Taking on the Healthcare Data Management Challenge
- 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
- 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
- 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
- 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
- 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
- 73. Self Protecting
- 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
- 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
Editor's Notes
- #28: Please contact us for a copy of the ROI analysis