With more than 328,000+ patient visits and 300+ clinical trials yearly, Moffitt Cancer Center is one of the busiest cancer centers and institutional leaders in national cancer research. The center delivers all levels of care for people with cancer and related diseases, as well as screening and prevention services.
At this week’s Cisco Live global conference, John Maass, Manager of Moffitt’s Conferencing Technology Systems and Support, participated in an exceptional discussion alongside representatives from Orlando Health and Children’s Hospital Central California. Together, this powerhouse panel conversed about how the healthcare industry is poised to taking advantage of the Internet of Everything bridging together people, process, data, and things to make connectivity more relevant and valuable than ever before.
It was 1918 – World War I had just ended and the Spanish Flu epidemic was raging across Central Florida. In Orlando, a dedicated group of doctors and community members joined together to raise a 50-bed, non-air-conditioned hospital to care for the sick. Orange General Hospital opened with the mission of providing top-level care for all community members, and has done just that for the past 95 years.
While the mission for the organization hasn’t changed, Orange General Hospital has grown to become Orlando Health – one of Central Florida’s most comprehensive, not-for-profit hospital systems composed of six wholly-owned hospitals and two partnership hospitals. The 2,000-plus bed system serves nearly 2 million residents and includes Orlando Regional Medical Center, MD Anderson Cancer Center Orlando, and the Arnold Palmer Medical Center, which consists of Arnold Palmer Hospital for Children and Winnie Palmer Hospital for Woman & Babies. As a not-for-profit organization, Orlando Health’s top priority is the welfare of the community, and all excess revenues are used to benefit the community.
As more and more provider networks turn to accountable care organizations, a greater emphasis is being placed on telemedicine for care management. At Cisco Live 2013 this week, we’re seeing this trend manifest as the focus of many of our healthcare customers turns to improving patient access to care and transforming the clinician experience.
One such customer is Nemours Children’s Hospital. Today, Bernie Rice, chief of information technology at Nemours demonstrated how physicians and specialists are able to collaborate over distance to examine patients, bringing care regardless of where the patients are located. Through a series of demos, attendees witnessed firsthand the connection of a physician in a hospital directly to a patient at her home, as well as the interaction of physician, nurse and patient all located in three different locations.
The demo illustrated how a remote physician can listen to a heartbeat, receive vitals—blood pressure and temperature— and interact with patients through high definition video. Other capabilities include the ability to view ultrasound images, look into the ear canal and examine magnified images of skin.
The HIPAA Omnibus Final Rule, released January 2013, introduced some significant changes and updates. The 2012 HIPAA audits, performed by KPMG, concluded with some initial findings released by the Department of Health and Human Services (HHS) Office of Civil Rights, OCR. These two events may impact how you govern your internal organization and network for patient privacy and protection of PHI.
Here are nine network considerations to address in the new HIPAA landscape. I will discuss the first consideration in this blog.
HIPAA Audits will continue
The HIPAA Audit Protocol and NIST 800-66 are your best preparation
Knowledge is a powerful weapon―know where your PHI is
Ignorance is not bliss
Risk Assessment drives your baseline
Risk Management is continuous
Security best practices are essential
Breach discovery times: know your discovery tolerance
When entering a hospital today, you’ll find a familiar and reassuring sight: hospital staff dedicated to physically monitoring and comforting patients who are confused or agitated, at risk for falls, wandering, and so on. While absolutely necessary, having a patient under constant monitoring by hospital employees, or nonhospital “patient sitters,” can lead to skyrocketing costs. At times, hospitals are not reimbursed for these expenses, meaning patient’s families are asked to provide sitters at their own expense -- imposing a burden for working family members.
With this in mind, we asked a question: How can patient observation costs be reduced while still providing the necessary care and attention patients need?
Enter: Virtual Assistance
Using HD video and two-way communication, healthcare organizations can dramatically drop the cost of patient observation. With virtual observation, trained staff in a central location can monitor multiple patients, notifying hospital staff onsite just as quickly as if they were physically there. To sweeten the deal, a virtual deployment runs over the hospital’s existing network without high-cost infrastructure installations or updates.
Virtual Patient Observation
Providing Personal Attention
Park Nicollet Health Services, a nonprofit, integrated healthcare system located in St. Louis Park, Minnesota, deployed Cisco’s virtual patient observation solutions to solve several challenges they faced:
Continuous observation of patients deemed at-risk in the hospital’s fall reduction program
Management of staff for 1:1 observation of priority and less severe monitoring cases
Coverage of multiple rooms with limited nursing staff, maximizing quality of care
With Cisco IP Cameras and Cisco Video Surveillance Manager, Park Nicollet has deployed video patient bedspace monitoring over their existing network, adding a “second set of eyes” to their team. The deployment has increased bedside care time for Registered Nurses and enhanced the environment for care, which has been reflected in Patient Care Scores.
Watch below as Eric Paine from Park Nicollet discusses the deployment during one of our recent roundtables:
Used as part of the hospital workflow, the Cisco Virtual Patient Observation solution can also:
Reduce risk and exposure for patients and operations
Improve communications between clinicians and staff providing specialized patient monitoring
Enhance bedside response by providing the caregiver with more information
Learn more about how Cisco is moving healthcare forward and be sure to watch this webinar on Healthcare Security Force Management Best Practices.