2016 Actualización Tecnológica Juan Carlos Riveros

Abril 2016 Technical Sales Manager

Colombia

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QUÉ PIENSAN LOS RESPONSABLES DE TI EN “SALUD”?

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OBJETIVO

Diseño e Performance
Administración
Implementación Hoy y Mañana

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 Factores que motivan las redes del mañana
1. Registro Electrónico de Paciente
2. Requisitos de Almacenamiento
3. Colaboración (Remota)
4. Convergencia (Consolidación IP)
5. Servicios Inalámbricos
6. Servicios “no hospitalarios”
7. Estándar TIA 1179

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1 – Registro Electrónico de Pacientes
(EHR - Electronic Health Records)
• El acta HITECH (Health Information Technology for Economic and Clinical Health, Enero
2009) incentiva médicos a adoptar EHRs (reintegros de hasta $63,750 en 6 años)
• Promoción de TI en Salud
• Uso adecuado “comprobable”
• HITECH también define penalidades si no es aplicado
• Los datos se almacenan en red
• Rayos X
• Resonancia Magnética
• Tomografía Computada
• Historial de medicinas
• Historial médico de visita
Seguridad
Confidencialidad
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2 – Almacenamiento
• Almacenamiento de imágenes
medicinales requiere espacio
considerable
• Imágenes y Videos
• Sistema de archivado y
comunicación de imágenes (PACS)
• Acceso rápido a información
• Ancho de Banda
• Back-up es importante
• RAID arrays
• Múltiples copias
• Fuera de sitio
• Va a superar la expectiva de
imágenes en papel (20 – 100 años)
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 3 – Colaboración (Remota)
• Telemedicina y Telesalud
• Alta resolución requiere gran Ancho de Banda
• Red sin demoras ni latencia
• Educación a Distancia
• Presenciar operaciones
• Interconsultas
• Estudios a distancia

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4 – Convergencia IP (Consolidación)

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Ejemplos
• Microsoft
• http://www.microsoft.com/en-us/microsofthealth/default.aspx
• MS Amalga
• MS HealthVault
• Vergence
• proVision
• ExpresSO
• Way 2 Care

• Cisco
• http://www.cisco.com/web/strategy/healthcare/index.html
• Connected Imaging Solutions
• Care at Distance
• Clinical Workflow Solutions
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• Smart Healthcare Facility Solutions
5 – Servicios Inalámbricos
Comunicaciones:
• Anuncios, Paging, Enfermeras, Celular, Fuerzas de
Seguridad, WLAN, IP

Productividad:
• Tablets, laptops

Cuidado del Paciente:

• WMTS (telemetría), Administración de
Medicamentos, EMR, etc

Rastreo de Dispositivos:
• RFID tags (equipos, personas, esponjas), Sensores
de Temperatura,

Customer Service:
• WLAN y Celular para pacientes y familiares

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7 – Servicios no Hospitalarios

• Experiencia de pacientes, familiares y

visitas
• Uso de tecnología como recurso y fuente
de servicios
• Telefonía IP
• Acceso a Internet
• TV over IP, Video on Demand
• Información del área y servicios

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Introducción a “TIA-1179 Healthcare
Facility Telecommunications
Infrastructure”

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 Introducción a TIA-1179
TIA-1179: Healthcare Facility Telecommunications Infrastructure
A la fecha el único estándar Hospitales y Clínicas
Especifica los requerimientos para Infraestructura de Telecomunicaciones
• Cableado, topología, y distancia
• Canalizaciones y espacios
Orientado a Soportar una variedad de sistemas hospitalarios y no hospitalarios
• RFID
• BAS
• Nurse call
• Seguridad
• Control de Acceso
• Inventarios
•
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Modelo de Topología

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Destacados de Diseño

EF: separación de servicios voz y datos, de imágenes

ER: diseñar para crecer un 100%, 2 canalizaciones hacia EF
TR: mínimo uno por piso, mínimo 12m2
TE: puede haber más de uno por piso, entre TR y WA
WA: define 11 tipos diferentes

Backbone: redundante, por cables y caminos

Requisitos mínimos:
• Categoría 6 mínimo, recomienda 6A nuevas instalaciones
• Conector RJ45 CU, LC FO
• Backbone OM3
Recomienda “iPATCH”
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 Destacados de Diseño

• El Diseño es Crítico:
• Acomodar futuros equipos
• Soportar incremento demanda de aplicaciones
• Soportar mantenimientos y tareas cotidianas
• Proveer flexibilidad para cambios de servicios

• DESPUÉS de la obra inicial, CASI imposible “re cablear”

• Suciedad
• Ruidos
• Riesgos de contaminación

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Áreas de Trabajo

• Hospitales tienen una variedad de áreas, con requisitos diferentes

• 11 tipos para clasificarlas, cada una de ellas se identificó necesidad de
cantidad de conectores y se definieron densidades
– Patient Services
– Surgery/Procedure/Operating Rooms
– Emergency
– Ambulatory Care
– Women’s Health
– Diagnostic and Treatment
– Caregiver
– Service/Support • L = Low: 2-6 outlets
– Facilities
• M = Medium: 6-14 outlets
– Operations
– Critical Care • H = High: > 14 outlets

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Recomendación Uso de Inteligencia
“…the use of automated infrastructure management systems should be considered…”
Automated / Intelligent systems:
• Detect IP link status changes
• Detect insertion and removal of patch cords
• Automatically Document infrastructure
• Automate work order processes (paper less)
• Create paperless and automated audit trails
• Report on capacity / infrastructure utilization
• Track devices to physical and logical locations
• Integrate with other systems
• e.g. call manager for physical location of call origin
Differing networks may require segregation using:
• Colored cables / jacks
• Keyed connectivity
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Cómo CommScope Puede Ayudar Hoy?
Conociendo el Mercado Vertical
• Entender las características y necesidades de nuestros clientes
• Entender los requerimientos y recomendaciones de TIA-1179
• Entender las necesidades específicas de los proyectos
“Cuarta Utilidad” y “ONE CommScope”
• Nuestra propuesta de Valor
En Cableado Estructurado
• Diseño del sistema basado en estándar
• Performance del Sistema: hoy y siempre
• Administración y seguridad del sistema
• iPatch
• Codificación por colores
• Trabas
• Cableado U/UTP y F/UTP
Redes Inalámbricas
• WFW y IBW Solution Business Partners
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Tipo de cableado de cobre de que la norma
recomienda

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Tipo de cableado de fibra de que la norma
recomienda

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Recomendación Uso de Inteligencia

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Otros estándares

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EN50174-2 Installation

25

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EN50174-2

26

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EN 50310

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ImVision
Overview

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 Components
TM is for
imVision AIMIntelligence
system

Vision Knowledge Control

• iPatch® Cu & FO Panels

• imVisionTM Controller

• imVisionTM System Manager

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Solution Architecture
zone zone zone

IP Network

User’s Browser

SNMP Devices

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 iPatch® copper panels and fiber shelves

port sensors

standard plug detection

port LEDs

technician guidance
field upgradable
modular design without disruption of
network services port buttons

one touch tracing

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imVisionTM Controller

• 4.3” multi-color touch screen interface with Activity LED

• Compatible with RM+ (v2 & v3), Panel Manager/Network Manager
• Supports existing iPatch Cu panels & FO shelves

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Circuit Trace. Made Easy.

• See the full circuit trace whether adding a connection or

tracing directly from a panel
• Use the “+” to expand the trace details

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Benefit: Automated Server Deployment
Select server template
Template includes size, power,
weight, ports, required services
Select Rack/Cabinet
Selection based on available
rack units, power, maximum load

Schedule deployment
Connectivity paths determined
electronic work orders issued

Deploy server
Technicians guided to complete
Electronic work orders
Automatic confirmation
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Correct service activation detected,
service tickets closed
Benefit: Incident Management
Cord disconnected in error
Controller detects event

Local visual/audible alerts

Event sent to server
Unscheduled event logged
Alarms issued

Recovery instructions issued

Instructions sent to controller
Visual and audible guidance
Circuit reconnected

Event detected by controller

Database updated
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Audit trail completed
Benefits: Continuous Data Protection

imVision + NAC:
• NAC works side-by-side with imVision to improve the overall security posture of an
organization
• A device is plugged into a faceplate port:
• imVision proactively alerts the organization that a device has been plugged in and gives
location information
• NAC then Authenticates and Remediates the device to ensure device does not negatively
impact the network

+
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Benefits: Continuous IP Device Tracking
When a discovered IP device is moved, Intelligent Software generates event and gives you
all details.

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Benefits: When an IP Device is really gone?
Discovered IP Devices will disappear depending “Inactive” Settings.

Real Switch Capacity ! ! !

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Benefits: Remote Administration

S y s te m Ma n a g e r
Clie n t

B u ild in g 1
B u ild in g 1

iP a t c h
Eth e r n e t
S ys t e m M a n a g e r
Site 2 Se rv e r

Site 1

S y s te m Ma n a g e r
Clie n t B u ild in g 2 B u ild in g 2

Provides connectivity information and alerts in real-time to the central location.

Cost reduction on travel expenses and time to visit remote sites for MACs.
Avoids extended downtime due to sabotage/unauthorized activities.

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Benefits: Unauthorized Access Point
IP Devices connected to the Switch through an Access Point are recognized and properly
populated on imVision Software.

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Benefits: Integration with existing Tools
No Need to Overload Training Needs
No Need to Add New Responsibilities and Tasks

5 Cisco Energy Wise

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Benefits: Higher Security from Layer 1
!

1 AXIS IP Camera monitors

critical patching connections
2 imVision detects unscheduled event
- triggers camera to ‘post-event’ mode
Pre-event images Post-event images

Camera sends pre-event and post-event

3 image sequence to imVision web server
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 Benefits: Control of Energy Consumption
Cisco Energy Wise Integration

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 How Can We Help You?

PRIVATE AND CONFIDENTIAL © 2015 CommScope, Inc

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 How Can We Help You?

PRIVATE AND CONFIDENTIAL © 2015 CommScope, Inc

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