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<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

1


[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Messaging Processing<br />

Independent living<br />

Q&A<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

2


ASCOM GROUP<br />

ASCOM GROUP<br />

<strong>Ascom</strong> employs worldwide about<br />

2’300 people<br />

<strong>Ascom</strong> has subsidiaries in 20 countries<br />

In 2010 <strong>Ascom</strong> generated<br />

revenues of 571 CHFm with<br />

an EBITDA margin of 12%<br />

1H2011 group revenues 253 CHFm<br />

<strong>Ascom</strong>’s communicated target for 2013<br />

is an EBITDA margin of 14-15%<br />

<strong>Ascom</strong> registered shares (ASCN) are<br />

listed on the SWX Swiss Exchange<br />

in Zurich<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

3


ABOUT ASCOM<br />

<strong>Ascom</strong> is a business-to-business provider of customized communication<br />

solutions in niche markets.<br />

The company focuses on Mission-Critical Communication in the following core<br />

areas:<br />

<strong>Wireless</strong> <strong>Solutions</strong><br />

Network Testing<br />

The WS division is a leading<br />

specialist in wireless on-site<br />

communication solutions for<br />

segments as hospitals, elderly<br />

care, industry, retail, hotels<br />

and secure establishments.<br />

www.ascom.com/wirelesssolutions<br />

The NT division is a global<br />

market leader in testing and<br />

optimization solutions for<br />

mobile networks.<br />

www.ascom.com/networktesting<br />

COMMITT<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong>


[ ]<br />

WIRELESS SOLUTIONS<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

5


VISION AND MISSION<br />

«Become the global number 1 in mission<br />

critical communication in Healthcare»<br />

By providing our customers with competitive<br />

wireless communication solutions (e.g.,<br />

voice, professional messaging, alarm and<br />

positioning) that support and optimize their<br />

mission-critical processes<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong>


[ WIRELESS SOLUTIONS ]<br />

SALES REGIONS<br />

Nordic<br />

Sweden<br />

Norway<br />

Denmark<br />

Finland<br />

France<br />

Benelux<br />

Netherlands<br />

Belgium<br />

DECH<br />

Germany<br />

Switzerland<br />

United Kingdom<br />

United States<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

7


[ WIRELESS SOLUTIONS ]<br />

INTERNATIONAL SALES PARTNERS<br />

Australia<br />

Austria<br />

Brazil<br />

Czech<br />

Greece<br />

Hungary<br />

Iceland<br />

Indonesia<br />

Ireland<br />

Israel<br />

Italy<br />

Lebanon<br />

Malaysia<br />

Poland<br />

Portugal<br />

Romania<br />

Russia<br />

Singapore<br />

Slovenia<br />

Spain<br />

Taiwan<br />

Thailand<br />

United Arab Emirates<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> Sep 2011 © <strong>Ascom</strong><br />

8


[ WIRELESS SOLUTIONS ]<br />

OUR BUSINESS AREAS<br />

Hospital<br />

Elderly Care<br />

Independent Living<br />

Industry<br />

Secure<br />

Establishments<br />

Retail<br />

Hotel<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

9


ASCOM BELGIUM<br />

PART OF ASCOM WIRELESS SOLUTIONS<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

10


ASCOM BELGIUM (PART OF ASCOM BENELUX)<br />

+/- 40 people<br />

Pre-Sales<br />

Sales<br />

Service<br />

More than 1000 customers in<br />

BeLux<br />

Service organisation with 7/7 –<br />

24u/24u support<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

11


CUSTOMER SERVICE<br />

Long term customer relationship<br />

Reliable service & support organisation<br />

Tailor-made service and sales contracts<br />

Ensuring long term reliability,<br />

functionality and support of our installed<br />

systems<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

12


CONCLUSION<br />

Worldwide reliable, stable player<br />

Continuity in products and solutions<br />

Complete independent developed<br />

Belgium organization that provides you<br />

with pre-sales, system design, sales and<br />

service after sales<br />

An organization that represents the main<br />

objective of a long-term customer<br />

relationship<br />

The specialist for turnkey wireless<br />

communications solutions in missioncritical<br />

environments<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

13


ASCOM WIRELESS SOLUTIONS PORTFOLIO<br />

IP-DECT<br />

WiFi<br />

Paging<br />

3 rd Party<br />

Devices<br />

Nurse Call<br />

Independent<br />

Living<br />

Handsets<br />

Base-Stations<br />

IP-DECT<br />

Gateway<br />

Handsets<br />

Pagers<br />

Alarm-Devices<br />

Infrastructure<br />

UNITE Clients<br />

GSM/3G/LTE<br />

WiFi<br />

Nurse Call<br />

IP-Nurse Call<br />

<strong>Wireless</strong><br />

Nurse Call<br />

Care Phones<br />

Care Gateway<br />

Services<br />

Alarm-Management, Applications, <strong>Solutions</strong><br />

System-Management, Integration Middleware<br />

Installation, Integration, Support, Maintenance<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

14


ASCOM BELGIUM TOTAL SOLUTION<br />

Nurse call<br />

Paging IP-DECT VoWiFi<br />

MERU<br />

WLAN<br />

Innovaphone<br />

IP TEL<br />

Inputs<br />

Legacy<br />

IP<br />

• System A<br />

• System B<br />

• System C<br />

• System D<br />

PSTN<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

15


[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Messaging Processing<br />

Independent living<br />

Q&A<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

16


ASCOM NURS CALL<br />

teleCARE <strong>Wireless</strong><br />

with are without<br />

Localisation<br />

Visualize calls:<br />

Paging, DECT, WiFi, GSM,<br />

Smartphone,Corridor/Room<br />

Lamp/display<br />

Nurse<br />

Call<br />

teleCARE IP<br />

teleCARE M (LON)<br />

System administration<br />

Care Registration<br />

....<br />

teleCARE IP<br />

Care Phone/Care<br />

Gateway


ASCOM IP NURSE CALL TOPOLOGY<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 18


Room/Ward<br />

Controller<br />

Peripherals<br />

Patient handsets<br />

Message Displays<br />

Room Message<br />

Display<br />

• IP to room/ward<br />

• PoE<br />

• Corridor lamp<br />

• 3 x room bus<br />

• 3 x SIP clients / bus<br />

• Bedside<br />

• Bathroom & Shower<br />

• Corridor<br />

• Customisable<br />

• Cleanable with<br />

alcohol<br />

• Nurse Call button<br />

• Light on/off buttons<br />

• 6 digits single and<br />

double sided<br />

• 12 digits single and<br />

double sided<br />

• Single IP port, even<br />

for double variants<br />

• PoE 802.11at and<br />

802.11af<br />

• Local power possible<br />

• Messaging (Interactive)<br />

in nurse call<br />

• With and without<br />

speech function<br />

• RFID reader<br />

• Door side functionality<br />

• Back-up device for<br />

messaging<br />

• Auto LAN missing<br />

detection<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 19


Speech Module<br />

Card reader<br />

Pull Cord<br />

<br />

Speech module<br />

<br />

Mifare RFID technology<br />

<br />

Pullcord for wet area’s<br />

<br />

2 LED’s (red/green)<br />

<br />

Nurse presence with ID<br />

<br />

IP-X4 specification<br />

<br />

2 loudspeakers<br />

<br />

Simple access control<br />

<br />

Available for tC IP & M<br />

<br />

1 microphone<br />

<br />

Relays output<br />

<br />

Amplification control<br />

<br />

Door status input<br />

Multiple medical alarm<br />

<br />

Unite openness<br />

<br />

4 safe release inputs<br />

<br />

Local signaling<br />

<br />

SMA philosophy based<br />

<br />

Alarm priority settable<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

20


LOW END MODEL CALL ONLY (NIPH2-A1A)<br />

Large call button with<br />

Good tactile feedback<br />

Reassurance led<br />

Night orientation<br />

Indication for blind people<br />

Safe release plug<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

21


LOW END MODEL CALL AND BED LIGHTS (NIPH2-A3A, -A3L)<br />

Large call button with<br />

Good tactile feedback<br />

Reassurance led<br />

Night orientation<br />

Indication for blind people<br />

2 independent controls for bed lights<br />

Night orientation<br />

Also available with 6 meter cable<br />

Safe release plug<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

22


MID RANGE MODEL WITH SERVICES (NIPH3-A7A)<br />

Large call button<br />

2 independent controls for bed lights with<br />

Night orientation<br />

Service call button with<br />

Reassurance led<br />

Night orientation<br />

Flashlight<br />

2 independent controls for sun blinds<br />

Parameter control with Win-PDM<br />

RFID tag inside for identification<br />

Safe release plug<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

23


HIGH END MODEL WITH ENTERTAINMENT (NIPH3-AES)<br />

Large call button<br />

2 independent controls for bed lights with<br />

Night orientation<br />

Service call button with<br />

Reassurance led<br />

Night orientation<br />

Flashlight<br />

2 independent controls for sun blinds<br />

Nurse call speech<br />

Radio and TV channel control with stereo audio<br />

Volume up and down control<br />

Head phone socket for entertainment audio<br />

RFID tag inside for identification<br />

Safe release plug<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

24


[ ]<br />

EXAMPLE: VOICE CALL<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

25


a<br />

VOICE CALL<br />

Patient<br />

Bla bla<br />

bla<br />

Nurse<br />

teleCARE<br />

Nurse receive information and is<br />

able to call the patient with one<br />

press Bla bla<br />

bla<br />

Patient Call<br />

« Speech call is send to nurse<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 26


[ ]<br />

LOGGING<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

27


<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

28


<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

29


Search area in<br />

this case Room 10<br />

Found results area<br />

Details of complete trail of<br />

events for a specific call in<br />

the found results area.<br />

In this case with all possible<br />

escalations<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

30


<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

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<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

32


[ ]<br />

MEDICAL ALARMS<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

33


MEDICAL ALARM CONTEXT<br />

Medical alams are generated by medical<br />

devices<br />

A contact closure (alarm) is monitored by the<br />

nurse call system. What that alarm is we<br />

(often) don’t know.<br />

This goes to the<br />

nurse call system<br />

Medical alarms can only be cancelled on the<br />

medical device<br />

Medical alarms are important, so the<br />

connection to the medical device is<br />

supervised (e.o.l. resistor in medical device)<br />

More than 1 device per bed is starting to<br />

become more and more common<br />

This goes to the<br />

patient<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

34


MULTIPLE MEDICAL ALARM<br />

MMA functions:<br />

4 safe release inputs<br />

Connect indication on LED (test)<br />

Test button (only connected inputs)<br />

Alarm indication on LED (test)<br />

Intentional disconnect button with LED<br />

Line break monitoring<br />

Isolation barrier<br />

Mating counter (connect/disconnect actions)<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

35


GE HEALTHCARE, PHILIPS, SPACELAPS, …<br />

GE Healtcare<br />

Carescape Network<br />

Corridor displays<br />

Philips<br />

<strong>Ascom</strong> UNITE<br />

MMG<br />

CARDIOMAX<br />

<strong>Wireless</strong><br />

SpaceLabs<br />

External output port<br />

ESPA 4,4,4<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

36


[ d62 ]<br />

PATIENT MONITOR ALARM<br />

• Alarm paused (6 seconds)<br />

Updates of active alarms<br />

• Alarm inactive (6 seconds)<br />

Level 1<br />

Nurse<br />

Alaine<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

37


[ ]<br />

WIRELESS NURSE CALL<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

38


Legacy systems<br />

(different frequencies)<br />

<strong>Wireless</strong> products<br />

New generation system<br />

(868/869 MHZ)<br />

teleCARE WL<br />

T900<br />

Optional<br />

3 rd party<br />

SU2 integration<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

39


[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Messaging Processing<br />

Independent living<br />

Q&A<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

40


CARE REGISTRATION<br />

Why:<br />

Logging of nurse call, presents with ID and call cancel<br />

Logging offered services<br />

Logging medical prestations<br />

...<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 41


CARE REGISTRATION<br />

CMS CORILUS CARE SOLUTIONS<br />

CALLVIEW-<br />

<strong>Ascom</strong><br />

LAN<br />

Via WLAN – i62<br />

CARESO<br />

<strong>Ascom</strong><br />

Via touch<br />

screen<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

42


[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Messaging Processing<br />

Independent living<br />

Q&A<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

43


IP DECT


ASCOM IP-DECT TOPOLOGY<br />

Seamless handover<br />

Branch Office(s)<br />

IPBS<br />

DECT Gateway<br />

DECT Gateway<br />

IPBS<br />

LAN<br />

Legacy PBX<br />

Unite<br />

IP-PBX<br />

VoIP GW<br />

Back to IP-DECT<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 45


IP-DECT – FLEXIBILITY TO THE NEXT LEVEL<br />

Local Office<br />

Head Office<br />

System and<br />

Device<br />

Management<br />

WAN<br />

Local Office B<br />

Local Office C<br />

Analogue<br />

PBX<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 46


d41<br />

d62<br />

d81<br />

• Office, Retail, Hotel<br />

• Voice functionality<br />

• Loudspeaker,<br />

vibrator, headset<br />

connector<br />

• Health Care, Light<br />

Industry, Retail<br />

• Licensed<br />

functionalities<br />

• Personal alarm<br />

features<br />

• Advanced messaging<br />

• Health Care, Industry,<br />

Secure Establishments<br />

• IP65 level water and<br />

dust resistance<br />

• Licensed<br />

functionalities<br />

• Advanced alarm and<br />

location functionality<br />

• Advanced<br />

messaging<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 47


VOICE OVER WIFI


ASCOM VOWIFI TOPOLOGY<br />

WLAN<br />

WLAN<br />

WLAN<br />

WLAN<br />

WLAN<br />

WLAN<br />

LAN<br />

Legacy PBX<br />

Unite<br />

IP-PBX<br />

VoIP GW<br />

Back to VoWiFi<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 49


ASCOM i62 GROWS WITH YOUR NEEDS<br />

i62 Talker<br />

Centralized management<br />

Shared phone<br />

Access point location<br />

i62 Messenger<br />

Centralized management<br />

Shared phone<br />

Access point location<br />

Advanced messaging<br />

Message prioritisation<br />

Color-coded messaging<br />

Push-to-talk<br />

i62 Protector<br />

Centralized management<br />

Shared phone<br />

Access point location<br />

Advanced messaging<br />

Message prioritisation<br />

Color-coded messaging<br />

Push-to-talk<br />

Alarm options for staff security<br />

• Push-button, man-down/nomovement,<br />

listen in at alarms<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 50


ASCOM HANDSETS<br />

SMART AND EASY TO USE


CENTRAL MANAGEMENT<br />

Access UniteCM to edit/upgrade<br />

• Handset parameters<br />

• Handset software<br />

• Handset licenses<br />

All handset parameters are<br />

sent over the air and stored in<br />

UniteCM<br />

IP-DECT<br />

Radio Infra Structure<br />

Web User Interface<br />

UniteCM<br />

WLAN<br />

Instant and scheduled<br />

upgrades/changes done over<br />

the air or through chargers<br />

Charger<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 52


EASY REGISTRATION AND REPLACEMENT<br />

Easy registration<br />

Easy to register handsets<br />

Easy replacement<br />

A handset can easily be replaced<br />

with another<br />

Personal settings will be<br />

transferred to the new handset<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

53


COLOR-CODED MESSAGING<br />

A low level in tank 5 has been<br />

detected a low-priority alarm is<br />

sent to the Engineering team<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

54


COLOR-CODED MESSAGING<br />

Service engineer #2 accepts the<br />

task by pushing the “Accept”<br />

button<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

55


COLOR-CODED MESSAGING<br />

Machine 3 stops and a<br />

critical alarm is sent<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

56


COLOR-CODED MESSAGING<br />

Service engineer # 2 solves<br />

the low-level tank task and<br />

pushes the ”Ready” button<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

57


COLOR-CODED MESSAGING<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

58


PRIORITY MESSAGING<br />

Making sure that messages and<br />

alarms receive the correct priority –<br />

every time<br />

Makes it easier to deal with planned<br />

and unplanned events<br />

Automatic message escalation so that<br />

all alarms and messages are taken<br />

care of<br />

Reduces alarm fatigue for staff<br />

Color-coded, interactive messages<br />

distinguishes high priority alarms<br />

Increases patient satisfaction<br />

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UNITE AXESS<br />

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SAME MESSAGE BEHAVIOUR ON ALL DEVICES<br />

Message priorities<br />

Beep melodies<br />

Color coding<br />

Easy to categorize messages for<br />

easier access<br />

Interactive Messages supported<br />

Availability Status<br />

Easily set desired notification behavior<br />

- Do Not Disturb (DND)<br />

- Emergencies Only<br />

- Off Duty<br />

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SAME MESSAGE BEHAVIOUR ON ALL DEVICES<br />

System Topology<br />

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PERSONAL SECURITY<br />

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[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Message Processing<br />

Independent living<br />

Q&A<br />

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ALARM FATIGUE IS A SERIOUS PATIENT HAZARD<br />

"Every new piece of technology we get adds<br />

a new alarm," says Linda Bell, clinical<br />

practice specialist at the American<br />

Association of Critical-Care Nurses.<br />

"Whenever patients move—if they roll over in<br />

bed, if they're shivering, if they cough—an<br />

alarm goes off. We've created an alarm<br />

environment as a part of routine care."<br />

65


TOP 10 HEALTH TECHNOLOGY HAZARDS FOR 2012*<br />

1. Alarm hazards<br />

Number 1 - Alarm Hazards<br />

2. Exposure hazards from radiation therapy and CT<br />

Problem:<br />

3. Medication administration errors using infusion pumps<br />

• Staff becoming desensitized to Alarms<br />

• Alarms not being properly relayed<br />

4. Cross-contamination from flexible endoscopes<br />

5. Inattention to change management for med.dev. connectivity<br />

Recommended solution:<br />

6. Enteral feeding misconnections<br />

• Ensure that each alarm will be recognized<br />

• Clearly assign responsibilities<br />

7. Surgical fires<br />

• Establish backup coverage<br />

8. Needlesticks and other sharps injuries<br />

• Use <strong>Ascom</strong> solutions<br />

9. Anesthesia hazards due to incomplete pre-use inspection<br />

10. Poor usability of home-use medical devices<br />

* ECRI Institute - TOP 10 HEALTH TECHNOLOGY HAZARDS FOR 2012 HEALTH DEVICES - Reprinted from Volume 40 Issue 11 November 2011


HOW TO ACHIEVE THE VISION<br />

Cardiomax<br />

MMG<br />

Patient<br />

Monitoring<br />

Monitoring<br />

Devices<br />

Gateway<br />

Medical<br />

Devices<br />

Intelligent<br />

Beds<br />

MONITOR<br />

Statistics<br />

LIS<br />

RIS<br />

IS<br />

Medication<br />

EPR<br />

HIS<br />

REPORT<br />

ACTIVITY<br />

Audit trails<br />

Workflow<br />

Security<br />

Task handl.<br />

M<br />

IP<br />

teleCARE<br />

CARE<br />

COMMUNICATE<br />

Smart<br />

Phones<br />

Displays<br />

DECT<br />

WiFi<br />

Paging<br />

Other<br />

Event<br />

<strong>Presentation</strong>


<strong>Ascom</strong> Unite Aware 2012 Q2


MISSION-CRITICAL COMMUNICATION<br />

Detect<br />

Inform<br />

React<br />

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UNITE INTEGRATION<br />

Laboratory<br />

Information<br />

Systems<br />

Hospital Information<br />

Systems<br />

LED sign<br />

Voice calls, E-Mail, …….<br />

Radiology<br />

Information<br />

Systems<br />

DECT<br />

Security<br />

Systems<br />

LAN<br />

WiFi<br />

Building<br />

Management<br />

Mobile<br />

Monitoring<br />

Gateway<br />

Unite<br />

Connectivity<br />

Manager<br />

Paging<br />

teleCARE IP<br />

Patient Monitoring<br />

Smartphones<br />

70 <strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

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PERSONAL SECURITY<br />

- FOR A SECURE ESTABLISHMENT AND QUICKER RESPONSES<br />

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ESTABLISHMENT EXAMPLES<br />

Prisons and alike where a visible alarm may be provocative<br />

Industry for personnel working alone, with dangerous materials or in dangerous<br />

environments<br />

Shopping Centres to quickly call for help when assaulted<br />

Hospitals and other Health Care institutions, especially psychiatry<br />

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REQUIREMENTS FOR A PERSONAL SECURITY SYSTEM<br />

Secure transmission<br />

Quick response<br />

Flexible presentation of alarms<br />

Locator function<br />

No false alarm<br />

Easy to handle<br />

Easy to wear/carry<br />

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ALARM BUTTON<br />

The Protector alarm button increases<br />

personal security<br />

Configure according to your needs<br />

Several alarm types can be sent<br />

depending on the situation<br />

Multi press<br />

Long press<br />

ALS Acoustic Localisation Signal<br />

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AUTOMATIC ALARMS<br />

Man-down<br />

Man-down alarm – automatically triggers when the<br />

user is lying down (triggers at a certain angle)<br />

Warning before transmission<br />

Delay-time before warning<br />

Duration of warning-time<br />

No-movement<br />

No-movement alarm – automatically triggers when<br />

the user is immobile for a certain period of time<br />

Warning before transmission<br />

Delay-time before warning<br />

Duration of warning-time<br />

Acoustic localisation signal after alarm<br />

Pull-cord alarm<br />

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LF AND DECT LOCATION<br />

For a safer, more effective workplace<br />

Flexible zones, pin-pointing location down<br />

to room level<br />

Unique technology reassures that high<br />

integrity location zone is sent to the<br />

alerted staff<br />

A time stamp is added to each location<br />

code<br />

Tamper protection and surveillance<br />

reliability<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 76


PERSONAL SECURITY SYSTEM (PSS)<br />

Identity:<br />

001 John Smith<br />

Location: Room 125, Floor 1<br />

Previous Location: Corridor<br />

Alarm Type:<br />

Push Button<br />

Locator function<br />

Alarm transmission<br />

Alarm presentation<br />

Alarm identification<br />

Expanded System<br />

0125<br />

0121 0122<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong> 77


CALL SETUP<br />

Normal<br />

Call<br />

Listen<br />

In<br />

Conference<br />

Call<br />

Conference<br />

call with PTT<br />

functionality<br />

Central Dispatch<br />

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PTT – PUSH TO TALK<br />

All handsets connects to<br />

conference line in PTT mode<br />

Press Action key to<br />

initiate a PTT session<br />

1001<br />

Conference Bridge<br />

A user/event<br />

initiates a PTT<br />

session with hot-<br />

/soft-key<br />

UniteCM<br />

Participants are invited<br />

Back to Main<br />

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LOCATION BASED SERVICES<br />

Alarm!<br />

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LOCATION BASED SERVICES<br />

Personal security<br />

alarm in building 1.<br />

No access<br />

Personal security<br />

alarm in building 1.<br />

Attention<br />

Help is on the<br />

way!<br />

Alarm<br />

Building I – Cel 4<br />

OK<br />

!!!<br />

ALARM!<br />

Administration<br />

Building I<br />

Building II<br />

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Automatic change of status/profile of the handset<br />

[ Handset oes automatic in „Office“ Mode –<br />

Alarm inactive and normal volume ]<br />

[ Handset goes automatic in<br />

„L0UD“ mode entering the workshop]<br />

[ Handset „NORMAL“ Mode]<br />

17:31<br />

ASCOM<br />

Meyer 4711<br />

Office<br />

ASCOM<br />

Meyer 4711<br />

Loud<br />

14:24<br />

ASCOM<br />

Meyer 4711<br />

14:12<br />

Administration<br />

Building I / Workshop<br />

Building II<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

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[ ]<br />

EXAMPLE OF A TOTAL SOLUTION FOR A RETIREMENT<br />

HOME<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

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New building<br />

Existing building<br />

Telecare <strong>Wireless</strong><br />

No Cabling<br />

WLAN<br />

IP DECT<br />

CARESO<br />

<strong>Wireless</strong> Bridge<br />

WLAN<br />

IP DECT<br />

LAN<br />

LAN<br />

Telecare IP<br />

Room controlers<br />

IP TEL<br />

Telecare IP<br />

Ward controlers<br />

Recup cabling<br />

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[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Messaging Processing<br />

Independent living<br />

Q&A<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

85


INDEPENDENT LIVING<br />

MARKET DEFINATION (source : www.wikipedia.com)<br />

Independent living is a philosophy , a way of looking at disability and society, and a<br />

worldwide movement with disabilities who proclaim to work for self-determination, selfrespect<br />

and equal opportunities.<br />

FOCUS AREA IL:<br />

Sheltered houses<br />

Institutional care<br />

Service flats<br />

Dementia care<br />

Only night care<br />

Independent elderly houses


TRENDS ARE IMPORTANT<br />

Demographic ageing comes<br />

People getting older (2009: 78 years, 2025: 81 years)<br />

Request for care will increase<br />

Every person is different and has their specific demands (individualism)<br />

With a lack of caretakers, technology will be a supporting medium<br />

Different cultures in different countries<br />

New generation elderly people is coming (technology involved)<br />

Number of chronicle diseases will grow dramatic<br />

Different worlds (safety, care, comfort, energy) will meet each other<br />

New technology. Open Source solutions<br />

Financial models is developing (costs of healthcare needs to be limited)


AT THE PEOPLES HOMES, EVERY THING IS POSSIBLE<br />

For a client means independent living : On your own, in your own house within full<br />

independence, but on a daily base a lot of things happen…..<br />

I forgot to turn of the lights!<br />

Balcony<br />

Average elderly house<br />

HELP, can somebody help me?<br />

Bedroom<br />

Living room<br />

Who is at the front door, so late?<br />

Hobby<br />

corner<br />

I can’t find the light switch in the evening.<br />

I have felt, can someone help me?<br />

Bathroom<br />

Hall<br />

Kitchen<br />

I forgot that I was cooking milk, during my telephone call<br />

My husband is wandering during nights, how can I help him?


DEMAND FOR SOLUTIONS WILL CHANGE<br />

From a technology point of view<br />

Media<br />

Intelligent living<br />

Care Phone<br />

Smart<br />

Homes<br />

E-health<br />

Telecare<br />

Because of trends and developments,<br />

elderly people will demand for more<br />

Integrated functionalities at home.<br />

This means the number of Care Phone<br />

Plus solution will increase.<br />

Care Phone<br />

Future developments<br />

Size of the market will increase,<br />

because of aging<br />

CONCLUSION : “ANOTHER” SOLUTION IS NECESSARY


ASCOM INTRODUCES : THE SERVICE UNIT<br />

The high technology smart home unit with a clear message to the user and different<br />

possibilities to be the heart of the safe and security solution for every individual user.<br />

The Service Unit exist of:<br />

Care Phone functionalities<br />

Full color, touchscreen for offering services<br />

Many connections to accessories and systems<br />

Full digital IP solution with video support<br />

(E-health) Telemedicine support<br />

Many automatic control mechanism<br />

Supported by a central Device Management tool<br />

Narrow casting possibilities<br />

Open for future developments


SOCIAL<br />

ALARMING<br />

DOMOTIC SERVICES SECURITY<br />

91 P


THE SERVICE UNIT IS : YOUR TECHNOLOGY HEART<br />

In house the Service Unit is the heart for alarming, services and safety<br />

technology. The user control interface is physically separated from the technical<br />

part.<br />

Some examples what could be interesting functions for your customers<br />

Service-unit<br />

II<br />

The Care Phone, display, telephone, intercom, telemedicine, day/night will be explained in the following slides<br />

92


EXAMPLE 1 : THE SERVICE UNIT AS AN ALARM UNIT<br />

Different functions are available<br />

Alarm via red button unit<br />

Alarm via enclosed wireless transmitter<br />

Alarm via wireless accessories connected to the built in receiver<br />

Alarm via connected input contacts<br />

Assistance alarm<br />

Personal alarm via separate wireless pendant<br />

Test alarm via analogue channel<br />

Predefined screen alarm<br />

Battery low alarm / power alarm<br />

Fall alarm


EXAMPLE 2 : THE SERVICE UNIT AS A CONTROL PANEL<br />

Different functions are available<br />

Information (time, day, month, year)<br />

Information (every events is generating user information)<br />

Information (read announcement messages)<br />

Control (light, light dimming)<br />

Control (sun blinds)<br />

Control (video) intercom<br />

Control telephone functions<br />

Activate features (day/night)<br />

Acknowledge functions (medicine reminder)<br />

Configure technical parameters


EXAMPLE 3 : THE SERVICE UNIT AS A TELEPHONE DEVICE<br />

Different functions are available<br />

Service Unit supports two networks : Analogue and Digital<br />

Second connection available for connecting secondary telephone device (bedroom)<br />

Call pre-programmed telephone numbers<br />

Hands free possibilities<br />

Accept incoming telephone call with wireless pendant<br />

Telephone number support by images<br />

Analogue – digital convertor functionality<br />

Available; planned Q2 2012<br />

Incoming call Service unit is also ringing<br />

Numeric key path available


EXAMPLE 4 : THE SERVICE UNIT AS AN INTERCOM<br />

Different functions are available<br />

Service Unit support intercom functionality<br />

With support of video, client can see who is at the front door<br />

Manual control of the front door<br />

Input to connect the front door control device<br />

Output to connect the electronic doorbell<br />

After opening the door, video will be open for<br />

some extra seconds (extra safety)<br />

Access to multiple intercoms<br />

(front door / back door)<br />

Clear communication channel


EXAMPLE 5 : THE SERVICE UNIT AS A GATEWAY<br />

Different functions are available<br />

Service Unit as a convertor to translate data into digital data<br />

Present centrally sent messages on the screen<br />

Connect Bluetooth devices<br />

Support of blood pressure device<br />

Support of Weight scale device<br />

Support of Glucose device<br />

In total 6 telemedicine devices can supported


EXAMPLE 6 : THE SERVICE UNIT AS A INDICATOR<br />

Different functions are available<br />

Day/night configuration<br />

(Example in night position, sensors will be activated, door locked, etc.)<br />

Presence / no presence<br />

(Example no presence, sensors will be activated, specific functions<br />

switched off)<br />

Everything “OK” button<br />

(User needs to press the OK button every day)<br />

Medication reminder (did you take your medication?)<br />

Telemedicine reminder<br />

(“It’s time to start your telemedicine measurement)<br />

There is a new message for you!


THE SERVICE UNIT AS PART OF THE TECHNICAL SOLUTION<br />

The role of the Service Unit into the technical solution<br />

SERVICES<br />

PBX<br />

Accessories<br />

analog<br />

PSTN<br />

Maintenance<br />

IP<br />

network<br />

WWW<br />

Shopping<br />

Telemedicine<br />

Painter<br />

UNITE<br />

Intercom<br />

IN HOUSE CENTRAL SERVICES<br />

99


TX4 – PERSONAL ALARM TRANSMITTER<br />

30.000 alarms before the first battery alarm<br />

Changeable battery<br />

Bi-directional<br />

Waterproof IP 67<br />

Up to 150 meters coverage<br />

This device is delivered together with the<br />

Service Unit<br />

This unit will delivered within the new production badge<br />

of the Service Unit


[ ]<br />

AGENDA<br />

Introduction<br />

Nurse Call Systems<br />

Care registration<br />

<strong>Wireless</strong> Communication<br />

Alarm & Messaging Processing<br />

Independent living<br />

Q&A<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

101


THANK YOU!<br />

<strong>Ascom</strong> <strong>Wireless</strong> <strong>Solutions</strong> <strong>HealthCare</strong> <strong>Presentation</strong><br />

102

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