Providing Tomorrows Healthcare

Communications Needs Today:

A Review of BICSI 002, 004 and 005 Standards

Paul Weintraub, RCDD, RTPM, ESS, ITS Tech

BICSI Director of Global Development & Support

It wasnt long ago when

Healthcare records were on paper

Today

Healthcare Includes More

Than Records
Nurse and Code Calling
Connected Medical
Imaging
Patient Monitoring
Medical Telemetry
Infant Abduction
Prevention
Intercom and Mass
Communication

Patient Television &

Entertainment
Alarm Management
RFID / Inventory
Integrated Operation
and Procedure Rooms
Video Surveillance
Patient Records
Dictation

Healthcare IT Infrastructure
ANSI/BICSI 004
Information Technology
Systems Design and
Implementation Best
Practices for Healthcare
Institutions and Facilities
Published: 2012-Dec

Purpose of BICSI 004

Reference of common technology and design
practices to determine specific system design
requirements (structured cabling & proprietary)
Addresses requirements of specific healthcare
systems
Does not duplicate existing standards, but
references existing standards such as ANSI/TIA569C Pathways, ANSI/TIA-1179 Healthcare,
ANSI/BICSI 002-2011 Data Center, etc.

Details Healthcare Systems

Nurse & Code Call Systems
Medical Imaging
Patient Monitoring
(Telemetry)
Patient Television System
Alarm Management and
Medical Systems
Operating Rooms, Patient
Rooms

Unique Telecom Rooms

Typical vs. Healthcare TR
Allow for additional systems and electronics
Segment specialty systems
Allow for larger cable diameters: Cat 6A or
screened/shielded cable
Allow for future racks and systems

Comparison of Telecom Rooms

Voice and Data Network
Racks
Wall Mounted
Systems (e.g.,
security,
overhead
paging)

Conduit
Risers

Future
Equipment
Rack

Voice and Data Network

Racks

Wall Mounted
Systems (e.g.,
nurse call,
security,
overhead paging)

Specialty
Systems
(e.g.,
biomedical,
patient
monitoring)

Wireless
Systems
Devices
Electrical Power Panel

Commercial
Building TR

Conduit
Risers

Future Racks
and Systems
Wireless Systems
Devices
Electrical Power Panel

Healthcare TR

Split Telecom Rooms

Rack Mounted
Specialty Systems
(e.g., biomedical,
patient monitoring)
Electrical Power
Panel
Medical Equipment TR

Conduit Risers
Wall Mounted
Systems (e.g.,
nurse call, security,
overhead paging,
etc.)

Conduit Risers
Future Racks
and Systems

Electrical Power
Panel

Voice and Data

Network Racks
Cable Slack
Storage

Voice/Data TR
Wireless Systems
Devices

Telecom Pathways & Spaces

Unique factors to include:
Network Security
Redundancy
ITS shared pathways with MEP,
pneumatic tub systems and other
building systems

References ISO/IEC 14763-2,

TIA-1179, ANSI/TIA-569C,

Network Bandwidth Requirements

Provides examples of transmission times per system
(i.e. 10BaseT, 100BaseT, 1000BaseT, 10GBaseT, DSL,
T3, etc.)
Provides example of file size and example annual
load
Digital mammography 46MB/image, 4 images per exam;
30,000 patient exams/yr =

5,528,617 MB/year

Hospital Data Center?

Healthcares data center should be developed
as a data center
Integrate specific healthcare and security
requirements into the design
Additional datacenter guidance
located in ANSI/BICSI 002

Security and Safety Systems

ANSI/BICSI 005
Electronic Safety and
Security (ESS) System
Design and
Implementation Best
Practices
Published: May 2013

Purpose of the BICSI 005 ESS

Design and implementation of structured
cabling systems used within:
Safety Systems
Physical access control
Video surveillance
Intrusion detection
Fire Detection and Alarm
Integrated systems

Unique Infrastructure Differences

Non-traditional
Alternative Topologies
Direct Attach
Extending PoE

New Connectivity Option:

Direct Attach
Horizontal Connection
Point (HCP)
Coverage
Horizontal Cable
Area Cable

Coverage Area
ESS Device

Maximum 90 m (295 ft)

Horizontal Cross
Connect (HC)

Termination on Device
Equipment Cord Not
Necessary
Coverage Area

Horizontal Cable
ESS Device

Maximum 90 m (295 ft)

Summary: Challenges & Solutions

Broader scope of applications
Diverse systems (not all IP yet)
Unique installation environment
High density cables & WAOs
High bandwidth requirements
Color coding and cabling
separation
Standards help planning
Install the cabling system for the
longest possible useful life and
support for demanding mission
critical applications

Thank You!
Paul Weintraub, RCDD, RTPM, ESS, ITS Tech
BICSI Director of Global Development & Support

pweintraub@bicsi.org