The Importance of Time in Healthcare
Spectracom Overview <ul><li>GPS Time Synchronization experts </li></ul><ul><li>Wireless Network expertise </li></ul><ul><l...
Higher Education Time Synchronization Solutions  Network Applications  require  precise, accurate & stable Time & Frequenc...
4,000+ 9-1-1 PSAP Centers 450 US Commercial Airports [FAA] <ul><li>GE </li></ul><ul><li>Glaxo </li></ul><ul><li>Harris </l...
Over 220 million calls are placed  to 911 centers each year  <ul><li>Spectracom’s  NetClock  is present in 95% of the cent...
Current Issues in Healthcare include… <ul><li>Networks, systems and medical devices display and record different times.  <...
What You Do  Not  Want To See in Your Facility <ul><li>Physical Security system has “12:22:29” </li></ul><ul><li>Display C...
Are Network Problems Degrading your Efficiencies? <ul><li>Incorrect Time Causing Transfer Errors? </li></ul><ul><li>Errati...
The Need For Accurate Time <ul><li>Electronic Health Record </li></ul><ul><ul><li>Interoperability </li></ul></ul><ul><ul>...
Accurate Time is Required… <ul><li>Medical records are considered legal business documents.  </li></ul><ul><ul><li>The  Ce...
Accurate Time is Required   (cont’d) <ul><li>Integrating the Healthcare Enterprise  (IHE)  </li></ul><ul><ul><li>initiativ...
Accurate Time is Required   (cont’d) <ul><li>HL7  EHR Interoperability Model </li></ul><ul><ul><li>Currently being finaliz...
Chest Pain Center Accreditation <ul><li>Key Element #7 – Functional Facility Design </li></ul><ul><ul><li>Clocks are synch...
What can Time Synchronization do  to Improve Healthcare Operations? <ul><li>Accuracy of records assured – treatments, proc...
Continue the string of Traceability <ul><li>NetClock provides Legally Traceable Time® the moment the patient enters the ho...
Credible, Consistent EHR’s <ul><li>Certification Commission for Healthcare IT  (CCHIT)  – All electronic health and securi...
Synchronized Healthcare Facility
NetClock Wireless Clock System <ul><li>Wireless Mesh Network </li></ul><ul><li>Incorporates 900MHz Frequency-Hopping techn...
How it Works
NetClock Time Server/Master Clock   Model 9389 <ul><li>Front Panel </li></ul><ul><li>LEDs indicate Power, GPS status </li>...
Ethernet Time Server Model  9388 <ul><li>Front Panel </li></ul><ul><li>LEDs indicate Power, GPS status </li></ul><ul><li>I...
PresenTense Synchronization Software <ul><li>Network Time Management Software for   Windows Software </li></ul><ul><li>Imp...
Some Healthcare Facilities using  NetClock for their Time Synchronization Needs <ul><li>EMH Regional Healthcare </li></ul>...
Quality Goals & Objectives <ul><li>B est Value   in the marketplace </li></ul><ul><ul><li>Spectracom products have the bes...
Quality Process, Quality Results <ul><li>ISO 9001:2000 certified in 2002.  Most recent audit 4/08. </li></ul><ul><li>We ca...
<ul><ul><li>Resources  - </li></ul></ul><ul><ul><li>Website:  http:www.spectracomcorp.com </li></ul></ul><ul><ul><li>Resel...
<ul><li>Think of   </li></ul><ul><li>SPECTRACOM   </li></ul><ul><li>for  ALL  your  </li></ul><ul><li>Time Synchronization...
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The Importance of Time in Healthcare Systems 05-08

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The Importance of Time in Healthcare Systems 05-08

  1. 1. The Importance of Time in Healthcare
  2. 2. Spectracom Overview <ul><li>GPS Time Synchronization experts </li></ul><ul><li>Wireless Network expertise </li></ul><ul><li>Leader in Public Safety markets </li></ul><ul><li>Global company, Rochester, NY based </li></ul><ul><li>Flexible & responsive </li></ul><ul><li>Renown for service </li></ul><ul><li>ISO 9001:2000 certified </li></ul><ul><li>Over 15,000 customers </li></ul>1972 2008 36 years of Quality
  3. 3. Higher Education Time Synchronization Solutions Network Applications require precise, accurate & stable Time & Frequency Generation and Distribution Public Safety Healthcare Financial Services Network Management Transportation
  4. 4. 4,000+ 9-1-1 PSAP Centers 450 US Commercial Airports [FAA] <ul><li>GE </li></ul><ul><li>Glaxo </li></ul><ul><li>Harris </li></ul><ul><li>Hewlett Packard </li></ul><ul><li>Honeywell </li></ul><ul><li>HP </li></ul><ul><li>Hughes </li></ul><ul><li>IBM </li></ul><ul><li>J P Morgan </li></ul><ul><li>Learjet </li></ul><ul><li>Lockheed </li></ul><ul><li>MCI </li></ul><ul><li>Merrill Lynch </li></ul><ul><li>Motorola </li></ul><ul><li>NCR </li></ul><ul><li>Nielsen </li></ul><ul><li>NIST </li></ul><ul><li>Nokia </li></ul><ul><li>Northern Telecom </li></ul><ul><li>Oracle </li></ul><ul><li>Pacific Gas & Electric </li></ul><ul><li>Phillips Petroleum </li></ul><ul><li>Pratt & Whitney </li></ul><ul><li>Qualcomm </li></ul><ul><li>Racal </li></ul><ul><li>SBC </li></ul><ul><li>Scientific Atlanta </li></ul><ul><li>Sun Microsystems </li></ul><ul><li>Tektronix </li></ul><ul><li>Time Warner </li></ul><ul><li>Tyson Foods </li></ul><ul><li>UPS </li></ul><ul><li>US Airways </li></ul><ul><li>USAF </li></ul><ul><li>Verizon </li></ul><ul><li>Walt Disney </li></ul><ul><li>Westinghouse </li></ul>ADT Alstom Ameritech Amtrak Apple Computer AT&T B F Goodrich Bechtel Bell Bellagio Boeing Brokerage America Burroughs Carolina Power & Light Carrier CBS Chase Manhattan Bank Chevron Chicago Stock Exchange Chrysler Citibank Comp USA Compaq Computer Cray Research CSX Corporation Deutsche Bank Dictaphone Dupont E*Trade Group E-bay EDS Enron Exxon Federal Express Fluke Ford Motor Company Bellagio Las Vegas
  5. 5. Over 220 million calls are placed to 911 centers each year <ul><li>Spectracom’s NetClock is present in 95% of the centers that use time synchronization </li></ul>
  6. 6. Current Issues in Healthcare include… <ul><li>Networks, systems and medical devices display and record different times. </li></ul><ul><li>No certainty of start/end times for events, tasks, etc. </li></ul><ul><li>Without accurate time for Electronic Healthcare Records (EHR’s), you are vulnerable to potential litigation </li></ul><ul><li>Error-prone manual clock-time setting </li></ul>
  7. 7. What You Do Not Want To See in Your Facility <ul><li>Physical Security system has “12:22:29” </li></ul><ul><li>Display Clock reads “12:16” </li></ul><ul><li>Which one is right ?? </li></ul>(A medical center’s Public Safety Center)
  8. 8. Are Network Problems Degrading your Efficiencies? <ul><li>Incorrect Time Causing Transfer Errors? </li></ul><ul><li>Erratic LAN-WAN Interconnections? </li></ul><ul><li>Transaction Processing Inaccuracies? </li></ul><ul><li>Discrepancies of File Time Stamps? </li></ul><ul><li>Non-linear Sequence of Events for diagnostics? </li></ul><ul><li>Security Infringements? </li></ul>
  9. 9. The Need For Accurate Time <ul><li>Electronic Health Record </li></ul><ul><ul><li>Interoperability </li></ul></ul><ul><ul><li>Legal records </li></ul></ul><ul><li>Critical Care </li></ul><ul><ul><li>Medical Equipment </li></ul></ul><ul><ul><ul><li>Cardiology </li></ul></ul></ul><ul><ul><ul><li>Defibrillators </li></ul></ul></ul><ul><ul><ul><li>Patient Monitoring </li></ul></ul></ul><ul><li>Need for Security and Authentication </li></ul><ul><ul><li>Data security </li></ul></ul><ul><ul><li>Patient privacy </li></ul></ul><ul><ul><li>User account access </li></ul></ul><ul><ul><li>Building access </li></ul></ul><ul><li>Regulations & Standards </li></ul><ul><ul><li>CCHIT (UTC Synchronization) </li></ul></ul><ul><ul><li>IHE (Consistent Time profile) </li></ul></ul><ul><ul><li>Chest Pain Center Accreditation </li></ul></ul><ul><ul><li>HL7 (EHR Interoperability Model) </li></ul></ul><ul><ul><li>JCAHO </li></ul></ul><ul><ul><li>HIPAA </li></ul></ul><ul><ul><li>CMS Conditions of Participation for hospitals §482.24 (Medicare) </li></ul></ul><ul><ul><li>FDA </li></ul></ul><ul><ul><li>ISO </li></ul></ul>
  10. 10. Accurate Time is Required… <ul><li>Medical records are considered legal business documents. </li></ul><ul><ul><li>The Certification Commission for Healthcare Information Technology (CCHIT) </li></ul></ul><ul><ul><ul><li>S7: Audit records require UTC synchronization . </li></ul></ul></ul><ul><ul><ul><li>S8.1: The system shall be able to provide time synchronization using NTP/SNTP, and use this synchronized time in all security records of time . </li></ul></ul></ul><ul><ul><ul><li>S8.2: The system shall record time stamps using UTC based on ISO 8601-2000 . </li></ul></ul></ul><ul><ul><li>CMS Conditions of Participation for hospitals §482.24 (Medicare) </li></ul></ul><ul><ul><ul><li>All entries in the medical record must be timed, date, and authenticated, and a method established to identify the author. </li></ul></ul></ul>
  11. 11. Accurate Time is Required (cont’d) <ul><li>Integrating the Healthcare Enterprise (IHE) </li></ul><ul><ul><li>initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care. </li></ul></ul><ul><ul><li>their Consistent Time Integration Profile provides a means to ensure that the system clocks and time stamps of the many computers in a network are well synchronized. This profile specifies synchronization with a median error less than 1 second . </li></ul></ul>
  12. 12. Accurate Time is Required (cont’d) <ul><li>HL7 EHR Interoperability Model </li></ul><ul><ul><li>Currently being finalized. The EHR Technical Committee is updating this model to include a requirement for time and date stamping for all Electronic Health Records. Not only will they need to provide this time/date stamping, but they will also need to provide the ability to prove the accuracy of the time source. The Model states: </li></ul></ul><ul><ul><ul><li>Traceability to, and time synchronization with, a master clock. </li></ul></ul></ul>
  13. 13. Chest Pain Center Accreditation <ul><li>Key Element #7 – Functional Facility Design </li></ul><ul><ul><li>Clocks are synchronized </li></ul></ul><ul><ul><ul><li>ED </li></ul></ul></ul><ul><ul><ul><li>All triage areas </li></ul></ul></ul><ul><ul><ul><li>Cath lab </li></ul></ul></ul><ul><ul><ul><li>12-lead ECGs </li></ul></ul></ul><ul><li>Critical Metrics </li></ul><ul><ul><li>90 minutes door to balloon </li></ul></ul>Company Confidential <ul><ul><li>“ Accurate coordination of times among EMS, the emergency room, the cardiology department, and the catheterization lab is essential to accurately measure and thus control processes for care.” </li></ul></ul><ul><ul><li>Robert Weisenburger Lipetz </li></ul></ul><ul><ul><li>Executive Director of the Society of Chest Pain Centers </li></ul></ul>
  14. 14. What can Time Synchronization do to Improve Healthcare Operations? <ul><li>Accuracy of records assured – treatments, procedures, time of birth/death, etc. </li></ul><ul><li>Legally traceable time supports credibility and consistency for EHR’s, log files, audit trails, digital signatures. </li></ul><ul><li>Enhances interoperability for all networks, systems, and devices, as well as between agencies </li></ul><ul><li>Provides regulatory compliance and best practices, reduces liability </li></ul><ul><li>Fully automated, eliminates manual resetting, automatic DST adjustment, behind your firewall </li></ul>
  15. 15. Continue the string of Traceability <ul><li>NetClock provides Legally Traceable Time® the moment the patient enters the hospital: </li></ul><ul><ul><li>911, EMS, Police, etc… all provide this time, up until the patient is brought into the hospital. Continue the string of traceability by syncing the hospital network, systems, equipment, displays, etc… so that your records can be admissible in a court of law. </li></ul></ul>4,000 9-1-1 Dispatch Centers rely on Spectracom for accurate time
  16. 16. Credible, Consistent EHR’s <ul><li>Certification Commission for Healthcare IT (CCHIT) – All electronic health and security records are synchronized with UTC time and NTP/SNTP protocols when a NetClock is employed </li></ul><ul><li>Health Level 7 (HL7) - NetClock provides full compliance to the accuracy, security, and manageability of this standard </li></ul><ul><li>JCAHO standard IM 7.8 – NetClock provides legal, authenticated date/time stamps for medical records </li></ul><ul><li>FDA 21 CFR Part 11 – Accurate time-stamped audit trails supported by NetClock </li></ul>
  17. 17. Synchronized Healthcare Facility
  18. 18. NetClock Wireless Clock System <ul><li>Wireless Mesh Network </li></ul><ul><li>Incorporates 900MHz Frequency-Hopping technology that: </li></ul><ul><ul><li>Provides a Clear Signal in any facility and campus environment </li></ul></ul><ul><ul><li>Each Display is a receiver and transmitter </li></ul></ul><ul><ul><li>No FCC license required </li></ul></ul><ul><ul><li>Eliminates interference issues </li></ul></ul><ul><ul><li>Battery operated for total wireless solution </li></ul></ul>NetClock, Transmitter, Wireless Analog and Digital Clocks
  19. 19. How it Works
  20. 20. NetClock Time Server/Master Clock Model 9389 <ul><li>Front Panel </li></ul><ul><li>LEDs indicate Power, GPS status </li></ul><ul><li>Inside </li></ul><ul><li>12-channel GPS receiver </li></ul><ul><li>Stratum 1 NTP Server </li></ul><ul><li>Back Panel Timing Outputs: </li></ul><ul><li>10/100 BaseT Ethernet port </li></ul><ul><ul><li>NTP timing </li></ul></ul><ul><ul><li>Network management </li></ul></ul><ul><li>(1) Console Port </li></ul><ul><li>(1) RS-485 Output </li></ul><ul><li>(1) RS-232 Output </li></ul><ul><li>(3) Alarm/Event Contact Relays </li></ul>
  21. 21. Ethernet Time Server Model 9388 <ul><li>Front Panel </li></ul><ul><li>LEDs indicate Power, GPS status </li></ul><ul><li>Inside </li></ul><ul><li>Stratum 1 NTP Server </li></ul><ul><li>Back Panel Timing Outputs: </li></ul><ul><li>10/100 BaseT Ethernet port </li></ul><ul><ul><li>NTP timing </li></ul></ul><ul><ul><li>Network management </li></ul></ul><ul><li>(1) Console Port </li></ul><ul><li>(1) RS-485 Output </li></ul><ul><li>(1) RS-232 Output </li></ul><ul><li>(3) Alarm/Event Contact Relays </li></ul>Ideal for synchronizing independent, secure networks
  22. 22. PresenTense Synchronization Software <ul><li>Network Time Management Software for Windows Software </li></ul><ul><li>Improves Time Synchronization frequency for better timing accuracies and interoperability </li></ul><ul><li>Real-time monitoring and immediate email alert if time sync is changed or lost </li></ul><ul><li>Detailed record logs of time sync status </li></ul><ul><li>Supports redundant time sources </li></ul><ul><li>Auditor program provides hardcopy proof of time sync status for legal requirements </li></ul>
  23. 23. Some Healthcare Facilities using NetClock for their Time Synchronization Needs <ul><li>EMH Regional Healthcare </li></ul><ul><li>Scott & White Memorial Hospital </li></ul><ul><li>Los Alamitos Medical Center </li></ul><ul><li>St. Elizabeth Community Hospital </li></ul><ul><li>St. John Pleasant Valley Hospital </li></ul><ul><li>Morris Hospital </li></ul><ul><li>North Mississippi Healthcare </li></ul><ul><li>Evanston NW Healthcare </li></ul><ul><li>Chelsea Community Hospital </li></ul><ul><li>Crestwood Medical Center </li></ul><ul><li>Memorial Herman Baptist Hospital </li></ul><ul><li>Anne Arundel Medical Center </li></ul><ul><li>Washington Hospital </li></ul><ul><li>Tyco Healthcare </li></ul><ul><li>St Luke's Hospital </li></ul><ul><li>Serenity Lane Health </li></ul><ul><li>Alberta Cancer Center </li></ul><ul><li>Luther Midelfort </li></ul><ul><li>Community General Hospital </li></ul><ul><li>Miami Children’s Hospital </li></ul><ul><li>Melbourne Internal Medicine </li></ul><ul><li>DCH Regional Medical Center </li></ul><ul><li>University Hospital </li></ul>
  24. 24. Quality Goals & Objectives <ul><li>B est Value in the marketplace </li></ul><ul><ul><li>Spectracom products have the best features and functions for the price </li></ul></ul><ul><li>E xceptional Reliability of our products </li></ul><ul><ul><li>Spectracom products consistently meet or exceed specifications and customer expectations </li></ul></ul><ul><li>S tellar Support of our customers </li></ul><ul><ul><li>Spectracom’s customer support differentiates us in our markets </li></ul></ul><ul><li>T eam Spirit and Actions </li></ul><ul><ul><li>We are have well trained, competent staff that has a shared perspective of roles and goals </li></ul></ul><ul><li>Customer Confidence </li></ul><ul><ul><li>We have a strong base of repeat customers and employees that are committed to mutual success </li></ul></ul>Company Confidential
  25. 25. Quality Process, Quality Results <ul><li>ISO 9001:2000 certified in 2002. Most recent audit 4/08. </li></ul><ul><li>We call and survey every 10th customer: </li></ul><ul><ul><li>Results for calendar year 2007: </li></ul></ul><ul><ul><ul><li>‘ My order was delivered in-full and error free’ (95% Yes) </li></ul></ul></ul><ul><ul><ul><li>‘ The product’s features met my needs’ (100% Yes) </li></ul></ul></ul><ul><ul><ul><li>‘ Product setup was flawless’ (100% Yes) </li></ul></ul></ul><ul><ul><ul><li>‘ I would recommend Spectracom’ (100% Yes) </li></ul></ul></ul><ul><li>In-bound help desk calls </li></ul><ul><ul><li>85% of the issues are closed on the first call </li></ul></ul><ul><ul><li>95% closure after one follow-up call </li></ul></ul>
  26. 26. <ul><ul><li>Resources - </li></ul></ul><ul><ul><li>Website: http:www.spectracomcorp.com </li></ul></ul><ul><ul><li>Resellers Website: http:www.spectracomcorp.com/resellers </li></ul></ul>Support Services Will Hickey Channel Manager ph#: 585-321-5832 [email_address] Jennifer Sanza Sales Administration Mike Messina Sales Engineer ph#: 585-321-5825 ph#: 585-321-5850 [email_address] [email_address]
  27. 27. <ul><li>Think of </li></ul><ul><li>SPECTRACOM </li></ul><ul><li>for ALL your </li></ul><ul><li>Time Synchronization needs. </li></ul>

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