COPYRIGHT © 2011 ALCATEL-LUCENT. ALL RIGHTS RESERVED.

Zhenjun Zhu May 18 2011

Alcatel-Lucent: Delivering eHealthcare over Mobile Broadband Through Open Innovations

Agenda

1.Introduction to Connected Care

2.Open Innovations – ng Connect Program

3.Individual Connected Care Services

4.Service Scenarios

5.Closing

Technologies and StandardsUnified Communications

Integrate Platforms

VoIP

RTLS

Portals

Alerts & Notifications

Contact Centers Social Networking

Cloud Computing

Patient identification

Tele-medicine

Wireless

HIE

EMRHIMMS analytics

Infrastructure CapabilitiesEvent Driven

Integrated

Collaborative

ConvergedVoice/Data/Video

Mobile

Service Oriented

AwareCompliant

Secure

Agile

Scalable

Convenient

High Performance

Interoperable

Accessible

What Analysts say about Digital Care Delivery

Applications & Systems

BI/Analytics

PatientThroughputLogistics

Clinical DecisionSupport

Care CoordinationIntegrated ClinicalAdmin & Financial systems

InteractivePatient CareSystems

ProcessImprovement

Personal HealthManagement

e-healthOutcomes

Patientsafety

Financial

Compliance

Patientsatisfaction

Quality Measures

Digital CareDelivery

Our “Connected Healthcare” Solution Strategy

“Connected Healthcare” is a dynamic and comprehensive connection between a patient and the medical care system

Dynamic: accounts for time, location and type of care

(wellness, chronic, acute and palliative care) Comprehensive: all data (not just whatever silo is available)

Your “Communication” Partner for the Healthcare

Powered by Convergence, Innovations and a centralized deployment model

ng Connect eHealthcare Open Innovation Framework

Carrier Network

In-Hospital NetworkIn-Hospital

NetworkIn-Hospital Network

In-Hospital Service Applications

Dia

gnos

tics

Mon

itorin

g

Co

mm

un

ica

tion

Me

dic

al R

eco

rds

Bill

ing

/ A

dm

in

Re

mo

te P

atie

nt

….

Nurses Managers Doctors

Remote Patients

Smart Devices

Smart Devices +Sensor Network

Sensor Network

In-hospital Patients

Wireline WirelessVoice

Fixed Access 4G Wireless Access 2G / 3G Access

Application Enablement – Supporting Cloud-based eHealth

Healthcare Application Platform

Healthcare Application Platform

Our proven services

Connectivity

Services

Wireless

Services

Reachability

Services

Telemedicine

Services

Patient

Services

Clinical

Workflows

Services

Metro Area NetworkingMedical LANData CenterRemote workers

Medical WiFi networksMobile networksWiFi – DECT TrackingLand Mobile Radio Service integration

Voice Com.Video Com.Unified Com.Mobile Com. ApplicationsMobilization servicesThird Party integration (nurse call ….)

Remote Patient MonitoringTelemedicine contact centerVideo ConferencingVirtual Hospital

Digital SignageIPTV – WebTVPatient infotainmentSelf-service centerMultichannel contact center

Inter-division workflow processWorkflows between hospitals and other care groups

Under

Development

A Network Operations Center for Healthcare

Aggregate View of Sensor Data

The Healthcare Communication Highway

Acute Care

Polyclinics

Nursing homes

Community Center

Centralization & Virtualization:Data Center: Speed of deliveryConsolidation of services

EMR-EPR / PACS / UC- Video..

Communication NetworkServices:

Medical record accessRemote patient monitoring

Remote consultancyVideo services

Education servicesPatient services

Health Information Exchange (HIE)…

Requirements:Deep QoS / service levels / VPLS-MPLS

Fully redundantSecure

Remote access is fundamental for a digital hospital

The Healthcare Communication System

Acute Care

Polyclinics

Nursing homes

Community Center

Floor wiring Closet:

Multiple stacksRedundancy

Connects all servicesPower over EthAccess Security

VLAN / QoS

Core network:2 layered model

Full Redundancyfor all Services

Call ServersUnified com.Video Servers

Clinical Servers

Services are distributed

between the stacks

VLAN’s per service

The in-building Wireless Services

Acute Care

Polyclinics

Nursing homes

Community Center

WiFi enabledCommunication

EquipmentWiFi enabled

Medical Equipment

WiFi for patients

The in-building Wireless System SecurityFor a stable reliable MEDICAL Wireless System

Acute Care

Polyclinics

Nursing homes

Community Center

WiFi Security:SSID per serviceWPA2 encryption

QoSa/b/g/n

BeaconingAir Monitoring

SSID: data (*)

SSID: voice (*)

SSID: biomed (*)SSID: guests

(*) Not broadcasted

A n ubiquitous, secure wireless systemis fundamental for a digital hospital

Asset and People Tracking

Acute Care

Polyclinics

Nursing homes

Community Center

-Each WiFi device-Each person carrying a WiFidevice

can be tracked

Know if doctor is inand where she-he is.

All other peopleor assets

can be trackedas wellAlarms

SMS

Movements

AlarmMessages

Temperature

Empower caregivers with the right communication tools

Directory list of Doctors, Nurses …

Presence and IM

Instant Conference call setup

(with RFID tracking.. Where is…..?)

Call SMS

Conferencing

• Life example

Mobile Phone Applications

Emergency Call Handling

995/999

Hello… My Husband have a chest pain and

…. !!! …

… Ok… patient name is Morine,

NRIC S6987342G at address ……

Medical Contact Center

Patient RecordName: Morine, JacksonNRIC: S69876342GAddress: 33, Pink Rose GardenMedical History:High Blood Pressure …..Medical Doctor: Dr. Tan

• Voice

• Contact Centre

• Patient Record Retrieval

Ambulance Dispatch, Patient Registration, Record Retrieval, Real-Time Calling, One Number Service

Hospital Admission Registration

Patient Medical Record Retrieval

AmbulanceDispatch

Dr Black’s One NumberExtension Number 1995

DID 6333 1995

Telephone Call

Dual Ring

Not At Desk

Dr Tan answer the call on his mobile phone.Even he is not at his desk, he never miss any calls.

Patient RecordName: Morine, JacksonNRIC: S69876342GAddress: 33, Pink Rose GardenMedical History:High Blood Pressure …..Medical Doctor: Dr. Tan

Situation CRITICAL… the team goes into action

Blood Pressure Dropping

Chest Pain

NurseCall

Dr. Black is with a patient. Nurse McCormick send instant message to Dr Black.

Nurse McCormick

Responding to Urgent IM while Busy

Nurse McCormick

Dr Black with another patient,

giving some quick advise to Nurse

McCormick.

Instant Conference

Message Content:

N. Jordan

We have an emergency in ICU 3

Please join instant conference.

S. Dubois

J.P. Albinet

P. Smith T. Martin

Instant Conference

Room

Nurse McCormick

Dr Black PharmacistHeart Specialist

Collaboration (all media-all devices)Enablers for Tele-Health with the integration of medial

info Instant messaging

IM, telephony and Outlook® calendar presence

Ad hoc, meet-me, and scheduled

conferencing

Application sharing, desktop sharing,

document management

HD P2P and multiparty video

Inviteexternal participants (partners/ customers)

Internal and secured external

access (HTTPS)

Vital Signs

Pandemic Time – Responding to Crisis

Containment, Quarantine

Status Alert Broadcast

Join Task Force Meetings

Collaboration- anytime, anywhereFlu Alert Status

The H1N1 Flu Alert Status is now Green! Please join the conference for the follow up task force meeting.

VoiceMessageRecording

Automated Message Delivery System (AMDS)

Keep your Chronic Disease people stable and outside the acute care

Polyclinics

Nursing homes

Community Center

Acute Care

Automatic transmissionSecure and easyIncludes life-style

Triage and AlarmsAdjust medication

Follow your resultsShare with friends

Useable in ClinicsCommunity Centers

Alcatel-Lucent Tele-Health ManagerExport to EMR

diabetes, hypertension, congestive heart failure and COPD monitoring

Alcatel-Lucent TeleHealth Manager solutionComponents to cover different Chronic illnesses Ultra 2

Ultra Mini LifeSource UC-321 PBT

LifeSource UA-767 PBT

Scales OxymeterBlood pressure meterBlood glucose meter

Friends - Family Patients Caregivers

Also SMS/e-mail a

lerts and clin

ical

patient re

cord export

PSTN

Wirelessdevices

Automatedtransport

StorageAlertsPresentationResults

The usage in Clinics – Community Centers and Hospitals

Allows the Careprovider to take the readings of multiple patients using only one set of equipment and one mobile handset.

Works with diabetes, hypertension, congestive heart failure and COPD monitoring. Allows the user to use all of the features of the mobile application, only for many different Clients. Has a built-in feature that confirm the ownership of the readings that are being transmitted to the back-end server. Can be used in conjunction with single-user mode.

Extend the acute care. “Virtual Hospital”

Physician consultant

Studio Desk top

Telemedicine Desk

Community Center

Acute Care

Virtual Hospital

Suite

Tele-MonitoringTele-ConsultationTele-StrokeTele-Conference

CommunicationHighway

AudioVideoContact CenterLAN / WiFiClinical systems

integration

Example: Functional Vision – X-RaySolution is streamlining the communication process – allowing care to

be the Priority in an integrated care system

Doctor

X-Ray

Radiology

Escalation(On Duty Doctor)

After Hours

Referral

Image

Radiology Report

Notification

Escalation

Radiology

Who is available?Message alertsFeedback notification

COPYRIGHT © 2011 ALCATEL-LUCENT. ALL RIGHTS RESERVED.

eHealthcare is a system, not just a technology or solution

A basic framework is needed to build individual implementations

Open innovation is key