WWT Educational Webcast
Wireless Mobility in Healthcare
Wireless Mobility in Healthcare
□ Bob Olwig, WWT□ Bruce Alexander, Cisco□ Grace Lanni, Motion Computing□ Gabi Daniely, AeroScout□ Derek Lohman, WWT
Questions are Encouraged
You can ask questions during the presentation by using the link provided
in the Webcast Viewer.
Your Success Drives Ours
□ Relentless Focus on People, Process & Partnerships□ Strong Partner Relationships□ Over 1,000 Talented Employees□ Proven Processes□ Revenues In Excess of $2 Billion□ Strong Credit Line - $350MM +□ Key Contract Vehicles: VHA, HPG
ITES-2H, GSA, SEWP
Question 1
□ What are some things we should consider when securing a wireless network?
© 2006 Cisco Systems, Inc. All rights reserved. Cisco 6
Control WLANs Before They Control You
Protect your networkA corporate controlled WLAN eliminates 99% of rogue APsDeploy strong authentication and strong encryption
Protect mobile clientsMobile clients are exposed to hostile networks more often (think hotels, airports, coffee shop hot spots)
Keep mobile clients “honest”Use Network Admission Control (NAC) to make sure clients have the latest patches and AV definitions
“Endpoint systems are vulnerable and represent the most likely point of infection from which a virus or worm can spread rapidly and cause serious disruption and economic damage.”
Burton Group
© 2006 Cisco Systems, Inc. All rights reserved. Cisco 7
Mapping Wireless Security Policies to the Wired Network
Multiple WLAN security policies
Data vs. voice vs. legacy devices vs. guest access, depending on device capabilitySSID to VLAN mapping—provides appropriate wireless L2 segmentation
Permits mapping WLAN security policies to wired security policies
No dependence on WLAN device capabilityUse security features on the interface which terminates wireless trafficCan enforce the necessary access security, regardless of access method (guest, unencrypted/voice, WEP/etc.)
AP Channel: 6SSID “Data” = VLAN 1SSID “Voice” = VLAN 2SSID “Visitor” = VLAN 3
To Distribution/Core Layer
© 2006 Cisco Systems, Inc. All rights reserved. Cisco 8
The Business Agenda
Protecting sensitive business and customer data is the key focus of regulatory compliance requirements
HIPAA
PCI
Maintain Administrative, Technical and Physical Safeguards To:a) Ensure the integrity and confidentiality of patient informationb) Protect against threats or hazards; unauthorized uses or
disclosures of patient information
Any Merchant (Including Electronic) Using Payment Cards, Must:a) Build and maintain a secure networkb) Protect and encrypt cardholder datac) Regularly monitor and test networks, including wireless
Sarbanes-Oxley
All Publicly Traded Companies Must:a) Maintain an adequate internal control structure and procedures
for financial reportingb) Assess the effectiveness of internal control structures
Business and Security Compliance Is Top of Mind for Executives
Question 2
□ What are the requirements regarding the design and layout of Access Points in a Healthcare environment?
Question 3
□ What are the key applications in hospitals that Active RFID can be used for and who are the users?
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Key Applications
Real-timeAsset
Management
Preventive Maintenance
Patient & Staff Safety
Temperature Monitoring
Workflow & Resource
Management
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Real-time Asset Management
ChallengeMaintaining par levels for equipment throughout the hospital departmentsEfficient management of the decontamination process of medical devicesEquipment orders must be fulfilled on time so that not to delay procedures and drug administrationLoss and theft of mobile devicesLow asset utilization rates result in excessive and unnecessary purchasing and rental of medical devices
SolutionAutomated real-time inventory and location reportsFull control of rental equipment inventory and items out for repair/maintenanceAutomated par level maintenance and control of equipment at specific locations (e.g. shortage/surplus of pumps in clean/soiled utility rooms and on medical devices leaving the facility/area)Identify trends in equipment availability and utilization
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Preventive Maintenance
ChallengePatient equipment must be maintained periodically in order to have highly functioning equipment for quality patient care and JACHO regulatory compliance.Equipment cannot be located on time leading to non compliance with regulatory requirementsValuable staff time spent on searching for assets due for PM
SolutionTagged equipment is located immediately according to preventive maintenance pickup scheduleAutomated maintenance alerts include equipment location, enabling biomedical engineers to perform work in a timely mannerStored tag location and event history for audits
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Temperature Monitoring
ChallengeNursing, lab and pharmacy staff must perform manual temperature monitoring and logging several times a day (blood, drugs, vaccines, food, tissue samples)JCAHO requires to maintain daily records and continuous temperature monitoring for storage refrigerators and freezersLogging mechanisms are unreliable (lost data and gaps in records) and utilize labor inefficiently
SolutionTemperature Sensor Wi-Fi Tags placed in refrigerators provide automated 24x7 constant temperature readsNo hard wires and easy to installAlert on exceeded temperature readings Maintain temperature historical and alerts data
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Patient & Staff Safety
ChallengeNo effective way to determine the location of medical emergencies that occur out-of-roomHospital staff may often work with patients that pose a risk to staffAt-risk patients (Psychiatric ward, Alzheimer, elderly, etc.)wandering and elopement
Solution Patients wear call-button tags, and press the button in case of an emergency to signal medical staff immediatelyStaff can carry call-button tags which they can press upon encountering an emergencyPatient movement between zones (exit event), into a specific restricted area (entrance event), or away from confined area triggers immediate alert to closest on-call staff.
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Workflow & Resource Management
ChallengeNon optimal process & resource management results in patient, staff and equipment delays in hospital departments (e.g. OR/ER)
SolutionOnline equipment/staff/patient tracking required for proceduresPatient workflow tracking from admission to dischargeAlert prior to a procedure if any necessary equipment is missingLocation information is automatically sent to scheduling system, enabling procedure prioritization in real-time based on location and statusThroughput analysis (wait times, bottlenecks, fixed asset utilization)
Question 4
□ How do we get prepared to implement mobile point of care?
MOTION COMPUTING CONFIDENTIALMOTION COMPUTING CONFIDENTIAL18
Defining a Successful Project?
Include the Executives, Clinical Leadership (CMO, CNO) and Technology
Define Clinical Goal(s)
Clinical Usability Project Management
Wireless Network Validation
Clinical Workflow Analysis (hardware & software) (SSO, imaging, etc.)
Training & Support Strategy
Measurement and Reporting
Units & Peripherals Design
Question 5
□ What is the next technology to make an impact on Wireless LAN and when is it coming?
© 2006 Cisco Systems, Inc. All rights reserved. Cisco 20
Cisco Next Generation Wireless2x increase in reliability5x increase in throughput Backwards compatible with existing 802.11abg clientsOperates in 2.4GHz and 5GHzMIMO improves wireless network reliability and predictability
Time to File Transfer
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Throughput Reliability PredictabilityLaptop Rotational Spin
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SAMPLESAMPLE
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© 2006 Cisco Systems, Inc. All rights reserved. Cisco 21
Introducing the Aironet 1250 Access Point
AP1250 is the first enterprise class Wi-Fi CERTIFIED 802.11n draft 2.0 access pointSelected for the Wi-Fi test bed
ALL clients that are Wi-Fi certified will be tested with the AP1250
Designed to support higher speed WLAN technologies
Faster CPU, increased memory for expanded features
Expect a gradual migration to 802.11nArchitectural flexibility Backwards compatibility with ABGTested interoperability with Intel during development
© 2006 Cisco Systems, Inc. All rights reserved. Cisco 22
Consistent mobility applications deployed across wired and wireless
802.11n Business Benefits SummaryNext Generation Wireless delivers performance approaching wired
802.11n delivers 5x throughput for bandwidth intensive applications
Greater reliability and predictability for challenging RF and latency sensitive applications
12345 Extends network reach into hard-to-
wire locations
Question 6
□ What are hospitals purchasing C5 for?
MOTION COMPUTING CONFIDENTIALMOTION COMPUTING CONFIDENTIAL24
Motion C5 Clinical Outcomes Gained
Mobility – true mobile and wireless point of care integrating pen w/o being tethered to a keyboard or a WOW• Reduce # steps a nurse takes during a shift• Increase time a nurse spends with the patient• Decrease errors (no duplicated entry/loss of data)• Increased nursing satisfaction
Infection Prevention – Motion C5 industrial design supports procedures to eliminate microbial threats posed by keyboards within the clinical workflow• Increase in staff and patient safety• Increase quality of care
Vitals integration – fast realization of tangible benefit for clinicians• Decrease the delay in time between vitals & I/O
acquisition and availability in patient record• Decrease errors (no duplicated entry/loss of data)
MOTION COMPUTING CONFIDENTIALMOTION COMPUTING CONFIDENTIAL25
Motion C5 Clinical Outcomes Gained
Patient identification – qualified access to patient record• Increase the speed and accuracy of charting• Increase the % of charting and orders done bedside
Med Administration - enable 5 rights at bedside without cart • Increase adherence to 5 rights• Decrease # separate devices necessary to support
workflow
Clinician Satisfaction – deploy technology and define benefit
Question 7
□ What are the advantages of using the Wi-Finetwork for tracking assets and people throughout the hospital?
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A Ubiquitous Standard Network for Visibility
Healthcare visibility problems are distributed throughout the entire hospital campus and outside hospitals
Requires a standard ubiquitous solution throughout the healthcare facilities that will:• Leverage existing networks• Keep management and maintenance costs low • Keep TCO as low as possible
Wi-Fi-based Active RFID
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Using Wi-Fi for Location
Non-Wi-Fi Infrastructure:Single-purpose Active RFID readers for location add unnecessary infrastructure.
Wi-Fi based Infrastructure:The existing WLAN is the location system, often without the need for additional hardware.
+ Data Services+ Data Services+ Voice Services+ Voice Services+ Location Services+ Location Services
+ Data Services+ Data Services+ Voice Services+ Voice Services+ Location Services+ Location Services
+ + Overhead, wiring, support x2Overhead, wiring, support x2Fast ROI, ability to track WiFast ROI, ability to track Wi--Fi devices, no Fi devices, no interoperability or interference issuesinteroperability or interference issues
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How Does it Work?
Wi-Fi-Based Active RFID tags send a tiny wireless 802.11 signal at a regular interval
Tag’s messages consume less than 1/2msec, tags do not associate with Wi-Fi access points and do not require thousands of IP addresses
Signal is received by the Wi-Fi access points, and is sent to a Location EngineThe Location Engine determines the tag’s location, and sends it to the visibility softwareVisibility software uses location data to display maps and reports, enable searches, create alerts, manage assets, etc.
Question 8
□ What is the profile of a hospital or user of mobility solutions?
Question & Answer Session
You can ask questions during the presentation by using the link provided
in the Webcast Viewer.
Thank You.