Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 1 Wireless Connectivity in Healthcare Facilities Scott D. Thompson President Oberon, Inc. Task Group Member TIA-1179 Healthcare Facility Cabling Standard Senior Member, IEEE January 16 th, 2013 Wireless Connectivity in Healthcare Facilities Scott D. Thompson President Oberon, Inc. Task Group Member TIA-1179 Healthcare Facility Cabling Standard Senior Member, IEEE January 16 th, 2013

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 2 Oberon manufactures ceiling and wall mounted Tele- communications Enclosures (TEs) for wireless LAN access points, DAS equipment, multimedia equipment and other networking components Oberon manufactures ceiling and wall mounted Tele- communications Enclosures (TEs) for wireless LAN access points, DAS equipment, multimedia equipment and other networking components Wireless Access Point & DAS Equipment Enclosures Wireless Access Point & DAS Equipment Enclosures Workspace Telecom & Multimedia Equipment Enclosures

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 3 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, EHR, mobile asset tracking, RFID, telemetry, voice over Wi-Fi, nurse call, etc. -Some of these applications may conflict for available spectrum -Hospitals have special requirements oReducing the risk of infection oInfection Control Risk Assessment (ICRA) procedures oStrict adherence to codes and standards (NEC and TIA) oPhysical Security oAesthetics 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, EHR, mobile asset tracking, RFID, telemetry, voice over Wi-Fi, nurse call, etc. -Some of these applications may conflict for available spectrum -Hospitals have special requirements oReducing the risk of infection oInfection Control Risk Assessment (ICRA) procedures oStrict adherence to codes and standards (NEC and TIA) oPhysical Security oAesthetics

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 4 It 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 systemPreserve the fire rating integrity of the ceiling system It 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 systemPreserve the fire rating integrity of the ceiling system Reducing the Risk of Infection

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 5 “Poke thru” antenna Cracked ceiling tile Avoid the following: “Poke through” antennas“Poke through” antennas Damaging ceiling tilesDamaging ceiling tiles Mounting APs and antennasMounting APs and antennas above ceiling tiles above ceiling tiles Avoid the following: “Poke through” antennas“Poke through” antennas Damaging ceiling tilesDamaging ceiling tiles Mounting APs and antennasMounting APs and antennas above ceiling tiles above ceiling tiles Reducing the Risk of Infection

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 6 Infection Control Risk Assessment (ICRA) In Healthcare, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals establish procedures for mitigating the spread of infectious disease and contaminants.In Healthcare, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals establish procedures for mitigating the spread of infectious disease and contaminants. ICRA procedures limit access to the space above suspended ceilings (where dust and spores have accumulated)ICRA procedures limit access to the space above suspended ceilings (where dust and spores have accumulated) “Infection Control Requirements (ICR) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes, as well as restrictions on moving ceiling tiles…….””“Infection Control Requirements (ICR) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes, as well as restrictions on moving ceiling tiles…….”” Contractors performing work in violation of ICRA procedures will be precluded from future biddingContractors performing work in violation of ICRA procedures will be precluded from future bidding In Healthcare, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals establish procedures for mitigating the spread of infectious disease and contaminants.In Healthcare, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals establish procedures for mitigating the spread of infectious disease and contaminants. ICRA procedures limit access to the space above suspended ceilings (where dust and spores have accumulated)ICRA procedures limit access to the space above suspended ceilings (where dust and spores have accumulated) “Infection Control Requirements (ICR) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes, as well as restrictions on moving ceiling tiles…….””“Infection Control Requirements (ICR) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes, as well as restrictions on moving ceiling tiles…….”” Contractors performing work in violation of ICRA procedures will be precluded from future biddingContractors performing work in violation of ICRA procedures will be precluded from future bidding

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 7 Lifting or removing ceiling tiles requires the installer to: Use Negative Air Pressure Enclosure (NAPE), or “tent off” the work areaUse Negative Air Pressure Enclosure (NAPE), or “tent off” the work area Use a HEPA air filterUse a HEPA air filter Infection Control

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 8 Ceiling enclosures can help to: Eliminate gaps and mouse-holes in the ceiling Eliminate gaps and mouse-holes in the ceiling Simplify ICRA procedure compliance Simplify ICRA procedure compliance Simplify maintenance Simplify maintenance Ceiling enclosures can help to: Eliminate gaps and mouse-holes in the ceiling Eliminate gaps and mouse-holes in the ceiling Simplify ICRA procedure compliance Simplify ICRA procedure compliance Simplify maintenance Simplify maintenance Oberon model Infection Control

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 9 Code Compliance - Hospitals are strict adherents to building safety codes and telecommunications standards NFPA 99 Health Care Facilities Code - Authorities Having Jurisdiction (AHJs) will require strict NFPA 70 N.E.C® compliance and UL listing of installed components - Use products designed to satisfy National Electric Code (NEC) paragraphs and for installation in the above ceiling space (plenum) space - Use suitably UL listed products - Burn ratings of ceiling systems should not be compromised Code Compliance - Hospitals are strict adherents to building safety codes and telecommunications standards NFPA 99 Health Care Facilities Code - Authorities Having Jurisdiction (AHJs) will require strict NFPA 70 N.E.C® compliance and UL listing of installed components - Use products designed to satisfy National Electric Code (NEC) paragraphs and for installation in the above ceiling space (plenum) space - Use suitably UL listed products - Burn ratings of ceiling systems should not be compromised

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 10 Mandated Coverage –some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancyMandated Coverage –some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancy HIPAA - Protection of confidential patient informationHIPAA - Protection of confidential patient information Patient Safety Standards applied to psychiatric inpatient unitsPatient Safety Standards applied to psychiatric inpatient units AestheticsAesthetics Mandated Coverage –some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancyMandated Coverage –some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within the building as a condition of occupancy HIPAA - Protection of confidential patient informationHIPAA - Protection of confidential patient information Patient Safety Standards applied to psychiatric inpatient unitsPatient Safety Standards applied to psychiatric inpatient units AestheticsAesthetics Other requirements which may apply in hospitals

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 11 In a hospital, who is involved in the cabling and wireless design? Telecom/datacom infrastructure- cabling and wireless personnelTelecom/datacom infrastructure- cabling and wireless personnel Plant Services or Facilities PersonnelPlant Services or Facilities Personnel Infection Prevention and Control Coordinator or Infection Preventionist- in Quality Control or Patient Services DepartmentInfection Prevention and Control Coordinator or Infection Preventionist- in Quality Control or Patient Services Department Public Safety / In-building Comm CoordinatorPublic Safety / In-building Comm Coordinator Bio-Medical personnelBio-Medical personnel Telecom/datacom infrastructure- cabling and wireless personnelTelecom/datacom infrastructure- cabling and wireless personnel Plant Services or Facilities PersonnelPlant Services or Facilities Personnel Infection Prevention and Control Coordinator or Infection Preventionist- in Quality Control or Patient Services DepartmentInfection Prevention and Control Coordinator or Infection Preventionist- in Quality Control or Patient Services Department Public Safety / In-building Comm CoordinatorPublic Safety / In-building Comm Coordinator Bio-Medical personnelBio-Medical personnel

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 12 Wireless in Hospitals Oberon model Back box should not have holes, to Back box should not have holes, to prevent 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 spores A fire blocking foam should be provided to seal up the cable ingress hole A fire blocking foam should be provided to seal up the cable ingress hole Access point should be accessible without lifting ceiling tiles Access point should be accessible without lifting ceiling tiles The enclosure should be listed for use in the above ceiling space The enclosure should be listed for use in the above ceiling space

Oberon Webinar: Cabling and Infrastructure for Enterprise Wireless Networks 13 Visit Oberon at the BICSI Winter Conference, Booth 634!