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Wireless Systems in Healthcare Environments Including ICRA and TIA 1179 Including ICRA and TIA 1179 Scott D. Thompson President Oberon, Inc. Task Group.

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Presentation on theme: "Wireless Systems in Healthcare Environments Including ICRA and TIA 1179 Including ICRA and TIA 1179 Scott D. Thompson President Oberon, Inc. Task Group."— Presentation transcript:

1 Wireless Systems in Healthcare Environments Including ICRA and TIA 1179 Including ICRA and TIA 1179 Scott D. Thompson President Oberon, Inc. Task Group Member TIA-1179 Healthcare Facility Cabling Standard Senior Member, IEEE

2 Oberons Mission: Oberon is the preferred source for wireless LAN access point enclosures, installation and mounting solutions, antennas, and workspace telecom enclosures for cost effective, secure, code compliant, aesthetic enterprise Wi-Fi deployments. Oberon's products are designed by experts with exceptional in-the-field, wireless LAN industry experience. Oberon has formalized agreements with the following manufacturers for engineered enclosure and mounting solutions for wireless networks:

3 We manufacture ceiling and wall mounted Tele- communications Enclosures (TEs) for wireless LAN access points and other networking components Wireless AP enclosure Workspace Telecom Enclosures

4 Agenda How are (Wi-Fi, DAS) endpoints (Access points, Remotes) installed? How are (Wi-Fi, DAS) endpoints (Access points, Remotes) installed? Infection control requirements (ICR) in Hospitals Infection control requirements (ICR) in Hospitals Code Compliance: Working in the plenum space Code Compliance: Working in the plenum space TIA-1179 and wireless networks TIA-1179 and wireless networks Reliable performance mandates Reliable performance mandates Aesthetics Aesthetics Who to sell to Who to sell to

5 Healthcare Wi-Fi and DAS - Hospitals were early adopters of wireless networking -In hospitals, wireless networking is mission critical, serving point of care (bedside) applications, mobile workstations on carts (COWS), EHR, mobile asset tracking, RFID, telemetry, voice, etc. -Hospitals have special requirements that are becoming more widely adopted: oInfection Control Risk Assessment (ICRA) oStrict adherence to codes and standards (NEC and TIA) oPhysical Security oPreservation of the design for mandated performance oAesthetics

6 Installing Wireless LAN Access Points (APs) and Cellular in-building wireless (or DAS) remote units (herein referred to as APs Method 1: AP above the ceiling Method 2: AP attached to ceiling grid Method 2: AP attached to ceiling grid Method 3: AP in a ceiling enclosure or locking mount Method 3: AP in a ceiling enclosure or locking mount Method 4: AP on the wall Method 4: AP on the wall

7 Preferred installation orientation for best coverage AP above ceiling AP on the wall AP on the ceiling grid AP in enclosure

8 Method 1: AP above the ceiling - things to avoid Poke thru antenna Cracked ceiling tile A lot of metal

9 Method 1: AP above the ceiling Support Wire Use a hanger sturdy enough for AP, use a support wire Equipment should be UL 2043 Plenum rated Equipment should be UL 2043 Plenum rated Oberon P/N above-ceiling hanger

10 Method 2: AP on the Ceiling Grid Avoid lifting ceiling tile Minimize hole in tile Minimize hole in tile Conceal cable Conceal cable Lock AP Lock AP

11 Infection Control Risk Assessment (ICRA) In Healthcare, the Joint Commission on Hospital Accreditation requires that hospitals establish procedures for mitigating the spread of infectious disease and contaminants- limiting access to the space above suspended ceilings (where dust has accumulated) In Healthcare, the Joint Commission on Hospital Accreditation requires that hospitals establish procedures for mitigating the spread of infectious disease and contaminants- limiting access to the space above suspended ceilings (where dust has accumulated) Infection control risk assessment (ICRA) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes, particularly in the air-handling plenum space, above suspended ceilings, or walls Infection control risk assessment (ICRA) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes, particularly in the air-handling plenum space, above suspended ceilings, or walls Breaches in the ceiling system should be avoided Breaches in the ceiling system should be avoided Contractors performing work in violation of ICRA procedures will be precluded from future bidding Contractors performing work in violation of ICRA procedures will be precluded from future bidding

12 Infection Control Requirements (ICR) Lifting or removing ceiling tiles requires the installer to: Use Negative Air Pressure Enclosure (NAPE), or tent off the work area Use Negative Air Pressure Enclosure (NAPE), or tent off the work area Use a HEPA air filter Use a HEPA air filterOR

13 Method 3: Install AP in a ceiling enclosure or locking mount to simplify ICRA procedure compliance Oberon model 1052 With ZDUAL antennas on door

14 ICRA in Healthcare Oberon model 1059 Method 3: Install AP in a ceiling enclosure or locking mount to simplify ICRA procedure compliance

15 Antennas on door AP in the Door Oberon 1052-CCOANT Oberon 1052-CCOAP Method 3: Install AP in a ceiling enclosure or locking mount to simplify ICRA procedure compliance

16 Code Compliance - Hospitals are strict adherents to building safety codes and telecommunications standards -Many Authorities Having Jurisdiction (AHJs) will require strict NEC compliance and UL listing of installed components -Burn ratings of ceiling systems must be retained - Oberons enclosures are designed to satisfy National Electric Code (NEC) paragraphs and for installation in the air-handling (plenum) space - All of Oberons ceiling enclosure products are UL listed

17 - Article (C)(3) Electrical equipment with a metal enclosure, or electrical equipment with a nonmetallic enclosure listed for use within an air-handling space……. shall be permitted to be installed in such other space unless prohibited elsewhere in this Code. - Article cables, race-ways and equipment installed behind panels, including suspended ceiling tiles, shall be arranged and secured so as to allow removal of panels and access to the equipment. N.E.C COMPLIANCE

18 Code Compliance Oberon model 1028 w ZDUAL Antennas Method 3: Install AP in a ceiling enclosure or locking mount to ensure code compliance

19 TIA-1179 Healthcare Facility Telecommunications Cabling Standard Recognizes that adding or changing horizontal cabling may cause disruption to occupants and their work once the buildings ceiling and walls are closed Recognizes that adding or changing horizontal cabling may cause disruption to occupants and their work once the buildings ceiling and walls are closed Adding or changing horizontal cabling could result in a net decrease in care being provide, jeopardizing infection control measures…. Adding or changing horizontal cabling could result in a net decrease in care being provide, jeopardizing infection control measures…. Advocates use of enclosed pathways in air-handling spaces to avoid disruption of operations Advocates use of enclosed pathways in air-handling spaces to avoid disruption of operations Advocates planning well ahead in cabling design and capacity Advocates planning well ahead in cabling design and capacity Telecommunications enclosures (TEs) are an option in areas subject to infection control measures Telecommunications enclosures (TEs) are an option in areas subject to infection control measures TRs and TEs should incorporate additional security measures to restrict access (Workgroup switches and APs) TRs and TEs should incorporate additional security measures to restrict access (Workgroup switches and APs)

20 Recognizing that many healthcare installations make use of a number of wireless applications, It is recommended that the wireless environment be characterized and understood prior to the design, choice, and installation of cabling to ensure satisfactory operation Recognizing that many healthcare installations make use of a number of wireless applications, It is recommended that the wireless environment be characterized and understood prior to the design, choice, and installation of cabling to ensure satisfactory operation Telecommunications Industry Association TIA 569-B – accepts use of telecommunications enclosures in the ceiling space to secure wireless access points and other networking appliances, and advocates protecting infrastructure Telecommunications Industry Association TIA 569-B – accepts use of telecommunications enclosures in the ceiling space to secure wireless access points and other networking appliances, and advocates protecting infrastructure TIA-1179 Healthcare Facility Telecommunications Cabling Standard

21 DAS, Wi-Fi AP and Switch in Enclosure Oberon Method 3: Install AP in a ceiling enclosure or locking mount for standards compliance and best practice

22 Some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancySome jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancy Includes signal level and reliabilityIncludes signal level and reliability Grapevine, TX - Ord. No , Min signal -107 dBm, 95 % of each floor Grapevine, TX - Ord. No , Min signal -107 dBm, 95 % of each floor 800 MHz band, Adjacent band filtering, 8 hour battery backup 800 MHz band, Adjacent band filtering, 8 hour battery backup Suggests requirement to lock down the wireless infrastructureSuggests requirement to lock down the wireless infrastructure Furthermore, protection of confidential patient information (HIPAA), suggests access points should be physically securedFurthermore, protection of confidential patient information (HIPAA), suggests access points should be physically secured Physical Security and Reliable Performance Mandates

23 Improve RF coverage and preserve the site survey Oberon model 1030 w/ ceiling flange Method 3: Install AP in a ceiling enclosure or locking mount for physical security and reliable performance mandates

24 Physical Protection of AP and Antennas Oberon model 1052 with ZDUAL antennas Method 3: Install AP in a ceiling enclosure or locking mount for physical security and reliable performance mandates

25 Prevent obstruction or tampering Oberon model 1022 w ZDUAL Antennas Method 4: Install AP on wall enclosure or locking mount for physical security and reliable performance mandates

26 Locking Case Right Angle Wall Bracket Oberon 1032-COberon Method 4: Install AP on wall enclosure or locking mount for physical security and reliable performance mandates

27 When using NEMA boxes outside: Avoid direct sun Avoid direct sun Avoid Metal Avoid Metal Consider thermal rise. See Oberon application note at Consider thermal rise. See Oberon application note at NEMA Enclosures Method 4: Install AP on wall enclosure or locking mount for physical security and reliable performance mandates

28 Unlike most data com infrastructure products, the wireless access point or antenna is highly visible Unlike most data com infrastructure products, the wireless access point or antenna is highly visible Many hospitals have aesthetics committees Many hospitals have aesthetics committees Architects may specify color and style Architects may specify color and style Custom styles and colors are available Custom styles and colors are available Aesthetics

29 Aesthetics and Convenience Oberon model 1053 with Cisco antennas Method 3: Install AP in a ceiling enclosure or locking mount for aesthetic, professional installation

30 Oberon model 1064 w Cisco 1140 AP Architectural style match Method 3: Install AP in a ceiling enclosure or locking mount for aesthetic, professional installation

31 Simplify Moves, Adds, Changes, and technology upgrades Terminate cable at the enclosure, test and verify cabling at that point Terminate cable at the enclosure, test and verify cabling at that point Un-necessary to lift ceiling tile to service access points Un-necessary to lift ceiling tile to service access points Methods to easily migrate to new vendors and technologies Methods to easily migrate to new vendors and technologies

32 Oberon model ADPDOOR-AP105 Interchangeable doors permit simple upgrades to completely different access points to completely different access points Method 3: Install AP in a ceiling enclosure or locking mount to simplify moves, adds, changes, and technology upgrades

33 Universal locking ceiling mount Oberon Oberon with Ruckus AP Oberon with Cisco AP Oberon with Aruba Networks AP Method 3: Install AP in a ceiling enclosure or locking mount to simplify moves, adds, changes, and technology upgrades

34 Who to sell to Telecom/datacom infrastructure- cabling and wireless personnel Telecom/datacom infrastructure- cabling and wireless personnel Plant Services or Facilities Personnel Plant Services or Facilities Personnel Infection prevention and control coordinator or Infection Preventionist- in Quality Control or Patient Services Department Infection prevention and control coordinator or Infection Preventionist- in Quality Control or Patient Services Department Public safety/in-building comm coordinator Public safety/in-building comm coordinator Bio-Medical personnel Bio-Medical personnel

35 Other verticals where Oberon wireless enclosures may be required: -Healthcare- Many hospitals have Infection Control Risk Assessment (ICRA) procedures. These procedures mitigate access to the space above ceiling tiles to restrict the spread of infectious diseases. - Retail – The Payment Card Industry Data Security Standard (PCI-DSS) requirement states that the operator must Restrict physical access to wireless access points, gateways, and handheld devices - Government – Directive mandates FIPS compliance wherein FIPS paragraph 4.5 requires physical security mechanisms to be applied - Certain Municipalities - Some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancy - Education- Wireless is mission critical, mass notification systems must be reliable

36 Why use Oberon AP Enclosures in Healthcare? Simplify ICRA procedure compliance when installing and servicing wireless access points - Simplify ICRA procedure compliance when installing and servicing wireless access points - Clear-cut National Electric Code (N.E.C.) compliance - Physical security - Protect the integrity of the RF coverage design - Verify cabling to the enclosure prior to AP install - Simplified Moves, Adds, and Changes (MACs) - Clean, professional, aesthetic installation

37 See the wireless AP mounting solution finder at:


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