Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 1 Wireless Connectivity in Healthcare Facilities Scott D. Thompson President

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Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks

Wireless Connectivity in Healthcare FacilitiesScott D. Thompson

PresidentOberon, Inc.

Task Group Member TIA-1179 Healthcare Facility Cabling Standard

Senior Member, IEEE

January 16th, 2013

Wireless Connectivity in Healthcare FacilitiesScott D. Thompson

PresidentOberon, Inc.

Task Group Member TIA-1179 Healthcare Facility Cabling Standard

Senior Member, IEEE

January 16th, 2013

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Oberon manufactures ceiling and wall mounted Tele- communications Enclosures (TEs) for wireless LAN access points, DAS equipment, multimedia equipmentand other networking components

Oberon manufactures ceiling and wall mounted Tele- communications Enclosures (TEs) for wireless LAN access points, DAS equipment, multimedia equipmentand other networking components

Wireless Access Point & DAS Equipment EnclosuresWireless Access Point & DAS Equipment Enclosures

Workspace Telecom & Multimedia Equipment Enclosures

Workspace Telecom & Multimedia Equipment Enclosures

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Healthcare Healthcare Wi-FiWi-Fi and and DASDAS

- Hospitals were “early adopters” of wireless networking- Hospitals were “early adopters” of wireless networking

- In hospitals, wireless networking is mission critical, serving In hospitals, wireless networking is mission critical, serving point of care (bedside) applications, mobile workstations on point of care (bedside) applications, mobile workstations on carts, EHR, mobile asset tracking, RFID, telemetry, voice carts, EHR, mobile asset tracking, RFID, telemetry, voice over Wi-Fi, nurse call, etc. over Wi-Fi, nurse call, etc.

- Some of these applications may conflict for available Some of these applications may conflict for available spectrumspectrum

- Hospitals have special requirementsHospitals have special requirements

o Reducing the risk of infectionReducing the risk of infectiono Infection Control Risk Assessment (ICRA) proceduresInfection Control Risk Assessment (ICRA) procedureso Strict adherence to codes and standards (NEC and TIA)Strict adherence to codes and standards (NEC and TIA)o Physical Security Physical Security o AestheticsAesthetics

Healthcare Healthcare Wi-FiWi-Fi and and DASDAS

- Hospitals were “early adopters” of wireless networking- Hospitals were “early adopters” of wireless networking

- In hospitals, wireless networking is mission critical, serving In hospitals, wireless networking is mission critical, serving point of care (bedside) applications, mobile workstations on point of care (bedside) applications, mobile workstations on carts, EHR, mobile asset tracking, RFID, telemetry, voice carts, EHR, mobile asset tracking, RFID, telemetry, voice over Wi-Fi, nurse call, etc. over Wi-Fi, nurse call, etc.

- Some of these applications may conflict for available Some of these applications may conflict for available spectrumspectrum

- Hospitals have special requirementsHospitals have special requirements

o Reducing the risk of infectionReducing the risk of infectiono Infection Control Risk Assessment (ICRA) proceduresInfection Control Risk Assessment (ICRA) procedureso Strict adherence to codes and standards (NEC and TIA)Strict adherence to codes and standards (NEC and TIA)o Physical Security Physical Security o AestheticsAesthetics

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It is desirable to eliminate gaps and mouse-holes in ceiling tilesIt is desirable to eliminate gaps and mouse-holes in ceiling tiles

• Reduce the spread of dust and sporesReduce the spread of dust and spores• Maintain desired differential pressure relationshipsMaintain desired differential pressure relationships• Preserve the fire rating integrity of the ceiling system Preserve the fire rating integrity of the ceiling system

It is desirable to eliminate gaps and mouse-holes in ceiling tilesIt is desirable to eliminate gaps and mouse-holes in ceiling tiles

• Reduce the spread of dust and sporesReduce the spread of dust and spores• Maintain desired differential pressure relationshipsMaintain desired differential pressure relationships• Preserve the fire rating integrity of the ceiling system Preserve the fire rating integrity of the ceiling system

Reducing the Risk of InfectionReducing the Risk of Infection

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“Poke thru” antenna

Cracked ceiling tile

Avoid the following:Avoid the following:• ““Poke through” antennasPoke through” antennas• Damaging ceiling tilesDamaging ceiling tiles• Mounting APs and antennas Mounting APs and antennas above ceiling tilesabove ceiling tiles

Avoid the following:Avoid the following:• ““Poke through” antennasPoke through” antennas• Damaging ceiling tilesDamaging ceiling tiles• Mounting APs and antennas Mounting APs and antennas above ceiling tilesabove ceiling tiles

Reducing the Risk of InfectionReducing the Risk of Infection

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Infection Control Risk Assessment (ICRA) Infection Control Risk Assessment (ICRA)

• In Healthcare, the Joint Commission on Accreditation of In Healthcare, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals Healthcare Organizations (JCAHO) requires that hospitals establish procedures for mitigating the spread of establish procedures for mitigating the spread of infectious disease and contaminants.infectious disease and contaminants.

• ICRA procedures limit access to the space above ICRA procedures limit access to the space above suspended ceilings (where dust and spores have suspended ceilings (where dust and spores have accumulated) accumulated)

• ““Infection Control Requirements (ICR) could have a Infection Control Requirements (ICR) could have a serious impact on the times and conditions for cabling serious impact on the times and conditions for cabling installation, moves, adds and changes, as well as installation, moves, adds and changes, as well as restrictions on moving ceiling tiles…….”restrictions on moving ceiling tiles…….”””

• Contractors performing work in violation of ICRA Contractors performing work in violation of ICRA procedures will be precluded from future biddingprocedures will be precluded from future bidding

• In Healthcare, the Joint Commission on Accreditation of In Healthcare, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals Healthcare Organizations (JCAHO) requires that hospitals establish procedures for mitigating the spread of establish procedures for mitigating the spread of infectious disease and contaminants.infectious disease and contaminants.

• ICRA procedures limit access to the space above ICRA procedures limit access to the space above suspended ceilings (where dust and spores have suspended ceilings (where dust and spores have accumulated) accumulated)

• ““Infection Control Requirements (ICR) could have a Infection Control Requirements (ICR) could have a serious impact on the times and conditions for cabling serious impact on the times and conditions for cabling installation, moves, adds and changes, as well as installation, moves, adds and changes, as well as restrictions on moving ceiling tiles…….”restrictions on moving ceiling tiles…….”””

• Contractors performing work in violation of ICRA Contractors performing work in violation of ICRA procedures will be precluded from future biddingprocedures will be precluded from future bidding

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Lifting or removing ceiling tiles requires Lifting or removing ceiling tiles requires the installer to: the installer to:

• Use Negative Air Pressure Enclosure Use Negative Air Pressure Enclosure (NAPE), or “tent off” the work area(NAPE), or “tent off” the work area

• Use a HEPA air filterUse a HEPA air filter

Infection Control Infection Control

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Ceiling enclosures can help to: Ceiling enclosures can help to:

• Eliminate gaps and mouse-holes in the ceilingEliminate gaps and mouse-holes in the ceiling• Simplify ICRA procedure complianceSimplify ICRA procedure compliance• Simplify maintenanceSimplify maintenance

Ceiling enclosures can help to: Ceiling enclosures can help to:

• Eliminate gaps and mouse-holes in the ceilingEliminate gaps and mouse-holes in the ceiling• Simplify ICRA procedure complianceSimplify ICRA procedure compliance• Simplify maintenanceSimplify maintenance

Oberon model 1059-00

Infection Control Infection Control

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Code ComplianceCode Compliance

- Hospitals are strict adherents to building safety codes and Hospitals are strict adherents to building safety codes and telecommunications standardstelecommunications standards

- - 2012 NFPA 99 Health Care Facilities Code2012 NFPA 99 Health Care Facilities Code

- Authorities Having Jurisdiction (AHJs) will require strict NFPA 70 Authorities Having Jurisdiction (AHJs) will require strict NFPA 70 N.E.C® compliance and UL listing of installed componentsN.E.C® compliance and UL listing of installed components

- Use products designed to satisfy National Electric Code (NEC) Use products designed to satisfy National Electric Code (NEC) paragraphs 300.22 and 300.23 for installation in the above ceiling paragraphs 300.22 and 300.23 for installation in the above ceiling space (plenum) spacespace (plenum) space

- Use suitably UL listed productsUse suitably UL listed products

- Burn ratings of ceiling systems should not be compromised Burn ratings of ceiling systems should not be compromised

Code ComplianceCode Compliance

- Hospitals are strict adherents to building safety codes and Hospitals are strict adherents to building safety codes and telecommunications standardstelecommunications standards

- - 2012 NFPA 99 Health Care Facilities Code2012 NFPA 99 Health Care Facilities Code

- Authorities Having Jurisdiction (AHJs) will require strict NFPA 70 Authorities Having Jurisdiction (AHJs) will require strict NFPA 70 N.E.C® compliance and UL listing of installed componentsN.E.C® compliance and UL listing of installed components

- Use products designed to satisfy National Electric Code (NEC) Use products designed to satisfy National Electric Code (NEC) paragraphs 300.22 and 300.23 for installation in the above ceiling paragraphs 300.22 and 300.23 for installation in the above ceiling space (plenum) spacespace (plenum) space

- Use suitably UL listed productsUse suitably UL listed products

- Burn ratings of ceiling systems should not be compromised Burn ratings of ceiling systems should not be compromised

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• Mandated CoverageMandated Coverage –some jurisdictions have –some jurisdictions have enacted ordinances that include provisions for enacted ordinances that include provisions for radio coverage of public safety signals within the radio coverage of public safety signals within the building as a condition of occupancy building as a condition of occupancy

• HIPAA HIPAA - Protection of confidential patient - Protection of confidential patient informationinformation

• Patient Safety StandardsPatient Safety Standards applied to psychiatric applied to psychiatric inpatient unitsinpatient units

• AestheticsAesthetics

• Mandated CoverageMandated Coverage –some jurisdictions have –some jurisdictions have enacted ordinances that include provisions for enacted ordinances that include provisions for radio coverage of public safety signals within the radio coverage of public safety signals within the building as a condition of occupancy building as a condition of occupancy

• HIPAA HIPAA - Protection of confidential patient - Protection of confidential patient informationinformation

• Patient Safety StandardsPatient Safety Standards applied to psychiatric applied to psychiatric inpatient unitsinpatient units

• AestheticsAesthetics

Other requirements which Other requirements which may apply in hospitalsmay apply in hospitalsOther requirements which Other requirements which may apply in hospitalsmay apply in hospitals

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In a hospital, who is involved In a hospital, who is involved in the cabling and wireless in the cabling and wireless design?design?

In a hospital, who is involved In a hospital, who is involved in the cabling and wireless in the cabling and wireless design?design?

• Telecom/datacom infrastructure- cabling and Telecom/datacom infrastructure- cabling and wireless personnelwireless personnel

• Plant Services or Facilities PersonnelPlant Services or Facilities Personnel

• Infection Prevention and Control Coordinator or Infection Prevention and Control Coordinator or Infection Preventionist- in Quality Control or Infection Preventionist- in Quality Control or Patient Services DepartmentPatient Services Department

• Public Safety / In-building Comm CoordinatorPublic Safety / In-building Comm Coordinator

• Bio-Medical personnelBio-Medical personnel

• Telecom/datacom infrastructure- cabling and Telecom/datacom infrastructure- cabling and wireless personnelwireless personnel

• Plant Services or Facilities PersonnelPlant Services or Facilities Personnel

• Infection Prevention and Control Coordinator or Infection Prevention and Control Coordinator or Infection Preventionist- in Quality Control or Infection Preventionist- in Quality Control or Patient Services DepartmentPatient Services Department

• Public Safety / In-building Comm CoordinatorPublic Safety / In-building Comm Coordinator

• Bio-Medical personnelBio-Medical personnel

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Wireless in Hospitals Wireless in Hospitals

Oberon model 1057-00

• Back box should not have holes, to Back box should not have holes, to prevent the spread of dust and sporesprevent the spread of dust and spores• Back box should not have holes, to Back box should not have holes, to prevent the spread of dust and sporesprevent the spread of dust and spores

• A fire blocking foam should be provided A fire blocking foam should be provided to seal up the cable ingress holeto seal up the cable ingress hole• A fire blocking foam should be provided A fire blocking foam should be provided to seal up the cable ingress holeto seal up the cable ingress hole

• Access point should be accessible Access point should be accessible without lifting ceiling tileswithout lifting ceiling tiles• Access point should be accessible Access point should be accessible without lifting ceiling tileswithout lifting ceiling tiles

• The enclosure should be listed for use The enclosure should be listed for use in the above ceiling space in the above ceiling space • The enclosure should be listed for use The enclosure should be listed for use in the above ceiling space in the above ceiling space

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www.oberonwireless.comwww.oberonwireless.comwww.oberonwireless.comwww.oberonwireless.com

[email protected]@[email protected]@oberonwireless.com

Visit Oberon at the BICSI Winter Conference, Booth 634!Visit Oberon at the BICSI Winter Conference, Booth 634!Visit Oberon at the BICSI Winter Conference, Booth 634!Visit Oberon at the BICSI Winter Conference, Booth 634!

Documents

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 1 Wireless Connectivity in Healthcare Facilities Scott D. Thompson President