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Nortel 920-323 : NNCSS - Optivity Telephony Manager (OTM) Rls. 2.1 Exam

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Test Number : 920-323
Test Name : NNCSS - Optivity Telephony Manager (OTM) Rls. 2.1
Vendor Name : Nortel
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Use of cell and instant expertise Jumps in Hospitals | 920-323 Study Guide and cheat sheet

Dec. 7, 2006 | know-how replace: however adoption of digital fitness records (EHR) and other medical IT is still pretty anemic, as a minimum one point of fitness-IT has taken huge steps ahead in the closing few years: using cellular and instant know-how the place selections are proliferating.

"This in fact is the third technology of wireless in healthcare," says Neil Martin, M.D., chief of neurosurgery on the David Geffen college of drugs on the university of California, la. doctors and other healthcare gurus have advanced from pagers to basic cellphones and now to facts-enabled "smartphones."

be aware very own digital assistants (PDAs) with docks or infrared beams for synching? this is soooo Y2K. Even Wi-Fi cards for computing device computer systems have all started to seem to be dated.

"we've got seen evolution from cradle synching," says Mireille Gotsis, a Redmond, Wash.-based mostly healthcare business manager for Cingular wireless (Atlanta). Physicians have been trading in their old, disconnected PDAs for contemporary PDA smartphones with cellular integration and built-in Wi-Fi and Bluetooth wireless performance to be used in the medical atmosphere.

"Now every person is asking on the shiny, new devices that provide those built-in capabilities," Gotsis says. "You are trying to attain the healthcare professional or the clinician wherever they are."

And practitioners are looking to be reached. "As a neurosurgeon, i am all over the sanatorium," Martin says. "I wager i'm the most beneficial mobile knowledgeable." And he wants more than vmail.  Martin wants entry to pictures when consulting on sufferers in crucial care.

An MRI or CT scan viewed on a PDA or smartphone may now not be diagnostic-nice for a radiologist, but for a neurosurgeon or other specialist helping to treat existence-threatening emergencies, the decision is barely nice, in accordance with Martin. He says that a smartphone screen just occurs to be about the dimension of one rectangular of a 12-image MRI movie, which is respectable ample for him.

"We're not hunting for tiny issues after we're called about adjustments to patients in intensive care," Martin says. "The situation is not: Will you pass over some tiny particulars? The difficulty is: can you access the assistance in case you get referred to as from the ER? there may be acquired to be a real-time technique to get the information."

with his all-in-one mobile gadget, Martin can look at EKG wave types from afar, no longer just lab reviews, enabling him to alert the working room that a affected person is on the way. "It shortens the choice cycle," Martin says.

"It eliminates useless trips to the health facility," he says. In congested southern California site visitors, it really is an important plus.

as the hardware has advanced, so has the network infrastructure in the back of it. It has been viable for years to connect a cellular phone to a pc modem and get dial-up information superhighway access from almost anyplace, however any individual who has cable or DSL cyber web provider at domestic knows how painfully sluggish a fifty six-kilobit-per-second (kbps) dial-up connection will also be.

Three years ago, it used to take 30 seconds to switch a picture over cellular airwaves. through subsequent year, Martin expects down load time to decrease to a mere three seconds, due to a brand new technology of wireless broadband expertise. "Now the technology that they expected years in the past is feasible," says Martin, who also is chief medical officer and co-founder of international Care Quest, a mobile healthcare utility developer in Aliso Viejo, Calif.

He says that the networks of Verizon instant and dash Nextel have been upgraded incredibly, in accordance with a data-transmission protocol referred to as Evolution records Optimized (EVDO).

Late ultimate month, sprint upgraded its broadband network by debuting EVDO Revision A in the San Diego area, and the business announced plans to add 20 extra markets through 12 months's end and to have the quickly records trade obtainable nationwide through the third quarter of 2007.

Revision A of the know-how increases down load pace a bit of, to about 450-800 kbps, but speeds up upload pace to 300-400 kbps, roughly six times faster than the old range. top get speed might "burst" as excessive as 3.1 megabits per 2d and uploads to 1.8 Mbps, based on Verizon and technology partner Nortel. Verizon has now not noted when it intends to movement to Revision A.

"it is going to provide us DSL speed over a cellular network," Martin raves.

For its half, Cingular has excessive-velocity statistics networks in 52 metropolitan areas using a protocol called universal cell mobile system/high velocity Downlink Packet entry (UMTS/HSDPA). These networks carry sustained down load speeds of four hundred-seven-hundred kbps, with bursts topping 1 Mbps.

whatever as quickly as domestic DSL definitely cannot compete with a well-developed sanatorium network, but velocity is relative. within the health center, physicians would cease the usage of instant instruments if it took a several seconds to drag up an image. "if you are sitting in a restaurant a half-hour from the hospital, taking 10 seconds would not seem to be so unhealthy," Martin says.

One challenge is easing the transition between large-enviornment networks like mobile broadband and native-area networks such as a Wi-Fi sizzling spot, Gotsis says. She mentions a Seattle-primarily based business called NetMotion instant that has developed a mobile virtual private community (VPN) peculiarly for healthcare and public-defense utilization to clean the handoff between instant WAN and LAN environments.

earlier this year, Cingular launched workplace attain a product that connects instant gadgets to existing PBX phone programs, enabling a cell phone to work like just an additional inside cellphone extension. "we have now seen somewhat a bit of pastime there," Gotsis says.

quickly, mobile statistics networks could be in a position to detect a person's presence on a VPN. If a user is busy updating statistics, that person is not instantly purchasable for yet another appointment. "This in fact helps with the scheduling of a homecare nurse," Gotsis says.

Cingular is also checking out a web-primarily based technology called IP Media Subsystem (IMS),  so that it will allow the simultaneous transmission of voice and information; for example, someone in a clinic could send photographs and look at various consequences to a far flung, consulting doctor. If the medical professional has a close-by laptop with Bluetooth connectivity, the cell phone may feature as a modem while the doctor is talking.

vicinity-through-area introduction of here is deliberate beginning in 2007, Gotsis says.

Laying the groundwork for such future improvements, the college of Chicago Hospitals installed a finished instant infrastructure, masking about 95 p.c of its campus -- including the hallways, stairwells and elevators in its older constructions -- on dissimilar frequencies.

Even mobilephone indicators at the moment are as strong deep inside getting older buildings as they're within the university's gleaming, new children's health facility. "We additionally discovered that their pagers and radios work flawlessly," says vice president and chief information officer Eric Yablonka.

"Mobility within the constructing is vital," Yablonka explains. The health facility has changed its historic paging system with wireless IP phones for those on the circulate. The floors are quieter and clinician response is sooner. "And the nurses adore it," Yablonka adds.

Campus safety is wireless-enabled, and a few other building capabilities corresponding to lights and HVAC could go instant if administration desired to make the switch, Yablonka says. The infrastructure is at ease and powerful sufficient that Yablonka is at ease proposing wireless internet access to sufferers and friends on a segmented a part of the community that does not compete with essential medical institution programs.

"here is a disruptive, enabling technology," he says. in this case, disruptive is a favorable in that it challenges historic, inefficient methods of doing issues.

that is exactly the approach it would be, suggests Intel senior healthcare strategist Ron Ribitzky, M.D. "Mobility by way of itself isn't a panacea for the beginning of records," Ribitzky said in a accurate Webcast geared up by ambulatory electronic medical records (EMR) dealer Allscripts. Mobility in simple terms permits delivery.

"If they don't be aware the business proposition, it's going to not work," Ribitzky says. what's the desired influence of IT investment? It could be financial, it may be clinical first-rate improvement, or it could be workflow optimization to allow outcomes dimension.

In his view, mobility has three add-ons: tagging, moving, and connecting. Tagging is the ability to identify and account for what is relocating, Ribitzky says. "the important thing point is to allow americans to hook up with the facts from anyplace they are."

For Albert Einstein Healthcare network, a part of Jefferson health system in Philadelphia, the aim of IT was more accurate can charge seize and more advantageous conversation between greater than two dozen websites.

every of the 60 clinicians contains a Hewlett-Packard iPaq PDA loaded with an Allscripts e-prescribing module and linked to an IDX scheduling equipment. developed-in instant connectivity allows for cost seize on the aspect of care.

The practice created "exploding sets" that open up custom templates and populate varied statistics fields as a physician clicks on a specific procedure or order. "we're much less more likely to leave out [charges for] strategies which are being performed," explains clinical director Julie Massey, M.D.

The prescribing part connects in true time to payer formularies, gives interplay indicators, and can study medical professional "favorites" to keep time in the future. The device also offers practitioners pursuits medical reminders for specific kinds of patient visits.

Massey stories that physicians firstly were reluctant to take over charge capture from workplace staff, and it commonly takes a couple of months for new docs to software their favored medicinal drugs into the equipment. "as soon as they recover from that getting to know hump, physicians love it," Massey claims. They no longer have to fill out paper come upon slips, and the expenses are submitted electronically so claims are cleaner.

and there's an extra aspect advantage of the cellular gadgets. "Our children, in specific, simply love us carrying round their iPaqs," says Massey, a pediatrician.

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