Cisco Healthcare Solutions by Erik Petersen
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Transcript of Cisco Healthcare Solutions by Erik Petersen
© 2006 Cisco All rights reserved. Cisco Confidential 1
Erik Petersen Global Healthcare Marketing
Cisco Healthcare Solutions
© 2006 Cisco All rights reserved. Cisco Confidential 2
Cisco Connected Health VisionAccessibility, Affordability, Delivering Better Care
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 3© 2006 Cisco All rights reserved. Cisco Confidential 3
Agenda
Healthcare delivery changes
Cisco Healthcare Portfolios and Solutions
HealthPresence™ – Cisco on Cisco
What’s next
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 4© 2006 Cisco All rights reserved. Cisco Confidential 4
State of healthcare
Healthcare Reform
Low IT investment
Stimulus Package
Organizational Silos
Patient Satisfaction/Safety
Alternate Care Options
Medicare/Medicaid Reimbursement
Joint Commission / Government
mandatesProvider
Aging Population
Patient
Capturing HIT Stimulus
Transforming the Patient Experience
Clinical Process
Improvement
New Models of Patient
Care
Operating Margin Pressures
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 5© 2006 Cisco All rights reserved. Cisco Confidential 5
We Live in Exponential Times
Source: The Economist, March 2010
24 hours of content uploaded every minuteY O U T U B E I S F I V E Y E A R S O L D
38 Years Time to reach an audience of 50M
15 Years Time to reach an audience of 50M
4 YearsWWW Time to reach an audience of 50M
2 Years Time to reach an audience of 50M
1 Year Time to reach an audience of 50M
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 6© 2006 Cisco All rights reserved. Cisco Confidential 6
Video Is Becoming Pervasive
Sources: Wired, Cisco estimates based on CAIDA publications, Andrew Odlyzko
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 7© 2006 Cisco All rights reserved. Cisco Confidential 7
Why Video in Healthcare
1Kandola, Pearn “The Psychology of Effective Business Communications in Geographically
Dispersed Teams”, Cisco Systems, September 2006
2Vision Group Research, FMRIB, University of Oxford, UK
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 8© 2006 Cisco All rights reserved. Cisco Confidential 8
Need for Collaboration Amongst CliniciansRoot Cause of Sentinel Events Is Lack of Communication
Up to 70% of sentinel events in healthcare are caused by poor communications, according to a Joint Commission study 1995–2006
Sentinel events are unexpected occurrences involving death or serious injury
Top sentinel events include wrong-site surgery, medication errors, delay in treatment
Root Causes
Statistics on Root Causes of Sentinel Events
Communication
Orientation/Training
Patient Assessment
Staffing
Availability of info
Competency/credentialing
Procedural compliance
Environ. Safety/security
Leadership
Continuum of care
Care planning
Organization culture
0 10 20 30 40 50 60 70Percent of 3548 events
All Categories; 2006 All Categories; 1995–2005
0 10 20 30 40 50 60 70
Source: The Joint Commission
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 9© 2006 Cisco All rights reserved. Cisco Confidential 9
Enhancing the Patient Experience Growing in Importance
> 50% of patients are willing to switch hospitals
for a better experience
Non-Clinical Criteria
Willingness to Switch(% of Patients)
Location
HospitalReputation
PatientExperience
Physician’sDecision
Factors Influencing Patients’
Choice of Hospitals
Source: 2007 McKinsey Survey of >2000 US Patients with Commercial Insurance/Medicaid
and >100 US Physicians
© 2006 Cisco All rights reserved. Cisco Confidential 10
Cisco Connected Health Portfolio of Solutions
Care-at-a-DistanceSolutions that enable remote examinations, consultations, and
distance learning.
Healthcare Technology FoundationsSolutions that provide security, interoperability, and
regulatory compliance.
Clinical WorkflowSolutions that improve
communication, collaboration, and education.
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 11© 2006 Cisco All rights reserved. Cisco Confidential 11
Patient Safety • Quality of Care • Patient Satisfaction • Cost Effectiveness • Staff Satisfaction • Regulatory Compliance
Care at a Distance Clinical WorkflowHealthcare Technology
Foundations
• HealthPresence™
• Clinical Presence Cart
• Intern Cart
• Expert on Demand
• Webex for Healthcare
• TelePresence for Healthcare
• Umi
• Nurse Connect™
• Context-Aware Healthcare
• Digital Physicians Office
• Medical Data Exchange Solution
• PACS Collaboration
• Wireless IP Phones
• Cius
• BioMed NAC
• Secure Wireless
• Data Center for Healthcare
• PCI for Healthcare
• Security and Compliance
Medical-Grade Network
Architecture
Connected Health Solution FrameworkB
usin
ess
D
rivers
Netw
ork
Tech
no
log
ies
Bu
sin
ess
So
luti
on
s
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 12© 2006 Cisco All rights reserved. Cisco Confidential 12
Collaborative Patient Room
Digital
Signage
Bedside
Services
Clinical Application
Access
Unified
Communications
Location
Based
Services
Remote Access
Wireless
Connected Imaging
Video Language
Interpretative Service
Video
Surveillance
Telepresence
Medical Grade Network
Nurse Call
Integration
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 13© 2006 Cisco All rights reserved. Cisco Confidential 13
Care-at-a-Distance
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 13
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 14© 2006 Cisco All rights reserved. Cisco Confidential 14
Case Study: Cisco Employees Connect with Physician Across the U.S.
Physician in
San Jose,
California
Patient in
Raleigh, North
Carolina
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 15© 2006 Cisco All rights reserved. Cisco Confidential 15
Stats: Cisco HealthPresence™ at RTP
•156 total HealthPresence visits since program began in 2009
• Drop in physician visits / Increase in nurse only visits
•Successful screening events
• Skin screen - 65 patients
• Know your Numbers’ screen - 75 patients
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 16© 2006 Cisco All rights reserved. Cisco Confidential 16
The Cisco HealthPresence Solution
Using the network as a platform; Cisco HealthPresence solution combines high-definition video, advanced audio, and patient medical data to create an environment similar to what most people
experience when they visit their doctor or health specialist.
Business Value
Increased convenience and access to healthcare for patients
Optimizes the use of scarce expert resources while containing costs and offering a live, “face-to-face visit” experience
Offers the ability to augment and optimize the capacity and reach of care-delivery systems in a patient-friendly and convenient way
Patient in a remote area needs to see a doctor
Local attendant (a licensed healthcare professional) places patient at Cisco HealthPresence unit
Attendant places call to a remote doctor with a single touch
Medical instruments provide vitals
Remote doctor sees patient in high-def video and views data from medical devices in streaming video
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 17© 2006 Cisco All rights reserved. Cisco Confidential 17
Components of the Cisco HealthPresence Solution
Components
Medical Devices
AMD-2500 General
Examination Camera
AMD-3700 Telephonic
Stethoscope
AMD-2015
ENT Scope
Welch Allyn Spot Vital
Signs Lxi
(blood pressure, temperature,
pulse rate, pulse oximetry)
Cisco Session Management Applicationfor interoperability with
Cisco Unified Communications, enabling intelligent routing and management & one-touch dialing
Cisco TelePresencefor a realistic face-to-face experience
Cisco®
HealthPresence Connect Softwarefor secure session management, transmission of medical data, and viewing of electronic medical record (EMR)
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 18© 2006 Cisco All rights reserved. Cisco Confidential 18
Health Services ExchangePowered by Cisco Cloud Solutions
Patient health and support services provided from the HSX cloud to many different endpoints depending upon the consumer’s location, communication and needs
Extending Care Through the Network
Office Mobile HomeHospital
• Secure – dynamic service access anywhere, anytime
• Economical - services at cloud prices
• Agile - more new and customized services to meet demand
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 19© 2006 Cisco All rights reserved. Cisco Confidential 19
Healthcare Services Exchange Cloud Concept
Datacenter Cloud Gateway
Healthcare Service Exchange
Medical
Information
Services
Video
Services
Telemetry
Services
Application
Virtualization
Services
Health Services Marketplace
EMR PACS Clinic
Virtual Clinical Specialist
Health
Management
Health
Management
Episode Management
Pre-Admission Admission Post-Admission
Pre-Authorization
Telemedicine
Health Information
Exchange
Provider Services
Patient Services
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 20© 2006 Cisco All rights reserved. Cisco Confidential 20
Addressing a Range of Health Services Needs
Market Expansion
• New Services
•Enables existing capabilities to
new markets
•Aligns strategically with the
“Connected System”
Health IT Investment
• Meaningful Use
•EMR/HIE
•State Exchanges
Health Reform
• ACO
•Reimbursement Changes
•Compliance
Cost
• Capital Investment Reduction
•Automation
Access
• Rural
•Specialty
•Market Expansion
Quality
• Improve Outcomes
•ED, Readmissions
•Predictive Techniques
Speed to Market
• Connecting a disparate
health system
© 2008 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 21© 2006 Cisco All rights reserved. Cisco Confidential 21