Date post: | 21-Oct-2014 |
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The data explosion along the care cycle
NVKVV 16de Colloquim ICT en gezondheidszorg Dinsdag 8 mei 2012, De Montil Moortelstraat 8, Affligem Eric van ‘t Hoff, EMEA Healthcare ISV Alliance Manager
Note: updated with latest Dell Storage solutions, December 2013
Some data about data
2
How many photos were uploaded to Facebook in the past minute?
How many YouTube videos were watched yesterday?
What is the % of text messages versus phone calls for an average student:
> over 70,000 photos!
> 98% text messages for 2% phone calls!
> over 2 billion videos!
The data universe exceeds today 13 ExaBytes and doubles every 18 months!
What is % of all digital capacity for medical content in 2014 ?
> over 30%
1 ExaByte = 1000 PetaByte = 1000 TeraByte = 1000 = GigaByte = 1000 MegaByte = 1000 KiloByte = 1000 Bytes
Making healthcare data tangible
Regional hospital with 500 beds - Average nbr of annual studies: 100.000 - Average study size: 100MB - Average annual storage need: 10TB
Standard business laptop: - Average hard disk capacity: 150 GB - Available storage capacity: 1.500 studies - Available storage study days: 5,4 days
67 laptop hard disks needed every single year for radiology only!
DICOM image
Agenda
• Dell Healthcare at a glance
• The data explosion across the care cycle
• Why is storage still so expensive?
• Redefining storage economics with Dell
4
Radiology Oncology Cardiology Women’s
health Pathology
Medical Record
5 DELL Confidential Dell Healthcare
Dell Healthcare at a glance
6
Dell Healthcare & Life Sciences
6
• 13,000+ healthcare & life sciences professionals
• We support over 10,000 Healthcare providers, health plans, pharmaceutical, biotech, medical device, diagnostic and scientific instrumentation customers worldwide
• Leading Healthcare Information Technology Services provider1
• Dell Healthcare & Life Sciences is with $2.9 billion (FY13) the second largest Healthcare IT company2
• We provide OEM services to 70+ Healthcare and Life Sciences software, medical device and scientific instrument providers
• Our Clinical Archive Cloud manages more than 95 million
clinical studies and 6.7 billion diagnostic imaging objects on behalf of more than 800 clinical sites in North America3
1) Source Gartner 2012 [url] 2) Source Healthcare Informatics 2013 [url] 3) See real-time ticker
7 Dell Healthcare
Managing and sharing medical data with Dell Clinical Cloud Archive
Secondary Datacenter Phoenix, Arizona
Primary Datacenter Wallingford, Connecticut
Over 92 million clinical studies and 6,5 billion diagnostic images
Over 800 clinical sites in North America
Over 2,5 million new studies every month, 70TB of extra storage
Vendor neutrality, patient centric, one time fee per study pricing, security and data protection, offsite disaster recovery and more
8 DELL Confidential Dell Healthcare
The data explosion in healthcare along the care cycle
Patient data digitalization along the care cycle
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OK OK Accident
Pain
Wellness/ Prevention
First Aid
Diagnosis Treatment Therapy Nursing/
Elderly Care
Healthcare providers
Health insurance
Ministry of Health
Patient organizations
Academic Hospital
Mental Health
Revalidation center
Diagnostic Center
General Practitioner
Nursing Home Elderly Care
Pharmacy drugstore
Regional Hospital
Ambulance services
from storing, accessing, protecting and archiving paper files and films to storing, accessing, protecting and archiving digital records and images
More healthcare information is becoming digital
10
Genomics (DNA sequence)
Proteomics (protein structure)
Digital Pathology (virtual microscopy)
Medical Images (radiology, cardiology, oncology, …)
Laboratory Medicine (microbiology/hematology/urinalysis
immunology/phlebotomy)
Medications
Results
Histories & Encounters
Procedures
Vital Signs
Diversity of diagnostic applications is expanding and study size is growing
11
Radiology Dermatology
(skin and its diseases)
Cardiology (Cardiac Cath,
Echocardiology, Nuclear )
Endoscopy Ophthalmology (anatomy, physiology and
diseases of the eye)
Digital Pathology Endoscopic Surgery
Otolaryngology
(ear, nose and throat)
Neurosurgery Oncology
Increasing legal retention time of medical records
0 5 10 15 20 25 30 35
CJD Related
Clinical Psychology Records
Oncology Records
Paediatric, Vaccination and Community ..
Maternity Records
Dental, Ophthalmic, Auditory Records
All Other Records (including Photography)
Breast Screening Xrays
Xray/PACS (image only)
Legal Requirement (The Public Records Act - UK)
Years
13
Healthcare digitization is creating new challenges and unforeseen needs needs
Clinicians are in data overload An incredible amount of data generated for each patient through-out the care-cycle.
Digitalisation is a challenge
Growing storage in silos with data
moving between multiple core
systems in all forms. IT also needs to
comply to patient safety regulations.
Demand for care is growing There are simply not enough nurses and doctors to cope with our demands. Aging populations stressing an already taxed system.
Digitise patient information so it can be readily shared. Fully enable easy access to data to aid in decision-making from anywhere across the care-cycle
Standardise the IT infrastructure to simplify information sharing and reduce management and scaling costs while maintaining availability, uptime and compliance requirements. Enable interoperability with the many medical information systems to ease information sharing.
Focus on streamlining workflow and
optimizing processes to reduce the
burden on caregivers. Connect
hospitals and primary care physicians
to coordinate patient care and
increase staff productivity.
Being overloaded, caregivers lack
the resources for integrating time-
saving patient care technologies
into daily workflow routines.
Critical patient data can be lost, misplaced, or even misread. Delays in information management can affect decision-making. IT and storage costs are exploding.
There is too much information to
process, which can slow decision-
making and thus, patient care. As a
result, access to information is
limited and errors are made.
The Consequences The Challenges The Needs
14
Spent IT to address digitalization needs
Source: IT costs in healthcare sector, MI Partners 14 October 2009
OK OK Accident
Pain
Wellness/ Prevention
First Aid
Diagnosis Treatment Therapy Nursing/
Elderly Care
Healthcare providers
Academic Hospital
Mental Health
Revalidation center
Diagnostic Center
General Practitioner
Nursing Home Elderly Care
Pharmacy drugstore
Regional Hospital
Ambulance services
0%
5%
10%
15%
20%
25%
30%
35%
GeneralPractitioners
Ambulances Diagnosticcenters
Regionalhospitals
Academicalhospitals
Pharmacies Revalidationcenters
Mental healthcenters
Nursinghomes
More than 20 % of healthcare IT budget is used for storage
Healthcare systems driving 20% of IT budget to storage
15
Electronic patient health records (EHR plus supporting clinical applications such as CPOE, clinical decision support, etc.) Clinical imaging (radiology, cardiology, pathology, etc.)
Non-clinical imaging (scanned documents such as bills, invoices, etc.) General unstructured data (non-EHR data such as office productivity files, media files, etc.)
Administrative applications (financials, billing, human resources, etc.)
Research data (excluding clinical decision support information)
Healthcare data in North America, from 3M TB to 14M TB in 5 years!
16
Clinical and non-clinical imaging makes up for 45% of total data volume
17
Estimated total Healthcare data volume in 2012 (N.A.): 5.4 Exabytes, growing 35% per year
An
nu
al D
ata
Vo
lum
e (
Pe
taB
yte
s)
73 372 424
574 753
1.563
1.695 25%
23% 24%
61%
30% 28%
42%
0
200
400
600
800
1.000
1.200
1.400
1.600
1.800
Research Data E-Mail AdministrativeApplications
ElectronicHealth
Records
Non-ClinicalImaging
GeneralUnstructured
Data/FileServices
ClinicalImaging
Big Data Growth in Healthcare
2012 Data Volume (PB) 5 Year CAGR
Healthcare data current reality
18
• 30% of all digital capacity by 2014 will be medical content • 35% of annual healthcare data growth • 20% of healthcare IT budget is used for storage • 45% of storage capacity is dedicated to medical imaging • 65% of providers retain images forever • 95% is unstructured data, rarely accessed after creation
OK OK Accident
Pain
Wellness/ Prevention
First Aid
Diagnosis Treatment Therapy Nursing/
Elderly Care
Healthcare providers
Academic Hospital
Mental Health
Revalidation center
Diagnostic Center
General Practitioner
Nursing Home Elderly Care
Pharmacy drugstore
Regional Hospital
Ambulance services
The explosion of healthcare data demands for new ways to manage storage cost-efficiently!
19 DELL Confidential Dell Healthcare
Why is storage still so expensive?
Hard Drive costs per GB has declined more than 50x over the last 10 years
20
Source: history of storage costs Matthew Komorowski
Storage efficiency is not just about $/TB but even more about $/performance
21
SSD
Pri
ce
ind
icati
on
pe
r T
B (
20
12)
IOPS performance indication
50 100 150 200 50.000 >
5,200 RPM
7.200 RPM
10.000 RPM
SSD: Solid State Drive
IOPS: Input/Output Per Sec
2.000$
50$
Today largest capacity
for 2,5 inch SSD: 512GB
Today largest capacity
for 3,5 inch HDD: 4TB
15.000 RPM
500$
Note: storage connection interfaces (FC/SAS/SATA …) are not considered in above estimations
power consumption
Why is storage still so expensive?
22
Virtualization of Servers and Desktops drives even more data and demand for
even more performance
year 0 1 2 3 4 5
stale data >80%
aging data ±10%
active data 2%-4%
Inactive data adds significant unnecessary costs
Companies are only using 40~50% of their installed storage capacity (source: ESG)
Optimization of cost per GB versus cost per IO performance
23
Need for optimal
blended Cost!
€ €
Need for storage that optimizes I/O and costs
24
year 0 1 2 3 4 5
Tier 1 : active data • fast but expensive • e.g. SSD or FC 15K RPM / RAID 10
Tier 2: semi-active/aging data • cost-effective
• e.g. FC/SAS 10K RPM / RAID5
Tier 3: non-active/slate data • slower but economic
• e.g. SATA - 7,2K RPM - RAID6
2% - 4%
±10%
>80%
25 DELL Confidential Dell Healthcare
Redefining storage economics with Dell
26 Confidential
Dell innovation redefines storage economics
27 27 Confidential
The Dell Storage Portfolio Workload-optimized solutions for any size enterprise
MD, NX Series
SC, FS Series
Affordable, entry level
storage
High performance
storage
PS, FS Series
Easy-to-use virtualized
storage
PowerVault EqualLogic Compellent
PowerEdge Servers
Dell Networking
Dell Software
Dell Services
Powered by Fluid Data technologies
Price-performance optimized storage architectures
Storage Market Trends
I/O Intensive
High Value Workloads
• Greater performance needs • Server-side storage for
performance tier via flash and cache (vSAN)
Price-Performance Optimized
Traditional IT
• Continued virtualized growth • Focus on simplifying
deployment and management • Growth in virtualization • Continue to focus here with
new PS and FFS features in Q4
Cost Optimized
Dense, XaaS, Cloud
• Highly cost-optimized dense expansion enclosures
• Server-side internal storage (dDAS)
• Growth in OpenStack
Server Cache
Server Cache
Low Cost scale-out disk
Flash Drives
All flash arrays
15K SAS Drives
10K SAS Drives
7200 NL-SAS Drives
Compressed Tier
Co
st
Pe
rfo
rman
ce
Au
to T
ierin
g
I/O performance optimized storage architectures
Confidential 29
Storage Market Trends
I/O Intensive
High Value Workloads
• Greater performance needs • Server-side storage for
performance tier via flash and cache (vSAN)
Price-Performance Optimized
Traditional IT
• Continued virtualized growth • Focus on simplifying
deployment and management • Growth in virtualization • Continue to focus here with
new PS and FFS features in Q4
Cost Optimized
Dense, XaaS, Cloud
• Highly cost-optimized dense expansion enclosures
• Server-side internal storage (dDAS)
• Growth in OpenStack
Server Cache
Server Cache
Low Cost scale-out disk
Flash Drives
All flash arrays
15K SAS Drives
10K SAS Drives
7200 NL-SAS Drives
Compressed Tier
Co
st
Pe
rfo
rman
ce
Au
to T
ierin
g
Cost-optimized storage architectures
Confidential 30
Storage Market Trends
I/O Intensive
High Value Workloads
• Greater performance needs • Server-side storage for
performance tier via flash and cache (vSAN)
Price-Performance Optimized
Traditional IT
• Continued virtualized growth • Focus on simplifying
deployment and management • Growth in virtualization • Continue to focus here with
new PS and FFS features in Q4
Cost Optimized
Dense, XaaS, Cloud
• Highly cost-optimized dense expansion enclosures
• Server-side internal storage (dDAS)
• Growth in OpenStack
Server Cache
Server Cache
Low Cost scale-out disk
Flash Drives
All flash arrays
15K SAS Drives
10K SAS Drives
7200 NL-SAS Drives
Compressed Tier
Co
st
Pe
rfo
rman
ce
Au
to T
ierin
g
Let us help accelerate your healthcare journey to efficient storage
31
Let’s identify storage project and the challenges to explore
in depth how Dell can help
Visit the Dell booth at the NVKVV
Schedule a Storage Simplification Workshop,
Leverage Dell storage consulting services
32
Thank You