IV.1 Asset ManagementThe Scaleable Solution

Asset ManagementThe Scaleable Solution

Bob Dickey Strategist

CIBER, Inc.

Chicago, Illinois

CIBERCIBERCIBERCIBER

CIBER builds, integrates and supportsCIBER builds, integrates and supports

mission-critical business applications.mission-critical business applications.

CIBER builds, integrates and supportsCIBER builds, integrates and supports

mission-critical business applications.mission-critical business applications.

We build new applications and implement market-leading software packages quickly and with high quality.

Build

We integrate applications and design enterprise architectures to leverage IT investments and extend application functionality.

Integrate

We manage and maintain applications to improve service levels and lower production support costs.

Support

AgendaAgendaAgendaAgenda

IntroductionIntroduction

The Digital Hospital VisionThe Digital Hospital Vision

Enabling TechnologyEnabling Technology

Why Asset Management?Why Asset Management?

Scaleable StrategyScaleable Strategy

SummarySummary

IntroductionIntroduction

The Digital Hospital VisionThe Digital Hospital Vision

Enabling TechnologyEnabling Technology

Why Asset Management?Why Asset Management?

Scaleable StrategyScaleable Strategy

SummarySummary

The Never-ending ChallengeThe Never-ending ChallengeThe Never-ending ChallengeThe Never-ending Challenge

Continually improve Continually improve the quality of patient the quality of patient care delivered ….care delivered ….

While at the same While at the same time, reducing the time, reducing the total cost of deliverytotal cost of delivery

Continually improve Continually improve the quality of patient the quality of patient care delivered ….care delivered ….

While at the same While at the same time, reducing the time, reducing the total cost of deliverytotal cost of delivery

““Earlier this year, American Biomedical Earlier this year, American Biomedical Group, Inc. …… wrapped up a six-month, Group, Inc. …… wrapped up a six-month, $500,000 RFID pilot project at Vanderbilt $500,000 RFID pilot project at Vanderbilt Children’s Hospital in Nashville, TN. The Children’s Hospital in Nashville, TN. The hospital’s pediatric critical care unit had hospital’s pediatric critical care unit had been plagued by equipment that been plagued by equipment that accidentally wound up in other parts of the accidentally wound up in other parts of the facility, or just disappeared. In the early facility, or just disappeared. In the early stages of the project, ABGI determined stages of the project, ABGI determined that less than 50% of the floor’s assets that less than 50% of the floor’s assets were actually on the floor at any given were actually on the floor at any given time”.time”.

““Earlier this year, American Biomedical Earlier this year, American Biomedical Group, Inc. …… wrapped up a six-month, Group, Inc. …… wrapped up a six-month, $500,000 RFID pilot project at Vanderbilt $500,000 RFID pilot project at Vanderbilt Children’s Hospital in Nashville, TN. The Children’s Hospital in Nashville, TN. The hospital’s pediatric critical care unit had hospital’s pediatric critical care unit had been plagued by equipment that been plagued by equipment that accidentally wound up in other parts of the accidentally wound up in other parts of the facility, or just disappeared. In the early facility, or just disappeared. In the early stages of the project, ABGI determined stages of the project, ABGI determined that less than 50% of the floor’s assets that less than 50% of the floor’s assets were actually on the floor at any given were actually on the floor at any given time”.time”.

The Never-ending ChallengeThe Never-ending ChallengeThe Never-ending ChallengeThe Never-ending Challenge

Continually improve Continually improve the quality of patient the quality of patient care delivered ….care delivered ….

While at the same While at the same time, reducing the time, reducing the total cost of deliverytotal cost of delivery

Continually improve Continually improve the quality of patient the quality of patient care delivered ….care delivered ….

While at the same While at the same time, reducing the time, reducing the total cost of deliverytotal cost of delivery

The Digital Hospital VisionThe Digital Hospital VisionThe Digital Hospital VisionThe Digital Hospital Vision

Enabling TechnologyEnabling TechnologyEnabling TechnologyEnabling Technology

Bar CodesBar Codes

RFIDRFIDPassivePassive

ActiveActive

WiFiWiFi

Mobile Computing DevicesMobile Computing Devices

Bar CodesBar Codes

RFIDRFIDPassivePassive

ActiveActive

WiFiWiFi

Mobile Computing DevicesMobile Computing Devices

Tag

Reader

Antenna

Current System

The Software SideThe Software SideThe Software SideThe Software Side

Real time Real time datadata

Real time Real time datadata

““Static” Static” datadata

““Static” Static” datadata

MMiiddddlleewwaarree

MMiiddddlleewwaarree

Data managementData management

Application integrationApplication integration

Process managementProcess management

Packaged contentPackaged content

ScaleabilityScaleability

Data managementData management

Application integrationApplication integration

Process managementProcess management

Packaged contentPackaged content

ScaleabilityScaleability

Asset Tracking-Why Start Here?Asset Tracking-Why Start Here?Asset Tracking-Why Start Here?Asset Tracking-Why Start Here?

Measurable ROIMeasurable ROIScalable building blocksScalable building blocksTechnology availableTechnology availableEvolutionary process changeEvolutionary process change

““RFID will continue to make inroads into RFID will continue to make inroads into healthcare via track-and-trace solutions, first healthcare via track-and-trace solutions, first as asset and inventory management tools, as asset and inventory management tools, then gravitating toward personnel, patient and then gravitating toward personnel, patient and clinical monitoring devices”. clinical monitoring devices”. 

Rick Krohn – President, Healthsense, Inc.Rick Krohn – President, Healthsense, Inc.

Measurable ROIMeasurable ROIScalable building blocksScalable building blocksTechnology availableTechnology availableEvolutionary process changeEvolutionary process change

““RFID will continue to make inroads into RFID will continue to make inroads into healthcare via track-and-trace solutions, first healthcare via track-and-trace solutions, first as asset and inventory management tools, as asset and inventory management tools, then gravitating toward personnel, patient and then gravitating toward personnel, patient and clinical monitoring devices”. clinical monitoring devices”. 

Rick Krohn – President, Healthsense, Inc.Rick Krohn – President, Healthsense, Inc.

Finding the ROIFinding the ROIFinding the ROIFinding the ROI

Hard BenefitsHard BenefitsLoss preventionLoss prevention

Inventory reductionInventory reduction

ComplianceCompliance

Increased utilization Increased utilization of staff and assetsof staff and assets

Reduced rental feesReduced rental fees

Hard BenefitsHard BenefitsLoss preventionLoss prevention

Inventory reductionInventory reduction

ComplianceCompliance

Increased utilization Increased utilization of staff and assetsof staff and assets

Reduced rental feesReduced rental fees

“….nursing, support services and Biomed specialists combined total of 7,760 minutes per month spent in searching for lost mobile equipment.  This translated to over $4,000/day or $1,460,000 per year of lost productivity”.  Gary Bayston, Manager of Biomed Engineering, Rockford Memorial Hospital. (note: this is a 376 bed facility).

(reported in NETWORKWORLD).

“….nursing, support services and Biomed specialists combined total of 7,760 minutes per month spent in searching for lost mobile equipment.  This translated to over $4,000/day or $1,460,000 per year of lost productivity”.  Gary Bayston, Manager of Biomed Engineering, Rockford Memorial Hospital. (note: this is a 376 bed facility).

(reported in NETWORKWORLD).

Finding the ROIFinding the ROIFinding the ROIFinding the ROI

BenefitsBenefitsMore responsive More responsive patient carepatient care

Medical staff Medical staff satisfaction & satisfaction & retentionretention

SecuritySecurity

BenefitsBenefitsMore responsive More responsive patient carepatient care

Medical staff Medical staff satisfaction & satisfaction & retentionretention

SecuritySecurity

Multi-directional ScalingMulti-directional ScalingMulti-directional ScalingMulti-directional Scaling

BreadthBreadthScope of coverageScope of coverage

AssetsAssets

LocationLocation

GranularityGranularity

DepthDepthApplication of informationApplication of information

Integration with other business systemsIntegration with other business systems

BreadthBreadthScope of coverageScope of coverage

AssetsAssets

LocationLocation

GranularityGranularity

DepthDepthApplication of informationApplication of information

Integration with other business systemsIntegration with other business systems

Find and Track

Maintenance Management

Life cycle Management

Staff Integration

Patient Integration

Billing Integration

Find and Track Find and Track Find and Track Find and Track

Find and Track Find and Track Find and Track Find and Track

Find and TrackFind and TrackFind and TrackFind and Track

Find and TrackFind and TrackFind and TrackFind and Track

Where is it?Where is it?Where is the closest piece of equipment I need?Where is the closest piece of equipment I need?Where can I find a piece of equipment?Where can I find a piece of equipment?Where was its last location? History? Utilization? Where was its last location? History? Utilization? When is the last time a piece of equipment was When is the last time a piece of equipment was calibrated, and where can I find it?calibrated, and where can I find it?How many of each type of equipment are out there and How many of each type of equipment are out there and where are they?where are they?What’s on the 3What’s on the 3rdrd floor? floor? The rental company wants their pumps back…The rental company wants their pumps back…

Where is it?Where is it?Where is the closest piece of equipment I need?Where is the closest piece of equipment I need?Where can I find a piece of equipment?Where can I find a piece of equipment?Where was its last location? History? Utilization? Where was its last location? History? Utilization? When is the last time a piece of equipment was When is the last time a piece of equipment was calibrated, and where can I find it?calibrated, and where can I find it?How many of each type of equipment are out there and How many of each type of equipment are out there and where are they?where are they?What’s on the 3What’s on the 3rdrd floor? floor? The rental company wants their pumps back…The rental company wants their pumps back…

Maintenance ManagementMaintenance ManagementMaintenance ManagementMaintenance Management

Maintenance Maintenance ScheduleSchedule

WhenWhenWhatWhatHowHow

Maintenance Maintenance ScheduleSchedule

WhenWhenWhatWhatHowHow

Maintenance Maintenance HistoryHistory

WhoWhoWhenWhenWhatWhat

Maintenance Maintenance HistoryHistory

WhoWhoWhenWhenWhatWhat

GAO ReportGAO ReportGAO ReportGAO Report

“ “The property control databases for the 6 The property control databases for the 6 medical centers we visited contained medical centers we visited contained incorrect or incomplete information …….. incorrect or incomplete information …….. As a result, we were unable to select a As a result, we were unable to select a statistical sample…..Instead, we statistical sample…..Instead, we performed a case study of 100 property performed a case study of 100 property items selected from each location’s items selected from each location’s property control record.  Of the 600 property control record.  Of the 600 items that we selected….property items that we selected….property officials were only able to locate 201….”.officials were only able to locate 201….”.

“ “The property control databases for the 6 The property control databases for the 6 medical centers we visited contained medical centers we visited contained incorrect or incomplete information …….. incorrect or incomplete information …….. As a result, we were unable to select a As a result, we were unable to select a statistical sample…..Instead, we statistical sample…..Instead, we performed a case study of 100 property performed a case study of 100 property items selected from each location’s items selected from each location’s property control record.  Of the 600 property control record.  Of the 600 items that we selected….property items that we selected….property officials were only able to locate 201….”.officials were only able to locate 201….”.

Asset TrackingAsset TrackingAsset TrackingAsset Tracking

Visibility of all tagged assets available with real-time data on location, status and service levels.

Work OrdersWork OrdersWork OrdersWork Orders

Specific tasks can be created to deliver, retrieve or service a SPECIFIC asset. If specified,

employees will receive the current location of the specific asset as part of their workflow task. Asset location information is continually auto-

tracked if tagged.

Safety and Incident

Management

Safety Management• Web-based incident reporting• Safety orders and tracking• Hazard/Recall management• Statement of Conditions• Plan for improvement reporting

Planning

Budgeting

ERP

Customized Interfaces• WO System Requisitions

to/from Purchase Orders• Invoice Generation from

WO System Data• Link to capital planning

and budgeting

Location Data

RFID/Location Management

• Enhaced Utilization ALU• Availability Tracking• Device based Service

Requests

Asset Manager

CMMS• Equipment & Service Mgmt • Worker/Vendor Management

PM Scheduling & Procedures• Contract/T & M Management• Parts Inventory & Requisitions • medTester & Ansur Interfaces• PDA & Laptop Mobility

Service Center

Manager

Service Center Manager• Web-based service requests• Skill assign/Auto escalation• Global dispatching/dashboard• Worker receipt notification• User asset & work order

viewing

Asset Logistics

and Utilization

Logistics and Utilization• Web Requests for Mobile

Assets• Comprehensive Mgmt of

Mobile Assets• Enhanced Rental/Lease

Mgmt & Billing• Patient Use Billing (ADT)

Aggregated Enterprise Data

Decision Engine

Business Intelligence• Web-based Enterprise• Multi-dimension Reporting• Drag & Drop Cube Browser• Dashboard Monitoring• Trending of Strategic Data

Comprehensive Reporting

Information Management

Capital Management

Life-cycle ManagementLife-cycle ManagementLife-cycle ManagementLife-cycle Management

Life-cycle Management DashboardLife-cycle Management DashboardLife-cycle Management DashboardLife-cycle Management Dashboard

Where to StartWhere to StartWhere to StartWhere to Start

GatherRequirements

and Strategize

DetermineTechnology

Install &Test

Execution

SiteSurvey

ProcessReview

CompleteRequirement

Definition

TechnologySelection

SystemDesign

TechnologyProcurement

IntegrateComponents

SystemTesting

InstallSystem

Cutover Support

IntegrationTesting

Document Benefits

SummarySummarySummarySummary

Healthcare identified as a key Healthcare identified as a key market for RFID/WiFimarket for RFID/WiFiAsset tracking ideal entry pointAsset tracking ideal entry pointDeployment and ROI scaleableDeployment and ROI scaleableOpportunity for integration across Opportunity for integration across business and medical care delivery business and medical care delivery systems – drivessystems – drivesThe digital hospitalThe digital hospital

Healthcare identified as a key Healthcare identified as a key market for RFID/WiFimarket for RFID/WiFiAsset tracking ideal entry pointAsset tracking ideal entry pointDeployment and ROI scaleableDeployment and ROI scaleableOpportunity for integration across Opportunity for integration across business and medical care delivery business and medical care delivery systems – drivessystems – drivesThe digital hospitalThe digital hospital