Patton-Fuller Community Hospital CMGT/554 IT Infrastructure July 12, 2010 Patton-Fuller Community hospital is a non-for-profit health care organization that provides specialized services such as emergency medical care, surgery, labor and delivery, physical therapy, and radiology for adults and children. As one of the first hospitals in Kelsey, they are also committed to providing a variety of programs that will support the health and welfare of their local community populations (Apollo Group, 2006).
Patton-Fuller Community Hospital uses a variety of different network systems. However, there are several systems that are often missed within their current network architecture. Patton-Fuller also has wireless technology currently in use. Let us explore the current systems in use, what they may be missing from the current network architecture and how wireless technology enhances the hospital network.
Patton-Fuller Community hospital structure from an IT network perspective includes logical network, administration network details, radiology, RIS data center, OR/ICU/Ward floor systems, and IT data center. The logical network interconnections consist of the following administrative departments using a 1000 BaseT using CAT 6 cable; Hospital Executive Management, Human Resources, Operations, Facilities, Finance, and IT Data Center. These departments use the same Ethernet and are routed to a network bridge.Order now
The logical network interconnections also consist of the following clinical departments using a 1000 BaseF using single mode fiber; Radiology, Operating Rooms, Wards, ICU’s, Emergency Room, Labs, and Pharmacy. These departments use the same Ethernet and are routed to the same network bridge as the administration departments (Apollo Group, 2008). The following is a breakdown of the administrative network details: * All Executive Management workstations are equipped with Apple iMACS 24” 2. GHzGB RAM500 MB HD, Wireless 10/100/1000 base TOS Virtualization with MAC OS X Leopard and Windows XP. * HR, OPNS, and Finance Senior Manager workstations are Apple iMAC 20″ 2 GHz 350 MB HD, Wireless 10/100/1000 Base TOS Virtualization with MAC OS X Leopard &Windows XP * All personnel involved in data entry in HR, OPNS, & Finance. Thin Client computers HPmodelL1706 * Each major department has two B&W laser printers and one Color laser printer * B&W Networked Laser Printer HP 4350 Color Networked Laser Printer HP 4200ph (Apollo Group, 2008) The Radiology department uses a 1000 BaseF using single mode fiber, as mentioned above. Modality Viewing Stations include MRI, CT, X Ray, Mammograms, PET and Nuclear Medicine and Sonography. Each modality has its own viewing station: Apple Mac Pro, 2 -3 GHz quad processors, 16 GB RAM, 4-750 MB HD in RAID, Nvidia FX 4500 image card, FO Network card, 2 Apple 30″ “Cinema” flat panel displays, OsiriX imaging SW, OS Virtualization with MAC OS X Leopard and Windows XP Pro, and APC 2 KVA UPS.
DICOM uses a Digital to Film Printer, one per modality viewing station and one in the ER, which is a KODAK 6800 Dry Laser Printer. DICOM to Film. The Emergency Room per bay has one workstation for use with the portable X-Ray machine: MAC PRO with 2 Dual 3 GHz Processors, 8 GB RAM, 2 750 GB HD RAID, Fiber card, Super drive, OS Virtualization with MAC OS X, Leopard and Windows XP Pro, Osarix imaging SW, and 30 “ Display. Regular workstations per ER bay have an iMAC consisting of 20 inch display, 2. GHz, 2GB RAM, 350 GB HD, Superdrive, Fiber card, OS virtualization with MAC OS X and Windows XP Pro. In their laboratories, all workstations have Apple iMAC which comes with a 20″ Display, 2. 4 GHz, 2GB RAM, 500 MB HD, Fiber Card, Super Drive, OS Virtualization with MAC OS X Leopard and Windows XP Pro, and one HP 4700pht color laser printer/lab. Last, in the Pharmacy, all workstations include Apple iMAC that comes with a 20″ display, 2. 4 GHz, 2GB RAM, 500 MB HD, Fiber card, Super drive, OS virtualization with MAC OS X and Windows XP Pro and two HP B&W 4350 Laser Printers (Apollo Group, 2008).
Patton – Fuller’s RIS data center consistently uses the 1000 BaseF using single mode fiber. Their Data Center workstations run to the same Ethernet and consist of the following: * Apple Cluster Servers, running MAC OS Leopard Xserver with Remote Desktop and running PACS. * 10 Terabyte Disk Storage * 4 Gb Fiber Link * APC UPS IDXT280HD8R * Apple iMAC that comes with a 20″ display, 2. 4 GHz, 2GB RAM, 350 MB HD, Super drive, Fiber card, wireless, OS virtualization with MAC OS X and Windows XP Pro * One HP B&W 4350 Laser Printer One Kodak 6800 Dry Laser DICOM to Film Printer (Apollo Group, 2008) The OR, ICU and Ward Floor Systems use 100 BaseF with single mode fiber consist of the following with runs to the same Ethernet: * OR Systems * RIS Imaging – Use an Apple MAC PRO that includes 2 -3 GHz dual processors, 4 GB RAM, 750 MB HD, Nvidia 4600 Video Card, Fiber Card, OS Virtualization SW with MAC OS X Leopard and Windows VP Pro, Osirix Imaging Software, and a 30″ flat panel display which is mounted to the wall. * OR Workstations – Use an Apple iMAC with a 20” display, 2. GHz, 2 GB RAM, 350 MB HD, Fiber card, Superdrive, Wireless, OS virtualization SW with MAC OS X Leopard & Windows XP Pro * ICU – Ward Rooms/Bed locations * Wireless Access Point – at least one per ward and one per ICU area that uses Cisco 1250 series and 5 GHz * Each room has one network connection per bed that uses 24 port FO Hub per ward of ICU * Nurses Stations * All nurses workstation computers are Apple IMAC with a 20” display, 2. 0 GHz processor, 2 GB RAM, 350 MB HD, Fiber Card, Super Drive, OS Virtualization with MAC OS X Leopard and Windows XP Pro * One HP 4350 printer per nurses station
Patton Fuller’s IT data center uses a 1000 BaseT with CAT 6 cable and all run on the same Ethernet that includes: * Hospital HIS System Computer – IBM Series Z9EC Mainframe, OS = Linux, DB = DB218 Processors, 32 GB RAM, and AES Security * 10 Tera Byte NAS * 4 Gb UPS ISXT280HD8R * Windows Exchange Server – IBM System, x3250XEON Dual Core, 2. 6 GHZ, 2 GB RAM, Raid 1, MS Windows Server, and 2003 Enterprise * Internet Server – IBM System, x3250, XEON Dual Core, 2. 6 GHz, 2 GB RAM, RAID 1, and Linux Apache * Cisco Router model 7609 @ OC 1 RAS Server – IBM System, X3250 Linux * Cisco ASA 5510 VPN Router * Network Gateway * 1000 BaseF Fiber Network from Clinical Network * Data Center Workstations consist of Apple IMAC with a 20” display, 2. 0 GHz, 2 GB RAM, 350 MB HD, 1000 BasesT LAN, Superdrive, OS virtualization – MAC OS X Leopard and Windows XP Pro Based on the readings from Chapter 7 Wireless Local Area Network, Bluetooth appears to be missing from Patton-Fuller’s current network architecture. Bluetooth is the commercial name for the IEEE 802. 15 standards, which calls it a Wireless Personal Area Network (WPAN).
Bluetooth’s Scandinavian inventor decided to name it after Danish King Harold Bluetooth (Fitzgerald & Dennis, 2009). Bluetooth is a strikingly different type of wireless LAN from the others. It is not intended as a general-purpose network in competition with 802. 11 or 802. 16 wireless LANs or 802. 3 wired LANs. Its goal is to provide seamless networking of data and/or voice devices in a very small area (up to 10 meters or 30 feet, possibly to increase to about 100 meters or 300 feet with the next generation of technology).
Bluetooth can be used to connect many types of devices, such as keyboards to computers and headsets to mobile phones (Fitzgerald & Dennis, 2009). Bluetooth devices are small (about one-third of an inch square) and inexpensive. They are designed to replace short-distance cabling between devices such as keyboards, mice, and a telephone handset and base or to link a PDA to a car so that the door can unlock and automatically open as the owner approach.
Bluetooth provides a basic data rate of 1 Mbps that can be divided into several separate voice and data channels (Fitzgerald & Dennis, 2009). A Bluetooth network is called a piconet and consists of no more than eight devices, but can be linked to other piconets to form a larger network. One device is considered the piconet master, and all other devices are slaves. The master controls the piconet, selecting frequencies and access control used by the master and the slaves. All messages are sent from a slave to the master and from the master to a slave.
The slaves do not communicate directly. All devices share the same frequency ranges so the network behaves in the same manner as a shared bus topology. Currently the following areas within Patton-Fuller Community Hospital use wireless technology: * All Executive Management workstations are equipped Wireless * HR, OPNS, and Finance Senior Manager workstations have wireless at their Apple iMAC workstation * The Data Center workstations use wireless Cisco Router model 7609 * OR workstations use wireless ICU – Ward Rooms/Bed locations have a Wireless Access Point Cisco 1250 Series 5 GHz (Apollo Group, 2008) As an added benefit, these wireless technologies currently enhance the hospital network to provide wireless data access. In conclusion, after analyzing Patton-Fuller’s network system in use and identifying that Bluetooth technology is missing from their current network architecture. Patients, visitors and employees can access the Internet using any standard laptop or PDA from any location within the hospital; this will further enhance the hospital network of wireless technology.
References Apollo Group, Inc. (2008). Patton-Fuller Community Hospital. Network Diagrams. Retrieved July 8, 2010 from: Patton-Fuller Community Hospital Apollo Group, Inc. (2008). Patton-Fuller Community Hospital. Admin Network Diagrams. Retrieved July 8, 2010 from: Patton-Fuller Administrator network Fitzgerald & Dennis (2009). Business Data Communications and Networking, Tenth Edition Chapter 7. Wireless Local Area Networks. Retrieved July 9, 2010 from: Chapter 7: Wireless Local Area Networks