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Impact of VRI use in Healthcare

The Leader in On-demand Video Remote Interpreting

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Connect to a live interpreter in less than 30 seconds.

Stratus Video

Dan GattiTony Bradshaw

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Objectives

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• Technology will always improve skills of interpretersThis presentation will make you aware of new technology and impact on healthcare

• How can on demand video can help meet the register of the patientNot all video is the same

• How does the cloud help interpreters?What is available in social networking to improve skills?

Are they secure?

• How do we take the mystery out of technology?Establish standards, train and educate interpreters.

How will iPads, Smart Phones, Tablets and wireless PCs impact interpreting?

• What are the issues/ best practices for interpreters adapting new technology?How do supervisors work with hospital administrators and IT departments?

• Privacy, security and network integrity become very important.As they strive to be HIPPI compliant.

Language Service Provider Market

26,000 companies - $13B revenue

65% have between 2 and 5 employees

25% have between 5 and 20 employees

Source: Nataly Kelly-Common Sense Advisory

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Interpreting Dynamics

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• Largest cost is scheduled interpretation (in person)Typically 2 hours plus travel

• Over the Phone (OPI) largest volume.Specialized phone with two handsets

Difficult to meet the register of the patient

• Video Remote Interpreting (VRI) requires skill and trainingMedical terminology much more difficult

Training, More Training, Practice, Practice, Practice

• How do we take the mystery out of technology?Establish standards, train and educate interpreters.

How will iPads, Smart Phones, Tablets and wireless PCs impact interpreting?

• What are the issues/ best practices for interpreters adapting new technology?How do supervisors work with hospital administrators and IT departments?

• Privacy, security and network integrity become very important.As they strive to be HIPPI compliant.

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Technology TodayNew Terminology (Something as a Service)

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• What is a Cloud?Google Mail

All kinds of Devices connect to the cloud

• Doximitysocial network for healthcare professionals

• WebMDTimely health and medical information

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IT Challenges

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• Wireless everywherePublic and Private

• Virtual Private Networks (VPN)

• Security

• Encryption

• HIPAA

• iPads

• VideoLegacy devices

SIP

H.323

• FirewallsNetwork Engineer opening Firewall

“Hey You, Get off of my Cloud”

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Changing Technology Shapes the Industry

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• There are all types of technology providers including:

Language Service Providers Processor manufactures like IntelComputer companies like IBM, HP, DellAudio Visual providers (AV)like Williams SoundTelecommunications companies like AT&T or

VerizonNetworking companies like Cisco and JuniperVideo Phone companies Polycom and TandbergVideo Remote Interpreting companies like Stratus

VideoSystem Integrators like Cerna Modality companies like GE, Siemens

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ODI- On Demand Interpreting

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Connect to a live interpreter in less than 30 seconds.

Stratus Video a ZVRS Company

• Process 40,000 Video Calls Every Day50,000 active users on the network

• 400+ Certified Interpreters (ASL, Spanish & Portuguese)24X7X365

• On-DemandConnects to Live Interpreter via Video in less than 30 seconds

• Supports any platformiPad, Tablet, PC, Mac, iPhone, Android

All Legacy Video Phones, Polycom, Tandberg, Lifeline

• Leveraged ZVRS’ video technology

• Industrial strength redundant Video Telephone NetworkJust like Verizon and AT&T

• 54 Million Video Calls Per Year

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Software Works Across All Common Platforms

• PC or MAC

• iPhone and iPad

• Smartphone and Tablet

• Polycom and other Video

1010

AndroidRolling Cart

Connect over Wi-Fi, 3G, 4G or LAN

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Bedside Technology

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iPad or TabletODI

interpretation

• Intelligent Monitors

Audio Visual providers (AV)like Williams Sound

Telecommunications companies like AT&T or Verizon

Networking companies like Cisco and Juniper

• Video Phone companies Polycom and TandbergIntelligent Monitors

Intelligent Monitors at bedside

• Access your patient record

• See medication

• Order from pharmacy

• Select food

• Internet access

• Interpretation available

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Every device should connect the same way!

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Stratus ASL Interpreters

Stratus SpanishInterpreters

OPI Interpreters

Patient Doctor/Nurse

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2

OPI Partner

ASL Interpreters

Spanish Interpreters

Other Languages

Call Flow for VRI and OPI

Other VRI Interpreters

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Hospital Call Center

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Stratus ASL Interpreters

Stratus SpanishInterpreters

OPI Interpreters

Patient Doctor/Nurse

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2

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OPI Partner

ASL Interpreters

Spanish Interpreters

Other Languages

Video Call Center

Other VRI Interpreters

Overflow from Call Center

What to expect from VRI Interpreter

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Features

1. Name and identifier #-Kat 7511

2. Window in Window-Can be moved

3. Privacy Window-Close view from

Interpreter

4. Audio Control-Mute

5. Digital Whiteboard

Video Interpreting requires training to meet register of patient

Over 400 Highly Qualified On-Demand Interpreters

• US Citizen

• At least 3 years interpreting experience

• Stratus Employee in Call Centers.

• Completed medically accredited training.

• Hold national or state equivalent certification

• Achieved 4.0 CEU RID certification.

• Provided over 100 hours of interpreting services in a medical environment.

• Have processed in excess of 1000medically related video calls

• Adhere to Professional Code of Conduct

• HIPAA Certifiedf Ethics

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Interpreter Call Center Work Area

• Purpose built for Interpreters

• Customized software video phone client specifically designed for the interpreter

• Same configuration everywhereHP Elite 8200 (dual monitors 19” and 22”)

Larger monitor for administration

• Ergonomic DesignTable moves up and down

Quiet

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Agent Information

Web CamScreen

Stratus can build same configuration for you

26 Stratus Call Centers

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Redundant Nationwide Video Telephone Network

1818over 3 years interoperability with Cisco

Private HIPAA Compliant Secure Network

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What’s an Interpreter to do?

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It’s not what you know that makes the difference. It’s what you DO with what you know that makes the difference.

” Dr. Julie White

Learn technology

Make a friend with IT

“Interpreters will never be replaced by technology, they will be replaced by interpreters who use technology.”

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ODI- On Demand Interpreting

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Connect to a live interpreter in less than 30 seconds.