integrating efficiency into healthcare - a life cycle approach
TRANSCRIPT
Today’s Webcast starts at 1:00 p.m. Eastern.
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Today's Moderator
Cathy Jakicic Editor
Today's Presenters
As the Global Solution Architect for the Schneider Electric’s Healthcare segment, Christopher Roberts is responsible for design, development, and support of intelligent healthcare infrastructure solutions. He leads a team of technical experts, and works with external partners to develop integrated architectures that have improved the environment of care and the operating efficiency for healthcare facilities around the world. In addition, he designed and built the Healthcare StruxureLab where all Healthcare solutions are tested, validated, and documented.
Prior to his current role, Mr. Roberts worked as an onsite Schneider Electric project engineer and manager. In his most recent assignment at Central Manchester University Hospital in Manchester, UK, he oversaw the design and implementation of a 1600 bed intelligent healthcare infrastructure solution, which included power management, building management, fire detection, and a comprehensive security management system for Manchester’s new state-of- the-art facilities.
Mr. Roberts currently sits on the board of Directors for the IFMA Health Care Institute and is also involved in several organizations, including the American Society for Healthcare Engineers (ASHE), the Healthcare Information and Management Systems Society (HIMSS), and the Institution of Engineering and Technology (MIET).
Christopher Roberts Global Solution Architect,
Healthcare & Life Sciences,
Schneider Electric
Disclosure:
Today’s presenter is currently employed by Schneider Electric, which manufactures the technology referenced in this presentation.
Learning Objectives:
• Defining the Solution-Based Design Process – Why Integration?
• Identifying Healthcare System Priorities and Needs
• Understanding Life Cycle Considerations
• Identifying the Impacts of the Intelligent Infrastructure
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Polling Question
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Integrated Healthcare Facilities Infrastructure
Chris Roberts
Global Healthcare Solution Architect
Solution-Based Design Process
Schneider Electric Brands
Solutions-based design process
People Technical Components
Software Hardware
Function
1
Function
2
Function
3
Function
4
Mission
of the
System Identify the Needs Identify the
Stakeholders
Operational Level
(WHY)
Functional Level
(WHAT)
Construction Level
(HOW)
What are the services
provided by the systems to
its environment?
What are the functions
that the systems shall
perform?
What are the
resources
that
form the
systems?
Health system priorities
Improve Financial
Performance
Improve Safety
and Security
Simplify Regulatory
Compliance
Increase Patient
Satisfaction
Improve Staff
Productivity
Priorities
and Needs
Patient room of the future - Needs
Patient Satisfaction
Patient Security
ALOS
Indoor Environmental
Quality
Energy Efficiency
Entertainment Options
Quiet Environment
Simple Patient
Interface
Light Level
Control
Modern GUI
Staff Productivity
Simple Workflow
Automated Compliance Reporting
Reduced Liability Risk
Creates Positive PR
Flexible Configuration
Reduces Human
Error
Visitor Experience
Lifecycle Considerations
Infrastructure investment criteria
• Clinical technologies have an 18-month to 3-year life-cycle
• Infrastructure technologies have a 15 to 30-year life-cycle
Facility lifecycle
Lifecycle cost consideration
Energy use in hospitals
Energy management lifecycle
Intelligent Infrastructures
Intelligent Infrastructures
Functional Areas Impacted
Energy Management Lifecycle
Impact on Business Priorities
Integrated Control Platform
Traditional facilities design
White Space
Management
Critical Power
Management
Intrusion
Detection
Building
Management
Lighting Video Access
Control
Fire Safety Energy
Management
Clinical &
Administrative
RTLS Patient
Infant Staff
Regulatory
Compliance
Biometrics Elevator Intercom Visitor
Management
• Multiple networks from different
vendors
• Too many systems to learn
• Complex troubleshooting
• Higher capital and operational
expenditures
• Obstacles to achieving energy
efficiency
Delivers • Improved patient care
• Improved patient / staff safety
• Increase staff efficiency
• Low energy cost
• Improve financial performance
Lower OpEx • Maintain design KPI’s
• Faster training deployment
• Minimized maintenance cost
• Continuous commissioning
Integrated Control Platform
Reduce CapEx • Lowered equipment,
software & installation costs
• Common footprint
Enterprise-level monitoring and reporting
Making sense of big data
Facility
Benchmarking
Behavior
Empowering
Dashboards
Proactive
Fault
Detection
Carbon
Footprint
Analysis
Predictive
Modeling
Informed
Energy
Procurement
Standardized
Compliance
Reporting
Incident
Forensics
Polling Question
Today’s event will include a multiple-choice polling question. Please make your selection to the right of this screen.
Use Cases
Value of a use case (Why, What, How)
Improve Financial
Performance
Improve Safety
and Security
Simplify Regulatory
Compliance
Increase Patient
Satisfaction
Improve Staff
Productivity
Priorities
and Needs
Translates
Business Value
Defines actual
functionality
Part of
Consatruction
Documents
Clinical IT
Facilities IT
SE HL7 Middleware
Surgical
scheduling
ADT
systems
Nurse call & Bed
management
Hospital
campus Single
building Building
automation
AS sync
bridge
Transaction
coordinator
HL7
listener
HL7 data
Energy strategy
Meditech, Healthslide, EPIC, Rhapsody, Cloverleaf
Integration with Clinical Systems – Use Case
Mechanical
Security
IHFI Design Drawings
Implementation
Traditional project approach
Solution-based approach
Desig
n E
ffort
/ E
ffect
Schematic
design
Criteria
design
Design
development
Detailed
design
Construction
documents
Implementation
documents
Agency permit/
bidding
Agency
coordination/
final buyout
Pre-design
Conceptualization
Construction
Construction
Ability to impact cost and functional capabilities
Cost of
design
changes
Traditional
process
IPD process
Engage a specialist early to reduce waste and risk!
IPD – Integrated Project Delivery
Integrated approach costs 12-15% less!
Less hardware
Less installation
Less structured
cabling
Project management
efficiencies
Contractual
efficiencies
Site efficiencies
Typically:
• Individual systems are bid and bundled
• Provide deduct for advanced integration based on savings,
if awarded all systems
• You’ve already missed the savings in your Power package for the Integrated Control Platform and
the efficiencies it can deliver
Contracting methodology?
How do I
guarantee
fair pricing?
How do I
know what I
want?
Instead, do this
• Bring Schneider Electric in as your Technology Integration Partner at the conceptual design phase
• Use the Division 25 Specification to define integration via Use Cases
• Procure your Power package to include the specific equipment and installation efficiencies designed
into Integrated Control Platform detailed by the Division 25 Specification
• Procure Fire package with BACnet option
• Procure ONE package with low voltage as one specification (BMS, security, CCTV, nurse call, lighting
control, power metering, networking)
Consider multi-year, multi-discipline maintenance agreement
• Evaluate true cost of ownership
• Bundled service agreements for multiple systems to gain cost savings
Cost plus / guaranteed maximum price
Contracting methodology?
• Dedicated Resources
• Continued investments in R&D
• EcoStruxure for Healthcare
• Single point of contact
• End to end project delivery
• Interoperability and open solutions
• Best in class integration to 3rd party products
• Understanding of healthcare customer needs and value
• Off-site prefabrication
• Cost certainty early in the project lifecycle
• Improved program delivery
• Reduced project risk
• Reduced health and safety risk
• Improved Hospital margins
Healthcare Expertise!
Questions?
Thank You