Radvision Case studies on Healthcare by Face to Face Live

1. Face to Face Live
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2. CASE STUDY
British Medical Association Adopts Radvision System
to Improve Collaboration among its Staff, NHS
Committees and Experts Worldwide
About
About BMA
BMA is an independent trade union and professional
association for doctors and medical students founded
in 1832. Comprised of 143,000 members worldwide,
Customer: British Medical Association (BMA) BMA offers services such as career development and
Country: UK support, business optimization, guidance in medical
Industry: Healthcare ethics and law, medical school advice and access to a
Product: SCOPIA XT1000 / XT1200 Room Systems host of knowledge resources. BMA is also a world class
SCOPIA Desktop publisher of medical journals and information, including
SCOPIA Elite MCU & SCOPIA Gateway the prestigious British Medical Journal (BMJ).
SCOPIA PathFinder Firewall Traversal For more information, visit www.bma.org.uk
SCOPIA iVIEW Management Suite
The Mission
With over two-thirds of practicing UK doctors as members, has become a critical tool for conducting meetings
BMA is in constant contact with ministers, government among BMA staff and various BMA and National Health
departments and many other influential bodies in order Services (NHS) committees as well as for providing ad-
to fulfill its mission to protect the collective interests of hoc access to in-house and remote experts.
doctors. Over the past few years, video conferencing
The Challenge
BMA’s video conference users had grown to encompass up to 40 users with the potential to expand to 100; allow
close to 1,000 desktops, 140 home workers in the UK users to connect from the MPLS or via the Internet as
and 25 employees in other countries. Its existing video well as to non-BMA endpoints by IP or ISDN; enable
conferencing system was no longer efficient enough to telephone participants to dial into meetings; share data;
handle its robust requirements, so BMA began looking record meetings with full audio, video and data; use SIP;
for an alternative that would make collaboration faster and allow BMA Staff to easily administer all aspects of
and easier to use for its members. Superior high definition video conferencing and audio meetings.
capabilities for data sharing, support for current and future “Basically, we needed our members working from home,
endpoints and a single desktop solution for Mac and PC hospitals, surgeries and clinics to be able to talk to each
clients were identified as critical components, as was other and share data, anytime, anywhere in the world,
seamless integration with legacy infrastructure, in order using whatever equipment they had-up to 40 participants
to maintain BMA’s original investment. The new solution concurrently,” said George Birch, BMA’s Information
also needed the ability to conduct multiple meetings of Management & Technology Support Services Team Leader.

3. The Solution
The Radvision system implemented comprised of BMA is using Radvision’s full range of equipment on a
endpoints including SCOPIA XT1000 / 1200 HD video service footing from its local video conferencing provider,
conferencing room systems and SCOPIA Desktop for but located entirely on its own premises in London
video communication on PCs and Macs. SCOPIA Desktop with BMA support staff operating and carrying out
Pro licenses also enabled easy one-to-one conferencing first line support. When the XT1200s first arrived, an
without using MCU resources. incompatibility issue arose due to the inability of BMA’s
Infrastructure included the SCOPIA Elite MCU as legacy video conferencing systems to support the latest
the centerpiece of the deployment for multi-party codecs. “We thought it may be a show stopper,” recounts
conferencing, PathFinder for firewall traversal for H.323 Birch. “We still had 11 units in the field and to use
systems, and a SCOPIA ISDN Gateway for connectivity them we would have had to downgrade the XT1200’s
with external systems on ISDN networks. to support the older H.263 codec (as opposed to the
Management for the entire deployment is through the latest H.264) which is a bit like sticking a caravan on the
SCOPIA iVIEW Management Suite providing a single back of a Ferrari; it’s possible but pretty pointless.” The
access point for managing all video conferencing devices problem, however, was quickly solved by Radvision’s R&D
including Radvision and third party endpoints along with Division. “Within a month, they produced a software
infrastructure devices such as MCUs and gateways. workaround for the XTs, which was pretty impressive,”
iVIEW’s integrated gatekeeper provides call control, adds Birch. “There are not many large companies out
comprehensive traffic and bandwidth management and there that would make their product compatible with an
makes connecting simple for users. old piece of equipment produced by a business rival.”
The Benefits
For BMA, instant visual communication is vital. “We secondary and tertiary echoes. According to Birch, the
use video conferencing like many other organizations XT1200s’ excellent pickup seems to have solved that
use the telephone,” says Birch. “Our users don’t see problem.
technology as a limitation but as a right. They want “I’d like to say that the level of service and support
to be able to use their webcam from a hotel room or we have received from Radvision has been first class,”
their mobile to dial into a meeting from anywhere he adds.
in the Middle East, for example. With our Radvision
solution and especially SCOPIA Desktop, they can do “During the past seven years we have seen the
that easily.” demand for video communication within the
The BMA, which often sends representatives around the British Medical Association rapidly expand. Our
globe to advise on medical matters and deliver lectures ability to facilitate the developing communication
at universities, can now attend by video conferencing. requirements of the BMA using Radvision equipment,
Recently, a very senior member gave evidence to the and their fast recognition of the benefits, has resulted
World Health Organisation in The Hague on the Swine in over one thousand BMA employees now using
Flu epidemic, using SCOPIA Desktop from her office. video conferencing technology on a regular basis. The
continuous trust and support between Videonations
Besides fulfilling BMA’s fundamental requirements and the BMA has led to a truly remarkable and
such as the capability to record all of its meetings and successful deployment of video.”
maintaining its initial video conferencing infrastructure
Ian Carter, Managing Director, Videonations
investment, Radvision’s solution has delivered additional
perks. For instance, BMA’s large meeting rooms with
ornate, curved walls present an extremely challenging
environment to conduct video conferences due to
MKT-1026A-EN 06/11
About Radvision
Radvision, an Avaya company, is a leading provider of video conferencing and telepresence technologies over IP and wireless networks. We offer end-to-end visual
communications that help businesses collaborate more efficiently. Together, Radvision and Avaya are propelling the unified communications evolution forward with
unique technologies that harness the power of video, voice, and data over any network. www.radvision.com
USA/Americas EMEA APAC
T +1 201 689 6300 T +44 20 3178 8685 T +852 3472 4388
F +1 201 689 6301 F +44 20 3178 5717 F +852 2801 4071
infoUSA@radvision.com infoUK@radvision.com infoAPAC@radvision.com
Information contained in this document is subject to change without notice. This document is not part of a contract or license as may be expressly agreed. Radvision is a
registered trademark of Radvision, Ltd. All product and company names herein may be trademarks of their registered owners. All rights reserved © 2012 Radvision, Ltd

4. CASE STUDY
Radvision System Slashes Expensive Staff Travel and
Unproductive Downtime for UK NHS Foundation
About
About Oxford Health NHS Foundation Trust
Oxford Health
NHS Foundation Trust Oxford Health NHS Foundation Trust provides specialist
mental health services to people of all ages in Oxfordshire
Customer: Oxford Health NHS Foundation Trust and Buckinghamshire; forensic mental health services
Country: United Kingdom across the Thames Valley; services for children and
adolescents in Bath and North East Somerset; as well as
Industry: Health Care
specialist eating disorder services for adults in Wiltshire
Product: SCOPIA XT1000 SMB Edition Video
and community health services to people in Oxfordshire.
Conferencing Room and SCOPIA VC240
These services are delivered in NHS community hospitals
HD Desktop Systems
or within local communities, helping to support people
both in their homes and as near to their homes as
possible.
For more information,
visit http://www.oxfordhealth.nhs.uk/
The Mission
Oxford Health NHS Foundation Trust is committed to In order to continue carrying out its mission as effectively
supporting the promotion of positive health and well- as possible, Oxford Health NHS Foundation Trust needed
being. Accordingly, its aims and objectives include “using more flexible communications between staff in multiple
innovative methods of communication to provide the locations and other NHS Trusts. Furthermore, in the
most appropriate, timely and accessible care possible face of NHS budget cuts across the board, travel costs
within available resources”. had to be significantly reduced.
The Challenge
Oxford Health NHS Foundation Trust found that staff A second closely-related issue was the time spent by
travel was impacting multiple areas of its business. Not consultants and staff who needed to interact directly
only were the financial costs very high, but it was also with patients, but not necessarily face to face - another
causing serious “dead time”. With most trips involving recurrent cause of travel time and expense. With Oxford
senior managers and clinicians, a large amount of valuable Health NHS Foundation Trusts commitment to offering
time, which could better be spent with patients, was being the best possible attention to their clients, it became
wasted travelling between various locations. obvious that a top-notch video conferencing solution was
essential in order to maintain its high level of support.

5. The Solution
Oxford Health NHS Foundation Trust deployed the SCOPIA with SCOPIA Desktop to the XT1000 built-in MCU, thus
XT1000 SMB Edition Video Conferencing Room System allowing anyone to conference from absolutely anywhere.
in two locations to communicate with each other and Oxford Health NHS Foundation Trust also selected
external individuals. The XT1000 SMB Edition delivers an Radvision’s SCOPIA VC240 HD Video Conferencing
all-inclusive HD video conferencing solution that provides Desktop System due to its price point, simplicity of use
HD video room system capabilities with integrated multi- and image quality. Physical size was also a critical factor.
party and desktop conferencing. Oxford Health NHS The VC240 was small enough to be carried around to trial
Foundation Trust decided to go with the SMB Edition the solution at different locations and also ideal for Oxford
in order to allow colleagues to video in over their PCs Health NHS Foundation Trust consultants on the move.
The Benefits
By adopting Radvision’s video conferencing solution, extended to clients.
Oxford Health NHS Foundation Trust achieved its goals. Radvision’s VC240 systems were simple to install and
Much less time is now spent on travel, meaning fewer easy for staff to use, as borne out by the fact that almost
wasted hours for Oxford Health NHS Foundation Trust no support calls have ensued. As a result, the Trust has
experts. As a bonus, communication among staff has purchased additional units for several other locations,
dramatically improved, resulting in better teamwork. complemented by XT1000s for multi-party conferences.
Video communication capabilities have also been
Looking Forward
Oxford Health NHS Foundation Trust plans to do more
multi-party conferencing with SCOPIA Desktop to
provide a full unified solution that staff and clients can
use for communicating with each other - anywhere,
anytime.
MKT-1024B-EN 07/11
About Radvision
Radvision, an Avaya company, is a leading provider of video conferencing and telepresence technologies over IP and wireless networks. We offer end-to-end visual
communications that help businesses collaborate more efficiently. Together, Radvision and Avaya are propelling the unified communications evolution forward with
unique technologies that harness the power of video, voice, and data over any network. www.radvision.com
USA/Americas EMEA APAC
T +1 201 689 6300 T +44 20 3178 8685 T +852 3472 4388
F +1 201 689 6301 F +44 20 3178 5717 F +852 2801 4071
infoUSA@radvision.com infoUK@radvision.com infoAPAC@radvision.com
Information contained in this document is subject to change without notice. This document is not part of a contract or license as may be expressly agreed. Radvision is a
registered trademark of Radvision, Ltd. All product and company names herein may be trademarks of their registered owners. All rights reserved © 2012 Radvision, Ltd

6. The Challenge Renown Health Delivers
• Ability to deliver
timely, high- Telemedicine Care With
quality, specialized
care to patients in Scopia Video Conferencing
rural healthcare
communities Solutions
• Desire to educate A Nationally Recognized Healthcare Leader,
rural primary care
providers on With Scopia Video Conferencing Solutions,
medical specialties Improves the Patient Experience, Drives
• Need to provide Down Costs.
care to inmates in
correctional Reno, Nevada — Renown Health, northern Nevada’s largest
centers, integrated health network and a nationally recognized
eliminating high
healthcare leader, uses Scopia video conferencing
costs associated
with custody and solutions to power its regional telemedicine program,
transportation R-TeleMed.
Value Created
Background an acute, chronic and/or complex
• Rural patients medical condition. It also caused delays
receive care from Renown Health is northern Nevada’s
in the delivery of care and had the
their primary care largest integrated health network and a
potential to negatively impact patient
provider while nationally recognized healthcare leader.
benefitting from outcomes.
Based in Reno, Renown serves a
the knowledge and 17-county region comprised of northern
expertise of urban Kirk Gillis joined Renown Health in 2007
Nevada, Lake Tahoe and northeast
specialists to develop new healthcare programs for
California, including two California
• Patients save time underserved patient populations in the
Department of Corrections and
and money by Rehabilitation (CDCR) facilities.
region. In early 2011, Renown launched a
reducing the need telemedicine initiative to affordably and
to travel to urban effectively deliver high-quality medical
facilities for Because the region has a highly
care to patients in rural healthcare
treatment and dispersed rural population, access to
communities.
follow-up medical specialists previously required
appointments patients to travel to urban centers of
Prior to Renown’s efforts, there were
• Rural physicians excellence. This caused undue stress
very limited telemedicine links between
receive training and incurred costs for patients already
the region’s rural healthcare
from urban dealing with symptoms associated with
specialists communities and the state’s urban
avaya.com/radvision |1

7. A Workable Affordable, CDCR was already a long-time user of
telemedicine, because it saves the
Interoperable
Solution for prison system hundreds of thousands
Telemedicine Poised for
Everyone Growth
of dollars each year in custody and
transportation costs. Because
Renown set out to find a solution that Renown consults with two
The R-TeleMed
was cost-effective and also correctional facilities in northeast
program is designed interoperable with the region’s California, the telemedicine platform
with the “Three C’s” existing telemedicine infrastructure. for R-TeleMed had to interoperate
of care in mind. They evaluated solutions from a with CDCR’s existing systems.
number of video conferencing Radvision offers full interoperability
• Consultative Care vendors including Cisco (Tandberg) with all standards-based video,
and Polycom. According to Gillis, “The enabling Renown to deploy it without
• Collaborative Care Radvision solution delivered the jeopardizing CDCR’s existing
biggest bang for the buck.” Gillis said investments.
• Continuity of Care that Radvision offered efficiency and
a quick return on investment.
A Different Way of
The program is expanding rapidly.
Delivering Quality Care
Renown asks rural healthcare facilities
centers of excellence. The to invest in Originating Site Delivering healthcare over video is
telemedicine network envisioned by telemedicine carts that incorporate not necessarily new, but for those
Gillis required buy-in and investment peripherals relevant to the various who have not used telemedicine
from a number of stakeholders in medical specialties. In addition, the before, there is a learning curve. To
order to succeed. Gillis enlisted the Reno-based physician specialists help ease the transition Renown
support of Nevada Health Centers, purchase Distant Site telemedicine created a dedicated resource team to
Nevada Hospital Association, Nevada carts in order to conduct real-time achieve its implementation and
Rural Hospital Partners, Renown interactive consultations with rural sustainability objectives. This team
Health, University of Nevada School based providers and patients. includes Toni Muetze, an IT project
of Medicine and independently Radvision teamed with Enovate and manager to coordinate the numerous
practicing physician specialists based GlobalMed to develop the carts being installations; Corie Nieto, a centralized
in Reno. Together, they developed a used. scheduling supervisor to streamline
program called R-TeleMed, enabling all scheduling, insurance
highly skilled physician specialists in authorization, medical record and
The investment is affordable and the
Reno to consult on the evaluation and consultation reporting functions; and
program has visibly helped improve
treatment of patients in outlying Lisa Abbott a nurse educator to train
patient outcomes. Renown has a goal
areas. Participation in R-TeleMed is all Originating and Distant Site
of adding three rural healthcare
free of charge to participating clinicians.
communities and three urban
practitioners and healthcare facilities. specialists to the program every 90
days over the next two years – it is Renown currently has telemedicine
currently on track to reach its goal of programs in 13 areas including
25 rural healthcare communities and cardiology, endocrinology,
35 urban medical specialties. infectious disease, nephrology,
2 | avaya.com/radvision

8. gastroenterology, orthopedics, • Consultative Care – Patients and ability to work with us to put extra
pulmonology, urology to name a primary care providers in outlying security measures in place – so that
few – with more specialties being rural communities can consult with both the network and the endpoints
added. Renown offers quarterly highly skilled physician specialists to are ultra-secure. They went above and
training for all specialties, including assist with the evaluation, diagnosis beyond to satisfy not only our
one hour of training every 90 days to and treatment without needing to requirements, but also CDCR’s.”
rural clinics. This means that travel to Reno. Most diagnostic
practitioners are always up to speed testing and follow-up care can
and positioned to provide the best conveniently be completed in the
Looking Forward
possible care to patients. patient’s home community.
As Renown Health expands the
• Collaborative Care – R-TeleMed R-TeleMed program, they are looking
“There’s a learning curve involved with
connects primary care physicians into adding mobile video
telemedicine – it’s not simply
with specialists, expanding services conferencing so that urban specialists
‘medicine as usual,” said Muetze. “We
available in outlying communities. can provide care regardless of
help our clinicians and our patients
The primary care physician and location, for example on their iPads
understand the etiquette involved in a
specialist work together to diagnose when they are moving about in a
telemedicine visit. We also train the
and treat most medical conditions, hospital environment.
rural practitioners on how to
while offering improved
effectively use peripherals, e.g. a
convenience for both patients and
stethoscope, so that the visit goes
physicians.
“The goal of our
smoothly and there’s no confusion on
either side when we want to examine
program is about
• Continuity of Care – If the patient’s
a patient via video conferencing. The improving access,
condition requires treatment that
result is a visit that flows just as
exceeds the capabilities of their quality and healthcare
naturally as an in-person visit.“
local community, the primary care costs in rural
physician can transfer the patient’s
Muetze added, “And our program
care to the consulting specialist who
communities. We don’t
works. We recently had a doctor new
has been involved with the patient’s generate revenue from
to the program say the visit was as
care. This allows better continuity of
effective as if the patient had been in the program itself, but
care, eliminates additional costs and
the same room sitting across the table
delays, and expedites the patient’s of course we aim to
from him. The audio and video quality
medical care and recovery. provide the best
is crystal clear, which enables a very
natural interaction.” possible care. When our
A Secure Network that rural patients require
Protects Privacy
treatment only offered
A Workable Solution for Security and protecting patient
in an urban healthcare
Everyone information are of the utmost
The R-TeleMed program is designed
importance. According to Gillis, “We community, we want
encrypt all our data to protect privacy.
with the “Three C’s” of care in mind. them to choose Reno
One of the things that really stood out
with the Radvision team was their and Renown Health.”
—Kirk Gillis
avaya.com/radvision |3

9. Renown is continuously tracking the success of the program. The team continues
looking for ways to enable interactions to occur ‘anywhere, anytime’ so that
patients receive the best care possible when and where it’s needed. As it stands
now, there are no grants funding the telemedicine project, but the team is
optimistic they can take advantage of grants in the future. In the meantime, Renown
is improving access to care for patients throughout their regional service area.
Gillis said, “The goal of our program is about improving access, quality and
healthcare costs in rural communities. We don’t generate revenue from the program
itself, but of course we aim to provide the best possible care. When our rural
patients require treatment only offered in an urban healthcare community, we want
them to choose Reno and Renown Health.”
To learn more about the R-TeleMed network, visit http://r-telemed.org/.
Solution
• Scopia Elite 5230 MCU
• Scopia PathFinder Firewall Traversal
• Scopia VC240 Executive Desktop Systems
• Telemedicine solution, incorporating Scopia XT1200 systems, an Enovate
telemedicine cart and peripherals from GlobalMed
About
Radvision
Radvision, an Avaya
ABOUT RENOWN HEALTH
company, is a Renown offers access to more healthcare services than all other providers in the
leading provider of
region. This includes four hospitals plus northern Nevada’s only NACHRI-affiliated
video conferencing
and telepresence Children’s Hospital and Children’s ER. Renown Regional is the region’s only
technologies over IP accredited Trauma Center to treat seriously injured patients. Additionally,
and wireless networks.
recognized areas of excellence include Institutes specializing in heart, cancer,
We offer end-to-end
visual communications robotics and neurosciences. This Top 100 integrated health network offers
that help businesses physician access at 16 convenient medical group locations and eight urgent care
collaborate more
centers, and the region’s most trusted insurance provider, Hometown Health.
efficiently. Together,
Radvision and Avaya
are propelling the
unified communications
evolution forward with
unique technologies that
harness the power of
video, voice, and data
over any network.
www.radvision.com
© 2012 Avaya Inc. All Rights Reserved.
All trademarks identified by ®, ™, or SM are registered marks, trademarks, and service marks, respectively, of Avaya Inc.
Scopia is a trademark of Radvision, an Avaya company.
4 | 12/12 • UC7179