© 2009 Eaton Corporation. All rights reserved. This is a photographic template – your photograph should fit precisely within this rectangle. Power Quality Solutions for Medical Applications in the 21 st Century Chris Loeffler

2 2 Current healthcare market drivers Health Reform Act Making health insurance more affordable 32 million more people covered New competitive health insurance market Health care facilities will have to be more efficient (frugal) Greater accountability Higher reliance on technology End discrimination against existing conditions Increased care required for those in need Purpose: Help stabilize the budget and the economy

3 3 Supporting the health reform act EHR = Electronic Health Records American Recovery and Reinvestment Act (ARRA) Investing $19 billion in computerized medical records that will help to reduce costs and improve quality while ensuring patients privacy $1 billion for prevention and wellness to improve Americas health and help to reduce health care costs $1.1 billion for research to give doctors tools to make the best treatment decisions for their patients by providing objective information on the relative benefits of treatments $500 million for health workforce to help train the next generation of doctors and nurses. The HITECH Act, part of the ARRA includes Medicare incentives for adoption and meaningful use of certified EHR technology

4 4 Certification Commission for Health Information Technology (CCHIT) Health Information Technology for Economic and Clinical Health (HITECH) Policing the health reform act The HITECH Act requirements are governed by: CCHIT - requires backup of 24x7 application operation that a UPS provides when integrated with the EHR system. Including a UPS is crucial to demonstrating meaningful use of an EHR system and thus eligibility for stimulus bill funding. Grants and Medicaid incentives begin in 2011 for those meeting the meaningful use clause.

5 5 HITECH Act HITECH Act Regulations 42 CFR: Parts 412, 413, 422 and CFR: Subtitle A, Subchapter D Subchapter D – Health information technology PART 170 – Health information technology standards, implementation specifications, and certification criteria and certification programs for health information technology

6 6 Additional legislation impacting healthcare Public Law Aug.21,1996 Health Insurance portability and accountability act of 1996 Health care clearinghouse-The term 'health care clearinghouse' means a public or private entity that processes or facilitates the processing of nonstandard data elements of health information into standard data elements.

7 7 7 Whats important: Create the Electronic Health Record via the digitization of patient data for real time access of lab, financial, imaging, and clinical documents, with unsurpassed security Achieve IT transformation

8 8 8 Whats important: Create a 21 st century enterprise for healing that is able to serve an increasingly sophisticated and growing population Replace aging facilities

9 9 9 Whats important: Deliver quick and efficient outpatient and ambulatory services using the most advanced technologies available Rising outpatient utilization rates

10 Whats important: Provide large, comfortable single patient rooms which accommodate new technology required for changing levels of acuity Provide healthcare hospitality

11 Whats important: Make required investments in technology that improve operational efficiency and desired clinical outcomes Keep pace with technology

12 Whats important: Set the Green example for the community by maintaining an energy efficient and environmentally sustainable enterprise S U S T A I N A B I L I T Y

13 Healthcare Operating Cost Efficiencies Enhanced Safety Risk Mitigation Greater Reliability Effective Use of Capital Paralleling Switchgear Systems Analysis and Design Automatic Transfer Switches Generator Quick Connect UPS, power distribution, Enclosures, software Power Xpert Software Sustainability UPS, surge strips

14 Standby generators arent enough… UPSs clean the utility power ensuring pure, uninterrupted power during transition from utility to generator and back to utility. Utility Power Or Generator Critical Systems Clean Power

15 Utility Power Or Generator 3-phase UPS DC Systems Clean AC Power Clean DC Power Software Data Centers Diagnostic Imaging Clinical Lab equipment Servers Networks Call/Patient Monitoring Telecom PBX Wireless Central Office Comprehensive Power Quality solutions Services 1-phase UPS

16 Knowledge building tools (Interactive Hospital) Whats important: IT systems typically represent 1/3 of a hospitals capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

17 Knowledge building tools (Interactive Hospital) Whats important: IT systems typically represent 1/3 of a hospitals capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

18 Knowledge building tools (Interactive Hospital) Whats important: IT systems typically represent 1/3 of a hospitals capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

19 Powering nurses stations Whats important: Protecting the IT systems used for patient data entry and communication, including IT / Computer systems, Computerized Physician Order Entry (CPOE) systems, and PoE phone systems

20 Powering laboratory systems Whats important: Protecting the analysis systems used for diagnosis of the patient data entry including Hematology analyzers, blood/gas analyzers, centrifuges, and PoE phone systems

21 Powering imaging systems Whats important: Protecting the imaging systems used for critical picture diagnosis of patient conditions including MRI, CT, X-ray, PET, Ultrasound Mammography, picture archiving and communication systems (PACS)

22 Powering molecular imaging systems Whats important: Protecting the vivo and in-vivo imaging systems used for diagnosis of patient conditions including florescence, bioluminescence, absorption or reflectance optical imaging, SPECT, PET and magnetic imaging

23 Powering front office systems Whats important: Protecting the patient records input systems used to admit patients capturing ailment reasons with billing and insurance information including: computer systems, telecommunication systems

24 Powering EHR storage and transmission Whats important: Protecting the data center / computer rooms used for gathering and safeguarding all the patients EHR data, and storing or transferring that data to meet the demands of 21 st century healthcare facility

25 Typical question about UPS systems Do I need a medical grade UPS system? UL or EN/IEC rated systems are used for patient contact equipment Standards are written around patient safety Medical Devices (MD) In-Vitro Diagnostic Medical Devices (IVD) MD devices typically need to meet UL Syringe pumps, artificial respirators, surgical lasers, patient monitors In Vitro Diagnostic Devices (IVD) do not Centrifuges, hematology analyzers, blood/gas analyzers, other lab equipment. Most EHR equipment will fall outside these requirements

26 Eaton powers healthcare technologies Power management solutions and UPSs help assure the integrity of patient care by ensuring mission-critical diagnostic imaging, IT, clinical, and monitoring systems operate at optimum levels at all times. Trusted by key mission-critical organizations Diagnostic imaging providers – GE Medical Systems, Siemens Medical Solutions, Phillips & TomoTherapy Clinical lab vendors – J&J Ortho-Clinical Diagnostics Group Purchasing Organizations (GPO) – Premier, Inc., AmeriNet & Mercy Resource Management, Inc. Preferred vendor – Triad Hospitals

27 Our experience Baptist Health System of Alabama St. Vincents Jackson Hospital Healthsouth Triad Hospitals Childrens Hospital of Wisconsin Harvard Medical School UAB Health System Charlton Hospital …and 1500 more healthcare facilities

28 Eaton in Institutions Education and Training seminars Case studies and solution brochures Content leadership, videos, media placement and print contribution Professional advice and real world information

29 Additional resources Power Quality (Uninterruptible Power Supplies / Power Distribution) healthcare portal - Eaton Electrical overall healthcare portal - Eaton interactive hospital - Eaton healthcare guide – Includes qualifying questions to help healthcare providers determine a solution

30 Where to start Familiarize yourself with the data input, storage and transmission needs for meaningful use Investigate suppliers that can support the equipment needed to accomplish meaningful use Call in experts from companies currently supporting the healthcare industry, who can help you determine what products make sense Reap the benefits of meeting or exceeding the meaningful use clauses, and enter the 21 st century

31 Eaton has a long history of technology leadership to give you the best power protection Trusted solution provider with over 1500 hospital installations Understands healthcare needs and partners with key healthcare-critical organizations such as GE Medical Systems and Siemens Medical Solutions The most complete line of power protection, distribution, metering and monitoring hardware and software to fit your 21 st century needs A world-class service organization to provide you the peace of mind Summary

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