Hamilton Health Sciences

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CONNECTING YOU TO THE POWER OF
INFORMATION IMMEDIACY™
Hamilton Health Sciences
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Family of 7 unique hospitals and a cancer center and an urgent care site
Over 145,000 emergency visits a year
Over 30,000 visits to our urgent care centre a year
Over 29,000 operating cases a year
Approximately 80% of all cardiac surgery for the central South Ontario
region performed here
- Serves a population of approximately 2.3 million people in Central south
and central west Ontario
- Hamilton’s largest employer with over 11,000 employees (Named 1 of
Canada’s Top 100 Employers in 2006, onward)
- More than 1,700 physicians working at HHS
The region we serve
MAJOR PROGRAMS AND SERVICES
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Cardiac and Vascular Program
Neurosciences & Trauma
Digestive Diseases
High-risk obstetrics and gynecology
Pediatrics
Acquired Brain Injury
Prosthetics and Orthotics
Children’s Exercise and Nutrition
Program
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Oncology (Cancer care)
Orthopedics
Rehabilitation
Palliative Care
Nuclear Medicine
Critical Care
Infectious Diseases
Emergency Medicine
General Surgery
Senior’s Services
Children’s Hospital
The Challenge
• Reduce Operating Budget
• Streamline processes
• Consolidation of Switchboard to one site for all
of HHS.
Life and Safety Challenges
Redirect all Code Reds & Blues and Gas alarms from
multiple sites to one single site.
Required installation of secondary panels in an area
manned 24 / 7 to meet code requirement
Provide full redundancy for
connected with Connexall.
our life systems
The How
Connexall was brought in by the fire panel support team to
develop the solution to push these codes and alarms across
the network to a single site
Connexall provided a full redundancy solution; High
Availability that provides automatic CNS failover and realtime database synchronization to reduce downtime caused
by hardware failure or server maintenance. As such, end
users of the system will experience minimal disruption to
their business processes.
Project Check List Step 1
Identify Internal Stakeholders
- Switchboard management
- Clinical – for code blue
- Facilities – fire alarm
- Bio Med - medical gas
- IT – data networks / data
drops / servers
- Coordinate the external
system supplies
Project Check List Step 2
Review and document other services provided by
Switchboard Staff.
- Stocking batteries
- Pager replacement service
- Keys to service closets
- Others…
Project Check List Step 3
Inventory the Systems, Makes Models and Locations
- Code blue / nursecall
- Fire alarm
- Medical gas
Important
Confirm with system suppliers the ability to configure output
data for integration to Connexall
Network Topology
SJHH
JCC
General
DARK FIBER
Juravinski
MUMC
Chedoke
St. Peter’s
Urgent
Care
McMaster University
WLMH
Network Diagram
Connexall
Notification Server
Network Diagram
with Rehab
Pre Consolidation
Switchboard Staffing
General
8.28 FTE’s
Henderson
7.53 FTE’s
Days
Evenings
Nights
Days
Evenings
Nights
3.8
2.33
1.4
TOTAL
28.18
3.8
2.33
2.15
MUMC
12.37 FTE”s
Days
6.25
Evenings 2.20
Nights
3.92
* 10 hour shifts @ MUMC
Post Consolidation
Switchboard Staffing
MUMC
16.6 FTE’s
Days
8.6
Evenings 5.2
Nights 2.8
Reduction
11.58
Post Consolidation Savings FTE’s
Site
Pre Consolidation
Post Consolidation
General
8.28
Henderson
7.53
MUMC
12.37
16.60
Total
28.18
16.60
Savings
-11.58
Tasks/Activities That Needed Other Homes
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Battery replacements
On-call room allocation
Key distribution
Pager distribution
Post Consolidation
Information Desk Additional Duties
- Pager Support and Repairs
- Backup of other site Information Desk when Staff on
breaks
Challenges
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Training
New Location
New Mixture of Staff
Cultural Changes
Process Changes
Policies & Procedures
Change Not Necessarily Embraced
Staff Need to Know All Sites
Testimonial
“Our centralized switchboard has allow us to
centralize services, redefine and improve processes,
provide consistent service across our entire
organization as well as reduce operating costs.”
…..Marg Johnson, Supervisor, Telecommunications, HHS
What have we done since
- redevelopment projects which required more
integration with newer nurse call systems for Code
Blue and additional Fire Panel Systems for Code Red
- Vocera project – push alarm alert from SpaceLabs to
Vocera badge in our PICU
- implemented a “ geographically redundant high
availability solution”
Network Diagram
High Availability
Connexall provided a full redundancy solution; High
Availability that provides automatic CNS failover and
real-time database synchronization to reduce
downtime caused by hardware failure or server
maintenance. As such, end users of the system will
experience minimal disruption to their business
processes.
High Availability
at HHS
Questions
Thank you
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