Thinking Outside the Box on Disaster Recovery
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1 Thinking Outside the Box on Disaster Recovery A Complimentary Webinar From healthsystemcio.com Sponsored by SunGard Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You!
2 Housekeeping Moderator Anthony Guerra, editor-in-chief, healthsystemcio.com Ask A Question We will be holding a Q&A session after the formal presentations. You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists. Download the Deck Go to Shortened URL at bottom of all slides View the Archive You will receive an when our archive recording is ready. Separate registration is required.
3 Agenda Approximately 45 Minutes minutes: Jorge Grillo, CIO, Canton-Potsdam Hospital 5 minutes: A Word From Our Sponsor: Bryan Matsinger, Healthcare - East Region, SunGard Availability Services minutes: Q&A w/jorge Grillo
4 Thinking Outside the Box on Disaster Recovery
5 Who We Are St Lawrence Health System (Rural IDN) Canton-Potsdam Hospital: 100 Bed Rural Community Hospital with over 40 owned provider practices Gouverneur Hospital: 25 Bed Critical Access Hospital Free Standing Urgent Care Captive Practices ACO Owner Located in Northern NY State in one of the largest and least populated counties east of the Mississippi.
6 The DR/BC Challenge Defining the level of DR/BC that your organization needs Cost versus benefit Vendor partner participation Risk tolerances, Business Impact Analysis, Recovery Point/Time Objectives Organizational commitment ($, testing, downtimes, resources) Location / connectivity Regulatory and legal considerations
7 Our Challenge Then (2+ years ago) Availability of $ and resources No redundant internet connectivity from the area Rural footprint Region prone to flooding, high winds (downed power-lines), occasional tornadoes Limited solution vendors Limited core vendor participation Had a purely DR based (tape) hot-site solution 48 hour uptime SLA No alternative Data Centers
8 Our Challenge Now Industry news and core vendor crashes Several hospitals down for days and weeks Still limited $ and resources but better off than previously Now have redundant high-speed internet options No local hosting solutions or commercial data center alternatives More remote hosting solutions available with broader SLA offerings Growth has led to greater reliance on not just core but secondary systems less risk tolerance Core vendors engagement improved but no recommended solutions
9 What We Considered Build out a secondary data center Hosted recovery solutions True redundant mirrored systems hosted in one of our buildings DR/BC partnering with other (competitor hospitals) Data center space partnering with local companies and universities Move to cloud or ASP system hosting with DR/BC as part of services Switch core systems and move to Tertiary Partnership solution
10 Build Out Secondary Data Center Plusses: We control and can design the way we want to flexibility We can scale on demand Can use varied hardware solutions to attain desired level of BC Stays within enterprise (IDN) using 2 hospital approach Minuses: Design build $, facility maintenance $, utility and other hidden $ Have second hospital but space limitations and cost considerations Duplicate resource and $ needs / complexity Length of time to complete FTE and other considerations
11 Hosted Recovery Solution Pluses: We already have experience and provides geographic separation Core vendor recommended Quick to implement Some levels of flexibility Minuses: Cost directly proportional to needs (I.E. We had long contractual discussions on SLAs and what constitutes a test and cost associated as well as time to restore) Trust and reliance on SLAs / contract Cost can be as much as doing it ourselves depending on hardware refresh cycles Lack of overall controls Likelihood of vendor to succeed and stay in the game Most solutions that are affordable are tape based
12 True Redundant Mirrored Environment Pluses: Least down time usually Least overall organizational risk Fastest RTO / RPO High BC environment Minuses: Highest cost / most resources to implement and maintain Requires secondary data center do you have one? Possibility for actual problem to be replicated to both environments and catastrophic outcomes Problems are usually not switching over to mirrored system but data merge or recovery to primary
13 Partnering with Competitor Pluses: Collaborative approach to healthcare services (NYS political drivers) Cost can be flexible as well as solutions partnered on Use of just data center or also server assets (takes advantage of VM solutions) May have joint core vendor or other partnerships Maximizing both hospital resources and environments Possible other gains if both on same system (I.E. additional FTEs in emergency) Cost Minuses: Must have trust in partnership Both sides must be financially viable Both sides must commit to SLA delivery and have resources dedicated All in the contract language and organizational risk tolerance
14 Local Non-Healthcare Partnerships Pluses: If you don t have alternate data center easiest way to get space Buy space as you go all inclusive pricing Possible hosting solutions Possible resource benefits Community support recognition we looked at colleges, major businesses, county offices Minuses: May not have experience in healthcare environment or meeting legislative demands Trust in delivery of SLAs and services Location of secondary site known reliable partners may not be far enough away How to cost out if you can t host for them
15 Cloud, SAS, or ASP Services Pluses: Puts support and data center services on 3 rd party Staffing is 3 rd party challenge, not yours Allows for very diverse secondary site Likely a vendor s primary or secondary product/service offering Minuses: Core vendor does not offer and have to go to 3 rd party hosting or break up hosting to different vendors complex to manage? Many healthcare vendors have challenging track records of success Can be costly or only a partial solution
16 Tertiary Partner Services or Offerings Pluses: Some systems now allow for a Master Site (in our case a tertiary partner) to host for smaller entities at a reduced software cost Requires partner to provide services and worry about staffing Can be more cost effective than doing it alone Minuses: May be tied to host configurations May have downtimes or test outages at inconvenient times Trust Have to give up control and independence
17 Summation There is no one size fits all solution. Critical to understand the capability and limitations of potential partners It may be challenging working through core vendor contracts or getting their buy-in By getting creative and working with unusual partnerships costs might be able to be reduced and interesting partnerships established Trust will play a big factor in your decisions Don t limit yourself to the traditional
18 Thinking Outside the Box on Disaster Recovery Bryan Matsinger Healthcare Division Sungard Availability Services
19
20 Challenges Facing Healthcare Limited Financial Resources Complex and Hybrid IT Environments Greater Need for Uptime Regulatory Compliance Limited Personnel Resources
21 Sungard s Recovery Model
22 Sungard Availability Services Overview Pioneer Founded and developed the concept of disaster recovery and information availability over 30 years ago Comprehensive Solutions Sungard s proven model takes into account technology, infrastructure, processes and personnel Focus Approximately 3,000 employees globally focused on the uptime and availability of our customers critical systems, applications and data Expertise Successfully supporting 7,000 clients globally including recoveries from over 2,500 disasters Flexible Services Sungard s hybrid model allows solutions to scale and be implemented based on the clients needs Industry Leadership Continually recognized by the industry as a leader in business continuity, disaster recovery and high availability
23 Q&A Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists.
24 Thank You! Thank you Jorge Grillo! Thanks to our sponsor: SunGard! You will receive an when our archive recording is ready. (Separate registration is required) CHIME CHCIO Credits Attending our Webinars = 1 CEU Questions/Comments Anthony Guerra aguerra@healthsystemcio.com Go to to view our upcoming schedule and see the last 12 months of archived events.
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