1. Cath Lab of the Future Rick Kuntz Medtronic

2. Industry Trends / Problems…
Rising health care costs: Currently 16% of US GDP as compared to average 9.5% elsewhere in world.
Supply Chain cost represent 25% - 35% of total hospital costs
Increased focus at hospitals with improving operational performance
Regulatory pressure to increase product traceability
Heavy administrative workload (both hospital and supplier)
Partnering together, we can create value by leveraging technology to:
Automate Manual Processes
Create Shared Visibility of Inventory Management
Link Data to Accelerate Procurement, Payments, & Invoice Reconciliation
Lower Inventories by Executing to Actual Demand
Medtronic Confidential

3. Integrated HealthCare Vision
Smart RFID Shelf
Mobile RFID Cart
Patient Education
Storage Room
Paceart
Personal Health Records/Health Vault
Digital Command Center
Physician and Patient Education
Productivity gain as competitive advantage
Connected Care – Medical home and patient consultation, continuous and remote patient monitoring
MMX/SAP Inventory Replenishment, Billing, Invoicing
Point of Use Device/Next Generation Programmer
ER Station
CareLink/EMR Integration
MRI Station

4. Integrated HealthCare Strategy
Demonstration of
Strategy at Bakken
Integrated HealthCare Strategy
Customer Education
& Training
Remote
Consultation
Digital Command
Center
Productivity Suite
Hospital of the Future demonstrated portions of the Integrated HealthCare Strategy in an Innovation Lab built at our Bakken Education Centers in Mounds View, MN, Shanghai, China and Tolochenaz, Switzerland.
Inventory
Management
Automation
EMR & PHR
Solutions

5. High definition video conferencing at implant demonstrating remote consultation and proctoring solution
Remote
Consultation
Real-time high definition video conferencing at the point of implant. Viewer is able to see the procedure and see the fluoroscopy and 2090 programmer data real-time in order to provide consulting from a remote location. In addition, CV has engaged in a few pilots to demonstrate the benefit this could bring to proctorship by beginning with a few in-person training visits and continuing the proctorship remotely, saving both time and money – Could be used for transcatheter valve training. In addition, similar technology could be leveraged by device clinics for remote patient follow up

6. Digital Command
Center
Prototype designed to improve operational efficiency, patient safety and clinical outcomes at the hospital device implant lab by integrating implant schedule, inventory, device data, and patient data with video conferencing to key support personnel at Medtronic
The digital command center prototype is an interactive whiteboard that has intelligence built into it. Physicians and hospital staff are able to view Implants/Procedures for the day and view specific patient data regarding inventory and health record information. The system allows you to view the hospital inventory that is RFID enabled and show real-time visibility and location. It ties in the ability to make a video call to interact with device support, customer service, sales, or a hospital colleague in an instant. Shows the ability to tie into an hospital’s existing EMR system. Also includes Medtronic educational media.

7. Digital Command
Center
Click Medtronic image to view video

8. Inventory
Management
Automation
Demonstrated RFID Smart Shelf Solutions & Medtronic Branded Mobile Heart Cart with New Concepts for Heart Valve Packaging
Real-time visibility to hospital inventory
Allows us to change our relationship with hospitals around inventory. Break the tie with Sales Rep delivery of inventory for each implant, allows Joint Managed or Vendor Managed Inventory, and guarantee of specific par levels. Connections are made back to Medtronic to enrich the information available regarding inventory at the hospital (short dated products, recall product, etc.).
Low inventory carrying and handling cost: UMass General Hospital went from 3 people to 1 person managing inventory and replenishment
Expiration and scrap: GPO with annual purchase of 1 billion $$. We can win the business over if we can help the hospital to reduce expiration by 1%
Closely monitor the expiring product to prevent the expiration
Account for missing products by shift to avoid lost charge capture
Cost: Cabinet are about 15-20K each (each form factor varies in price), annual subscription fee is 6K
UMass General had an annual lost charge capture of over 300K. They deployed 22 cabinets in the hospitals, and saw full pay back in half a year
Cabinets read and scan shelves every 20 min.
(99.99%) reliability rate (with 2 tags)
Tag about 20 cents / ea now, cost decreasing every year
Different form factors, bins, shelf, hanging cabinets, and mobile carts

9. Digital Command Center
Productivity Suite
STRATEGY
Payment
Automation
EMR
Integration
Consumption
Replenishment
CareLink &
Paceart
Registration
Charge
Capture
RFID Smart Shelf
Warranty/Explant
Management
Device
Digital Command Center
Clinical Study
NGP/Point of Use Device
The point of use device captures the patient data by scanning the wristband and tying in the procedure/inventory data at the point of implant. This can trigger an automation of many manuals processes that our sales reps or hospital staff perform today. The point of use device can trigger an alarm to notify of an expired device that is about to be used at the point of implant and is tied to the federal recall registry. It is also integrated into hospital ERP systems like Lawson and other broad management systems like GE CardioLab. This ensure patient safety for the right device for the right patient at the right time.
We also demonstrate the ability to tie the Point of Use device directly to our 2090 Programmer to reduce manual entry of data and the Point of Use device could become integrated directly into a next generation programmer so that only one device would be needed at implant for programming the implantable device and capturing all data needed for complete automation of paperwork.
Productivity gain:
trigger auto-replenishment based on pre-set par level
trigger PO and invoice for consigned inventory
enable the Device Registration, Paceart and Carelink registration
automate the explant / warranty management, and populate the implant log and physician log to reduce the effort for documentation

10. Cath Lab of the Future
The cath lab of the future will incorporate more connectivity of databases that will serve the patient better
Improved inventory management
Improved consultation access
Improved education for patient and physician
Improved product distribution efficiency and reduced costs