Virtual Desktop Success in Healthcare

PresentersBrian Diamond (LANStatus)Sean Donahue (RES Software)Krish Chandra (eG Innovations)

Virtual Desktop Success in Hospitals: Achieve High Performing, Consistent and Compliant Clinician Desktops

Virtual Desktops Considerations For Hospitals

Brian DiamondCEO

LANSTATUS, [email protected]

LANStatus Overview

• Founding member of Trusted Healthcare Information Solutions Alliance (THISA, recently renamed Avitas Partners

• Citrix Managed Gold Partner, VMWare Enterprise Partner, Microsoft NSI Virtualization and Systems Management partner

• Virtual Bench for Citrix Consulting Services • Client Engagements in Healthcare, Financial Services,

Insurance, Manufacturing, Media, Legal , Government and Education

Healthcare Experience

• Hospitals and Healthcare as an industry is unique• HIPAA Compliance and meaningful use• Bring your own devices (BYOD) impact on

environment• Improving the quality of patient care

Vendor Overview

• RES Software will show the day in the life of the end user and how their software is an enabler that allows clinicians to either see more patients, or spend more time with existing patients by simplifying their working experience

• eG Innovations will show how proactive management assists systems administrators in achieving a highly available, highly scalable infrastructure

Improving the Quality of Patient Care

• Eliminate downtime• Reduce performance slow downs• Provide Location based printing • Create an easier user experience• Faster delivery of applications and desktops

In the end, it is about the patient, not the computing infrastructure.

How To Achieve ConsistentClinician Desktops

Sean DonahueSenior Director, Alliance MarketingRES [email protected]

8

The RES Software Mission

To make IT organizations 10X more productive at delivering IT services and managing user workspaces.

We do this by developing technology that:

• Creates value and makes a difference for IT organizations

• Unlocks the full potential of IT people• Drives superior IT operational efficiency

9

Ever Feel You Need to be Cloned?

• Healthcare:6.4

• Finance: 4.3

• Insurance: 3.4

• Technology:3.2

About How Many Devices Do You Use a Day?

IT Trends & Challenges

Cloud-based

Technologies

Hybrid End-User

Computing

Consumerization

of IT

Macro Trends

Workstyles

Devices

App Delivery

Workers will average5 network-connected devices

per day by 2020(2) Citrix, Reported in Silicon Republic

35% of applications are browser-based, and either

thin or hosted(3) Gartner, Inc.

12M people use at least 3 connected devices and 7

applications, from 3 locations each month

(1) Source: Forrester Research

IT Impact Trends

Productivity Losses

Compliance Breaches

Rising IT Labor Costs

$7.2 million average cost per data breach

(4) Ponemon Institute

$1,586 to $3,757lost productivity per year per

corporate desktop(3) Gartner, Inc.

$686 to $872 annual cost of managing

corporate desktop(3) Gartner, Inc.

IT Challenges

The Growing Impact on IT

Is managing IT getting

too complex and costly?

Traditional Apps & PC Lifecycle Management Systems

Task Workers & Desktop PCs

Virtualized & Streamed Apps

Knowledge Workers & Laptops

Virtual & Remote Desktops

Mobile Workers & Tablet PCs

Cloud-Based Apps & Mobile Device Management

Remote/Home Office Workers & smart phones

App Delivery & Management

User Workstyles & Devices

“Client virtualization does not replace physical PCs, but instead adds significant infrastructure and costs, creating a hybrid environment of both physical virtual desktops… traditional datacenter or PC-centric approaches break down.”- David K Johnson,

Forrester Research, Inc. 2012

The Growing Impact on IT

App Delivery & Management

User Workstyles & Devices

Traditional Apps & PC Lifecycle Management Systems

Task Workers & Desktop PCs

Virtualized & Streamed Apps

Knowledge Workers & Laptops

Virtual & Remote Desktops

Mobile Workers & Tablet PCs

Cloud-Based Apps & Mobile Device Management

Remote/Home Office Workers & smart phones

Corporate IT Meets Consumer IT

But Wait! There’s More

• It’s not just about the data• How are your users going to work on that

data?

• 20% of my time is spent on “My Apps”• 80% of my time is spent on Corporate Apps

(We hope.)

Cerner

My Productivity AppsMy Mobile Apps

MDM MAM MIM EMM MOMMY!!

Angry Birds is NOT a Productivity App

Let’s Look at a Day in the Life of Ann…

Data Center

Cerner

This is Ann, our life-saving registered nurse

08:00 – 09:00 Ann starts her morning routine at the nurses’ station.

• She launches EHR from her local desktop

• She closes out notes from the previous shift

• She launches email• She accesses her

online schedule for the week

09:00 – 11:00

• Ann dashes to the ER and accesses her Workstation-on-Wheels• She’s able to login fast. Very fast.• She’s immediately productive with a consistent user experience• She launches a virtual desktop containing the EHR application• She enjoys Dynamic Print and Device Redirection

Suddenly,Roy and Johnny

burst into Rampart with a

criticalER patient!

And by 9:04 Ann is Ready to Save a Life

11:00 – 12:15The critical emergency is now happily resolved…• Ann follows her patient to the recovery ward• Ann uses her tablet to launch a VDI session• Consistency and control are her keys to

happiness• Along with Roy & Johnny, who are now back

at Station 51

12:15 – 13:00• But wait! Ann gets hungry. She decides to

change out of her scrubs and grab a snack. As she leaves the patient ward, her workspace dynamically adjusts to her location.• When she changes Wi-Fi access spots,

the EHR app is dynamically restricted• Access to sensitive patient data is now

securely revoked• But her Facebook account is now

allowed

Thanks IT!

How Do You Solve this Epidemic?

• Healthcare:6.4

• Finance: 4.3

• Insurance: 3.4

• Technology:3.2

Context Awareness

Location and Device Awareness

Examples:• Network location• OS type• Access Type• Application version• USB storage• Hardware spec• Wi-Fi hot spot

Enterprise Class Management

• Single management console

• Lightweight architecture

• Just a few clicks away

What Do We Conclude?

Combine a solid EMM plan with Workspace

Virtualization and give your users the bling without the sting.

How To Achieve High Performing, Clinician Desktops

Krish ChandraDirector, Solution EngineeringeG [email protected]

About eG Innovations eG Innovations dramatically simplifies and accelerates

performance management across mission-critical virtual, cloud and physical IT environments

Only eG Innovations award-winning root-cause diagnosis technology can automatically pinpoint performance issues by auto-correlating the user’s service experience with the underlying infrastructure and application components

Deliver exceptional performance, user productivity, and ROI

WorldwideLocations

New York, New Jersey, Boston, Chicago, Los Angeles, Dallas, Austin, Singapore, London, The Hague, Chennai

Customers Over 1,000 customers worldwide

Awards& Recognition

VDI Performance Assurance

Virtualization

Desktop

Brokers and

Support Systems

Performance management for VDI is

extremely unique as you need a solution that combines multiple

different performance management

methodologies

VDI

Monitor

VDI Service, not Silos

Deep

Visibility into

Sessions


Right-Size for Great

ROI

Monitor Users,

Not Just VMs

Preemptive Detection & Alerting

Monitor


Deep

Visibility into

Sessions


ROI

Monitor Users,

Not Just VMs



VDI is slow

VDI is not working

VDI freezes often

Users care about the “service”

The CPU usage ofthe VMware servers

is ok.

The DNS servers areresponding well to

queries.

IT operations teams focus on infrastructure silos

This disconnect is a threat to the success of transformational IT initiatives & the promise of agility, scalability, and cost savings!

The User / IT Management Disconnect

Monitor


Monitor the VDI Service, Not Silos

Know when user access is

slowing

Monitor


Monitor the VDI Service, Not Silos

Get 360o Visibility

Know which tiers are working and which are not.

Monitor


Virtual Server Monitoring Solutions cannot give you 360o visibility.They focus on the virtualization platform only.

Monitor Every Layer, Every Tier

The VMs looks fine. vCenter does not show any alert.

There is an alert indicating an issue within the virtual

desktop.

The hypervisor looks fine.

Monitor


Monitor Every Layer, Every Tier

Oops – there is 26% retransmission from the virtual desktop

Monitor


Automatic Root-Cause Diagnosis

Root-cause

The effect of the problem

Deep visibility into every layer, every tier, & service-based correlation enable rapid/accurate diagnosis of performance issues.

Monitor


Monitor


Deep

Visibility into

Sessions



ROI

Monitor Users,

Not Just VMs


Know usage patterns and trends for effective capacity planning and load distribution.

Plan Based on Usage Report

Top users, Top applications


ROI

Get More Out of Your Investment

Track user sessions on each server


ROI

A few of the servers are handling most of

the sessions


ROI

Know How to Invest WidelyFind your VDI bottlenecks

Monitor


Deep

Visibility into

Sessions



ROI

Monitor Users,

Not Just VMs



Broad Coverage Deep Insights

- LUN queue length

- VM CPU Ready

- TCP Retransmissions

- Memory leaks

- Profile sizes

VirtualPhysical

Cloud

Storage Application

NetworkDatabase

Virtualization

It is important to have the right metrics

Look for domain expertise in VDI, collect the right metrics.Otherwise, it will be a case of “Garbage in, Garbage out”!


Preemptive detection & alerting lets administrators see and fix problems before users notice

Auto-Baseline Key Metrics• Auto-compute time-of-day baselines• Alert administrators when metrics violate baselines



The domain server goes down, pulling down the VDI service. Why? Event history provides a clue …

A Preemptive Alerting ExampleReal-World Scenario

The domain server has failed and rebooted.

5 hours earlier, a pro-active alert about

memory leak!

Monitor


Deep

Visibility into

Sessions



ROI

Monitor Users,

Not Just VMs


Monitor Users, Not Just VMs

• Workload of the VM is user-dependent• When a user complains, need to know which

physical server and VM they are on • Need to know who the top users are for

capacity planning• User information required for billing, capacity

planning

Poor user experience impacts VDI success. So focus on monitoring users, not just VMs!

Monitor

Users, not just VMs


Know which ESX/Xen server he/she is logged on to

Monitor

Users, not just VMs

When a user calls, search for the user


See all the other users logged on to the same

ESX/Xen host.

See performance issues at the user level so you can fix and right-size your VDI environment for user satisfaction.

Monitor

Users, not just VMs

Monitor


Deep

Visibility into

Sessions



ROI

Monitor Users,

Not Just VMs


Deep Visibility Into Sessions

CPU usage inside a

virtual desktop is high

Deep

Visibility into

Sessions

Deep Visibility Into Sessions

The top CPU process is Windows Media Player. The user is watching a

movie

Deep

Visibility into

Sessions

Accelerate problem resolution by understanding why a VM is consuming resources.

Monitor

VDI Service, not

Silos

Deep

Visibility into

Sessions



ROI

Monitor Users,

Not Just VMs


“Dramatically simplify and accelerate VDI performance

management. Deliver peak performance, user satisfaction and ROI.”

VDI Performance Assurance Benefits

VDI Performance

Assurance

IT Productivity

Higher service uptime

Simplicity

User Satisfaction

Cost control & ROI

Q&A

Next StepsMore Details www.lanstatus.com | www.ressoftware.com | www.eginnovations.com

Contact [email protected]

RES [email protected]:@Seando40

eG Innovations (US)[email protected]

http://www.lanstatus.com/

http://www.ressoftware.com/

http://www.eginnovations.com/

mailto:[email protected]



Date post:	21-Dec-2014
Category:	Technology
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