What are the key challenges in managing the operating
In the operating room factors such as procedural efficiency
and better outcomes for patients are the keys to any hospital’s long-term success, but at the same time hospitals are
faced with a drive for increased financial and patient-orient-ed effectiveness. Hospitals need to focus on creating patient
value through a combination of expert medical staff, affordable technology and the most effective processes to achieve
high quality in patient care and do that in a competitive way.
Operating rooms typically contribute 60% of the hospital
revenues, so it is critical these challenges are addressed.
In what areas can video-over IP integration make the most
significant contributions to the improvement of the OR?
Operating rooms have become more complex due to more
complex medical procedures – such as minimally invasive
surgery – and to the amount of equipment used in the room
itself. Medical technologies are advancing rapidly, with innovations such as hybrid ORs to provide live imaging for
interventional procedures for example, 3D imaging and the
imminent leap to 4K resolution for medical imaging. Running
numerous pieces of equipment in different rooms with different data signals and formats makes the environment very
complex. Video-over-IP integration will help to simplify this
complex environment and provide solutions to bring equipment into the IP domain. It also has the additional benefits of
flexibility, scalability, better ergonomics and is future-proof.
IP or LAN-based technology has become the universal communications platform and through IP the video infrastructure
of the OR will transform to a standards-based environment.
What are the key factors that the IT manager and the hospital manager should take in to account when considering
adopting video-over-IP in the OR?
Video-over IP is not an objective in itself, you need to achieve
certain functions and take into account specific requirements
of the users. A fundamental parameter in a medical imaging
environment is that you maintain the best image quality with
the lowest delay, without intro-
ducing artefacts, so it should
be medical grade. Only when
you achieve this can you get
satisfaction of the main stake-
holders, the users.
The second point is that OR
integration requires careful
planning and involves other
stakeholders including clinicians, biomedical engineers. It
often takes over a year to implement and with technology
advancing quickly it is important to review the integrated OR opportunity sooner rather
Third, there are a lot of financial factors involved in the decision and it requires allocating capital budgets appropriately.
What should the operating room look like for the clinicians with the proper adoption of OR-over-IP?
The initial change will be that the environment will look simpler and it will be more error proof with a single cabling approach. There will be more flexibility to use video equipment
not in use today. We believe the network approach will be the
next big step in evolution of this technology. It will be possible to manage multiple ORs from a central location and see
which equipment is online and in use. The network-centric
OR has the capability to be a more collaborative and consultative environment.
Johan Stockman, VP Strategic Marketing Surgical Imaging at Barco discusses the advantages and key
challenges of moving the operating room to a video-over-IP-based environment.
+ 32 56 23 32 11
The network-centric OR has the capability to be a
more collaborative and consultative environment
Johan Stockman, Barco