1. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 Disaster Recovery Michael Leonard Product Manager

2. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 2 Agenda Disaster Recovery – What it means to you Disaster Recovery Planning Disaster Recovery Strategies Open Discussion

3. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 3 Where we are in the presentation Disaster Recovery – what it means to you Disaster Recovery Planning Disaster Recovery Strategies Open Discussion

4. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 4 Disaster Recovery - What it means to you Disaster Recovery (DR) is the ability to recover from a major interruption in operations within an acceptable amount of time, with an acceptable amount of data loss. The focus should be on data protection and recovery.

5. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 5 Disaster Recovery - What it means to you The focus here is on your RIS/PACS system, not an enterprise wide disaster recovery plan. Your RIS/PACS disaster recovery plan should be a piece of your overall enterprise recovery plan.

6. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 6 Disaster Recovery - What it means to you Disaster Recovery does not mean the same thing to everyone. You need to assess your risk tolerance for downtime, data loss, and recovery time. As tolerance for loss goes down, costs go up

7. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 7 Disaster Recovery - What it means to you Reasons for not investing in DR – Gartner Dataquest Survey, ‘03 Adoption Hurdles –Difficult to justify the cost –Costs more than primary storage –Difficult to show cost savings DR is usually a top down requirement –Current risks not understood –Perceived complexity Inertia –Continue old processes even as business needs change

8. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 8 Disaster Recovery - What it means to you It is easy to look at the cost as a major hurdle It should be looked as a financial investment in your business It comes down to protecting your patient information and your business

9. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 9 Where we are in the presentation Disaster Recovery – what it means to you Disaster Recovery Planning Disaster Recovery Strategies Open Discussion

10. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 10 Developing a DR Plan Conduct a Risk Assessment Identify Recovery Strategies Develop Recovery Procedures Purchase Products and Services Test and Maintain the Plan

11. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 11 Risk Assessment Identify critical processes –Viewing images –Distributing images –Archiving images Decide on tolerance for disruption Determine alternate procedures

12. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 12 Risk Assessment Identify threats –Power –Fire –Flood Minimize Threats –UPS –Fire suppression –An Ark or alternate location –Redundant hardware –Network interruption –Software problem –Hardware problem

13. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 13 Identify Recovery Strategies Define risks that can be eliminated Define maximum recovery response time Determine backup frequency Define minimum emergency configurations

14. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 14 Develop Recovery Procedures Define recovery teams and their missions Identify team members and recovery procedures Define the disaster recovery tasks for teams

15. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 15 Purchase products and Services Based on risk tolerance define DR requirements Based on the costs of various strategies select a DR solution that balances your mix of risk tolerance and affordability

16. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 16 Test and Maintain the Plan Establish a test plan Perform the test Document the results Maintain and update the plan over time

17. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 17 Where we are in the presentation Disaster Recovery – what it means to you Disaster Recovery Planning Disaster Recovery Strategies Open Discussion

18. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 18 Disaster Recovery Strategies Symantec Corporation “The Technology of Disaster Recovery” October, 2003

19. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 19 Common Disaster Recovery Strategies Routine backup to removable media with off- site storage Remote mirroring of data to a second storage device over a network Redundant hardware

20. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 20 Routine Backup Backup Database to tape –DB Tape taken off site daily Store STS images in NAS Store LTA copy of images in removable media jukebox –Removable media can be taken off site as media fills or as copies are made This approach preserves data but only to the time the last backup was run or last removable media removed from site There can be data loss in a major site catastrophe Server Network Attached Storage Main Site Tape Drive Removable Media Jukebox LTA STS DB

21. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 21 Split Server Backup Backup Database to tape –DB tape taken off site daily Store STS images in NAS Store LTA copy of images in removable media jukebox at a second site –Removable media can be taken off site as media fills or as copies are made This approach can preserve data up until a few seconds prior to the disaster, but it requires extra work by service Limited potential loss of data Satellite Site Primary Server Archive Server Network Attached Storage Main Site Tape Drive Removable Media Jukebox STS LTA DB

22. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 22 Disk based backup Backup Database to Disk on NAS Store STS and LTA images in NAS Mirror all data to second NAS offsite. (Images and database backup) This approach can preserve data up until a few seconds prior to the disaster, but it requires extra work by service Less potential loss of data Satellite Site Primary Server Mirrored Network Attached Storage Network Attached Storage Main Site Network Attached Storage STS LTA DB STS LTA

23. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 23 Database Replication Satellite Site Primary Server Mirrored Network Attached Storage Database Replication Standby Server Network Attached Storage Main Site Backup Database to Disk on NAS Store short term and long term images in NAS Mirror all data to second NAS offsite. (Images and database backup) This approach preserves database to within a few seconds This approach requires high speed access between sites Failover hardware is available Much less potential loss of data Network Attached Storage STS LTA DB STS LTA

24. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 24 RIS Disaster Recovery Options The database is backed up to the standby server In the event of a disaster the standby server is brought on line as the primary server The back up copy of the database is restored onto the standby server This approach preserves data but only to the time the last backup was run. There can be data loss in a major site catastrophe Primary Server Main Site Standby Server Database backup

25. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 25 RIS Disaster Recovery Options The database is stored on a NAS The Primary server interacts with the database on the NAS If the primary server fails, the secondary server can quickly be reconfigured to access the database on the NAS This approach minimizes potential downtime associated with server problems Primary Server Main Site Standby Server NAS storage Data Base

26. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 26 Common Disaster Recovery Strategies There is no one single way to protect data and create a Disaster Recovery Solution Merge eMed can help design a solution that will assist you when you put together Disaster Recovery Plans

27. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 27 Where we are in the presentation Disaster Recovery – what it means to you Disaster Recovery Planning Disaster Recovery Strategies Open Discussion

28. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 28 Open Discussion What types of DR planning is currently set up at your institution? How comfortable are you with your DR Plans?

29. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 29 Thank you

30. www.merge-emed.com ©2006 Merge eMed. All Rights Reserved. Energize Your Workflow 2006 User Group Meeting May 7-9, 2006 30 Michael Leonard Product Manager 781-653-3036 mleonard@merge-emed.com