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Virtual Desktop Success in Healthcare
The document outlines best practices for achieving high-performing, consistent, and compliant virtual desktops in hospitals, highlighting partnerships among vendors like Lanstatus, RES Software, and EG Innovations. It emphasizes the importance of simplifying clinician workflows, enhancing IT performance management, and ensuring compliance with HIPAA to improve patient care. Key strategies include leveraging cloud technologies, proactive performance management, and user monitoring to optimize the virtual desktop experience.
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Virtual Desktop Success in Healthcare
- 1. Presenters Brian Diamond (LANStatus) SeanDonahue (RES Software) Krish Chandra (eG Innovations) Virtual Desktop Success in Hospitals: Achieve High Performing, Consistent and Compliant Clinician Desktops
- 2. Virtual Desktops ConsiderationsFor Hospitals Brian Diamond CEO LANSTATUS, LLC Brian.Diamond@Lanstatus.com
- 3. LANStatus Overview • Foundingmember of Trusted Healthcare Information Solutions Alliance (THISA, recently renamed Avitas Partners • Citrix Managed Gold Partner, VMWare Enterprise Partner, Microsoft NSI Virtualization and Systems Management partner • Virtual Bench for Citrix Consulting Services • Client Engagements in Healthcare, Financial Services, Insurance, Manufacturing, Media, Legal , Government and Education
- 4. Healthcare Experience • Hospitalsand Healthcare as an industry is unique • HIPAA Compliance and meaningful use • Bring your own devices (BYOD) impact on environment • Improving the quality of patient care
- 5. Vendor Overview • RESSoftware will show the day in the life of the end user and how their software is an enabler that allows clinicians to either see more patients, or spend more time with existing patients by simplifying their working experience • eG Innovations will show how proactive management assists systems administrators in achieving a highly available, highly scalable infrastructure
- 6. Improving the Qualityof Patient Care • Eliminate downtime • Reduce performance slow downs • Provide Location based printing • Create an easier user experience • Faster delivery of applications and desktops In the end, it is about the patient, not the computing infrastructure.
- 7. How To AchieveConsistent Clinician Desktops Sean Donahue Senior Director, Alliance Marketing RES Software S.Donahue@ressoftware.com
- 8. 8 The RES SoftwareMission To make IT organizations 10X more productive at delivering IT services and managing user workspaces. We do this by developing technology that: • Creates value and makes a difference for IT organizations • Unlocks the full potential of IT people • Drives superior IT operational efficiency
- 9. 9 Ever Feel YouNeed to be Cloned? • Healthcare: 6.4 • Finance: 4.3 • Insurance: 3.4 • Technology:3.2 About How Many Devices Do You Use a Day?
- 10. IT Trends &Challenges Cloud-based Technologies Hybrid End-User Computing Consumerization of IT Macro Trends Workstyles Devices App Delivery Workers will average 5 network-connected devices per day by 2020 (2) Citrix, Reported in Silicon Republic 35% of applications are browser-based, and either thin or hosted (3) Gartner, Inc. 12M people use at least 3 connected devices and 7 applications, from 3 locations each month (1) Source: Forrester Research IT Impact Trends Productivity Losses Compliance Breaches Rising IT Labor Costs $7.2 million average cost per data breach (4) Ponemon Institute $1,586 to $3,757 lost productivity per year per corporate desktop (3) Gartner, Inc. $686 to $872 annual cost of managing corporate desktop (3) Gartner, Inc. IT Challenges
- 11. The Growing Impacton IT Is managing IT getting too complex and costly? Traditional Apps & PC Lifecycle Management Systems Task Workers & Desktop PCs Virtualized & Streamed Apps Knowledge Workers & Laptops Virtual & Remote Desktops Mobile Workers & Tablet PCs Cloud-Based Apps & Mobile Device Management Remote/Home Office Workers & smart phones App Delivery & Management User Workstyles & Devices
- 12. “Client virtualization does notreplace physical PCs, but instead adds significant infrastructure and costs, creating a hybrid environment of both physical virtual desktops… traditional datacenter or PC- centric approaches break down.” - David K Johnson, Forrester Research, Inc. 2012 The Growing Impact on IT App Delivery & Management User Workstyles & Devices Traditional Apps & PC Lifecycle Management Systems Task Workers & Desktop PCs Virtualized & Streamed Apps Knowledge Workers & Laptops Virtual & Remote Desktops Mobile Workers & Tablet PCs Cloud-Based Apps & Mobile Device Management Remote/Home Office Workers & smart phones
- 13. Corporate IT MeetsConsumer IT
- 14. But Wait! There’sMore • It’s not just about the data • How are your users going to work on that data? • 20% of my time is spent on “My Apps” • 80% of my time is spent on Corporate Apps (We hope.)
- 15. Cerner My Productivity AppsMyMobile Apps MDM MAM MIM EMM MOMMY!! Angry Birds is NOT a Productivity App
- 16. Let’s Look ata Day in the Life of Ann… Data Center Cerner This is Ann, our life-saving registered nurse
- 17. 08:00 – 09:00 Annstarts her morning routine at the nurses’ station.
- 18. 09:00 – 11:00 •Ann dashes to the ER and accesses her Workstation-on-Wheels • She’s able to login fast. Very fast. • She’s immediately productive with a consistent user experience • She launches a virtual desktop containing the EHR application • She enjoys Dynamic Print and Device Redirection Suddenly, Roy and Johnny burst into Rampart with a critical ER patient!
- 19. And by 9:04Ann is Ready to Save a Life
- 20. 11:00 – 12:15 Thecritical emergency is now happily resolved… • Ann follows her patient to the recovery ward • Ann uses her tablet to launch a VDI session • Consistency and control are her keys to happiness • Along with Roy & Johnny, who are now back at Station 51
- 21. 12:15 – 13:00 •But wait! Ann gets hungry. She decides to change out of her scrubs and grab a snack. As she leaves the patient ward, her workspace dynamically adjusts to her location. • When she changes Wi-Fi access spots, the EHR app is dynamically restricted • Access to sensitive patient data is now securely revoked • But her Facebook account is now allowed Thanks IT!
- 22. How Do YouSolve this Epidemic? • Healthcare: 6.4 • Finance: 4.3 • Insurance: 3.4 • Technology:3.2
- 23.
- 24. Location and DeviceAwareness Examples: • Network location • OS type • Access Type • Application version • USB storage • Hardware spec • Wi-Fi hot spot
- 25. Enterprise Class Management •Single management console • Lightweight architecture • Just a few clicks away
- 26. What Do WeConclude? Combine a solid EMM plan with Workspace Virtualization and give your users the bling without the sting.
- 27. How To AchieveHigh Performing, Clinician Desktops Krish Chandra Director, Solution Engineering eG Innovations krishk@eginnovations.com
- 28. About eG Innovations eG Innovations dramatically simplifies and accelerates performance management across mission-critical virtual, cloud and physical IT environments Only eG Innovations award-winning root-cause diagnosis technology can automatically pinpoint performance issues by auto-correlating the user’s service experience with the underlying infrastructure and application components Deliver exceptional performance, user productivity, and ROI Worldwide Locations New York, New Jersey, Boston, Chicago, Los Angeles, Dallas, Austin, Singapore, London, The Hague, Chennai Customers Over 1,000 customers worldwide Awards & Recognition
- 29. VDI Performance Assurance Virtualization Desktop Brokers and Support Systems Performance managementfor VDI is extremely unique as you need a solution that combines multiple different performance management methodologies VDI
- 30. Monitor VDI Service, not Silos Deep Visibility into Sessions VDI PerformanceAssurance Right-Size for Great ROI Monitor Users, Not Just VMs Preemptive Detection & Alerting
- 31. Monitor VDI Service, not Silos Deep Visibility into Sessions Right-Size for Great ROI Monitor Users, NotJust VMs Preemptive Detection & Alerting VDI Performance Assurance
- 32. VDI is slow VDIis not working VDI freezes often Users care about the “service” The CPU usage of the VMware servers is ok. The DNS servers are responding well to queries. IT operations teams focus on infrastructure silos This disconnect is a threat to the success of transformational IT initiatives & the promise of agility, scalability, and cost savings! The User / IT Management Disconnect Monitor VDI Service, not Silos Monitor the VDI Service, Not Silos
- 33. Know when user accessis slowing Monitor VDI Service, not Silos Monitor the VDI Service, Not Silos
- 34. Get 360o Visibility Knowwhich tiers are working and which are not. Monitor VDI Service, not Silos Virtual Server Monitoring Solutions cannot give you 360o visibility. They focus on the virtualization platform only.
- 35. Monitor Every Layer,Every Tier The VMs looks fine. vCenter does not show any alert. There is an alert indicating an issue within the virtual desktop. The hypervisor looks fine. Monitor VDI Service, not Silos
- 36. Monitor Every Layer,Every Tier Oops – there is 26% retransmission from the virtual desktop Monitor VDI Service, not Silos
- 37. Automatic Root-Cause Diagnosis Root-cause Theeffect of the problem Deep visibility into every layer, every tier, & service-based correlation enable rapid/accurate diagnosis of performance issues. Monitor VDI Service, not Silos
- 38. Monitor VDI Service, not Silos Deep Visibility into Sessions VDI PerformanceAssurance Right-Size for Great ROI Monitor Users, Not Just VMs Preemptive Detection & Alerting
- 39. Know usage patternsand trends for effective capacity planning and load distribution. Plan Based on Usage Report Top users, Top applications Right-Size for Great ROI
- 40. Get More Outof Your Investment Track user sessions on each server Right-Size for Great ROI A few of the servers are handling most of the sessions
- 41. Right-Size for Great ROI Know Howto Invest Widely Find your VDI bottlenecks
- 42. Monitor VDI Service, not Silos Deep Visibility into Sessions VDI PerformanceAssurance Right-Size for Great ROI Monitor Users, Not Just VMs Preemptive Detection & Alerting
- 43. Preemptive Detection &Alerting Broad Coverage Deep Insights - LUN queue length - VM CPU Ready - TCP Retransmissions - Memory leaks - Profile sizes Virtual Physical Cloud Storage Application Network Database Virtualization It is important to have the right metrics Look for domain expertise in VDI, collect the right metrics. Otherwise, it will be a case of “Garbage in, Garbage out”! Preemptive Detection & Alerting
- 44. Preemptive detection &alerting lets administrators see and fix problems before users notice Auto-Baseline Key Metrics • Auto-compute time-of-day baselines • Alert administrators when metrics violate baselines Preemptive Detection & Alerting
- 45. Preemptive Detection & Alerting The domainserver goes down, pulling down the VDI service. Why? Event history provides a clue … A Preemptive Alerting Example Real-World Scenario The domain server has failed and rebooted. 5 hours earlier, a pro- active alert about memory leak!
- 46. Monitor VDI Service, not Silos Deep Visibility into Sessions VDIPerformance Assurance Right-Size for Great ROI Monitor Users, Not Just VMs Preemptive Detection & Alerting
- 47. Monitor Users, NotJust VMs • Workload of the VM is user-dependent • When a user complains, need to know which physical server and VM they are on • Need to know who the top users are for capacity planning • User information required for billing, capacity planning Poor user experience impacts VDI success. So focus on monitoring users, not just VMs! Monitor Users, not just VMs
- 48. Monitor Users, NotJust VMs Know which ESX/Xen server he/she is logged on to Monitor Users, not just VMs When a user calls, search for the user
- 49. Monitor Users, NotJust VMs See all the other users logged on to the same ESX/Xen host. See performance issues at the user level so you can fix and right-size your VDI environment for user satisfaction. Monitor Users, not just VMs
- 50. Monitor VDI Service, not Silos Deep Visibility into Sessions VDI PerformanceAssurance Right-Size for Great ROI Monitor Users, Not Just VMs Preemptive Detection & Alerting
- 51. Deep Visibility IntoSessions CPU usage inside a virtual desktop is high Deep Visibility into Sessions
- 52. Deep Visibility IntoSessions The top CPU process is Windows Media Player. The user is watching a movie Deep Visibility into Sessions Accelerate problem resolution by understanding why a VM is consuming resources.
- 53. Monitor VDI Service, not Silos Deep Visibility into Sessions VDI PerformanceAssurance Right-Size for Great ROI Monitor Users, Not Just VMs Preemptive Detection & Alerting
- 54. “Dramatically simplify and accelerateVDI performance management. Deliver peak performance, user satisfaction and ROI.” VDI Performance Assurance Benefits VDI Performance Assurance IT Productivity Higher service uptime Simplicity User Satisfaction Cost control & ROI
- 55.
- 56. Next Steps More Details www.lanstatus.com| www.ressoftware.com | www.eginnovations.com Contact Us +1.203.459.0488 Brian.Diamond@lanstatus.com RES Software +1.781.626.0582 S.Donahue@ressoftware.com Twitter:@Seando40 eG Innovations (US) +1.732.794.1259 webinar@eginnovations.com
Editor's Notes
- #9 The RES Software mission statement is how we keep all parts of our nationally diverse employee base aligned with both our history as a company and our future direction.
- #11 What’s going on today in the world of IT? We see three macro trends that are re-shaping IT as we know it.Consumerization of IT. Technology users are accustomed to having IT within easy reach. Smart phones and tablets being used for personal use, are now being used more and more in our professional lives. People appreciate the experience they have with consumer technologies, and they want to see this same level of satisfaction with their enterprise technologies (for example, email, Dropbox, intranet, etc.).Cloud based technologies. IT departments are no longer delivering all IT services themselves. The movement towards the cloud is real and sustained into our future. But the cloud raises other concerns, not the least of which are security and compliance. Tackling the cloud demands another way of thinking for IT. Where we used to deliver IT purely from a technical perspective, we now see that we must have better ways of delivering IT in the future. We need to shift our frame of reference from providing technology, to providing IT in a service-oriented way.Hybrid End User Computing. The two before-mentioned trends are driving an additional trend. Hybrid IT is a fact. Not too many years ago, the pundits were predicting a full-scale transition from traditional rich client infrastructures to virtual desktops. The reality is different. Virtual desktops are growing, but they’re only a part of the picture – and still a relatively small one. The reality is, desktop infrastructures aren’t transitioning from one model to another – they’re hybrid. This isn’t happening because it’s easier for IT to maintain: quite the opposite. But it’s an outcome of what IT users are demanding. Our users want to work everywhere, from multiple devices, and they want the ability to be online 24/7.These trends have a powerful impact on daily IT operations.While it keeps our users satisfied, Hybrid IT adds complexity. We need to maintain these complex infrastructures – but it’s costing us more maintenance hours, which forces more IT resources into daily operations and away from other, more strategic projects. This makes us less flexible and less responsive to IT users. As a result, they’re looking to “shadow IT” or “user IT” solutions like Dropbox and Gmail. Shadow IT solutions are cloud-based consumer solutions used for professional work – but outside of IT’s control, and often at risk of security and compliance.We see the costs of IT going up. We’ve never had to be more cost aware than today, so this is a struggle for almost every IT manager or CIO. Each year, IT is asked to do more with less – when technologies are becoming more complex, and IT’s ability to control the consumption of technology is being reduced.The 24/7 access from any device in combination with shadow IT solutions gives us big headaches when it comes to compliance and security of our enterprise data environment. And compliance and data security are not optional; they’re “do or die” for IT.At some level, it’s an exciting time to be in IT because so much is changing, including very fundamental changes. But these same changes are making our jobs riskier, more difficult, and much more demanding.That’s why RES Software is here to help.Footnotes with sources for the above information:1 "In 2008, there were 4bn mobile subscriptions," said Ericsson's chief executive, Hans Vestberg. "By 2017 there will be close to 9bn subscriptions. With this kind of mobility and connectivity everywhere, there will be no differentiation between a business user and a private user.” (http://www.guardian.co.uk/business/2012/jun/06/more-mobile-devices-people-five-years)1 From Forrester Research (http://blogs.forrester.com/simon_yates/12-10-03-the_anytime_anywhere_iworker?cm_mmc=RSS-_-IT-_-71-_-blog_397&utm_content=Forrester+Blogs&utm_source=twitterfeed&utm_medium=linkedin)2From Citrix, as reported in “Silicon Republic” (http://www.siliconrepublic.com/cloud/item/29390-cloud-working-in-2020-five)3 From Gartner, Inc.’s “Desktop Total Cost of Ownership: 2011 Update” study, 16 November 2010.4 From The Ponemon Institute’s 6th annual U.S. Cost of a Data Breach study of U.S. based companies (2010); sponsored by Symantec Corporation. “Employee negligence” and “lost or stolen devices” caused 41% and 35% of breaches respectively. (http://www.symantec.com/about/news/release/article.jsp?prid=20110308_01&om_ext_cid=biz_socmed_twitter_facebook_marketwire_linkedin_2011Mar_worldwide_costofdatabreach)
- #12 The way people work today has been transformed.We moved away from uniform PC usage (which was the de facto standard just 10 years ago) to a complex mix of different application delivery technologies. Today we want access to enterprise IT services 24/7 from any location, and a traditional PC simply does not support this. To achieve this highly flexible way of working, IT must use the hybrid application delivery models discussed earlier. The result is, without dismissing legacy application delivery methods, we must introduce many new and more flexible technologies to deliver IT services in many situations; and this has led to much more complex environments for IT to manage.In short, our customers tell us (and we’ve seen with our own eyes) that new technologies often don’t replace other technologies. Instead, as new devices are rolled out, each one brings along its own management tools, one more layer of complexity to the infrastructure. And IT is forced to come up with solutions for managing this increasingly complex environment.
- #13 Managing these environments has become not just complex, but costly as well. The traditional device-centric way of managing IT doesn’t work anymore. IT has grown too complex and costly to be managed in a traditional way. This statement is backed up by analyst reports from, among others, Forrester.
- #17 Throughout her day Ann uses over 6 different computing devices. Som are fixed in her nursing station or office. But some are mobile including the iPad she brought from home.Ann starts her shift by sitting in her nurses station in the ER. She accesses her e-mail through the outlook client. Types up a report using word and accesses Cerner to look at a patient’s medical records. Uh – Oh. The boys from Emergency 51 just brought in a critical case to Rampart. Ann signs out of her desktop and rushes into the ER. In the ER Ann taps into the shared COW with her SSO badge. She launches cerner app as a hosted session through XenApp and starts working on the medical records. She is immediately productive because her state has been preserved with RES WSM. The critical case is over. The patient is moved to recovery and the foreign object placed into OFR box.Ann leaves the ER and goes to the recovery ward. In the patients room she taps in and is restored to her session. She decides to print the medical record and is redirected to the correct printer for her real time location even though her hosted session is in the data center.Ann then wips out her iPad and access her hosted cerner through citrix receiver. But wait, Ann is getting hungry. So she starts to head down to the café. As Ann travels the corriders her WiFi access point changes and RES detects she is traveling towards the café. In real time her access to sensitive apps and data is throttled back. But alternately her access to Facebook and twitter are allowed in her hosted session.Reverse at the end of her break.
- #24 So what is Context awareness?RES Workspace Manager allows us to provide the User with access to the right services based upon four main elements:IdentityLocationDeviceand TimeCLICK FOR SERVICESWorkspace Manager is a Desktop Management tool that provides the User with access to the approriate services for them to be able to do their job.The Services are their applications, access to data, the correct printer and finally the user settings.User settings are the bits that make my desktop my own – access to MY mailbox, not someone else’s, customized shortcuts, colour schemes and all the others tweaks that I make that allows me to be at my most productive!CLICK FOR CONTEXTThe Unique thing about RES Workspace Manager is the way in which we can provide access to the right services based upon the Context of the UserBy Context, I mean Who am I, Where am I, What am I and When am ICLICK FOR SECURITYAnd finally, in a world where Compliance, Auditability and Governance are of paramount importance, it is essential that we put a security wrapper around everything.My users are empowered to work within the confines imposed by the business and are unable to stray beyond them.CLICK FOR WORKSPACEIf we can achieve this, then we can transform a Static Desktop into a fully managed Workspace!
- #25 Defining Context Rules ensures that Users have access to the right applications, data, printers and settings based upon their identity, location, device type and time of dayNetwork LocationOS TypeApplication VersionUSB StorageHardware Specification
- #26 From a single, intuitive management console, IT Professionals can provide a User access to the correct applications, data, and other services they need to do their job
- #41 Add pain callout
- #42 Add benefit callout
- #44 Need to update bullets and image?