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Radio Frequency Identification

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    • 1. Using RFID Technology to Improve the Efficiency and Effectiveness of Healthcare Delivery Michael Dereszynski, Microsoft Henry Tenarvitz, Versus Administration & Process Improvement Track
    • 2. Uncovering the Benefits of Microsoft RFID Infrastructure for Healthcare Michael Dereszynski Senior Consultant Healthcare and Life Science
    • 3. What is RFID ?
      • Radio Frequency Identification (RFID) is a method of remotely storing and retrieving data using devices called RFID tags and RFID Readers
      • RFID is an enabling technology with the potential to simplify processes
        • Tags can be read in bulk
        • Tags can be read without line of sight restrictions
        • Data can be stored and retrieved from the tag automatically with a Reader
        • Tags can be write once read many (WORM) or rewritable
        • Other sensors can be combined with RFID
    • 4. General Business Benefits
      • Improved Operational Efficiency
        • Shipping/Receiving, warehouse management
      • Total Supply Chain Visibility
        • Inventory movement from warehouse to final destination
      • Inventory Control
        • Shrinkage management
      • Security
        • Asset tracking
    • 5. Business Benefits (Healthcare Specific)
      • Providers
        • Asset management
        • Patient Tracking (RFID bands)
      • Pharmaceutical
        • Manufacturing – logistics benefits
        • Distribution – electronic pedigree
    • 6. Examples (Providers)
      • Surgichip used in hospital operating rooms
      • An RFID asset tracking system enables the staff to locate a piece of tagged equipment by using a PC.
      • Tagged surgical instruments are monitored for location and their maintenance schedule.
      • Staff and patients be located easily due to the tagged bracelets that they wear.
    • 7. Examples (Pharmaceutical)
      • Starting in December 2005, Pfizer has started affixing RFID tags to all U.S. shipments of Viagra in order to counter fake pills.
      • Sensitech has introduced an RFID-enabled device, ColdStream Plant to Shelf (PTS), which monitors container temperature.
    • 8. Microsoft RFID Goals
      • Encourage widespread RFID adoption
        • Scalable, deployable, extensible infrastructure
        • Standards based (EPC and ISO)
        • Broad device support
        • Application enablement
        • Lowest TCO
      • Build an RFID infrastructure that enables
        • Compliance
        • Automation
        • Business process transformation
    • 9. Microsoft Product Strategy and Positioning
      • Strategy: Make RFID a pervasive technology with Windows Server Systems as preferred platform for RFID-based solutions
      • Positioning: Microsoft RFID Infrastructure is a robust, extensible platform with open APIs and tools to cost effectively build vertical solutions and configure intelligent event driven processes. It is an integrated platform that will enable customers and partners to capture sensor data through almost any device, translate the data into meaningful events and utilize it in line of business applications and custom solutions
    • 10. Partner Centric Approach
      • Enable the event driven enterprise with intelligence at the edge
        • Develop core platform components to support RFID applications and solutions
        • RFID enable selective Microsoft Business Solutions
      Hardware partners surface Device Services to platform Solution partners develop RFID enabled business applications using platform API’S Services partners drive low cost, rapid deployments with Designers and Tools
    • 11. Real Time Enterprise Platform – a functional view Enterprise, Content Solutions Devices Layer Data Collection & Mgmt Layer Event Mgmt Layer Services Layer Application Solutions Events and Workflow Management Events, Messages, Business Rules Open, standard based interfaces Product Info Resolution Look-up Business Process Mgmt Analytics, Reports and Notifications Real Time Enterprise/Point Apps Data Collection and Management Collection, Storage, Smoothing, Filtering, Aggregation Device Interfaces, Management Batch Oriented Enterprise Apps RFID Readers Barcode Scanners 802.1X AP’s Pocket PC Handheld Terminals
    • 12. Platform Architecture Reader with Extensions RFID Engine & Runtime Extended Provider Custom Providers Device Service Provider Interface (DSPI) RFID Services OM / API’s EPC Provider Designers, Tools & Adapters Config Store EPCIS & GDS Rules Engine Reader Management EPC Reader Device ‘1’ Device ‘n’ … . BizTalk Server RFID Runtime Partner Solutions
      • EPCIS
      • ONS
      Solutions Microsoft RFID Services MBS Hardware
    • 13. Key Value Propositions
        • Abstraction of Device handling
          • Discovery, configuration, communication, and management
        • Rich RFID event processing model
          • Design, store, deploy and manage RFID Processes
        • Reduce data ‘noise’ and increase data relevancy
          • Rules Engine for Filters, Alerts and Transformations
          • English like vocabularies for rule creation / modification by business user
          • Inference based generation of events – Ex: ‘Internal Movements’
        • Robust framework to support agile processes
          • Rules provide dynamic policy morphing
          • ‘ Hot-swap’ of Readers & Processes
          • Support for transactional execution and failover semantics
        • Base set of tools for lifecycle management
          • Device, Process and Server Management
    • 14. Key Value Propositions
      • Pluggable architecture for customizable components
      • Security
        • Role based access to RFID Processes & Devices
      • Management, Monitoring & Tracking
      • Performance and Scalability
        • Large volumes of irregular event streams
        • Distributed deployment architecture
        • Edge vs. Central processing transparent to end user
      • Integration with BizTalk
        • RFID events as BizTalk messages to build closed loop ‘RFID aware’ business processes
      • Standards
        • Stack will support RP, RM, ALE, and ePCIS across multiple
    • 15. Partner Ecosystem
      • Independent Software Vendors / System Integrators
        • Real time Business Analytics
        • RFID Enabled Business Apps / Solutions across multiple verticals
        • Integration of MS RFID Services into existing applications via BizTalk platform
        • 3rd party RFID component-ware
          • do for RFID what ASP.Net did for web development!
        • Vertical specific tools for creating & managing RFID processes
        • Simulation, Auditing, Monitoring & Tuning solutions
      • Independent Hardware Vendors
        • Device Providers & Simulators for existing devices and new device types
        • Surface Device innovation to higher layers – WSD and CE
    • 16. Our Commitment
      • We are committed to RFID and will build a scalable, reliable platform for solutions and applications.
      • Positive momentum with a large number of customers across all industries
      • TAP program for customers / partners
        • Currently in Beta 1, Beta 2 expected later this year
    • 17. Resources
      • Microsoft RFID News
      • http://www.microsoft.com/business/rfidlanding.mspx
      • RFID Gazette/Healthcare
      • http://www.rfidgazette.org/healthcare/index.html
      • Microsoft Healthcare Industry Site
      • http://www.microsoft.com/industry/healthcare/default.mspx
      • Michael Dereszynski - [email_address]
    • 18.
        • Active RFID-IR can reduce overcrowding and improve healthcare delivery in the ED
        • Henry Tenarvitz
          • President
    • 19. Patient Throughput
      • GAO Report on Hospital EDs http://www.gao.gov/new.items/d03460.pdf
      • Overcrowding Indicators
        • Diversion: Divert EMS away
        • Boarding: Admits waiting for a bed
        • LWBS ( Left without Being Seen) Registered / triaged then left due to extended wait
    • 20. GAO Report: ED Overcrowding Percent of Hospitals reporting “Over Capacity” EDs http://www.gao.gov/new.items/d03460.pdf 44% 34 % 27 % 24 % 15 % 35 % 45 % 52 % 38 %
    • 21. Using VIS Active RFID-IR To Increase ED Throughput
      • Identify Treatment Milestones
        • Cyclic patient care steps used in Your ED
      • Define Processes
        • RFID Events that monitor the Milestone Completion
      • Automate adjacent applications
        • RFID Event Distribution
      • Find Everything in real-time
    • 22. Leverage Active RFID / IR to Improve Healthcare Delivery in the ED and other Departments Versus Information System
    • 23. Active RFID-IR Personnel Tag
      • Real time (3-5 second) location of Doctors, Nurses and Patients accessible on your Intranet
      • Small, lightweight
      • Coin cell battery
      • “ Call” button
      • ID card clip
    • 24. Active RFID-IR Equipment Tag
      • Real time (3-5 second) location of medical equipment accessible on your Intranet
      • Small, lightweight
      • Coin cell battery
      • “ Motion sensor”
    • 25. Patient Milestone / RFID Event Associations
    • 26.
      • Patient Flow Manager
      • Enhance service/minimize wait times
      • Monitor room status
      • Monitor patient progress
      • Streamline patient throughput in the ED and OR
      • Automate patient milestones based on location e.g., waiting room, lab, recovery
      • Automatic data entry of doctor and nurse assignments
      • Real-time department overview of activity/load level
      Clinical Applications
    • 27. Clinical Applications
      • Staff “follower”
      • Detects presence of staff in patients’ treatment area
      • Reduces manual entry/action
        • “ Registers” caregiver in in TA
        • Cancels pending patient calls
      • Accurate time stamp of who, when, what room, with whom, and for how long
      • Button may be programmed as desired (typically for “Assistance” call)
    • 28. Medical Equipment Mgmt.
      • Reduce search time (hard dollar savings)
      • Reduce rental purchases
      • Manage inventory more efficiently and increase utilization
      • Reduce wait time of critical equipment to patients
      • Decrease in liability concerns over lost or misplaced charts/files
      • Streamline preventive maintenance (PM)
      • Enhance security of mobile assets
      • Enhances liability protection for grievance issues
      NOTE… Five to fifteen percent of hospital inventory is written off each year - Frost & Sullivan
    • 29. “ Back Room” Applications
      • The VIS Rules Engine allows you to create and edit message rules or conditions “on-the-fly”
        • For example, when a patient waits more than 20 minutes in an exam room before seeing a doctor, send pager message to ED Manager
    • 30. Security Alarms
    • 31. Real World ROI’s
      • Memorial Health System
      • Albert Einstein MC
      • Christiana Care
      • University of Rochester MC
    • 32. Memorial Health System
      • Increase in cash collections at all facilities
        • by 60% at Memorial’s largest facility
      • Decrease in patient throughput times at all 6 facilities
        • Adult Treat and Release 15% – 22%
        • Adult Treat and Admit 33% – 39%
        • Pediatric Treat and Release 36% – 38%
      • Improved capability to handle peak time / staffing
          • Soft Dollars
            • Increased bedside time
            • Improved communication with Ancillary Support Staff
      Memorial Health System Includes Five Hospitals and Urgent Care Center 250,000 ED visits a year system wide
    • 33. Applying the Numbers…
      • Example of estimated ROI with VIS™ Patient Flow Management at a medium/large facility
    • 34. Albert Einstein MC
      • Diversion rate plummeted to 39.9 hours/month from 223 hours/month average
      • Annual loss of $9M turned into $12M profit in two years
      Albert Einstein Medical Center 65,0000 ED visits per year ~ average 200 patients a day
    • 35. Christiana Care
      • Due to improved throughput Christiana reduced the number of patients left without being seen by 3% …projecting payback within first 6 months
        • Decreased walkouts by over 3%
        • Projected increase in revenue based on retention of these ED visits = $600,000+/per year
      Christiana Care Health System Includes two hospitals with over 1100 beds 132,000+ ED visits a year system-wide
    • 36. University of Rochester MC
      • Sandra Schneider MD FACEP
        • Professor and Chair Emergency Medicine
        • WRG Patient Throughput Conference
      • Strong Memorial ED – 90,000 visits/yr
        • 2003: 3477 hours diversion (40% of the time)
        • 2004: 1585 hours diversion (18% of the time)
        • Diversion = $3000 in revenue / hour
        • 2004 Additional Revenue = $5,676,000
    • 37. VIS™ Integration Expands the benefit of RFID-IR NOTE… Versus uses HL7 for both inbound and outbound messages
    • 38. VIS System Architecture IR/RF Sensory Network IR/RF Active RFID Passive RFID 802.11 Other VIS Transaction Engine (Windows service) VIS Rules Engine (Windows service) VIS Client Applications And SQL Reports VIS HL7 (Windows Service) HL7 Transaction Engine (i.e. Cloverleaf) Windows Integrations Partners (VIS OCX) Hardware Layer Middleware Layer Application Layer
    • 39. VIS One System… A host of applications— a multitude of benefits Staff CIS Automation Nurse Call Operating Room Biomedical Equipment Management Outpatient Clinic Emergency Department
    • 40. References
      • GAO Report on Hospital EDs
        • http://www.gao.gov/new.items/d03460.pdf
      • Defense Medical Logistics Standards Support
        • http://www.tricare.osd.mil/dmlss/downloads/RFI-Versus-Update-13-Dec-05.ppt
      • Ms. Nafizwe Palmer, System Administrator, Clinical Informatics npalmer @mhs.net
      • Ms. Melita Howell, Project Manager IT, Texas Children’s Hospital mjhowell @ texaschildrenshospital .org
      • Versus Technology website www.versustech.com
      • Henry Tenarvitz [email_address]
    • 41. Thank You

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