MindMap Gallery Smart Hospital Infrastructure
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Smart Hospital Infrastructure
A smart hospital infrastructure refers to the integration of advanced technologies and data-driven solutions to enhance the efficiency, quality, and patient experience within a healthcare facility. This infrastructure leverages various interconnected systems and devices to streamline operations, improve clinical outcomes, and optimize resource utilization. By integrating these components and leveraging data-driven insights, a smart hospital infrastructure can transform healthcare delivery, improve patient outcomes, and drive operational excellence while adapting to the evolving landscape of healthcare technology and patient needs.
Edited at 2022-01-20 09:33:26
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- Outline
Smart Hospital Infrastructure Best Practices
Introduction

The Evolution of Healthcare Facilities
Technological Innovation
Advancements in Patient Care
Patient Data
Wearables and Biotelemetry
Virtual Care
Realities of the Market
Lack of Adoption
Interruption of Service
Cost a Top Barrier to Adoption
Proving Return on Investment
ROI and Getting Approval from Finance
Key Challenges
Managing Risk
Enhancing Network Performance
Optimizing Power
Improving Communication
Enabling a IoMT Environment
Preparing for a Smart Hospital
A Uniter, Not a Divider
Open Lines of Communication
Deploy Intelligent Hardware
Determine and Distribute Staff Levels
Define Actionable Business Processes
Considerations for Selection
Develop Individual Goals
Consider Other Stakeholders’ Goals
Establish Baseline Criteria
Start with the Basics, Then Move Forward
Foundations of Healthcare Interoperability
Risk Management Best Practices
SIX LAYERS OF PHYSICAL SAFETY AND SECURITY
Proactive vs. Reactive Security
The National Crime Prevention Institute identifies three steps to move towards a proactive security approach: A vulnerability assessment to identify the deficiencies and excesses in the security process. A cost-benefit analysis to determine if recommendations are affordable, feasible and practical. A test of the system to confirm that everything is working properly and determine if changes need to be made to achieve the desired level of security.
The Joint Commission

HIPAA and Patient Records

Investment vs. Risk:Striking a Balance
Maintaining Sound Policies and Procedures
Steps
1. Create a Battle Plan
2. Invest the Time to Stay Informed
3. Commit to Security as an Organization - Including the Budget
Prevention, Detection, Response
Deter: to turn aside, discourage or prevent from acting. Detect: to discover or determine the existence, presence or fact of danger. Delay: to postpone, hinder or cause something to occur more slowly than normal. Defend: to take action against an attack or challenge. Deny: to refuse admittance or entry. 
The Necessity of Interoperability
Safety-Critical Is Security-Critical
Cybersecurity and Automation
CHALLENGES
Challenge I: Creating Safe Environments for Patients and Staff
Challenge II: Preventing Theft of Medicine and Radiological Materials
Challenge III: Achieving Regulatory Compliance
Challenge IV: Preventing Cyber Threats to Patient Records
Challenge V: Limiting Physical Building and Network Accessibility
Best Practice
Best Practice I: Property Perimeter
Considerations
How do you protect patients and staff in parking areas?
How do you manage entrances and exits 24/7?
How do you mitigate loitering and anti-social behavior?
How do you provide for external emergency communication?
Recommended Solutions
Parking Lots and Parking Structures
Parking Structure Emergency Communications Systems
Building Perimeter
Loading Docks
Lobby Entry Doors
Stairwells and Emergency Exits
Key Control
Handicap Access
Video Surveillance
Best Practice II:Reception and Registration
Considerations
What is your strategy for managing visitors?
How do you manage patient registration?
How do you monitor common spaces?
How do you limit accessibility to clinical areas?
Recommended Solutions
Electronic Visitor Management
Glass and Optical Turnstiles
Credentials
Video Management System
Video Analytics
Best Practice III: Specialty Units
Considerations
How do you limit access to nurse stations and patient areas?
How do you protect medical equipment from theft?
What is your strategy for medical record protection?
How do you minimize hospital-acquired infections?
How do you provide speech privacy in care environments?
Recommended Solutions
Visitor Management
Mechanical Access Control
Noise Privacy Masking
Electronic Access Control
Stairwells
Elevator Video and Communications
Video Surveillance
Patient Protection Service
Best Practice IV: Emergency Room
Considerations
How do you monitor ambulance bay traffic?
How do you mitigate public area disturbance?
What measures are in place to manage workplace violence?
How do you manage safety between triage and treatment?
Recommended Solutions
Motion Sensors and Automatic Door Openers
Electronic Access Control
Video Surveillance
Asset Management and Patient Protection Service
Best Practice V: Pharmaceutical Assets
Considerations
How do you comply with medication protection regulations?
How do you audit and control access to medication?
How do you secure pharmaceutical storage?
What is your surveillance policy for dispensing?
Recommended Solutions
Intrusion Detection
Electronic Access Control and Cabinet Locking
Video Surveillance
Biometrics and Sensors
Best Practice VI: Biomedical and Diagnostics
Considerations
What department is responsible for diagnostics protection?
How do you comply with hazardous material requirements?
How do you restrict access of unauthorized individuals?
Recommended Solutions
Intrusion Detection
Electronic Access Control and Cabinet Locking
Biometrics and Radiological Sensors
Technology Solutions
Network Performance Best Practices
VERSATILE PHYSICAL LAYER CONNECTIVITY
A Smart Hospital Approach

CONSIDERATIONS
Data Storage and Bandwidth Demands
Electronic Patient Records (EHRs) Medical imaging Patient satisfaction demands Telemedicine,
The Healthcare Facility Telecommunications Infrastructure Standard
Work Area Outlet Density Guidelines  
Hardened Connectivity
Migration of Legacy Systems
Monetizing Building Efficiencies
Limiting Moves, Adds and Changes
CHALLENGES
Challenge I: Keeping Up With Evolving Technologies
Migrating to an IP Platform
Replace vs. Retrofit
Challenge II: Amortization of Cabling Investment
Rip and Replace
Cost of Not Acting
Challenge III: Supporting
Multiple Applications
Challenge IV: Reducing Network Downtime
Availability Levels
Challenge V: Coping With Increasing
Best Practice

Best Practice I: Network Flexibility
Bandwidth Demands How can I cater to increased network traffic within the building caused by BYOD environments, telemedicine, mediarich applications and the integration of additional systems? How can I ensure connectivity while maintaining security? How can I create pathways and spaces to scale and upgrade the cabling infrastructure, while maintaining consistent levels of patient care? Do I have a plan in place to avoid bottleneck and network congestion, in particular during emergency situations? How can I support non-medical bandwidth demands, including the needs of patients, visitors, providers and nonstaff-based users?
Considerations
Can your cabling infrastructure support
healthcare applications?
How do you manage moves, adds and changes in your
hospital?
What is your device scalability expectation?
How do you balance wired versus wireless connectivity?
What are the work area outlet density requirements in your
healthcare facility?
Best Practice II: Media Selection
Recommended Solutions
Zone Wiring Techniques
Intelligent Patching Solutions
Migration from 802.11n to 802.11ac
Best Practice III: Universal Cabling Topology
Considerations
What is your plan to migrate from 1 GbE to 10 GbE?
How do you deploy PoE today?
What is your current copper and fiber specification?
How are you future-proofing with the right media?
Recommended Solutions
High-Performance Structured Cabling
802.3af (15W), 802.3at (30W), 802.3bt (100W)
Best Practice IV: Wireless Mobility
Considerations
What is your current network cabling infrastructure?
How do you implement ANSI/TIA-1179-A standards?
How do you ensure design will support growth?
What level of cabling administration do you provide?
Recommended Solutions
Star Topology
Horizontal Cabling (Cabling Subsystem 1)
Best Practice V: Application Support
Backbone Cabling (Cabling Subsystem 2 or 3) Structured Cabling Expertise Pre-Labeled Hardware and Bundled Cable
Considerations
How do your medical staff, patients and visitors use mobile devices on premise?
Where are the wireless coverage gaps in your healthcare facility?
What is your migration path to 802.11ac?
How does PoE support your wireless infrastructure?
Recommended Solutions
Distributed Antenna Systems (DAS) and Small Cell
Indoor Wi-Fi Systems

Technology Solutions
Power Optimization Best Practices
CONSIDERATIONS
Always-On Environment for Critical Patient Care
Quality Power
Energy Efficiency
Energy Star
IEC and NFPA Standards
CHALLENGES
Challenge I: Meeting Goals for Energy Efficiency
Challenge II: Preventing Accidental Outages
Challenge III: Restrictions of Legacy Electrical Infrastructure
Challenge IV: Ensuring an Always-On Environment
Challenge V: Reducing Utility Costs
Best Practice
Best Practice I: Facility Power
Considerations
What is the age of your electrical infrastructure?
How long would it take to recover from electrical failure?
What is your plan to meet future facility capacity needs?
Recommended Solutions
Backup Power Generators
Automatic Transfer Switch
Switchgear
Best Practice II: Conditioned Power
Considerations
How do you handle abnormal voltage, surges and spikes?
How do you manage external and internal electrical transients?
How do you cope with brownouts and blackouts?
Recommended Solutions
Line Conditioning Solutions
Grounding and Bonding
Best Practice III: Backup Power
Considerations
How do you quantify savings for energy efficiency?
What are your most inefficient areas?
How do you account for future power capacity and scalability?
Recommended Solutions
UPS Systems
UPS Healthcare Applications
Clinical Lab Equipment Medical Equipment Diagnostic Imaging Systems Healthcare IT Equipment Mobile Power Applications Backup Power Generators Automatic Transfer Switch Switchgear
Best Practice IV: Efficient Power
Considerations
How do you quantify savings for energy efficiency?
What are your most inefficient areas?
How do you account for future power capacity and scalability?
Recommended Solutions
Controlled LED Lighting
Networked Energy Metering and Monitoring Devices
ENERGY STAR Certified UPS Systems
Variable Frequency Drives (VFD) for HVAC
Harmonic Mitigating Transformers
Best Practice V: Monitored Power
Considerations
Do you have continuous visibility throughout your healthcare facility power chain?
How do you detect power problems before damage occurs?
What is your upgrade priority for legacy equipment?
Recommended Solutions
Metered PDU
Monitored PDU
Switched PDU
UPS Monitoring Software
UPS Network Management Cards
DCIM Energy Management
TECHNOLOGY SUMMARY
Subtopic
Communication Efficiency Best Practices
CONSIDERATIONS
Changing Care Methods
Device Monitoring and Analytics
Telemedicine
Public Safety DAS
Emergency and Mass Notification
CHALLENGES
Challenge I: Improving Responsiveness of Patient Care
Challenge II: Administer Seamless Wireless Availability
Challenge III: Providing Directional Guidance
Challenge IV: Reducing Noise Pollution
Challenge V: Initiating Emergency Management
Best Practice
Best Practice I: Visual Engagement
Considerations
How do you share content with patients, visitors and staff?
What is your telemedicine plan?
What is your digital signage strategy?
How do you communicate in an emergency event?
Where do you control centralized content?
Recommended Solutions
Networked Digital Signage Infrastructure
High-Definition Large-Format Displays
Video Walls
Mass Notification Solutions
Best Practice III: Personal Notification
Considerations
What is your nurse call IP migration plan?
How do you centrally manage your paging systems?
How do you support mobile coverage with in-building wireless?
What systems do you use to communicate with patients?
Recommended Solutions
Cabling Considerations—Future Expansion
Distributed Antenna System (DAS)
Small Cell Wireless Solutions
Wi-Fi
Nurse Call Solutions
Best Practice III: Mass Notification
Considerations
How do you communicate to various audiences throughout the facility at one time?
How does your infrastructure support this plan?
How is critical information distributed across multiple media channels?
How do displays, speakers, pagers and phones connect to mass notification?
Recommended Solutions
High-Definition Large-Format Displays
Networked Digital Signage Infrastructure
Broadcast Paging Systems
Cabling Considerations—Future Expansion
Best Practice IV: Unified Communication
Considerations
How do you ensure a high-quality voice and video experience?
What type of architecture do you adopt for voice, data and video communication?
How does a patient contact a nurse in an emergency?
How do you support your telemedicine communication strategy?
Recommended Solutions
VoIP Telephones
Wired and Wireless Headsets
Conferencing Equipment
Nurse Call Solutions
Best Practice V: Noise Reduction
Considerations
How do you manage noise in your patient care areas?
What are the major sources of noise in your facility?
How do you ensure privacy during patient consultations?
How do you ensure privacy during the registration process?
Recommended Solutions
Sound Masking Solutions
Soft Closing Doors and Automated Egress
Best Practice VI: Emergency Notification
Considerations
What is your emergency preparedness plan?
How do your communication technologies and infrastructure support this plan?
How is critical information distributed across multiple media channels?
How do displays, speakers, pagers and phones connect to mass notification?
Recommended Solutions
Emergency Call Stations
Public Safety DAS
Broadcast Paging Systems
Networked Digital Signage Infrastructure
High-Definition Large-Format Displays
TECHNOLOGY SUMMARY
Subtopic
IoMT Enablement Best Practices
CONSIDERATIONS
Digital Revolution
IoMT Devices and Analytics
Examples of Personal IoMT Devices • Closed-loop insulin delivery • Activity trackers • Connected inhalers • Ingestible sensors • Connected contacts • Electronic pill dispensers Examples of Facility IoMT Devices • Medical refrigerator • Smart hospital beds • Smart hand sanitizers • Blood pressure monitor • Glucose meter • Weighscales • Electrocardiograph (ECG)
Real-Time Health Systems
Information Management
The Risk of a Paralyzed Operation
Vulnerabilities across Control Systems
Operating in Silos
CHALLENGES
Challenge I: Interdepartmental Conflict
Challenge II: Supplier Integration Competency
Challenge III: Migrating to an IP Platform
Challenge IV: Justifying the Cost of Efficiency
Challenge V: Limitations of Existing Infrastructure
Best Practice
Best Practice I: Environmental Monitoring
Considerations
What is your ability to manage facility equipment?
How does your facility cater for patient comfort?
What are your optimum building energy profiles?
What tools, if any, do you use to manage your facilities?
Recommended Solutions
Energy, Metering and Management
Equipment Protocol Bridges
Smart Thermostat, Occupancy Sensors and Lighting Control
Sustainable Infrastructure Solutions
Best Practice II: Visual Management
Considerations
How do you collect and analyze data for patient movement?
What wayfinding technologies do you use?
How does your safety policy adopt video features?
What is your ability to leverage cloud-based patient data?
What is your strategy to run your building A/V over IP?
Recommended Solutions
Video Analytic Software
Integrated Digital Signage Platforms
Professional HDbaseT A/V Solutions
Large-Format Screen and Connectivity Kits
Media Adapters and Converters
Best Practice III: Communication Enablement
Considerations
How do you cater for telemedicine?
How are the following systems currently networked?
• Emergency notification • Registration • Nurse call • Patient data
Recommended Solutions
QoS Networking Switches
Category 6/6A PoE Cabling
Networked Digital Signage Infrastructure
IP-Enabled Professional AV
Collaborative Furniture with Integrated Cabling
Best Practice IV: Security Integration
Considerations
How do you record, store and manage video surveillance activity?
How do you control access to hospital areas and assets?
What is your ability to act on video analytics alerts and alarms?
How is mass notification supported by your security network?
Recommended Solutions
Video Management Software Tools
Video Analytics
Integrated IP Video and Access Control
DAS, NAS and Video Optimized Servers
Best Practice V: Network Connectivity
Considerations
How do you connect legacy non-IP sensors?
What is your PoE strategy for your healthcare facility?
What is your strategy for intelligent lighting?
How do you monitor and manage energy consumption?
How do you future-proof your infrastructure?
Recommended Solutions
Cross Connect and Port Administration
Entrance Facility Solutions
Category 6/6A - PoE Ready Cabling Solutions
IP-based LED Lighting Sensors and Controls
Metered, Managed and Switched PDUs