Complicating the difficult task of maintaining facility security are a host of other challenges for facilities managers, such as reducing operating costs, meeting complicated compliance and regulatory issues, maintaining ageing fire and life safety systems so that local fire inspection businesses, who often use the Inspect Point software, will pass them and supporting an open and welcoming environment.

By its very nature, a hospital offers security challenges not presented by other types of facilities. Many people visit hospitals every day for various reasons, for example. The large crowds of people going in and out of hospitals make them vulnerable to attacks and crimes. The security guard can help in keeping track of the people entering and moving out of the hospital. Hiring a hospital security guard from Main Event Security or a similar company can be one way to ensure that people and property in the hospital are safe Most remain open 24 hours a day, accept patients in highly stressed situations and maintain valuable equipment and pharmaceuticals on-site. So how can a health care facility manager meet these added challenges while preserving a high level of security for patients, visitors, clinicians, staff, equipment and supplies?

There is no simple “one size fits all” solution. However, significant advances in security technology are now available.

One such advance is a solution known as physical security information management (PSIM) software that collects and combines information from existing disparate security and even building automation systems into one integrated, intelligent system.

PSIM solutions were developed with input from many industries, including that of facility managers from health care facilities, both large and small. When asked to identify the top challenges to effective hospital facility management, a distinct trend emerged. Facility managers reported struggling to manage dozens of systems without an effective way to integrate them into a single, manageable point of control.

Hospital facility managers using a PSIM solution can now have one complete view of information to quickly analyze data from systems such as video, access control, fire alarms, visitor and identity management, infant abduction, radio frequency location services, intrusion alarms and heating, ventilation and air conditioning.

The PSIM software solution collects and correlates data from these subsystems and then analyzes and automates actions based on predefined standard operating procedures. By consolidating security control and monitoring activities, PSIMs can help to achieve a measurable return on investment.

Above and beyond security and life safety systems, PSIM also opens the door to integrating advanced building automation systems (BAS) that go beyond security to further increase patient safety, comfort and satisfaction.

Here is an example of how a PSIM-BAS integration can help to quickly resolve an emergency and/or prevent injuries. When the fire alarm system detects a fire, the PSIM software signals the access control system to unlock doors along the escape route, direct surveillance cameras to record the region in which the event is taking place, and provide first responders with a live feed as they approach the site. Meanwhile, through BAS integration, the HVAC systems are signaled to stop delivering fresh air to the area and pressurize the path of egress to clear it of smoke.

With its ability to work with existing security equipment throughout a health care facility, a PSIM solution allows for the update and modernization of equipment and systems as budgets allow. A PSIM solution can often eliminate the need to rip out and replace security systems due to its ability to integrate with existing commercial-off-the-shelf security equipment and systems, allowing organizations to leverage those previous investments. Moreover, automating such systems might call for the use of allen bradley parts or other electrical automation parts that are specially manufactured to improve automated functionality and can be tweaked or replaced as necessary, making it a worthwhile investment.

To get started with a PSIM solution, a system integrator works with the hospital facility manager or security director to identify security policies and procedures and then turn them into computer automated rules. These rules can be very specific and prescribe different responses to events in the main lobby, the emergency department and the pharmacy.

By automating the detection, validation and resolution of security alarms and events, false alarms are reduced or eliminated. Fewer employees are required for monitoring a command center. And a PSIM’s single operating platform reduces the amount of time previously required to train operators to use and correlate data from multiple, independent systems.

PSIM software offers full security management capabilities unlike video management or access control systems that offer only limited levels of integration, while typically requiring the inclusion of the manufacturer’s products that do not integrate with competitive systems due to proprietary protocols.

PSIM is a middleware that is designed to allow communication and data management between the many, often proprietary, systems. A growing number of vendors now provide that critical layer of software that enables true PSIM capabilities.

However, as the demand for health care-based PSIM solutions grows, there are still many system integrators unfamiliar with this relatively new security tool. So when it is time to review your facility’s security and building system management processes and procedures, be sure to leverage the expertise of a system integrator with PSIM and health care facility experience that can help make the transition to this new technology as seamless as possible.

Mike Webster, CPP, is manager, global security center of excellence for Milwaukee-based Johnson Controls. The company operates six centers of excellence locations in the U.S., Asia, Europe and the Middle East to serve its field offices in over 150 countries.

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Arizona State Forensic Hospital Delivers on Design and Treatment

PHOENIX —The new Arizona State Forensic Hospital in Phoenix was designed to replace the existing 1952-built Forensic Hospital, which was comprised of 10 antiquated structures. The hospital is a secure housing and treatment facility for psychiatric patients who are found guilty of crimes but because of mitigating factors of mental illness, would not enter a state prison.

The forensic units house persons who are sent to the state hospital from the county court system. Either judged Guilty Except Insane (GEI) or to be Restored To Competency (RTC) or having been. These are persons who are found guilty of criminal behavior, but because of mitigating factors due to mental illness, they are not sentenced to a prison. A small percentage of the patients, fall under “not guilty, by reason of insanity,” which is an older verdict and no longer a current Arizona state law, but a small number remain under this sentencing.

The buildings have state-of-the-art security to protect patients, staff and visitors. The hospital is also a treatment facility and its design and programming space allows for diverse treatment options and individual-based opportunities for treatment.

The new 80,000-square-foot facility was given a budget of approximately $32.2 million, but after the project was complete it came in under budget at $24 million. Cannon Design worked on the project, with associate principal Carl Hampson responsible for much of the design work at the facility, which opened in September 2011. Providence, R.I.-based Gilbane Building Company served as the general contractor for the construction management at-risk delivered project.

Greg McCormick, senior project executive for Gilbane Building Co., has specialized in health care facility construction for 28 years. He explained that the hospital’s security systems were unique, but the masonry construction was the same as what you would find in a traditional hospital.

Gilbane worked with the design team and the Arizona Department of Administration, which oversaw the job, to maximize the program and deliver the most beds for their budget. Through value engineering and constructability ideas, Gilbane was able to help enhance the program.

“Ultimately, we gave them 120 beds at a cost of $23.5 million, which includes soft and hard costs,” said McCormick. “The facility is high security, but the Arizona State Hospital did not want it to look like Department of Corrections project. They wanted it to look like a hospital treating patients.”

There are cameras, card readers and detention hardware throughout the structure, which includes hardened patient rooms. Norment served as the security equipment contractor and BGA as the security consultant.

As for the perimeter security, Howard Pearsall, designer of security electronics, at Norment, explained that the fence is protected with an intrusion-detection system, which was not in the original project scope. Norment’s contract, valued at approximately $1.6 million, includes the touch-screen controls to monitor movement.

Cannon Design has worked on several secure forensic hospitals in the past, but this was the first for Hampson.

“Just like any building design project that we do, you want to make them as nice as possible despite the function and restrictions that are dictated by the security and safety requirements,” Hampson said.

The design and construction of the new specialized high-security facility provides patient rooms with adequate support areas including isolation rooms, multipurpose rooms, and centralized nursing stations, which allow clear views of patient areas, meeting rooms, testing and evaluation areas, visitor’s center, kitchen/dining, security control and command center, therapy areas and sallyport.

The facility was also designed to suit the Arizona climate with a large focus on water and energy reduction, including installations of low-flow toilets and using recycled materials during construction. The hospital promotes a Zen-like atmosphere to help with healing and rehabilitation.

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