VMworld 2013: Gaining Insight in Meditech with vCenter Operations Management Suite

Gaining Insight in Meditech with vCenter Operations

Management Suite

Drew Koerner, VMware

Brad Maltz, International Computerware, Inc

VCM4870

#VCM4870

Brad Maltz VCDX#36 and vExpert

Drew Koerner Health Care Industry Consultant

VCM4870 - Gaining Insight in Meditech with vCenter Operations Management Suite

Copyright © 2013. Lumenate Technologies, LP. All rights reserved.

Lumenate is a technical consulting firm that helps clients Architect, Deploy and Manage their Data Center, End User Experience, Security, and Cloud

solutions.

Welcome to Lumenate

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“The art of medicine consists of amusing the patient while nature

cures the disease.” ― Voltaire

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Whats the issue?

Meaningful Use and the Electronic Health Record

The Issue

– Healthcare needs an extra level of correlation

– An IT centric view does not allow healthcare technical staff to decipher a clinicians issue

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Meditech and Other EHR’s

– Meditech is one of the top EHR’s along with Epic, Cerner, Allscripts and many more

– These systems are heavy applications with a non technical end user community

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“What’s the issue?”

– When a clinician describes an issue within Meditech, the issue is something like this:

• “That screen was slow when looking at the Patient Discharge Queue.”

• “Why does it take forever for a script to get to the pharmacy?”

• “My reports are very slow when I am in the ER Module.”

– How is IT supposed to troubleshoot?

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How much does of downtime cost?

This equates at 1% of downtime a year to approximately 1.4 million dollars!

Estimates for a 1 minute of downtime for a 500 bed hospital at $264.

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Step 1 – VMware vC Ops

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VMware’s Approach to Automating

Operations Management

Progressive

INTEGRATION

Patented

ANALYTICS

Powerful

VISUALIZATION

Performance

Capacity

Configuration + +

• Actionable intelligence from a sea of data

• Comprehensive visibility across the entire stack

• Rapid problem resolution for greater productivity and less cost

• Proactive approach to ensure infrastructure / app performance

The Role of Operations Management

Monitor

Isolate Remediate

! Problem

Slow performance

Config issue Rollback change

Plan

Optimize Automate

Maintenance

Utilization / forecast

Reclaim capacity Orchestrate changes

Ensure and Restore Service Levels

Optimize for Efficiency and Cost

Reactive Proactive

Slide 14

Understand Normal Metric Behavior

• Unable to understand normal range

of metrics

• Is 65% usage normal for an hour,

day, week or month?

• Or, is it the beginning of a

problem?

• Visibility into normal operation of every

metric in VC

• Continuous, automatic learning of

normal behavior

• Understand metric behavior based on history

• Project forward future behavior hours or days in advance

• Remove guess work and confusion, clarify expectations

• Equivalent of 10 people watching, measuring and adjusting system constantly.

BEFORE AFTER

Increased Visibility into Performance

• Lack of holistic VC environment view

• Can’t determine state of all elements (clusters, hosts, guests) at once

• Overwhelming details obscure valuable information.

• Single pane of glass

• All VC data contextually consolidated

One click to any detail

• Filters on “all” “normal” and “problem”

Searches on any string.

• Visibility, comprehension of virtualized environment in one screen

• Better product usability

• Visually isolate problems via a “HUD” for vCenter

• Unnecessary details hidden until necessary.

BEFORE AFTER

Slide 16

Reduced Complexity

• Administrators blind to brewing problems

• Too much data, too many clicks • Preset thresholds, many details • Impossible to understand

health of elements

• Reduce complexity of usage

• Remove guesswork, provide clarity into the environment

• Speed up MTTR

• Enable administrators to do more with less.

• Provide a single measure of

normality across all virtualized

elements – Health

• Automatically aggregate, correlate

states of 100s of metrics into two

scores for each element – Health

and Workload

BEFORE AFTER

Increased Visibility into Dependencies

A change to this EMR App Server

Directly affects this EMR Server

Could impact these PACS Web Servers

Potential impacted clients

Get better visibility into physical AND virtual infrastructure & applications

Downstream affect on this HL7 server

VMware vCenter Operations Manager

– VMware vC Ops is an industry leading Event Correlation Platform for

• Troubleshooting

• What If Analysis

• Health Reporting

• Root Cause Analysis

• And More…

– BUT…

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Out of the Box

– VMware vC Ops is very IT specific

– Correlation of Application, VMware, Servers, Network, Storage and More

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vC Ops Adapters

– An Adapter is a translation mechanism that can take data from a source and convert it to vC Ops Data

– There are Out of the Box Adapters

– As well Custom Adapters can be written

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What’s so Special about the Meditech Adapter?

Its all in the Language

– We needed to enable an IT Administrator to be able to troubleshoot based on what a clinician was complaining about

– Use Native Meditech Language and Statistics in vC Ops

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How the Adapter was Architected

– The method of delivery is CSV File

• The File Timestamp will be used by vC Ops for time reference

– Needed to create a hierarchy

• In this case we use the Host (VM), the HCIS and the database (module)

– VMNAME, HCIS Name, Database, , Module, Statistic Name, Metric

– FS01, T6.0.7F, MIS, Messages, ITS Documentation from EMR, 24

– Keep it Simple but Robust to support all Meditech Modules

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Criteria during architecture

– Needed to support multiple VM’s with Same HCIS/Modules

– Needs to not add performance hit on Meditech

– Needs to be scalable across all size customers

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Prototype Meditech Dashboard

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Hierarchy relating metric back to VM

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Create your own dashboard with the metrics you want!

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Smart Alerts created based on KPI

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Thank You.

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33

Other VMware Activities Related to This Session

HOL:

HOL-SDC-1301

Applied Cloud Operations

Group Discussions:

VCM1002-GD, VCM1004-GD

Cloud Operations with Hicham Mourad or Sam McBride

VCM4870

THANK YOU

Gaining Insight in Meditech with vCenter Operations

Management Suite

Drew Koerner, VMware

Brad Maltz, International Computerware, Inc

VCM4870

#VCM4870