Healthcare – Are you Getting What You Expected from Your Real Time Location System – RTLS ?

Healthcare – Are you Getting What You Expected from Your Real Time Location System – RTLS ?

By: Vincent Polito   |     March 19, 2018


There is not a shortage of reading materials applauding the application of Real Time Location System (RTLS) in healthcare. There is no question that RTLS has the potential for being an operational game changer in healthcare by:



  1. Reducing cost
  2. Increasing asset utilization
  3. Decreasing turnaround times for surgical suites and patient rooms
  4. Improving patient outcomes
  5. Monitoring patient health post discharge

So, I couldn’t help but wonder “if it is so great why aren’t more healthcare organizations running to implement RTLS?” It’s been around for years and only a small fraction of hospitals and other healthcare facilities have bought in. I reached out to healthcare executive leaders with the belief they would be all over RTLS and the incredible improvement opportunities successful implementations have realized. The reality is that most healthcare leaders don’t know about the latest application of open source technology that makes RTLS cost pennies on the dollar when compared to older proprietary systems.

And while I would not call this a definitive or conclusive study, what I learned was very interesting. I learned there is a wide gap between early versions of RTLS in healthcare and today’s systems. Older versions were very expensive to buy and implement and even after the installation was complete the system often had limitations and issues. Because the Total Cost of Ownership created a poor ROI, it was difficult for executives to make a good business case for the acquisition of a RTLS system. For example, older systems required hard wiring, created significant disruption during install and had blind spots. Even though it provided real time asset data and information it was not integrated with the hospital’s other IT systems, and at the end of the day, it became more work for everyone.

Today’s RTLS is a system that can provide real-time tracking and management of medical equipment, staff and patients and be installed within existing wireless infrastructures in a matter of days without disruption. And today’s RTLS does more than locating assets, providers and patients. It provides data and is integrated with other IT systems and helps improve workflow, reduce costs, improve asset utilization and increase clinical quality.  Imagine being able to find any piece of equipment or a patient with a smart phone. Today’s systems can provide fall detection and monitor 20+ vital signs for patients no matter whether they are in the hospital or at home – post discharge!   In contrast to older versions of RTLS, today’s buy-in is a fraction of the cost (pennies on the dollar) and the technology is far more robust and reliable because it uses low energy blue tooth technology – not RFID, Infrared or other hard-wired technologies. The better news is that the flexibility of these new technologies doesn’t require you to scrap previous investments.

Okay, so earlier versions were expensive, disruptive and not as effective as they needed to be. But today’s version is much more cost effective, not disruptive, more robust and able to integrate with other systems. So, why aren’t healthcare organizations flocking to the new RTLS? And what about all those healthcare organizations that already have older versions of RTLS? What was the common factor in both the older version of RTLS and today’s newer, cheaper, and better version? The answer is knowing about it and RTLS is operationalized.

Hospital staffs have to juggle a demanding workload.  What is the amount of effort doctors, nurses, equipment technicians, administrative personnel, or IT staff required to learn, support or maintain the RTLS components? Hospitals are information-intensive organizations. By increasing the amount of data captured and improving communication, RTLS can help improve the overall quality of care while simultaneously decreasing costs. But operationally how does all that take place. Workflows need to be redesigned, developed and documented into work instructions and then the staff has to buy in and use the data to make it a value-added process. Analytics that are currently available are underutilized because care givers have other work flow priorities. Analytics must be easily understood and actionable and there must be supporting change management that will fix the problems and give caregivers more time to provide care and execute clinical protocols. Data must be integrated into their existing tasks and not added to their work load.

Implementing RTLS needs to have an operational game plan. It certainly will include the selection, installation and implementation of RTLS hardware and software, but maybe more importantly, the needed steps to integrate and operationalize RTLS system capabilities into the daily work flows and activities of the people currently doing the work. Without the game plan organizations run the risk of having another data providing system that no one will use. During an interview with a large system hospital COO and he “admitted that they had great hopes for the technology but have not been able to get much from it”. He blames it in part on the hospital infrastructure (e.g., dead zones), a major short coming of the old technology.  But he also was clear that “to me, it seems like another case where technology was expected to accomplish something in the absence of basic operational management”.

The bottom line is that few healthcare leaders are aware of the new low cost RTLS capabilities and the power of the combination of blue tooth based RTLS through THINaër, patient monitoring wearables from Sensogram and Group50’s capability to integrate it into the twelve critical workflows.

Group50 offers a RTLS assessment that provides Healthcare leaders with insight on the opportunity to upgrade to the newer technologies or implement them now that they are very cost effective.  Call a Group50 RTLS expert today at 909-949-9083, drop us a line at or request more information here.


About the Author:  Vincent Polito is Group50’s Healthcare Practice leader with over thirty years of healthcare consulting experience as an executive and healthcare consultant in the design and delivery of Lean, Lean Transformation and Operational Excellence in the Healthcare, Medical Device, Industrial Manufacturing, Aerospace, Textile and Oil and Gas industries.  He has held senior management roles in operations, materials, quality, and business development.

Vinnie pioneered Lean techniques in Healthcare. At the forefront of Lean in Healthcare since 2003 he has provided guidance to over 100 hospitals, physician/specialty practices, insurance health plans and home health systems in North America. He has a grasp and appreciates of the mission and complexity of Healthcare. He translates Lean principles and techniques into effective delivery strategies and execution specifically meeting the critical needs and culture of Healthcare. Some his more notable Healthcare clients include, Thedacare, Denver Health, Beth Israel Deaconess, Barnes Jewish, New York Health and Hospitals, and Priority Health. His Lean support of Healthcare has included initiatives for non-clinical organizations including the Institute of Medicine (IOM), the Institute for Healthcare Improvement (IHI) and National Quality Forum (NQF).

Vinnie has led and executed Lean transformation in a diverse range of industries such with a client list of Fortune 500 organizations including Boeing, Alcoa, Lockheed Martin, Rockwell-Collins, Duracell, Owens-Corning, Sandia Labs and Hanes Brands. #group50, #healthcareconsulting, #healthcare consulting firm, #healthcare, healthcare consultant, #group50healthcare



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This entry was posted in Healthcare, on March 19, 2018

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