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Enabling Data as a Servicefor Healthcare Providers

White Paper

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EnablingDataasaServiceforHealthcareProviders

Revision:3August2011

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Enabling Data as a Service for Healthcare Providers

TheAmericanRecoveryandReinvestment(ARRA)Actof2009introducedsweepingreformsin

thehealthcaresector.Oneofitsmajorprovisionswasthecreationoffinancialincentivesfor

migrationfrompaperorhomegrownsystemstointegrated,standardsbasedElectronicHealth

Record(EHR)systemsby2014.Infact,a2010surveyshowedthatEHRdeploymentstoppedthe

listofprioritiesforhealthcareITteams.Thistrendisusheringthehealthcareindustryintothe

bigdataerawithmanybenefitsintheareasofmedicaldataexchange,diagnoseserror

reduction,andoverallpatientcarequality.Digitizeddata,however,isaccompaniedbyclear

challengesandobstaclesthatmustbeaddressedinordertobenefitfromthenextgenerationofhealthcaretechnology.

Data Management Inefficiencies

TheadoptionofcommercialstandardsbasedEHRapplicationsintroducessignificanthardware,

software,storage,anddatabasecosts.Thesheervolumeofdataalsonecessitatesmore

manpowertomanageapplicationsandunderlyingdatastores.Inthiscontext,organizations

needtoconsidernotonlytheproductiondatabasebutalsothenumerouscopiesrequiredfor

applicationdevelopment,QA,support,training,reportingandotherpurposes.InanEnterpriseStrategyGroupsurvey,over50%ofrespondentsindicatedtheycreateupto10copiesoftheir

productiondatabaseforsecondaryusage.

Inhealthcare,lengthydataretentionperiodsandconsumerrightstorequestcomprehensive

accessreports,asmandatedbytheHIPAAAct,leadtodatabeingstoredinonline,analysis-

friendlydatabases.Associateddatabasecostsarecompoundedforhealthcareprovidersbecause

dataschemasandformatsvaryfromonedepartmenttoanother(e.g.radiologyvs.oncology).It

isnotuncommonforalargehospitaltousedozensofdifferentclinicalapplicationvendors.On

thebackend,theseapplicationsmayrequiresupportingdifferentdatabasesandevenspecific

versions.

Themultiplyingeffectofaheterogeneousapplicationenvironment,longretentionperiods,and

numerousproductioncopiesmakesdatabaseoverheadcostsabarriertoEHRadoption.Largely

anon-profitindustry,thehealthcareprovidersectorcannotassumeitsITbudgetswillgrowat

therateofdigitaldata.Realizingthebenefitsofelectronicmedicalrecordswillrequire

technologythatallowshealthcaredatatoscalewithoutproportionalincreasesindata

managementcosts.

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Application Lifecycle Paralysis

JustassoonashealthcareprovidersbeartheinfrastructurecapitalcostsfornewEHRsystems,

theywillhavetofacetheunavoidableoperationalcostsandprocessinefficienciesthat

accompanybigdatatransformations.Beyondtheinitialrollout,providerswillneedtocontend

withincreasingdataanalysisrequestsforproactivediagnosticdatamining,hospitalefficiency

reporting,andclinicalstudies.Similarly,enduserswillpushforaccesstofunctionalityavailableinnewversionsofclinical,billing,andotherapplications.ForITdatamanagementteams,this

translatesintomoredatabasecopiesandfrequentrefreshesfordevelopment,testing,staging,

assurance,support,reporting,training,etc.Yet,today,theaverageenterprisecantakeseveral

weeksjusttoprovisionasingledatabasecopyintoanewenvironment.

ManyhealthcareorganizationsarealsoconsideringSaaSEHRapplicationsoffereddirectlyby

clinicalapplicationvendorsortheirpartners.Whilecloudbasedofferingsenjoygreater

efficienciesindatamanagementfromeconomiesofscale,theservicelevelstheyguaranteeare

inherentlylimitedbythesamedatabasemanagementchallenges.Totrulydeliverdataasa

serviceandmeetenduserexpectations,healthcareITteamsneedfarmoreagilityregardlessof

whetherthedataisstoredintraditionaldatacentersorpushedtothecloud.

Uncontrolled Proliferation of Sensitive Data

Thehugemarketforstolenidentitieshasmadehealthcareorganizationsatargetof

cybercriminalslookingtobreachanydatathatcanbeasourceofprofit,includingmedical

records,patientordoctoridentifiers,demographicinformation,aswellasfinancialaccounts

storedtofacilitatepatientpayments.Arelatedconsequenceofthesharpriseinmedicaldata

breachesisincreasedregulatoryoversight.Forexample,HIPAA,whichmandatesduediligencein

securingmedicalrecords,hasbeenreinforcedbystrongerpenaltiesaswellasstringentaudit

andbreachdisclosurerequirements.

Healthcareprovidersfaceuniquechallengesinmaintainingpatientdataprivacyandmeeting

regulatoryauditrequirements.Rotatingnurseanddoctorshiftsalongwithemergencydata

accessmakeitveryhardtodefineandenforcetightaccesscontrols.Instead,providershaveto

relyonbroadaccessfollowedbycloseauditingafterthefacttodetermineunauthorizedaccess.

Thechallengeofsecuringmedicaldataismagnifiedbythelargenumberofclinicalapplications

anddatabasecopiesthatarespawnedtosupporttheapplicationlifecycleorreportingrequests.

Thebenefitsofdigitizationinhealthcarecaneasilybeoffsetbysecurityandprivacyrisksif

providersdonothavevisibilityandcontroloverhighlypersonalandsensitivemedicalrecords

acrossproductionandsupportingcopiesofpatientdatabases.

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Delphix Data as a Service Platform

Delphixuniquelyaddressesthedatamanagement,applicationagility,anddatacontrol

challengesthroughpatent-pendingdatabasevirtualizationtechnologythatenablesdeliveryof

DataasaService.Delphixsoftwarecanberapidlydeployedonstandardhardware,virtual

machines,orinthecloud.Itthenusesanagent-lessandnon-invasiveapproachofconnectingto

aproductiondatabasethroughstandardAPIs,withoutrequiringanyproductiondatabasechanges.Theconnectionisinitiallyusedtocreateasinglefullcopyofthedatabasefilesandlogs.

Throughintelligentfilteringandcompression,Delphixcandeliverupto75%datareductioneven

duringitsinitialdatabaseload.Thereafter,Delphixfollowsuser-definedsynchronizationpolicies

tokeepaTimeFlow,orrecordingofchanges,tokeeppacewiththeproductiondatabase.The

fulldatabasecopiesnormally

createdfordevelopment,

testing,etc.generallyhave90%

ormoreoverlapindata.

Delphixminimizesstorage

overhead,however,byonly

requestingandrecordingchangeddataandlogblocks.

Thisapproachalsoreducesthe

loadonproductiondatabases

comparedtotheprevailing

practiceoffulldatadumps.The

biggestefficiencyandagility

gains,however,comefrom

Delphixsabilitytocombineits

TimeFlowwiththeshared

footprintfromtheinitial

databaseload.Thiscapability

enablesDelphixtoinstantlyprovisionorrefreshfullread-

writevirtualdatabases(VDBs)

fromanypointintimewithina

definedretentionwindow.

Increased IT Efficiency

Considerahospitalwithjustadozenclinical,billing,schedulingandotherapplications.Withthe

industryaverageof9databasecopiestosupporteachapplicationslifecycle,thehospitalITstaffquicklyendsupwithover100databasestomanage.Thesheermanpower,storageandother

infrastructurecostsassociatedwithprovisioningandrefreshing100databasescanbe

overwhelming.TheDelphixdatabasevirtualizationsolutioncutsthroughthisall-consuming

exerciseandinjectsdramaticefficienciesintothehealthcareprovidersITstaffandbudget.

Consolidation of Non-production Databases

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10xinfrastructureandstoragecostssavingsthrougheliminationofredundantdata

20xtimesavingsfromself-servicedatabaseprovisioning,refresh,androllback

Re-focusITmanpoweronhighervalueprojectsthatimprovecaredelivery

Application Lifecycle Agility

Nowconsideralargehospitalsystemconcernedaboutthecompetitiveedgeaneighboring

caregiverisgainingthroughpublicdeclarationsofhigherefficiencyandlowermisdiagnosis

resultingfromitsrecentEHRrollout.Thehospitalchainputstogetheraprojectplanforitsown

EHRrollout,butthepressuretoupgrade

otherapplications,thecomplexityof

integratingpatientdatafromlegacy

patientdatasilos,andlongchange

managementprocessesresultina12-

monthplanwithnohopeforcatchingup

withinthefiscalyear.Self-serviceVDB

provisioningwithDelphixcanreverse

suchagilitydilemmasbyaccelerating

applicationdeliveryandongoing

troubleshooting.Similarly,tediousdata

integrationprojectscanbesimplifiedwith

theLogSynccapabilityofDelphix,which

canprovisionmultipleVDBsallatthe

exactsamepointintime.

2xfasterrolloutsandupgradesofapplications

Reducedapplicationriskfromrapidtroubleshooting

Simplifiedintegrationofdataacrossproductionsources

Secure and Controlled Sensitive Data

Ahospitalinamajorurbanarearegularlyserveslocalcelebritiesfromtheentertainment

industryandlocalsportsfranchises.Thehospitalenforcessecuritycontrolsonitsprimary

patientdatabasebutisunabletotrackorprotecttheproliferatingdatabasecopiesusedfor

testing,training,andotherpurposes.AHIPAAauditpointsouttheglaringomissionandalso

catchescasesofcelebrity,neighbor,andothersnoopinginthesesecondaryphysicaldatabase

copies.

Delphixinherentlyreducestheriskofsecurityandprivacybreachesbyavoidinguncontrolled

physicaldatabasecopiesandinsteadreliesonasingleauthoritativemastercopyalongwith

subsequentchanges.IthasfullcontrolandawarenessofallVDBscreatedandalsoprovides

completeauditloggingtotrackprovisioning,refresh,anddelegationtasksbyprivilegedusers.

Additionally,DelphixsupportsindustryleadingdatamaskingandobfuscationtoolsfromOracle,

Informatica,andIBM,whichenableittocreatesecureVDBsfornon-productionuse.

LogSync: Time Machine for Databases

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Dataprivacyandsecuritywithoutreducedusabilityortimetodelivery

Assuranceoffullcontrolandauditingoverprivilegeduseractions

EliminationofsensitivedatainVDBsthroughsupportfordatamaskingtools

Summary

Thehealthcareprovidersectorhasaclearopportunitytomodernizecaredeliverybyadopting

newdatainterchangestandardsandEHRsystems.Theresultingdataexplosion,however,also

introducessignificantdatamanagementoverhead,applicationrigidity,anddataprivacyrisks.

TheDelphixDataasaServiceplatformuniquelyaddressesthesechallengesandcreatesan

acceleratedpathforproviderstorealizethebenefitsoftheimpendingdigitaltransformation.

Requestanassessmentandpilotbycontactingusatsales@delphix.comorvisitusat

http://www.delphix.comformoreinformation.

2011DelphixCorp.Allrightsreserved.Specificationssubjecttochangewithoutnotice.

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