1. © Daconi Ltd 2005 Deploying wireless and Wi-Fi tracking in a hospital environment Keith Jones, CEO, FIEE keith@daconi.co.uk

2. © Daconi Ltd 2005 Contents  Daconi Summary  Hospital Requirements  Location Technologies  Deploying wireless  Tracking in Context  Heartlands Pilot

3. © Daconi Ltd 2005 Daconi background  Daconi Wireless founded January 2002  Turnkey wireless networking solutions for public hotspots, businesses, schools, hospitals  Leased line replacement, Community broadband  UK focus  Daconi Healthcare (Ireland) founded 2004 to address Healthcare sector  Based on standard WiFi technology  Vision:  To leverage WiFi and location tracking technology to produce innovative products for the healthcare sector, improving hospital efficiency and productivity of clinical professionals whilst enhancing patient safety

4. © Daconi Ltd 2005 Typical NHS Hospital Trust Facts  4,800 babies born every year  153,000 people attend A&E  60,000 inpatients,  22,000 day case patients  450,000 outpatients  £270 million budget  7,500 people work for a Trust

5. © Daconi Ltd 2005 Wireless in Healthcare  Hospital clinical staff are mobile workers  Fixed IT infrastructure does not go all the way to the bedside  Time wasted in trips to fixed PCs  Patient records are updated on paper at the bedside  Delay in updating database  Possibility to introduce error  WiFi can save time and reduce error  Most Hospitals already have some WiFi coverage  Leverage installed base

6. © Daconi Ltd 2005 Typical Hospital Constraints  Theatre’s and X-ray areas lead lined  Work in a Theatre can cost €10,000 per theatre:  Loss of Theatre during work  Cost of sterilisation  Large number of stakeholders so product champion is key  High staff numbers due to shifts  Easy of use, minimal training, critical

7. © Daconi Ltd 2005 Location technologies GPS  Accuracy within 2-20m  Does not work well indoors and in the urban canyons of large cities RFID  Needs special readers, tags  Can be used to locate object passing close to RF reader Cell Phone Tracking EOTD, TDOA, CELL-ID  At best 100m accuracy  Not adequate accuracy for indoor tracking WLAN  Cell-ID: Poor accuracy, Cannot differentiate one floor from the other  WLAN proprietary “location” access points: Needs special infrastructure and Costly, difficult to deploy  Software only solutions like Ekahau Illustration by John MacNeill Source: Ekahau

8. © Daconi Ltd 2005 Location Technologies INDOORURBANRURAL Required Accuracy 1-15m15-150m50-500m Solutions for Standard Infrastructure ?? EOTD-M CELL-ID Solutions for Proprietary Infrastructure RFID Infrared A-GPS (when line-of-sight) A-GPS EOTD EKAHAU POSITIONING ENGINE WLAN: 1-10m accuracy GSM: 10-20m accuracy DECT: under testing EKAHAU POSITIONING ENGINE WLAN: 1-10m accuracy GSM: 10-20m accuracy DECT: under testing EKAHAU POSITIONING ENGINE WLAN: 5-15m accuracy GSM: 10-50m accuracy EKAHAU POSITIONING ENGINE WLAN: 5-15m accuracy GSM: 10-50m accuracy Source: Ekahau

9. © Daconi Ltd 2005 Steps for wireless deployment  Survey existing WiFi installation  Using Ekahau Site Survey  Survey the 2.4GHz band using spectrum analyser  e.g. Yellow jacket  Plan additional points based on required location accuracy  WiFi tag needs to see 3 active AP’s for 1 to 10m accuracy  Install AP’s  Check with Ekahau Site Survey  Program Ekahau Positioning Engine database

10. © Daconi Ltd 2005 Survey Results - Interfering PIR

11. © Daconi Ltd 2005 Survey Results

12. © Daconi Ltd 2005 Choosing the right access point  High performance enterprise features  802.11bg and 802.11a where appropriate  Proactive security  Rogue AP detection  Wi-Fi Protected Access, AES and 802.11i  Simple to deploy and manage  Secure management  WDS repeating and mesh capability  Automatic channel selection and cell sizing power control make deployment easier and optimizes coverage to match survey plan  Daconi have been using Orinoco since they were Lucent...  Good management, reliable, feature rich  Reasonably future proof  Track & influence standards

13. © Daconi Ltd 2005 Tracking in Context - Pull or Push? When you know the context Push delivery is better Web browsing Email Media streaming Location based services (x, y, floor) Pus h

14. © Daconi Ltd 2005 Location, location, location The crux is knowing where a client device is We know: who is using the device what their role is what their permissions are We can: work out what information they need deliver pertinent information to the user

15. © Daconi Ltd 2005 DATA VOICE/VIDEO The Missing Piece! WIRELESS LAN Adding location to the standard Wi-Fi wireless LAN network without any proprietary hardware is the goal. LOCATION Source: Ekahau

16. © Daconi Ltd 2005 Retail Healthcare H-nav TM application Warehouses Manufacturing Corporate Location-Based Applications and Services H-nav TM secure architecture Location in the WiFi Value Chain Ekahau Positioning Engine (X, Y, Floor, Area) Input from Ekahau Wireless LAN 802.11 H-nav is a trade mark of Daconi Ltd.

17. © Daconi Ltd 2005 Motion-enabled patient tag  Small, self-contained and inexpensive  Monitors assets and people within existing WLAN infrastructure  Can announce to a server on the LAN  “I am moving”  Can be continuously tracked and monitored  Time, date, ID, starting location  “Help me, I have an emergency”  Motion-activated  manage by exception  to manage power use  Rechargeable

18. © Daconi Ltd 2005 H-nav TM Hospital Navigation Application System User Requirements  Patient Safety  Right site, right side surgery  Replace paper process  Nurse, Anaesthetist and Surgeon checkpoints  Changes available in real time  Reduce errors  Audit trail  updates/changes  time stamp events  Simple to use  Menu driven, 2 clicks

19. © Daconi Ltd 2005 BBC video

20. © Daconi Ltd 2005 H-nav TM Benefits  Improve hospital efficiency and save money  Patient tracked through process  Logs of decisions and timing available to management  Operating schedule updated in real time  Changes made by Nurse, Anaesthetist or Surgeon available instantly to all  Patient safety improved  Right: patient, site, side and operation

21. © Daconi Ltd 2005 Partners Ekahau Oy Positioning Engine and Site Survey Tools www.ekahau.com Heartlands Hospital facilitator of the pilot Mr David Morgan, FRCS application consultancy pilot champion Proxim Inc www.proxim.com Department of Trade and Industry www.dti.gov.uk SMART feasibility award

22. © Daconi Ltd 2005 Any Questions? Keith Jones, CEO, FIEE keith@daconi.co.uk