Transcript High-Capacity, Highly-Flexible Healthcare Networks - Alcatel

High-Capacity, Highly Flexible
Healthcare Networks
Gary Horn
Vice President, Technical Services & CTO
Advocate Health Care
1
The Advocate Health Care story
Recognized as one of the nation's top 10 health systems, Advocate Health Care is
the largest integrated health care system in the state. Advocate has the largest
emergency and Level I Trauma network in Illinois.
2

Advocate offers more than 250 sites of care, including 10 acute-care hospitals and
two integrated children's hospitals.

Recognized as one of the top 10 places to work in Illinois, Advocate is on of
Chicagoland's largest employers with more than 30,000 associates, including 6,000
affiliated physicians and 9,000 nurses.

Advocate Health Care has the state's largest physician network of primary care
physicians, specialists and sub-specialists.

Advocate has academic and teaching affiliations with all major universities in the
Chicago Metropolitan area.

Eight-time recipient of Hospitals & Health Networks 100 most wired award
Key Challenges
 Rapidly changing technologies associated with shortening product life-cycles

Need to respond with agility while controlling cost
 The ever increasing need for bandwidth
 The need for flexible network services to address both customer and enterprise needs
 The growing reliance on the Internet to deliver key applications to the user
community
 The balance between network security and network usability
 Ensuring application availability
 D.R. in it’s classical sense is no longer an option
 Unified communication
 Ease of use
 Determining and deploying the correct tools
 Social Networking
 Mobility
 802.11
 Cellular, 3G, 4G, LTE, etc.
 Platform agnostic application delivery
 Capital and operating costs
 People resources
3
The MetroNet
High Speed Wide Area Transport
High-Speed Optical Network: The drivers for change
 The legacy SONET/ATM based metro network was consistently operating at the 95th
percentile in bandwidth utilization
 Maximum speed (best case) 38Mb/s
 Large file transfers suffered from cell discards and re-transmission
 The legacy transport platform was at end-of support
 Service parts became sparse or non-existent
 No further software development
 No service enhancement possible
 Obsolete network management platform
 Unable to integrate with current NOC models
 The legacy metro network did not meet the needs dictated by corporate growth and
related business plans






5
PACS & VNA
Real-time disaster recovery (business continuance) and private cloud services
Centralized file and print services
Increased traffic resulting from new, robust applications
Patient entertainment
Multi-media communications and UC
Imaging Drives Significant Bandwidth Requirements
 MRI files ~100MB (raw)
 Multi-slice cardiac files can be upwards
Imaging capabilities are increasing in density
of 500MB
Single-slice
 Radiology studies create 50 – 100 MB
(raw) versus 2 – 20 MB ten years ago
 Pathology studies 1-10 GB
 Real-time delivery of
modalities a requirement
6
 3264128256320 slice images
Multi-slice
Critical Healthcare Applications:
high-speed and reliable transport required
EMR / eICU / PACS
 Critical for patient care, downtime
cannot be tolerated
Human Resources
 Time and attendance
 Payroll
Laboratory
 Orders and results
Supply Chain
 Medical Supplies
Financial Systems
Admissions / Discharge / Transfer
 Bed availability
 Billing
Email / Voice Communication
 VoIP Tie Trunks / IP Telephony
Network mediation (e-gate)
 Ties everything together
7
The Advocate Health Care MetroNet Cost Model
11 Sites, two 10 GbEs each,
enhanced QoS:
 $1890 / month per site


(maintenance & right of way
fees)
One-time charge of $857,200
on a 20-Year Indefensible
Right to Use (IRU).
Positive cash flow in 22
months when compared to a
managed/single service option
Clinics / Offices
VPLS
VPLS
Tail-site connectivity via
MPLS metro-service overlay
 High bandwidth, no mileage



VPLS
sensitivity
Fixed monthly cost
QoS enabled
Highly Secure
Labs
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IP / MPLS Multi-Service
Edge Routers and Switches
VPLS
High-Speed Optical Network: Summary
The network design provides a strong value to Advocate Health Care in terms of:
 Inter-site bandwidth
 Total built capacity
 Scalability
 Flexibility and turn-around time for growth
 Cost (installation and OAM)
Highly available, flexible design approach
 Fiber links are protected at the 7x50 in a manner that ensures the connection to a
peer is maintained thru alternate paths in case of a single fiber cut.
 In the case of a fiber cut, the data connectivity is restored within 50ms via MPLS fast
re-route.
 Several site-to site connectivity options are available including:
 VPRN
 VPLS
 E-Pipe (AToM)
 Raw (native) Optical
9
Fiber Connectivity
The network is comprised of a physical
ring formed by a pair of optical fibers.
The optical transport employs AlcatelLucent (ALU) 1696 WDM (Wave Division
Multiplexor) hardware to interconnect
a mix of ALU 7450 Ethernet Service
Switches (ESS) and ALU 7750 Service
Routers (SR) plus the associated 10GbE
connections.
The 7450s and 7750s (7x50) are
configured in a full-mesh topology
using the 1696s. Additional
wavelengths (via WLAs) are utilized to
join the SAN infrastructure at the Park
Ridge, Oak Brook, and Chicago data
centers.
Up to 32 10Gb/s optical wavelengths
The fiber ring is comprised of 250 routemiles of fiber.
10
MetroNet Services: Flexible and Cost Effective
6509
Core
 Rapid service implementation speeds
delivery
 Many service options available including
VPLS, VPRN, and E-pipes
 Additional services have no operating cost
impact
 Highly secure
 Highly scalable
Network Interface
Queuing
Ingress Traffic Classification
Routing
EXP7, nc2, cs6
Q8
In
In
Q7
H1
Q6
EF
In
In
EXP4, af41
Out
Out
EXP4, af42
af21, af31
In
In
EXP3, af21
Out
EXP2, af22
In
EXP3, af11
Out
EXP2, af12
H2
L1
EXP3, af11
Q4
H2
L1
Out
In
AF
EXP1, cs1
Q5
Q3
AF
Out
In
In
L2
Q2
L2
In
In
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BE
EXP0, BE
Out
EXP1, cs1
Out
Out
BE Internet
EXP5, ef
Out
af42, af43
EXP2, af12, af13
Bulk, Email
EXP6, nc1
EXP4, af41
af22, af23, af32, af33
Assured, File Print
CNDL
7x50
VPLS #1:
- Fully Meshed
- Routed Traffic
GSHP
7x50
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
In
In
EF
Assured, Net Mgmt
LUTH
7x50
VPLS #3:
VPLS #4:
(Pub WiFI)
(CE Management)
- Routed Traffic
- Fully Meshed
- Spoke to LUTH - Routed Traffic
TRIN
7x50
VPLS #2: (PACS)
- Fully Meshed
- Routed Traffic
SSUB
7x50
6509
Core
HTMP
7x50
6509
Core
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Out
Out
Mission Critical, Video
6509
Core
Out
H1
EXP5, ef
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
EXP7, nc2
NC
Out
VoIP
IMMC
7x50
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
4 Mbr LAG 802.1q Trunk
Pub WiFi
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
6509
Core
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
6509
Core
OBSC
7x50
GSAM
7x50
Ports
CE Management
Routed VLANs
PACS VLAN
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
6509
Core
JORE
7x50
6509
Core
CHMC
7x50
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
DR-BC
MPLS Handoff
Internet
6509
Core
In
In
NC
EXP6, nc1
6509
Core
Egress Traffic Marking
Out
CPE Routing, CES
4 Mbr LAG 802.1q Trunk
CE Management
Routed VLAN
PACs VLAN
Pub WiFi
Q1
EXP0, be
BE
Out
 Granular QoS policies preserve
bandwidth while ensuring high quality
transport
 Flexible policing and shaping options
 Extensive queuing capabilities
 Simple policy deployment via 5620
SAM
Off-Ring and Redundant Connectivity:
Metro-Service Overlay
Data Center
Co-Lo
 Ensures site connectivity to
MetroNet backbone in a worstcase catastrophic event
 Integrates off-ring facilities into
metro backbone
 QoS Aware – Strict SLAs
 Highly secure
 Flexible
 Cost-effective bandwidth from
6 Mb/s to 1Gb/s
 High availability options
Public MPLS Facilities
3550
3550
E-LAN
7750
7750
E-Lines
7750
3550
7750
Corporate Office
3550
Clinic
3550
3550
Lab
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Hospital
Internet Connectivity Scheme
Park Ridge Data Center
(Lutheran General)


Advocate DWDM/MPLS Network


High availability to support critical
applications
Scalable design allows 100Mb/s to 2
Gb/s per leg
Supports full load balancing
IPv6 Ready
Redundancy
Infrastructure
·
·
·
·
·
·
Advocate Colo Space
at Oakbrook
1 Gig Ethernet Handoff
500Mb Port Bandwidth
E-BGP Link with Firewall or Router/L3 Switch
US Signal Advertises Default Route or Full Routes
Advocate advertises Internal Networks
Diverse Network Transport from Oakbrook Circuit
CISCO 7600 OSR
·
·
·
·
·
·
CISCO 7600 OSR
USIGILOK
Oakbrook, IL
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1 Gig Ethernet Handoff
500Mb Port Bandwidth
E-BGP Link with Firewall or Router/L3 Switch
US Signal Advertises Default Route or Full Routes
Advocate advertises Internal Networks
Diverse Network Transport from Oakbrook Circuit
USIGINSB
South Bend, IN
US Signal will provide “Private AS Number “
for BGP Exchanges.
US Signal can provide IP Address Space or
re-use Advocate’s Registered Class B
The Datacenter
Private Cloud Services Through Virtualization
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Data Center: The Challenges
Explosion of
applications
& devices
Virtualization
changes
everything
Raw
bandwidth
no longer
enough
Network under unprecedented stress
15
Data Center Convergence – Drivers and Impact on Network Infrastructure
FC vs Ethernet Speed

Ethernet technology faster than Moore’s
law
 Ethernet speeds have outpaced other
technologies including Fiber Channel
 Ethernet price point extremely attractive
 Lossless Ethernet still expensive
100G
10G
1G
100M
10M
1990

Stress on the Network Infrastructure
 Need to build lossless Ethernet infrastructure
 Increased East-West traffic over Ethernet
 Need to reduce latency across network –
reduce number of hops
 Need for high availability network
 Need for flexibility of services
2000
2005
2010
Which front end connectivity will be used in the
next 24 months to connect servers to
networked storage systems – January 2010
Infiniband
8%
2G FC
10%
4G FC
21%
8G FC
26%
FCoE
26%
1GigE
28%
10GigE
48%
0%
16
1995
10%
20%
30%
40%
50%
60%
Virtualization: Handcuffed without a virtualized network infrastructure
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Multi-Site Data Center and Hybrid Cloud
Multi-Site Private Cloud
•Server Farms
•Application
•Optimization
 The fabric is one logical structure that is physically spread
•Storage Arrays (SAN)
across multiple corporate sites
 Scalable from the small to many 1,000’s of VM’s
Cloud Data Centers
Virtual Data Centers
MetroNet
 Can define separate departmental data centers
 A service may be available in more than one virtual data
Fabric
center
 Security can be applied within each virtual data center
 Virtual data center footprint is automatically adjusted for
virtual machine movement
Park Ridge
Chicago
Hybrid Cloud Services
 Service provider services seamlessly delivered from Cloud onto
the fabric; Cloud services can be combined with local services
to provide composite application for users
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Oak Brook
Multi-Site Private Cloud
Unified Communication
Service Delivery to the End-User
19
Unified Communication in Action: The Borderless Enterprise


Implementation of a borderless enterprise
 Full access to voice, e-mail, and enterprise
applications on a mobile device – anytime,
anywhere connectivity is available
 Portal-based remote access
 Common interface delivers
applications and communications
 Migrating to remote virtual desktop
Provides efficient collaboration to perform
diagnosis, treat patients, and avoid medical
errors, taking profit of:
 Virtual meeting rooms for conferencing via
voice, video, data, and instant messaging
 Presence features indicating which expert is
ready to help, within or outside the hospital
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The Advocate UC Infrastructure: Leveraging The Metro Backbone
 Significantly lowers the
total cost of ownership for
the voice network
 Significantly reduced
recurring transmission
charges
meridian 1
NorthIllinois
Riverside
Remote
Shelf
Masonic
(40)
Six Corners
(25)
Palos
(20)
IP
Ports - 8
Hours 10
Condell
Illinois
N7
Masonic
Batavia
IP
Harbor
(7)
N4
Illinois
Orland
Masonic
Square
(54)
N10
Illinois
South
Masonic
East
(83)
N1
Illinois
Sykes
2 M3Masonic
Cabinets
(1884)
N21
Illinois
Oakbrook
Masonic
Terrace
(62)
Illinois
N29
Condell
Masonic
ITSC
(10)
Rescuer
Crystal Lake
IP
N33
Good
Illinois
Shepherd
Hospital
Masonic
2 M3 Cabinets
(1588)
Rescuer
Evergreen
Halsted/Blackhawk
Remote Shelf
(50)
N27
Illinois
Oswego
Masonic
(132)
Ports - 8
Hours 10
Hyde Park
(30)
N9
Illinois
Logan
Masonic
Square
(50)
Rescuer
Blackhawk
(formerly Lnk Pk)
Ports - 40
Hours - 170
N11-N12
Illinois
Lutheran
General
7 M3 Masonic
Cabinets
(8902)
N14
Illinois
LGH
North
Tower
Masonic
(836)
Ports - 16
Hours - 20
Rescuer
Arlington hts
Buffalo Grove
Ports -1 8
Hours - 70
Counseling
Center
(20)
Condell
Libertyville
Ped. Deerfield
(14)
Oaklawn (11)
N48
Illinois
Glenview
Masonic
(140)
Ports - 52
Hours - 250
Ports - 40
Hours - 170
Wauconda
(11)
Ped.
Libertyville
(15)
Arlington
Heights
(64)
N45
Illinois
Nesset
Masonic
(300)
IP
TBA
N51
Illinois
APP
Masonic
(110)
N28
Illinois
AMG - 701 Lee
2 M3Masonic
Cabinets
(292)
Buffalo Grove
(66)
Richton Park
(16)
**Note: Users are on
Touhy Switch
**
Illinois
AHHC
Masonic
Formerly
Desplaine
N56N-57
Illinois
Illinois
Masonic
Masonic
Hospital
(6696)
Worth
Illinois
IP Remote
Masonic
(43)
IP
Ports - 26
Hours - 100
**
Parkside
Illinois
Adult
Masonic
Downs
(90)
***
Barrington
Illinois
Internal
Masonic
Medicine
(9)
My Teamwork Server
SIP Ports – 210
**Note: Users are on
LGH N12 Switch
***Note: Users are on Good
Shep Switch
Rescuer
RMG
BridgeIllinois
view
IPMasonic
Remote
(54)
Ports -64
Hours - 400
N34
HomeIllinois
Health
Oakbrook
1 M2Masonic
Cabinet
(149)
IP over Private V/MPLS MAN
N32
Illinois
Hi Tech
(307)
Masonic
Downers
Illinois
Grove
Masonic
(120)
RMG - Wilson
(64)
Ports - 16
Hours - 30
4760 Server for Network
Management and Configuration
Crystal
Lake
Illinois
IPMasonic
Remote
(20)
N30 -N31
Christ
Illinois
Hospital
7 M3Masonic
Cabinets
(8852)
N3
Oakbrook
Illinois
Support
Center
Masonic
2 M3 Cabinets
(815)
N43
South
Sub.
Illinois
Hospital
2 M3 Masonic
Cabinets
(1405)
Ports - 40
Hours - 145
N22
Good
Illinois
Samaritan
Hospital
Masonic
4 M3 Cabinets
(3050)
N24
Illinois
Ravens
Wood
Masonic
(344)
N25
Illinois
Trinity
Hospital
2 M3Masonic
Cabinets
(1487)
Illinois
TBA
Masonic
Rescuer
Breast Health
IP
Ports -64
Hours - 500
RMG – Cicero
Signaling Through Wilson
(21)
Dentistry
(18)
Ivy Group
(12)
Breast Health
Ports -1 6
Hours - 40
Business
Illinois
Office
IPMasonic
Remote
(150)
Women’s Cntr. – Node
(55)
Ports - 56
Hours - 250
IP
Ports -24
Hours - 50
N23
Touhy
Illinois
Support
Masonic
Center
(319)
CMC/AMG
Lockport
IP Remote
IP
HR Direct (30)
N6
Illinois
SW
Masonic
Ambul.
(144)
Meridian
IP
N46
Illinois
CFP
Masonic
(88)
N49
Illinois
Kensington
Masonic
(540)
Downer
Immediate Care (100)
FCN
IP Remote
(18)
Good Sam
Illinois
Admin
IPMasonic
Remote
(85)
N47
Illinois
Lemont
Masonic
(47)
Bolingbrook
(14)
21
Print Shop
Node 59
(32)
Illinois
LGH
N13
8816/8820
Masonic
(79)
IP
Frankfort
(36)
IP
 The ability to easily
deploy a wide range of
powerful voice, video, and
collaboration applications
 Versatile and flexible
 Fully QoS aware
 Highly secure
 Rapid service deployment
Illinois
N41
Masonic
Bromenn
Nathanson
Node 52
(58)
N18
Illinois
Field
Masonic
Irving
(245)
Orland Park
Illinois
N39
Olympia
Fields
Masonic
Lake Zurich
Pediatric Therapy
N15
Illinois
Burbank
Masonic
(70)
N8
Sykes
Illinois
Backup
Masonic
Switch
Rescuer OPMC
Lake Zurich Breast
Imaging
Crystal Lake (90)
N17
Illinois
Oak
Masonic
Park
(76)
N26
Illinois
S. Holland
Masonic
(96)
Olympia Fields
Clinic
Fitness
IllinoisIP
Center
Masonic
Remote
(77)
Evergreen Adult
Remote Shelf
(95)
N2
Illinois
Beverly
Masonic
(235)
N19
Illinois
Evergreen
Masonic
Plaza
(75)
Bourbonnais
Algonquin Imaging
Cntr.
Crystal Lake
Physical Therapy
Burbank
Physical
Therapy
IP Remote
(50)
Ports - 8
Hours - 20
Everything Depends on Wireless
Quality of care
 Modern applications such as
telemetry, infusion pumps,
glucometers, etc.
Patient experience
 In-room services
Physician retention
Staff efficiency
 Mobile communications for
caregivers
 Full integration with nurse call
systems
Emergency preparedness
 Adaptive capacity
 State-of-the-art applications such as
collaboration tools
Cost containment
 Asset utilization through RFID
equipment tracking
Floor nurses average 36 minutes per
shift walking to a phone
Wireless networking has become a strategic resource
22
802.11 Wireless Signal Distribution: Enabling Application Mobility
2ND
23
Neutral Host DAS: Extending and Guaranteeing Signal Coverage
Multi-frequency antennas
support all applications
Common network
management
Fiber core allows
expansion
Proprietary RFID
antennas use core
Application
Antenna
Cabling
Management
Ownership
24
Cellular
Pager
Wi-Fi
Telemetry
Multi-frequency Antenna Array
Fiber Backbone
Unified Performance Management and Monitoring
DAS Provider
RFID
Proprietary
Summary: The Advocate Network Service Delivery Model
The Right Service, Anywhere, As Appropriate
CMDX
SAN//PACS
1696
Edge
4506
SAN//PACS
CMDX
1696
Optical
Remote Site
Centralized
WiFi Controller
7x50
WiFi,
Router
Or Switch
Video
7450
100/G
Ports
10K
MPLS
VPLS
IP
DHCP/AAA
Application Servers
Local Access
Metro Core
OS6850
Remote Site
WiFi,
Router
Or Switch
100/G
Ports
AP125 ABG
3750
100/G
Ports
25
DC Core
Voice
SAN/NAS
Lessons Learned
 Cost can be effectively controlled through technical innovation
 Flexible deployment models
 Able to rapidly address the changing and growing needs of the organization
 Choosing the right technology partners
 Listen to and be involved with the entire organization
 Allows for proactive solutions
 Allows for proper planning, both shot and long-term
 I.S. as a trusted partner
 Build a solid, multi-faceted technical team
 Share a common vision
 Break down the walls
 Share information
 Ensure the technical team is well trained and aware of the rapid changing technical
trends
 Reduces engineering and deployment costs
 Leads to greater associate satisfaction
 Able to deliver the right solution
26
Open Discussion
27