Radvision Healthcare Case Studies by Face to Face Live
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CASE STUDYBritish Medical Association Adopts Radvision Systemto Improve Collaboration among its Staff, NHSCommittees and Experts Worldwide About About BMA BMA is an independent trade union and professional association for doctors and medical students founded in 1832. Comprised of 143,000 members worldwide, Customer: British Medical Association (BMA) BMA offers services such as career development and Country: UK support, business optimization, guidance in medical Industry: Healthcare ethics and law, medical school advice and access to a Product: SCOPIA XT1000 / XT1200 Room Systems host of knowledge resources. BMA is also a world class SCOPIA Desktop publisher of medical journals and information, including SCOPIA Elite MCU & SCOPIA Gateway the prestigious British Medical Journal (BMJ). SCOPIA PathFinder Firewall Traversal For more information, visit www.bma.org.uk SCOPIA iVIEW Management Suite The Mission With over two-thirds of practicing UK doctors as members, has become a critical tool for conducting meetings BMA is in constant contact with ministers, government among BMA staff and various BMA and National Health departments and many other influential bodies in order Services (NHS) committees as well as for providing ad- to fulfill its mission to protect the collective interests of hoc access to in-house and remote experts. doctors. Over the past few years, video conferencing The Challenge BMA’s video conference users had grown to encompass up to 40 users with the potential to expand to 100; allow close to 1,000 desktops, 140 home workers in the UK users to connect from the MPLS or via the Internet as and 25 employees in other countries. Its existing video well as to non-BMA endpoints by IP or ISDN; enable conferencing system was no longer efficient enough to telephone participants to dial into meetings; share data; handle its robust requirements, so BMA began looking record meetings with full audio, video and data; use SIP; for an alternative that would make collaboration faster and allow BMA Staff to easily administer all aspects of and easier to use for its members. Superior high definition video conferencing and audio meetings. capabilities for data sharing, support for current and future “Basically, we needed our members working from home, endpoints and a single desktop solution for Mac and PC hospitals, surgeries and clinics to be able to talk to each clients were identified as critical components, as was other and share data, anytime, anywhere in the world, seamless integration with legacy infrastructure, in order using whatever equipment they had-up to 40 participants to maintain BMA’s original investment. The new solution concurrently,” said George Birch, BMA’s Information also needed the ability to conduct multiple meetings of Management & Technology Support Services Team Leader.
CASE STUDYRadvision System Slashes Expensive Staff Travel andUnproductive Downtime for UK NHS Foundation About About Oxford Health NHS Foundation TrustOxford Health NHS Foundation Trust Oxford Health NHS Foundation Trust provides specialist mental health services to people of all ages in Oxfordshire Customer: Oxford Health NHS Foundation Trust and Buckinghamshire; forensic mental health services Country: United Kingdom across the Thames Valley; services for children and adolescents in Bath and North East Somerset; as well as Industry: Health Care specialist eating disorder services for adults in Wiltshire Product: SCOPIA XT1000 SMB Edition Video and community health services to people in Oxfordshire. Conferencing Room and SCOPIA VC240 These services are delivered in NHS community hospitals HD Desktop Systems or within local communities, helping to support people both in their homes and as near to their homes as possible. For more information, visit http://www.oxfordhealth.nhs.uk/ The Mission Oxford Health NHS Foundation Trust is committed to In order to continue carrying out its mission as effectively supporting the promotion of positive health and well- as possible, Oxford Health NHS Foundation Trust needed being. Accordingly, its aims and objectives include “using more flexible communications between staff in multiple innovative methods of communication to provide the locations and other NHS Trusts. Furthermore, in the most appropriate, timely and accessible care possible face of NHS budget cuts across the board, travel costs within available resources”. had to be significantly reduced. The Challenge Oxford Health NHS Foundation Trust found that staff A second closely-related issue was the time spent by travel was impacting multiple areas of its business. Not consultants and staff who needed to interact directly only were the financial costs very high, but it was also with patients, but not necessarily face to face - another causing serious “dead time”. With most trips involving recurrent cause of travel time and expense. With Oxford senior managers and clinicians, a large amount of valuable Health NHS Foundation Trusts commitment to offering time, which could better be spent with patients, was being the best possible attention to their clients, it became wasted travelling between various locations. obvious that a top-notch video conferencing solution was essential in order to maintain its high level of support.
The Challenge Renown Health Delivers• Ability to deliver timely, high- Telemedicine Care With quality, specialized care to patients in Scopia Video Conferencing rural healthcare communities Solutions• Desire to educate A Nationally Recognized Healthcare Leader, rural primary care providers on With Scopia Video Conferencing Solutions, medical specialties Improves the Patient Experience, Drives• Need to provide Down Costs. care to inmates in correctional Reno, Nevada — Renown Health, northern Nevada’s largest centers, integrated health network and a nationally recognized eliminating high healthcare leader, uses Scopia video conferencing costs associated with custody and solutions to power its regional telemedicine program, transportation R-TeleMed.Value Created Background an acute, chronic and/or complex• Rural patients medical condition. It also caused delays receive care from Renown Health is northern Nevada’s in the delivery of care and had the their primary care largest integrated health network and a potential to negatively impact patient provider while nationally recognized healthcare leader. benefitting from outcomes. Based in Reno, Renown serves a the knowledge and 17-county region comprised of northern expertise of urban Kirk Gillis joined Renown Health in 2007 Nevada, Lake Tahoe and northeast specialists to develop new healthcare programs for California, including two California• Patients save time underserved patient populations in the Department of Corrections and and money by Rehabilitation (CDCR) facilities. region. In early 2011, Renown launched a reducing the need telemedicine initiative to affordably and to travel to urban effectively deliver high-quality medical facilities for Because the region has a highly care to patients in rural healthcare treatment and dispersed rural population, access to communities. follow-up medical specialists previously required appointments patients to travel to urban centers of Prior to Renown’s efforts, there were• Rural physicians excellence. This caused undue stress very limited telemedicine links between receive training and incurred costs for patients already the region’s rural healthcare from urban dealing with symptoms associated with specialists communities and the state’s urban avaya.com/radvision |1
A Workable Affordable, CDCR was already a long-time user of telemedicine, because it saves the InteroperableSolution for prison system hundreds of thousands Telemedicine Poised forEveryone Growth of dollars each year in custody and transportation costs. Because Renown set out to find a solution that Renown consults with twoThe R-TeleMed was cost-effective and also correctional facilities in northeastprogram is designed interoperable with the region’s California, the telemedicine platformwith the “Three C’s” existing telemedicine infrastructure. for R-TeleMed had to interoperateof care in mind. They evaluated solutions from a with CDCR’s existing systems. number of video conferencing Radvision offers full interoperability• Consultative Care vendors including Cisco (Tandberg) with all standards-based video, and Polycom. According to Gillis, “The enabling Renown to deploy it without• Collaborative Care Radvision solution delivered the jeopardizing CDCR’s existing biggest bang for the buck.” Gillis said investments.• Continuity of Care that Radvision offered efficiency and a quick return on investment. A Different Way of The program is expanding rapidly. Delivering Quality Care Renown asks rural healthcare facilitiescenters of excellence. The to invest in Originating Site Delivering healthcare over video istelemedicine network envisioned by telemedicine carts that incorporate not necessarily new, but for thoseGillis required buy-in and investment peripherals relevant to the various who have not used telemedicinefrom a number of stakeholders in medical specialties. In addition, the before, there is a learning curve. Toorder to succeed. Gillis enlisted the Reno-based physician specialists help ease the transition Renownsupport of Nevada Health Centers, purchase Distant Site telemedicine created a dedicated resource team toNevada Hospital Association, Nevada carts in order to conduct real-time achieve its implementation andRural Hospital Partners, Renown interactive consultations with rural sustainability objectives. This teamHealth, University of Nevada School based providers and patients. includes Toni Muetze, an IT projectof Medicine and independently Radvision teamed with Enovate and manager to coordinate the numerouspracticing physician specialists based GlobalMed to develop the carts being installations; Corie Nieto, a centralizedin Reno. Together, they developed a used. scheduling supervisor to streamlineprogram called R-TeleMed, enabling all scheduling, insurancehighly skilled physician specialists in authorization, medical record and The investment is affordable and theReno to consult on the evaluation and consultation reporting functions; and program has visibly helped improvetreatment of patients in outlying Lisa Abbott a nurse educator to train patient outcomes. Renown has a goalareas. Participation in R-TeleMed is all Originating and Distant Site of adding three rural healthcarefree of charge to participating clinicians. communities and three urbanpractitioners and healthcare facilities. specialists to the program every 90 days over the next two years – it is Renown currently has telemedicine currently on track to reach its goal of programs in 13 areas including 25 rural healthcare communities and cardiology, endocrinology, 35 urban medical specialties. infectious disease, nephrology,2 | avaya.com/radvision
gastroenterology, orthopedics, • Consultative Care – Patients and ability to work with us to put extrapulmonology, urology to name a primary care providers in outlying security measures in place – so thatfew – with more specialties being rural communities can consult with both the network and the endpointsadded. Renown offers quarterly highly skilled physician specialists to are ultra-secure. They went above andtraining for all specialties, including assist with the evaluation, diagnosis beyond to satisfy not only ourone hour of training every 90 days to and treatment without needing to requirements, but also CDCR’s.”rural clinics. This means that travel to Reno. Most diagnosticpractitioners are always up to speed testing and follow-up care canand positioned to provide the best conveniently be completed in the Looking Forwardpossible care to patients. patient’s home community. As Renown Health expands the • Collaborative Care – R-TeleMed R-TeleMed program, they are looking“There’s a learning curve involved with connects primary care physicians into adding mobile videotelemedicine – it’s not simply with specialists, expanding services conferencing so that urban specialists‘medicine as usual,” said Muetze. “We available in outlying communities. can provide care regardless ofhelp our clinicians and our patients The primary care physician and location, for example on their iPadsunderstand the etiquette involved in a specialist work together to diagnose when they are moving about in atelemedicine visit. We also train the and treat most medical conditions, hospital environment.rural practitioners on how to while offering improvedeffectively use peripherals, e.g. a convenience for both patients andstethoscope, so that the visit goes physicians. “The goal of oursmoothly and there’s no confusion oneither side when we want to examine program is about • Continuity of Care – If the patient’sa patient via video conferencing. The improving access, condition requires treatment thatresult is a visit that flows just as exceeds the capabilities of their quality and healthcarenaturally as an in-person visit.“ local community, the primary care costs in rural physician can transfer the patient’sMuetze added, “And our program care to the consulting specialist who communities. We don’tworks. We recently had a doctor new has been involved with the patient’s generate revenue fromto the program say the visit was as care. This allows better continuity ofeffective as if the patient had been in the program itself, but care, eliminates additional costs andthe same room sitting across the table delays, and expedites the patient’s of course we aim tofrom him. The audio and video quality medical care and recovery. provide the bestis crystal clear, which enables a verynatural interaction.” possible care. When our A Secure Network that rural patients require Protects Privacy treatment only offeredA Workable Solution for Security and protecting patient in an urban healthcareEveryone information are of the utmostThe R-TeleMed program is designed importance. According to Gillis, “We community, we want encrypt all our data to protect privacy.with the “Three C’s” of care in mind. them to choose Reno One of the things that really stood out with the Radvision team was their and Renown Health.” —Kirk Gillis avaya.com/radvision |3