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Smart Hospital Blueprint Sanitized

What infrastructure can support modern hospitals to solve their issues?

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Smart Hospital Blueprint Sanitized

  1. 1. Smart Hospital Blueprint Supporting the hospital of the future Stefano SOLIANI Healthcare Solution Architect EMEAR PSV© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 1
  2. 2. Access to care Quality and Care Rising Care Costs Delivery • Staffing shortages • Specialists and GPs • Patient expect higher quality distribution • Ecosystem interoperability • Growing patient consumerism • Underserved areas • Lack of proper IT support • Lack of standard tools and • Lack of Interoperability single patient view • Inefficient processes in the hospital • Mobility not well supported • Missing Decision support at point of care© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 4
  3. 3. Technology vision for the provision of careInefficient processes cause major waste of time in Always-onstaff daily activities. A hospital must be Collaborationconsidered by definition a streamlined enables expertiseorganization: whatever happens must be alerted, availabilityand should trigger the related procedure. Time is anywherenever to be wasted. Proper Workflow Management anytime, toshould be in place for system-to-system, system- complete patient-to-human, and human-to-human communication centricityInteroperability is the only Healthcare resources are alwaysway to achieve single patient scarce, and demand for storage,view, providing the highest computing, bandwidth, tools is growingsupport to caregivers. steadily. Flexible support based onMobile access bring support adoption of Managed Services,to point of care Virtualization and Cloud is recommended© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 5
  4. 4. • Reliably relaying critical and patient events to the right clinicians, or to the right system Hospital communi cation Workflow Engine • Speed-up communications • Less time fulfilling request • Less disturbance by reducing audio alarms • Improved patient care© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 6
  5. 5. Records Telehealth eRx Public Exchange Health & Image Quality Exchange Reporting PHR NHINHomeCare Application Communications Billing Analytical eRx Services & Collaboration X.12 Services © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 7
  6. 6. MESSAGING Patient to Patient BLOGGING/COMMUNITY PLATFORMENTERPRISE SOCIAL SW Synch/Asynch WEB CONFERENCING PATIENT CARE Caregiver to Patient to Caregiver CaregiverMOBILE APPLICATIONS MESSAGING TELE PRESENCE IP COMMUNICATIONS TELEMEDICINE © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 8
  7. 7. Source: Frost & Sullivan - North American Radiology PACS and RIS-PACS Markets – July 2009 Type of Study Approx. Size X-Ray Computed Radiography 5 MB Digital Mammography 200 MB Ultrasound 100–500 MB Nuclear Medicine 200–500 MB Positron Emission Tomography (PET) Scans 200–500 MB Magnetic Resonance Imaging 200-500 MB Computed tomography 150–1000 MB Angioplasty 500–1000 MB© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 9 Cardiology 5–10 GB
  8. 8. Consolidate Virtualize Automate  Reduced complexity,  Higher resource  Dynamically less to manage utilization allocate resources  Lower OPEX  Lower CAPEX  Simplified policy- based provisioning  Regain control of  Decouples logical IT resources from physical  Increase IT resources productivity The Network is the Platform© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 10
  9. 9. Cloud Computing for HC: •Scalability •Cost optimization •Reduced IT complexity •Standardization •OPEX vs CAPEX HC SaaS opportunity: •eHR •PACS •HIS •RIS •ePrescription •TP/HealthPresence •Web Collaboration •Email/vmail/IP Tel© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 11
  10. 10. Providing proper network support CLINICAL SYSTEMS STAFF EFFICIENCYEMR Hospital Portals & Learning SystemsPatient registration Communication & CollaborationPhysician Order system Video Conference and TelephonyPatient Tracking and Monitoring Workflow ManagementEmergency e-monitoringCaregiver searchRISPACSTelemedicine/ Tele CareRobotic SurgeryOnline operating room INTELLIGENT BUILDINGLab management system Video SurveillancePharmacy Management system Intelligent SystemExcellence center Access managementAmbulance managementIHE middleware BACK OFFICE & HOSPITAL BEDSIDE SERVICES EFFICIENCY Patient portal Device Tracking. Internet access Paying system Digital Signage E-procurement Contact Center External portal© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 12
  11. 11. Event What happens Benefits Tech InfrastructurePatient is Availability of bed is checked, bed reserved, All workflows are set to automate RFID tagadmitted into bedside services set, location tag installed on procedures, to optimize care. MSEhospital patient, staff alerted to start procedures. WiFi HL7 CUCM IP PhonesPatient is Assistant is notified for patient transportation, Automated and Optimized process Workflow Mgmttransported to looks for wheel chair using speech recognition for transporting patients eliminates WiFiroom interface to location tracking, elevator waits for waiting times and accelerate healing MSE assistant to go to predefined floor. Patient cycles. Patient tracking guarantees RFID Tag journey is automatically tracked. safety. CUCM WiFi IP Phone SpeechConnect LDAP Smart BuildingPatient Medical record is checked (allergies, available Single patient view is created pulling Tiani-Spirit (IHE middleware)receives lab results, scans, previous medical issues, …) medical info from all systems in the VPNconsultations hospital community (local, regional, ISR G2 national) UCS [Express]Scan is Doctor authenticate into RIS from tablet, scanner System integration enables WiFireserved availability is checked, reservation is made, automation of workflow and real- AAA specialist is alerted, RIS record is created. time notifications, accelerating the CUCM scan cycle. CIUSPatient is Same as beforetransported tomodality© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 13
  12. 12. Event What happens Benefits Tech InfrastructureScan is Patient scan is created and made available for Image is created, securely and DCperformed diagnostic. Specialists is alerted. Modality is quickly transported into storage, Load Balancer immediately available for next scan. accessible by having rights. WAAS Workflow involves alerts to involved DICOM routing staff. Gigabit switching QoS CUCM Workflow MgmtLab analysis Doctor enters requests for analysis using tablet, Reduce errors and optimize analysis WiFiare requested lab is notified to start procedures. Doctors is cycle. CIUS notified when lab result is ready. CUCM IP Phone Workflow MgmtDiagnostic is A team is dynamically created to collaborate Experts are grouped into a team in Presenceelaborated around the image, and deliver a diagnostic. the most flexible ways, and given CUCM Team is created according to presence immediately the possibility to fully Webex information, specialties, or other hospital logic. collaborate to produce the highest TP Collaboration is remote with full audio/video/ quality of diagnostic. CUVA image sharing capabilities. PACSSurgery is Availability of operating room is checked, room is Workflow automation for Surgery AAArequested reserved together with available surgeon and procedure enhance care process CUCM staff, team is alerted. quality and minimize errors. HL7middleware Workflow Mgmt© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 14
  13. 13. Event What happens Benefits Tech InfrastructurePatient is Assistant is notified for patient transportation, Patient journey is always under Workflow Mgmttransported to looks for mobile bed using speech recognition control, every event triggers specific WiFioperating interface to location tracking, elevator waits for actions to guarantee highest quality MSE assistant to go to predefined floor. Entrance of of care. Complete patient RFID Tagroom patient into room is detected, Medical Record is information display eliminates errors. CUCM automatically fetched and important info shown WiFi IP Phone on LCD screen (reason for surgery, scan image, SpeechConnect operation histories, allergies, …) Smart Building DMS MDESPatients starts Patient conditions are monitored by connected Automation of Biomedical device BioMed NACsurgery biomedical devices, fixed or mobile. ICU staff is connectivity simplifies IT operations WiFirecovery prevented if vitals signs goes off boundaries. and guarantees for optimal working QoS Patient can trigger intervention of nurse if conditions, ICU staff are supported CUCMphase required. Patient uses bedside services to by automated alerts to optimize Nurse Connect connect with family, use entertainment system, productivity and quality of recovery. Bedside monitor select food, access Internet, control HVAC or Smart Building lights, etc. FirewallDrugs are Doctor input requests for specific drugs. Reduce errors and optimize WiFiordered Pharmacy receives order. EMR is checked for pharmacy cycle. CIUS counter indications and updated. Staff is alerted CUCM when drugs are available. IP Phone Workflow MgmtPatient is Patient can go home, cleaning ladies are alerted Increases average availability of CUCMdismissed to set up the bed/room for new patient, status is beds, and therefore number of Workflow Mgmt updated. patients treated.Patient status Patient is scheduled for a visit using Minimize travel time for doctors, or CHPis checked TeleMedicine. The closest patient pod is associated risks for patients. reserved, together with a doctor pod and specialists in the hospital. Vitals are checked during the visit, and doctor can monitor patient© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 15 evolution.
  14. 14. Acute Care Campus Environment North Access 1 Clinical Core Workstation 802.11 n AP NAM Network Analysis NAC Module Server South Access 1 Distribution Nx 10G Si CT / MR Si Si Si Patient Access Monitor South Access 2 Si Si CoW Si Si North Access 2 802.11 n AP Wireless Intrusion LAN Prevention Controller(s) System Access Distribution Core Data Center An Optimized Network Architecture for Tunnel VPN Public Private the Smart WAN WAN Hospital Remote Clinician WAN Edge Remote Ambulatory Care© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 16
  15. 15. Network Services Reliable Efficient Connectivity User Services Policy Mobility, Video, Dynamically Linking Workplace Experience Users, Devices, and on a Common Fabric Applications Integration Experience Virtualized Devices andConsolidated Data, Video, Resources, Anytime, Energy, Automation Anywhere Enhancing the Healthcare Experience© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 17
  16. 16. Access • Hierarchal designs TelePresence • No single points of failure Smart Infusion Pump Portable Ultrasound Distribution • Utilize in box North Access 1 Clinical Workstation redundancy NAM 802.11n AP Network Analysis Module NAC Server Core • Optimize convergence 7925G South Access 1 Nx 10G Si • Best practices must Point of Sale Device Si Si Si adapt to unique healthcare South Access 2 requirements CT / MR Si CoW Si Si Si North Access 2 802.11n AP Intrusion Prevention Wireless LAN System Controller(s) Medication RFID Administration Cart TAG Patient Monitor© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 18
  17. 17. Access VSS Layer 3 Access stackable switchesDistribution Si Si Si Si VSS Distribution Core VSS/Hybrid Core Si SiDistribution Si Si Access Data Center 10Gbps Nexus WAN WAN © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 19
  18. 18. Untrusted Access Distribution Core Endpoints • Summary of trust, marking, policing and queuing boundaries • Correct Trust and Markings at Access Trusted Endpoints • Interswitch links in Campus will trust DSCP markings • Perform Policing and Untrusted Endpoint Port Conditionally-Trusted Endpoint Queuing where QoS: Port QoS:  No Trust  Conditional-Trust with Trust-DSCP appropriate Conditionally  [Optional Ingress Marking/  [Optional Ingress Marking/ Policing] Trusted Policing]  1P3QyT Queuing Endpoints  1P3QyT Queuing Switch-to-Switch/Router Port QoS: Trusted Endpoint Port QoS:  Trust DSCP  Trust-DSCP  1P3QyT or 1P7QyT Queuing  [Optional Ingress Marking/ Policing]  1P3QyT Queuing© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 20
  19. 19. For the Patient… For Caregiver… For Administration …© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 21
  20. 20. Collaboration Services Automation Services High-Speed Internet Lighting Buildings are today responsible for: Wireless  62.5% of total electricity consumption Elevators  30% of total Greenhouse Gas produced Mobility – RFID – Tracking Remote Access Unified Communications HVAC – Sensors Audio and Video Conferencing Fire Telepresence Benefits of “Intelligent” approach Video Surveillance  Electric consumption reduction  Decrease of energy needs Interactive Media Access  GHG reduction Digital Signage BAS – Energy© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 22
  21. 21. Energy Management Building Management HOSPITAL APPLICATIONS Facility Management Middleware Server Security Management Translation of Maintenance Management disparate protocols IT Network Management to Common format IP Camera IP Telephony Wireless TelepresenceEnergy and BMS Lighting UPS CCTV AccessPower Control Monitoring ControlMetering DVR VAV Boilers FCU AHU Door Controllers Heat General Intruder Chillers Channel Pump Lighting Panels Controllers Chilled Beam Smoke Break Sensor Glass OccupancyFire Alarm DetectorsSystem Reader DSI/DALI Technology Interface Sounder © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 23
  22. 22. Cisco Video Surveillance Manager Data Center Network Operation CenterStorage Cisco Physical Security Operation Mgr Cisco IP Cameras Cisco Video Analytics •Embedded software on video endpoints enables innovative video analysis •Classify objects, detect tampering, trigger alerts, and count people and vehicles •Analyze surveillance video in real time and improve incident response© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 24
  23. 23. Optimize Energy Usage of hospital, Clinics, Devices ON IT Admin OFF All devices set to automatically turn off after business hours Solution Description Features/Benefits Product/Technology  Visibility and Control for  Low Energy Cost  Integration Schneider PoE and PC Devices Electric  Increased sustainability  Open SDK/API to Third  Cisco Catalyst switches Party Devices  Comply with regulatory and Cisco ISR G2  Network Building Controller directives and Building Management  Reduce GhG emissions Systems© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 25
  24. 24. Third Party PowerEnergyWise ManagementManagement MSE LMS ApplicationsApplication LocationEnergyWiseManagement SNMP TCP ManagementCommunications API(SSL for Network-wide) Wireless ControllerDomain – logical EnergyWisegrouping of entities Domain AP(Child/ Neighbor) Building Field ControllerEntity (unique ID)under one domain EnergyWise(Parent/Child) EntitiesMIB (power usage, Wireless Clientpolicy, alarm) © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 26
  25. 25. Create Manage Access Desktop Digital Media Encoder Video 1100 Displays Media Experience Engine Digital Media Encoder 2100 Enterprise TV SA Encoder Digital Media Manager Digital Media PlayerDistribute Content Distribution WAE Appliance ISR-NM Manager (CDM)© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 28
  26. 26. Third-Party Integration to RTLS Wireless (Nurse Call, BioMed, Management EMR) PC—Browser Based Cisco Catalyst® 3750G Integrated NAC MSE ACS WCS Wireless LAN Controller Wireless LAN Controller (WLC) MGN 2.0 Cisco Catalyst 6500 Wireless Campus Services Module (WiSM) Cisco ISR Wireless LAN Controller Module Voice and QoS Enabled L3 Access Switches SSC© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 29
  27. 27.  Create an AP Perimeter which facilitates greater accuracy Increased  Use of chokepoints provides electronic ―gates‖ to track assets Accuracy  Time Differential of Arrival (TDoA) based systems increases accuracy  Improved Location Algorithms available on the Cisco MSE 3300  Wireless Networks supporting RTLS require specifically placed Design 802.11 APs to optimize location tracking Network for  Parallel Infrastructures require additional hardware (chokepoints, RTLS TDoA sensors, 110VAC based sensors, Infrared sensors)  RF Fingerprinting based systems improves accuracy for RSSI (Receive Signal Strength Indicator) based systems Optimized Convex Hull/AP Perimeter© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 30
  28. 28. Asset Temperature Patient & Patient Infection Management & Humidity Staff Safety Flow Control Monitoring Existing Wi-Fi Network LOCATION, CONDITION and STATUS of assets, patients and staff In use© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 31
  29. 29. Integration to Hospital Applications: ORIS, CMMS, Security, Nurse Call, EHR, etc. Visibility AeroScout MobileView Software Track-Alert-Manage-IntegrateInfrastructure Exciters Wi-Fi Infrastructure and (Optional) Location Engine Tags Wi-Fi + Wi-Fi Tags Ultrasound Passive and Clients Wi-Fi + Sensors Wi-Fi + GPS Tags© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 32
  30. 30. Enhance Video and Data Application Performance Application Velocity Remote Physician Radiologist Solution Description Features/Benefits Product/Technology  Seamless and secure  Application performance  WAAS on Catalyst 6500 remote access consistency for Doctors/ and SRE  Consultation with video Nurses  UCS Express on and collaboration  Enhanced efficiency VMware/Windows  Intelligent bandwidth  Performance Routing on  Scales to meet video growth management ISR G2 and ASR1000© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 33
  31. 31.  Improving image transport, routing and storage WAAS Optimized WAN  Faster Store/Transfer OperationsHospital or Imaging Center Modalities  Reduced Wait Times Remote Data Center ACUO WAE DICOM Grid Radiology PACs  Reduced Bandwidth Utilization WAE across WAN ISR Cisco Catalyst 6500/ACE CSS Archival Wide Area 6500/ACE Load Balancing Integrated with ACUORadiologist Accelerated DICOM Grid, Virtualizes DICOM Application ServersViewers Network Layer and Processes Transactions Faster Internet WANLocal Data Center Referring Physician (Remote) Presence Webex Application Unity IP Server Servers Voicemail Phone © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 34
  32. 32. PACS 2 PACS 1 PACS 3 Cisco UCSE/SRE Cisco ISR Network Module Router© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 35
  33. 33. CLINICAL SYSTEMSEMRPatient registrationPhysician OrdersystemPatient Tracking andMonitoringEmergency e-monitoringCaregiver searchRISPACSTelemedicine/ TeleCareRobotic SurgeryOnline operatingroom BACK OFFICE &Lab management HOSPITALsystem EFFICIENCYPharmacyDevice Tracking.Management systemPaying systemExcellence centerE-procurementAmbulanceContact CentermanagementExternal portalIHE middleware INTELLIGENT BUILDINGVideo SurveillanceIntelligent SystemAccess management BEDSIDE SERVICESPatient portalInternet accessDigital Signage STAFF EFFICIENCYHospital PortalsCommunication &CollaborationVideo Conferenceand TelephonyWorkflowManagement© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 36
  34. 34. •Host clinical and administrative systems on single platform •Virtualization helps on scalability, cost-effectiveness, complexity, energy reduction© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 37
  35. 35. Presentation (user access) Application & App Middleware servers Management Management & DB servers Virtualization Unified Computing Network Storage© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 38
  36. 36. Solutions Conferencing Customer CareCommunication& Collaboration Enterprise Social Software IP CommunicationsApplications Messaging Mobile Applications TelePresence Presence Session Mgmt Content MgmtCollaborationServices Location Client Frameworks Tagging Policy and Security ManagementInfrastructure Virtual Machines Network Storage ON-PREMISE HYBRID CLOUD © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 39
  37. 37. SIP Cisco Unified CM SIP Call Control SIP Telepresence Application Servers H.323 Gatekeeper Advanced H.323-to-SIP GW Firewall Conferencing SIP Grooming Traversal Services 3rd party SIP and H.323 Distributed Conferencing B2B and Remote Workers video devices Services© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 40
  38. 38. Applications Corporate Scheduling Email / Messaging / Recording Calendaring Presence StreamingTelePresence Multipoint Meeting Call Control Session TelePresence Infrastructure and Video Border Endpoints Servers Controller Session TP / Video Border Endpoints Controller Internet Global B2B Inter-Network Si Enterprise WAN Si Branch Access WAN Firewall Switch Campus Campus Firewall Campus WAN Access Distribution Aggregation Clinic Network InfrastructureHospital Campus © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 41
  39. 39. Cisco IP Phone M M M Cisco Access Points Responder IV-V M M CUAE Cisco 7921G 7925G System CUCM Cluster Wireless IP Phone Cisco WLAN Controller Rauland Cisco components: CUAE, CUCM, WLAN Borg Nurse Controllers, Access Points and Wireless Call System IP Phones Nurse Connect© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 42
  40. 40. Nurse Call Vendors SIP Cisco TAP Plug In CallManager Access Point CUAE Medical Device SMS Vendors HL 7 Presence DMS & Video Context-Aware Services© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 43
  41. 41. Parallel Paths Through The Network Remote Location Data Center CUCM CTMS CHP-Client API JTAPI API cHPAS DA API TelePresence CHP-Portal Video Audio Ultra Scopes Scopes Sounds CHPAS—Client CHP—Portal Client Vitals Telemetry Others Ethernet  Cisco TelePresence SIP/RTP UDP 5060,5061,16384-16389 Ports  Cisco HealthPresence—HTTPS 8080,80,443, UDP 244x  JTAPI CUCM 2748© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 44
  42. 42. Applications Capabilities • 802.11a/b/g/n Wi-Fi, 3G/4G data and Bluetooth help teams stay connected on and off-campus • HD video with Cisco TelePresence interoperability for simple, lifelike video communication • Android operating system, with access Android marketplace applications • Collaboration applications including Cisco Quad, Cisco Show and Share, WebEx, Presence & IM Tablet Highlights • 7‖ diagonal, high-resolution color screen with touch interface delivers an intuitive experience • HD media station supports Bluetooth and USB peripherals • Highly secure remote connections • HD audio© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 45
  43. 43. Cisco SecurityHospital WAN Edge Intelligence Remote Clinician Wireless LAN Operations Controller Web Security Host Intrusion Appliance Prevention 6500 with Wireless WISM Devices 3750G MGN 2.0 Internet Physician PC with ISR w/FW-VPN ISR w/FW-VPN Desktop UC Client Campus Remote Clinic Wired Devices 3560 WAN Email ASA/IPS Host Intrusion Security Prevention Appliance Host Intrusion Prevention Cisco NAC Server ISR w/FW-VPN Cisco NAC Mgr/ProfilerData Center Partner PACS Cisco ISR w/FW-VPN CS-MARS Clinical App/EMR MGN 2.0 Cisco Partner/Payer Data Center ACS DNS Cisco Security Manager Email and Web Servers ACE/XML GW Web App FW© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 46
  44. 44. Data Center NAC ProfilerServices Block Philips Patient Information Center NAC Manager (PIC) & DB NAC NAC Server/Collector Collector DHCP Server Si BioMed Device Profile CreationCore Si Philips Patient InformationDistribution Center (PIC) & DB NAC Collector NAC Server/Collector Si OOBAccess IDF-1 IDF-2 Wired Wireless Patient Monitors (Bedside) Infusion Pump© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 47
  45. 45. With wireless and BioMed NAC on is possible to:  Get vitals, locally an remotely, in a safe way  Centralize monitoring (ex: ICU)  Move monitors from patient to patient, room to room, and always make sure that network recognize the monitor when connected, wired or wireless© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 48
  46. 46. Dynamic load sharing andsecurity provided by ACE. Adaptive Security Appliance (ASA)Implements access policy provides high availability stateful Security reporting andand load sharing, security access control and deep packet trend analysisand reporting. SSL inspection (IDS/IPS) with the provided by CSMARSencryption services provide Security Services Module (SSM)for end-to-end encryption of ApplicationePHI data Control Engine CS-MARS 5 1 (ACE) 3 Netflow and Clinical User Policy Feature Card Community (PFC) provide trending and alerting to CSMARS Adaptive Security Adaptive Security 6 Appliance (ASA) Appliance (ASA) Out-of-Band Management Host Intrusion Host Intrusion Prevention Prevention Host Intrusion PreventionHighly available virtualized hostswith the ability to dynamicallymove workload, createadditional host machines forincreased demand. Security Access Layer—Web, Visual Basic,patching of OS and clinicalsystems improves security and Thick Client Backend, Thin Client, VDI, Etc. Compute Services EHR Clinical Workflow Engines 7availability Highly available SAN with Virtualized Computer Services—Cisco UCS Database Server(s) 2 4 media encryption services provide by mds-9000— Host protection and continuous posture Storage Media Encryption assessment provided by Cisco TrustSec services (SME) provides security for 49 © 2010 Cisco and/or its affiliates. All rights reserved. ePHI at Cisco Confidential rest
  47. 47. Only supported VDI hosts permitted Cisco NAC Policy only allows access to Virtualized authorized hosts and protocols. Internet or Security Deep packet Private WANRadiology Vendor Zone Contexts AAA Access inspection using SSM module Authentication in ASA Server Vendor VPN Medical Grade Access Headend Network RIS/PACS Only IPSec and/or SSL Pharmacy System allowed to IDS/IPS inside VPNLAB Security Zone termination ASA 5500 device Trusted with SSM Medical Grade Inside Network Interface(s) Cisco UCS EHR/Lab Cisco NAC System VDI Server(s) Vendor Support Secure Remote Call Center Access via Access to Dedicated or Client SSL/AES VPN unauthorized based VPN Access hosts is Protocol break Only supported VDI protocols prevented Session between vendor and access methods. Deep and clinical Logging & packet inspection if not network Recording encrypted © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 50
  48. 48. Virtualized Data Center CLOUD VirtualizedCollaboration Workplace CUPC MS Office Video Virtualization Aware Network Cisco Clients Microsoft OS Branch Data Center Desktop Virtualization Software Network Zero Client Thin Clients VDS/CDN ACNS/ and IP Phone WAAS Hypervisor Cisco Nexus Broker WAN Cius Business Tandberg Virtual Virtual Tablets Endpoints QUAD CUCM ISR Thin Client Ecosystem WAAS ACE FC FC PACS Wyse, Devon IT, iGEL eHR Server Server End-to-End Security, Management and Automation © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 51
  49. 49. Hospitals Clinics Patients Rural at home Retail Areas Pharmacies WiMAX/3G/VSATUrgent Universities Cable DSL Dial Care Reference labs Long Term Care Connected Health Core Employers Outpatient Centers HC SaaS opty: National UNIVERSIT Y Health •eHR/HIS/RIS Health Insurers PBMs State / Fed Agencies Cloud •PACS •ePrescription •TP/CHP •Collaboration •VXI Private, Virtual Public or PrivatePrivate or Hybrid Community Cloud© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 52 Cloud Cloud
  50. 50. Corporate Ranking Technology Awards Healthcare Endorsements Global Market Leadership Partner Landscapehttp://www.cisco.com/web/strategy/docs/healthcare/09CS2281_Why_Cisco_for_H ealthcare_AAG.pdf © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 53
  51. 51. Partial list of Corporate Rankings and Awards• VMworld 2009 awards Ciscos Unified Computing System the gold award in Hardware for Virtualization• Cisco Ranks No. 5 on AMR Researchs Worlds Top 25 Supply Chains• EPA awards Cisco with the Green Power Partner of the Year Award.• The 2008 CIO 100 Winners: Creating Business Value With Technology Innovation© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 54
  52. 52. Partial list of Technology Awards• International CES Innovations 2007 Design and Engineering Awards Honoree MPEG-4 HDTV Advanced Compression Encoder (Model D9054TM)• Linksys Wins PC Magazines Readers Choice Award for Network Routers Sept 2006• Cisco Catalyst 3000 series received the Gold Award for stackable switches from SearchNetworking.com• Ciscos Network Admission Control (NAC) was honored with a Gold Award for endpoint security by SearchNetworking.com© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 55
  53. 53. ―Cisco CleanAir, a spectrum analysisfeature set comprising recent-generationAironet 3500 series access points andVersion 7.x Unified Wireless Networksoftware on the APs and Wireless LANControllers, delivers outstanding RF(radio frequency) reporting, tracking andassessment capabilities to help wirelessadministrators build robust wirelessnetworks to host mission-criticalapplications and dense endpointdeployments.‖―In 2010 Cisco turned on yet another new feature in the Nexus 7000 platform thatbasically eliminates the ancient and universally deployed spanning tree protocol fromnetwork designs, thus enabling much larger Layer 2 networking domains within thedata center. The FabricPath Switching System is the foundation of a push by Cisco tocombine NX-OS software features with the hardware capabilities of the Nexus 7000F1 series module to build the next generation of high-performance network systems.‖ © 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 56
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What infrastructure can support modern hospitals to solve their issues?

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