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Test Code : 000-002
Test name : IBM Tivoli Storage Productivity focus V4.1 Implementation
Vendor name : IBM
real questions : 126 true Questions
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Healthcare providers deal the expanding demands of holding electronic scientific statistics for patients and institutions.
Michael Passe, storage architect for Beth Israel Deaconess medical center, has a problem on his arms - to digitize 85% of patient statistics for the 556-bed Boston medical institution via 2010 and build it available to physicians in quite simply purchasable digital kind.
Beth Israel staffers are tackling the laborious project of scanning affected person charts and records and integrating them with medical photographs, along with imposing enough storage each and every yr to accommodate electronic medical information (EMR) for patients.
The challenge is one each health facility and medical professional's office within the country faces. President George Bush's fitness assistance technology scheme mandates that patients fill electronic clinical statistics with the aid of 2014.
"more and more visual information is being digitized, accelerating the already-explosive multiply of required storage faculty - specially at intense resolution ranges ordinary to scientific environments," says David Freund, senior analyst for Illuminata. "The decent tidings is that digital photographs are a remarkable deal more straightforward for medical personnel to govern and to partake amongst colleagues, no matter if they are across the hall or throughout a continent. however this is additionally the perilous news, since it compounds the tracking and retention affliction faced by means of many organizations."
EMR implementationAt a glance: HEALTHCARE
With Beth Israel now within the early stages of EMR deployment, about 35% of its records is in digital layout, with the remainder in paper, Passe says. he is working toward the train of having 85% of the health facility's information digitized via 2010.
At that element, the remaining 15% of facts should be scanned as Adobe Acrobat PDF data. every minute thing else, including X-rays and diagnostic pictures from the health facility's photograph Archiving and Communications materiel (PACS) photo-administration gadget, admission tips and transcribed information, might be incorporated with the EMR equipment.
Such storage calls for reason an immense headache for Passe. "As that you could arbiter about, over the last two years the numerous formats and tips they deserve to retain has had a major repercussion on storage both in my zone and in the cardiology and radiology departments," he says.
to meet this burgeoning want for storage, Passe assign in an EMC Symmetrix 3930 array, two Clariion CX600 storage systems and an EMC Centera content material-addressable storage gadget. He additionally adopted an tips life-cycle administration approach to store and support the statistics, some of which ought to be saved for as long as 30 years.
Passe's desirable tier of storage, the space present EMR information resides, is 22T bytes of EMC Symmetrix DMX storage. "As statistics turns into accessed less generally, it's moved to forty terabytes of midtier EMC Clariion storage," Passe says. "And, as the records extra a while it is moved off to 9.6 terabytes of Centera storage for a protracted-time era archive."
The repercussion of EMR and PACS on storage is mammoth for Passe. One computed tomography (CT) exam can hoist as much as a 1G byte of storage. Passe at present has a 50T byte storage-enviornment community (SAN ).
"in case you reliance that a digital X-ray is set 10M bytes of storage at a minimal, then a ample health facility is likely to require a few terabytes of storage just for X-rays, no longer including linked affected person files," says Stephanie Balouras, senior analyst for Forrester analysis. "Then as a result of this assistance has to be retained for two decades or probably for a patient's total lifestyles, the long-term storage requirements are pretty enormous."
The volume of statistics being stored on Beth Israel's SAN has grown via as a remarkable deal as 200% a yr on account of document storage. With the EMC SAN and its tiered-storage scheme in location, Passe estimates that this multiply will gradual to about 25% to 30% a yr.
Elaine O'Bleness, director of fitness recommendation functions for Banner health custody in Greeley, Colo., has viewed the upside of EMR. She deployed an Optio QuickRecord ingenious Hub (an appliance that indexes and organizes EMR information) to manipulate her Fuji PACS and EMR facts.
"we now fill had complete laboratory, radiology and complete transcribed reviews, plus complete factor of Look after nursing in QuickCharts," O'Bleness says. QuickCharts gives clinicians intranet and far flung entry to QuickRecord fitness information.
"we now fill three EMC Clariion CX600s they exhaust for PACS in radiology and cardiology, but they must comprise into QuickRecords storage, as neatly," says Mike Brachtenbach, senior community analyst for Banner, who manages 18T bytes of storage. QuickRecord statistics is saved on an IBM disk connected to the enterprise's RS/6000 host laptop. The RS/6000 communicates with the EMC Clariion SAN. Brachtenbach is calling at adding an EMC Centera to his SAN for deep archiving.
one of the vital healthcare firm's largest challenges with EMR is scanning paper documents into the QuickRecords equipment. "Scanning is enormously labor-intensive, no longer to mention the proven fact that it takes up a lot of zone and when you are carried out you most efficacious fill a chunk of paper that is digital that you simply can not enact the rest with," O'Bleness says.
in response to Optio, scanned reports can hoist 10 to twenty instances more elbowroom than an EMR.
"With QuickRecords, they now fill eradicated approximately 60% of requests for actual scientific statistics and worn out health tips administration backlogs," O'Bleness says.
John younger, a senior techniques engineer at Presbyterian fitness custody services in Albuquerque, N.M., is too imposing EMR during his corporation. he's tying together a few clinical systems and a McKesson PACS.
"EMR and PACS has had a 200T byte fill an outcome on on their storage," younger says. "we're experiencing a 20% growth cost per yr. when they should preserve information for up to twenty years, it's a ample subject to deal with."
Presbyterian fitness custody carrier outlets its medical statistics on an IBM enterprise Storage Server and two DS4400 storage arrays with 7T to 8T bytes of storage, which freight his company about $1.2 million to implement.
Three to 6 months of PACS and EMR facts is firstly saved on an IBM enterprise Storage Server at Presbyterian health custody services. because the statistics ages, it's moved to the DS4400s for 12 to 18 months. ultimately it's archived on IBM 3590 limited Tape Open tape library with IBM Tivoli Storage supervisor.
"From a technical viewpoint, they now fill seen advantages from implementing this SAN," green says. "we fill storage on demand, less difficult preservation, standardization and time discounts."be trained extra about this subject matterHealthcare All-Stars gain scholarship of concerning the most answerable advanced technology
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05/17/05be a partake of the network World communities on facebook and LinkedIn to paw upon topics that are privilege of intellect.
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