Early on, Franklin and the team identified real-time location systems (RTLS) as a critical piece of their vision, but were even more motivated after the terrorist attacks of Sept. 11.
"Part of the tragedy for families in New York City and D.C. was that they couldn't find loved ones as they moved among hospitals," Franklin said. "That was the impetus to evaluate different options for location tracking. We felt that real-time visualization of people and assets would be really important in delivering optimal care."
After the initial pilot, the ER One Center chose to implement Zebra's Ultra-Wideband (UWB) RTLS throughout their seven-floor, multi-wing facility. UWB is a radio frequency technology that is commonly deployed when precision location or tracking is required. With the new solution in place, the hospital hopes to gain new understanding of how germs spread within medical facilities.
Washington Hospital Center deployed UWB asset tags from Zebra to keep tabs on about 3,000 assets. The real-time asset location tracking system is comprised of an infrastructure of location sensors, which are networked throughout the facility. The system reports the location of each tag or asset within the facility, which enables Washington Hospital Center's software to track, trace and manage various processes.
"What we liked about the technology was the granularity," Franklin said. "We wanted to use the technology to get a better understanding of the spread of infection in the hospital by knowing every single person or item exposed to a patient. That granularity allows us to make associations between people and equipment."
Working with Zebra on the number and position of location sensors, the hospital has achieved a tight level of granularity in tracking interaction between items. Now, they can track two tagged objects that come within one to two feet of each other.
Asset Location for Patient Care, Reporting
In deciding which items to track, the hospital defined the criteria as things that move quickly, have a high replacement cost, or that are lifesaving. But ultimately, all uses go back to supporting patient care. For example, tags on cardiovascular assist devices allow caregivers to locate them very quickly when needed.
The solution also provides insight into patient movement, without having to actually tag patients. For patients that wear cell-phone-sized heart monitors, which are tagged, caregivers can let patients be mobile and still know their location if the monitor indicates a need for help. And by following the path of wheelchairs and stretchers, the hospital understands patient trajectories.
"We learned that, in the healthcare environment, nothing moves predictably," Franklin said.
During surgeries, Washington Hospital Center accurately knows, and can show, that certain legally required items were actually in the operating room. "RTLS gives us a very reliable report on where required OR items are," Franklin said.
Different groups throughout the hospital, from caregivers to maintenance staff, log into the system for asset information. By tagging cardiac telemetry monitors, staff can find and collect them for required weekly maintenance.
With at-their-fingertips data from RTLS, Washington Hospital Center also has information required by city and federal entities that have given grants to the organization. Using the Zebra RTLS system, the hospital can prepare reports demonstrating specific asset usage.