The New Wireless Utility at Scripps Health

Transcription

1 The New Wireless Utility at Scripps Health Bruce A Rainey, Corporate Vice President Facilities Design & Construction, Scripps Health Marty Miller, CIO, Children s Hospital Los Angeles

2 Agenda Who is Scripps Health? Why is this discussion important to you? What Changed What is Medical Grade Wireless Utility Who is schildren s Hospital Los Angeles Benefits of Medical Grade Wireless Utility Opportunity

3 Scripps Private, $2 billion, nonprofit community health hsystem, San Diego, Calif. Integrated delivery system caring for approximately 500, patients annually Two of San Diego s six trauma centers Forefront of clinical research and graduate medical education 1,368 total licensed beds 2,900 Physicians & 145 residents/fellows 13,100 employees

4 Scripps Specialized programs include: Diabetes Institute Accredited Cancer Center Network Center for Integrative Medicine Robotic Surgery Program Graduate Medical Education Genomics & Clinical Research Translational Science Institute West Wireless Partnership

5 > 1.6 Million Square Feet Scripps Memorial Hospital Encinitas Scripps Mercy Hospital (San Diego Campus) Scripps Green Hospital Scripps Mercy Hospital (Chula Vista Campus) Scripps Memorial Hospital La Jolla

6 > 1.1 Million Square Feet Scripps Clinic Carmel Valley Del Mar Coronado Encinitas La Jolla Mission Valley Rancho Bernardo Rancho San Diego Santee Torrey Pines

7 Encinitas Escondido Hillcrest Oceanside Vista Scripps Coastal Medical Center Carlsbad Del Mar Eastlake Various Administrative Facilities

8 The Next Decade $2.3 billion investment State-of-the-art the art Imaging New hospital facilities Renovations & expansions Medical technology Emergency & Trauma Cardiovascular Institute Earthquake retrofits Cutting-edge research New ambulatory centers Right: Scripps Mercy expansion

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10 The Problem May 20, 2009 Study identifies top five wireless challenges Physical Connectivity Security Considerations Technology Connectivity Issues Meeting User Demand Network Management Issues

11 New Technologies Body Area Networks The Problem Communications in and around the body Utilizes sensors, actuators,,processing elements Mobile Clinical Devices Linkage to EMR Security Expanding the Chipset Venue Marketplace Dynamics

12 The Problem

13 The Problem Wireless Data Growth 108% CAGR Through 2014 Wireless Data Use 3,600,000 4% 5% 8% Exponential growth 80% within buildings 70% of staff and physicians already using smart devices Handheld computing deployment exploding TB per Month 17% 1,800,000 66% Mobile VoIP Mobile Gaming Mobile P2P Mobile Web/Data Mobile Video Source: Cisco VNI Mobile, 2010

14 The Problem Wireless Infrastructure is often vendor-specific More vendors creating more wireless devices More devices in the built environment creates noise Portions of the wireless spectrum not covered with current solutions Emergency operations Police Fire Cell

15 Our Current Situation WiFi (802.11a/b/g/n) Single Channel coverage Production network Visitor hot spots WMTS for patient monitoring Several different solutions Low frequency wireless headsets and phones T-Mobile Nano Pico cell in building coverage AT&T/Verizon broadband for remote Users

16 Current Situation - continued Device Frequency Vocera VoIP badges (b/g) 2.4 GHz Laptops, tablets, lifebooks, desktops (802.11b/g/n) 2.4 GHz, 5GHz Alaris pump p (802.11b) 2.4 GHz MUSE EKG (802.11b) 2.4 GHz Smartphones (T-Mobile, AT&T, Sprint, Verizon) Phillips patient monitoring (WMTS) 608 to 614 MHz & 1429 to 1432 MHz Patient monitoring Welch Allyn (Aruba b) 2.4 GHz Wireless NEC DTR phone 900MHz frequency Ascom wireless phones IP-DECT MHZ Bluetooth MHz Inhouse T-Mobile pico cells

17 Challenges Over the Air Intrusion Detection System In building spectrum management and interference detection Device Management and dsupport In building cell carrier coverage (i.e. AT&T, Sprint, Verizon, etc.) Data Transmission Security Discrete WMTS infrastructure for telemetry

18 The Goals Own the architecture Create open architecture for future wireless devices Be vendor neutral, not driven by clinical needs Allow for equipment changes without infrastructure changes

19 The Goals continued Expand the coverage while maintaining control Lower Costs Ongoing operations Capital expenditures over time

20 Resolution Cross-functional Leadership Information Services Facilities / Construction Biomed West Wireless Health Institute (Advisor to Scripps)

21 Solution Create a Medical Grade Wireless Utility as the platform for wireless health going forward

22 Medical Grade Wireless Utility An expected utility, much like electricity, plumbing and HVAC Installed as part of the base building An open and vendor neutral converged wireless infrastructure, supporting transport for any wireless signal across 3 grades of service and 4 networks

23 Children s Hospital Los Angeles Founded in 1901, first pediatric hospital in Southern California Research hospital Nonprofit, academic, pediatric i Medical Center The only Level 1 Pediatric Trauma Center in Los Angeles County

24 Children s Hospital Los Angeles Over 4200 employees 588 medical staff 603 Licensed Beds Affiliated with the Keck School of Medicine at University of Southern California Annual Statistics 10,920 inpatient visits 301,838 outpatient visits 65,919 ED visits 15,459 pediatric i surgeries performed

25 MGWU for Children s Hospital LA Wireless historically problematic in hospital environment Clinicians i i and Physicians i the need for mobility In search of better wireless method

26 MGWU for Children s Hospital LA MGWU first deployed in MGWU deployed in new 480, s.f. building in million s.f. currently covered by MGWU

27 Medical Grade Wireless Utility An open, vendor neutral & converged wireless infrastructure, supporting transport for any wireless signal across 3 grades of service and 4 networks Consumer Enterprise Medical

28 Three Grades of Service ime Critical T Low Medi um Hi igh Consumer Grade Enterprise Grade Medical Grade Low Medium High Acuity

29 Medical Grade Wireless Utility An open and vendor neutral converged wireless infrastructure, supporting transport for any wireless signal across 3 grades of service and 4 networks WWAN WLAN WCDN LLAN

30 Four Wireless Networks

31 Each with a Defined Assurance WWAN Facilities WLAN IS/IT WCDN BioMed LLAN IS/IT Coverage Driver = WWAN Medical 95% or better 100% in Clinical Areas Driver = Medical 95% or better 100% in Clinical Areas Driver = WMTS Medical 100% in Clinical Areas Signal Quality Driver = WWAN Medical + XX dbm above noise Driver = Medical - XX dbm & -XX dbm Driver = WMTS Medical + XX dbm Driver = WWAN Medical Capacity Per Zone (~150k ft 2 ) RF Carriers/Zone/Service Driver = Medical Per Segment (4K ft2) # Channels / Segment Driver = WMTS Medical Channel(s) ()per area # users per area Security Base Station Hotel Zone IDF Physical security Physical security Certainty Shared Engineered Shared Engineered Guaranteed Dedicated

32 Medical Grade Wireless Utility Infrastructure Independence Ubiquitous it coverage inside id & outside Bluetooth ANT Zigbee UWB Future Wireless Local Area Network Room Area Network Personal Area Network Body Area Network Democratize Healthcare Data Pervasive, open, low cost monitoring Break the proprietary hold on healthcare PCS/Cellular Paging Fire Life Safety 2 Way Radio Future Wireless Wide Area Network Medical Grade Wireless Utility Wireless Clinical Data Network The Killer Apps Voice, Data, Video, Location Zigbee IR Ultrasound UWB RFID Future Location Local Area Network Assets People Clinically Relevant Information Pervasive, low cost medical sensors Turn data into wisdom

33 MGWU Benefits Lower Implementation Costs One antenna system instead of one per technology Lower Operating Cost Fewer FTEs to manage ecosystem Fewer calls to help desk No retro-fitting for unknown dead-zones

34 Lower future cost MGWU Benefits Known capacity Add devices without touching the infrastructure Smart pump deployment New technology doesn t require closing rooms for gy q g replacement of legacy systems

35 MGWU Benefits Safer use of wireless in medical settings No interference problems associated with wireless in high acuity settings Future Ready design Enables speed of implementation New-tech is coming, design now and turn on later

36 Flip the Paradigm Enable the hospital to make device decisions based on infrastructure and NOT infrastructure decisions based on the device

37 Opportunities For Integrators & Healthcare Design Professionals Trend toward future ready wireless infrastructure Projected high h growth in Medical Grade Wireless Utility implementations Training and certification Designers and consulting engineers Installers and System Integrators

38 Q & A