Implementation of Voice Over Internet Protocol

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Colorado Springs, CO

• Implementation of Voice Over Internet Protocol

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Southeast Colorado
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Colorado Springs
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Memorial Hospital

• City owned acute care facility in Colorado
  Springs
• No taxpayer support
• 467 licensed beds - 30,000 admissions
• Over 200,000 outpatient visits
• 3500 employees
• Centers of Excellence
• Emergency Trauma - 100,000 visits/year
• Neonatal Pediatrics - Level III intensive care
  nursery
• Rehabilitation
• Oncology
• Cardiology - 2003 Solucients Top 100
• 16 facilities located throughout Colorado Springs

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Information Services Department

• FTEs 63
• PCs supported 2000
• Win2K servers 100
• Unix Servers 35
• I.B.M. Tivoli Storage Manager
• 2 I.B.M. Shark units - SAN
• 2 I.B.M. L.T.O. units - Long term storage
• Ciscoworks, Cisco traffic analyzers and other
  tools
• Best of Breed application environment

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I.S. Environment

• McKesson
• Series H.I.S.(A.D.T.,O.E.,Results,Med Rec, Pt.
  Billing)
• Pathways Healthcare Scheduling, Decision Support,
  Contract Manager
• Cerner
• Lab, Pharmacy
• G.E.
• Labor Delivery
• A4 Emstat
• Emergency Department
• R.I.M.S.
• Claims processing
• I.B.M. Websphere
• Physician Web Portal

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I.S. Environment

• Current Installations
• Picis
• Surgery/Anesthesia
• Medcon
• Cardiovascular
• Document Imaging
• I.B.M. Content Manager
• Lawson
• AP/GL/MM/HR/Payroll

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I.S. Environment

• Siemens R.I.S./ P.A.C.S. - Brokerless environment
  - Three locations
• 180,000 exams/year - 2000
• Data Center off-site - 2000
• New Network - LAN, WAN
• Ceragon wireless - licensed band 310 megabit per
  sec
• Cisco 6509 - Gigabit Ethernet backbone

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Data Network
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Voice Network
Point-to-Point T1 Spans
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Why V.O.I.P.?

• Reduce capital cost for new construction projects
• Briargate facility
• Administrative Center
• Main Campus expansion
• Reduce overall costs of providing voice services
• Moves, Adds, Changes
• No T-1 costs for interoffice voice services
• Personnel costs
• Telecommuters / Transcriptionists - 2 phone lines
  to home reduced to one with DSL/Cable modem

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Why V.O.I.P.? (continued)

• Survivability - post 9/11
• Not dependant on Central Office
• Redundant Cisco Call Managers
• Replace proprietary SpectraLink phones
• possible interference with Biomedical equipment
• Maximize return on network investment
• Convergence
• One wire
• Video conferencing
• Security video cameras
• Bio-medical equipment
• Healthcare transactions

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Why V.O.I.P.? (continued)

• Support new voice technologies
• Meet Me Feature
• Impromptu meeting
• C.T.I. Applications
• on-line phone directory
• Patient billing
• Switchboard
• Medical Network
• Physician voice messaging

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Implementation Overview

• Partners
• N.E.C. / B.N.S - Call manager installation
• Anyware Networks - Wireless WAN
• Cisco - Equipment and additional resources
• 4 Cisco CallManagers - provides voice redundancy
• Softphones - reside on laptop provide mobile
  access over 802.11 network
• 802.11 VOIP phones
• Conference connection

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Implementation Overview (continued)

• Cisco Unity Voicemail
• Cisco ICD - call processing system
• AMIS - Audio Messaging Interchange Standard -
  legacy voice mail integration
• Connect Call manager to Siemens switch to allow
  seamless calls between V.O.I.P and T.D.M.

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Completed Deployment

• Contract signed - April 2003
• First site - new Urgent Care / Rehab / Occ.
  Health / Radiology / Laboratory - June 2, 2003
• Second site - I.S. HelpDesk - October 2003
• Third site - Claims processing, Emergency Medical
  Services - November 2003

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V.O.I.P Network
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Remaining Deployment

• May 2004
• Outpatient Rehabilitation centers
• May - November 2004
• Parallel in Scheduling Services, Patient
  Financial Services
• August 2004
• Implement new physician paging capabilities for
  physician on-call services
• November 2004
• Consolidate all administrative departments into
  new building
• Scheduling, PFS, Accounting, I.S. management -
  400 phones
• 1st Quarter 2006
• Open new patient tower for ED and Childrens
  Hospital
• 1st Quarter 2007
• Open 90 bed hospital

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Items to consider prior to V.O.I.P

• Stable network is required
• If LAN/WAN fails it is not possible to
  communicate
• If link to legacy switch fails it not possible to
  communicate
• Backup communications plan is required
• Cell phones today
• Analog phones are expensive (patient rooms)

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Lessons Learned

• Strong partners are critical
• A network lab is important
• Dont underestimate integration challenges with
  existing voice technologies - AMISA
• Employees very comfortable with the old phones
  (installed in 1987)
• training, documentation for end users
• Join Cisco VOIP users group - www.ciptug.org

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• Questions?