Matthew Odell - Johns Hopkins - Bicsi

Planning a Healthcare
Infrastructure:
Th The NEW Johns J h
Hopkins Hospital
Matthew Odell, RCDD
NNetwork t kP Project j t Manager, M
Johns Hopkins Hospital

History
• 1889 Johns Hopkins Hospital opens
• U.S. News & World Report 19 years at the
top
• Over 40,000 employees
• 32 buildings on East Baltimore 22-acre
campus and growing!
• ~1960 Nelson/Carnegie Buildings open

Dr Dr. George Dover
Chairman, Dept. of Pediatrics
Director of Hopkins Children’s
CCenter t
“This small corner at Wolfe f
St. and Orleans could
become the most important
corner in the world for
pediatric medicine”
Hospital Campus

New Hospital Design Scope
• 1.6 million sq. ft.
• 2 towers, 12 stories each
• The Charlotte R. Bloomberg Children’s Ctr.
• The Sheikh Zayed Critical Care &
Cardiovascular Tower
• 560 Private patient rooms
• 33 State of the art operating rooms
• Pediatric trauma & burn services
• Modernized diagnostic imaging and radiology facilities
• Indoor play area’s, auditorium, food services

A few “small” construction details
What does it take to build a 1.6 million
square foot medical facility?
• Up to 1,500 on-site construction workers
• 12 12,500 500 ttons of fstructural t t l steel t l
• 44,500 cubic yards of concrete
• 322 miles of conduit
• Over 4,000 plumbing fixtures
• 3.5 million pounds of sheet metal ductwork for HVAC
• 244,000 sq. ft. of glass windows
• Powered by (2) JHH owned on-site power plants
• And about $1.3 billion.

Planning for low voltage systems
Systems to consider for Healthcare environments
• Telephone systems
• Data network
• Wireless network
• Nurse call system
• Building automation system
• HVAC, Med Gas Alarm
• Clinical engineering network
• Security ysystem y
• Television
• GPS clocks
• Distributed antenna system
• Telemetry
• Real time location service (RTLS)
• Pediatric gaming

EIDF/IDF Room Designs
• External Intermediate Distribution
Frame (EIDF) includes:
• CES network
• Security & camera system
• DAS & Telemetry systems
• RTLS & Nurse call systems y
• TV services
• All other vendor supported systems
• Intermediate Distribution Frame (IDF)
includes:
• JHH enterprise network
• Telephone cross-connects
• MDF, IDF and EIDF systems all share
power provided from (2) large
redundant UPS.

Fiber Infrastructure
There’s about 1500 strands of fiber
within the building building, not including OSP
• Outside Plant Single Mode Fiber
192 strands each to redundant core locations
• Riser Fiber
24-strands 24 strands 50um MM & 24-strands 24 strands SM to each IDF IDF’s s
24-strands 62.5um MM to each EIDF (CES)
We doubled the fiber counts on all the OR floors
• Horizontal Fiber
Horizontal Fiber
Each OR has 12-strands of 50um MM to redundant IDF’s
EMU and Auditorium have 12-strands 50um to local IDF

Copper connections
• 29,000 Cat 6 data drops
– Each OR has 42 drops
– Patient rooms have 8 drops p
– Every TV, Phys. Mon. have drops
• 6,000 Cat 5e telephone drops
• 3500 Cat 5e RTLS sensor drops
• 705 WAP Cat 6 locations
– 4 drops to every WAP

• Data Cat 6 - Blue
Color Coordinated
Cables and Jacks are colored according to system
• Telephone Cat 5e - White
• Physiological Monitoring Cat 6 - Yellow
• Real time Location System Cat 5e – Orange
• Nurse Call System – Lime Green
• Tl Television ii – DDark kG Green
• BAS – Brown
• Medical Gas Alarm - Grey
• Fire Alarm – Red
• DAS & Telemetry Coax - White

• EMU - EEpilepsy il
Monitoring Unit (copper
mesh lined)
• Magnetic Resonance
Imaging (MRI OR’s)
• Lead lined X-Ray X Ray rooms
• Auditorium, War room
areas
• Media filming areas
• Pediatric patient room
gaming
Special cabling areas
Specific JHH healthcare cabling situations
Copper lined MRI OR Suite

Pathway considerations
Some of the stuff that goes above the ceiling:
• HVAC DDucts, t VAV bboxes
• Plumbing for cold water, steam system, sprinklers,
& waste
• Pneumatic Tube System
• Electrical conduit for house elect, emergency elect.
& dedicated circuits
• MI Cabling
• Lighting
• Security conduit
• Fire alarm cables
• Medical Gases
• Cable tray

Systems Commissioning
Low voltage cable inspections check list:
Are BICSI best practices and recommendations
used during installation?
Certified RCDD’s on the inspection team.
Do oyou you know o the emanufacture a uacue recommendations?
Are pathway’s clear and large enough? 40/60
rule.
Should we use J-Hooks? Caddies? Snake tray?
What is MI (mineral Insulated) cable anyway?
Are the racks put together correctly?
Cables punched down correctly?
Complete cable test results
JHH Cabling Standards Document

Connecting the network!
• 40Gb redundant links from dual routers
to JHH core network.
• 20 Gb connections to every closet
(redundant ( 10Gb) )
• Connectivity to (2) offsite data centers
• Medical records storage for 21 yrs.
• 1Gb Physiological unity network
• Fetal monitoring network
• Ability to connect high-bandwidth
high bandwidth
Radiology machines at 10Gb for image
uploads.

Some obstacles to overcome!
• Rollercoaster pathway’sleadto
pathway s lead to
longer than normal cable lengths
• OR ceiling g access for future
upgrades
• Cabling within a medical boom
• Choose the correct cabling to
support ever advancing network
gear gear, 5 years before go live.
live

Questions
Contact:
Matt Odell, RCDD
modell@jhmi.edu
d ll@jh i d
Special thanks to:
Carol Everett Oliver and Brian Ensign