In my travels working with customers and partners I have the pleasure of talking with hospital management teams and end users about Voalte. Frequently our conversations gravitate to the lack of modern wireless communication solutions in healthcare and the truly unique capabilities Voalte brings to the market.

1. Convenience – Voalte eliminates the need for the nurse's "tool belt" of multiple devices and applications. Text messaging, alarms/notifications, and voice communications all flow naturally to a single smartphone application.

 

2. Ease of Use – Why is Apple selling 350,000+ iPhones Per DAY? It's intuitive and simple to use. Voalte leverages the advantages of the robust iPhone hardware and a software application that provides all of a caregiver's communications needs on a shared device with a single sign-on.

 

3. Functionality – I tried text messaging on my old Nokia cell phone. Remember pushing each button 1,2, or 3 times to get the letter you wanted? Forget it. The advent of full keyboards made text messaging a mainstay of communication in the modern world. The non-smartphone handsets currently used in most hospitals today provide the same functionality you abandoned 10 years ago in your personal life.

 

4. Efficiency – The workload of nurses and physicians is astounding. Few jobs require keeping multiple "balls in the air" quite like the hospital environment. A study shows that communication with team members, or other departments, accounts for 20.6% of nurse's time. Providing more streamlined communications leads to happier more effective caregivers. The result is more time spent at the bedside with patients and fewer mistakes. Voalte provides better outcomes and happier patients. This all leads to higher reimbursement and lower cost to the hospital and our over burdened healthcare system.

 

5. Flexibility – The typical process for replacing broken wireless phones in the hospital is for the telecom team to order the same proprietary phones they have been using for decades. The "new" handsets may be a different color or shape, but provide the same limited functionality and user interface they've always had. Why replace a dead-end phone with another dead-end phone?

Voalte can custom provision iPhones tailored to the hospital system's needs or even customize by department. Voice, alarms, and text are just the beginning. Voalte puts the power of 50,000+ medical applications in your hands at the bedside – drug reference, med math calculators, language translation – the options are endless and growing every day. Shouldn't your wireless hardware and software solution have the flexibility to grow and change with your communication needs?

What can we do to reduce noise? There are many attempts to reduce noise in hospitals. Reducing noise should improve the patient experience and improve HCAHP scores. Just as important and a bi-product of noise is patient anxiety! Patients unexpectedly find themselves in a new setting, away from home, facing the unknown in the form of a health condition, unfamiliar with their surroundings or the routine. Activity going on all around them that they do not understand:

What are all these alarms for? Did someone die? Are they for me?

Why does the nurse keep leaving my room to talk on the phone? Is it my doctor? Why don't they want me to hear?

They are always getting calls when they are treating me and leaving the room.

Are they understaffed? If I need assistance, will it be available?

That's a new alarm sound! What does it mean? I don't see any nurses anywhere? What is going on?

Why is this machine attached to me beeping? What does it mean? Am I taking a turn for the worst? Should I call my nurse? Where are they?

I wish my doctor would call. I asked the nurse to notify him I'm having a new pain. The nurse says they can't do anything without the doctor's approval. When will they contact him? Why hasn't he got back to them? Can't they call him again?

Why didn't the nurse answer her phone when she was in my room? Maybe it was my doctor?

Too often caregivers and the communication tools they are given only add to the anxiety.

Alarms all sounding the same and difficult to differentiate their urgency are heard throughout every hospital unit. Nurses go home exhausted from alarm fatigue. Patients lay in bed awakened at all hours of the day and night with anxiety at what the cacophony of alarms and other noises mean.

Nurses are provided phones as the main tool to communicate with other caregivers, departments, and doctors. Unfortunately HIPAA requires they do not talk of clinical matters in front of a patient. The phone causes numerous interruptions for nurses treating patients requiring they leave the room. If they do not answer the phone alternate strategies of overhead paging, and attempts to find them take over.

Today's technology offers many other solutions:

Alarm management tools can make sense of the numerous disjointed devices producing the cacophony of alarm noise.

Sophisticated nurse text messaging (similar to what is available on smartphones) can eliminate 78% of ringing telephone calls, almost all overhead paging and the potential for missed patient requests.

When looking to reduce noise, consider improving patient anxiety as well. It will more than give you justification and urgency to proceed and result in a better environment for all.

I’ve often been asked if a proprietary SIP PBX or an open source PBX should be utilized in my environment. Well, the answer to this question can be rather complex, depending upon your needs. There are reasons one may be beneficial over the other, as I have explained below.

An open source SIP PBX will normally interoperate with any PBX, proprietary or open, as long as it supports the SIP RFC 3261, the IETF SIP standard. The great thing about an open PBX is you can customize the software to suit your needs. There is also plenty of online help to get you going and even to help you once you have started. The only negative thing about the open PBX is it may be more difficult to get paid support.

A proprietary SIP PBX may not interoperate with another proprietary SIP PBX. Many times companies add proprietary SIP extensions to their code, which prohibits some interoperability with other proprietary SIP PBX’s. Proprietary PBX’s may not completely follow the IETF standard either, which also adds to interoperability issues, especially with other proprietary PBX’s. A proprietary PBX will often limit you to purchase other peripheral hardware just from that one vendor. The nice thing about proprietary PBX’s though, is they normally have a paid support staff to aid you when you need assistance.

In conclusion, the open source SIP PBX will be much less in expense compared to the proprietary PBX. There are no licensing fees and you do not have to sign contracts for support. As long as you have a knowledgeable staff and want to save on costs, the open source SIP PBX is certainly the way to go. A proprietary PBX is just that, proprietary, and often keeps your selection down to just the one vendor.

These days, there are few things that get me angry. Life is going well - Voalté continues to flourish, I have great family and friends, and I get to wear the coolest outfit in the industry everyday to work. Let me tell you, these pink pants are comfortable! With the exception of my Florida Gators struggling in football, life is good!

However, on January 9, 2012 Eric Wicklund published the following quote in an mHIMSS article about the SpectraLink 8452:

"Emerson says nurses are often left in the background when hospitals develop communication strategies…the 8452 is ideal for providers who have followed a "just good enough" policy for their nurses".

I don't normally call-out other vendors, but this article INFURIATED me.

"Just good enough" policy for their nurses???

I couldn't believe what I was reading.

Beyond claiming this device was "setting the bar" in any category (this phone probably has the tech spec's of a 1990's cellular phone), this company has the audacity to infer that hospitals should undertake a "just good enough" strategy for their nurses. This is contradictory to everything we stand for at Voalté and we aren't going to let this slide without calling it out.

I know if my friends or family are in the hospital, I don't want a nurse with "just good enough" technology taking care of them. I want a nurse that has the best tools and technology possible to take care of my loved ones. Our nurses have extremely demanding jobs and deserve the best - especially when the cost of the best is about the same as "just good enough".

Settling for "just good enough" isn't going to cut it anymore.

So as we kick off the New Year, I have one simple question for you and your administrative team: Is 2012 another year your hospital settles for "just good enough" or is 2012 the year your hospital steps up and makes sure caregivers have the best tools possible to do their job?

There is no time like the present to make the change… and we at Voalté are ready to help every step of the way.

Cheers to a great 2012!