Parco Wireless 2006 Parco Merged Media Corporation

Parco Wireless 2006

Parco Merged Media CorporationPreferred Provider of RFID for Healthcare

Transforming the Delivery of Healthcare UsingRFID Based Real Time Location Systems

AZHIMSS –NOV 2006Bertrand Dugal – President, Parco Wireless

Précis™

Now! More than ever.

Parco Wireless 2006

Parco Merged Media is a Wireless Infrastructure Manufacturer and Integrator

The Parco Wireless’ Précis™ (Real Time Location System) provides hospitals, emergency rooms, OR’s, and Emergency Responders with a unique asset management system (software and hardware) that tracks equipment as well as personnel within any defined environment

Our focus is infrastructure & function --- we partner with 3rd Party integrators such as

Meditech and PCTS for process solutions

Parco Wireless 2006

Middleware / API• Software must be capable of meeting mission

requirements for providing system level information useful for positioning of staff, patient, inventory & equipment. – Data carrying capacity inherent to platform– Suitable for multiple RFID data sources

• Parco employs copyrighted 'point & polygon' positioning queries to precisely and rapidly position tags against geographical databases. – Enables milliseconds queries against 3D Microsoft

SQL database

Parco Wireless 2006

Thinking Beyond Location

MORE THAN WHERE IS

SOMEONE, OR WHERE IS

SOMETHING?

Parco Wireless 2006

Develop & Implement Technologies that Work Well For Today’s Hospitals

Develop & Implement Technologies that Will Continue to Work Well

10 to 20 Years From Now

Parco Wireless 2006

The less a system requires human input, the better. Important to consider systems that can automatically capture data already available on the hospital main systems

“Human in the Loop”

•Capture data passively

•Do not place additional burdens on the clinicians

•Do not isolate Data

•As much as is possible, work with those systems already in place

•Cut down, or eliminate steps for data capturing (Automate)

Parco Wireless 2006

Terminology • Granularity –A Measure of Accuracy• Reliability – Repeatability of Data• Real Time Location – Where and Now• Real Time Proximity – Lower Level Tagging, Wide

Ranging Results (Tracking Objects Moving Along a Hallway)

• Proximity – Low Accuracy, Low Performance (Tracking Objects at Wing & Room Level Resolution)

• Passive • Active• Locating vs. Tracking

Parco Wireless 2006

RFID Advantages vs Bar Codes

• Simultaneous reads

• Non Line of Sight

• Potential Data Storage (Read / Write)

• Read reliability (RF vs Optical)

• Durability (less prone to damage)

Parco Wireless 2006

What’s Involved?• Determine Requirements

– What is to be tracked? How many of each?– Process integration, if any?

• Determine Scope of Coverage– One department? ED? OR? Campus-wide?

• Review CAD Drawings (if available)• Site visit for verification of drawings• Design, Build, Install, Train, Implement, Support

Parco Wireless 2006

Settle on a Solution

Parco Wireless 2006

Ultra-Wideband (6.3GHz)

RF

(915MHz)

IR/RF

(447.5KHz/433MHz)

802.11

(2.4GHz Wi-Fi)

Parco Wireless 2006

802.11 WLAN (WiFi) & IR•Tag Size – PDA

•Poor Battery Life (Days)

•3 Meter Accuracy*

•Poor Repeatability

•Real Time Reporting is Poor (.1Hz)

•Good Communications (2 way)

•Integration - Good

•Infrastructure – Moderate (Existing)

•Need more if using IR

•Shared Bandwidth (VoIP)

WiFI & IR

Parco Wireless 2006

•Hospital Grade Wireless•Extremely low power (30 milliwatts peak) •Low Probability of Detection•Low Probability of Intercept

•Enables the hospital to better support•HIPAA•EMI, Patient Safety

•Very Accurate, Very Repeatable Data

UWB

True HGW – Hospital Grade Wireless – Designed for healthcare in both frequency (6.2GHz), power output 5.4 nanowatt average, short cycle (2 nanoseconds). UWB Meets 4 main requirements: Reliability, Electromagnetic Compatibility (EMI/EMC), LPI, LPD

Parco Wireless 2006

Role of Ultra-wideband to Overcome Existing RF Limitations

• Ultra-wideband (UWB):

– More efficient than traditional wireless

– Low power need and consumption, less infracstructure

– High bandwidth

– Undetectable/Covert

– Immune to interference from other equipment

– Unlikely to interfere with other equipment

– No costly spectrum license requirements

– More consistently accurate data

Parco Wireless 2006

UWB Pulse

UWB Frequency Control

Ultra-wideband Technology

Parco Wireless 2006

Comparison at 100 bits/sec

UWB Transmission Standard Wireless Transmission

UWB Transmissions

Parco Wireless 2006

• WHC is the largest private hospital in the nation’s capital

• 47-acre campus in Northwest Washington

• A member of MedStar Health

• Licensed for 907 beds and, on average, operates at near capacity (950 beds)

• Primary, secondary and tertiary care are offered to adult and neonatal patients

• 2004, 46,615 inpatients were served --including 4,441 births-- and 341,282

outpatients.

• The Hospital Center has a medical/dental staff of 1,592.

Parco Wireless 2006

ER One• ER One is a national prototype for the next-generation

emergency department. It is a working laboratory for new approaches to the medical consequences of terrorist attacks, natural disasters, and emerging illnesses.

• ER One is a federally-funded project of MedStar Emergency (Washington DC) in collaboration with other academic medical centers, universities, non-governmental organizations, and federal agencies.

• Homeland Security

Parco Wireless 2006

Case Study: IV Pumps• WNMC IV pump study

– Due to inefficient asset tracking the 950-Bed hospital:

• Keeps 749 IV pumps in inventory in order to have 600 available

• Pays $25/day in IV pump rental = $6.8 million annually

• Loses $1.4 million in wasted capital expenditures annually

– Study revealed that only 37% of pump usage was billed:

• Pump usage should be billed at $56/day

• Over $8.0 million in unbilled usage annually

Parco Wireless 2006

Case Study: IV Pumps (cont.)• Up to $9 million/yr benefits to hospital – on

IV pumps alone:– Positive ROI in 6 mos. on tracking only IV pumps

– Reduces unnecessary inventory (by 20%)

– Reduces “lost” equipment

– Recaptures unbilled revenue

“When we have the Parco system in place to track the location of these pumps we expect to immediately recapture $8 million of lost billings per year.”

Dr. Craig Feied, MD, FACEPDirector of Informatics, Washington National Medical Ctr.

Parco Wireless 2006 Copyright 2006 Parco Merged Media Corporation http://www.parcowireless.com

InfrastructureTX Tag

Receiver

Receiver

Receiver

RFSignal

CAT-5e Ethernet10/100Base-TTCP-IP Data



Ethernet Hub andPower over

Ethernet

Custom Hardware and Network

Standard Hardware and NetworkInfrastructure

Sync Distribution Panel Data Pass Through Timing Signal Injection 24 Ports

PC

TrackingSoftware

Timing Signals

Parco Wireless 2006

Parco is the manufacturer so we respond to the customer’s request for tag types. Our ‘off the shelf’ tags support assets, personnel and patients. Battery life and duration of operation are determined by the hospital, our customer, typical timeframes are up to 4 years. Because Parco warranties all tag operations our M&O swaps out old tags for new ones --- the technology stays new and the batteries fresh

Versatile, Multi-use Tags

Parco Wireless 2006

ReceiversAesthetic Hospital “Clean” Design

Parco Wireless 2006

Tag-to-Tag Relationships

Tag-to-Environment Relationships

Parco Wireless 2006

• Tag to Tag relationships• Equipment to Patient

• Staff to Patient

• Mother to Infant

• Tag to Environment relationships• Equipment status/availability/security

• Staff presence

• Patient wandering/safety

• Automating routine processes• Clinician intervention• Patient flow• Housekeeping

• Biomedical processing

Parco Wireless 2006

•Provides notification when a device enters a predefined area or space•Housekeeping alerts•Access Control•Enhanced patient safety•Point of Sales/Service Transactions

•Provides alerts when a device leaves a predefined area or space•Eliminate patient wandering•Reduce equipment theft

•Provides alerts when tags join/separate•Mother/Infant Relations•Equipment/Client Relations•Crash Cart Assembly

Trigger Areas

Triggers enable facility and user level controls using a unique location process. Transactions occur in millisecond --- thousandths of seconds. This unique function simplifies complex geospatial analysis and is used by all Parco Authorized Developers to enhance the processes.

Parco Wireless 2006

IV Pump Duty Cycle

Stand-by (Clean)

Requisitioned to PACU In-Use

Patient Discharged

Soiled

Parco Wireless 2006

Mission Requirements: Level 1

This Represents the Current State of the RTLS Industry

Parco Wireless 2006


Parco Wireless 2006


Sub-Foot Granularity Required

WiFi - IR

UWB

Parco Wireless 2006

•Push a low battery message•Auto alerts for non-responsive tags•Tags use a basic design for multiple uses•Tags designed for hospital use•Receivers are aesthetically designed for hospitals

•Room Level and Proximity receivers support 802.11x wireless and standard Ethernet

Parco recommends the hospital segregate the location information stream from the data network at the source. Structured data information at both the database level and hardware level is vital for maintaining mission critical information.

Additional Requirements

Parco Wireless 2006

Parco Wireless 2006

FLOOR PLAN VIEW

Parco Wireless 2006

Parco Wireless 2006

LIST VIEW

Parco Wireless 2006

Red dots identify location of medical equipment

e.g. Infusion Pumps

Parco Wireless 2006

Parco Wireless 2006

Précis Pocket PC App

Parco Wireless 2006

High precision (12” or less granularity)

•Reduced latency (.125 seconds)

•Superior penetration

•Reduced tag loss

•Extremely low power (50 microwatts peak per tag, 2 watts per receiver)

•Longer battery life (4 years)

•Non-interfering (6.3 GHz)

•Low battery message

•Auto alerts for non-responsive tags

•Affordable (<$20/tag)

Parco Wireless 2006

• Web-based• Industry-standard architecture (IT-friendly)• Runs on hospital corporate LAN or WAN• Ability to access the entire system from any web client

• Tailored to hospital’s individual needs• Maps, spreadsheets• Individualized views• Specific views for specific users

• Real time reporting and extensive data warehousing

• Current location and status• Historical location and status• Retrospective analysis

Parco Wireless 2006

• Washington Hospital Center• Lehigh Valley Medical Center• Riverside Regional• Virtua Healthcare• NY Presbyterian• William Beaumont Hospital, Troy Campus• Albert Einstein Medical Center• Christiana Hospital• Anaheim Memorial Medical Center• Long Beach Memorial Medical Center• Providence St. Vincent Medical Center• Carondelet St. Mary’s• Carondelet St. Joseph • Hoag Hospital

Parco Wireless 2006

USES OF ACTIVE RFID IN THE

HEALTHCARE ENVIRONMENT

Parco Wireless 2006

Asset Management Tools

Parco Wireless 2006

Infant Abduction Prevention Systems

Parco Wireless 2006

Automated Controls Using Triggers and Exceptions

Automated Authenticated

ID Verification

Automated Billing

Parco Wireless 2006

Security, Safey & Access Control

Parco Wireless 2006

Inventory Management

Parco Wireless 2006

Patient TransportDietary Tray Tracking

Parco Wireless 2006

Clinical Engineering

•Healthcare service and maintenance companies: Meet JCAHO Standards:

–Techs spend 40% or more of time locating assets,

–Must employ extra techs in order to service fleet,

–Do not know until asset is located, if it is in use or unserviceable for other reasons,

–Can not effectively track and manage the asset lifecycles,

–Have greater difficulty fulfilling service contracts.

Parco Wireless 2006

Infection Control

Parco Wireless 2006

FACT: 2.1 million nosocomial infections occur annually among the 37.7 million admissions in United States hospitals

FACT: Some 77,000 deaths can be associated with these nosocomial infections

FACT: It is estimated to cost U.S. Hospitals is between $36K and $58K for each incident

Parco Wireless 2006

U.S. Heathcare System

– Over 1,000,000 unique patient visits/year– 950,000 outpatients– 55,000 inpatients at 6.5 days average visit– 1,400 physicians +1,300 referring– 12,000 employees– $3 billion in assets– $1.9 annual billings ($5.2 million/day)

Parco Wireless 2006

Aligned with National Averages, A Healthcare Organization Comparable in Size to This Healthcare Network Would Experience:

•2,750 Nosocomial Incidents Annually (Inpatient Care Only)

•5.5 Deaths

•$104,500,000 to $159,500,000 In Additional Costs ($38K -$56K each incident)

Impact on Cost?

Parco Wireless 2006

Costs to Implement?

• Variables:– Hospital Mission Requirements: Process– Department Requirements: Density– Coverage Area Size– Number of Assets, Personnel (Tags) to Track– Integration Requirements

Parco Wireless 2006

Hardware & Software Turn-Key Costs Guesstimate*

• 300 Bed Hospital with 500,000 feet² Receivers: $1,900

• Tags: <$20 (1,500 Tags)• *$490,000

Parco Wireless 2006

•Self-Assembling Architecture•Transmitters, Receivers and Transceivers

•Supports Thousands of Tags

Scalable Product

One Common Architecture: Many Apps•Supports Wireless Medical Telemetry•Radio Agnostic (Will work with legacy systems)•Equipment Tracking•Employee, & Patient Tracking•Building Automation•Access Control•Future Applications

The system scales to hospitals needs. Today it is asset tracking, tomorrow patients, next year wireless medical telemetry

Parco Wireless 2006

Future Healthcare Applications• Patient Management• Personnel Management• Biometric Identification• Medical Telemetry• Wireless Local Area Networking

– VOIP• Point-to-Point Wireless Communication• Ambiguous Computing

Parco Wireless 2006

Personnel Tags

30 Milliwatt peak, 5.4 Nanowatt Average5751 – 7001 MHz

Combining Biometrics & UWB

Parco Wireless 2006

3D Tracking-Currently Possible

-Traumatic Brain Injury Units

-High Risks Patient Populations

-Prevention for Patient Falls

-Unconscious, Unattended Falls (Home Health)

William D. Kearns, Ph.D.

Department of Aging and Mental Health

Louis de la Parte Florida Mental Health Institute

University of South Florida

Tampa, Florida

Parco Wireless 2006

Modeling and Predictive Analysis

Parco Wireless 2006

• Orlando, FL (2004)• Dallas, TX* (2005)• San Diego, CA (2006)• New Orleans, LA (2007)

HIMSS (Healthcare Information and Management Systems Society)

Parco Wireless 2006

Q?

Parco Wireless 2006 Parco Merged Media Corporation

Business

Transcript of Parco Wireless 2006 Parco Merged Media Corporation