2014 Defense Health Information Technology Symposium Service Desk Strategy for the Defense Health Agency
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1 Mr. Wayne Speaks - Acting Branch Chief Mr. Bill Novak - Acting Branch Chief of Operations DHA Infrastructure and Operations 2014 Defense Health Information Technology Symposium Service Desk Strategy for the Defense Health Agency Medically Ready Force Ready Medical Force
2 DHA Vision A joint, integrated, premier system of health, supporting those who serve in the defense of our country. Medically Ready Force Ready Medical Force 2
3 Learning Objectives Describe the major customer support areas of the Service Operations team at the DHA Global Service Center (DHAGSC) Explain how an enterprise level remote desktop support solution benefits the Department of Defense (DoD) healthcare community Explain how a consolidated service desk can improve customer service and provide faster resolution of incidents or service requests Medically Ready Force Ready Medical Force 3
4 Agenda Introductions Service desk current state DHAGSC - Functional Army, Air Force (AF), Navy - Technical Service desk future state Roadmap to the future Questions Medically Ready Force Ready Medical Force 4
5 Service Desk Process Background All service desk tickets fall into one of two categories Incidents An unplanned interruption to an information technology (IT) service or a reduction in the quality of an IT service Service request A request from a user for information, advice, a standard change, or for access to an IT service Service level management Information Technology Infrastructure Library (ITIL) V3 definition: The process responsible for negotiating service level agreements, and ensuring that these are met Incidents and service request should have different service targets Medically Ready Force Ready Medical Force 5 5
6 Current State: Service Desk Two types of service desks: Technical/ desktop support Functional/ application support Multiple phone numbers/ contact methods based on type of problem Separate ticketing systems for each help/ service desk DHAGSC Functional Centralized support for Military Health System (MHS) applications and systems: 24x7x365 Program driven (i.e. program offices) Consolidated Tier 1 and Tier 2 support Receives application escalations from local site support Escalates complex issues to application developers/ engineers (Tier 3) Medically Ready Force Ready Medical Force 6
7 Current State: Service Desk Structure Army & AF Enterprise Service Desks (ESD) - Technical Centralized support for initial triage and troubleshooting: 24x7x365 Remote desktop support capability; drives first call resolution Escalates issues which cannot be resolved remotely to local site support and/or engineering resources Navy - Technical Decentralized support model for desktop systems End users contact local site support personnel; may not be: 24x7x365 Centralized support model for Tier 2 enterprise systems (e.g., , active directory) Escalations vary based on which support model chosen Medically Ready Force Ready Medical Force 7
8 DHAGSC Medically Ready Force Ready Medical Force 8
9 DHAGSC: Overview MHS IT customer's entry point for support for functional issues Provides customer support 24/7 x 365 Toll-free, worldwide access; DSN numbers for OCONUS Identifies, logs, analyzes, escalates, tracks, and resolves problems for centrally-managed MHS systems Leverages ITIL v.3 lifecycle model: Strategy, Design, Transition, Operation & Continual Service Improvement DHAGSC Management Areas Medically Ready Force Ready Medical Force 9
10 DHAGSC: Overview Supports more than 9.6 million Active and Retired Military personnel and their beneficiaries (e.g. Tricare Online, Defense Manpower Data Center, Defense Enrollment Eligibility Reporting System) Tier I Analysts and Tier II Sr. Analysts working together as an integrated team providing to MHS: Application support Common Infrastructure support MHS Virtualization Administration MHS Incident Management MHS Event Management MHS network engineering and monitoring Continual service improvement 9.6 million customers Medically Ready Force Ready Medical Force 10
11 DHAGSC: MHS Application Support Averages 400,000 incidents per year; over 2.1 million since July 2009 Provides Tier 2 support for 34 core MHS applications including: AHLTA: 261,650 CHCS: 55,194 TOL: 193,691 MHS Learn: 168,642 CCQAS: 34,734 DMLSS: 8,553 DMHRSi: 70,323 MHSSC: 62,812 Cumulative totals since July 2009 Provides varying levels of service to an additional 260 MHS applications Leverages knowledge management processes to: Facilitates flow of knowledge from Tier 2 to Tier 1 Increases first call resolution rate of incidents Medically Ready Force Ready Medical Force 11
12 DHAGSC: Key Performance Indicators Medically Ready Force Ready Medical Force 12
13 DHAGSC: Common Infrastructure Support MHS Virtualization Administration support 20 MHS Application Access Gateway (MAAG) sites worldwide Regionalizes and consolidates MHS clinical and business applications and servers Reduces datacenter footprint and power consumption at military treatment facilities (MTFs) Key applications hosted: CCE, TOL, TPOCS, SNPMIS and NMIS MHS System Virtualization Hosting Environment (SVHE) Provides Tier 2 and Tier 3 support Increases customer satisfaction rate by reducing time of service restoration Medically Ready Force Ready Medical Force 13
14 DHAGSC: Common Infrastructure Support (con t) MHS Incident Management Document, troubleshoot and resolve incidents that require an immediate response Document, troubleshoot and resolve service requests for requirements that can be resolved as resources become available MHS Event Management Monitor, correlate and report alerts generated by network, hardware and applications on MHS networks Medically Ready Force Ready Medical Force 14
15 DHA Global Service Center Common Infrastructure Support DHAGSC Event Monitoring Network & Application Monitoring SNMP-C NMIS Switches / Routers VPN Devices Medical Servers End User Devices (EUDs) HP Operations Manager Event Correlation NMS Network Mgmt Station (HP NNMi) TOPAZ HP Business Availability Management E2E Portal MHS Virtualization System & Application Monitoring MHS Virtualization Blade Server Rack NSM NetScreen Security Mgr CISCO SAA APP Manager Chariot HP SA Patch Compliance Monitoring VCenter Virtualaztion Monitoring HP SIM System Insight Manager E2E Infrastructure - Test Points (Servers, PCs) Alert Notification Monitoring Windows Data Collector (WDC) SNMP Trap Alerts Router/Circuit Interfaces Application Performance Data Medically Ready Force Ready Medical Force 15
16 DHAGSC: Common Infrastructure Support (con t) MHS network monitoring and engineering (148 MTFs worldwide) Monitors network connectivity Tracks application availability Troubleshoots issues Continual service improvement Process improvement teams manage execution of processes within the service desk environment Medically Ready Force Ready Medical Force 16
17 Army Medical ESD Medically Ready Force Ready Medical Force 17
18 Army Medical ESD Overview Serves as entry point for Army Tier 1 technical IT incidents Provides customer support 24/7 x 365 Toll-free, worldwide access; DSN numbers for OCONUS Sites Identifies, logs, analyzes, escalates, tracks, and resolves desktop incidents and requests for all Army medical units plus Fort Belvoir Community Hospital and DiLorenzo TRICARE Health Clinic Provides remote support to the local desktop Shared knowledgebase Centralized ticketing solution Dedicated Quality Assurance team Medically Ready Force Ready Medical Force 18
19 Army Medical ESD Overview Supports over 87,000 providers and staff throughout all Army Medical Units and over 5,000 providers and National Capital Region staff Tier 1 Agents proficient in supporting desktop operating system, , Office, and other back-office applications: Remote desktop support Password resets for common applications AHLTA Essentris BlackBerry CHCS Medically Ready Force Ready Medical Force 19
20 Army Medical ESD Overview Averages over 480,000 incidents per year Provides Tier 1 support for over 14 core services including: BlackBerry Support Password Resets Desktop Application Configuration Enterprise Support Supports local desktop Leverages knowledge management processes to: Increase first contact resolution Ensure incidents and requests are escalated correctly Deliver a shared knowledgebase containing over 18,000 articles Medically Ready Force Ready Medical Force 20
21 Army Medical ESD Tier 1 Metrics (MEDCOM & JMED) Inbound Call Data Goal MAY 14 APR 14 MAR 14 Calls Answered Average Speed to Answer < 0:30 0:10 0:08 0:09 Call Abandoned Rate < 4% 0.22% 0.16% 0.26% Inbound Ticket Data Phone % % % % % % Web % % % Chat/Other % % % Total First Contact Resolution/Net >60% 73.71% 73.84% 74.56% First Contact Resolution/Gross 55.83% 55.75% 56.48% Medically Ready Force Ready Medical Force 21
22 Roadmap to the Future Medically Ready Force Ready Medical Force 22
23 Future State: DHAGSC Army Navy Current Approach Navy Navy MTF DHAGSC MTF Army Air Force MTF MTF MTF Air Force Navy MTF Future State Transformation Tier 1 Technical Support Tier 2 Tier 2 Local Support Functional Support Tier 3 Tier 3 Engineering Support Functional Support Enterprise Approach Key Attributes Disparate software systems Varied hours of support Nested help desks at facilities No knowledge sharing Key Attributes Single point of entry Single ticket database Synchronization of efforts and tasks Enterprise-wide metrics and reporting capability Tier 3 Developer/ Engineering Support Medically Ready Force Ready Medical Force 23
24 Future State: DHAGSC Central entry point for all IT issues, functional or technical Centralized support for initial triage and troubleshooting: 24x7x365 Single phone number/ enhanced contact methods ( , web, chat) Single ticketing system for seamless escalation Utilizes enabling technologies, such as, remote desktop management Capitalizes on lessons learned from Army deployment Functional/ application support Focuses on MHS applications and systems (e.g. AHLTA, CHCS, future iehr) Collocated Tier 1 and Tier 2 support Escalates complex issues to application developers/ engineers (Tier 3) Modeled after MHS Service Desk Medically Ready Force Ready Medical Force 24
25 Future State: DHAGSC Technical/ desktop support Focuses on initial triage and troubleshooting of desktop issues Remote desktop support capability; drives first call resolution Escalates issues which cannot be resolved remotely to local site support and/or engineering resources Modeled after the Army & Air Force Enterprise Service Desks Medically Ready Force Ready Medical Force 25
26 Future State: Enabling Technologies Automated call management system (ACD) Centralized ticket tracking system Remote access tools Remote software installation (i.e. SCCM) Self help Shared knowledge database Business intelligence/reporting Quality Assurance Live call monitoring Call recording archive Medically Ready Force Ready Medical Force 26 26
27 Future State: Enabling Technologies ITSM Toolset Suite Incident Mgmt Problem Mgmt Change Mgmt Asset Mgmt Service Level Mgmt Database Serving as: Configuration Mgmt Database (CMDB) Single integrated toolset Integration between processes Single database Single Source of Truth Aligned to ITIL ITSM best practices Medically Ready Force Ready Medical Force 27 27
28 Future State: Service Desk Support Strategy Completed and returned to GSC Validated pre-site and on site survey information Staff Accts Created Verify site training Out-brief and verify site understanding Pre-site Survey At Site Sent out before the on-site visit Assessment of systems and processes Onsite Survey At Site Build relationships Collect data Document processes Provide briefings And workshops Integration At FSH Populate knowledge database with local information Test systems to ensure requirements are met Training At Site Requestor console training Incident Mgt training Computer Based Training Cutover Transition to new system Provide desk side support At Site 2 Days Implementation complete Site personnel (IT staff) Site Survey Lead (GSC) Systems administrator (GSC) Knowledge Manager (GSC) Trainer (GSC) Trainer (GSC) Medically Ready Force Ready Medical Force 28 28
29 Future State: Supported Site Responsibilities Site support staff agree to Provide terminal server for DHAGSC agents to remotely access end user machines to provide support Allow installation of remote tools on terminal server Grant desktop administrator rights to DHAGSC agents for all PCs Provide common software/driver repository for supported applications and hardware Provide installation documentation for supported applications Provide internet protocol (IP) addresses and/or configuration information for site printers and file servers Provide elevated privileges to clear print queues on print servers Update Knowledge Base entries as needed Notify DHAGSC of all scheduled outages and major software pushes prior to the event Notify DHAGSC of unscheduled outages immediately upon discovery Create and route tickets for work initiated by local IT staff Medically Ready Force Ready Medical Force 29 29
30 Service Desk of the Future Key Benefits Single entry point for customer support (technical and functional) Consistent 24/7 x 365 support Common ticket database Increased first contact resolution Synchronization of efforts and tasks across the enterprise Enterprise-wide metrics and reporting capability Cost effective Medically Ready Force Ready Medical Force 30
31 Questions Medically Ready Force Ready Medical Force 31
32 Evaluations Please complete the evaluation Medically Ready Force Ready Medical Force 32
33 Contact Information Wayne Speaks Acting Branch Chief Operations and Sustainment William (Bill) Novak Acting Chief of Operations Medically Ready Force Ready Medical Force 33
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