Our Unified Communications Solutions for Medical Establishments

1. The Amcom Software
Advantage

2. Agenda
• Introduction to Amcom Software
• Healthcare Challenges
• Middleware Product Line
• Pager, Paging, and Wireless Telephony
Overview
• Product Demo
• Resources and Next Steps
• Questions

3. Why Amcom Software?
The Leader in Healthcare Communications
• 25+ years’ experience managing
healthcare communications
• Trusted by top names in
healthcare
– 750+ hospitals
– Vast majority of top U.S. hospitals
• Full suite of healthcare-proven
mission-critical communications
• Financially viable, growing
company
– $50 million in profitable revenue
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4. Healthcare Customers
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5. Amcom Software
Healthcare Challenges

6. Life Was Simple

7. Sources of Data Are Exploding
Infusion Pump
System
ADT System
Pulse
Oximeter
System
Nurse Call
Patient
Monitoring
System
EMR
Ventilator
Systems
Security
System Critical Lab
Results
Fire Alarm
Bed
Management
Infant
Protection
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8. Ways to Communicate Are Exploding
Infusion Pump Desk Phone
System Smartphones
ADT System
Wireless
Pulse Telephony
Oximeter Nurse Call
System Speech
Patient Recognition
Monitoring
System
EMR
Web
Ventilator
Systems
Security
System
Tablet
Critical Lab
Results Voice Cell Phones
Badges
Fire Alarm Bed
Management Wide-Area
Onsite Paging
Paging
Infant
Protection
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9. Supporting Your Communication Needs
Infusion Pump Speech
System Recognition
Pulse
Oximeter Critical Lab BlackBerry Android
System Results
Patient iPhone
Monitoring ADT System Tablet
System
Desk
Nurse Phone
Call
Ventilator Web
Systems
Bed Wide-Area Voice
Management Infant Paging Badges
Protection
Onsite Cell Phones
Security Paging
System EMR
Wireless
Fire Alarm Telephony
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10. Hospitals Need Solutions to Improve
Quality of Care and Patient Safety
• Inadequate communication is the Critical Issues
in Hospitals
main cause of sentinel events in Communications
hospitals(1) Patient Assessment
• Why is there is a need for rapid, Leadership
more automated communications? Procedural Compliance
Competency / Credentialing
– Lack of coordinated response to patients Environmental
in distress Safety / Security
Orientation / Training
– Difficulty reaching the appropriate
Availability of Information
clinician
Care Planning
– Inaccurate on-call schedules contribute to
Organization Culture
improper contacts
Staffing
– Slow caregiver response to aid requests Continuum of Care
0% 20% 40% 60% 80%
(1) Improving America’s Hospitals: The Joint Commission’s Annual Report on Quality and Safety 2007
% of Deaths and Serious Injuries
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11. Amcom Product Suite:
Middleware Options
Amcom Messenger
The Fusion Series

12. Scalable Middleware Options
Amcom Messenger Fusion Series
• Hub for consolidating enterprise-wide • Point-to-point applications that address
alarms and events specific integration requirements
– Includes advanced integration options • Staff receive notifications on mobile devices
with an option for call-back
• Staff receive notifications on mobile devices
with an option for call-back • Audit trail/reporting
• Audit trail/reporting
• Prioritization and escalation
• Advanced workflow optimization capability
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13. Integrating With Today’s Technology
Nurse Call Nurse Call Point-of-Care, Onsite Wireless Devices
Acute Care Assisted Living Patient Safety Devices & Carriers
Building
Automation

14. Amcom Messenger Middleware
Helping Staff Respond Quickly
Software that sends alerts from input
sources like patient monitoring and
nurse call to staff’s mobile devices
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15. Amcom Messenger
What Middleware Can Do for Staff
• Faster communications improve
efficiency – do more in less time
• Right message, right person, right
time, right device
• Less walking - more time at the
bedside
• Improve patient satisfaction scores
• Strengthen Joint Commission
audits with traceable notifications

16. Amcom Messenger
What Middleware Can Do for Patients
• Faster staff response to
dangerous changes in
patients’ vital status
• Reduce overhead paging to
promote quiet healing
• Handle patient requests more
quickly and easily
• Reduce accidents and falls
• Higher satisfaction
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17. Amcom Messenger
Key Features
• Alarm filtering by priority/staffing
• Escalation
• Easy caregiver room assignment
• Full audit trail – date/time stamps
• Works with the systems and devices
you already use
• Has received FDA 510(k) clearance as
a class II medical device
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18. Amcom Messenger: Solving Today’s Challenges
Staffing Complexities
Nursing Shortage Retention/Turnover
How Amcom Messenger Middleware Helps
• Improved workflows and efficiency with better communication tools
means nurses can do more in less time
• Higher staff satisfaction with reduced walk times and better patient
communications
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19. Amcom Messenger: Solving Today’s Challenges
Patient Safety
Meet Safety Goals Joint Commission Compliance
Falls, Accidents (and costs) Patient Satisfaction Scores
How Amcom Messenger Middleware Helps
• Reduce accidents and falls (and unreimbursed costs of associated
care) by speeding response to requests for assistance
• Handle patient concerns and requests quickly with less overhead
paging – promotes quiet healing and high patient satisfaction scores
• Escalate requests automatically to keep response times down
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20. Amcom Messenger: Solving Today’s Challenges
Nurse-Physician Relations
Staff Communications Continuity of Care
Escalations to Alternate/On-Call Staff
How Amcom Messenger Middleware Helps
• Right person, message, time, device improves efficiency and
reduces frustration
• Complete audit trail of communications logs who received
notifications and how they responded – resolve disputes
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21. Amcom Messenger
Case Study: Maple Grove Hospital
• New hospital: engineered efficient
work patterns and chose technology Voice
Badges
accordingly Pagers
Wi-Fi Phones
• Created culture of instant
communication Nurse Call
Email
• Filter requests – not all to nurses
– Supplies: technician Patient
Monitoring
– Bathroom assistance: orderly Reporting
– Pain/concern: nurse
• Top 5% in the U.S. for patient scores
on ‘willingness to recommend’
Maple Grove Vision: "Deliver healthcare as it ought to be"
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22. Amcom Messenger at Maple Grove
Sending Alerts to the Appropriate Staff
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23. Amcom Messenger
Case Study: Coffs Harbour Hospital
• Centralized alerts from five
Nurse Call
systems go to mobile staff
Duress Wi-Fi Phones • Reduced trips around the
unit for nurses
Fire
• Improved response times for
alarms and alerts
Reporting
• Scaled easily from 150 to 400
Building
Management
Wi-Fi phones
Security
“Amcom Messenger is an integral part of the way we do business
and helps us in our mission to continually strengthen patient care
and safety.” Ken Meale - Coffs Harbour Hospital
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24. Fusion Series Modules
• Portfolio of modules for enhanced alarm management & event
notification
• Industrial (19” rack) or desktop/wall-mount enclosure
• Web-based administration
• Module portfolio:
– Event Management Module (EMM)
– Integrated Alarm Management Module (IAM)
– Alarm Dispatch Module (ADM)
– Cellular Messaging Module (CMM)
– Telephone Interface Module (TIM)
– INTELPage IP Transmitters
(5W – 200W)
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25. The Fusion Series: Snapshot
• EMM (Event Management Module): Provides the ‘hub’ of the Fusion
Series. Supports multiple protocols, including SMS. Takes information from
virtually any 3rd-party application, processes it, and sends it out.
• IAM (Integrated Alarm Management Module): Supports multiple
protocols, including SMS. Designed to integrate with nurse call systems to
process/send events. Provides call-back functionality and staff assignment.
• ADM (Alarm Dispatch Module) provides 16 alarm inputs that can take data
from various sources (e.g., legacy nurse call systems and fire alarm panels)
• CMM (Cellular Messaging Module): Send short messages (SMS) to cellular
telephones and other SMS-compliant devices.
• TIM (Telephone Interface Module): Provides voice-prompted wireless
messaging from a standard business phone.
• INTELPage IP: A state-of-the-art, IP-based POCSAG paging encoder /
transmitter.
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26. Rack-Mount Version
• Rugged industrial design
• High-power option features
dual cooling fans
• Standard 19” 1U rack
mountable housings*
– *25, 50, 100 & 200 Watt
INTELPage IP s are 19” 2U
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27. An In-Depth Look at Nurse Call
Integration
Rauland-Borg SimplexGrinnell
Executone Sedco
GE Dukane Austco
Hill Rom TekTone
Intego West-Com
Jeron Zettler

28. Nurse Call Integration Highlights
• Universal staff allocation client
standardizes user experience
• Routing of alarms based upon location,
priority, sensitivity, staff availability and
scheduling to a myriad of devices
• Support for “role-based” allocation,
dynamic allocation, and pre-defined staff
schedules
• Voice communications between the
patient handset and the wireless phone
• Centralized reporting of nurse call
systems throughout the hospital or across
multiple sites
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29. Point-of-Care Integration
Patient Monitoring
Infusion Pumps
Pulse Oximeters
Ventilators
Lab Information Systems
Medication Management Systems

30. Patient Monitoring
• Help meet Joint Commission national patient safety goals for
“effectiveness of clinical alarm systems” by significantly improving
patient response time and satisfaction
• Creates a quieter, more healing environment by reducing noise
• Increased accountability by documenting nurse activity
• Filtering of nuisance alarms
• Can encompass many devices/measurements
– Pulse oximeter
– EKG
– Blood pressure
– Temperature
• Alarms: (depends on features of monitor)
– Heart rate to High / Low – Temperature High / Low
– ECG High / Low – SPO2 Levels Low
– Blood Pressure High / Low – Cords Out

31. Infusion Pumps
• Infusion pumps administer fluids (medication, blood, or
nutrients) intravenously
• Integration of infusion pump alerts can significantly reduce
noise and nurse fatigue
• Reporting of alarms
– Low medication (bag out)
– Flow rate is too fast / slow
– Patient side / bottle side occlusions
– Air in line
– Pump requires service
– Battery low

32. Pulse Oximeters
• Checks for the percentage of oxygen in blood and heart rate
• The combination of patient-controlled analgesia and lower
staff-to-patient ratios make it less likely that a clinician will be
there to observe an avoidable adverse event
• Alarm escalation rules ensure every alert is attended to
• High Levels of false alarms, lead to alarm desensitization
• Alarms:
–SPO2 low
–Pulse rate high / low
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33. Ventilators
• Ventilators “breathe” for the patient when he/she cannot by
moving air into and out of the lungs
• Alarms:
– Patient stopped breathing
– High vent = too much air pressure in the tube
– Low vent = not enough air pressure in the tube
– Flow rate
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34. Lab Information Systems
• Results of test (critical values) can indicate the treatment of a
patient should change immediately
– < 5% of critical value telephone calls were abandoned
– 71.4% of 623 institutions had no policy on handling repeat critical calls
• Enable “push” notification of results to
physicians vs. guesswork with periodic
“pull” of information
• Stat lab results may be reported virtually
instantaneously
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35. Facility Alarm Management
Fire Alarm / HVAC Systems
Building Management Systems
Security Systems
Pneumatic Tube Systems
Location Services
Infant Abduction
Bed Management Systems

36. Fire Alarm Integration
• Notify staff automatically when the fire detection system signals an
alarm and may identify the specific detector and its location
• Fire panel and sensor faults may be routed directly to maintenance
staff, whereas actual alerts can perform mass notification via a
myriad of devices
• Assist in weekly testing procedures
• Utilization of broadcasting technology with
onsite paging and priority management
enables notification of all pagers in less than
two seconds
• Connectivity may be via a high-level serial or IP
interface , with low-level “contact closure” for
legacy fire alarm panels
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37. Building Management Integration
• Building management systems consist of the integration to a
number of sub systems, typically as follows:
– Lighting control
– Consumption measurements of water, electricity and cooling (heating)
– Access control
– Intruder alarm system
– Video monitoring system
– Fire alarm system
• Improve staff response times
• Centralized tracking of alarms
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38. Security Systems Integration
• Security systems monitor a variety of alarm systems within an
acute care hospital, some of the security alerts include:
– Intrusion alerts
– Panic requests
– Access control
– Control CCTV
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39. Location Services
• RTLS Tracking Systems (either using Wi-Fi, RFID or infrared) have
several uses:
– Assists biomedical in locating equipment, either for service or utilization
– Patient tracking
– Nurse presence
• Alerts
– When an asset leaves a nominated area
– Patients leaving a floor (e.g., Alzheimer's suffers)
– Duress functionality with location
• Amcom Messenger integrates into
popular tracking systems:
– Ekahau – Versus
– Innerwireless – Radianse
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40. Bed Management Systems
• In 2005, the Joint Commission directed hospital leaders to
implement plans for improving patient flow to prevent
overcrowding, which reduces patient safety and quality of care
• The AHA reports that due to hospital closings and consolidations,
available beds have been reduced by more than 175,000 since the
early 1980’s
• 62% of hospitals reported their EDs were at or over capacity
• Bed management systems
– Licensed beds
– Occupied
– Out of service
– Available assigned
– Available not assigned
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41. Hugs Infant Abduction
• Since the Joint Commission began tracking sentinel events in 1996, there
have been eight case of infant abductions (police reports indicate a total of
126 cases of non-family infant abductions from 1993  2006)
• Infants wear a tag with a unique identifier on the ankle
• All exit points are electronically monitored
• Enables staff and family to move freely around within the protected zone
but no one can remove an infant from the unit
• Alerts are initiated if:
– Someone attempts to exit via a monitored door or elevator with a protected infant
– The strap has been cut or tampered with
– The tag’s signal has not been detected for a
specified time period
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42. Pneumatic Tube Systems
• Pneumatic tube systems are used to transport blood products,
lab specimens and pharmaceuticals within a hospital
• Notifications of user-related situations may be dispatched
– Arrival alarm and early notification of inbound packages
– Should a transport error be detected, then an alert may be sent to the
person who initiated the transaction
– Security notification for unauthorized access attempts
• Maintenance and equipment failures
– Notification if the package doesn’t reach its destination
– Notification of blockages
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43. Pager, Paging System, &
Wireless Telephony Overview
Adding Value

44. 7950 Pager: Highlights
• Easy-to-use pager
• Two or four line alphanumeric display
(with bold font feature)
• Up to 80 days of battery life
• Specially designed durable plastic
enclosure
• Programmable by hand or USB software
• Up to eight cap codes
• Priority override – override silent/vibrate
mode for code calls or critical alarms
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45. INTELPage IP 5-250 Watt Transmitters
• Paging transmitter to send messages directly to onsite pagers
• Available in a range of output power (5 Watt  250 Watt)
• Optional IP Interface with inbuilt paging encoder
• Support for common paging protocols (TAP, Scope, Tekk)
• Synthesized transmitter to adjust frequency
• Web-based configuration
• Inbuilt diagnostics
• Port configuration:
– Ethernet port (100mb)
– 1 x RS232 input port
– 1 x POCSAG input port

46. Distributor of Polycom (SpectraLink/KIRK)
Wireless Telephony Systems
Link WTS
Delivers rich PBX functionality over a
dedicated 900 MHz wireless network
NetLink Wireless Telephones
The 2.4 GHz Wi-Fi solution for legacy PBX
systems and enterprise IP networks
Dect System
Cost-effective 1.9 GHz wireless telephony
solution for small and medium businesses
using analog or T1 interfaces
46

47. Amcom Mobile Connect
SMS with Acknowledgment &
Responses

48. Introducing Amcom Mobile Connect
Secure receipt of messages on
smartphones and tablets
Message to anyone in your
organization’s directory with traceable
communications
Improve efficiency and workflows via
better information sharing at critical
points
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49. The Joint Commission and Texting
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50. New Message on Device: Cisco
Nurse Brenda just received a
message that she’s needed in room
301 for a patient experiencing
heart palpitations.
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51. Reply Using Template or Free-Form Text
She immediately responds that
she’s 10 minutes from this
patient’s room, so the person
who sent the message knows
how soon to expect her.
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52. Track the Progression of the Message Online
Queued/Accepted: Message received by Amcom Mobile Connect server
En route: Message has been sent over wireless network
Delivered: Message received by device running Amcom Mobile Connect
Acknowledged: Message has been read and okayed by recipient
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53. Amcom Mobile Connect
Supporting Today’s Technology Leaders
Operating System
RIM OS 4.5+ iOS 4+ Android 1.6+ Cius /7925&7926(1.4.1)
Where to Download
Web Link or BES AppHQ or Call
App Store Android Market
Install Manager
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54. The Amcom Solution Suite Summary
Where We Can Assist You and Your Customers
Smartphone & Staff Presence
Tablet
Messaging Call
Recording
Onsite Paging
Speech Emergency
Wireless Operator Web Recognition Notification/
Telephony Console Directory Mgmt E911
On Call Call
Accounting
Alarms
Integration Nurse Call
e.g., fire Integration
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55. Buzz Words
• Sentinel Events • Middleware
• Workflow • Event Notification
• Alarm Desensitization • In-House Wireless Telephones
• Standardization • Enterprise Solution
• Connecting Islands of • Network Appliance
Information
• Paging System Replacement
• Communication (Zetron Replacement)
Enhancement
• Tool Belt Problem
• Patient Safety
• Encrypted Smartphone
• Patient Satisfaction Messaging

56. Discovery Questions
• Current Manufacturers?
• Current Communication Workflow?
• Types of Alarms?
• Integrates to Device Type?
• Business Case Analysis – Why?

57. Fusion/Amcom Messenger/Amcom
Mobile Connect
Web Interface Demo

58. Our Next Action Steps
• Let's work on some
opportunities together!
58

59. Thank You
Any Questions?
Succor Consulting Group, Inc. www.mysuccor.com 888-803-9431 | 704-215-4411