Alcatel-Lucent: Delivering eHealthcare over Mobile Broadband Through Open Innovations

1. Zhenjun Zhu May 18 2011 Alcatel-Lucent: Delivering eHealthcare over Mobile Broadband Through Open Innovations

2. Introduction to Connected Care Open Innovations – ng Connect Program Individual Connected Care Services Service Scenarios Closing Agenda

3. What Analysts say about Digital Care Delivery Technologies and Standards Tele-medicine Unified Communications Patient identification Infrastructure Capabilities Integrate Platforms Interoperable Event Driven Wireless Integrated VoIP Applications & Systems Accessible e-health Collaborative High Performance Outcomes BI/Analytics Patient safety Compliance Personal Health Management Clinical Decision Support Digital Care Delivery Converged Voice/Data/Video Convenient Patient satisfaction Process Improvement Financial Patient Throughput Logistics Scalable Quality Measures Service Oriented Interactive Patient Care Systems Care Coordination RTLS Integrated Clinical Admin & Financial systems EMR HIMMS analytics Agile Mobile Secure Portals Aware Compliant HIE Alerts & Notifications Cloud Computing Contact Centers Social Networking

4. Our “Connected Healthcare” Solution Strategy Powered by Convergence, Innovations and a centralized deployment model “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

5. ng Connect eHealthcare Open Innovation Framework In-Hospital Service Applications In-hospital Patients Managers Nurses Doctors Diagnostics Monitoring Communication Billing / Admin Remote Patient Medical Records …. Healthcare Application Platform Smart Devices Sensor Network Remote Patients In-Hospital Network In-Hospital Network In-Hospital Network Wireline Voice Wireless Smart Devices + Sensor Network Carrier Network Healthcare Application Platform Application Enablement – Supporting Cloud-based eHealth Fixed Access 4G Wireless Access 2G / 3G Access

6. Our proven services Clinical Workflows Services Patient Services Wireless Services Connectivity Services Reachability Services Telemedicine Services Digital Signage IPTV – WebTV Patient infotainment Self-service center Multichannel contact center Inter-division workflow process Workflows between hospitals and other care groups Medical WiFi networks Mobile networks WiFi – DECT Tracking Land Mobile Radio Service integration Remote Patient Monitoring Telemedicine contact center Video Conferencing Virtual Hospital Voice Com. Video Com. Unified Com. Mobile Com. Applications Mobilization services Third Party integration (nurse call ….) Metro Area Networking Medical LAN Data Center Remote workers Under Development

7. A Network Operations Center for Healthcare Aggregate View of Sensor Data

8. The Healthcare Communication Highway Centralization & Virtualization: Data Center: Speed of delivery Consolidation of services EMR-EPR / PACS / UC- Video.. Community Center Acute Care Communication Network Services: Medical record access Remote patient monitoring Remote consultancy Video services Education services Patient services Health Information Exchange (HIE) … Requirements: Deep QoS / service levels / VPLS-MPLS Fully redundant Secure Remote access Nursing homes Polyclinics is fundamental for a digital hospital

9. The Healthcare Communication System Services are distributed between the stacks VLAN’s per service Floor wiring Closet: Multiple stacks Redundancy Connects all services Power over Eth Access Security VLAN / QoS Core network: 2 layered model Full Redundancy for all Services Community Center Call Servers Unified com. Video Servers Clinical Servers Nursing homes Polyclinics Acute Care

10. The in-building Wireless Services WiFi enabled Communication Equipment WiFi enabled Medical Equipment WiFi for patients Community Center Nursing homes Polyclinics Acute Care

11. The in-building Wireless System SecurityFor a stable reliable MEDICAL Wireless System WiFi Security: SSID per service WPA2 encryption QoS a/b/g/n Beaconing Air Monitoring SSID: data (*) SSID: voice (*) SSID: biomed (*) (*) Not broadcasted SSID: guests Community Center Nursing homes Polyclinics Acute Care A n ubiquitous, secure wireless system is fundamental for a digital hospital

12. Asset and People Tracking All other people or assets can be tracked as well Alarms SMS -Each WiFi device -Each person carrying a WiFi device can be tracked Know if doctor is in and where she-he is. Temperature Alarm Messages Community Center Movements Nursing homes Polyclinics Acute Care

13. Empower caregivers with the right communication tools Directory list of Doctors, Nurses … Presence and IM Instant Conference call setup (with RFID tracking.. Where is…..?) Mobile Phone Applications • Life example SMS Call Conferencing

14. Emergency Call Handling 995/999 Patient RecordName: Morine, JacksonNRIC: S69876342GAddress: 33, Pink Rose GardenMedical History:High Blood Pressure …..Medical Doctor: Dr. Tan • Voice • Contact Centre • Patient Record Retrieval … Ok… patient name is Morine, NRIC S6987342G at address …… Hello… My Husband have a chest pain and …. !!! … Medical Contact Center

15. Ambulance Dispatch, Patient Registration, Record Retrieval, Real-Time Calling, One Number Service Patient RecordName: Morine, JacksonNRIC: S69876342GAddress: 33, Pink Rose GardenMedical History:High Blood Pressure …..Medical Doctor: Dr. Tan AmbulanceDispatch Hospital Admission Registration Telephone Call Patient Medical Record Retrieval Dual Ring Not At Desk Dr Black’s One NumberExtension Number 1995 DID 6333 1995 Dr Tan answer the call on his mobile phone.Even he is not at his desk, he never miss any calls.

16. Situation CRITICAL… the team goes into action Blood Pressure Dropping Nurse McCormick NurseCall Chest Pain Dr. Black is with a patient. Nurse McCormick send instant message to Dr Black.

17. Responding to Urgent IM while Busy Dr Black with another patient, giving some quick advise to Nurse McCormick. Nurse McCormick

18. Instant Conference Instant Conference Room Message Content: We have an emergency in ICU 3 Please join instant conference. S. Dubois P. Smith T. Martin N. Jordan J.P. Albinet

19. Web and audio conference recording and play back Nurse McCormick Heart Specialist Pharmacist Dr Black Collaboration (all media-all devices)Enablers for Tele-Health with the integration of medial info HD P2P and multiparty video Internal and secured external access (HTTPS) Instant messaging IM, telephony and Outlook® calendar presence Application sharing, desktop sharing, document management Ad hoc, meet-me, and scheduled conferencing Inviteexternal participants (partners/ customers) Vital Signs

20. Pandemic Time – Responding to Crisis Flu Alert Status Containment, Quarantine Status Alert Broadcast Join Task Force Meetings Collaboration- anytime, anywhere 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)

21. Keep your Chronic Disease people stable and outside the acute care Alcatel-Lucent Tele-Health Manager Export to EMR Useable in Clinics Community Centers Automatic transmission Secure and easy Includes life-style Acute Care Follow your results Share with friends Community Center Nursing homes Polyclinics Triage and Alarms Adjust medication diabetes, hypertension, congestive heart failure and COPD monitoring

22. Alcatel-Lucent TeleHealth Manager solutionComponents to cover different Chronic illnesses LifeSource UC-321 PBT Ultra Mini LifeSource UA-767 PBT Wireless devices Ultra 2 Oxymeter Blood pressure meter Blood glucose meter Scales PSTN Automated transport Also SMS/e-mail alerts and clinical patient record export Storage Alerts Presentation Results Patients Caregivers Friends - Family

23. 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.

24. Extend the acute care. “Virtual Hospital” Physician consultant Desk top Studio Virtual Hospital Suite Tele-Monitoring Tele-Consultation Tele-Stroke Tele-Conference Telemedicine Desk Communication Highway Acute Care Audio Video Contact Center LAN / WiFi Clinical systems Community Center integration

25. Example: Functional Vision – X-RaySolution is streamlining the communication process – allowing care to be the Priority in an integrated care system Referral Doctor X-Ray Notification Image After Hours Escalation Radiology Radiology Who is available? Message alerts Feedback notification Radiology Report Escalation(On Duty Doctor)

26. eHealthcare is a system, not just a technology or solution A basic framework is needed to build individual implementations Open innovation is key