Patient Services based on RFID - Acute medicine Services based on RFID Employing ... • EMV risk...
Transcript of Patient Services based on RFID - Acute medicine Services based on RFID Employing ... • EMV risk...
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
© Siemens AG, 2008 Alle Rechte vorbehalten.
Thomas Jell,
Senior Principal Consultant
Director of RFID
SIS SSW SCM
Patient Services
based on RFIDEmploying
Technology
to the Best Effect
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWSiemens One Projects
SBS InventorySixt Rental Car ReturnEurohypo Inventory ManagementElsa diary (pallet tracking)Mobilkom A (Asset Tracking Mobilfunk Basestations)Wella (product distribution)BVG (train identification at the Berlin subway)Rotring (Warehouse and Distribution Centre)Quelle (mail order centre )Grundig (access to goods, stock overview and transparent warehouse)British American Tobacco (raw material integrity)Cinram (production process)Unilever (froozen good process)Setila (process for yarn production)Lavazza (entire production process, including packing and palleting)Johnsons Control (BE) (RFID for vehicle seats)Stadtwerke Kiel (Assetmangement)
Intel US, (Warehouse, PC and Laptop shipping)Uni Magdeburg (Equipment for RFID Testlab)
Epping & Partner (Document tracking)Vossius & Partner (Document trackingInsurance Companies / Goverment
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SIS SSWSiemens One Projects
Designer Knock Offs (Theft and Copy Protection (documents)
Theft Protection (laptop, …)
Security (passport, visa)
EventsOCE Inhouse, CeBIT, SBS Cust. Events, WM2006, …
Bibliotheken
Dubai International Airport (Baggage Handling)EADS Airbus (Process Improvement)Berlin Tegel + Schönefeld (ID for tank system authorization )
BMW (car localization) (wheel supply to line) (wire harnesses ID) (skid conveyor system for body assembly)
Daimler Chrysler (Ladungsträger)Knaus (Truck Delivery, car localization)GM (US) (harsh paint shop environment)Peugot (Door Trim Assembly)Porsche (Cayenne) body identificationSkoda (mobile data carrier on all skids)VW (phaeton) body id in paint process) (ship to line seats)Vöst Alpine (productions logistics. Reusable containers)
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SIS SSWSiemens One Projects
Gerry Weber shops at Kaufhof / MetroRewe, Otto (retail)SCA (motherreel process and shipments )Craemer (palet tracking)
Intel Germany (repair and maintenance)Fiege (Premiere, AutoID)Laurel 1 (Logistic MUC – New York)Intel US (ISMC, Logistic Demo Solution)VDO Regensburg (Consulting, Warehouse and Logistics)VDO Babenhausen (Consulting, Warehouse and Logistics)Siemens TS (Logistics)
Licon Consortium
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SIS SSWWhere are we today ?
Patient Identification and medication safety
Blood Bags Process and Usage, cold chain with temp sensor
Baby Tracking (Security)
Tracking of Disoriented (Security)
Bed Management and bedside process
Asset Tracking
Pharma (counterfeit, ePedegree, ...)
Identification of vials (samples or probes)
„loss“ of equipment (Tücher, Tupfer, ...)
Prediction, Optimization and Utilization (Surgery,CT, ...)
Disaster Management, Tracking and Identification
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SIS SSWSiemens One Projects
Klinikum Rechts der Isar in Munich (OP tissues, OP personal)
ISI Imaging Science Institute in Erlangen (patient tracking)
Klinikum Graz (blood bags with temp sensors)
Medic Alert (Patient ID Card)
North Central Bronx Hospital, HealthSouth (patient identification)
Klinikum Bielefeld (bed management)
Inselspital Bern (bed management)
Merck Serono (ePedigree)
Klinikum Saarbrücken (patient identification, medication safety, unit
dose, blood bags)
Johanniter Krankenhaus Bonn (WLAN access and bed management)
Klinikum Suhl (HiMed, bedside terminals)
Klinikum Wien (Warenlogistics)
Klinikum Duisburg (Warenlogistig)
Membrana (Haemodialysis membranes, transport containers)
Klinikum Ingolstadt (undercarriage and container transport)
New England BioLabs (Biochemicals)
Zeiler (CH) (package supplier for Roche)
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SIS SSWIdentification of vials
Identification of vials, containing samples and probes
Identification of vials, containing patient material
Secure identification of single vials
Bulk reading of hundreds of vials
Lots of different materials
vials, ampoules, cartridges, blister, tubes
With the right technology even bulk reading
of over 200 items possible
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SIS SSWSIEMENS – Strategy on Tracking and Tracing
Strategy Patient Identification <-> Tracking
• Identification: passive 13.56 MHz
wrist bands, clocks, …
no tracking
cheap technology (single use, reuse)
no medical device (FDA, MPG)
• Tracking: Active 2.45 GHz, 5 GHz
wristbands, cards (with LED feedback)
tracking in dedicated areas (zone based or triangulation)
long battery life (> 1 year) -> no WLAN Tags
WLAN for the communication of the receivers
reasonable prices
no medical device (FDA, MPG)
• EMV risk analysis for medical devices (OP, bildgebende Systeme, …)
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWPatient Identification
• Identification: passive 13.56 MHz
wrist bands, clocks, …
no tracking
cheap technology (single use, reuse)
no medical device (FDA, MPG)
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SIS SSWPatient Tracking
Active and Semiactive chips Transponder give instant tracking and may be activated
in an antenna field or by software (ticks) f.i. exits, …
Reduced radiation in protected area,
Transponders will become active (Alarm) when leaving protected area without
authorization
Wide read range including tracking
High protection and security
Wristband solution with integrated RFID software
Tags with display and buttons for user interaction
Reusable tags for easy ROI
Tracking of special Patients (Alzheimer, ...)
Baby security
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SIS SSWJacobi Medical Center in New York
Jacobi Medical Center provides quality
healthcare for more than one million New York
area residents
It's the largest public hospital in the Bronx with
more than 800 beds
The hospital is in the midst of a modernization
program that calls for updating processes
Jacobi Medical Center decided to improve its
system for retrieving patient information using
identification numbers
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWPatient tracking at New York Central Bronx Hospital
Patients are equipped with RFID wristbands for shortrange
tracking (entrance, …)
Optional: Patients are equipped active RFID watches for
open field tracking (park, …)
Wristband with name printed
13.56 MHz chips with
Link to medical records
Secure access to patient data (PKI)
Antennas at doors, floors, …
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SIS SSWNew York Central Bronx Hospital
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SIS SSWNew York Central Bronx Hospital
Jacobi Medical Center provides quality
healthcare for more than one million New
York area residents, and, with more than
800 beds, it is the largest public hospital in
the Bronx.
The hospital is in the midst of a
modernization program that calls for
updating processes.
Jacobi Medical Center decided to improve
its system for retrieving patient information
using identification numbers.
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SIS SSWDaniel Morreale, CIO Jacobi Medical Center:
"I thought, „If I can just wave the PC over the patient‟s wrist and bring up the problem list, medications, allergies and other critical information, it will simplify patient identification and save clinical-staff keystrokes.‟”
“It does work. It saves keystrokes and is an effective clinician timesaver. Siemens Business Services listened and delivered a solution that not only meets our immediate needs, but also leaves us with the flexibility to explore further options. We value our partnership.”
“Hospitals are seeing a return on their investment in RFID technology in the form of improved patient care, increased productivity and cost savings. Daniel Morreale, chief technology officer for the North Bronx Healthcare Network, which owns and operates the Jacobi Medical Center, predicts the RFID system will save $1 million per year if deployed throughout the hospital.
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“We get 100% accuracy of identifying patents and an overall savings of clinical time because doctors and nurses get the patient information they need at the bedside. This enhances patient care, supports our safety gals, and enhances the patient's experience by limiting disturbances .”
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SIS SSWResults
Pilot at „Jacobi Medical Center“ run successful
Award by Health Care Research & Innovations Congress in
Washington for best medical innovation in 2005
Patient identification and integration of the clinical patient information
system is working secure (PKI)
Results due to the improved transparency are reductions and savings
in the clinical processes.
Projects will be extended (in NY and in other hospitals) with additional
features like
Real time patient data (heartbeat, blood pressure, …)
Real time tracking of patients (Alzheimer, ...)
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SIS SSWWireless LAN
Lab Systems
Misys CPR Patient
Information System
Siemens
Medical
Billing SystemWireless Tablet PC with
RFID Reader and Misys
Frontend
Patient with RFID
Wristband
Access Point
Conceptual
Architecture for
NBHN RFID
Patient Tracking -
BedsideSiemens
Medical
UNITY
Registration
System
MRN
Solution based
on Microsoft .Net
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SIS SSWKlinikum Saarbrücken
Klinikum Saarbrücken is operated by Landeshauptstadt
Saarbrücken
Annual Budget is around 90 Million Euro. 70% of it are labor
costs.
695 beds
Annual patients:
stationary 27.000
Ambulant 84.000
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SIS SSWPatient tracking at Uni Klinikum Saarbrücken
Patients are equipped with RFID wristbands for
short range tracking (entrance, …)
Medication safety
Added values for patients
ROI for hospital logistics
13.56 MHz chips with
Medical record number
Secure access to patient
data (PKI)
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SIS SSWBenefits
Optimale Nutzung der verfügbaren Zeit für Diagnose
und Behandlung.
Deutlich bessere Pflege und höhere Sicherheit der
Patienten, da das medizinische Personal die
Patienten schneller und einfacher identifizieren
kann.
Einfachere Zuteilung der Medikamente –richtiger
Patient, richtiges Medikament, richtige Zeit,
richtige Dosis und richtige Verabreichungsart.
Einfachere, genauere und schnellere Ein- und
Weitergabe von Patientendaten in das Patienten-
InformationsSystem beim Point of Care.
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWData privacy and legal issues
Storing of patient ID only is fine
If storing ID and patient data
- Misuse by third must be avoided
- No unidentified reading
- Nor unidentified change of stored data
Use of encrypted chips required
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWCreation and Use of the RFID-wristbands
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SIS SSWPatientendaten Check
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SIS SSW
Abbildung des gesamten Medikationsprozesses
Verordnen (RpDoc Solutions)
Richten - Unit dose (swiss log)
NEXUS - Pyxis
Digitales Medikationssystem
Patienten - Identifikation
Applikations - Dokumentation
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWInfo-Terminal für Patienten
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SIS SSW
Klinikum Rechts der Isar, MITI
Sponge Counting and OP Tracking
Alien Objects (passive 13.56 MHz)
Sponge Counting
OP Tracking (active 2.4 GHz)
Tracking of involved clinical personal
analysis of unusual situation
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Klinikum Rechts der Isar, MITI
Sponge Counting
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Klinikum Rechts der Isar, MITI
Sponge Counting
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Klinikum Rechts der Isar, MITI
Sponge Counting
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWBed Management
Inselspital Bern
UHF at Bed
UHF at Mattress
Active Chip at Bed
Klinikum Bielefeld
UHF Bed
UHF Mattress
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SIS SSW
Slide 1
DEZ-05
Installation Inselspital
chabugn0 3|4
• 3 central bed locations• Storage areas (Lory building)• Check-Outs with traffic lights für visuelle Bestätigung
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SIS SSW
Slide 1
DEZ-05
Identification Bed & Mattress
chabugn0 2|4
Matratze
Bettgestell
Passive RFID Tags für
das Matratzen- und
Betttracking
Aktiver RFID Tag für die
Bett-Localisierung
Passiver
RFID Tag
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SIS SSW
Slide 1
DEZ-05
Nutzen und Vorteile
chabugn0 4|4
Entlastung das Personal bei Routineaufgabe in den Bereichen
Hauswirtschaft, Transport, Reparatur, Buchhaltung und Pflege
42 000 Reinigungen pro Jahr (Betten & Matratzen) können mit
gleich viel Personal infolge steigender Patientenzahlen, höhere
Anforderungen an die Hygiene) erfüllt werden
Verbrauch von Reinigungsmitteln erheblich gesenkt werden
Die Bettenzahl kann reduziert werden
Effizienzsteigerungs-Potential liegt laut Bernhard Leu,
Betriebsdirektor am Inselspital Bern, bei rund 200 000 Franken
pro Jahr
Die Investitionskosten sind in weniger als zwei Jahren amortisiert
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SIS SSW
Challenge
Blood
A precious good
Facts & Figures Limited resource
500,000 blood
donations required
in Austria every
year*
Up to 2500 blood
bags required every
day
Limited storage life
*Source: Austrian Red Cross
Decreasing readiness to donate
10,000 blood bags - 1 million
euros - destroyed every year due
to a lack of cold-chain monitoring
Seamless temperature
monitoring by RFID
Traceability and
documentation
Reduction of rejection rate
Avoidance of mix-ups
Making possible to take
back non-transfunsed
blood bags
RFID - Quality assurance of blood products by seamless temperature monitoring
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SIS SSW
RFID chip under endurance test
Under extreme conditions
Preparation
Development of new rechargeable
battery technology
Desinfection in liquid before reuse
Processing - Storage
Centrifugation with up to 5000 g
Gamma irradiation with caesium-137
Deep-freezing
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Our research project
Producing
Tracking and Tracing of blood bags using RFID chips with temperature sensors
from the Department of Blood Group Serology and Transfusion Medicine of
Medical University Graz
From vein to vein
Development and supply of temperature tags
Schweizer Electronic AG, Schramberg/ Germany
Applying Processing Storing Administering
Development and production of blood bags based on RFID
MacoPharma, Mouvaux/France
Consortium leader, implementation of RFID technology
Siemens Deutschland und Österreich
Execution of the project
Department of Blood Group Serology and Transfusion Medicine of Medical University Graz/Austria
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWMEMBRANA
RFID for largest Production of Dialysis Membranes worldwide
Haemodialysis membranes for heart surgery involving 20 million treatments per year.
13.56 MHz Transponder
RFID for transport containers, in a high temperature, membrane drying process and cleaning agents for more than 8,000 MDS tags.
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWIngolstadt Clinical Centre
RFID for Hospital Logistics
Tracking of undercarriage and container transport along 500m long rail line with 90 readers.
13.56 MHz Transponder
Tracking of more than 1,000 container daily with 11 stopping points and multiple rail switching groups.
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Pharma, Single Item Tagging
Keeping tabs on tablets for the Pharmaceutical Industry
Together with the Swiss packaging expert Limmatdruck/Zeiler, the sole supplier for Roche, Siemens offers a comprehensive RFID solution for the pharmaceutical industry.
13.56Mhz chips attached either to the outer packaging or the packaging for individual products, ampules or syringes
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSWSolution: Siemens ONE
Logistic ManagementAsset TrackingInventory SystemEvent Management
Incl. Offline FunctionsRFID Strategy
Opportunity Identification Pilot Design and Implementation ROI
Siemens One Design - Build - Operate Hardware Consulting Solution (Pilots, Project management, …) Integration AutoId Infrastructure
Medizinisches Verordnungssystem RpDoc Solutions
Demo IFF Magdeburg Intel Lab in Feldkirchen
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Intranet
http://diamond.sbs.de
Internet
http://www.siemens.com/RFID
[email protected] me on LinkedIn, Xing an others
Further Information
Copyright © Siemens AG, IT Solutions and Services, 2008. All rights reserved.
SIS SSW
Smail Thomas Jell, Siemens IT Solutions and Services
GermanyOtto-Hahn-Ring 6, D-81730 Munich, Germany
Tel.: +49 89 636-47405, Fax: +49 89 636-41344
East Coast: Princeton, NJ755 College Rd. East, Princeton, NJ 08540
Tel.: 001 (609) 734 3380 , Fax: 001 (609) 734 6565
West Coast: Seattle, WA24439 NE 19th St., Redmond, WA 98074
Tel.: 001 (425) 898-7203, Fax: 001 (425) 836-3594
Further Information