remoted-sky-lakes-medical-heart-will-get-large-wins-with-new-infrastructure

Remoted Sky Lakes Medical Heart will get large wins with new infrastructure

As the one hospital in a ten,000-square-mile space, Sky Lakes Medical Heart supplies a whole vary of medical companies for the residents of 4 rural counties, together with most cancers remedy, joint and spinal care, diagnostic imaging, and an assortment of major and specialty doctor clinics.

Positioned in Klamath Falls, Oregon, Sky Lakes Medical Heart is a not-for-profit, community-owned, internationally accredited acute care instructing hospital serving greater than 80,000 individuals in south-central Oregon and northern California.

THE PROBLEM

“As a crucial element of the neighborhood’s healthcare heart, the Sky Lakes info companies division responds to crucial and typically competing calls for: Ship unfailing reliability and availability from our infrastructure for lifesaving affected person care, and do it on a modest finances,” stated John Gaede, director of data techniques at Sky Lakes Medical Heart.

“As director of Sky Lakes info companies, I’ve spent years making do with what we had: 4 racks of conventional three-tier info expertise structure – together with a rack of blade servers operating 500 digital machines and 200 terabytes of storage in a single information heart – and solely a group of six to handle all of it,” he stated.

In a neighborhood hospital, anybody who works in IT wears a number of hats: A community administrator could possibly be doing every part from fixing a PC to configuring switches or fixing wi-fi issues, all in the identical day, he added.

“We are actually in a position to isolate and assign distinct safety zones for particular endpoints and functions in our standalone neighborhood hospital. Historically, this may solely have been obtainable in very massive healthcare organizations with deep technical personnel benches and pocketbooks.”

John Gaede, Sky Lakes Medical Heart

“In late 2016, it turned clear that main upgrades to our core IT infrastructure can be vital,” he recalled. “Servers and storage have been nearing the top of help. On the identical time, Sky Lakes’ diagnostic imaging clinicians have been desirous to undertake new instruments that require huge quantities of information processing and storage.

“I knew we needed to be good about tackling the large challenges we confronted,” he continued. “With our restricted sources, we wanted to discover a means to offer state-of-the-art, extremely obtainable and dependable IT infrastructure to help healthcare when affected person lives depend upon it.”

PROPOSAL

To unravel this drawback, Sky Lakes turned to hyperconverged infrastructure (HCI). As a substitute of managing separate however built-in compute, storage and networking tiers, now the IT group may unify and handle all of it in a single answer.

“Hyperconverged infrastructure brings one thing we’d like desperately in the neighborhood hospital: simplicity,” Gaede defined. “We do not have sufficient hours within the day or sufficient cash in a yr to do all of the issues we have to do for the group. Options that simplify our infrastructure assist us an ideal deal.

“To verify we discovered the suitable associate, my group undertook in depth HCI vendor evaluations of 5 potential options,” he stated. “By way of a rigorous nine-month course of, Cisco received us over with the simplicity of Cisco HyperFlex, its dedication to the answer and an attainable implementation roadmap.”

MEETING THE CHALLENGE

To this point, Sky Lakes has migrated all of its workloads to Cisco HyperFlex, together with medical techniques for the Most cancers Therapy Heart, perinatal monitoring and radiology imaging, operating two clusters with a complete of 16 nodes.

“We’re not defining solely sure workloads for HyperFlex. We’re all in,” Gaede stated. “Sky Lakes is operating about 634 digital servers and each taste of system on Cisco HyperFlex, and with Cisco Intersight we have now a single pane of glass for administration.

“The small footprint of HyperFlex additionally supplies Sky Lakes with financial savings on energy and cooling,” he continued. “By lowering 4 racks of compute, storage and networking to simply two-thirds of 1 rack, Sky Lakes now spends 70% much less on information heart energy utilization. The compact, comparatively self-contained platform now permits Sky Lakes to completely replicate the complete HyperFlex setting.”

Previously, it will have been a lot much less environment friendly and extra pricey to do with a number of techniques. Now the group has full redundancy, he added.

Gaede additionally breathes extra simply, understanding that affected person info is safe, with HyperFlex information storage drives self-encrypted on the core. As well as, Sky Lakes is implementing a full portfolio of enterprise security measures, together with Cisco DNA Heart community administration, a cloud-based safe Web gateway, firewalls and safety analytics.

“Micro-segmentation in our community is large,” Gaede famous. “We are actually in a position to isolate and assign distinct safety zones for particular endpoints and functions in our standalone neighborhood hospital. Historically, this may solely have been obtainable in very massive healthcare organizations with deep technical personnel benches and pocketbooks, and it helps us defend medical techniques, even when many distributors battle to maintain up with safety updates.”

Sky Lakes prolonged the system to its new Collaborative Well being Heart, which supplies a single location for 5 clinics to extend affected person entry to healthcare. As well as, Sky Lakes applied Cisco’s upgraded networking spine, wi-fi and unified communications system, operating on HyperFlex and managed by means of Intersight.

By operating the unified communications system on HyperFlex, Sky Lakes now is ready to effectively and economically full an enterprise-wide transformation of its complete legacy cellphone system, Gaede stated. Sky Lakes additional built-in Stanley Healthcare Applied sciences with Cisco DNA Areas for real-time location companies (RTLS) and temperature monitoring of significant lifesaving tools and drugs.

RESULTS

When COVID-19 hit the neighborhood, due to the expertise already in place, Sky Lakes was in a position to arrange a drive-through testing web site in 24 hours and set up telehealth capabilities in 48 hours.

When the primary COVID-19 vaccine arrived at Sky Lakes, there was no time to waste. Inside three hours of receiving the primary doses, Sky Lakes administered its first shot and stood up a name heart for scheduling vaccinations over a weekend. Immediately the decision heart was in a position to tackle as much as 1,000 calls at a time.

Sky Lakes additionally applied a robotic operating on the Cisco wi-fi options to do bedside visits. The end result was the power to scale back using PPE and supplier publicity, whereas nonetheless managing to appropriately deal with COVID-19 sufferers and finally discharge them house to extra absolutely get better.

“As famous, by lowering 4 racks of compute, storage and networking to simply two-thirds of 1 rack, Sky Lakes now spends 70% much less on information heart energy utilization,” Gaede stated. “The compact, comparatively self-contained platform now permits Sky Lakes to completely replicate the complete Cisco HyperFlex setting at a second information heart.”

ADVICE FOR OTHERS

In healthcare, most organizations function on a margin of three% or much less, so investments should be completely strategic, Gaede said.

“What drove Sky Lakes to make investments in superior applied sciences like hyperconverged infrastructure and Intersight is efficiencies,” he suggested.

“With restricted budgets and sources, there may be all the time extra demand for applied sciences than there are individuals or sources, so we’d like applied sciences that make us extra environment friendly and are extremely obtainable as a result of they’re crucial to affected person care.

“With applied sciences that present actual efficiencies, we’re in a position to shortly stand-up options in pressing conditions – crucial to saving lives,” he concluded.

Twitter: @SiwickiHealthIT

E-mail the author: bsiwicki@himss.org

Healthcare IT Information is a HIMSS Media publication.

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