The Importance of Time in Healthcare

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The Importance of Time in Healthcare
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Spectracom Overview

• GPS Time Synchronization experts
• Wireless Network expertise
• Leader in Public Safety markets
• Global company, Rochester, NY based
• Flexible responsive
• Renown for service
• ISO 90012000 certified
• Over 15,000 customers

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Time Synchronization Solutions Network
Applications require precise, accurate stable
Time Frequency Generation and Distribution
Higher Education
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4,000 9-1-1 PSAP Centers450 US Commercial
Airports FAA

• GE
• Glaxo
• Harris
• Hewlett Packard
• Honeywell
• HP
• Hughes
• IBM
• J P Morgan
• Learjet
• Lockheed
• MCI
• Merrill Lynch
• Motorola
• NCR
• Nielsen
• NIST
• Nokia
• Northern Telecom

ADT Alstom Ameritech Amtrak Apple Computer ATT B
F Goodrich Bechtel Bell Bellagio
Boeing Brokerage America Burroughs Carolina Power
Light Carrier CBS Chase Manhattan
Bank Chevron Chicago Stock Exchange Chrysler Citib
ank Comp USA Compaq Computer Cray Research CSX
Corporation Deutsche Bank Dictaphone Dupont ETrad
e Group E-bay EDS Enron Exxon Federal
Express Fluke Ford Motor Company
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Over 220 million calls are placed to 911 centers
each year

• Spectracoms NetClock is present in 95 of the
  centers that use time synchronization

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Current Issues in Healthcare include

• Networks, systems and medical devices display and
  record different times.
• No certainty of start/end times for events,
  tasks, etc.
• Without accurate time for Electronic Healthcare
  Records (EHRs), you are vulnerable to potential
  litigation
• Error-prone manual clock-time setting

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What You Do Not Want To See in Your Facility

• Physical Security system has 122229
• Display Clock reads 1216
• Which one is right ??

(A medical centers Public Safety Center)
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Are Network Problems Degrading your Efficiencies?

• Incorrect Time Causing Transfer Errors?
• Erratic LAN-WAN Interconnections?
• Transaction Processing Inaccuracies?
• Discrepancies of File Time Stamps?
• Non-linear Sequence of Events for diagnostics?
• Security Infringements?

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The Need For Accurate Time

• Electronic Health Record
• Interoperability
• Legal records
• Critical Care
• Medical Equipment
• Cardiology
• Defibrillators
• Patient Monitoring
• Need for Security and Authentication
• Data security
• Patient privacy
• User account access
• Building access

• Regulations Standards
• CCHIT (UTC Synchronization)
• IHE (Consistent Time profile)
• Chest Pain Center Accreditation
• HL7 (EHR Interoperability Model)
• JCAHO
• HIPAA
• CMS Conditions of Participation for hospitals
  482.24 (Medicare)
• FDA
• ISO

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Accurate Time is Required

• Medical records are considered legal business
  documents.
• The Certification Commission for Healthcare
  Information Technology (CCHIT)
• S7 Audit records require UTC synchronization.
• S8.1 The system shall be able to provide time
  synchronization using NTP/SNTP, and use this
  synchronized time in all security records of
  time.
• S8.2 The system shall record time stamps using
  UTC based on ISO 8601-2000.
• CMS Conditions of Participation for hospitals
  482.24 (Medicare)
• All entries in the medical record must be timed,
  date, and authenticated, and a method established
  to identify the author.

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Accurate Time is Required (contd)

• Integrating the Healthcare Enterprise (IHE)
• initiative by healthcare professionals and
  industry to improve the way computer systems in
  healthcare share information. IHE promotes the
  coordinated use of established standards such as
  DICOM and HL7 to address specific clinical needs
  in support of optimal patient care.
• their Consistent Time Integration Profile
  provides a means to ensure that the system clocks
  and time stamps of the many computers in a
  network are well synchronized. This profile
  specifies synchronization with a median error
  less than 1 second.

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Accurate Time is Required (contd)

• HL7 EHR Interoperability Model
• Currently being finalized. The EHR Technical
  Committee is updating this model to include a
  requirement for time and date stamping for all
  Electronic Health Records. Not only will they
  need to provide this time/date stamping, but they
  will also need to provide the ability to prove
  the accuracy of the time source. The Model
  states
• Traceability to, and time synchronization with, a
  master clock.

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Chest Pain Center Accreditation

• Key Element 7 Functional Facility Design
• Clocks are synchronized
• ED
• All triage areas
• Cath lab
• 12-lead ECGs
• Critical Metrics
• 90 minutes door to balloon

Company Confidential

• Accurate coordination of times among EMS, the
  emergency room, the cardiology department, and
  the catheterization lab is essential to
  accurately measure and thus control processes for
  care.
• Robert Weisenburger Lipetz
• Executive Director of the Society of Chest Pain
  Centers

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What can Time Synchronization do to Improve
Healthcare Operations?

• Accuracy of records assured treatments,
  procedures, time of birth/death, etc.
• Legally traceable time supports credibility and
  consistency for EHRs, log files, audit trails,
  digital signatures.
• Enhances interoperability for all networks,
  systems, and devices, as well as between agencies
• Provides regulatory compliance and best
  practices, reduces liability
• Fully automated, eliminates manual resetting,
  automatic DST adjustment, behind your firewall

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Continue the string of Traceability

• NetClock provides Legally Traceable Time the
  moment the patient enters the hospital
• 911, EMS, Police, etc all provide this time, up
  until the patient is brought into the hospital.
  Continue the string of traceability by syncing
  the hospital network, systems, equipment,
  displays, etc so that your records can be
  admissible in a court of law.

4,000 9-1-1 Dispatch Centers rely on Spectracom
for accurate time
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Credible, Consistent EHRs

• Certification Commission for Healthcare IT
  (CCHIT) All electronic health and security
  records are synchronized with UTC time and
  NTP/SNTP protocols when a NetClock is employed
• Health Level 7 (HL7) - NetClock provides full
  compliance to the accuracy, security, and
  manageability of this standard
• JCAHO standard IM 7.8 NetClock provides legal,
  authenticated date/time stamps for medical
  records
• FDA 21 CFR Part 11 Accurate time-stamped audit
  trails supported by NetClock

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Synchronized Healthcare Facility
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NetClock Wireless Clock System

• Wireless Mesh Network
• Incorporates 900MHz Frequency-Hopping technology
  that
• Provides a Clear Signal in any facility and
  campus environment
• Each Display is a receiver and transmitter
• No FCC license required
• Eliminates interference issues
• Battery operated for total wireless solution

NetClock, Transmitter, Wireless Analog and
Digital Clocks
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How it Works
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NetClock Time Server/Master Clock Model 9389

• Front Panel
• LEDs indicate Power, GPS status
• Inside
• 12-channel GPS receiver
• Stratum 1 NTP Server

• Back Panel Timing Outputs
• 10/100 BaseT Ethernet port
• NTP timing
• Network management
• (1) Console Port
• (1) RS-485 Output
• (1) RS-232 Output
• (3) Alarm/Event Contact Relays

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Ethernet Time Server Model 9388

• Back Panel Timing Outputs
• 10/100 BaseT Ethernet port
• NTP timing
• Network management
• (1) Console Port
• (1) RS-485 Output
• (1) RS-232 Output
• (3) Alarm/Event Contact Relays

• Front Panel
• LEDs indicate Power, GPS status
• Inside
• Stratum 1 NTP Server

Ideal for synchronizing independent, secure
networks
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PresenTense Synchronization Software

• Network Time Management Software for Windows
  Software
• Improves Time Synchronization frequency for
  better timing accuracies and interoperability
• Real-time monitoring and immediate email alert if
  time sync is changed or lost
• Detailed record logs of time sync status
• Supports redundant time sources
• Auditor program provides hardcopy proof of time
  sync status for legal requirements

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Some Healthcare Facilities using NetClock for
their Time Synchronization Needs

• EMH Regional Healthcare
• Scott White Memorial Hospital
• Los Alamitos Medical Center
• St. Elizabeth Community Hospital
• St. John Pleasant Valley Hospital
• Morris Hospital
• North Mississippi Healthcare
• Evanston NW Healthcare
• Chelsea Community Hospital
• Crestwood Medical Center
• Memorial Herman Baptist Hospital

• Anne Arundel Medical Center
• Washington Hospital
• Tyco Healthcare
• St Luke's Hospital
• Serenity Lane Health
• Alberta Cancer Center
• Luther Midelfort
• Community General Hospital
• Miami Childrens Hospital
• Melbourne Internal Medicine
• DCH Regional Medical Center
• University Hospital

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Quality Goals Objectives

• Best Value in the marketplace
• Spectracom products have the best features and
  functions for the price
• Exceptional Reliability of our products
• Spectracom products consistently meet or exceed
  specifications and customer expectations
• Stellar Support of our customers
• Spectracoms customer support differentiates us
  in our markets
• Team Spirit and Actions
• We are have well trained, competent staff that
  has a shared perspective of roles and goals
• Customer Confidence
• We have a strong base of repeat customers and
  employees that are committed to mutual success

Company Confidential
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Quality Process, Quality Results

• ISO 90012000 certified in 2002. Most recent
  audit 4/08.
• We call and survey every 10th customer
• Results for calendar year 2007
• My order was delivered in-full and error
  free (95 Yes)
• The products features met my needs (100 Yes)
• Product setup was flawless (100 Yes)
• I would recommend Spectracom (100 Yes)
• In-bound help desk calls
• 85 of the issues are closed on the first call
• 95 closure after one follow-up call

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Support Services
Resources - Website httpwww.spectracomcorp.com R
esellers Website httpwww.spectracomcorp.com/rese
llers
Will Hickey Channel Manager ph
585-321-5832 willh_at_spectracomcorp.com Jennif
er Sanza Sales Administration Mike Messina
Sales Engineer ph 585-321-5825 ph
585-321-5850 jsanza_at_spectracomcorp.com mmessina_at_s
pectracomcorp.com
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• Think of
• SPECTRACOM
• for ALL your
• Time Synchronization needs.