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Flexibility Creates Freedom to Treat Case Study, Torrance Memorial Medical Center Presented by Cyndi Meinke, CAHIMS, Coretek Services DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS. Torrance Memorial Medical Center Overview • Headquartered: Torrance, California • Number of beds: 401 • Number of hospitals: 3 • Communities: South Bay, Peninsula and Harbor communities of Los Angeles county • Website: www.torrancememorial.org • EMR: Cerner Hosted Externally • MU Stage: 2 • EMRAM Stage: 5 . Torrance Memorial Medical Center The Challenge Business perspective • Leverage opportunity of New Patient Tower build to introduce state of the art technology to enable better and more efficient patient care • Remove the use of Kiosk Workstations using Generic Logins due to security/audit concerns • Prepare for a major change in physician workflows with CPOE and Physician documentation initiatives • Overcome technical hurdles due to latency of remote hosted EMR Torrance Memorial Medical Center The Challenge Provider perspective • Technology created barrier that only allowed viewing 1 patient record at a time • Had to “squat” on a computer or risk losing patient record causing long re-login • No dictation integration • Multiple devices created inconsistent experience Infrastructure Optimization and Integration The Solution Infrastructure Optimization and Integration The Solution (1 of 4) 1. Optimized VDI Benefit Your Desktop, Applications, End User Configuration Settings and Data roam with you wherever you go with a tap of your badge at any endpoint. Technology Imprivata SSO/AM, VDA; Appsense DesktopNow; Citrix XenDesktop; RFIdeas Passive Proximity Badge Readers; Dell Wyse Zero Client Endpoints; Coretek Virtual Desktop Enhancement Suite (VDES); Microsoft AppV; VMware vSphere Infrastructure Optimization and Integration The Solution (2 of 4) 2. Flexible, Dynamic and Fast access to handle Multiple Use Cases Benefit Standard Clinical Use Cases (ie Nurse, Pharmacy, Dialysis technicians, etc) – A follow me XenApp presented desktop that reconnected the user to their virtual desktop and EMR application within a total of 10 seconds from the tap of a badge Dynamic Documentation Use Case (Physicians) – A XenDesktop VDI desktop that was integrated with Nuance Dragon and their EMR. It also reconnected to the user to their virtual desktop and EMR application within a total of 10 seconds from the tap of a badge Infrastructure Optimization and Integration The Solution (3 of 4) 3. True Any Device /Any Where Consistent Access Benefit Remote Access enabled the end users to gain access to their desktops from home or as BYOD devices within the Hospital Guest Network. Technology Citrix NetScalers provided Remote Access through NetScaler Access Gateway and GSLB for fully redundant “Active–Active” infrastructure for the solution. Infrastructure Optimization and Integration The Solution (4 of 4) 4. iPhone Integration Benefit Implemented iPhone integration into the internal hospital phone system. Users logged into their phones with their own unique ID and could then make phone calls, check voice mail, perform secure texting, and access their e-mail. Technology XenMobile was implemented for management and Worx Mail to access e-mail. Torrance Memorial Medical Center Integration Optimization Benefits Flexible Freedom to Treat Patients The solution was deployed to allow clinicians and physicians to roam throughout the hospital with any device while providing the ability to reconnect to their applications, in a double hop configuration in under 10 seconds. The fast reconnect of applications allows the clinical community to spend more time working with patients and less time on the computer. The annual cost savings in terms of time given back to the patients is estimated at $1.2 Million dollars annually. Torrance Memorial Medical Center Integration Optimization Benefits Flexible Freedom to Treat Patients “Physicians have commented on how the flexibility of having their desktop at their fingertips within 10 seconds has enabled them to become more efficient with their clinical documentation by being able to “queue up” multiple patients at a time within the system and then “work the patients” simultaneously, where before they had to continuously work on only one patient/patient record at a time because if they left a machine/device, their information would be lost.” Steve Lantz Director, IT Infrastructure and Operations Infrastructure Optimization and Integration What a difference a road makes • Reduced time to login by > 50% • Saved over $1M in clinical staff productivity • Increased Dr/patient satisfaction • Reduced time to print • Reduced time spent navigating patient records • Increased data security • Increased IT staff satisfaction • Reduced endpoint downtime Write Your Own Success Story! More Success Stories Munson Medical Center http://coretekservices.com/sites/default/files/WhitePapers/Coretek_ MunsonHC_Whitepaper_Final.pdf Texas Tech University Health Sciences Center http://coretekservices.com/sites/default/files/WhitePapers/Coretek_T exasTech_Whitepaper.pdf Genesys Hurley Cancer Institute http://www.coretekservices.com/sites/default/files/WhitePapers/Whit epaper_GHCI.pdf Coretek Services #3380 [email protected] © 2015 Coretek Services. All Rights Reserved. Coretek, the Coretek Logo, and other product specific logos and terminology are trade marks of the respective owner.