Environment. Jim Fl nn Jim Flynn, RCDD/NTS,TPM

Transcription

1 What s Influencing Today s Healthcare Cabling Infrastructure Environment Jim Fl nn Jim Flynn, RCDD/NTS,TPM

2 Growth + Change + Flexibility = Successfully Managing a Medical Center s4 th Utility Cabling Infrastructure.

3 Agenda for today s presentation Intro to DHMC Identify drivers that affect infrastructure: Growth Change Evaluate Vendors affect on infrastructure Matrix Values Scoring Benefits on Vendor Evaluations

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6 About DHMC. Country s 4th oldest Hospital The first Hospital to use X-Ray 225-acre Level 1 Trauma Center Largest medical facility between Boston and Montreal

7 DHMC IT Infrastructure The campus consist of 9 interconnecting buildings 93 Telecommunication Rooms on main campus Over 15,000 Tele/Data jack locations Over 560 Wireless Access Points Over 10,000 phones Over 12,000 Network Devices

8 Cabling Infrastructure Growth Increased Jack locations Increased Cabling Infrastructure Increased TRs

9 TR Capacity 2 sets of data rack 384 jack locations

10 Growth Drivers that affect this infrastructure Electronic Medical Record Systems Construction and Renovation Demand for Wireless Infrastructure Vendors Medical Systems s / Equipment Engineering /Security Communications/Marketing

11 4 Primary Growth Drivers Electronic Medical Record System Rollout New Construction and Renovation Demand dfor Wireless Infrastructure Vendors

12 Growth Drivers Electronic Medical Records Government Mandated Network access from all direct patient care areas Reception/Waiting rooms Exam rooms Operating Rooms Consult rooms Patient rooms

13 4 Primary Growth Drivers Electronic Medical Record System Rollout New Construction and Renovation Demand dfor Wireless Infrastructure Vendors

14 New Construction & Renovations

15 DHMC Expansion $207 Million 750k square ft. New Doctor s Building 8 new Operating Rooms Hangar for Helicopters Adding floors to existing Buildings Growth = 36 new TRs & over 6000 jack locations

16 New Construction Activities Nashua MOB OSC MOB Heater Rd WTRB Growth = 16 new TRs & over 3000 jack locations

17 Renovations Space Change Programs Function of space changes Refresh programs Same functionality - updated

18 Renovations Space Changers Examples of Space Changers: Storage room to Acute Dialysis Unit 0t to 20jack klocations From Ambulance bay to ED offices 0 to 32 jack locations, plus a new TR

19 Renovations Space Changers From Mail Center to PT Offices 12 to 32 jacks locations (sometimes space changers cause new construction!)

20 Renovations Refresh Updating Intensive Care Units (ICUs)

21 ICU Patient Room Transformation 1991 ICU Patient Room 2014 ICU Patient Room

22 TR Capacity 2 sets of data rack 384 jack locations

23 Results of ICU Refresh Additional 8 jack locations per room 36 rooms Net new jack locations for ICU floor = 288 Current TR servicing 2 ICU units plus 1 Step Down Unit = 382

24 ICU Floor Original TR New TR

25 4 Primary Growth Drivers Electronic Medical Record System Rollout New Construction and Renovation Demand dfor Wireless Infrastructure Vendors

26 Wireless there s a lot of wire behind a Wireless.there s a lot of wire behind a Wireless network.

27 Growth of Wireless Access Points 2006-Present 600 Number of AccessPoints # of Access Points

28 Growth of Wireless Devices 2006-Present 6000 Number of Devices # of Devices

29 What s causing WAP Growth? Laptops / Tablets Asset Tracking Wheel chairs Beds BYOD Smart phones IPad Medical Devices

30 Medical Device Wireless Systems Cardiac & Respiratory Telemetry system Smart IV pump technology Pharmacy carts Ultrasounds X-ray

31 4 Primary Growth Drivers Electronic Medical Record System Rollout New Construction and Renovation Demand dfor Wireless Infrastructure Vendors

32 Vendors that Influence Cabling Infrastructure Growth Departments deploying Technology: Marketing Digital Signage Security Surveillance IP Cameras Access Control Engineering HVAC monitoring

33 Marketing - Digital Signage Existing environment May = zero locations June = 7 locations

34 Security Surveillance (IP Existing environment Cameras) 100 analogy cameras coax connections 70 IP cameras DHMC data connections Potential to add 100 data jack locations

35 Analog VS IP Camera Installations Analog IP

36 Security Access Control Existing environment: Non-network access controllers = 105 IP connected access controllers = 22 Potential for an additional 105 jack locations upgrade access controllers to the network Plus any net new will be network connected

37 Non-Networked VS IP Access Controllers non-networked IP

38 Engineering HVAC Existing environment: IP connected controllers = 56 Potential for adding 15 data jacks to support WTRB Project

39 The Other Driver CHANGE»(caused by Vendors)

40 Ways Vendors are Impacting the Infrastructure - Infrastructure Components: Pathway Cabling Topology Head End Requirements

41 3 levels of Impact on the Infrastructure Low vendors use standard DHMC topology Moderate- vendor requires some hand holding High vendor requires changes to infrastructure

42 Vendor Evaluation Vendor Matrix - apply a Vendor score to each infrastructure component. Scoring 1 thru 5 1 = least impact on infrastructure 5 = most impact on infrastructure

43 A list of Vendors Digital Signage Security Surveillance Nurse Call Fetal Monitoring Engineering HVAC

44 Digital Signage Topology Cat 6 DHMC TR Fiber Backbone Data center DHMC Jack

45 Scoring Digital Signage Pathway = 1 Cabling = 1 Topology =1 Head End Requirements =1 Total impact score = 4 Digital signage = Low Impact

46 Security Surveillance Topology DHMC TR Fiber Backbone Data center DHMC Jack Cat 6

47 Scoring Security Surveillance Pathway = 1 Cabling = 1 Topology =1 Head End Requirements =3 Total impact score = 6 Moderate Impact

48 Medical Vendors Nurse Call

49 Nurse Call System Topology In-Room Nurse Call Cabling

50 Nurse Call System Topology RCB Vendor TR DHMC TR Fiber Backbone Data center DHMC Jack Cat 6

51 Scoring Nurse Call System Pathway = 3 Cabling = 2 Topology =2 Head End Requirements =3 Total impact score = 10 High Impact

52 Medical Vendors Fetal Monitoring

53 Fetal Monitoring Topology Vendor TR DHMC TR Fiber Backbone Data center Vendor Jack DHMC Jack Cat 6

54 Scoring Fetal Monitoring System Pathway = 3 Cabling = 2 Topology =3 Head End Requirements =3 Total impact score = 11 High Impact

55 Medical Vendors Fetal Monitoring & Nurse Call Causes of High Impact Score: Proprietary Topology Proprietary Jacks Proprietary Data Equipment

56 Co-locating Vendor Head End Equipment Nurse Call & Fetal Monitoring TR Vendor TR

57 Scoring Summary Digital Signage = 4 Security Surveillance = 6 Fetal Monitoring = 9 Nurse Call = 10 The lower the score the less impact on the standard cabling infrastructure.

58 Why is it important to rate vendors impact on the infrastructure?? Vendor installation ti requirement Improve system implementation Improve documentation Proactive in incorporating vendor systems in existing infrastructure

59 Commissioning HVAC in new building HVAC Vendor Proposed Topology: 8 controllers located thru-out pent house Temporary cabling each controller to vendor server

60 HVAC Penthouse Controller locations

61 Closing Thoughts.. Medical Center's Cabling Infrastructure E-DH Engineering Marketing Security Nursing

62 Closing Thoughts Welcome growth and change as long as we an manage and understand both!

63 And a final thought on advances in healthcare...

64 Thank you for your time!