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Test Code : 000-002
Test designation : IBM Tivoli Storage Productivity focus V4.1 Implementation
Vendor designation : IBM
: 126 real Questions

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IBM Tivoli Storage Productivity focus V4.1 Implementation exam

Healthcare's storage wants jump | 000-002 real Questions and VCE practice Test

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 compose 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 device mandates that patients gain electronic clinical statistics with the aid of 2014.

"more and more visual information is being digitized, accelerating the already-explosive augment of required storage aptitude - specially at violent resolution ranges ordinary to scientific environments," says David Freund, senior analyst for Illuminata. "The decent intelligence is that digital photographs are a mighty deal more straightforward for medical personnel to govern and to participate amongst colleagues, no matter if they are across the hall or throughout a continent. however this is additionally the Dangerous news, since it compounds the tracking and retention affliction faced by means of many organizations."

EMR implementation

At a glance: HEALTHCARE
  • commercial enterprise healthcare spent an estimated $27 billion on IT capabilities in 2004, research difficult In-Stat estimates.
  • The Bush administration desires any U.S. patients to gain an electronic medical listing (EMR) with the aid of 2014.
  • currently, 20% to 25% of hospitals and 15% to twenty% of health professional's offices gain adopted EMR techniques, in line with RAND.
  • RAND forecasts that adoption of EMR could store $seventy seven billion per yr and trigger a 4% raise in IT productivity.
  • With Beth Israel now within the early stages of EMR deployment, about 35% of its records is in digital layout, with the residuum 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 live scanned as Adobe Acrobat PDF data. every microscopic thing else, including X-rays and diagnostic pictures from the health facility's photograph Archiving and Communications apparatus (PACS) photo-administration gadget, admission tips and transcribed information, might live incorporated with the EMR equipment.

    Such storage calls for reason an immense headache for Passe. "As that you could cogitate about, over the terminal two years the numerous formats and tips they deserve to retain has had a major impact on storage both in my area and in the cardiology and radiology departments," he says.

    to meet this burgeoning want for storage, Passe withhold 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 sustain the statistics, some of which ought to live saved for as long as 30 years.

    Passe's desirable tier of storage, the site 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 term archive."

    The impact of EMR and PACS on storage is mammoth for Passe. One computed tomography (CT) exam can seize as much as a 1G byte of storage. Passe at present has a 50T byte storage-enviornment community (SAN ).

    "in case you trust that a digital X-ray is set 10M bytes of storage at a minimal, then a gigantic 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 live retained for two decades or probably for a patient's all 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 mighty deal as 200% a yr on account of document storage. With the EMC SAN and its tiered-storage device in location, Passe estimates that this augment will gradual to about 25% to 30% a yr.

    document demands

    Elaine O'Bleness, director of fitness advice functions for Banner health supervision in Greeley, Colo., has viewed the upside of EMR. She deployed an Optio QuickRecord astute Hub (an appliance that indexes and organizes EMR information) to exploit her Fuji PACS and EMR facts.

    "we now gain had any laboratory, radiology and any transcribed reviews, plus any factor of examine after nursing in QuickCharts," O'Bleness says. QuickCharts gives clinicians intranet and far flung entry to QuickRecord fitness information.

    "we now gain three EMC Clariion CX600s they utilize for PACS in radiology and cardiology, but they must involve 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 profound 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 area and when you are carried out you most effectual gain a chunk of paper that is digital that you simply can not upshot the comfort with," O'Bleness says.

    in response to Optio, scanned reports can seize 10 to twenty instances more latitude than an EMR.

    "With QuickRecords, they now gain 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 supervision services in Albuquerque, N.M., is moreover 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 gain an upshot 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 gigantic theme to deal with."

    Presbyterian fitness supervision carrier outlets its medical statistics on an IBM enterprise Storage Server and two DS4400 storage arrays with 7T to 8T bytes of storage, which permeate 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 supervision 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 gain seen advantages from implementing this SAN," young says. "we gain storage on demand, less difficult preservation, standardization and time discounts."

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    be a section of the network World communities on facebook and LinkedIn to paw upon topics that are birthright of intellect.

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