Integrated Healthcare Facilities Infrastructure New PennFirst - - PowerPoint PPT Presentation

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Warren Rosebraugh, MSA Director, Healthcare Solution Architect

Integrated Healthcare Facilities Infrastructure

Solution-Based Design Process

Solutions-Based Design Process

1 2 3 4

Identify the Needs Identify the Stakeholders

Mission

• f the

System Function 1 Function 2 Function 3 Function 4 People Technical Components

Software Hardware

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? Operational Level (WHY) Functional Level (WHAT) Construction Level (HOW)

4 3 2 1

Health System Priorities

Increase Patient Satisfaction & Outcomes Improve Financial Performance Improve Safety and Security Simplify Regulatory Compliance Improve Staff Productivity

Priorities and Needs

Patient Room of the Future – Needs

Lifecycle Considerations

Lifecycle Cost Consideration

25%

• f a building’s life

cycle cost is financing and construction.

75%

• f a building’s life

cycle cost is

• perational.

Development period Operating period

CABA building life cycle costs are based on U.S. data.

Infrastructure investment criteria:

• IT technologies have a 36-month to 5-year

life-cycle

• Clinical technologies have an 18-month to

3-year life-cycle

• Infrastructure technologies have

a 15 to 30-year life-cycle

Energy Use in Hospitals

71.8%

Mechanical Services

Reheat Preheat Humidification Service Hot Water Sterilizers Kitchen Gas Use Laboratory Gas Use Cooling HVAC Fans HVAC Pumps Exterior Lighting Medical Air Compressor Medical Vacuum Pump Exhaust Fans Kitchens, Coolers and Freezers Elevators Imaging Equipment Miscellaneous Equipment Interior Lighting 15.3% 8.0% 4.4% .07% 0.9% 1.2% 2.2% 2.2% 2.9% 8.8% 37.7% 5.1% 1.3% 3.0% 2.1% 1.3% 0.4%

Fossil Fuels Electricity

1.8% 0.7%

IoT – a System of Systems

Connected, smart products Connected systems A system of systems

Energy Management Lifecycle

Intelligent Infrastructures

Intelligent Infrastructures

Mechanical Electrical ICT Security Infrastructures

Functional Areas Impacted

White Space and Wiring Closets Office and Administration Research/Laboratory Operating Suites Pharmacy Blood/Tissue Bank ICU/CCU Isolation L&D and NICU Dietary Endoscopy Parking Patient Area – Triage Psychiatrics Outpatient Area Nuclear Medicine Emergency Room Radiology Imaging

Functional Areas

Mechanical Electrical ICT Security Infrastructures

Energy Management Lifecycle

White Space and Wiring Closets Office and Administration Research/Laboratory Operating Suites Pharmacy Blood/Tissue Bank ICU/CCU Isolation L&D and NICU Dietary Endoscopy Parking Patient Area – Triage Psychiatrics Outpatient Area Nuclear Medicine Emergency Room Radiology Imaging Energy and Sustainability Energy Procurement

Infrastructure and Efficiency Measurement and Reporting Power Reliability and Metering Functional Areas

Mechanical Electrical ICT Security Infrastructures

Impact on Business Priorities

White Space and Wiring Closets Office and Administration Research/Laboratory Operating Suites Pharmacy Blood/Tissue Bank ICU/CCU Isolation L&D and NICU Dietary Endoscopy Parking Patient Area – Triage Psychiatrics Outpatient Area Nuclear Medicine Emergency Room Radiology Imaging Energy and Sustainability Energy Procurement

Regulatory Simplification Patient and Staff Safety Infrastructure and Efficiency Staff Productivity and Retention Patient Satisfaction Measurement and Reporting Financial Performance Power Reliability and Metering Functional Areas

Mechanical Electrical ICT Security Infrastructures

Integrated Control Platform

Traditional Facilities Design

• Multiple networks from different vendors
• Too many systems to learn
• Complex troubleshooting
• Higher capital and operational

expenditures

• Obstacles to achieving energy efficiency
• Data not shared between systems
• Limits analytic possibilities

White Space Management Intrusion Detection Building Management Lighting Video Access Control Fire Safety Energy Management Critical Power Management Clinical & Administrative RTLS Patient Infant Staff Regulatory Compliance Biometrics Elevator Intercom Visitor Management

Integrated Control Platform

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

Reduce CapEx

• Lowered equipment, software &

installation costs

• Common footprint

Enterprise-Level Monitoring and Reporting

WAN WAN

Making Sense of Big Data

Connected Products Edge Control Apps, Analytics & Services End to End Cybersecurity Cloud and/or On Premise Hospitals MOB’s Clinics Incident Forensics & Prevention Facility Benchmarking Behavior Empowering Dashboards Proactive Fault Detection Standardized Compliance Reporting Informed Energy Procurement Predictive Modeling Carbon Footprint Analysis Data Centers

Use Cases

Priorities and Needs

Value of a Use Case (Why, What, How)

Simplify Regulatory Compliance Increase Patient Satisfaction Improve Financial Performance Improve Safety and Security Improve Staff Productivity Translates Business Value Defines actual functionality Part of Construction Documents

Integration with Clinical Systems

Hospital campus Clinical IT Facilities IT

SE HL7 Middleware

Surgical scheduling ADT systems Nurse call & Bed management Single building Building automation AS sync bridge Transaction coordinator HL7 listener HL7 data Energy strategy Meditech, Healthslide, EPIC, Rhapsody, Cloverleaf

Mechanical

IHFI Design Drawings

Page 26 Confidential Property of Schneider Electric |

Implementation

Traditional Project Approach

Traditional discrete systems management structure

Project Manager BMS Installation Contractor Installation Manager Engineering Manager Commission Manager Project Manager Power Monitoring Installation Contractor Installation Manager Engineering Manager Commission Manager Project Manager Security Installation Contractor Installation Manager Engineering Manager Commission Manager

Plus 15 to 20 More Potential Low Voltage Vendors

Solution-Based Approach

Technology Integration Partner

Project Manager Engineering Manager ICP Engineering Manager Electrical Distribution Installation Manager Commissioning Engineer Integration Engineer Commissioning Manager Electrical Installer 1 2 3 4

• 1. Site based with full decision

making authority

• 2. Progressing intelligent systems

design through the installation phase

• 3. Progressing the critical power

and electrical distribution design through the installation phase

• 4. Management and site

supervision of common electrical installer

Benefits of Design Assist

Ability to impact cost and functional capabilities Cost of design changes Traditional process Design Assist Agency permit/ bidding Agency coordination/ final buyout

Design Effort/Effect

Schematic design Criteria design Design development Detailed design Construction documents Implementation documents Pre-design Conceptualization Construction Construction

Engage a specialist early to reduce waste and risk!

Integrated Approach Costs 12–15% Less!

Less hardware Project management efficiencies Contractual efficiencies Site efficiencies Less installation Less structured cabling

Typically:

• Individual systems are bid through different RFP’s late in contracting process

Best Case:

• Provide deduct based on savings, if awarded multiple systems
• Document Use-Cases that will be provided at no additional cost, if awarded multiple systems
• You’ve already missed the savings created during Design Assist, since packages like Power Distribution

have already been ordered and may be on-site.

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

A Better Contracting Methodology!

Questions?