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©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
© 2009 Enterprise Strategy Group 3
• 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
© 2009 Enterprise Strategy Group 4
• 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
© 2009 Enterprise Strategy Group 5
• 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
© 2009 Enterprise Strategy Group 6
• 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
© 2009 Enterprise Strategy Group 7
PACS EMROrderEntry
Examining Storage Costs – Acquisition Costs
© 2009 Enterprise Strategy Group 8
PACS EMR OrderEntry
Primary Capacity Growth -> “Tier 1” Systems
Examining Storage Costs – Acquisition Costs
© 2009 Enterprise Strategy Group 9
PACS EMR OrderEntry
Backup / Disaster Recovery -> Systems
Examining Storage Costs – Acquisition Costs
© 2009 Enterprise Strategy Group 10
PACS EMR OrderEntry
Backup / Disaster Recovery / Archive -> Software
Examining Storage Costs – Operational Costs
© 2009 Enterprise Strategy Group 11
Data center floor space
Power and cooling
Labor
Migrations
Summary of Storage Costs
© 2009 Enterprise Strategy Group 12
• 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
© 2009 Enterprise Strategy Group 13
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
© 2009 Enterprise Strategy Group 14
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
© 2009 Enterprise Strategy Group 15
• 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
© 2009 Enterprise Strategy Group 16
• 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
BH MediStoreH
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Ag
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O
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Storage Integration• Multi Copy• Native offline
support
Data Transformations• De-duplication• Compression• Encryption
Data Management• Indexed• Retention
Management• Self Protecting
Acc
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to A
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Archiving Targets – Clinical Data
PACS Data Scanned Records Electronic Records
Portal Integration
DICOM Viewer
File System
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
Increased Savings
BridgeHead Customer Validation
• 300 Healthcare organizations worldwide rely on us• 1000+ individual hospitals for Data Management
Thank You
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