1. Implementing an Alarm Management Solution to Improve Patient Safety and Satisfaction Presented by: Bob Sarnecki, Chief Information Officer Chad Bohreer, Sr Systems Analyst Mike Biegen, Sr Systems Analyst

2. Emergin Solutions for Healthcare General Inpatient Outpatient The only free-standing pediatric hospital in Arizona One of the 10 largest children’s hospitals in the United States 128 employed physicians Located across multiple campuses Phoenix, AZ (1919 E Thomas Rd) “Hospital within a hospital” (Banner Health, Good Samaritan Hospital) $400M expansion underway 300 licensed beds; 137 critical care beds 100,000 sq ft 12,000 admissions; 56,000 ED visits 1 Ambulatory Care Center; 2 Urgent Care Centers under construction 80,000 sq ft 177,000 outpatient visits About Phoenix Children’s Hospital

3. Emergin Solutions for Healthcare Emergin Addressed a Tactical Need … The original need: Replace our existing wireless messaging & paging software Had outgrown the software (…and the vendor) Licensing was inflexible (per device licensing only) Limited to “traditional” paging devices only Emergin promised … A move toward ubiquitous communication Improved logging & tracking Commitment toward ongoing development Short learning curve

4. Emergin Solutions for Healthcare … And Addressed An IT Strategy Component of PCH’s Service Oriented Architecture (SOA) initiative Device alerts coordinated through a single solution Application systems can alert through Emergin Improve communications across applications Event Management & Logging Eventual logging of all events in a single database Real-time event notification Standardization of alarms & events Reduce user management across systems Reduce maintenance across systems

5. Emergin Solutions for Healthcare Translating to Business Need Not just “replacing the paging system” Improving patient safety & satisfaction Improved receipt & response to patient alarms Tools for the analysis of alarms Improving patient assignments & transfers Additional data for Root Cause Analysis Controlling costs through technology Consistent function & hardware independence Leverage existing technology appropriate Interoperability between systems Service Oriented Architecture (SOA)

6. Emergin Solutions for Healthcare Critical Success Factors “Begin with the end in mind” Will become much more than a “paging system”, but start with a success Understand event management before the users do Communication was essential Addressed through all possible venues Coordinated roll-out Cultural & technical change Emergin users were not necessarily the recipients “Branding” to make it “ours”

7. Emergin Solutions for Healthcare Phase 1: Emergin By Itself Develop materials Educate: Quick reference guides, user guides, video Communicate: Presentations, Stat!, Status Reports Drive through the Change Management process early on Gradual transition of Hospital staff to PCH OnCall Identified early adopters for direct training Manual Conversion: A chance to “Spring Clean” Identify unused pagers Planning for Phase 2: McDowell NICU

8. Emergin Solutions for Healthcare Phase 2: McDowell NICU

9. Emergin Solutions for Healthcare Multiple visual & auditory alerts, all the time Monitors Pumps Nurse Call & Hall Lights Pagers And so on… Constant stream of data, but little information The burden to adapt to new systems is on them Even sign-on can be time- consuming and error-prone Nurses: The Amazing “Human Interface”

10. Emergin Solutions for Healthcare When 4 Singles Equal A Grand Slam Single device for Nursing (Vocera) Single sign-on across multiple systems (Emergin) Vocera Philips Patient Monitoring Rauland-Borg Nurse Call System Single data base for Event Management (Emergin) Single solution across multiple campuses

11. Emergin Solutions for Healthcare Getting There Has Challenges Cross-functional teams to define events Vendors: Technical specialists, not “sales support” Hospital: Nursing, IT, other departments Allocate time for research & education It may have been done before, but has it been done together? Develop hands-on, in-house competency “Wars are won on battlefields, not in classrooms” Today, many solutions are proprietary Select vendor partners carefully

12. Emergin Solutions for Healthcare Emergin @ PCH: The Board Version RAULAND NURSE CALL BOXPHILIPS PATIENT MONITORVOCERA EMERGIN ENTERPRISE SERVICE BUS

13. Emergin Solutions for Healthcare Emergin @ PCH: The Geek Version

14. Emergin Solutions for Healthcare Emergin @ PCH: The Nursing Version

15. Emergin Solutions for Healthcare Next Steps … Additional deployments Zettler Sentinel Nurse Call system at the Thomas Rd campus Integration with location-based services (RF tracking) Expand Emergin SOAP “toolbox” for developing our own integration Integration with telephony? Integration with application-based tracking? Integration with competitor’s products Responder NET & Tracer

16. Emergin Solutions for Healthcare Making the Case for Patient Safety Source: Healthcare Technology Foundation, Clinical Alarms Management, white paper September, 2006. Clinical Alarm Reports Involved in Patient Deaths

17. Emergin Solutions for Healthcare Dashboards Help You be Proactive Total Alarms per Shift

18. Emergin Solutions for Healthcare Dashboards Distribute Workloads

19. Emergin Solutions for Healthcare For More Information Bob Sarnecki Phoenix Children’s Hospital Chief Information Officer rsarnecki@phoenixchildrens.com (602) 546-2500 Emergin www.emergin.com (866) EMERGIN