The document discusses challenges in managing healthcare data to balance storage costs with compliance and access requirements. It notes that increased use of electronic medical records and imaging systems has led to exponential growth in healthcare data. This data must be stored and managed for long periods as required by regulations while controlling rising storage costs. The presented solution proposes implementing tiered storage with lower-cost systems to reduce storage expenses while also consolidating data management functions into a single archiving appliance to decrease management overhead and floor space usage. This integrated approach aims to help healthcare organizations meet data retention mandates cost-effectively.

1. Taking on the Healthcare Data ChallengeBalancing storage costs with compliance and access requirements

2. The Ultimate Objective of Healthcare IT© 2009 Enterprise Strategy Group2Improved patient care

3. 10% increase in the use of EMR resulted in a 15% decrease in patient deaths

4. Lower costs

5. Hospitals that use computerized decision-support systems saved $538 per admissionWhen physicians use health information technology to its full potential, the result is fewer deaths, fewer complications, and lower health care costs…Source: R. Amarasingham, L. Plantinga, M. Diener-West et al., “Clinical Information Technologies and Inpatient Outcomes: A Multiple Hospital Study,” Archives of Internal Medicine, Jan. 26, 2009 169(2):108–14.

6. Achieving the Ultimate Objective© 2009 Enterprise Strategy Group3New systems being deployed

7. Order entry, decision support, etc

8. Transition to EMR

9. $36B in reimbursements and incentives for providers that implement EHR systems over the next several years

10. Estimated 30,000 MRI and CT scanning systems in place worldwide – a 386% increase from 1995*

11. More departments using imaging for diagnostic purposes

12. 64 to 256 slices; high resolution scanners*Source: http://www.cdc.gov/nchs/data/hus/hus08.pdf#089.

13. Achieving the Ultimate Objective© 2009 Enterprise Strategy Group4New systems being deployedOrder entry, decision support, etcTransition to EMR$36B in reimbursements and incentives for providers that implement EHR systems over the next several years.Estimated 30,000 MRI and CT scanning systems in place worldwide – a 386% increase from 1995*More departments using imaging for diagnostic purposes 64 to 256 slices; high resolution scannersMore Systems and Modalities = More Data*Source: http://www.cdc.gov/nchs/data/hus/hus08.pdf#089.

14. Compliance Exacerbates Data Growth© 2009 Enterprise Strategy Group5Record retention requirements

15. Common rules (HIPAA, JCAHO, states): Minors - until patient is 18 years old; Adults - 7 years after creation

16. 50.6% and 52.5% of hospitals permanently retained adult and minor medical records, respectively*

17. HIPAA data management requirements

18. Data backup

19. Disaster recovery

20. Emergency mode operation

21. Contingency plan testing and revision procedures.

22. Data backup and storage*Source: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2430773&rendertype=table&id=T4.

23. Compliance Exacerbates Data Growth© 2009 Enterprise Strategy Group6Record retention requirementsCommon rules (HIPPA, JCAHO, states): Minors - until patient is 18 years old; Adults - 7 years after creation50.6% and 52.5% of hospitals permanently retained adult and minor medical records, respectivelyHIPPA data management requirementsData backupDisaster recoveryEmergency mode operationContingency plan testing and revision procedures. Data backup and storageData Growth and Retention = Increased Storage Costs *Source: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2430773&rendertype=table&id=T4.

24. Examining Storage Costs – Acquisition Costs© 2009 Enterprise Strategy Group7OrderEntryPACSEMR

25. Examining Storage Costs – Acquisition Costs© 2009 Enterprise Strategy Group8OrderEntryPACSEMRPrimary Capacity Growth -> “Tier 1” Systems

26. Examining Storage Costs – Acquisition Costs© 2009 Enterprise Strategy Group9OrderEntryPACSEMRBackup / Disaster Recovery -> Systems

27. Examining Storage Costs – Acquisition Costs© 2009 Enterprise Strategy Group10OrderEntryPACSEMRBackup / Disaster Recovery / Archive -> Software

28. Examining Storage Costs – Operational Costs© 2009 Enterprise Strategy Group11Data center floor spacePower and coolingLaborMigrations

29. Summary of Storage Costs© 2009 Enterprise Strategy Group12Constantly purchasing “Tier 1” storage capacity

30. Easiest way to meet performance and availability requirements

31. Data management and protection software

32. Necessary to address compliance mandates

33. Operational expenses

34. Often 3-5X of initial acquisition costsOpportunities to Control Storage Costs© 2009 Enterprise Strategy Group13 Implement “tier 2 or tier 3” storage$2,000 - $7,000 per terabyte in savings

35. Denser devices consume less floor space

36. Fewer systems to manageOpportunities to Control Storage Costs© 2009 Enterprise Strategy Group14 Consolidate data management functionsFacilitates data movement between storage “tiers”

37. Centralize backup, disaster recovery and archive policies

38. Transparent to the application and userKey Considerations© 2009 Enterprise Strategy Group15Data management software

39. Support: DICOM and HL7 formats

40. Integration: variety of storage platforms

41. Features: Retention and recovery optimization

42. Storage tiers

43. Balance: performance and availability with cost

44. Flexibility and choice: some data will be kept for a whileSummary© 2009 Enterprise Strategy Group16Healthcare information delivers significant benefits

45. Storage requirements will increase

46. Nearly one-third of IT budgets are spent on storage systems, software and services

47. IT must control these expenses while maintain compliance

48. Now is ideal time to seek out alternatives

49. Opportunities exist with tiered storage; consolidated data management*Source: ESG Research Report, Enterprise Storage Systems Survey, November 2008

50. For more information, please contactBrian Babineau, Senior Analyst508.381.5172 | brian.babineau@esg-global.com

51. HEAT Medical Archiving ApplianceJamie CliftonDirector of Product Management

52. BH MediStoreArchiving Targets – Clinical DataFile SystemAccess to Archived ContentElectronic RecordsPACS DataScanned RecordsDICOM ViewerEnterprise Data RepositoryHT Backup Agent for OfficeStoreStorage IntegrationMulti Copy

53. Native offline supportData TransformationsDe-duplication

54. Compression

55. EncryptionData ManagementIndexed

56. Retention Management

57. Self ProtectingPortal Integration

58. Does this meet your needs? “Implement ‘tier 2 or tier 3’ storage”√? Huge Degree of flexibility but flexibility can cost

59. Requires several vendors and applications – lower ROI “Consolidate data management functions”X Several systems means increased management

60. Unlikely to reduce impact of items such as floor spaceHEAT Archiving Appliance

61. HEAT: Complete Solution to Archive Data ManagementPlug in and go!

62. Low TCO

63. Right tiers of storage

64. Low power

65. Little training

66. Passive archive

67. Location for new content

68. Active Archive

69. Reach out and control existing contentHardware SolutionsHEATSoftware Solutions

70. SUN and BridgeHead HEAT Active File Archiving DICOM / HL7 InterfacesStorage IntegrationMulti Copy

71. Native offline supportData ManagementIndexed

72. Retention Management

73. Self Protecting

74. DICOM AwareData TransformationsDe-duplication

75. Compression

76. EncryptionTier Two StorageLow cost SATA disk system

77. The majority of long term storage

78. Fully managed by BridgeHead

79. 12, 24, 48 TBSUN ‘Thor’ X4540 Server(soon 7000 Open Storage)Tier Three StorageAt least two copies SUN SL 48 / SL500

80. HEAT Data ManagementPassive ArchivingHEAT presents a managed disk to the networkContent is automatically & invisibly moved between storage tiersActive ArchivingLocate content in its original locationUnlimited virtual storage spaceOnline content can be moved offline but still availableFully Self ProtectingMultiple copies of archived dataDataset removed from the unit to ‘offsite’Meta data backed-up

81. HEAT BenefitsLow purchase costBuilt on Sun’s open storage standards No lock-in – you always own your dataNo need to use APIsLow costs of ownershipLow power, small footprint, easy to manageActive and passive archivingNot just a new place for data but a system to manage existing dataFully self-protecting out of the boxIdeal appliance for the management of archival data

82. Increased Savings

83. Increased Savings

84. BridgeHead Customer Validation300 Healthcare organizations worldwide rely on us

85. 1000+ individual hospitals for Data ManagementThank Youjamie.clifton@bridgeheadsoftware.comUKBridgeHead Software Ltd. BridgeHead House215 Barnett Wood Lane Ashtead Surrey KT21 2DF+44 (0) 1372 - 221950 +44 (0) 1372 - 221977 faxUSA BridgeHead Software, Inc. 400 West Cummings Park Suite 6050 Woburn, MA 01801 +1 - 781 - 939 - 0780 +1 - 781 - 939 - 5607 fax