“Transforming Healthcare Through Innovations and Technology”newsroom.cisco.com › dlls › 2005...

© 2005 Cisco Systems, Inc. All rights reserved. IBSG - 1Cisco Confidential

“Transforming Healthcare Through Innovations and Technology”

Cisco Healthcare Web CastOctober 11, 2005

Jeffrey Rideout, MD, MA, FACPVP, Internet Business Solutions Group & Corporate Medical Director


2003 Estimated Total Spending = $1.68 Trillion

($B)

Source: CMS, Office of the Actuary, National Health Statistics Group, Annals of Internal Medicine, 2003

$3000

$2500

1980 1995 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

ACTUAL PROJECTED

$2000

$1500

$1000

$500

$0 0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

GDP Share

• Redundant testing• Unnecessary hospital admissions• Medical errors• Manually handled paperwork

30% Average Annual Waste

U.S. Healthcare Costs as a Percentage of Gross Domestic Product (GDP)


Poor Quality and Access

• Preventable errors…6th leading cause of death

• Evidence-based care… ½ time

• Reliability is worse than airline baggage handling

• 45M Americans uninsured… 28% of US workforce by 2013

Source: Henry J. Kaiser Family Foundation, 2004; Institute of Medicine


Historically Low IT Spending

Education Services

Farms

Construction

Source: McKinsey Global Institute, U.S. Productivity Growth 1995–2000 (1999 data)

Bottom 5 Industries

$618

$885

$1030

$1103

Securities $15,606

Amusement andRecreation Services

Insurance(Includes Healthcare) $3276

Aggregate IndustryAverage $8000

Health Services $1156

Annual U.S. IT Spending per Employee


Connected Health Vision Defined

Information driving care that is safe, timely, effective, equitable, efficient and patient-centred, safe

This is Connected Health


Cisco’s Healthcare Mission

• Cisco will serve as a transforming and unifying agent for Connected Health throughout the world

• Cisco will catalyze the deployment and adoption of medical grade networks to improve citizen health and wellness, safety, access, productivity, affordability and the overall quality of healthcare


The Connected Health Community

Connected Hospital

Connected Clinician

Connected Health Information Exchanges

Connected Life Sciences and

Research

Connected Health

Authorities

Connected Patient

Connected Public Health

Connected Funder

or Payer


Projected Quality and Savings Impact Is High

Ease of Technology Implementation

HIGHHIGH

HIGHLOW

Disease Disease Management,Management,

Remote Patient Remote Patient MonitoringMonitoring$32.1B$32.1B3,53,5

Sources: 1. Center for IT Leadership, 2003; 2. American Health Quality Association, March 2004; 3. New England Healthcare Institute; 4. National Center for Policy Analysis; 5. Cisco analysis, April 2005

PhysicianPhysician--Patient Patient

MessagingMessaging$7.6B$7.6B3,53,5

BarcodingBarcoding$4.7B$4.7B22Electronic Electronic

Intensive Care Intensive Care UnitUnit

$8.0B$8.0B3,53,5

Ambulatory CPOE and Ambulatory CPOE and Electronic Health Record Electronic Health Record

(Standalone)(Standalone)$44B$44B11

Electronic Electronic PrescribingPrescribing

$29B$29B44

Total Savings = $280 Billion

Qua

lity

and

Safe

ty Im

pact

Inpatient CPOEInpatient CPOE$43.7B$43.7B3,53,5

Ambulatory Ambulatory Electronic Health Electronic Health

Records Records (Interoperable)(Interoperable)

$78B$78B11

Electronic Claims Electronic Claims and Eligibilityand Eligibility

$62B$62B55


Benefits of Cost Reductions$280 Billion in Annual Savings Is Enough to…

• Cover all the uninsured in America

• Offset more than half of the $515 billion in wasted healthcare spending in 2004

• Reduce healthcare as a percentage of the total U.S. GDP from 15.3% to 13.0%


Projected Quality and Savings Impact Is High

Ease of Technology Implementation

HIGHHIGH

HIGHLOW

Disease Disease Management,Management,

Remote Patient Remote Patient MonitoringMonitoring$32.1B$32.1B3,53,5

Sources: 1. Center for IT Leadership, 2003; 2. American Health Quality Association, March 2004; 3. New England Healthcare Institute; 4. National Center for Policy Analysis; 5. Cisco analysis, April 2005

PhysicianPhysician--Patient Patient

MessagingMessaging$7.6B$7.6B3,53,5

BarcodingBarcoding$4.7B$4.7B22Electronic Electronic

Intensive Care Intensive Care UnitUnit

$8.0B$8.0B3,53,5

Ambulatory CPOE and Ambulatory CPOE and Electronic Health Record Electronic Health Record

(Standalone)(Standalone)$44B$44B11

Electronic Electronic PrescribingPrescribing

$29B$29B44

Total Savings = $280 Billion

Qua

lity

and

Safe

ty Im

pact

Inpatient CPOEInpatient CPOE$43.7B$43.7B3,53,5

Ambulatory Ambulatory Electronic Health Electronic Health

Records Records (Interoperable)(Interoperable)

$78B$78B11

Electronic Claims Electronic Claims and Eligibilityand Eligibility

$62B$62B55

Clinical Connection

Suite


Cisco Healthcare Vision

• IT can drive significant quality, safety and productivity gains in healthcare as it has in other industries

• Connecting the multiple entities in healthcare using interoperable standards is the key to transformation

• Global economies cannot support the projected increases in healthcare costs- the time is nowfor action



“Introducing Cisco Clinical Connection Suite”

Cisco Healthcare Web CastOctober 11, 2005

Kent Gray, Global Healthcare Solutions Lead


Clinical Connection Suite

Patient Safety, Quality of Care, Patient Satisfaction, Cost Challenges, Staff Satisfaction, Regulatory Compliance

MedicalMedical--Grade NetworkGrade Network

Clinical Connection Suite• Nurse Call• Patient Monitoring• Collaborative Care• Location-Based Services

Bus

ines

s D

river

sN

etw

ork

Tech

nolo

gies

Bus

ines

s So

lutio

ns


Nurse Call

Alert / Notification Gateway

Nurse Call

Nurses' Station

Roaming Nurse

Patient Room

Medical-Grade Network


Patient Monitoring

Nursing Station

Roaming NursePatient Room


Medical DevicesPhilips MedicalDrager Medical Systems

Alert Notification GatewayEmergin Wireless OfficeGlobestar Connexall

http://www.medical.philips.com/main/products/patient_monitoring/assets/images/mounting/l_V6000_C2.jpg


Location-Based Services


Nursing StationPango LocatorAeroscout MobileView

WiFi TagsAeroscoutPango

802.11 DevicesPDAs/ LaptopsCisco 7920

http://images.google.com/imgres?imgurl=http://www.afcindustries.com/laptop_cart_sm.jpg&imgrefurl=http://www.afcindustries.com/pole-cart.htm&h=280&w=142&sz=12&tbnid=YRcGYg1uwzEJ:&tbnh=109&tbnw=55&hl=en&start=8&prev=/images%3Fq%3Dlaptop%2Bcart%26svnum%3D10%26hl%3Den%26lr%3D%26newwindow%3D1%26safe%3Doff

http://www.medical.philips.com/main/products/patient_monitoring/assets/images/mounting/l_V6000_C2.jpg


Collaborative Care


Cisco SystemsMeetingPlace CallManagerVT Advantage

Video Conferencing

Traditional Phone

Cellular

IP Telephony


Global Clinical Connection SuitePartners

CollaborativeCare

Location-BasedServices

Patient Monitoring

Integration Partners

Nurse Call

http://www.rauland.com/home.htm

http://www.cardiac.no/

http://www.usa.philips.com/index.html

http://www.zettler.com/index.php3

http://www.sbc.com/

http://www.cardiac.no/

http://www.eplus.com/

http://www.globestarsystems.com/home.htm

http://www.globestarsystems.com/home.htm

http://www.berbee.com/index.aspx


Key Partners

Michael McNealCEO

Michael McGuinessPresident & CEO

Joe D’IorioNorth American Healthcare Manager

Allison StegichHealthcare Marketing Mgr.

http://www.rauland.com/home.htm


Bottom Line

Capabilities:• Extend communication capability of

industry’s leading clinical alert / notification systems

• Streamline communications through an integrated medical grade network

Impact:• Improve staff efficiency

• Enhance quality of care

• Reduce capital / operating costs

• Increases patient / employee satisfaction

© 2005 Cisco Systems, Inc. All rights reserved. IBSG - 22Cisco ConfidentialPresentation_ID 222222© 2003 Cisco Systems, Inc. All rights reserved.


• 547 bed Academic Medical Center

• Primary teaching affiliate of BU school of medicine

• Largest Level 1 trauma center in New England

• Mission : to provide exceptional care without exception


• 28,000 Admissions

• 875,000 Patient Visits

• 100,000 Emergency Room Visits

• 80,000,000 in Research Spending

• 42 Residency programs – 620 Residents

• 1,000 Physicians

• 1,400 Nurses

• 4,700 Employees


• 3.5 million square foot facility

• 32 buildings on campus

• Almost 1 million square feet “ Wired for Wireless”


Business Problemout of date nurse call system

inefficient communications

opportunities to improve workflow

“silo” based or “closed”systems dominate the landscape


SolutionRauland-Borg nurse call systemEmergin Orchestration EngineCisco converged network -

wireless VOIP (7920 phones)

XML based open standard system


ResultImproved staff productivity

Increased patient satisfaction

Agile foundation to leverage further integration


The Next StepsThe Next Steps

Converged Cisco IP network


Wireless Asset Tracking

Wireless Asset Tracking

October, 2005October, 2005

Presenters:Brian Lindsey/Nancy Radcliff/Brett MelloPresenters:Brian Lindsey/Nancy Radcliff/Brett Mello


Business Driver

The EnvironmentCommunity-owned, not-for-profit healthcare system located in Southwest Michigan with 343 beds and over 4000 full- and part-time employees

The ProblemWheelchair loss/theft


Business Value

The Solution• Phase 1 – Wheelchair Tracking using Cisco Wireless LAN with integrated

Location-Based Services throughout entire campusCisco Wireless LAN (LWAPP) and WCS

Cisco 2700 Location Appliance

The Result• Customer service representatives can quickly and easily locate

wheelchairs and return them to patient entrances to improve service quality

• Real-time location services reduces asset loss to improve service quality and bottom line results


www.bronsonhealth.comwww.bronsonhealth.com

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