1. Improving Quality of Patient Care with
Mobile Health Solutions
Vivian Jones Funkhouser
Principal, Global Healthcare Solutions

3. DISCLOSURE
Motorola is a manufacturer of data capture devices including
barcode scanners and mobile computers used at the point of
care (POC) for positive patient identification (PPID).

4. The Race is ON!

5. The Goals

6. Steps Post-
Deployment…
Workflow
Considerations
Infrastructure
Readiness
General
Planning

7. General Planning
 Application selection – matched to 3-5-year strategic plan; best
of breed vs. best of cluster
 Assess IT capacity, expertise, resources
 Bar code requirements -- staff, patients, meds, inventory, assets,
monitors
 Internal PR -- awareness & buy-in hospital-wide
 Communicate the benefits of the investment
 Change-management plan
 Determine federal government subsidy eligibility

8. Infrastructure Readiness – 2R’s
 Coverage
 Locations
REACH  Indoor only?
 Challenges: physical, roaming, interference
 Bandwidth
RELIABILITY  Applications today and tomorrow
 VoWLAN plans
 Troubleshooting tools

9. Infrastructure Readiness – 2S’s
Authorized users
 Encryption
 Rogue detection
SECURITY  Network weaknesses
 Performance issues
 Troubleshooting tools
BOTTOM LINE: Gap-free, zero tolerance for breach!
 Adding employees, applications, voice
SCALABILITY  Legacy equipment
 Locations: expansions, new facilities,
acquisitions, outdoor, campus
 HIE…..NHIN………

10. Workflow Considerations
USERS:
Nurse (RN, CNA)
Respiratory Therapist
ENVIRONMENT:
Phlebotomist
ICU
Physician
Med Surg
Pediatrics CONSTRAINTS:
Isolation Acute / Emergency
Workspace
Only two hands…

11. POC Data Capture Trends
HYBRID HARDWARE SOLUTION
Mobile
workstation
PPI D Desktop
Mobile
computer Wall mount
Tablet

12. Maximize Functionality
 Charging
 Room Entranceway
 Workstation
 Scanner Mounting
Options
 Storage: Supplies, Med
Dispense

13. A barcode is a barcode is a barcode…NOT!
Code 39 Code 128 RSS-14
PDF417 RSS Composite RSS-14 Stacked
Aztec
Data Matrix

14. Examples

15. Barcode Data Capture:
What is Possible Today?
DPM: Direct Parts Marking
Implants, Pacemakers, Surgical instruments…
Scan & image capture
Patient ID, insurance cards,
driver’s license, prescriptions…

16. Selecting a POC Barcode Scanner
Linear Scanner 2D Imager
Linear bar codes Linear & 2D codes
Does not capture images Omni-directional
Not motion sensitive Image capture
Low power usage Sensitive to motion
Not omni-directional Higher cost
13
24
35
4
5
67
8
9
0
1
2

17. POC Barcode Scanner Considerations
Rugged is a requirement!
Anything that is picked up will be dropped – often!
Ergonomics – form factor, weight, mounting options, cradling
Scanning -- speed, accuracy, range, alarms
What is your cleaning methodology & protocol?
Should you go corded or cordless?

18. Post-Deployment….Challenges
“How do I get this new device to work?”
“How can I rapidly deploy 2,000 devices?”
“How do I centrally configure my networks?”
“Is my connection secure?”
“One of our devices is reported lost; Can I disable it?”
“What are the connectivity holes in my network?”
“Why is my network so slow?”
“How do I apply OS patches and application updates?”
“Why is my device acting funny?”
“Why aren’t my batteries lasting long enough?”

19. Post-Deployment….PR
Internal PR
Solicit feedback regularly
Create champions, train the trainer
Ownership for the process and the
decisions; culture of safety
External PR
Website
Learning environment; no blame
Patient safety groups
Local newspaper
Safety initiatives
Engage patients & families

20. Resources for further exploration
• A practical planning guide for bar code point of care (BPOC)
solutions – MOTOROLA & M. Neuenschwander (2010)
• The EHR starts with PPID 2010: Critical success factors for
BCMA implementation (slides) – Mike Wisz
• It’s all in the wrist: Improving patient safety with bar code
wristbands – Zebra (2010)
• Getting ready for bedside – Omnicell (2008)
• The CIO’s guide to implementing EHRs in the HITECH era --
CHIME (2010)

21. Want to know more?
Jimmi Leigh Griffin
Wendy Thacker
Pete Pleas
Nathan Lord
terry.price@motorolasolutions.com
li-chin.pan@motorolasolutions.com