This is a presentation we provided discussing the impacts of Healthcare regulations and trends on Data Center Design

1. Are New Healthcare Regulations
Impacting your Data Center?
Tod Moore, RCDD, CDCD
Min-Hsao Chen, PE
Debby Ramundo, RN, BSN, MSIT
Al Greiner, RCDD/NTS PMP
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2. Introductions
Tod Moore, RCDD, CDCD
– Principal, IT Architecture Practice Leader
– 25+ years of IT/Telecommunications Experience
Min-Hsao Chen, PE, CCNA
– Senior Technology Consultant
– Bachelors in EE and MS in Information Assurance
– 13 years in telecommunications industry
Al Greiner, RCDD/NTS, PMP
– Senior Telecommunications Consultant
– 25+ years of IT/Telecommunications Experience
Debby Ramundo, RN, BSN, MSIT
– Senior Healthcare Technology Consultant
– Master's in Information Technology
– 26 years experience in Healthcare IT
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3. Overview
History of Data Centers
Healthcare Industry Drivers
IT Industry Trends
Strategic Planning
Design Considerations
Question and Answer
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4. History of Data Centers
Early computer systems−1960's
– Room-sized machines in a controlled
environment
– Military systems – Security needs
– Separate rooms with controlled
environments
The Microcomputer−1980's
– Computers installed everywhere
– Environmental and operating requirements
– Lost data became a major concern
Birth of the Modern Data Center−1990's
– Complexity of IT systems require a more
controlled environment
– Client-server networking became a
standard
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5. History of Data Centers
Development of the
Tier Level Rating
How we got where we are…
Uptime Institute
TIA (Telecommunications Industry
Association)
BICSI (Building Industry Consulting
Service International)
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6. Healthcare Industry Drivers
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7. Healthcare Industry Drivers
Electronic Medical Record (EMR)/Meaningful Use
Full integration mandated by 2014
Conversion to ICD-10
by October 2013
13,000 – 68,000 codes
Requirements for
storage
Responsibility remains
with originating provider
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8. Healthcare Industry Drivers
Large digital files
• Picture archiving and communication system
(PACS) replaces traditional film based images
• Integrated imaging in operating rooms
• Wound pictures
• Genome sequencing
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9. Healthcare Industry Drivers
Telehealth
• Online patient data needs to be integrated into EMR
• Video sessions of synchronous visits or consults
will require storage and EMR integration
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10. Healthcare Industry Drivers
Increased mobility
• Tablets, smart phones
• Medical apps
• Social media
Human machine interface
• Increased need for
ubiquity
o Smart walls
o Surface
• Needs for efficient log on
processes
o Smart rooms
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11. Disaster Recovery
Increased expectations with the availability of
electronic records
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12. Information Technology
Industry Trends
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13. Information Technology
Industry Trends
Cloud Computing
Virtualization
Convergence
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14. What is the cloud?
Cloud services can be characterized as services
available to users from a third party service provider
via the Internet
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15. IT Industry Trends:
Cloud Computing
Advantages
Anywhere Anytime Anyone
data access services by third party
provider via the Internet
• Reduced local storage
• Staff efficiency
• Scalability
Disadvantages
Reduced direct control over your
data and information
Dependence on a third party
(long term dependency)
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16. IT Industry Trends:
Public Cloud vs. Private Cloud
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17. IT Industry Trends:
Server Virtualization
Traditional Server Usage
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18. IT Industry Trends:
Server Virtualization
Server virtualization
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19. IT Industry Trends:
Server Virtualization
Server virtualization
• Reduce costs
• Reduce space requirements
• Improve business continuity
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20. IT Industry Trends:
Virtualization
Network virtualization
• Use a single physical network with
multiple logical network
• Improve network resource usage
• Improve network security
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21. IT Industry Trends:
Convergence
Convergence of
voice, video and data
over IP layered
network
Voice over IP system
internally as well as
external trunks
(e.g. SIP trunks)
IP based surveillance systems
network demands
Not all data is the
same
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22. Facilities Trends:
Building Controls
Part of the data center space
IP based building control
systems
Data storage and data process
for monitoring points
Protocol convergence
LEED point (Energy
Performance Monitoring)
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23. Hybrid Solution
A purpose built data
center with a disaster
recovery site critical
clinical applications and
systems
"You will be fired as a CIO if you don't
A private cloud for non- know where things are running.
You will be fired as a CIO if you don't
critical applications and know when things are down."
– Focus Magazine, Issue 17 2011
systems
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24. Strategic Planning
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25. Quantify
What percentage of your
archive information is in
digital format?
• Are there plans to transition
archive data into digital
format?
What percentage of current
information is in digital
format?
What percentage of
information will be in digital
format 5 years from now
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26. Valuation
Big Data – MGI Report June 2011
“…we estimate that the potential value from data in the sector
(healthcare) could be more than $300 billion in value every
year.”
“…two-thirds of which would be in the form of reducing national
healthcare expenditures by about 8 percent.”
http://www.mckinsey.com/Insights/MGI/Research
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27. How to Share in the Returns
Techniques for analyzing Big Data
Volume of data being generated has exceeded our ability to
analyze it effectively.
• Require expansion of storage systems and dedicated
applications to mine the data.
o A/B testing
o Association rule
learning
o Classification
o Cluster analysis
o Natural language
processing
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28. Using the Information
Leverage the information
• The mined information will increase efficiency
o Fewer duplicated procedures
o Improve clinical outcome
• Reduce Healthcare Cost
o Pharmaceutical
companies
o Insurance providers
• Reduce Fraud
“Give me a lever long enough and a place to
stand, I will move the entire earth.”
Archimedes
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29. Strategy
Cloud computing
Provides access to reliable, highly scalable computing resources
via telecommunications links often at lower capital costs than
installing enterprise owned infrastructure
Purpose-built data center infrastructure
• Enterprise wide server housing and data repository
• Full scale high level facility
Remote site infrastructure strategy
• Reliability level proportional to data
retention time
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30. Design Considerations
Requirements assessments
• Allowable maintenance time
• Tolerance for unscheduled shutdown
• Downtime impact classifications
• Growth projections
• Gap analysis
Designing for effectiveness & efficiency
• Network topology--TOR (Top of
Rack), EOR (End of Row), etc.
• Optical switching
• Power & cooling concepts
• CFD Modeling
• Containment strategies
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31. Optimization
Optimize existing and new designs for data center facilities
CFD Modeling to verify design assumptions for new builds or
improve performance of existing facilities
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32. Conclusion
Are New Healthcare Regulations Impacting Your Data
Center?
Data Tsunami
Hybrid Data Center Solution
Plan Ahead
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33. Questions?
Tod Moore Debby Ramundo
tomoore@sparling.com dramundo@sparling.com
Min–Hsao Chen Al Greiner
mchen@sparling.com agreiner@sparling.com
THANK YOU!
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