Robert Horne, RCDD. Sylvain Charuest, RCDD

Transcription

1 Networking for Healthcare Robert Horne, RCDD Dave Hanson, RCDD Sylvain Charuest, RCDD

2 Introduction Agenda State of healthcare IT today Integration or segregation? Breakdown by discipline Where does the ITS industry fit-in? Creating efficiencies How standards are helping Questions

3 Background Introduction The slow march toward integration Standards

4 State of Healthcare IT Today Where do we stand? Is it happening and where? Example: Sault Area Hospital

5 ``RUBICK S CUBE``CONVERGENCE CONVERGENCE

6 Status by Discipline Voice Services Telephone systems integration (analog and digital) Cellular and wireless phone systems Paging and overhead paging systems Multimedia communication and leisure systems Cable TV/Entertainment systems Fire alarm systems Building Automation System (BAS) HVAC integration Power management ( Primary, emergency and redundant power infrastructure) Access control/security Video monitoring (CCTV) Cabling Infrastructure Backbone Structured t cabling network infrastructure t Cabling distribution per floor Wireless Services Wireless distribution and services (Wi-Fi/Wi-Max) Distributed Antenna System (DAS)

7 VOICE OC SERVICES S Telephone Systems Integration

8 TELEPHONE SYSTEMS INTEGRATION ANALOG PSTN Voice modules Remote users Analog T1/PRI E1,BRI DID Microsoft or Ultrix Voice software GUI TUI x 101 WEB server interface x 102 x 103 VoIP Internet IP phones CALL CENTER DIGITAL IP phone Gateway H.323 Router NT Database Medical

9 BACKBONE CABLING Infrastructure PATIENTS AND STAFF TENANT & CARRIER WIRELESS TELECOMMUNICATIONS CLOSET PROPERTY LINE DEMARC. / MTR BACKBONE CABLE ENTRANCE ROOM CABLE TV/ INTERNET PROVIDER TELEPHONE CARRIER 1 TELEPHONE CARRIER 2

10 BACKBONE CABLING Applications WIRELESS DISTRIBUTION DAS Paging & overhead Paging systems PATIENTS AND STAFF CCTV/MULTIMEDIA ANALOG & DIGITAL VOICE CALLS NURSE CALLS / COWs HVAC/BAS Patients remote monitoring Pharmaceutical Remote applications ACCESS CONTROL SECURITY POWER MANAGEMENT Medical staff Extranet VPN/Extranet medical applications

11 IP Phones IT stations Basic video service Nurse calls Multimédia Patient monitoring FLOOR DISTRIBUTION Vertical Firestop System Cable Tray on Wall for Support LOW DENSITY WORK AREA 2 TO 6 CABLES MEDIUM DENSITY WORK AREA 6 TO 14 CABLES HIGH DENSITY WORK AREA + 14 CABLES COWs Pharmaceutical Medical room Cable Tray or Cable Tray or Conduit to TR Conduits to TR Cables pass Pass through Firestop System System

12 FLOOR DISTRIBUTION Universal Distributed Wallplates (low & medium density) Cat6 U/UTP & Cat6a F/UTP ( 3 or 6) x RJ45 Optional 50um Laser optimized (2 or 4) x MM fibres Optional (1 or 2) x RG6 coaxial (High Density) Singlemode 10um (2 or 4) X SM fibres

13 Fire Alarm Systems

14 Fire Alarm Systems For technical & safety issues, Fire Alarms Systems are not totally integrated to the communication infrastructure

15 Fire Alarm Systems Specific cables are in use as a medium for Fire Alarm Systems RISER ALARM CABLES Wiring of fire alarms Smoke detectors Voice Communications Burglar Alarms Fire protective circuits Cables (Shielded/Unshielded) 22 AWG to 12 AWG (2 to 12 conductors) NON-PLENUM FIRE ALARM CABLES Addressable Fire Alarm Systems Fire Alarm systems Smoke detectors Voice Communications Pull Boxes Cables (Shielded/Unshielded) 18 AWG to 12 AWG (2 to 4 conductors) PLENUM FIRE ALARM CABLES Fire Alarm Systems Smoke detectors Voice Communications Pull Boxes Cables (Shielded/Unshielded) 18 AWG to 12 AWG (2 to 4 conductors) Basic Color Code Chart for Alarm Cables Wire Color 1st Black 2 nd Red 3rd Brown 4th Blue

16 Paging Systems

17 Paging/Emergency Broadcast WIRELESS DISTRIBUTION DAS Voice and text paging BACKBONE/HORIZONTAL CABLING Ceiling/Surface Speakers Outdoor Speakers Text paging Emergency with CCTV Amplification head end

18 Nurse Call

19 Nurse Call System WIRELESS DISTRIBUTION DAS BACKBONE/HORIZONTAL CABLING Paging/PDA/SMS Cellular/ Wireless Telephone integration Telephone/Patient /Bathroom call systems LED Displays

20 Multimedia/CATV

21 Multimedia/CATV WIRELESS DISTRIBUTION DAS Computer Video source CATV head end BACKBONE/HORIZONTAL CABLING Digital Signage Video Conferencing Patient care Patient TV/CATV Wayfinding/Directions Interactive/training

22 CCTV

23 CCTV WIRELESS DISTRIBUTION DAS Analog/Digital/IP Cameras Video storage BACKBONE/HORIZONTAL CABLING Video displays Video on PDA

24 Access Control/Intrusion

25 Access Control/Intrusion WIRELESS DISTRIBUTION DAS BACKBONE/HORIZONTAL CABLING Computer programs Access Panels Intrusion Panels Biometrics Card Swipe Access doors/turnstiles Intrusion protection Pharmaceutical protection Perimeter protection

26 Building Automation

27 Building Automation WIRELESS DISTRIBUTION DAS Computer Controller BACKBONE/HORIZONTAL CABLING Occupancy Control Lighting Power/UPS/Generators Air Handlers Water Systems Security Room Automation

28 Wireless

29 Wireless WIRELESS DISTRIBUTION DAS Distributed Antenna (DAS) Wi-MAX Wi-FI BACKBONE/HORIZONTAL CABLING Voice/Cellular Multimedia Network BAS Security

30 Design Keys The Key to any healthcare networking solution is the capacity to cost-efficiently, promptly and securely generate, collect, retrieve and share communication information of all types with humongous throughput needs. Health care information exchange needs evolve and expand rapidly, the Key is to provide enough room and designated spaces to support all types of infrastructures. The Key is long term planning, it s a much less intrusive approach for MACs. Initial robust installations with high quality and high bandwidth efficiency is the Key. The Key for design is to planned with type of area and zone density needs (Low, Medium and High) The Key is to sketch for initial growth of 100 % + and proposed p larger facility to accommodate telecom rooms than a typical office ST rooms. The Key is to work in close relation with applications needs approach