Simplified Patient Alarm Management From GE Healthcare and

Simplified Patient Alarm Management From GE Healthcare and Ascom

Solution disclaimer Secondary alarm notification The described interaction between Ascom and GE Healthcare is to present patient monitoring events as a secondary alarm notification system. It is not intended for primary notification of alarms, physiological or demographic data. Receipt of alarms, by the external software device, is not confirmed and delivery to the end device is not guaranteed. Clinicians using the system must remain within monitoring distance of the primary alarm notification device. The primary alarm notification device is either the bedside monitor (if present) or the central station. DOC 0795473 Rev. 3 10/28/2020

Agenda • About GE Healthcare and Ascom • Alarm management drivers • GE Healthcare Ascom solution • Customer benefits DOC 0795473 Rev. 3 10/28/2020

Alarm management drivers Industry challenges driving the need for Ascom-like solutions • Response to sentinel events • Alarm fatigue • Unit construction or re-design (private rooms) • The Joint Commission national patient safety goals • Average response time of ‘as fast as you can’ • Desire to improve patient satisfaction • Communication project evaluation or roll-out Issues related to alarm management are so pervasive, ECRI has identified the topic in their “Top 10 Hospital Technology Issues” and “Top 10 Technology Hazards” lists DOC 0795473 Rev. 3 10/28/2020

Connectivity MC network IX network Hospital network CARESCAPE Gateway Network printer Mobile Care Server LED sign CARESCAPE CIC Pro central station Emergency Switch Router Mobile Monitoring Gateway CARESCAPE CIC Pro central station OR/PACU Unite Connectivity Manager Handheld devices Switch Router CARESCAPE CIC Pro central station ICU CARESCAPE Mobile Viewers Switch MUSE® CARESCAPE CIC Pro central station Adaptable Acuity Switch VPN Apex. Pro® Telemetry Apex. Pro Telemetry Server Lab PACS RX EMR DOC 0795473 Rev. 3 10/28/2020

Differentiated messages • Color-coded messages • Distinctive medical device alert tones • Support for different alarm severities HIGH MEDIUM LOW DOC 0795473 Rev. 3 10/28/2020

Messaging interaction (individual) Escalated Alarm Silenced Alarm Cleared ALARM Message not accepted after period of time or user busy Notified when alarm silenced Notified when alarm is cleared Previous users notified of accepted alarm DOC 0795473 Rev. 3 10/28/2020

Messaging interaction (team-based) Accepted Alarm Updates Assist Request Alarm Cleared Other team members notified of accepted alarm Alarm updates forwarded only to user who accepts message ALARM Rapid voice connectivity with colleagues Assistance request from teammate Notified when alarm is cleared DOC 0795473 Rev. 3 10/28/2020

Ascom Mobile Monitoring Gateway MMG receives data from GE Healthcare and provides “smart” alarm management • Web-based administration and duty assignment • Built-in configuration templates • Supports system-wide settings and specific care unit workflow • Supports “alarm silenced” and “alarm cleared” updates • Advanced filters - Stop - Group - Delay DOC 0795473 Rev. 3 10/28/2020

Filtering … helps minimize alarm fatigue Designed to optimize alarm distribution and help ensure caregivers receive relevant alarms Three categories • Stop filter: Block certain alarms (system warning, advisory) from caregivers • Group filter: Help prevent redundant alarms by grouping similar alarms (HR LO) from the same patient • Delay filter: Temporary delay for common false alarms (leads fail) DOC 0795473 Rev. 3 10/28/2020

Stop filter PVC HI 5 Ensures only the most needed alarms are forwarded to mobile devices DOC 0795473 Rev. 3 10/28/2020

Group filter HR HI 115 HR HI 112 HR HI 108 HR HI 115 Consolidates common alerts to a single forwarded message, avoiding “message fatigue” DOC 0795473 Rev. 3 10/28/2020

Delay filter LEADS FAIL Forwarding of alarms only if active for a period of time, reducing “false positive” notifications DOC 0795473 Rev. 3 10/28/2020

Ascom Unite Connectivity Manager (CM) Unite CM provides “smart” alarm dispatching to users/user teams • Web-based administration • Web-based manual messaging client (meeting reminders, etc. , ) • Activity logger and reporting • Interfaces – – DECT Vo. Wi. Fi Paging LED signs DOC 0795473 Rev. 3 10/28/2020

Supported outputs Ascom IP-DECT Ascom Vo. Wi. Fi LED sign Ascom d 62 Ascom i 62 DOC 0795473 Rev. 3 10/28/2020

MMG supported devices and interface protocols Display devices • Ascom Wireless Solutions’ paging, IP-DECT, and Vo. Wi. Fi devices • Adaptive Micro Systems® Alpha 1. 0 (EZ 95) text displays Supported system input interfaces • TAP v 1. 8 protocol • SMTP protocol • SNPP v 1 -3 protocol DOC 0795473 Rev. 3 10/28/2020

Ascom Unite products available from GE Healthcare in NA Patient monitoring Nurse call VTACH, vital signs Meds request, code blue MMG/Cardiomax Medamax® Hentmax® Order entry Discharge orders, STAT orders Laboratory Critical value notification Lismax® Radiology Abnormal call reports Rismax® Infant abduction alarms Secmax Meeting reminders, staff requests Netpage Security Desktop messaging DOC 0795473 Rev. 3 10/28/2020

Reporting capabilities • Provides complete audit trail for detailed record of message history • Ability to generate commonly used report templates with graphics • Customize titles, fields, column descriptions • Perform precise root-cause analysis • Utilizes SQL to support customized report development (note: SQL not included) Example report below: Date 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 Unit PCU Location 4 -407 Value SPO 2 R HI 171 Sent to Device 13128 Time of Delivery 08: 22: 03 PCU 4 -416 -2 RSP HI 91 13137 08: 22: 23 PCU 4 -412 -1 APNEA 13130 08: 23: 25 6 C 6 -407 VNT ALARM 13128 08: 23: 35 6 C 6 -405 NBP S LO 85 15137 08: 26: 52 6 C 6 -404 BRADY 13132 08: 30: 56 PCU 4 -410 -2 ASYSTOLE 14132 08: 31: 27 ICU 8 -416 LEADS FAIL 13131 08: 32: 19 6 C 6 -418 -2 HR HI 184 13135 08: 41: 57 ICU 8 -402 VTACH 14126 08: 47: 35 Response Delivered Accepted Delivered Sent to Backup Delivered Sent to Backup Delivered Accepted Delivered Sent to Backup Time of Response 08: 22: 19 08: 22: 29 08: 23: 54 08: 26: 56 08: 31: 00 08: 31: 33 08: 32: 34 08: 42: 02 08: 47: 40 Message. Ref 6 BC 372 6 BC 37 E 6 BC 39 C 6 BC 39 F 6 BC 3 D 3 6 BC 3 FF 6 BC 40 C 6 BC 417 6 BC 486 6 BC 501 DOC 0795473 Rev. 3 10/28/2020

Hardware benefits • Network appliance • Highly secure, solid state, and embedded hardware • Small footprint: 1. 73” x 8. 66” x 7. 84” (h x w x d) • Linux® kernel, not full operating system – NO anti-virus required – NO patch management required Stand-alone • Low heat generation – NO spinning fans needed for cooling Rack-mounted • Rack mountable – Two modules side-by-side – One module, one insert – 1 U rack space Wall-mounted DOC 0795473 Rev. 3 10/28/2020

Solution benefits SCALABILITY Provides needed performance/throughput for large-scale deployments Allows pricing scalability (entry level to enterprise wide) VARIETY IP-DECT, Vo. Wi. Fi, and paging Other messaging devices “SMARTS” Other integrated middleware solution(s) can easily cause message fatigue Update previous messages instead of new, separate messages Update only those mobile devices that need the update SIMPLIFICATION Predefined configuration templates Built-in troubleshooting tools and performance/fault metrics DOC 0795473 Rev. 3 10/28/2020

Ascom d 62 in short • Alarm options (Protector version) – Push-button and listen-in with base station location • Multi-function button (Messenger version) supports different alarm settings and styles • Interactive messaging and message prioritization to aid in responses and workflow support • Push-to-talk for on-demand conversations with other caregivers • Color-coded messaging supports categorization of messages according to importance or type of source • IP 44 classified for ingress protection • Bluetooth support – Voice (supports headsets) – Data profile (supports data communication via Bluetooth, i. e. barcode reader) • Dynamic output power reduces power consumption and lowers radiation • Battery life – Standby time: 240 hours – Talk-time: 20 hours – Desktop and rack charger charging time: < four hours DOC 0795473 Rev. 3 10/28/2020

Ascom d 81 in short • Alarm options – Push-button, man-down/no-movement alarm, pull-cord, and listen-in with base station location • Interactive messaging and message prioritization to aid in responses and workflow support • Push-to-talk for on-demand conversations with other caregivers • Color-coded messaging supports categorization of messages according to importance or type of source • Durable and IP 65 classified for ingress protection • Bluetooth support – Voice (supports headsets) – Data profile (supports data communication via Bluetooth, i. e. , barcode reader) • Dynamic output power reduces power consumption and lowers radiation • Battery life – Standby time: 120 hours – Talk-time: 18 hours – Desktop and rack charger charging time: three hours DOC 0795473 Rev. 3 10/28/2020

Ascom i 62 in short • Dual-band radio IEEE 802. 11 a/b/g/n • Alarm options (Protector version) – Push-button, man-down / no-movement alarm, and listenin with AP plus triangulation location • Push-to-talk for on-demand conversations with other caregivers • Color-coded messaging supports categorization of messages according to importance or type of source • IP 44 classified for ingress protection • Battery life – Standby time: 100 hours – Talk-time: 15 hours – Desktop and rack charger charging time: 2. 5 hours DOC 0795473 Rev. 3 10/28/2020

Charging racks • One charging rack for all DECT and Vo. Wi. Fi handset models • Separate charging of extra batteries • Six charging slots per rack • Measures: 17. 84” x 6. 14” x 3. 86” (w x h x d, excluding handsets) DOC 0795473 Rev. 3 10/28/2020

GE Healthcare Ascom relationship benefits The GE Healthcare – Ascom collaboration offers a coordinated relationship interface to support the multiple phases of an effective implementation of a secondary alarm notification solution • Planning • Purchase orders • Project management, installation and training • Go-live • Service support DOC 0795473 Rev. 3 10/28/2020

The monitor alarm message path MC network DOC 0795473 Rev. 3 10/28/2020

© 2011 General Electric Company – All rights reserved. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your GE representative for the most current information. CARESCAPE, Apex. Pro, and MUSE are trademarks of General Electric Company. Ascom is a registered trademark of Ascom Holding AG. Medamax, Hentmax, Lismax, and Rismax are registered trademarks in Sweden by Ascom Sweden AB. Linux is a registered trademark of Linus Torvalds. Adaptive is a registered trademark of Adaptive Micro Systems, Inc. DOC 0795473 Rev. 3 Verticals TOC 10/28/2020