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BICSI 004 2018

BICSI 004 2018

$51.46

ANSI/BICSI 004-2018, Information Communication Technology Systems Design and Implementation Best Practices for Healthcare Institutions and Facilities

Published By Publication Date Number of Pages
BICSI 2018 109
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While smart hospitals, the fusion intelligent building, IoT, and big data are still few and far between, today’s health care facility is increasingly digitized, from health records, diagnostic and monitoring equipment, environmental controls far beyond the thermostat – even the routing office visit may be a remote interaction spanning thousands of miles. While the mission within health care remains the same, about the only constant in today’s systems is the pace of technological advancement. As more systems connect to the network, ICT infrastructure is required to meet both today’s needs and those of tomorrow with minimal to no effect on the overall health care mission To address this need, ANSI/BICSI 004-2018 has been revised and expanded for: Communication, ICT and wireless infrastructure Architectural aspects of health care facilities, including telemedicine and communication suites Emergency medical services radio, sound and acoustical systems, sound masking, and digital signage and wayfinding Network design and security Other facets of smaller systems and spaces And as healthcare has grown as a global concern, BICSI 004 was revised with the same global focus, incorporating technological standards and known operational differences where applicable, allowing for use in any locale.

PDF Catalog

PDF Pages PDF Title
4 BICSI International Standards
6 TABLE OF CONTENTS
12 INDEX OF FIGURES
INDEX OF TABLES
14 PREFACE
16 1 Introduction
1.1 General
1.2 Purpose
1.3 Categories of Criteria
2 Scope
18 3 Required Standards and Documents
20 4 Definitions, Acronyms, Abbreviations, and Units of Measurement
4.1 Definitions
21 4.2 Acronyms and Abbreviations
22 4.3 Units of Measurement
24 5 Regulatory Bodies and Regulations
5.1 Authorities Having Jurisdiction (AHJ’s)
5.1.1 Centers for Medicare & Medicaid Services (CMS)
5.1.2 Department Of Health, Ministry Of Health
5.1.3 Accrediting Organizations
25 5.2 Patient Information Privacy
5.2.1 Health Insurance Portability and Accountability Act (HIPAA)
5.3 Disability Access
5.3.1 Americans with Disabilities Act (ADA)
5.3.2 Disability Discrimination Act [Australia]
26 5.4 Other Organizations
28 6 Communications Infrastructure
6.1 Overview
6.2 OSP Pathways and Spaces
6.2.1 Requirements
6.2.2 Recommendations
6.3 Entrance Facilities
6.3.1 Location
29 6.3.2 Cabling Entrance
6.3.3 Design Requirements
6.4 Equipment Rooms
6.4.1 Requirements
6.4.2 Recommendations
30 6.4.3 Additional Information
6.5 Telecommunications Rooms
6.5.1 Requirements
6.5.2 Recommendations
31 6.5.3 Additional Information
32 Figure 6-1 Typical TR Layout
Figure 6-2 Typical Healthcare TR
33 Figure 6-3 Typical Healthcare TR (Split Rooms)
6.6 Cabling Pathways
6.6.1 Requirements
6.6.2 Recommendations
34 6.7 Work Areas
6.7.1 Telecommunication Outlets
6.7.2 Patient Care Areas
6.7.3 Water and Wet Areas
6.8 Cabling
6.8.1 Requirements
6.8.2 Recommendations
6.9 Transmission Performance Field Testing
6.9.1 Introduction
6.9.2 Requirements
6.9.3 Recommendations
35 6.10 Wireless Networks
6.10.1 Overview
6.10.2 General Design Considerations
36 6.10.3 Distributed Antenna Systems
37 6.10.4 Discrete Antenna Systems
38 6.10.5 Wireless System Grades of Service
Table 6-1 Example of Applied Service Grades
39 Table 6-2 Service Assurance Requirements
6.11 Passive Optical Networks
40 7 General Design Considerations
7.1 Architectural
7.1.1 Overview
7.1.2 NFPA 99, Healthcare Facilities Code
7.1.3 FGI Guidelines
7.1.4 Ceilings
7.1.5 Patient Rooms
41 7.1.6 Controlled and Sterile Environments
42 7.2 Redundancy
7.2.1 Space Redundancy
43 Figure 7-1 Redundancy Examples for ICT Spaces and Cabling Backbone
44 7.2.2 Network and System Redundancy
7.3 Electrical Power
7.3.1 Overview
7.3.2 Power Supply Units
7.3.3 Uninterruptible Power Supplies
45 7.4 Security Control Frameworks
7.4.1 Introduction
7.4.2 HIPAA Security Rule
46 7.4.3 National Institute of Standards and Technology (NIST) Cybersecurity Framework
7.4.4 NIST Special Publication (SP) 800-53
47 7.4.5 ISO/IEC 27001:2013 and 27002:2015
7.4.6 Center for Internet Security (CIS) Critical Security Controls (aka “Top Twenty”)
48 8 Healthcare Systems
8.1 Nurse and Code Call Systems
8.1.1 Overview
8.1.2 System Architecture
49 8.1.3 Devices
51 8.1.4 Communications Interface
8.1.5 Wireless Nurse Call Systems
8.1.6 Code Call Systems
52 8.2 Connected Medical Imaging
8.2.1 Overview
8.2.2 Imaging Modalities
8.2.3 Imaging Infrastructure and Communication Systems
53 Figure 8-1 Main PACS Functions
54 8.2.4 Network Bandwidth and Service Level Agreement Considerations
55 Table 8-1 Typical Study Size for Differing Image Modalities
Table 8-2 Example Transmission Times of Image Modalities for Differing Transmission Technologies
56 Table 8-3 Example of Study Size and Expected Annual Load
8.3 Patient Monitoring (Telemetry)
8.3.1 Overview
8.3.2 System Connections
57 Figure 8-2 Example of a Stand-Alone Patient Monitoring Station
8.3.3 Cabling
58 8.3.4 Power Recommendations
8.3.5 Monitors
8.3.6 Additional Information
59 8.3.7 Wireless Medical Telemetry System (WMTS)
8.4 Physician Dictation
8.4.1 Overview
8.5 At-Risk Human Perimeter Systems
8.5.1 Overview
8.5.2 Infant Abduction Prevention
60 8.5.3 Supervised Care Elopement Prevention
61 8.6 Interactive Patient Television System
8.6.1 Overview
8.6.2 System Description
62 8.6.3 Design with Coaxial Cabling Systems
Figure 8-3 Example Interactive Patient Television System Infrastructure
63 8.6.4 Design with Balanced Twisted-Pair Cabling Systems
Figure 8-4 Broadband Video Distribution Over Balanced Twisted-Pair Cabling
64 8.7 Alarm Management
8.7.1 Overview
8.7.2 Devices
8.7.3 Design Overview
65 8.7.4 Building Automation and Management Systems
8.7.5 Medical Systems
8.7.6 Electronic Safety and Security (ESS) Systems
8.8 Emergency Medical Services Radio
8.8.1 Overview
8.8.2 Requirements
8.8.3 Recommendations
66 8.9 Telemedicine, Communication and Notification Suites
8.9.1 Telemedicine
8.9.2 Communication and Notification Suites
67 9 Other Information Communication Technology Systems
9.1 Notification Systems
9.1.1 Overview
9.1.2 System Types
68 9.1.3 Notification System Inputs
9.1.4 Connectivity Arrangements
9.1.5 Design Considerations
69 9.1.6 Integration
9.2 Intercom Systems
9.2.1 Overview
9.2.2 Components
70 9.2.3 System Types
71 9.2.4 Healthcare Applications
9.2.5 Operation
72 9.2.6 Integration
9.2.7 Wireless Intercoms
9.3 Sound and Acoustical Systems
9.3.1 Purposes of Sound Systems:
9.3.2 Sound Systems
73 9.3.3 Sound System Design Conditions:
9.3.4 Integration
9.3.5 Code and AHJ Requirements
9.4 Sound Masking/Privacy Systems
9.4.1 Overview
74 9.4.2 Requirements
9.4.3 Recommendations
9.5 Emergency Communication Telephone
9.5.1 Overview
9.5.2 Components
9.5.3 Location
9.6 Digital Signage and Wayfinding
9.6.1 Overview
75 9.6.2 Digital Displays
9.6.3 Usage Conditions
76 9.6.4 Design Considerations
9.6.5 Wayfinding Recommendations
9.7 Clock and Time Systems
9.7.1 Master Clock System
77 9.7.2 Elapsed Time Clock
9.7.3 Time and Attendance System
78 9.8 Electronic Safety and Security Systems
9.8.1 Overview
9.8.2 Requirements
9.9 Radio Frequency Identification (RFID)-Based Systems
9.9.1 Overview
9.9.2 Retail/Asset Management
9.10 Real Time Locations System (RTLS)
9.10.1 Overview
9.10.2 Active vs Passive Systems
79 9.10.3 Common Methods of Transmission
80 10 Integration of Systems
10.1 Overview
10.2 Integrated Operating Rooms
10.2.1 Overview
10.2.2 Devices
81 10.2.3 Design Considerations
83 10.3 Procedure Rooms
10.3.1 Overview
10.3.2 Operational Requirements
84 10.3.3 Devices
85 10.3.4 Coordination
10.3.5 Procedure Room Integration
10.3.6 Procedure Room Pathways
86 10.3.7 Grounding
10.3.8 Commissioning
10.3.9 System Training
88 Appendix A Infectious Control Risk Assessment (ICRA) (Informative)
A.1 Overview
A.2 Background
A.3 Policy
89 A.4 Products
A.5 Infection Control Training
A.6 Contractor Work Schedule
90 A.7 Storage of Building Materials
A.8 Protective Clothing for Contractors
A.9 Contractor’s Access to Occupied Areas
A.10 Construction of Short Duration Barriers
A.11 Construction of Long Duration Barriers
A.12 Negative Pressurization of Work Zone
91 A.13 HEPA-Filtered Fan Units and HEPA-Filtered Vacuums
A.14 Construction in Occupied Areas
A.15 Enforcement
92 Appendix B Network Security (Informative)
B.1 Overview
93 B.2 Risks
94 B.3 Control Measures
95 Figure B-1 Stand-Alone Network
96 Figure B-2 Enterprise Network
97 Figure B-3 Example of Security Zones
100 B.4 General Security Recommendations
102 B.5 Trends
B.6 Network Security for Facility and IT Networks
103 Figure B-4 Example of Facility & IT Network Topology
104 Appendix C Network Design Principles (Informative)
C.1 Overview
C.2 Systems Integration and Interfacing
C.3 Scalability
C.4 Resource Sharing
105 C.5 Reliability
C.6 Resiliency
106 C.7 Standardization
C.8 Network Management and Administration
C.9 Bandwidth and Quality of Service (QoS)
107 C.10 Intelligence to the Edge Devices
108 Appendix D Related Documents (Informative)

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BICSI 004 2018
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