Charleston Area Medical Center (CAMC)

CAMC Health System 3000
MacCorkle Ave., SE; I/S
Memorial Charleston, WV 25304
http://www.camc.org/

Background:
The CIO of CAMC, a major healthcare system in Charleston, WV with 4 hospitals and 1000+ beds, saw EthIR LAN systems in use at Moses Cone in April 2002. Clarinet Systems ESB301 and ESB101 test units were provided by reseller Mid America tested shortly after for testing of Siemens "Clinical Summary on a Palm". During the summer of 2002, 10 more ESB301s were used in the software pilot program. In December 2002, nine 8-port EthIR LAN systems were procured to provide IR network access throughout the hospitals.

Applications:
Siemens Clinical Summary application is used by CAMC physicians to interface with their Siemens core hospital information system. The system provides the ability for multiple physicians to simultaneously be able to walk up to convenient locations and download their "rounds reports". Network Equipment - IR access point: Clarinet Systems EthIR LAN infrared network access point is used to connect PDA for Internet access and synchronization.

Clarinet System devices: 85 EthIR LAN infrared ports are used that include single port ESB101, ESB301 and multi-port ESB208. Implementation of IR access point: "Mailbox" slots using an off-the-shelf, multi-slot, mail holder hold EthIR BEAMs for 8-port EthIR LAN providing a convenient way to hold PDAs during synching and provide infrared separation while multiple physicians are using the 8-port station.

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University at Buffalo SUNY, School of Medicine and Biological Sciences

University at Buffalo SUNY,
SMBS Cary Building - South Campus
Buffalo, NY 14214-3005
http://www.smbs.buffalo.edu

Applications:
The UB Office of Medical Computing within the Medical School worked with consultant Arcstream to install their own AvantGo server and develop custom "channels" for formatting web-based medical school information for the PDA format. EthIR LAN is used in a 70 seat computer lab, 2 smaller labs, and locations in hospital. Students and staff have the ability to sync their AvantGo channels, ePocrates, etc. on the UBMobileMed system. Recently the Health Sciences Library (HSL) now has an IR syncing station for UBMobileMed and now available in their Media Resources.

Network Equipment - IR access point: Clarinet Systems EthIR LAN infrared network access point is used to connect PDA for Internet access and synchronization.

Clarinet System devices: 14 EthIR LAN infrared ports are used that include single port ESB101, ESB301 and multi-port ESB208. Wall Mount Kit and Desktop Mount Kit are used to hold the PDA. Standard EthIR Beam and EB2000 wall mount EthIR Beam are used.

Implementation of IR access point:
2 separate custom built fixtures by UB facilitites people hold 4 EB2000 wall mount EthIR Beams each, and are both connected to an 8-port EthIR Switch. One fixture in found in a hallway, and the other is located in a computer lab on the other side of the wall.

In their own words: "Our main application is what we call "UBMobileMed". UBMM is a custom AvantGo channel that was cowritten with ArcStream Solutions.

It includes four applications:
1) An integrated Calendar that allows students to see Personal, Course and School events
2) A task list that includes Personal, Course and Survey Tasks
3) A Survey tool that allows students to take surveys or evaluations on their PDA and electronically send the results to the Med School database
4) A Patient Encounter tool that allows students to capture generic information about the patients they are seeing and send those results to the Med School Database.

The patient encounter tool has had the most testing thus far and we expect it to be fully integrated into the third year curriculum by next fall.
We anticipate adding syncing to email through the Clarinet IR Stations later this semester as well. With regard to locations where our students can sync using EtherIR:

Medical School Main Computer Lab (8 ports) Health Science Library (1 port) Expansion plans: Kaleida Libraries (four major hospitals in Western New York) - 1 port each Student Lounge (1 port), Student Study Area (1 port), Major Lecture Halls (1 port each)"

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Stanford University Medical Center, Department of Radiology

Stanford University School of Medicine
300 Pasteur Drive
Stanford, CA 94305
http://www-radiology.stanford.edu/

Stanford University Medical Center, Department of Radiology has successfully transferred radiological images from G.E. Medical Systems' PACS (picture archiving and communications system) to a handheld PDA via Clarinet Systems' wireless infrared connectivity solution, the EthIR LAN™. This linkage allows images, overlays and radiological reports stored in the PACs to be transferred wirelessly to PDAs running the Palm OS or a Pocket PC for the first time ever. This groundbreaking project demonstrates how physicians and medical students can share images with colleagues and patients without the need for hard copies or making a trip to the radiology department for film.

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Stanfords School of Medicine, computer center

Stanford University School of Medicine
300 Pasteur Drive
Stanford, CA 94305
http://www.med.stanford.edu/

At Stanford School of Medicine, medical students use Personal Digital Assistants not only to manage personal information, but also to hold digital references that aid in learning medical facts and in treating patients. Some of the tools the students use must be updated via the web to keep them current; the students, however, carry PDAs with several different form factors, which can make providing a way for the PDAs to access web-based updates a logistical nightmare. To solve this problem, Clarinet Systems EthIR LAN wireless connectivity devices have been deployed in the medical school’s computer center. There the devices serve to allow students with different form factors to access the internet to update their references, giving them up-to-the-minute information on drugs, infectious diseases and other topics vital to their education and to the treatment of their patients.

Clarinet System devices: 28 deployed 14 using single port (model: EthIR LAN 301) 14 using multiport (model: EthIR Switch 208).

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SUNY Downstate Medical Center

SUNY Downstate Medical Center
450 Clarkson Ave
Brooklyn, NY 11203
http://www.downstate.edu

Applications:
SUNY Downstate has their own AvantGo server installed for web-based, PDA formatted information for students and staff.
The Clarinet Systems OBEX SDK is used to install popular software applications for PDA such as Inforetriever, an evidence based medicine reference ( http://www.infopoems.com), ePocrates, calculators, and other reference packages.

Network Equipment - IR access point and IR info distribution: Clarinet Systems http://www.clarinetsys.com EthIR LAN infrared network access point is used to connect PDA for Internet access, synchronization and information distribution.

Clarinet System devices: 9 EthIR LAN infrared ports are used that include single port ESB101, ESB301and EBS3011b. OBEX function (product code: OBEX-SDK2-5H) is used to distribute information, content and application to PDA.

Implementation of IR access point:
EthIR Beams are deployed in the Health Sciences Library for IR network access. Within library 5 ESB3011b units are used: 2 unit behind glass for after hours, 1 unit at the reference desk, 1 unit in the Library Resource Center (LRC), and 1 unit used as a "roving" unit for classrooms and for a faculty resource. ESB3011b IR access points equipped with 802.11b uplink are connected to the existing Netgear 802.11b RF access points installed.

The State University of New York, Downstate Medical Center has installed Clarinet Beaming Stations for use by both its faculty and students. As part of the Evidence Based Medicine (EBM) curriculum, programs such as InfoRetriever (InfoPOEMs7) are used as evidence base diagnosis and prognosis tools. Programs are loaded on our FTP server and downloaded to either the Palm or Pocket PC platform via the Clarinet 3011b beaming station using the Clarinet's SDK software package. Faculty, staff, and students also use these stations to download current drug information directly from ePocrates7 via active sync. In addition our users connect to their personal AvantGo channels using AG Connect. A second project currently under way uses AdvantGo technology which allows medical students to track procedures performed during rounds on a PDA and sync the data to a central database. This project has been expanded to include survey and analysis tools, and calendaring. The Clarinet beaming stations are used by students to active sync their data to the campus maintained AvantGo server. Due to location factors, there were problems with the ability to directly connect the beaming stations to an active Internet port. We therefore opted for the ESB3011b wireless model as the primary unit for our users. At present we have two wireless units in the main entrance to the Health Education Building (behind a glass panel). Two additional wireless units are stationed in our faculty resource room. Two EthIR LAN direct connect units are located in the Medical Research Library, and one EthIR LAN is located in the medical student laboratory.

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North Shore - Long Island Jewish Medical Center (LIJ)

Long Island Jewish Medical Center
270-05 76th Avenue
New Hyde Park, NY 11040
http://www.lij.edu

Background:
LIJ is an 829 bed teaching hospital serving the greater metropolitan New York area, and Long Island. The LIJ comprises three divisions: Long Island Jewish Hospital, a 452-bed tertiary adult care hospital Schneider Children's Hospital for pediatrics and The Zucker Hillside Hospital for psychiatric care.
LIJ's graduate medical education program is one of the largest in New York State. A medical staff of approximately 1,400 affiliated physicians and dentists teach and serve in the inpatient and ambulatory care units. LIJ is the Long Island Campus for the Albert Einstein College of Medicine.
The fulltime staff includes more than 400 physicians and dentists. House Staff totals over 500 Residents and Fellows in 45 ACGME-approved specialty programs and 16 Fellowships.

Application:
PatientKeeper's ChargeKeeper application , an enterprise wide mobile computing system developed by PatientKeeper to provide clinicians the ability to precisely capture charges at the point of care is the primary software used. PDAs from Palm and Handspring running the Palm OS are used. In addition to improved productivity and rapid adoption by physicians, the return on investment for North Shore-LIJ was substantial enough to recoup infrastructure costs and expand their mobile strategy.

Network Equipment - IR access point and IR info distribution: Clarinet Systems EthIR LAN infrared network access point is used to connect PDA for Internet access, synchronization and information distribution.

Clarinet System devices: 137 EthIR LAN infrared ports are used that include single port ESB101, EBS1000 and multi-port eSB208. ESB1000 is used to distribute information, content and application to PDA.

Implementation of IR access point:
EthIR Beams are placed in plexiglas boxes in administration areas, nurses' stations, and in labs. The plexi boxes enclose and hold the physicians' PDAs during IR synching ensuring the unit is not misplaced or that the sync process is not inadvertently interrupted.

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University of Michigan Medical School

University of Michigan Medical School
1301 Catherine Road
Ann Arbor, MI 48109
http://www.med.umich.edu/medschool

Application:
AvantGo server installation similar to HMS, Stanford, UCLA for medical students.

Network Equipment - IR access point: Clarinet Systems EthIR LAN infrared network access point is used to connect PDA for Internet access and synchronization.

Clarinet System devices: 10 EthIR LAN infrared ports are used that include single port ESB301. Wall Mount Kit (WMK2) is used to mount ESB301 and hold PDA.

Implementation of IR access point:
Wall mounts single port EthIR LAN using Clarinet Systems WMK2 wall mount bracket.

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Yale University School of Medicine - Medical Library:

Yale University School of Medicine
http://info.med.yale.edu

Synchronize your PDA with the Wireless EthIR Lan Port in the Medical Library

At the Medical Library's Information Desk, students use Web-based services like Avantgo™ and ePocrates™ on the PDA quickly and easily over the university's high speed network. Students can even perform a complete Hotsync across the network to a computer running Palm Desktop software. The Wireless EthIR Lan Port also works with WinCE devices.

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Georgetown University Medical Center:

Georgetown University Medical Center
http://data.georgetown.edu

Georgetown students, faculty, and staff use the Dahlgren PDA Station for installing and updating PDA applications for Palm OS devices (Palm, Sony, Handspring). The station is particularly helpful for PDA users who do not have a home computer with which to sync their device.

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Harvard Medical School:

Harvard Medical School
25 Shattuck Street
Boston, MA 02115
http://hms.harvard.edu

When students arrive at HMS in the fall, they immediately want to have access to their course information and other medical applications. We have students put their PDA in front of the EthIR LAN ESB1000 and the main applications are beamed to them automatically.

This process reduces the distribution of applications from approximately 10-15 minutes to 1-2 minutes. Another way we save time is by using the ASP component for the EthIR LAN ESB301.

With this component we were able to create a simple Web page that distributes applications to any of our sites that have the EthIR LAN ESB301. This enables us to centrally manage application distribution using 1 web page and multiple EthIR LAN ESB301 devices.

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Under MercuryMD's Web FAQs:

Q: Why does MercuryMD use infrared synchronization hubs?

Every hospital has a local area network with Ethernet ports throughout the facility. Using Clarinet Systems technology, our synchronization hubs require only an RJ-45 jack and a plug to service dozens of users. These can cover an entire hospital by strategic placement in staff lounges, nursing stations, and other areas of high traffic. Hardsync technology excludes certain Palm OS devices based on cradle type, and requires a computer workstation to be present for each cradle. Wireless networks are nice, but very few hospitals have them, and fewer can afford it. Furthermore, Palm devices are not ubiquitously equipped with either 802.11b, Bluetooth, or any other type of wireless transeiver.

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Under Technology Partners:

Clarinet is a technology vanguard in stability, flexibility, and functionality, leading to their choice as supplier of our infrared synchronization technology.
-MercuryMD http://www.mercurymd.com

See the MercuryMD SyncHub fact sheet with the Clarinet Systems EthIR LAN

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