The data explosion
along the care cycle
NVKVV 16de Colloquim ICT en gezondheidszorg
Dinsdag 8 mei 2012, De Montil Moortels...
Some data about data
How many photos were uploaded to Facebook in the past minute?

> over 70,000 photos!

What is the % o...
Making healthcare data tangible

DICOM image

Regional hospital with 500 beds
- Average nbr of annual studies: 100.000
- A...
Agenda
• Dell Healthcare at a glance
• The data explosion across the care cycle
• Why is storage still so expensive?
• Red...
Dell Healthcare
at a glance

5

DELL Confidential

Dell Healthcare
Dell Healthcare & Life Sciences
• 13,000+ healthcare & life sciences professionals
• We support over 10,000 Healthcare pro...
Managing and sharing medical data
with Dell Clinical Cloud Archive
Over 800 clinical sites
in North America

Over 2,5 mill...
The data
explosion in
healthcare along
the care cycle

8

DELL Confidential

Dell Healthcare
Patient data digitalization along
the care cycle
Ministry of Health
Health insurance

Patient organizations
Healthcare pro...
More healthcare information is
becoming digital
Laboratory Medicine
(microbiology/hematology/urinalysis
immunology/phlebot...
Diversity of diagnostic applications is
expanding and study size is growing

Radiology

11

Cardiology

(skin and its dise...
Increasing legal retention time of
medical records
Legal Requirement (The Public Records Act - UK)
Xray/PACS (image only)
...
Healthcare digitization is creating
new challenges and unforeseen needs
needs
The Challenges
The Consequences
The Needs
Cl...
Spent IT to address digitalization needs
Healthcare providers
General
Practitioner

Ambulance
services

Wellness/
Preventi...
Healthcare systems driving 20% of
IT budget to storage
Electronic patient health records (EHR plus supporting clinical
app...
Healthcare data in North America,
from 3M TB to 14M TB in 5 years!

16
Clinical and non-clinical imaging
makes up for 45% of total data volume
Big Data Growth in Healthcare
Annual Data Volume (...
Healthcare data current reality
Healthcare providers
General
Practitioner

Ambulance
services

Wellness/
Prevention

•
•
•...
Why is storage
still so
expensive?

19

DELL Confidential

Dell Healthcare
Hard Drive costs per GB has declined
more than 50x over the last 10 years

Source: history of storage costs Matthew Komoro...
Storage efficiency is not just about $/TB
but even more about $/performance
Price indication per TB (2012)

2.000$

power ...
Why is storage still so expensive?
Companies are only using
40~50% of their installed
storage capacity (source: ESG)

Virt...
Optimization of cost per GB versus
cost per IO performance

€€

23

Need for optimal
blended Cost!
Need for storage that
optimizes I/O and costs

2% - 4%

Tier 1 : active data
• fast but expensive
• e.g. SSD or FC 15K RPM...
Redefining
storage
economics with
Dell

25

DELL Confidential

Dell Healthcare
Dell innovation redefines storage economics

26

Confidential
The Dell Storage Portfolio

Workload-optimized solutions for any size enterprise

SC, FS
Series

PS, FS
Series

MD, NX
Ser...
Price-performance optimized storage architectures
Performance

Server
Cache

Server
Cache

Storage Market
All flash
arrays...
I/O performance optimized storage architectures
Server
Cache

Server
Cache

Performance

Storage Market
All flash
arrays
F...
Cost-optimized storage architectures
Server
Cache

Server
Cache

Performance

Storage Market
All flash
arrays
Flash
Drives...
Let us help accelerate your healthcare
journey to efficient storage
Let’s identify storage project and the challenges to e...
Thank You

32
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The data explosion along the care cycle (Dell Healthcare)

  1. 1. The data explosion along the care cycle NVKVV 16de Colloquim ICT en gezondheidszorg Dinsdag 8 mei 2012, De Montil Moortelstraat 8, Affligem Eric van ‘t Hoff, EMEA Healthcare ISV Alliance Manager Note: updated with latest Dell Storage solutions, December 2013
  2. 2. Some data about data How many photos were uploaded to Facebook in the past minute? > over 70,000 photos! What is the % of text messages versus phone calls for an average student: > 98% text messages for 2% phone calls! How many YouTube videos were watched yesterday? > over 2 billion videos! What is % of all digital capacity for medical content in 2014 ? > over 30% The data universe exceeds today 13 ExaBytes and doubles every 18 months! 1 ExaByte = 1000 PetaByte = 1000 TeraByte = 1000 = GigaByte = 1000 MegaByte = 1000 KiloByte = 1000 Bytes 2
  3. 3. Making healthcare data tangible DICOM image Regional hospital with 500 beds - Average nbr of annual studies: 100.000 - Average study size: 100MB - Average annual storage need: 10TB Standard business laptop: - Average hard disk capacity: 150 GB - Available storage capacity: 1.500 studies - Available storage study days: 5,4 days 67 laptop hard disks needed every single year for radiology only!
  4. 4. Agenda • Dell Healthcare at a glance • The data explosion across the care cycle • Why is storage still so expensive? • Redefining storage economics with Dell Radiology 4 Oncology Cardiology Women’s health Pathology Medical Record
  5. 5. Dell Healthcare at a glance 5 DELL Confidential Dell Healthcare
  6. 6. Dell Healthcare & Life Sciences • 13,000+ healthcare & life sciences professionals • We support over 10,000 Healthcare providers, health plans, pharmaceutical, biotech, medical device, diagnostic and scientific instrumentation customers worldwide • Leading Healthcare Information Technology Services provider1 • Dell Healthcare & Life Sciences is with $2.9 billion (FY13) the second largest Healthcare IT company2 • We provide OEM services to 70+ Healthcare and Life Sciences software, medical device and scientific instrument providers • Our Clinical Archive Cloud manages more than 95 million clinical studies and 6.7 billion diagnostic imaging objects on behalf of more than 800 clinical sites in North America3 1) Source Gartner 2012 [url] 2) Source Healthcare Informatics 2013 [url] 3) See real-time ticker 6 6
  7. 7. Managing and sharing medical data with Dell Clinical Cloud Archive Over 800 clinical sites in North America Over 2,5 million new studies every month, 70TB of extra storage Over 92 million clinical studies and 6,5 billion diagnostic images Secondary Datacenter Phoenix, Arizona Primary Datacenter Wallingford, Connecticut Vendor neutrality, patient centric, one time fee per study pricing, security and data protection, offsite disaster recovery and more 7 Dell Healthcare
  8. 8. The data explosion in healthcare along the care cycle 8 DELL Confidential Dell Healthcare
  9. 9. Patient data digitalization along the care cycle Ministry of Health Health insurance Patient organizations Healthcare providers General Practitioner Ambulance services Wellness/ Prevention Accident Pain Diagnostic Center First Aid Regional Hospital OK Academic Hospital Diagnosis Pharmacy drugstore Treatment Revalidation center Therapy Mental Health OK Nursing Home Elderly Care Nursing/ Elderly Care from storing, accessing, protecting and archiving paper files and films to storing, accessing, protecting and archiving digital records and images 9
  10. 10. More healthcare information is becoming digital Laboratory Medicine (microbiology/hematology/urinalysis immunology/phlebotomy) Medical Images (radiology, cardiology, oncology, …) Medications Genomics (DNA sequence) Results Proteomics Histories & Encounters (protein structure) Digital Pathology (virtual microscopy) Procedures Vital Signs 10
  11. 11. Diversity of diagnostic applications is expanding and study size is growing Radiology 11 Cardiology (skin and its diseases) Digital Pathology Dermatology (Cardiac Cath, Echocardiology, Nuclear ) Endoscopic Surgery Otolaryngology (ear, nose and throat) Endoscopy Ophthalmology (anatomy, physiology and diseases of the eye) Neurosurgery Oncology
  12. 12. Increasing legal retention time of medical records Legal Requirement (The Public Records Act - UK) Xray/PACS (image only) Breast Screening Xrays All Other Records (including Photography) Dental, Ophthalmic, Auditory Records Maternity Records Paediatric, Vaccination and Community .. Oncology Records Clinical Psychology Records Years CJD Related 0 5 10 15 20 25 30 35
  13. 13. Healthcare digitization is creating new challenges and unforeseen needs needs The Challenges The Consequences The Needs Clinicians are in data overload An incredible amount of data generated for each patient throughout the care-cycle. There is too much information to process, which can slow decisionmaking and thus, patient care. As a result, access to information is limited and errors are made. Digitise patient information so it can be readily shared. Fully enable easy access to data to aid in decision-making from anywhere across the care-cycle Digitalisation is a challenge Growing storage in silos with data moving between multiple core systems in all forms. IT also needs to comply to patient safety regulations. Critical patient data can be lost, misplaced, or even misread. Delays in information management can affect decision-making. IT and storage costs are exploding. Standardise the IT infrastructure to simplify information sharing and reduce management and scaling costs while maintaining availability, uptime and compliance requirements. Enable interoperability with the many medical information systems to ease information sharing. Demand for care is growing There are simply not enough nurses and doctors to cope with our demands. Aging populations stressing an already taxed system. Being overloaded, caregivers lack the resources for integrating timesaving patient care technologies into daily workflow routines. Focus on streamlining workflow and optimizing processes to reduce the burden on caregivers. Connect hospitals and primary care physicians to coordinate patient care and increase staff productivity. 13
  14. 14. Spent IT to address digitalization needs Healthcare providers General Practitioner Ambulance services Wellness/ Prevention Diagnostic Center Accident Pain First Aid Regional Hospital OK Academic Hospital Diagnosis Pharmacy drugstore Treatment Revalidation center Therapy Mental Health OK Nursing Home Elderly Care Nursing/ Elderly Care 35% Source: IT costs in healthcare sector, MI Partners 14 October 2009 30% 25% 20% 15% 10% 5% 0% General Ambulances Practitioners Diagnostic centers Regional hospitals Academical hospitals Pharmacies Revalidation Mental health centers centers More than 20 % of healthcare IT budget is used for storage 14 Nursing homes
  15. 15. Healthcare systems driving 20% of IT budget to storage Electronic patient health records (EHR plus supporting clinical applications such as CPOE, clinical decision support, etc.) Clinical imaging (radiology, cardiology, pathology, etc.) Non-clinical imaging (scanned documents such as bills, invoices, etc.) General unstructured data (non-EHR data such as office productivity files, media files, etc.) E-mail Administrative applications (financials, billing, human resources, etc.) Research data (excluding clinical decision support information) 15
  16. 16. Healthcare data in North America, from 3M TB to 14M TB in 5 years! 16
  17. 17. Clinical and non-clinical imaging makes up for 45% of total data volume Big Data Growth in Healthcare Annual Data Volume (PetaBytes) 1.800 1.600 61% 1.400 1.200 42% 1.000 800 25% 600 30% 23% 0 1.695 24% 1.563 400 200 28% 73 Research Data 372 424 E-Mail Administrative Applications 574 Electronic Health Records 2012 Data Volume (PB) 753 Non-Clinical General Imaging Unstructured Data/File Services Clinical Imaging 5 Year CAGR Estimated total Healthcare data volume in 2012 (N.A.): 5.4 Exabytes, growing 35% per year 17
  18. 18. Healthcare data current reality Healthcare providers General Practitioner Ambulance services Wellness/ Prevention • • • • • • Diagnostic Center Accident Pain First Aid Regional Hospital OK Academic Hospital Diagnosis Pharmacy drugstore Treatment Revalidation center Therapy Mental Health OK Nursing Home Elderly Care Nursing/ Elderly Care 30% of all digital capacity by 2014 will be medical content 35% of annual healthcare data growth 20% of healthcare IT budget is used for storage 45% of storage capacity is dedicated to medical imaging 65% of providers retain images forever 95% is unstructured data, rarely accessed after creation The explosion of healthcare data demands for new ways to manage storage cost-efficiently! 18
  19. 19. Why is storage still so expensive? 19 DELL Confidential Dell Healthcare
  20. 20. Hard Drive costs per GB has declined more than 50x over the last 10 years Source: history of storage costs Matthew Komorowski 20
  21. 21. Storage efficiency is not just about $/TB but even more about $/performance Price indication per TB (2012) 2.000$ power consumption SSD Today largest capacity for 2,5 inch SSD: 512GB 500$ 15.000 RPM 10.000 RPM 7.200 RPM 50$ 5,200 RPM 50 Today largest capacity for 3,5 inch HDD: 4TB 100 150 200 IOPS performance indication 50.000 > SSD: Solid State Drive IOPS: Input/Output Per Sec Note: storage connection interfaces (FC/SAS/SATA …) are not considered in above estimations 21
  22. 22. Why is storage still so expensive? Companies are only using 40~50% of their installed storage capacity (source: ESG) Virtualization of Servers and Desktops drives even more data and demand for even more performance stale data >80% aging data ±10% active data 2%-4% year 0 1 2 3 4 5 Inactive data adds significant unnecessary costs 22
  23. 23. Optimization of cost per GB versus cost per IO performance €€ 23 Need for optimal blended Cost!
  24. 24. Need for storage that optimizes I/O and costs 2% - 4% Tier 1 : active data • fast but expensive • e.g. SSD or FC 15K RPM / RAID 10 Tier 2: semi-active/aging data ±10% • cost-effective • e.g. FC/SAS 10K RPM / RAID5 Tier 3: non-active/slate data >80% year 0 24 1 2 3 4 5 • slower but economic • e.g. SATA - 7,2K RPM - RAID6
  25. 25. Redefining storage economics with Dell 25 DELL Confidential Dell Healthcare
  26. 26. Dell innovation redefines storage economics 26 Confidential
  27. 27. The Dell Storage Portfolio Workload-optimized solutions for any size enterprise SC, FS Series PS, FS Series MD, NX Series PowerEdge Servers Dell Networking Compellent EqualLogic PowerVault High performance storage Easy-to-use virtualized storage Affordable, entry level storage Powered by Fluid Data technologies 27 27 Confidential Dell Software Dell Services
  28. 28. Price-performance optimized storage architectures Performance Server Cache Server Cache Storage Market All flash arrays Flash Drives 10K SAS Drives 7200 NL-SAS Drives Compressed Tier Low Cost scale-out disk Auto Tiering 15K SAS Drives Cost I/O Intensive High Value Workloads PricePerformance Optimized Traditional IT Cost Optimized Dense, XaaS, Cloud Trends • Greater performance needs • Server-side storage for performance tier via flash and cache (vSAN) • Continued virtualized growth • Focus on simplifying deployment and management • Growth in virtualization • Continue to focus here with new PS and FFS features in Q4 • Highly cost-optimized dense expansion enclosures • Server-side internal storage (dDAS) • Growth in OpenStack
  29. 29. I/O performance optimized storage architectures Server Cache Server Cache Performance Storage Market All flash arrays Flash Drives 10K SAS Drives 7200 NL-SAS Drives Cost Compressed Tier Low Cost scale-out disk Confidential Auto Tiering 15K SAS Drives 29 I/O Intensive High Value Workloads PricePerformance Optimized Traditional IT Cost Optimized Dense, XaaS, Cloud Trends • Greater performance needs • Server-side storage for performance tier via flash and cache (vSAN) • Continued virtualized growth • Focus on simplifying deployment and management • Growth in virtualization • Continue to focus here with new PS and FFS features in Q4 • Highly cost-optimized dense expansion enclosures • Server-side internal storage (dDAS) • Growth in OpenStack
  30. 30. Cost-optimized storage architectures Server Cache Server Cache Performance Storage Market All flash arrays Flash Drives 10K SAS Drives 7200 NL-SAS Drives Cost Compressed Tier Low Cost scale-out disk Confidential Auto Tiering 15K SAS Drives 30 I/O Intensive High Value Workloads PricePerformance Optimized Traditional IT Cost Optimized Dense, XaaS, Cloud Trends • Greater performance needs • Server-side storage for performance tier via flash and cache (vSAN) • Continued virtualized growth • Focus on simplifying deployment and management • Growth in virtualization • Continue to focus here with new PS and FFS features in Q4 • Highly cost-optimized dense expansion enclosures • Server-side internal storage (dDAS) • Growth in OpenStack
  31. 31. Let us help accelerate your healthcare journey to efficient storage Let’s identify storage project and the challenges to explore in depth how Dell can help Schedule a Storage Simplification Workshop, Leverage Dell storage consulting services Visit the Dell booth at the NVKVV 31
  32. 32. Thank You 32

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