1. Advancements of RFID in the Healthcare System Jesse A. Evans 3/25/07

2. Overview What is RFID How RFID Works Benefits to the Healthcare System Challenges of RFID in the Healthcare System RFID Applications Healthcare Sample RFID Scenarios A Visual Guide to RFID in Healthcare Questions

3. RFID is... RFID (radio frequency identification) is an automatic identification and data capture (AIDC) technology that transmits information about an object wirelessly using radio waves. It is a way to collect information on products, places, times, and transactions. RFID differs from other AIDC technologies in that RFID: is an automatic process does not required line of sight can capture multiple data points simultaneously can store more data per tag/label is more durable and works in harsh environments standards are not yet universally adopted typically costs more per tag/label

4. A passive RFID System: Tag enters the Magnetic Field Magnetic Field powers the tag Tag transmits ID (plus Data) Reader Captures data Reader sends data to computer Computer determines action Computer instructs reader

5. Low Frequency RF-ID (<100MHz) – Source: Scientific American January 2004

6. RFID Benefits in Healthcare Increase safety 70% of dangerous medication errors occurs atthe ordering stage Drug Tracking...match individuals to their prescribed medications by computerized scanners, has the potential to cut in half the 7,000 hospital deaths attributed to medication error every year. Washington Post Article, February 2004  Improve efficiency Staff can become more efficient in diagnosing a patients symptoms; the staff will instantly have all of the patients current and past records available either on their own personal devices when they enter a room, or the screens in the room will constantly update with the most current patient information Increase patient satisfactions Only 27% of the first OR cases of the day start on time, and the best performers average a 76% on-time start. Late starts delay subsequent cases, risking diversions and overtime costs. Reduce costs Hospitals cannot find 15-20% of the devices they own. Arthur Gasch, Medical Strategy Planning  Increase revenue HCOs frequently have problems locating patients and doctors, causing delays in clinical workflow. These delays are particularly acute in the PACU, radiology, and ER.

7. What are the challenges in RFID? Privacy Issues Does not show immediate financial results Budgets A Limited number of companies providing systems integration (one stop shopping) Note: This is changing every day

8. RFID Applications in Healthcare RFID People Tracking Asset Tracking Drug Distribution Point of Care Service Process Centric

9. Sample RFID Scenario: Preparation for Surgery Patient RFID Bracelet Checked to Insure Correct Individual Patient Transported to Operating Room and RFID tag verifies correct procedure Equipment Located via RFID Location Tag Physician Located via RFID Id Badge Physician Reviews Patient Electronic Medical Record Procedure Performed Physician Scans RFID Id Badge to Record Procedure Completion Patient Transported Back to Room with RFID Bracelet Scan

10. Sample RFID Scenario: Medication Administration Sample Caregiver Verification Individual RFID tags, difficult to duplicate, ensuring secure, automatic clinician login, speeding delivery process Medication Verification Individually labeled medication doses correctly matched with physician order using less expensive RFID technology Patient Verification RFID wristbands scanned without line-of-sight, requiring fewer physical touches, speeding process and increasing medication efficiency

12. Questions