New St Olav Hospital

Transkript

1 New St Olav Hospital 1 Former Head of ICT Tore Indreråk, Helsebygg Midt Norge 11 years as Project Manager, ICT Infrastructure from jan. 2014

2 7. jan Major strategic focus on IT since Secure correct information and knowledge to the right person at the right time!

3 7. jan

4 4 7. jan. Common 2014 EPJ, PACS, Data storage, Networks, PAS, EQS for Mid Norway hospitals...

5 7. jan Challenge: to make information and communication available at the right time, at the right place in a secure way... 3 minutes is time limit for catastrophic sectio /7/ % Access to correct Information and communication are key factors in a hospital! All journals, X-ray-pictures, treatment procedures, phones, messaging, alarms, ect.

6 Functional deliverables Bed side terminal Patient signal system TV distribution Digital dictation Audio/video End-user equipment Message relay server Sign-on/ autenthication IP Telephoni Fixed/wireless Alarm relaying/ positioning Directory service Identity mgmt SmartPhone System management/ Operation / tools Network Fixed/Wireless Network services National Health Network Cabling

7 Gjennomføring i faser 1 SYSTEM installasjon på FS SHKR og Nevro SHKR Rack Servere Core switcher Str. kabling 2 Senter/Fløy installasjoner i sentrene Str. kabling Switcher/datanett Pasientsignal Tv distribusjon Basestasjoner AV 3 BRUKERUTSTYR i sentrene Telefoni Pasientterminal MDA PC er Dikterings utstyr AV Telefoni Meldingstjener Pasientsignalsystem Sikkerhet Overvåkning Pasientterminalsystem Open Roaming Pålogging/Autentisering Katalogtjeneste Digital diktering Tilgjengelige tjenester

8 7. jan Complex project Hundreds of integration points... 8

9 7. jan Traditional infrastructure 9 Nurse Call Patient TV Door Opener Intercom CCTV AGV (Robot) Phone Systems (PBX) Telephones DECT/Pager Mobile ward round Paper Medical Devices Wireless LAN WiFi RFID Client PC Light Blinds Heating Facility Control Hospital Applications EPR PACS HIS LAB EHC

10 Full DHI Solution at St. Olavs Hospital 10 Audio /Video Peripherals Patient Alarm Patient terminal TV distribution Digital dictation IP Telephony Fixed/wireless Alarm and tracking Meta Catalog/AD Messages application Secure Logon Certificates Operational Tools Cabling Data Appl. Network St Olavs Infrastructure. Appl.. Data NTNU Public Network Medical Digital Assistant (Ipaq) 7. jan. 2014

11 Project team Project Manager, Strategy, Change Management, Cost 11 Project Management, Integration, Design, Testing, Risk, Security, Wireless, Unified Communication, Integrated services PC, MDA: Identity mgmt and Directory service Patient signal: System integrator Fixed Telephony: Digital dictation Wireless Teleph. Portal Patient terminals, Portals Hospital orderly Whiteboard Operation Project management and Infrastructure integration: Alarm relay/location based services : Digital TV distribution: Unified Communication - Messaging/Middleware: Education Sign-on/ autenthication: Audio/Video Cabling Network: Print Patient Kiosk, Patient Notification Hospital Orderly Mobility Obstetric Patient Portal, Vital sign, Medication* Foundation: 7. jan * Delivered directly to the end Customer, green background is for building phase II

12 World Class infrastructure St. Olav`s goal is to be a patient-oriented hospital - a European top class hospital built to the patients needs IP over all all over IP A single converged IP network for voice, data and video Enhance integration of applications and services Enables excellent quality care Improve productivity and decrease cost Reduces the number of errors 24 h surveillance Redundant, % jan. 2014

13 Core interfaces to ICT for a Building Project: Construction (SHE, operative planning, work periods, zones, progress, provisional network, hidden installations, etc.) Construction, furnishing and surfaces (on wall equipment, wall panels, operating rooms, drapes, AV construction, etc.) Elevator Fire BACS Electric Security system AGV Pneum. tubes Doors Clothing dispensers Ventilation Medical technical equipment jan. 2014

14 Example solutions: Nurse-call by phones Fully integrated system Pager, calling and nurse-call integrated in one system. IPphones (wired and wireless) will be end-points for all alarms within the hospital, intelligently routed from a messaging server 7. jan. 2014

15 15 Example solutions: Log in and authentication Strong authentication ID-card Access card Smart card & magnetic Single sign-on with only one Smartcard that gives access to PC, doors, ID, etc. 7. jan. 2014

16 Example solutions: Mobile devices 16 WLAN coverage for the entire campus, inside and outside Wireless IP telephony on Cisco phones 7. jan. 2014

17 7. jan Example solutions: Porter-com 17 Dispatch messages and work orders to your phone Lokalizes the closest porter Accepts work orders Acknowledges work orders messages August 2008

18 Example solutions: Messaging services Systeminterne integrasjoner for formidling 18 Fjerndrift Internett Katalogtjeneste Telefonisystem (CallManger) Telenor Mobil SMSC - VPN Systemleverandør Meldingsgivere Meldingsmottakere Fast telefoni Fast telefoni (alle) Servicenett Meldingstjener Servere Håndholdte brukersystemer Serverrom Forsyningssenter Serverrom Nevrosenter (alle) Håndholdte brukersystemer (alle) (alle) GSM/SMS MDA Trådløs IP telefoner IMATIS Server IMATIS Server GSM/SMS MDA Trådløs IP telefoner (alle) Siemes SDanlegg ESPA Eltek Brannanlegg ESPA PCer (hvite sider) Swisslog AGV-anlegg SMTP (x 2) (x 5) (x 2) (x 5) (x 1) Meldingstjener Server Database Server Windows Clustering Windows Clustering Meldingstjener Server Database Server (x 1) (alle) (x 2) PCer (e-post) (alle) P-søk i eksisterende bygg Bravida sikringsanlegg SMTP (x 1) (x 4) Eksisterende SAN (alle) AMK applikasjon 7. jan BEST Pasientsignalanlegg OPC Fault tolerant Storage Area Network (SAN) Datalagring Sengetun applikasjon

19 7. jan B 33 Training 19

20 Example solutions: Digital dictation 20 Dictation and transcription may be far removed in space and time Sound file immediately available Speech to text - automatic 7. jan. 2014

21 Example solutions: Secure print 21 Reduced print cost Reduced security events 7. jan. 2014

22 Example solutions: Patient terminals TV Completely integrated system on IP Video/Games Music Internet/ Telephone Information Light switch Patient signal Patient journal jan. 2014

23 AV 23 Advanced and user friendly AV equipment for auditoria, seminar and group rooms. Plasma screens. Video Conference. 7. jan. 2014

24 Example solutions: Advanced logistics tech 24 Automatic Guided Vehicles (transportation robots ) Automatic waste handling Pneumatic tube systems/ Pill picker Clothes 7. jan. 2014

25 AGV (Automatic Guided Vehicles) Main hospital workhorse Laser guided, microchip controlled, it talks All scheduled supply and removal of goods Shares elevators with patients

26 System for staff clothes Wardrobe Staff clothes RFID-chip Staff clothes with RFID-chip. Includs aerial to reed RFID-chip

27 Pneumatic Tubes Large enough for blood products 190 stations 3 min across hosp. The Health Care Express

28 Main challenges in the Project Complex 6 year journey. Contract one meter thick, 2500 demands. Struggled with some of the most modern systems in the world Critical environment 28 Integrating all systems has been a real challenge Problems in the first 3 months with wireless phones Some breakdowns with the alarm systems Main challenge: People! Used only 5% of project cost on training, 2.5 h each Lesson: Moore focus on organization development together with ICT and of course PLANNING IS REALLY EVERYTHING 7. jan. 2014

29 7. jan Communication systems from Kun enveis, begrenset funksjonalitet Ikke ønsket, Lite diskret, forstyrrende for andre, ect Dårlig brukegrensesnitt, begrenset funksjonalitet, forstyrrende for andre,

30 7. jan Communication systems to IP... 30

31 A hospital still in transition

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34 St. Olavs has operated with a balanced budget, reduced its average length of stay from 5.8 to 4.8 days, decreased turnaround time for discharge reports, and experienced an overall staff productivity gain of six percent per year. Staff is reduced with 350 persons.