Healthcare ICT Trends & Innovation - Bicsi

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Mar 17, 2015 - Education Systems, Wireless, & Video Conferencing, Real. Time Collab. .... TIA-1179 calls for “maxi
Healthcare ICT Trends & Innovation:  Passive Optical LAN (GPON) for the New Era Michael Wilson, RCDD Solutions Engineering Manager, Tellabs Access

Darren Vican, RCDD, OSP Vice President, RTKL 3/17/2015

Hospitals of Yesterday Patient Clinical  Systems

Physician

Medical  Technology

Disparate Infrastructure & Networks for Each Community Smart  Building

3/17/2015

DAS &  LMR

Operations

Digital Hospital Redefined Truly Converged IT Systems

Patient Physician

Clinical  Systems

DIGITAL  HOSPITAL

DAS &  LMR

Medical  Technology

Operations Smart  Building

Community

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Current Trends in Healthcare ICT • Patient & Physician Centric Systems: Interactive Entertainment & Education Systems, Wireless, & Video Conferencing, Real Time Collab. • Intelligent Facilities: Integrated Location Services (RTLS), Integrated Security, Integrated BMS, Staff Location Tracking • Green IT Systems: Reductions in HVAC, Power and Backup systems while increasing system reliability and capacity • Potenial Financial Losses: Wait, what?

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Current Risks in Healthcare ICT • Network Downtime • Outages = Lost Health Records (EHR) & images • $385 = Per Lost EHR* • 59% = % of Fortune 500 companies with AT LEAST 1.6 HOURS of downtime per week** • $56 = D&B avg. employee per hour rate • $140,000 = per hour cost of downtime for a 2,500 employee hospital + EHR losses • Human Error (in IT, not the OR) • 80% of mission critical outages will be caused by people & process** • 50% of the 80% will be caused by change management & mis-configuration** • Data Breaches • 42% of breaches are caused by malicious or criminal attacks*** • 30% of breaches are caused by human error and mis-configurations*** *Healthcare News, February 2014 - http://www.healthcareitnews.com/news/healthcares-slack-security-costs-16b **http://www.businesscomputingworld.co.uk/assessing-the-financial-impact-of-downtime/ ***http://www.evolven.com/blog/downtime-outages-and-failures-understanding-their-true-costs.html **** 2014 Cost of Data Breach Study: Global Analysis, Ponemon Institute, May 2014 http://public.dhe.ibm.com/common/ssi/ecm/en/sel03027usen/SEL03027USEN.PDF 3/17/2015

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Current Reliability in Healthcare ICT Reliability  99.938% = 325 downtime Minutes/Year  

~ 5.5 hours

Reliability  99.9961% = 52 downtime Minutes/Year  

~ 1 hours

Reliability  99.999% = 5.26 downtime Minutes/Year  

~ .1 hours

“EXPECTED” 2,500 User  Network Downtime Cost per  Year

Not practical or  cost effective This architecture requires the use of two network interface cards in each end-user workstation

* Source: Cisco Enterprise Campus 3.0 Architecture: Overview and Framework http://www.cisco.com/en/US/docs/solutions/Enterprise/Campus/campover.html#wp709323

Ugly Reality in Healthcare ICT Sample 2,500 User/Patient Hospital ALREADY experiences losses due to  ‘acceptable’ networks and infrastructure with poor reliability

99.9961% Legacy Network Downtime/Year 2,500 Users @ $56/Hour for 52.56 Mins:

Current ICT Answers in Healthcare • More Technology Rooms • More (and larger) Switches • Larger Technology Rooms • Larger Pathways • More Power and More Cooling • More Communications Cabling • More Wireless Networks • More Antennas • More IT Staff to React to Downtime

Healthcare Infrastructure of Yesterday 12 – 24 Cat6 Cables per Critical Care Room

Layer after Layer of Core, Distribution & Access Switches and their Backups

12 – 24 Cat6 Cables per Patient Room

12 – 24 Cat6 Cables per Operating Room

12 – 24 Cat6 Cables per Specialty Suite

Re-Thinking Traditional Infrastructure Passive Optical LAN (POL) GPON Technology • Globally standardized transport solution for POL technology • Enhanced data security (AES encryption) • Highly flexible & scalable (from 100 to 100,000 users) • Higher bandwidth capabilities than copper solution • Less complexity by removing layers of distribution and access switching • Converges voice, data, and video on to a single fiber • Improved reliability (6‐9s or sub‐30s of yearly downtime &