Flexibility Creates Freedom to TreatCase Study, Torrance Memorial Medical Center

Presented by Cyndi Meinke, CAHIMS, Coretek Services

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Torrance Memorial Medical CenterOverview

• Headquartered: Torrance, California

• Number of beds: 401

• Number of hospitals: 3

• Communities: South Bay, Peninsula and Harbor communities of Los Angeles county

• Website: www.torrancememorial.org

• EMR: Cerner Hosted Externally

• MU Stage: 2

• EMRAM Stage: 5.

Torrance Memorial Medical CenterThe Challenge

Business perspective

• Leverage opportunity of New Patient Tower build to introduce

state of the art technology to enable better and more efficient

patient care

• Remove the use of Kiosk Workstations using Generic Logins

due to security/audit concerns

• Prepare for a major change in physician workflows with CPOE

and Physician documentation initiatives

• Overcome technical hurdles due to latency of remote hosted

EMR

• Technology created barrier that only allowed viewing 1 patient record at a time

• Had to “squat” on a computer or risk losing patient record causing long re-login

• No dictation integration

• Multiple devices created inconsistent experience

Torrance Memorial Medical CenterThe Challenge

Provider perspective

Infrastructure Optimization and IntegrationThe Solution

Infrastructure Optimization and IntegrationThe Solution (1 of 4)

BenefitYour Desktop, Applications, End User Configuration Settings and Data roam with you wherever you go with a tap of your badge at any endpoint.

TechnologyImprivata SSO/AM, VDA; Appsense DesktopNow; Citrix XenDesktop; RFIdeas Passive Proximity Badge Readers; Dell Wyse Zero Client Endpoints; Coretek Virtual Desktop Enhancement Suite (VDES); Microsoft AppV; VMware vSphere

1. Optimized VDI

Infrastructure Optimization and IntegrationThe Solution (2 of 4)

BenefitStandard Clinical Use Cases (ie Nurse, Pharmacy, Dialysis technicians, etc) – A follow me XenApp presented desktop that reconnected the user to their virtual desktop and EMR application within a total of 10 seconds from the tap of a badge

Dynamic Documentation Use Case (Physicians) – A XenDesktop VDI desktop that was integrated with Nuance Dragon and their EMR. It also reconnected to the user to their virtual desktop and EMR application within a total of 10 seconds from the tap of a badge

2. Flexible, Dynamic and Fast access to handle Multiple Use Cases

Infrastructure Optimization and IntegrationThe Solution (3 of 4)

BenefitRemote Access enabled the end users to gain access to their desktops from home or as BYOD devices within the Hospital Guest Network.

TechnologyCitrix NetScalers provided Remote Access through NetScaler Access Gateway and GSLB for fully redundant “Active–Active” infrastructure for the solution.

3. True Any Device /Any Where Consistent Access

Infrastructure Optimization and Integration The Solution (4 of 4)

BenefitImplemented iPhone integration into the internal hospital phone system. Users logged into their phones with their own unique ID and could then make phone calls, check voice mail, perform secure texting, and access their e-mail.

TechnologyXenMobile was implemented for management and Worx Mail to access e-mail.

4. iPhone Integration

Torrance Memorial Medical CenterIntegration Optimization Benefits

Flexible Freedom to Treat Patients

The solution was deployed to allow clinicians and physicians to roam throughout the hospital with any device while providing the ability to reconnect to their applications, in a double hop configuration in under 10 seconds. The fast reconnect of applications allows the clinical community to spend more time working with patients and less time on the computer.

The annual cost savings in terms of time given back to the patients is estimated at $1.2 Million dollars annually.

Torrance Memorial Medical CenterIntegration Optimization Benefits

Flexible Freedom to Treat Patients

“Physicians have commented on how the flexibility of having their desktop at their fingertips within 10 seconds has enabled them to become more efficient with their clinical documentation by being able to “queue up” multiple patients at a time within the system and then “work the patients” simultaneously, where before they had to continuously work on only one patient/patient record at a time because if they left a machine/device, their information would be lost.”

Steve LantzDirector, IT Infrastructure and Operations

Infrastructure Optimization and IntegrationWhat a difference a road makes

• Reduced time to login by > 50%

• Saved over $1M in clinical staff productivity

• Increased Dr/patient satisfaction

• Reduced time to print

• Reduced time spent navigating patient records

• Increased data security• Increased IT staff

satisfaction• Reduced endpoint

downtime

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