VMworld 2013: Gaining Insight in Meditech with vCenter Operations Management Suite

Gaining Insight in Meditech with vCenter Operations

Management Suite

Drew Koerner, VMware

Brad Maltz, International Computerware, Inc

VCM4870

#VCM4870

Brad Maltz VCDX#36 and vExpert

Drew Koerner Health Care Industry Consultant

VCM4870 - Gaining Insight in Meditech with vCenter Operations Management Suite

Copyright © 2013. Lumenate Technologies, LP. All rights reserved.

Lumenate is a technical consulting firm that helps clients Architect, Deploy and Manage their Data Center, End User Experience, Security, and Cloud

solutions.

Welcome to Lumenate

4 Copyright © 2013. Lumenate Technologies, LP. All rights reserved.

“The art of medicine consists of amusing the patient while nature

cures the disease.” ― Voltaire


Whats the issue?

Meaningful Use and the Electronic Health Record

The Issue

– Healthcare needs an extra level of correlation

– An IT centric view does not allow healthcare technical staff to decipher a clinicians issue


Meditech and Other EHR’s

– Meditech is one of the top EHR’s along with Epic, Cerner, Allscripts and many more

– These systems are heavy applications with a non technical end user community


“What’s the issue?”

– When a clinician describes an issue within Meditech, the issue is something like this:

• “That screen was slow when looking at the Patient Discharge Queue.”

• “Why does it take forever for a script to get to the pharmacy?”

• “My reports are very slow when I am in the ER Module.”

– How is IT supposed to troubleshoot?


How much does of downtime cost?

This equates at 1% of downtime a year to approximately 1.4 million dollars!

Estimates for a 1 minute of downtime for a 500 bed hospital at $264.


Step 1 – VMware vC Ops

11

VMware’s Approach to Automating

Operations Management

Progressive

INTEGRATION

Patented

ANALYTICS

Powerful

VISUALIZATION

Performance

Capacity

Configuration + +

• Actionable intelligence from a sea of data

• Comprehensive visibility across the entire stack

• Rapid problem resolution for greater productivity and less cost

• Proactive approach to ensure infrastructure / app performance

The Role of Operations Management

Monitor

Isolate Remediate

! Problem

Slow performance

Config issue Rollback change

Plan

Optimize Automate

Maintenance

Utilization / forecast

Reclaim capacity Orchestrate changes

Ensure and Restore Service Levels

Optimize for Efficiency and Cost

Reactive Proactive

Slide 14

Understand Normal Metric Behavior

• Unable to understand normal range

of metrics

• Is 65% usage normal for an hour,

day, week or month?

• Or, is it the beginning of a

problem?

• Visibility into normal operation of every

metric in VC

• Continuous, automatic learning of

normal behavior

• Understand metric behavior based on history

• Project forward future behavior hours or days in advance

• Remove guess work and confusion, clarify expectations

• Equivalent of 10 people watching, measuring and adjusting system constantly.

BEFORE AFTER

Increased Visibility into Performance

• Lack of holistic VC environment view

• Can’t determine state of all elements (clusters, hosts, guests) at once

• Overwhelming details obscure valuable information.

• Single pane of glass

• All VC data contextually consolidated

One click to any detail

• Filters on “all” “normal” and “problem”

Searches on any string.

• Visibility, comprehension of virtualized environment in one screen

• Better product usability

• Visually isolate problems via a “HUD” for vCenter

• Unnecessary details hidden until necessary.

BEFORE AFTER

Slide 16

Reduced Complexity

• Administrators blind to brewing problems

• Too much data, too many clicks • Preset thresholds, many details • Impossible to understand

health of elements

• Reduce complexity of usage

• Remove guesswork, provide clarity into the environment

• Speed up MTTR

• Enable administrators to do more with less.

• Provide a single measure of

normality across all virtualized

elements – Health

• Automatically aggregate, correlate

states of 100s of metrics into two

scores for each element – Health

and Workload

BEFORE AFTER

Increased Visibility into Dependencies

A change to this EMR App Server

Directly affects this EMR Server

Could impact these PACS Web Servers

Potential impacted clients

Get better visibility into physical AND virtual infrastructure & applications

Downstream affect on this HL7 server

VMware vCenter Operations Manager

– VMware vC Ops is an industry leading Event Correlation Platform for

• Troubleshooting

• What If Analysis

• Health Reporting

• Root Cause Analysis

• And More…

– BUT…


Out of the Box

– VMware vC Ops is very IT specific

– Correlation of Application, VMware, Servers, Network, Storage and More


vC Ops Adapters

– An Adapter is a translation mechanism that can take data from a source and convert it to vC Ops Data

– There are Out of the Box Adapters

– As well Custom Adapters can be written



What’s so Special about the Meditech Adapter?

Its all in the Language

– We needed to enable an IT Administrator to be able to troubleshoot based on what a clinician was complaining about

– Use Native Meditech Language and Statistics in vC Ops


How the Adapter was Architected

– The method of delivery is CSV File

• The File Timestamp will be used by vC Ops for time reference

– Needed to create a hierarchy

• In this case we use the Host (VM), the HCIS and the database (module)

– VMNAME, HCIS Name, Database, , Module, Statistic Name, Metric

– FS01, T6.0.7F, MIS, Messages, ITS Documentation from EMR, 24

– Keep it Simple but Robust to support all Meditech Modules


Criteria during architecture

– Needed to support multiple VM’s with Same HCIS/Modules

– Needs to not add performance hit on Meditech

– Needs to be scalable across all size customers


Prototype Meditech Dashboard


Hierarchy relating metric back to VM


Create your own dashboard with the metrics you want!


Smart Alerts created based on KPI


Thank You.


33

Other VMware Activities Related to This Session

HOL:

HOL-SDC-1301

Applied Cloud Operations

Group Discussions:

VCM1002-GD, VCM1004-GD

Cloud Operations with Hicham Mourad or Sam McBride

VCM4870

THANK YOU

Gaining Insight in Meditech with vCenter Operations

Management Suite

Drew Koerner, VMware

Brad Maltz, International Computerware, Inc

VCM4870

#VCM4870

Technology

VMworld 2013: Gaining Insight in Meditech with vCenter Operations Management Suite