Our Past Projects

  • Simulation Center
  • Simulation Center AV Integration
  • Level 3 Healthcare Simulation Integration
  • Sim Center

Cedars-Sinai Medical Center is a leading provider of quality medical care. Continuing medical education is provided to members of its medical staff, as well as physicians around the world who participate in their education process. In order to provide a more advanced and realistic environment for their educational process, Cedars envisioned and built a state of the art audio visual system for the newly constructed Women’s Guild Simulation Center for Advanced Clinical Skills. Cedars-Sinai medical center turned to Level 3 Healthcare to assist in developing a facility-wide solution.

Problem: Cedars-Sinai had a multi-room facility where each room hosted an independent audio-visual recording system. This approach prevented the simulation lab from creating multi-room, simulated scenarios where a team of doctors, nurses and support staff could receive a patient from the ambulance and follow them to the OR, ICU and eventually the doctor to the lobby for an update to the family.

Solution: The heart of the system is based upon a 128 x 128 video matrix switcher, over 30 pan-tilt-zoom HD IP cameras, more than 60 microphones, distributed speakers around the facility and a touch panel control system for ease of use. The customized control system allowed the Cedars team to create multi-room, multi-patient scenarios, select which cameras, microphones and patient information got ingested and recorded. This allowed the simulation specialist to follow the patient and the surgical team live, from room to room as the patient was transferred. Additionally, Level 3 Healthcare’s centralized audio visual architecture streamed the scenario live to debriefing rooms, conference rooms, auditoriums, doctors’ offices and to off-site observers. This enables the medical center to reach a much larger audience.

The design and integration Level 3 Healthcare implemented for Cedars would later that year win a “Best in Healthcare 2014” award for design and integration from Commercial Integrator Magazine.

Healthcare simulation’s primary goal is to design and facilitate scenarios to represent reality as much as possible. Level 3 Healthcare took three additional steps to enhance realism:

1. Integrated a wireless and discrete, in-ear communication system, placed on each of the standardized patients (actors portraying loved ones, doctors, anesthesiologists, etc.). Providing private communication to each or/all of the participants in the scenario. This ability to discreetly communicate with standardized patients enabled the simulation specialist, to initiate cues or verbal instructions during the scenario, while maintaining uninterrupted simulation session for learners. In essence, the scenario became a “mini live production studio” that improved realism.

2. The second enhancement was Level 3 Healthcare’s integrated voice synthesizing system. Each control station enabled the sim specialist to control a patient mannequin for advanced clinical encounters. Such scenarios often include vocal interaction between the patient simulator and doctor/nurse. The quality of the sim specialist’s vocal response is important, as it provides the cues a doctor or nurse needs in assessing the patient’s status. If the doctor/nurse is having difficulty understanding or hearing the patient it can lead to frustration, delay or miss-diagnosis. Often times the vocal reproduction hardware installed into mannequins does not provide clear and concise audio. Level 3 Healthcare’s voice synthesizing system provides a separate speaker for clear, concise audio as well as the ability to alter the voice to “fit” the patient. If the simulation calls for a pediatric assessment, a child mannequin is used and the voice synthesizing system alters the sim-specialist’s voice to match the child patient. Regardless of whether the sim-specialist is a male or female their voice will be converted to sound like a child. This produces a much higher level of realism during the simulation.

The integration of Level 3 Healthcare’s sim-specialist voice synthesizing system provides the operator a realistic and instantaneous means of speaking on behalf of the mannequin through the control station’s headphone or desktop microphone. Often, the operator’s gender and age may not match the scenario’s patient, so the voice synthesizing system instantaneously transforms the operator’s voice into any one of four (4) vocal presets: a) male to female; b) female to male; c) adult male to child; d) adult female to child. Level 3 Healthcare’s voice synthesizing system is programmable, requiring little to no adjustments.

3. Hospital sounds are also included to add further realism to the clinical environment. Such sounds might include emergency codes, or perhaps the sound of an arriving helicopter or ambulance. A digital annunciator server tied into the centralized speaker system did the trick. Hospital sounds can be easily initiated from any of the simulation control stations at the touch of a button and played overhead in any of the individual rooms, through a “follow the patient” scenario, or over the facility-wide speaker system. The simulation specialist can also page live over the system with personalized information: “Nurse Jones, please report to the nurses’ station.”

These added features have proven to greatly enhance the healthcare simulation community’s initiative of creating more realistic simulated scenarios.

  • Healthcare Conference Room
  • Operating Room Booms
  • 360 degree operating room
  • Simulation Center Operating Room
  • Simulation Control Room

The O.R. 360 Simulation Center was designed to provide a flexible environment in which to “simulate” flexible O.R. set ups and equipment boom positions. The OR 360 provides a 2×2 video wall that can be fed visiting customer welcome information, digital signage content and/or a live feed from the O.R. The image currently being displayed is a scaled, video feed from a surgical in-light camera. A unique feature to this simulation center is the fact that the equipment booms and lights are attached to a ceiling mounted mobile track allowing the simulation team to quickly change and mock up varying simulation scenarios based upon a desired outcome or field prep scenario.

The area has two small conference rooms that attach to the O.R. and provide live AV feeds and real time, 2-way communication with the surgical staff for planning and strategy sessions. Level 3 Healthcare also integrated a command and control station for the live simulations done in the operating room. Having multiple control areas, meeting spaces, conferencing solutions and the ability to live stream were integral parts in the healthcare simulation integration build out for OR 360.

  • Dental Simulation Lab University
  • Dental Simulation Lab AV Integration
  • Dental Sim Lab
  • Dental Simulation Lab with Displays

When the College of Dental Medicine started planning for a state of the art Dental Simulation Lab, they turned to Level 3 Health Care to assist with design and integration of the critical audiovisual systems that would play a key role in the delivery of the course content. The Dean’s vision was to be able to capture high definition video of the instructor’s dental procedure demonstrations and broadcast in high definition throughout the lab and directly to each student’s workstation. Additionally, the college needed a mobile solution that would allow the instructor to capture any procedure at any of the over 150 student simulation workstations.

Equally critical to the required functionality was the simplicity of how to operate and utilize this complex system. Level 3 Healthcare worked closely with the university to develop a customized solution to meet all of the needs. Along with several large format high definition displays ceiling mounted around the room, each of the student workstations features a high definition monitor to allow video and content distribution. At the teaching station and dental demonstration chair, ceiling mounted high definition pan tilt zoom cameras allow for an operator to zoom in on any dental procedure and share around the lab. A mobile cart was developed that features a retractable arm mount HD camera allowing the instructor to simply roll over to any student workstation and wirelessly broadcast live video of any interesting or relevant procedure as desired. The custom control system features video thumbnails for each available content source and allows for the operator to send any source to any display with a single click of the thumbnail. Complexity simplified.

  • Barrow Teletheatre
  • Teletheater with catscan
  • Healthcare Video Wall
  • Healthcare Video Conferencing

Level 3 Healthcare designed an immersive multimedia teletheatre solution for Barrow Neurological Institute to educate surgeons, residents and education leaders by sharing and reviewing recorded surgeries from the neuro OR. Eight (8), 47 inch, thin bezel monitors, a video multi-viewer combined with a high performance video processor create a stunning video pixel canvas boasting resolutions of over 6400×1366.

Two HD video cameras and one HD camera from a Zeiss 3-D microscope are fed via fiber optic to this wall giving it the capability to multi-view up to 16 simultaneous Live, HD Video sources with no latency. Using three Cisco video conferencing codecs gave the ability to broadcast live video and content to anywhere in the world. Microphones located at both ends allow two-way communication with the neuro surgeon for real time collaboration and training.

The Mayo medical school located in Scottsdale, AZ is one of the most prestigious campuses in the U.S. And what better way to outfit a state-of-the-art simulation center than with Level 3 Healthcare’s core simulation team.

Conference Room

The conference room at Mayo Medical School features a DigitalMedia Presentation system for a complete presentation control solution integrating the control system, multimedia matrix switcher, mic mixer, audio DSP, amplifier, and DigitalMedia distribution center. A user friendly Crestron touch screen control interface and a 70” 4K resolution display round out this impressive conference room for the Mayo Medical staff.

Simulation Exam Rooms

Simulation exam rooms round out this medical schools simulation program nicely. Each room utilizes a PTZ camera, drop down mics, speakers for voice of god and an impressive simulation solution that allows the capture and playback of scenarios at the huddle space located outside of the exam room.