IBM Software                                                               Thought Leadership White PaperHealthcareManage ...
2    Manage more data, meet healthcare regulations and improve availabilityContents                                       ...
IBM Software   3in digital slides, which are created using virtual microscopy to         Healthcare regulations and stress...
4   Manage more data, meet healthcare regulations and improve availabilityorganizations—such as requiring storage for pres...
IBM Software    5Also, as electronic medical data continues to grow in its various    to a patient’s medical history with ...
6    Manage more data, meet healthcare regulations and improve availabilityThe IBM approach to storage                    ...
IBM Software   7●●   Increase efficiency with a hierarchy of storage, placing         effective storage now and be able to...
© Copyright IBM Corporation 2012        IBM Corporation        Software Group        Route 100        Somers, NY 10589    ...
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Manage more data, meet healthcare regulations tiw14142 usen


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These pressures often fall on the shoulders of healthcare CIOs
and storage managers. Faced with increasing challenges in data
volumes, storage performance and regulatory compliance, they
must find better ways to manage data for their healthcare organizations.

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Manage more data, meet healthcare regulations tiw14142 usen

  1. 1. IBM Software Thought Leadership White PaperHealthcareManage more data, meet healthcareregulations and improve availabilityAddressing today’s increasing storage demands in the healthcare industrywith smarter management strategies
  2. 2. 2 Manage more data, meet healthcare regulations and improve availabilityContents These pressures often fall on the shoulders of healthcare CIOs and storage managers. Faced with increasing challenges in data 2 Introduction volumes, storage performance and regulatory compliance, they must find better ways to manage data for their healthcare orga- 2 Evolving and expanding sources of medical data nizations. These challenges demand a smarter approach to 3 Healthcare regulations and stressed storage storage management, including performing efficient backups and restores, improving data availability and providing data 4 The challenges of backup and recovery protection. However, diagnosing these needs is only part of the 5 Increased demands for high performance and prescription for storage health. A plan to simplify administration, availability maximize resources and manage costs is also essential. 6 The IBM approach to storage management for healthcare Evolving and expanding sources of 7 Ready to respond to tomorrow’s storage challenges medical data The pressures of converting medical records from paper to 7 For more information digital—pressures such as government regulations, economics, and the need to streamline clinical, IT and business operations—Introduction have forced hospitals and clinics to accommodate unprecedentedToday’s alarming rates of data growth are nothing new to health- amounts of data. For most hospitals and clinics, if an EHRcare organizations. For decades, the healthcare industry has been system has not already been put in place, there likely are plansin the midst of a digital revolution that continues to evolve. And to implement one soon. Providing storage to support theseas more health records and patient data are made electronic, and systems and managing it effectively requires the ability to scale—as healthcare providers expect data to be both more secure and often to huge data capacities and sophisticated managementmore quickly available than ever before, storage resources can capabilities—which would enable the organization to accommo-come under considerable strain. date increasing volumes of patient records and data. And as regulations take effect and the average life-expectancy of patientsGovernment regulations are not only pressuring hospitals grows longer, organizations need to plan accordingly to manageand clinics to convert traditional medical records systems to more data for a longer term.electronic health records (EHR) systems, they are also requiringthat data be kept longer, be more secure and be more readily As medical technology has progressed, additional types of medi-available. As more health information goes digital, the expecta- cal information have also become digitized. Sources includingtion that the data be immediately available to practitioners and X-rays, computed axial tomography (CAT) scans, sonograms,patients is higher, even in the event of a power outage or disas- digital images and videos continue to increase in number andter. Ensuring availability through more effective backup and resolution, taking up more and more storage real estate eachrecovery plans for stored data has become a necessity. Losing year. There is also a continued push toward digital pathology—access to critical health information is not an option. the practice of viewing, analyzing and managing the information
  3. 3. IBM Software 3in digital slides, which are created using virtual microscopy to Healthcare regulations and stressedconvert glass slides to digital slides. This can involve increasingly storagelarger and more complex data sets. Finding an approach to stor- Among the drivers increasing data storage in healthcare areing and managing medical data as the technologies that create it the requirements of government regulations. These regulationscontinue to evolve—and finding ways to prevent unnecessary mandate that healthcare organizations store and protect data anddata storage sprawl—have become top priorities for many ensure that it is readily available on a daily basis—for potentialhealthcare storage managers. compliance audits or litigation—to prevent severe penalties or costs. Regulations such as the Health Information TechnologyIT and business decision makers in healthcare need to consider (HITECH) Act, the Health Insurance Portability andstorage and storage-management requirements not only for Accountability Act (HIPAA) and Electronic Discoverymedical data, but for key business information as well. Supply (eDiscovery) place storage-specific pressures on today’schain, pharmaceutical, financial and business-performance data healthcare organizations. Meeting these regulations not onlymust also be stored and effectively managed with appropriate requires larger storage capacities, it also demands better datasecurity policies and backup measures. To handle this diverse protection and increased availability.mix of clinical and business data, organizations need to considerstorage management strategies that can facilitate seamless The HITECH Act is one of the main regulations pushingscalability as they reduce data storage requirements with healthcare institutions to convert medical records to EHR sys-technologies such as data compression and deduplication. tems. One of the stipulations of the act requires healthcareWith methods such as these, organizations can see considerable organizations to demonstrate “meaningful use” of EHR systems,reductions in administration time and significant cost savings. or to use the systems in a meaningful manner to performWorldwide healthcare IT spending in storage hardware is important functions, such as handling electronic prescriptions,expected to increase from 2010 to 2015 at a compound annual exchanging health information and measuring clinical quality.growth rate of 7.60 percent.1 Hence, ensuring cost efficiency has This regulation places specific storage demands onbecome a top priority for healthcare institutions looking tocontinue supporting the growing sources of medical data. Worldwide healthcare IT Storage Spending (in USD millions)* 2010 2011 2012 2013 2014 2015 3121.56 3458.79 3827.88 4082.31 4286.25 4501.91
  4. 4. 4 Manage more data, meet healthcare regulations and improve availabilityorganizations—such as requiring storage for prescription, drugallergy and patient demographic information, and requiring the Use case: OhioHealth reduces storage capacity andability to produce electronic records of patients upon request. managementHowever, attaining compliance with this regulation and imple-menting an EHR system can require a sizeable initial investment Working to meet the meaningful use standards requirementsand substantial ongoing operational costs, such as updating soft- of the HITECH Act, OhioHealth—a network of hospitals and healthcare providers based in Columbus, Ohio—needed toware and training staff to run storage systems. These capacity, implement a new electronic medical record system. Withavailability and financial pressures require highly capable and requirements to store medical data indefinitely and quicklycost-effective storage management solutions. recover it on demand, the organization needed a storage management solution that could perform these functionsAdditionally, HIPAA requires that all medical records be stored without a large initial investment or high operational costs.for a specified time in a secure environment. Two of the main By implementing an IBM® Tivoli® Storage Manager solution,areas of focus of HIPAA are security and availability. As more OhioHealth was able to significantly reduce the amountmedical records become digitized, healthcare managers grow of time needed to manage its environment and performincreasingly concerned with maintaining security and confidenti- backups. The organization went from running full backupsality. But maintaining security in a complex, expanding storage every 24 hours to running incremental backups every dayinfrastructure can become technically and financially challeng- and full backups every other week. This not only reduceding. HIPAA also mandates that organizations readily provide administration time, it also enabled OhioHealth to require much less storage capacity—both key cost-saving measuresmedical information when needed, even in the event of an helping the organization quickly realize its return onunplanned outage. This requires that organizations create a investment.disaster recovery plan that can restore access to data after anemergency event. This puts tremendous demands on storagemanagement systems, and on administrators, to provide highlyreliable backup and restore functions for potentially massive The challenges of backup and recoverystorage infrastructures. Losing data not only puts healthcare professionals at risk of failing to meet eDiscovery requests or compliance withAnother regulation that requires high availability for medical regulations—with potential results of lawsuits, fines or lossinformation is eDiscovery. As part of the US Federal Rules of of licenses—it also puts the health and well-being of theirCivil Procedure, eDiscovery requires healthcare organizations to patients at risk. This makes loss of data able to respond quickly to information requests related to liti-gation. eDiscovery also requires organizations to have a disaster As a result, providing a backup and recovery system hasrecovery plan, ensuring that requested medical information can become an increasingly high priority in the healthcare readily available for legal purposes. Combined with the However, overcoming the challenges of protecting burgeoningrequirements of the HITECH Act and HIPAA, this is yet volumes of medical data can be difficult. Performing backup andanother regulation that is pressing organizations to increase recovery can require significant administrative time and effort.focus on storage management.
  5. 5. IBM Software 5Also, as electronic medical data continues to grow in its various to a patient’s medical history with accompanying medical imagesforms, healthcare organizations cannot continue simply to pur- and data is critical. Making sure that the supporting storagechase additional storage for backup space as they may have done systems are capable of high performance becomes one of thein the past. In the case of a merger or acquisition, supporting a top concerns for healthcare IT.sudden increase in medical and business data and managing amore heterogeneous storage environment can be overwhelming Ensuring that storage systems deliver the high performancefor storage administrators. expected in healthcare environments requires the right manage- ment approach. The operation of the storage infrastructureMore efficient, cost-effective ways to back up and restore health- should have no discernible effect on the operation of the health-care data are needed—methods that employ data-reduction care environment or the patient experience, and implementing astrategies and simplify the administration effort through unified management solution that can help optimize both primary andmanagement. Eliminating duplicate or unneeded data can help backup storage systems can help ensure that storage can attainkeep storage growth under control and reduce expansion costs, the right level of performance.and compressing data can also help alleviate capacity issues.Another way to reduce storage expenses is to move older, less-active data to a less-expensive storage hierarchy—a managementstrategy that can help to maximize utilization and improveperformance.For the backup and restore systems themselves, healthcare orga-nizations need more efficient, cost-effective ways to regularlyperform backups without using excessive storage space or unnec-essary management resources. Healthcare organizations needsolutions that can provide intuitive, automated functionality toenable cost-effective management.Increased demands for high performanceand availabilityIn addition to backup and restore, high data availability has alsocome to be expected from a growing number of medical fields. IBM Tivoli Storage Manager Suite for Unified Recovery includes a number ofPractitioners and patients often expect medical records, images integrated storage management features that are useful for a wide variety ofand other data types to be available without delay. Especially in applications.emergency-room environments, the need for immediate access
  6. 6. 6 Manage more data, meet healthcare regulations and improve availabilityThe IBM approach to storage ●● Tivoli Storage FlashCopy® Manager: Enables administra-management for healthcare tors to perform and manage frequent, near-instant, nondisrup-For healthcare organizations looking to support growing data, tive, application-aware backups and restores, leveragingreduce risks, improve availability, ensure high performance and advanced FlashCopy snapshot technologies in IBM storagereduce costs, IBM can help. With storage management solutions systemsfrom IBM Tivoli, organizations can facilitate an efficient, ●● Tivoli Storage Productivity Center: Combines the manage-scalable and secure storage infrastructure that can help to meet ment of assets, capacity, performance and operations into aregulatory requirements and handle growing volumes of medical single platformdata. With automated management capabilities, Tivoli storagemanagement solutions can help to greatly improve administra- Tivoli Storage Manager also includes enhanced security featurestion efficiency and cost effectiveness, while improving backup to help protect critical data and meet regulations such as HIPAA,and restore capabilities, resource utilization and performance. with automated data security encryption, encryption key man-The IBM family of Tivoli storage management products agement and data-shredding capabilities.includes: For backup and recovery, the IBM Tivoli Storage Manager Suite●● Tivoli Storage Manager: Supports hundreds of devices and for Unified Recovery provides a collection of 10 data protection operating platforms with many application-specific connectors and recovery software products that deliver a simplified, cost- and includes advanced data protection, unified recovery effective way to implement and manage data protection and management and effective data reduction capabilities recovery solutions throughout the organization. This solution●● Tivoli Storage Manager FastBack®: Helps to ensure enables healthcare organizations to: continuous protection for patient records and medical data and provides a near-instant recovery software solution for ●● Simplify administration with unified recovery management, business-critical Microsoft Windows and Linux servers, combining multiple tools and solutions into a single user remote locations and small to midsize offices interface●● Tivoli Storage Manager FastBack for Workstations: ●● Reduce the data storage footprint using progressive incremen- Includes automated, continuous protection for healthcare data tal backups and built-in data deduplication and provides a recovery software solution for desktop and ●● Implement advanced backup and recovery features, such as laptop computers, with centralized management for up to automated disaster recovery planning tools, nondisruptive thousands of systems online image backup, and intelligent, high-speed data protection features
  7. 7. IBM Software 7●● Increase efficiency with a hierarchy of storage, placing effective storage now and be able to grow along with the organi- less-active data in a hierarchy of lower-cost storage, which zation. IBM can help healthcare organizations build and operate helps conserve resources as automated policies migrate data to a smarter storage infrastructure with IBM Tivoli storage man- the appropriate media type based on data value, access and agement software. The comprehensive software portfolio from retention requirements IBM provides robust functionality that can help to protect●● Enhance data security with data compression, encryption and critical data, deliver high availability and performance, and management of encryption keys for Tivoli Storage Manager provide cost-effective, seamless backup and restore capabilities. clients As medical data sources continue to expand, IBM plans to continue developing innovative solutions to help organizationsIn addition to its Tivoli storage management software, address the latest storage challenges in the healthcare industry.IBM also offers healthcare organizations a vast portfolio ofstorage hardware products designed with scalability, data For more informationprotection, high availability and performance in mind, such as To learn more about IBM Tivoli storage management solutions,IBM System Storage® products—with built-in technologies contact your IBM representative or IBM Business Partner, orsuch as IBM System Storage Easy Tier® technology—and visit: System Storage ProtecTIER® Deduplication solutions.The highly capable combination of IBM Tivoli storage manage- Additionally, IBM Global Financing can help you acquirement software and IBM System Storage products can help to the software capabilities that your business needs in the mostaddress some of the toughest challenges for today’s largest, most cost-effective and strategic way possible. We’ll partner withcomplex healthcare organizations. credit-qualified clients to customize a financing solution to suit your business and development goals, enable effective cashReady to respond to tomorrow’s storage management, and improve your total cost of ownership. Fundchallenges your critical IT investment and propel your business forwardIn order to respond to growing compliance demands and rapidly with IBM Global Financing. For more information, visit:expanding data from an increasing number of data sources, administrators need smarter solutions that can facilitate
  8. 8. © Copyright IBM Corporation 2012 IBM Corporation Software Group Route 100 Somers, NY 10589 Produced in the United States of America December 2012 IBM, the IBM logo,, and Tivoli are trademarks of International Business Machines Corp., registered in many jurisdictions worldwide. Other product and service names might be trademarks of IBM or other companies. A current list of IBM trademarks is available on the web at “Copyright and trademark information” at Linux is a registered trademark of Linus Torvalds in the United States, other countries, or both. Microsoft and Windows are trademarks of Microsoft Corporation in the United States, other countries, or both. This document is current as of the initial date of publication and may be changed by IBM at any time. Not all offerings are available in every country in which IBM operates. The client examples cited are presented for illustrative purposes only. Actual performance results may vary depending on specific configurations and operating conditions. THE INFORMATION IN THIS DOCUMENT IS PROVIDED “AS IS” WITHOUT ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING WITHOUT ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND ANY WARRANTY OR CONDITION OF NON-INFRINGEMENT. IBM products are warranted according to the terms and conditions of the agreements under which they are provided. The client is responsible for ensuring compliance with laws and regulations applicable to it. IBM does not provide legal advice or represent or warrant that its services or products will ensure that the client is in compliance with any law or regulation. 1 Sven Lohse, et al., “Worldwide Healthcare IT Spending Guide, 2010-2015, Version 2,” IDC Health Insights, May 2012. * Ibid. Please Recycle TIW14142-USEN-00