COPYRIGHT © 2011 ALCATEL-LUCENT. ALL RIGHTS RESERVED. Zhenjun Zhu May 18 2011 Alcatel-Lucent:...
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Transcript of COPYRIGHT © 2011 ALCATEL-LUCENT. ALL RIGHTS RESERVED. Zhenjun Zhu May 18 2011 Alcatel-Lucent:...
COPYRIGHT © 2011 ALCATEL-LUCENT. ALL RIGHTS RESERVED.
Zhenjun Zhu May 18 2011
Alcatel-Lucent: Delivering eHealthcare over Mobile Broadband Through Open Innovations
Agenda
1.Introduction to Connected Care
2.Open Innovations – ng Connect Program
3.Individual Connected Care Services
4.Service Scenarios
5.Closing
Technologies and StandardsUnified Communications
Integrate Platforms
VoIP
RTLS
Portals
Alerts & Notifications
Contact Centers Social Networking
Cloud Computing
Patient identification
Tele-medicine
Wireless
HIE
EMRHIMMS analytics
Infrastructure CapabilitiesEvent Driven
Integrated
Collaborative
ConvergedVoice/Data/Video
Mobile
Service Oriented
AwareCompliant
Secure
Agile
Scalable
Convenient
High Performance
Interoperable
Accessible
What Analysts say about Digital Care Delivery
Applications & Systems
BI/Analytics
PatientThroughputLogistics
Clinical DecisionSupport
Care CoordinationIntegrated ClinicalAdmin & Financial systems
InteractivePatient CareSystems
ProcessImprovement
Personal HealthManagement
e-healthOutcomes
Patientsafety
Financial
Compliance
Patientsatisfaction
Quality Measures
Digital CareDelivery
Our “Connected Healthcare” Solution Strategy
“Connected Healthcare” is a dynamic and comprehensive connection between a patient and the medical care system
Dynamic: accounts for time, location and type of care
(wellness, chronic, acute and palliative care) Comprehensive: all data (not just whatever silo is available)
Your “Communication” Partner for the Healthcare
Powered by Convergence, Innovations and a centralized deployment model
ng Connect eHealthcare Open Innovation Framework
Carrier Network
In-Hospital NetworkIn-Hospital
NetworkIn-Hospital Network
In-Hospital Service Applications
Dia
gnos
tics
Mon
itorin
g
Co
mm
un
ica
tion
Me
dic
al R
eco
rds
Bill
ing
/ A
dm
in
Re
mo
te P
atie
nt
….
Nurses Managers Doctors
Remote Patients
Smart Devices
Smart Devices +Sensor Network
Sensor Network
In-hospital Patients
Wireline WirelessVoice
Fixed Access 4G Wireless Access 2G / 3G Access
Application Enablement – Supporting Cloud-based eHealth
Healthcare Application Platform
Healthcare Application Platform
Our proven services
Connectivity
Services
Wireless
Services
Reachability
Services
Telemedicine
Services
Patient
Services
Clinical
Workflows
Services
Metro Area NetworkingMedical LANData CenterRemote workers
Medical WiFi networksMobile networksWiFi – DECT TrackingLand Mobile Radio Service integration
Voice Com.Video Com.Unified Com.Mobile Com. ApplicationsMobilization servicesThird Party integration (nurse call ….)
Remote Patient MonitoringTelemedicine contact centerVideo ConferencingVirtual Hospital
Digital SignageIPTV – WebTVPatient infotainmentSelf-service centerMultichannel contact center
Inter-division workflow processWorkflows between hospitals and other care groups
Under
Development
A Network Operations Center for Healthcare
Aggregate View of Sensor Data
The Healthcare Communication Highway
Acute Care
Polyclinics
Nursing homes
Community Center
Centralization & Virtualization:Data Center: Speed of deliveryConsolidation of services
EMR-EPR / PACS / UC- Video..
Communication NetworkServices:
Medical record accessRemote patient monitoring
Remote consultancyVideo services
Education servicesPatient services
Health Information Exchange (HIE)…
Requirements:Deep QoS / service levels / VPLS-MPLS
Fully redundantSecure
Remote access is fundamental for a digital hospital
The Healthcare Communication System
Acute Care
Polyclinics
Nursing homes
Community Center
Floor wiring Closet:
Multiple stacksRedundancy
Connects all servicesPower over EthAccess Security
VLAN / QoS
Core network:2 layered model
Full Redundancyfor all Services
Call ServersUnified com.Video Servers
Clinical Servers
Services are distributed
between the stacks
VLAN’s per service
The in-building Wireless Services
Acute Care
Polyclinics
Nursing homes
Community Center
WiFi enabledCommunication
EquipmentWiFi enabled
Medical Equipment
WiFi for patients
The in-building Wireless System SecurityFor a stable reliable MEDICAL Wireless System
Acute Care
Polyclinics
Nursing homes
Community Center
WiFi Security:SSID per serviceWPA2 encryption
QoSa/b/g/n
BeaconingAir Monitoring
SSID: data (*)
SSID: voice (*)
SSID: biomed (*)SSID: guests
(*) Not broadcasted
A n ubiquitous, secure wireless systemis fundamental for a digital hospital
Asset and People Tracking
Acute Care
Polyclinics
Nursing homes
Community Center
-Each WiFi device-Each person carrying a WiFidevice
can be tracked
Know if doctor is inand where she-he is.
All other peopleor assets
can be trackedas wellAlarms
SMS
Movements
AlarmMessages
Temperature
Empower caregivers with the right communication tools
Directory list of Doctors, Nurses …
Presence and IM
Instant Conference call setup
(with RFID tracking.. Where is…..?)
Call SMS
Conferencing
• Life example
Mobile Phone Applications
Emergency Call Handling
995/999
Hello… My Husband have a chest pain and
…. !!! …
… Ok… patient name is Morine,
NRIC S6987342G at address ……
Medical Contact Center
Patient RecordName: Morine, JacksonNRIC: S69876342GAddress: 33, Pink Rose GardenMedical History:High Blood Pressure …..Medical Doctor: Dr. Tan
• Voice
• Contact Centre
• Patient Record Retrieval
Ambulance Dispatch, Patient Registration, Record Retrieval, Real-Time Calling, One Number Service
Hospital Admission Registration
Patient Medical Record Retrieval
AmbulanceDispatch
Dr Black’s One NumberExtension Number 1995
DID 6333 1995
Telephone Call
Dual Ring
Not At Desk
Dr Tan answer the call on his mobile phone.Even he is not at his desk, he never miss any calls.
Patient RecordName: Morine, JacksonNRIC: S69876342GAddress: 33, Pink Rose GardenMedical History:High Blood Pressure …..Medical Doctor: Dr. Tan
Situation CRITICAL… the team goes into action
Blood Pressure Dropping
Chest Pain
NurseCall
Dr. Black is with a patient. Nurse McCormick send instant message to Dr Black.
Nurse McCormick
Responding to Urgent IM while Busy
Nurse McCormick
Dr Black with another patient,
giving some quick advise to Nurse
McCormick.
Instant Conference
Message Content:
N. Jordan
We have an emergency in ICU 3
Please join instant conference.
S. Dubois
J.P. Albinet
P. Smith T. Martin
Instant Conference
Room
Nurse McCormick
Dr Black PharmacistHeart Specialist
Collaboration (all media-all devices)Enablers for Tele-Health with the integration of medial
info Instant messaging
IM, telephony and Outlook® calendar presence
Ad hoc, meet-me, and scheduled
conferencing
Application sharing, desktop sharing,
document management
HD P2P and multiparty video
Inviteexternal participants (partners/ customers)
Internal and secured external
access (HTTPS)
Vital Signs
Pandemic Time – Responding to Crisis
Containment, Quarantine
Status Alert Broadcast
Join Task Force Meetings
Collaboration- anytime, anywhereFlu Alert Status
The H1N1 Flu Alert Status is now Green! Please join the conference for the follow up task force meeting.
VoiceMessageRecording
Automated Message Delivery System (AMDS)
Keep your Chronic Disease people stable and outside the acute care
Polyclinics
Nursing homes
Community Center
Acute Care
Automatic transmissionSecure and easyIncludes life-style
Triage and AlarmsAdjust medication
Follow your resultsShare with friends
Useable in ClinicsCommunity Centers
Alcatel-Lucent Tele-Health ManagerExport to EMR
diabetes, hypertension, congestive heart failure and COPD monitoring
Alcatel-Lucent TeleHealth Manager solutionComponents to cover different Chronic illnesses Ultra 2
Ultra Mini LifeSource UC-321 PBT
LifeSource UA-767 PBT
Scales OxymeterBlood pressure meterBlood glucose meter
Friends - Family Patients Caregivers
Also SMS/e-mail a
lerts and clin
ical
patient re
cord export
PSTN
Wirelessdevices
Automatedtransport
StorageAlertsPresentationResults
The usage in Clinics – Community Centers and Hospitals
Allows the Careprovider to take the readings of multiple patients using only one set of equipment and one mobile handset.
Works with diabetes, hypertension, congestive heart failure and COPD monitoring. Allows the user to use all of the features of the mobile application, only for many different Clients. Has a built-in feature that confirm the ownership of the readings that are being transmitted to the back-end server. Can be used in conjunction with single-user mode.
Extend the acute care. “Virtual Hospital”
Physician consultant
Studio Desk top
Telemedicine Desk
Community Center
Acute Care
Virtual Hospital
Suite
Tele-MonitoringTele-ConsultationTele-StrokeTele-Conference
CommunicationHighway
AudioVideoContact CenterLAN / WiFiClinical systems
integration
Example: Functional Vision – X-RaySolution is streamlining the communication process – allowing care to
be the Priority in an integrated care system
Doctor
X-Ray
Radiology
Escalation(On Duty Doctor)
After Hours
Referral
Image
Radiology Report
Notification
Escalation
Radiology
Who is available?Message alertsFeedback notification
COPYRIGHT © 2011 ALCATEL-LUCENT. ALL RIGHTS RESERVED.
eHealthcare is a system, not just a technology or solution
A basic framework is needed to build individual implementations
Open innovation is key