Transcript Server Thermal Roadmap Technology Discussion
Achieving Highly-Available Clinical IT Applications through On-Demand Data Center Infrastructure
Agenda
Trends Driving IT Innovation in Healthcare
New Availability Needs in Healthcare
Top Challenges in Reaching Availability Goals
APC Approach
Trends Driving IT Growth in Healthcare
Largest Sector of Economy
13.2% of Gross Domestic Product: $1.4T growing at 7.3%
Increased Focus on Patient Safety
2000X more likely to die from medical error than commercial airline crash (HIMSS 04’)
50% chance you will contract a hospital borne infection if inpatient>4 days
98,000 deaths due to medical error (National Institute of Medicine 00’) Recent studies have shown IT can reduce errors by up to 50% (Health IT World 04’) `
Increased “Consumerism”
2X more college grads than in 1950, Higher Income, and Age of Population
Internet enabling more visibility to quality of care
Public scorecards on quality of care creating competition!
Trends Driving IT Growth in Healthcare
Cost Pressures
Payer squeeze HMOs and reduced medicare/medicaid payments Employees more involved/frugal w/health benefits Staff shortages
Federal/State Regulations
Health Insurance Portability Accountability Act
-
Privacy(01’)
-
Standardized Transaction Sets(10-02’)
-
Security and Disaster Recovery(04-05’)
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
-
2003-2004 JCAHO® Environment of Care® standards
-
Require hospitals to publish errors, have disaster recovery for fire, security, and utility systems to receive Medicaid, Medicare
Must Improve Quality of Care, Reduce Errors, Comply W/FED Regs. AND Decrease Costs SIMULTANEOUSLY!
Clinical Transformation is the ONLY answer…
“Clinical” IT Transformation
-
Utilization of IT from administration to CORE patient-care applications to drive up quality of care, reduce errors and costs
PACS
-
30% penetration in 03’(1/2 in past 2 yrs)
-
40% will have them by 05’ (*Dorenfest 03’)
CPOE
-
01’ < 1% penetration
-
14% now “in process implementation” 50% in evaluation stage
-
**Ca. and Wi. “forcing” adoption by 05’
Integrated HIS Upgrades/Consolidations
IT Proliferation to Patient “Clinical” Patient Data vs. “Admin.” =5 Nines Availability Care REQ.
Admitting Wiring Closet Nurse Station Accounting
Datacenter H.I.S.
SAN
Radiology Billing Wiring Closet Labs Pharmacy
DR /Co Location
Doctor Offices Remote Users Doctors
Clinical Transformation and Availability “It was so difficult to finally get clinical staff off of paper, but now that we are electronic, the availability expectation is so high. Downtime is just not an option. If an administrative function like the billing system is down I may not hear about it for a couple of hours. If it is a clinical system I hear right away from multiple parties and often end up on my hands and knees apologizing.” -Hospital CIO
Network-Critical Physical Infrastructure (NCPI) Essential foundation of reliability
Can’t Get There From Here…….
Cooling What is wrong with this IT space?
Or Here….
Rack
What is wrong with this IT space?
Or Here either…..
Power What availability risks do you see in these photos?
Challenges in Healthcare Data Centers at “Systems” level
Today:
Custom designed solutions for data centers Made of components from many component suppliers Integrated by a complex web of engineers, architects, and contractors
Process is slow, complex, creates defects, not predictable, etc.
Facility level designs causes IT to “outsource” and lose control of a “critical-path-element” to clinical IT availability
Many industries facing the similar issues move from a component model toward a solutions model
Challenges in Healthcare Data Centers at Component Level
Availability
Reliability
Reduce single points of failure
Add redundancy wherever possible
Use standardized components
Mean time to recovery
Provide predictive failure warnings
Use pre-engineered, hot-swappable modules
Reduce human error
Simplify
Standardize
Clean-up chaotic environments
Challenges cont’d.
Agility
Get more power,cooling where and when you need it
Plug-and-Play, portable systems
Total Cost of Ownership
Reduce CAPEX and OPEX
The Business Value Equation for Network Critical Physical Infrastructure Value = Availability x TCO Agility
InfraStuXure™ for Data Centers
On Demand architecture for NCPI
InfraStruXure TM for Medium/Small Data Centers – Design Benefits Pre-engineered System
All components designed and tested to work together
Flexible
Easily adapt to any power or cable density; vendor neutral
Redundant
Integrated redundancy increases the availability without the need for 2 UPS systems
Integrated Power and Cable Distribution
Self contained power and data cable distribution eliminates the need for raised floor
Standard Components
Allows you to customize solution, minimize human error, and lower Mean-Time-To-Repair
InfraStruXure™ for Data Centers
Rack Based Components
Quickly install and move; save space, line-up-and match to IT cabinets
Integrated Cooling
Effectively capture the hot air where it is created and deliver cool air where it is required.
Symmetra PX Product Design Benefits Intelligence Module
Control system for the UPS
Power Module
Provides the flexibility to scale power capacity and adds N+1 capability
Battery Module
Hot swappable for easy replacement by trained user
Power View
Easy to read and navigate through menus and functions
Static Switch Module
Enables the UPS to transfer the load to utility power, without interruption, in case of heavy overload or faulty conditions
Symmetra PX
InfraStruXure ™ PDU Product Design Benefits Power Cables & Breakers Circuit Breaker Panels Wrap Around System Bypass Transformer (optional) Rack Form Factor Configure-to-order
(CTO) process allows for factory installation of pre-tested breakers, cut-to-length power cables, load test ports, and monitoring boards
InfraStruXure™ PDU
InfraStruXure TM for Small Data Centers Local Display at Rack Level Load Indicator LED Input Selector Vertical & Toolless Mount Current Monitor Single input
One branch whip connection Multi-branch input provides 5.7kW of AC power
Network Connection Multiple Outlets
Provides 120V/208V on one strip
Rack PDU
NetShelter VX Product Design Benefits Power and Data Cable Management Environmental Monitoring Unit Vendor Neutral Mounting Rack PDUs Rack Air Distribution Unit
InfraStruXure™ for Small Data Centers
NetworkAIR FM Product Design Benefits
Modular floor mount precision air conditioning
NetworkAIR FM
Evaporator Coil Frequency Controlled Fan Drive Tandem Compressors Direct Drive Blower
The world’s only computer room air conditioning system built on twenty-first century technology
InfraStruXure High Density Product Design Benefits Hot Aisle Ceiling Tiles/Cable Trough
Seals in hot air, prevents mixing with room air
Discharge Air Plenum
Distributes cooled air to room
InfraStruXure High Density
NetworkAIR IR
In-Row Air Conditioner Cools hot chamber air
Chamber Doors
Access to hot aisle, locks for security
Power Distribution Unit
42 position power panel, system bypass panel
Uninterruptible Power Supply
Hot swappable components, N+1 redundancy
InfraStruXure TM Options and Related Products Air Distribution Unit
Air Distribution for Power Dense Enclosures and Low Pressure Areas.
Air Removal Unit
Heat Removal for High Density Enclosures.
Environmental Management System
Temperature, humidity, third-party devices
ISX Manager
Centralized Management
Let us prove we can help you Succeed at the Speed of Business
For the next project, engage us to:
Dramatically increase availability
Do it in half the time
Rightsize to the current requirement
Make sure it can adapt
To help you, we can team with your staff to:
Deliver systems that increase availability while driving down TCO
Deliver agile systems on short notice to meet the changing needs of IT
Mitigate downtime associated with human error
Questions?
Thank you!