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Building a 21 st Century Virtualized Enterprise Architecture. Dr. Zafar Chaudry, MD, MSc, MIS, MBCS, CITP Director of IM&T 31 October 2007. Highlights. Who Are We? Healthcare Challenges IT Challenges What Did We Find? Our Existing Infrastructure Our Strategy - PowerPoint PPT Presentation
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“At the Forefront of World Class Information Technology in Healthcare”
Building a 21Building a 21stst Century Virtualized Century Virtualized Enterprise ArchitectureEnterprise Architecture
Dr. Zafar Chaudry, MD, MSc, MIS, MBCS, CITPDr. Zafar Chaudry, MD, MSc, MIS, MBCS, CITP
Director of IM&TDirector of IM&T
31 October 200731 October 2007
“At the Forefront of World Class Information Technology in Healthcare”
HighlightsHighlights Who Are We?Who Are We? Healthcare ChallengesHealthcare Challenges IT ChallengesIT Challenges What Did We Find?What Did We Find? Our Existing InfrastructureOur Existing Infrastructure Our StrategyOur Strategy Virtualized, SAN attached InfrastructureVirtualized, SAN attached Infrastructure Data Replication / Information Lifecycle ManagementData Replication / Information Lifecycle Management What Did We Get?What Did We Get? VM LessonsVM Lessons
“At the Forefront of World Class Information Technology in Healthcare”
Who Are We?Who Are We? Europe’s Largest Women’s ProviderEurope’s Largest Women’s Provider Europe’s Largest Neonatology UnitEurope’s Largest Neonatology Unit Europe’s Largest Genetics LaboratoryEurope’s Largest Genetics Laboratory £80 million turnover ($160 / £80 million turnover ($160 / €€112 million)112 million) £3 million ($6 / £3 million ($6 / €4.2 million€4.2 million) on IT) on IT 1,600 employees – 5 sites1,600 employees – 5 sites Ranked 8Ranked 8thth in UK (out of 270+) in UK (out of 270+) IT & IS Technical Team of 12 (total: 60 IT & IS Technical Team of 12 (total: 60
WTE)WTE) Delivered 8,000 BabiesDelivered 8,000 Babies Performed 11,000 OperationsPerformed 11,000 Operations Performed 900 IVF CyclesPerformed 900 IVF Cycles Foundation Trust – “independent Foundation Trust – “independent
business”business” Rated “Excellent” for “Quality of Rated “Excellent” for “Quality of
Services” & “Use of Resources” by Services” & “Use of Resources” by Healthcare CommissionHealthcare Commission
“At the Forefront of World Class Information Technology in Healthcare”
Healthcare ChallengesHealthcare Challenges
Healthcare
Increasing Costs
Increasing Demand
Clinician Shortages
Increasing Medical Errors
Increasing Litigation
Patient Data Privacy Legislation
IncreasingAudit Requirements
Adopting New
Technology
Limited IT Budgets
Limited Hospital IT
Skills
“At the Forefront of World Class Information Technology in Healthcare”
1. Info growing 3X/yr
3. Info Governance & Compliance Increasing
The Only Things Not Growing: Time, Staff and Budget!
The Mounting Pressure on The Mounting Pressure on ITIT
4. Complexity Rising
- Content is growing fastest
- Have to keep info LONGER
- Number of Devices, connections, tools, etc.
Managin
g
Gro
wth
2. User Expectations are Growing- Always available, more
capabilities
Impact Areas:- Bus.
Intelligence- Technology- Bus. Continuity- Backup,
Recovery AND Archive
- Compliance- Content
Management
“At the Forefront of World Class Information Technology in Healthcare”
More types:FinancialClinicalOperationalQualityImaging
More growth:Health Information stored on disk arrays grew200%+ in 2006
Health Information: Unstructured Data Health Information: Unstructured Data GrowthGrowth
More uses:EPR, PACS, Collaboration, Knowledge Management, Data Analytics
Informationtypes
Informationregulations
Informationgrowth Information
uses
More regulations:Healthcare Information Retention, E-mail Retention
“At the Forefront of World Class Information Technology in Healthcare”
Server “sprawl”Server “sprawl”PCs used as servers everywhere – under desks, in PCs used as servers everywhere – under desks, in cupboardscupboards
Novell Domain & GroupWiseNovell Domain & GroupWise
Data EverywhereData EverywhereData held on PCs, floppy discs, not backed upData held on PCs, floppy discs, not backed upData that is backed up is on tape (costs ballooning; Data that is backed up is on tape (costs ballooning; tapes accumulating)tapes accumulating)
Data not archivedData not archivedData deleted e.g. e-mail deleted by usersData deleted e.g. e-mail deleted by usersNo E-mail retentionNo E-mail retentionData “sprawl”Data “sprawl”
Demand for new Applications & Data Storage Demand for new Applications & Data Storage increasing exponentiallyincreasing exponentially
Clinical Records retention: 8 yrs for Gynae / 25 yrs for Clinical Records retention: 8 yrs for Gynae / 25 yrs for OBOB
What Did We Find?What Did We Find?
“At the Forefront of World Class Information Technology in Healthcare”
April 2005 InfrastructureApril 2005 Infrastructure
Liverpool Women’s Network
2 U
NO BACKUP OF DATA
NOVELL FILE & PRINT
GROUPWISE E-MAIL
8 x Windows 20004 x Windows NT4 x Windows XP
3 x Windows 2003
“At the Forefront of World Class Information Technology in Healthcare”
Simplification: data / systems / infrastructure for easier Simplification: data / systems / infrastructure for easier centralised managementcentralised management
Standardisation: systems / servers / business processesStandardisation: systems / servers / business processes
Virtualisation: systems / teams / hardwareVirtualisation: systems / teams / hardware
Automation: reduce manual workingAutomation: reduce manual working
Our Strategy – “Adaptive Enterprise”Our Strategy – “Adaptive Enterprise”
“At the Forefront of World Class Information Technology in Healthcare”
January 2007 InfrastructureJanuary 2007 Infrastructure
“At the Forefront of World Class Information Technology in Healthcare”
Data Replication / ILMData Replication / ILM
“At the Forefront of World Class Information Technology in Healthcare”
What Did Virtualisation Give Us?What Did Virtualisation Give Us?
New server commissioning in 10 minutes
ESX Server 1
DNS/DHCP
ESX Server 2
WM ServerWin2K AS
ESX Server 3
SQL Server
Call for Upgrade
“At the Forefront of World Class Information Technology in Healthcare”
ESX Server 1
DNS/DHCP
ESX Server 2
WM ServerWin2K AS
ESX Server 3
SQL Server
WM Server
SQL Server
Call for Upgrade
New server commissioning in 10 minutesAbility to move Servers in “real-time”
What Did Virtualisation Give Us?What Did Virtualisation Give Us?
“At the Forefront of World Class Information Technology in Healthcare”
ESX Server 1
DNS/DHCP
ESX Server 2
Win2K AS
ESX Server 3
WM Server
SQL Server
Powered Off for Upgrade
Always Powered OnNew server commissioning in 10 minutesAbility to move servers in “real-time”Zero downtime maintenance of physical server hardware
What Did Virtualisation Give Us?What Did Virtualisation Give Us?
“At the Forefront of World Class Information Technology in Healthcare”
ESX Server 1
DNS/DHCP
ESX Server 2
WM ServerWin2K AS
ESX Server 3
SQL Server
Upgrade Finished Powered On Again
WM Server
SQL Server
New server commissioning in 10 minutesAbility to move Servers in “real-time”Zero downtime maintenance of physical server hardware
What Did Virtualisation Give Us?What Did Virtualisation Give Us?
“At the Forefront of World Class Information Technology in Healthcare”
Next Generation – Jan 2008 – VI3Next Generation – Jan 2008 – VI3
“At the Forefront of World Class Information Technology in Healthcare”
Simplified infrastructureSimplified infrastructure Server ConsolidationServer Consolidation Server standardisation (Windows 2003 platform)Server standardisation (Windows 2003 platform) Virtualisation (VMWare ESX 2.5.2)Virtualisation (VMWare ESX 2.5.2)
Ability to use less hardwareAbility to use less hardware Consolidation of 8:1Consolidation of 8:1 Power savings of 80%Power savings of 80%
Storage Consolidation (EMC Clariion CX 500)Storage Consolidation (EMC Clariion CX 500) Data Protection (Full DR – Clariion CX500)Data Protection (Full DR – Clariion CX500) Data Value Classification: Information Lifecycle Data Value Classification: Information Lifecycle
Management (tiered data)Management (tiered data) Optimised storageOptimised storage File age, type, size, access, availability, usage, File age, type, size, access, availability, usage,
age, recovery – FC / SATAage, recovery – FC / SATA Capacity Expansion from 500GB to 6.5TB FC & Capacity Expansion from 500GB to 6.5TB FC &
22.5TB SATA22.5TB SATA
What Did We Get?What Did We Get?
“At the Forefront of World Class Information Technology in Healthcare”
VMWare LessonsVMWare Lessons Be careful of the consolidation ratioBe careful of the consolidation ratio Watch out for Microsoft licenses:Watch out for Microsoft licenses:
1 Enterprise per 4 VMs1 Enterprise per 4 VMs 1 SQL Server per processor1 SQL Server per processor Costly Costly
Cost can quickly skyrocket – VM licenses aren’t the Cost can quickly skyrocket – VM licenses aren’t the cheapest cheapest
Training – knowledge transferTraining – knowledge transfer Hardware needs to have dual processorsHardware needs to have dual processors Hardware needs a lot of RAM (12GB min)Hardware needs a lot of RAM (12GB min) Right partner – as expertise in area is a problemRight partner – as expertise in area is a problem Certain applications will not virtualiseCertain applications will not virtualise VMotion only works across servers with same generation VMotion only works across servers with same generation
processors – could end up with multiple clusters (VM processors – could end up with multiple clusters (VM “sprawl”)“sprawl”)
Evaluate sub-contractors carefully – check VMware Evaluate sub-contractors carefully – check VMware certificationscertifications
“At the Forefront of World Class Information Technology in Healthcare”
QuestionsQuestions
