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Untapping Hidden Potential

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1 Untapping Hidden Potential
Ekahau RTLS Untapping Hidden Potential In Hospitals Tuomo Rutanen SVP Business Development Ekahau Inc. Reston Va. Tel:

2 Company Overview Ekahau is the performance leader in providing WIFI-based location tracking solutions. Ekahau’s award winning products are based on using open and industry standard WIFI/ networks. Ekahau was founded in 2000 in Helsinki Finland and is today a U.S based corporation. Ekahau has received several global patents on it’s core technology. Ekahau is privately owned with offices in the U.S., Canada, Finland, France, Germany, U.K. Japan and China. Ekahau is privately funded and backed by venture, corporate and institutional investors. Several thousand satisfied customers worldwide Ekahau Awards Ekahau Investors

3 Ekahau Worldwide 3 Reston, VA AMERICAS Sales & Marketing Engineering
Helsinki, Finland EMEA/APAC Sales & Marketing R&D, Product Management, Engineering Saratoga, CA HQ, Sales US West Engineering London, UK Sales Management UK Vancouver Sales Management Canada Chicago Sales Management Mid-West Paris, France Sales Management Europe South Hong Kong Sales Management Manufacturing Asia Atlanta Sales Management Healthcare Stuttgart, Germany Sales Management Europe Middle Tokyo Sales Management Japan Ekahau Office Ekahau Regional Staff 3

4 One Enterprise Wireless Infrastructure
What de-facto standard wireless infrastrcuture is ALREADY being used campus wide for Enterprise Data and Voice AND LOCATION purposes? DATA VOICE LOCATION Wi-Fi Wi-Fi 4

5 Ekahau Healthcare Customers and Partners
Over healthcare customers worldwide

6 Why We Are Great at What We Do ?
Leveraging an network has obvious advantages to solutions that require a proprietary infrastructure, however, enterprise WLANs are complex and fluctuating entities. Ekahau has 10 apprpved patents on generating location from RSSI data. US 7,228,136: A method for probabilistic positioning using radio signal observations. US 7,196,662: A method for creating and combining probabilistic radio signal models. US 7,209,752: Methods for estimating and visualizing positioning uncertainty. US 7,299,059: A method for modeling possible routes using tracking rails to improve positioning accuracy. US 7,149,531: A method for monitoring radio networks in real time. US 2005/ : A method for improving positioning accuracy by using a sequence of radio signal observations. US 2005/ : A method for normalizing radio signal observations from different types of devices. US 2007/ : A method for multi-hypothesis tracking which improves positioning accuracy, scalability and performance. US 2007/ : A method for improving positioning system performance by focusing the computation on a small subset of possible locations based on the latest observations. PCT/FI2007/050651: A method for ensuring that a positioning model meets the given accuracy requirements, helping to optimize the model and fix potential problems.

7 How does this compare with others ?
Ultra-Wideband Ultrasound RFID + IR Wi-Fi + Chokepoints *) ZigBee + RFID Lifetime Cost & Complexity Ekahau Wi-Fi RTLS Multi-Campus Presence Campus Floor Department Room Bed Shelf Accuracy *) Note 125 kHz chokepoints are forbidden in many hospitals around the world

8 Ekahau Differentiators
IPR– Significant portfolio of patent filings covering a broad spectrum of RF algorithms, processes and methodologies for indoors and outdoors Accuracy – The most accurate Wi-Fi RTLS solution with a significant accuracy and scalability advantage over proprietary systems Scalability – Enterprise-wide scalability that accommodates over 50K tags and 100M Sq. ft. per server. Performance – Low latency and high transaction throughput. Cost – Advantage in total cost of ownership over 1-5 year period Standards Based – The only true standards-based RTLS system, requiring no HW overlays or proprietary/interfering sensors. Array of Tracked Devices – Most extensive selection of Wi-Fi tags, soft-clients and clientless tracking of existing Wi-Fi devices Smart Tags – Capable of operating in beaconing and full associated mode for mission critical applications. 100% programmable remotely. Deployment Tools – Comprehensive toolset for performance verification, troubleshooting, tuning and system analysis. Two-way Communication – The industry’s only end-to-end platform providing full two-way communication between tags and servers

9 Ekahau RTLS for Healthcare
The ONLY Real-Time-Location Solution that can provide resolution at the: Shelf level Door level Bed level Room level Building level Campus/Multi-Campus ….all using your existing Wi-Fi infrastructure + Ekahau software and Ekahau Tags !

10 What does RTLS Track in a Hospital ?
1. Asset Tracking Clinical equipment Wheelchairs Beds, Stretchers Medical assets IT assets, COWs 2. Staff tracking Process/workflow improvement Scheduling, Patient transports Staff safety – alarms 3. Patient tracking Process improvement through tracking patient flow Wanderers/elopement Long-term care, elderly care Control pandemics Manage disaster situations

11 Hospital Departments Served Today by Ekahau RTLS
Biomedical Engineering Asset Tracking, PMs , Recalls, Cleaning, Recycling, Compliance Materials Management Asset Management, Leasing/Rentals Emergency Department Patient-flow tracking, staff safety, asset availability OR/Surgery Patient flow, process improvement, asset availability, temperature, samples Pathology/Laboratory Sample tracking, freezer/refrigerator management Pharmacy Narcotics tracking, freezers/refrigerators Housekeeping Transport dispatch and tracking, tracking assets, bed management IT/IS Tracking COW carts, PDAs, VOIP Phones Security Guard tracking and paging, staff emergency messaging, emergency call location Management/Finance Sox/Joint Commission compliance, auditing, budgeting

12 Why Hospitals need Asset Tracking

13 RTLS – What do people think it is ? What’s out there ?
Real Time Location System Monitor location of objects using a radio network Rules and alerts based on location or button presses API to 3rd party system pushes out location data or even a map …this is pretty easy, not very impressive nor exciting… Button press in room 301 #252 is exiting the floor

14 What is it really about ? RTLS is not only about location and events
I’m in New York Transport needed in Bldg2. Room 304 RTLS is not only about location and events It is about: Providing and communicating relevant information to and from people and objects Communicating one to many, many to one, tag to person, tag to tag, person to tag, etc. Driving actionable events which are communicated and/or escalated and responded to based on event, severity, type, time, motion, location, sensor, etc. Events initiated by tags, buttons, sensors, people, computers, telephones, PDA’s, cell-phones, etc. all forming the “RTLS Grid” that communicates. I’m nearby –let me take it- be there in 5 2 IV:s +1 VSM in Room #4 for servicing OK- shut-up an go to sleep I’m in storage area 34. The samples are melting Code Red Room 315 Acknowledge I’m on my way to pick them up I’ve fallen down and cannot get up I’m in the parking lot

15 Wi-Fi RTLS Solution Architecture ( It can get pretty busy ! )
Alert Find Alerts Query View Messages Views Security Systems Reporting Web Extranet XML SQL Acknowledge Act Report Inform Algorithms Client/Tag Mgmt. Messaging GW Statuses Maps APIs Reports Logs/Alerts Event rules Business rules Groups Categories Zones Alerts/Messaging History Commissioning Positioning Engine Vision Application Proprietary portals Interference Additional infrastructure Physical chokepoints Existing Campus-Building-Enterprise A/B/G/N Network NO Programming Settings “Buzz/Blink” Event Status Acknowledge Confirm Reply Alert Location Status Event Motion Temp/Humidity Process/sensor/control Identification Presence Wi-Fi Pager VOIP Phone PDAs Barcode Scanner Inventory Tag Staff Badges RFID Scanner Telemetry Tag Tablet Laptop Temperature Tag Asset Tags

16 The Ekahau RTLS System

17 Ekahau RTLS Ekahau T-series WIFI Tags ( 8 models )
Up to 5+ year battery, 2-way communication, tamper proof, audible and visible alarming, 2-way paging and telemetry. Beaconing (MAC) and Associated ( IP) modes Ekahau Positioning Engine- patented *) & accurate location server and algorithms: A/B/G /N location tracking for up to 1-3 meter resolution with standard Wi-Fi. Centralized or distributed support Scalable to 50,000 tags per server & 100million sq ft Ekahau Vision - enterprise application: Web-based, real-time, enterprise-wide visibility with full alerting, status, Ekahau Zones, rules and reporting capabilities Item status, room status, flow metrics, dwell times, escalations and work orders Ekahau APIs Two-way XML and SQL options for integration with third party applications Inventory Tag Telemetry Tag Asset Tag Temperature Tag (Cryo +Regular) Badge Pager Temp Humidity PDA’s Handheld VOIP Phones Patient Wristband *) 12 global patents approved

18 Ekahau RTLS Tags The Ekahau System possesses the widest selection of tags of any Wi-Fi based RTLS system and many other non-Wi-Fi systems Most of Ekahau’s tags can operate in three modes: Cisco CCX ( standard one-way Cisco “blink mode” Ekahau Beaconing ( advanced one-way “blink mode”) Smart-Mode ( 2-way, secure and managed mode for mission critical use) Combined Smart and Blink modes All Ekahau Tags can support different IP schemes: No IP address Static or Dynamic addressing Forthcoming IPv6 standard for network devices Ekahau Tags feature “Smart” capabilities such as: On-board alerting ( eg. temperature, staff duress, etc.) Over The Air (OTA) programming & configuration ( for touch-free operation ) 2-way messaging including alarms/ alerts, acknowledgements, text messages, sensor alarms ( with confirmation ) and multiple push buttons. Ekahau RTLS and Tags have the widest acceptance and compatibility in the Wi-Fi market with over 28 mutual certifications covering LWAPP, Autonomous, Mesh and Outdoor Access Point-based networks. Asset Tag Badge/Pager Sensor Tag Temp Tag Temperature + Humidity Patient Wristband PDA’s Handheld VOIP Phones

19 Ekahau Zones Ekahau Zones are the equivalent of physical portals, but exist virtually in the Ekahau system to drive alerts and business rules. Ekahau Zones are drawn by mouse and can be located anywhere on a facility map. There is no limit number, size or shape on zones. Example zones include Doorways for exit alerts Patient rooms for room status Sending rooms for Clinical Engineering OR/ED Flow Tracking Zero cost alternative to expensive and proprietary chokepoints *) at doorways or exits. *) some WIFI chokepoints operate at 125 kHz which have been found to pose serious risks in hospitals. Transport needed in Bldg2. Room 304 3 pumps in Sending Room need servicing Alert COW cart exiting floor Patient Smith is awaiting discharge in Room 327 Ekahau Confidential

20 Ekahau Location Beacons – Complementing Wi-Fi
The beacons can be attached to any surface and pointed into the area that needs to be identified. For example: A Bed Beacon on the wall above a bed, will shower the bed with a unique ID, allowing you to see if a patient is in the bed or not or if a caregiver is or has been with a patient. A Bed Beacon can tell whether a bed is available or not based on occupancy A Bed Beacon mounted over a sink can detect who washed their hands and when Beacons can be used between curtained areas to know the location and status of patients for example in recovery, ED etc.. ? ? ? Were their hands washed to prevent transmitting Infections ? Patient Smith in Bed 1 Bed 2 is empty Bed 3 Occupied by Patient Monroe Dr. Johnson at Bed 1

21 Ekahau T-301 WIFI Tag Ekahau’s 3rd Generation WIFI Tag
Based on G2 Microsystems SOC Built-in CPU, b radio, full IP stack, motion sensor, memory and power circuitry Attachment via belt clip, wall mount, tie-wrap, clip etc. Optical tamper switch detects unauthorized removal of the tag Two call buttons OTA ( Over the Air ) configuration and alerting Programmable signal LEDs and customizable buzzer Non-rechargeable CR-2 batteries for over five year battery life. Supports WEP to WPA2-PSK Hybrid Associating and Beaconing modes

22 Ekahau T301-B WIFI Tag Based on G2 Microsystems SOC
Supports T301-A features (Excluding tamper) Rechargeable battery Security switch for strap applications Graphical OLED display option LED and buzzer functionality Motion sensor Interface for external power Interface for external sensor or 3rd party devices Two-way pager/SMS functionality Multiple buttons for scrolling Browser-like interface Hybrid Associating and Beaconing modes

23 T301-B Personnel Tag with LCD
Use case examples/Safety: Man-Down alerts: if person has not moved in 5min, send request to get security guard to that location Panic Alerts if one needs help, push button and get help in you location Hazardous areas whoever enters in hazardous area, report person ID and location Code RED 132 T301BD Pager/text messaging (LCD) option Motion sensor Panic buttons Pull-strap alarm Re-chargeable 23 23

24 Application Example: Temperature Monitoring
Leverages leading edge System on a Chip ( SOC ) technology Built-in CPU, b radio, full IP stack, application memory, battery and power circuitry Two external probe options: Regular and Cryo Temperature ranges: -50C to + 85C ( basic probe configuration ) -200C to + 200C( Platinum probe ) +/- 1C temperature variation Temperature measurement and reporting intervals are fully programmable including on-board alerting. On-board memory to store measurements when network connectivity is not available. OTA ( Over the Air ) configuration and re-programming ( Fall/09 ) Supports WEP, WPA and WPA2 Battery life up to five years ( dual battery unit) with 15 minute reporting interval

25 Ekahau RTLS - Three Step Installation:
2 Perform Site Survey walk around the site once for RF pre-survey 3 WiFi Client Install Software Start Tagging and Tracking! Any Wi-Fi clients of Wi-Fi tags 1 Server Any Wi-Fi network - Ekahau Positioning Engine SW Floor Plan maps Ekahau Applications

26 Ekahau RTLS Performance Advantage
Ekahau RTLS is known as the performance leader in the industry today. Ekahau RTLS does not consume network resources or cause any interference ( as certified by leading Wi-Fi vendors ) Over 14 years of intense research on algorithms, 10 patent awards and winning every performance bake-off are testaments to our technological superiority over other systems. Ekahau’s chose Wi-Fi as it’s infrastructure because it presented the best value to the customer over any other enterprise RF technology. Ekahau’s market leading Wi-Fi network planning and analysis tools complement and support our core competencies in RTLS. Extensive collaboration in the healthcare space with many parties embedding Ekahau into Wi-Fi enabled devices. Ekahau’s award winning Site Survey tool provides the full picture on network performance for Data, Voice, RTLS Ekahau RTLS does not require excessive installation of more Wi-Fi Access Points

27 Ekahau - The Wi-Fi Experts
Developing the leading Wi-Fi RTLS system requires deep knowledge and experience with Wi-Fi & RF Every environment is different for AP placement, Wi-Fi coverage and overlap Accurate Wi-Fi readings and visualizations are key factors in RTLS deployment Wi-Fi and RF signals are ”bouncy” and unpredictable in nature, Ekahau has been able to harness this through advanced R&D Ekahau Advantage: Ekahau RTLS is deployed using Ekahau Site Survey (ESS) ESS is the industry’s only and first RTLS capable survey tool Standard Wi-Fi site survey calibrates the RTLS, no extra calibration work needed World’s first enterprise site survey / planning tool, released in 2002 Used by thousands of IT administrators and Wi-Fi engineers Incorporates spectrum analysis to determine interferers like Bluetooth, Microwave, ZigBee, etc. Ekahau Site Survey Partners Ask your RTLS provider What experience do you have in Wi-Fi? What kind of RTLS deployment tools, and site surevy tools do you use? Are RTLS deployment tools and Wi-Fi plannign / survey tools integrated?

28 What else can Wi-Fi RTLS do for my hospital ?
An RTLS system is not just limited to “finding things” or alerting when something exits the door, a properly planned deployment and execution can automate many manual processes and reduce human error. Examples include: Managing and automating equipment inventories, par levels, preventive maintenance Automatically capture time and motion for outpatient visits, surgeries, lab procedures etc. to measure and manage based on process visibility. A properly deployed RTLS system can be used across the entire enterprise and leverage the economies of scale of hospital-wide implementations on a “cost per tracked item” model.

29 Summary Ekahau is the only solution on the market that does not require wiring in or plugging in disruptive, expensive and proprietary hardware technology – we accomplish all of this with software and tags. Because Ekahau is 100% Wi-Fi and IP-based: You don’t have to worry about any potential interference issues now or in the future. The learning curve and on-going support for Ekahau RTLS is minimal. Ekahau offers several business models to accommodate your purchasing requirements from simple capital purchase to “lease to own” and SaaS. Our confidence in our technology is backed by a thorough pre-survey followed by a fast system implementation and comprehensive End-User training.

30 Wi-Fi RTLS Customer Examples

31 Case Study : Carolinas Healthcare – Enterprise Asset Tracking
Customer: Third largest independent hospital system in the U.S. 24 Facilities across North and South Carolina System-wide Beds 5000+ Problem: Clinical device visibility for PMs and recall management Asset utilization and par levels across enterprise were not optimal Solution: All major clinical assets tagged with Ekahau T-301 Asset tags Capital budget savings through reduced equipment purchase and leasing programs due to enterprise-wide visibility and reallocation PM turnaround times reduced resulting in excellent completion rates and par level maintenance across all departments Expanding to patient-flow tracking

32 Case Study: Psychiatric Hospitals, Canada – Staff Safety
Customer: 188 Bed Psychiatric Hospital in Ontario 206 Bed Psychiatric Hospital in Quebec Problem: Staff safety was becoming a serious problem with certain patients and patient types. Staff safety and morale impacted by “code-white” incidents Several cases where staff have been seriously injured by patients Solution: Staff members carry an Ekahau T-301-B Wi-Fi Badge with “panic switch” Staff members ( doctors, nurses and transporters ) simply pull on the tag to initiate a “code white’ Code White escalations sent to Security and other staff members with precise location of incident and “type” of staff member involved. Serious staff injuries are declining and staff morale is improving.

33 Case Study: Southeast Alabama Medical Ctr.– Temperature Mgmt.
Customer: 375 Bed Regional Hospital serving three state region. Regional referral center Existing Wi-Fi RTLS in place Problem: Monitoring and management of medicine and tissue refrigeration units performed manually. No automated way to measure and address anomalies. Solution: Ekahau T-301-T Wi-Fi temperature tags mounted on freezers and refrigerators constantly monitor and report. Wireless alerting in case of temperature breaches to PC:s, Wi-Fi Pagers , VOIP Phones and other devices System automatically documents all incidents and corrective action for Joint Commission reporting Wi-Fi Pager Viewing Reporting Alerts Historical Reporting Pop-up Alerts Alerting

34 Case Study : University of Kentucky Med Center – Asset Tracking
Customer: 473 Bed Acute Care Hospital Regional Trauma Center Campus-wide Wi-Fi covering majority of 1.2m sq.ft. campus Problem: Underutilization of assets resulted in over $400k in excess equipment rentals per year. Recalls and PMs were problematic due to large campus size Solution: Over 2600 assets tagged with Ekahau Wi-Fi asset tags. Equipment rental costs dropped from over $400k per year to under $40k per year. Visibility into equipment use/status now provides basis for future capital spending Recall and event reporting improved based on visibility into assets, their status and their use. Expanding to patient tracking and work-flow capture

35 Case Study : University of Kentucky Med Center – Asset Tracking

36 Case Study : Infection Control
Customer: XXX Bed Hospital in Europe 800,000 sq.ft. facility with 95% Wi-Fi coverage Problem: HAI ( Hospital Acquired Infections) are believed to be a significant problem due to the inadequacy of hand washing. HAIs are seen as occurring in 5-8% of patients resulting in approx $4k in increased costs per affected patient = possibly $12m per year ( 30k discharges) Solution: Ekahau T-301BD tags and Ekahau Location Beacons monitor and report hand washing events compared to patient interactions. Remind care givers via gentle text reminders on staff badges to sanitize hands after each patient contact A 5% reduction in HAIs due to proper hand sanitization pays for the RTLS system and more.

37 Case Study : Disaster Preparedness – Ekisaikai Hospital -Japan
Customer: Nagoya Ekisaikai Hospital Regional disaster preparedness emergency center ( Nagoya Japan ) Problem: During a major disaster, patient care can be compromised due to the chaotic nature of the situation. Getting to the severely injured first is a top priority among potentially thousands of injured patients. Solution: Ekahau T-201 tags are assigned to arriving patients. The tags are categorized as : red , yellow, green based on the severity of the condition of the patient. Staff can quickly find the “red” cases and provide care to patients based on priority. Push-buttons on tags can be used as wireless nurse call to summon help.

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