(BASUDHAA DASGUPTA) How Can Mobile Technology help your

August 2014

2014 Morrisey Technology and Educational Conference 1

Copyright 2009 Spectrum Health

How Can Mobile Technology help your Medical Staff

Basudhaa Dasgupta

Project Manager & System Admin


Spectrum Health Delivery System

MissionSpectrum Health's 19,100 employees and 3,500 physicians share a common mission: to improve the health of the communities we serve.

VisionBy 2020 Spectrum Health will be the national leader for health.

ValuesThe history of Spectrum Health began with the desire to ease human suffering. This fundamental aspiration is represented in the five values that guide our culture and care.

■ Excellence

■ Integrity

■ Compassion

■ Teamwork

■ Respect


Building a Mobility Strategy

Defining Mobility in Terms of Business Capabilities

Adapting Solutions Design for the Mobile Environment

Planning and Securing the Portfolio of Mobile Device

Investments

Ensuring Consistency in Mobile Architecture

Above all, security and secure data transfer at all points of

connectivity

August 2014



How does credentialing fit with mobile technology?

Morrisey has many modules that encourages healthcare organizations to embrace paperless environment Why should we not follow it up with utilizing mobile technology to support and maximize paperless life? Why should the MSPs not venture out in areas that impacts providers and patient care? Be a champion/influencers and help you IT embrace mobile appsBe the voice of providers when technology is being sourced


Key Consideration prior to adopting1. Calibrate mobility strategy to business architecture, not technology architecture. Mobility

should be thought of in terms of business capability rather than a specific technology or business objective. Consequently.

2. Design for the user first, device second. Many mobility initiatives focus on the device or app (e.g., “bring your own” programs, enterprise app stores) without first considering how mobility investments will solve challenges in employee workflow.

3. Don’t assume mobility is the first or even the most important requirement. Don’t let mobility hype mislead your investment strategy. Use a capabilities framework to evaluate mobility relative to other productivity investment opportunities.

4. Build mobile apps to reflect the needs of the environment rather than the needs of the application. Mobile apps are not simply mobile versions of enterprise apps.

5. Provide secure mobile access opportunistically while building the mobile SDLC. Security reviews of devices and apps are not enough. Secure the device, but focus on building effective risk identification and remediation in mobile app development processes.

6. Appoint mobile architecture “champions” to drive integration and scale. The proliferation of business unit–specific mobile strategies and vendor application architectures can create complexity and challenge integration.


Mobile Strategy Checklist - sample

August 2014



Our providers dream of this … let’s deliver


The future of mobile technology in healthcare

Mobile technology clearly is having an impact on healthcare, but questions still remain over how significant that impact will be in the near future. For instance, how big will the U.S. and global markets become? And how will healthcare providers take advantage of such innovations to truly improve patient care?


While 94% of healthcare organizations report that having a mobile applications strategy is important, only 21% are executing one.

The most progressive organizations recognize that mobile apps development is different from the classic enterprise application development.

These organizations are building a strategy that ensures there is a clear need and well-defined objective for the target end-user for each app before beginning development, managing complexity, and then developing secure apps that protect the enterprise from the risks inherent in mobile apps.

How can MSPs help with organization strategy? Be the User Interface of any such development!

https://www.linkedin.com/groupItem?view=&gid=2538925&type=member&item=5895753178112098305&trk=groups_search_item_list-0-b-ttl&goback=%2Egna_2538925

Current state of mobile technology in healthcare

August 2014



Eighty percent of smartphone users are interested in using their smartphones to interact with health care providers, according to a FICO survey of 2,239 adult smartphone users from the UK, Australia, Brazil, China, France, Germany, India, Italy, Japan, Korea, Mexico, Russia, Turkey, and the United States.The survey analyzed how consumers prefer to interact with health care providers on mobile devices, online and in-person.

Application Overview1. Who developed the mobile application (in house or third-party public store)?

2. If the application is a web application, please provide the URL.

3. What is the target user community for this application (executives, IT, R&D, etc.)?

4. Will the mobile application be published in the MDM Store? If no, please provide details on how the mobile application will be distributed.5. Will there be a test instance of the mobile application in the MDM Store? If yes, provide name of test application (Example: appname-test).

Survey: 80 percent of smartphone users (patients) want to interact with doctors on mobile devices


More than ever, IT departments want to realize the benefits of desktop virtualization—cost savings, ease of management, improved security, and platform independence. The challenge has been to determine where to start and where virtual desktop infrastructure (VDI) will be the best fit for your organization. A Virtual Desktop Infrastructure Assessment helps you understand the server, storage, and network needs for your unique environment and pick the right desktops to virtualize. An assessment provides a clear starting point and helps you make fact-based implementation decisions with data derived from your own applications and deployed assets.

Is your infrastructure ready for desktop virtualization?


Healthcare IT policies dictate that:All data be accessed via Windows Desktops to avoid corruption. Security is a huge driver – no content is stored on deviceMaintain a consistent desktop environment so that the Helpdesk isn't inundated with requests for multiple operating systemsThe downside is that you are still using the native window’s UI, and that it is not as efficient as a native app – therein lies the slow adoption of MT

So what role does Medical Staff office plays in working with IT and the providers?

Medical Staff collects, verifies and updates all provider data that is critical to deploy mobile technologyOur providers trust and expects us to be the bridge for all tools needed to provide patient careHow and where do we keep this data? A credentialing software that is dynamic, ever evolving and adopting current trends

So, why use windows virtual desktop?

https://www.youtube.com/watch?v=ldECHtfDyjs

August 2014



What are the other options to help us be mobile?

How does Morrisey work with(in) cloud?

http://www.bing.com/videos/search?q=technology+funny&qs=n&form=QBVR&pq=technology+funny&sc=1-35&sp=-1&sk=#view=detail&mid=FF836FE8C72B91D83FA2FF836FE8C72B91D83FA2


By 2015, 59 percent of application and web-hosting will live on the cloud. Early implementations, however, show that returns from cloud computing are highly variable and depend on IT leaders’ approaches to planning, stakeholder engagement, and talent.

A key feature of a cloud environment is that it provides a platform that’s designed to be elastic (you can use just the resources you want when you need them), so the users/customers provision resources, such as computing or storageresources. When the user no longer needs that resource, the resource is released back into the pool of resources. This helps organizations avoid the cost of idle computing resources.

Instead of purchasing, managing, and maintaining a server environment, for example, a business can purchase computing on demand, avoiding capital expenditures.

Cloud- what is it?

Copyright 2009 Spectrum Health© 2014 CEB. All rights reserved. 15

Cloud services providers tend to bundle their services into three distinct categories addressing the conventional scope of services that IT delivers: Software-as-a-Service, Platform-as-a-Service, and Infrastructure-as-a-Service.

CLOUD COMPUTING: TYPES OF SERVICESSoftware-as-a-Service (SaaS)

A software deployment model in which an external entity owns, hosts, and manages the software application and delivers it as a service to the end customer.

Definition

End-user with specific business functionality requirementsTarget Market

Salesforce.com; Google Docs; MS Office Live/OnlineExamples

Platform-as-a-Service (PaaS)A software development platform available as a service that supports the end-to-end software development lifecycle, including design, testing, and deployment.

Definition

Software developers and independent software vendorsTarget Market

Windows Azure; Google App EngineExamples

Infrastructure-as-a-Service (IaaS)

A service-based model for provisioning core computing power – servers, storage, and network resources – for deployment and execution of externally hosted applications.

Definition

Architects; infrastructure groups; network/system administratorsTarget Market

Amazon EC2/S3; Oracle CoherenceExamples

August 2014



Well, you can’t help everyone!


Citrix

Healthcare literally lives with Citrix, utilizing Microsoft product


Citrix and the mobile worldToday’s tech savvy workforce is demanding access to apps and data from a

variety of devices when they are on-the-go. The challenge for IT? Provide secure remote access, maintain control of company data and support productivity from a range of devices. How can you do all that? Application virtualization is often the best first step.

Go beyond VDI to deliver virtual desktops for every use case

What if Windows apps and desktops could follow people? Everywhere—to all their devices, seamlessly and securely. XenDesktop with FlexCast technology allows IT to build a virtual desktop infrastructure that goes beyond simple VDI to address a broad range of use cases FlexCast uniquely enables IT to:

Deliver the right desktop to the right user, at the right timeSecurely deliver Windows apps and data to any deviceDynamically address new use cases in response to line of business needs

August 2014



XenDesktop Complete app and desktop virtualization for the mobile workforce

.


Cisco and Mobile TechnologyThe mobile workforce needs the ability to communicate with customers, partners, and fellow workers anywhere, anytime and have access to relevant business applications, tools to carryout business effectively.

Enterprise mobility is about providing ubiquitous connectivity to the mobile user, independent of the devices and access technologies. Mobile IP, allows a host device to be identified by a single IP address even though the device may move its physical point of attachment from one network to another.

Regardless of movement between different networks, connectivity at the different points is achieved seamlessly without user intervention.

Roaming from a wired network to a wireless or wide-area network is also done with ease. Mobile IP provides ubiquitous connectivity for users, whether they are within their enterprise networks or away from home.

Cisco Systems has been supporting mobile IP in Cisco IOS Software Releases 12.0(1)T and beyond


Empower, Engage, Innovate

Learn how Cisco will deliver capabilities that offer simple user experiences across devices and intelligently connect to the cloud

Give your teams the freedom to be productive from anywhere, on any device, with Cisco Jabber. Cisco Jabber lets you access presence, instant messaging (IM), voice, video, voice messaging, desktop sharing, and conferencing. Now you can find the right people, see if and how they are available, and collaborate using your preferred method.

Collaborate anywhere on any device w/Cisco Jabber

Funny Cat Cartoons for iPhone, iPad, Android - Talking Cat Tomhttps://www.youtube.com/watch?v=uVTrazT99Ps

August 2014



Spectrum Health Hospital’s journey with Mobile Technology

C2C MessagingEmergency Preparedness

Virtual video interpretation services


We expect absolute compliance with maximum protocols for HIPAA,PHI and PII related security. Track able, Auditable transactions are key to our mobile strategy

“I have not seen a separate mobile strategy articulated – typically included as a supported end-point, or as an enabler for a business requirement. Which I think is good that – we are not trying to find use cases for the technology, they find us.” says a senior engineer

“Mobile technology is not a panacea – there are challenges bringing consumer technologies into the enterprise (e.g. Push Notifications from Google & Apple are not guaranteed delivery services; battery life)” says a telecom manager

Spectrum Health - Our Strategy


Current state of Mobile Messaging

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•Free form messages•Either one-to-one, or one-to-many

Examples• Unit Trays Have Arrived

• Patient initiated Nurse Call

• OR Availability Alerting• Patient Admit (Hospitalist)

• Patient Transport Bed Tracking

• VNA/Hospice• Service Desk

•Well Defined messages

•Typically one-to-many

Examples• Code Response• Anes Oncall Pagers• ED Alerting• OB Engage NICU• Patient De-Escalation• Pediatric Emergency• Peds Intensivists• RAP Alerts• Staff Assist

•Predefined messages

•Either one-to-one, or one-to-many

Examples• Sepsis Notification• Bed Exit• EEG Event Notification• Patient Monitoring -Lethal Alert

•Predefined messages

•Typically one-to-many

Examples• Plan ABC• Plan Bear• Plan Civil-Internal• Plan Data• Plan Evacuation• Plan E• Plan F• Plan Listen• Plan LD• Plan Mass Casualty• Plan Weather• Snow Emergency

Over 6,800 American Messaging one-way pagers that attempt to send a message only once, and do not provide message delivery status

Over 2,500 ASCOM phones deployed, and expanding to be the on-site clinical communications platform.

Desire for a “single device” has pushed SMS messaging as the defacto standard for smartphone messaging

Numerous “point solutions” have evolved overtime – with little to no integration, or single mechanism for auditing. Only ASCOM can provide closed-loop reporting for nursecallevents.

Staff have too many choices, which yields varied results; each “choice” typically has its own source of contact information.

Critical Response relies heavily on American Messaging Pagers and non-integrated ASCOM phones; providing no way to audit communications.

Life Critical Messaging has been performing well; however, some components need to be upgraded to current revisions and the signal needs to be expanded into non-clinical areas to support current use cases.

Emergency/Mass Notification has historically relied on overhead paging, and American Messaging pagers. Communications procedures are “disconnected” from execution and manually intense with little to no feedback through the process.

very complex, non-integrated, non-auditable, mostly reliable

August 2014



Security, Secured and more

How does IT control accessibility and security of data on mobile devices?


Device specific and provider specificWe monitor device and provider specific data.Ability to NOT allow storage of secure data on mobile devices is keyWe do not monitor YOUR privacy


iPad and Android setup – Secure gateway

Different setups foriPad & Droid.

But Security protocols follow the same standardsAbility of IT to delete protected information governs the use of mobile apps

August 2014



DocLink

28Demo Link

Provider data in MSOW makes this possible


Clinician to Clinician

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Clinical Communications

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Nursing, unit secretaries, departmental staff, and administrationUse Web PortalCerner MpagesEPIC-carePatient centered communication

August 2014


Copyright 2009 Spectrum Health31

Emergency Preparedness – chaotic?

Previous situation:

• Disaster messages sent via e-mail, pager, text to voice on cell and office phone.

• Over half of all message recipients would complain that they did not receive the message on one or more end devices.

• Messages were typed in each time by dispatchers causing inconsistent format and incorrect information being sent.

Do providers need to be informed ofEmergent situations?How will they like to be contacted?Med staff has that information!


Emergency PreparednessWorking with our partners

• Emergency Preparedness worked with team members and a consensus was made that all messaging had to be closed loop accountability, reliable, have a smart phone app, and be able to send template information.

• A vendor was found that included all of these things and implementation occurred within 4 months.

The solution

• Messaging was so reliable that we had to cut down on the number of path’s because people were overwhelmed with messaging.

• Templates have nearly eliminated errors by dispatchers

• Mobile app allows people to set preferences, allows for GIS locating (if turned on), and works within the hospital on wifi and cell coverage.


Emergency Preparedness - Templates

The solution

August 2014



Then this happens

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How can Mobile Technology help your medical staff?

Basudhaa DasguptaProject Manager & System Admin

Documents

(BASUDHAA DASGUPTA) How Can Mobile Technology help your