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CLINICAL DECISION MAKING. UNCOMPLICATED.

CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

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Page 1: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

CLINICAL DECISION MAKING. UNCOMPLICATED.

Page 2: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

MORE TIME TO HELPMORE PEOPLE

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Page 3: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

Caring for your patients. If you could make it easier, you would. That’s why you got into medicine in the first place. But healthcare has gotten so complicated, it’s hard to devote yourself to that calling as much as you’d like.

WITH OUR SOLUTION, YOU CAN.Working side by side with clinicians like you, we created a customizable remote monitoring and clinical decision support (CDS) system that makes your patients’ monitoring data more meaningful. We integrate the multitudes of data from your individual devices to a single platform. And transform it into smart, actionable information. Delivered to you wherever you are, on virtually any device.

The Vital Sync™ monitoring & clinical decision support solution provides the tools you need to support real-time protocol driven clinical decisions, create workflow efficiencies, and control costs. So you can focus on what’s most important. Caring for your patients.

Many patient safety concerns are preventable with the right support. Our solution is designed to help you address these concerns, along with other challenges you face every day.

ECRI’s list includes:

Information management in EHRs

Unrecognized patient deterioration

Implementation and use of clinical decision support

Opioid administration and monitoring in acute care

ECRI TOP 10 PATIENT SAFETY CONCERNS FOR 20171

SO YOU CAN FOCUS ON WHAT MATTERS MOST — YOUR PATIENTS.Introducing the Vital Sync™ Monitoring & Clinical Decision Support Solution

Page 4: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

The Vital Sync™ monitoring and CDS solution integrates physiological information from devices, transmits it to your hospital server, and makes it available anywhere on your hospital’s network. This integrated software platform can help you gain more value from your medical devices by:

Making timely, well-informed clinical decisions based on near-real-time data at breath-to-breath, heartbeat-to-heartbeat resolution

Implementing and automating proven clinical protocols through use of CDS apps

Viewing patient information remotely and receiving updates and alerts on any web-enabled device

Early warning to patient deterioration

Assessment of mechanical ventilator weaning readiness

Spontaneous breathing trial tracking

Surveillance monitoring on your medical-surgical and general floors

THE RIGHT INFORMATIONAT THE RIGHT TIME. SO YOU CAN DO THE RIGHT THING.

OUR SOLUTION OFFERS A GROWING LIBRARY OF CDS TOOLS TO HELP YOU MANAGE:

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Page 5: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

Whether you’re across the room, across the hospital, or across town — you’ll always be at your patients’ side. And have smarter data at your fingertips to provide timely, informed care.

MEANINGFULStreamlined integration of device data means your information becomes smart, actionable, and in clinical context. So you have the patient insights to make empowered decisions.

FLEXIBLEDifferent patients, facilities, and clinicians have different needs. The platform is highly flexible and can be scaled to meet your evolving requirements.

INTUITIVESimple user interface, easy to implement, and accessible from any device. So you can be with your patients wherever you are, and have actionable information at your fingertips.

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YOUR PATIENTS. YOUR TIME. YOUR ECONOMICS.

INTERVENE SOONER.

PRIORITIZE WHEN EVERYTHING IS A PRIORITY.

ELIMINATE BARRIERS TO COST-EFFECTIVE CARE.

CDS apps and tools help you understand your patient’s condition better then raw data alone.2

Ease workflow and reduce distractions. So you can focus on providing care.

A system clinicians, IT, and your finance team can all love.

WITH OUR SOLUTION YOU CAN: WITH OUR SOLUTION YOU CAN: WITH OUR SOLUTION YOU CAN:

Be by your patient’s bedside, even when you can’t be, with remote and surveillance monitoring

Identify patient deterioration sooner with automated early warning scores

Know the minute your ventilated patients are ready to wean with real-time readiness monitoring

Get the information you need when you need it, via remote access and alarm forwarding

Ease workload with EMR connectivity so you can spend less time manually charting.

Reduce the risk of alarm fatigue with alarm management tools designed to help you reduce nuisance alarms.

Prevent expensive, preventable complications with real-time remote access to patient information

Control your subscription volume and deployment based on your needs, on a single floor, multiple areas of care, or across a facility enterprise.

Work with your existing IT infrastructure and EMR and ADT systems

So you’ll have a critical head start to escalate care. And information at your fingertips to inform care decisions.

So you can identify the situations that really require attention. And have more time to help more people.

So you can prevent costly complications before they happen. And dedicate more resources to patient care.

DID YOU KNOW?The first warning signs of patient deterioration can appear as early as six hours in advance of a code blue.3

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When responding to patient deterioration, timing can be critical. Early warning scores (EWS) help you identify at-risk patients sooner than single parameter monitoring — up to six hours sooner3 — by calculating a score based on multi-parameter patient information.

The Vital Sync™ EWS app provides automated EWS calculations — using streaming patient data — that you can access remotely. So you know when the first signs of patient deterioration appear and can get a head start on escalating care.

The app continuously monitors patient information from multiple bedside devices, wearable devices, and EMRs, as well as data that has been manually entered, to automatically calculate an EWS based on your facility’s chosen algorithm. And it automatically sends alerts and presents data when and where you need it, on any web-enabled device. This easy remote access to early warning scores and other vital information helps your clinical team prioritize patient care.

With the timely insights from the Vital Sync™ EWS app, you know when to intervene — sooner.

PROACTIVE MONITORING. SO YOU CANPREVENT THE PREVENTABLE.

Vital Sync™ Early Warning Score App

The app includes:

NEWS – National Early Warning Score

MEWS – Modified Early Warning Score

SEWS – Scottish Early Warning Score

WEWS – Wellington Early Warning Score

The option to build a score based on your facility’s scoring protocols

OUR APP GIVES YOU A CHOICE OF COMMONLY USED EARLY WARNING SCORES AND THE OPTION TO CUSTOMIZE YOUR SCORING SYSTEM.

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Vital Sync™ Weaning Readiness and SBT Monitoring App

MAKE THE RIGHT DECISIONS. AT THE RIGHT TIME.

COLLABORATION AND CUSTOMIZATION MEAN:

COLLABORATION AND CUSTOMIZATION MEAN:

Remote access to information allows respiratory therapists, intensivists, nurses, and other clinicians to collaborate during a trial

Customization capabilities allow you to tailor the weaning readiness and SBT monitoring features to your own protocols

Weaning accounts for roughly 25 percent of the total time spent on mechanical ventilation and is a top priority in the ICU.2 Your challenge, however, is navigating the delicate balance of two extremes. Weaning too late can increase ventilator dependency, length of stay and the risk of ventilator associated pneumonia.4-7 Weaning too soon places patients at risk for longer hospital stays — and an up to seven-times increased mortality risk.8

That’s why we developed the Vital Sync™ weaning readiness and SBT monitoring app. So you know the minute your patient is ready to begin weaning and can remotely track their breath-by-breath progress throughout an SBT.

Our app helps you streamline and simplify the implementation of protocol-driven weaning. It lets you set weaning readiness criteria based on AARC guidelines9 or your hospital’s protocol. And it alerts you and your respiratory team the minute your patient is ready to begin an SBT. So you can start the weaning process at the best time for your patient.

Our app lets you specify parameters like blood pressure, SpO2, heart rate, and respiration rate to guide your care during an SBT. You can define guardrails that determine the trial’s progress toward a successful conclusion. If your patient falls outside those thresholds, you and your respiratory team are alerted. So you can go to their bedside to intervene — and possibly save a savable trial. Because you can view all this data from wherever you are, you can run multiple SBTs simultaneously. And be by your patients’ side wherever you are.

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Page 9: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

CLINICAL BENEFITS HELP YOU:

Follow protocolized weaning practices based on AARC guidelines or your facility’s protocols

Identify the minute patients are ready to wean and receive readiness alerts remotely

Monitor SBTs remotely, access trial progress alerts, and intervene if needed

Receive readiness to extubate alerts remotely

Avoid the risks of prolonged ventilation

When starting the weaning process — and collaborating with your team throughout an SBT — every minute matters. With the Vital Sync™ weaning readiness and SBT monitoring app, time is on your side.

Page 10: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

HOW ITWORKS

The multitudes of data from your individual devices and systems

Is integrated and transmitted to your hospital server where it is transformed to provide near-real-time, clinically meaningful information

Available where and when you need it — on virtually any device

Medtronic devices

Third party devices

EMR

Manual inputs

Single platform for all data

CDS tools and apps based on proven protocols

Smart data analytics

Reporting at a patient, unit, facility level

Intuitive user interface

Remote access

Alarm forwarding

Central monitoring

We developed the Vital Sync™ monitoring and CDS solution to give you smart, actionable data that you and your clinical teams can access anytime, anywhere.

Page 11: CLINICAL DECISION MAKING. UNCOMPLICATED.your hospital server, and makes it available anywhere on your hospital’s network. This integrated software ... Follow protocolized weaning

TAKING HEALTHCARE FURTHER, TOGETHER

The introduction of the innovative Vital Sync™ monitoring and CDS solution is a big step forward, yet it’s only a first step.

We’re committed to expanding both the capabilities of the platform itself and the number of meaningful CDS apps. So we can help in even more areas in your hospital.

We strive to identify the issues most important to you. And we partner with you to create helpful solutions to simplify what you do every day. Do you have a protocol that you would like to have available as an app in the Vital Sync™ solution? If so, please contact your local sales rep.

Together, let’s make clinical decision making uncomplicated.

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1. ECRI 2017 Top Patient Safety Concerns. https://www.ecri.org/Pages/Top-10-Patient-Safety-Concerns.aspx. Accessed April 27, 2017.

2. Blackwood B, Burns KE, Cardwell CR, O’Halloran P. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database Syst Rev. 2014(11):CD006904.

3. Swartz CH. A systematic approach to manage clinical deterioration on inpatient units in the health system. 2011. DNP Practice Inquiry Projects. http://uknowledge.uky.edu/dnp_etds/26. Accessed March 2017.

4. MacIntyre NR. The ventilator discontinuation process: an expanding evidence base. Respir Care. 2013;58(6):1074-1086.

5. Esteban A, Alia I, Gordo F, et al. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med. 1997;156(2 Pt 1):459-465.

6. Esteban A, Alia I, Tobin MJ, et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med. 1999;159(2):512-518.

7. Hess D, Kacmarek RM. Essentials of mechanical ventilation. Third edition. ed. New York: McGraw Hill Education, Medical Publishing Division; 2014.

8. Gao F, Yang LH, He HR, et al. The effect of reintubation on ventilator-associated pneumonia and mortality among mechanically ventilated patients with intubation: A systematic review and meta-analysis. Heart Lung. 2016;45(4):363-371.

9. Evidence-based guidelines for weaning and discontinuing ventilatory support. A collective task force facilitated by the American College of Chest Physicians, the American Association for Respiratory Care, and the American College of Critical Care Medicine. Respir Care. 2002;47(1):69-90.

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