This document discusses how Real-Time Location Systems (RTLS) can help overcome business challenges in hospitals. It provides details on how UCSD Medical Center implemented an RTLS solution to track assets across its various facilities. The system uses tags and sensors to track over 2,500 assets in real-time. This has increased staff productivity, reduced equipment rental fees by over $60,000 annually, eliminated budget redundancies saving $450,000, and helped efficiently recall medical devices. The RTLS was also critical during a disaster to prepare and track equipment across overloaded hospitals. In summary, RTLS provides significant benefits in healthcare including improved equipment utilization, reduced costs, automated processes, better staff efficiency, and enhanced patient safety.

2. Using RTLS to Overcome Business Management Challenges in Today's Hospital Scott Sullivan, Business Officer, Perioperative Services

3. About UCSD Medical Center Thornton Hospital: 119-bed, 238,792 sq. foot general medical-surgical Hillcrest Hospital: 386-bed, nearly 1,000,000 square feet general medical-surgical Moores UCSD Cancer Center One of just 41 National Cancer Institute-designated Comprehensive Cancer Centers in the United States Shiley Eye Hospital The only academic institution in San Diego area with comprehensive programs for clinical care of patients with eye disorders

4. What is RTLS? RTLS is an acronym for Real-time Location Systems Used to track location of assets and people in indoor environments Effective for tracking mobile equipment assets in hospitals Also available: temperature monitoring tags, autoclavable tags, and patient tags for use in workflow and throughput solutions

5. Common Challenge in Today’s Operating Room On-time starts Mitigate case delays and cancellations Manage mobile & changing environment Maintain equipment availability Budget pressures Staff, anesthesia, surgeon satisfaction

6. Today’s Hospital Administrator Must Manage multi-million-dollar budgets Meet aggressive quality and safety targets Recruit and retain employees Drive surgeon satisfaction

7. Main Areas of Focus Three Cost Centers Equipment / Personnel / Supplies Our Value Drivers for RTLS Staff Productivity Infusion Pump Rental Fees Reduced Eliminated Budget Redundancies Medical Device Preventive Maintenance and Recalls Use During San Diego Fire Disaster Temperature Monitoring

8. How Our Solution Works Tags to track & manage assets: Sensorsthat detect tags & wirelessly communicate location and status to web-based software Softwareto search for assets and provide business intelligence reporting:

9. Why We Chose our Solution Provider Easy installation – plug and play wireless network Low cost to trial system due to no construction costs Room-level location accuracy Fully managed quality service – no maintenance requirements Staff friendly interface

10. Our Asset Tracking Details

12. Available via our Intranet

13. Unlimited user access / no license fees

14. Easy one-click access to find assetsFIND IT! EQUIPMENT TRACKING

15. Location Search Results The interface is intuitive, offering simple, one-click searching Staff can see exactly where equipment is anywhere throughout the facility using any computer

16. Results: Increased Staff Productivity *Total tags associated at this time were 2,570

17. Alerts Used to Proactively Manage

18. Results:Infusion Pump Rental Fees Reduced Rental expense down from ~$8,000 to ~$2,000 in 90 days Rental spending stabilized at $1,968 monthly average over last 22 months Perioperative Services total savings $72,000 - $90,000 annually

19. Results:Eliminated Budget Redundancies Utilization data identified excess inventory and rentals Staff could not readily find otherwise available equipment Elimination of these inefficiencies resulted in budget savings for IV pumps alone of $450,000

20. Added Benefit:FDA “Urgent Medical Device Recall” Recall notice required hospital to immediately locate and apply warning labels to nearly 200 IV pumps Such recalls often require enormous staff time and several weeks to completely satisfy With pumps tagged, located and labeled Recall completed within 48 hours Used1/2 the staff typically required

21. Use During San Diego Fire Disaster Code Orange for 72 hours during San Diego’s 2007 fire disaster Burn Center cared for patients with both hospitals at capacity (over 350 inpatients a day) Command Center used RTLS to prep for evaluation and track location and status of mobile medical equipment

22. Temperature Monitoring Able to monitoring 24/7/365 with preset alerts for all modalities to include warmers and/or refrigerators Currently reviewing the possibilities of replacing the log journal required for the joint commission being signed off by RN Looking to expand throughout the hospital

23. Summary: RTLS Benefits in Healthcare Increases equipment utilization Eliminates budget redundancies; decreases rentals; reduces lost, stolen, misplaced Automates manual processes Temperature monitoring Equipment par level management Helps staff what they need when they need it Imperative to patient care and safety – right equipment, right time Improves staff efficiency – allows more time for direct patient care

24. Thank You! For questions, feel free to contact: Scott Sullivan, MBA | Dept. Business Officer Perioperative Services, Imaging, and Procedurals UCSD Medical Center sgsullivan@AD.UCSD.EDU | 619-543-6516