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January 11, 2006

Think Outside the PACS Enterprise Grid Solution for Medical Imaging. SURA Cyberinfrastructure Workshop: Life Sciences and the Grid. January 11, 2006. Richard S. Bakalar, M.D. Chief Medical Officer IBM Healthcare & Life Sciences. Agenda. Introduction

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January 11, 2006

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  1. Think Outside the PACSEnterprise Grid Solution for Medical Imaging SURA Cyberinfrastructure Workshop: Life Sciences and the Grid January 11, 2006 Richard S. Bakalar, M.D. Chief Medical Officer IBM Healthcare & Life Sciences

  2. Agenda • Introduction • Medical Imaging Enterprise Storage Requirements • Grid Medical Archive Solution • Customer Success Stories • Q & A

  3. Distributed High-Throughput Analytics Data and Systems Integration Transformation of Medicine accelerated by a combination of revolutionary technologies and evolutionary practices Personalized Health Care Automated Systems Lifetime Treatment Pre-symptomatic Treatment Cancer Diagnosis Translational Medicine Information Correlation Revolutionary Technology Molecular Medicine Genetic Predisposition Testing Clinical Genomics 1st Generation Diagnosis Health Care Today Digital Imaging Episodic Treatment Electronic Health Records Artificial Expert Sys. Non-specific (Treat Symptoms) Organized (Error Reduction) Personalized (Disease Prevention & Targeted Treatment) Evolutionary Practices

  4. More Data Over the Last 3 Years Than Previous 40,000 years Combined Digital Pathology Digital Radiology E-Health Initiatives/Linkages Electronic Medical Record 40,000 BCEcave paintings bone tools P e t a b y t e s 3500writing Digital Cardiology 0 C.E. paper 105 1450printing 1870 electricity, telephone transistor 1947 computing 1950 Late 1960s Internet 1993 The Web 1999 Source: UC Berkeley, School of Information Management and Systems. 2003

  5. IntroductionWhy health administrators should care about infrastructure • Uniformity of care • Reliability of services • Business Continuance • Disaster Recovery • Affordability of IT investment

  6. IntroductionWhy providers should care about infrastructure • Speed - Configurable and Reliable Performance • Smart Caching and Data Backups • IT Support: Central Global Storage Dashboard for Dynamic System Administration • Collaboration - Flexible Scalability • Up, Down and across medical specialties • Respond to new data volumes & changes in clinical practice (i.e. CT/MRI protocols) • Diagnostics On Demand supporting Clinical Centers of Excellence • High Availability and Data Integrity • No scheduled downtimes • Automated data migration for hardware upgrades

  7. Utilization, App Speed & Scalability Data Access, Productivity & Storage Utilization Operating & Mgmt Costs (TCO) Introduction Grids enable three IT functions: • Computation (PC & Server Grids) • Intra and Inter - organizational cycle sharing • Access to computing resources On Demand • Collaboration (Data Grids) • Data Virtualization, Federation & Sharing • Virtual Storage Pooling • Orchestration (Intelligent Provisioning) • Automated SLA management & provisioning • Improved Quality of Service & IT

  8. IntroductionWhy Grid Storage System? Before Grid After Grid Site 3 Site 3 Site 1 Site 2 Site 1 Site 2 ... ... App 1 App 2 App 3 App 4 App 10 App 1 App 2 App 3 App 4 App 10 Grid Storage Platform • “Virtualized” Grid infrastructure: • Smaller, shared & more cost effective storage environment • Adaptive, self healing & self managing • High availability & speed • Enables infrastructure to be managed independent of the application • “Siloed” Traditional architecture: • Difficult & expensive to administer • Low utilization of hardware & storage • Vulnerable to failure and downtime • Bandwidth inefficient • Block level replication

  9. IntroductionPACS and Imaging Architecture PACS Application Study Demographics and Metadata Study Images Application Infrastructure Transactional Data Fixed Content Data Data Store Data Store Fixed Content Data hasunique & specific requirements

  10. IntroductionThree Tier Solution Architecture APPLICATION LAYER e.g. Stentor, McKesson, Agfa Clinical Function Image Access IMAGE MGMT LAYER Aggregation & Interoperability Image Management Layer e.g. Stentor, TeraMedica, Emageon, others STORAGE LAYER Data Protection, ILM Replication, Resiliency & Speed Grid Storage Management System

  11. Medical Enterprise Storage Requirements • High Performance • Fast access to data • Reliable & Protected • Continuous operation in the presence of faults • Open and Interoperable • Support heterogeneous PACS environment • Massively Scalable • Very large, rapidly growing data sets • Long Retention Times • Data outlives hardware and media • Multi-Facility • Secure and Scalable to other regions and disciplines • Simple Administration • Easy to manage & operate • Cost Effective • Affordable today & tomorrow Address Requirements Today and Tomorrow

  12. Grid Medical Archive Solution (GMAS) IBM’s GMAS is a fixed content Grid storage platform

  13. A Deeper Definition: Grid Medical Archive Solution (GMAS) • Intelligentlymanages the interaction between a fixed content application and its storage resources • Key Features: • Open & Extensible • Multi Facility • Scalable • Fast • Reliable & Resilient • HIPAA Compliant • Content, Resource and Location Aware • Centralized Management • Cost Effective GMAS = Multi facility, multi tier fixed content storage

  14. Application Integration PACS Application Independence

  15. Fast Performance • Performance Scalability • Seamless scalability through Grid Architecture • Scales by adding new CPU and faster storage resources • Real-time stream based transport • Not store and forward Low latency access • Addresses both LAN and WAN environments • Compression further boosts WAN performance • Load Balancing to increase performance • CPU resources • Storage resources • Network bandwidth • Intelligent Caching • Retains copies of recently stored/accessed data at right location Improved Reliability and Access at Point of Care

  16. HIPAA Compliance • Audit • Real-time & historical audit records • Object insertion • Object access • Object deletion • Data Integrity • Consistency check report • Audited object insertion • Confidentiality • Encryption Ensuring integrity, confidentiality & traceability of patient data

  17. Centralized Management • Web-based administration • Proactive monitoring • Fault detection & alerts • Real time and historical reports • Multi-tier and multi-site mgmt • Across all storage tiers • Enterprise wide Single operational dashboard for medical image storage across the enterprise

  18. Information Lifecycle Management Rules Local Sites Central Data Center DR Site ? Configurable to meet your requirements

  19. Decreased Total Cost of Ownership • Consolidated Storage Infrastructure • Eliminates storage silos • Increases utilization • Optimized Price Performance • Aligns cost of storage with relevance of data • Flexible and dynamic • Automated and self managing • Simplified Administration • Easy to operate • Centrally managed • Fault tolerant and self healing • Reduced FTE’s Costs less to deploy, manage, and operate

  20. Massively Scalable Summary – Gap Analysis Medical Requirements Grid System Features High Performance • De-centralized Grid Architecture Reliable and Protected • Automated and Self Healing Open and Interoperable • Heterogeneous storage and applications • Grow as you go Multi Facility • Bandwidth efficient and WAN optimized Simple to Administer • Centrallymanaged Cost Effective • Eliminate Silos Long Retention Times • Seamless hardware refresh

  21. Compelling Benefits What this means to you • Performance • Timely access to mission critical patient data • Improved uptime and reliability • Real time business continuity • Decreased Total Cost of Ownership • Higher storage utilization & simplified management and administration • Extensible and Scalable • Across all medical disciplines, applications and locations • Empower Healthcare Networks • Storage Hardware and PACS application agnostic Affordable PACS Storage Infrastructure

  22. Success Stories

  23. Solution Business Benefits • Improved performance, uptime and scalability • Real time disaster recovery and automatic fail over • Improved storage utilization • Simplified administration • Consolidated storage for >300,000 studies in Yr 1 Customer Success StoriesNew York Health & Hospitals Corp Challenge: • Improve access performance and uptime • Increase resiliency and scalability • Sharing of images across three NYC hospitals • Integrate with existing Philips PACS Solution: • Link three major NYC hospitals plus Data Center • The project included: • IBM Grid Medical Archive Solution eServer xSeries and TotalStorage • Philips EasyAccess PACS 60TB configuration deployed in 4 sites in 30 days

  24. Customer Success StoriesProvincial Health Services Authority Challenge: • Delivering Cancer and Pediatric care for Province of British Columbia (Population 4.1M) • Seamless access to images across Province • Integrate with existing multi-vendor PACS • Geographically dispersed facilities • Solution Business Benefits • Timely access to patient data • Reduction of avoidable medical procedures • Increased resiliency and uptime • Images accessible via EHR • Enhanced clinical collaboration Solution: • Provincial grid in production since 2002 • Links 40+ hospitals with 1,500+ users • 60TB at 5 Data Centers, distributed DR • Less than 1 FTE to operate and maintain • Stentor, Agfa, GE, McKesson, Siemens, … In full production for over three years with no downtime

  25. Summary • Healthcare has unique and challenging storage requirements • Traditional approaches are not scalable and reliable Grid Storage is proven technology with proven results

  26. Thank You !Questions and Answers

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