ØAcademic Medical Center ØWinston-Salem, NC ØLicensed beds: ~ 1,000 ØVisits/year: 1M+ ØEmployees: 13,600+ ØOperating Budget: $2B+

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1 Academic Medical Center Winston-Salem, NC Licensed beds: ~ 1,000 Visits/year: 1M+ Employees: 13,600+ Operating Budget: $2B+

2 About the Initiative The Vision S Service Excellence P Patient Safety and Satisfaction O Operational Excellence and Efficiency T Transformed Healthcare Delivery SPOT is WFBH s initiative for the use of real-time technologies coupled with process improvements to optimize resources, streamline workflows, and assist in creating the Ultimate Patient Experience

3 Wake Forest - By the Numbers 2011 Today Future (est.) Coverage Area 2M Sq. ft. 3.75M Sq. ft. 4M Sq. ft. # of Buildings CenTrak Stars CenTrak Monitors / Virtual Walls 2,175 4, Asset Tags 5,300 13,000 15,000 Temperature Tags ,150 Staff Badges 0 3,020 8,000 Patient Tags/Passes ,000 Integrations Events Per Day? ~100,000,000 ~1,000,000,000+

4 Implementing 50+ use cases Locating and monitoring status of patients, staff, equipment, and inventory Asset optimization and management Patient flow optimization departmental and enterprise Continuous performance improvement Operational business intelligence Infection control and containment Bed/room management Transport management Environmental services management Temperature monitoring Supply chain optimization Real-Time dashboards EMR/ERP integration Abandoned equipment Fall prevention Rounding verification Infant security/protection Wireless nurse call Medical device monitoring Hand hygiene compliance Staff duress/panic Wander prevention Theft/loss avoidance Automated communications Building automation Family notifications/updates and more

5 SPOT Milestones Clemmons I & II Patient Flow Pilot Asset Mgmt 6,000 tags Calendar Years Jun 12 Oct 12 Enterprise Visibility Project Initiated Jan 13 Blood Bank Phase I Surgical Services Phase I Cancer Center Abandoned Equipment Nurse Call Integration Staff Badges 2,000 deployed QuickSPOT App Apr 13 Jul 13 Oct 13 Davie Medical Center Temp. Monitoring 800+ units Jan 14 Staff Duress Blood Bank Phase II Apr 14 Jul 14 Asset Mgmt 13,000 Total Lexington Medical Center Staff Assist ED Patient Flow Pilot

6 $8M+ in Value to Date Temperature Monitoring Avoid spoilage & lost research ~$970K/year Saved 6,000 flu doses valued at $90K Asset Management $2M/year less in equipment purchases Reduced blood spoilage by $18K/year Cost Avoidance on Purchases Receive Value Without Buying Stryker bed proximity devices $350K Wait area/queue management solution $1M+ Dedicated staff duress system $1.3M Dedicated wireless nurse call $882K Staff Productivity Search time for equip by staff ~$1.7M/year Automated temp recording ~$300K/year

7 Dept. of Enterprise Visibility PURPOSE Created to provide laser focus, provide expertise Provides capacity to execute and maintain system Staffed to maximize value Charged to innovate and create STRUCTURE 6.5 FTEs (had been 4.5 FTEs) includes all skills needed Report to VP with visibility to executive team Manages 14 SPOT Working Groups

8 Holistic Team Approach RTLS Software Program Management & Oversight Steering Committee and Working Groups Vision/future state Budget/cash flow planning/management Program Management Resource planning/mgmt. Projects/sub-projects definition/prioritization Project reporting RTLS Software Software RTLS Requirements Installation Configuration Map development Integrations Customizations System upgrades/maint System architecture design Training Governance Vendor management Order shipping/receiving/ warranties Change management/lean Major EV RTLS Software Integrations RTLSHardware Software RTLS Requirements Installation of all infrastructure Deployment of tags Inventory management Battery replacements System health monitoring EMR ERP/Financials Dashboards Alerts/Messaging Smart beds Nurse call Asset management Physical facility/security

9 Innovations

10 SPOT Roadmap Original Scope Expanded Scope Needs Funding OR Patient Flow Phase 1 Calendar Years Oct 14 Aramark Integration Jan 15 Infrastructure Complete 5,000+ Sensors OR Patient Flow Phase 2 Apr 15 OR Family Notifications Jul 15 Oct 15 Jan 16 OR Optimized Staff Badges 8,000 Deployed Stryker Integration Apr 16 Jul 16 Oct 16 Activity Based Costing Hand Hygiene Compliance Business Intelligence for Asset Mgmt Queue SPOT Pilot - LMC Rounding Compliance Patient Flow and Wait/Queue Management Deployment Across 100+ Departments Multiple Phases NPS Real Time Feedback v1 & v2 Epic Integration Phase 1 Remote Patient Monitoring w/apple HealthKit & Epic Integration OR Surgical Tray Tracking Ebola Preparedness OR Waiting Area WakeOne Auto-Login Dynamic Wayfinding Cisco Wi-Fi Integration Mission Control Predictive Analytics Real-Time Performance Dashboards Deployed in Multiple Phases

11 For more information contact Mark Rheault Director Wake Forest Baptist Office of Enterprise Visibility