IP Telecom Networks. A Hospital's nervous systems

UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 1 -

21th Congress of the International Federation of Hospital Engineering November 18th 2010

Developing network strategies to support hospital operations

TELECOMMUNICATIONS

NETWORKS

A Hospital’s Nervous

SystemAgustín Argelich

Argelich Ingenieros, Barcelona, Spain

mailto:[email protected]


Which is the challenge we are facing?

Which strategies can

we apply?



More needs few qualified resources

Spanish population pyramid 2016

Social and Demographic changes



Be efficient, my friend

A person, machine, or organization that is efficient does a job well and successfully, without wasting time or energy.

Collins Cobuild Essential English Dictionary



Objective - RetosUC2

Unified Communications

and collaboration.

IP wire and

wireless networks

Which are the tools available?

CBPA Communication Based Processes

AutomationWhy do we need UC2 and

CBPA?



Let’s take Gaudi’s thoughts.

What’s happening with telecoms?



What’s happening with telecoms?

Everything comes from the great book of nature.



Networks Are the Nervous System of a Hospital

The nervous system transports different kinds of signs and

orders, sounds, images, touch, heat, cold, etc.

An IP telecommunications network transports in a

transparent way different kinds of information: Voice,

Data, Video, Control.

We have evolved from service-specific networks to a single

network.

We are moving on to a more efficient and natural solution.

The brain is protected by the skull, i.e. a Data Center.



When Do We Use a Network?

To think To fish

We need telecom networks to create wealth as well as for safety and security reasons.

To be connected

To protect ourselves

To rescue somebody



Video age

12%

35%53%

Kinesthetic

Audio

Visual

One cannot do without the most important communication channel.

Persuasion channels

Communication among humans is not easy.

High-capacity IP networks facilitate video transfer.

“The world is heading towards visual communication”, declared John Chambers, CEO at CISCO, during the speech he held in Barcelona at the Global Mobile Congress in February 2008.



Mobility is the “fall of the wall” in corporate communications

No more borders, no more geographical

limits in your network

Voice, data, video and control signals.

Wireless high capacity data networks

No more walls in any Hospital



Symmetric high-capacity WAN and LAN

Ethernet links you with all the World

Share information and resources.

The New Age of Telecommunications in Healthcare

.



OHSJD WAN NETWORK

MANBARCELONA

2 Mbps

Sant Boi

Madrid

Pamplona

Hospital de Sant Joan de Deu

Esplugues

100 Mbps

2 Mbps

10 Mbps

10Mbps

10 Mbps

100 Mbps

INTERNET30 Mbps

Saragossa

Interne

t

2 Mbps

Bkup by asdl

10 Mbps

2 Mbps

Lerida ( Almacelles)

Palma de Mallorca

10 Mbps

2 Mbps

Bkup by asdl

Bkup by asdl

Bkup by asdl

Bkup by asdl

Man

P. Mallorca

Man Madrid

Man Pamplona

Macrolan

VPN-IP

Rest of type 2 sites

(43 small sites)

Bkup ISDN

ASDL Advance4M/512K

40 Mbps

100 Mbps 100 Mbps

ICT

C3560C3560

C3560 C3560

C2801

C2801

C280

1

C2801

C280

1

Sant Boi CampusC3560C356

0



WAN link between sites – Carrier Ethernet Serv.

Symmetric throughput between 2 Mb and 10 Gb

CAMPUS NETWORK

Single Fiber Optic 1/10 Gb links between nodes

WIRE CAPILLAR NETWORK Ethernet 10/100/1000 Twisted Pair CAT Ve V or VII

WIRELESS CAPILLAR NETWORK Wi-Fi 802.11g/n 11/54/600 Mb

Video IP Data Voice ControlNetwork

Management

Content

AnalyticsREAL-TIME

Off-line

Applications

Corporate

Telephony

Network

MedicalEquipment

Industrial Signals

REAL-TIMEAlert Statistics

Corporate IP

TVCTI Contact Center

Multi-Videoconference IP

Unified Communications and Collaboration

Communication Based Process Automation

WWAN – Mobile Network Operator Services

GPRS – UMTS - HSDPA,

IP converging network architecture



Standard hardware + software

There is no finish line

New applications

Virtuous circle of innovation

Software

Servers

Ethernet

switchesWAN link between sites – Carrier Ethernet Serv.

Symmetric throughput between 2 Mb and 10 Gb

CAMPUS NETWORK

Single Fiber Optic 1/10 Gb links between nodes

WIRE CAPILLAR NETWORK Ethernet 10/100/1000 Twisted Pair CAT Ve V or VII

WIRELESS CAPILLAR NETWORK Wi-Fi 802.11g/n 11/54/600 Mb

Video IP Data Voice ControlNetwork

Management

Content

AnalyticsREAL-TIME

Off-line

Applications

Corporate

Telephony

Network

MedicalEquipment

Industrial Signals

REAL-TIMEAlert Statistics

Corporate IP

TVCTI Contact Center

Multi-Videoconference IP

Unified Communications and Collaboration

Communication Based Process Automation

WWAN – Mobile Network Operator Services

GPRS – UMTS - HSDPA,



Red IP

Mass Storage

Applications Servers

Control Accesos

Hilo Musical

VideoVigilancia

Detectores

sondas

VideoConferencia

IP TV

Sonorización

Voz

Megafonía

Tracking

Network ManagementBiometric



What is Unified Communications?

“Communications integrated to optimize business processes”

Communications

Technology used to facilitate

personal interaction via speech, watch,

and text

integrated

Communications linked to or built into a business

process

to optimize

To make our business

processes work more efficiently and effectively

business processes

A sequence of related tasks performed to

achieve a business outcome

Marty Parker

With mobility it doesn’t matter where you are, where the data are, you can optimize your process everywhere.



Infant Protection

Lab Results

Nurse call

Security System

Location Tracking

IT SystemMonitoring

ADT System

Pager

Remote Monitoring

Devices

Digital Signage /

Whiteboard

Smart Phones

Web

Wireless Telephony

Enterprise-wide directory, presence, preference and escalation rules

Delivery to right endpoint

Web Directory

Emergency Notification

Speech

Recognition

Wireless Telephony

Dashboard

On-site

Paging

On Call

Alarms Integration

E911

Nurse Call

Integration

RFID Presence

Call Recording

Call Accounting

OperatorConsole

Unified Communications

Services

Universal connectivity to data sources

1. Collect the information where it occurs.

2. Apply the rules and procedures. Support decision tools.

3. Processed information is delivered to the key person wherever s/he is.

3 Steps



Business Process Automation

Shorter processes cycle of life.

Avoid human errors



UC2 Unified Communications and Collaboration

1. The physician needs a

second opinion on an X-

ray.

2. He checks

availability of his

colleagues on the

collaboration portal.

3. He starts a conference

to share the graph with

his three available

colleagues.

If you are interdependent, you are efficient (Stephen Covey).



UC2 Unified Communications and Collaboration

Nurse The physician

accepts the nurse’s

call

The physicians are

unavailable

1. The nurse needs to contact a specialist urgently.

2. The system’s UC2 application immediately

contacts one of the available physicians by just

clicking on “Surgical team” button on her Wi-Fi

PDA.



Critical communications

The high level of mobility of medical and technical management

staff

Dynamic and complex directory. Who is available?

Mobile messages. High volumes of short message to mobile

devices.

A large amount of machine and system data from two different

origins:

Patient follow-up.

Building management

Group communication is also very frequent. Different specialists

must be consulted in real time. Second opinions are required

Communication traceability and auditing.



OR



Analog technology has already died, you cannot maintain it.

New digital solutions, new functionalities, soft-based,

continuous improvement, simpler, more efficient.

Analog Blackout



Product

ObsolescenceSkill

Obsolescence



Results

Rapid response to incidents and alarms.

Improved response times to patient requirements..

Locating the right person at the right time.

Automating daily work flows, improving efficiency.

Improving team work. Facilitating the sharing of information.

Access to resources from other, far-off hospitals. Share expensive resources.



UC2 is the rigth tool to meet current challanges

Improving the quality of patient care and in consequence their level of satisfaction.

Improving the level of satisfaction felt by hospital’s staff

Reducing cost and inefficiencies.



Hard $ and Soft $

Less investments

Less maintenance costs

Less administration costs

Improve your organization by

improving your networks

with the new functionalities

of Unified Communications

and Collaboration.



There is no other option

Use mobility and UC2 tools and solutions to be

more efficient.

In an imperfect world, you cannot blame

mobility and ICT tools.

Imagine you have a problem; you have to increase your productivity,

but if you don’t solve this, you could get lost in space.

April 13, 1970, at 21:30: Jack Singert from Apollo XIII at 320,000

km from Earth

“Houston, we have a problem.”



Questions?



The cycle of

life



The cycle of life

Question

Think

Look for

Design

Compare

Take a Decision

Act Analyze results

Adjust

Begin again.



Let us create wealth together.

Shaping the Future …

By improving your networks you will …

Improve your life.

Improve your society.

Improve your hospitals.



Developing network strategies to support hospital operations

TELECOMMUNICATIONS NETWORKS

A Hospital’s Nervous

System

Contact Data

21th Congress of the International Federation of Hospital Engineering November 18th 2010



Agustín Argelich

Telecom Engineer (12/1986) www.salle.url.edu

European Engineer (no. 12,868 ES) www.feani.org

Vice President of the Society of TelecommunicationsConsultants and Chairman of the International AffairsCommittee www.stcconsultants.org

Founder. Director. Principal Consultant. ARGELICHINGENIEROS. Independent Telecom Consultancy andEngineering Company

Member of COITT www.coitt.es

Member of IEEE www.ieee.org

Member of Cercle del Coneixament www.cperc.net

Founded the Company in 1992

20 years in telecom project management

Previous professional experience:

Barcelona '92 Olympic Organizing Committee (04/1990 to 10/1992). Technology Director IX Paralympic Games Barcelona '92. Telecom Controller during Olympic Games.

Ascó Nuclear Power Plant (03/1988 to 03/1990). Telecom Manager

Spanish Air Force. USA and Spanish Common Air Base in Saragossa (03/1987 to 02/1988). Lieutenant


http://www.salle.url.edu/







http://www.feani.org/





http://www.stcconsultants.org/





http://www.coitt.es/





http://www.ieee.org/





http://www.cperc.net/






Argelich Networks

Argelich is an independent engineering company and

consultancy in telecommunications and high-

technology systems.

Life is networking

It specializes in the design and

technical as well as financial

management of large corporate

voice, data and video networks.

More than 15 years of experience

in developing innovative

projects.

International experience

Only corporate member of the Society of Telecommunications

Consultants



Contact Data

Rambla de Catalunya, 112

08008 Barcelona, Spain

Tel. + 34 93 415 12 35

Fax + 34 93 217 42 98

E-mail: [email protected]

www.argelich.com


http://www.argelich.com/






Independent Consultancy Services

• Feasibility studies.

• Negotiate agreements between end user and the Facility Manager.

• Look for international funds.

• Design and re-design financial models.

• Prepare technical specifications. Network design.

• Select systems integrators. Public tender process. Propose and negotiate contracts.

• Project management of implementation phase. Acceptance test.

• Select network manager. Public tender process. Propose and negotiatecontracts.

• Select carriers. Fixed and wireless (mobile).

• Ongoing network management supervision.

• Propose new investments and projects. Discuss with carriers and network manager.



panrico.com

nyn.essagelogiccontrol.com

manpower.esmercabarna.eslaufen.comroca.es

aena.esatll.esfibanc.com

palexmedical.com areas.es

ub.es

REFERENCES

regal.es lear.com grifols.esterrassa.catmercamadrid.es


Health & Medicine

IP Telecom Networks. A Hospital's nervous systems