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000-002 | IBM Tivoli Storage Productivity Center V4.1 Implementation

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000-002 - IBM Tivoli Storage Productivity Center V4.1 Implementation - braindump

Vendor IBM
Exam Number 000-002
Exam Name IBM Tivoli Storage Productivity Center V4.1 Implementation
Questions 126 Q & A
Recent Update May 14, 2019
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Test Code : 000-002
Test Name : IBM Tivoli Storage Productivity Center V4.1 Implementation
Vendor Name : IBM
Q&A : 126 Real Questions

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IBM Tivoli Storage Productivity Center 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 make 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 Plan mandates that patients have electronic clinical statistics with the aid of 2014.

"more and more visual information is being digitized, accelerating the already-explosive increase of required storage ability - specially at intense resolution ranges ordinary to scientific environments," says David Freund, senior analyst for Illuminata. "The decent news is that digital photographs are a great deal more straightforward for medical personnel to govern and to share 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 burden 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 firm In-Stat estimates.
  • The Bush administration desires all U.S. patients to have 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 have 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 remainder in paper, Passe says. he is working toward the aim 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 little thing else, including X-rays and diagnostic pictures from the health facility's photograph Archiving and Communications equipment (PACS) photo-administration gadget, admission tips and transcribed information, might be incorporated with the EMR equipment.

    Such storage calls for cause an immense headache for Passe. "As that you could think about, over the last two years the numerous formats and tips we 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 put 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 keep the statistics, some of which ought to be saved for as long as 30 years.

    Passe's desirable tier of storage, the place 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 period archive."

    The impact of EMR and PACS on storage is mammoth for Passe. One computed tomography (CT) exam can take 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 big 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 whole 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 great deal as 200% a yr on account of document storage. With the EMC SAN and its tiered-storage plan in location, Passe estimates that this increase will gradual to about 25% to 30% a yr.

    document demands

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

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

    "we now have three EMC Clariion CX600s we use for PACS in radiology and cardiology, but we must include 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 area and when you are carried out you most effective have a chunk of paper that is digital that you simply can not do the rest with," O'Bleness says.

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

    "With QuickRecords, we now have 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 Care services in Albuquerque, N.M., is also 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 have an effect on on our storage," younger says. "we're experiencing a 20% growth cost per yr. when we should preserve information for up to twenty years, it's a big subject to deal with."

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

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