Successful hospitals rely on efficient building systems Barblan.pdf · Duri Barblan Siemens Switzerland Building Technologies / VM Healthcare © Siemens 2008 Page 2 November 08 Table

Building Technologies / VM HealthcareDuri Barblan Siemens Switzerland

© Siemens 2008

Page 1 November 08

© Siemens 2008

Successful hospitals rely on safe and reliable building systems

Building Technologies


© Siemens 2008

Page 2 November 08

Table of content

Healthcare market, security needs

Fire safety system components

Security system components

Danger Management Systems

Integrated Solutions for Fire Protection, Security and Comfort


© Siemens 2008

Page 3 November 08

Healthcare – a market in motion

Demographic changes

& progress of science

Life expectancy

Cases of dementia

Patient rights

ChoiceComfort

Mobile

equip-

ment

Risks

Court

cases

Costs

Cooperation

Mergers

Healthcare

Networks

VIP Rooms

& Services

Privatization

Specialization

Optimization of

processes

DRGs

(Diagnose Related

Groups)

Pressure from

government

insurances

Security

Mobility of staff

Marketing


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Page 4 November 08

Tampering, loss of data

Via unauthorized access / misuse

Through neglect, mix-up or

destruction

Overview of Hazards

Hazardsin hospitals

Injuries & aggressions

Patients and staff

In case of breakouts

Baby kidnapping

Blackmailing

Fire

Personal injuries

Inappropriate evacuation

Damage to property

Disruption of operations

Other hazards

Disruption by unauthorized access

Blocked emergency routes

Damage to the environment

Forces of nature

Technical failures

Power failure

Communication failure

Heating system failure

Chiller failure

VAC system failure

Process steam failure

Media / gas failure

Thefts

Breaking in / out

Petty theft

Accidents

Handling of hazardous materials

Patient walkouts

Vandalism & sabotage

Soiling / damaging

Sabotage of vital infrastructures


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Page 5 November 08

How to set security priorities?

Define security

zones

Assign surfaces

to security zones

Catalog

of threats

Technical failures

Power failure



Chiller failure

VAC system failure


Media / gas failure

Power failure



Chiller failure

VAC system failure


Media / gas failure




destruction




destruction

Thefts

Breaking in / out

Petty theft

Thefts

Breaking in / out

Petty theft

Accidents


Patient walkouts

Accidents


Patient walkouts


Soiling / damaging



Soiling / damaging



Patients and staff


Baby kidnapping

Blackmailing

Fire

Personal injuries


Damage to property


Other hazards




Forces of nature


Patients and staff


Baby kidnapping

Blackmailing


Patients and staff


Baby kidnapping

Blackmailing

Fire

Personal injuries


Damage to property


Fire

Personal injuries


Damage to property


Other hazards




Forces of nature

Other hazards




Forces of nature

Hazardsin hospitals

Hazardsin hospitals

Risk definition

R

=

{P}x{E}

Project Risks

on each zoneList of priorities

As a rule, no actions are

necessary

It is necessary from case

to case to make decisions

about possible actions

It is absolutely necessary

to take risk-reducing

actions (unless already

taken)

Measures

1, 2, 3C

4B

6, 9, MA

RiskPriority

As a rule, no actions are

necessary

It is necessary from case

to case to make decisions

about possible actions

It is absolutely necessary

to take risk-reducing

actions (unless already

taken)

Measures

1, 2, 3C

4B

6, 9, MA

RiskPriority


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Page 6 November 08

Conflict Potential: Security vs. Ease of Operations

Patient

satisfaction

Staff

satisfaction

Efficiency,

profitabilitySecurity,

reliability ≠


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Page 7 November 08

Fire Protection Concepts

Organizational

Alarm handling

Intervention plan

Evacuation

Monitoring

Services

Structural

Fire zones

Escape routes

Emergency exits

Fire protection

Guidelines

Technical

Total fire protection systems:

Detection, evacuation,

extinguishing

International rules and

regulations

Quality approved


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Page 8 November 08

Fire Detection – the reasons why

To detect real fire phenomena caused

by smoke, heat or flames at an early

stage, in order to gain time for

intervention.

To filter out deceptive phenomena

caused by steam, vapors, exhaust gases,

cigar smoke in order to avoid disruption of

workflow in hospital


© Siemens 2008

Page 9 November 08

Fire Detection Sinteso™

Unique detection reliability and immunity to deception

... to special applications

... from standard applications …


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Page 10 November 08

Automated Extinguishing − Reasons why

Protection of lives

Avoid disruption of workflow in hospital

Preservation of patients’ records and other data

Preservation of existing infrastructure

Prevent fire from spreading through the building


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Page 11 November 08

Key Areas for Fire Extinguishing in Hospitals

Laboratories

Archives

Diagnosis

Storage rooms

Kitchen

Server / computer room

Other technical rooms


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Page 12 November 08

Extinguishing System SINORIX TM

Offerings

Siemens offers the right

extinguishing system for any type of

application through the use of:

Natural gases (CO2, N2, Argon)

Chemical gases (HFC227, 1230)

Water-based agents


© Siemens 2008

Page 13 November 08

Evacuation Systems

Difficult Conditions in Hospitals

Specific conditions in hospitals:

Reduced or complete lack of

mobility of patients

Many patients' life depends on

permanent treatment

Objectives:

A well planned state-of-the-art

evacuation system is most

essential for a hospital’s life safety

strategy.

Prevents panic

Enables smooth evacuation

No poisoning from smoke


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Page 14 November 08

Security Concepts

Organizational

Alarm handling

Access rules

(profiles, zones)

Alarm and intervention plan

Storage and classification of

sensitive documents

Job description of security staff

Structural

Walls

Windows

Doors

Cabinets, etc.

… must be built, reinforced,

automated

Technical

Supported by detection and

control systems such as:

Video surveillance

Intrusion detection

Access control

Danger management

system


© Siemens 2008

Page 15 November 08

Video Surveillance - Reasons why

Virtual guard tours: Detect events

early and act proactively:

Keep emergency lane and

helicopter landing pad free

React in case of aggression

Instant remote verification of an

alarm

Trigger relevant measures

immediately

Recording of images: Analysis and

evidence material


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Page 16 November 08

Video Surveillance at a Hospital

Identification of problems or faults

at any time

Examples:

Cars parked in front of emergency

admission

Assault on emergency admission or in the

underground parking lot

Vandalism on the premises

Problems at the helicopter landing site


© Siemens 2008

Page 17 November 08

About the Necessity of Video Surveillance

in Hospitals…


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Page 18 November 08

Access Control - Reasons why

Protect assets and valuables against: Theft Sabotage Vandalism

Protect persons against: Aggressions Kidnapping of babies Accidents in dangerous zones

People flow control: Simplify the layout of the hospital:

Patients and visitors don't get lost Keep emergency and staff routes

free Avoid disruption of activity


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Page 19 November 08

Complex structures:

Managing access of thousands of doors …

Dresden Lyon


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Page 20 November 08

Intrusion Detection - Reasons why

Detect unauthorized intrusion:

Door contacts

Glass breakage

Motion detectors

Typically:

Pharmacy

IT server room

Panic buttons:

Emergency department

Psychiatry

Juvenile section

Canceral section


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Page 21 November 08

Patient and Asset Tracing - Reasons why

Provide wireless nurse call

Prevent attacks on staff

Avoid theft of equipment

Locate quickly equipment

Optimize investment

Prevent baby abduction

Avoid mother / baby mismatch

Detect patient walkout


© Siemens 2008

Page 22 November 08

Danger Management Systems – Reasons why

Event treatment Event information

What’s the problem?

Where is the problem?

What to do next?

Activate and monitor subsystems On / off of zones

Day / night mode

Special I/O functions

Other subsystem functions

Reporting functions (examples) All events of the last 24 hours

All false alarms last year


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Page 23 November 08

Danger Management Station – More reasons why

Receiving alarms from all systems

Automatic execution of preconfigured

scenarios

Notification to pagers, mobiles, etc.

Notification on light signal

Help for on-call service

Staff rotation

To stay calm in an emergency

To implement the necessary

measures

Visual representation on a sketch

plan

Predefined scenarios

Relevant information for

intervention staff

Danger management station


© Siemens 2008

Page 24 November 08

Fire Safety & Security Comfort & Energie

Communication and IT-Security IT Project Management

Fire Intrusion Access Video Time Evacuation VentilationHeating AC Light Water PowerScanning

Integrated Solutions

for Fire Protection, Security and Comfort


© Siemens 2008

Page 25 November 08

Patient Room Solution –

The Digital Hospital becomes reality

All from the bed:

Communication: telephone, E-mail

Patient record for the doctor

Room control

Entertainment: TV, Internet, games

Health and hospital information


© Siemens 2008

Page 26 November 08

Operating Theatre Solution

with Touch Panel

Operating scenarios

(air flow, humidity, lighting etc.)

Easier to clean than a panel

Forbach, Germany


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Page 27 November 08

Overview Screen on the

Touch Panel with operating scenes

Overview Settings Alarms Informations

Cleaning

Acknowl.

Mode: Aseptic

Room temperature: 25 °C

Relative Humidity: 40 %

Alarms

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __

OP Scene __ OP Scene __


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Page 28 November 08

Totally Digital Hospital

A Vision becomes Reality

Seamless integration of systems

offers the following benefits:

Better treatment of patients and

improved safety thanks to direct

availability of the right data at the

right time at the point of care

Processes are simplified so that

costs can be lowered and the

required quality can be assured at

all times

Consequential implementation of

the hospital‘s strategy with earliest

possible involvement of all users,

consultants and suppliers


© Siemens 2008

Page 29 November 08

Brescia Hospital is an huge and widely structured

hospital, located in Brescia IT

Total surface 2 Km2

8 buildings on geographical area

Over 1250 care beds

Over 10’000 surgeries per year

International point reference for high surgery

Best practice


© Siemens 2008

Page 30 November 08

Best practice

The project requirements:

Fully integrated fire, security and comfort

system

Energy optimisation

Innovative system and distributed process

trough IP backbone

Down time risk reduction, high MTBF

Maintenance and operating cost reduction

Third party system integration

Management system with sophisticated

graphical interface


© Siemens 2008

Page 31 November 08

BACnet /Ethernet /IP

BA

Cn

et

/LO

N

DESIGODESIGO

The system architecture


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Page 32 November 08

DESIGOTMINSIGHT

DESIGO INSIGHT TM


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Page 33 November 08

Partnership with the healthcare industry

Over 1’500 reference sites in the European healthcare industry,

combined with many years of experience, demonstrate our close

understanding of the needs of hospital managers.

Building on our wide-ranging experience, and working in close

partnership with the healthcare industry, we aim to develop

innovative solutions to meet the specific hospital needs.


© Siemens 2008

Page 34 Nov-08

Siemens offers a wide portfolio for healthcare

Financing

Leasing

Financial

OperatingModel

Echography Audiology

Medical

DiagnosisSystemsCT MRI

TherapyEquipment Medical

IT

Power & Lighting

PowerGeneration

PowerManagement

PowerTransmission

IntrusionDetection

AccessControl

VideoSurveillance

ClimateSanitary

Automation & Control

Fire detection

HeatingVentilation

Patient &Asset

Tracing

BuildingManagement

Evacuation

Extingui-shing

Maintenance

Training

Services

Energyefficiency

Outsourcing& ASP

Consulting

IT Security

InternetTelephones

AudioVideo

ServerClients

Networks

Mobile Applications

MultimediaInformation &

Communication

Lighting

PowerMetering


© Siemens 2008

Page 35 Nov-08

Digital hospital ?

Of course, there is always an alternative…


© Siemens 2008

Page 36 November 08

Thank you for your attention

© Siemens 2008

Documents

Successful hospitals rely on efficient building systems Barblan.pdf · Duri Barblan Siemens Switzerland Building Technologies / VM Healthcare © Siemens 2008 Page 2 November 08 Table