Tele-ICU Scorecard - Philips

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Tele-ICU ScorecardAboutCompelling peer-reviewed research has determined that the use of Tele-ICU technology can significantlyimprove survival and reduce lengths of stay for ICU patients. The following Tele-ICU scorecard has beendeveloped to assist organizations in providing a comparative assessment of key features to aid in thedecision making process and optimal vendor selection for a centralized Tele-ICU solution. This scorecardserves to define the critical software, clinical, reporting, analytics, and transformation services present inexisting Tele-ICU models implemented within the United States. Proprietary feature and vendorsolution-specific designations have been intentionally excluded for comparison purposes.How to UseThis Tele-ICU scorecard compiles longitudinal survey data from Tele-ICU installations within the UScollected over a 15 year period. Published data from peer-reviewed studies supports the identifiedcategories and segmentation presented. Vendor comparison can be accomplished quantitativelythrough the assignment of a numerical value from 1 (least likely to meet criteria) to 5 (most likely tomeet criteria). The ultimate selection of a Tele-ICU vendor is dependent on multiple factors, howeverthis scorecard is intended to provide an objective comparison of available solutions.I. Vendor PartnershipAn organizational commitment to Tele-ICU is significant. A dedicated vendor partner will supportcustomer goals in achieving positive results and return for the organization. It is important tounderstand current state offering, and the future direction and vendor investment in the Tele-ICUsolution.Component / FeatureMarket shareExperienceEvidence of InnovationCustomer TestimonialsDefinition & UseEvidence on current installations inoperation within given marketPeriod of time (years) where platform isactively being utilized within givenmarket(market ready/ released solution andhigher score represents greater marketexperience)Percent allocation of R&D spend toTele-ICU solution development basedon total business segment revenueVendor supplied testimonials andreference list from existing customersVendorAVendorBVendorC

Vendor Partnership continuedComponent / FeatureLongitudinal AlignmentCollaborative EnvironmentFostering EducationActive User GroupsDefinition & UseVendorAVendorBVendorCVendor capability to align Tele-ICU withsolutions across population healthcontinuum (e.g.: Ambulatory telehealth)and agnostic to other EMR solutionsVendor sponsored Tele-ICU communityto share learnings, and benchmarkperformanceVendor organized events to provideperiodic updates on Tele-ICU relatedsubject matterDefined meetings for clinical,operational performance andtechnology sharingII. Program SupportTele-ICU adoption is about embracing change. Confidence in executing change managementorganizationally requires a consultative approach by the vendor to learn and align with organizationaland executive goals. A fundamental success measure for Tele-ICU sustainability is the program relianceon on-going calibration and performance management. Setting up for success begins at implementation,and follows through periodic reviews aligned with established success metrics defined mutually by theorganization and the vendor.Component / FeatureDefinition & UseTransparencyVendor disclosure of all costs – one timeand operating – vendor can supportbuild out of a value proposition/costbenefit analysisImplementation ProposalVendor provides a dedicated team ofTele-ICU Subject Matter Experts (SME)to align with Project Management,Clinical Program Management,Intensivist Consultant, Interface Analyst,equipment and network installation,and Executive Sponsor skill set forduration of implementationChange ManagementVendor supports collaborativeengagement sessions to align Tele-ICUadoption with current bed-sidepractitioner team with dedicatedservices practitionersVendorAVendorBVendorC

Program Support continuedComponent / FeatureTrainingConsultingRoutine UpdatesUpgrade SupportMarketing PlanningDefinition & UseVendorAVendorBVendorCVendor solution inclusive of trainingprogram for all Tele-ICU solution endusers by responsibility (MD, APN, RN,Admin, technical, etc.)Vendor provided clinical andoperational consultant service forduration of program to assist withimproving outcomesSoftware updates and upgradesincluded in vendor provided Tele-ICUprogram agreement.Vendor provides 24x7x365 Tele-ICUsupport included within program costsMarketing programs to increase internaland external Tele-ICU awarenesssupplied to customer by vendorIII. PlatformWhen selecting a Tele-ICU solution, the software platform determines the use-ability of the system, itsscalability and extensibility for broader population health and care venue applications.Component / FeatureQuality FrameworkContinuity PlanningEnterprise ExtensibilityScalability - SiteDefinition & UseTele-ICU solution and clinical tooldevelopment cleared by FDA 510(k)Vendor is able to provide roadmap forsuccessive innovation of Tele-ICUplatform to include customer inputthrough Product Advisory BoardEvidenced ability and direction tosupport broader care venue applicationof Tele-ICU model (e.g.: ED/MedSurg/consult)Capability to support critically illpatients, whether in the ICU, or viarapid response to other areas withinhospitalScalability - NetworkCapability to support ICU populationcapacity across Health System and toexternal health systemsClinical OutcomesVendor or peer-reviewed data onsolution efficacy relative to patientoutcomesVendorAVendorBVendorC

Platform continuedComponent / FeatureOperational OutcomesFinancial OutcomesDefinition & UseVendorAVendorBVendorCVendor or peer-reviewed data onsolution efficacy relative to operationalefficiencyVendor or peer-reviewed data onsolution efficacy relative to Return onInvestment (ROI)IV. InteroperabilityA Tele-ICU solution shall align with HITECH Act and Meaningful Use guidelines to be interoperable withan organization’s EHR. In many instances, consolidation and acquisition patterns have resulted inmultiple revisions and / or multiple EHR vendors being present across an organization. A Tele-ICUsolution that can integrate across such systems and provide a unified remote experience is optimal.Component / FeatureCore data integrationStandards BasedIntegration SupportThird Party RelationshipsData Interface OptimizationDefinition & UseVendorAVendorBVendorCEvidenced capability to aggregate datafor patient ADT, Physiologic MonitoringVital Signs, Lab, Medications, Flowsheetdata and notes across EHR instancesand EHR revisionsVendor supports standards-basedinteroperability (HL-7)Dedicated integration team to supportimplementation and on-going upgradesor ICU add-onsVendor states willingness to work with(both inbound and outbound) othervendors to achieve interoperabilitywithout the need to replace existingtechnologiesVendor presents integration strategyleveraging Interface Engine to optimizeTele-ICU interface development, testingand on-going maintenanceV. Tele-ICU SoftwareThe vendor designed Tele-ICU software provides the clinical operator with the tool for managing the ICUpatient population clinically, and engaging with bed-side clinicians through audio-visual technology forpatient assessment and management. Tele-ICU software technologies vary widely in features andfunctionality, however the evaluation criteria for this component is based on the software’s ability topresent meaningful data to the clinician that optimizes patient management.

Tele-ICU Software continuedComponent / FeatureData PresentationPatient SummaryPopulation CensusAcuity RoundingVisualizationAdvanced Alerting &AlgorithmsIntegrated A/V TechnologyStaffing Ratio (Intensivist)Staffing Ratio (APN/RN)Uptime StatisticsDefinition & UseVendor Software presents unified viewof patient data for improvedinformation assimilation and decisionmakingSoftware provides a summary view ofkey clinical data, including currenttreatments, diagnoses and importanttrends, organized by organ system andpresented in both textual and graphicalformatsTele-ICU managed population is able tobe arranged by clinician operator anddefined by location (e.g.: hospital, unit)Embedded Clinical Decision Support(CDS) Algorithms provide acuity basedpatient prioritization to optimizeinterventions (per FDA 510k guidance)Graphical visualization of patient (e.g.:red, yellow, green) identifies patientswith changing or deteriorating conditionVendor presents additional proprietaryClinical Decision Support innovation andbundled alerts supported by outcomesevidenceSoftware solution supports integratedA/V solution for HIPAA complianceMaximum ratio of Intensivist to patientstaffing alignment supported (expectedrange of 1: 150)Maximum ratio of nurse to patientstaffing alignment supported (expectedrange of 1: 40)Vendor provides historical data oncustomer uptime experienceVendorAVendorBVendorC

VI. Tele-ICU HardwareA Tele-ICU is a centralized, physical location that virtually supports multiple physical end-points withinthe hospital ICU. Hardware and peripherals to support operations should meet enterprise-classspecifications.Component / FeatureData CenterOperations CenterFixed In-Room A/VMobile A/VBi-Directional EngagementDefinition & UseVendorAVendorBVendorCVendor provides specifications for onpremise and virtualized environmentsrequired for the Tele-ICU systemVendor provides recommendations ondesign and hardware requirements forstaffing and system engagementHigh definition audio and visual solutionprovided within the patient roomAudio and visual engagement supportedfor wired and wireless applications,including mobile carts to enableflexibility in deploymentIn-room alert functionality integratedinto Tele-ICU solution to enable bedside initiation of interventionVII. Program Reporting & AnalyticsThe success of the Tele-ICU system needs to be measured to show clinical, operational and financialresults. The ability to demonstrate such systematic outcomes requires the Tele-ICU vendor to providereporting capabilities and data analytics tools.Component / FeatureDaily Management ReportsBenchmark ReportingAnalyticsResearchDefinition & UseReal time reporting generated by theTele-ICU for daily management and bestpractice compliance includedReporting capability to evaluateunit/hospital performance andcompared against other Tele-ICUsystems in the communityData access capability to generate adhoc or initiative based reporting to becreated by the Tele-ICUTele-ICU vendor provides repository ofde-identified data that is standardizedand normalized to conduct researchVendorAVendorBVendorC

Program Reporting & Analytics continuedComponent / FeatureVendorADefinition & UseVendorBVendorCTele-ICU vendor supports andcollaborates with organization todevelop academic studiesPublicationSummary ScoresheetCategoryVendor PartnershipProgram SupportPlatformInteroperabilityTele-ICU SoftwareTele-ICU HardwareProgram Reporting & AnalyticsVendor AVendor BVendor CTOTAL SCOREConclusionThe evaluation of Tele-ICU vendors supports the aim to adopt a clinically focused solution tuned to anorganizations environment that enables staff to be more efficient and spend more time on patient care.The investment and selection process is not merely one of determining which vendor presents thelowest cost initially, but what solution aligns best with the vision to positively impact patient whileimproving access and reducing total cost of ownership over the long term.

The ultimate selection of a Tele-ICU vendor is dependent on multiple factors, however this scorecard is intended to provide an objective comparison of available solutions. I. Vendor Partnership An organizational commitment to Tele-ICU is significant.

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