000 will cover site survey by bZxSQd5


									           Frequently Asked Questions-Hospitals Version 2
                   From Facility Manager Orientation Calls 2/22-2/24 pages 1-7
                          March 4th Orientation Call FAQs on pages 7-8

            Hospital SB1838 Antenna Replacement Project


Q1. What benefits will the hospital see with the new communication
A1. Faster speed. Data synchronization between the dedicated unit and other PCs.
Ability to handle more users and more data. Fewer access issues.

A terrestrial system has certain vulnerabilities that satellite-a “celestial” system-does
not have. Microwave repeater sites can be inaccessible due to adverse weather
conditions or disasters such as a fire, prohibiting us from diagnosing and fixing a
problem and restoring connectivity for your hospital. Additionally, in the microwave
system, one repeater down can affect many hospitals. With satellite, when one dish
is down, one hospital is affected. We want to reduce the risk of these things


Q2. What is the timeline by county for this project?
     Invoices and revised Master Agreements will be sent to hospitals in March
     Payment must be received from a minimum of 100 hospitals no later than
      July 1, 2010.
     Site surveys will begin in July and continue throughout the entire 12 months.
     Installations will begin in September or October for Los Angeles County
     Installations for Riverside and San Bernardino will begin in February or March
     Installations for Orange will begin in April or May 2011.
     Installations for Alameda and Contra Costa will begin in June and July 2011.

All of these dates could be moved up or back depending on construction. We will
work as quickly as possible in all counties to install satellite once the construction is
complete. NOTE: This schedule has been modified from the original which showed
Alameda and Contra Costa installations in early 2011.

Q3. Will both the terrestrial and the satellite system be co-operational for
some time? When will you sunset microwave?

                                Frequently Asked Questions
                                      March 8, 2010
 A3. We do not intend to run microwave beyond these dates in these counties so
 there will be no communication channels operating in parallel:
                     Los Angeles-March 2011
                     Riverside and San Bernardino-April 2011.
                     Alameda and Contra Costa-July 2011
                     Orange-July 2011

Q4. If we cannot afford to pay for the satellite upgrade, can we continue to
use ReddiNet via local internet? Why can’t we just use one channel-our local
internet for ReddiNet?
A4. Most counties have decided to maintain the redundancy in ReddiNet that we
have had for over 20 years with microwave radio. Please check with your county to
see if it is going to require the same level of fault tolerance for your emergency
medical communication system.


Q5. Do you have an estimated cost of the mounting?
A5. This will vary by location and what needs to be done. Current estimates are
between $3,000-$9,000.

Q6. What is the cost per location?
A6. This will vary by location depending on the construction costs for the wall or roof
mount needed for hospitals. The hospital will contract directly with its own builders
for the mount and that cost will be separate. There will also be a nominal OSHPD fee
of approximately $250 and fees for the Inspector of Record. These will be paid
directly by the hospital. NOTE: Hospitals may contract directly with our satellite
supplier for a wall mount.

Q7. What is the initial cost?
A7. $10,000 will cover site survey, satellite set up, equipment, installation, structural
drawings, project management and reconfiguration of the dedicated response-ready
unit. Hospitals are responsible for the entire cost of the project, however, some
counties may be able to appropriate grant money for this project. Please check with
your county EMS agency to see if any funding is available.

Q8. How much will ReddiNet contribute to this project?
A8. ReddiNet is part of your hospital trade association, a member based non-profit
organization representing hospitals. Over the last two years, we have contributed
time and resources to fund research, do testing, evaluate suppliers, and build a
process to support this effort.

Q9. When will I receive my invoice and who will it go to? Can you accept a
purchase order in lieu of payment?
A9. Invoices will be sent in March 2010 to all microwave hospitals [unless your
County has directed us otherwise]. Along with the invoice there will be a revised
Master Agreement that incorporates provisions for the new satellite service and
installation project. This replaces the microwave provisions. The invoice and
Agreement will be sent via regular mail to the designated ReddiNet Coordinator. If
you have had any recent changes in Coordinator, please submit them to

                               Frequently Asked Questions
                                     March 8, 2010
Purchase orders are usually fine. However, in this case, we must receive $1 million
payment from a minimum of 100 hospitals to activate our agreement with our
satellite supplier. So, we must receive payment.

Q10. Who pays for the architect and structural drawings and design costs?
A10. That is included in the $10,000 package described above.

Q11. Are there monthly satellite fees?
A11. Yes. They are included in your entire ReddiNet System Fee billed annually. They
are $135/mo.


Q12. How long will it take to get OSHPD approval?
A12. It is estimated to take about four [4] weeks.

Q13. Will any of the mounting hardware be pre-approved by OSHPD? If yes,
couldn't this project be approved in the field by OSHPD?
A13. HughesNet, our satellite supplier, does not have pre-approved hardware
available. The project is field approved. OSHPD issues a building permit and the
OSHPD field staff reviews the project after it has been installed.

Q14. Has any thought been given to pre-arranging with OSHPD a consistent,
dedicated reviewer for these projects? Will they consider a field review once
the permit has been issued? Can they issue a blanket permit for all hospitals
with campus-specific field changes as dictated by the precise site and
mounting locations? OSHPD is resource-challenged and reviews are very
lengthy. How can we work with them to expedite these installations?
A14. We are utilizing the SB 1838 process for these projects. The project is field
reviewed. According to the organization of OSHPD staff into geographical regions,
they cannot assign a dedicated reviewer to these projects. Each region (Northern
L.A., Southern L.A., etc.) has a Regional Compliance Officer (RCO) responsible for
issuing building permits. (The project does not go through a lengthy review process;
it is simply triaged to ensure that all required documents have been submitted and
then the building permit is issued). Makeitright has developed a template design
which has been reviewed by OSHPD. They have given us their “blessing” on the
design concept. We are customizing the template design at each site according to
the specific building construction.

Q15. Which OSHPD Policy Intent Notice is used?
A15. Thirty-six [36]. This can be found on the Makeitright Dashboard along with all
of the other necessary OSHPD documents.

Q16. Why is MIR requesting the permit be issued as “owner-builder” versus
A16. The permit can be either depending on what is best for the hospital. The Facility
Manager can indicate their preference during the site survey.

Q17. We already work with MIR. Do we have to re-submit all documents
[refers to dashboard access, etc.]?

                              Frequently Asked Questions
                                    March 8, 2010
A17. No. All of your facility information is already entered into their dashboard web

Q18. Will there be a Construction Checklist for us?
A18. All of the items you need are in the Statement of Work.


Q19. What is the exact compass point the dish will need to point? What is
the azimuth angle in the skyline for the new dish? This will help determine
our installation flexibility.
A19. Spaceway 3 is at 95W. Sites will vary but approximately a site (34.02N,
118.24W) would have the beam azimuth of 142.46 degrees and elevation of 43.30

Q20. Can the dish be mounted on the ground in a concrete pedestal, and is
this an OSHPD project?
A20. The dish could be mounted in a protected area on a cement slab on the ground.
If mounted in this way, the dish will need a clear path in a southwesterly direction.
You still need OSHPD approval.

Q21. How much seismic activity can the antenna take before needing re-
aiming? Who will re-aim and how soon?
A21. From a seismic standpoint, the antenna mounts are designed to be supported
to take ground motion specific to the site and specific to the building on which they
are mounted. Increasing directional changes in the dish will have an increasing effect
on the quality of signal. Within reason, the satellite system will increase signal to
compensate for decreases in signal strength. Technicians are notified to alignment
problems and will be onsite to correct the problem. From dispatch time, it could take
4 to 48 hours depending on the volume of calls during an earthquake.

Q22. Can we use the existing parapet pipe if it meets the 50 lb criteria?
A22. The existing parapet pipe cannot be used due to the high wind loads on the new
satellite antenna pole mount. The anchorage for the new mount has been designed
accordingly AND TO CURRENT CODE STANDARDS. In addition, if the existing
parapet pipe were to be used, the existing installation would need to be tested and
verified with OSHPD. This process would likely be more costly than installing a new
antenna mount.

Q23. Can we utilize our existing Cat 5 cable if already in use and approved
A23. Absolutely, we will reuse the existing Category5 cable. See the specifications in
the Installation Overview.

Q24. If a hospital has two campuses in close proximity [ours is connected
with a Gigaman], can one dish function for both with the ReddiNet on a
VLAN separated from our other traffic?

A24. This is something that can be accomplished when the buildings are within a
reasonable distance to one another. However, additional expenses may be required
to increase bandwidth appropriately to accommodate multiple computer users over
the satellite system.
                              Frequently Asked Questions
                                    March 8, 2010
Q25. Why can’t we place a concrete pad on the roof and attach the antenna
to it? No invasive poles on parapets or through roofs required. We have
other antennas on the roof that are secured that way.

A25. This approach was considered and OSHPD explicitly rejected it. Non-
penetrating roof mounts will not meet OSHPD approval. OSHPD requires that the
antenna be affixed to the structure of the building.

Q26. We already have DirecTV at our hospital. Can we just use our existing
DirecTV dish?
A26. No. DirectTV is a one way service for television meaning that signals are sent
down to your home or business and you receive and view the services. In order for
Internet to operate successfully, you need a satellite dish provider that is capable of
sending and receiving signals. DirectTV partners with HughesNet for satellite
internet services, but these are consumer grade services that are sold in an
oversubscribed way similar to your cellular phones. When everyone wants to use a
cell phone at the same time, then the telephone companies don’t have the
bandwidth in order to handle all of the calls and so the service is unavailable. The
same thing happens when you have limited bandwidth over Internet satellite that
has been over sold with the expectation that not all customers will be using the
system at the same time. Consumer grade satellite internet will always have a “Fair
Usage Access Policy” which contains certain limitations. We are not bound by that
policy with our business grade service. The bandwidth that ReddiNet has negotiated
for hospitals is guaranteed. The dedicated unit is solely used to operate ReddiNet

Q27. What is the back up to the satellite service if it goes down?
A27. Your local area Internet connection at your hospital would be the best place to
start. Simply use your ReddiNet username and password at any Internet enabled
computer to sign into ReddiNet. You will want to notify your IT department that you
plan to use your office computers for ReddiNet access in the event that ReddiNet
satellite Internet is offline to ensure that you are able to access www.reddinet.net.
Additionally, you will want to follow your hospitals policy and procedures for other
backup communication system available to you such as VHF and UHF radio solutions.


Q28. Is this an internet connection, or a connection just back to the
ReddiNet network?
A28. The Internet connection provided is able to access the general Internet,
however, we will be limiting access to www.reddinet.net.

Q29. Who is responsible for any anti-virus or security updates?
A29. ReddiNet is responsible for all ReddiNet Dedicated PC Antivirus Updates,
Windows Updates, etc. This dedicated PC will not be connected to your hospitals
local area Internet once your satellite system is installed. Your dedicated PC will be
stand alone source for ReddiNet.

Q30. Does that mean that remote access to the ReddiNet PC will be through
the Internet over satellite connection or will I still need a modem attached
to the ReddiNet PC?

                              Frequently Asked Questions
                                    March 8, 2010
A30. The modem is a way for ReddiNet technicians to access the ReddiNet Dedicated
PC in the event that other methods are unavailable. The modem connection has
been frowned upon by hospital IT departments as a major security risk to the
hospital, however, this risk is diminished as your ReddiNet Dedicated PC will not be
connected to your hospitals local area Internet once your satellite system is installed.
The ReddiNet Dedicated PC will become a stand alone source for ReddiNet over
satellite internet. We ask that you keep the modem connection in place as a backup.

Q.31 We have a ReddiNet connection in the ER but have a remote location in
our Hospital Incident Command (HIC) during emergencies. We connect
with ReddiNet by internet from the command center. How will this play out
with the new satellite system?
A31. You will connect on ReddiNet using your local internet connection maintained by
your hospital IT department.

Q32. We have our primary ReddiNet in the ED. We have several
departments with internet access to contact the Dept of Public Health, Blood
Bank etc. Will we still be able to have these multiple users?
A32. Yes. Your other departments can access the ReddiNet through your local
internet service provider. Should your local ISP be down in a disaster, the one
ReddiNet dedicated unit in the ED will have satellite internet connectivity which is not
local and will provide you with a redundant system so you can still operate on
ReddiNet. In fact, once we convert, your ED unit will run on the satellite service, so it
will be a primary source for that PC. The other PCs are the hospital PCs maintained
by your IT department.

Q33. Will I still be able to receive alerts to my PC from the main system?
A33. Yes. The software and the web services are the same for both the satellite and
your local internet connections.

Q34. Is the ReddiNet PC in my ER compatible with this upgrade?
A34. Yes. You do not have to replace the PC. We will reconfigure it with new
software, but there is nothing else you need to do.


Q35. We will be moving into a new building in Dec 2011, should we wait
until we occupy the building as the ER is going to be moving?
A35. Depending on when your county is scheduled for installation, we could wait with
the satellite installation until after you move. We will work with you to minimize your
moves of ReddiNet equipment.

Q36. Should I relocate my PC?
A36. Not unless it is more advantageous to do so. We want to minimize the
replacement work and our existing plan is to use the current cabling. We would want
it to remain in place.

Q37. Our current building has a SW view which will be blocked by a new 11
story tower in 3 years. Should we proceed now with this process for this
A37. Yes. We can always relocate the equipment once the installation of the new
building is completed. OSHPD will require a new permit at that time. Much, if not all,
                               Frequently Asked Questions
                                     March 8, 2010
of the design can be reused as long as the new building construction is the same as
the existing building construction.


Q38. We have other antennas on our roof. Most cell phone, police, fire and
other antenna carrier contracts have requirements to get their approval
before adding or modifying any antenna or "structure" within a close
proximity to theirs. Have you made provisions for the delays and/or costs
associated with getting these approvals, or will each facility be responsible
for this?
A38. The dish antenna is a directional antenna. During the site survey, HughesNet
engineers will be onsite to find the perfect location for your new satellite dish and at
that time they will also ensure that problems will not exist with other antennas and
services at your hospital.

Additional Questions

Q39. Is there any difference in grounding requirements other than what is
already in place?
A39. Hughes will install a separate ground wire is required from the antenna to an
approved ground point (preferably, indoors). The ground wire must be Minimum 14
AWG green insulated copper or 17 AWG copper clad steel or bronze. If the ground
block must be installed outdoors it must be inside a weather resistant enclosure.

Q40. Is there any temperature range we must consider for the new Satellite
Router environment? Any difference than the radio – can this be in a non-
controlled environment?
A40. The temperature range for the indoor routing equipment is +5° C to +40° C
(41° F to 104° F). The indoor routing equipment can be placed in a non-controlled
environment only when the non-controlled environment stays within the operating
temperature ratings.

Q41. Is the satellite dish vibration – tolerance – movement an issues? Can
a roof top – tripod system on a flat roof be used?
A41. Yes, consistent vibration will reduce the signal quality and so will shifts or
changes in the dish position. Small changes on earth will equate to major changes in
space. All changes in signal quality are monitored by HughesNet and service
engineers are dispatched automatically when dishes fall out of tolerance. HughesNet
is able to automatically administer more bandwidth to a dish that has shifted to
compensate for the signal loss until engineers arrive onsite to correct the problem.

Q42. Will the dish need to be re-calibrated at a given period? What is the
A42. The dish is pointed to Geostationary orbit and will not need to be recalibrated
on any regular interval. All changes in signal quality are monitored by HughesNet
and service engineers are dispatched automatically when dishes fall out of tolerance.
HughesNet is able to automatically administer more bandwidth to a dish that has
shifted to compensate for the signal loss until engineers arrive onsite to correct the

                               Frequently Asked Questions
                                     March 8, 2010
Q43. In Attachment D, is the DSL ReddiNet’s or ours?
A43. The DSL Modems are used to transport the Internet from your rooftop area
down to your emergency department or the location of your dedicated ReddiNet PC.
The DSL modems are supported by HughesNet as part of the satellite system.
ReddiNet and HughesNet will be responsible for configuration and monitoring of
these DSL Modems.

Q44. Is there any additional power required OTHER than E-power/UPS
A44. No additional power requirements exist beyond E-power provided by your
hospital/facility and the UPS power supplied by ReddiNet.

Q45. Will this install interfere with other equipment frequencies at the
hospital including medical equipment?
A45. The satellite frequencies are FCC licensed to HughesNet for the intended
purpose. We are operating in the Ka band. The signals that we are receiving from
space are signals that everyone in North America is receiving all the time. When
signals are transmitted from your rooftop they are directed outward by way of our
dish antenna which is a directional antenna.

Q46. Can a mild earthquake knock the alignment of the dish slightly
rendering the dish inoperable when it would be needed most. How fast can
Hughes come out in times of emergency to realign?
A46. The dish is pointed to Geostationary orbit and will not need to be recalibrated
on any regular interval. All changes in signal quality are monitored by HughesNet
and service engineers are dispatched automatically when dishes fall out of tolerance.
HughesNet is able to automatically administer more bandwidth to a dish that has
shifted to compensate for the signal loss until engineers arrive onsite to correct the

Q47. Do we direct the Cat5 between indoor modems or can it be patched
thru internal phone cable?
A47. DSL will run through your internal phone cabling. However, we would strongly
prefer to use the existing Category 5 cabling that you already have in place. The
existing cabling makes a direct connection from your radio room to the emergency
department. By using the existing cable run we eliminate points of failure and
simplify diagnosis during failure.

                              Frequently Asked Questions
                                    March 8, 2010

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