The picture below showcases all the infrastructure solutions that we provide for hospitals

Any modern hospital today requires a robust and flexible IT & Communication backbone to meet ever expanding requirements of different stakeholders in different care scenarios. AGC ability to provide integrated and interoperable solutions under one roof is one of our biggest differentiators. When all these systems work on IP, the interoperability ensures operational efficiencies and improved standards of care.

1. Network Infrastructure Solutions

With all infrastructure and applications converging on IP, building a robust, scalable and resilient Network infrastructure is a necessity of time. Moreover, some of the latest applications being adopted by Healthcare Organizations are very data intensive. Utilization of High resolution images for diagnostics purposes and the need to access them across network requires high bandwidth data network across the facility. The network infrastructure is also of strategic importance for any Hospital as it directly impacts user experience and hence adoption of IT applications in general. AGC addresses all layers for Network Infrastructure that comprises of

1.1. Passive Networking (Cabling): AGC provides traditional Copper / Fiber cable as a transmission medium for various Applications. AGC also offers several Designs, which include a variety of loose tube cables, from all dielectric to heavy duty double armored, triple jacketed cables.

AGC delivers intelligent passive network infrastructure solutions that can make the difference between business success and failure. Our discover, design & deploy strategy enables businesses around the world to a reliably power, mission-critical, high-bandwidth infrastructure to support all applications.

1.2. Active Networking: Our alliances with different OEMs like Juniper, Avaya, Cisco, Extreme, HP and Huawei allows us to provide the best available 'value for money' solution meeting customer requirements. Appropriate redundancy at different levels is an important requirement for most of the hospitals as the nature of the business demands 24 X 7 performance. Our design expertise and implementation rigour makes us an ideal partner.

1.3. Wireless Networking: WIFI solutions are being adopted by Hospitals to either provide internet services to patients and their relatives or to provide access to enterprise applications for internal workers. As hospitals embed IT applications in their workflows, the need to provide access to these applications while moving around increases exponentially. AGC has partnered with various OEMs and provides best of breed solutions to meet business requirements. Starting from survey services to design and final implementation, AGC can fulfill all your wireless networking requirements. The solutions are on WIFI or Radio frequency or IP Dect or a combination, depending upon the need. We also customize applications based on the specific department work flows to enable efficient, mobile and pointed collaboration.

2. Voice Solution

There are different solutions used for voice communication by different stakeholders in a Hospital. Besides IPBAX, Hospitals extensively deploy Nurse Call solution and Public Address Systems. AGC provides an integrated solution based on IP platform for all the three voice solution components. Moreover the voice infrastructure provides an ideal platform to deploy high end mobility and collaboration solutions which increase productivity of healthcare workers while improving patient experience.

2.1. IP PBX : With general convergence on IP happening across systems, AGC provides cutting edge IP PBX solution to Healthcare providers. The phones provided to the patients and general staff could be SIP or entry line IP phones or Analog phones. Some of the hospitals have started exploring using Video phones to enable a better communication experience between internal staff. Redundancy and high availability are key functionalities that we build in from an architecture stand point. Small call center solutions can also be deployed in effort to provide better patient experience and to streamline outbound marketing campaign. Mobility solutions like WIFi / IP Dect phones are also provided which are integrated with IP PBX.

2.2. Nurse Call System : Apart from EPBAX, one of the important and ubiquitous communication solution used in all hospitals is Nurse Call System. The solution enables the patient to make a request for a Nurse to provide services from the bedside. The solution could be voice enabled or simple display based system where in the request is registered at the Nurse Station (place / working desk where the nurses are stationed). The nurse can then go to the patient bedside, register her presence (optional) and deliver the services required before cancelling the request. Detailed analysis of types of services requested and time taken to render the same can be done. Real time escalation in case of delays can be done.

2.3. Public Address (PA) System: Public Address System is also an essential part of Hospital Communication infrastructure. The PA system typically consists of large number of speakers which may be wall mounted or ceiling mounted, amplifiers, controllers, microphones and DVD player. The microphones to make announcements are generally installed at each nurse station. Generally the speakers are grouped in zones and based on the requirement, the zones can be selected. IP based PA systems allow for easy integration with other IP based communication systems like EPABX. Benefits of such integration in Hospital are great as access to PA system for making emergency announcements or request for help increases tremendously. AGC can provide standalone or integrated Public Address Systems as the need be.

3. Video Conferencing and Audio Visual & Board Room Solutions

The increase usage of Video solutions to enhance collaboration between distant participants or to convey information is happening across industry verticals. Healthcare providers have been using Video Conferencing Solutions or Board room solutions widely in Auditoriums, Training Rooms and to conduct Telemedicine sessions. Hospitals, who are also medical colleges, implement Audio-Video collaboration solutions in Operation theaters for training purposes. Digital signage solutions are also being implemented in OPD and general waiting areas.

3.1. Training Room / Auditoriums / Board Rooms: These facilities have become an integral part of any large hospital. AGC has expertise in providing turnkey solutions right from designing the rooms architecturally and implementing audio, video, lighting, display and control solutions in an integrated fashion. We have partnerships with a wide array of leading OEM players in all the fields and the in house team is competent to provide one stop shop for all requirements.

3.2. Integrated Operation Room: The solution provides collaboration facilities in the operation room so that the same can be used for training purposes or involve experts remotely. The doctors want to share the surgery site video along with patient vitals live with the audience. Video conferencing equipment is also required in the operation room for audience interaction purposes. Combining all these sources of video and data, AGC provides an intuitive user interface to have seamless collaboration between surgeons in operation rooms and medical students in auditoriums or training rooms.

3.3. Digital Signage for Out Patient Department (OPD): Hospitals need to provide patient entertainment / information services at the OPD waiting areas. Digital Signage solution enables the hospital to combine various input feeds and use the OPD area as a place for information dissemination and brand building, while providing entertainment or news channel. Moreover, the queue management system used in managing patient queues in the OPD can also be integrated with the Digital Signage Solution.

3.4. Telemedicine Solution : Video conferencing is also extensively used for conducting telemedicine sessions. Hospitals act as centers of excellence and connect with clinics to extend their services. Some of hospitals link up with tertiary care hospitals and provide their patients with 'second consultation' services. AGC can provide solutions to address the above scenario. Further details about the telemedicine solution is mentioned in the 'Applications' segment.

3.5. Patient Room Entertainment Solution : Hospitals are building special facilities to target a different set of patients comprising of high net-worth individuals or medical tourists flying from abroad. AGC provides entertainment solutions for these patient rooms. The solution components consists of

• Suitable LCD / LED TV
• In Room DVD Players, Home Theatre Systems 5.1 or 7.1 for Suites
• In Room Entertainment, In Room Controls for AV, HVAC, Drapes Lighting
• Touch Screen Devices for enhanced user experience

4. Integrated Security and Building Management

Hospitals have to deal with large number of people inflow. It is also a very people intensive business with large number of support staff being part of the organization. Property and Asset Security Management has become a management top priority given the dynamics of the business. The integrated Security and Building Management solution comprising of Access control, Surveillance & Video Analytics and Security applications etc. holistically address all security requirements of hospitals.

AGC provides end to end implementation services right from site survey, designing, implementing, commissioning and maintenance. We have developed our expertise in end-to-end IP Surveillance deployment & its integration with other elements of electronic surveillance.

Hospitals consume a lot of electricity. Moreover, as a public place, they also need to design appropriate HVAC and fire safety systems. AGC provides Building Management Software (BMS) which can combine all the aspects of managing energy consumption and safety of people and material on the premises. The software allows control of the associated systems so that business rules can be build resulting in energy savings. BMS is a key solution component in building of 'Green' hospitals and a cornerstone of AGC's 'green' solution portfolio.

5. Data Centers -Servers and Storage and Information Security Infrastructure

Requirement of Information Security and Storage solutions cuts across all organizations. It is all the more relevant for Hospitals as any data breach translates into privacy related issues. The requirements related to Storage are also huge as the process across departments specifically related to radiology diagnostics is very data heavy. AGC provides comprehensive set of solutions involving building Data Centers and providing servers, storage and information security infrastructure to address organization's needs.

5.1. Data Centers - Servers and Storage :

Our comprehensive Data Center Solution portfolio not only address Servers and Storage infrastructure but also looks at building physical Data Centre infrastructure in terms of false ceilings and floors, proper air conditioning, physical security through access control and surveillance and power solutions. As part of our end to end solution offerings in Data Centre space, we also provide solutions related to Virtualization, Private Cloud Computing, Storage Solutions, WAN Optimization, Server Load Balancers and BCP and DR buildup. Our focus in building data centre is to achieve business objectives as measured through metrics like availability, cost optimization and host of quality parameters.

5.2. Information Security Infrastructure : Our Information Security Practice helps organizations assess, select, design, implement and manage the security infrastructure processes and technology solutions comprehensively. Our proven delivery framework supported by consultants with the highest level of certifications in security domains for both industry standard and product specific, help us provide quality services to our customers AGC offers unmatchable services and customized solutions in following domain

• Consulting
• Certifications (ISO 9001, 20000, 27001, BS25999, PAS99)
• Infrastructure solutions and services consisting of Infrastructure Security (Firewalls, VPN, Network Access Control, Endpoint Protection), Data Security (Database Firewall, Data Leakage Prevention, Digital Rights Management), Identity and Access Management (Public Key Infrastructure, Single Signon) and Security Management (Incident Management, Log Management).

5.3. IT Governance Risk and Compliance (GRC) : AGC IT GRC services ensure that different business roles in organization share information intelligently, work in harmony and meet all compliance and regulatory requirements for business to run smoothly. Right from detailed assessment to designing and implementing solution and processes to meet organizational requirements, the IT GRC practice of AGC covers the entire spectrum of services leading to Industry Certifications like ISO 9001 or 27001 and compliances like HIPAA, IT SOX, SAS 70.

HIPAA is an acronym for the Health Insurance Portability and Accountability Act. This Act was introduced in 1996, but not fully implemented until 2003 in US. Healthcare providers who are targeting medical tourists from foreign countries specifically US or Europe advertise their compliance with HIPAA standards which has stringent standards for patient data privacy. AGC can help healthcare providers to achieve HIPAA compliance.

ISO 27001 is the only information security standard which contains 11 domains, 39 control objectives, and 133 controls. Given the explosion of digital data in every line of business, many Healthcare organizations are going for ISO 27001 security certification to ensure that their systems are protected. Information security is achieved by implementing a suitable set of controls, including policies, processes, procedures, organizational structures and software and hardware functions. These controls need to be established, implemented, monitored, reviewed and improved, where necessary, to ensure that the specific security and business objectives of the organization are met.

The integrated IT & Communication infrastructure provides a perfect platform for customized Business Applications for Hospitals. There are different stakeholders in the healthcare system like Doctors, Nurses, Patients & their relatives and the Management. Our suite of applications, holistically address issues and challenges faced by all stakeholders.

Some of the solutions provided by AGC which help in improving patient care are as follows

Telemedicine / Virtual Out Patient Department (OPD): Given the length and breadth of our country and paucity of doctors, Telemedicine / Virtual Visiting solution aims to provide medical assistance utilizing videoconferencing and IT applications. The Doctor and the patient connect over video conferencing which may be hard unit based or soft computer based end point. The patient details are captured in Telemedicine software and conveyed to the doctor. The doctor can prescribe and give his recommendations which can be printed from the remote end.

The Telemedicine Solution generally has three components - Telemedicine Software, Telemedicine Equipments and Video Conferencing which ride on underlying data connectivity to deliver remote collaboration services. AGC along with its partner ecosystem is geared to deliver solution in its entirety.

While room based video conferencing solutions can be used effectively in Telemedicine networks where there are limited patient and doctor end points. The solution changes completely if want to connect potentially thousands of patient end points with hundreds of doctor end points. AGC's 'Virtual Out Patient Department (OPD)' solution addresses this scenario. The Solution provides a platform where in patients just like in any hospital OPD, have access to various medical specialties simultaneously in a virtual world. The doctors also have the flexibility to operate out of the place and time of their choice. The Solution enables many-to-many simultaneous interactions thus ensuring process efficiencies at Doctor's end as well as Patient's end. The platform can integrate with any web-based telemedicine patient software and medical equipments currently being used.

Telemedicine as a concept is being used in different scenario as mentioned below. AGC provides customized solutions to address all the scenario enhancing the overall value created by telemedicine platform for hospitals

• Deliver Primary Healthcare services to remote or rural areas
• Second Opinion or Consult in complicated
• Extending Hospital Network to connect 'extension' centres
• Chronic Care Management
• Post discharge care

eICU / ICU Command Centre : Monitoring critical patients in the Intensive Care Units (ICUs) is of prime importance to the hospitals. While there are individual nurses who generally take care of the same, it is important to have an oversight mechanism in order to ensure better patient care. The Centralized Patient Monitoring solution allows you to connect with standalone patient monitors and project the same on a larger screen for the central team. The monitoring room is equipped with state of the art collaboration solutions so that they can act quickly once the indicators suggest need for intervention.

Unified Messaging Solution: Most hospitals make huge investments in information technology, which often improves the effectiveness of their primary processes but the benefits of these investments may not be utilized fully due to bottlenecks and gaps in information flow. Smart integration provided by Unified Messaging Suite enables hospitals to optimize information flow and capitalize on existing invest-ments. The solution plays a role of a middleware which at one end interacts with clinical systems to get the required alarm notification and associated data and on the other end integrates with communication platform to route the alarm intelligently to the right person. This results in more efficient patient flow and increased productivity.

Post Discharge Care: Generally patients who have undergone surgeries in the hospital are required to undertake precautions of different kinds depending upon the nature of the surgery. Also the doctors like to keep a remote eye on the patients monitoring key medical parameters like Blood Pressure, ECG etc. so as to ensure that recovery is on track. The Post Discharge Care Solution from AGC provides remote monitoring, proactive contact as well as On-demand contact to service patients after they have moved out of the hospital premises.

IT & Communication applications can improve operational efficiencies in a hospital. As there are multiple internal stakeholders involved in delivering services, continuous data sharing and collaboration is essence of every process. Digitizing or automating some of these processes can help hospitals to reduce time taken for service delivery as well as improve quality of services through standardization.

Some of the solutions provided by AGC which help in improving Operational efficiencies in hospitals are as follows

Discharge Management : Discharge process in general takes 5-6 hours on an average. The doctor responsible kick starts the entire process by preparing discharge summary after which approvals from different departments are required with final approval from finance after all payments have been made. Discharge Management solution helps the doctor to fast-forward the process of preparing discharge summary. The doctor during his daily rounds, records the instructions for discharge summary of the concerned patient which is then routed to his support staff, who transcribes the discharge summary and keeps it ready for doctor approval. The solution further notifies the departments about pending discharge of the patient thus addressing the entire process holistically.

Mobility and Collaboration Applications: Healthcare processes are very people oriented and collaboration intensive. Besides the process requirements, care givers like Nurses or Doctors are also moving around in hospital facility while providing services. Mobility and Collaboration applications help in connectivity, information sharing and decision making process. Different flavors of mobility could be achieved using WIFI or IP Dect phones or software clients on mobile phones. We can also provide latest tabs to the hospitals to provide access to information on the move. Presence applications can also be built in to let the organization know about availability of senior staff, hence obviating the need to call people multiple times.

Hospital Information System (HIS) / Hospital Management System (HMS): HIS / HMS platforms are just like ERP platforms which help in capturing all details about operational processes. It has different modules to cater to Out-patient department (OPD), Diagnostics, Pharmacy, In-patient department, Human Resources and Finance. AGC has partnered with a number of leading HIS vendors to provide cutting edge solutions to healthcare providers.

Emergency Connect: It is critical in emergency cases to reach out to specialist doctors and support staff, check their availability and be prepared for surgeries. The Emergency Connect Solution enables a blast dial to a specific group of people and takes them into audio conference. Different groups can be made based on different types of emergencies. Based on the type of emergency, the emergency department dials a code. The system blast dials the pre-configured numbers (landlines or mobiles) simultaneously. The specialists or support staffs, who pick up the phones, join the audio conference and the two way communication enables them to know the facts of the case and take decisions accordingly.