1. A Case Study The Next Step Business Continuity Workshop For major Medical Center

2. Partial Key Performance Indicators for Medical Center’s IT Business Continuity Title of KPI:Definition:Measurement:Target: Backup window Duration daily planned application outage Total time in minutes appl must be quiesced Time to recover (i.e. time to switch sites) Time to switch sites and restore service Total time in minutes: outage => users online Testing frequency (preparedness) Frequency per month of end to end BC test Average system response time Application response time at bedside Average and peak response time in sec Average problem resolution time Average time identify, resolve applic. problem Bandwidth costs Monthly cost of bandwidth to DR site Dollars/month of expense How much data is being replicated Amount of data being replicated by PR,Radio Percentage growth rate data Annual growth % data production PR, Radio. Quarter to quarter data allocation report Procedural Financial Step 1: Collect Info For Prioritization

3. Scope - Resource and Business Impact ComponentPatient RecordsRadiologyE-mail ApplicationsPR1EPIC1, PR1MSE1, MSE2 Data and data management policies Backup daily at night by TSM Backup daily by VeritasBackup daily by MSM DatabasesDB2Oracle, DB2MSSQL1 ServersMainframe1UNIX1, Mainframe1 MS222, MS223, MS224 Storage33801, 33802SUN101MSS1, MSS2 Network (LAN, WAN)SLAN1 and SLAN2SLAN2 and SLAN3LAN2, LAN3 Procedures and toolsData Center M1Data Center M1, M2Data Center M3 PeopleJ1, J2M1, J1K1, K2 Facilities and physical location DC1 Known vulnerabilitiesFlood Flood, servers Estimated cost of outage, per hour $200K*$150K*$20K* Business ImpactHigh Medium Ranking 123 Step 1: Collect Info For Prioritization

4. Component effect on business processes Application / Component Business processes affected PriorityNotes Patient Records (PR1)PR, Radiology1 EPIC1PR, Radiology2 MSE1All4 Mainframe1All3 33801All5 UNIX1EPIC19Backup server in place LAN1All10Backup LAN2 in place DC1All6DC2 is being planned Step 1: Collect Info For Prioritization

5. Define Vulnerabilities NATUREImpactLikelihoo d ranking PEOPLEImpactLikelihood ranking EQUIPImpactLikelihood ranking FireHighLowHuman error…. MediumHighApplicati ons HighLow Weather, severe storms High Malicious …. MediumLowServersHighLow Earthquak e HighLowProcedur e…. MediumHighStorageHighLow Water/floo d High Network ….. HighLow Only Data Centers Step 2: Vulnerabilities, Risk Assessment, Scope

6. Define BC target Business Process Current Recovery Time: Success rate % Budget spent to achieve this Cost of outage / hour (total $cost avoided) Target desired Recover Time Desired success rate % Projected cost avoidanc e: Projected budget Patient Records 4 hours???$100K$200K30 min100%??? Radiology8 hours???$40K$150K15 min100%??? E-mail30 mingood$10K$20K15 min100%??? Step 3: Define BC targets based on Scope

7. Business Process Segmentation Business Continuity Tier AvailabilityDisaster Recovery Recovery Time Objective Data Currency (Recovery Point objective) Disaster Recovery performance degradation objective Acceptable data loss Sample Business Process Notes Continuous Availability 99.99%1 hour5 seconds50%.1%Patient Records, Radiology (Cost can be listed here) Rapid Data Recovery 99%8 hours1 hour50%1%Email, Pharmacy “ Backup / Restore 98%36 hours24 hours50%1%Billing“ Step 4: Solution option design and evaluation

8. Diagram of primary data center - before IBM Current core applic. Various application servers, spread across multiple business lines Wintel – servers and growing LAN/WAN ATM, Ethernet Existing storage 1.5 TB,.5 TB, 2 TB, 2 TB, 4 TB, 3 TB, 24 TB.. Various softwares including Veritas Volume Manager, TSM, LTO, IBM Tape Library, DLT, ArcServe, etc. MS Exchange, Oracle, web servers, Etc. ……. Step 4: Solution option design and evaluation

9. Solution with secondary data center and remote replication IBM servers pSeries EPIC 1.5 TB,.5 TB, 2 TB, 2 TB, 4 TB, 3 TB, 24 TB.. Consolidation: Veritas Volume Manager, TSM, LTO, IBM Tape Library, etc. VMWARE for MS Exchange, Oracle, web servers, Etc. ……. Storage for MS Exchange, Oracle, web servers, etc. SAN SAN Volume Controller(s) HP Alpha ES47, HP/UX, IDX, PACS, interface engines, Cardiology, CCA lab, pharmacy, radiology, etc ATM, Ethernet LAN/WAN pSeries EPIC 1.5 TB,.5 TB, 2 TB, 2 TB, 4 TB, 3 TB, 24 TB.. Consolidation: Veritas Volume Manager, TSM, LTO, IBM Tape Library, etc. VMWARE for MS Exchange, Oracle, web servers, Etc. Consolidated storage for MS Exchange, Oracle, web servers, etc. SAN SAN Volume Controller(s) Consolidation: HP Alpha ES47, HP/UX, IDX, PACS, interface engines, Cardiology, CCA lab, pharmacy, radiology, etc ATM, Ethernet LAN/WAN Secondary data center Primary data center Step 5: Recommended solutions and products

10. Suggested Key Performance Indicators for customer IT Business Continuity Title of KPI:Definition:Measurement:Target: Backup window Duration daily planned application outage= 20 min Total time in minutes appl must be quiesced Reduce to from 20 min to 1 min by 1Q2007 Time to recover (i.e. time to switch sites) Time to switch sites and restore service Total time in minutes: outage => users online Reduce to 30 minutes by YE2007 Testing frequency (preparedness) Frequency per month of end to end BC test Number of times/mo for BC test Improve from 2x/yr to 1x per month Average system response time Application response time at bedside Average and peak response time in sec In DR mode, maintain no more than 40% increase in resp. time Average problem resolution time Average time identify, resolve applic. problem Average time in hours from initial report Reduce average time to 2 hours by YE2007 Bandwidth costs Monthly cost of bandwidth to DR site Dollars/month of expense Keep % annual expense growth < 20% How much data is being replicated Amount of data being replicated by PR,Radio Total production TB allocated to PR, Radio. Maintain at 20% of total production TB Percentage growth rate data Annual growth % data production PR, Radio. Quarter to quarter data allocation report % growth = 10% less than patient growth % Procedural Financial Step 6: Recommended Strategy and Roadmap

11. 18 month IT Business Continuity Implementation phases Implement BC Tier 4 – Standardize use of disk to disk and Point in Time disk copy Implement BC Tier 5 Standardize DB / Application Mirroring methods Implement BC Tier 6 – Standardize use of async replic with storage virtualization Implement BC Tier 7 – Standardize use of Continuous Availability automated failover Implement BC Tier 3 – Consolidate and standardize Backup/Restore methods. Implement tape Vault, Server / Storage Virtualization / Mgmt tools Implement 2 nd Site (Tier 1, 2) Production Backup/Restore BC Tier 1, 2 Foundation: SAN and server consolidation Infrastructure Simplification Backup/Restore BC Tier 1, 2 Foundation: SAN and server consolidation Infrastructure Simplification Backup / Restore Rapid Data Recovery Continuous Availability Phase 1 Phase 2 Phase 3 Phase 4 Step 6: Recommended Strategy and Roadmap