Healthcare Solutions

Transcription

1 Healthcare Solutions

2 CHALLENGES IN THE HEALTHCARE ENVIRONMENT Introduction Advances in technology and IP convergence is changing the healthcare industry and driving facilities to up-grade infrastructure to improve quality of care, patient safety and efficiency. Demands on the network to accommodate future emerging applications have been further complicated by the need to transmit, store and recall vast quantities of data in mission critical real time situations. The flexibility and reliability of the system has become paramount. Technology Drivers Healthcare IT professionals are faced with the need to accelerate the development of e-health services that require a reliable, highbandwidth infrastructure. With an obligation to offer patients unrivaled access to treatment the requirement for remote diagnosis, high resolution imaging, patient services, security/ access control, wireless access and mobile devices have changed expectations on network capability. Patients have come to expect connectivity, internet access and entertainment at their beds. Portable and bedside monitoring devices are now IP ready and communicating with servers, displays and even machine to machine (M2M) via fixed and wireless IP access. Network Infrastructure Challenges Before the ink is dry on any plan, new requirements emerge like digitised pathology, the proposed HealthGrid, telemedicine, home care, mobile devices such as IP smart phones, tablets and specialist devices. All of which need to operate in-building, around the campus and often mobile en-route to the patients homes, neighbourhood clinics or doctors surgeries. All of these devices need access to patients electronic medical records (EMR), patient health information (PHI) and more.

3 There is then the myriad of non-clinical systems for accounting, purchasing, fleet management, not to mention Voice over IP (VoIP) and Power over Ethernet (PoE) devices - all requiring a high availability and reliable network to support them. As an IT professional, you need to know you are partnering with a network infrastructure provider that understands your challenges. Brand-Rex has an established track record in designing network infrastructure solutions supporting intensive care and operating theatres, super-hospital new builds and upgrades to neighbourhood clinics and satellite healthcare outposts. You require an infrastructure partner that can help solve your need for flexibility and future-proofing against a backdrop of uncertain, ever-changing and growing demands, together with increasingly stricter requirements for manageability and audit ability for applicable standardisation such as ISO Brand-Rex is that partner. Infrastructure Choices If there is one thing that you, as a healthcare IT professional can be sure of, is the need for more bandwidth, increased storage, as well as fixed and mobile wireless connections to ever more devices. And as the demographic pressure of an ageing population leads to more patient s and economic pressures lead to fewer staff, critical IT systems are more important than ever to bridge the gap. Brand-Rex has provided flexible highreliability network infrastructure solutions to hospitals, clinics and healthcare facilities Internationally. This experience ensures we understand your challenges and your uncertainties, with a commitment to help you to make the selection that provides the best technical and economic solution to your project s unique and specific needs. Specialised Needs Brand-Rex manufactures a full range of high performance standards compliant system solutions supporting the migration from Gigabit applications. Our healthcare solutions include Air Blown Fibre (ABF) to provide backbone or premise connections and consolidation point technology, both ideal for future proofing networks to facilitate moves, adds and changes. This removes the need for interruptions during ever more frequent re-configurations of care delivery facilities. We understand unique demands - from galvanic isolation of operating theatres and intensive care units to the need to store big data, such as vast amounts of imaging files. We have pragmatic proven solutions specifically designed to meet these challenging healthcare requirements. We provide innovative bespoke solutions backed by our 25 year systems and application warranty. We can help you plan and design fault-tolerant high resilience networks with flexibility, built-in from day one. Understanding that your network performance is critical and the demands placed upon it will only increase, the solution and partner of choice becomes crucial. Brand-Rex is dedicated to reducing its impact on the environment and offers sustainable solutions. As part of this commitment Brand-Rex achieved Carbon Neutral status for its Global organisational and operational activities in accordance to the PAS2060 and ISO14064 standards. As a leading network infrastructure manufacturer we understand the environmental impact of our operations, that s why we are committed to reducing our impact on the environment by utilising sustainable energy sources and materials to manufacture sustainable solutions. Brand-Rex was not only the first network infrastructure company to achieve carbon neutral status for its global operations, but also the first to introduce a range of Carbon Neutral products. To find out more about our commitment to the environment and to sustainable design visit:

4 HEALTHCARE SOLUTIONS Brand-Rex offers a wide range of fully tested, durable and reliable solutions ideally suited for healthcare installations. Our products are is designed and manufactured for use in challenging and restricted environments. The benefits of our healthcare range include small diameter cables, high density connectivity products and modular based solutions, all offering ease of installation and design flexibility to the highest performance. Brand-Rex has established a core philosophy of delivering maximum performance through design excellence. A high level of knowledge and experience allows Brand-Rex to consistently deliver first class solutions and a first class service to customers. Radiography Ward High Performance shielded copper cabling solutions and fibre optic cabling are ideally suited to the mission critical medical imaging locations within a hospital. Protection is offered against the impact of external voltages - preventing any galvanic (electrically conducting) connection between devices. In naturally electrically noisy environments such as these the defense against electromagnetic interference is imperative and therefore Class EA performance 10GPlus high performance cabling is recommended as a minimum. Brand-Rex offers an extensive range of cabling designed to support 10GBASE-T, accommodating the needs of today and the challenges of tomorrow. Public Areas & Hospital Wards High fire safety performance cables can prevent the spread of fire and smoke, an important safety decision, especially where patients have restricted mobility and in areas of high traffic. Solutions compliant to current and the latest emerging standards provide assurance in this choice. For indoor data cables Brand-Rex offers a range of low flammability, zero halogen materials that carry a fire safety rating in line with IEC and the more demanding IEC In such areas where there will be a high footfall of public and where the backup of business critical data transmission must continue in the event of an emergency then solutions such as optical Fire Survival cables become the ultimate solution of choice. Within these publicly accessible areas consideration must also be given to port protection at the outlet or equipment end. As the demand for increased accessibility to data transcends further down the network the implementation of Fibre to the patient will become a reality. The use of the Brand-Rex secure LC patch cord system ensures the elimination of unauthorized patching and de-patching of these critical system links. CCTV, Surveillance & Access Control High performance cables provide an advanced network infrastructure for building management systems (BMS) to converge multiple vital services such as access control, CCTV, data and voice communications, air conditioning and ward services. Previously considered peripheral devices are now fundamental parts of a network infrastructure and the use of Power over Ethernet has become the increasingly popular choice to power them. Brand-Rex s copper cabling systems support the applications for Power over Ethernet technologies (PoE & PoE+). Consideration needs to be given to the heat generated in this process with improved heat dissipation experienced using shielded solutions. The Brand-Rex 10GPlus shielded patch cords provide optimum and consistent performance while ensuring the reliability of the system. Operating Theatre Confidence, assurance and security in the network within one of the most mission critical areas can only be achieved by implementing the correct solution. When specified for use with specialised monitoring and imaging equipment, consideration needs to be given to the environment and associated Electromagnetic interference. Shielded copper cables with the facility for galvanic isolation are ideal for use in areas where external earth loops may interfere with operational equipment. The Brand-Rex Network Isolator is utilised in copper based network connections in order to protect a device linked with the network against external voltages of unknown origin. Also these components eliminate disturbing low frequency signals and prevent any galvanic (electrically conducting) connection between the connected devices. Therefore, in addition to the data lines, the cable shielding is also galvanically isolated.

5 Laboratory Superior performance data networking systems provide a safe, secure and reliable network solution to support the data hungry demands of today s laboratory environment. Adaptable future proof solutions such as the pre terminated MT Connect range maximise levels of flexibility to support migration paths for the speeds of tomorrow. MT Connect is an ultra high performance, pre-terminated, modular optical fibre cabling system based on MT ferrule connector technology. The MTP and MPO systems are ideally suited to this environment where multiple, point to point, fibre connections can be quickly and efficiently installed, maintained and changed as required. The use of low loss LC and low loss MTP elite connectors allows the designer the flexibility to incorporate multiple connections and travel longer distances while still maintaining the challenging optical budget for higher speed Ethernet. Future Demands With the criticality of patient care at the forefront, quick installation and minimal disruption of services becomes a major driver. Brand-Rex Air Blown Fibre Systems offer solutions for Internal and External applications (Blolite and MicroBlo). The use of Air Blown Fibre Systems gives complete freedom from risk by pre-installing a ducting route and then blowing in the fibre element as required. The Blolite system is versatile with backbone and / or fibre to the patient links for distances up to 1km, which is ideally suited to connecting multiple campus sites. Offering a unique future proofing option this solution is the sustainable choice for your complete healthcare installation. The Blown range and fibre optic cabling in general support high-bandwidth applications but the balance between efficiency, flexibility, cost and future proofing is typically challenging. The drive for solutions that expand the traditional fibre backbone system by running fibre further into the installation than ever before are now becoming an interesting option. The brand-rex Microswitch can be utilised as part of a horizontal wiring solution that pushes the available bandwidth in an intriguing, underestimated and overlooked way to create a beneficial system that is expandable and performance-driven. Acting as a copper to fibre converter The 6 port GBE Micro Switch Generation 6 offers a 1000Base-X fiber optic uplink - for linking to the central distributor. All five RJ-45 ports (4 user ports and 1 downlink) support complete Power over- Ethernet functionality. Wireless Networks A wide variety of high performance network cabling solutions are required to provide reliable and high speed wireless internet connectivity throughout healthcare facilities - allowing patients and their visitors to access the internet using their own devices 24 hours a day, 7 days a week. Wireless Access points (WAPs) need to be incorporated into the structured cabling scheme as they are required to communicate with the rest of the Local Area Network. While most structured cabling is installed at floor or desk level, Wireless Access Points are located at high levels just below or above ceiling height where the best RF coverage is achieved. The 10GPlus consolidation point cassette offers a resolution to this challenge. It delivers true Augmented Category 6/Class EA performance, provides superior screening characteristics in a light yet robust construction and can be used with or without a patch panel, making them the ideal plug and play consolidation point solution. Data centre The data centre is an essential part of the Hospital IT infrastructure, ensuring instant access to current and accurate patient data on demand and without disruption. The solutions within this environment need to allow for the growth and expansion of critical services, in relation to both technology and space availability. With a greatly reduced diameter the zone cable overcomes containment issues by saving pathway space in trays and cabinets. This unique cable offers a 30% weight and 50% space saving compared to equivalent horizontal cables, offering a flexible and easier installation with excellent transmission parameters. The IT cabling infrastructure in the Data Centre provides a transportation path for the reliable transmission of data, flexibility to support moves, adds and changes (MACs) and the ability to facilitate future technology upgrades. The Brand-Rex MT connect Pre terminated solution set is again an ideal option to improve the operational efficiency of the facility and future proof for change and growth.

6 HEALTHCARE CABLING, INTERNATIONAL STANDARDS AND APPLICATIONS Requirements in the Healthcare sector can carry higher levels of complexity than a standard enterprise and as such additional applicable standards exist. Published structured cabling and related standards for healthcare facilities include; TIA 1179 TIA/EIA-568 EN IEEE ISO/IEC TIA-1179 details considerations specific to the healthcare telecommunications infrastructure environment and specifies ANSI/TIA/EIA-568 compliant cabling & products. Covering a suite of requirements including backbone and horizontal cabling, extended distances, cabling topologies, pathway management in equipment rooms/work areas and overall transmission performance, the standard expands on typical expectations while maintaining conformity to industry guidelines on planning and installation through to administration. The standard covers the needs of small to medium clinics and hospitals as well as the larger research facilities and hospital campus environments. Included within the scope is specific but not limited to pharmaceutical and medical inventory management, Radio frequency identification, Business access/ security and nurse call systems. The unique requirements within these environments are typified when considering the definition of the work area. The needs of telecommunication infrastructure in the facilities/operations area will vary when compared to A&E or critical care areas for example. Each location is characterized per number of outlets - as low, medium or high density across patient services, operating rooms, treatment rooms, nurse stations etc. The need for redundancy is driving the number of outlets but many of these work-area spaces must be equipped to handle multiple temporary connections. Specific directives within TIA 1179 as detailed below: Room Size: Recommendation for a growth factor of 100% when determining room size for Equipment Rooms (ERs) and specification that Telecommunications Rooms (TRs) should be sized at 12 m2 (130 ft2) or larger. Cabling Practices: A minimum of two diverse pathways to be provided between Entrance Facilities (EFs), Telecommunications Rooms (TRs) and Telecommunications Enclosures (TEs) - for critical care areas. Work Area Location: There are no expectations that outlets should be located together but consideration should be given to the various functional requirements for each outlet. For example, while commercial building standards place outlets at 450mm above the finished floor, outlets in Healthcare Facilities may best be located at bedside height to support patient monitoring, nurse call and other systems. Work Area Outlet density: The recommendations for higher outlet densities are based on the functional requirements at each location. Commercial building standards recommend only a minimum of two work area outlets. This standard calls for 2 to 6 outlets, or ports in a low-density work area; 6 to 12 outlets in medium-density work areas; and more than 14 outlets in high-density work areas. Recognized Transmission Media: Given the mission critical nature of attached devices and systems within healthcare facilities, Brand-Rex recommend that the installation should utilize the highest performing cable and connectivity to provide the longest possible lifecycle and optimize return on investment. The standard supports this and stipulates the use of OM3/OM4 fibre and Cat 6 A as a minimum requirement for new build. Infection Control Requirements (ICR): Labeling spaces are recommended subject to ICR. The standard also states that TEs may be a better option for ICR areas and should be constructed from a suitable material when installed in surgical and other sterile environments. The Use of Multi User Telephone Outlets (MUTOs): The standard does not recommend the use of MUTOs for new construction, but states that MUTOs may be advantageous for the renovation of existing Healthcare Facilities in areas where any significant collection of equipment or commodities are moved or frequently reconfigured by the users. Security and Segregation: Recommendations in place in relation to the use of segregated networks to ensure adequate support of life and safety protocols. The standard recommends considering the use of colored cables, colored jacks or keyed connectivity to maintain segregation. Grounding and Bonding: It is expected that grounding and bonding within Healthcare Facilities shall meet the requirements of ANSI/TIA/EIA-568 C.0 and ANSI-J-STD-607-A. Environmental Considerations: TIA-1179 recognizes that some locations in Healthcare Facilities may be sensitive to atmospheric contamination, high levels of EMI, radiation, high temperature, chemicals, etc. To minimize these effects, it is recommended that the installation should be compatible with the surrounding environment. ANSI/TIA/ EIA-568 M.I.C.E classifications should be taken into consideration. Harsh Environment Protection: The standard does not specify what components to use for harsh environments subject to impact, humidity, strong disinfectants, harsh cleaners or wash downs. It does however specify that cabling solutions, design and installation methods compatible with the environment should be selected in order to support adequate performance in these areas during operation; again ANSI/TIA/ EIA-568 M.I.C.E classifications should be taken into consideration. Hamah Medical City Situated in the capital city of Doha, Hamad Medical City (HMC) is the Qatari government s largest ever Healthcare project. HMC required a highly resilient and robust cabling infrastructure to support a wide range of critical and essential services. The crucial requirements for a healthcare facility of this scale meant the selection process was thorough, including proof of capability. Brand-Rex provided a robust and resilient data network cabling solution to support data, telephone, CCTV, TV and access control requirements to create a highly reliable, progressive, multi-function network to deliver exceptional standards of medical care.

7 WHY BRAND-REX Complete peace of mind Exceeding standards compliance from TIA 1179, TIA/EIA-568 to EN at cable and component level is achieved through stringent design, manufacturing and operational processes, enabling us to offer the highest performance and quality our customers have come to expect. Superior performance Increased focus on e-health services, storage and instant accessibility of patient information and advances in imaging and diagnostic technology designed to improve patient care and safety have resulted in a dramatic increase in application size and data transfer rates. These applications are complex and require higher bandwidth, leading to the introduction of 10, 40 and 100G technology. Brand-Rex connectivity solutions have evolved to meet these requirements, including the adoption of plug and play solutions and low loss MTP connectivity to ensure a seamless migration to higher speed Ethernet. Flexibility Healthcare facilities are far more complex than commercial buildings. Recognizing this, Brand-Rex solutions are designed to support clinical and non-clinical services across an extensive range of work areas and unique requirements. It is critical that infrastructure design supports current and future applications. The use of Brand-Rex blown fibre technology ensures that. Faster installation Whilst technologies continue to grow at an exponential rate, installation practices have been slower to evolve. Legacy often dictates that familiar products and processes offer reassurance; however the drive for more efficient and financially feasible solutions is changing that rationale. Delivering significant savings in time and money, pre-terminated copper and fibre solutions have become a viable and attractive option for maximising return on investment. Simplifying the Smart Design premise and using premium quality factory tested performance providing improved operational efficiency. Proven reliability The focus on reliability, increased density and modularity during installation and throughout the life of the project is paramount. Superior and consistent performance is achieved using process capability to control the repeatability and consistency of the manufacturing process to ensure long-term reliability and optimal application performance. For additional peace of mind our systems are supported by our leading 25 year system warranty. Sustainability Energy efficiency is an important requirement within the healthcare sector. The adoption of new cabling technologies can ensure adherence to the latest standards and enable organisations to realise significant and long term operational savings. As a leading manufacturer network infrastructure solutions, Brand-Rex recognises it has a responsibility to ensure its solutions are designed and manufactured responsibly using sustainable energy sources. References Brand-Rex has a wealth of experience to share with you as you deal with your own unique requirements. Our networking cabling solutions are installed in hospitals and healthcare facilities around the world. Aalborg Hospital Al Zahra Hospital Amsterdam Medical Centre Arzanah Medical Centre Cochlear Deventer Ziekenhuis Hospital Erasmus Medical Centre & Hospital Grampian NHS Healthcare Trust Hamad Medical City Hoa Lam Hospital Hospital of Amiens Hospital of Castres Hospital of Orleans International Hospital IPO-Instituto Português de Oncologia King Fahd General Hospital KJO Hospital Kwong Wah Hospital Laboratório Regional de Veterinária-Açores Malta National Hospital Ministry of Health MOD Military Hospital Mostoles Hospital Nanjing Gulou Hospital National Guard Hospital NHS Wirral St. Catherines Hospital North Lantau Hospital Østfold Hospital Prince of Wales Hospital Sheikh Khalifa Medical Centre South Glasgow Super Hospital St Teresa s Hospital St. Paul s Hospital Sahlgrenska University Hospital Sultan Qaboos Hospital Tung Wah Group of Hospitals Union Hospital Verona Hospital Vimercate Hospital Yan Chai Hospital Erasmus Medical Centre With an investment of 449 million, the redevelopment of the Erasmus Medical Centre (MC) in Rotterdam will result in a facility capable of providing optimum care. To offer the most reliable, safe and future proof network infrastructure Erasmus MC chose a Brand-Rex 10GPlus Augmented Category 6 copper system and a singlemode fibre backbone. The high performance shielded system exceeds standards and offers optimal protection from sources of interference, an important factor in demanding and electronically noisy applications such as radiography labs.

8 Brand-Rex is a leading technology company who design, develop and manufacture innovative fibre and high-end copper connectivity solutions for the network infrastructure cabling market and high performance cables for extreme environment applications. operating territories brand-rex head office viewfield industrial estate glenrothes, fife KY6 2RS united kingdom tel: +44 (0) fax: +44 (0) brand-rex asia pacific 17/F prosperity centre container port road kwai chung hong kong tel: +852 (0) fax: +852 (0) brand-rex central and eastern europe tel: +420 (0) brand-rex france 120, rue jean jaurès levallois perret france tel: +33 (0) fax: +33 (0) brand-rex germany storkower str berlin germany tel: +49 (0) fax: +49 (0) brand-rex india, middle east & africa aspect tower - business bay office No zone b PO Box dubai united arab emirates tel: +971 (0) fax: +971 (0) brand-rex italy via giovanni da udine, milano italy tel: +39 (0) fax: +39 (0) brand-rex italy viale di trastevere, roma italy tel: +39 (0) brand-rex nordic tel: +46 (0) brand-rex portugal lagoas park edifício 8 piso porto salvo portugal tel: +351 (0) fax: +351 (0) brand-rex russia tel: brand-rex spain avda puente cultural 10 edif a, pt 1 puerta san sebastián de los reyes spain tel: +34 (0) fax: +34 (0) brand-rex uk 72 cannon street london EC4N 6AE united kingdom tel: +44 (0) fax: +44 (0) brand-rex speciality cabling solutions west bridgewater street leigh, lancashire WN7 4HB united kingdom tel: +44 (0) fax: +44 (0) marketing@brand-rex.com The information contained in this document is valid and correct at the time of issue. However, we reserve the right to modify details without notice in the light of subsequent Standard / Specification changes and ongoing technical developments. Brand-Rex Limited 2014 Literature Ref: HEALTHCARE/EN/1 04/16