Smart hospitals

Prepared by
Heba Moussa Abdelsamea Hagrass

Out lines:
• Introduction.
• Definition of smart hospital.
• The strategic objectives of the Smart Hospital.
• Internet of things (IoT).
• Smart hospital software benefits to healthcare facilities.
• Disadvantages of medical technology.
• Success factors using an integrative approach to hospital
planning Advice on Digital Hospital Planning
• Smart hospital challenges.
• Building a Smart Hospital that Stays Smart Well into the
Future.
• Recommendations for building a smart Hospitals.
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Introduction
A number of factors have been contributing to a rapid change in care
delivery models world-wide. Increasing cost of care, need to improve
access to care, inherent complexity in treatment options and increasing
involvement of patients in the care delivery cycles.
all of these factors have fostered an environment where hospitals or
other care delivery institutions have started shifting focus from
treating episodes to managing overall health of patients, while
focusing on overall value of care rather than efficiency.

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In this context more and more hospitals have invested heavily in
Information and communications technology (ICT) capabilities in
different areas of management and operations. Innovations in
technology and care methods as well as changing patient
expectations have created an opportunity for healthcare facilities to
utilize the resources of big data, building automation and the Internet
of Things to advance patient care and increase productivity of
clinicians and staff, as well as the building itself.

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Definition:
A smart hospital is a hospital that relies on optimized and
automated processes built on an Information and
communication technologies environment (ICT) of
interconnected assets, particularly based on Internet of
things (IoT), to improve existing patient care procedures
and introduce new capabilities.
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The strategic objectives of the Smart
Hospital
1. To provide extended patient care including
remote medical services,
2. To ensure efficient stream of patients and
medical information.
3. To increase diagnostic, surgical and
organizational capabilities while maintaining
the required level of patient information
protection.
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INTERNET OF THINGS (IoT)
Refers to physical, digital, and virtual objects are
connected through a network structure and are part of
the Internet activities in order to exchange information
about themselves and about objects and things around
them.
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INTERNET OF THINGS (IoT)
 Basically proposes a use, processing, and storage
of information in the cloud, that can be accessed
and used autonomously by intelligent objects with
a connection in the cloud through the internet.
 The goal of the IoT is the sharing of data and
processing of them, to achieve a smart integration
of the objects aimed at improving the life quality.
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Smart hospital software offers the following
benefits to healthcare facilities
1. Patient engagement:
patients and their families can enhance their
experience and improve patient-doctor
relationship. They can be involved in the care
process and know more about treatment
progress and health condition.
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2.Streamlining communication:
Leveraging mobile and IoT technologies allows
effective and timely patients communication
with care providers thus enhancing their
satisfaction.
3.Workflow optimization:
give healthcare organization effective tools to
improve performance while tracking and
identifying bottlenecks and service slowdowns.
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4.Hospital navigation for patients and staff:
Smart hospital applications can helping patients,
physicians and staff to find the way in the hospital.
Messaging and wayfinding features can provide
turn-by-turn directions and arrival time
instructions to make the navigation in large
hospitals simpler and less stressful for visitors.
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5. Patient notification:
Push notifications generated by such software can
be sent to patients, in their preferred language,
informing them about the time of their
appointment and exact office number. Such smart
hospital systems can also push updates telling the
patients if the appointment location or time has
changed.
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6. Hospital assets tracking:
Hospitals and care centers can use IoT
applications to find out which items need
to be reordered and where the assets are
located.
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7. Leveraging data analytics:
Smart devices like wearables and smartphones
track huge volumes of biometric data. This data can
be used by caregivers find out more about both
individual patients and populations. Insights from
the data can improve the quality of patient care
and accelerate lifesaving research.
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Disadvantages of Medical Technology
1: Increased Cost of the Treatment:
Mostly all the treatments and surgeries through the
technology are very costly, like robotic surgery, and
another kind of technological machinery surgeries has
very costly.
Technology increased health care but also increased the
cost of that. Which is impossible for the patients to pay.

2: Wrong Result Show:
Sometimes it didn’t show the accurate result of the
patients to the doctor.
The technological machines are made by engineers and
programmers. Sometimes the errors and bugs come in it.
Then it didn’t work properly.
If it shows the wrong result and the doctor gives the
wrong diagnosis to the patients then it takes the patient’s
life into danger.

3: Lack of Information:
The information of the patients which are stores in the
computer system of the hospitals can be a leak.
The computer systems can be a hack and the secret
information about the patient’s treatment can be stolen
and also can be changed.
If someone changes the complete history of the patient’s
treatments. So, it can be a danger for the patients.

4: Time Consuming in Recovery:
If there come some kind of faults and errors in The
technological machines which are used in the hospital
for treatments.
no one can fix it because they didn’t have the knowledge
of recovering and fixing that machine.
It required the specific person who has knowledge of it.
The engineers who made it. He can fix it.
So, it consumes a lot of time fixing and recovering the
machines.

5: Online Treatment Through Technology:
Nowadays the doctors do online treatments. The patients
contact them online and the suggest the diagnosis to
take.
The patients have not to go to the clinic of the doctors.
They can easily get the treatment at home.
Without the checkup and analysis of the patient’s the
doctor gives them the diagnosis. Which can be wrong
and can be dangerous for the patients’ health.

6: Automatic Machine Treatment:
There is a kind of machine which is fixed in the patient’s
body. It analyses the patient’s body and inserts the
medicines in patients’ bodies according to their body
conditions.
These machines are made by programming in its
programming if there come some errors and bugs.
Then it is very harmful to the patients because it can
insert the wrong diagnosis in the patient’s body.
which causes the critical condition and death of the
patients.

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Success factors using an integrative approach to
hospital planning Advice on Digital Hospital Planning

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SMART HOSPITAL CHALLENGES
1. Improving Communication:
Improving responsiveness, providing seamless
wireless availability and reducing noise
pollution require targeted healthcare
engagement, where new technologies can
simplify the flow of information between
healthcare staff, patients and administrators.

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2. Optimizing Power:
Quality patient care requires uninterrupted
power throughout a facility. Building a critical
power chain can help you achieve an always-on
environment, while also reducing costs through
energy efficient solutions.

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3. Enhancing Network Performance:
More than ever before, a high-performance
structured cabling system plays an essential role
in enhancing network performance and
improving patient care in a healthcare facility.

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4. Enabling a (IoMT) Environment:
The Internet of Medical Things (IoMT) brings into focus
all the components in a healthcare facility that could be
connected to the network (the Internet) for the purpose
of creating operational efficiencies, reducing energy
consumption, improving occupant experiences, achieving
sustainability goals and effectively optimizing financial
performance. Enabling the Internet of Medical Things
allows you to analyze your environment and make real-
time adjustments to improve operational efficiency and
productivity.

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Add a footer 28
Building a Smart Hospital
that Stays Smart Well into
the Future

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Smart Clinicians and Nurses
- The goal for clinicians is to ensure the information they need is immediately
available, when and where they need it.
- Instead of having multiple devices (phone, pager, beeper, nurse call
system) caregivers will have just one and it will do everything. It will most
likely be hands free and could be attached to clothing, worn around the neck,
or carried in a pocket. If a patient’s vital signs change, an alert will be
passed directly to the patient’s caregiver through this device –
reducing time spent watching monitors.
-The caregivers will likely have sensors in their identification badges so when they
enter a patient room, their name and title may appear on the patient’s TV monitor.
-a fully-integrated electronic medical record system. So instead of a number of
different clinical systems, there will be just one large integrated platform. Physicians
will be able to access information about their patient’s medical history even if they
received treatments at different institutions, enhancing quality of care and reducing
duplicate tests and treatments.

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Smart Patient Rooms
- The goal for patient rooms is to make them more patient-centered, improving the
patient experience by helping patients take a more active role in their own health
care.
- smart rooms will be equipped with a bedside console that will potentially
enable the patient to do everything from controlling the room’s lighting to
speaking directly with a nurse when needed.
- The rooms may also be equipped with video conferencing so a patient can
visually interact with family and friends anywhere in the world. It will also
allow the physician to consult with outside specialists, conduct “rounds” from
a patient room, and stream video into a medical school classroom where
students can ask questions. The operating rooms will have the same
capabilities and offer greater opportunities for teaching residents and medical
students.

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Smarter ICU
- ICUs will focus on providing the "right care, right now, every time" by
engineering consistency and reliability into every process. Standard
communications, evaluations, treatments, and assessments form the
foundation of high-reliability care.
- Move the alarms away from the bedside and get them to the caregivers who
will act on them.
- Real-time Locating Systems and Solutions (RTLS): represents a wide variety
of systems and solutions to improve workflow and management of all types
of tagged assets (staff, patients, equipment, consumables, and patient
rooms). The integration of RTLS processes with existing ICU
technologies can improve infection control, personnel and patient
location, and oversight of the patient room. For example, staff hand-
washing compliance may be enhanced through the automatic
monitoring of tagged staff using RTLS sensors incorporated within

FRSmarter ICU
Real-time Locating Systems and Solutions (RTLS)
A-C, Virtual communities for providers (A), mechanical ventilators (B), infusion pumps (C), and
POCT devices (D). The application middleware adds the functionalities demonstrated for each.
QC 5 quality control

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Smarter ICU
- The ICU design team should
installing the necessary
Telemedicine technologies,
especially if the centralized
outsourced approach that uses a
designated site (closed-system
architecture) is being considered.
an ICU-based robot that
communicates with an off-site
team may be helpful in the
absence of local ICU coverage.

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Smart operating theatres
- The OR. equipped with touch screens that allow users to enlarge images
and equipment that can work by voice recognition. the monitors can
control all of the variables of the environment to ensure greater surgical
safety.
- Smart operating theatres can fitted out with cameras, which, in
conjunction with the use of Google Glass technology, enable operations
to be followed, not only by students in a nearby room, but also from
other parts of the world.
- doctors can perform procedures while requesting advice and suggestions
from other doctors. If a new technique for an operation needs to be
used, but the specialist is in a different location, interconnected smart
operating theatres will still enable the specialist to guide the surgery
almost to the millimeter.

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- Smart Cyber Operating Theater (SCOT) is cutting edge operating room
for improvement of treatment safety and efficiency with high
performance computing and networking.

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- Advances medical tools designed for the safety and monitoring of
patients receiving treatment or for the care of the elderly or disabled.

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Recommendations for building a smart
Hospitals

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1. Establish effective enterprise governance for cyber security
2. Implement state-of-the-art security measures
3. Provide specific IT security requirements for IoT components in the
hospital
4. Invest on NIS products
5. Establish an information security sharing mechanism
6. Conduct risk assessment and vulnerability assessment
7. Perform pen g and auditing
8. Support multi-stakeholder communication platforms (ISACs)

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References
1. SMART HOSPITAL INFRASTRUCTURE BEST PRACTICES:
https://www.anixter.com/en_us/services-and-
solutions/customers/healthcare.html
2. Security and resilience for Smart Hospitals Key findings (2016):
ENISA 2nd eHealth Security Workshop| Vienna.
3. Smart Hospitals Security and Resilience for Smart Health
Service and Infrastructures (2016):European Union Agency For
Network And Information Security.
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References
4. Smart Hospital: What is It and How To Build Your Own Solution?
https://archer-soft.com/en/blog/smart-hospital-what-it-and-how-
build-your-own-solution.
5. Smart Hospital concept and its implementation capabilities
based on the incentive extension(2018):International Scientific
Conference “The Convergence of Digital and Physical Worlds:
Technological, Economic and Social Challenges” (CC-TESC2018).
6. ElHealth: Using Internet of Things and data prediction for elastic
management of human resources in smart hospitals (2019)
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