WO2013171629A1

WO2013171629A1 - Personalized handing of a user terminal

Info

Publication number: WO2013171629A1
Application number: PCT/IB2013/053713
Authority: WO
Inventors: Jurjen Henri Eisink; Eva KHMELINSKAYA; Hai Truong NGUYEN; Eugenio Bernardus Johannes Maria PLOEGMAKERS
Original assignee: Koninklijke Philips N.V.
Priority date: 2012-05-15
Filing date: 2013-05-08
Publication date: 2013-11-21

Abstract

The present invention relates to a communication system for a health care institution and a method for personalized handling of a user communication terminal (210) for use in health care institutions. In particular present application relates to telephones for patients in hospital and the telephone systems to which the telephones are connected. The system and method provides a user with the possibility to customise call handling for example to screen calls at a particular time of the day depending on caller ID or to provide distinctive ringing depending on caller ID. In addition calling name and number can be provided to the called party. The patient terminal can be customised in its handling also depending on the place it is to be used (i.e. in which ward it is to be deployed).

Description

PERSONALIZED HANDING OF A USER TERMINAL

FIELD OF THE INVENTION

The invention relates to the field of communication terminals for use in health care institutions and for methods of using such terminals. BACKGROUND OF THE INVENTION

It is known to install communication terminals in connection to rooms or even individual beds in hospitals. Such communication terminals provide e.g. phone service to patients and various other services. Such terminals do not provide personalized handling and have none, or at the best only limited, capability of being configured. Such terminals do not provide the possibility to being adapted based on who is calling.

The inventor of the present invention has appreciated that an improved configuration of a communication terminal for use in health care institutions is of benefit, and has in consequence devised the present invention.

SUMMARY OF THE INVENTION

It would be advantageous to achieve adaptation of the communications terminal for inbound calls. It would also be desirable to enable a health care institution to control inbound calls for patients. In general, the invention preferably seeks to mitigate, alleviate or eliminate one or more of the above mentioned disadvantages singly or in any combination. In particular, it may be seen as an object of the present invention to provide a method that solves the above mentioned problems, or other problems, of the prior art.

To better address one or more of these concerns, in a first aspect of the invention a method for personalized handling of a user communication terminal for use in health care institutions is presented that comprises the steps of retrieving identification information relating to the user, identifying a caller from an inbound call, and generating an interaction scheme so as to adapt the user terminal in relation to the identity of the caller and the identification information of the user. In the context of the present application, a health care institution is to be understood as any institution providing health care services, such as a hospital, a clinic, a care hotel or a nursing home.

By providing a method for personalized handling of inbound calls it is possible to adapt the indication of the call to the receiving person's condition. E.g. if the person, or user, is hospitalized for a more serious conditions it is not necessarily suitable to use the same settings as to a young, relatively healthy person, who is e.g. hospitalized for a broken leg.

Further, it is advantageous that the method allows for the interaction scheme to be adapted in view of who is making the call. This means that if a nurse or other health care person is calling, the call may be given higher priority and a different set of interactions may be defined compared to the scheme used for a relative calling.

In an embodiment of the inventive method, the user terminal may be configured specifically to the user. The method may be implemented in a terminal where when a patient uses a nurse call button, the call arrives at the user terminal that is being used by the nurse on call for the room/patient. Alternatively or in combination herewith the method may be implemented in a number of terminals. The nurse can answer the call to inquiry the patient. In the reverse case the patient may either answer the call hands-free or pick-up the terminal or a hand-set thereof.

By implementing the method according to the present invention in a communications system an improved privacy is obtained. If nurse calls are automatically answered with a hands-free two-way communication, everyone in the room is capable of hearing information disclosed in the conversation. The present invention provides time for the patient to pick up the phone, so that a private conversation is possible. Further, by adapting the interaction scheme it is possible for the user to be better informed about who is calling and thereby increase the privacy when using the terminal.

By generating an interaction scheme so as to adapt the user terminal in relation to the identity of the caller and the identification information of the user One behavior' for everyone is avoided. Current solutions do not take into account the age or condition of the patient. The method according to the present invention is able to vary the behavior based on patient information, location, medical record. This may be obtained by using the HL7 interface.

Advantageously the identification information relating to the user may be retrieved from a HL7 server. In a specific embodiment, the data repository is a HL7 data repository. In this way, the communication terminal may be configured with quick selection entries

corresponding to caregivers specifically related to that user.

The present invention may utilize information in the HL7 system to see which staff member is on duty and show name and function information accordingly. This also allows for a patient to differentiate between nurses and doctors and other care takers in the staff.

In an embodiment the inbound call may be identified as a call from an employee in the health care institution and the method comprises retrieving identification of the person calling and adapting the interaction scheme so as to include identification of the caller. In case of the patient making a call, the user may be presented with identification of the recipient of the call.

By providing a special setting for calls received from the employees of the healthcare institution, e.g. nurses, doctors etc., the user is able to quickly identify who is calling and may e.g. select to use a handset to communicate with the caller as there may be given confidential or sensitive information to the user. Additionally the picture and/or name and/or function of the hospital staff answering the call may be shown to the patient, thereby enabling the patent to readily identify which of the staff the patient has reached. Calls from a patient may be directed to a group of staff, e.g. a group of nurse associated with a specific department or ward. The group of staff may be dynamically defined e.g. staff has varying schedules and may be delayed in leaving or other factors may affect who is currently on watch. Some staff may also define their presence status to "busy" if they are unable to answer incoming calls. It is often a wish for the patient calling to know to whom he or she is talking.

Advantageously the interaction scheme may be generated in consideration of the time of day and/or the ambient conditions of the user communication terminal. By adapting the interaction scheme based on the time of day it is possible to reduce disturbance at night. The amount of volume / light to notify a patient depends on the actual time of the day. The present invention adjusts these settings on the actual time frame, e.g. low volume at night, to prevent disturbance for other patients in the same room. In dark periods a light may be used in addition to a low ringtone, or a bright light may assist a high volume ringtone when receiving a noisy day call. The amount of volume and/or light to notify a patient depends on the actual time of the day. The present invention allows making these settings adjustable on the actual time, e.g. low volume at night, to prevent disturbance for other patients in the same room. In an embodiment the interaction scheme includes ring tones and/or ringtone level. It is advantageous to adapt either, or both, the ringtone, and possibly also ringing pattern, thereby adapting the terminal to be minimally disturbing to the surroundings. The ring tone level may also be adapted. For instance during the night, ringtone level may be set low so as to disturb other patients in the room minimally. The ringtone level may be defined relative absolutely as a fraction of the maximum output or other suitable definition.

In an embodiment the method further comprises retrieving an inbound call filter, wherein the inbound call is transferred to the user terminal if the identified user have been granted right to receive calls originating external from the health care institution. By filtering the inbound calls the owner of the system is able to control which persons is able to receive calls and at what time periods they are allowed to receive calls. There may be periods, e.g. during ward rounds or during quite periods, that it is not appropriate that patients receive calls from external sources, e.g. relatives and/or friends.

A second aspect of the present invention relates to communication system for a health care institution. The system may comprise a user terminal having a transceiver unit for communicating with a server, the server receiving inbound calls to a user, the server in communication with a data repository comprising identification information relating to a user, when the server receives an inbound call the server identifying a caller from the inbound call, and the server generating an interaction scheme so as to adapt the user terminal in relation to the identity of the caller and the identification information of the user.

In the context of the present application, a health care institution is to be understood as any institution providing health care services, such as a hospital, a clinic, a care hotel or a nursing home.

By providing a system for personalized handling of inbound calls it is possible to adapt the indication of the call to the receiving person's condition. E.g. if the person, or user, is hospitalized for a more serious conditions it is not necessarily suitable to use the same settings as to a young, relatively healthy person, who is e.g. hospitalized for a broken leg.

Further, it is advantageous that the system allows for the interaction scheme to be adapted in view of who is making the call. This means that if a nurse or other health care person is calling, the call may be given higher priority and a different set of interactions may be defined compared to the scheme used for a relative calling.

In an embodiment of the inventive system, the user terminal may be configured specifically to the user. The terminal may be configured so that where when a patient uses a nurse call button, the call arrives at the user terminal that is being used by the nurse on call for the room/patient. The nurse can answer the call to inquiry the patient. In the reverse case the patient may either answer the call hands-free or pick-up the terminal or a hand-set thereof.

By using the system according to the present invention an improved privacy is obtained. If nurse calls are automatically answered with a hands-free two-way

communication, everyone in the room is able to hear information disclosed in the

conversation. The present invention provides time for the patient to pick up the phone, so that a private conversation is possible.

Advantageously the user terminal comprises a display for displaying the identification of the caller in an inbound call. The user terminal display for displaying the identification of the caller in an inbound call may be a screen, e.g. a color or monochrome display capable of displaying digital photographs. Other display types may be simpler and only allow characters so as to restrict the information to name, number and/or function of the caller.

In an embodiment the user terminal may comprise audio-visual indication of an inbound call and the audio -visual indication is adapted according to the interaction scheme.

The audio-visual indication may include a speaker unit, a vibrating unit, a light emitting unit or a combination thereof. The vibrating unit may provide a subtle indication to the user that a call is pending compared to a signal given via a speaker unit.

In an embodiment a plurality of user terminals are distributed in, or throughout, the health care institution, the health care institution is divided in a number of departments or wards, the interaction scheme for a specific user terminal is defined in relation to the department or ward that it is currently located in. For most heath care institutions there is a need for a number of terminals as many patients are usually present at any one time. A plurality of user terminals is then distributed throughout the health care institution. Most general health care institutions are divided into a number of departments or wards, each specialized in some medical field or for nursing homes just divided physically. The interaction scheme for a specific user terminal may then be defined in relation to the department or ward that it is currently located in. User's beds may be moved from one ward to another. The interaction scheme for one ward may not be appropriate for anther ward, therefore adaptation of the scheme is necessary.

Advantageously the user terminal comprises an alarm button for a user to make a direct call to a health care person on watch. If the user urgently needs medical attention from a health care person it is advantageous to have a simple, one-touch function for making an alarm call to a suitable person. The alarm may also be directed to other devices, e.g. light in the hallway, nurses stations or the like.

In an embodiment the server comprises a data repository identifying relation between a user and a group of health care persons currently on duty. The data repository defines which user is connected to which health care person. This allows the system to make a call to a person associated at that point in time to the user. The group of heath care persons may vary as some may be occupied with more prioritized assignments when the user calls.

Advantageously the user terminal is in wireless communication with the server or in wired communication with the server. It is advantageous that the terminal may be wirelessly connected to the server, e.g. via a base station or the like. In the presently preferred embodiment the DECT standard may be used. This standard is widely used and accepted. Further, the communication may be IP based, SIP -based or based on H323.

In an embodiment the communication system may further comprise a data storage for storing voice recordings of inbound calls if the inbound call is not answered within a predetermined period of time.

For some users there may be times where they are not able or do not wish to answer inbound calls. So as not to miss information relayed in that call it is advantageous that the system comprises a store for storing messages. The messages may comprise voice, but may also be supplied by images/video and/or text messages.

Advantageously the user terminal may comprise a hand-set and/or a loud speaker and microphone so as to allow hands-free communication. There may be times where the user wishes to answer an inbound call more discretely that using a hands- free mode and therefor the terminal may be supplied with both options, or simply a be hand-set terminal without a speaker unit to transmit the voice of the caller into the room.

In general the various aspects of the invention may be combined and coupled in any way possible within the scope of the invention. These and other aspects, features and/or advantages of the invention will be apparent from and elucidated with reference to the embodiments described hereinafter.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the invention will be described, by way of example only, with reference to the drawings, in which Fig. 1 schematically illustrates an overview of an embodiment of the present invention,

Fig. 2 schematically illustrates steps of a method according to the present invention, and

Fig. 3 schematically illustrates a system according to the present invention.

DESCRIPTION OF EMBODIMENTS

The present invention employs a range of different technical features. Where three are especially interesting, namely - Location based telephony (LBT) with a location based number (LBN), Inbound Call filtering (ICF) and Filter Based Action (FBA).

Location based telephony (LBT) enables the use of fixed telephone numbers per location. Each location can always be reached on the same internal telephone number.

The patient can still use a patient related telephone number that can be used independently of the patients location but this is depending on the features of the telephone system. This number will be a Direct Dial In (DDI) number on the external lines. The LBT function also enables telephony even if the patient does not have a service package with telephony. A filter will be in place to determine which numbers are allowed. The LBT enables telephony for patients, staff and visitors to emergency numbers.

Inbound call filtering makes it possible to filter all inbound calls at a user terminal. In many cases it may be useful to block inbound calls at certain time frames, e.g. nightly hours.

Filter Based Actions include, based on the filters defined with the ICF feature, determining what the action will be performed at the moment an incoming call is recognized by the filter. One of the choices is an auto-answer telephone call. Another is to decline a call.

In a proper configuration these features enable the system to add telephony based speech to the nurse call system. It enables a personal voice contact between nurse and patient. The nurse call system is not affected by this feature and will work in the same way as it did before. But by adding an alarm server the nurse call message includes the location based number. Dialing this LBN, usually by the alarm server, makes the bed side terminal to answer the call hands free. The nurse then can speak to the patient and the patient does not have to do anything to connect or disconnect.

In most hospitals a nurse call (NC) button or string is present. If the button is pressed, or string pulled, a nurse is paged, sometimes with a flashing light outside the room. Nowadays the NC button, part of the NC system, is most of the time the fastest way for the patient to get someone for help. The medical nurses are at this moment the ones who get paged by this NC system. After being paged the nurse usually has to go to the room the find the reason why the patient asks for help. Sometimes the NC system itself supports voice but if so, it is room based; meaning only personal contact with the paging patient in a single room. If more patients occupy the room, the NC voice part will be at the entrance of the room and supporting the complete room and all its patents. Only after visiting the room, the reason for the patient calling will be clear. This means that the paged nurse is maybe not the one who does the follow-up of the call, or the nurse is the one to follow-up the call but has to go to another place to get something for the patient. Also the urgency of the call is only determined after visiting the room.

By adding personal voice contact between nurse and patient the follow up of the call means a quick determination of the urgency, determining who will follow up the call and when. Another workflow is also enabled in hospitals where the follow up of a NC is followed up by a central service desk in the hospital or centralized per department.

It is not contemplated that this feature will replace the NC system itself. It only offers the possibility to add voice as a follow up on a NC. Even if the voice system or parts of it is down, the NC system will work as usual but the additional voice part could not available at that moment.

The need for inbound call filtering related to the present systems and methods enables another feature namely to filter any incoming call. By adding actions and time frames to this filtering the system provides a flexible opportunity to block inbound calls based on the caller ID and/or block inbound calls based on the time, e.g. between 23.00 and 07.00.

Users of the method and devices of the present invention include patients in hospitals. As all parts of a society is represented is some degree in the patient group they are as a group hard to generalize and their behavior is hard to predict. Therefore it is

advantageous to define sets of patient types and adapt the behavior of a bed-side terminal or user terminal based on information regarding the patient. The patients may e.g. be divided in groups of 'elderly', 'chronically ill', 'disabled', 'bed-bound' or the like.

Further, nurses visiting patients in a room may use the user terminal as well. The nurse could e.g. use the phone functionality of the terminal. In such a situation the nurse may e.g. swipe a card identifying the nurse so that the identity of the caller is the nurse and not the patient that has been assigned to the user terminal.

From the hospitals point of view there may be multiple uses of the system. The system may be used to improve the nurses' workflow by enabling voice contact between nurse and patient. This may reduce the time needed for transporting the nurse between patients and/or nurses room. The hospital may also have an interest in defining a filter for telephony e.g. only allowing internal calls and an emergency number. This may reduce the hospital's expenses for calls, or may be used for charging a patient for calls made. Inbound calls may be blocked if they originate externally if the patient does not have a service package that supports telephony, without disabling the internal phone functionality. There may be certain wards having specific limitation requirements so that a ward or department may determine for which departments specific functions are enabled. Generally it is advantageous to be able to determine when (in timeframes per day) specific functions are enabled per department.

An embodiment of the invention is illustrated in Fig. 2 which schematically illustrates steps of a method 100 for personalized handling of a user communication terminal for use in health care institutions. In the context of the present application, a health care institution is to be understood as any institution providing health care services, such as a hospital, a clinic, a care hotel or a nursing home. The method 100 comprises retrieving identification 110 information relating to the user. This may be done by retrieving data from a data repository located centrally in the health care institution or from a data store in the user terminal. The method comprises identifying a caller 120 from an inbound call. The call may be identified based on the caller ID, e.g. the caller's phone number. The method comprises generating an interaction scheme 130so as to adapt the user terminal in relation to the identity of the caller and the identification information of the user. The interaction scheme may then be applied to the terminal. The interaction scheme may include ringtone volume and/or type, visual indication, e.g. light intensity level and/or color. By knowing the identity, or at least which group, of the caller it is possible to adapt the interaction scheme in an optimal way taking multiple factors into account. By providing a method for personalized handling of inbound calls it is possible to adapt the indication of the call to the receiving person's condition. E.g. if the person, or user, is hospitalized for a more serious conditions it is not necessarily suitable to use the same settings as to a young, relatively healthy person, who is e.g. hospitalized for a broken leg.

Further, it is advantageous that the method allows for the interaction scheme to be adapted in view of who is making the call. This means that if a nurse or other health care person is calling, the call may be given higher priority and a different set of interactions may be defined compared to the scheme used for a relative calling. In hospital settings it is advantageous if the identification information relating to the user is retrieved from a HL7 server. The HL7 standard is widely used in hospitals and other health care institutions.

The method may, in an embodiment, include that the inbound call is identified as a call from an employee in the health care institution and the method comprises retrieving identification of the person calling and adapting the interaction scheme so as to include identification of the caller. This enhance the

When a patient is in a room with several other patients there is a need for respecting the other patients when communicating with a care taker. Therefore the method may comprise that the interaction scheme is generated in consideration of the time of day and/or the ambient conditions of the user communication terminal. If a call is received in the middle of the night it is advantageous that only, or as nearly as possible, the patient being called is the only person in the room being disturbed. On the other hand, if a call is received in the day time in a period where visitors are allowed there is a need for adapting the scheme accordingly so that the risk of missing a call is reduced. The interaction scheme preferably includes defining ring tones and/or ring tone level. As an example during the night a ringtone level of less than 25% compared to daytime ringtone level may be sufficient.

The health care institution may have an interest in defining which patients may receive calls, or periods where inbound calls origination from outside the institution is allowed, therefore the method may comprise retrieving an inbound call filter, wherein the inbound call is transferred to the user terminal if the identified user have been granted right to receive calls originating external from the health care institution.

Fig. 3 schematically illustrates a communication system 200 for a health care institution. The system 200 comprises a user terminal 210 having a transceiver unit 220 for communicating with a server 230. The user terminal 210 may be a bedside terminal, e.g. in the form of a handset telephone or a box removably attached to a bed where the user is. The server is the device receiving inbound calls to a user. The server 230 may comprise information relating to all persons in the health care institution. In some embodiments the server may be composed of several servers if the data load is too large for a single device to handle. The server 230 is in communication 240 with a data repository 250 comprising identification information relating to a user. The data repository 250 may be distributed amongst several storage devices. The data repository 250 may be located physically spaced from the server, and may be connected to the server via a data network. When a caller 260 wish to establish contact with a user using the terminal 210 the server 230 receives 270 the inbound call, where after the server 230 identifies the caller from the inbound call and the server 230 then generates an interaction scheme 280 so as to adapt the user terminal 210 in relation to the identity of the caller and the identification information of the user. If the caller is a nurse or other health care staff that is registered with the system 200, the data identifying that caller may be displayed to the patient. This data may include an image, a name, a function and/or a ward. If not all information is available only the available information will be displayed to the patient. Further it is possible to restrict or define which information is displayed via the server. Some wards may not wish to display an image of the staff while some health care institutions may have a policy to always display available information.

The user terminal 210 display for displaying the identification of the caller in an inbound call may be a screen, e.g. a color or monochrome display capable of displaying digital photographs. Other display types may be simpler and only allow characters so as to restrict the information to name, number and/or function of the caller.

In further embodiments the display may be used for video transmission and the user terminal may comprise a camera so that a two-way video link may be established. This may be more appropriate in some settings than in others.

As there may be wards and time periods where calls interrupt more than other it is an advantage that the user terminal comprises audio-visual indication of an inbound call and the audio-visual indication is adapted according to the interaction scheme.

Generally the interaction scheme may be applied to a device placed at or near the patents bed.

For most heath care institutions there is a need for a number of terminals 210 as many patients are usually present at any time. A plurality of user terminals 210 is then distributed throughout the health care institution. Most general health care institutions are divided into a number of departments or wards, each specialized in some medical field or for nursing homes divided physically. The interaction scheme 280 for a specific user terminal 210 may then be defined in relation to the department or ward that the terminal 210 is currently located in. Patient's beds may be moved from one ward to another. The interaction scheme 280 for one ward may not be appropriate for anther ward, therefore adaptation of the scheme is necessary.

When a patient experiences worsening of his or her condition and is in need of medical attention, the user may use an alarm button for a user to make a direct call to a health care person on watch. Via the system the user terminal is able to establish contact to an appropriate person. As mentioned a specific member of an appropriate group, e.g. a group of nurses, may be unavailable, the alarm should therefore not be directed at that person but a person available for responding to the alarm. The alarm may further be directed to a corridor display, room signal light or universal terminals and in the same time to an alarm server. The alarm server preferably has a digital connection (e.g. ESPA Plus) to a Nurse Call system.

When calling a nurse the nurse receives a call with location information and internal (fixed) telephone number. The nurse is preferably equipped with a DECT handset with alpha numeric display. The DECT network is capable of handling the data or voice call.

For optimizing the communication it is advantageous to include in the server a data repository identifying relation between a user and a group of health care persons currently on duty. The group of health care persons may vary over the day, e.g. one or more persons may be busy with higher prioritized assignments.

The user terminal 210 is in wireless communication 290 with the server or in wired communication with the server, alternatively both possibilities may be present in the user terminal 210. The wireless connection 290 may be a DECT connection. In other embodiments the wireless communication may be based on IP communication, based on SIP or based on the H.323 protocol. The wired connection provides a connection that will reduce the terminals interference with other equipment in the health care institution compared to a wireless connected terminal. The wireless connection 290 has other advantages in that it is easier to move the terminal 210 in the health care institution.

In some situations, e.g. if the patient is being examined or treated, the patient will not be able to answer an incoming call and if the system comprise a data storage for storing voice recordings of inbound calls if the inbound call is not answered within a predetermined period of time the patient is then able to retrieve the information. The data storage may be internal to the terminal 210 or external, e.g. via a connection 290 to the server 230.

For some situations, e.g. during nighttime or when discussing confidential or sensitive information, it is an advantage if the terminal comprises a hand-set. For other situations it is an advantage to utilize a loud speaker and microphone so as to allow hands- free communication. It is presently preferable that the user terminal comprises both options so as to allow the patient to make a choice as to which communication way to choose.

While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive; the invention is not limited to the disclosed embodiments. Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing the claimed invention, from a study of the drawings, the disclosure, and the appended claims. In the claims, the word "comprising" does not exclude other elements or steps, and the indefinite article "a" or "an" does not exclude a plurality. A single processor or other unit may fulfill the functions of several items recited in the claims. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage. A computer program may be stored/distributed on a suitable medium, such as an optical storage medium or a solid-state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless

telecommunication systems. Any reference signs in the claims should not be construed as limiting the scope.

Claims

CLAIMS:

1. A method (100) for personalized handling of a user communication terminal (210) for use in health care institutions, the method (100) comprising:

retrieving (110) identification information relating to the user, identifying (120) a caller from an inbound call, and

generating (130) an interaction scheme (280) so as to adapt the user terminal

(210) in relation to the identity of the caller and the identification information of the user.

2. The method (100) according to claim 1, wherein the identification information relating to the user is retrieved from a HL7 server.

3. The method (100) according to claim 1, wherein the inbound call is identified as a call from an employee in the health care institution and the method comprises retrieving identification of the person calling and adapting the interaction scheme so as to include identification of the caller.

4 The method (100) according to claim 1, wherein the interaction scheme (280) is generated in consideration of the time of day and/or the ambient conditions of the user communication terminal (210) and/or wherein the interaction scheme (280) includes ring tones and/or ring tone level.

5. The method (100) according to claim 1, wherein the inbound call includes video and/or text and/or voice.

6. The method (100) according to claim 1, further comprising retrieving an inbound call filter, wherein the inbound call is transferred to the user terminal (210) if the identified user have been granted right to receive calls originating external from the health care institution.

7. A communication system (200) for a health care institution, comprising:

a user terminal (210) having a transceiver unit (220) for communicating with a server (230), the server (230) receiving inbound calls (270) to a user,

the server (230) in communication (240) with a data repository (250) comprising identification information relating to a user,

when the server (230) receives an inbound call (270) the server (230) identifying a caller from the inbound call (270), and the server (230) generating an interaction scheme (280) so as to adapt the user terminal (210) in relation to the identity of the caller and the identification information of the user.

8. The communication system (200) according to claim 7, wherein the user terminal (210) comprises a display for displaying the identification of the caller in an inbound call. 9. The communication system (200) according to claim 7, wherein the user terminal (210) comprises audio -visual indication of an inbound call and the audio -visual indication is adapted according to the interaction scheme (280).

10. The communication system (200) according to claim 7, wherein a plurality of user terminals (210) are distributed in the health care institution, the health care institution is divided in a number of departments or wards, the interaction scheme (280) for a specific user terminal (210) is defined in relation to the department or ward that it is currently located in.

11. The communication system (200) according to claim 7, wherein the user terminal (210) comprises an alarm button for a user to make a direct call to a health care person on watch.

12. The communication system (200) according to claim 11, wherein the server (230) comprises a data repository (250) identifying relation between a user and a group of health care persons currently on duty.

13. The communication system (200) according to claim 7, wherein the user terminal (210) is in wireless (290) communication with the server or in wired communication with the server.

14. The communication system (200) according to claim 7, further comprising a data storage for storing voice recordings of inbound calls if the inbound call is not answered within a predetermined period of time.

15. The communication system (200) according to claim 7, wherein the user terminal (210) comprises a hand-set and/or a loud speaker and microphone so as to allow hands-free communication.