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2. CASE STUDYBritish Medical Association Adopts Radvision Systemto Improve Collaboration among its Staff, NHSCommittees and Experts Worldwide About About BMA BMA is an independent trade union and professional association for doctors and medical students founded in 1832. Comprised of 143,000 members worldwide, Customer: British Medical Association (BMA)BMA offers services such as career development and Country:UK support, business optimization, guidance in medical Industry: Healthcare ethics and law, medical school advice and access to a Product: SCOPIA XT1000 / XT1200 Room Systems host of knowledge resources. BMA is also a world class SCOPIA Desktop publisher of medical journals and information, including SCOPIA Elite MCU & SCOPIA Gatewaythe prestigious British Medical Journal (BMJ). SCOPIA PathFinder Firewall Traversal For more information, visit www.bma.org.uk SCOPIA iVIEW Management Suite The Mission With over two-thirds of practicing UK doctors as members, has become a critical tool for conducting meetings BMA is in constant contact with ministers, government among BMA staff and various BMA and National Health departments and many other influential bodies in orderServices (NHS) committees as well as for providing ad- to fulfill its mission to protect the collective interests of hoc access to in-house and remote experts. doctors. Over the past few years, video conferencing The Challenge BMAs video conference users had grown to encompass up to 40 users with the potential to expand to 100; allow close to 1,000 desktops, 140 home workers in the UK users to connect from the MPLS or via the Internet as and 25 employees in other countries. Its existing video well as to non-BMA endpoints by IP or ISDN; enable conferencing system was no longer efficient enough to telephone participants to dial into meetings; share data; handle its robust requirements, so BMA began lookingrecord meetings with full audio, video and data; use SIP; for an alternative that would make collaboration faster and allow BMA Staff to easily administer all aspects of and easier to use for its members. Superior high definition video conferencing and audio meetings. capabilities for data sharing, support for current and future Basically, we needed our members working from home, endpoints and a single desktop solution for Mac and PChospitals, surgeries and clinics to be able to talk to each clients were identified as critical components, as wasother and share data, anytime, anywhere in the world, seamless integration with legacy infrastructure, in order using whatever equipment they had-up to 40 participants to maintain BMAs original investment. The new solution concurrently, said George Birch, BMAs Information also needed the ability to conduct multiple meetings of Management & Technology Support Services Team Leader. 3. The SolutionThe Radvision system implemented comprised ofBMA is using Radvisions full range of equipment on aendpoints including SCOPIA XT1000 / 1200 HD videoservice footing from its local video conferencing provider,conferencing room systems and SCOPIA Desktop for but located entirely on its own premises in Londonvideo communication on PCs and Macs. SCOPIA Desktopwith BMA support staff operating and carrying outPro licenses also enabled easy one-to-one conferencing first line support. When the XT1200s first arrived, anwithout using MCU resources. incompatibility issue arose due to the inability of BMAsInfrastructure included the SCOPIA Elite MCU aslegacy video conferencing systems to support the latestthe centerpiece of the deployment for multi-partycodecs. We thought it may be a show stopper, recountsconferencing, PathFinder for firewall traversal for H.323Birch. We still had 11 units in the field and to usesystems, and a SCOPIA ISDN Gateway for connectivitythem we would have had to downgrade the XT1200swith external systems on ISDN networks.to support the older H.263 codec (as opposed to theManagement for the entire deployment is through thelatest H.264) which is a bit like sticking a caravan on theSCOPIA iVIEW Management Suite providing a single back of a Ferrari; its possible but pretty pointless. Theaccess point for managing all video conferencing devices problem, however, was quickly solved by Radvisions R&Dincluding Radvision and third party endpoints along with Division. Within a month, they produced a softwareinfrastructure devices such as MCUs and gateways.workaround for the XTs, which was pretty impressive,iVIEWs integrated gatekeeper provides call control, adds Birch. There are not many large companies outcomprehensive traffic and bandwidth management and there that would make their product compatible with anmakes connecting simple for users. old piece of equipment produced by a business rival.The BenefitsFor BMA, instant visual communication is vital. Wesecondary and tertiary echoes. According to Birch, theuse video conferencing like many other organizations XT1200s excellent pickup seems to have solved thatuse the telephone, says Birch. Our users dont see problem.technology as a limitation but as a right. They want Id like to say that the level of service and supportto be able to use their webcam from a hotel room orwe have received from Radvision has been first class,their mobile to dial into a meeting from anywherehe adds.in the Middle East, for example. With our Radvisionsolution and especially SCOPIA Desktop, they can do During the past seven years we have seen thethat easily. demand for video communication within theThe BMA, which often sends representatives around the British Medical Association rapidly expand. Ourglobe to advise on medical matters and deliver lectures ability to facilitate the developing communicationat universities, can now attend by video conferencing.requirements of the BMA using Radvision equipment,Recently, a very senior member gave evidence to the and their fast recognition of the benefits, has resultedWorld Health Organisation in The Hague on the Swine in over one thousand BMA employees now usingFlu epidemic, using SCOPIA Desktop from her office. video conferencing technology on a regular basis. Thecontinuous trust and support between VideonationsBesides fulfilling BMAs fundamental requirements and the BMA has led to a truly remarkable andsuch as the capability to record all of its meetings andsuccessful deployment of video.maintaining its initial video conferencing infrastructureIan Carter, Managing Director, Videonationsinvestment, Radvisions solution has delivered additionalperks. For instance, BMAs large meeting rooms withornate, curved walls present an extremely challengingenvironment to conduct video conferences due to MKT-1026A-EN 06/11About RadvisionRadvision, an Avaya company, is a leading provider of video conferencing and telepresence technologies over IP and wireless networks. We offer end-to-end visualcommunications that help businesses collaborate more efficiently. Together, Radvision and Avaya are propelling the unified communications evolution forward withunique technologies that harness the power of video, voice, and data over any network. www.radvision.comUSA/AmericasEMEA APACT +1 201 689 6300 T +44 20 3178 8685 T +852 3472 4388F +1 201 689 6301 F +44 20 3178 5717 F +852 2801 4071infoUSA@radvision.com infoUK@radvision.com infoAPAC@radvision.comInformation contained in this document is subject to change without notice. This document is not part of a contract or license as may be expressly agreed. Radvision is aregistered trademark of Radvision, Ltd. All product and company names herein may be trademarks of their registered owners. All rights reserved 2012 Radvision, Ltd 4. CASE STUDYRadvision System Slashes Expensive Staff Travel andUnproductive Downtime for UK NHS Foundation AboutAbout Oxford Health NHS Foundation TrustOxford HealthNHS Foundation TrustOxford Health NHS Foundation Trust provides specialistmental health services to people of all ages in Oxfordshire Customer: Oxford Health NHS Foundation Trustand Buckinghamshire; forensic mental health services Country: United Kingdom across the Thames Valley; services for children andadolescents in Bath and North East Somerset; as well as Industry: Health Carespecialist eating disorder services for adults in Wiltshire Product: SCOPIA XT1000 SMB Edition Video and community health services to people in Oxfordshire. Conferencing Room and SCOPIA VC240 These services are delivered in NHS community hospitals HD Desktop Systemsor within local communities, helping to support peopleboth in their homes and as near to their homes aspossible.For more information,visit http://www.oxfordhealth.nhs.uk/ The Mission Oxford Health NHS Foundation Trust is committed to In order to continue carrying out its mission as effectively supporting the promotion of positive health and well-as possible, Oxford Health NHS Foundation Trust needed being. Accordingly, its aims and objectives include using more flexible communications between staff in multiple innovative methods of communication to provide the locations and other NHS Trusts. Furthermore, in the most appropriate, timely and accessible care possibleface of NHS budget cuts across the board, travel costs within available resources. had to be significantly reduced. The Challenge Oxford Health NHS Foundation Trust found that staffA second closely-related issue was the time spent by travel was impacting multiple areas of its business. Not consultants and staff who needed to interact directly only were the financial costs very high, but it was also with patients, but not necessarily face to face - another causing serious dead time. With most trips involving recurrent cause of travel time and expense. With Oxford senior managers and clinicians, a large amount of valuable Health NHS Foundation Trusts commitment to offering time, which could better be spent with patients, was being the best possible attention to their clients, it became wasted travelling between various locations. obvious that a top-notch video conferencing solution wasessential in order to maintain its high level of support. 5. The SolutionOxford Health NHS Foundation Trust deployed the SCOPIA with SCOPIA Desktop to the XT1000 built-in MCU, thusXT1000 SMB Edition Video Conferencing Room Systemallowing anyone to conference from absolutely anywhere.in two locations to communicate with each other andOxford Health NHS Foundation Trust also selectedexternal individuals. The XT1000 SMB Edition delivers an Radvisions SCOPIA VC240 HD Video Conferencingall-inclusive HD video conferencing solution that provides Desktop System due to its price point, simplicity of useHD video room system capabilities with integrated multi- and image quality. Physical size was also a critical factor.party and desktop conferencing. Oxford Health NHSThe VC240 was small enough to be carried around to trialFoundation Trust decided to go with the SMB Editionthe solution at different locations and also ideal for Oxfordin order to allow colleagues to video in over their PCsHealth NHS Foundation Trust consultants on the move.The BenefitsBy adopting Radvisions video conferencing solution, extended to clients.Oxford Health NHS Foundation Trust achieved its goals. Radvisions VC240 systems were simple to install andMuch less time is now spent on travel, meaning fewer easy for staff to use, as borne out by the fact that almostwasted hours for Oxford Health NHS Foundation Trustno support calls have ensued. As a result, the Trust hasexperts. As a bonus, communication among staff has purchased additional units for several other locations,dramatically improved, resulting in better teamwork. complemented by XT1000s for multi-party conferences.Video communication capabilities have also beenLooking ForwardOxford Health NHS Foundation Trust plans to do moremulti-party conferencing with SCOPIA Desktop toprovide a full unified solution that staff and clients canuse for communicating with each other - anywhere,anytime. MKT-1024B-EN 07/11About RadvisionRadvision, an Avaya company, is a leading provider of video conferencing and telepresence technologies over IP and wireless networks. We offer end-to-end visualcommunications that help businesses collaborate more efficiently. Together, Radvision and Avaya are propelling the unified communications evolution forward withunique technologies that harness the power of video, voice, and data over any network. www.radvision.comUSA/AmericasEMEA APACT +1 201 689 6300 T +44 20 3178 8685 T +852 3472 4388F +1 201 689 6301 F +44 20 3178 5717 F +852 2801 4071infoUSA@radvision.com infoUK@radvision.com infoAPAC@radvision.comInformation contained in this document is subject to change without notice. This document is not part of a contract or license as may be expressly agreed. Radvision is aregistered trademark of Radvision, Ltd. All product and company names herein may be trademarks of their registered owners. All rights reserved 2012 Radvision, Ltd 6. The Challenge Renown Health Delivers Ability to deliver timely, high-Telemedicine Care With quality, specialized care to patients inScopia Video Conferencing rural healthcare communitiesSolutions Desire to educateA Nationally Recognized Healthcare Leader, rural primary care providers on With Scopia Video Conferencing Solutions, medical specialtiesImproves the Patient Experience, Drives Need to provideDown Costs. care to inmates in correctional Reno, Nevada Renown Health, northern Nevadas largest centers, integrated health network and a nationally recognized eliminating highhealthcare leader, uses Scopia video conferencing costs associated with custody and solutions to power its regional telemedicine program, transportation R-TeleMed.Value CreatedBackground an acute, chronic and/or complex Rural patientsmedical condition. It also caused delays receive care fromRenown Health is northern Nevadas in the delivery of care and had the their primary care largest integrated health network and a potential to negatively impact patient provider while nationally recognized healthcare leader. benefitting fromoutcomes.Based in Reno, Renown serves a the knowledge and17-county region comprised of northern expertise of urbanKirk Gillis joined Renown Health in 2007Nevada, Lake Tahoe and northeast specialists to develop new healthcare programs forCalifornia, including two California Patients save timeunderserved patient populations in theDepartment of Corrections and and money by Rehabilitation (CDCR) facilities. region. In early 2011, Renown launched a reducing the need telemedicine initiative to affordably and to travel to urbaneffectively deliver high-quality medical facilities for Because the region has a highly care to patients in rural healthcare treatment anddispersed rural population, access to communities. follow-upmedical specialists previously required appointments patients to travel to urban centers of Prior to Renowns efforts, there were Rural physicians excellence. This caused undue stress very limited telemedicine links between receive training and incurred costs for patients already the regions rural healthcare from urban dealing with symptoms associated with specialists communities and the states urban avaya.com/radvision|1 7. A Workable Affordable, CDCR was already a long-time user of telemedicine, because it saves the InteroperableSolution for prison system hundreds of thousands Telemedicine Poised forEveryone Growth of dollars each year in custody and transportation costs. Because Renown set out to find a solution thatRenown consults with twoThe R-TeleMed was cost-effective and also correctional facilities in northeastprogram is designedinteroperable with the regions California, the telemedicine platformwith the Three Cs existing telemedicine infrastructure. for R-TeleMed had to interoperateof care in mind. They evaluated solutions from a with CDCRs existing systems. number of video conferencingRadvision offers full interoperability Consultative Care vendors including Cisco (Tandberg)with all standards-based video, and Polycom. According to Gillis, Theenabling Renown to deploy it without Collaborative CareRadvision solution delivered thejeopardizing CDCRs existing biggest bang for the buck. Gillis said investments. Continuity of Carethat Radvision offered efficiency and a quick return on investment. A Different Way of The program is expanding rapidly. Delivering Quality Care Renown asks rural healthcare facilitiescenters of excellence. The to invest in Originating Site Delivering healthcare over video istelemedicine network envisioned by telemedicine carts that incorporate not necessarily new, but for thoseGillis required buy-in and investmentperipherals relevant to the various who have not used telemedicinefrom a number of stakeholders in medical specialties. In addition, the before, there is a learning curve. Toorder to succeed. Gillis enlisted theReno-based physician specialistshelp ease the transition Renownsupport of Nevada Health Centers,purchase Distant Site telemedicinecreated a dedicated resource team toNevada Hospital Association, Nevadacarts in order to conduct real-time achieve its implementation andRural Hospital Partners, Renowninteractive consultations with ruralsustainability objectives. This teamHealth, University of Nevada Schoolbased providers and patients. includes Toni Muetze, an IT projectof Medicine and independentlyRadvision teamed with Enovate and manager to coordinate the numerouspracticing physician specialists based GlobalMed to develop the carts beinginstallations; Corie Nieto, a centralizedin Reno. Together, they developed aused. scheduling supervisor to streamlineprogram called R-TeleMed, enabling all scheduling, insurancehighly skilled physician specialists inauthorization, medical record and The investment is affordable and theReno to consult on the evaluation andconsultation reporting functions; and program has visibly helped improvetreatment of patients in outlyingLisa Abbott a nurse educator to train patient outcomes. Renown has a goalareas. Participation in R-TeleMed is all Originating and Distant Site of adding three rural healthcarefree of charge to participatingclinicians. communities and three urbanpractitioners and healthcare facilities. specialists to the program every 90 days over the next two years it isRenown currently has telemedicine currently on track to reach its goal of programs in 13 areas including 25 rural healthcare communities and cardiology, endocrinology, 35 urban medical specialties. infectious disease, nephrology,2 | avaya.com/radvision 8. gastroenterology, orthopedics,Consultative Care Patients and ability to work with us to put extrapulmonology, urology to name a primary care providers in outlyingsecurity measures in place so thatfew with more specialties beingrural communities can consult withboth the network and the endpointsadded. Renown offers quarterly highly skilled physician specialists to are ultra-secure. They went above andtraining for all specialties, includingassist with the evaluation, diagnosis beyond to satisfy not only ourone hour of training every 90 days toand treatment without needing torequirements, but also CDCRs.rural clinics. This means that travel to Reno. Most diagnosticpractitioners are always up to speed testing and follow-up care canand positioned to provide the best conveniently be completed in the Looking Forwardpossible care to patients. patients home community. As Renown Health expands theCollaborative Care R-TeleMed R-TeleMed program, they are lookingTheres a learning curve involved with connects primary care physiciansinto adding mobile videotelemedicine its not simply with specialists, expanding servicesconferencing so that urban specialistsmedicine as usual, said Muetze. We available in outlying communities.can provide care regardless ofhelp our clinicians and our patients The primary care physician andlocation, for example on their iPadsunderstand the etiquette involved in a specialist work together to diagnosewhen they are moving about in atelemedicine visit. We also train the and treat most medical conditions,hospital environment.rural practitioners on how to while offering improvedeffectively use peripherals, e.g. a convenience for both patients andstethoscope, so that the visit goes physicians.The goal of oursmoothly and theres no confusion oneither side when we want to examineprogram is aboutContinuity of Care If the patientsa patient via video conferencing. The improving access, condition requires treatment thatresult is a visit that flows just as exceeds the capabilities of theirquality and healthcarenaturally as an in-person visit. local community, the primary carecosts in rural physician can transfer the patientsMuetze added, And our program care to the consulting specialist whocommunities. We dontworks. We recently had a doctor new has been involved with the patients generate revenue fromto the program say the visit was as care. This allows better continuity ofeffective as if the patient had been in the program itself, but care, eliminates additional costs andthe same room sitting across the table delays, and expedites the patientsof course we aim tofrom him. The audio and video quality medical care and recovery. provide the bestis crystal clear, which enables a verynatural interaction. possible care. When ourA Secure Network that rural patients requireProtects Privacytreatment only offeredA Workable Solution for Security and protecting patientin an urban healthcareEveryoneinformation are of the utmostThe R-TeleMed program is designedimportance. According to Gillis, Wecommunity, we wantencrypt all our data to protect privacy.with the Three Cs of care in mind. them to choose RenoOne of the things that really stood outwith the Radvision team was their and Renown Health. Kirk Gillisavaya.com/radvision |3 9. Renown is continuously tracking the success of the program. The team continues looking for ways to enable interactions to occur anywhere, anytime so that patients receive the best care possible when and where its needed. As it stands now, there are no grants funding the telemedicine project, but the team is optimistic they can take advantage of grants in the future. In the meantime, Renown is improving access to care for patients throughout their regional service area. Gillis said, The goal of our program is about improving access, quality and healthcare costs in rural communities. We dont generate revenue from the program itself, but of course we aim to provide the best possible care. When our rural patients require treatment only offered in an urban healthcare community, we want them to choose Reno and Renown Health. To learn more about the R-TeleMed network, visit http://r-telemed.org/.SolutionScopia Elite 5230 MCUScopia PathFinder Firewall TraversalScopia VC240 Executive Desktop SystemsTelemedicine solution, incorporating Scopia XT1200 systems, an Enovate telemedicine cart and peripherals from GlobalMedAboutRadvisionRadvision, an Avaya ABOUT RENOWN HEALTHcompany, is aRenown offers access to more healthcare services than all other providers in theleading provider of region. This includes four hospitals plus northern Nevadas only NACHRI-affiliatedvideo conferencingand telepresence Childrens Hospital and Childrens ER. Renown Regional is the regions onlytechnologies over IP accredited Trauma Center to treat seriously injured patients. Additionally,and wireless networks. recognized areas of excellence include Institutes specializing in heart, cancer,We offer end-to-endvisual communicationsrobotics and neurosciences. This Top 100 integrated health network offersthat help businesses physician access at 16 convenient medical group locations and eight urgent carecollaborate more centers, and the regions most trusted insurance provider, Hometown Health.efficiently. Together,Radvision and Avayaare propelling theunified communicationsevolution forward withunique technologies thatharness the power ofvideo, voice, and dataover any network.www.radvision.com 2012 Avaya Inc. All Rights Reserved. All trademarks identified by , , or SM are registered marks, trademarks, and service marks, respectively, of Avaya Inc. Scopia is a trademark of Radvision, an Avaya company.4 |12/12 UC7179