a better option for it’s data management challenge by shaun smale solutions consultant, bridgehead...
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A Better Option for IT’s Data Management ChallengeBy Shaun Smale
Solutions Consultant, BridgeHead Software
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The Data Management Problem
• Data is growing at an exponential rate• Data is complex, time consuming &
expensive to manage• Data protection is problematic• Data sharing is littered with issues of
access, security and interoperability
Especially In Healthcare
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Some consider the PACS model to be the way forward, but what about:• Other image data?• Non-image data?• Administrative data?• E-mail?• Data governance?
PACS is often sighted as the example for the management of large volumes of clinical data
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Picture Archiving & Communication System (PACS)
• Proprietary viewing• Proprietary WORM storage
PACS: A generator of large volumes of clinical data
Digital Imaging & Communication in Medicine (DICOM)
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Departmental Archives
• Expensive locked-in storage
• Data only accessible via PACS
• Limited BCP and DR
• Tape back up for DR
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Data Sharing – a PACS Solution
• Sharing via PACS (DICOM)
• Viewing via the web clients
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Data Centre-Based, Shared Archives
• Data in silos
• PACS data only
• Tape back ups
• Expensive
• Managed archive
• Resilient Tier1 storage
• DICOM sharing via PACS
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IT is being asked to take control and manage the storage of all healthcare data
Choose between:
or
Vendor service contracts on
vendor supplied storage
An owner managed solution
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Why Change the Existing Departmental Data Management Model?
Support the needs of all the Clinical users
• Struggling to comply with guidelines and legislation • Focused on DR/BCP of the application, not the clinical department• Demand for enterprise wide and cross enterprise SHARING• Demand for a single view of all clinical data• Extended downtime for hardware refresh and application upgrade• Data silos • Separate hardware and infrastructure for each application
For PACS
• Repatriate PACS data at the end of LSP contract
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The Radiology Solution
VNARCHIVEVendor Neutral Archive
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But, what is a
Vendor Neutral Archive?
It is many things
to many people!
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Replace proprietary image content with DICOM content
Remain departmental service focus
PRARCHIVE
PACS Replacement Archive
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CDSARCHIVE
Central Data Centre (LSP model)
Central resilient archive geographically spread over two DCs
Silos of PACS DICOM data
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SDARCHIVE
Shared DICOM Archive
DICOM archive for all DICOM applications (inc PACS)
Silos of department and application data, but with standards-based access to all DICOM Images
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EIARCHIVE
Enterprise Image Archive
All images: DICOM, non-DICOM and scanned documents
• Universal image viewers
• Support business continuity process by providing direct access to image data
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CEIARCHIVE
Cross Enterprise Image Archive
Repository for all Clinical data within a standard XDS environment
XDS-I registry and viewers for all image data
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Which Vendor Neutral Solution?
VNADA PRASDA
UCAEIA
CEIACDSAHDM
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An IT Solution for Data Management
What are some of the
requirements
?
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Is it designed for:
Is it Strategic?
• Fully standards-based
• Remove hardware, application and vendor lock-in
• Designed for the next migration of data to the new application or storage technology
• Lower total cost of ownership
• Underpin clinical process and future requirements for data access
• Facilitate consolidation and collaboration of organisations
• Facilitate mergers, splits and moves of data sets
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Is it designed for:
Cost Management?
• Lower operational and maintenance costs
• Effective use of existing enterprise IT infrastructure
• Sweat IT assets
• Expand capacity without replacing legacy systems
• Leverage lower cost storage media and technologies
• Minimise expensive, time consuming data migrations
• Optimised storage efficiency (de-duplication & compression)
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Is it designed for:
Lifecycle Management?
• Easy to incorporate new storage technologies
• Reduced storage utilisation through retention policies
• Free up high-end storage as data ages
• Simple migration to new hardware
• Leverage low cost storage
• Simple to present data to new applications
• Comply with data governance and retention policy
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Lifecycle
In the next 30 years Hardware will be replaced at least 6 times!!
Is your VNA designed for this?
• Date retention policy is complex
• Data could be stored for 30 years or more
• Storage costs go down, technology evolves
• Data generation continues to explode
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Is it designed for:
Data Security & Integrity?
• Access control based on legitimate relationship
• Integration with existing access controls (LDAP, ADAM, etc.)
• Full audit trail
• Support for complex data retention policies
• AE256 encryption
• Support Image Object Change Management (IOCM)
• Digital signature
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Is it designed for:
Business Continuity & DR?
• Distributed diverse storage for protection and backup
• Full protection against disaster for all clinical dataand applications
• Underpin clinical business continuity plans
• Access to data from any location during planned and unplanned outages of any one or more applications
• Use techniques to reduce the backup volume, increasing frequency and shortening both point and time of recovery
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Is it designed for:
Administrative data?
• An archive for administrative data
• Tuned for e-mail (in de-duplication)
• Back up any application database and data
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Is it designed for:
Clinical Users?
• ALL CLINICAL DATA
• Proprietary and standards-based data
• Choice of viewers and tool sets
• Cross enterprise sharing (XDS) of all clinical data
• All clinical data organised by data context in optimum data format
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Why we are all here?
The Patient!
• IMPROVING PATIENT CARE
• Foundation for a single electronic patient record
• Guarantee data availability when and where the patient needs it
• Guarantee its completeness and integrity
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The Future?
Big Data
• Having consolidated all this data, can we facilitate data mining and clinical research?
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HDM Solution
Databases Linux Windows XDS File Systems DICOM
Multi-location, Media Agnostic
Backup oriented:• Compression• Encryption• Data migration• Disk to Disk to Tape• Replication management• Backup cycle management
Archive oriented:• Compression• De-duplication• Encryption• Authentication• Data migration• Meta-data catalogue• Content index• Policy-based retention
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Reduces the cost of storage
Helps protect all your data
Increases data ownership
Improves data access
Facilitates data sharing
Supports Healthcare standards
All Your Hospital Data…
Radiology
Pathology
Cardiology
Ophthalmology
Scanned patient documents
Healthcare Information Systems
Laboratory Information Systems
Office files & Email Systems
SharedProtectedStored
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Come and visit us on Stand 52
Or contact me directly on:
Shaun Smale
Solutions Consultant
Mob: 07812 089816