New St Olav Hospital 1 Former Head of ICT Tore Indreråk, Helsebygg Midt Norge 11 years as Project Manager, ICT Infrastructure from 2003-2010 7. jan. 2014
7. jan. 2014 Major strategic focus on IT since 1998 2 Secure correct information and knowledge to the right person at the right time!
7. jan. 2014 1999-2002 3 1999 2000 2002
4 7. jan. Common 2014 EPJ, PACS, Data storage, Networks, PAS, EQS for Mid Norway hospitals...
7. jan. 2014 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... 5 24/7/365 99.999% Access to correct Information and communication are key factors in a hospital! All journals, X-ray-pictures, treatment procedures, phones, messaging, alarms, ect.
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
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
7. jan. 2014 Complex project Hundreds of integration points... 8
7. jan. 2014 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
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
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. 2014 * Delivered directly to the end Customer, green background is for building phase II
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, 99.999% 12 7. jan. 2014
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 13 7. jan. 2014
Example solutions: Nurse-call by phones Fully integrated system... 14 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 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
Example solutions: Mobile devices 16 WLAN coverage for the entire campus, inside and outside Wireless IP telephony on Cisco phones 7. jan. 2014
7. jan. 2014 Example solutions: Porter-com 17 Dispatch messages and work orders to your phone Lokalizes the closest porter Accepts work orders Acknowledges work orders 21200 messages August 2008
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. 2014 BEST Pasientsignalanlegg OPC Fault tolerant Storage Area Network (SAN) Datalagring Sengetun applikasjon
7. jan. 2014 B 33 Training 19
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
Example solutions: Secure print 21 Reduced print cost Reduced security events 7. jan. 2014
Example solutions: Patient terminals TV Completely integrated system on IP Video/Games Music Internet/ e-mail Telephone Information Light switch Patient signal Patient journal 22 7. jan. 2014
AV 23 Advanced and user friendly AV equipment for auditoria, seminar and group rooms. Plasma screens. Video Conference. 7. jan. 2014
Example solutions: Advanced logistics tech 24 Automatic Guided Vehicles (transportation robots ) Automatic waste handling Pneumatic tube systems/ Pill picker Clothes 7. jan. 2014
AGV (Automatic Guided Vehicles) Main hospital workhorse Laser guided, microchip controlled, it talks All scheduled supply and removal of goods Shares elevators with patients
System for staff clothes Wardrobe Staff clothes RFID-chip Staff clothes with RFID-chip. Includs aerial to reed RFID-chip
Pneumatic Tubes Large enough for blood products 190 stations 3 min across hosp. The Health Care Express
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
7. jan. 2014 Communication systems from... 29 Kun enveis, begrenset funksjonalitet Ikke ønsket, Lite diskret, forstyrrende for andre, ect Dårlig brukegrensesnitt, begrenset funksjonalitet, forstyrrende for andre,
7. jan. 2014 Communication systems to IP... 30
A hospital still in transition
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.