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VMworld 2013: Separating Cloud Hype from Reality in Healthcare – a Real-Life Example at HMA

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VMworld 2013

Tim Graf, VMware
Matthew Ritchart, Health Management Associates

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VMworld 2013: Separating Cloud Hype from Reality in Healthcare – a Real-Life Example at HMA

  1. 1. Separating Cloud Hype from Reality in Healthcare – a Real-Life Example at HMA Tim Graf, VMware Matthew Ritchart, Health Management Associates PHC5254 #PHC5254
  2. 2. 2 VMware Sr. Systems Engineer for Healthcare Supports over 50 healthcare providers in Florida 17 years experience designing, building & delivering IT solutions 10 years working with virtualization technologies Matthew Ritchart Operations Manager for Heath Management Associates Inc. 6 years in Healthcare IT 3 years directly supporting a hospital environment Responsible for virtual architecture and direction About Us Tim Graf
  3. 3. 3 Today’s Discussion  Moving into the future of Healthcare IT  What HMA is doing that’s different…  And Why they’re doing it.  Lessons learned along the way  How to get there in a hurry
  4. 4. 4 Enabling America’s Best Local Health Care About Health Management Associates
  5. 5. 5 • Rapid consolidation of key industry players underway • Not just hospitals, but doctor practices as well Industry consolidation • Bring Your Own Device mentality entering Healthcare • Reliable, available, cost-effective cloud architecture • Users are much more aware of technology and their access to it Macro changes • Changing the mindset of buying and implementing to producing and optimizing • Provide better structured and more agile applications faster Rapid deployment of resources • Rapid replacement of aging healthcare systems • Advanced technology needed to produce better results with less resources Technology opportunity Healthcare Moving to the Future
  6. 6. 6 99% virtualized Over 250 ESXi hosts running 4,000 virtual machines 1.5% IT spend 80% Meaningful Use 2.0 compliant HMA IT Rapidly adding facilities through acquisition Hybrid cloud directive from management Infrastructure as a Service Key Stats Strategic Objectives
  7. 7. 7 The cloud fixes everything! • Not the answer to all of IT management's woes • Does not solve process or policy issues • Simply a way to deliver applications and infrastructure The Cloud never goes down! • Jan 10th 2013; Dropbox is down for ~16 hours • Jan 31st 2013; Amazon’s own website is down for 49 minutes • February 1st 2013; Microsoft Office 365 is down for ~2 hours Cloud storage is cheaper than physical storage! • Is the savings worth losing control of your data? • Even Gartner currently only suggests cloud storage as an alternative for non-mission-critical applications • How would you recover from truly lost data? What are the consequences? Service Level Agreements means we never have to worry about explaining outages! • Make sure to understand what exactly is promised in the SLA • Recuperation on monetary loss does not resolve user experiences with failed services Common Cloud Hype
  8. 8. 8 Software-Defined Data Center All infrastructure is virtualized and delivered as a service, and the control of this data center is entirely automated by software. Abstract. Pool. Automate.
  9. 9. 9 Extending the Private Cloud to the Hybrid Cloud Seamless Extension of the Data Center Public Cloud Software-Defined Data Center Private Cloud Any Application, Any Place… No Changes Software-Defined Data Center Common Management & Orchestration Platform Unified Network Architecture Common Security Model One Support Call
  10. 10. 10 VMware Sr. Systems Engineer for Healthcare Supports over 50 healthcare providers in Florida 17 years experience designing, building & delivering IT solutions 10 years working with virtualization technologies Matthew Ritchart Operations Manager for Heath Management Associates Inc. 6 years in Healthcare IT 3 years directly supporting a hospital environment Responsible for virtual architecture and direction About Us Tim Graf
  11. 11. 11 Agile Healthcare Platform • Infrastructure and Operations was tasked with building a new platform for healthcare, more advanced than anything we had produced or seen. • It needed to have the scalability of a public cloud while retaining patient data on premise. • We were also tasked with monitoring, maintaining, automating and securing the platform with a minimal operations time investment.
  12. 12. 12 New goals for I&O have shifted our priorities and needs • Just keeping the systems running is not enough • Proper management, monitoring, documentation and capacity planning • High speed and reactive deployments Focus shifts from maintaining to producing • Implementing new technology • Designing new solutions • Planning for future development High Stability and availability requirements • We run systems that affect patient’s lives • Stability needs to match or exceed previous generations In-house Application Development • HMA is designing and rolling our in house developed applications • Development requires an entirely different mindset and offering New Mentality for HMA IT
  13. 13. 13 • 99.999% Uptime (5.26 min/year downtime)High Availability • Zero impact failovers • Minimal or no manual intervention Seamless Fault Tolerance • Systems need to be always “up” at the infrastructure level • Systems also always need to be “available” at the user levelZero Downtime • Not just high performing infrastructure • Perceived at the user level to be high performanceHigh Performance • Privacy, Recovery, Audit • HIPAA, Sarbanes–OxleySecurity • Enable easy scaling as required for projects • Predictive assessments to always have capacity availableGrowth HMA Platform Goals
  14. 14. 14 To provide all the requested features we had to step around the usual datacenter build and produce a physically separated environment that was virtually local. It had to grow as we did and still be manageable. That’s where the vCloud Suite came in. The Plan: Cloud-Ready Datacenter
  15. 15. 15 vSphere/vCloud • Scalability • Cost • Manageability Operations Manager • End-to-end Visibility • Sprawl containment HA/FT Stretched Clusters • Zero Downtime Storage DRS • Built for Growth • High Performance • Cost Optimization Business Manager • Cloud Cost tracking Configuration Manager • Cost Management • Granular control Impactful vCloud Solutions Automation Center • Rapid provisioning • Self-Service
  16. 16. 16 Multi-Cloud Architecture
  17. 17. 17 Lessons Learned
  18. 18. 18 Not all applications provide high availability • Single threaded sections or processes • Non-load balanced front end • Connections to other single threaded applications Identify application availability failures • Press vendors/developers on HA strategy • Communicate dependencies or issues to project owners Provide workarounds • VM Fault Tolerance • VM High Availability • Database mirroring All Applications Are Not Created The Same
  19. 19. 19 Match your biggest requirements • Project Identification • Application role • Location • Production, test, development • Backup policy Produce a written naming policy • Explain advantages • Important to get buy-in Always conform • Everyone matches the convention • Once one application gets by, they all will NAMING CONVENTIONS!!!!!
  20. 20. 20 Agile Thin Provisioned Environment • 700VMs, 140TB • 6 months of production • 10 Applications Legacy Thin Provisioned Environment • 2,500 VMs, 350TB • Over 5 years of production • 100+ Applications Storage DRS With Thin Provisioning
  21. 21. 21 Allows standardized LUN and Datastore creation • Pick a maximum datastore size and set standards for builds • Drives down over-allocation of storage with pre-set sizes Helps quickly identify storage trends and allocation • You can view cluster storage resources as a whole • No need for individual management of LUNs or Datastores Datastores can move freely across the entire S-DRS pool • Remove “Keep VMDKs Together” settings to allow free movement • Will auto-balance I/O and Storage without storage admin intervention Easy additions of new LUNs allows for quick scalability • Add a LUN; make a Datastore; add to S-DRS cluster; profit • Allows S-DRS to handle moving VMs to new Datastores S-DRS Pools to Save Storage Management Time
  22. 22. 22 Pool All Of The Things! Application per Cluster Mentality •Created a resource management nightmare •Constant monitoring and hardware additions needed •Drastic hardware differences •Overly complicated hardware maintenance •Storage must be monitored per application, per datastore Pooled (IaaS) Mentality •All clusters are now general clusters with the same N+1 failover •Hardware management is one platform, scalability is limitless •Once a cluster is “loaded” and base-lined, minor trending is required •Applications can easily span clusters and can be live motioned •Storage can be monitored per SDRS cluster
  23. 23. 23 A New Standard for Agility Storage/ Availability Servers Networking Security Management/ Monitoring 2008 2012 SDDC Weeks Days/ Hours Minutes/ Seconds Software-Defined Data Center Services Virtual Data Center
  24. 24. 24 Cloud Path: VMware vCloud Suite Management VMware vCenter™ Operations Management Suite™ VMware vFabric® Application Director Physical Infrastructure (Server, Storage, Network) VMware vSphere® Cloud Infrastructure Software-Defined Networking and Security Software-Defined Storage and Availability Extensibility VMware vCloud APIs VMware vCloud Connector™ VMware vCenter Orchestrator™ Virtualization VMware® vCloud® Automation Center VMware vCloud Director® VMware vCloud Networking and Security™ VMware vCenter Site Recovery Manager™
  25. 25. 25 Choose the virtualization platform that’s proven to deliver the lowest total cost of ownership. Why VMware Choose the only IT partner that’s 100% focused on the future of your IT infrastructure. Choose the only IT partner that gives you the ability to virtualize, automate, and control all data center resources. Choose the only virtualization platform that’s battle-tested in the largest, most demanding enterprise environments. Build for the Future Virtualize Everything Maximize Uptime Minimize TCO
  26. 26. 26 Q & A
  27. 27. 27 Contact Information  Any questions, comments, or just want to chat about virtualization, please feel free to shoot us an email  Matthew Ritchart • MATTHEW.RITCHART@HMA.COM  Tim Graf • TGRAF@VMWARE.COM
  28. 28. THANK YOU
  29. 29. Separating Cloud Hype from Reality in Healthcare – a Real-Life Example at HMA Tim Graf, VMware Matthew Ritchart, Health Management Associates PHC5254 #PHC5254

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