Converging
             Medical Device &
             Enterprise
             Networks

             Medical Connectivity ...
Agenda
              Medical device system
              networks
              Convergence challenges
              Best ...
Medical Device
          Networks
              Private networks
              Tightly controlled by
              vendor
...
Private Network Limits
              Create “islands of information”
              Sometimes include discontinued
        ...
Medical Device As
          Information Appliance
              Enterprise-wide deployments
              Overlapping depl...
EMR Adoption Model
                                      Cumulative Capabilities                                 Q2 2008 Q...
Agenda
              Medical device system
              networks
              Convergence challenges
              Best ...
Network
                          Variability



                          Network design and
                          co...
Network
             Management
             Documentation
             Network reliability & predictability
             ...
IEC 80001
             One or more networked medical
             devices
             Formal risk management process (ISO...
Service &
                          Support
                          Losing control of network
                          ...
Maintaining QSR on open
                          networks
          Regulatory      Adequate verification testing
        ...
Product
             Development
             Supporting enterprise IT
             variability
             Supporting mu...
Agenda
              Medical device system
              networks
              Convergence challenges
              Best ...
Communications
                               Phones       Pagers             PDAs
                                  Compu...
Networks are Designed
               New applications = new
               requirements = new design
               Get ne...
Create a
                          Technology
                          Roadmap
                          Across clinical ...
Balance IT
             Standards with
             Clinical Needs
             Core mission is healthcare
             de...
Monitor &
             Manage
             Networks
             Maintain manufacturer’s
             specifications
      ...
Bibliography
             IEC 80001 - An Introduction
             IEC 80001 - To Impact
             Providers
          ...
Tim Gee           Blog at:
                          www.medicalconnectivity.com

        Medical
        Connectivity
   ...
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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.

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Converging Medical Device and Enterprise Networks

  1. 1. Converging Medical Device & Enterprise Networks Medical Connectivity Consulting Wednesday, May 20, 2009 1
  2. 2. Agenda Medical device system networks Convergence challenges Best practices Wednesday, May 20, 2009 2
  3. 3. 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
  4. 4. 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
  5. 5. 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
  6. 6. 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
  7. 7. Agenda Medical device system networks Convergence challenges Best practices Wednesday, May 20, 2009 7
  8. 8. Network Variability Network design and configuration Authentication and encryption Network vendor diversity Wednesday, May 20, 2009 8
  9. 9. Network Management Documentation Network reliability & predictability Test and change control Emerging systems-of-systems problem Wednesday, May 20, 2009 9
  10. 10. 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
  11. 11. Service & Support Losing control of network environment Complexity diagnosing problems Shortage of general IT expertise Philips Research Wednesday, May 20, 2009 11
  12. 12. Maintaining QSR on open networks Regulatory Adequate verification testing Consolidate WW regulatory issues IEC 80001 - Responsibility Agreement Wednesday, May 20, 2009 12
  13. 13. Product Development Supporting enterprise IT variability Supporting multiple network vendors Medical device coexistence Verification - scalability, environment Wednesday, May 20, 2009 13
  14. 14. Agenda Medical device system networks Convergence challenges Best practices Wednesday, May 20, 2009 14
  15. 15. 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
  16. 16. 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
  17. 17. Create a Technology Roadmap Across clinical areas Across technologies Note specific solutions, integrations, and required infrastructure Wednesday, May 20, 2009 17
  18. 18. 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
  19. 19. Monitor & Manage Networks Maintain manufacturer’s specifications Realistic test environment Rigorous change control Wednesday, May 20, 2009 19
  20. 20. 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
  21. 21. Tim Gee Blog at: www.medicalconnectivity.com Medical Connectivity Consulting Wednesday, May 20, 2009 21

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