3 dn srinath-ge_complete-anaesthesiology_ncas_2011


Published on

Published in: Health & Medicine, Business
  • Be the first to comment

  • Be the first to like this

3 dn srinath-ge_complete-anaesthesiology_ncas_2011

  1. 1. GE Healthcare Technology in the Operating Room DN.Srinath Business Manager
  2. 2. 2 This is GE Healthcare 2011 Founded by Thomas Edison in 1878 Only company from the original 1896 Dow Jones index still listed today 290,000 employees world-wide Operating in more than 150 global locations $150 billion revenue in 2010 General Electric – A heritage of innovation
  3. 3. 3 This is GE Healthcare 2011 General Electric today GE Energy Infrastructure GE Capital Home & Business Solutions, Media Energy Oil & Gas Power & Water Healthcare Aviation Transportation
  4. 4. 4 This is GE Healthcare 2011 GE Healthcare $17 billion global business unit of GE 53,000 employees worldwide $1 billion+/year investment in R&D Core strengths in bio-sciences, technology, business
  5. 5. 5 This is GE Healthcare 2011 Global Research HQ Niskayuna, NY John F. Welch Technology Center Bangalore, India China Technology Center Shanghai, China Global Research - Europe Munich, Germany © 2010, General Electric Company Global Research Center Rio de Janeiro, Brazil Coming 2012 3,000 scientists & technologists strong in 5 global research facilities
  6. 6. 6 This is GE Healthcare 2011 Healthcare Systems Anesthesia Delivery Bone Densitometry Computed Tomography Diagnostic Cardiology Home Health Interventional Life Support Solutions Maternal Infant Care Molecular Imaging Patient Care Solutions Advancing every phase of patient care, from diagnostic imaging to routine testing to life-critical care. Magnetic Resonance Imaging Respiratory & Sleep Service X-ray Ultrasound
  7. 7. 7 This is GE Healthcare 2011 The environment
  8. 8. 8 This is GE Healthcare 2011 Healthcare trends Patient-centric care • Better health for more people at lower cost Towards wellness and prevention • From post-symptomatic diagnosis to pre-symptomatic screening • Improved access through telehealth Clinical convergence • Diagnostic tests (in vivo and in vitro) • Diagnosis linked to therapy • Convergence of pharma / diagnostic industries Productivity and „cost-out‟ driven • Reimbursement pressure on providers Information driven • Payors demand rigorous cost/benefit analysis • Accessible and actionable patient information
  9. 9. 9 This is GE Healthcare 2011 Need for a fundamental change… Heart DiseaseCancer Brain Disorders Aging population  People with multiple diseases Treatment costs  Productivity loss
  10. 10. 10 This is GE Healthcare 2011 How can GE help?
  11. 11. 11 This is GE Healthcare 2011 The need for healthcare innovation Technology for lower-cost outcomes • Targeted & “ just what you need” technologies and services. Rural & other underserved focus • Health essentials: water & energy, financing. Consumer-driven health • More innovations outside of hospitals (e.g. homes, retail settings). • Consumer awareness, motivation. Accelerate healthcare IT • Enable physicians through decision support, productivity tools & financing. Best Solutions Healthcare is changing around the world…so is GE. ” Big health challenges“ • Rise in chronic and costly diseases: Alzheimer‟s, cancer, congestive heart failure, cancer, obesity. • Aging populations. Broaden technology & services • Innovation that drives access & productivity. Global vs. local responses • Local solutions with global applicability. • Tools to address rural health. Healthcare Needs
  12. 12. 12 This is GE Healthcare 2011 healthymagination Addressing important global healthcare needs $6 billion commitment to making health sustainable Improve quality and efficiency by simplifying ways of driving best standards of care Increase access to better health for more people through low-cost innovation, education, and financing Reduce the cost of health procedures and practices through GE technologies and services
  13. 13. 13 This is GE Healthcare 2011 Ways this may benefit…  Underserved people will have more access to better health technology and services such as water, energy and GE Healthcare solutions.  People will be able to access quality health from home and will have education and tools on a variety of health and prevention topics. Our world  More doctors and hospitals will have access to lower-cost and more targeted health products and IT through GE Capital financing.  GE will help health providers become safer and more efficient through IT solutions and process improvements. Healthcare
  14. 14. 14 This is GE Healthcare 2011 How can GE Healthcare address new challenges in OR of Ambulatory Surgery & imaging needs in Ultrasound Guided Regional Anesthesia & Pain Management ?
  15. 15. 15 This is GE Healthcare 2011 100 years in Anesthesia . A quarter million anesthesia machines. 1910. Teter Anesthesia Machine 1912. Monovalve anesthesia machine 1922. Heidbrink Junior 1935. Heidbrink 212A 1963. Ohio 4000 1963. Unitrol 1966. Ohio DM5000 1978. Ohio 30/70 1980 Modulus 1983 Mod 2 1987 Excel 1995 AS/3l 1998 Aestiva 2003 Aespire 2003 Avance 2010 Aisys with Et control 2003 Aisys “Listening to us has resulted in a comprehensive family of anesthesia delivery solutions, monitoring systems, information management, training, service and education.” “GE has more firsts than any other anesthesia company, bar none.” “Every time GE develops a new anesthesia delivery solution, they bring 100 years of history to the table.” “Knowing that GE is the global leader in anesthesia makes it that much easier for us.” “GE has a deep history of innovation in anesthesia from which it build-upon like no one else can.” “To see GE‟s future, just look to its past” “GE‟s anesthesia innovation in service is just as relevant as its innovation in product”
  16. 16. 16 This is GE Healthcare 2011 Fragmented Technology = ergonomic problems Echocardiograph integration on Perioperative Carestation Personalized Point of Care Management - Pharmacogenomics Perioperative with balanced anesthesia, crisis management, device diagnostics, and Clinical IT Acute Care device and clinical IT integrationSystems integration of UI, parameters and info systems Anesthesia-specific clinical feedback (Entropy/Analgesia) to inhalation and iv therapy Best integrated point of care solution, assisting caregivers to deliver truly safe personalized clinical practice and decision management. “Seamless Information mediating clinical applications for Personalized Patient Care" “Analog/Disparate Information" “Partial Integration/ Limited Connectivity" Multiple stacked boxes/ Drug delivery Interfaced workstation of monitoring & therapy dev Intrinsic (natural) Integration Carestation Vision
  17. 17. 17 This is GE Healthcare 2011 Wireless
  18. 18. 18 This is GE Healthcare 2011 Wireless
  19. 19. Point of care Ultrasound - AnesthesiaThe Surgical & AN Perspective
  20. 20. 20 This is GE Healthcare 2011 Ultrasound-Guided RNBs Situation Overview Surgery and Anesthesia are intricately linked peri-operatively to guide a patient comfortably through the surgical process and on to recovery or rehabilitation. As Anesthesiologists consider adding the benefits of an ultrasound-guided Regional Nerve Block (RNB) program to their anesthesia delivery options, the surgical team (surgeons/PACU nurses) becomes key stakeholders in the decision. The surgical team is a direct beneficiary of the workflow benefits of using ultrasound-guided RNBs by Anesthesia, although some mis-information/myths exists within this community. Further, because the surgical suite is a highly profitable department within the hospital (or surgery center), the surgeon holds an enviable position with Administration. This makes them a desirable champion and ally in securing the funds and workflow changes necessary to smoothly and efficiently integrate ultrasound/RNBs in their O.R./surgical department to realize the overall cost benefits. KEY POINTS - Surgery and Anesthesia are intricately linked in the OR - The Surgeon/Anesthesiologist relationship can be tenuous - Surgical team (surgeons/nurses) are key RNB stakeholders - Some miss-info/myths exist w/surgery team regarding U/S RNBs - RNB programs change O.R. workflow and resource allocation - RNB require a resource shift with more pre-op and less post-op - Surgeons have CxO respect - can be u/s fund promoter/detractor Making AN & Surgeons Champions of Ultrasound
  21. 21. 21 This is GE Healthcare 2011 AN Audiences/Influencers Accelerate Adoption • u/s is hot AN topic • Evidence accumulating • Education critical Justify Purchase • Economics required • Quality/Safety/Cost • Patient Satisfaction Support Coverage • Evidence-based • Quality/Safety/Cost • ROI for HC system Awareness Pull •Avoid post-op pain, POVN •Min. Opioid/pain med use •Pain-free rehab w/confidence Surgeon/Nurse • Easier for “me” • Productivity gains post-op • Patient/Staff Satisfaction A tool for this audience
  22. 22. 22 This is GE Healthcare 2011 ICU Ultrasound Value Chain for Anesthesia Workflow Comparison Gen An vs Ultrasound RNBs: PACU OR PRE-OP HOME Arrival Intubate Surgery Emergence Post-Op Recovery PACU OR PRE-OP Surgery Recovery Prep Blx SetArrival UGNB HOME Unintended Admittance GenAn.WorkflowUltrasoundWorkflow •Pain •PONV •Bladder Retention •Constipation •Arrive •Prep •Sedate •In-theater intubation for gen AN •Surgery •Anesthesia Emergence pre-PACU •Earlier arrival •AdministerRNB •Pre-op Block set time • Patient rolled in ready • Surgery • Pot. no intubate/emergence •Pain- free recovery, happy nurses •No PONV or other complicationsto delay discharge •Reduce PACU LoS or potential to skip PACU altogether •Pat on-to life/rehab quicker • Pre-op • In OR • Post-op U/S RNB Workflow Oppty: • addl pre-op time • shorter in-OR time • save/eliminate post-op •Earlier discharge • $ oppty for OR dept
  23. 23. 23 This is GE Healthcare 2011 Why use Ultrasound in Reg‟l Anesthesia? • Patient comfort. Patient safety – single needle stick vs. multiple attempts • Visualization of peripheral nerves and surrounding structures • Visual tracking of needle movement in real time • Portable, affordable, accessible in the OR • Numerous articles supporting the use of ultrasound • Trend towards outpatient care and minimally invasive surgery • Reimbursement for anesthesiologist
  24. 24. PAIN MANAGEMENT “For all the happiness Mankind can gain; Is not in pleasure , But in rest from pain.” JOHN DRYDEN (1631-1701)
  25. 25. 25 This is GE Healthcare 2011 PAIN PATHWAYS
  26. 26. 26 This is GE Healthcare 2011 Pain Management : Nerve Block Placement Accurate placement of local anesthetic in sufficient amounts around a target nerve to achieve successful blockage & efficient pain management Traditional methods: •Trial and error technique, “Poke and hope” •Anatomical markers •Indirect cues - Peripheral nerve stimulators Clinical situations: •Intra-op pain management •Post-op pain management
  27. 27. 27 This is GE Healthcare 2011
  28. 28. 28 This is GE Healthcare 2011
  29. 29. 29 This is GE Healthcare 2011 Introducing Venue™ 40 Simple Sophistication • Exceptional image quality • Cross Beam & SRI Integrated • Easy to use • Portable & sleek • Easy to clean • Hi Frequency Probe upto 18Mhz • Wide Range of Probes ….Just Gel and go “GE Venue 40 Ultrasound Guidance for Efficient PNB & Pain Management "
  30. 30. 30 This is GE Healthcare 2011 • Intuitive touch interface • Pre-configured applications • User-friendly image file formats Easy to Use …touch and go. Freeze/Save Depth/Gain Flexible archiving Stylus precision Annotation library
  31. 31. 31 This is GE Healthcare 2011 Easy to Clean …clean and go. • Cleanable by design • Fluid resistant • Withstands many medical disinfectants Single- surface user interface No knobs or keyboard to clean No seams Flush probe connector
  32. 32. 32 This is GE Healthcare 2011 GE Vscan – Now answers deeper connection For All Ambulatory Physicians & Surgeons , Vscan is a pocket-sized ultrasound device that provides immediate information to help answer focused cardiovascular questions which can improve efficiency of patient management and strengthening their role as specialist. For compassionate point of care providers, Vscan is a pocket-sized visualization tool that provides more clues & enhances their discoveries to help them maintain a deeper connection with their patients. That‟s because Vscan allows them to take an easy look inside the body that enhances the physical exam.
  33. 33. 33 This is GE Healthcare 2011 GEHC Education & Training Partnership Awareness Building brand recognition and leadership reputation Education GE program sponsorship, sales growth enabler Distribution Leveraging adjacent segment leaders and experts, expand GE expertise Products “One size fits all” to customer tailored solutions Seek & Own the Luminaries Be the Leader with Education Design & Market to one Engagement, Metrics, Partners
  34. 34. GE Healthcare Thank you Nova India Team & best wishes for all your healthcare initiatives focussed on world class care