The Patient-Centered. An Executive Primer

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1 The Patient-Centered IT Network An Executive Primer

2 The healthcare industry generates 30 percent of the world s data. Health Data Management, 2012 study Networks are at the foundation of health information technology solutions, much like the heart and circulatory system are for the human body. Without a reliable network, we simply cannot survive. It delivers the blood and oxygen the information we need at the point of care. Robert Murphy, MD, CMIO, Memorial Hermann Healthcare System, Houston Introduction: IT Networks in Healthcare Why the IT Network? It was 3:00 a.m. at a major medical center in a large metropolitan city. The network engineer had just brought the data center network down temporarily in order to perform an upgrade. Suddenly, the telephone rang. A surgical nurse called to ask when the network would be back up so that the cardiac surgeon could finish putting the new heart in his patient. This story vividly illustrates the significance IT networks play in healthcare today and most importantly, in the life of a patient. Healthcare technology is transforming at an unprecedented rate. Known historically as a technology laggard, today s healthcare delivery environment is rapidly adopting new technology in an effort to reduce costs and to improve the overall quality of care. Healthcare organizations are driven by high service standards. Physicians, nurses, radiologists, pharmacists, and administrators need instantaneous access to patient and organizational data in order to collaborate more effectively. As patients continually move from one location to another, information must be made available to the right person, at the right location, and at the right time. Network infrastructure has always played a critical, yet inconspicuous role as the highway over which data flows within an organization and between organizations. The software applications that run on this network highway use that data in countless ways to give healthcare providers the tools they need to work effectively and efficiently. Among the hundreds and even thousands of healthcare applications, the electronic health record (EHR), digital imaging, unified communications, telemedicine, and mobile devices are among the key tools for clinicians to document, access, and share patient information to facilitate diagnosis and treatment. Because the EHR relies on aggregated information from disparate sources patient visits, lab tests, diagnostic procedures, home monitoring for a comprehensive view of the patient, the EHR cannot exist without the network infrastructure upon which it runs. Demand for storage is exploding due to the massive amounts of data collected through EHRs, digital medical images, scanned reports, voice dictations, and high-definition video. As storage demands become more complex, so do the network management requirements. Today s storage area networks (SAN) allow providers to re-use data at rest for image retrieval, analytics and clinical research. In healthcare, maintaining the IT local area network (LAN), which complements SAN, has become a matter of life and death because it supports patient care by enabling the EHR and other clinical technologies. If the network goes down, patient care suffers and patients are at risk. As consumers continue to adopt mobile computing devices like smartphones and tablets, and health systems engage patients electronically, the individual patient becomes the center of the healthcare IT network. 2

3 Five Myths about IT Networks in Healthcare Environments Unfortunately, while the new and innovative IT network technology supports the emerging patient-centered model of care, several myths persist about traditional IT networks and obscure its capabilities: Myth #1: IT Networks Are Just The Plumbing. Nothing could be further from the truth. IT networks have become strategic components in how healthcare IT is designed, built, and configured for the emerging world of value-based accountable care. IT networks support EHR tools such as clinical decision support (CDS), population health management, and analytics. They are the circulatory system for patientcentered care within the health system and the larger community. If the network crashes, so does patient care. Myth #2: IT s Best to Buy From a Single Vendor. The days of a network director obtaining the best network performance because he/she selected network technology from the market leader have changed. Research by Gartner has shown that multivendor networks are both less costly and more reliable than singlevendor networks. 1 Value has become the watchword in both healthcare and healthcare IT networks. Solutions using multiple vendors utilize state-of-the-art, best-of-breed technology that is now available through creative acquisition models. These new networks are open and interoperable with all other IT vendors. Myth #3: All IT Innovation Lies in Software Apps. Like all technology, IT network software, hardware and services are continually improving through innovation. Breakthroughs for virtual environments like Ethernet fabrics have transformed IT network technology into a high-availability platform that offers high performance, automation, seamless business continuity, and dramatically reduced backup time. Global mobile data traffic increased 18 times from 2011 to Center for Technology Innovation at Brookings: How Mobile Devices are Transforming Healthcare 2012 Myth #4: When Your Apps Don t Work, It s Always the Network s Fault. IT networks often get a bad rap. End users frequently blame the network whenever their system goes down. The fact is that software apps, which are increasingly complex and sophisticated, often trigger crashes. The high-reliability IT networks that are now available are typically less likely to go down than the hundreds of apps that run on them. Trust your network. Myth #5: All IT Networks Are Energy Hogs. Traditional data center networks consume huge amounts of power and generate massive quantities of heat that require exponentially more power for cooling. However, innovative network vendors have demonstrated dramatic new efficiencies from green design that can cut traditional power costs in half. That s good news for healthcare and the environment. 1 Debunking the Myth of the Single-Vendor Network, Gartner Inc., Nov. 17, 2010, ID#G

4 Our industry is constantly changing, and Brocade networking solutions can adapt based on our technology needs. We want to be a leader in technology innovation in the healthcare space, and Brocade gives us the robust network we need. Tony Langenstein, Chief Technology Officer, Iowa Health System 81 percent of those surveyed said they allow employees to bring their own mobile devices to access organizational data, but 54 percent said they were uncertain of whether or not these devices are secure. Third Annual Benchmark Study on Patient Privacy & Data Security, Ponemon Institute percent of patient information is unstructured data. Healthcare IT Connect 2012 Features of the Healthcare IT Network What are the features of an IT network supporting high-reliability healthcare organizations for the next decade s transition to value-based, accountable care? The new healthcare IT network: Delivers high availability Supports high performance and fast application response time Provides automation for data centers, which enhances efficiency by effortlessly transferring virtualized machines across the network Utilizes application awareness to maintain uninterrupted flow and avoid potential bottlenecks as bandwidth-demand rises Provides ease of implementation using industry-standard command-line interface that complements existing network infrastructure Preserves investment and improves operational flexibility in campus networks by propagating the capabilities of feature-rich switches to less advanced switches Offers scalability to accommodate massive growth of data and devices Reduces traditional backup time Delivers seamless business continuity in the event of a disaster Reduces carbon footprint through energy efficient design and operation Provides openness and interoperability to all other vendors Healthcare IT Market Trends We have seen healthcare s future and it is data. The IT trends highlighted below illustrate the increasingly significant role that networks play in the highly reliable healthcare system. Electronic Health Record (EHR) The EHR is the engine of clinical IT, the aggregator of patient information which populates the desktop of every clinician. It will continue to expand in power and sophistication to accommodate the increasing demand for quality reporting and analytics required under a healthcare model based on value rather than volume. Add electronic patient engagement and the EHR will test the network in ways we can t even quantify yet. Digital Imaging Digital diagnostic images everything from X-rays, ultrasounds, CT scans, and MRIs to digitized pathology slides are the fastest growing source of traffic on healthcare IT networks. Picture archiving and communications systems (PACS) and vendor neutral archives (VNAs) deliver timely and efficient access to these images, but their growing volume gobbles up network bandwidth and storage threatening traditional network stability and resilience. Unified Communications (UC) and IP Telephony Integrated and collaborative care requires UC or the integration of voice, video, and messaging over the network so that they can operate on multiple devices. Healthcare organizations that use UC must deploy an IT network that is compatible with multiple types of communication and scalable to grow with increasing communications demand. 4

5 Telemedicine Decades ago, telemedicine was limited to electronically extending hospital care to remote areas. Today telemedicine is expanding quickly to incorporate consumer homes and the workplace. Increasing usage of telemedicine to engage and monitor patients while cutting costs will require highly available, high-performance networks. Big Data and Analytics As population health takes center stage in accountable care, high-performance healthcare systems will use data analytics to identify chronically ill and other high-risk patient populations in order to optimize care. The need to extract meaningful data from a plethora of disparate systems requires networks that combine interoperability, scalability, and resilience. Mobility and BYOD As mobile devices like tablets and smartphones proliferate among clinicians, staff, patients, and guests, hospitals and health systems must manage a growing number of devices while providing anytime, anywhere access to the network. Seamless wired and wireless access to the network is now a requirement, not an option. Security Ensuring patient privacy, compliance with regulatory requirements and reliable access to data is vital to patient care and the reduction of business risk. The IT network must offer a full spectrum of layered security services with both embedded and partner solutions that guard against network intrusion, unauthorized access, snooping, Denial of Service (DoS), and other attempts to compromise network integrity. I was more comfortable with a company moving from a heavy SAN-experienced environment to IP, rather than a company who is moving from IP to creating a fabric. With Brocade it was a better heritage, built upon reliability. Mike Romero, Director of Technical Services, Memorial Hermann Healthcare System Network Infrastructure Trends Network technology is also changing to reflect continual innovation and accommodate healthcare s demand for seamless information exchange. The general trend is toward flatter or less hierarchical networks: Greatly Expanded Bandwidth Requirements Expanding bandwidth from 1 to 100 GbE at the core is imperative to support EHRs, digital imaging, clinical research and other emerging IT trends in healthcare today. Delivering the ability to aggregate lower bandwidth links will increase the overall bandwidth of the network. Server Virtualization Virtualization dramatically increases the efficient use of the computer servers that do the heavy lifting for multiple users in an IT network, through delivering the ability of the IT network, allowing traffic to move east to west rather than traditional north to south. Data Center Consolidation Consolidating data centers into centrally managed environments makes it easier to enforce data policies and security mandates by delivering the ability to combine storage and IP networks into the same network. Disaster Recovery and Business Continuity New DR strategies like Active/Active make it possible to seamlessly shift between data centers to maintain business continuity in case of disaster. Network services will be available to anyone, anywhere at any time without service disruption. Our network needed to accommodate the resiliency requirements and performance demands that come from digital records. Brocade offers tremendous performance benefits and exceptional pricing. Dan Brewer, IT Director, CoxHealth 5

6 Brocade enables us to build a highly scalable, standardized network that is efficient, stable, secure and easy to administer and can support our most bandwidth-intensive applications. Sandra Kuetz, IT Director, Lϋneburg Municipal Medical Centre Long-term and Short-term Storage Demand for data storage in healthcare is outgrowing traditional networks ability to keep up and will only accelerate as big data and analytics kick in. Patient lifetime data can be accessed with recent data as part of everyday health maintenance and preventative medicine. Client Virtualization (VDI) Virtual Desktop Infrastructure (VDI) is a thin-client model in which each user s computer desktop runs on a server on a network. This can improve user experience, productivity and provisioning time frames, and delivers the ability to secure data on a server rather than in devices that are more vulnerable to loss. Campus Network Upgrades to High-speed LAN at the Edge Clinical integration of physicians into the health system demands unparalleled speed at the edge. The ability to migrate to higher speed 1 GbE from 100 Mbps is necessary to meet demand for EHRs, digital images, video, and other analytical information that require immediate attention. The Patient-Centered IT Network Building upon its innovation and market leadership in Storage Area Network (SAN), Ethernet fabric, and end-to-end IP network technology, Brocade has developed the Patient-Centered IT Network, the infrastructure for the highly reliable healthcare system that is built upon value and accountability. Brocade has designed the Patient-Centered IT Network to: DID YOU KNOW? Deliver unmatched simplicity by removing architectural complexity and reducing operational costs Provide new levels of network scalability, uptime and performance through non-stop networking Support current and future applications that run on the network through application optimization Deliver investment protection with best-in-class solutions and greater choice through an open, multivendor network architecture More than one-third of all Internet traffic traverses Brocade technology. In 2010, Brocade introduced the first Ethernet fabric technology that changed the way networks are designed across the industry. 90 percent of the Global 1000 rely on Brocade solutions. 6

7 HOSPITAL BEDSIDE MULTIMEDIA PORTS INFUSION PUMP NURSE CALL PHONE X-RAY AMBULATORY CLINIC ACCESS POINT SURVEILLANCE CAMERA BLDG. AUTO. TEMP. CONTROL DIGITAL MEDIA SYSTEM GY LO DIO RA CY MA AR PH TELEVISION TERMINAL TERMINAL TELEMEDICINE VIDEO SCREEN SMART PHONE G LIN BIL PH YS IC OF IAN FIC S E Y BB LO NURSING STATION PATIENT MONITOR G IN AT ER OP Y NC GE ER EM DEPT. N S ICIA YS E PH FFIC O NT TIE PA OM RO OM RO G ITIN WA DA TA PUBLIC/ PRIVATE CE NT ER ACCESS POINT N IO AT TR GIS RE B LA RFID ASSET TAG REGISTRATION KIOSK PT. DE SWITCHES RIA TE FE CA PA TIE RO NT OM ON WHEELS SMART PHONE OM RO ON WHEELS TABLET (GUEST) CARD READER/ SCANNER VoIP PHONE HI-RES VIDEO CAMERA TELEMEDICINE VIDEO SCREEN DIGITAL SIGNAGE SWITCHES TABLET (GUEST) PUBLIC/ PRIVATE DATA CENTER ACCESS POINT SMART PHONE PUBLIC CO MM ON TIO PA TABLET (GUEST) RO OM G IN RS N NU TIO STA M OO DR BE SWITCHES E FIC OF PUBLIC E FIC OF TELEVISION TELEMEDICINE VIDEO SCREEN TERMINAL TERMINAL HOME ASSISTED LIVING Discover how Brocade can help you design and build the network infrastructure to support the IT-enabled, high-reliability healthcare system for today and tomorrow. Visit By using Brocade technology on both sides of our network we re able to provide our endusers with optimal performance and availability from either location. It gives us the flexibility to perform an upgrade at will, without interrupting our end users. Aaron Marsden, Network & Database Administrator, Singing River Health System Brocade is a visionary in the Gartner Magic Quadrant for Data Center Networking. Enterprises and cloud providers of all sizes will be wellserved by following Gartner s recommendation to include Brocade Ethernet fabrics on their short lists for all data center network infrastructures. Jason Nolet, VP of the Data Center Networking Group at Brocade 7

8 Healthcare Corporate Headquarters San Jose, CA USA T: European Headquarters Geneva, Switzerland T: Asia Pacific Headquarters Singapore T: Brocade Communications Systems, Inc. All Rights Reserved. 03/13 GA-BR ADX, AnyIO, Brocade, Brocade Assurance, the B-wing symbol, DCX, Fabric OS, ICX, MLX, MyBrocade, OpenScript, VCS, VDX, and Vyatta are registered trademarks, and HyperEdge, The Effortless Network, and The On-Demand Data Center are trademarks of Brocade Communications Systems, Inc., in the United States and/or in other countries. Other brands, products, or service names mentioned may be trademarks of their respective owners. Notice: This document is for informational purposes only and does not set forth any warranty, expressed or implied, concerning any equipment, equipment feature, or service offered or to be offered by Brocade. Brocade reserves the right to make changes to this document at any time, without notice, and assumes no responsibility for its use. This informational document describes features that may not be currently available. Contact a Brocade sales office for information on feature and product availability. Export of technical data contained in this document may require an export license from the United States government.

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