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

Thank You!Thank You!

Questions?

greg.niemiera@mohawk-cable.com

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