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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
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Which is the challenge we are facing?
Which strategies can
we apply?
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 3 -
More needs few qualified resources
Spanish population pyramid 2016
Social and Demographic changes
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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
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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?
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Let’s take Gaudi’s thoughts.
What’s happening with telecoms?
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What’s happening with telecoms?
Everything comes from the great book of nature.
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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.
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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
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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.
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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
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Symmetric high-capacity WAN and LAN
Ethernet links you with all the World
Share information and resources.
The New Age of Telecommunications in Healthcare
.
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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
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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
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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,
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Red IP
Mass Storage
Applications Servers
Control Accesos
Hilo Musical
VideoVigilancia
Detectores
sondas
VideoConferencia
IP TV
Sonorización
Voz
Megafonía
Tracking
Network ManagementBiometric
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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.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 18 -
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
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Business Process Automation
Shorter processes cycle of life.
Avoid human errors
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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 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 21 -
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.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 22 -
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.
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OR
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Analog technology has already died, you cannot maintain it.
New digital solutions, new functionalities, soft-based,
continuous improvement, simpler, more efficient.
Analog Blackout
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Product
ObsolescenceSkill
Obsolescence
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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 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 27 -
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.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 28 -
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.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 29 -
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.”
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Questions?
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 31 -
The cycle of
life
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 32 -
The cycle of life
Question
Think
Look for
Design
Compare
Take a Decision
Act Analyze results
Adjust
Begin again.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 33 -
Let us create wealth together.
Shaping the Future …
By improving your networks you will …
Improve your life.
Improve your society.
Improve your hospitals.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 34 -
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
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 35 -
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
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 36 -
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
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 37 -
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
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 38 -
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.
UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: [email protected] Tel. +34 93 415 12 35 - 39 -
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