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Healthcare M&A Best Practices
How to Restructure and Modernize Active Directory
December 1, 2016
Confidential2
Today’s speakers
Ron Robbins
Sr. Product Manager, Microsoft Platform Management
Ron.Robbins@quest.com
Dan Ga...
• Healthcare market trends and challenges
• Quest M&A integration framework
• Quest solutions overview
• Healthcare custom...
Confidential4
Quest Microsoft Platform Management solutions
have been used to migrate, secure and manage
more than 180M us...
Healthcare market
trends and challenges
Confidential6
Factors driving healthcare M&A activity
What market and regulatory
changes are fueling IT
modernization and ...
Confidential7
Active Directory consolidation challenges
Business
disruption
Operations are
dependent on
existing infrastru...
Confidential8
Unique IT challenges in healthcare M&A
• Regulation
• Interoperability and/or
rationalization
• Clinical sta...
IT integration enables better
alignment with the mission
Our mission has “changed”
over time
How we deliver care has chang...
Quest healthcare M&A
integration framework
Confidential11
Quest healthcare M&A integration framework
Integration
planning
• Discovery
• Architecture
Integration
exec...
12
Scope (who and what)
Provisioning & administration
Security & governance
Auditing & reporting
User experiences
Ap...
13
Integration strategy
Target design (logical & physical)
Target management (policies, processes, tools, staffing)
Te...
Quest planning solutions
• Enterprise Reporter
• Change Auditor (AD / AD Queries / Ex)
• UC Analytics
• Migration Manager ...
Pre-migration
Post-migration
 Utilize reports to identify opportunities
for clean-up and to better plan the
future enviro...
Confidential16
Build
• Deploy infrastructure
• Configure sites &
services
• Implement admin tools
• Install integration to...
Confidential17
Coexistence
• Directory
synchronization
• Data synchronization
• Update governance &
structure
• Update adm...
Quest migration solutions
• Migration Manager for AD & File Servers
• Exchange Migration
• Recovery Manager (AD/Exchange)
...
Confidential19
Migration Manager for AD & File Servers
Migration Manager for AD: Users,
computers, servers, permissions an...
Confidential20
Migration Manager for Exchange
Confidential21
Migration Manager for PSTs
Confidential22
Migration Manager for Email Archives
Confidential23
Recovery Manager for AD Forest Edition
Confidential24
Roles & responsibilities
Provisioning & administration
Security & governance
Auditing & reporting
Ongoing b...
•On-prem and Hybrid AD Security Solutions
IT Security Search & Recovery Manager FE
• Investigate AD security Incidents
• C...
Wrap-up & Summary
Confidential27
Customer story
Large Healthcare System
Challenge
• Consolidate 3 Active Directory Forests to enable
EHR rol...
Confidential28
Customer story
Regional Healthcare System
Challenge
• Migrate off Novell to save substantial maintenance
fe...
•Next steps
Visit us online
Quest.com/solutions/microsoft-platform-management
• Videos, case studies, product specs, etc.
...
Questions?
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How to Restructure and Modernize Active Directory

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In this presentation, you’ll learn how to apply best practices for reducing migration risk and avoiding disruption, improve security, ensure compliance and simplify your consolidation, and carefully manage your project before, during and after the active directory merger. You can listen to the presentation here: http://bit.ly/2gowzqI.

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How to Restructure and Modernize Active Directory

  1. 1. Healthcare M&A Best Practices How to Restructure and Modernize Active Directory December 1, 2016
  2. 2. Confidential2 Today’s speakers Ron Robbins Sr. Product Manager, Microsoft Platform Management Ron.Robbins@quest.com Dan Gauntner Sr. Product Marketing Manager, Microsoft Platform Management Daniel.Gauntner@quest.com Joe Tobias Practice Manager, Professional Services Joe.Tobias@quest.com
  3. 3. • Healthcare market trends and challenges • Quest M&A integration framework • Quest solutions overview • Healthcare customer examples • Q&A Agenda
  4. 4. Confidential4 Quest Microsoft Platform Management solutions have been used to migrate, secure and manage more than 180M users globally. But first … a word from our sponsor Cloud | Hybrid | On-Premises
  5. 5. Healthcare market trends and challenges
  6. 6. Confidential6 Factors driving healthcare M&A activity What market and regulatory changes are fueling IT modernization and innovation in the healthcare market? Healthcare M&A activity at record pace $723.7 billion • Global value of 2015 healthcare M&A deals • 66% increase over 2014 HITECH Act • Stimulate adoption of EHR systems (i.e. Epic) Affordable Care Act • Shift to outcome-based care • Rising costs / reduced payouts • Increased competition
  7. 7. Confidential7 Active Directory consolidation challenges Business disruption Operations are dependent on existing infrastructure Tight timelines Pressure to meet M&A commitments Some TSAs have costly penalties if deadline is not met Budget, resources & expertise Many customers lack internal expertise or resources Planning, inventory & assessment Continuous M&A activity leads to infrastructure sprawl. Native tools provide limited visibility Security & compliance risk Identify existing risks and eliminate them during consolidation $
  8. 8. Confidential8 Unique IT challenges in healthcare M&A • Regulation • Interoperability and/or rationalization • Clinical staff usage patterns • Impact of disruption
  9. 9. IT integration enables better alignment with the mission Our mission has “changed” over time How we deliver care has changed over time Technology infrastructure has changed over time
  10. 10. Quest healthcare M&A integration framework
  11. 11. Confidential11 Quest healthcare M&A integration framework Integration planning • Discovery • Architecture Integration execution • Build • Validation • Coexistence • Transition Ongoing business • “New normal”
  12. 12. 12 Scope (who and what) Provisioning & administration Security & governance Auditing & reporting User experiences Application portfolio AD users & groups File servers & application servers Workstation & virtual desktop environment Integration planning Discovery phase
  13. 13. 13 Integration strategy Target design (logical & physical) Target management (policies, processes, tools, staffing) Test plans Readiness requirements Program scheduling Program / project dependencies Integration planning Architecture phase
  14. 14. Quest planning solutions • Enterprise Reporter • Change Auditor (AD / AD Queries / Ex) • UC Analytics • Migration Manager for PSTs • Many more! “We are able to track who ‘touches’ AD accounts – so no more mysteriously disappearing computer or user accounts. Auditing and accountability has improved uptime.” - Andy Hendrian, IT Director, Eisenhower Medical Center TVID: 2FC-219-EOD 58% gained visibility into who has access to what with Enterprise Reporter TVID: FCD-A3C-470
  15. 15. Pre-migration Post-migration  Utilize reports to identify opportunities for clean-up and to better plan the future environment  Understand what should and should not be migrated with a comprehensive assessment of:  Current usage including what users and files you have and when a user last logged in or resources were accessed  Current environment including active vs inactive users and groups across AD, WS and SQL Server  Continually track and report on access, changes and activities  Assess and validate who has access to what resources across the network  Inventory migrated assets to be sure migration is completed as planned  Multi-platform support  Windows Server  Active Directory  Exchange / Office 365  SQL Server Enterprise Reporter Scalable visibility, auditing and reporting across your environment
  16. 16. Confidential16 Build • Deploy infrastructure • Configure sites & services • Implement admin tools • Install integration tools • Unit testing Validation • Take & test backups • Synchronization & coexistence • Administration process & tools • Migration process • User acceptance testing Integration execution
  17. 17. Confidential17 Coexistence • Directory synchronization • Data synchronization • Update governance & structure • Update administrative processes • Application updates Transition • Migrate AD objects • Migrate desktop environment(s) • Migrate file servers • Migrate applications • Clean up environment Integration execution
  18. 18. Quest migration solutions • Migration Manager for AD & File Servers • Exchange Migration • Recovery Manager (AD/Exchange) • And many more! “Can you find tools cheaper than Quest to do an AD migration? Sure – you’ll work more to make it run and it won’t expose the skeletons in the closet that need to be addressed. Quest tools are the defacto migration tools because they work, every time.” - Paul Caron, Supervisor – Platform Services, Maine Medical Center TVID: 74A-164-B27 A large enterprise healthcare company successfully consolidated 16AD forests / domains and migrated up to 5000 AD users with Migration Manager for Active Directory. TVID: A24-3f1-2DF
  19. 19. Confidential19 Migration Manager for AD & File Servers Migration Manager for AD: Users, computers, servers, permissions and more Secure Copy: Files, folders, printers, shares, NTFS security
  20. 20. Confidential20 Migration Manager for Exchange
  21. 21. Confidential21 Migration Manager for PSTs
  22. 22. Confidential22 Migration Manager for Email Archives
  23. 23. Confidential23 Recovery Manager for AD Forest Edition
  24. 24. Confidential24 Roles & responsibilities Provisioning & administration Security & governance Auditing & reporting Ongoing business
  25. 25. •On-prem and Hybrid AD Security Solutions IT Security Search & Recovery Manager FE • Investigate AD security Incidents • Continuously test AD business continuity plan • Recover from a security incident • Improve your RTO following a disaster • Secure access to AD DC data Enterprise Reporter • Report on elevated permission in AD • Visibility of open shares across servers • Understand which servers have vulnerable security settings Active Roles & GPOADmin • Enforce permission blacklisting / whitelisting in AD • Implement AD least-privilege access model • Prevent unauthorized access to sensitive resources • Auto-Remediate unauthorized activities Change Auditor for AD • Detect suspicious privileged AD activities • Alert on potential AD insider threats • Notify in real time of unauthorized intrusions against AD • Detect and alert on brute-force attacks
  26. 26. Wrap-up & Summary
  27. 27. Confidential27 Customer story Large Healthcare System Challenge • Consolidate 3 Active Directory Forests to enable EHR roll-out and consolidate Exchange • Limited availability of in-house resources • Extremely customized desktop environment Results • Migrated as many as 600 users / workstations per day; no disruption due to migration work • Office 365 pilot and EHR testing done in parallel to the migration effort “This is easily the best option for our hospitals and the system overall.” -Senior Director of Information Technology
  28. 28. Confidential28 Customer story Regional Healthcare System Challenge • Migrate off Novell to save substantial maintenance fees • Consolidate 9 Active Directory Forests to facilitate an EHR roll-out Results • Migrated 17 Novell volumes (10 TB) and directory services in 5 months • Migrated 20k Users and 2,300 servers in 12 months • No disruption to patient care and EHR roll-out began as scheduled “This is how we’ll be handling our acquisitions and affiliates going forward.” -Director of Information Technology
  29. 29. •Next steps Visit us online Quest.com/solutions/microsoft-platform-management • Videos, case studies, product specs, etc. Try our software • Free 30-day trials (complimentary SC and Support assistance) • POC – choose Quest Services or your preferred Partner Join our community Quest.com/community • Product betas, how-to videos, discussions, blogs, tips, etc.
  30. 30. Questions?

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