IP Telecom Networks. A Hospital's nervous systems

UC2 and IP Networks to support hospital operations. © 2010 All rights reserved. E-mail: argelich@argelich.com Tel. +34 93 415 12 35 - 1 -
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
System
Agustín Argelich
Argelich Ingenieros, Barcelona, Spain

Which is the
challenge we
are facing?
Which
strategies can
we apply?

More needs few qualified resources
Spanish population
pyramid 2016
Social and Demographic changes

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

Objective - Retos
UC2
Unified
Communications
and
collaboration.
IP wire
and
wireless
networks
Which are the tools
available?
CBPA
Communication
Based Processes
Automation
Why do we need UC2 and
CBPA?

Let’s take Gaudi’s thoughts.
What’s happening with telecoms?

What’s happening with telecoms?
Everything comes from the great book of nature.

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.

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

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.

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

Symmetric high-capacity WAN and LAN
Ethernet links you with all the World
Share information and resources.
The New Age of Telecommunications in
Healthcare
.

OHSJD WAN NETWORK
MAN
BARCELONA
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 Advance
4M/512K
40 Mbps
100 Mbps
100 Mbps
ICT
C3560
C3560
C3560 C3560
C2801
C2801
C280
1
C2801
C280
1
Sant Boi Campus
C3560C356
0

WAN link between sites – Carrier EthernetServ.
Symmetric throughputbetween2 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 Control
Network
Management
Content
Analytics
REAL-TIME
Off-line
Applications
Corporate
Telephony
Network
Medical
Equipment
Industrial
Signals
REAL-TIME
Alert Statistics
Corporate IP
TV
CTI 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

Standard hardware + software
There is no finish line
New applications
Virtuous circle of innovation
Software
Servers
Ethernet
switches
WAN link between sites – Carrier EthernetServ.
Symmetric throughputbetween2 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 Control
Network
Management
Content
Analytics
REAL-TIME
Off-line
Applications
Corporate
Telephony
Network
Medical
Equipment
Industrial
Signals
REAL-TIME
Alert Statistics
Corporate IP
TV
CTI Contact Center
Multi-Videoconference IP
Unified Communications and Collaboration
Communication Based Process Automation
WWAN – Mobile Network Operator Services
GPRS – UMTS - HSDPA,

Red IP
Mass Storage
Applications Servers
Control Accesos
Hilo Musical
VideoVigilancia
Detectores
sondas
VideoConferencia
IP TV
Sonorización
Voz
Megafonía
Tracking
Network Management
Biometric

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.

Infant Protection
LabResults
Nurse call
Security System
Location Tracking
IT System
Monitoring
ADT System
Pager
Remote
Monitoring
Devices
Digital
Signage/
Whiteboard
Smart
Phones
Web
Wireless
Telephony
Enterprise-widedirectory,presence,
preferenceand escalation rules
Deliveryto right
endpoint
Web
Directory
Emergency
Notification
Speech
Recognition
Wireless
Telephony
Dashboard
On-site
Paging
OnCall
Alarms
Integration
E911
Nurse Call
Integration
RFID
Presence
Call Recording
Call Accounting
Operator
Console
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

Business Process Automation
Shorter processes cycle of life.
Avoid human errors

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 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.

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.

OR

Analog technology has already died, you cannot maintain it.
New digital solutions, new functionalities, soft-based,
continuous improvement, simpler, more efficient.
Analog Blackout

Product
Obsolescence
Skill
Obsolescence

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 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.

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.

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.”

Questions?

The
cycle of
life

The cycle of
life
 Question
 Think
 Look for
 Design
 Compare
 Take a Decision
Act
 Analyze results
 Adjust
 Begin again.

Let us create
wealth together.
Shaping the Future …
By improving your
networks you will …
Improve your life.
Improve your society.
Improve your hospitals.

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

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 Telecommunications
Consultants and Chairman of the International Affairs
Committee www.stcconsultants.org
 Founder. Director. Principal Consultant. ARGELICH
INGENIEROS. Independent Telecom Consultancy and
Engineering 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

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

Contact Data
Rambla de Catalunya, 112
08008 Barcelona, Spain
Tel. + 34 93 415 12 35
Fax + 34 93 217 42 98
E-mail: argelich@argelich.com
www.argelich.com

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 negotiate
contracts.
• Select carriers. Fixed and wireless (mobile).
• Ongoing network management supervision.
• Propose new investments and projects. Discuss with carriers and network
manager.

panrico.com
nyn.essagelogiccontrol.com
manpower.esmercabarna.es
laufen.comroca.es
aena.es
atll.esfibanc.com
palexmedical.com areas.es
ub.es
REFERENCES
regal.es lear.com grifols.esterrassa.catmercamadrid.es

IP Telecom Networks. A Hospital's nervous systems

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IP Telecom Networks. A Hospital's nervous systems