{"id":27015,"date":"2019-09-27T13:56:07","date_gmt":"2019-09-27T12:56:07","guid":{"rendered":"https:\/\/www.soitron.com\/zatekajuca-serverovna-ci-pretazena-siet-ako-nema-vyzerat-it-v-zdravotnictve\/"},"modified":"2020-02-18T15:31:24","modified_gmt":"2020-02-18T14:31:24","slug":"zatekajuca-serverovna-ci-pretazena-siet-ako-nema-vyzerat-it-v-zdravotnictve","status":"publish","type":"post","link":"https:\/\/new.soitron.com\/cs\/zatekajuca-serverovna-ci-pretazena-siet-ako-nema-vyzerat-it-v-zdravotnictve\/","title":{"rendered":"Serverovna, do kter\u00e9 zat\u00e9k\u00e1, nebo p\u0159et\u00ed\u017een\u00e1 s\u00ed\u0165. Jak (ne)m\u00e1 vypadat IT ve zdravotnictv\u00ed."},"content":{"rendered":"\n

IT expert Soitronu: N\u011bkter\u00e9 nemocnice samy otev\u00edraj\u00ed dve\u0159e hacker\u016fm<\/strong>.<\/h3>\n\n\n\n
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MARTIN \u010cAPRNKA ve spolupr\u00e1ci s redakc\u00ed Soitron<\/p>\n<\/div><\/div>\n\n\n\n

<\/div>\n\n\n\n

O tom, jak by m\u011blo vypadat modern\u00ed IT v nemocnici a jak ho vybudovat i s omezen\u00fdm rozpo\u010dtem, jsme si popov\u00eddali s IT expertem spole\u010dnosti Soitron Martinem \u010caprnkou.<\/em><\/p>\n\n\n\n

<\/div>\n\n\n\n

\u0158ada nemocnic dnes bojuje s nedostatkem lid\u00ed nebo rozpadaj\u00edc\u00edmi se budovami. Jak jsou na tom IT z\u00e1le\u017eitosti v porovn\u00e1n\u00ed s podobn\u00fdmi starostmi?<\/strong><\/p>\n\n\n\n

Velmi podobn\u011b. Kdy\u017e vid\u00edte star\u00e9, nevyhovuj\u00edc\u00ed budovy, ve kter\u00fdch nemocnice \u010dasto s\u00eddl\u00ed, b\u00fdv\u00e1 v podobn\u00e9m stavu i jejich komunika\u010dn\u00ed infrastruktura<\/a>. \u010casto to vypad\u00e1 jako p\u0159ed 20\u201330 lety. Probl\u00e9my se jenom l\u00e1taj\u00ed, person\u00e1l nem\u00e1 \u010das nebo pen\u00edze na to, aby provedl celkovou obnovu, kterou by si komunika\u010dn\u00ed infrastruktura zaslou\u017eila. <\/p>\n\n\n\n

Jak tedy vypad\u00e1 IT infrastruktura v typick\u00e9 slovensk\u00e9 nemocnici?<\/strong><\/p>\n\n\n\n

Vid\u011bl jsem jich n\u011bkolik. N\u011bkter\u00e9 byly v dost \u017ealostn\u00e9m stavu. Za\u017eil jsem, \u017ee kotelna vypadala l\u00edp ne\u017e m\u00edstnost, kde byly um\u00edst\u011bn\u00e1 datov\u00e1 a telekomunika\u010dn\u00ed za\u0159\u00edzen\u00ed. St\u011bny byly pokryt\u00e9 pl\u00edsn\u00ed a do m\u00edstnosti zat\u00e9kalo, tak\u017ee bezv\u00fdpadkovost tam ne\u0161lo zaru\u010dit. \u010casto b\u00fdvaj\u00ed poddimenzovan\u00e9 rozvody, a\u0165 u\u017e elektrick\u00e9 nebo datov\u00e9. Byl jsem v jedn\u00e9 nemocnici, kde by p\u0159\u00edpadn\u00e9 um\u00edst\u011bn\u00ed dal\u0161\u00edho bezdr\u00e1tov\u00e9ho p\u0159\u00edstupov\u00e9ho bodu vy\u017eadovalo rozsek\u00e1n\u00ed p\u016flky budovy.<\/p>\n\n\n\n

P\u0159edstavme si, \u017ee jsem \u0159editel a rozhoduji se, na co d\u00e1m pen\u00edze. Jak\u00fd p\u0159\u00ednos m\u00e1 investice do IT infrastruktury nap\u0159\u00edklad v porovn\u00e1n\u00ed se \u0161kolen\u00edm lid\u00ed, rekonstrukc\u00ed prostor a podobn\u011b?<\/strong><\/p>\n\n\n\n

Na to se m\u016f\u017eeme d\u00edvat z r\u016fzn\u00fdch pohled\u016f.\nV prvn\u00ed \u0159ad\u011b mus\u00edm v\u011bd\u011bt, co m\u00e1m zajistit pro pacienty a l\u00e9ka\u0159e \u2013 m\u00e1m\nt\u0159eba p\u0159enosn\u00fd rentgen a chci hotov\u00fd sn\u00edmek n\u011bkam poslat nebo pot\u0159ebuji\nevidovat pacienty, ukl\u00e1dat informace a podobn\u011b. To jsou slu\u017eby, kter\u00e9\ncht\u011bj\u00ed nemocnice poskytovat.<\/p>\n\n\n\n

Druhou rovinou je udr\u017een\u00ed za\u0159\u00edzen\u00ed\nv chodu. Na to je nutn\u00e9 br\u00e1t ohledy, u\u017e kdy\u017e infrastrukturu stav\u00edm. Pokud\ndojde k n\u011bjak\u00e9mu v\u00fdpadku, mus\u00edm b\u00fdt schopn\u00fd udr\u017eet v provozu aspo\u0148\nkritick\u00e9 syst\u00e9my, jejich\u017e funk\u010dnost m\u016f\u017ee b\u00fdt z\u00e1visl\u00e1 na infrastruktu\u0159e \u2013\nnap\u0159\u00edklad monitorov\u00e1n\u00ed pacient\u016f.<\/p>\n\n\n\n

No a nakonec je tady bezpe\u010dnost<\/a>. Kybernetick\u00e9 \u00fatoky se nevyh\u00fdbaj\u00ed ani nemocnic\u00edm. S\u00ed\u0165 by proto m\u011bla b\u00fdt od z\u00e1kladu vybudovan\u00e1 tak, aby byla bezpe\u010dn\u00e1. Tato problematika je samoz\u0159ejm\u011b komplexn\u011bj\u0161\u00ed a bezpe\u010dnost se nem\u00e1 \u0159e\u0161it jen na t\u00e9hle \u201evrstv\u011b\u201c. \u010c\u00edm v\u00edc se ale v tomto sm\u011bru zanedb\u00e1, t\u00edm jednodu\u0161\u0161\u00ed bude \u00fatok \u2013 komunika\u010dn\u00ed infrastruktura je toti\u017e z\u00e1kladem pro v\u0161echny ostatn\u00ed syst\u00e9my.<\/p>\n\n\n\n

U\u017e dnes maj\u00ed n\u011bkter\u00e9 nemocnice WiFi. Jsou data pacient\u016f v bezpe\u010d\u00ed?<\/strong><\/p>\n\n\n\n

N\u011bkter\u00e9 nemocnice jsou v tom nap\u0159ed, maj\u00ed nasazenou segmentaci a pou\u017e\u00edvaj\u00ed zabezpe\u010den\u00e9 samostatn\u00e9 s\u00edt\u011b \u2013 tu, do kter\u00e9 se m\u016f\u017ee n\u00e1v\u0161t\u011bva nebo pacient p\u0159ipojit a tu, do kter\u00e9 se b\u011b\u017en\u00fd \u010dlov\u011bk nedostane, aby byla citliv\u00e1 data chr\u00e1n\u011bn\u00e1. \u0002<\/p>\n\n\n\n

N\u011bkde je to samoz\u0159ejm\u011b naopak. \u0158ada st\u0159edisek pou\u017e\u00edv\u00e1 za\u0159\u00edzen\u00ed, kter\u00e1 b\u011b\u017en\u011b koup\u00edte v supermarketech. Takov\u00e1 bych si j\u00e1 nedal ani dom\u016f. Z\u00e1platy se na n\u011b bu\u010f nevyd\u00e1vaj\u00ed, nebo se vyd\u00e1vaj\u00ed a\u017e po roce. T\u00edm se otev\u00edraj\u00ed p\u0159\u00edle\u017eitosti pro potenci\u00e1ln\u00ed \u00fato\u010dn\u00edky. Nemluv\u011b o tom, \u017ee pokud je WiFi navr\u017een\u00e1 a nainstalovan\u00e1 neodborn\u011b, v\u016fbec neslou\u017e\u00ed sv\u00e9mu \u00fa\u010delu. Proto se \u010dasto st\u00e1v\u00e1, \u017ee i kdy\u017e je v nemocnici WiFi, ned\u00e1 se k n\u00ed p\u0159ipojit, proto\u017ee ji nikdo nep\u0159izp\u016fsobil pro velk\u00fd po\u010det u\u017eivatel\u016f.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

M\u016f\u017eou na WiFi fungovat i l\u00e9ka\u0159sk\u00e9 p\u0159\u00edstroje?<\/strong><\/p>\n\n\n\n

Jist\u011bj\u0161\u00ed je p\u0159ipojit je kabelem. Ale za\u0159\u00edzen\u00ed, kter\u00e1 nap\u0159\u00edklad nemonitoruj\u00ed pacienty, ur\u010dit\u011b m\u016f\u017eou b\u011b\u017eet i na bezdr\u00e1tov\u00e9 s\u00edti. T\u0159eba ta, kter\u00e1 pom\u00e1haj\u00ed p\u0159i obslu\u017en\u00fdch prac\u00edch, jako je automatick\u00fd podava\u010d l\u00e9k\u016f. Ten d\u00edky p\u0159ipojen\u00ed k WiFi sleduje, jak\u00e9 l\u00e9ky pacient bere a s\u00e1m mu je nachyst\u00e1. I kdyby takov\u00fd syst\u00e9m vypadl, nebude to kritick\u00e9. Person\u00e1lu ale urychluje pr\u00e1ci.<\/p>\n\n\n\n

Typick\u00fdm p\u0159\u00edkladem vyu\u017eit\u00ed WiFi m\u016f\u017ee b\u00fdt lokalizov\u00e1n\u00ed p\u0159enosn\u00fdch p\u0159\u00edstroj\u016f, jako jsou rentgeny, sonografy a podobn\u011b. Person\u00e1lu to umo\u017e\u0148uje rychle zjistit, kde se jak\u00fd p\u0159\u00edstroj nach\u00e1z\u00ed a jak ho co nejrychleji dostat tam, kde je pot\u0159eba. A to u\u0161et\u0159\u00ed dal\u0161\u00ed \u010das.<\/p>\n\n\n\n

S jak\u00fdmi nej\u010dast\u011bj\u0161\u00edmi IT probl\u00e9my se setk\u00e1v\u00e1te?<\/strong><\/p>\n\n\n\n

Poddimenzov\u00e1n\u00ed s\u00edt\u011b nebo p\u0159enosov\u00e9 kapacity, tedy p\u0159\u00edpady, kdy nov\u00e9 za\u0159\u00edzen\u00ed ani nebylo kam p\u0159ipojit. Druh\u00fdm velk\u00fdm probl\u00e9mem je bezpe\u010dnost, o kter\u00e9 jsme u\u017e mluvili. P\u0159i budov\u00e1n\u00ed syst\u00e9m\u016f \u010dasto chyb\u00ed kontinuita \u2013 jakmile odejde vedouc\u00ed IT, nikdo nev\u00ed, jak jsou v\u011bci postaven\u00e9. \u010cast\u00fdm probl\u00e9mem b\u00fdv\u00e1 i chyb\u011bj\u00edc\u00ed zdvojov\u00e1n\u00ed \u2013 u kritick\u00fdch prvk\u016f, na kter\u00fdch je z\u00e1visl\u00e1 ve\u0161ker\u00e1 komunikace, nejsou instalovan\u00e9 dva zdroje nebo nejsou vybudovan\u00e9 dv\u011b fyzick\u00e9 cesty, tak\u017ee v p\u0159\u00edpad\u011b v\u00fdpadku v\u0161echno spadne.<\/p>\n\n\n\n

Dok\u00e1\u017ee svoji IT infrastrukturu z\u00e1sadn\u011b vylep\u0161it i nemocnice s omezen\u00fdm rozpo\u010dtem?<\/strong><\/p>\n\n\n\n

Ve st\u00e1tn\u00edch nemocnic\u00edch je to asi t\u011b\u017ek\u00e9, ale v soukrom\u00fdch se s t\u00edm po\u010d\u00edt\u00e1. Samy se cht\u011bj\u00ed odli\u0161it od toho, jak to tady roky fungovalo a postavit nemocnici modern\u011b. IT infrastruktura se d\u00e1 vybudovat za rozumn\u00e9 pen\u00edze. Vid\u00edme to hlavn\u011b na soukrom\u00fdch nemocnic\u00edch, se kter\u00fdmi jsme spolupracovali.<\/p>\n\n\n\n

Kdybych byl \u0159editel, kter\u00fd o to m\u00e1 z\u00e1jem, \u010d\u00edm bych m\u011bl za\u010d\u00edt?<\/strong><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Auditem. Nejd\u0159\u00edv je pot\u0159eba pod\u00edvat se na budovu a zjistit, jestli m\u00e1m vhodn\u00e9 prostory. Pak se \u0159e\u0161\u00ed, co vlastn\u011b nemocnice poskytuje \u2013 jak m\u00e1m rozd\u011blen\u00e1 jednotliv\u00e1 odd\u011blen\u00ed, jak spolu maj\u00ed komunikovat, jak\u00e9 slu\u017eby pacient\u016fm nemocnice zaji\u0161\u0165uje a kde do toho v\u0161eho vstupuje datov\u00e1 komunikace. Po zmapov\u00e1n\u00ed cel\u00e9 nemocnice n\u00e1sleduje pl\u00e1n budov\u00e1n\u00ed infrastruktury od nuly a\u017e po kone\u010dn\u00fd stav a potom ji u\u017e m\u016f\u017eu za\u010d\u00edt stav\u011bt jako kostky.<\/p>\n\n\n\n

D\u00e1 se to d\u011blat i po \u010d\u00e1stech?<\/strong><\/p>\n\n\n\n

Ur\u010dit\u011b ano a v\u011bt\u0161inou to tak opravdu je. Ide\u00e1ln\u00ed je m\u00edt to cel\u00e9 nar\u00e1z, ale obvykle si nemocnice ur\u010d\u00ed, kter\u00e9 \u010d\u00e1sti jsou kritick\u00e9. T\u011bmi se potom za\u010d\u00edn\u00e1. N\u011bkdy jsou to investice i na 5 let, ale pokud se nemocnice chce n\u011bkam dostat, mus\u00ed odn\u011bkud za\u010d\u00edt. Koneckonc\u016f, kdy\u017e u\u017e jednou po\u0159\u00e1dn\u011b vy\u0159e\u0161\u00edte nevyhovuj\u00edc\u00ed prostory nebo strukturovanou kabel\u00e1\u017e, budou fungovat hned, ale z\u00e1rove\u0148 budete m\u00edt p\u0159ipravenou p\u016fdu i do budoucna.<\/p>\n\n\n\n

Kde na Slovensku najdeme p\u0159\u00edklad nemocnice s dobrou IT infrastrukturou?<\/strong><\/p>\n\n\n\n

Velmi dobr\u00fdm p\u0159\u00edkladem jsou nov\u00e9 soukrom\u00e9 nemocnice. Proto\u017ee jsou nabit\u00e9 technologiemi, museli jsme v nich vybudovat mimo\u0159\u00e1dn\u011b stabiln\u00ed a bezpe\u010dn\u00e9 s\u00edt\u011b jako t\u0159eba v nemocnici nov\u00e9 generace v Michalovc\u00edch<\/a>.<\/p>\n\n\n\n

Dobr\u00e9 p\u0159\u00edklady ale najdeme i u n\u011bkter\u00fdch st\u00e1tn\u00edch nemocnic, kde se investovalo v\u00edc. Pro\u0161ly rekonstrukcemi a n\u011bkde vyrostla i kompletn\u011b nov\u00e1 odd\u011blen\u00ed, kter\u00e1 vypadaj\u00ed jako ze seri\u00e1lu Dr. House. A velmi r\u00e1d \u0159\u00edk\u00e1m, \u017ee se to d\u011bje po cel\u00e9m Slovensku.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>
\n

Martin \u010caprnka<\/strong><\/p>\n\n\n\n

Network Presales Team Leader<\/p>\n\n\n\n

martin.caprnka@soitron.com<\/a><\/p>\n<\/div><\/div>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

IT expert Soitronu: N\u011bkter\u00e9 nemocnice samy otev\u00edraj\u00ed dve\u0159e hacker\u016fm. MARTIN \u010cAPRNKA ve spolupr\u00e1ci s redakc\u00ed Soitron O tom, jak by m\u011blo vypadat modern\u00ed IT v nemocnici a jak ho vybudovat i s omezen\u00fdm rozpo\u010dtem, jsme si popov\u00eddali s IT expertem spole\u010dnosti Soitron Martinem \u010caprnkou. \u0158ada nemocnic dnes bojuje s nedostatkem lid\u00ed nebo rozpadaj\u00edc\u00edmi se budovami. Jak jsou na tom IT z\u00e1le\u017eitosti v porovn\u00e1n\u00ed […]<\/p>\n","protected":false},"author":28,"featured_media":26962,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[144],"tags":[],"news_categories":[392],"class_list":["post-27015","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky-cs","news_categories-sitova-reseni"],"acf":[],"yoast_head":"\nServerovna, do kter\u00e9 zat\u00e9k\u00e1, nebo p\u0159et\u00ed\u017een\u00e1 s\u00ed\u0165. 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Jak (ne)m\u00e1 vypadat IT ve zdravotnictv\u00ed. - Soitron","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"cs_CZ","og_type":"article","og_title":"Serverovna, do kter\u00e9 zat\u00e9k\u00e1, nebo p\u0159et\u00ed\u017een\u00e1 s\u00ed\u0165. Jak (ne)m\u00e1 vypadat IT ve zdravotnictv\u00ed. - Soitron","og_description":"IT expert Soitronu: N\u011bkter\u00e9 nemocnice samy otev\u00edraj\u00ed dve\u0159e hacker\u016fm. MARTIN \u010cAPRNKA ve spolupr\u00e1ci s redakc\u00ed Soitron O tom, jak by m\u011blo vypadat modern\u00ed IT v nemocnici a jak ho vybudovat i s omezen\u00fdm rozpo\u010dtem, jsme si popov\u00eddali s IT expertem spole\u010dnosti Soitron Martinem \u010caprnkou. \u0158ada nemocnic dnes bojuje s nedostatkem lid\u00ed nebo rozpadaj\u00edc\u00edmi se budovami. 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