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WE SIMPLIFY COLLABORATION
YOU FOCUS ON CARE
MOBILE COLLABORATIONIntroduction to
for Healthcare
02
Our Promise
Halo Communications™ Advisory Council
As practicing physicians and nurses, we experienced firsthand the technological and cultural barriers preventing clinicians from collaborating effectively, and the impact those barriers had on patient outcomes. The Joint Commission shed further light on the problem with a recent report confirming poor communication as a leading cause of sentinel events in healthcare.
Because of this experience, we’ve directed our focus and passion on helping others care for patients more effectively through improved clinical collaboration. In 2010, we founded Halo Communications™ and developed the model for the Clinical Collaboration Platform. Since then we have helped more than 200 healthcare organizations achieve better patient care and collaboration by breaking down communication silos and modernizing their technology.
The Halo platform is the antidote to the pain healthcare systems feel after years of employing antiquated technology such as pagers, on-premise communication systems, paper on-call schedules, “dumb” devices, and fragmented department-specific deployments that ultimately drive convoluted clinical workflows. The Halo platform makes it possible for your organization to employ a unified collaboration platform across the entire enterprise, which leads to improved patient care.
Join us on a journey that begins by uncovering your collaboration technology gaps, clinical workflow deficiencies, and care coordination challenges. We promise to put patients first, simplify the complex, and deliver the best collaboration experience available.
Jose G. Barreau, MD CEO and Co-Founder
Our Story
Clinical DNA
Customer Journey
Proven
Industry-Leading
Technology
Founded in 2010 by two clinicians who recognized the need for a better solution for clinical collaboration.
Integrated clinical workflows built through firsthand experience.
Deployed across a variety of healthcare systems ranging from PCP offices to large enterprise systems (15,000+ users/system).
2017 KLAS Report • Category Leader for Secure Messaging. • 100% of customers would buy again.
Implementing a clinical collaboration platform can be a complex and challenging endeavor. The Halo Customer Journey guides your team by focusing on needs assessment, integration and implementation blueprinting, Go Live, and beyond to ensure your requirements are met.
Secure cloud hosting through Amazon Web Services allows platform functionality to extend across the entire hospital system, and even across organizations.
Employ unified product development to ensure a consistent user experience across the platform.
Full smartphone offering with Halo Mobile Control™.
• Outdated technology and infrastructure lack analytics, security,
reliability, speed, and accuracy – preventing transmission of critical
information.
• Individual Areas of Service often deploy department-specific
collaboration solutions – creating isolated silos of communication
within hospitals that hinder interdepartmental transfers of
information.
• Communication is typically limited to within facility walls, preventing
secure and timely transmission of clinical information across the
continuum of care.
• These factors create a poor user experience, leading to low adoption,
further hindering clinical collaboration.
of sentinel events according to a Joint Commission survey1
Communication was cited as a root cause in
“
Halo Communications™ partners with you to help solve your health system’s clinical collaboration challenges by:
Working with your team to uncover
your system’s specific collaboration needs…
Recommending the right mix of Halo products to address
those needs across the entire enterprise, and…
Guiding your team through and beyond implementation
to ensure high user adoption.
Our partnership doesn’t end after go live.
1 2 3
70%
Clinical Collaboration Isn’t Easy. Why?
- VP, KLAS, October 2017
Halo is a really well designed, responsive, and high-quality product. Halo met the needs of our hospital, and it brought us functionality that we didn’t know we needed. It also improved communication throughout our hospital.”
Halo Mobile CollaborationHalo is the mission-critical mobile collaboration company for healthcare. We understand that health systems vary in their ability to implement and adopt mobile technology. Common barriers include lack of mission-critical mobility experience, outdated technology infrastructures and budget concerns surrounding the high cost and management of healthcare-grade smartphones. Halo addresses these challenges through our two core product offerings: The Halo Clinical Collaboration Platform™ and Halo Mobile Control™.
MOBILE COLLABORATION PLATFORM
Halo Clinical Collaboration Platform Halo Mobile Control
FOUNDATION PLATFORM • Secure Messaging • Smart Scheduling & Teams™
FULL PLATFORM • Secure Messaging • Smart Scheduling & Teams • Voice and Alerts
SMARTPHONES • Zebra TC-51 and/or Spectralink Versity • Samsung S8 & S9
MOBILE DEVICE MANAGEMENT SOFTWARE • Soti or Airwatch
MANAGED MOBILE SERVICES
Halo Clinical Collaboration Platform™The Halo Clinical Collaboration Platform™ enables mission-critical mobile collaboration for healthcare
at some of the largest health systems in the country. The Halo Platform consolidates HIPAA-compliant
messaging, on-call scheduling, VoIP and mobilization of critical alerts, all delivered on a secure and stable
application that’s simple to use. This enterprise-wide platform helps protect clinicians from alert fatigue
and burnout, and patients from delays in care. Halo’s proprietary technology that facilitates this mobile
collaboration: The Halo Clinical Workflow Engine™.
In its simplest form, the Halo Clinical Workflow Engine (CWE) acts as a dynamic information processor.
It draws data from clinical sources, such as:
Active Directory: User provisioning, ensuring system/Halo user directory is always up to date.
Users (Nurses, Physicians and Clinical Support Staff): Source of critical information that needs to be transmitted
between colleagues.
EHR: Pulls patient information to allow patient-centered communication and collaboration.
Nurse Call: Alerts are mobilized to the patient’s covering nurse, enabling instant access regardless of a nurse’s
physical location.
Medical Devices: Like Nurse Call, allows medical device-sourced alerts to be mobilized to the proper clinician
(or team of clinicians).
The Halo CWE then processes this data into actionable information, routing it through the various
collaboration tools included in the Halo CCP to the right role (or team), at the right time. By only routing
critical alerts to clinicians, The Halo CCP and Clinical Workflow Engine helps reduce clinician alert fatigue and
burnout. Most importantly – this information is delivered in real time, meaning clinicians can immediately act
on the most up to date information, protecting patients from delays in care.
EHR
Active Directory
Nurses
Nurse Call
Medical Devices
CLINICALSOURCES
ACTIONABLEINFORMATION
SecureMessaging
Schedules
MobileAlerts
VoIPCalling
CLINICAL WORKFLOW ENGINE
Protects patients from delays in care
Protects clinicians from alert fatigue
and burnout
Dynamic processor that delivers actionable
information to the right roles and teams at the
right time.
Physicians
Clinical Support Staff
Foundation & Full PlatformHalo offers two tiers of the Halo Clinical Collaboration Platform: Foundation, and Full. The tiers allow health systems to smoothly transition from the Foundation Platform to the Full Platform when they are ready to implement healthcare-grade smartphones.
FOUNDATION FULL PRODUCT OFFERINGS DECRIPTION
Messaging HIPAA-compliant secure messaging + clinical workflow
engine for on-call scheduling, clinical roles, care teams and
critical teams.Smart Scheduling
and Teams™
Voice Foundation functionality + VoIP calling and integrations with
on-premise clinical systems to receive real-time information
and alerts (e.g. EHR, nurse call).Alerts
MESSAGING
Feature-rich messaging that is simple, secure and stable.
VOICE
Integrated VoIP functionality provides instant access to voice
communication.
SMART SCHEDULING AND TEAMS
Halo’s Clinical Workflow Engine provides an integrated
on-call schedule management tool facilitating role-based
communication.
ALERTS
Through integration with key clinical applications, Halo
mobilizes critical alerts to your clinicians’ devices.
Foundation
Full Platform
MessagingWhat’s the #1 reason physicians text on the job? Patient-related care2.
Ensuring clinicians use HIPAA-compliant messaging is an ongoing battle for health system administrators.
Not only is the clinical use of SMS text messages non-compliant with HIPAA regulations, it also:
• Relies on senders to have accurate recipient contact information
• Leads to delays in delivery due to inconsistent network connectivity
• Provides no ability to audit receipt of messages, leading to unconfirmed transfer of accountability
Halo Messaging simplifies your secure messaging challenges so your team can focus on care.
Halo helps us comply with HIPAA regulations. We don’t have to worry about monitoring people and making sure they aren’t using their personal devices.”
“
• Provides secure messaging that keeps your system in compliance with HIPAA regulations.
• Allows instant and up-to-date access to any user in your system with Halo Smart Scheduling and Teams™, reducing time wasted paging providers and clinical and care teams.
• Automatically confirms message status (Sent/Delivered/Read), ensuring transfer of accountability.
• Employs an intuitive user interface that builds off native iOS and Android messaging applications, increasing user adoption and communication effectiveness, which ultimately leads to better patient care and ROI.
of healthcare employees admitted they use text
messaging at least a few times a week for work2
90%
- Analyst, KLAS, November 2017
Smart Scheduling & Teams™How many scheduling methods do you use today?
How accurate are these scheduling methods?
How much time does your staff spend paging on-call providers and waiting for a response?
Can you ensure your team’s messages, critical alerts, and calls get to the right recipients at the right time, every time?
How much impact does that wasted time and inefficiency have on patient care? Employee burnout and turnover? Your system’s financial bottom line?
Total communication time in a recent nurse survey described as “problematic time”6
40%
Halo Smart Scheduling & Teams™ simplifies your on-call scheduling challenges so your team can focus on care.
We create care teams based on who is on call. The process is easy because we use the scheduling system to identify who is taking care of patients. We can send messages to an Area of Service, such as Cardiology, and the messages will be sent to the people that are on call.”
“
• Acts as the source of truth for your entire system’s on-call schedules. A robust schedule management tool and integration with existing schedule management systems helps you eliminate schedule redundancy and inaccuracy.
• Facilitates role-based communication, giving users confidence that their message, call, or alert gets to the recipients on call right now who are available to assist.
• Allows users to manually adjust on-call status on the fly, and ensuring schedules are always up-to-date.
Nurse Katie
Nurse Katie Dr. Jones
Dr. Jones
Dr. Adams
Dr. Davies
Dr. Smith
Dr. Brown
Reaching an On-Call Provider
Typical Scenario • 3-5 Calls • Several minutes
With Halo • 1 Message • Seconds
Cardiology On-Call Team
-Physician, KLAS, October 2017
VoiceCollaboration inefficiencies are driven by many factors, including the need for clinicians to carry multiple communication devices, and an aging telephony infrastructure.
A fragmented department-by-department approach to the execution of a heath system’s clinical collaboration strategy further drives gaps in communications.
Ultimately, this may directly impact the organization’s quality of care, driving up your overall operational cost.
Halo Voice simplifies your system’s voice communication challenges so your team can focus on care.
Annual financial loss due to communication
inefficiencies for the average US hospital3
$4M
• Leverages the cloud to enable VoIP features inside and outside healthcare systems, regardless of a user’s location.
• Adapts to your system’s existing VoIP-enabled telephony infrastructure.
• Decreasing implementation costs, time, and complexity.
• Simplifying the onboarding of additional health system users and reducing the need for ongoing technology refreshes.
• Provides instant access to voice communication on the same device used for secure messaging,and alert management, leveraging a centralized user directory and schedule management system to reduce device overload and increase platform adoption.
AlertsThat’s one alarm per patient every 4-10 minutes. How long on average does it take your staff to respond to and resolve just one alarm? By the time they’ve handled the alarm, there’s a good chance they’ll already have received another alarm. Even more shocking: 70-99% of clinical alarms are false and do not require any action.5
What could this mean to your health system?
Alert fatigue (decreased cognitive abilities and desensitization to alerts), which may ultimately result in lower levels of staff satisfaction, increased staff turnover, and lower HCAHPS scores, or in a worst-case scenario, patient harm.
• Partners with your system’s alarms committee to mobilize only the most critical alarms into alerts. By reducing the quantity of mobilized alerts, clinicians will see a reduction in alert desensitization and an increase in patient and staff satisfaction.
• Leverages Halo Smart Scheduling and Teams™ to mobilize the right alerts to the proper role or team, increasing accountability and response time to critical situations.
• Utilizes advanced integrations with ACM systems to provide instant access to mobilized alerts on the same device used for secure messaging, schedules, and even voice communication to reduce device-overload and interruption fatigue.
• Key recommended integrations:
• EHR
• PBX
• Nurse Calls
• Medical Devices
Halo Alerts simplifies your critical alert management challenges so your team can focus on care.
Number of alarms generated per patient
per day at a typical critical-care unit4
150+
Halo Mobile Control™The Halo Clinical Collaboration Platform functions on any smartphone that uses the iOS or Android
operating system. Halo is also mobile device management (MDM) software agnostic. If desired, Halo can
evaluate your environment and mobile infrastructure and provide smartphones and mobile services that are
configured to meet your health system’s needs.
CHALLENGEEstablishing selection criteria for
healthcare-ready smartphones.
SOLUTIONHalo Mobile Control provides Halo-certified,
healthcare-specific smartphones for clinicians
and support staff.
CHALLENGEManaging smartphone software upgrade
cycles to limit end user disruption.
SOLUTIONAll software offered through Halo Mobile
Control completes full a QA audit prior to
deployment, ensuring reliability.
CHALLENGEIdentifying and implementing Mobile Device
Management software.
SOLUTIONHalo-provided smartphones come pre-loaded
with industry leading Airwatch or Soti MDM
applications.
CHALLENGEMaintenance of point solutions for secure
messaging, VOIP, on-call scheduling and
critical alerts (and supporting integrations).
SOLUTIONHalo Mobile Control devices are pre-loaded
with the Halo CCP, eliminating point solutions
and creating a frictionless mobile collaboration
environment.
Your Halo PhonesZebra TC51-HC and/or Spectralink Versity YOUR TIER 1 HALO PHONE
TIER 1 CRITERIA
• Frequent, heavy use throughout
duration of shift
• Device may be transferred from clinician
to clinician as part of a fleet of hospital
provided devices
• Resistant to exposure to fluids and
shocks such as accidental drops
• Extended battery life for 12+ hour shifts
with no re-charging
• Lightweight for reduced ergonomic
impact and increased comfort
throughout the duration of a shift
TIER 1 ROLES
• Hospitalists, Emergency Department
physicians, other physicians working
only within one facility
• All nurses
• Other shift-based clinical support staff
with direct patient care responsibilities
Samsung Galaxy S8 & S9 YOUR TIER 2 HALO PHONE
TIER 2 CRITERIA
• Moderate use throughout shift
• Lower likelihood of being dropped or
exposed to liquids
• Battery life for 8+ hour shifts
TIER 2 ROLES
• Radiology
• Occupational therapy
• Patient transport
• Pharmacy
• Housekeeping
• Patient navigators
• Biomedical engineering
• Sterile processing
• Dietary
Mobile Device Management SoftwareSOTI OR AIRWATCH
• All Halo-provided smartphones come pre-loaded with MDM software and the Halo
Platform. Our implementation team then does the rest!
Managed Mobile Services • Halo provides a turnkey solution for your mobile service requirements: smartphone
selection and delivery, implementation, break-fix, 24/7 customer support and
administrative management of mobile software releases.
Platform Technology Foundation
Cloud Based
• Hosted on Amazon Web Services (AWS).
• Facilitates consistent user experience regardless of user’s physical location.
• Multi-tenant cloud structure allows non-affiliated community organizations to link to one another.
• Scales quicker and more efficiently than on-premise options, with continuous and seamless software updates.
• Significantly reduces cost of ownership.
Integrations
Ensures interoperability with all core clinical systems. Halo Bridges future-proofs your investment as your IT infrastructure evolves. Routes only mission-critical information from:
• PBX
• Nurse Call Systems
• Medical Devices
• EHR
Security
As a Business Associate of covered entities, Halo Communications™ has strict security features to protect PHI:
• PHI encrypted at all levels
• SOC II
• HITRUST
• Additional security layers and product features to ensure security of your data.
Unified Development
• Products designed from the ground up to work together holistically as a platform.
• Functionality consistent across operating platforms, with a UI replicating native applications.
• This provides the best possible clinical user experience which ultimately increases end user adoption and ROI.
ASSESSING YOUR NEEDSWe introduce you to the Clinical Collaboration
Platform and then we do a full assessment on
your health system’s CCP readiness.
IMPLEMENTATION & PLANNINGOur combined teams plan the implementation appropriately and complete
required pre-work for project management.
DEMONSTRATING THE VALUEWe take what we learned and deliver you a detailed statement of work with implementation plan based on our
best practices.
EXECUTING TOGETHERWe jointly execute on strategy to implement Halo across your health system.
OUR PARTNERSHIP PROPOSALWhen ready we deliver our official proposal and completely align on starting the project.
POST-GO-LIVE SUPPORTWe permanently stay with you and continue to optimize and innovate.
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2 5
3 6
Our Journey
The Halo Customer Journey is a formal process developed to establish and strengthen the relationship between your health system and Halo. By following a clearly defined structure for implementing a clinical collaboration platform (with optional smartphone package), we’ll:
1. Jointly define your system’s clinical collaboration challenges
2. Develop and execute a mutually agreed upon plan to address these challenges through implementation of the Halo platform
3. Provide ongoing support during and after go-live to ensure adoption goals are being met.
ONE West 4th Street | Cincinnati, OH 45202 | 855.362.4256 | www.halocommunications.com
ABOUT HALO
Halo’s mission is to streamline collaboration, so clinicians can focus on care. The Halo Clinical Collaboration Platform™ enables mobile collaboration for healthcare by consolidating secure messaging, on-call scheduling, VoIP and mobilization of critical alerts, all powered by the Halo Clinical Workflow Engine™. This enterprise-wide platform helps protect clinicians from alert fatigue and burnout, and patients from delays in care.
ENDNOTES
1. 2015. “Sentinel Event Data Root Causes by Event Type 2004-2015.” Joint Commission Office of Quality and Patent Safety. https://hcupdate.files.wordpress.com/2016/02/2016-02-se-root-causes-by-event-type-2004-2015.pdf
2. 2015. Miliard, Mike. Courting HIPAA risk with messaging apps. Healthcare IT News. http://www.healthcareitnews.com/news/courting-hipaa-risk-mesaging-apps
3. 2010 July-August. “Quantifying the economic impact of communication inefficiencies in U.S. hospitals.” Ritu Agarwal, Daniel Z. Sands, and Jorge Diaz Schneider. Journal of Healthcare Management. 55(4), 265-82. https://www.ncbi.nlm.nih.gov/pubmed/20812528
4. 2013, May 1. Perspectives on Clinical Alarm Safety, ECRI Institute and The Joint Commission Webinar. https://www.jointcommission.org/assets/1/6/ECRI_Institute_Perspectives__Alarm_Safety.pdf
5. Lippincott NursingCenter https://www.nursingcenter.com/journalarticle?Article_ID=1617134
6. 2008, August. “Improving Patient Safety Through Provider Communication Strategy Enhancements.” Catherine Dingley, Kay Daugherty, Mary K. Derieg, and Rebecca Persing. Advances in Patient Safety: New Directions and Alternative Approaches. AHRQ and Denver Health. https://www.ncbi.nlm.nih.gov/books/NBK43663/pdf/Bookshelf_NBK43663.pdf