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TIA-1179 Healthcare F ilitiFacilitiesGreg Niemiera, RCDD
Director Technical Support ppand Field services
MohawkMohawk
1179 Background TIA 1179 Healthcare Facility
Telecommunications InfrastructureTelecommunications Infrastructure StandardTR 42 E i i C itt TR-42 Engineering Committee More than 70 organization
participated in the development and approximately half the members of the group that wrote 1179 were healthcare facility users Document released July 2010
1179 Background
ANSI/TIA Standards are on a 5 year revision cycle One of the “New Generation” of
Standards specific to the environment used BICSI D004 Healthcare
companion document currentlycompanion document currently under review
Relevant TIA Standards
1179 Premise Standard Forward – Purpose
Thi St d d t bli h f This Standard establishes performance and technical criteria for various cabling system configurations for accessing andsystem configurations for accessing and connecting their respective elements. In order to determine the requirements qof a generic cabling systema generic cabling system, performance requirements for various telecommunications services were considered
M h k “O A hit t ” Mohawks “Open Architecture”
1179 Drivers Health Insurance Portability and
Accountability Act (HIPPA - 1996)Accountability Act (HIPPA - 1996) Health Information Technology for
Economic and Clinical Health (HITECH –Economic and Clinical Health (HITECH 2009 American Recovery Reinvestment Act ARRA; aka - stimulus package)
Prompted healthcare facilities to store records electronically
E-Data allowed trend analysis and data mining while maintaining patient privacy
Enabled Distance Collaboration
Beyond Patient Recordsy• Dispensary Tracking• Security• Phyiso Monitoringy g• Patient tracking • Nurse Call• Nurse Call• Digital Signage• Paging• Fire Life Safetyy• BAS
Bandwidth Drivers• Ultra sound 500 MB• Angiography 1000 MB• MRI 20 GB• MRI
– Transmitted at 1G - 160 seconds– Transmitted at 1G - 160 seconds– Just about 3 minutes
Transmitted at 10G 17 seconds– Transmitted at 10G - 17 seconds
TIA-1179 Specifiesp Telecommunications infrastructure
requirements for healthcarerequirements for healthcare facilities (e.g. hospitals, clinics). S ifi bli bli d it Specifies cabling, cabling density, topologies and cabling distances. Additionally, pathways and spaces
(e.g. sizing and location), and ancillary requirements Intended to support a wide range of pp g
healthcare facilities and systems
1179 Supports1179 Supports Telecommunications cabling
specified is intended to support aspecified is intended to support a wide range of clinical and non-clinical systems i e RFID Buildingclinical systems i.e. RFID, Building Automation Systems (BAS TIA 842) nurse call security access842), nurse call, security, access control, pharmaceutical inventory, etc )etc.) Particularly those which utilize or
tili IP b d i f t tcan utilize IP-based infrastructure
1179 Ground Up• Mandates a minimum of two
different pathways from:different pathways from:– Entrance Facility (EF) to Equipment
Room (ER) for Critical Care areasRoom (ER) for Critical Care areas • Route separation should be as great
as possibleas possible• Redundancy is critical
– Supports V & D– Life and health of patients
• Allows separation by network applications
TR’s and TE’s• Should not allow routing of non-
telecom services such as medicaltelecom services such as medical gases or fluids in TR’s or TE’sTR’ l t diti l• TR’s are larger verses traditional commercial applications
• Planning allows for 100% growth• TR’s and TE’s should be located on
the same floor as the WA’s served
TR’s and TE’s
• The goal’s Maximize productivity of the care giver– Maximize productivity of the care giver
– Prevent potential disruption within the facility– Not to compromise the facilities operationNot to compromise the facilities operation
• Segregation of cables:V-D– V-D
– Healthcare– Merged applicationsg pp
• Use of color coded jackets in pathways to ID V or D from modalitypathways to ID V or D from modality of critical care and support circuits
Pathwaysy• Cable pathways become difficult
tto manage• Density of the cabling plant to
support the various systems• All running through common drop g g p
ceiling space• Color Coding of the cablingColor Coding of the cabling
systems is critical
Color Code• Blue Data
Whit V i (Ph )• White Voice (Phone)• Yellow Phyiso Monitoring • Orange Real Time Location (RFID)• Lime Green Nurse CallLime Green Nurse Call• Dark Green TV
B BAS• Brown BAS• Gray Medial Gas Alarm• Red Fire Alarm
TR’s and TE’s• TE’s intended to serve smaller
fl th TR’ hfloor area than TR’s such as:– Parking Garage– Entrance lobbies – Historic buildings
• TR’s and TE’s providing support for life and safety networks yshould incorporate additional security measuresy
TR’s and TE’s
• Provide Controlled environmentProvide Controlled environment for current and growing needs:– Telecom equipment– Telecom equipment– Connecting hardware
Splice closures– Splice closures– Administration and routing of
equipment cordsequipment cords
Infection Control Requirements (ICR)Requirements (ICR)
Key factor is cable accessibilityR d i l t ti f Recommends implementation of closed pathways specifically for Air Handling Systems to meet ICRHandling Systems to meet ICR
Traditional Open Air Plenum spaces may not be an option i e treatmentmay not be an option, i.e. treatment areas are ducted environmentsReq iring alternate design ro ting Requiring alternate design routing
TE’s provide an option for areas bj t t i f ti t lsubject to infection control
measures
Backbone Cabling• Provides interconnection between
EF’ d AP d SP– EF’s and AP and SP spaces– ER’s
’– TR’s– TE’s
• Meets requirements of 568-C.0• Utilizes Star Topologyp gy• Requires a minimum of two
diverse pathways for critical carediverse pathways for critical care areas
Backbone Cabling• Lengths are dependent on media
and applicationand application• Recognized Cable Types
– 100 Ohm balanced twisted pair Category 6 or higher recommended
– Category 6A recommended for new installationsC t 3 S/B li it d t l i– Category 3 S/B limited to analog voice
– MM laser optimized 50/125 OM3/OM4– SM
Horizontal Cabling• Recognized Cabling
100 Oh b l d t i t d i– 100 Ohm balanced twisted pair category 5e or higher; category 6 or higher is recommended 568-C 2higher is recommended 568-C.2
– 2 Fiber or higher count MM Laser optimized 50/125 recommended 568-C.3optimized 50/125 recommended 568 C.3
– 2 Fiber or higher count SM 568-C.3• Serious consideration given to• Serious consideration given to
provide the highest preforming media for longest life cyclemedia for longest life cycle
Horizontal Cabling• Utilizes Star Topology
L th• Length– 100 Ohm balanced twisted pair 90
t (295 ft)meters (295 ft)– 2 Fiber or higher count MM or SM 90
t (295 ft)meters (295 ft)• Exception for some cases e.g. redundancy;
length may be increased according to thelength may be increased according to the application and specific media; annex D of 568-C.0
– Also recognized Bundled and Hybrid (jacketed)
Work Area Defined• With regard to healthcare
applications the term "work area"applications, the term work area takes on a broader scopeTh k i l t d i• The work area is located in a multitude of application-specific
d ithi thareas and spaces within the healthcare facility
• These areas can be divided into the following eleven classifications
Eleven WA Classifications1. Patient Services2 Surgery/Procedure
6. Diagnostic and Treatment2. Surgery/Procedure
/OR’s3 Emergency
Treatment7. Caregiver8 Service/Support3. Emergency
4. Ambulatory Care5 Women's Health
8. Service/Support9. Facilities10 Operations5. Women s Health 10.Operations11.Critical Care
• These are broken into subgroups• Total of 75 defined types of WAyp
Work Area Outlets• Neither expected or required that all
outlets be located togetheroutlets be located together• Location will be by uses for each outlet
and grouped accordinglyand grouped accordingly• Depending on the applications some may
be wall mounted or ceiling mounted suchbe wall mounted or ceiling mounted such as audio/visual services or in the floor
• Table 1 of the standard breaks downTable 1 of the standard breaks down outlet densities based on sub sets for each WA defined
• Interactive patient TV
WA Density Definedy• Density Characterized as:
L 2 6 tl t ( 45%)• Low 2 - 6 outlets (~ 45%)• Medium 6 - 12 outlets (~ 25%)• High > 14 outlets (~ 30%)• Some high density WA maySome high density WA may
necessitate redundancy• Must handle multiple temporary• Must handle multiple temporary
connections such as test equipmentequipment
Patient Services• High
Patient Room– Patient Room– Nurses StationsM di• Medium– Administration– Registration– Library
• Low– Family Loungey g– Waiting Room– Consultation
Surgery/Procedure/ORs• High
I t i C– Intensive Care– Operating Rooms
• Medium– Patient Prep– Patient Recovery– Anesthesia Offices
• Low– Sterile ZoneSterile Zone– Sub-Sterile Zone
Emergency• High
Ob ti– Observation– Procedure Rooms
• Medium– Evaluation– Exam Rooms
• Low– Ambulance Bay
Ambulatory Care• High
O t P ti t S R– Out-Patient Surgery Rooms• Medium
– Procedure Rooms– Mammography– Exam Rooms
• Low– Biopsy– X-RayX Ray– Patient Holding
Women's Health• High
L b /D li– Labor/Delivery– Infant Bays
• Medium– Nursery
• Low– Ultrasound– Lactation
Diagnostic and TreatmentgHigh– Magnetic Low
FluoroscopegResonance Imaging
– Fluoroscope– Radiography
X R– Simulator – Linear
– X-Ray
Accelerator – CT Scanner– Procedure Rooms– Operating Rooms– Lab
Caregiverg
• High • LowHigh– Nurse Station
• Medium
Low– Exam Room
Soiled Utility• Medium– Clean Utility
N i h t
– Soiled Utility– Galley
– Nourishment– Charting– Workroom– Read Room
Service/Support• High
A th i A– Anesthesia Area• Medium
– Blood Bank Area– Pharmacy Area
• Low– N/A
Facilities• High
S it Offi• Low
J it Cl t– Security Office Command Center
• Medium
– Janitor Closet (Environmental Services) • Medium
– Fire Command
Se ces)– Electrical Rooms– Communication/Tech-
nology Rooms– Building Utility Rooms– Elevator Machine
RoomsM h i l R– Mechanical Rooms
– Specialty Storage
Operationsp• High
N/A• Low
G l St– N/A• Medium
– General Storage– Cafeteria
– Administration– Food Service
– Locker Rooms/ShowersL d– Central Sterile
– Conference
– Laundry– Lounge
Rooms – On Call Suite– Retail Areas– General Office
Areas
Critical Care• High
– ICU– Neonatal ICU– Recovery
• Medium– N/A
• LowLow– N/A
Hospital Construction• New construction may have 24 or
more Low Voltage systemsmore Low Voltage systems• Not all may currently be IP based• Transition to IP is inevitable • IP Convergence occurring rapidlyg g p y• Old Adage - Cable to Future
emerging applicationsemerging applications• CMP or CMR - AHJ has final approval
St ithi L l R i l d• Stay within Local, Regional and State codes requirements
Recommended Cabling ReviewCabling Review
• Category 6 for CU Horizontal50 i MM OM3 fib f hi h• 50 micron MM OM3 fiber for high bandwidth requirements scans:– CT (Computed tomography)– MRI (Magnetic Resonance Imaging)
• Backbones MM non network i.e. as security nurse call BA and Single y gMode primarily for data
• Backbones should be redundantBackbones should be redundant
Retrofittingg• Difficult for aspects previously discussed• Design for longest possible life cycle• Design for longest possible life cycle• None the less a reality
MUTOA’ d t f ti• MUTOA’s advantageous for renovationsor billing call centers for appointments
Allows horizontal cable to remain intact when– Allows horizontal cable to remain intact when layout is changed
– Flexible up to 24 additional outlets– Flexibility may be a point of FAILURE
• Table 2 provides maximum WA patch cord length
MUTOA’s• To serve multiple WA’s locate in
open areaopen area • Fully accessible permanent
– Building columns– Permanent walls
• Shall not be located in– Ceiling spacesg p– Obstructed areas
• MUTOA’s and CP’s not recommendedMUTOA s and CP s not recommended in NEW FACILITIES
Cabling Installation• TIA-568-C.0
S i l C f f• Special Care for areas of Atmospheric Contamination– May require filled or blocked cables
• Infection Control Requirements (ICR) consult facility ICR
• Cable from certain areas may yrequire regulated means of disposal – ICR p
Infection Control
Cabling Installation• Special isolation or mitigation may
be required for areas of high:be required for areas of high:– Electromagnetic Interference (EMI)
St M ti Fi ld– Strong Magnetic Fields– Radiation– High Temperature– Chemical
• Cable testing in affected areas may be best done with equipment active
Additional Cabling ConsiderationsConsiderations
• Pre-term Multi-Fiber cabling (MPO) as cost effective & reliable withas cost effective & reliable with minimum disruption for critical high density usedensity use
• Factors affecting cable choices• EMI considerations (F/UTP or Fiber)• Specialty Jackets for:p y
– Chemical – Temperature variantsTemperature variants – Air and Gas delivery systems
Administration• Recommended:
U f t t d i f t t f– Use of automated infrastructure for critical care areasSegregation of networks to ensure life– Segregation of networks to ensure life and safety protocols verses general administrationadministration
– Use of color coded cables, jacks, keyed connectivity to segregate networksconnectivity to segregate networks and ease administration
PoE• Due to Healthcare's critical nature a UPS
backup is recommended for all PoEbackup is recommended for all PoE injection systems
• PoE based applications still emerging andPoE based applications still emerging and not all IP based systems are PoE ready
• Cable for anticipated needs with a pcombination of CU UTP or CU fiber hybrid to accommodate future PoE applications
• Wireless Access (WAP’s) could be anything from emergency calls to di t tidictation
We Have Come A Long Wayg y
We still have a long way to golong way to go
TV Distribution
TV DistributionExpected Deliverables: Patient Room
1. Entertainment TV2. Video-on-Demand (VOD)3. Patient Education & Training4. Electronic Medical Records (HIPPA)5. Internet Access5. Internet Access6. Games (Nintendo, etc.)7. Meal Ordering8 Housekeeping Requests8. Housekeeping Requests9. Daily Charges
TV Distribution
The Patient Room1
53
Television3
Swing Arm TV
Interactive SystemComputer/IP Device
KeyboardTelephone
24
TV DistributionExpected Deliverables: Common Areas
1. Entertainment TV2. Digital Signage3. Way-Finding4 Mass Notification4. Mass Notification
TV Distribution
Delivery of ServicesThis Presentation Will Address the METHODS forDelivering the Content to the Patient Room and Common AreasCommon Areas
BUT…
NOT the Sources of Content or the Content Itself. It Will Not Advocate the Way the Patient Records Are Kept Nor the Brands of VOD Service, or Internet p ,Access, etc.
TV Distribution
Signal Types
- Broadband RF - IP
g yp
• CATV• Satellite
• Cloud• Satellite• Satellite
• Internally d
Satellite• CATV
Generated• Off-Air
TV DistributionBroadband RF Sources: CATV
• Frequency 5 860MHz Each Channel Is 6MHz Wide• Frequency 5-860MHz - Each Channel Is 6MHz Wide• If Analog - Amplitude & Freq. Modulated - One Channel• If Digital - Amplitude & Phase ModulatedIf Digital Amplitude & Phase Modulated
– QAM Modulation– SD: 6-10 Channels per 6MHz – HD: 1-2 Channels per 6MHz– MPEG2
• If Unencrypted, Can Use Standard TV and Can Be Distributed as is or Headended– Commercial Feeds May Be Available with Unencrypted– Commercial Feeds May Be Available with Unencrypted
Digital
TV DistributionBroadband RF Sources: Off-Air
• Frequency 5-860MHz - Each Channel Is 6MHz Wide• If Analog Amplitude & Freq Modulated One Channel• If Analog - Amplitude & Freq. Modulated - One Channel• If Digital - Amplitude & Phase Modulated
– 8-VSB Modulation8 VSB Modulation– SD: 6-10 Channels per 6MHz – HD: 1-2 Channels per 6MHz– MPEG2
• Signals Are Unencrypted, Can Use Standard TV
TV DistributionBroadband RF: Satellite
• Commonly Used in Healthcare and Other Institutional Facilities• Frequency 2+GHz – Has Distribution Limitations Over CAT Cable• Each Channel is 6MHz Wide
– QPSK Modulation (Quadrature Phase Shift Keying)– MPEG4– DIRECTV Comm1000 Headend – Consistent Signal Levels
• Headend Typical – No Set-Top Box at TV
TV DistributionBroadband RF: Headends
Headends Allow You To Combine Various Inputs:Headends Allow You To Combine Various Inputs: (CATV, CATV Encrypted, Satellite, Off Air, IP, Cameras Analog Digital etc ) And CreateCameras, Analog, Digital, etc.) And Create Custom Channel Plans For Your Facility.
TV DistributionBroadband RF: Headends
INPUTSOURCES
THE HEADEND PROVIDES“CLEAR” TV TO THE FACILITY.
IT CAN BE EITHER ANALOG OR DIGITAL
DM: DEMODULATORSTB: SET TOP BOXMODULATOR: DIGITAL OR ANALOGMODULATOR: DIGITAL OR ANALOGSAT RCVR: SATELLITE RECEIVER
TV DistributionBroadband Headend Solutions
HDCP• Digital Copyright Protection: Program Encryption Not
the Cable or Satellite Channel Encryption• Decryption Occurs at Viewing Device, i.e. TV• Content Providers Are “Strict”• Different Carriers Have Different Takes
– May Be Different Not Just Carrier to Carrier But Region to Region Within the Same Carrier
A P Idi E ti W k i All C• A Pro Idiom Encryption Works in All Cases
TV DistributionHeadend Solutions: IPTV
• MPEG2 Requires 15-20 Mbps/sec, MPEG4 ~9 Mbps/sec• Can Be Encoded from CATV, Satellite, Off-Air RF Source(s)
and Can Be Expensiveand Can Be Expensive• Requires an IP Device at All Viewing Locations
– IPTV, Computer, or DecoderT i ll H it’ O N t k D t Hi h B d idth• Typically Has it’s Own Network Due to High Bandwidth
• IP Addresses Are Controlled by User Software• Still Requires Some Form of Encryptionq yp• QOS
– LatencyLock Ups Requiring Rebooting of Device– Lock-Ups Requiring Rebooting of Device
TV DistributionHeadend Solutions: IPTV
& Demodulator
TV DistributionTV Can Be Distributed Via:
– UTP/STP
– COAX
– FIBERFIBER
TV DistributionRF Over COAX
• RF TV Distributed Using RG-6/RG-11 COAX- Unstructured – Undocumented System - Requires RF Engineering- Requires Manual Adjustments- Low Cost Up-Front- High Cost MAC’s/Maintenance
G ll W k W ll f B kb- Generally Works Well for Backbone- Can Do an Adequate Job in the Horizontal, But Only
Until MAC’s Are RequiredUntil MAC s Are Required
TV DistributionRF Over COAX
• Multiple Split/Tap Topology• Stand-Alone Amps Required• Signal Levels Need to Be Established• Still Needs a CAT Cable to TV for Interactive Systems
TV DistributionRF Over Category Cable (UTP & STP)• Category Cable Can Distribute Multiple
Formats Over a Single Cable :g– IP– RFRF– Control Functions (Serial Commands)– VGA/HDMI (With Extenders)VGA/HDMI (With Extenders)
• Moderate Cost Up-FrontL C MAC’ /M i• Low Cost MAC’s/Maintenance
TV DistributionRF Over Category Cable
• 4 Twisted Pairs Per Cable• 10/100 Ethernet Uses 2 Pairs (Giabit Uses all 4 Pairs)10/100 Ethernet Uses 2 Pairs (Giabit Uses all 4 Pairs)
– That Leaves 2 Unused Pairs for Other Functions Such As:• RF TV Distribution (Pins 7 & 8)• Control Functions (Pins 4 & 5)
TV DistributionRF TV Over Category Cable
• 75 Ohm Unbalanced RF Split and Converted to 100 Ohm Balanced Signal• Sent 180 Degrees Out of Phase to Eliminate Common Mode Noise• The Better the Balance the Lower the Loss• Due to Balance, Able to Meet FCC Specifications
TV DistributionRF Over Category Cable• In Order to Be of Maximum Value the• In Order to Be of Maximum Value the
RF Over CAT 5e/6 Must be Compatible With the TIA 568 Standard. That Is:– Be Able to Go 100m (90m + 10m patch)– Use Standard InterconnectsUse Standard Interconnects
• In Order to Be of Maximum TV Value the System Should be Able to Support the Full Video Spectrum 5MHz to
• The Use Of Structured Cabling Allows Betterthe Full Video Spectrum – 5MHz to
860MHz• IT Department Are More Comfortable
Cabling Allows Better System Mapping Over The Life Of Application
with TV Over CAT Cable – Compatible with RF Today, Ready for IP Tomorrow
TV DistributionRF Over Category Cable
40
60
dB)
20
40
Pow
er (
d
UTP
0
P
54 240 550 860
Coax
Frequency (MHz)
• However, UTP Has Significantly MoreHowever, UTP Has Significantly More Loss Than Coax!
TV DistributionRF Over Category Cable
• Types of RF TV Distribution Systems:– Passive Component Method
• All the Problems of a COAX System, BUT WITH GREATER LOSS
• Inability to Go 100m at 860 MHzInability to Go 100m at 860 MHz• Significant RF Design with Some Manual Adjustments
– Active Distribution System• Simple to Design and Install• Full RF Spectrum Over CAT 6, at Full 100m
U A i G i C l (AGC) f S lf• Uses Automatic Gain Control (AGC) for Self-Adjustment Set-Up, and Normal Operations
TV DistributionRF Via Category Cable - Passive Components
• The Passive Approach Has Some Dedicated UTP Components, i.e. Splitter/Balun Hub and a TV Balun, Plus Typical Coax Components of Splitters, Taps, and Multiple Amps.
• Requires Runs to be Segmented Into Long/Medium/Shorts• Amps Need to be Adjusted• Adds/Moves/Changes, While Easier Than Coax, May Need Additional
Amps, Splitters, etc.
TV DistributionRF Over Category Cable - Active System
ACTIVE RF DISTRIBUTIONHUB
ACTIVE RF DISTRIBUTION SYSTEM W/POWERED BALUN
• Active System Provides Automatic Signal Level Control to Provide Consistent RF Levels to AllControl to Provide Consistent RF Levels to All Floors of the Facility and to All TV Drops
• Full 860 MHz of RF Can Be Launched 100m and Provides Optimum Signal Levels to the TV’s ByProvides Optimum Signal Levels to the TV s By Using an “Active/Intelligent” Balun at The TV. Baluns Are Powered and Have Built-In Amps
TV DistributionRF Over Category Cable
Category 5e/6/7 HD TVPatch Panel
Wall OutletA Active System
Patch Panel<90 Meters
Active/IntelligentBalun
Active Video Hub RF Video
Video Source/s(CATV/Satellite/Etc.)
Analog 23dBmV/83dBuVDigital 17-20dBmV/77-80dBuV
TV DistributionRF Over Category Cable - Active System CASCADE• Coax Cascades
Using AGC Up to 600’
• Cascades to Multiple Units: Up to 585 HUBs
• No Intermediate Amps, Taps, or Splitters
• NO MANUAL ADJUSTMENTS REQUIRED
TV DistributionRF Over Category Cable - Active System
Fiber Backbone• Cascades Using SM Fiber BackboneCascades Using SM Fiber Up to 15Km’s’. Can Support Entire Campus from Single Headend.
• Very High Signal Quality
• Low Maintenance• Becoming More Cost
Effective with Large gInstallations as Cost Is Distributed over a Large Number of IDF’s and Fiber RX’s Are Built Into Active Hubs
TV DistributionRF Over Category Cable - Active System Fiber
BackboneBackbone
TV DistributionRF Over Category Cable - Sharing the Sheath
• A Single Sheath of CAT Cable Can Support Multiple Functionsi 1 2 3 & 6 C b U d f C l i• Pins 1,2,3 & 6 Can be Used for Data or Control Functions
• Pins 4,5,7 and 8 Are Used for RF Video
TV Distribution
IPTV Over Category Cable
/Demod
CAT CableCAT Cable
TV DistributionRF Over Category Cable Sharing The Sheath-IP
Patient Infotainment
Digital HeadendLAN
VIDEO
SERVER
Patient Infotainment
SWITCH Interactive Systemand IP Appliance
Provides Both IP Patient Information and RF TV
Video Hub
Over a Single CAT Cable Active Balun
Patch Panel
TV Distribution
VIDEO
DOCSIS/FSK RF Video-On-DemandRF PROCESSOR/ROUTERDigital Headend
O
SERVER
DIPLEXER
Provides Both Patent I f ti d RF TV FSK/DOCSISInformation and RF TV
Over a Single CAT CableFSK/DOCSIS
SET TOP BOX
Active B l
Video Hub
Balun
Patch Panel
TV DistributionRF Over CAT Cable Sharing Sheath - Signage/TV Control
Digital Headend
IP RS-232 COMMANDS
LAN
SWITCHCOMMANDS
RS232 Control
T TV’ ACTIVE
RS232TV
Control
Turn TV’s on/off
ACTIVEBALUN
•Tune All TV’s For Mass Notification
Using IP And RS232 Control Functions You Can:
• Provide Central Or Local Control In Common Areas
•Tune TV To Certain Channel At A Given Time
•Tune a Group of TV’s to a Select Channel
Control In Common Areas• Remove Need For Remotes In
Common Areas
TV DistributionRF Over Category Cable Sharing The
Sheath Signage/TV ControlSheath- Signage/TV Control
Able to Control Large Number of TV’s From Central Area
TV DistributionHospital TV Environment: Summary
The TV Distribution To The Patient Can Be Provided Via RF And/Or IP
• IPTV Is Still in It’s Infancy With Some Challenges:– High Cost – High Bandwidth– Latency Issues
L k U– Lock-Up– Possible Additional IT Staff
B t G tti B ttBut Getting Better…
TV Distribution
Hospital TV Environment: Summary• RF TV Over CAT 5+
– Extremely Reliable
p y
– Hundreds of HDTV Channels in a 5MHz to 860 MHz Bandwidth; Without Affecting Facility Network Capacity
– Active System Is Low Maintenance & Provides Consistent RF Levels– UTP System Utilizes TIA568 Structured Cabling: Easy to Design and
Document– UTP System Allows Distribution of Both IP TV/Control Functions and RF y
Video Over a Single UTP Cable• RF Over UTP Provides a Reliable, High Quality Video Transport System for All
Information and Entertainment Required in Today’s Patient Roomq y
TV DistributionHospital TV Environment: SummaryFor The Patient:- The Interactive Systems Provide The Interface For Surfing The
Web Viewing Educational Content Entrainment TV AndWeb, Viewing Educational Content, Entrainment TV And Video-On-Demand.
- The Patient Controls His/Her Video Entertainment Through The Pillow Speaker At The Bed-Side. Entertainment VideoPillow Speaker At The Bed Side. Entertainment Video Enhances The Patient Experience By Providing Content That The Patient Enjoys - Sports, Comedy, News Or A Premium Movie.
- That’s Why The Entertainment TV Needs To Be The Most Reliable, Cost Effective Type Possible.
TV DistributionHospital TV Environment: SummaryFor The Hospital:- Interactive Systems Allow Hospitals to Send & Receive
Information to & from the Patient Room and DeliversInformation to & from the Patient Room, and Delivers Entertainment & Education Content. LessTime Is Spent on Non-Mission Critical Staff Requests Like Temperature Control, Housekeeping,Requests Like Temperature Control, Housekeeping, Volume Control, etc.
- The Hospital That Chooses CAT Cable Can Select The Most Cost Effective IP and RF Solution for Each Video Applicationpp
- The Benefits of CAT Cable, and the Structured Cabling Environment it Provides is Very Beneficial to Healthcare.
TV DistributionRF or IP…. Coax or Category Cable
YOUR CHOICE!YOUR CHOICE!YOUR CHOICE!YOUR CHOICE!
TV Distribution
Q & AQ & AQ & AQ & A