Toledo Hospital Aims for Greater Visibility

By Claire Swedberg

A ZigBee-based system from Awarepoint enables the facility to track its assets and rental equipment by plugging tag readers into wall outlets around the campus.

The University of Toledo Medical Center (UTMC) is using an active RFID system that transmits over a ZigBee wireless mesh network to track more than 1,000 assets in several buildings throughout its hospital campus. The system, the hospital reports, provides it with greater visibility into its assets and leased equipment, thereby saving it money.

"We had a problem with equipment disappearing, and we needed to find a way to stop that," says Steven Hanenkrath, UTMC's manager of technology support. The hospital did not want a solution that would require the installation of new infrastructure (such as RFID readers) or the expansion of its existing wireless Wi-Fi network by adding access points in locations where Wi-Fi-based RFID tags could not be read.

RTLS provider Awarepoint offered another option: deploying tag readers known as sensors around the facility by plugging them directly into 120-volt outlets. Awarepoint's sensors and battery-powered tags transmit their unique ID numbers over the IEEE 802.15.4 (ZigBee) communications protocol, thus enabling them to function as transceivers. Each communicates with others through the mesh networking protocol until their data is received by an Awarepoint bridge, which utilizes a cabled Ethernet connection to route the data to Awarepoint software running on the hospital's server. The software then pinpoints each tag's location via triangulation and signal strength.

In 2008, Awarepoint first set up sensors and a bridge in a conference room area to demonstrate the technology, after which UTMC chose to install the system at its six-story hospital, as well as in portions of two other facilities where assets were stored or used—the central supply area in one building's basement, and the library room in which training with equipment is undertaken in another. The resulting installation of the Awarepoint Real-Time Awareness Solution covers 700,000 to 800,000 square feet, Hanenkrath says, in which Awarepoint's software pinpoints the location of tags within one to three meters (3.3 to 9.9 feet).

In spring 2008, the hospital initially tagged 1,000 assets, including IV pumps, patient-controlled analgesia (PCA) pumps, telemetry transmitters and continuous positive air pressure machines (CPAPs). Last month, Awarepoint ordered 1,500 additional asset tags and 50 temperature-monitoring tags, thus expanding the deployment to include more assets, as well as refrigerators and freezers. In addition, the hospital installed a total of 676 sensors, each with a read range of 750 to 1,000 square feet, and 40 bridges.

The Awarepoint software allows the hospital to access data regarding assets in several ways. Any hospital staff member can access an application in which he or she can search for a specific item, or see a map of all assets on a specific floor. Users can also type in their own location, such as the fourth floor, and the system will locate particular items the user is requesting, such as IV pumps, displaying where on that floor they are located. Authorized employees, with a password, can log into Infopoint, another portion of the Awarepoint software, to access other information, such as the number of asset searches conducted, or the number of assets moved. Infopoint also enables the hospital to set up alerts that notify staff members of important events, such as the removal of a tagged item from the facility, or the approaching expiration date on the lease of a rented device.

UTMC attached an Awarepoint tag, which beacons at a preset rate, to each of its permanent assets, and the item's description is permanently linked to the Awarepoint tag's unique ID number. The hospital also allocates a small number of tags for leased equipment. These are assigned to the rented items as they arrive, and data such as the lease expiration date is entered into the system. Then, when the leased items are sent back to the provider, UTMC's staff removes the tag from the item, and its "returned" status is entered into the system so the tag can be reused on another piece of equipment.

In 2010, the hospital plans to install approximately 50 Awarepoint tags with temperature sensors on refrigerators and freezers where pharmaceutical products are stored, thereby enabling the company to store and track temperature data, and configure the Awarepoint software to issue an alert via e-mail or mobile phone if the temperature threshold is exceeded.

According to Hanenkrath, the hospital is using the system for about 550 searches per month—a number that he believes will grow as the staff grows more accustomed to utilizing the software. "We've got room to grow," he states, indicating that the hospital could use the system in the future more frequently, and for additional purposes. "While we've got a long way to go to figuring out the system, the feedback from the nursing staff has been very positive."

The hospital does not own the Awarepoint system it uses; rather, it pays a monthly fee to Awarepoint. Hanenkrath says he lacks hard numbers quantifying the benefits UTMC derives from using the system, though he notes that ensuring rental equipment is returned on time, reducing the need for rental equipment (since assets can be located) and decreasing the amount of time spent searching for items all serve to save the hospital money.