UNIFIED COMMUNICATIONIntroduction to

Time is Precious

for Healthcare

02

Time is Precious.

Halo Advisory Council

“Time is precious” is a phrase we use in everyday life to imply that time never stops, and that it’s important not to waste it. We usually don’t think too far beyond this phrase, but everyone understands what it means. In healthcare, this phrase takes an even deeper meaning. It means a patient could be harmed or even die because they didn’t get treatment in time. It means a nurse cannot find the right on-call physician while a patient is in pain. It means a physician received a critical imaging result hours after the result was known.

All of these challenges (along with many others) occur many times per day in every hospital around the world. It causes immeasurable pain and suffering. It causes physicians and nurses to suffer from alert fatigue and burn out. It’s time for us to act like time is precious in our health systems, and ensure that actionable and accurate information reaches the right person at the right time. This is why Halo Communications was founded, and achieving this objective will undoubtedly have a massive impact on the quality of care in the United States and around the world.

Join us on a journey that begins by uncovering your collaboration technology gaps, clinical workflow deficiencies, and care coordination challenges. We promise to put patients first, simplify the complex, and deliver the best communication experience available.

Jose G. Barreau, MD CEO and Co-Founder

Our Story

Clinical DNA

Customer Journey

Proven

Industry-Leading

Technology

Founded in 2010 by two clinicians who recognized the need for a better solution for clinical communication.

Integrated clinical workflows built through firsthand experience.

Deployed across a variety of healthcare systems ranging from PCP offices to large enterprise systems (15,000+ users/system).

2017 KLAS Report • Category Leader for Secure Messaging. • 100% of customers would buy again.

Implementing a Clinical Communication Platform can be a complex and challenging endeavor. The Halo Customer Journey guides your team by focusing on needs assessment, integration and implementation blueprinting, Go Live, and beyond to ensure your requirements are met.

Secure cloud hosting through Amazon Web Services allows platform functionality to extend across the entire hospital system, and even across organizations.

Unified product development ensures a a consistent user experience across the platform.

Full smartphone offering with Halo Mobile Control™.

• Outdated technology and infrastructure lack analytics, security,

reliability, speed, and accuracy – preventing transmission of critical

information.

• Individual Areas of Service often deploy department-specific

collaboration solutions – creating isolated silos of communication

within hospitals that hinder interdepartmental transfers of information.

• Communication is typically limited to within facility walls, preventing

secure and timely transmission of clinical information across the

continuum of care.

• These factors create a poor user experience, leading to low adoption,

further hindering clinical communication.

of sentinel events according to a Joint Commission survey1

Communication was cited as a root cause in

“

Halo partners with you to help solve your health system’s clinical communication challenges by:

Working with your team to uncover

your system’s specific clinical communication

needs…

Recommending the right mix of Halo products to address

those needs across the entire enterprise, and…

Guiding your team through and beyond implementation

to ensure high user adoption.

Our partnership doesn’t end after go live.

1 2 3

70%

Clinical Communication Isn’t Easy. Why?

- VP, KLAS, October 2017

Halo is a really well designed, responsive, and high-quality product. Halo met the needs of our hospital, and it brought us functionality that we didn’t know we needed. It also improved communication throughout our hospital.”

Unified Communication for HealthcareWe understand that health systems vary in their ability to implement and adopt mobile technology. Common barriers include lack of mission-critical mobility experience, outdated technology infrastructures and budget concerns surrounding the high cost and management of healthcare-grade smartphones. Halo addresses these challenges through our two core product offerings: The Halo Clinical Communication Platform™ and Halo Mobile Control™.

HALO

Halo Clinical Communication Platform Halo Mobile Control

FOUNDATION PLATFORM • Halo Messaging • Halo Schedules

FOUNDATION PLUS PLATFORM • Halo Messaging • Halo Schedules • Halo Voice • Halo Integrations

SMARTPHONES • Zebra TC-51/TC-56HC

MOBILE DEVICE MANAGEMENT SOFTWARE • SOTI

MANAGED MOBILE SERVICES • Kitting • Implementation/Training • Lifecycle Management

CWE

Foundation & Foundation Plus PlatformHalo offers two tiers of the Halo Clinical Communication Platform™: Foundation, and Foundation Plus. The tiers allow health systems to smoothly transition from the Foundation Platform to the Foundation Plus Platform when they are ready to implement healthcare-grade smartphones.

PRODUCT OFFERINGS FOUNDATIONFOUNDATION

PLUSDESCRIPTION

Messaging The core Foundation of any mission-critical mobile

ecosystem. HIPAA-compliant messaging and system-wide

schedule management all powered by the Halo Clinical

Workflow Engine™.Schedules

Integrations

Basic1

Advanced2 Foundation functionality + VoIP calling and Basic or

Advanced Integrations for real time delivery of critical alerts.

Voice

1Basic Alerts include integrations with your system’s EMR to mobilize Critical Labs/PACS, Bed Transfers, Consults and other critical systems.2Advanced Alerts include Basic Alerts + integration with nurse call and physiological monitoring devices.

MESSAGING

Feature-rich messaging that is simple, secure and stable.

VOICE

Integrated VoIP functionality provides instant access to voice

communication.

SCHEDULES

On-Call schedule management tool facilitating role-based

communication.

INTEGRATIONS

Through integration with key clinical applications, Halo

mobilizes critical alerts to your clinicians’ devices.

Foundation Platform

Foundation Plus Platform

The Halo Clinical Workflow Engine™The Halo Clinical Communication Platform™ enables mission-critical communication for healthcare at some

of the largest health systems in the country. The Halo Platform consolidates HIPAA-compliant messaging,

on-call scheduling, VoIP and mobilization of critical alerts, all delivered on a secure and stable application

that’s simple to use. This enterprise-wide platform helps protect clinicians from alert fatigue and burnout, and

patients from delays in care. Halo’s proprietary technology that facilitates this mobile communication:

The Halo Clinical Workflow Engine™.

In its simplest form, the Halo Clinical Workflow Engine (CWE) acts as a dynamic information processor.

It draws data from clinical sources, such as:

Active Directory: User provisioning, ensuring system/Halo user directory is always up to date.

Users (Nurses, Physicians and Clinical Support Staff): Source of critical information that needs to be transmitted

between colleagues.

EHR: Pulls patient information to allow patient-centered communication and collaboration.

Nurse Call: Alerts are mobilized to the patient’s covering nurse, enabling instant access regardless of a nurse’s

physical location.

Medical Devices: Like Nurse Call, allows medical device-sourced alerts to be mobilized to the proper clinician

(or team of clinicians).

The Halo CWE then processes this data into actionable information, routing it through the various

collaboration tools included in the Halo CCP to the right role (or team), at the right time. By only routing

critical alerts to clinicians, The Halo CCP and Clinical Workflow Engine helps reduce clinician alert fatigue and

burnout. Most importantly – this information is delivered in real time, meaning clinicians can immediately act

on the most up to date information, protecting patients from delays in care.

EHR

Active Directory

Nurses

Nurse Call

Medical Devices

CLINICALSOURCES

ACTIONABLEINFORMATION

Messaging

Schedules

Alerts

Voice

HALO CLINICAL WORKFLOW ENGINE

Protects patients from delays in care

Protects clinicians from alert fatigue

and burnout

Dynamic processor that delivers actionable

information to the right roles and teams at the

right time.

Physicians

Clinical Support Staff

MessagingWhat’s the #1 reason physicians text on the job? Patient-related care2.

Ensuring clinicians use HIPAA-compliant messaging is an ongoing battle for health system administrators.

Not only is the clinical use of SMS text messages non-compliant with HIPAA regulations, it also:

• Relies on senders to have accurate recipient contact information

• Leads to delays in delivery due to inconsistent network connectivity

• Provides no ability to audit receipt of messages, leading to unconfirmed transfer of accountability

Halo Messaging is secure, stable, and simple.

Halo helps us comply with HIPAA regulations. We don’t have to worry about monitoring people and making sure they aren’t using their personal devices.”

“

• Provides secure messaging that keeps your system in compliance with HIPAA regulations.

• Allows instant and up-to-date access to any user in your system with Halo Clinical Workflow Engine™ and Halo Schedules, reducing time wasted paging providers and clinical and care teams.

• Automatically confirms message status (Sent/Delivered/Read), ensuring transfer of accountability.

• Employs an intuitive user interface that builds off native iOS and Android messaging applications, increasing user adoption and communication effectiveness, which ultimately leads to better patient care and ROI.

of healthcare employees admitted they use text

messaging at least a few times a week for work2

90%

- Analyst, KLAS, November 2017

SchedulesHow many scheduling methods do you use today?

How accurate are these scheduling methods?

How much time does your staff spend paging on-call providers and waiting for a response?

Can you ensure your team’s messages, critical alerts, and calls get to the right recipients at the right time, every time?

How much impact does that wasted time and inefficiency have on patient care? Employee burnout and turnover? Your system’s financial bottom line?

Total communication time in a recent nurse survey described as “problematic time”6

40%

Halo Schedules is the source of truth for your system’s on-call schedules.

We create care teams based on who is on call. The process is easy because we use the scheduling system to identify who is taking care of patients. We can send messages to an Area of Service, such as Cardiology, and the messages will be sent to the people that are on call.”

“

• A robust schedule management tool and integration with existing schedule management systems helps you eliminate schedule redundancy and inaccuracy.

• Along with the Halo Clinical Workflow Engine™, facilitates role-based communication, giving users confidence that their message, call, or alert gets to the recipients on call right now who are available to assist.

• Allows users to manually adjust on-call status on the fly, and ensuring schedules are always up-to-date.

Nurse

Nurse On-Call

On-Call

Off Duty

Off Duty

Off Duty

Off Duty

Reaching an On-Call Provider

Typical Scenario • 3-5 Calls • Several minutes

With Halo • 1 Message • Seconds

Cardiology On-Call Team

-Physician, KLAS, October 2017

VoiceCommunication inefficiencies are driven by many factors, including the need for clinicians to carry multiple devices, and an aging telephony infrastructure.

A fragmented department-by-department approach to the execution of a heath system’s clinical communication strategy builds barriers between departments, limiting the ability of clinicians to communicate effectively.

Ultimately, this may directly impact the organization’s quality of care, driving up your overall operational cost.

Halo Voice gives clinicians instant access to colleagues over your existing VoIP network.

Annual financial loss due to communication

inefficiencies for the average US hospital3

$4M

• Leverages the cloud to enable VoIP features inside and outside healthcare systems, regardless of a user’s location.

• Adapts to your system’s existing VoIP-enabled telephony infrastructure.

• Decreasing implementation costs, time, and complexity.

• Simplifying the onboarding of additional health system users and reducing the need for ongoing technology refreshes.

• Provides instant access to voice communication on the same device used for secure messaging and alert management, leveraging a centralized user directory and schedule management system to reduce device overload and increase platform adoption.

In a 2018 Halo industry survey,

of respondents stated the ability to receive select alarms

and alerts is a Must Have or Important to Have feature

for a CCP7.

81%IntegrationsInteroperability between clinical applications is imperative for ensuring clinicians have access to the most up to date and accurate information for patient care. As more and more applications become interconnected, health system leadership must take steps to protect their clinicians from interruption fatigue and burnout resulting from the receipt of too much non-critical information.

For example, in a typical critical-care unit, 150+ alarms are generated per patient, per day.4 That’s six alarms per patient every hour. How long on average does it take your staff to respond to and resolve just one alarm? By the time they’ve handled the alarm, there’s a good chance they’ll already have received another alarm. Even more shocking: 70-99% of clinical alarms are false and do not require any action.5

• Halo’s Clinical Technology Team will partner with your system’s alarms committee to mobilize only the most critical alarms into alerts. By reducing the quantity of mobilized alerts, clinicians will see a reduction in alert desensitization and an increase in patient and staff satisfaction.

• Leverages Halo’s advanced workflow system and Halo Schedules to mobilize the right information to the proper role or team, increasing accountability and response time to critical situations.

• Utilizes a variety of protocols (WCTP, HL7, SNPP, TAP, SAML and others) to provide instant access to critical information on a single device:

• EHR: Triggers alerts for critical consults, SEPSIS and others. Provide basic patient information via Halo’s Patient Centric Messaging.

• PBX: Allows the Halo CCP to place and receive calls via your system’s existing VoIP infrastructure.

• PACS/Labs: Receive and acknowledge critical results directly within the Halo CCP.

• Alarm Middleware & Nurse Call Systems: Mobilize critical alarms into alerts for receipt on clinicians’ mobile devices.

Reduce delays to care, interruption fatigue and clinician burnout with Halo Integrations.

Halo Mobile Control™The Halo Clinical Communication Platform™ functions on any smartphone that uses the iOS or Android

operating system. Halo is also mobile device management (MDM) software agnostic. If desired, Halo can

evaluate your environment and mobile infrastructure and provide smartphones and mobile services that are

configured to meet your health system’s needs.

CHALLENGEEstablishing selection criteria for

healthcare-ready smartphones.

SOLUTIONHalo Mobile Control™ provides Halo-certified,

healthcare-specific smartphones for clinicians

and support staff.

CHALLENGEManaging smartphone software upgrade

cycles to limit end user disruption.

SOLUTIONAll software offered through Halo Mobile

Control completes full a QA audit prior to

deployment, ensuring reliability.

CHALLENGEIdentifying and implementing Mobile Device

Management software.

SOLUTIONHalo-provided smartphones come

pre-loaded with the industry-leading SOTI

MDM application.

CHALLENGEMaintenance of point solutions for secure

messaging, VOIP, on-call scheduling and

critical alerts (and supporting integrations).

SOLUTIONHalo Mobile Control devices are pre-loaded

with the Halo CCP, eliminating point solutions

and creating a frictionless and unified

communication environment.

Your Halo PhonesZebra TC51-HC/TC56-HC YOUR TIER 1 HALO PHONE

TIER 1 CRITERIA

• Frequent, heavy use throughout duration of shift

• Device may be transferred from clinician to clinician as part of a fleet of

hospital provided devices

• Resistant to exposure to fluids and shocks such as accidental drops

• Extended battery life for 12+ hour shifts with no re-charging

• Lightweight for reduced ergonomic impact and increased comfort

throughout the duration of a shift

TIER 1 ROLES

• Hospitalists, Emergency Department physicians, other physicians

working only within one facility

• All nurses

• Other shift-based clinical support staff with direct patient care

responsibilities

Mobile Device Management SoftwareSOTI OR AIRWATCH

• All Halo-provided smartphones come pre-loaded with MDM software and the

Halo Platform. Our implementation team then does the rest!

Managed Mobile Services • Halo provides a turnkey solution for your mobile service requirements: smartphone

selection and delivery, implementation, break-fix, 24/7 customer support and

administrative management of mobile software releases.

Platform Technology Foundation

Cloud Based

• Hosted on Amazon Web Services (AWS).

• Facilitates consistent user experience regardless of user’s physical location.

• Multi-tenant cloud structure allows non-affiliated community organizations to link to one another.

• Scales quicker and more efficiently than on-premise options, with continuous and seamless software updates.

• Significantly reduces cost of ownership.

Integrations

Ensures interoperability with all core clinical systems. Halo Bridges future-proofs your investment as your IT infrastructure evolves. the Halo Clinical Workflow Engine™ and Halo Schedules routes only mission-critical information from:

• PBX

• Nurse Call Systems

• Medical Devices

• EHR

Security

As a Business Associate of covered entities, Halo has strict security features to protect PHI:

• PHI encrypted at all levels

• SOC II

• HITRUST

• Additional security layers and product features to ensure security of your data.

Unified Development

• Products designed from the ground up to work together holistically as a platform.

• Functionality consistent across operating platforms, with a UI replicating native applications.

• This provides the best possible clinical user experience which ultimately increases end user adoption and ROI.

ASSESSING YOUR NEEDSWe introduce you to the Halo Clinical

Communication Platform™ and then we do a

full assessment on your health system’s CCP

readiness.

IMPLEMENTATION & PLANNINGOur combined teams plan the implementation appropriately and complete

required pre-work for project management.

DEMONSTRATING THE VALUEWe take what we learned and deliver you a detailed statement of work with implementation plan based on our

best practices.

EXECUTING TOGETHERWe jointly execute on strategy to implement Halo across your health system.

OUR PARTNERSHIP PROPOSALWhen ready we deliver our official proposal and completely align on starting the project.

POST-GO-LIVE SUPPORTWe permanently stay with you and continue to optimize and innovate.

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2 5

3 6

Our JourneyThe Halo Customer Journey is a formal process developed to establish and strengthen the relationship between your health system and Halo. By following a clearly defined structure for implementing a Clinical Communication Platform (with optional smartphone package), we’ll:

1. Jointly define your system’s clinical communication challenges through remote discovery sessions and an on-site Full Assessment with Halo’s Clinical Technology Team

2. Develop and execute a mutually agreed upon plan to address these challenges through implementation of the The Halo Clinical Communication Platform™ and/or Halo Mobile Control™

3. Provide ongoing support during and after go-live to ensure adoption goals are being met

ONE West 4th Street | Cincinnati, OH 45202 | 855.362.4256 | www.halocommunications.com

ABOUT HALO

Time is Precious. Halo helps protect patients from delays to care and clinicians from alert fatigue and burnout by unifying clinical communication across the community on a single platform. The enterprise-wide Halo Clinical Communication Platform™ provides secure messaging, VoIP calling, mobilization of critical alerts and an advanced clinical workflow system that includes on-call schedulin

ENDNOTES

1. 2015. “Sentinel Event Data Root Causes by Event Type 2004-2015.” Joint Commission Office of Quality and Patent Safety. https://hcupdate.files.wordpress.com/2016/02/2016-02-se-root-causes-by-event-type-2004-2015.pdf

2. 2015. Miliard, Mike. Courting HIPAA risk with messaging apps. Healthcare IT News. http://www.healthcareitnews.com/news/courting-hipaa-risk-mesaging-apps

3. 2010 July-August. “Quantifying the economic impact of communication inefficiencies in U.S. hospitals.” Ritu Agarwal, Daniel Z. Sands, and Jorge Diaz Schneider. Journal of Healthcare Management. 55(4), 265-82. https://www.ncbi.nlm.nih.gov/pubmed/20812528

4. 2013, May 1. Perspectives on Clinical Alarm Safety, ECRI Institute and The Joint Commission Webinar. https://www.jointcommission.org/assets/1/6/ECRI_Institute_Perspectives__Alarm_Safety.pdf

5. Lippincott NursingCenter https://www.nursingcenter.com/journalarticle?Article_ID=1617134

6. 2008, August. “Improving Patient Safety Through Provider Communication Strategy Enhancements.” Catherine Dingley, Kay Daugherty, Mary K. Derieg, and Rebecca Persing. Advances in Patient Safety: New Directions and Alternative Approaches. AHRQ and Denver Health. https://www.ncbi.nlm.nih.gov/books/NBK43663/pdf/Bookshelf_NBK43663.pdf

7. 2018 Halo Clinical Communication Survey

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