Structured Cabling in Healthcare Facilities and TR-42.1

Independent research had shown that as much asThe cabling infrastructure is critical in designing
half of network problems in the healthcarenetworks that are flexible, fully integrated and
industry are due to an inadequate or substandardaccessible. In today's healthcare environment
cabling infrastructure.Ethernet networks that are IP-based are most
The network infrastructure represents thesuitable to provide the transmission of the large
backbone supporting most IT functions. Today'squantities of healthcare related data in a rapid and
healthcare centers' networks need toaccurate manner. They support the many
accommodate not only an enormous volume ofapplications such as voice, data, video, monitoring
data generated by the modernizations thatand control.
technology brought to medicine but also need toTransmission speed and bandwidth are important
comply with regulatory standards.factors that determine a "high performing"
Telecommunications Industry Association's (TIA's),network. Having a robust network infrastructure
TR-42.1 Engineering Subcommittee formed inis more than a mere necessity. In healthcare
2004 a task force group with the mission offacilities a network that fails can lead to far bigger
bringing awareness within the healthcare industryproblems than poor network performance, it can
of the benefits of having a comprehensivebe life threatening. Considering that hospitals are
strategy for structured cabling design andbuilt to last for more than 50 years the cable
installation that is unique to this industry. Mostplant needs to be built to be future proof.
seasoned structured cabling contractors arePast research has shown that cabling
aware that TR-42.1's developing guidelines. Theseinfrastructure represents a very small percent of
guidelines are meant to assure thatthe IT designated resources (around 2%-5%) yet
telecommunications infrastructures for theit can account for up to fifty percent of the
health-care industry are adequate and universal.problems. This shows that an incremental increase
Some of the areas covered in the guidelinesin cabling investment can lead to an exponential
TR-42.1 are listed below:o Voice, data, videoincrease in network performance, robustness
network infrastructure cabling, (i.e. security alertsreliability as well as productivity and patient safety,
and surveillance, CCTV, and CATV);o Professional,patient safety being a major driver of the
patient and asset information systems andnetwork design.
tracking;o Remote consultation/telemedicine,Given these statistics hospitals in North America
diagnostic imaging, digital transfer of X-rays,should project and plan for the total cost of
pharma applicationso Mobile applications includingownership of the network infrastructure over a
nurse call and patient monitoring;o Bio-analyticalminimum of a 10-year span, rather than initial
systems, clinical equipment monitoring, lightinginstallation costs as well as consider hiring
control;o Fire and life safety systems, (i.e. alarms,contractors that comply or exceed the TIA's
sprinkler systems, Master clock);o Public network;TR-42.1 guidelines.
and others.