IPPBX NURSE CALL SYSTEM (NCS)

IPPBX NURSE CALL SYSTEM (NCS)

CONTENTS Overview Features Types of NCS systems NCS Generation Old Analog NCS IPPBX NCS Solution IPPBX EMS Components Web Based Android Application Tabled Edition Solution for analog NCS Solution for SIP Solution for 1 st Generation Solution for 2 nd Generation

OVERVIEW When seconds matter, your communication system should be simple, effective and ready to connect from any location, and any device. Integrating all your communication devices, such as nurse call systems, wireless handsets, and desktop phones into one system, allow for a smooth communication flow between everyone in the facility. This in turn allows for faster information exchange and improved patient care. At IPPBX with over 20 years of experience in the telecommunication industry, it was simply natural for working on multiple projects in the healthcare industry. Our experience has allowed us the privilege to deploy systems in many different areas of this industry. Assisted living, patient care, hospitals all need patient-centered efficient communications systems. Our fundamental goal is to ensure that each patient receives a timely response to their calls, and that the staff can easily assist these patients effectively and efficiently.

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FEATURES Simplicity at its core. Users are the most important aspect of any system we build, and it s for this reason that the system has been built around them. Integration IPPBX s powerful integration technology, allows complete integration with old legacy systems, as well as a brand new deployments. We love competition. Competition keeps the industry running, and it is for that reason, we work together with vendors to successfully integrate as many systems as possible. Wireless systems. Using wireless systems allows a simpler and more convenient yet more efficient deployment. Advanced technologies. Our systems use the latest technology as well as leaving it open for future technologies to be embedded into the system with little effort. Two-way communication. Sometimes being able to communicate with the patient is faster, and easier for the staff. This cuts down on accidental presses, and quick notifications.

REGULATIONS FOR IMPLEMENTING A NURSE CALL SYSTEM (NCS) Skilled Nursing They are mandatory and may give you efficiency gains requiring less staffing. A more advanced system may be a marketing tool. Reporting capabilities for family s peace of mind. Assisted Living It may be mandatory You have to have one for marketing purposes because your competition has one. Reporting capabilities. Independent Living Marketing Risk Management - What are the effects to your bottom line or reputation if an emergency happens and a resident cannot get help in a timely manner? Incremental Revenue - your residents may be using a fee per month telephone service that typically calls your staff anyway. In this case you case you purchase a system, charge them the monthly fee and create a new revenue stream. Typically, the break-even point is between thirteen to thirty months not taking depreciation into consideration. Your census is the biggest variable in this scenario.

TYPES OF NCS SYSTEMS CURRENTLY IN USE Voice Enabled NCS NCS with voice are capable to establish voice communication between patient station and master station, or phone system in full duplex, simples or push to talk mode. There are two versions, old legacy analog systems, and latest SIP enabled systems at this moment. Signaling Mode NCS (no voice) This type of NCS is delivering alarms, alerts over visual light panels, alarm panels, master stations, paging systems, wireless communication devices or phone systems. This is most common and required NCS design, as require staff to go to the room and check the status

THREE NCS GENERATIONS 1st Generation NCS Oldest one designed in the beginning of 80 s and still in use even now. Is based on simple wall switches, dome lights with bulbs and alarm panel at the nurse station based on bulb lights and marked room numbers on it. 2nd Generation NCS Designed in beginning of 90 s, continuously modified and most used one on the NA market for now. Almost all existing facilities using these NCS even now, with the different combinations and third party add-ons 3rd Generation NCS Used starting from 2003 based on proprietary protocols or SIP based signaling with or without voice option. It is out of the box solution and require big financial investment.

OLD ANALOG/HYBRID VOICE CAPABLE NCS These are typical dialers over analog or hybrid cooper lines. Patient is pressing the button, and device is dialing on predefined numbers. Usually to the nurse desk, monitoring station, through PBX or to the call center, etc. Unlikely can be considered as a real NCS solution and can not to be UL approved IPPBX can design a custom solution for these type of old analog system to get UL1069 certification. Our custom design solution allow you to keep existing hardware in place and but bringing new features of NCS by adding some new devices. This solution can get you UL 1069 certified with comparatively very low cost then installing a whole new NCS system.

OLD ANALOG/HYBRID

TYPICAL EXAMPLES OF OLD ANALOG/HYBRID Panasonic Phone System and terminals Igcare series patient stations Tunstall desktop units All of these devices require external or on-site phone system, old type RJ11 cooper lines. Panasonic is the most advance old type used even now, but require a lot of add-on, licensing options and limited to itself. Even if some coming with some kind of reporting tools, all are based on CDR records and not compliant with the UL certification.

SIP COMPATIBLE VOICE NCS These are most recent NCS on the market for now. Delivering voice and data, with the reporting and analytic tools. At the same time is the most expensive solution on the market, not flexible, fully dependent of the manufacturer conditions and with a lot of licensing options.

IPPBX NCS SOLUTION IPPBX can deliver unique solution for all type and all generations of the NCS, and bring to the latest level of UL release. This can get you UL 1069 certification with less hassle. IPPBX is not a out of the box solution, IPPBX NCS is a engineering solution customized & designed to save the money on installation and maintenance cost on site.

IPPBX NCS SOLUTION IPPBX Event Management Server is a hybrid combination of software and hardware components, capable to bring existing on site old legacy equipment to the latest standards. This is a engineering solution, and is result of special development to make migration very much cost efficient. Hardware controllers developed by us, are small pieces of hardware with no moving parts designed to connect to the old type of legacy system, and convert to the latest standards and make it compatible with the new certifications rules Software Application developed by us is designed to advance existing sites with the missing features, add new value and simplify operational cost, automate routine procedures, minimize maintenance cost and provide flexible no recurring licensing fees solution.

IPPBX EMS MAIN COMPONENTS EMS Core application This is main component, providing Alarm Control, Escalation, Reporting, Analytic, Live Panel, Connectivity control, TTS and cross platform Web Interface Surveillance App CCTV module working with up to 128 cameras per node, scalable, compatible with almost all existing cameras, with video analytic and smart features Phone Server Daemon Advanced Carrier grade PBX, with multi tenant option, multi layer, Extended Calls Routing, Recordings, capable to handle thousands of registrations, and hundreds of concurrent calls Mobile Applications It is a client application running on Android devices, optimized for rugged phones, SIP compatible, push notifications, Tabled special view etc. Monitoring App Capable to monitor in real time any IP addressable equipment, coming with different type of sensors, with own notification system, and is NCS adjusted API Integrations Is the way to integrate EMS with the third party applications such as Card Access, Door Control, RTLS, HVAC or automation applications

IPPBX EMS MAIN COMPONENTS

WEB BASED IPPBX EMS is providing fully web based interface, adaptive, customizable and cross platform compatible. Means capable to run on any platform, even on Smart TV, Touch Screen panels, Linux, MAC, IOS, Android or Windows

ANDROID APPLICATION Developed specially for NCS usage, with the SIP compatibility, Live Status, History, Auto Adjusted to the screen size, running as a background service, As a Home Launcher and with the Video Support and messaging options

TABLET EDITION Version of Android application adjusted to any tablet screen, designed to run as a nurse station, with the SIP support, Bluetooth, Live Alarms, Access Control, CCTV View and Notifications control

SOLUTION FOR ANALOG AND HYBRID SYSTEM IPPBX can offer cost efficient PBX, capable to replace major PBX s on the market, without any additional licensing fees. Plus is delivering advanced features, easy configuration and compatible with almost any existing standard SIP equipment. Capable to give missing components and no additional cabling or special installations.

CASE USAGE EXAMPLE As an example,- quotation of one Panasonic PBX, POLTYS Reporting Desktop Application and 71 patient Station is in about 55K using old RJ11. If to use IPPBX EMS, total cost including 71 SIP based patient stations, EMS software, PBX and even new RJ45 cabling,- will be less than 41K. And IPPBX option will give less monthly price, facility will start making money on existing services instead of continue to pay and pay on top for additional service contract & as we knows gets harder to find parts for old analog system. Plus the facility investment will allow to use new features and options not limited.

SOLUTION FOR SIP IPPBX can offer a Phone System with the highest performance than usual systems. Can be deployed on promise or used from the cloud. This solution is reliable and can be configured in redundant, fail over or high availability mode using heart bit technology. Also providing inter location connectivity.

CASE USAGE EXAMPLE Avaya, mitel or Panasonic systems are very expensive, limited to amount of cards plugged in, features licensed, subscriptions enabled and performance limited. These systems are not upgradable as the manufacturer intentionally is limiting capacity in order to have a option to sell additional hardware. Dealers are interested to increase the installation cost, do more wiring, special programming and have more service calls in order to collect more money. IPPBX PBX performance, price and flexibility is un-beatable. No post licensing, hidden or additional charges.

SOLUTION FOR 1 ST GENERATION IPPBX Solution for this scenario, providing one small controller with multiple configurable DI/DO, main board, expansion boards and EMS application. Is converting existing facility equipment without big financial efforts to the latest possible level, and making site UL compliant. In just few easy steps is possible to advance old legacy NCS to the latest standards, without shut down time and huge investment by using IPPBX Solution.

CASE USAGE EXAMPLE All you need is to run just one Ethernet cable to the existing Nurse Alarm Console, have on the same network EMS discovered and properly configured. IPPBX controller will deliver alarms from old system and convert in to the digital signaling for the post processing. System can be then upgraded with the new PBX, call escalations, advanced reporting and all UL required features. Making a lot of sense to replace old PBX on site and invest small amount of money for future upgrades.

STEPS TO BE DONE EMS Install Ethernet to Controller Wires from bulbs to controller

In just few easy steps is possible to advance old legacy NCS to the latest standards, without shut down time and huge investment by using IPPBX Solution.

SOLUTION FOR 2 ND GENERATION IPPBX Solution this type of system will give small PC driven appliance, with no moving parts, which will convert RS232 signaling into the modern compatible digital language, and will add missing features for UL certification, by making EMS application the core of system. No additional applications required.

CASE USAGE EXAMPLE All you need is to connect a serial cable from IPPBX mini PC to the TAP interface of existing equipment. IPPBX appliance will decrypt from old system over RS232 and convert in to the digital signaling for the post processing. System can be then upgraded with the new PBX, call escalations, advanced reporting and all UL required features. This upgrade is just advancing existing system and not affecting in any mode. Minimal wiring is required, very much cost efficient.

STEPS TO BE DONE Connect IPPBX Converter to TAP Interface Import Facility Rooms, Departments, Devices etc. to EMS Make New Escalation rules, reports and start Using

In just few easy steps is possible to advance old legacy NCS to the latest standards, without shut down time and huge financial investment by using IPPBX solution.

COMPARISON TABLE Embedded Carrier PBX Multi Layer Web Based Embedded Billing & Stat Automated Report Portal Expandable no Licensing fee IPPBX NCS VOICEGATE POLTYS RAULAND B

IPPBX DEVELOPED PS is SIP base and is designed to seamlessly integrate with all IP PBX systems currently available is the market. The device provides instant two-way speech between resident and nurse/aid. Each device can be programmed individually as a separate unit to allow for the special care needs of a particular resident.

IPPBX COMPATIBLE BS Button Bed Station (with 1/4 jack, staff, help, code blue, cancel button, LED)

IPPBX ADJUSTED Dome Light is designed to interface with up to 10 local inputs & 3 local output (1 Relay & 2 TTL). Daisy chain Ethernet and Power strategy serves as a cost effective solution. All notification are sent to the EMS ( Event Management Server).

IPPBX INTEGRATED Provides residents with the comfort of knowing help is just a button press away, while offering the advanced functionality, its wandering monitoring control allows caregivers to know its exact location. Small, light, and comfortable this pendant is discreet and easy to conceal under clothing. A contoured shape and polished finish make it comfortable to wear.

REFERENCES NYT: US Federal Govt to Bar Arbitration Clauses in Nursing Home Contracts http://www.nytimes.com/2016/09/29/business/dealbook/arbitration-nursing-homes-elder-abuseharassment-claims.html?em_pos=large&emc=edit_nn_20160929&nl=morning-briefing&nlid=68324518 PHCA: Long-Term Care Trends and Statistics https://www.phca.org/for-consumers/research-data/long-term-and-post-acute-care-trends-and-statistics AHCA: Information Technology in Long Term Care https://www.ahcancal.org/facility_operations/hit/documents/informationtechnologyinlongtermcare.pdf CDC.gov: Long-Term Care Providers and Services http://www.cdc.gov/nchs/fastats/nursing-home-care.htm KFF.org: Nursing Facilities, Staffing, Residents and Facility Deficiencies http://kff.org/medicaid/report/nursing-facilities-staffing-residents-and-facility-deficiencies-2009-through- 2014/ CMS.gov: National Health Expenditures 2014 Highlights IFA-FIV.org: LONG TERM CARE AND TECHNOLOGY AHCA.org: Trends in Nursing Facility Characteristics

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