Like most families, we are looking forward to the long Labor Day weekend. It will be filled with family, ribs, beer, some yard work, and yes, some Cisco work. And this year we will have a new guest. The latest member of the Barney family, Hayden, arrived just in time to celebrate Labor Day weekend. Although I am sure her mother is not looking back fondly on her recent labors, the rest of the family is. And we are all grateful for the healthy little girl.
But I will have to tear myself away from Hayden, ribs, beer, and yard work for, yes, Cisco work. But that won’t be as painful as it sounds. Thanks to the advanced technologies at Cisco I can work from home. The way I ‘labor’ has definitely changed. I can collaborate over videoconference on my Cisco Telepresence EX-90 with a few of my colleagues to finish up a project while never leaving my house. I live in Ohio, and while my team is located in San Jose, for a few hours on Saturday it will be as if they are all at my house – except they have to get their own beer.
Cisco has changed the way we labor in many important ways, but no more so than when it comes to clinical care. Cisco has created a platform with unified communications and video-based collaboration that is transforming the patient experience and clinical processes by bringing together physicians, specialists, therapists, patients and families together. This collaboration can take place quickly without anyone getting into a car, train, plane or boat. And it becomes stunning when you think about how this can impact the care of a child.
Imagine your child needs cardiac surgery. And he needs a specialist. But that specialist is several hours away from your home. At the Great Ormond Street Hospital in London, Co-Medical Director Professor Martin Elliott, a pediatric cardio-thoracic surgeon uses information and collaboration technologies to improve the quality of care and the experience for the child and its family in a very meaningful way. Listen to Professor Elliott discuss the experience for the medical team, the child, and the family as they prepare the child for surgery.
Collaboration technologies can improve not just the pre-surgical experience, but the follow-up care as well.
For the past 14 years, Dr. Patrick Byrne from Greater Baltimore Medical Center Johns Hopkins University has been making annual trips to countries in the developing world, volunteering his services to correct cleft and lip palate deformities in children. However, in many countries, including Nicaragua, the required post-surgical speech therapy care is simply not available. Using WebEx technology, Dr. Byrne and team can now provide that specialized treatment remotely for the first time ever. Within just three months of speech therapy conducted via WebEx, the doctors saw significant improvement in patients’ speech. The online meeting technology also proved the perfect tool to train local providers on best practices for follow-up procedures. Listen in…
From peeking at Brittany Spears medical records to the theft of almost five million medical records from a tape back-up, no healthcare issue garners more adverse publicity, or passion, than violations of patient privacy. While you might expect that since the institution of HIPAA and quarter million dollar fines that this is relatively uncommon now, you would be wrong. A stunning incidence of nearly 18 million breaches of privacy has occurred over the past two years according to a recent report from ANSI, the American National Standards Institute. That is equivalent to the population of the states of Florida or New York.
As the world moves towards adoption of Electronic Health Records and Health Information Exchanges, concern for the vulnerability of private health information is escalating as the scale of these data breaches reach epic proportions. A West Coast health care system experienced the theft of electronic health information for 4 million of its patients. And another major academic medical center inadvertently disclosed the electronic health records of 20,000 of its patients. The risks are real and global. And they leave an organization -- any organization -- subject to severe legal and financial damage, not to mention the damage to their reputation. None of these organizations were cavalier about their security compliance. But let’s face it, the workforce is larger and more mobile. The data is more prolific and ubiquitous and takes on many different forms. And the thieves are getting more sophisticated.
But so are the solutions. In the past, it was necessary to balance mobility with security-the more mobile, the less secure. Not anymore. Cisco’s AnyConnect combines industry-leading Cisco cloud and premises-based web security and next generation remote access technology to deliver the most robust and secure enterprise mobility solution on the market today.
In my previous blog, I talked about how virtualization is picking up momentum in the healthcare industry and how this is resulting in simplified clinical workflows and providing nurses and physicians with fast access to the applications and information they need to support positive patient outcomes. In this blog, I would like to touch on one of the key areas where virtualization has made a significant impact – desktop virtualization.
Hospitals frequently use shared dictation terminals to host their clinical dictation applications. As doctors complete multiple patient rounds, they make their way to one of these dedicated workstations, plug their personal microphone into the workstation, and dictate their notes from their previous rounds. The delay between completing rounds and dictating patient data is inefficient, but more importantly, it creates the potential for errors. Access through shared and dedicated workstations also tethers the clinician to specific terminals that can only be used when the doctor is in the clinic. For example, there is no easy way to access clinical reference imaging applications when the doctor is away from the clinic and wants to quickly review images for a specific patient. Instead, the doctor must either call a peer at the hospital to review the images, or incur travel time to go to the hospital.
Finally, although the shared workstations distributed across the clinics and hospitals are centrally managed, the software operating on each workstation can quickly drift away from its original configuration as users install specific applications not hosted by the data center or use the workstation in other ways that compromise the original “golden image.” As a result, every workstation and application that a caregiver uses can behave differently. A hospital’s IT group can potentially spend most of its time chasing repetitive workstation issues and errors, as well as managing different instances of almost applications. IT administrators constantly face the challenge of unwanted installations, as well as the incompatibility between images from one shared workstation to the next. Upgrading desktops and applications can be a difficult task, requiring many hours of effort on each workstation.
Virtualization continues to be a hot topic in the healthcare industry with many industry pundits calling this technology a potential game-changer. There seems to be a lot of excitement around how this technology can help the healthcare industry in terms of cost optimization and efficiencies. Some of the key virtualization drivers include the move towards electronic medical records (EMR) deployment, support for increasing number of mobile devices, and providing secure access to patient-sensitive data to authorized individuals (HIPAA compliance).
I do believe that healthcare organizations have much to gain by embracing virtualization in their networks, data centers, and end-user workspaces, but they must have complete confidence that benefits can be achieved without compromising core requirements for clinicians, administrators, and IT. In order to build this confidence, one must clearly articulate the “incremental” return on investment for adopting virtualization technology. I have seen and heard several bold claims as to how virtualization is going to transform the healthcare industry but yet those very claims are light on how it’s truly going to help healthcare organizations be “incrementally” better. I keep emphasizing “incremental” because that is the true value-add customers are looking for in order to justify their investments. In today’s macro environment, everyone is being tasked to do more with less.
In most healthcare environments, clinical and administrative applications are client-server based. Often a nurse or a doctor who has to enter data into an application ―for instance, an EMR application― does so from a shared workstation. This task starts with the user identifying himself/herself through a secure login process that can take anywhere from 1 to 2 minutes. After entering the data, the user often immediately logs out, leaving the station available for the next user. In an average healthcare setting, clinicians will repetitively access such workstations for data entry, sometimes as often as 50 to 70 times per shift. The cumulative productivity loss can add up to about an hour (60 times, with a 1-minute login procedure each time). The nurse or the doctor could use this time more productively by meeting with patients or other clinicians and increasing the number of patients they can see. This is just one example where virtualization could provide the “incremental” value-add by significantly cutting the productivity loss, which has a direct positive impact on patient experience.
Healthcare industry is at an interesting cross-road due to the confluence of virtualization and cloud computing. Several healthcare organizations are viewing virtualization as a stepping stone in their cloud journey. Increasing number of healthcare applications are being used in a virtualized environment – either at server level or desktop/mobile level. This is resulting in simplified clinical workflows and providing nurses and physicians with fast access to the applications and information they need, wherever they are, to support positive patient outcomes. Over the subsequent blogs, I will articulate how Cisco virtualization platform is providing the “incremental” value-add that gives the healthcare organizations the complete confidence they need to embrace this capability. Until then, stay tuned.
KLAS recently released its “2012 Best in KLAS Awards: Medical Equipment & Infrastructure” reportand for second year in a row, Cisco’s wireless infrastructure, specifically the Cisco 7900 series phones earned the top spot in the industry. As stated by KLAS, the Best in KLAS awards are based solely on the data from customers who provide feedback with the goal to ultimately improve healthcare through better technology. The awards recognize companies that offer excellent service and meet provider needs with product functionality. This report includes a total of 3,765 provider evaluations, including interviews with hospital and clinic executives, administrators, physicians, nurses, clinicians, directors, and managers interacting with healthcare equipment and infrastructure solutions. Specific details on Cisco wireless products and infrastructure can be found in KLAS’s wireless infrastructure report.
Certainly this is very exciting news for Cisco, but I am even more excited about the fact that technology continues to improve quality of patient care and clinical workflows that ultimately enables a superior patient experience. Wireless continues to be one of the key technologies that is truly transforming the healthcare arena – whether it’s a doctor accessing patient records (in a secure manner) on his/her mobile device from any place -- any time or a smart pill ingested by a patient that is wirelessly dispensing the appropriate medication dosage based on patient vitals. The graph below illustrates some of the key examples of patient care improvement that are being impacted by wireless technology.
Examples of Patient Care Improvements
We can all have differing opinions on what is the most effective way of lowering cost within our healthcare system, but one undisputable fact is that technology continues to improve every aspect of the healthcare eco-system and I am really excited as to what awaits us in the next few years. What do you think?