solution.Instead of printing tasks or showing them on a screen, they will be voiced to the caregiver.

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Main use case … Point of care information management

Blood samplingGuide nurse on which tube to useVocal administration

AdministrationBlood pressure, patient weight,…Prescription, …Catering

Dialysis information recordingReal time task management in patient roomCheck destination (patient) of medicineReal time asset management together with RFID/barcode/datamatrix

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Identification

Staff VerificationIndividual RFID tagsDifficult to duplicateEnsuring secure automatic clinician login, speeding process

Patient IDIndividual RFID tagsScanned without line off sightRequiring fewer physical touches, speeding process and reducing chances of nosocomial infections

Medication VerificationIndividually labeled medication doses correctly matched with physician order, caregiver and patient ID

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Process

Using a headset and optionally a ring RFID/barcode scanner, the nurse will be assigned tasks through a voice commandThe nurse can interact with the system using voice

To input informationTo listen to information (patient file)To listen to task

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Benefits

Reduction in administrationReal time task managementShort-cuts and error reduction

Asset & patient ID using RFID

Real time asset managementIncrease productivityEye and Hands-freeFaster training

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ASSET TRACKING

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Asset tracking

How much valuable time and resources were wasted due to low visibility of equipment, patients and staff …. “they could spend hours looking for the equipment. The only way we could resolve the problem was to buy more equipment so that it was available on each floor, which increased our operational costs.”

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Why Asset Management?

Create accountability for asset being used in Hospitals

Location, maintenance history, availability

Perform an efficient « asset fleet » management

5-15% of hospital inventory is written off each year since it can no longer be located or more importantly servicedEnsure high level of availability and usage

Equipment moving from patient to patient without going through decontamination in between could become a significant issue

Asset management

Passive RFID tag on AssetCheap solution vs Active

« RFID gate » in the elevator area to disciminate services/floors

Limited cablingLimited investment

Regular identification of asset being used by staff using other ID technologies

RFID, Voice, datamatrix18/04/202334

The process

Staff must identify asset every time they use it (Voice & RFID)

Patient ID is knownDuration can be assessedRoom ID is know

… so we know about utilisation and last location and time of use … RFID preventing short-cuts and mis-use.

When asset are moving out of services / floor, RFID antennas at elevator will detect the movement and update « asset inventory » accordingly.

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Asset inventory

Every service/department as an inventory of asset

As soon as an asset is taking the elevators, inventory will be updated accordingly.If an asset shows up somewhere else (read by staff), inventory will be updatedWhen asset is brought for maintenance, inventory will be updated accordingly

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Reporting is key

An asset is not used (read) since 2 weeks

Check service where it has been used last

Broken, go to repairIf disappeared, it will be writen-off to a specific department, if it shows up back afterwards, write-off will be canceled and investigation will take place.Working, so this asset might be in excess

The utilisation of a type of asset is too low,… then asset might be in excess

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PEOPLE TRACKING

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People tracking

Based on the same infrastructure as asset tracking, when alzheimer / elderly people is leaving the « service ».

The service manager is alertedThe service manager receives a message telling in which service/department/zone he has been seen last time

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RFID wristbands

Scanned without line off sight, there is no need to manipulate the patient to read the informationPlacing the tag on the foot would allow a better readingRequiring fewer physical touches, speeding process and reducing chances of nosocomial infections

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Gates

Extra « gates » will be installed at

Entrance/exit of hospitalsIn critical zones

Some products could be tagged as well to get alerted when they enter a specific room.

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Point of care solution using voice together with Passive UHF tags and readers at elevetors generate an affordable and flexible solution that should help hospitals in the day to day job

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GOODS TRANSFER

Delivered?

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?

When?… progress …

Where?… wrong destination …

Claims?transport,

receipt, tracking

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Business need/objective

Low cost solutionReducing claims when delivering goods in a healthcard premises (proof of delivery)Preventing unload mistakesProviding real time information about delivery progressRegistering actions (return of asset)

Easy to use, installStand alone and independent

No integration to local network46

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e-PoD

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GSM Antenna

RFID ReaderSmart Card

Reader

Industrial terminal

e-PoD process

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Load route information on

smart card ….

Put card in e-PoD & Check delivery

(RFID)

Load delivery confirmation on card and send

message (GSM)

Main features

Check goods destinationThe screen will tell if the wrong product is delivered

Proof that the goods have been physically unloaded

e-PoD at destination and the use of RFID limits risk of fraud

Real time confirmation of delivery progressRecord quantity of asset returned

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E-Recipe solution overview

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