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WHITE PAPER: BUILDING THE SMART HOSPITAL WITH IOT-POWERED VISIBILITY & ANALYTICS
Empowering physicians and nurses with actionable, visual analytics at the point of care is enabling healthcare providers to fundamentally transform healthcare delivery through IoT data. Now, caregivers can see and understand data in ways that were once unimaginable—delivering a superior patient experience, improving clinical outcomes and assuring
continuous process improvement.”
- Andy De
Managing Director, Healthcare and Life Sciences
Tableau Software
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The IoT Era
Let’s start at the top—with a clear definition of the Internet of Things (IoT). In 1999, British technologist Kevin Ashton coined the term while at the Massachusetts Institute of Technology. His definition:
“The Internet of Things (IoT) connects devices such as everyday consumer objects and industrial/commercial equipment onto the network, enabling information gathering and management of these devices via software to increase efficiency, enable new services or achieve other health, safety or environmental benefits.”
Strictly speaking, the IoT is not “new”—particularly for hospitals and other healthcare organizations. However, a convergence of technology advances and societal changes is fueling growing emphasis on the IoT and its potential to, as Ashton noted, enable new services or achieve a host of benefits.
Gabi Daniely, STANLEY Healthcare’s VP of Solutions, Products and Marketing, points to three specific trends indicating that now is the ideal time to maximize the analytics potential of the IoT:
• Evolution of business intelligence (BI) and analytics. In years past, managing and analyzing data was complicated work—requiring significant investments of time and money. “Just having the data was never enough,” Daniely says. “Today, BI and analytics platforms have evolved to become far simpler to deploy, empowering organizations to derive greater value from their data.”
• Virtually unlimited storage and computing power at very low cost. Like the IoT, cloud computing is not a “new” phenomenon. What has changed is the accessibility and simplicity of storing resources—including data—in the cloud. Daniely notes that the cloud enables massive amounts of data to be accessible, eliminating one of the traditional roadblocks to effective analytics.
EXECUTIVE SUMMARY
The Internet of Things (IoT) continues to transform healthcare delivery at an unprecedented pace. An increasingly diverse set of smart devices and communication-enabled sensors is bringing hospitals greater awareness of the medical devices, equipment, clinicians, staff and patients in their care delivery environments. They also are generating a wealth of data that they can use to re-engineer delivery models to become more dynamic, efficient and responsive to patient needs—driving lower costs and higher patient satisfaction.
The ability to unlock the tremendous potential of IoT solutions and data requires the right approach and the right set of tools and technologies. Such solutions go beyond real-time visibility—empowering hospitals to analyze vast quantities of information collected via
devices and sensors and, more importantly, to develop a strategic framework for applying those insights to enhance care delivery.
Executive management, especially the hospital CIO, is playing a central role in providing a platform for an organization to interpret and take action on IoT data. When massive stores of seemingly disparate data can be displayed visually—with intuitive tables, charts and graphs—what emerges is a clear picture of operational inefficiencies and process improvement opportunities.
In this paper, STANLEY Healthcare explores the transformational role of the IoT in healthcare operations, with examples of significant progress already underway, and points to exciting new opportunities on the horizon for hospital executive management with the vision and will to capture them.
WHITE PAPER: BUILDING THE SMART HOSPITAL WITH IOT-POWERED VISIBILITY & ANALYTICS
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• Mobility. The final trend, Daniely says, is the ubiquity and adoption rate of mobile devices. Individuals have welcomed the convenience of a range of smartphones, tablets and wearable devices. As mobile and wearable devices are becoming more sophisticated and more prevalent among both staff members and patients, they are creating new opportunities for user engagement and empowerment.
In its report, The Internet of Things: Making Sense of the Next Mega-trend, Goldman Sachs describes the IoT as the “third wave” in the development of the Internet. The report continues, “The 1990s’ fixed Internet wave connected 1 billion users while the 2000s’ mobile wave connected another 2 billion. The IoT has the potential to connect 10X as many (28 billion) ‘things’ to the Internet by 2029, ranging from bracelets to cards.”1
That intense growth is not coming out of nowhere. It is building on over a decade of investments that many hospitals and health systems have made in using connected devices to improve visibility and management of “things”—people as well as assets—throughout their care delivery environments.
Healthcare’s Leading Innovators in IoT
For many in the industry—including healthcare IT veteran Todd Frantz, who serves as Technology Strategist for Adventist Health System—the IoT is both familiar and disruptive. Frantz views the IoT as the latest development in healthcare’s ongoing evolution in care delivery: “For a long time, healthcare workers would simply write things down. Computers came along and changed the way we collected and stored information. Rather than turning nurses into clerk-typists, we set out to find ways to reduce or prevent manual data entry,” Frantz explains.
During his tenure with Adventist Health System, parent organization of Florida Hospital and Florida Hospital Celebration Health, Frantz has been involved in adopting radio frequency identification (RFID) tags and a real-time location system (RTLS) platform for monitoring and managing those sensors.
Adventist is now leveraging its platform—and connected “things”—to drive tangible improvements in asset management, environmental monitoring, patient flow and clinic flow (see Video: STANLEY Healthcare’s AeroScout RTLS at Florida Hospital Celebration Health).
Adventist Health System is just one of many healthcare organizations with a proven track record in using connected sensors to manage and continually improve clinical and administrative processes.
Indiana’s Deaconess Gateway Hospital is using its RTLS platform to improve the way it monitors and maintains IV pumps (see Video: IV Pump Asset Management
with Deaconess Gateway and STANLEY Healthcare) and telemetry packs.
VIDEO: STANLEY Healthcare’s AeroScout RTLS at Florida Hospital Celebration Health www.youtube.com/stanleyhealthcare
VIDEO: IV Pump Asset Management with Deaconess Gateway and STANLEY Healthcare www.youtube.com/stanleyhealthcare
Florida Hospital sees RTLS as a core technology to help us deliver high quality and efficient care. The real-time data provides detailed, minute-by-minute updates that enable caregivers to make better decisions to improve the patient experience and
throughput.
- Ashley Simmons
Director, Performance Improvement
Florida Hospital
WHITE PAPER: BUILDING THE SMART HOSPITAL WITH IOT-POWERED VISIBILITY & ANALYTICS
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Peninsula Regional Medical Center (PRMC) in Maryland has made significant advances in its journey to use connected devices to improve patient care and operational efficiency. Today, PRMC is a leader in using tags and its RTLS platform to:
• Track biomedical equipment for efficient preventive maintenance compliance.
• Execute device recalls quickly and efficiently.
• Leverage real-time awareness of asset location and status to reduce loss and improve utilization, yielding $250,000 in avoided spend in the first year alone.
• Fully automate monitoring and documenting of environmental conditions for medicine, vaccinations and food, saving 1,700 hours of clinicians’ time that had been spent on manual monitoring and recording.
• Deliver hospital-wide protection of infants in the care of its Women’s and Children’s Department.
• Quickly locate specialty beds needed for their patients. The hospital has virtually eliminated costly rentals, which were averaging $3,500 but often went as high as $6,000 per month.
For healthcare organizations that have yet to make investments in visibility solutions, these leaders have established clear, value-added patterns for putting these technologies to use. As Frantz notes, a decade ago it might have been cost prohibitive for some institutions to deploy visibility solutions. Now, he says, the price of sensors is much lower, but once you determine how to properly tackle your business problem, you may still need to make a substantial investment.
“Doing something is almost never cheaper than doing nothing,” he continues. “But we can now measure things that we simply couldn’t measure in the past. When you figure out how much a business problem is costing you, you can then assess whether or not a solution has a positive return on investment.”
Meanwhile, for organizations that already have a platform in place, the opportunity is to take those capabilities to the next level. By arming healthcare workers with actionable data visualization, hospitals can further “democratize” data and analytics—supporting both better in-the-moment choices and more effective long-term planning and decision making.
Visualizing the Smart Hospital
With IoT solutions in place, hospitals can begin to see their operational processes in action by using the power of data visualization. Once staff can actually see their process—how long different steps take and what their patients are experiencing, for example—they’re empowered to start the conversations needed to achieve measurable improvement in operational efficiency and patient satisfaction. The volume of high-precision process measurement data that can be obtained only with an IoT-based solution is also an invaluable basis for advanced analysis and
69%
of the most wired hospitals
use tools for retrospective
data analysis
Reimbursement models are shifting, placing unprecedented importance on patient satisfaction and operational efficiency. In the face of those fundamental changes, IoT solutions arm hospitals with the data needed to explore these and other questions:
• Is there a way to reduce complexity and simplify the workflow of day-to-day caregivers?
• How can we improve key performance metrics to improve overall patient satisfaction?
• How do we optimize our healthcare delivery ecosystem to reduce costs?
As Reimbursement Shifts, Questions Arise
WHITE PAPER: BUILDING THE SMART HOSPITAL WITH IOT-POWERED VISIBILITY & ANALYTICS
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modeling—as well as a critical piece of the puzzle for formulating predictive models. Already 69 percent of the most wired hospitals use tools for retrospective analysis of clinical and administrative data to identify areas that can help improve care quality and reduce care costs.2
WHY NOW IS THE RIGHT TIME FOR IOT-POWERED ANALYTICS
“Now is the time for IoT-powered analytics,” states Barbara Casey, Cisco’s Senior Healthcare Practice Director. “As more and more devices that create data are added to the network, the ability to capture that data and integrate it with location enables the digitization of hospital workflows, improves care delivery and increases operational efficiencies.” Casey adds, “We have found that hospitals are capitalizing on their technology investments,
and increasingly, they are doing this by leveraging the power of their network and IoT analytics to drive better staff and patient interaction, process automation and operational insights.”
RTLS-enabled healthcare organizations now have access to a new dimension of data about assets and people—enabling advanced visualization, event and alerting capabilities. A platform with flexible event and attribute capabilities can serve as a sophisticated, complex business rule manager capable of modeling complex flows of assets and people—touching almost every area of a hospital, including processes that historically have been difficult to accurately measure and track. Examples include materials management, housekeeping, environmental monitoring, patient security and patient flow.
STANLEY Healthcare Solutions in the Smart Hospital
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As the practices of evidence-based and precision medicine become mainstream standards and big data finds more applications in the daily routines of patient care, healthcare workers expect greater access not only to data but also to insights they can act on at the point of care. Real-time analytics requires the ability to collect, explore and visualize large volumes of historical and real-time data.
“The goal is to provide self-serve analytics and fast performance so that information can be accessed and explored by anybody on a hospital’s staff—not just by technical report-writers,” Daniely says. “Anyone should be able to ask questions of the data and get answers to the types of questions that will help in making better decisions and identifying process improvement opportunities.”
Ultimately, the IoT holds the promise of even broader health benefits. Two examples: automobiles that prevent accidents that would have led to a hospitalization and home monitors that prompt faster medical attention by sending an alert if a resident is not out of bed by a certain time in the morning. In the meantime, hospitals can begin achieving some more immediate results, including:
• Operational efficiency through lower operating and capital expenses and improved staff efficiency
• Enhanced ability to address regulatory compliance with streamlined recall management and automated logging of temperature and humidity data
• Improved patient experience thanks to better communication and more efficient workflows
• Higher staff satisfaction via more efficient workflows and the ability to focus on the activities that are most impactful to patient care
• Better safety and security with campus-wide integration of infant protection, fire protection and other security systems
• Higher throughput in clinics and surgical departments due to streamlined processes and greater efficiency
“On one hand, people talk about ‘cookbook’ medicine and computers filtering everything for clinicians,” Frantz says. “Some of it is really just noise for the decision they need to make. We need to free up nurses to support other people in their time of need. If we can programmatically cut through the noise for them, we have a moral responsibility to do so. It’s certainly an operational responsibility. That’s what IoT means to healthcare.”
Now is the time for IoT-powered analytics. As more and more devices that create data are added to the network, the ability to capture that data and integrate it with location enables the digitization of hospital workflows, improves care delivery and increases operational efficiencies. We have found that hospitals are capitalizing on their technology investments, and increasingly, they are doing this by leveraging the power of their network and IoT analytics to drive better staff and patient interaction, process automation and
operational insights.
- Barbara Casey
Senior Healthcare Practice Director
Cisco Systems, Inc.
LEFT: Analyze patient milestones to identify where delays occur.
RIGHT: View environmental conditions of all monitored devices, with management dashboards highlighting areas that require attention.
WHITE PAPER: BUILDING THE SMART HOSPITAL WITH IOT-POWERED VISIBILITY & ANALYTICS
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From Here to There: Best Practices for IoT Solutions
In adopting or extending IoT visualization and analytics solutions, hospitals may benefit from best practices built through more than a decade of experience
designing, implementing and supporting visibility solutions.
• Set clear, measurable objectives. By nature, IoT data is highly quantifiable. Before diving into any initiative, articulate clear goals and identify the metrics that will be used to track progress against those goals.
• Make it part of the enterprise data strategy. In addition to the application of an IoT solution to a specific problem, the potential for IoT data as another “voice” in an enterprise’s data ecosystem extends beyond the specific known use cases. As hospital thought leaders begin to leverage the power of richer electronic medical records to enable more evidence-based practice, we are only beginning to see what additional value IoT data can bring to researchers and hospitals with data-driven cultures.
• Get the people right. “Things” might be easy to connect, but people are truly the glue that holds together any healthcare operation. Getting staff buy-in is crucial not only to solution uptake but also to setting goals, shaping hypotheses and testing process improvements. Just as important is establishing a dedicated team or steering committee to handle ongoing project management. A hospital’s Six Sigma Black Belt or other process improvement expert should always be part of such a team.
• Adopt an agile philosophy to quality improvement. Based on his experience, Frantz says to expect the first couple of projects to be iterative. “You may not be measuring the right elements in support of your hypothesis, or you may find that you’re measuring the right things but lack sensors in the right places,” he explains.
• Document organizational history, which provides context for IoT data. While it may be tempting to rely on individual or collective memory, Frantz cautions that is vitally important to keep written records of a hospital’s history. For instance, document when a new hallway was opened, or when the next six ORs went into service. Knowing those milestones can be crucial when making long-term comparisons. “We all say, ‘we’ll remember,’ but we don’t,” he says.
• When it comes to data, think long term. Based on his experience, Frantz urges his peers to understand the importance of collecting and keeping data for at least a year longer than originally planned. “You may have a corporate data retention policy that dictates a certain cycle,” he says. “But what if four years later you’ve changed your process, and you want to revisit how things
Just having the data
was never enough. Today, BI
and analytics platforms have
evolved to become far simpler
to deploy, empowering
organizations to derive
greater value from their data.
- Gabi Daniely
VP of Solutions, Products and
Marketing
STANLEY Healthcare
PLAN
DO
ACT
STUDY
WHITE PAPER: BUILDING THE SMART HOSPITAL WITH IOT-POWERED VISIBILITY & ANALYTICS
©2016 STANLEY Healthcare. All rights reserved. DOC-12-85041-AB
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About STANLEY Healthcare
STANLEY Healthcare provides over 5,000 acute care hospitals and 12,000 long-term care organizations
with enterprise solutions that transform safety, security and operational efficiency. The STANLEY
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five critical areas: Patient Safety, Security & Protection, Environmental Monitoring, Clinical Operations
& Workflow and Supply Chain & Asset Management. These solutions are complemented by consulting,
training, implementation and integration services. STANLEY Healthcare is proud to be part of Stanley
Black & Decker, Inc. For more information, visit www.stanleyhealthcare.com.
We need to free up
nurses to support other
people in their time of need.
If we can programmatically
cut through the noise for
them, we have a moral
responsibility to do so.
It’s certainly an operational
responsibility. That’s what IoT
means to healthcare.
- Todd Frantz
Technology Strategist
Adventist Health System
happened five ago versus now? You may want to see a particular measure, say, every February over the past five years. Whenever you can, keep data as long as you can. Having it allows retrospectives that wouldn’t otherwise be possible.”
• Build a platform for the long term. Whatever path a healthcare organization chooses, it needs to ensure that its platform can scale up and out to support multiple applications. “One-trick ponies” simply cannot deliver true enterprise support, with all data leveraged in a consistent and consolidated manner. Past experience shows that once an organization starts and succeeds with an IoT application, it will rapidly expand the applications—and related analytics—that it is using.
Above all, take action. IoT growth may be exploding, but that does not mean it’s too late to get started. Starting with one specific application can be an invaluable organizational learning opportunity. Like many new technologies, the first projects instruct the organization on what works and what doesn’t for that specific facility.
References1 Goldman Sachs, The Internet of Things: Making Sense of the Next Mega-Trend, September 3, 2014.
2 CDW Healthcare, HIT Trends for 2015.
