Distributed Antenna Systems: Enabling Commercial Wireless Inside
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- Evelyn Preston
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1 Distributed Antenna Systems: Enabling Commercial Wireless Inside DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
2 Mission: The DAS Forum* is dedicated to the development of the distributed antenna system (DAS) component of the nation s wireless network About The DAS Forum: Founded in 2006, The DAS Forum is the only national network of leaders focused exclusively on shaping the future of DAS DAS Forum members own and manage all of the neutral host systems and many of the Carrierowned outdoor DAS installations in the U.S. The DAS Forum s membership includes All of the major outdoor DAS infrastructure providers Major carriers Equipment manufacturers and associated professional services firms *Membership section of PCIA - The Wireless Infrastructure Association
3 Our Members Operators AT&T Wireless Sprint Nextel T-Mobile USA Neutral-Host Providers American Tower Anziva Crown Castle ExteNet Systems Insite Wireless Mobilitie NextG Networks Software and Equipment Providers 3M CommScope Corning Cable Systems DeltaNode Errigal ibwave Powerwave SoLID Technologies TE Connectivity Designers, Systems Integrators and Distributors Advanced RF Technologies ArchComm BL Companies Connectivity Wireless CCI Systems Dynamic Environmental Associates Haymaker Technologies INOC Integra Systems Isotrope JN Partners Longent Lord & Company Technologies H&M Networks TechNel Electric TESSCO Vinculums Wireless Partners Others Cozen O Conner Cuddy & Feder Davis Wright Tremaine Pennington Law Firm Phillips Lytle Texas Christian University
4 What is a DAS? DAS distributes radio-frequency signals from a central location or head-end to remote antennas. This simplifies the network, improves performance, and reduces costs Less power is needed, and coverage, capacity, and aesthetics are improved DAS architectures inherently provide dynamic resource allocation and more effective management of network elements Wireless Service Providers Equipment Carrier A Carrier B Carrier C Distributed Network Equipment Head-end Source: Russell Vest, ExteNet Systems
5 Wireless is an Integral Part of Communications in Healthcare For Voice: Replacing Land-Lines For Data: Always connected everywhere Access to the enterprise IT systems Outstripping voice traffic Enables Machine-to-Machine (M2M) 50 Billion Connected Wireless Devices by 2020 Laptops Tablets Smartphones Embedded modems (M2M)
6 mhealth Position Statement mhealth represents a significant opportunity to improve operations by adopting real-time enterprise practices Healthcare Organizations (HCOs) are pursuing significant investment in clinical, administrative, and financial systems to improve the quality of care and to reduce costs As HCOs embrace commercial wireless, service levels are critical for maintaining high quality and grade of service
7 Drivers of mhealth Initiatives Quality Improvements P4P Clinical Guidelines Timely Information Access Administrative Efficiency Medical Informatics HIT Legislative Reforms Results Performance Measures New Delivery Models (ACOs) Connected Caregivers Patient Centered Care Access to Care Improved Revenue Cycle Management Effective Clinical Decision Making CDSS Better Outcomes Source: ExteNet Systems
8 Indoor Wireless Challenges Physical Signal origination: indoors or outdoors Wireless signals bounce and fade Demand Healthcare applications Data Applications Growth Investment Costs Infrastructure ROI Training Recurring Costs Maintenance Lifecycle
9 Wireless Modalities Mobility 4-Walls Boundary RTLS Unified Communications (Voice, Data, Streaming Video, ) Enterprise SOA (EMR, CPOE, CDSS, Portals, Remote Access) RFID Medical Devices Beside Care Patient Telemetry Patient ID Tag Mobile Health Monitoring & M2M Messaging & Alerts Guest Access Billing Medical Home Nurse Call Paging Geographic Scale Adapted from J. Rothschild, Gartner, and D. Hoglund, Integrasystems
10 The Indoor Environment Data: Broad Coverage Data and Voice (VoIP): Smaller Coverage Diameter of Coverage R=50 typically R=30 typically Source: David Hoglund, Integra Systems, Inc.
11 Commercial Wireless Spectrum
12 Throughput LTE WiMax GSM/CDMA 2G 14k-58Mb+ GSM-Edge CDMA 1x 2.5G 58K-388kb+ UMTS HSPA EvDO 3G 388k-1Mb+ 4G 1Mb+ Source: ExteNet Systems
13 Typical DAS Architecture DAS Components Remote Antenna Coaxial Cable Fiber-optic Cable Radio Base Station Unit Radio Base Station Remote Radio Unit Power Splitter/Directional Coupler Indoor Antenna Source: CommScope
14 Benefits of DAS Coverage Capacity Spectrum Interference An architecture that provides ubiquitous coverage in areas that cannot be effectively otherwise Better management of available spectrum and wireless resources given the ability to closely align capacity to actual market requirements More efficient use of available frequency spectrum by having an increased number of low power transmission points Reduction in interference given lower transmission lower output power Backhaul Better utilization of transmission infrastructure given aggregation from a central hub location Scalability A network that can be scaled to meet future capacity requirements Extensibility A network architecture that provides the ability to quickly incorporate new technologies
15 Vision Unified Enterprise-Wide Wireless Network Nursing Communications Workflow Informatics Care Coordination Point of Care Applications Wireless monitors Alerts/notifications Decision support Patient Monitoring Interactive patient care M2M Analytics Condition sensing Asset, Staff, Patient, Visitor Tracking Patient identification Quality of care Logistics and Throughput Security Communications Mobile Health EMR/EHR/PHR Accessible Public Safety Kiosks Portals Imaging Source: ExteNet Systems
16 Contact Information: Tracy Ford DAS Forum Director PCIA The Wireless Infrastructure Association Eric B. Abbott Director of Product Management ExteNet Systems
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