Power Quality Solutions for Medical Applications in the 21 st Century

1. Power Quality Solutions for Medical Applications in the 21st Century Chris Loeffler

2. Current healthcare market drivers Health Reform Act • Making health insurance more affordable • 32 million more people covered • New competitive health insurance market • Health care facilities will have to be more efficient (frugal) • Greater accountability • Higher reliance on technology • End discrimination against existing conditions • Increased care required for those in need Purpose: Help stabilize the budget and the economy

3. Supporting the health reform act American Recovery and Reinvestment Act (ARRA) • Investing $19 billion in computerized medical records that will help to reduce costs and improve quality while ensuring patients’ privacy • $1 billion for prevention and wellness to improve America’s health and help to reduce health care costs • $1.1 billion for research to give doctors tools to make the best treatment decisions for their patients by providing objective information on the relative benefits of treatments • $500 million for health workforce to help train the next generation of doctors and nurses. • The HITECH Act, part of the ARRA includes Medicare incentives for adoption and “meaningful use” of certified EHR technology EHR = Electronic Health Records

4. Policing the health reform act The HITECH Act requirements are governed by: • CCHIT - requires backup of 24x7 application operation that a UPS provides when integrated with the EHR system. • Including a UPS is crucial to demonstrating meaningful use of an EHR system and thus eligibility for stimulus bill funding. • Grants and Medicaid incentives begin in 2011 for those meeting the meaningful use clause. Health Information Technology for Economic and Clinical Health (HITECH) Certification Commission for Health Information Technology (CCHIT)

5. HITECH Act HITECH Act Regulations • 42 CFR: Parts 412, 413, 422 and 495 • 45 CFR: Subtitle A, Subchapter D • Subchapter D – Health information technology • PART 170 – Health information technology standards, implementation specifications, and certification criteria and certification programs for health information technology

6. Additional legislation impacting healthcare Public Law 104-191-Aug.21,1996 • Health Insurance portability and accountability act of 1996 • Health care clearinghouse-The term 'health care clearinghouse' means a public or private entity that processes or facilitates the processing of nonstandard data elements of health information into standard data elements.

7. Achieve IT transformation What’s important: Create the Electronic Health Record via the digitization of patient data for real time access of lab, financial, imaging, and clinical documents, with unsurpassed security 7

8. Replace aging facilities What’s important: Create a 21st century enterprise for healing that is able to serve an increasingly sophisticated and growing population 8

9. Rising outpatient utilization rates What’s important: Deliver quick and efficient outpatient and ambulatory services using the most advanced technologies available 9

10. Provide healthcare hospitality What’s important: Provide large, comfortable single patient rooms which accommodate new technology required for changing levels of acuity 10

11. Keep pace with technology What’s important: Make required investments in technology that improve operational efficiency and desired clinical outcomes 11

12. S U S T A I N A B I L I T Y What’s important: Set the “Green” example for the community by maintaining an energy efficient and environmentally sustainable enterprise 12

13. Healthcare Greater Reliability Operating Cost Efficiencies Effective Use of Capital EnhancedSafety Risk Mitigation Sustainability UPS,surge strips Generator Quick Connect Paralleling Switchgear Automatic Transfer Switches UPS, power distribution, Enclosures, software UPS,surge strips Power Xpert Software Systems Analysis and Design 13

14. Standby generators aren’t enough… • UPSs clean the utility power ensuring pure, uninterrupted power during transition from utility to generator and back to utility. Utility Power Or Generator Clean Power Critical Systems

15. Comprehensive Power Quality solutions Utility Power Or Generator 3-phase UPS Clean AC Power • Data Centers • Diagnostic Imaging Software 1-phase UPS Clean AC Power • Clinical Lab equipment • Servers • Networks • Call/Patient Monitoring Services DC Systems Clean DC Power • Telecom PBX • Wireless • Central Office

16. Knowledge building tools (Interactive Hospital) What’s important: IT systems typically represent 1/3 of a hospital’s capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

17. Knowledge building tools (Interactive Hospital) What’s important: IT systems typically represent 1/3 of a hospital’s capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures

18. Knowledge building tools (Interactive Hospital) What’s important: IT systems typically represent 1/3 of a hospital’s capital expenditures. Power quality problems impact overall business efficiency, data loss, and equipment failures http://powerquality.eaton.com/About-Us/Markets/Healthcare/Interactive-Hospital.asp

19. Powering nurses stations What’s important: Protecting the IT systems used for patient data entry and communication, including IT / Computer systems, Computerized Physician Order Entry (CPOE) systems, and PoE phone systems

20. Powering laboratory systems What’s important: Protecting the analysis systems used for diagnosis of the patient data entry including Hematology analyzers, blood/gas analyzers, centrifuges, and PoE phone systems

21. Powering imaging systems What’s important: Protecting the imaging systems used for critical picture diagnosis of patient conditions including MRI, CT, X-ray, PET, Ultrasound Mammography, picture archiving and communication systems (PACS)

22. Powering molecular imaging systems What’s important: Protecting the vivo and in-vivo imaging systems used for diagnosis of patient conditions including florescence, bioluminescence, absorption or reflectance optical imaging, SPECT, PET and magnetic imaging

23. Powering front office systems What’s important: Protecting the patient records input systems used to admit patients capturing ailment reasons with billing and insurance information including: computer systems, telecommunication systems

24. Powering EHR storage and transmission What’s important: Protecting the data center / computer rooms used for gathering and safeguarding all the patients EHR data, and storing or transferring that data to meet the demands of 21st century healthcare facility

25. Typical question about UPS systems Do I need a medical grade UPS system? • UL 60601-1 or EN/IEC 60601-1 rated systems are used for patient contact equipment • Standards are written around patient safety • Medical Devices (MD) • In-Vitro Diagnostic Medical Devices (IVD) • MD devices typically need to meet UL 60601-1 • Syringe pumps, artificial respirators, surgical lasers, patient monitors • In Vitro Diagnostic Devices (IVD) do not • Centrifuges, hematology analyzers, blood/gas analyzers, other lab equipment. Most EHR equipment will fall outside these requirements

26. Eaton powers healthcare technologies Power management solutions and UPSs help assure the integrity of patient care by ensuring mission-critical diagnostic imaging, IT, clinical, and monitoring systems operate at optimum levels at all times. • Trusted by key mission-critical organizations • Diagnostic imaging providers – GE Medical Systems, Siemens Medical Solutions, Phillips & TomoTherapy • Clinical lab vendors – J&J Ortho-Clinical Diagnostics • Group Purchasing Organizations (GPO) – Premier, Inc., AmeriNet & Mercy Resource Management, Inc. • Preferred vendor – Triad Hospitals

27. Our experience • Baptist Health System of Alabama • St. Vincent’s • Jackson Hospital • Healthsouth • Triad Hospitals • Children’s Hospital of Wisconsin • Harvard Medical School • UAB Health System • Charlton Hospital …and 1500 more healthcare facilities

28. Professional advice and real world information • Eaton in Institutions • Education and Training seminars • Case studies and solution • brochures • Content leadership, videos, media • placement and print contribution

29. Additional resources • Power Quality (Uninterruptible Power Supplies / Power Distribution) healthcare portal - • www.powerquality.eaton.com/Healthcare • Eaton Electrical overall healthcare portal - • www.eaton.com/EatonCom/Markets/Electrical/Markets/Institutions/Healthcare • Eaton interactive hospital - • www.powerquality.eaton.com/About-Us/Markets/Healthcare/Interactive-Hospital.asp • Eaton healthcare guide – www.powerquality.eaton.com/Healthcare Includes qualifying questions to help healthcare providers determine a solution

30. Where to start • Familiarize yourself with the data input, storage and transmission needs for meaningful use • Investigate suppliers that can support the equipment needed to accomplish meaningful use • Call in experts from companies currently supporting the healthcare industry, who can help you determine what products make sense • Reap the benefits of meeting or exceeding the meaningful use clauses, and enter the 21st century

31. Summary • Eaton has a long history of technology leadership to give you the best power protection • Trusted solution provider with over 1500 hospital installations • Understands healthcare needs and partners with key healthcare-critical organizations such as GE Medical Systems and Siemens Medical Solutions • The most complete line of power protection, distribution, metering and monitoring hardware and software to fit your 21st century needs • A world-class service organization to provide you the peace of mind

32. Contact information www.powerquality.eaton.com Phone: 1-800-356-5794