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When the AZ Sint-Elisabeth Hospital in Zottegem (SEZZ) decided to implement an ERP system for more integrated and centralised management, it did not want to confine itself to central administrative departments. The intention was that the warehouse and specific departments could also enjoy the benefits of further process automation. But this required appropriate, user-friendly hardware and software that integrates perfectly with the central ERP system. This is where PHI DATA was able to help.

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AZ Sint-Elisabeth Hospital Zottegem (SEZZ) is a regional hospital with 333 registered beds and a day hospital (surgery, oncology and internal medicine, geriatrics) with 74 places. A team of over 100 doctors and more than 900 employees takes care of around 35,000 admissions per year.

Project description

The AZ Sint-Elisabeth Hospital Zottegem (SEZZ) has been working on the digitisation of its business processes for some time. The next step was the further automation of the logistics processes and stock management of the warehouse, the clinical lab and the Anatomo-Pathology department.

We used to have to go through our stock every week to know what to reorder. Today, with the combination of PHI DATA and our ERP system, the entire stock is labelled upon receipt and scanned upon use. When scanning, we know immediately. whether we still have enough stock, so that unpleasant surprises are avoided. Moreover, the solution is very user-friendly and intuitive, which also helps with the acceptance by the users. – Annelies, Laboratory technician Anatomo-pathology

To improve communication between the logistics centre, the various departments and the central management system and to avoid errors in stock management, AZ Sint-Elisabeth Zottegem found a Smart Edge solution at PHI DATA, which uses a combination of IDhospitalsupply software and hardware (Datalogic Memor 10 Healthcare mobile devices, Datalogic Gryphon 4500 Healthcare barcode scanners and robust Zebra GK420 TT printers).

The solution excels in simplicity. The interface is clear enough so that little misunderstandings are possible. And everything is correctly communicated to the ERP system, without extra effort and without errors. – Kathleen, Lead Laboratory

The mobile devices and barcode scanners now register the needs of the warehouse and the specific departments, and communicate everything with the central management system. In this way, users can efficiently keep track of stocks without making mistakes and the central logistics centre maintains a better overview.

Thanks to the open and constructive approach of all parties – PHI DATA, Xperthis and our IT team – the delivery and integration was tailor-made and within the deadline. – Johan, Head of Logistics and Warehouse

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The Smart Edge solution from PHI DATA, which connects the physical and digital environment and processes, improves communication between the logistics centre and the central management system, and between the logistics service and the departments that use the system. All this results in less time loss and fewer errors, so that employees can devote more attention to actual healthcare. The user-friendliness of the applications ensures great acceptance by the end users.

In the meantime, the support provided by the PHI DATA team remains as reliable as ever, adds Johan: “Our contact Wim Verduyn is always 100% ready to help us. If we need a new device by tomorrow, he’ll take care of it, no matter what. And that contributes to our satisfaction too.”

Smart Edge solution

  • User-friendly combination of software and hardware that integrates perfectly with the existing central ERP system

Advantages

  • Improved communication between the logistics centre and the central management system
  • Operation of logistics to and from the warehouse simplified
  • Less loss of time, fewer mistakes, more attention to healthcare
  • User-friendliness promotes acceptance by the end user

Technology

  • PHI DATA’s IDhospitalsupply software
  • Datalogic Memor 10 Healthcare mobile devices
  • Datalogic Gryphon 4500 Healthcare barcode scanners
  • Robust Zebra GK420 TT printers

Each year at Audi Brussels more than 120,000 Audi A1s roll off the production line. That’s down to the hard work of more than 2,500 employees. All the different car parts are pulled, pushed, lifted and tidied by around 3,400 trolleys which drive around in all shapes and sizes. All that rolling material needs to be serviced thoroughly, at least once a year. The lifespan of traction batteries also increases when they are regularly serviced. In their search for a solution for a better overview and increased efficiency, Audi came to PHI DATA.

With 3,400 different sorts of trolleys driving around, it’s difficult to keep track of which ones have already been serviced and which urgently require a check-up. Audi employees in Brussels did what they could using Excel sheets which were filled in daily. However, some trolleys were not checked regularly enough. On top of that, the trolleys in the assembly area needed to be available throughout the working year. During the annual holiday, the ideal time for a check, they were sometimes impossible to track down because they weren’t in their normal place. That made the essential annual check tricky.

Audi went to find a solution to get a much quicker overview of the trolleys that had been checked and to see those that were urgently in need of a service. They chose a system where each trolley was fitted with passive RFID tags. A system with directional antennas reads the tags in a passage way used daily by most trolleys. Meanwhile, the service team go around with handhelds and scan the trolleys they come across. Each employee has their own login details and can immediately record in the system which trolley they have checked and the action that was taken.

“I knew exactly which solution I preferred”, said Koen Cosyns, Facility Management Coordinator at Audi. “Passive RFID tags give me the overview I want, for a reasonable price. I told PHI DATA what I was looking for, and they wrote a bespoke programme for Audi Brussels. It wasn’t simple, because there were many restrictions. Also, the trolleys that needed checking don’t have a uniform shape, form or function.”

Audi took no risks when looking for the right partner. “We went to other suppliers too, to see what solutions they could provide. PHI DATA gave the best solution based on price and quality. Also, we worked with them already: PHI DATA has supplied our printers and scanners for years. That means they know our business well and we know that they are a professional trusted partner. The collaboration is good and in the event of a problem they quickly come to our aid.”

Since implementing the solution, fewer repairs have been necessary and the lifespan of the trolleys in circulation has increased. “To give an idea of the impact of the systematic servicing: we also use the solution for our traction batteries, which supply electrical energy to our forklift trucks and pallet trucks, among other things. We trace the servicing of more than 300 traction batteries, which altogether are worth around 1 million euros. There too we can quickly and easily identify when they were last serviced and what action was taken.”

This is done using a copy of the programme that PHI DATA made for our rolling stock. Service staff go around with handhelds and read the tags of batteries they come across or are working with. Here too they can record directly in the system the work they have carried out. “That’s a big advantage of the handheld terminals, which we use for both stationary trolleys and batteries. The employees scan the RFID tags and can see in the database immediately whether a service is required. They used to have to scroll through endless Excel spreadsheets. The lifespan of our traction batteries used to be three to five years and has now been increased to seven years, thanks to regular servicing.

In time, Audi plans to do even more with the solution. “We are now looking at the data that can be captured for production linked units using the RFID tags. For that project we want to work with PHI DATA again.”

audi workflow management

DHL Parcel (Speedpack) delivers a daily total of over 6,000 parcels, 800 pallets and 2,000 irregular-sized items in Belgium and Luxembourg. This involves around 270 vehicles departing every day from the warehouse or one of the five cross-docking zones in Belgium.

DHL Parcel (Speedpack) went out looking for a solution to make deliveries as efficient as possible and to offer customers the possibility to follow their parcels in real time. This solution was also to give an alert in case of a discrepancy between the load and the delivery note. With a number of customers at DHL Parcel (Speedpack) having rather specific reporting requirements it needs to be possible to also create customised reports. Finally DHL Parcel also wanted the solution to integrate complaints and claims easily in the process.

“We have been in touch with a number of suppliers”, says David Thys, BPO/IT Program Manager at DHL Parcel. “IDdelivery from PHI DATA came top when we compared them. There were a number of reasons for that. PHI DATA scored well in the ratio between price and quality, and also regarding installation and daily operation. Not only that, their system was easy to use and quick to implement while also providing all the options we were hoping for.”

IDdelivery gives each item a barcode with a unique number. These numbers are linked to a delivery note belonging to a particular round or route. All drivers have an industrial PDA from Motorola with integrated barcode scanner. This has a real-time connection to the central database. By scanning all barcodes during loading, drivers can check immediately if they are leaving with the correct load.

After loading, IDdelivery displays the list of all delivery addresses en route. With just one press of a button the driver can start the journey and head towards the first address on the list. The system is connected to planning software and Bing Maps, in order to calculate the best route and the anticipated arrival time. This enables customers to follow their package in real time and know precisely where it is at any particular moment and at what time it is expected to arrive at their home.

Once it arrives at the customer the delivery note and barcode on the article are scanned. Should there be any problems with the delivery, for example if it has been damaged, this can be identified, using photos if necessary. The recipient signs the delivery note or the PDA screen, avoiding any discussion later on about whether the goods have been received.

After delivery the details are available straight away, allowing administration to be finalised or for customer service, without the driver having to bring in the paperwork first.

“We are really delighted with the solution”, says David Thys. “In the meantime it’s been up and running for a number of years and both our fleet and our back office can now work more efficiently. In addition we invest less time and money in making phone calls, both to and from people with questions about their delivery and to and from our drivers. Our customers are happy because we can offer them customised support. And people waiting for a delivery are really positive about it because they can check their parcel’s delivery time online.”

AZ Monica is a private hospital of 477 hospital beds and 100 day hospitalization beds in the Antwerp region. It arose from the merger of Mary Mediatrix Hospital in Deurne and Eeuwfeestkliniek in Antwerp.

Later, the Apra clinic (rehabilitation) integrated into the Antwerp campus. Both original campuses remain as fully acute hospitals, but more and more specialization and complementarity is needed. AZ Monica is also affiliated with the University Hospital Antwerp (UZA) via a group .

In Belgium the hospital is known as a progressive institution and draws that line also in its logistics needs. PHI DATA received the commission of providing all consumables with RFID tags to manage the stock more efficiently. In addition, PHI DATA also implements ARTA , the mobile solution for ” resources and patient transport ” , which is used on Motorola MC55A – HC Healthcare handhelds, a first in Belgium.

Watch the video:

Challenge:

A solution to organise recurring logistics processes as efficiently as possible.

Description:

Inventory management in collaboration with ERP supplier Xperthis; ERP at PC level, mobile terminal with PHI DATA IDhospitalsupply software, which is connected to the central ERP system (SAP). There are a total of 10-15 users.

Solution:

Handheld scanners with IDhospitalsupply software.

Results:

Faster way of working and more efficient internal logistics

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Like most hospitals, AZ Maria Middelares in Ghent has to supply the storage rooms of the patient wards at regular intervals. In the storage rooms are shelves with trays, which hold everything the nursing staff use on a daily basis: from plastic cups, bandages and plasters, to sterile goods and printed material.

Until 2013 the inventory management was carried out manually. Warehouse workers would walk to a dozen wards in the hospital to check which non-sterile products needed to be replenished in the storage room. As soon as a tray was empty, the worker would note this information in his laptop, which was connected to the central ERP system. In the warehouse he would see which products needed to be collected, to replenish the empty shelves during his next visit to the ward.

This way of working was very time consuming and due to the manual input also error-prone. Therefore, the AZ searched for a solution to organise these recurring logistics operations as efficiently as possible. After all, in 2014 and 2015 Maria Middelares would expand this supply method to some thirty wards; and not just for the non-sterile, but also for sterile goods.

PHI DATA introduced a barcode system for the identification of the wards and the individual items. These are registered via handheld scanners with tailor-made software. Per scan a text file is generated, which is read in the central administrative ERP system via a USB connection to a PC. If a shelf is empty, the warehouse worker scans the barcode of the shelf, and that code is loaded into the ERP system. In doing so, the warehouse workers know quickly and without errors which ward needs which products.

“The new way of working is much more efficient”, says Bart Claus, distribution employee at AZ Maria Middelares. “The major advantage is that hardly any mistakes are made anymore, as we no longer have to enter the information manually. Not only is the margin of error greatly reduced, it also gains us a lot of time – up to 2 to 3 hours per day.”

“We chose PHI DATA as it was very convenient that they could deliver both the hardware (the handheld scanners) and the software (on the scanners)”, Bart Claus adds. “We are very satisfied with the solution and plan to extend it in the future with other possibilities such as the compilation of inventory and the automatic calculation of consumption.”

At AZ Jan Portaels, Vilvoorde’s general hospital, there are 858 members of staff and 130 specialists. Each year 10,700 patients are hospitalised in the 406 beds. Lots of patients means lots of work. In order to manage things as efficiently as possible, AZ Jan Portaels went out looking for solutions to look after disorientated patients in the geriatric ward, as well as ways to guarantee quality in the storage of medicines, reagents and patient samples. PHI DATA proved to be the perfect partner.

Effective wander detection

AZ Jan Portaels was looking for solutions to a number of different problems. The system already in place to detect people wandering off from the geriatric ward was not sufficiently reliable. Those involved got together to consider what they wanted from a new system, guaranteeing the safety of disorientated patients without taking up too much of the personnel’s time. They came up with a list of five priorities:

  • The new system should be reliable
  • The alarm should go off as little as possible
  • The alarm should go via the DECT
  • Only the exit should be monitored
  • Closed doors discourage people from wandering off, but at the same time the ward likes to have an open feel.

The solution presented by PHI DATA satisfied their needs perfectly. Doors remain closed under normal circumstances and open automatically as soon as someone approaches, when the person coming closer has no tag. When a patient with a tag approaches however, the door remains closed. The alarm only sounds when someone with a tag approaches the door when the door is already open. When a patient wearing a tag needs to be transported, for example for an examination, personnel use the badge system. In this way the patient is allowed temporary access.

“We are really happy with the partnership”, says Marc Debremaeker, head of the department of Biotechnology and staff member of MICT (medical informatics and communication technology). “Given that we intended to link the solution to other, existing systems, we needed a partner to think it through with us. The small issues which always arise in this type of project were quickly resolved by PHI DATA. Also, the solution does exactly what we hoped. As the alarm only sounds when a patient effectively leaves the department, we can guarantee the safety of our patients without staff losing too much time in keeping an eye on the exit.”

Temperature monitoring

Another factor that convinced AZ Jan Portaels to choose PHI DATA’s solution, is its modularity. In fact, the hospital is already delighted to be taking advantage of this opportunity: PHI DATA was also our selected partner for monitoring the temperature of fridges in the pharmacy, laboratory and in the nursing and consultation areas.

The laboratory was the first to benefit. “In order to conform to the ISO 15189 standard, the laboratory must monitor the temperature of fridges, freezers and incubators. This concerns a total of 34 locations on our site. These locations were all visited once a day to check the minimum and maximum temperatures on the thermometers, but that was time-consuming, inefficient and some problems were identified too late”, says doctor Sonja De Bock, head of the department of Biology. That’s why the laboratory went out looking for an automated system monitoring temperatures on an ongoing basis and issuing a warning when certain pre-determined tolerances were exceeded.

In the end they chose the AeroScout Condition Monitoring solution from PHI DATA. Tags in the fridges, freezers and incubators monitor the temperature on an ongoing basis. If pre-determined tolerances are exceeded then an alarm is sent by mail and DECT. The wireless solution, operating via Wi-Fi, creates an archive as well as monthly reports. Furthermore, it is possible to trace temperatures which are out of tolerance and any corrective measures taken.

Calibration as a service

Once everyone was happy with the tags in all the fridges, freezers and incubators in the laboratory the focus moved to the fridges in the pharmacy and nursing and consultation areas. These quite often contain very expensive medicines and it is the chemist’s job to ensure that these are stored properly until the moment they are given to the patient.

“We created a tender for the job”, says Kim De Gieter, head of the Pharmacy  department. “Four suppliers applied. The job was awarded to PHI DATA because they met the criteria best of all. We have bought fifty monitoring tags, and have also chosen calibration as a (managed) service.” Calibration as a service means that, each year, AZ Jan Portaels receives a box full of calibrated tags before the certificate expires, including the appropriate certificates and an overview of the unique codes. All Jan Portaels has to do is swap the tags over, activate the new tags and pack up the old ones and send them back. Each year, upon return, PHI DATA then checks the old tags for any wear and tear. All tags are given new batteries every 2 years. That means that AZ Jan Portaels can be sure that the tags are working correctly at all times.

“We are really delighted with our choice, despite the fact that the roll-out took quite some time, given that all the nursing and consultation areas and operating theatres were involved. Also, the staff involved needed to be informed or trained. However, once everything was set up properly and everyone knew how to use it, the return on investment was quite clear: the wireless Condition Monitoring solution provides automatic reports with clear visibility of temperatures and the duration of any temperature anomalies. That means we can make the right decisions regarding whether medication may still be used or not. Not only that, the collaboration is also very smooth. The people working at PHI DATA can be reached quickly and easily in the event of questions or problems.”

PHI DATA implemented a barcode scanning system for the marking, inventorying and tracking of unique objects using barcodes at AZ Jan Palfijn in Ghent. This solution includes hardware, labels and licences, as well as the implementation and linking with the existing asset management system.

Asset inventory

The technical department and the infrastructure department of AZ Jan Palfijn were looking for a solution that would allow making a periodical inventory of all assets in the entire hospital. These “assets” include medical equipment as well as tables, chairs and other moveable furniture. The aim is to make the rounds in the hospital once or several times a year, to check which objects are in which rooms. The solution would also have to be able to communicate with the current asset management system.

To get a clear overview of the location of the moveable objects and devices within the hospital, this past year the AZ Jan Palfijn introduced an asset management system (Rimses), in which all objects can be itemised. In that system, the name, purchase date and the location are entered in this system, together with all the technical details. However, this system is not capable of conducting periodic checks. To perform such checks, a solution of PHI DATA is used. The Wemmel specialist in Auto-ID solutions proposed a solution which would make use of hand-held scanners for the registration of assets and the software package IDAsset to link the information to the existing asset management system.

How does it work?

Hein Reynaert explains how the registration and inventory work: “All assets which must be itemised, receive a sticker with an object number and barcode. This way we immediately know which devices were itemised, and which weren’t. These labels are supplied by PHI DATA and read with a barcode reader. The technical staff from the infrastructure department have two hand-held scanners do to so, which are linked to the Wi-Fi network and can be used to scan objects in all the rooms. These hand-held scanners operate using an Android IT system, which includes the IDAsset application of PHI DATA.”

In practice this means the employees first scan the barcode of the room they want to make an inventory of, as every room has its own unique number. Once that has been done, they will see on their screen which devices are supposed to be there. Then they can begin to scan the barcodes of all the objects present in the room. As soon as they have completed their check, the screen provides an overview of the missing devices, and which devices have been scanned too many times compared to the last time. The employee conducting the scan sends the information with the inventory via Wi-Fi to the existing asset management system. There, all fields are updated with the new information. Next, PHI DATA’s software, IDAsset, makes the link between the room numbers and the object numbers.

Easy and user-friendly

“Since we’ve started to use the scanners, our work has become a lot easier. The user-friendliness has made carrying out the periodical inventory very easy. Where before we had less control over the precise location of devices and furniture, we can now immediately see when something is missing”, Hein Reynaert explains.

The collaboration with PHI DATA has been very positive. “PHI DATA immediately understood what our wishes and needs were. Both for the technical aspects and the execution of the project, we have no complaints: everything went very smoothly. Besides the employees of PHI DATA itself, their solution was also very flexible. All settings and adjustments to make communication possible with our Rimses asset management system were carried out for IDAsset. From our side, no adjustments have been necessary. We hope that soon all assets in the hospital can be provided with barcode labels, so that the system can be used in the entire hospital.”

Challenge:

Alert an intervention team efficiently and rapidly in case of aggressive behaviour against staff.

Solution:

RTLS solution with RFID tags from Stanley Healthcare (Aeroscout)

Result:

Increased staff safety in case of aggressive behaviour.

Patients or family members who get bad news, are under the influence or suffer from a psychiatric disorder, don’t always react in a predictable way. The more than 1,100 employees of AZ Klina, the general hospital in the Northern Antwerp region, are well aware of this. Early 2013 the hospital went looking for a solution to protect its staff against aggressive behaviour. PHI DATA was able to supply that solution.

The hospital was looking for a system that allows staff to quickly and easily  alert an intervention team in the event of aggression. The device had to be comfortable to wear, transmit reliable data to the alarm central and also indicate whether people are in or out of range.

PHI DATA implemented an RTLS (Real Time Location System) solution in which doctors, nurses, paramedics and support staff are equipped with badges that contain tags by Stanley Healthcare (Aeroscout). The T3 tags are compact and have an active RFID chip. PHI DATA was able to implement the RTLS technology in existing Wi-Fi systems which enables a real-time information transmission about the location or condition of people and/or goods.

The implementation at AZ Klina took place in five steps.

The first stage determined which departments needed tags and how many. In a next step the ideal configuration was implemented on the T3 tags and all tags and functionalities were tested. Next, the tags were connected to the alarm server in order to connect the right phones to each type of alarm. Then the team analysed how the reporting regarding calls, battery level and tags in and out of range had to be addressed. Lastly, a user guide was developed for anyone who had to be able to handle the T3 tags.

After this first positive experience, AZ Klina is considering to also trace patients and medical appliances.

“We have been using the system now for over a month and we are very happy so far”, says Jan Herrijgers of  AZ Klina. “During the implementation we already noticed that PHI DATA reacts very quickly in case of issues or questions. They did a good project follow-up and chased open issues themselves. The result is obvious: we now have a very reliable system that tracks autonomously whether tags are in or out of range and receive an excellent support.”

The Heilig-Hart Hospital Roeselare (now AZ Delta) – Menen implements different localisation applications. Advanced RTLS (Real Time Location System) capabilities will simplify the work of the staff and increase patient safety and convenience. The applications use the  Wi-Fi network that PHI DATA installed earlier in all buildings of the three hospital campuses.

After installing a Cisco Wi-Fi infrastructure, linked to an AeroScout localisation system (MobileView RTLS platform), PHI DATA analysed the needs and different test installations allowing users to also provide their input.

Tracing sterile sets

One of the priorities is the integration with the applications of Aexis Medical,  leader in applications for the central sterilisation department. The MLine Suite from Aexis Medical offers the possibility to track the location of sterile sets, patients and equipment by scanning barcodes. Thanks to the integration with the AeroScout MobileView platform, this process will be completely automatic. The set can be followed throughout the entire hospital.

Other localisation applications

  • Wander detection system for patients in nursing units. To improve the safety of patients, doors are protected with Exciters linked to tags. As soon as a patient without guidance (from staff or family) would leave the unit, an alarm is triggered.
  • For the preventive maintenance of the IV pumps an important localisation application was developed. The more than 1,000 pumps are equipped with a tag that indicates the location. It is expected that this will reduce the number of pumps and the maintenance costs with 30%.
  • Aggression prevention through bidirectional (T4B) tags. With these tags nurses can communicate in a simple way with the security staff via short messages and automatically transmit their location.

The AeroScout solution comprises a licence for 2,500 tags to be implemented over a timespan of three years.

We were looking for a comprehensive Track & Trace solution that allows us to work in an efficient and user-friendly way, that works preventively and guarantees a better service to our patients. From the outset, we wanted to provide a complete platform that can be used in the entire hospital. The cooperation between Aexis Medical and PHI DATA enables us as users to define our needs and analyse the operation afterwards. An ideal situation.”

Chris van der Beken – IT Director

CHU Liège has signed a contract with PHI DATA, specialised in solutions for automatic identification and localisation. The hospital associated with the University of Liège calls on PHI DATA for the temperature monitoring in the refrigerators, freezers and tanks of 47 laboratories. In addition, the project will soon be expanded with an intelligent system for temperature monitoring of transported blood bags and CHU Liège is considering to implement an alarm system with localisation possibilities.

In 2011, the CHU – Centre Hospitalier Universitaire – of Liège went looking for a partner who could help with the delivery, implementation and follow-up of a centralised system for temperature monitoring. That would have to monitor the temperature in the cold rooms, refrigerators, freezers, autoclaves and nitrogen tanks of the 47 laboratories at the hospital.

In addition, the system had to comply with a lot of conditions: the accompanying software had to be able to analyse the results and if necessary notify the right group of people per text message, e-mail, siren, etc. Additionally, the temperature had to be checked on a regular basis and different persons had to be assigned to different roles.

After comparison of a dozen players on the market, CHU Liège decided to work with PHI DATA. They proposed the tags from AeroScout, market leader in the field of tracking and monitoring via Wi-Fi. Wim Verduyn, Senior Key Account Manager at PHI DATA, explains: “The biggest challenge turned out to be at the beginning of the project. There were two Wi-Fi networks available: the one of the hospital and the one of the University of Liège. Neither, however, turned out to meet the requirements for the support of the tags. Since the hospital had already decided to implement a new Wi-Fi network from AeroHive, we advised them in view of the urgency of the implementation to start with the labs. This allowed us to proceed quickly and meanwhile, already 273 refrigerators and freezers in the 47 laboratories have been equipped with tags.”

The results of the first implementation are so positive that CHU Liège is currently considering an expansion of the project. The cooling boxes that carry blood bags and samples would also need to be monitored. PHI DATA has therefore suggested to put tags in the cooling boxes, so that they can be initiated during transport and trigger an alarm when the temperature rises or decreases. Since the tags also have a memory they can continue to monitor at times when there is no Wi-Fi signal.

In addition, CHU Liège also wants to install an alarm system to protect staff and equipment. Some doors and staff then get an alarm button that they can enable when there is danger. Those buttons have a localisation system so that the location of the alarm is passed on simultaneously.