At the 2013 Healthcare IT (HIT) Institute Conference held last month our customer, Bruce A. Rainey, Corporate Vice President, Construction and Facilities at Scripps, shared his insights into the future of wireless in healthcare. He highlighted the capability of his locations across California and the wireless challenges facing them with new and emerging healthcare technologies and the benefits of a comprehensive wireless strategy. See Bruce’s presentation below.
ClearSpace Aeronautics (CSA) is a futuristic Drone (sUAS) Aviation, Aeronautics and Aerospace Company. It’s the home of the first DRONE AVIATION DEFENSE SYSTEMTM that protects Aircraft from Drones by keeping Drones away from Aircraft flight paths to prevent catastrophic Drone collisions with Aircraft and save lives. The Drone Aviation Defense System is part of CSA’s Drone Defense System Core which uses propriety algorithms, sensors, firmware and devices to equip the “Drone Avionics Radar” (DAR), which is the only proactive Drone Radar System.
Learn why WiMAX offers a cost-effective and efficient solution for delivering healthcare in underserved communities.
Paul Sergeant
WiMAX Solution Manager
Cisco
iDirect's solution for electric ulitiesJoshua Cohen
The whole 'smart grid' trend is very big in the utilities space. This is a VSAT solution that can help IT Ptos and Operations staff in utilities implement smart grid in their enterprise
RTI Connext DDS messaging software helps evolve standalone systems to integrated distributed systems, connect devices to improve patient outcomes, and replace dedicated point-to-point wiring with networks.
A wide range of additional benefits are possible, including improved diagnosis and safety, delegated care or treatment, and smarter machine assistance for healthcare.
ClearSpace Aeronautics (CSA) is a futuristic Drone (sUAS) Aviation, Aeronautics and Aerospace Company. It’s the home of the first DRONE AVIATION DEFENSE SYSTEMTM that protects Aircraft from Drones by keeping Drones away from Aircraft flight paths to prevent catastrophic Drone collisions with Aircraft and save lives. The Drone Aviation Defense System is part of CSA’s Drone Defense System Core which uses propriety algorithms, sensors, firmware and devices to equip the “Drone Avionics Radar” (DAR), which is the only proactive Drone Radar System.
Learn why WiMAX offers a cost-effective and efficient solution for delivering healthcare in underserved communities.
Paul Sergeant
WiMAX Solution Manager
Cisco
iDirect's solution for electric ulitiesJoshua Cohen
The whole 'smart grid' trend is very big in the utilities space. This is a VSAT solution that can help IT Ptos and Operations staff in utilities implement smart grid in their enterprise
RTI Connext DDS messaging software helps evolve standalone systems to integrated distributed systems, connect devices to improve patient outcomes, and replace dedicated point-to-point wiring with networks.
A wide range of additional benefits are possible, including improved diagnosis and safety, delegated care or treatment, and smarter machine assistance for healthcare.
ST tech tour - sigfox presentation & hands-on dempFrançois Oudot
This presentations was given at the ST tech tour of Chicago and Seattle. It introduces sigfox and go through the first steps of getting your hands on the ST devkit and the sigfox backend.
Review Paper on Wireless Sensor Body Area Networkijtsrd
In this research work, we propose a reliable, power efficient and high throughput routing protocol for Wireless Body Area Networks WBANs . We use multi hop topology to achieve minimum energy consumption and a longer network lifetime. We propose a cost function to select the parent node or forwarder. Pro posed cost function selects a parent node which has high residual energy and minimum distance to sink. Residual energy parameter balances the energy consumption among the sensor nodes while the distance parameter ensures successful packet delivery to sink. Pawan Kumar Verma | Preeti Sondhi "Review Paper on Wireless Sensor Body Area Network" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26437.pdfPaper URL: https://www.ijtsrd.com/computer-science/computer-network/26437/review-paper-on-wireless-sensor-body-area-network/pawan-kumar-verma
Cities and emergency services need to better understand emerging technologies, which represent a novel way to tackle potential threats and incidents in urban spaces. This session will highlight concrete examples of how strengthened resilience of public spaces could be enabled.
Chair: Mladen Vratonjic, Vice President, EENA
Overview of Sigfox for the US - Go visit startusa.sigfox.com and sigfox.com.
Public network dedicated to the internet of things - LPWAN.
10x cheaper than cellular and 100x lower power
U.S. Wireless Overview & Outlook Presentation (V02C)Mark Goldstein
The latest version (V02C) of my overview of wireless spectrum, technologies and opportunities in just 20 slides. Tried to capture all of today's wireless essentials in this brief briefing. Enjoy!
Antenna design for sigfox ready devices recommendation guideSigfox
In this document, several aspects of antenna design and integration are developed. The document focuses on SIGFOX IOT application and small form factor devices.
The importance of implementing a high-performance antenna in a device is demonstrated by analyzing the SIGFOX radio link budget.
Theories are then developed to explain why antennas can be extremely sensitive to their environment and may therefore have varying performance (e.g. when held compared to standing alone). Using the same arguments, it is shown that the same antenna can have different behavior when implemented in two distinct device architectures. This leads to an initial finding that for each device development, a specific antenna design, or at least antenna tuning, must be carried out.
Then, the most important physical parameters that impact antenna characteristics and behavior are presented. Several typical antenna topologies, miniaturization techniques, and manufacturing techniques applicable to SIGFOX IOT applications and small form factor devices are listed.
Advice regarding off-the-shelf antennas is given to explain why antenna performance depicted in datasheets may differ from “real-life implementation” performance.
A selection tool will help the reader to select the best antenna topology for the device, based on several parameters such as expected performance, integration or miniaturization level, and design complexity.
To close the document, a simple method that roughly estimates devices radiated performance is given. This method does not involve very expensive equipment, such as anechoic chambers, and is relatively easy to set up.
IEEE EMC Society Phoenix: The Internet of Things - Wireless Technologies & Ut...Mark Goldstein
Mark Goldstein, President of International Research Center (http://www.researchedge.com/) presented on the next Internet wave, how the Internet of Things (IoT), will connect tens of billions of new sensors and devices in the coming years driving sustainability while transforming home, business, government, industrial, medical, transportation, and other complex ecosystems. The presentation examined IoT’s evolving wireless protocols, their pro and cons, and deployment trends and prospects including the impact of 5G. It also explored how IoT will be implemented and monetized across a various application spaces, creating new business models from pervasive sensor deployments and data gathering, accompanied by new privacy and security risks, as well as roadblocks and operational challenges, emerging standards and protocols, gateways and ecosystem integration, big data strategies, and analytic opportunities. This brief wireless-focused presentation is complemented by my latest long-form IoT mega-presentation, Internet of Things Innovations & Megatrends Update, to the IEEE Computer Society Phoenix Chapter last December with an extensive IoT technology and market overview available on SlideShare for viewing and download at http://bit.ly/2hLXjPT.
MPlus has a powerful strategy to deploy wifi internet coverage all over the world. So far there has never been a city or region that we could not cover. Whether it be up in the mountain province using satellite internet or out in the province with a bundled range of carriers smart bro or others after we combine bandwidth, it always works.
ST tech tour - sigfox presentation & hands-on dempFrançois Oudot
This presentations was given at the ST tech tour of Chicago and Seattle. It introduces sigfox and go through the first steps of getting your hands on the ST devkit and the sigfox backend.
Review Paper on Wireless Sensor Body Area Networkijtsrd
In this research work, we propose a reliable, power efficient and high throughput routing protocol for Wireless Body Area Networks WBANs . We use multi hop topology to achieve minimum energy consumption and a longer network lifetime. We propose a cost function to select the parent node or forwarder. Pro posed cost function selects a parent node which has high residual energy and minimum distance to sink. Residual energy parameter balances the energy consumption among the sensor nodes while the distance parameter ensures successful packet delivery to sink. Pawan Kumar Verma | Preeti Sondhi "Review Paper on Wireless Sensor Body Area Network" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26437.pdfPaper URL: https://www.ijtsrd.com/computer-science/computer-network/26437/review-paper-on-wireless-sensor-body-area-network/pawan-kumar-verma
Cities and emergency services need to better understand emerging technologies, which represent a novel way to tackle potential threats and incidents in urban spaces. This session will highlight concrete examples of how strengthened resilience of public spaces could be enabled.
Chair: Mladen Vratonjic, Vice President, EENA
Overview of Sigfox for the US - Go visit startusa.sigfox.com and sigfox.com.
Public network dedicated to the internet of things - LPWAN.
10x cheaper than cellular and 100x lower power
U.S. Wireless Overview & Outlook Presentation (V02C)Mark Goldstein
The latest version (V02C) of my overview of wireless spectrum, technologies and opportunities in just 20 slides. Tried to capture all of today's wireless essentials in this brief briefing. Enjoy!
Antenna design for sigfox ready devices recommendation guideSigfox
In this document, several aspects of antenna design and integration are developed. The document focuses on SIGFOX IOT application and small form factor devices.
The importance of implementing a high-performance antenna in a device is demonstrated by analyzing the SIGFOX radio link budget.
Theories are then developed to explain why antennas can be extremely sensitive to their environment and may therefore have varying performance (e.g. when held compared to standing alone). Using the same arguments, it is shown that the same antenna can have different behavior when implemented in two distinct device architectures. This leads to an initial finding that for each device development, a specific antenna design, or at least antenna tuning, must be carried out.
Then, the most important physical parameters that impact antenna characteristics and behavior are presented. Several typical antenna topologies, miniaturization techniques, and manufacturing techniques applicable to SIGFOX IOT applications and small form factor devices are listed.
Advice regarding off-the-shelf antennas is given to explain why antenna performance depicted in datasheets may differ from “real-life implementation” performance.
A selection tool will help the reader to select the best antenna topology for the device, based on several parameters such as expected performance, integration or miniaturization level, and design complexity.
To close the document, a simple method that roughly estimates devices radiated performance is given. This method does not involve very expensive equipment, such as anechoic chambers, and is relatively easy to set up.
IEEE EMC Society Phoenix: The Internet of Things - Wireless Technologies & Ut...Mark Goldstein
Mark Goldstein, President of International Research Center (http://www.researchedge.com/) presented on the next Internet wave, how the Internet of Things (IoT), will connect tens of billions of new sensors and devices in the coming years driving sustainability while transforming home, business, government, industrial, medical, transportation, and other complex ecosystems. The presentation examined IoT’s evolving wireless protocols, their pro and cons, and deployment trends and prospects including the impact of 5G. It also explored how IoT will be implemented and monetized across a various application spaces, creating new business models from pervasive sensor deployments and data gathering, accompanied by new privacy and security risks, as well as roadblocks and operational challenges, emerging standards and protocols, gateways and ecosystem integration, big data strategies, and analytic opportunities. This brief wireless-focused presentation is complemented by my latest long-form IoT mega-presentation, Internet of Things Innovations & Megatrends Update, to the IEEE Computer Society Phoenix Chapter last December with an extensive IoT technology and market overview available on SlideShare for viewing and download at http://bit.ly/2hLXjPT.
MPlus has a powerful strategy to deploy wifi internet coverage all over the world. So far there has never been a city or region that we could not cover. Whether it be up in the mountain province using satellite internet or out in the province with a bundled range of carriers smart bro or others after we combine bandwidth, it always works.
This is a brief overview of the Meru Networks wireless LAN solution. Please contact me if you would like more information or a personal presentation specific to your needs.
Many more useful measurements could be taken in discrete manufacturing and process plant applications without the expense and labor related to wire and cables for some hard-to-reach applications. Wiring in manufacturing or process-plant settings, with the accompanying complex supporting infrastructure and labor, drops from high ceilings or trenching can add 10-fold or more to installation costs. It doesn’t have to be that way. Industrial wireless technologies can provide cost-effective reliable communications. Key considerations and application examples will be discussed by Dan Capano, owner and president of Diversified Technical Services Inc. Mark T. Hoske, content manager and editor with Control Engineering, will explain wireless trends based on Control Engineering research and will moderate the webcast.
These slides use concepts from my (Jeff Funk) course entitled Biz Models for Hi-Tech Products to analyze the business model for pureLiFi’s LiFi technology. LiFi uses light waves as opposed to radio waves to transmit data wirelessly. While the transmission distances are very short and the light waves cannot penetrate walls as radio waves can do to some extent, LiFi has higher speeds, bandwidth, and security. The slides recommend that pureLiFi target defense company’s first and consumers second. Defense companies have a higher willingness to pay and they are more concerned with security than are consumers. As the cost falls, pureLiFi should begin to target consumers. PureLiFi should provide its technology to systems integrators that are defense contractors.
Managing Student Devices on the School Wireless NetworkSecurEdgeNetworks
From the NCAIS Innnovate 2011, Michael McNamee presents How to Manage Student Owned Devices on the School Wireless Network, without bogging down the IT departments time and resources. For more information, visit www.securedgenetworks.com
May 3rd 2016 DAS & Small Cells Workshop put on by Wireless Competition Bureau. This is from the first panel of the day to set the stage on small cells market and technology in commercial buildings.
UiPath Test Automation using UiPath Test Suite series, part 3DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 3. In this session, we will cover desktop automation along with UI automation.
Topics covered:
UI automation Introduction,
UI automation Sample
Desktop automation flow
Pradeep Chinnala, Senior Consultant Automation Developer @WonderBotz and UiPath MVP
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Encryption in Microsoft 365 - ExpertsLive Netherlands 2024Albert Hoitingh
In this session I delve into the encryption technology used in Microsoft 365 and Microsoft Purview. Including the concepts of Customer Key and Double Key Encryption.
GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using Deplo...James Anderson
Effective Application Security in Software Delivery lifecycle using Deployment Firewall and DBOM
The modern software delivery process (or the CI/CD process) includes many tools, distributed teams, open-source code, and cloud platforms. Constant focus on speed to release software to market, along with the traditional slow and manual security checks has caused gaps in continuous security as an important piece in the software supply chain. Today organizations feel more susceptible to external and internal cyber threats due to the vast attack surface in their applications supply chain and the lack of end-to-end governance and risk management.
The software team must secure its software delivery process to avoid vulnerability and security breaches. This needs to be achieved with existing tool chains and without extensive rework of the delivery processes. This talk will present strategies and techniques for providing visibility into the true risk of the existing vulnerabilities, preventing the introduction of security issues in the software, resolving vulnerabilities in production environments quickly, and capturing the deployment bill of materials (DBOM).
Speakers:
Bob Boule
Robert Boule is a technology enthusiast with PASSION for technology and making things work along with a knack for helping others understand how things work. He comes with around 20 years of solution engineering experience in application security, software continuous delivery, and SaaS platforms. He is known for his dynamic presentations in CI/CD and application security integrated in software delivery lifecycle.
Gopinath Rebala
Gopinath Rebala is the CTO of OpsMx, where he has overall responsibility for the machine learning and data processing architectures for Secure Software Delivery. Gopi also has a strong connection with our customers, leading design and architecture for strategic implementations. Gopi is a frequent speaker and well-known leader in continuous delivery and integrating security into software delivery.
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
- A fully editable and extendable library for grid component modelling;
- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
Connector Corner: Automate dynamic content and events by pushing a buttonDianaGray10
Here is something new! In our next Connector Corner webinar, we will demonstrate how you can use a single workflow to:
Create a campaign using Mailchimp with merge tags/fields
Send an interactive Slack channel message (using buttons)
Have the message received by managers and peers along with a test email for review
But there’s more:
In a second workflow supporting the same use case, you’ll see:
Your campaign sent to target colleagues for approval
If the “Approve” button is clicked, a Jira/Zendesk ticket is created for the marketing design team
But—if the “Reject” button is pushed, colleagues will be alerted via Slack message
Join us to learn more about this new, human-in-the-loop capability, brought to you by Integration Service connectors.
And...
Speakers:
Akshay Agnihotri, Product Manager
Charlie Greenberg, Host
Smart TV Buyer Insights Survey 2024 by 91mobiles.pdf91mobiles
91mobiles recently conducted a Smart TV Buyer Insights Survey in which we asked over 3,000 respondents about the TV they own, aspects they look at on a new TV, and their TV buying preferences.
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
UiPath Test Automation using UiPath Test Suite series, part 4DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 4. In this session, we will cover Test Manager overview along with SAP heatmap.
The UiPath Test Manager overview with SAP heatmap webinar offers a concise yet comprehensive exploration of the role of a Test Manager within SAP environments, coupled with the utilization of heatmaps for effective testing strategies.
Participants will gain insights into the responsibilities, challenges, and best practices associated with test management in SAP projects. Additionally, the webinar delves into the significance of heatmaps as a visual aid for identifying testing priorities, areas of risk, and resource allocation within SAP landscapes. Through this session, attendees can expect to enhance their understanding of test management principles while learning practical approaches to optimize testing processes in SAP environments using heatmap visualization techniques
What will you get from this session?
1. Insights into SAP testing best practices
2. Heatmap utilization for testing
3. Optimization of testing processes
4. Demo
Topics covered:
Execution from the test manager
Orchestrator execution result
Defect reporting
SAP heatmap example with demo
Speaker:
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Elevating Tactical DDD Patterns Through Object CalisthenicsDorra BARTAGUIZ
After immersing yourself in the blue book and its red counterpart, attending DDD-focused conferences, and applying tactical patterns, you're left with a crucial question: How do I ensure my design is effective? Tactical patterns within Domain-Driven Design (DDD) serve as guiding principles for creating clear and manageable domain models. However, achieving success with these patterns requires additional guidance. Interestingly, we've observed that a set of constraints initially designed for training purposes remarkably aligns with effective pattern implementation, offering a more ‘mechanical’ approach. Let's explore together how Object Calisthenics can elevate the design of your tactical DDD patterns, offering concrete help for those venturing into DDD for the first time!
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024Tobias Schneck
As AI technology is pushing into IT I was wondering myself, as an “infrastructure container kubernetes guy”, how get this fancy AI technology get managed from an infrastructure operational view? Is it possible to apply our lovely cloud native principals as well? What benefit’s both technologies could bring to each other?
Let me take this questions and provide you a short journey through existing deployment models and use cases for AI software. On practical examples, we discuss what cloud/on-premise strategy we may need for applying it to our own infrastructure to get it to work from an enterprise perspective. I want to give an overview about infrastructure requirements and technologies, what could be beneficial or limiting your AI use cases in an enterprise environment. An interactive Demo will give you some insides, what approaches I got already working for real.
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
1. The New Wireless Utility at
Scripps Health
Bruce A Rainey
Corporate Vice President
Construction & Facilities
05-06-2013
2. Agenda
2Healthcare IT Institute
Who is Scripps
Health?
Why is this
discussion
important to
you?
What Changed
What is Medical
Grade Wireless
Utility
Benefits of
Medical Grade
Wireless Utility
Opportunity
3. The Next Decade
$2.3 billion investment
New hospital facilities
Renovations & expansions
Medical technology
Emergency & Trauma
Cardiovascular Institute
Earthquake retrofits
3Healthcare IT Institute
State-of-the-art Imaging
Cutting-edge research
New ambulatory centers
4. Scripps Health
Private, $2 billion,
nonprofit community
health system, San
Diego, Calif.
Integrated delivery
system caring for
approximately 500,000
patients annually
Two of San Diego’s six
trauma centers
4Healthcare IT Institute
Forefront of clinical
research and graduate
medical education
1,368 total licensed
beds
2,900 Physicians & 145
residents/fellows
13,100 employees
6. Scripps Health
Specialized programs
include:
Diabetes Institute
Accredited Cancer
Center Network
Center for Integrative
Medicine
Robotic Surgery
Program
6Healthcare IT Institute
Graduate Medical
Education
Genomics & Clinical
Research
Translational Science
Institute
West Wireless
Partnership
11. The Problem
11Slide Footer
Study identifies top five
wireless challenges
• Physical Connectivity
• Technology Connectivity
Issues
• Meeting User Demand
• Security Considerations
• Network Management
Issues
May 20, 2009
12. The Problem
12Slide Footer
New Technologies
Body Area Networks
• Communications in and around the body
• Utilizes sensors, actuators, processing elements
Mobile Clinical Devices
• Linkage to EMR
• Security
Expanding the Chipset Venue
• Marketplace Dynamics
14. The Problem
Wireless Data Use
Exponential growth
80% within buildings
70% of staff and
physicians already
using smart devices
Handheld computing
deployment exploding
14Slide Footer
2011 2012 2013 2014
0
1,800,000
3,600,000 4%
5%
8%
17%
66%
Source: Cisco VNI Mobile, 2010
TBperMonth
Mobile VoIP Mobile Gaming Mobile P2P
Mobile Web/Data Mobile Video
Wireless Data Growth
108% CAGR Through 2014
15. The Problem
Wireless Infrastructure is often vendor-
specific
More vendors creating more wireless
devices
More devices in the built environment
creates “noise”
Portions of the wireless spectrum not
covered with current 802.11 solutions
• Emergency operations
• Police
• Fire
• Cell
15Slide Footer
16. Our Current Situation
WiFi (802.11a/b/g/n) Single Channel coverage
• Production network
• Visitor hot spots
WMTS for patient monitoring
• Several different solutions
Low frequency wireless headsets and phones
T-Mobile Nano Pico cell in building coverage
AT&T/Verizon broadband for remote Users
16Slide Footer
18. Our Current Situation
Over the Air Intrusion Detection System
In building spectrum management and
interference detection
Device Management and Support
In building cell carrier coverage (i.e.
AT&T, Sprint, Verizon, etc.)
Data Transmission Security
Discrete WMTS infrastructure for
telemetry
18Slide Footer
19. What Changed…The Goals
“Own” the architecture
Create open architecture for future
wireless devices
Be vendor neutral, not driven by clinical
needs
Allow for equipment changes without
infrastructure changes
Expand the coverage while maintaining
control
Lower Costs
Ongoing operations
Capital expenditures over time
19Slide Footer
20. What Changed – The Team
Cross-Functional
Leadership Team
• Information Services
• Facilities / Construction
• Biomed
• West Health Institute
(Advisor to Scripps)
20Slide Footer
21. What Changed – The Times
21Slide Footer
Ubiquitous wireless is expected
and necessary
High growth in wireless devices
and apps
Need to embrace the future of
wireless
22. Solution
Create a Medical Grade Wireless
Utility as the platform for wireless
health going forward
22Healthcare IT Institute
23. Medical Grade Wireless Utility
…An expected utility, much like electricity,
plumbing and HVAC
- Installed as part of the base building
…An open and vendor neutral converged wireless
infrastructure, supporting transport for any wireless
signal across 3 grades of service and 4 networks
23Healthcare IT Institute
WWAN
WLAN
WCDN
LLAN
Consumer
Enterprise
Medical
24. Three Grades of Service
24Healthcare IT Institute
TimeCritical
Medical
Grade
Enterprise
Grade
Consumer
Grade
HighMediumLow
Low Medium High
Acuity
26. …Each with a defined Assurance
WWAN
Facilities
WLAN
IS/IT
WCDN
BioMed
LLAN
IS/IT
Coverage
Driver = WWAN Medical
95% or better
100% in Clinical Areas
Driver = 802.11 Medical
95% or better
100% in Clinical Areas
Driver = WMTS Medical
100% in Clinical Areas
Signal
Quality
Driver = WWAN Medical
+ XX dBM above noise
Driver = 802.11 Medical
- XX dBM & -XX dBM
Driver = WMTS Medical
+ XX dBM
Capacity
Driver = WWAN Medical
Per Zone (~150k ft2)
RF Carriers/Zone/Service
Driver = 802.11 Medical Per
Segment (4K ft2)
# Channels / Segment
Driver = WMTS Medical
Channel(s) per area
# users per area
Security
Base Station Hotel
Zone IDF
Physical security Physical security
Certainty
Shared
Engineered
Shared
Engineered
Guaranteed
Dedicated
26Healthcare IT Institute
27. …Creates the Medical Grade Wireless Utility
27Healthcare IT Institute
Location Local
Area Network
Wireless Local
Area Network
Wireless Wide
Area Network
Wireless Clinical
Data Network
Room Area Network
Personal Area Network
Body Area Network
802.11
Bluetooth
ANT
Zigbee
UWB
Future
PCS/Cellular
Paging
Fire Life Safety
2 Way Radio
Future
802.11
Zigbee
IR
Ultrasound
UWB
RFID
Future
Assets
People
Infrastructure Independence
Ubiquitous coverage inside & outside
Democratize Healthcare Data
Pervasive, open, low cost monitoring
Break the proprietary hold on healthcare
Clinically Relevant Information
Pervasive, low cost medical sensors
Turn data into wisdom
The Killer Apps
Voice, Data, Video, Location
Medical Grade
Wireless Utility
28. MGWU Benefits
Lower Implementation Costs
•One antenna system instead of one per
technology
Lower Operating Cost
•Fewer FTEs to manage ecosystem
•Fewer calls to help desk
•No retro-fitting for unknown dead-
zones
28Healthcare IT Institute
29. MGWU Benefits
Lower future cost
•Known capacity
•Add devices without touching the
infrastructure
•New technology doesn’t require
closing rooms for replacement of
legacy systems
29Healthcare IT Institute
30. MGWU Benefits
Safer use of wireless in medical
settings
•No interference problems
associated with wireless in high
acuity settings
30Healthcare IT Institute
31. MGWU Benefits…Technical View
31Healthcare IT Institute
DISCRETELAYERED
n: PACS, Video
a/n: Data
a: Voice
b/g/n: GuestNet
b/g: IV Pumps
Carts
g: Voice
n: PACS, Video
a/n: Data
a: Voice
b/g/n: GuestNet
b/g: IV Pumps
Carts
g: Voice
Frequency-based WLANs 2
Standard practices coverage ●
Traffic separation by frequency ●
No Greenfield 802.11n
performance due to legacy
devices
●
Frequency-based WLANs 2
Standard practices coverage ●
Traffic separation by frequency ●
No Greenfield 802.11n
performance due to legacy
devices
●
Independent WLANs 6
Guaranteed coverage ●
Traffic optimization by
application/device
to maximize capacity
●
Greenfield 802.11n performance
in legacy deployments ●
Independent WLANs 6
Guaranteed coverage ●
Traffic optimization by
application/device
to maximize capacity
●
Greenfield 802.11n performance
in legacy deployments ●
PACS,Data,
Voice,Video
IVPumps,
Carts,Voice,
GuestNet
PACS,Data,
Voice,Video
IVPumps,
Carts,Voice,
GuestNet
PACS,Data,
Voice,Video
IVPumps,
Carts,Voice,
GuestNet
PACS,Data,
Voice,Video
IVPumps,
Carts,Voice,
GuestNet
PACS,Data,
Voice,Video
IVPumps,
Carts,Voice,
GuestNet
a/n
b/g/n
PACS,Data,
Voice,Video
IVPumps,
Carts,Voice,
GuestNet
a/n
b/g/n
32. MGWU Benefits…My View
32Healthcare IT Institute
32
Discrete
Layered
1
Wi-Fi client sees one channel - Traffic shares a single channel AP
“highway” and must compete based on application type, priority,
protocol, etc.
Wi-Fi client sees layers of channels - Traffic can now be assigned to
specific layers to dramatically increase throughput and efficiency not
possible using discretely deployed APs
Start/Stop
Start/Stop
33. Flip the Paradigm
Enable the
hospital to make
device decisions
based on
infrastructure
and NOT
infrastructure
decisions based
on the device
33Healthcare IT Institute
34. Implementation – First Step
Demonstration Project
• Small, non-acute facility
• Go live Sept 2012
• System performed as expected
34Slide Footer
35. Implementation – New Construction
Acute Care Projects
• 2 New hospital additions
• 383,000 168-bed addition at La Jolla
• 83,000 36 bed with ED addition at
Encinitas
Specialty Care Project
• 175,000 specialty center attached to
acute care facility
• Cardiovascular services
35Slide Footer
36. Implementation – Existing Facilities
Expansion of Project
• Barcoding Meaningful Use (WiFi)
• IS developed plan to extend existing
discrete AP network across 1M SF
• Plan redeveloped after successful
testing of MGWU to implement new
system
• Project funding did not change
• Project implementation just starting
• Full implementation set for 2Q 2014
36Slide Footer
37. Implementation – Next Steps
Negotiating with 3rd Party on
wireless service provider side of
system
• 3rd Party better suited to
negotiations with carriers
• Limit capital costs to Owner
• Focuses resources on other
Meaningful Use issues
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