©2009 The Enterprise Strategy Group Enterprise Strategy Group | Getting to the bigger truth. TM...

©2009 The Enterprise Strategy Group

Enterprise Strategy Group | Getting to the bigger truth.T M

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

The Ultimate Objective of Healthcare IT

© 2009 Enterprise Strategy Group 2

• Improved patient care 10% increase in the use of EMR resulted in a 15% decrease

in patient deaths

• Lower costs Hospitals that use computerized decision-support systems

saved $538 per admission

When 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.

Achieving the Ultimate Objective


• New systems being deployed Order entry, decision support, etc

• Transition 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 scanners

*Source: http://www.cdc.gov/nchs/data/hus/hus08.pdf#089.

Achieving the Ultimate Objective


• New systems being deployed Order entry, decision support, etc

• Transition 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 scanners

*Source: http://www.cdc.gov/nchs/data/hus/hus08.pdf#089.

More Systems and Modalities = More Data

Compliance Exacerbates Data Growth


• Record retention requirements Common rules (HIPAA, JCAHO, states): Minors - until

patient is 18 years old; Adults - 7 years after creation 50.6% and 52.5% of hospitals permanently retained adult

and minor medical records, respectively*

• HIPAA data management requirements Data backup Disaster recovery Emergency mode operation Contingency plan testing and revision procedures. Data backup and storage

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

Compliance Exacerbates Data Growth


• Record retention requirements Common rules (HIPPA, JCAHO, states): Minors - until

patient is 18 years old; Adults - 7 years after creation 50.6% and 52.5% of hospitals permanently retained adult

and minor medical records, respectively

• HIPPA data management requirements Data backup Disaster recovery Emergency mode operation Contingency plan testing and revision procedures. Data backup and storage

Data Growth and Retention = Increased Storage Costs

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

Examining Storage Costs – Acquisition Costs


PACS EMROrderEntry



PACS EMR OrderEntry

Primary Capacity Growth -> “Tier 1” Systems



PACS EMR OrderEntry

Backup / Disaster Recovery -> Systems



PACS EMR OrderEntry

Backup / Disaster Recovery / Archive -> Software

Examining Storage Costs – Operational Costs


Data center floor space

Power and cooling

Labor

Migrations

Summary of Storage Costs


• Constantly purchasing “Tier 1” storage capacity Easiest way to meet performance and availability

requirements

• Data management and protection software Necessary to address compliance mandates

• Operational expenses Often 3-5X of initial acquisition costs

Opportunities to Control Storage Costs


Implement “tier 2 or tier 3” storage• $2,000 - $7,000 per terabyte in savings• Denser devices consume less floor space• Fewer systems to manage

Opportunities to Control Storage Costs


Consolidate data management functions• Facilitates data movement between storage “tiers”• Centralize backup, disaster recovery and archive

policies• Transparent to the application and user

Key Considerations


• Data management software Support: DICOM and HL7 formats Integration: variety of storage platforms Features: Retention and recovery optimization

• Storage tiers Balance: performance and availability with cost Flexibility and choice: some data will be kept for a while

Summary


• Healthcare information delivers significant benefits Storage requirements will increase

• Nearly one-third of IT budgets are spent on storage systems, software and services IT must control these expenses while maintain compliance

• Now is ideal time to seek out alternatives Opportunities exist with tiered storage; consolidated data

management

*Source: ESG Research Report, Enterprise Storage Systems Survey, November 2008

Getting to the bigger truth.Getting to the bigger truth.

© 2009 Enterprise Strategy Group

TM

Thank YouFor more information, please contactBrian Babineau, Senior Analyst508.381.5172 | [email protected]

Jamie CliftonDirector of Product Management

HEAT Medical Archiving Appliance

Enterprise Data Repository

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Storage Integration• Multi Copy• Native offline

support

Data Transformations• De-duplication• Compression• Encryption

Data Management• Indexed• Retention

Management• Self Protecting

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Archiving Targets – Clinical Data

PACS Data Scanned Records Electronic Records

Portal Integration

DICOM Viewer

File System

http://images.google.com/imgres?imgurl=http://www.dicom-solutions.com/pictures/knee.jpg&imgrefurl=http://www.dicom-solutions.com/services.shtm?lang=en&usg=__sKyCOJRNwDJCxjMgqbHfm-yjXlQ=&h=512&w=512&sz=52&hl=en&start=7&tbnid=XTYSm53fD6_c3M:&tbnh=131&tbnw=131&prev=/images?q=dicom+images&gbv=2&hl=en

Does this meet your needs?

“Consolidate data management functions”

“Implement ‘tier 2 or tier 3’ storage”√?

• Huge Degree of flexibility but flexibility can cost• Requires several vendors and applications – lower

ROI

• Several systems means increased management• Unlikely to reduce impact of items such as floor space

X

HEAT Archiving Appliance

HEAT: Complete Solution to Archive Data Management

Plug in and go!

Low TCO

Right tiers of storage

Low power

Little training

Passive archive

Location for new content

Active Archive

Reach out and control existing content

Hardware Solutions

Software Solutions

HEAT

SUN and BridgeHead HEAT

Storage Integration• Multi Copy• Native offline

support

Data Transformations• De-duplication• Compression• Encryption

Data Management• Indexed• Retention

Management• Self Protecting• DICOM Aware

Active File Archiving DICOM / HL7 Interfaces

Tier Two Storage

• Low cost SATA disk system• The majority of long term storage• Fully managed by BridgeHead• 12, 24, 48 TB

SUN ‘Thor’ X4540 Server(soon 7000 Open Storage)

Tier Three Storage• At least two copies SUN SL 48 / SL500

HEAT Data Management

Passive Archiving HEAT presents a managed disk to the network Content is automatically & invisibly moved between storage

tiers

Active Archiving Locate content in its original location

Unlimited virtual storage space Online content can be moved offline but still available

Fully Self Protecting Multiple copies of archived data Dataset removed from the unit to ‘offsite’ Meta data backed-up

HEAT Benefits

Low purchase cost Built on Sun’s open storage standards

No lock-in – you always own your data No need to use APIs

Low costs of ownership Low power, small footprint, easy to manage

Active and passive archiving Not just a new place for data but a system to manage

existing data

Fully self-protecting out of the box

Ideal appliance for the management of archival data

Increased Savings

BridgeHead Customer Validation

• 300 Healthcare organizations worldwide rely on us• 1000+ individual hospitals for Data Management

http://www.profuturo.lt/

http://www.profuturo.lt/

http://healthcare.ucla.edu/healthsciences/healthcare/ucla-medical/

http://www.christushealth.org/index.htm

http://www.mellon.com/index.html

http://www.huntingtonhospital.com/default.cfm

http://www.theukhighstreet.com/perl/jump.cgi?ID=656

http://www.mayoclinic.org/

http://www.mptvfund.org/index.htm

http://www.unityhealth.org/index.asp

http://www.henrymayo.com/index.html

http://www.spmh.org/index.html

Thank You

[email protected]

USA

BridgeHead Software, Inc.

400 West Cummings Park Suite 6050

Woburn, MA 01801

+1 - 781 - 939 - 0780

+1 - 781 - 939 - 5607 fax

UK

BridgeHead Software Ltd.

BridgeHead House

215 Barnett Wood Lane Ashtead Surrey KT21 2DF

+44 (0) 1372 - 221950

+44 (0) 1372 - 221977 fax

©2009 The Enterprise Strategy Group Enterprise Strategy Group | Getting to the bigger truth. TM...

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