Smart Hospitals
Out lines:
• Introduction.
• Definition of smart hospital.
• The strategic objectives of the Smart Hospital.
• Internet of things (IoT).
• Smart hospital -benefits to healthcare facilities.
• Disadvantages of medical technology.
• Success factors using an integrative approach to hospital
planning Advice on Digital Hospital Planning
• Smart hospital challenges.
• Building a Smart Hospital that Stays Smart Well into the
Future.
• Recommendations for building a smart Hospitals.
3
FR
Introduction
A number of factors have been contributing to a rapid change in care
delivery models world-wide. Increasing cost of care, need to improve
access to care, inherent complexity in treatment options and increasing
involvement of patients in the care delivery cycles.
All of these factors have fostered an environment where hospitals
or other care delivery institutions have started shifting focus
from treating episodes to managing overall health of patients,
while focusing on overall value of care rather than efficiency.
In this context more and more hospitals have invested
heavily FinR Information and communications technology
(ICT) capabilities in
5
different areas of management
technology and care methods
and operations.
Innovations in as well as
changing patient
expectations have created an opportunity for healthcare facilities to
utilize the resources of big data, building automation and the Internet
of Things to advance patient care and increase productivity of
clinicians and staff, as well as the building itself.
FR
Definition:
A smart hospital is a hospital that relies on optimized and
automated processes built on an Information and
communication technologies environment (ICT) of
interconnected assets, particularly based on Internet of
things (IoT), to improve existing patient care procedures
and introduce new capabilities.
6
The strategic objectives of the Smart
Hospital
7
1. To provide extended patient care
including remote medical services,
2. To ensure efficient stream of patients
and medical information.
3. To increase diagnostic, surgical and
organizational capabilities while maintaining
the required level of patient information
protection.
FR
7
FR
8
INTERNET OF THINGS (IoT)
Refers to physical, digital, and virtual objects are
connected through a network structure and are part of
the Internet activities in order to exchange information
about themselves and about objects and things around
them.
INTERNET OF THINGS (IoT)
9
 Basically proposes a use, processing, and storage
of information in the cloud, that can be accessed
and used autonomously by intelligent objects with
a connection in the cloud through the internet.
 The goal of the IoT is the sharing of data and
processing of them, to achieve a smart integration
of the objects aimed at improving the life quality.
Smart hospital software offers the following
benefits to healthcare facilities
10
1. Patient engagement:
patients and enhance their
experience
their families
can and
improve
patient-doctor
relationship. They can be involved
process and know more about
in the
care
treatment
progress and health condition.
Smart hospital software offers the following
benefits to healthcare facilities
11
2. Streamlining communication:
Leveraging mobile and IoT technologies allows
effective and timely patients communication
with care providers thus enhancing their
satisfaction.
3.Workflow optimization:
give healthcare organization effective tools to
improve performance while tracking and
identifying bottlenecks and service slowdowns.
Smart hospital software offers the following
benefits to healthcare facilities
12
4.Hospital navigation for patients and staff:
Smart hospital applicationscan helpingpatients,
physicians and staff to find the way in the hospital.
Messaging and wayfinding features can
directions and arrival
provide
time
turn-by-turn
instructions to make the navigation in large
hospitals simpler and less stressful for visitors.
Smart hospital software offers the following
benefits to healthcare facilities
13
5. Patient notification:
Push notifications generated by such software can
be sent to patients, in their preferred language,
informing them about the time of their
appointment and exact office number. Such smart
hospital systems can also push updates telling the
patients if the appointment location or time has
changed.
Smart hospital software offers the following
benefits to healthcare facilities
14
6. Hospital assets tracking:
Hospitals
and
applications
to
to be
reordered
care
find out which items
and where the assets
centers can use IoT
need
are
located
.
Smart hospital software offers the following
benefits to healthcare facilities
15
7. Leveraging data analytics:
Smart devices like wearables and smartphones
track huge volumes of biometric data. This data can
be used by caregivers find out more about both
individual patients and populations. Insights from
the data can improve the quality of patient care
and accelerate lifesaving research.
Disadvantages of Medical Technology
1 : Increased Cost of the Treatment:
Mostly all the treatments and surgeries through the
technology are very costly, l ike robotic surgery, and
another kind of technological machinery surgeries has
very costly.
Technology increased health care but also increased the
cost of that. Which is impossible for the patients to pay.
Disadvantages of Medical Technology
The technological machines are made by engineers and
programmers. Sometimes the errors and bugs come in i t
..Suspectibilty to Hakers..
.
Disadvantages of Medical Technology
The information of the patients which are stores in the
computer system of the hospitals can leak.
The computer systems can be a hacked and the
secret
information about the patient’s treatment can be stolen
and also can be changed.
If someone changes the complete history of the patient’s
treatments. So, i t can be a danger for the patients.
Disadvantages of Medical Technology
If there come some kind of faults and errors in The
technological machines which are used in the hospital
for treatments.
So, i t consumes a lot of t ime fixing and recovering the
machines.
Disadvantages of Medical Technology
5 : Online Treatment Through Technology:
Nowadays the doctors do online treatments. The patients
contact them online and the suggest the diagnosis to
take.
The patients have not to go to the clinic of the doctors.
They can easily get the treatment at home.
Without the checkup and analysis of the patient’s the
doctor gives them the diagnosis. Which can go wrong
some times.
Disadvantages of Medical Technology
6 : Automatic Machine Treatment:
There is a kind of machine which is fixed in the patient’s
body. It analyses the patient’s body and inserts the
medicines in patients’ bodies according to their body
conditions.
These machines are made by programming in i ts
programming if there come some errors and bugs.
Then i t is very harmful to the patients because i t can
insert the wrong diagnosis in the patient’s body.
which causes the critical condition and death of the
patients.
FR
Success factors using an integrative approach to
hospital planning Advice on Digital Hospital Planning
22
FR
SMART HOSPITAL CHALLENGES
23
1. Improving Communication:
Improving responsiveness, providing seamless
wireless
pollution
availability and reducingnoise
require targeted healthcare
where new technologies can
engagement,
simplify the flow of information between
healthcare staff, patients and administrators.
FR
SMART HOSPITAL CHALLENGES
24
2. Optimizing Power:
Quality patient care requires uninterrupted
power throughout a facility. Building a critical
power chain can help you achieve an always-on
environment, while also reducing costs through
energy efficient solutions.
FR
SMART HOSPITAL CHALLENGES
25
3. Enhancing Network Performance:
More than ever before, a high-performance
structured cabling system plays an essential role
in enhancing network performance and
improving patient care in a healthcare facility.
FR
27
SMART HOSPITAL CHALLENGES
4. Enabling a (IoMT) Environment:
The Internet of Medical Things (IoMT) brings into focus
all the components in a healthcare facility that could be
connected to the network (the Internet) for the purpose
of creating operational efficiencies, reducing energy
consumption, improving occupant experiences, achieving
sustainability goals and effectively optimizing financial
performance. Enabling the Internet of Medical Things
allows you to analyze your environment and make real-
time adjustments to improve operational efficiency and
productivity.
FR
Add a footer 28
Building a Smart Hospital
that Stays Smart Well into
the Future
FR
Smart Clinicians and Nurses
- The goal for clinicians is to ensure the information they need is immediately
available, when and where they need it.
- Instead of having multiple devices (phone, pager, beeper, nurse
call system) caregivers will have just one and it will do everything. It
will most likely be hands free and could be attached to clothing, worn
around the neck, or carried in a pocket. If a patient’s vital signs
change, an alert will be passed directly to the patient’s caregiver
through this device – reducing time spent watching monitors.
-.
The caregivers will likely have sensors in their identification
badges so when they enter a patient room, their name and title
may appear on the patient’s TV monitor a fully-integrated
electronic medical record system.
So instead of a number of different clinical systems, there will be
just one large integrated platform.
Physicians will be able to access information about their
patient’s medical history even if they received treatments at
different institutions, enhancing quality of care and reducing
duplicate tests and treatments.
FR
Smart Patient Rooms
-The goal for patient rooms is to make them more patient-centered, improving
the patient experience by helping patients take a more active role in their own
health care.
-smart rooms will be equipped with a bedside console that will
potentially enable the patient to do everything from controlling the
room’s lighting to speaking directly with a nurse when needed.
-The rooms may also be equipped with video conferencing so a patient
can visually interact with family and friends anywhere in the world. It will
also allow the physician to consult with outside specialists, conduct
“rounds” from a patient room, and stream video into a medical school
classroom where students can ask questions. The operating rooms will
have the same capabilities and offer greater opportunities for teaching
residents and medical students.
FR
Add a footer 31
FR
Smarter ICU
- ICUs will focus on providing the "right care, right now, every time" by
engineering consistency and reliability into every process. Standard
communications, evaluations, treatments, and assessments form the
foundation of high-reliability care.
- Move the alarms away from the bedside and get them to the caregivers who
will act on them.
- Real-time Locating Systems and Solutions (RTLS): represents a wide variety
of systems and solutions to improve workflow and management of all types
of tagged assets (staff, patients, equipment, consumables, and patient
rooms). The integration of RTLS processes with existing
ICU
technologies can improve infection control, personnel and
patient location, and oversight of the patient room. For example,
staff hand- washing compliance may be enhanced through
FR
Smarter ICU
Real-time Locating Systems and Solutions (RTLS)
A-C, Virtual communities for providers (A), mechanical ventilators (B), infusion pumps (C),
and POCT devices (D). The application middleware adds the functionalities demonstrated for
each.
FR
34
Smarter ICU
- The ICU
design installing
the
team
should
necessary
technologies,
Telemedicine
especially if
the
centralize
d
outsourced approach that uses
a designated site (closed-
system architecture) is being
considered.
an ICU-based
communicates
with
robot
that
an off-
site
team may be helpful in
the absence of local ICU
coverage.
FR
Add a footer 35
FR
Smart operating theatres
- The OR. equipped with touch screens that allow users to enlarge images
and equipment that can work by voice recognition. the monitors can
control all of the variables of the environment to ensure greater surgical
safety.
- Smart operating theatres can fitted out with cameras, which, in
conjunction with the use of Google Glass technology, enable operations
to be followed, not only by students in a nearby room, but also from
other parts of the world.
- doctors can perform procedures while requesting advice and suggestions
from other doctors. If a new technique for an operation needs to be
used, but the specialist is in a different location, interconnected smart
operating theatres will still enable the specialist to guide the surgery
almost to the millimeter.
FR
Smart operating theatres
- Smart Cyber Operating Theater (SCOT) is cutting edge operating room
for improvement of treatment safety and efficiency with high
performance computing and networking.
Smart operating theatres
FR
- Advances medical tools designed for the safety and
monitoring of patients receiving treatment or for the care of the elderly
or disabled.
FR
Add a footer 39
FR
Recommendations for building a smart
Hospitals
40
FR
1. Establish effective enterprise governance for cyber security
41
2. Implement state-of-the-art security measures
3. Provide specific IT security requirements for IoT components in the
hospital
4. Invest on NIS products
5. Establish an information security sharing mechanism
6. Conduct risk assessment and vulnerability assessment
7. Perform pen g and auditing
8. Support multi-stakeholder communication platforms (ISACs)
FR
References
42
1. SMART HOSPITAL INFRASTRUCTURE BEST PRACTICES:
https://www.anixter.com/en_us/services-and-
solutions/customers/healthcare.html
2. Security and resilience for Smart Hospitals Key findings (2016):
ENISA 2nd eHealth Security Workshop| Vienna.
3. Smart Hospitals Security and Resilience for Smart Health
Service and Infrastructures (2016):European Union Agency For
Network And Information Security.
FR
References
43
4.Smart Hospital: What is It and How To Build Your Own
Solution? https://archer-soft.com/en/blog/smart-hospital-what-it-
and-how- build-your-own-solution.
5.Smart Hospital concept and its implementation capabilities
based on the incentive extension(2018):International Scientific
Conference “The Convergence of Digital and Physical Worlds:
Technological, Economic and Social Challenges” (CC-TESC2018).
6.ElHealth: Using Internet of Things and data prediction for
elastic management of human resources in smart hospitals (2019)
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concepts of smart hospitals-details with applications

  • 2. Out lines: • Introduction. • Definition of smart hospital. • The strategic objectives of the Smart Hospital. • Internet of things (IoT). • Smart hospital -benefits to healthcare facilities. • Disadvantages of medical technology. • Success factors using an integrative approach to hospital planning Advice on Digital Hospital Planning • Smart hospital challenges. • Building a Smart Hospital that Stays Smart Well into the Future. • Recommendations for building a smart Hospitals. 3
  • 3. FR Introduction A number of factors have been contributing to a rapid change in care delivery models world-wide. Increasing cost of care, need to improve access to care, inherent complexity in treatment options and increasing involvement of patients in the care delivery cycles. All of these factors have fostered an environment where hospitals or other care delivery institutions have started shifting focus from treating episodes to managing overall health of patients, while focusing on overall value of care rather than efficiency.
  • 4. In this context more and more hospitals have invested heavily FinR Information and communications technology (ICT) capabilities in 5 different areas of management technology and care methods and operations. Innovations in as well as changing patient expectations have created an opportunity for healthcare facilities to utilize the resources of big data, building automation and the Internet of Things to advance patient care and increase productivity of clinicians and staff, as well as the building itself.
  • 5. FR Definition: A smart hospital is a hospital that relies on optimized and automated processes built on an Information and communication technologies environment (ICT) of interconnected assets, particularly based on Internet of things (IoT), to improve existing patient care procedures and introduce new capabilities. 6
  • 6. The strategic objectives of the Smart Hospital 7 1. To provide extended patient care including remote medical services, 2. To ensure efficient stream of patients and medical information. 3. To increase diagnostic, surgical and organizational capabilities while maintaining the required level of patient information protection.
  • 8. FR 8 INTERNET OF THINGS (IoT) Refers to physical, digital, and virtual objects are connected through a network structure and are part of the Internet activities in order to exchange information about themselves and about objects and things around them.
  • 9. INTERNET OF THINGS (IoT) 9  Basically proposes a use, processing, and storage of information in the cloud, that can be accessed and used autonomously by intelligent objects with a connection in the cloud through the internet.  The goal of the IoT is the sharing of data and processing of them, to achieve a smart integration of the objects aimed at improving the life quality.
  • 10. Smart hospital software offers the following benefits to healthcare facilities 10 1. Patient engagement: patients and enhance their experience their families can and improve patient-doctor relationship. They can be involved process and know more about in the care treatment progress and health condition.
  • 11. Smart hospital software offers the following benefits to healthcare facilities 11 2. Streamlining communication: Leveraging mobile and IoT technologies allows effective and timely patients communication with care providers thus enhancing their satisfaction. 3.Workflow optimization: give healthcare organization effective tools to improve performance while tracking and identifying bottlenecks and service slowdowns.
  • 12. Smart hospital software offers the following benefits to healthcare facilities 12 4.Hospital navigation for patients and staff: Smart hospital applicationscan helpingpatients, physicians and staff to find the way in the hospital. Messaging and wayfinding features can directions and arrival provide time turn-by-turn instructions to make the navigation in large hospitals simpler and less stressful for visitors.
  • 13. Smart hospital software offers the following benefits to healthcare facilities 13 5. Patient notification: Push notifications generated by such software can be sent to patients, in their preferred language, informing them about the time of their appointment and exact office number. Such smart hospital systems can also push updates telling the patients if the appointment location or time has changed.
  • 14. Smart hospital software offers the following benefits to healthcare facilities 14 6. Hospital assets tracking: Hospitals and applications to to be reordered care find out which items and where the assets centers can use IoT need are located .
  • 15. Smart hospital software offers the following benefits to healthcare facilities 15 7. Leveraging data analytics: Smart devices like wearables and smartphones track huge volumes of biometric data. This data can be used by caregivers find out more about both individual patients and populations. Insights from the data can improve the quality of patient care and accelerate lifesaving research.
  • 16. Disadvantages of Medical Technology 1 : Increased Cost of the Treatment: Mostly all the treatments and surgeries through the technology are very costly, l ike robotic surgery, and another kind of technological machinery surgeries has very costly. Technology increased health care but also increased the cost of that. Which is impossible for the patients to pay.
  • 17. Disadvantages of Medical Technology The technological machines are made by engineers and programmers. Sometimes the errors and bugs come in i t ..Suspectibilty to Hakers.. .
  • 18. Disadvantages of Medical Technology The information of the patients which are stores in the computer system of the hospitals can leak. The computer systems can be a hacked and the secret information about the patient’s treatment can be stolen and also can be changed. If someone changes the complete history of the patient’s treatments. So, i t can be a danger for the patients.
  • 19. Disadvantages of Medical Technology If there come some kind of faults and errors in The technological machines which are used in the hospital for treatments. So, i t consumes a lot of t ime fixing and recovering the machines.
  • 20. Disadvantages of Medical Technology 5 : Online Treatment Through Technology: Nowadays the doctors do online treatments. The patients contact them online and the suggest the diagnosis to take. The patients have not to go to the clinic of the doctors. They can easily get the treatment at home. Without the checkup and analysis of the patient’s the doctor gives them the diagnosis. Which can go wrong some times.
  • 21. Disadvantages of Medical Technology 6 : Automatic Machine Treatment: There is a kind of machine which is fixed in the patient’s body. It analyses the patient’s body and inserts the medicines in patients’ bodies according to their body conditions. These machines are made by programming in i ts programming if there come some errors and bugs. Then i t is very harmful to the patients because i t can insert the wrong diagnosis in the patient’s body. which causes the critical condition and death of the patients.
  • 22. FR Success factors using an integrative approach to hospital planning Advice on Digital Hospital Planning 22
  • 23. FR SMART HOSPITAL CHALLENGES 23 1. Improving Communication: Improving responsiveness, providing seamless wireless pollution availability and reducingnoise require targeted healthcare where new technologies can engagement, simplify the flow of information between healthcare staff, patients and administrators.
  • 24. FR SMART HOSPITAL CHALLENGES 24 2. Optimizing Power: Quality patient care requires uninterrupted power throughout a facility. Building a critical power chain can help you achieve an always-on environment, while also reducing costs through energy efficient solutions.
  • 25. FR SMART HOSPITAL CHALLENGES 25 3. Enhancing Network Performance: More than ever before, a high-performance structured cabling system plays an essential role in enhancing network performance and improving patient care in a healthcare facility.
  • 26. FR 27 SMART HOSPITAL CHALLENGES 4. Enabling a (IoMT) Environment: The Internet of Medical Things (IoMT) brings into focus all the components in a healthcare facility that could be connected to the network (the Internet) for the purpose of creating operational efficiencies, reducing energy consumption, improving occupant experiences, achieving sustainability goals and effectively optimizing financial performance. Enabling the Internet of Medical Things allows you to analyze your environment and make real- time adjustments to improve operational efficiency and productivity.
  • 27. FR Add a footer 28 Building a Smart Hospital that Stays Smart Well into the Future
  • 28. FR Smart Clinicians and Nurses - The goal for clinicians is to ensure the information they need is immediately available, when and where they need it. - Instead of having multiple devices (phone, pager, beeper, nurse call system) caregivers will have just one and it will do everything. It will most likely be hands free and could be attached to clothing, worn around the neck, or carried in a pocket. If a patient’s vital signs change, an alert will be passed directly to the patient’s caregiver through this device – reducing time spent watching monitors. -.
  • 29. The caregivers will likely have sensors in their identification badges so when they enter a patient room, their name and title may appear on the patient’s TV monitor a fully-integrated electronic medical record system. So instead of a number of different clinical systems, there will be just one large integrated platform. Physicians will be able to access information about their patient’s medical history even if they received treatments at different institutions, enhancing quality of care and reducing duplicate tests and treatments.
  • 30. FR Smart Patient Rooms -The goal for patient rooms is to make them more patient-centered, improving the patient experience by helping patients take a more active role in their own health care. -smart rooms will be equipped with a bedside console that will potentially enable the patient to do everything from controlling the room’s lighting to speaking directly with a nurse when needed. -The rooms may also be equipped with video conferencing so a patient can visually interact with family and friends anywhere in the world. It will also allow the physician to consult with outside specialists, conduct “rounds” from a patient room, and stream video into a medical school classroom where students can ask questions. The operating rooms will have the same capabilities and offer greater opportunities for teaching residents and medical students.
  • 32. FR Smarter ICU - ICUs will focus on providing the "right care, right now, every time" by engineering consistency and reliability into every process. Standard communications, evaluations, treatments, and assessments form the foundation of high-reliability care. - Move the alarms away from the bedside and get them to the caregivers who will act on them. - Real-time Locating Systems and Solutions (RTLS): represents a wide variety of systems and solutions to improve workflow and management of all types of tagged assets (staff, patients, equipment, consumables, and patient rooms). The integration of RTLS processes with existing ICU technologies can improve infection control, personnel and patient location, and oversight of the patient room. For example, staff hand- washing compliance may be enhanced through
  • 33. FR Smarter ICU Real-time Locating Systems and Solutions (RTLS) A-C, Virtual communities for providers (A), mechanical ventilators (B), infusion pumps (C), and POCT devices (D). The application middleware adds the functionalities demonstrated for each.
  • 34. FR 34 Smarter ICU - The ICU design installing the team should necessary technologies, Telemedicine especially if the centralize d outsourced approach that uses a designated site (closed- system architecture) is being considered. an ICU-based communicates with robot that an off- site team may be helpful in the absence of local ICU coverage.
  • 36. FR Smart operating theatres - The OR. equipped with touch screens that allow users to enlarge images and equipment that can work by voice recognition. the monitors can control all of the variables of the environment to ensure greater surgical safety. - Smart operating theatres can fitted out with cameras, which, in conjunction with the use of Google Glass technology, enable operations to be followed, not only by students in a nearby room, but also from other parts of the world. - doctors can perform procedures while requesting advice and suggestions from other doctors. If a new technique for an operation needs to be used, but the specialist is in a different location, interconnected smart operating theatres will still enable the specialist to guide the surgery almost to the millimeter.
  • 37. FR Smart operating theatres - Smart Cyber Operating Theater (SCOT) is cutting edge operating room for improvement of treatment safety and efficiency with high performance computing and networking.
  • 38. Smart operating theatres FR - Advances medical tools designed for the safety and monitoring of patients receiving treatment or for the care of the elderly or disabled.
  • 40. FR Recommendations for building a smart Hospitals 40
  • 41. FR 1. Establish effective enterprise governance for cyber security 41 2. Implement state-of-the-art security measures 3. Provide specific IT security requirements for IoT components in the hospital 4. Invest on NIS products 5. Establish an information security sharing mechanism 6. Conduct risk assessment and vulnerability assessment 7. Perform pen g and auditing 8. Support multi-stakeholder communication platforms (ISACs)
  • 42. FR References 42 1. SMART HOSPITAL INFRASTRUCTURE BEST PRACTICES: https://www.anixter.com/en_us/services-and- solutions/customers/healthcare.html 2. Security and resilience for Smart Hospitals Key findings (2016): ENISA 2nd eHealth Security Workshop| Vienna. 3. Smart Hospitals Security and Resilience for Smart Health Service and Infrastructures (2016):European Union Agency For Network And Information Security.
  • 43. FR References 43 4.Smart Hospital: What is It and How To Build Your Own Solution? https://archer-soft.com/en/blog/smart-hospital-what-it- and-how- build-your-own-solution. 5.Smart Hospital concept and its implementation capabilities based on the incentive extension(2018):International Scientific Conference “The Convergence of Digital and Physical Worlds: Technological, Economic and Social Challenges” (CC-TESC2018). 6.ElHealth: Using Internet of Things and data prediction for elastic management of human resources in smart hospitals (2019)