Thinking Outside the Box on Disaster...

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“Thinking Outside the Box on Disaster Recovery”

A Complimentary Webinar From healthsystemCIO.comSponsored by SunGard

Your Line Will Be Silent Until Our Event Begins at 12:00 ET

Thank You!


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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 http://healthsystemcio.com/presentation/dr-grillo-webinar.pdf• Shortened URL at bottom of all slides

• View the Archive• You will receive an email when our archive recording is ready. • Separate registration is required.

http://healthsystemcio.com/presentation/dr-grillo-webinar.pdf


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Agenda — Approximately 45 Minutes

• 20-30 minutes: Jorge Grillo, CIO, Canton-Potsdam Hospital

• 5 minutes: A Word From Our Sponsor: Bryan Matsinger, Healthcare -East Region, SunGard Availability Services

• 10-15 minutes: Q&A w/Jorge Grillo


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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.


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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


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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


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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


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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


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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


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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


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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


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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


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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


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Cloud, SAS, or ASP Services

• Pluses:• Puts support and data center services on 3rd party

• Staffing is 3rd 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 3rd 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


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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


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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


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Bryan Matsinger – Healthcare DivisionSungard Availability Services


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Limited Financial Resources

Complex and Hybrid IT Environments

Greater Need for Uptime

Regulatory Compliance

Limited Personnel Resources

Challenges Facing Healthcare


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Sungard’s Recovery Model


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Pioneer

Founded and developed the concept of disaster

recovery and information availability over 30 years ago

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

Comprehensive Solutions

Sungard’s proven model takes into account technology,

infrastructure, processes and personnel

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

Sungard Availability Services Overview


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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.”


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Thank You!

• Thank you Jorge Grillo!

• Thanks to our sponsor: SunGard!

• You will receive an email when our archive recording is ready. (Separate registration is required)

• CHIME CHCIO Credits – Attending our Webinars = 1 CEU

• Questions/Comments – Anthony Guerra [email protected]

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events.

mailto:[email protected]

http://www.healthsystemcio.com/webinars

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Thinking Outside the Box on Disaster...

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