Gwinnett Medical Center relies on HP to help meet care goals Leverages HP storage and server solutions to manage growth and costs “Our No. 1 technology challenge continues to be managing explosive growth – particularly when it comes to data. Five years ago, we were managing about a terabyte of data. Today, we have more than 250 TB with no signs of slowing.” − Rick Allen, Assistant Vice President – Information Systems, Gwinnett Medical Center Industry: Healthcare HP customer case study: HP StorageWorks Enterprise Virtual Arrays, HP Medical Archive solution, HP ProLiant servers and server blades, HP StorageWorks Modular Smart Array, McKesson applications and HP Services Objective: Continue patient care excellence while managing explosive growth in service demand, medical information volume and technology costs Approach: Team with HP and other business technology leaders to develop and deploy innovative new solutions that promote quality care, information access, cost efficiencies, flexibility and service continuity Business technology improvements: • Add storage “on the fly” and on demand • “Work smarter” through integration and automation • Save valuable computer-room floor space • Improve efficiency and cost-effectiveness through server virtualization and consolidation Business benefits: • Faster time-to-diagnosis and treatment • Continuity and disaster protection for critical applications and image archives • Improved patient billing and accounts receivables • Lowered power and cooling costs • Increased efficiency frees staff for more productive projects • Achieved compliance with HIPAA and other regulatory requirements Gwinnett manages growth pains with teamwork Gwinnett Medical Center serves Georgia’s Gwinnett County – one of the fastest growing counties in the United States. Located northeast of Atlanta, the county’s population has increased by more than 11 fold in the past 40 years. The Gwinnett Medical Center – with four hospitals, 500 beds and 800 physicians – provides care to more than 400,000 patients annually. In recent years, the hospital system has experienced nearly 100 percent occupancy, prompting the construction of new facilities including the Gwinnett Medical Center in Duluth, GA, and a 155-bed patient tower addition to the Gwinnett Medical Center in Lawrenceville. Despite the challenges posed by unrelenting demand for new and expanded services, Gwinnett has consistently maintained the highest levels of patient “With the HP StorageWorks EVA’s virtualized storage and the MAS grid architecture, we can simply snap in new storage whenever we need it – growing on demand. We never have too much or too little.” − Rick Allen, Assistant Vice President – Information Systems, Gwinnett Medical Center Gwinnett recently upgraded its HP SAN fabric with HP StorageWorks 4/256 SAN Director B-series directorclass switches. The powerful 4 Gb/s Fibre Channel switches provide robust, continuous operation with built-in redundancy and hot-pluggable components. “Our upgrade to HP director-class switches was another step in our goal of 100 percent uptime,” Allen says. “In the past, to upgrade a small switch we would have to take the whole thing down. Now, we can perform upgrades and failovers from one switch to another and maintain availability across the fabric. HP pre-sales engineers validated our design and we implemented the switches ourselves.” Clear choice for image archiving and availability HP EVA-based SAN and HP MAS systems enable Gwinnett to efficiently manage explosive growth in storage demands. “Just five years ago we had about one terabyte of total storage on the floor,” Allen notes. “Today, we’re managing 250 TB, and we are about to care quality. According to Rick Allen, Gwinnett’s add another 40. That’s huge growth, and represents Assistant Vice President, Information Systems, one of the ways in which the hospital system has been able to one of our biggest technology challenges. With the HP EVA’s virtualized storage and the MAS grid continue to provide top quality care and expand services is by working closely with key partners such as architecture we can simply snap in new storage whenever we need it – grow on demand. We never HP and McKesson Corporation. “For instance, we have too much or too little.” were one of the earliest users of the HP Enterprise Virtual Array (EVA) storage systems, and we worked hard to certify the HP Medical Archive solution (MAS) with our McKesson Picture Archive and Communication System (PACS) back in 2003,” Allen explains. “We have worked with both HP and McKesson on many other applications that are critical to our operations.” Robust HP storage solutions are highly manageable and vital for hospital information Gwinnett uses its HP EVA storage-area network (SAN) system – which features five EVA systems split between its two data centers – to support almost all of its critical clinical and enterprise management applications. For example, the EVA SAN supports the hospital system’s full range of McKesson applications, including electronic medical record, pharmacy, physician portal, surgical management, PACS and radiology operations. “We have a small staff to manage all of our storage resources,” Allen notes. “When we originally made the move to a SAN environment, we compared the HP EVA systems to everything else on the market – including IBM, EMC, Xiotech and many others. I came from banking and would have bought Big Blue if given the chance, but the HP EVA was the easiest to manage – bar none. For each expansion since then, we have looked at all of our options and made sure that the EVA was still the right choice. It gives us the availability we need and the virtualization layer makes it easy to manage. If it’s important to us, we put it on the EVA.” Along with painless storage growth, HP MAS provides Gwinnett with essential image archive management capabilities, uptime and performance. The hospital system performs and stores more than 350,000 new digital imaging studies annually. HP MAS gives Gwinnett asynchronous replication of its PACS image data between the hospital system’s two main data centers. “When you start talking about things that make me lose sleep at night, online medical data access is the biggest concern I have,” Allen says. “We’re quickly getting to the point where every piece of medical information will only be available online. There will soon be no paper records or charts. Our systems must be built for near 100 percent uptime; nothing else will do.” The hospital system recently migrated its entire cardiology image archives – including catheterization lab, echocardiography and vascular ultrasound – to HP MAS. “We had been storing cardiology images on DVDs,” Allen explains. “Our data center operators were spending valuable time chasing DVDs, rather than doing their proper functions. Moving the cardiac image archiving function to HP MAS has saved us at least one-quarter FTE (full-time equivalent person) – time that was previously tied up mounting, moving and storing DVDs.” 2 “Our HP-based technology solution ultimately yields faster time-to-diagnosis and treatment for our patients. On the business side, we’re more protected, efficient and compliant. In addition, we can recoup patient payments faster, and save money on power and cooling – a huge plus in these hard economic times. HP has also helped us improve our bottom line while becoming greener, and that’s a great combination.” − Rick Allen, Assistant Vice President – Information Systems, Gwinnett Medical Center Katrina teaches importance of continuity According to Allen, Gwinnett plans to protect patient data even further by replicating medical images to a remote HP MAS grid at a secure storage facility at Iron Mountain. This off-site disaster recovery will provide additional protection in case a regional disaster wipes out Gwinnett’s two main data centers. “I learned a powerful lesson in the Katrina disaster,” Allen explains. “Most of my family lived in the New Orleans area and they were forced to move when the hurricane struck. My grandmother’s medical records were completely lost in the flooding. I know what level of protection we have to provide to our patients. If we lose everything here at Gwinnett, we’ll just need to get a PACS system up and running anywhere in the world and we can point it to the copy on the HP MAS at Iron Mountain.” ProLiant DL580 servers to support the Oracle 10g RAC database layer and ProLiant c-Class server blades for the new solution’s application layer. Explains Allen, “We are deeply involved in the development of this new McKesson solution and, therefore, influence many design decisions – including the platform it would run on, HP servers. It’s perfect for us because we get an end-to-end HP solution that we know is going to deliver the availability and functionality we demand.” For many new and some existing applications, Gwinnett relies on VMware virtual servers running on HP ProLiant physical servers; whenever possible, the servers are HP server blades. “By emphasizing HP blade technology and virtualized servers we are beginning to achieve greater efficiency in floor space and energy use. We are very space challenged in our data centers, so saving space has been our number Healthy mix of HP ProLiant servers, blades and one objective. The fact that we also save on cooling virtualization yields savings In addition to critical storage, Gwinnett relies on HP for and power is a welcome bonus.” an increasing percentage of its server resources. Treating the enterprise as a whole: Exchange 2007 “While we currently run a pretty evenly mixed shop e-mail for all between HP and IBM systems, we are using HP server Until Gwinnett implemented Microsoft Exchange Server blades whenever possible going forward,” Allen 2007, only about half the hospital system’s 4,300 explains. The hospital system uses about 450 servers. employees had an official e-mail address. The new e“We have HP-UX, Microsoft Windows® Server 2003, mail system runs on clustered IBM servers and uses the Red Hat Linux and AIX. However, for our newest HP EVA SAN for centralized storage. The Gwinnett applications, we’re turning to HP ProLiant server Exchange 2007 implementation team relied on HP blades and server virtualization through VMware in pre-sales engineers to help validate its infrastructure order to reduce operating cost and improve design and consulted HP best-practices white papers utilization.” for additional guidance. HP ProLiant server blades play a major role in the “We brought Microsoft Exchange 2007 up for our hospital’s innovative new McKesson Horizon Enterprise Information Systems department soon after Exchange Revenue Management™ system. McKesson, HP and was released,” says Allen. “Four months later, we cut Gwinnett developed the solution jointly using HP 3 Customer solution at a glance Enterprise infrastructure management with HP StorageWorks Enterprise Virtual Arrays (EVA), HP StorageWorks Modular Smart Arrays, HP Medical Archive solution (MAS), HP ProLiant servers and blade servers, VMware virtual servers, McKesson healthcare management applications Primary applications • Picture Archive and Communication System (PACS) Primary hardware • 5 HP StorageWorks Enterprise Virtual Arrays (EVA) • 2 HP StorageWorks Modular Smart Array (MSA) systems • 3 HP StorageWorks 4/256 SAN Director B-series director-class switches • Electronic Medical Record (EMR) • 150 HP ProLiant servers, including models DL360 G3/G4, DL380 G3/ G4 and DL580 G3/G4 • Laboratory and pharmacy management • 50 HP ProLiant c-Class server blades • McKesson healthcare management applications: • Horizon Medical Imaging™ • 2,500 HP desktop systems, including models dc7700, dc7800 and dc5100 • Horizon Radiology Manager™ • 450 HP printers, ranging from LaserJet 4si to LaserJet 4250 • Horizon Patient Folder™ Primary software • HP Medical Archive solution (MAS) with 60+ TB of storage • Horizon Business Insight™ • ROBOT-Rx® • Horizon Meds Manager™ • HorizonWP ® Physician Portal • Horizon Surgical Manager™ • Horizon Enterprise Revenue Management™ • Pathways Financial Management™ • Microsoft Exchange Server 2007 • Oracle Database 10g • Red Hat Linux 4 operating system • Microsoft Windows Server 2003 operating system • HP-UX operating system • IBM AIX operating system • HP Systems Insight Manager (SIM) software HP Services • Design validation through the HP Presales organization • White papers to assist in design and implementation • 24x7 support for all systems • Proactive 24 support for storage systems over the entire organization – including the 2,000 who had been on GroupWise and more than 2,000 others who had no enterprise e-mail. Because of Exchange’s single-instance storage capability and continuous replication, we were able to implement e-mail for the entire organization in the same storage footprint and provide a high level of availability and continuity.” Rx for a healthy medical center “Our HP-based technology solution ultimately yields faster time-to-diagnosis and treatment for our patients,” concludes Allen. “On the business side, we’re more protected, efficient and compliant. In addition, we can For more HP StorageWorks customer stories, go to www.hp.com/go/storage/casestudies © Copyright 2008 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. The only warranties for HP products and services are set forth in the express warranty statements accompanying such products and services. Nothing herein should be construed as constituting an additional warranty. HP shall not be liable for technical or editorial errors or omissions contained herein. This customer’s results depended upon its unique business and technology environment, the way it used HP products and services, and other factors. These results may not be typical; your results may vary. Microsoft is an HP supplier as well as an HP customer. Microsoft and Windows are trademarks of Microsoft Corporation. UNIX is a registered trademark of The Open Group. Oracle is a registered trademark of Oracle Corporation and/or its affiliates. Other trademarks are the property of their respective owners. 4AA2-1652ENW, August 2008 recoup patient payments faster, and save money on power and cooling – a huge plus in these hard economic times. HP has also helped us improve our bottom line while becoming greener, and that’s a great combination.” About Gwinnett Medical Center Gwinnett Medical Center (www.gwinnetthealth.org) is a not-for-profit healthcare network providing high quality facilities and services to Gwinnett County and surrounding communities. With over 4,300 employees and 800 physicians, GMC provides care to over 400,000 patients annually.