Patients are able to view their upcoming appointments in their EMR portal and click on a link that starts their browser-based telehealth visit. While they’re waiting for the healthcare professional to join, patients can test their video, audio and speaker hardware. The healthcare professional also just needs to click the link provided, and they are instantly connected with the patient.

Visit instant.webex.com to get started with Webex Instant Connect today!

Webex Virtual Rounding

The Webex Virtual Rounding solution builds on the flexibility of Webex Instant Connect to drive hourly rounding and in-patient virtual consultation use cases. Hourly rounding patients can be scheduled directly in the Electronic Medical Records (EMR) portal, and the provider just needs to go to the EMR portal’s patient context to launch the visit. The Cisco device facing the patient will join the call directly and the providers will be able to control the device’s camera, thus, simulating a physical visit.

Advantages

  1. Providers can join from anywhere using their laptop/mobile.
  2. Through Far End Camera Control (FECC), the providers can maneuver the patient’s device camera so that they can focus on the right area for diagnosis, essentially simulating a physical visit.
  3. Reduces Provider burden and increases overall efficiency resulting in millions of dollars of operational cost savings.

Things to Note

  1. We currently provide native integration with Epic EMR for this capability, but any EMR or healthcare system can integrate with Webex Virtual Rounding to unlock this workflow.
  2. The patient-to-device mapping must be maintained by the EMR or healthcare system.
  3. We currently support a no-knock scenario where the patient is notified on device that they will join the call in 15 seconds.
  4. Devices can be configured for this workflow by following the steps mentioned here.
  5. FECC and the supported devices list can be found here.

High-Level Workflow for Virtual Rounding – Epic Integration

The following diagram shows a high-level example integration between Instant Connect Virtual Rounding and a typical Epic EMR installation.

Image described in the surrounding text.

Browser requirements

Webex Instant Connect supports the following browsers:

  • Mac OS

    • Chrome version 75 and later

    • Firefox version 60 and later

    • Safari version 10 and later

  • Windows OS

    • Chrome version 75 and later

    • Firefox version 60 and later

    • Microsoft Edge

  • iOS version 13 and later

    • Safari version 10 and later

    • Chrome version 75 and later
    • Firefox version 60 and later
    • Microsoft Edge

     
    Webex Instant Connect is not supported with iOS 15.1 or Safari 15.1.

  • Android

    • Chrome version 75 and later

    • Firefox version 60 and later
    • Microsoft Edge

Test your media

To ensure you're ready for your consultation, test the following functions before joining:

  • OS compatibility

  • Internet speed

  • Microphone

  • Speaker

  • Camera

1

Go to https://instant.webex.com/mediatest and then click Start test.

Webex Instant Connect starts testing each function.
2

Test your microphone by speaking, and then click Yes or No depending on the result. Click Skip if you don't want to test your microphone.

3

Click Test to test your speaker, and then click Yes or No depending on the result. Click Skip if you don't want to test your speaker.

4

During the video test, click Yes or No to indicate if your video preview appeared correctly or not.

What to do next

Review the results of your media test, and correct any issues before you join your consultation.

Meet with your patient

Once you open your meeting link, the consultation lobby opens in your browser. Before you connect with your patient, you can sign in, open the consultation in Webex App, test your video, audio and speaker to ensure everything is working.


 

You can meet with more than just one patient. Webex Instant Connect supports up to 100 participants for each consultation.

1

To sign in and use the capabilities of Webex App during your consultation, click Log In with Webex and sign in using your credentials.

If you're happy to use your web browser and you don't need to sign in, click Join as Guest.
2

Click Continue in browser to host the consultation in your web browser, or click Launch in Webex App to open the consultation in Webex App.

3

When you're ready to start the consultation with the patient, click Start Consultation.

The consultation starts and your patient is added to the meeting.
4

To invite more participants to the consultation using email, click invite guestsInvite guests, enter their email address, click Confirm Invite and then click Send Invite.

5

Use the following meeting controls during your consultation to ensure the patient has the best possible experience during their virtual visit.


 

Most of these controls are also available to the patient, unless indicated otherwise.

  • – mute or unmute your microphone.

  • – turn your video on or off.

  • – share your screen with the other participants.

  • (provider only) – dial out to an external number to add another participant, an interpreter for example, to the consultation. Enter the number and then click Call. Use the Keypad if you need to enter digits while on the call, and click End phone call when you're finished.


     

    This feature is not enabled by default. You must also be signed in to Webex and have the capability to make PSTN calls to use this feature.

  • – change the video layout, especially if there are more than 2 participants on the consultation. Choose from Single, Prominent or Equal.

  • – providers can choose to end the consultation for all participants, or they can leave the consultation and rejoin it at a later time using the same link. If a patient clicks on this, they leave the consultation but it continues until the provider ends it. Patients can also rejoin the consultation at a later time using the same link

  • connect to device – signed in providers can connect to and transfer the consultation to their Webex device. Search for your device and then click Join.

  • – opens the participants panel, where providers can view, mute or remove participants. To remove a participant, click the ellipsis (…) beside the participants name, click Remove from meeting and then click Remove to confirm.

  • – opens the chat panel, where you can send messages to the other participants. The chat panel is also available in the consultation lobby. Messages are visible to everyone.

  • (provider only) – you can copy the technical details of the meeting to report a problem.

  • (provider only) – see meeting information such as dial-in numbers and meeting links.

  • – indicates the quality of your network connection. If your network connection drops, a warning message appears to let you know about the problem and the actions you can take to solve it.

  • – choose which camera and microphone you'd like to use during the consultation. You can also choose to enable blurred background or disable background noise reduction for the meeting.

  • – Enable or disable picture-in-picture mode.

  • Remote camera available icon. - Access a Far End Camera Control (FECC) enabled device.

6

The provider can submit feedback on the audio and video quality after the consultation ends. Select a star rating and click Submit Feedback. Click Skip if you don't want to provide feedback.

Instant Connect Integration

See the following sections to get started integrating Instant Connect with your own system. If you encounter any issues, please contact your Cisco AM.

Integrate with Epic for Telehealth

To integrate Instant Connect with Epic for Telehealth:

  1. Go to https://instant.webex.com and select the Epic Integration Page.
  2. Select Begin Integration with Epic and then login as Webex administrator for your organization.
  3. Select Generate Secret Key, and save the Secret Key, URL, and Parameters entries to a temporary location.
  4. Login to your Epic environment and paste the secret key into the CryptKey field, the URL into the CryptURL field, and the parameters into the PatientOpenURL field in the Epic configuration page within your FDI records for each Epic application you intend to use.
  5. Create a Device Integration for each Epic application you intend to use.
  6. Create an Appointment Type within Epic.
  7. Make sure access to the domain, instant.webex.com, is enabled in your Epic configuration.

 
This is a one-time configuration process.

Integrate with Epic for Virtual Rounding (device integration)

To integrate Instant Connect with Epic for Virtual Rounding (device integration):

  1. Go to https://instant.webex.com and select the Epic Integration Page.
  2. Select Begin Integration with Epic and then login as Webex administrator for your organization.
  3. Select Generate Secret Key, and save the Secret Key, URL, entries to a temporary location.

    The Provider Parameters entry for this integration is: visitID=%CSN%&userType=1&userID=%EPICUSERID;;; ; ;;NONE;%&flow={"id":"sip-no-knock","data":[{"uri":%EXTENSION;101336%}]} where %EXTENSION;101336% is the parameter which contains SIP address of the Webex Device that is in front of the patient.

  4. Login to your Epic environment and paste the secret key into the CryptKey field, the URL into the CryptURL field, and the parameters into the PatientOpenURL field in the Epic configuration page within your FDI records for each Epic application you intend to use. You’ll only need to configure the Provider Record in this case.
  5. Create a Device Integration for each Epic application you intend to use.
  6. Create an Appointment Type within Epic.
  7. Make sure access to the domain, instant.webex.com, is enabled in your Epic configuration.
  8. A Webex administrator from your customer organization needs to set up Webex Devices in Control Hub to work with this flow. See Configure Virtual Rounding.
  9. Most new Webex devices also support Far End Camera Control with this workflow. Based on your devices and your Room OS version, some configurations might need to be updated in Control Hub. See Control remote cameras with Instant Connect.

 
This is a one-time configuration process.

Integrate other systems with Instant Connect

To integrate Instant Connect with other systems:

  1. Go to https://instant.webex.com.
  2. Select Begin Integration and then login as Webex administrator for your organization.
  3. Select Activate Instant Connect.
  4. Go to this Webex Developer Portal link and follow the steps to integrate Webex Instant Connect with your EHR or any other clinical healthcare system.

     
    You’ll need to add verticalType=”gen” (for generic) in the API for non-healthcare workflows. The default vertical is hc (healthcare).
  5. Once complete, your customers can leverage Webex Instant Connect links constructed by the endpoint in any way they desire.
  6. Make sure access to the domain, instant.webex.com, is enabled to avoid firewall issues.

 
This is a one-time configuration process.

Integrate other systems with the Instant Connect device integration workflow

To integrate other systems with the Instant Connect device integration workflow:

  1. Go to https://instant.webex.com.
  2. Select Begin Integration and then login as Webex administrator for your organization.
  3. Select Activate Instant Connect.
  4. Go to this Webex Developer Portal link and follow the steps to integrate Webex Instant Connect with your EHR or any other clinical healthcare system.
  5. Follow the section Complete Sample JSON Request Payload Including Device Support to understand parameters required for integrating Webex Device with your workflow.

    NOTE: You’ll need to add verticalType=”gen” (for generic) in the API for non-healthcare workflows. The default vertical is hc (healthcare).

  6. A Webex administrator from your customer organization needs to set up Webex Devices in Control Hub to work with this flow. See Configure Virtual Rounding.
  7. Most new Webex devices also support Far End Camera Control with this workflow. Based on your devices and your Room OS version, some configurations might need to be updated in Control Hub. See Control remote cameras with Instant Connect.
  8. Once complete, your customers can leverage Webex Instant Connect links constructed by the endpoint in any way they desire.
  9. Make sure access to the domain, instant.webex.com, is enabled to avoid firewall issues.

 
This is a one-time configuration process.