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Efficient Systems Access 
(ESA) 
Thomas Lehmann-Nielsen
Effective System Access 
in the Capital Region of Copenhagen 
• This was how did we achieve 37 minutes a day for 
each doctor and 22 minutes for every nurse 
• The right mandate and organization was 
fundamental for the success of ESA 
• This is our take away for you, from a behavior 
chancing project like ESA
RegionH hospitals
Why did we want Efficient Systems Access? 
ESA is a solution to give clinicans fast and easy 
acces to their IT-systems. 
ESA is a combination of two funktions: 
 Single SignOn, remember userid, password etc. 
Including automatic log-in to specified systems. 
Continue on the next computer, where you were 
when you left you computer
Core demands 
 Fast access 
1. Log on < 3 minute - usually 1,5 minute 
Reconnect < 7 secunds – usually 5 
seconds 
 External access – it must be possible to 
access ESA from anywhere in the world, 
from any computer in a secure way
In total +100 systemer & links
4 pilots before decision 
 3 RegH pilots: 
 SUN-VDI (FRH) 
 Vmware-VDI, Imprivata (GLO) 
 Citrix-SBC (BBH) 
 Citrix SBC/VDI – Region North
Bennefits from business case: economics 
 Up to 80% of PC´s can be substituted by Zero 
Clients 
 Zero Client are about 60% cheaper than PC’s and 
have longer Life time 
 Zero Clients uses 90% less power than a ordinary 
PC
Bennefits - clinicans 
 Fast access to all systems 
 Solution is accessible from all hospitals/sites 
 Mobilitey, continue where you stopped 
 The possibility to access systems out side 
ReigonH environment
Bennefit: Time 
 Waste time for clinicians are reduced. 
For log-in it is estimated to save 60-80% pr. day 
 Fast log-in – fast registration of user data = better 
quality of data which leads to better care of the 
patients
Status by the 2nd September 2014 
 More than 26.000 users have access to the 
solution 
 Two years of access to ESA 
 Remote access from any device 
 In the process of upgrading to Windows 7
Systemer in ESA 
 +150 Applikations 
 All packed with ThinApp 
 A consulidation proces is in progress in RegionH – 
to day the Region have a total of more than 1.200 
registered systems!
Organization 
Level of Decision
Organizing : 
Products/ delivery track 
Followup 
process
Challenges 
& 
Lessons learned
Challenges (=lessons learned) 
 Keep it simple strategy is getting pushed: 
 The amount of systems in ESA 
 VDI is VERY dependent of the infrastructure 
 Network connections 
 SAN 
 Several projects in one is more complex than ”just” 
one 
 The change from Pilot to Production was difficult 
 ESA has A LOT of interfaces to other projects and 
operations in RegionH 
 Users doesn’t ”just” start using VDI – even it’s fast 
and simple to use
For more information: 
Thomas Lehmann-Nielsen 
Regional Sales Director, Nordics 
Mobile: +45 40 45 24 70 
Email: tlehmann-nielsen@imprivata.com

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1C Lehmann-Nielsen ESA Efficient Systems Access EHiN 2014

  • 1. Efficient Systems Access (ESA) Thomas Lehmann-Nielsen
  • 2. Effective System Access in the Capital Region of Copenhagen • This was how did we achieve 37 minutes a day for each doctor and 22 minutes for every nurse • The right mandate and organization was fundamental for the success of ESA • This is our take away for you, from a behavior chancing project like ESA
  • 4. Why did we want Efficient Systems Access? ESA is a solution to give clinicans fast and easy acces to their IT-systems. ESA is a combination of two funktions:  Single SignOn, remember userid, password etc. Including automatic log-in to specified systems. Continue on the next computer, where you were when you left you computer
  • 5. Core demands  Fast access 1. Log on < 3 minute - usually 1,5 minute Reconnect < 7 secunds – usually 5 seconds  External access – it must be possible to access ESA from anywhere in the world, from any computer in a secure way
  • 6.
  • 7. In total +100 systemer & links
  • 8. 4 pilots before decision  3 RegH pilots:  SUN-VDI (FRH)  Vmware-VDI, Imprivata (GLO)  Citrix-SBC (BBH)  Citrix SBC/VDI – Region North
  • 9. Bennefits from business case: economics  Up to 80% of PC´s can be substituted by Zero Clients  Zero Client are about 60% cheaper than PC’s and have longer Life time  Zero Clients uses 90% less power than a ordinary PC
  • 10. Bennefits - clinicans  Fast access to all systems  Solution is accessible from all hospitals/sites  Mobilitey, continue where you stopped  The possibility to access systems out side ReigonH environment
  • 11. Bennefit: Time  Waste time for clinicians are reduced. For log-in it is estimated to save 60-80% pr. day  Fast log-in – fast registration of user data = better quality of data which leads to better care of the patients
  • 12. Status by the 2nd September 2014  More than 26.000 users have access to the solution  Two years of access to ESA  Remote access from any device  In the process of upgrading to Windows 7
  • 13. Systemer in ESA  +150 Applikations  All packed with ThinApp  A consulidation proces is in progress in RegionH – to day the Region have a total of more than 1.200 registered systems!
  • 15. Organizing : Products/ delivery track Followup process
  • 17. Challenges (=lessons learned)  Keep it simple strategy is getting pushed:  The amount of systems in ESA  VDI is VERY dependent of the infrastructure  Network connections  SAN  Several projects in one is more complex than ”just” one  The change from Pilot to Production was difficult  ESA has A LOT of interfaces to other projects and operations in RegionH  Users doesn’t ”just” start using VDI – even it’s fast and simple to use
  • 18. For more information: Thomas Lehmann-Nielsen Regional Sales Director, Nordics Mobile: +45 40 45 24 70 Email: tlehmann-nielsen@imprivata.com

Editor's Notes

  1. 6
  2. En tynd klient er en simpel computer, der skal være koblet op på en server for at kunne fungere. Programmer afvikles centralt på en terminalserver, og filer gemmes på en filserver. Fordele ved tynde klienter: Tynde klienter til computernetværk har mange fordele i frem for stationære computere. De er bl.a. elbesparende, mere sikre ved tyveri, fordi de ikke virker uden en terminalserver og ikke indeholder følsomme data. pladsbesparende i forhold til almindelige computere. holdbare, har typisk en levetid på over 5 år og går sjældent i stykker. næsten fri for støj fra drev eller blæser. meget lidt varmeafgivende pga. lavt strømforbrug. Tynde klienters elforbrug En tynd klient bruger en del mindre strøm end en stationær computer, men ca. det samme som en energieffektiv bærbar computer. Derfor kan man spare en del ved at skifte fra stationære computere til tynde klienter, men stort set intet ved at skifte fra bærbare computere til tynde klienter.
  3. I forbindelse med implementering af Effektiv SystemAdgang forventes en række kvantitative, såvel som kvalitative gevinster. Det overordnede formål er hurtigere og lettere adgang til it-systemerne, for at frigøre klinikernes tid. De mange logins i løbet af en dag og den tid det tager, er kilde til stor frustration hos klinikerne. Hurtig login giver mere tidstro registrering af data = bedre datakvalitet i behandling og pleje.
  4. I forbindelse med implementering af Effektiv SystemAdgang forventes en række kvantitative, såvel som kvalitative gevinster. Det overordnede formål er hurtigere og lettere adgang til it-systemerne, for at frigøre klinikernes tid. De mange logins i løbet af en dag og den tid det tager, er kilde til stor frustration hos klinikerne. Denne slide fører til den næste, desværre kan vi ikke endnu sige hvordan er tallene med ESA! Nytteværdien af dette projekt kan opgøres i minutter sparet tid for den enkelte sundhedsfaglige bruger pr dag. Dog siger tallene ikke noget om, hvordan den tid egentlig anvendes i dag, eller hvordan den kan anvendes fremover. I forhold til sparet tid er det ikke nødvendigvis alt ventetid der er lig med spildtid, der er således ingen 1-1 relation.