Health Care Solutions from. Hitachi Data Systems. Hitachi Data Systems

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1 S O L U T I O N S B R I E F Health Care Solutions from Hitachi Data Systems Hitachi Data Systems

2 Health Care Solutions from Hitachi Data Systems Traditional IT infrastructures and particularly storage architectures purchased separately for disparate health care applications have become both cost prohibitive and restrictive in addressing today s massive demand for online patient information. Add to this the demand for instant access, often 24x7, and increased regulatory constraints. These challenges require a new application-aware infrastructure. 1 The Business Issue There is a clear need for health care providers to efficiently manage the data generated by disparate applications across the organisation. The first generation picture archiving and communication system (PACS) archives were dedicated solutions aimed at long term preservation of digital imaging and communications in medicine (DICOM) information only. However, consolidation of all patient data into a common archiving solution is a growing trend in the health care IT market. Health care providers require faster access to patient information, along with comprehensive security and service continuity, simplified storage management and disaster recovery, with lower storage costs. The Challenge Much of the data generated has to be kept for a number of years and varies by content and by country. For example, intelligent management of this information is essential to ensure compliance with Freedom of Information regulations and to establish a patient-centric repository that can be managed, protected and retrieved easily at the point of care. The Solution Hitachi has a long heritage in health care, extending from pioneering technologies such as proton beam therapy and advanced medical biotechnology to breakthrough diagnostic imaging equipment for clinical providers. Hitachi now provides the IT infrastructure to support the demands of clinical and business workflows, as well as to help health care providers achieve a centralised electronic patient record (EPR). Hitachi Data Systems can offer a more economical and manageable platform to enable both clinical and non-clinical data to be securely stored and managed from a single point. In its solutions for health care, Hitachi Data Systems enables any type of fixed content data, including images, lab results, video files and any patient critical documents to be protected, searchable and accessible in an infrastructure framework. This in turn provides the crucial platform needed to

3 maximise emerging e-health facilities to truly provide Information at the Point of Care. Products and Services Whether your health care environment is large or small, Hitachi Data Systems can offer a range of solutions aimed at providing a secure, manageable and scalable storage infrastructure for your patient critical systems (see Figure 1). Whether you wish to consolidate your existing environment, take control of ever increasing data volumes and costs or expand the infrastructure to support new health care modalities or services, Hitachi Data Systems solutions provide the resilient framework required in today s challenging and changing environment. Using industry leading Hitachi technology, Hitachi Data Systems has developed a range of solutions that address a breadth of health care challenges relating to protecting, consolidating, archiving and searching patient and business information. These can be categorised in the following areas: Hitachi Content Archive Platform, a multipurpose archive for clinical and non-clinical data HealthXchange, an integrated framework solution enabling easier access to medical images and patient information, regardless of its originating source and location Services Oriented Storage Solutions for the storage infrastructure, supporting large or small environments with a secure and scalable storage framework Hitachi Data Systems NAS Solutions, providing consolidated and cost effective environments for your file-based applications Health Care IT Infrastructure Today s View The Future View 2 Figure 1. Replacing Islands of Information with Centralised Infrastructure

4 Hitachi Content Archive Platform Multipurpose Archive The Hitachi Content Archive Platform is an active archive solution, a single online repository that enables protection, search and retrieval across all content types. Based on unique Hitachi SAIN architecture (SAN-based storage plus an Array of Independent Nodes), the Content Archive Platform fully leverages Hitachi storage capabilities for high availability, performance and multipetabyte scalability. Based on records management and archival science specifications, it takes a policy-based, object oriented approach to ease the access and retrieval of various content types spanning multiple applications. With the Hitachi Content Archive Platform, Hitachi Data Systems uniquely blends archival sciences principles with modern archive software and superior storage technologies. The Hitachi Content Archive Platform solution enables health care organisations to bring together clinical and non-clinical data from disparate sources as depicted in Figure 2. Figure 2. Multipurpose Archive Strategy 3 Figure 3. Hitachi Content Archive Platform Functional Capabilities

5 Solution Positioning The Hitachi Content Archive Platform provides an active archive solution for health care implementations. Comprising both software and hardware, the Content Archive Platform supports policy-based integration from multiple distributed or centralised repositories, such as , file systems, databases, imaging applications and content or document management systems. The Hitachi Content Archive Platform ensures the secure archival quality retention, preservation or verifiable destruction of content. With the Content Archive Platform, you can leverage a set of common and unified archive services, such as centralised search, policy-based retention, authentication and protection (see Figure 3). The Hitachi Content Archive Platform includes open standards based access protocols, such as CIFS/SMB, NFS, HTTP and WebDAV, that are native to the product. Files are stored in their native format with original file names, unlike current competitive content addressed storage (CAS) offerings that replace the application file name with a hash key. The Hitachi Content Archive Platform also provides more robust authentication capabilities that allow you to select hash algorithms. Full text indexing and search is embedded in the product versus metadata-only search provided by some CAS offerings. Employing the Hitachi Content Archive Platform enables you to address the following challenges: Meet regulatory and governance requirements. WORM functionality is employed to set specific file retentions to ensure compliance for content preservation and retention. Protect your business. Reduce risk of fines and penalties for not meeting regulatory compliance or providing timely responses to audit and legal discovery requests. Protect your data. RAID protection and remote replication capabilities ensure the highest levels of availability to your data at all times. Protect your patient. Incorporated digital shredding feature overwrites deleted files with a random pattern. This technique guarantees the contents of an object are permanently removed (scrubbed) from the system when it is deleted in accordance various directives and regulations. Ensure authenticity. A digital signature for each incoming file is created utilising any one of the following hashing algorithms to ensure data integrity: MD5, SHA-1, SHA- 256, SHA-384 or SHA-512. The Hitachi Content Archive Platform periodically computes the digital signature and compares it with the original value stored when the file was first archived, ensuring data integrity. Enable discovery. Work with powerful indexing and search capabilities that enable proactive e-discovery. This simplifies multiplatform end user search, content indexing and restore from a single user interface for faster productivity and business competitiveness. Grow with your business. Scale horizontally to support multiple applications and content types; scale vertically to support continued data growth. Protect investment. By utilising open standards based access protocols and native file system interfaces, you can avoid proprietary lock ins, and have the freedom to future proof your business data archive. HealthXchange HealthXchange is a fully integrated component of the Hitachi Content Archive Platform. The solution is optimised for health care enterprises and collects all digital medical images, electronic health records and associated metadata related to patient care, leveraging existing PACS, HIS and RIS. HealthXchange retrieves medical images and records for authorised hospitals, physicians, researchers and patients and distributes digital images and records securely across health care enterprises. HealthXchange seamlessly stores medical images and records with full DICOM functionality and real time failover access, meeting the 4

6 Figure 4. Hitachi Storage Infrastructure Common Software, Common Management 5 mandates of HIPAA and other governmentally imposed offsite storage requirements. Working with specialised health care partners, Hitachi Data Systems developed the HealthXchange solution to provide the flexibility to meet differing requirements of complexity and functionality. Features include: Image Exchange. Providing transparent and secure exchange of data between hospitals, HealthXchange enables vendor independence and a cost effective overview of data located in different systems. Adaptive Streaming. Utilising advanced adaptive streaming and ultra thin clients, clinicians can access diagnostic quality DICOM images from any Web-based viewer inside or outside the hospital enterprise. Benchmarking. Real time monitoring and examination of best practice processes and their related data enables comparison of process performance against set variables. Measurement and Reporting. With the ability to analyse key process performance data it is possible to accurately forecast changes in external factors, discover bottlenecks and predict future requirements. Web Viewing. Specifically designed for medical use, this general viewing application consolidates content from multiple applications for more efficient clinical viewing. Multimedia Distribution. HealthXchange enables the production of digital multimedia from any analogue or digital modality, making DICOM compatibility a non-issue. e-patient Services. HealthXchange offers a device- and browser-independent Web-based platform for self-care and counselling services. The technology used enables the flexible introduction and implementation of the service, even in a multichannel configuration. The HealthXchange solution can be deployed at hospitals of all sizes, as well as hospital groups and integrated delivery networks. By connecting organisations into a single archive, imaging exams can be shared and studies can be interpreted anywhere within the network, with protected and traceable access to the data. Information sharing ultimately improves patient care, as radiologists gain faster access to studies and diagnoses can be performed with greater efficiency.

7 Services Oriented Storage Solutions for the Storage Infrastructure Many health care providers are feeling overwhelmed by exponential data growth. Hitachi Data Systems networked storage solutions can help manage your existing data and lay a flexible foundation for the future. These solutions can help reduce the cost and complexity of satisfying the continuing demand for storage expansion while optimising system performance and providing the high availability health care applications require. No matter what the size of your organisation or your challenges, you can tailor a lasting solution, ensuring that you realise the business benefits of Services Oriented Storage Solutions from Hitachi Data Systems. Hitachi Data Systems is the most trusted vendor in delivering complete storage solutions to the most demanding companies large and small. Hitachi hardware and software products are the foundation for Services Oriented Storage Solutions, providing dynamic tiered storage, common management, data protection and archiving, and enabling health care organisations to align their storage infrastructure with their unique business requirements (see Figure 4). Enterprise Storage Reaching previously unattainable levels of consolidation, the Hitachi Universal Storage Platform TM V has redefined the storage industry. It represents the world's first implementation of a large scale, enterprise-class virtualisation layer combined with thin provisioning software. That means the virtualisation of internal and external heterogeneous storage into one pool has finally been achieved. You can obtain the consolidation benefits of external storage virtualisation with the efficiencies, power and cooling advantages of thin provisioning in one integrated solution. Any organization, from a midsized growing company to the largest global health care group, can now benefit from the industry s highest performing and most scalable storage solution. It is backed by a set of storage and data services that include thin provisioning with Hitachi Dynamic Provisioning software, application centric storage management and logical partitioning, as well as simplified, unified data replication across heterogeneous storage systems. An integral component of the Hitachi Services Oriented Storage architecture, the Hitachi Universal Storage Platform V provides the foundation for matching application requirements to different classes of storage. The Universal Storage Platform V packages and delivers critical services, such as: Virtualisation of storage from Hitachi and other vendors into one pool Thin provisioning through Hitachi Dynamic Provisioning for nondisruptive volume expansion Security services, business continuity services and content management services I/O load balancing to improve application performance Nondisruptive dynamic data migration from Hitachi and other storage systems Services Oriented Storage Solutions enable IT organisations to present their health care business units with a menu of storage attributes (such as performance, availability, cost and security) and charge for those services based on the client's selection. Services Oriented Storage Solutions can lower costs, extend lifetime value and simplify management activities. The Hitachi Universal Storage Platform V enables you to deploy applications within a new framework, fully leverage and add value to current investments and more closely align IT with business objectives. Modular Storage Hitachi Adaptable Modular Storage systems are ideal for the most demanding application requirements and deliver enterprise-class performance, capacity and functionality at a midrange price. 6

8 Figure 5. Hitachi Storage Command Suite Software Common Storage Infrastructure Management 7 The Adaptable Modular Storage 2000 family systems are the only midrange storage systems with the Hitachi Dynamic Load Balancing Controller. This active-active controller provides integrated, automated, hardware-based, front-to-back-end I/O load balancing, thus eliminating many complex and time consuming tasks that storage administrators typically face. This ensures I/O traffic to back end disk devices is dynamically managed, balanced and shared equally across both controllers. Ideal applications for Adaptable Modular Storage include: Storage consolidation or storage area network (SAN) Primary storage for small or medium sized health care providers Lower tiered storage for large enterprises when used with an Hitachi Universal Storage Platform V Business continuity solutions Enterprise resource planning (ERP)/ customer relationship management (CRM) Hospital information systems Small and Departmental Storage Hitachi Simple Modular Storage 100, a simple and reliable solution for small and medium businesses (SMBs), offers enterprise-class storage features with complete data protection solutions. Simple Modular Storage is ideal for health care environments looking for storage systems that are easy to manage, easy to grow and easy to integrate with applications such as Microsoft Windows and others common to the SMB marketplace. Simple Modular Storage also provides the ideal platform for hospitals embarking on their migration to digital media for PACS imaging systems. The solution can be installed in minutes. No storage expertise is required. The platform enables simple installation and includes configuration wizards, easy to use graphical user interface (GUI) storage management software and powerful yet simple snapshot copy software deployment. With Simple Modular Storage 100, Hitachi Data Systems delivers market leading availability, performance and uncompromised reputation for reliability. Advanced self-healing features, coupled with a RAID-6 (dual parity) configuration, protect your most important information assets. Simple Modular Storage is engineered to run nondisruptively for several years without onsite maintenance. Consolidated Storage Management Software Suite In today s data rich economy, an organisation s success depends on the uninterrupted and ever increasing flow of information. Hitachi Data Systems provides data storage software solutions that help you maintain high levels of information availability and optimised application performance while improving IT staff productivity through the automation of management and maintenance tasks. The Hitachi Storage Command Suite enables Services Oriented Storage management by eliminating the traditional silo approach of separate, isolated management tools with a management framework, improving operational efficiency and business resilience for Hitachi Data Systems customers (see Figure 5).

9 Health Center/ Clinic Hospitals Network The unstructured Content Highway Hospitals Massive horizontal and vertical scalability and less licenses Microsoft Windows and Unix Figure 6. Hitachi Data Systems NAS Solutions Consolidation and Scalability The Hitachi Storage Command Suite provides comprehensive, integrated storage resource management, tiered storage and business continuity software solutions, allowing you to align your storage with application requirements based upon metrics, including quality of service, service level objectives, recovery time objectives and recovery point objectives. Hitachi Storage Management software allows you to: Improve IT productivity through consistent administrative operations across all storage and operating systems. Manage heterogeneous storage from a single interface. Support synchronous and asynchronous data replication for disaster recovery and business continuity. Adopt storage tiers to support varying business and cost models. Increase storage utilisation by providing an integrated view of all storage. Simplify performance monitoring and trend analysis under a single user interface. Dynamically allocate capacity and storage to applications as needed. Enhance data mobility for easy and transparent data migration. Simplify and unify volume replication between storage tiers and storage systems. Create Virtual Storage Partitions for qual- ity of service across applications. Facilitate matching storage resources to business requirements. Hitachi Data Systems NAS Solutions Much of the data growth within health care organisations (and indeed other markets) is as a result of the increase in unstructured data. Data of this type, often held in shared file systems, has caused an ever increasing number of servers an NAS filers to be purchased, resulting in escalating costs and difficulty in management as well as poor utilisation rates and overall performance (see Figure 6). The Hitachi High-performance NAS Platform is a powerful solution co-branded with BlueArc. It is built on an advanced hardware accelerated architecture and a rich set of storage software. It has leading performance, massive scalability and built-in intelligence to handle 8

10 9 the most demanding application environments. Therefore, whether you want to consolidate your infrastructure by reducing the number of server and storage devices or by streamlining provisioning, the Hitachi High-performance NAS Platform is the answer. The Hitachi High-performance NAS Platform, powered by BlueArc, is the most compelling solution for enterprise-class consolidation because it offers: Industry Leading Scalability for Massive Scale Storage Consolidation In the past, IT organisations found that NAS proliferation was the inevitable result of the lack of scalability of their NAS devices. With industry leading scalability, the Highperformance NAS Platform consolidates and manages up to 512 terabytes (TB) of Fibre Channel and SATA storage in a single shared storage pool. Users working on even the largest data sets see dramatic improvements in information storage, sharing and retrieval. They no longer need to break up large data sets due to file system limitation because the Hitachi High-performance NAS Platform offers a file system up to 256TB while supporting up to four million files per directory. Industry Leading Performance for Patient Critical Applications The High-performance NAS Platform delivers the highest performance in the NAS market today, allowing health care organisations to meet critical performance requirements with less than half of the number of the nodes required by competitive offerings. That translates into less hardware to buy, less software license, less management complexity and less power and cooling costs. Advanced Virtualisation Framework The Hitachi High-performance NAS Platform provides an advanced virtualisation framework that enables enterprise consolidation. One key element is Cluster Name Space (CNS), which creates a unified directory structure up to 512TB and allows global access to all the data. In addition, virtual servers can be created for different user groups or health care applications. Each virtual server can have different IP addresses and data management policies. The High-performance NAS Platform also includes virtual volumes and storage pools, which enable storage administrators to oversubscribe the physical storage and apply quota policies that can dynamically expand or contract as needed.

11 Your hospital or health care organisation can dramatically increase their storage utilisation with: exactly the capacity they need, when they need it; the flexibility to optimise the storage capabilities; and the power to rapidly provision more capacity as business requirements change. As data moves through its lifecycle, such as aging images or documents that are rarely accessed, they can be transparently migrated from one tier of storage to another to provide the most appropriate storage media for the task. Summary The Environment Today the PACS concept is now moving quite rapidly through different departments within a hospital cardiology, pathology, endoscopy and many other image centric disciplines. In today s health care environment it s all about the data. The next evolution in health care will see hospitals and national health systems investing in infrastructure so they can leverage the market for applications without vendor lock-in. It is the infrastructure which is being heavily contemplated and contested and not the application. By investing in infrastructure, applications become modular and selectable. For example, a mammography workstation, a CAD system and modality can all be best-in-class if, and only if, you have a stable and well thought out infrastructure plan. Once any institution has made the decision to go digital it is only a matter of time before there is a requirement for the asset or image or report to make its way through the health care workflow process. Hitachi Data Systems solutions provide the ability to move PACS data between different PACS vendors by translating the DICOM header vendor data. The HealthXchange solution can search on the metadata values attributed to the patient information and then transfer images acquired between multiple PACS applications as appropriate. Distribution of images across local and wide area networks is enabled efficiently and quickly, using innovative streaming techniques. Future e-health Community The EU e-health initiative and action plan is the driver for sharing of patient information and networking of expertise across different institutions and countries. It was launched in improving availability of professionals; it will 2004 and will be applied in its current form until make specialist capacity available to improve Besides organisational e-health, this efficiencies in delivery, standardise working initiative encourages national level e-health; at practices and enable increased knowledge the same time the focus is being shifted from sharing across organisational borders. in-border health to more integrated health care Professionals need access to relevant patient provision across the Union. data and knowledge in order to identify the issues (diagnose) and plan for a strategy Modern e-health emphasises citizen empowerment and citizens active participation in (therapy, care plan, workflow), with expected outcomes (monitoring/followup of progress/ health and wellness management as well as quality of care). coordinated resource sharing and problem solving in dynamic, multi-institutional virtual The Need Being Served settings, with equal participation by health The integration of data from disparate sources professionals, patients and citizens. The keywords describing modern e-health include to get to a position where the EPR becomes is a key challenge in health care. The goal is patient or citizen centric, seamless, shared, a reality, the workflow within care providers secure and trusted, preventive, independent is sufficiently streamlined and information is of time and place, networked, cross organisational, cross border and interoperable. it is needed, to improve the overall quality of available at the point of care when and where Modern e-health emphasizes two aspects: care to the patient. sharing of patient information and lining up a Hitachi Data Systems health care solutions network of experts from different organisations can enable centralised information sharing, or even from different countries. Changing protection and management at the application and physical disk layer through storage the working environment, so that patient information can be shared and the usage of virtualisation, the multipurpose archive and networked expertise is easy and common- adoption of the Services Orientated Storage place, will deliver significant benefits by Solutions framework. For further information on Hitachi health care based solutions, please visit: For detailed information on Hitachi Data Systems solutions, please visit: 10

12 Europe Headquarters Sefton Park, Stoke Poges, Buckinghamshire SL2 4HD United Kingdom Contact Information: + 44 (0) / info.emea@hds.com Hitachi is a registered trademark of Hitachi, Ltd., in the United States and other countries. Hitachi Data Systems is a registered trademark and service mark of Hitachi, Ltd., in the United States and other countries. All other trademarks, service marks and company names mentioned in this document or Web site are properties of their respective owners. Notice: This document is for informational purposes only, and does not set forth any warranty, express or limited, concerning any equipment or service offered or to be offered by Hitachi Data Systems. This document describes some capabilities that are conditioned on a maintenance contract with Hitachi Data Systems being in effect, and that may be configuration dependent, and features that may not be currently available. Contact your local Hitachi Data Systems sales office for information on feature and product availability. Hitachi Data Systems Corporation All Rights Reserved. SB-014-A DG January 2009