3. Smart technology – are we being SMART
enough with Estates & Facilities (in
Healthcare)?
AGENDA:
• Introduction
• Why be Smart
• Our Leadership challenge
• Delivering Smart
• Our drivers
• The art of the possible
4. The Bouygues Group: Building Smart
Cities
Communications Construction Power
£36 B turnover
5. Bouygues’ French Headquarters -
Challenger
First building in the world to achieve triple certification (2011)
•LEED® “Platinum” (US)
•BREEAM® “Outstanding” (UK)
•HQE® “Exceptional” (FR)
Delivery Challenge
•Phased works from 2010 to 2014, Shifts over 67,000m2
•Occupied site
Energy
•90% Energy and CO2 savings
•Ventilated, double skin façades
•Geothermal energy from heat pumps
•100% of available BREEAM energy credits achieved
•25,000m2 photovoltaic panels on roofs, terraces and solar farm
Water
•Rainwater harvesting
•60% water savings
•100% of sewage will be treated and re-used on site (phyto-filtration garden)
15. The Art of the possible….
• 700 bed hospital
• 1,800,000 sg ft of GIA
• Automatic tinting windows using IP
technology
• Full fresh air ventilation systems
• Gains in efficiency of Healthcare
staff
• Real time data available both
clinically & estate wise
• Efficiency in bed utilisation /
optimisation
• 50% reduction compared to a
typical model hospital
• A single source of data & benefits…
16. Scheduling
Data
(HIS)
Staff
Locations
(RTLS)
Nurse Call
System
Unified
Comms
Real Time
Audit /
Analytics
Nurse / Bed
Assignments
(HIS)
Agent keeps track
of people, locations,
Schedules, Roles,
Beds, Assignments
Nurse Agent receives
notifications for the
attached user and
interacts with them…
Nurse Assist
Agent identifies the
right nurse and notifies
them
Track everything
in real time
Capture Nurse
Call Events
Intelligent
Alerting
Voice call
initiation
Workflow
Management
End Users and
Computing Devices
Data, System and
Healthcare Things
Interaction InterconnectionIntelligence
ThoughtWire makes everything smarter…Nurse Assist - Receive and respond to nurse call
events on any desktop or mobile device.Health
16
Ice breaker for announcing the name…
For those of you who do not know us that well - We deliver services to over 5000 patient beds in the uk, employ over 3000 staff etc etc
With the squeeze on budgets, local authorities are looking at ways to reduce costs by introducing efficiencies in local services, reducing energy consumption and natural resource wastage. This has to be achieved without disenfranchising the local citizens.
The ‘Smart City’ deploys and utilises technology and data to introduce these efficiencies and improvements. However, to truly realise these benefits, a software platform is required to interact with the other systems to drive the behaviours which can run autonomously without the need for a complex operations centre.
Like all partners involved with Smart Cities, Bouygues Energies & Services believe that their role is to integrate all the technology seamlessly. We know from our experience how to achieve the optimum solution for a city.
We all know that by introducing a Smart City approach there will be new ways to add value. This will drive economic growth which in turn drives employment, and provide residents with a better place to live. By making the city smarter it automatically becomes more attractive to businesses and occupants, becomes desirable and gives the city a competitive edge. However what we hope will be clear from this presentation is efficiencies and improvements that can be achieved in the provision of local services can easily transmit to healthcare…
Reference the BYSA investment in innovation (50m euro) the 3 primary lines of the group geographical locations of work...
We believe in leading by example at Bouygues - During the first part of this century Bouygues had to decide whether to build a new HQ or take an innovative approach to their current headquarters which was then over 25 years in age…
I have had the pleasure of talking about the potential of Smart City & the associated technology's being a part of health and social care in the future at the previous set of roadshows, with the publication of the Carter review and the subsequent Naylor report perhaps we should be starting to deliver the possible inE&F in the NHS?
With a “Smart culture” we can drive efficiencies in mobility, energy and local services in conjunction with improvements in environment, safety and security and health and wellbeing. Overarching everything is the provision of a connected city, from connectivity of technology, to enable system integration, so perhaps a connected hospital estate is the way forward....
We can all claim we need to be empowered to effect change but perhaps, and I am challenging all of us here, we also need to step up lead not only those working for us but those around us.
Without this change we will not be able to deliver the NHS we all take pride in and care about so much, despite our backgrounds or our paymasters, the NHS is unique and impacts all of our lives
We have seen recently with Sustainability Day declaration to the government where we wish to go but lets not hide behind this - by building on the networks that Scott and the team have developed here we can start to really tap into what can be achieved .
By changing the culture and being exemplar leaders we can cast a significant leadership shadow and meet our challenges
By utilising all that’s available to us , both big and small, we can genuinely move this issue forward to the point I would say that we treat the whole subject as BAU rather than an exceptional item
(Skip through this slide) we have many examples of where these benefits in these City’s have been delivered…
An outstanding example - The average energy consumption is 5.100 W by a Swiss person (July 2008)
The fixed goal is to reach an average energy consumption of 2.000 W by 2050.
Carter & Naylor…
Risk-based methodology for managing backlog
Innovative methods of funding
Sustainability…
By adopting some of the elements of Carter Report and the Naylor review we could achieve some of what Carter and Naylor are driving at;
Risk-based methodology for managing backlog Best practice advice on undertaking a detailed survey to establish backlog. It introduces a model for measuring risk in relation to sub-standard assets
King’s Fund: Time to think differently How the NHS estate could help to improve efficiency, move more care out of hospitals and exploit new technologies
Sustainable development unit: NHS carbon reduction strategy The strategy shows the scale of reduction in carbon required for the NHS to meet its legal targets set out in the Climate Change Act
All of what could be available to us is from the IoT so why wouldn’t we want to capitalise on the benefits to all of us. Personally I think good quality data analysts will be required in lots of professions in the future especially E&F and not just in the NHS…
Forbes magazine recently identified drivers such as;
“Technologies of sensor networks, data collection and storage have made it possible to have real time observations of complex engineered systems. Sensor networks have the power to employ big number of small, cheap, and energy efficient sensors that would collaboratively collect and process data and measure wide range of parameters including temperature, sound, vibration, pressure, water quality, motion, pollutants”
Remember BMW…
With such innovation why cant an app also monitor E&F workstreams?
This is Humber River hospital in Canada
This is a simple depiction of ThoughtWire in action in an Internet of Health Things Scenario supporting nurse call events.
In this the platform supports real time interconnection with the health things and system;
Leverages our ambiant intelligence (a new form of AI) to intelligently identify the right nurses to alert and
our omni-channel interaction capabilities to provide a simple interface on the nurses blackberry device to help
them keep track of the tasks assigned to them.
In live settings the entire transaction from the original nurse call event to delivery takes less than 200 milliseconds.