Everbridge presentation - CareConverge

1. Clinical Communications for Hospitals & Heatlhcare Systems
Raise the Bar:
March 2017

2. 2
Agenda
Raise the Bar with Everbridge CareConverge
+ Housekeeping and introduction
+ Overview of Everbridge
+ Introducing CareConverge
+ Customer success stories
+ Audience Q&A

3. 3
Housekeeping
Webinar Functions
FOLLOW US ON TWITTER
@EVERBRIDGE
USE THE Q&A FUNCTION TO SUBMIT
QUESTIONS
WE WILL SEND OUT A RECORDING
FOLLOWING THE WEBINAR

4. 4
Introduction
Our Presenters
Eric Chetwynd
General Manager, Healthcare Solutions
Everbridge
Ranya Habash, MD
CMO, MAB
Everbridge

5. 5
Everbridge Profile

6. 6
MIR3
Send Word Now
Omnilert
SunGard Availability Services
Twenty First Century
Communications
Federal Signal
Global Alert Link
CHALLENGERS LEADERS
NICHE
PLAYERS
VISIONARIES
AS OF MARCH 2012
COMPLETENESS OF
VISION
ABILITYTOEXECUTE
Blackboard
Connect
Cooper Notification
Varolii
Cassidian Communications
AtHoc
MARKET LEADERSHIP
While most Sony employees already were on the
Everbridge Emergency Notification System, workers
recruited the rest to sign up. If he had to do it again,
Sony Pictures CEO Michael Lynton said he would
have made it “mandatory for all employees to
already be on it.”
MIR3
AtHoc
Send Word Now
xMatters
Omnilert
SunGard Availability Services
Twenty First Century
Communications
Federal Signal
Blackboard Connect
Global Alert Link
CHALLENGERS LEADERS
NICHE
PLAYERS
VISIONARIES
AS OF MARCH 2014
COMPLETENESS OF
VISION
ABILITYTOEXECUTE
The Company Behind Emergency
Alerts
October 2015
Burlington’s Everbridge Tapped for
Super Bowl Emergency-Alert Texts
January 2016
Improving Emergency Messaging in
The Cloud with Everbridge
August 2014

7. 7
Some of our 800+ Healthcare partners

8. 8
“We believe that Crisis Management will go beyond communication and coordination activities associated with classic
emergency scenarios to address the operational challenges within the hospital that impact the effective delivery of care.
Already, some vendors ….such Everbridge, offer limited clinical communications and collaboration capabilities.”
- Gartner recently including Everbridge in its 2016 “Hype Cycle for Real-Time Health System Technologies”
Critical Communication and Collaboration across the Hospital

9. 9
Challenges Facing Emergency Departments
Critical delays during the “Golden Hour”, DTN, and DTB times
lead to increased costs from longer LOS, increased post-acute
care and higher readmits
Sentinel events caused by
communication or assessment
failures
Emergency departments are overcrowded
• 4.8 hours ALOS
• 242 diversion hours/yr
• 2-3% patients LWBS
$4.5B
Nationally
62%
Over Capacity
Real-time communication is key
37% 9 out of 10
ED Handoffs have communication
errors

10. 11
Pre-Hospital
Tasks
EMS notifies hospital
Steps
• Paramedic sends HipaaBridge text
to Nurse
• Preset contact list
• Triage Nurse notifies ED MD
I have a possible
stroke patient.
ED NOTIFY
RESPONDING
39YOM, responsive to
verbal, 8 breaths/min,
BP: 100/60, Onset:
11:20PM
Today 11:47 PM
Onset to Treatment Time
Triage NurseED MDEMS
27 minutes
Average Time 3 hours

11. 12
Consult Request
Tasks
Request consult
Steps
• ED MD launches Stroke consult/
assessment (Care Events)
• Via On-Call Scheduling: Notification
to remote Neurologist
• Neurologist confirms availability
• Neurologist is added to group chat
ED NOTIFY
RESPONDING
CONSULT REQUEST
RESPONDING
Today 11:49 PM
Medic1, let’s do a
stroke assessment
Today 11:50 PM
Triage Nurse On-Call
Neurologist
ED MDEMS
Onset to Treatment Time
30 minutes
Average Time 3 hours
I have a possible
stroke patient.
39YOM, responsive to
verbal, 8 breaths/min,
BP: 100/60, Onset:
11:20PM
Today 11:47 PM

12. 13
Video Consult
Tasks
Patient Assessment
Steps
• Neurologist lets Paramedic know
he wants to do a video assessment
• Neuro video-calls Paramedic
• Neuro performs NIHSS with patient
• Neuro confirms CVA onset time
and severity. Stroke Code initiated.
STROKE CODE
RESPONDING
CONSULT
REQUESTED
RESPONDING
Today 11:49 PM
Medic1, let’s do a
stroke assessment
Today 11:50 PM
Let’s fast track Mr.
Thomas for CT scan
Today 11:55 PM
VIDEO
CONSULT
Triage Nurse On-Call
Neurologist
ED MDEMS
Onset to Treatment Time
35 minutes
Average Time 3 hours

13. 14
Activate Team
Tasks
Launch Stroke Code
Steps
• ED Nurse activates Stroke Code
• Notifies ED HUC to begin orders
• Notifies Lab Tech
• Notifies CT Tech
• Notifies Pharmacy
• Notifies Stroke Coordinator
• Notifies Admin Supervisor
RESPONDING
Today 11:49 PM
Medic1, let’s do a
stroke assessment
Today 11:50 PM
VIDEO
CONSULT
Let’s fast track Patient
for CT scan
Today 11:55 PM
STROKE CODE
RESPONDING
RESPONDING
Triage Nurse
On-Duty
Tech
On-Call
Neurologist
ED MDEMS
Onset to Treatment Time
36 minutes
Average Time 3 hoursToday 11:56 PM

14. 15
Share Images
Tasks
Run diagnostics and stabilize patient
Steps
• CT Tech sends photo of CT scan
to group
• Neurologist views CT scan and
calls for tPA
• ED Nurse administers tPA
Let’s fast track Patient
for CT scan
Today 11:55 PM
We’re all set for
Patient’s CT scan
Here’s the scan
Administer tPA
Today 12:12 AM
Today 12:46 AM
Triage Nurse
On-Duty
Tech
On-Call
Neurologist
ED MDEMS
Onset to Treatment Time
91 minutes
Average Time 3 hours
STROKE CODE
RESPONDING
RESPONDING
Today 11:56 PM
Patient Arrival - 12:16 AM (56 mins)
DTN: 35 mins
Today 12:51 AM

15. 16
Hand-Off
Tasks
Transfer patient
Steps
• Neurologist notifies Intensivist of patient
transfer
• Intensivist notifies Admin Supervisor
of transfer
RESPONDING
RESPONDING
We’re all set for Mr.
Thomas’ CT scan
Here’s the scan
Administer tPA
Today 12:12 AM
Today 12:46 AM
STROKE CODE
Transferring patient to
Intensivist
Confirming Transfer
Triage Nurse
On-Duty
Tech
On-Call
Neurologist
ED MDEMS
Intensivist
Onset to Treatment Time
Average Time 3 hours
91 minutes
Patient Arrival - 12:16 AM (56 mins)
DTN: 35 mins

16. 17
Close Care Event
Tasks
Close code
Steps
• Admin Supervisor closes Care Event
• Notify Stroke Supervisor
RESPONDING
We’re all set for
Patient’s CT scan
Here’s the scan
Administer tPA
Today 12:12 AM
Today 12:46 AM
CLOSE
CODE
Transferring patient to
Intensivist
Confirming Transfer
Triage Nurse
On-Duty
Tech
On-Call
Neurologist
ED MDEMS
Intensivist Admin
Supervisor
Today 12:57 AM
Onset to Treatment Time
Average Time 3 hours
91 minutes
Patient Arrival - 12:16 AM (56 mins)
DTN: 35 mins

17. 18
Telestroke – Mayo Clinic
• Feasibility study to see if triaging
stroke patients from the ambulance is
possible (It is!)
• NIH Stroke Scale was able to be
performed in transit
• Time saved on treatment (door-to-
needle time) was 7.45 minutes
• Decreased hospital stays &
complications
• Cost savings versus $1.5 M
telemedicine robot
• Lives & brain cells saved: Priceless
13.4
million
neurons
saved
Average IP stay
saves $4,500

18. 19
Increasing use of Telemedicine

19. 20
Code Response – Renown Health
• Code Alerts - stroke, STEMI, sepsis
response teams
• More than 1,000 high-acuity
patients/yr
• Faster response times impact patient
functional outcome
• Improved functional outcome
equates to shorter stays and reduced
post-acute care
$3M
Est.
savings
per year

20. 21
Physician Call-backs – Renown Health
• Calls received via switch board are
transferred to physician answering
service
• Include patients and clinical staff
• 7-8,000 hospitalist calls/month
• 120 specialist physicians
• If no reply in 15 minutes,
automatically escalates to medical
director
• Closed loop process
Reduced call-back
times for patients
Est. answering
service savings
$121,000/yr

21. 22
Emergency Department Communication
• Large health system
• Launched secure messaging for ED
Team collaboration
• Decreased time to locate and
communicate with key team
members
• 27% reduction in ED Throughput
Time
• Resulted in increased capacity to
accept new patients and better
patient experience
48
minutes
saved
on
ALOS
4,100
patients/
yr
Estimate
d
capacity
increase

22. 23
Behavioral Health Telehealth
• Centerstone Research Institute
• Recent pilot at four sites in Indiana
and Tennessee
• Targeted at high-utilizing Medicaid
patients with behavioral issues
• Combined case management,
wellness coaching and smartphones
apps
Reduction in number of emergency
room visits
Reduction in the number of
inpatient hospital days
Significant improvement in Patient-
Provider Communication
39%
53%
“I was able to reach out to patients very easily, daily, if they needed it”
- Teresa Higham, Health Coach

23. 24
Everbridge Telemedicine & Telehealth Programs
• Worked with the Mayo Clinic to develop a stroke study which decreased
door-to-needle (DTN) time by 7.45 minutes. Results published
• Pilot study with Brigham & Women’s Hospital to decrease ED readmits with
at-home & remote monitoring program. Early data is promising.
• Headhelpers study for high school football. Reduced time to clinical
encounter and increased access to concussion specialist.
• Several teleconsult programs from physician-to-physician for wide variety of
specialists including cardiology, neurology, pediatrics, etc… across health
system
• Outpatient telehealth programs for variety of ambulatory practices including
Family Practice, Ob-Gyn, Dermatology, Ophthalmology, etc…

24. 25
• Secure Enterprise Platform
• Triple encryption (in-transit, at-rest, and each conversation has own
unique key) using RSA2048 and AES256; NIST compliant
• Audit conversation history
• Remotely wipe care team collaboration on mobile devices
• Lock user care team collaboration accounts
• Require care team collaboration passcode and configurable timeout
• Configurable secure data retention term (default is 1 year).
SOLUTION OVERVIEW
Secure Care Team
Collaboration & Tele-
consult
Care teams are able to quickly and easily communicate about their patients.
• Intuitive communication: photos, texts, video calls, push-to-talk, group messaging and audio calls
• Can be used on any mobile device and desktop
Care Events
Alert multiple care team members with the click of a button or based on an automated event (e.g. Stroke Code) based on
changing conditions for a patient
• Customizable, templated, multi-step workflows
• Real-time events dashboard
• Event reporting
Dynamic Care Teams
Engage the right care team members at the right time in the diagnosis and treatment of a patient.
• On-call scheduling
• Care event response escalation
• User messaging for taking on-call shirts
• Automatic shift rotation and assignable shift quotas
• Scheduling integration via .ical/.ics
Platform and Services
• Integration
• Active Directory integration
• SAML 2.0 SSO Integration
• EHR Integration ability (ADT, Lab Results, etc...)
• Services
• Implementation and Rollout Services
• On-going Health Checks
• HIPAA Business Associate Agreement (BAA)