University of Iowa Hospitals and Clinics Iowa City Iowa Case Study
Patients from all over the world are referred to the University of Iowa Hospitals and Clinics (UIHC) for treatment. UIHC, a public teaching hospital and Level 1 Trauma Center affiliated with the University of Iowa, has received countless recognition and awards for its doctors and technology, including being named by U.S. News & World Report as among the Best Hospitals in America every year since 1990.
Introduction
UIHC is recognized as an NCI Comprehensive Cancer Center – the only hospital in the state of Iowa with such a designation – supported by the National Cancer Institute. In 2015, the Children’s Hospital, founded in 1919, cared for 67,239 patients from every county in Iowa, nearly every state in the U.S. and several other countries. UIHC is home to many discoveries, including the development of buffered aspirin and is the first hospital in the world to use robotic surgery for removal of an adrenal carcinoma and an adrenal mass from a pediatric patient, amongst many other recognitions.
The health care organization encompasses seven buildings at its main campus and more than 200 outreach clinics in the state of Iowa. At the main hospital campus, nearly 16,000 visitors enter and exit the hospital each day, with bed capacity typically running at 96 percent or higher.
UIHC is technology driven and technology forward. That classification extends beyond just its daily treatment of patients, but also to the safety and security it provides to those patients, its visitors and close to 9,000 staff members. The hospital system is a leader in using technology to its fullest, and one of those areas in which it does this is networking and security.
Journey
UIHC’s journey in security has been an evolution. Security and safety are a definite challenge due to the large amount of traffic, number of buildings and continual renovations and new builds: including the recent Iowa River Landing Clinic some 10 miles off-site from the main campus, a new off-site hospital support building, and the new Children’s Hospital, which alone includes 480,000 square feet in new construction, plus 56,250 square feet of renovated existing space.
About 12 years ago, UIHC began a partnership with Control Installations of Iowa (CI3) by hiring the integration company to work on a few exterior doors. What started out as a relatively small job, quickly turned into more projects as the hospital began to expedite the pace of its expansions, new builds and renovations. Since that first project, CI3, with three branches and 139 employees, and UIHC have teamed together to provide extensive surveillance and access control inside UIHC’s buildings and on the perimeter.
The health care organization had a long-standing relationship with Johnson Controls, extending almost as long as the hospital’s relationship with CI3. About a decade ago, UIHC chose C•CURE 800/8000 for its visitor management and event needs, and eight years ago added victor management software for its video surveillance. With 1,600 cameras and 1,800 doors throughout UIHC’s facilities, a flexible yet robust, enterprise-level security management system was of paramount importance to UIHC security officials.
UIHC’s security management platform has allowed the organization to maintain a single, central security operations center for all of its buildings, regardless of facility location. In addition, the organization has non-security staff user groups in different departments throughout the hospital. Thus, having a completely integrated, flexible, efficient and user-friendly security management system has become a necessity for the organization. Perfecting its security operations, adding new devices and integrations, and implementing further feature sets has taken the organization the better part of a decade and is a continual work in progress.
“There is a lot of concern in a hospital environment with people feeling safe, inside and outside. And so, much of our job is helping to make people feel safe, providing staff the tools needed for an emergency, as well as being able to gather information for us or to summon the police in the event that something happens,” said Douglas Vance, interim security manager of safety and security at the University of Iowa Hospitals and Clinics.
Solution
Satisfied with C•CURE 9000 and victor’s integration capabilities and user-friendly interfaces, when it came time to upgrade a few years ago, the organization transitioned to C•CURE 9000 because of their familiarity with the C•CURE platform.
“One of our biggest criteria with security products is making sure what we purchase is able to integrate with our current technology and equipment,” Vance said.
With the upgrade of its security and event management system, UIHC is zeroing in on opportunities to run more efficiently and more in depth for a high level of situational awareness. For example, the staff is able to create different user groups for specific door management and control. The ability to assign staff members with specific access to the system based on department or job code is very important for UIHC because, with close to 2,000 doors, security staff in the operations center simply cannot handle immediate requests from everyone, according to Vance.
CI3 was even able to create a SQL interface between the hospital’s HR database and C•CURE 9000, that allows for auto assignment of clearances and door access based on job position, as well as automatic removal of clearances, and the ability to pull reporting through the HR system. It saves the operations center and hospital staff significant time in managing the large number of employees and contractors coming in and out of the facilities.
“Previously, if someone left the organization, turning off their clearances was a manual process, but now it automatically shuts off their access, and that’s huge for us,” Vance explained.
The organization utilizes victor’s video wall capability, called victor Command Center, in its central operations center and also in its medical psychiatric unit. Control room operators can easily display, manage and prioritize video and events. A “push” feature, which works with IP or analog cameras, video clips or other event information, allows virtually anything an operator has on their screen to be pushed to any other operator, even remotely.
Another way in which UIHC has used its security management platforms to add efficiency and an additional layer of safety is by creating an emergency lock down button on the C•CURE 9000 interface, enabling users in each department or user group to put their department on lock down in the event of an emergency or active shooter situation. The hospital has implemented this capability in many of its new, off-site outreach clinics as well.
“In the past, a department had to call the operations center and a supervisor would have to make a decision and lock down in a timely manner,” Vance said. “Now, staff can immediately lock all exterior doors and disable card readers with one click, if danger is sensed.”
UIHC is installing high-resolution IP cameras and IP infrared cameras in all of its new construction and renovations, but 40% of the organization’s cameras remain analog as it continues to migrate its legacy systems to IP through attrition. victor has the ability to integrate seamlessly with IP or analog cameras without losing quality, and also improve video quality of some of its older, legacy cameras in the process.
“We aren’t able to switch all of our cameras to IP right now, so victor’s ability to digitize the images allows us to zoom in on footage even if the camera that recorded the video wasn’t a PTZ camera,” Vance said. “Footage used to just get blurry if you zoomed but, with victor you get a very clear image,” Vance explained.
Video quality is of paramount importance for UIHC. Vance said that security staff has used video clips countless times for investigative purposes, such as accidents or other incidents, or for sharing with law enforcement.
High-resolution Illustra IP cameras, paired with VideoEdge NVRs for efficient storage back at the operations center, are used in countless areas for crystal-clear images, such as at the hospital pharmacy’s service windows and cash handling points. Cameras are used in the four children’s playgrounds and numerous parking lots to track incidents and record images of people’s faces and license plates. The Illustra cameras are used for safety as well. Two years ago, a fire broke out in the hospital’s sub-basement, and simple review of the footage was able to pinpoint the cause.
Perhaps most impactful, UIHC and its integrator CI3 are currently working toward a completely unified security management system by implementing the victor unified security management software through 100 percent of the organization. While C•CURE 9000 is integrated with video through pop-ups, the organization is almost done moving to victor for unified, single-platform operation.
“A single solution helps the organization in the internal management of the system. Enabling each department to manage their own doors and view their own cameras using one packaged software reduces the day to day management of the system by the Safety & Security department,” said Cary Vavricek, project manager at Control Installations of Iowa.
The conversion to C•CURE 9000 allows the security staff greater flexibility and efficiency in their efforts, said LaRose. “Every security director wants to bring the best system to the table and get a lifetime of usage out of the technology. When I look at the ROI on C•CURE 9000, I feel comfortable that this fits our objectives.”
The Future
Moving forward, UIHC is considering expanding its use of biometrics by integrating facial recognition with the security management platform for visitor management purposes, such as in waiting rooms. In addition, the hospital system is in the midst of moving toward a completely keyless facility.
“We are in the process of replacing the remaining keys with card access. Then UIHC will use C•CURE 9000 to fully manage the doors,” Vavricek said. For an organization with 9,000 employees and 16,000 average daily visitors, a keyless organization will cut down on waste, lost keys and time spent for physical key management, as well as add another level of situational awareness to the organization’s already robust security management system.
“UIHC sees the value in taking advantage of multiple integrations,” Vavricek said. “They are surely a leader in security and technology in this field.”
With so many projects planned, a strong continued working relationship between UIHC, CI3 and now Johnson Controls, is important.
“We have been able to do so many things through our partnership. Working together is based on a very strong trust,” Vance said. “Our integrator knows what our goals are and what we are trying to achieve. It’s key for us to have someone we trust and someone who offers the reliability and service we need.”
The Customer – University of Iowa Hospitals and Clinics (UIHC)
The University of Iowa Hospitals and Clinics is a teaching hospital affiliated with the University of Iowa. The organization has a range of specialties and has earned many accolades for its doctors, technologies and services. Every year since 1990, the health care organization has been on the U.S. News & World Report’s Best Hospitals in America list, including ranking #1 in the state of Iowa for 2016-2017. In 2017, UIHC completed its new Children’s Hospital on the main campus, which includes 480,000 square feet in new construction plus 56,250 square feet of renovated existing space. The organization sees approximately 16,000 visitors daily and has about 9,000 employees.
The Systems Integrator – Control Installations of Iowa(CI3)
CI3 has been providing systems integration services to small, mid-size, and large institutions and corporate facilities since its founding in Des Moines, Iowa in 1983. CI3 performs work locally and nationally for its customers, as well as internationally. The Company's core services include planning, installing, and servicing highly technical systems used for complete, integrated facility and campus control. These systems include automated building control, security systems, video systems, custom software for integration, lighting control, and life safety systems. Currently, CI3 employs 140 employees in three branches: Des Moines, Iowa; Cedar Rapids, Iowa; and Kansas City, Missouri.
The Solutions Provider – Johnson Controls
Johnson Controls is a global diversified technology and multi industrial leader serving a wide range of customers in more than 150 countries. Our 120,000 employees create intelligent buildings, efficient energy solutions, integrated infrastructure and next generation transportation systems that work seamlessly together to deliver on the promise of smart cities and communities. Our commitment to sustainability dates back to our roots in 1885, with the invention of the first electric room thermostat. We are committed to helping our customers win and creating greater value for all of our stakeholders through strategic focus on our buildings and energy growth platforms. For additional information, please visit http://www.johnsoncontrols.com or follow us @johnsoncontrols on Twitter
