Engineering for the Future Jamie Hayes Brisbane Health Sector Manager
Presentation Overview! Current Trends! Future Trends! Digital Hospitals! Conclusion
Current Trend
Current Trend Impact on Engineering! Lighting! Energy metering! BMS! Security! Communications ICT Nurse call DECT
Converged Network
Integration Enterprise Service Bus
System Port Count on the Rise! Ethernet Port Count on the Rise! Wireless from 30m2 to 15m2 or less System' Security 863 IPTV and Patient Entertainment Systems 715 Audio Visual Systems 339 Public Display and Queuing System 90 Master Clock System 3 Nurse Call 118 Public Address 44 Building Management System 140 Building Sub Systems 27 FM Messaging System 2 TOTAL 2341 Total'Ports' Clinical(8939( Wireless(LAN(575(
Building Information Modelling
Digital Hospital Objectives! Patient centred care! Save time for Clinicians! Increase ease of use! Better Quality of care! Reduced number of errors! Improved productivity and reduced costs! Real time information! Electronic medical records! Linked Health network! Support patients and carers
Key Observations! Multiple Devices! Mobile Phones! In Building Coverage Systems! ipads! Paging! Voice over WLAN! DECT! Nurse Call! Medical Device Integration! Legacy Platforms! BYOD! Starting to be deployed! Keeping multiple devices
Unified Communications! Expansion of existing DECT! Voice over WLAN! Mobile Duress! Nurse call Integration! Voice over WLAN Apps
RTLS and Mobile Duress! Wireless LAN or Choke Points / Exciters
RTLS and Mobile Duress Processing*latency*! DURAsuite( (approx(500ms(! ERC( (approx(500ms(! Ascom(UCM( (approx(2(secs(! Total(system(processing(latency( (approx*3*secs* Aggregate*result*! When(network(and(addiIonal(processing(latency(are(factored( in( (which(are(inconsistent(in(nature( (the(ime(lag(from(alarm( generaion(to(alarm(presentaion(on*5*handsets*varies* between*3:5*seconds.(! Total(system(performance,(including(LAN/WLAN/Firewall/ Mobile(Handset (system(capable(of(physical(locaion( idenificaion(within(5(seconds(effecive(to(within(3m(+/v(1(
New Spectrum Licences in Australia! TPG new entrant! 4G data only Telstra* Optus* VHA* TPG* ExisAng* 850MHz( WCDMA( V( WCDMA( V( 900MHz( GSM( GSM/WCDMA( GSM/WCDMA( V( 1800MHz( LTE((some( GSM)( LTE/GSM( GSM((some( LTE)( V( 2100MHz( WCDMA((some( LTE)( WCDMA( WCDMA( V( 2300MHz( V( TDDVLTE( V( V( New* 700MHz( 40MHz( 20MHz( V( V( 2600MHz( 80MHz( 40MHz( V( 20MHz(
Mobile In Building and External Coverage! External Site Coverage! Macro + Rental Return! In Building Mobile Coverage! Distributed Antenna System! Current: Single In Single Out (SISO)! 700MHz to 2700Mhz including the current and future LTE bands using Multiple In Multiple Out (MIMO)
Messaging System FM MESSAGING RADIO PAGING BMS NURSECALL FIRE RTLS INTEGRATION ENGINE CONVERGED NETWORK SECURITY VoIP NURSECALL PC
Messaging Systems! Alarm filtering! Rules to direct alarms to the right staff members to eliminate the overload caused by receiving unnecessary information throughout the day.! Assignment! Assign particular devices and patients to staff for the various clinical systems! Critical Facility monitoring Critical plant monitoring! Integration to all communication devices! Integrated messaging HL7! Consolidated configuration platform! User-configured access and filtering by department! Tightly coupled integration
Patient Entertainment Systems PAY TV FTA/DAB MOVIES ON DEMAND GAMES SERVER PATIENT EDUCATION CONTENT FOOD MANAGMENT SYSTEM IPTV HEAD- END CONVERGED NETWORK INTERNET STB PES PENDA NT FACILITY DESKTOP PC PES & IPTV MANAGEMENT IP ENABLED FPD FPD/TV PES CONSOLE WIRED/ WIRELESS KEYBOARD
Patient Entertainment Systems! Apple / Foxtel Go! Guest Wireless
Standards Standards! Standards Australia IT-014 (ehealth) ATS 5820:2010 E-health Web Services Profiles ATS 5821:2010 E-health XML Secure Payload Profiles ATS 5822:2010 E-health Secure Message Delivery (to be replaced by AS5552 in 2013) TR 5823:2010 Endpoint Location Service (to be replaced by ATS 5546 in 2013)! ISO TC 215 Health Informatics! HL7
Conclusion! Mobility can unlock operational cost savings! Messaging system to enable mobility and unify alarm systems! Allow BYOD and reduce cost
Engineering for the Future Questions? Jamie Hayes j.hayes@ndy.com