1. Navigator 2.0 Best Practices and Benefits
Richard Pozywak Director of Information Technology LifeCare Ambulance Inc

2. Topics Benefits Implementation of Navigator
Reduce Radio Traffic for Dispatch
Turn by Turn Directions
Increase HIPAA Security
Implementation of Navigator
Best Practices
Application
Hardware
Modems
Computers
Vehicle mounting

3. About LifeCare Ambulance
Located in Northeast Ohio
Primary 911 Provider for an area that covers 100 square miles
4 cities and two townships
28 Wheelchair Vans
Ford E-Series Econoline Vans
26 Ambulances
Crestline Coach Fleet
6 First Responder Vehicles
All vehicles GPS Tracked

4. Background 38 Vehicles with Navigator 17 Vehicles with Nomad
5 Vehicles with Garmin's
Call Volumes
Ambulance Division = 44,300
Wheelchair = 56,509
Standbys = 7,715

5. Benefits Reduce Radio Traffic for Dispatch
Dispatch Non-Emergency and Wheelchair Transports
Crews update status through MDT
GPS tracking for all vehicles
Turn by Turn Directions for Crews
Reduces chances crews getting lost
Bing Maps
Share Patient information via MDT, not over radios.
Emergency Calls the crew calls enroute over the radio and dispatch repeats there traffic and gives them there cross streets. Once this completed the dispatcher doesn’t talk to the crew again until a check is done. The crew puts them at scene, transporting and complete. Also they place them enroute to post.
Non-Emergency and WheelChair the dispatcher drops the call on them and the crew does all the updating through the MDT.
Dispatch can track all vehicles with the MDT off or on through dispatch. We just recently had a truck stolen from a scene and dispatch tracked the truck through rightcad and was able to lead the police to the ambulance
Crews can get there run number and times through the MDT to complete there paper work.
If there is sensitive patient information over the MDT, with out broadcasting it over the radio. - Precautions
Hospitals requiring crews to ID P/T’s by two idenfications

6. Dispatch Benefits
With Navigation Dispatchers can monitor if the Navigator system is on or off line.
In rightcad they can tell if the unit is green that there MDT is online. Red offline, Yellow MDT was online, lost connection. White does not have MDT.

7. Implementation Server Side Vehicle Hardware SQL Server
Application Server
Proxy Server
Vehicle Hardware
Modems
Computers
Separate SQL Database and Application Server
Proxy Server is used to limit internet connectivity to the MDT’s and also to provide Bing Maps, traffic and weather overlays

8. Vehicle Modem Sierra Wireless Modems Interface Pinpoint E & X MP597W
GX400
Modems Interface
Support Garmin's

9. Vehicle Modems Data Plan Private Network – Data Link Network
Sprint
46 modems with all shared data plan
Private Network – Data Link Network
Radius Authentication
3DES or AES Encryption IPSec VPN back to Corporate Network
Configurations
Remote Access
Streaming GPS to Navigator Application Server and to onboard PC
Automatic Power down
DNS Entry per Modem
Wheelchair uses approximately 500MB of data per month.   First responder vehicles running 24/7 w/Garmin averaging approximately 800MB of data per months.   
Aceview to manage Modems
Ambulances running 24/7 and using the full Navigator client it is pulling close to 3.G of data.    Costing saving approximately $1, a month was to combine all of our data plans into one large pool and have all the trucks pull from there.  

10. Vehicle Modem Antennas Multi-Band Antenna Placement Amplifiers
700/800Mhz
Mhz
3G & 4G
2.4/5.8 Ghz WiFi
Placement
Cab or Box
Amplifiers
Mounting on box, low hanging areas they get ripped off.

11. Computers Panasonic Toughbook DLI Motion Tablet Garmin’s 8300 9000
All computers hard wire via Ethernet cable to modem.
Installed a patch plate in dog house, so if the crews broke Ethernet cable only a short one was need to swap out.
Touch screen and what is used for them.

12. Computers Security Windows XP Windows 7 Firewall
Steady State
Windows 7
Group Policy
Firewall
Open Ports Needed for Navigator and GPS Streaming
Automatic Startup of Navigator
When cellular connectivity is lost the navigator changes colors.

13. Garmin Inexpensive Solution Requires FMI Data Cable Serial Connection
Not a full fledged MDT
No HIPAA information is transmitted.
User can not select post
Great for wheelchair vans/first responders
Chat messaging capable only to dispatch

14. Garmin

15. Vehicle Mounting Garmin's Computers RAM Mounts Small foot print
Location of Docks

16. Vehicle Mounting
Installed a patch plate in dog house, so if the crews broke Ethernet cable only a short one was need to swap out.

17. Vehicle Mounting

18. Mounting Locations

19. Lessons Learned

21. Contact Information
Richard Pozywak
Office Phone: