1. A Better Option for IT’s Data Management Challenge By Shaun Smale Solutions Consultant, BridgeHead Software

2. 1 BridgeHead Software / Healthcare Data Management 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

3. 2 BridgeHead Software / Healthcare Data Management 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

4. 3 BridgeHead Software / Healthcare Data Management 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)

5. 4 BridgeHead Software / Healthcare Data Management Departmental Archives Expensive locked-in storage Data only accessible via PACS Limited BCP and DR Tape back up for DR

6. 5 BridgeHead Software / Healthcare Data Management Data Sharing – a PACS Solution Sharing via PACS (DICOM) Viewing via the web clients

7. 6 BridgeHead Software / Healthcare Data Management Data Centre-Based, Shared Archives Data in silos PACS data only Tape back ups Expensive Managed archive Resilient Tier1 storage DICOM sharing via PACS

8. 7 BridgeHead Software / Healthcare Data Management 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

9. 8 BridgeHead Software / Healthcare Data Management 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

10. 9 BridgeHead Software / Healthcare Data Management The Radiology Solution Vendor Neutral Archive

11. 10 BridgeHead Software / Healthcare Data Management But, what is a Vendor Neutral Archive? It is many things to many people!

12. 11 BridgeHead Software / Healthcare Data Management Replace proprietary image content with DICOM content Remain departmental service focus PACS Replacement Archive

13. 12 BridgeHead Software / Healthcare Data Management Central Data Centre (LSP model) Central resilient archive geographically spread over two DCs Silos of PACS DICOM data

14. 13 BridgeHead Software / Healthcare Data Management 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

15. 14 BridgeHead Software / Healthcare Data Management 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

16. 15 BridgeHead Software / Healthcare Data Management Cross Enterprise Image Archive Repository for all Clinical data within a standard XDS environment XDS-I registry and viewers for all image data

17. 16 BridgeHead Software / Healthcare Data Management Which Vendor Neutral Solution?

18. 17 BridgeHead Software / Healthcare Data Management An IT Solution for Data Management What are some of the requirements ?

19. 18 BridgeHead Software / Healthcare Data Management 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

20. 19 BridgeHead Software / Healthcare Data Management 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)

21. 20 BridgeHead Software / Healthcare Data Management 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

22. 21 BridgeHead Software / Healthcare Data Management 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

23. 22 BridgeHead Software / Healthcare Data Management 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

24. 23 BridgeHead Software / Healthcare Data Management Is it designed for: Business Continuity & DR? Distributed diverse storage for protection and backup Full protection against disaster for all clinical data and 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

25. 24 BridgeHead Software / Healthcare Data Management 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

26. 25 BridgeHead Software / Healthcare Data Management 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

27. 26 BridgeHead Software / Healthcare Data Management 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

28. 27 BridgeHead Software / Healthcare Data Management The Future? Big Data Having consolidated all this data, can we facilitate data mining and clinical research?

29. 28 BridgeHead Software / Healthcare Data Management Our solution is! Healthcare Data Management

30. 29 BridgeHead Software / Healthcare Data Management HDM Solution DatabasesLinuxWindows XDSFile SystemsDICOM 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

31. 30 BridgeHead Software / Healthcare Data Management 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 Shared Protected Stored

32. Questions?

33. 32 BridgeHead Software / Healthcare Data Management Come and visit us on Stand 52 Or contact me directly on: Shaun Smale Solutions Consultant Mob: 07812 089816 shaun.smale@bridgeheadsoftware.com

34. A Better Option for IT’s Data Management Challenge By Shaun Smale Solutions Consultant, BridgeHead Software