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Converging Medical Device and Enterprise Networks
 

Converging Medical Device and Enterprise Networks

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Issues surrounding the migration of networked and wireless medical devices from private medical device networks to enterprise networks.

Issues surrounding the migration of networked and wireless medical devices from private medical device networks to enterprise networks.

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    Converging Medical Device and Enterprise Networks Converging Medical Device and Enterprise Networks Presentation Transcript

    • Converging Medical Device & Enterprise Networks Medical Connectivity Consulting Wednesday, May 20, 2009 1
    • Agenda Medical device system networks Convergence challenges Best practices Wednesday, May 20, 2009 2
    • Medical Device Networks Private networks Tightly controlled by vendor Easier to support Lower R&D costs Entire system is regulated Ideal for departmental systems Wednesday, May 20, 2009 3
    • Private Network Limits Create “islands of information” Sometimes include discontinued third party products Not kept current with evolving network/computer technology Proliferate widely Barrier to enterprise deployments Customer sees unnecessary complexity, duplication and cost Bob Metacalf, Ethernet inventor holding ThickNet network cable Wednesday, May 20, 2009 4
    • Medical Device As Information Appliance Enterprise-wide deployments Overlapping deployment of different devices Driven by patient safety applications Driven by EMR adoption Wednesday, May 20, 2009 5
    • EMR Adoption Model Cumulative Capabilities Q2 2008 Q3 2008 Medical record fully electronic; HCO able to contribute Stage 7 CCD as byproduct of EMR; Data warehousing in use 0.0% 0.1% Physician documentation (structured templates), full Stage 6 CDSS (variance & compliance), full R-PACS 0.9% 1.0% Stage 5 Closed loop medication administration 1.0% 1.3% Stage 4 CPOE, CDSS (clinical protocols) 1.8% 1.9% Clinical documentation (flow sheets), CDSS (error Stage 3 checking), PACS available outside Radiology 32.0% 32.9% Stage 2 Clinical data repository, Controlled Medical Vocabulary, Clinical Decision Support System, may have Document Imaging 33.9% 33.2% State 1 Ancillaries - Lab, Rad, Pharmacy - all installed 12.6% 12.5% Stage 0 All three ancillaries not installed 17.7% 17.1% Total Hospitals n = 5048 n = 5050 Data from HIMSS Analytics Database Wednesday, May 20, 2009 6
    • Agenda Medical device system networks Convergence challenges Best practices Wednesday, May 20, 2009 7
    • Network Variability Network design and configuration Authentication and encryption Network vendor diversity Wednesday, May 20, 2009 8
    • Network Management Documentation Network reliability & predictability Test and change control Emerging systems-of-systems problem Wednesday, May 20, 2009 9
    • IEC 80001 One or more networked medical devices Formal risk management process (ISO 14971) Manage networks as medical devices Responsibility Agreements with vendors Complete in 2010 Wednesday, May 20, 2009 10
    • Service & Support Losing control of network environment Complexity diagnosing problems Shortage of general IT expertise Philips Research Wednesday, May 20, 2009 11
    • Maintaining QSR on open networks Regulatory Adequate verification testing Consolidate WW regulatory issues IEC 80001 - Responsibility Agreement Wednesday, May 20, 2009 12
    • Product Development Supporting enterprise IT variability Supporting multiple network vendors Medical device coexistence Verification - scalability, environment Wednesday, May 20, 2009 13
    • Agenda Medical device system networks Convergence challenges Best practices Wednesday, May 20, 2009 14
    • Communications Phones Pagers PDAs Computers Overhead pages on wheels Nurse call Medical Tasks Devices Patient care PoC diagnostics Patient Ventilators assessments Patient monitors Alarms IV pumps Meds administration Telemetry packs Documentation Spot vital signs Coordinating care monitors Patient education Wednesday, May 20, 2009 15
    • Networks are Designed New applications = new requirements = new design Get network specifications from medical device manufacturers Provider is responsible for ensuring network remains within specifications Wednesday, May 20, 2009 16
    • Create a Technology Roadmap Across clinical areas Across technologies Note specific solutions, integrations, and required infrastructure Wednesday, May 20, 2009 17
    • Balance IT Standards with Clinical Needs Core mission is healthcare delivery not IT delivery Proactively disclose your standards to manufacturers Be flexible Wednesday, May 20, 2009 18
    • Monitor & Manage Networks Maintain manufacturer’s specifications Realistic test environment Rigorous change control Wednesday, May 20, 2009 19
    • Bibliography IEC 80001 - An Introduction IEC 80001 - To Impact Providers Wi-Fi Device Drivers for Medical Devices Medical Device Networks Trouble Industry Can We Fix Wireless Healthcare? Wednesday, May 20, 2009 20
    • Tim Gee Blog at: www.medicalconnectivity.com Medical Connectivity Consulting Wednesday, May 20, 2009 21