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Dell SC4020 and SC9000 All Flash Solutions
For MEDITECH Magic, C/S 5.x and MT 6.x
Technical Whitepaper
Doug Chapman
Dell HCLS Systems Consultant
March 2016
Revision 1.1
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 2
Copyright © 2016 Dell, Inc. All Rights Reserved.
Dell believes the information in this whitepaper is accurate as of its publication date. The information is
subject to change without notice. Dell makes no representations or warranties of any kind with respect
to the information in this document.
BridgeHead is a trademark of BridgeHead Software, Inc.
MEDITECH is a trademark of Medical Information Technology, Inc.
Brocade is a trademark of Brocade Communications Systems, Inc.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 3
Table of Contents
Overview.......................................................................................................................................................5
Dell SC4020 and SC9000 All Flash MEDITECH Solutions...............................................................................5
Why Dell Compellent SC All Flash with MEDITECH.......................................................................................6
All Flash Solution.......................................................................................................................................7
No Fork Lift Upgrades ...............................................................................................................................7
Dell Compellent Storage Center ...................................................................................................................8
Modular, Scalable Hardware ....................................................................................................................8
Persistent Software Design.......................................................................................................................8
Advanced Storage Virtualization...............................................................................................................8
Advanced Thin Provisioning......................................................................................................................8
Automated Tiered Storage........................................................................................................................9
Continuous Snapshots ..............................................................................................................................9
Thin Replication ........................................................................................................................................9
Dynamic Storage Migration ......................................................................................................................9
Proactive Support .....................................................................................................................................9
Dell Storage SC4020 Array ............................................................................................................................9
Dell Storage SC9000 Array ..........................................................................................................................10
BridgeHead Software..................................................................................................................................11
MEDITECH ISB/IDR..................................................................................................................................11
Technical Overview.................................................................................................................................11
Leverages the Full Power of Compellent ................................................................................................12
Block Level Backup and Restore for Speed.............................................................................................12
Complete Protection and Fast Operational Recovery ............................................................................13
Certified and Used by MEDITECH ...........................................................................................................13
Dell Services................................................................................................................................................13
A Worldwide Leader in Healthcare Information Systems ......................................................................13
Expertise..................................................................................................................................................13
Dell MEDITECH Services..........................................................................................................................13
Dell’s Team of Healthcare Consultants...............................................................................................13
MEDITECH Solutions Focus.................................................................................................................14
Flexible Offerings ................................................................................................................................14
Dell PowerEdge Servers..............................................................................................................................14
The PowerEdge Server Line ....................................................................................................................14
Dell PowerEdge R730..............................................................................................................................15
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 4
Dell PowerEdge R630..............................................................................................................................15
The PowerEdge M-series blade server line.............................................................................................15
Dell PowerEdge M630.............................................................................................................................15
Dell Networking Switches ...........................................................................................................................16
N3000 Series ...........................................................................................................................................16
N4000 Series ...........................................................................................................................................16
Brocade Fibre Channel Switches.................................................................................................................16
Brocade 300............................................................................................................................................16
Brocade 6505..........................................................................................................................................16
Dell DR Series Disk Backup and Disaster Recovery Solution.......................................................................16
Certifications...............................................................................................................................................17
For More Information.................................................................................................................................18
Dell Compellent Storage Center .............................................................................................................18
BridgeHead Software ISB/IDR.................................................................................................................18
Dell PowerEdge Servers..........................................................................................................................18
Dell Networking Switches .......................................................................................................................18
Brocade Fibre Channel Switches.............................................................................................................18
Dell DR Backup Storage Systems.............................................................................................................18
MEDITECH...............................................................................................................................................18
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 5
Overview
The rapid, unpredictable growth of data is forcing healthcare providers to consider how their data
storage decisions affect patient care. Relying upon paper patient records raises the chance of medical
errors, and the increase of data-intensive image archiving has made predicting future storage needs
difficult. Healthcare is a 24/7 operation. System outages are unacceptable and slow access to records
impacts the speed at which doctors can treat patients.
Plus, there are long-term storage needs to consider; data has to be rapidly available throughout the life
of the patient in order for hospitals to comply with government regulations. To date, traditional IT
storage solutions have added costs and complexities instead of reducing them, effectively defeating the
advances technology is intended to provide. To address these issues and provide better patient care, IT
departments are moving beyond mere storage management and embracing the all-encompassing
approach of Dell Healthcare Storage Solutions.
This whitepaper focuses on Dell’s storage solutions for MEDITECH. Storage is a critical component of any
MEDITECH solution. With Dell, our Dell SC storage arrays are an integral part of our meticulously crafted
end-to-end MEDITECH solutions. These enterprise-class solutions are a combination of tightly integrated
and fully tested systems components, software and MEDITECH-specific services – a complete solution
for hospitals. They are the result of years of extensive collaboration between Dell, BridgeHead Software
and MEDITECH and are consistent with Dell’s philosophy of “Open, Capable and Affordable.” Dell is
pleased to offer hospitals these contemporary MEDITECH solutions that address the drawbacks and
limitations that are associated with traditional legacy storage solutions.
Dell SC4020 and SC9000 All Flash MEDITECH Solutions
The Dell SC4020 and SC9000 All Flash Array MEDITECH Solutions are fully integrated combinations of
Dell system components, BridgeHead Software and Dell services. The Dell end-to-end configurations are
shown in Figure 1 below. The Dell SC All Flash Solution that is appropriate for your hospital depends on
your hospital size, workload requirements and budget. A skilled Dell MEDITECH Solutions Architect can
help you determine the solution that is best suited to your particular environment.
The components inside the dashed line box are typically deployed in the hospital’s data center for an on
premise solution.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 6
Figure 1 - Dell Compellent SC All Flash MEDITECH Solutions
The MEDITECH application modules are run on VMware virtual machines on Dell PowerEdge rack or
blade servers. The servers are connected to the Compellent SC All Flash Storage Center via dual-
redundant fibre fabrics using Brocade switches.
Hospital administrators access the MEDITECH server applications from MEDITECH client applications
running on Windows-based desktop PCs via standard TCP/IP networking. Dell Networking switches
provide the inter-connection points for this network. While the Dell Networking switches offers
numerous benefits, our Dell MEDITECH solution will also integrate with a hospital’s existing enterprise-
class IP switching infrastructure.
BridgeHead ISB/IDR can be configured to use a wide variety of industry standard backup target devices.
Ask your Dell or BridgeHead sales team for available configurations and options.1
Why Dell Compellent SC All Flash with MEDITECH
1
BridgeHead ISB/IDR has been tightly integrated with Compellent and MEDITECH. A detailed description of how it
works can be found on Page 10 of this whitepaper.
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Dell PowerEdge R Series Rack or M Series Blade Servers
VMware ESX
MEDITECH Virtualized Server Applications
BridgeHead Backup Server
Brocade Fiber Channel
Switches
Dell Compellent SC4020 or SC9000
All Flash Array
Dell Networking IP Switches
TCP/IP
TCP/IP FCFC
Replication To
Remote Compellent
DR Target
Or J-Site
Remote Data
Instant Replay
Data Center Is Represented Inside Dashed Box
MEDITECH Clients
Target Backup Device
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 7
All Flash Solution
In the past, advanced storage optimization techniques, available only on a large scale, were the secret to
big enterprise, big data success. The world’s largest companies could achieve massive business results
while simultaneously enjoying the lowest TCO-per-GB of storage.
Today, your hospital can access these powerful techniques starting with a compact, affordable, yet
feature-rich and scalable solution from Dell, the Dell Compellent SC4020 and SC900 All Flash Arrays
(AFAs).
No Fork Lift Upgrades
The Dell Compellent Fluid Data architecture was designed to overcome the inefficiencies found in
traditional storage systems. Traditional monolithic storage architectures are physically bound
architectures with virtualization added to them as a “bolt on” feature to their 20+ year old architectures.
Some of the basic limitations of a traditional storage system are as follows:
 Forklift upgrades with forced data migrations that must be executed approximately every 3
to 5 years
 Costly data-in-place upgrades between different models within the same storage system
family of products
 Software licenses tied to the frame that must be repurchased when performing tech
refreshes
 Lack of true Storage Virtualization which creates limitations on pooling, decreasing
flexibility and increasing system administration costs
 Limited Tiering capabilities such as tiering by disk drive types only, excluding RAID level
tiering offered by Dell Compellent
 Limited Snapshot capabilities, support for a limited number of recovery points per volume
and per system with noted overhead for pre-allocation of space
 Limited Thin Provisioning – thin provisioned volumes must be predetermined and managed
separately with noted performance implications (usually not recommended for high
performance data volumes)
 Complicated Replication Strategies – replication configuration is usually complicated and
often requires additional hardware and software external to the storage system adding cost
and complexity
 Complicated Data Mobility – online volume migration is only supported with systems that
require additional hardware and complexity
 Complicated storage management and limited storage reporting capabilities
 Firmware must be upgraded on multiple components –the firmware on the multiple
components must be kept at supported levels between them, even if all of the component
are not utilized
 Relies heavily on cache for performance – most traditional storage systems have a very large
front-end cache that is necessary because of the way they implement physical RAID Groups
and drive pools
The Dell Compellent Fluid Data Architecture was designed as a next-generation storage system built
from the ground up to enable true virtualized storage, automation, and efficiency that cannot be found
in the traditional storage architectures. Here are the technical differentiators that the Dell Fluid Data
Architecture has to address the limitations of the traditional storage systems that are described above:
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 8
 Single model scalability – persistent and flexible scale-up and scale-out hardware
architecture designed to avoid Fork Lift upgrades and costly data-in-place upgrades during
model migration
 Perpetual Software license – protect your software investments even when deploying new
arrays
 End-to-End Storage Virtualization – single virtualized storage pool improves efficiency and
ease of use
 High availability – Dell Compellent provides numerous features such as hardware
redundancy that provides around the clock operation including measured 99.999%
availability
Dell Compellent Storage Center
Dell Compellent Storage Center puts data in the right place at the right time—and at the right cost.
Modular hardware, automated tiered storage and persistent software licensing could together lower
your total cost of storage by up to 80%.
Modular, Scalable Hardware
Reduce technology risk, easily adopt new technologies, and scale capacity, connectivity and
performance on a single platform with Dell Compellent Storage Center. Administrators can mix SSD and
SAS drives and enclosures in the same system, as well as access data across a full range of standard
interconnects and protocols—providing the ability to choose the right interface for each application and
IT environment. Fully redundant hardware components and advanced failover features keep data
available, and storage can scale up and out—without downtime and on demand—to keep pace as
business grows.
Persistent Software Design
“Future-proof” your investment and combat the wasted capacity of traditional SANs with perpetually
licensed intelligent data management software built into Storage Center. With Dell Compellent, you buy
a perpetual controller software license once, and controller software upgrades can be done without
downtime. A perpetual software licensing model designed to eliminate forklift upgrades means you only
pay for more licenses as you add more drives.
Advanced Storage Virtualization
With Dell Compellent, block-level intelligence delivers granularity and awareness that allows enterprise
storage to be virtualized at the disk level, creating a dynamic pool of shared storage resources. Present
network storage to servers simply as disk capacity, regardless of tier, RAID level or server connectivity,
and create any size virtual volumes without allocating drives to specific servers or dealing with
complicated capacity planning or performance tuning. Data is automatically restriped across all drives
within a storage pool when capacity is added for non-disruptive scaling.
Advanced Thin Provisioning
Use fewer physical disks and improve utilization by eliminating pre-allocation of capacity. Dell
Compellent Dynamic Capacity thin provisioning utilizes only the capacity actually written by an
application, leaving all allocated but unused disk space available to all other servers and applications.
With thin import technology, companies can accelerate data migration, minimize application downtime
and maintain data integrity when moving from a legacy Fibre Channel–based storage system to a Dell
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 9
Compellent SAN. And thin write technology transforms legacy SAN volumes into thinly provisioned
volumes on the Dell Compellent SAN to help significantly reduce the storage capacity needed to support
your applications.
Automated Tiered Storage
The Dell Compellent Data Progression feature offers intelligent auto-tiering that continually optimizes
performance and data placement as your system grows, making Flash-optimized solutions ideal for
multiple tiers of SSDs. Read-intensive data is automatically moved to read-optimized MLC SSDs, while
write-intensive data stays on high-endurance SLC SSDs.
Continuous Snapshots
Protect your data and minimize your backup window. Dell Compellent Data Instant Replay delivers data
protection using pointer-based snapshots called Replays. Once an initial snapshot of a volume is taken,
only incremental changes in data need to be captured—and most volumes can be recovered to a server
in less than 10 seconds. These readable and writable Replays are automatically stored on lower cost
drives, saving disk space while speeding local recovery of lost or deleted files. You decide the Replay
schedule that best suits your business.
Thin Replication
Right-size recovery without the cost of traditional disaster recovery solutions. Dell Compellent Remote
Instant Replay replicates space-efficient Replays between local and remote sites—after initial site
synchronization, only incremental changes in data are replicated, cutting hardware, bandwidth and
administration costs. Administrators can easily set up replication, automate restores, and perform DR
testing without downtime. Plus Dell Compellent storage integrates directly with VMware vCenter Site
Recovery Manager (SRM), delivering seamless, automated disaster recovery for virtual infrastructures.
Dynamic Storage Migration
Keep applications online and data accessible during planned downtime. Dell Compellent Live Volume is
designed to deliver dynamic business continuity by providing a new layer of virtualization that enables a
physical server or virtual machine to share a virtual storage volume between two Storage Center SANs in
a semi-synchronous configuration. With dynamic horizontal movement of data between systems,
administrators can easily migrate data to a new array, optimize I/O performance, and easily balance
workloads across systems to maximize resource utilization.
Proactive Support
Dell Compellent Copilot Support goes beyond traditional support offerings with the right combination of
proactive processes, personal support and professional expertise to help ensure the satisfaction of every
customer.
Dell Storage SC4020 Array
The SC4020 array is based on Dell’s flagship SC9000 platform. Offering similar benefits at a smaller scale,
the multiprotocol-capable SC4020 model and its optional expansion enclosures may be populated with
any combination of hard disk drives (HDD) or solid-state drives (SSD). Virtualized multi-tier storage
policies are applied quickly and automatically, taking full advantage of the unique characteristics of your
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 10
disks, and allowing you to target application-specific price and performance requirements with a
minimum of planning or effort.
Like the larger SC9000, SC4020 features industry-exclusive Fluid Data technology, including Data
Progression, which works in the background to provision and optimize data placement across all drives.
Incoming writes and other hot data are steered to the highest-performing tier at the fastest RAID level,
providing an exceptional performance experience for your users. As the data ages, it is automatically
identified and moved to less expensive storage until it becomes more active again. Data is precisely
where it’s needed, when it’s needed — resulting in an ideal blend of high IOPS and cost-savings.
Dell’s fully virtualized Storage Center platform enables unprecedented levels of efficiency and
automation. All available storage is combined in a single pool by default — and since individual disks and
volumes can support multiple RAID levels, pre-allocation of RAID groups is not required.
The performance and capacity of the entire pool is presented to all RAID levels simultaneously, which
dynamically expand or contract as needed based on real-time usage metadata tracked at an extremely
granular 512KB block level. Thin provisioning best practices are automatically enforced, ensuring the
best utilization of heterogeneous disks, with no administrative intervention required.
Dell Storage SC9000 Array
Dell’s flagship storage controller provides the ideal solution for large-scale systems, high-end workload
performance and distributed enterprise environments, SC9000 gives you quick, strong return on
investment by optimizing, accelerating and protecting the data that’s most important to your business
goals.
All-flash and hybrid SSD/HDD configurations revolutionize the speed and impact of your mission-critical
MEDITECH applications. The ability to combine write- and read-intensive SSDs within the same volume,
plus add an ultra-dense HDD tier at any time, gives SC9000 flexibility to target any mixed-workload
performance requirement. You can easily evolve from one configuration to another without having to
replace drives.
Yet even as it cranks up performance, SC9000’s intelligent architecture constantly tunes your
environment for economy. Patented Data Progression auto-tiering leverages diverse drive types (SLC,
MLC, TLC, HDD), using each to its best advantage while optimizing data placement according to actual
use. RAID levels are dynamically provisioned, adjusting and rebalancing automatically to help you
achieve your most aggressive application objectives with the fewest drives possible.
The 12G SAS back-end and enterprise-class front-end network connections provide plenty of throughput
headroom for growth, making the advantages of SSD storage practical at any scale.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 11
BridgeHead Software
MEDITECH ISB/IDR
A major component of the Dell Compellent MEDITECH solution is the fully integrated BridgeHead
ISB/IDR software. The ability to back up and restore a healthcare information system (HIS) is critical for
hospitals should they be subject to a disaster, system outage, loss or corruption. To make a
transactionally consistent backup of a complex database application, such as MEDITECH’s Healthcare
Information System, requires full co-operation between the application and the backup tool. If this is not
the case, the backups are likely to be compromised with partially updated and/or inconsistent data.
BridgeHead Software and MEDITECH co-designed the Integrated Serverless Backup (ISB) API in 2002 to
allow both the backup and HIS application to work together to produce a tried and tested backup
solution. BridgeHead was not only the first partner to use this approach, but remains the only vendor
that supports all MEDITECH certified storage arrays.
BridgeHead Software, Dell Compellent and MEDITECH collaborated and worked closely in the
development and integration with the MEDITECH Backup Facilitator (MBF), a key integration technology
for automating application consistent backups of MEDITECH applications.
Technical Overview
MEDITECH applications demand high performance from storage arrays. But backup, by its nature, reads
all the data which, if performed on a live MEDITECH server, would dramatically impede performance.
One of the key features of the ISB Agent is that the backup reads the data on the backup server not the
MEDITECH server. The Dell Compellent storage array is used to create a consistent point in time copy of
the data using the Dell Compellent Data Instant Replay feature. This copy is then presented to the
backup server, removing all I/O overhead from the MEDITECH servers (generally, one backup server can
service around 25 MEDITECH servers).
The same technology can be leveraged to make a point in time copy within the Dell Compellent storage
array. However, instead of backing up a copy to tape (or disk or VTL etc.), it can simply be kept on the
storage array for fast restore. Integrated Disaster Recovery (IDR) allows speedy operational recovery
with no delay in terms of getting a tape back from an external store and no waiting for one restore to
complete before the next can start. Multiple generations of consistent point in time copies can be
preserved without any impact on the MEDITECH system. BridgeHead Software also provides the widest
range of IDR methods by leveraging the power of a variety of storage arrays to provide the best
operational recovery options. Depending on the particular storage array these range from the most
basic ‘copy the data to another disk’, through the creation of multiple generations of space efficient
snapshots to the creation of replicas on secondary arrays in secondary data centers (with options to
rapidly switch to live running in the secondary location).
In 2012, after over 10 successful years of the ISB API, MEDITECH and BridgeHead Software have
designed the next generation of system protection MEDITECH Backup Facility (MBF) based ISB and IDR.
It is available today with Dell Compellent. MBF retains all of the functionality of the ISB API, but fine
tunes the balance of work so that the Dell Compellent array manipulation is solely performed by the
backup application. This allows more advanced features such as Consistency Groups to be used to
reduce the ‘pause time’ while a backup is initiated. Ultimately, MBF enables even quicker production of
backup copies with reduced impact on MEDITECH users.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 12
MEDITECH
Backup Facility
(MBF)
Pauses updates
Compellent Array Creates
Application Consistent
Point-in-time snapshot of
MEDITECH databases
BridgeHead ISB/IDR
Schedules backup
Asks MEDITECH
Application to prepare
MEDITECH
Backup Facility
(MBF)
Resumes updates
BridgeHead Backs Up
Application Consistent
Point-in-time snapshot or
Catalogs IDR restore point
BridgeHead
MEDITECH
Compellent
Figure 2 - BridgeHead-MEDITECH-Compellent Integration
Leverages the Full Power of Compellent
In leveraging the Dell Compellent storage array hardware, the BridgeHead solution allows multiple
copies of data to be made with minimal load on the hosts and with minimal physical movement of data,
preserving the performance of the MEDITECH system. For example, in a VMware environment, RDM
(Raw Device Mapping - which can be thinly allocated on the array) is used to take advantage of the Dell
Compellent storage array hardware based virtualization rather than using VMware’s software
virtualization which eats processing power from the ESX server and MEDITECH VMs. BridgeHead
supports many different IDR methods using facilities such as thinly allocated snapshots to create
multiple generations of copies at minimal storage consumption and I/O load.
Block Level Backup and Restore for Speed
While the emphasis for the MEDITECH OSAL Database or Client/Server File Servers is on the database
consistency requirement, for EMR or SCA the biggest obstacle to backup is the millions of small files. Any
file oriented backup becomes unworkably slow (and restore even worse) simply because just opening
and closing all the files takes so long. This is where the block oriented side of ISB comes to the fore.
Because ISB is working on a frozen point in time copy of the entire volume the backup can be a block
mode copy of the underlying disk. This operates at device speed with no overhead caused by the
number of files. A typical ISB backup runs at between 20 and 100 MB/sec depending on the storage
array and destination media. A file-by-file backup of millions of tiny files can never achieve these rates.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 13
This makes ISB essential for effective backup of MEDITECH EMR or SCA (of course, data reduction
techniques such as from BridgeHead’s MEDITECH SCA Agent can also help lower the backup time).
Complete Protection and Fast Operational Recovery
BridgeHead’s Backup Agents (including the ISB and IDR Agents) allow comprehensive system and data
recovery to be performed in the event of disaster, outage, corruption and loss. In addition, IDR provides
known good points from which to ‘come up’ reducing the recovery time and providing more recent
recovery points than a daily (tape) backup.
Certified and Used by MEDITECH
BridgeHead Software and MEDITECH work closely together on new versions of the backup API and
emerging technologies. BridgeHead, Dell and MEDITECH participate in performance and scalability tests.
In fact, MEDITECH uses the BridgeHead solution to protect their own data environment.
Dell Services
A Worldwide Leader in Healthcare Information Systems
Dell Services is one of the largest providers of consulting, business process, and technology-based
solutions for the healthcare industry. More than 8,000 healthcare associates worldwide provide
integrated, comprehensive business, and technical services for all facets of the healthcare marketplace.
Expertise
Dell Services has served the healthcare industry since 1988, and today we continue our commitment to
transform the industry to a unified system that supports consumer wellness and knowledge by
combining the right people, processes, and technology. Dell Services has the financial strength,
management team, and service commitment essential for a long-term partnership.
Our healthcare industry consultants include former clinicians, physicians, nurses, and healthcare
administrators as well as professionals with expertise in business processes and technology. Our
customers include five of the top 25 U.S. health systems, more than 1000 healthcare providers and 100
health insurance organizations, thousands of caregivers, and six of the leading healthcare supply chain
and retail pharmacy companies.
Dell MEDITECH Services
Dell’s Team of Healthcare Consultants
Dell’s MEDITECH Solutions team within Dell Services develops and delivers integrated IT solutions that
empower organizations using the MEDITECH Healthcare Information System (HCIS) to optimize
healthcare delivery. Leveraging their in-depth technology and application consulting expertise, the
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 14
MEDITECH Solutions team offers comprehensive solutions that integrate people, processes, and
technology to ensure hospitals realize the full potential of their MEDITECH system.
A business relationship with Dell’s MEDITECH Solutions team brings with it an experienced and extensive
team of healthcare consultants and technology professionals dedicated to helping hospitals achieve
their strategic goals.
MEDITECH Solutions Focus
As a MEDITECH solutions provider, we work with hospitals to gain a full understanding of its short-term
objectives and long-term strategic goals and then design and implement solutions that meet specific
criteria. With more than twenty years of dedicated support to the MEDITECH community, our integrated
IT solutions have helped over 1000 MEDITECH organizations around the world to improve patient care,
reduce expenses, enhance revenue, and realize goals in other strategic areas such as patient safety,
provider satisfaction, and market differentiation.
With an average of 20 years healthcare experience, our consultants offer a real-world understanding of
the needs and challenges of the MEDITECH community. Our knowledgeable staff of former CIOs, RNs,
pharmacy technicians, laboratory managers, and supply chain managers brings hands-on expertise in all
aspects of MEDITECH's clinical, financial, and administrative applications and processes.
Flexible Offerings
Whether implementing MEDITECH for the first time, adding functionality, or planning for the future,
hospitals can depend on our comprehensive solutions, customized to meet their unique organizational
needs, budgets, and resource availability.
With the advent of MEDITECH’s 6.0 Release, many hospitals are evaluating their long term strategies -
considering a migration from MAGIC to Client/Server or updating to 6.0 from an earlier Client/Server
Release. We are helping many organizations decide the path that’s right for them and implement their
decision successfully. In fact, in the last year, we have contracted with 100% of the 6.0 conversions and
new MEDITECH accounts.
Dell PowerEdge Servers
The PowerEdge Server Line
The PowerEdge family of servers is engineered with the right combination of features and performance
scalability to handle tough workloads for both large and small data center environments. These servers
are available in rack, blade and tower configurations.
The Dell OpenManage systems management portfolio includes innovative solutions that simplify and
automate essential server lifecycle management tasks – making IT operations more efficient and Dell
servers the most productive, reliable and cost effective. Leveraging the incomparable agent-free
capabilities of the PowerEdge embedded integrated Dell Remote Access Controller (iDRAC) with
Lifecycle Controller technology, server deployment, configuration and updates are streamlined across
the OpenManage portfolio and through integration with third-party management solutions.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 15
Dell PowerEdge R730
A highly versatile, two-socket 2U rack server with impressive processor performance, a large memory
footprint, extensive I/O options and a choice of dense, high performance storage or low-cost, high-
capacity storage.
The PowerEdge R730 excels at driving peak compute performance across a variety of workloads with the
Intel® Xeon® processor E5-2600 v3 product family and state-of-the-art DDR4 memory.
Dell PowerEdge R630
With computing capability previously only seen in 2U servers, the ultra-dense PowerEdge R630 two-
socket 1U rack server delivers an impressive solution for virtualization environments, large business
applications or transactional databases.
The PowerEdge R630 server is versatile and highly configurable for a variety of solutions, delivering the
latest Intel® Xeon® processor E5-2600 v3 product family, 24 DIMMs of high-performance DDR4memory
and a broad range of local storage options.
The PowerEdge M-series blade server line
Implement the right combination of features and performance scalability with the PowerEdge M-series
blade servers, which can handle tough workloads in a data center of any size. In addition to the world-
class management features provided in all PowerEdge servers, the M630 also takes advantage of the
capabilities of the Dell PowerEdge M1000e Chassis Management Controller (CMC).
The CMC allows M-series blades to be managed individually or as groups, in single or multiple chassis,
and within a data center or in multiple geographically dispersed locations around the globe without
requiring a single agent or additional hardware. PowerEdge M-series blade servers use the redundant
power, cooling, and networking infrastructure provided by the M1000e blade enclosure, which is
exceptionally easy to deploy and manage, and maximizes power and cooling efficiency.
Dell PowerEdge M630
An ultra-efficient blade server combining up to 36 cores of Intel processing power and 24 DIMMs of
DDR4 memory in a dense, easy-to-manage platform ideal for data center workloads.
Deliver the compute power your MEDITECH applications require with the PowerEdge M630 blade
server, a member of the 13th generation of PowerEdge servers. Designed for use with the PowerEdge
M1000e blade enclosure and PowerEdge VRTX converged infrastructure, the M630 offers exceptional
scalability in environments ranging from IT as a service (XaaS) providers and private clouds to remote
and branch offices.
The Intel® Xeon® processor E5-2600 v3 product family offers the processing cycles and threads to help
increase virtualization performance, allowing the M630 to deliver more, larger and higher performing
virtual machines with help from more cores and up to 15 percent greater memory bandwidth.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 16
Dell Networking Switches
N3000 Series
Dell Networking N3000 is a series of energy-efficient and cost-effective 1GbE switches designed for
modernizing and scaling network infrastructure. N3000 switches utilize a comprehensive enterprise-
class Layer 2 and Layer 3 feature set, deliver consistent, simplified management and offer high-
availability device and network design.
The N3000 switch series offers a power-efficient and resilient Gigabit Ethernet (GbE) switching solution
with integrated 10GbE uplinks for advanced Layer 3 distribution for offices and campus networks. The
N3000 switch series has high-performance capabilities and wire-speed performance utilizing a non-
blocking architecture to easily handle unexpected traffic loads. Use dual internal hot-swappable 80PLUS-
certified power supplies for high availability and power efficiency.
N4000 Series
Dell Networking N4000 is a series of energy-efficient and cost-effective 10GbE switches designed for
modernizing and scaling network infrastructure. N4000 switches utilize a comprehensive enterprise-
class Layer 2 and Layer 3 feature set, deliver consistent, simplified management and offer high-
availability device and network design.
The N4000 switch series offers a power-efficient and resilient 10 Gigabit Ethernet (10GbE) switching
solution with support for 40GbE uplinks for advanced Layer 3 distribution for offices and campus
networks. The N4000 switch series has high-performance capabilities and wire-speed performance
utilizing a non-blocking architecture to easily handle unexpected traffic loads. The N4000 series includes
dual internal hot-swappable 80PLUS-certified power supplies for high availability and power efficiency.
Brocade Fibre Channel Switches
Brocade 300
Dell partners will Brocade to deliver “best of breed” fibre channel switching solutions. As an example,
the Brocade 300 is an 8 Gbps Fibre Channel switch that provides an affordable entry-level solution for
small SANs or the edge of larger SANs. It enables small to medium-sized enterprises to simplify their IT
infrastructures, improve system performance, maximize the value of virtual server deployments, and
reduce overall storage costs.
Brocade 6505
The Brocade® 6505 Switch with Gen 5 Fibre Channel provides exceptional price/ performance value,
combining flexibility, simplicity, and enterprise-class functionality in an entry-level switch. Designed to
enable maximum flexibility and reliability, the Brocade 6505 is configurable in 12 or 24 ports and
supports 2, 4, 8, or 16 Gbps speeds in an efficiently designed 1U package. It comes standard with a
single power supply with integrated fans. A second, optional power supply provides additional
redundancy for increased resiliency.
Dell DR Series Disk Backup and Disaster Recovery Solution
With hospitals operating 24/7, IT departments are under intense pressure to ensure data availability and
integrity while still meeting capacity and backup window constraints.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 17
Minimize the time and storage needed to protect production data by using a backup-to-disk appliance
as the repository for protected data. The Dell DR Series appliances ensure data recovery and integrity
and overcome the toughest backup and disaster recovery challenges. They provide faster backup and
restore times, and reduce the amount of storage necessary to protect ever-growing data sets. By using
built–in, block-based deduplication and compression in conjunction with DR Rapid technology, the
DR4300, the DR6300 and the DR2000v help you:
• Reduce the storage footprint for backups.
• Enable backup data to remain on disk and online longer.
• Remove the need to use tapes for backup.
• Minimize the amount of data sent over networks to disaster recovery sites.
Through the use of innovative Dell deduplication and compression technology, the DR Series systems
can help achieve data reduction levels up to 15:1. This reduction in data means that more backup data
can be retained longer and within the same footprint.
As disk backup target repositories, the DR Series systems are specifically engineered to handle high-
throughput streaming backup workloads, with all deduplication and compression operations being
performed inline. This approach minimizes the impact on backup and recovery performance.
Certifications
The Dell SC4020 All Flash Storage Center array is certified by MEDITECH for up to 40 hosts. The Dell
SC9000 All Flash Storage Center array is certified by MEDITECH for up to 125 hosts. Both solutions are
certified for all three versions of MEDITECH --Magic, Client Server 5.x and MT 6.x. A Dell MEDITECH
Solutions Architect can help you choose the right solution for your environment.
To obtain these stringent certifications, the Dell Compellent solutions were thoroughly vetted in a series
of exhaustive functional and scalability tests that were designed and monitored by MEDITECH. Each
passed this high bar set by MEDITECH for the certification, which is a testament to their robustness and
suitability for the demanding needs of the MEDITECH market.
Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 18
For More Information
Dell Compellent Storage Center
www.dell.com/Compellent
BridgeHead Software ISB/IDR
http://www.bridgeheadsoftware.com/products/meditech_solutions/bridgehead_integrated_serverless
_backup_and_integrated_disaster_recovery/
Dell PowerEdge Servers
http://www.dell.com/us/business/p/servers
Dell Networking Switches
http://www.dell.com/us/business/p/networking-products
Brocade Fibre Channel Switches
http://www.brocade.com/products/all/switches/product-details/300-switch/index.page
Dell DR Backup Storage Systems
http://software.dell.com/products/dr-series-disk-backup-appliances/
MEDITECH
http://www.meditech.com/home/

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Dell SC4020 and SC9000 All Flash Solutions For MEDITECH Magic, CS 5.x and MT 6.x

  • 1. Dell SC4020 and SC9000 All Flash Solutions For MEDITECH Magic, C/S 5.x and MT 6.x Technical Whitepaper Doug Chapman Dell HCLS Systems Consultant March 2016 Revision 1.1
  • 2. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 2 Copyright © 2016 Dell, Inc. All Rights Reserved. Dell believes the information in this whitepaper is accurate as of its publication date. The information is subject to change without notice. Dell makes no representations or warranties of any kind with respect to the information in this document. BridgeHead is a trademark of BridgeHead Software, Inc. MEDITECH is a trademark of Medical Information Technology, Inc. Brocade is a trademark of Brocade Communications Systems, Inc.
  • 3. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 3 Table of Contents Overview.......................................................................................................................................................5 Dell SC4020 and SC9000 All Flash MEDITECH Solutions...............................................................................5 Why Dell Compellent SC All Flash with MEDITECH.......................................................................................6 All Flash Solution.......................................................................................................................................7 No Fork Lift Upgrades ...............................................................................................................................7 Dell Compellent Storage Center ...................................................................................................................8 Modular, Scalable Hardware ....................................................................................................................8 Persistent Software Design.......................................................................................................................8 Advanced Storage Virtualization...............................................................................................................8 Advanced Thin Provisioning......................................................................................................................8 Automated Tiered Storage........................................................................................................................9 Continuous Snapshots ..............................................................................................................................9 Thin Replication ........................................................................................................................................9 Dynamic Storage Migration ......................................................................................................................9 Proactive Support .....................................................................................................................................9 Dell Storage SC4020 Array ............................................................................................................................9 Dell Storage SC9000 Array ..........................................................................................................................10 BridgeHead Software..................................................................................................................................11 MEDITECH ISB/IDR..................................................................................................................................11 Technical Overview.................................................................................................................................11 Leverages the Full Power of Compellent ................................................................................................12 Block Level Backup and Restore for Speed.............................................................................................12 Complete Protection and Fast Operational Recovery ............................................................................13 Certified and Used by MEDITECH ...........................................................................................................13 Dell Services................................................................................................................................................13 A Worldwide Leader in Healthcare Information Systems ......................................................................13 Expertise..................................................................................................................................................13 Dell MEDITECH Services..........................................................................................................................13 Dell’s Team of Healthcare Consultants...............................................................................................13 MEDITECH Solutions Focus.................................................................................................................14 Flexible Offerings ................................................................................................................................14 Dell PowerEdge Servers..............................................................................................................................14 The PowerEdge Server Line ....................................................................................................................14 Dell PowerEdge R730..............................................................................................................................15
  • 4. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 4 Dell PowerEdge R630..............................................................................................................................15 The PowerEdge M-series blade server line.............................................................................................15 Dell PowerEdge M630.............................................................................................................................15 Dell Networking Switches ...........................................................................................................................16 N3000 Series ...........................................................................................................................................16 N4000 Series ...........................................................................................................................................16 Brocade Fibre Channel Switches.................................................................................................................16 Brocade 300............................................................................................................................................16 Brocade 6505..........................................................................................................................................16 Dell DR Series Disk Backup and Disaster Recovery Solution.......................................................................16 Certifications...............................................................................................................................................17 For More Information.................................................................................................................................18 Dell Compellent Storage Center .............................................................................................................18 BridgeHead Software ISB/IDR.................................................................................................................18 Dell PowerEdge Servers..........................................................................................................................18 Dell Networking Switches .......................................................................................................................18 Brocade Fibre Channel Switches.............................................................................................................18 Dell DR Backup Storage Systems.............................................................................................................18 MEDITECH...............................................................................................................................................18
  • 5. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 5 Overview The rapid, unpredictable growth of data is forcing healthcare providers to consider how their data storage decisions affect patient care. Relying upon paper patient records raises the chance of medical errors, and the increase of data-intensive image archiving has made predicting future storage needs difficult. Healthcare is a 24/7 operation. System outages are unacceptable and slow access to records impacts the speed at which doctors can treat patients. Plus, there are long-term storage needs to consider; data has to be rapidly available throughout the life of the patient in order for hospitals to comply with government regulations. To date, traditional IT storage solutions have added costs and complexities instead of reducing them, effectively defeating the advances technology is intended to provide. To address these issues and provide better patient care, IT departments are moving beyond mere storage management and embracing the all-encompassing approach of Dell Healthcare Storage Solutions. This whitepaper focuses on Dell’s storage solutions for MEDITECH. Storage is a critical component of any MEDITECH solution. With Dell, our Dell SC storage arrays are an integral part of our meticulously crafted end-to-end MEDITECH solutions. These enterprise-class solutions are a combination of tightly integrated and fully tested systems components, software and MEDITECH-specific services – a complete solution for hospitals. They are the result of years of extensive collaboration between Dell, BridgeHead Software and MEDITECH and are consistent with Dell’s philosophy of “Open, Capable and Affordable.” Dell is pleased to offer hospitals these contemporary MEDITECH solutions that address the drawbacks and limitations that are associated with traditional legacy storage solutions. Dell SC4020 and SC9000 All Flash MEDITECH Solutions The Dell SC4020 and SC9000 All Flash Array MEDITECH Solutions are fully integrated combinations of Dell system components, BridgeHead Software and Dell services. The Dell end-to-end configurations are shown in Figure 1 below. The Dell SC All Flash Solution that is appropriate for your hospital depends on your hospital size, workload requirements and budget. A skilled Dell MEDITECH Solutions Architect can help you determine the solution that is best suited to your particular environment. The components inside the dashed line box are typically deployed in the hospital’s data center for an on premise solution.
  • 6. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 6 Figure 1 - Dell Compellent SC All Flash MEDITECH Solutions The MEDITECH application modules are run on VMware virtual machines on Dell PowerEdge rack or blade servers. The servers are connected to the Compellent SC All Flash Storage Center via dual- redundant fibre fabrics using Brocade switches. Hospital administrators access the MEDITECH server applications from MEDITECH client applications running on Windows-based desktop PCs via standard TCP/IP networking. Dell Networking switches provide the inter-connection points for this network. While the Dell Networking switches offers numerous benefits, our Dell MEDITECH solution will also integrate with a hospital’s existing enterprise- class IP switching infrastructure. BridgeHead ISB/IDR can be configured to use a wide variety of industry standard backup target devices. Ask your Dell or BridgeHead sales team for available configurations and options.1 Why Dell Compellent SC All Flash with MEDITECH 1 BridgeHead ISB/IDR has been tightly integrated with Compellent and MEDITECH. A detailed description of how it works can be found on Page 10 of this whitepaper. LC-EF3 10 GE-8P 0 1 8Port 10GE LAN /WAN 2 30 1 2 3 4 5 6 7 A LA L 4 5 6 7 LC-EF3 10 GE-8P 0 1 8Port 10GE LAN /WAN 2 30 1 2 3 4 5 6 7 A LA L 4 5 6 7 42 42 42 42 Dell PowerEdge R Series Rack or M Series Blade Servers VMware ESX MEDITECH Virtualized Server Applications BridgeHead Backup Server Brocade Fiber Channel Switches Dell Compellent SC4020 or SC9000 All Flash Array Dell Networking IP Switches TCP/IP TCP/IP FCFC Replication To Remote Compellent DR Target Or J-Site Remote Data Instant Replay Data Center Is Represented Inside Dashed Box MEDITECH Clients Target Backup Device
  • 7. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 7 All Flash Solution In the past, advanced storage optimization techniques, available only on a large scale, were the secret to big enterprise, big data success. The world’s largest companies could achieve massive business results while simultaneously enjoying the lowest TCO-per-GB of storage. Today, your hospital can access these powerful techniques starting with a compact, affordable, yet feature-rich and scalable solution from Dell, the Dell Compellent SC4020 and SC900 All Flash Arrays (AFAs). No Fork Lift Upgrades The Dell Compellent Fluid Data architecture was designed to overcome the inefficiencies found in traditional storage systems. Traditional monolithic storage architectures are physically bound architectures with virtualization added to them as a “bolt on” feature to their 20+ year old architectures. Some of the basic limitations of a traditional storage system are as follows:  Forklift upgrades with forced data migrations that must be executed approximately every 3 to 5 years  Costly data-in-place upgrades between different models within the same storage system family of products  Software licenses tied to the frame that must be repurchased when performing tech refreshes  Lack of true Storage Virtualization which creates limitations on pooling, decreasing flexibility and increasing system administration costs  Limited Tiering capabilities such as tiering by disk drive types only, excluding RAID level tiering offered by Dell Compellent  Limited Snapshot capabilities, support for a limited number of recovery points per volume and per system with noted overhead for pre-allocation of space  Limited Thin Provisioning – thin provisioned volumes must be predetermined and managed separately with noted performance implications (usually not recommended for high performance data volumes)  Complicated Replication Strategies – replication configuration is usually complicated and often requires additional hardware and software external to the storage system adding cost and complexity  Complicated Data Mobility – online volume migration is only supported with systems that require additional hardware and complexity  Complicated storage management and limited storage reporting capabilities  Firmware must be upgraded on multiple components –the firmware on the multiple components must be kept at supported levels between them, even if all of the component are not utilized  Relies heavily on cache for performance – most traditional storage systems have a very large front-end cache that is necessary because of the way they implement physical RAID Groups and drive pools The Dell Compellent Fluid Data Architecture was designed as a next-generation storage system built from the ground up to enable true virtualized storage, automation, and efficiency that cannot be found in the traditional storage architectures. Here are the technical differentiators that the Dell Fluid Data Architecture has to address the limitations of the traditional storage systems that are described above:
  • 8. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 8  Single model scalability – persistent and flexible scale-up and scale-out hardware architecture designed to avoid Fork Lift upgrades and costly data-in-place upgrades during model migration  Perpetual Software license – protect your software investments even when deploying new arrays  End-to-End Storage Virtualization – single virtualized storage pool improves efficiency and ease of use  High availability – Dell Compellent provides numerous features such as hardware redundancy that provides around the clock operation including measured 99.999% availability Dell Compellent Storage Center Dell Compellent Storage Center puts data in the right place at the right time—and at the right cost. Modular hardware, automated tiered storage and persistent software licensing could together lower your total cost of storage by up to 80%. Modular, Scalable Hardware Reduce technology risk, easily adopt new technologies, and scale capacity, connectivity and performance on a single platform with Dell Compellent Storage Center. Administrators can mix SSD and SAS drives and enclosures in the same system, as well as access data across a full range of standard interconnects and protocols—providing the ability to choose the right interface for each application and IT environment. Fully redundant hardware components and advanced failover features keep data available, and storage can scale up and out—without downtime and on demand—to keep pace as business grows. Persistent Software Design “Future-proof” your investment and combat the wasted capacity of traditional SANs with perpetually licensed intelligent data management software built into Storage Center. With Dell Compellent, you buy a perpetual controller software license once, and controller software upgrades can be done without downtime. A perpetual software licensing model designed to eliminate forklift upgrades means you only pay for more licenses as you add more drives. Advanced Storage Virtualization With Dell Compellent, block-level intelligence delivers granularity and awareness that allows enterprise storage to be virtualized at the disk level, creating a dynamic pool of shared storage resources. Present network storage to servers simply as disk capacity, regardless of tier, RAID level or server connectivity, and create any size virtual volumes without allocating drives to specific servers or dealing with complicated capacity planning or performance tuning. Data is automatically restriped across all drives within a storage pool when capacity is added for non-disruptive scaling. Advanced Thin Provisioning Use fewer physical disks and improve utilization by eliminating pre-allocation of capacity. Dell Compellent Dynamic Capacity thin provisioning utilizes only the capacity actually written by an application, leaving all allocated but unused disk space available to all other servers and applications. With thin import technology, companies can accelerate data migration, minimize application downtime and maintain data integrity when moving from a legacy Fibre Channel–based storage system to a Dell
  • 9. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 9 Compellent SAN. And thin write technology transforms legacy SAN volumes into thinly provisioned volumes on the Dell Compellent SAN to help significantly reduce the storage capacity needed to support your applications. Automated Tiered Storage The Dell Compellent Data Progression feature offers intelligent auto-tiering that continually optimizes performance and data placement as your system grows, making Flash-optimized solutions ideal for multiple tiers of SSDs. Read-intensive data is automatically moved to read-optimized MLC SSDs, while write-intensive data stays on high-endurance SLC SSDs. Continuous Snapshots Protect your data and minimize your backup window. Dell Compellent Data Instant Replay delivers data protection using pointer-based snapshots called Replays. Once an initial snapshot of a volume is taken, only incremental changes in data need to be captured—and most volumes can be recovered to a server in less than 10 seconds. These readable and writable Replays are automatically stored on lower cost drives, saving disk space while speeding local recovery of lost or deleted files. You decide the Replay schedule that best suits your business. Thin Replication Right-size recovery without the cost of traditional disaster recovery solutions. Dell Compellent Remote Instant Replay replicates space-efficient Replays between local and remote sites—after initial site synchronization, only incremental changes in data are replicated, cutting hardware, bandwidth and administration costs. Administrators can easily set up replication, automate restores, and perform DR testing without downtime. Plus Dell Compellent storage integrates directly with VMware vCenter Site Recovery Manager (SRM), delivering seamless, automated disaster recovery for virtual infrastructures. Dynamic Storage Migration Keep applications online and data accessible during planned downtime. Dell Compellent Live Volume is designed to deliver dynamic business continuity by providing a new layer of virtualization that enables a physical server or virtual machine to share a virtual storage volume between two Storage Center SANs in a semi-synchronous configuration. With dynamic horizontal movement of data between systems, administrators can easily migrate data to a new array, optimize I/O performance, and easily balance workloads across systems to maximize resource utilization. Proactive Support Dell Compellent Copilot Support goes beyond traditional support offerings with the right combination of proactive processes, personal support and professional expertise to help ensure the satisfaction of every customer. Dell Storage SC4020 Array The SC4020 array is based on Dell’s flagship SC9000 platform. Offering similar benefits at a smaller scale, the multiprotocol-capable SC4020 model and its optional expansion enclosures may be populated with any combination of hard disk drives (HDD) or solid-state drives (SSD). Virtualized multi-tier storage policies are applied quickly and automatically, taking full advantage of the unique characteristics of your
  • 10. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 10 disks, and allowing you to target application-specific price and performance requirements with a minimum of planning or effort. Like the larger SC9000, SC4020 features industry-exclusive Fluid Data technology, including Data Progression, which works in the background to provision and optimize data placement across all drives. Incoming writes and other hot data are steered to the highest-performing tier at the fastest RAID level, providing an exceptional performance experience for your users. As the data ages, it is automatically identified and moved to less expensive storage until it becomes more active again. Data is precisely where it’s needed, when it’s needed — resulting in an ideal blend of high IOPS and cost-savings. Dell’s fully virtualized Storage Center platform enables unprecedented levels of efficiency and automation. All available storage is combined in a single pool by default — and since individual disks and volumes can support multiple RAID levels, pre-allocation of RAID groups is not required. The performance and capacity of the entire pool is presented to all RAID levels simultaneously, which dynamically expand or contract as needed based on real-time usage metadata tracked at an extremely granular 512KB block level. Thin provisioning best practices are automatically enforced, ensuring the best utilization of heterogeneous disks, with no administrative intervention required. Dell Storage SC9000 Array Dell’s flagship storage controller provides the ideal solution for large-scale systems, high-end workload performance and distributed enterprise environments, SC9000 gives you quick, strong return on investment by optimizing, accelerating and protecting the data that’s most important to your business goals. All-flash and hybrid SSD/HDD configurations revolutionize the speed and impact of your mission-critical MEDITECH applications. The ability to combine write- and read-intensive SSDs within the same volume, plus add an ultra-dense HDD tier at any time, gives SC9000 flexibility to target any mixed-workload performance requirement. You can easily evolve from one configuration to another without having to replace drives. Yet even as it cranks up performance, SC9000’s intelligent architecture constantly tunes your environment for economy. Patented Data Progression auto-tiering leverages diverse drive types (SLC, MLC, TLC, HDD), using each to its best advantage while optimizing data placement according to actual use. RAID levels are dynamically provisioned, adjusting and rebalancing automatically to help you achieve your most aggressive application objectives with the fewest drives possible. The 12G SAS back-end and enterprise-class front-end network connections provide plenty of throughput headroom for growth, making the advantages of SSD storage practical at any scale.
  • 11. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 11 BridgeHead Software MEDITECH ISB/IDR A major component of the Dell Compellent MEDITECH solution is the fully integrated BridgeHead ISB/IDR software. The ability to back up and restore a healthcare information system (HIS) is critical for hospitals should they be subject to a disaster, system outage, loss or corruption. To make a transactionally consistent backup of a complex database application, such as MEDITECH’s Healthcare Information System, requires full co-operation between the application and the backup tool. If this is not the case, the backups are likely to be compromised with partially updated and/or inconsistent data. BridgeHead Software and MEDITECH co-designed the Integrated Serverless Backup (ISB) API in 2002 to allow both the backup and HIS application to work together to produce a tried and tested backup solution. BridgeHead was not only the first partner to use this approach, but remains the only vendor that supports all MEDITECH certified storage arrays. BridgeHead Software, Dell Compellent and MEDITECH collaborated and worked closely in the development and integration with the MEDITECH Backup Facilitator (MBF), a key integration technology for automating application consistent backups of MEDITECH applications. Technical Overview MEDITECH applications demand high performance from storage arrays. But backup, by its nature, reads all the data which, if performed on a live MEDITECH server, would dramatically impede performance. One of the key features of the ISB Agent is that the backup reads the data on the backup server not the MEDITECH server. The Dell Compellent storage array is used to create a consistent point in time copy of the data using the Dell Compellent Data Instant Replay feature. This copy is then presented to the backup server, removing all I/O overhead from the MEDITECH servers (generally, one backup server can service around 25 MEDITECH servers). The same technology can be leveraged to make a point in time copy within the Dell Compellent storage array. However, instead of backing up a copy to tape (or disk or VTL etc.), it can simply be kept on the storage array for fast restore. Integrated Disaster Recovery (IDR) allows speedy operational recovery with no delay in terms of getting a tape back from an external store and no waiting for one restore to complete before the next can start. Multiple generations of consistent point in time copies can be preserved without any impact on the MEDITECH system. BridgeHead Software also provides the widest range of IDR methods by leveraging the power of a variety of storage arrays to provide the best operational recovery options. Depending on the particular storage array these range from the most basic ‘copy the data to another disk’, through the creation of multiple generations of space efficient snapshots to the creation of replicas on secondary arrays in secondary data centers (with options to rapidly switch to live running in the secondary location). In 2012, after over 10 successful years of the ISB API, MEDITECH and BridgeHead Software have designed the next generation of system protection MEDITECH Backup Facility (MBF) based ISB and IDR. It is available today with Dell Compellent. MBF retains all of the functionality of the ISB API, but fine tunes the balance of work so that the Dell Compellent array manipulation is solely performed by the backup application. This allows more advanced features such as Consistency Groups to be used to reduce the ‘pause time’ while a backup is initiated. Ultimately, MBF enables even quicker production of backup copies with reduced impact on MEDITECH users.
  • 12. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 12 MEDITECH Backup Facility (MBF) Pauses updates Compellent Array Creates Application Consistent Point-in-time snapshot of MEDITECH databases BridgeHead ISB/IDR Schedules backup Asks MEDITECH Application to prepare MEDITECH Backup Facility (MBF) Resumes updates BridgeHead Backs Up Application Consistent Point-in-time snapshot or Catalogs IDR restore point BridgeHead MEDITECH Compellent Figure 2 - BridgeHead-MEDITECH-Compellent Integration Leverages the Full Power of Compellent In leveraging the Dell Compellent storage array hardware, the BridgeHead solution allows multiple copies of data to be made with minimal load on the hosts and with minimal physical movement of data, preserving the performance of the MEDITECH system. For example, in a VMware environment, RDM (Raw Device Mapping - which can be thinly allocated on the array) is used to take advantage of the Dell Compellent storage array hardware based virtualization rather than using VMware’s software virtualization which eats processing power from the ESX server and MEDITECH VMs. BridgeHead supports many different IDR methods using facilities such as thinly allocated snapshots to create multiple generations of copies at minimal storage consumption and I/O load. Block Level Backup and Restore for Speed While the emphasis for the MEDITECH OSAL Database or Client/Server File Servers is on the database consistency requirement, for EMR or SCA the biggest obstacle to backup is the millions of small files. Any file oriented backup becomes unworkably slow (and restore even worse) simply because just opening and closing all the files takes so long. This is where the block oriented side of ISB comes to the fore. Because ISB is working on a frozen point in time copy of the entire volume the backup can be a block mode copy of the underlying disk. This operates at device speed with no overhead caused by the number of files. A typical ISB backup runs at between 20 and 100 MB/sec depending on the storage array and destination media. A file-by-file backup of millions of tiny files can never achieve these rates.
  • 13. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 13 This makes ISB essential for effective backup of MEDITECH EMR or SCA (of course, data reduction techniques such as from BridgeHead’s MEDITECH SCA Agent can also help lower the backup time). Complete Protection and Fast Operational Recovery BridgeHead’s Backup Agents (including the ISB and IDR Agents) allow comprehensive system and data recovery to be performed in the event of disaster, outage, corruption and loss. In addition, IDR provides known good points from which to ‘come up’ reducing the recovery time and providing more recent recovery points than a daily (tape) backup. Certified and Used by MEDITECH BridgeHead Software and MEDITECH work closely together on new versions of the backup API and emerging technologies. BridgeHead, Dell and MEDITECH participate in performance and scalability tests. In fact, MEDITECH uses the BridgeHead solution to protect their own data environment. Dell Services A Worldwide Leader in Healthcare Information Systems Dell Services is one of the largest providers of consulting, business process, and technology-based solutions for the healthcare industry. More than 8,000 healthcare associates worldwide provide integrated, comprehensive business, and technical services for all facets of the healthcare marketplace. Expertise Dell Services has served the healthcare industry since 1988, and today we continue our commitment to transform the industry to a unified system that supports consumer wellness and knowledge by combining the right people, processes, and technology. Dell Services has the financial strength, management team, and service commitment essential for a long-term partnership. Our healthcare industry consultants include former clinicians, physicians, nurses, and healthcare administrators as well as professionals with expertise in business processes and technology. Our customers include five of the top 25 U.S. health systems, more than 1000 healthcare providers and 100 health insurance organizations, thousands of caregivers, and six of the leading healthcare supply chain and retail pharmacy companies. Dell MEDITECH Services Dell’s Team of Healthcare Consultants Dell’s MEDITECH Solutions team within Dell Services develops and delivers integrated IT solutions that empower organizations using the MEDITECH Healthcare Information System (HCIS) to optimize healthcare delivery. Leveraging their in-depth technology and application consulting expertise, the
  • 14. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 14 MEDITECH Solutions team offers comprehensive solutions that integrate people, processes, and technology to ensure hospitals realize the full potential of their MEDITECH system. A business relationship with Dell’s MEDITECH Solutions team brings with it an experienced and extensive team of healthcare consultants and technology professionals dedicated to helping hospitals achieve their strategic goals. MEDITECH Solutions Focus As a MEDITECH solutions provider, we work with hospitals to gain a full understanding of its short-term objectives and long-term strategic goals and then design and implement solutions that meet specific criteria. With more than twenty years of dedicated support to the MEDITECH community, our integrated IT solutions have helped over 1000 MEDITECH organizations around the world to improve patient care, reduce expenses, enhance revenue, and realize goals in other strategic areas such as patient safety, provider satisfaction, and market differentiation. With an average of 20 years healthcare experience, our consultants offer a real-world understanding of the needs and challenges of the MEDITECH community. Our knowledgeable staff of former CIOs, RNs, pharmacy technicians, laboratory managers, and supply chain managers brings hands-on expertise in all aspects of MEDITECH's clinical, financial, and administrative applications and processes. Flexible Offerings Whether implementing MEDITECH for the first time, adding functionality, or planning for the future, hospitals can depend on our comprehensive solutions, customized to meet their unique organizational needs, budgets, and resource availability. With the advent of MEDITECH’s 6.0 Release, many hospitals are evaluating their long term strategies - considering a migration from MAGIC to Client/Server or updating to 6.0 from an earlier Client/Server Release. We are helping many organizations decide the path that’s right for them and implement their decision successfully. In fact, in the last year, we have contracted with 100% of the 6.0 conversions and new MEDITECH accounts. Dell PowerEdge Servers The PowerEdge Server Line The PowerEdge family of servers is engineered with the right combination of features and performance scalability to handle tough workloads for both large and small data center environments. These servers are available in rack, blade and tower configurations. The Dell OpenManage systems management portfolio includes innovative solutions that simplify and automate essential server lifecycle management tasks – making IT operations more efficient and Dell servers the most productive, reliable and cost effective. Leveraging the incomparable agent-free capabilities of the PowerEdge embedded integrated Dell Remote Access Controller (iDRAC) with Lifecycle Controller technology, server deployment, configuration and updates are streamlined across the OpenManage portfolio and through integration with third-party management solutions.
  • 15. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 15 Dell PowerEdge R730 A highly versatile, two-socket 2U rack server with impressive processor performance, a large memory footprint, extensive I/O options and a choice of dense, high performance storage or low-cost, high- capacity storage. The PowerEdge R730 excels at driving peak compute performance across a variety of workloads with the Intel® Xeon® processor E5-2600 v3 product family and state-of-the-art DDR4 memory. Dell PowerEdge R630 With computing capability previously only seen in 2U servers, the ultra-dense PowerEdge R630 two- socket 1U rack server delivers an impressive solution for virtualization environments, large business applications or transactional databases. The PowerEdge R630 server is versatile and highly configurable for a variety of solutions, delivering the latest Intel® Xeon® processor E5-2600 v3 product family, 24 DIMMs of high-performance DDR4memory and a broad range of local storage options. The PowerEdge M-series blade server line Implement the right combination of features and performance scalability with the PowerEdge M-series blade servers, which can handle tough workloads in a data center of any size. In addition to the world- class management features provided in all PowerEdge servers, the M630 also takes advantage of the capabilities of the Dell PowerEdge M1000e Chassis Management Controller (CMC). The CMC allows M-series blades to be managed individually or as groups, in single or multiple chassis, and within a data center or in multiple geographically dispersed locations around the globe without requiring a single agent or additional hardware. PowerEdge M-series blade servers use the redundant power, cooling, and networking infrastructure provided by the M1000e blade enclosure, which is exceptionally easy to deploy and manage, and maximizes power and cooling efficiency. Dell PowerEdge M630 An ultra-efficient blade server combining up to 36 cores of Intel processing power and 24 DIMMs of DDR4 memory in a dense, easy-to-manage platform ideal for data center workloads. Deliver the compute power your MEDITECH applications require with the PowerEdge M630 blade server, a member of the 13th generation of PowerEdge servers. Designed for use with the PowerEdge M1000e blade enclosure and PowerEdge VRTX converged infrastructure, the M630 offers exceptional scalability in environments ranging from IT as a service (XaaS) providers and private clouds to remote and branch offices. The Intel® Xeon® processor E5-2600 v3 product family offers the processing cycles and threads to help increase virtualization performance, allowing the M630 to deliver more, larger and higher performing virtual machines with help from more cores and up to 15 percent greater memory bandwidth.
  • 16. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 16 Dell Networking Switches N3000 Series Dell Networking N3000 is a series of energy-efficient and cost-effective 1GbE switches designed for modernizing and scaling network infrastructure. N3000 switches utilize a comprehensive enterprise- class Layer 2 and Layer 3 feature set, deliver consistent, simplified management and offer high- availability device and network design. The N3000 switch series offers a power-efficient and resilient Gigabit Ethernet (GbE) switching solution with integrated 10GbE uplinks for advanced Layer 3 distribution for offices and campus networks. The N3000 switch series has high-performance capabilities and wire-speed performance utilizing a non- blocking architecture to easily handle unexpected traffic loads. Use dual internal hot-swappable 80PLUS- certified power supplies for high availability and power efficiency. N4000 Series Dell Networking N4000 is a series of energy-efficient and cost-effective 10GbE switches designed for modernizing and scaling network infrastructure. N4000 switches utilize a comprehensive enterprise- class Layer 2 and Layer 3 feature set, deliver consistent, simplified management and offer high- availability device and network design. The N4000 switch series offers a power-efficient and resilient 10 Gigabit Ethernet (10GbE) switching solution with support for 40GbE uplinks for advanced Layer 3 distribution for offices and campus networks. The N4000 switch series has high-performance capabilities and wire-speed performance utilizing a non-blocking architecture to easily handle unexpected traffic loads. The N4000 series includes dual internal hot-swappable 80PLUS-certified power supplies for high availability and power efficiency. Brocade Fibre Channel Switches Brocade 300 Dell partners will Brocade to deliver “best of breed” fibre channel switching solutions. As an example, the Brocade 300 is an 8 Gbps Fibre Channel switch that provides an affordable entry-level solution for small SANs or the edge of larger SANs. It enables small to medium-sized enterprises to simplify their IT infrastructures, improve system performance, maximize the value of virtual server deployments, and reduce overall storage costs. Brocade 6505 The Brocade® 6505 Switch with Gen 5 Fibre Channel provides exceptional price/ performance value, combining flexibility, simplicity, and enterprise-class functionality in an entry-level switch. Designed to enable maximum flexibility and reliability, the Brocade 6505 is configurable in 12 or 24 ports and supports 2, 4, 8, or 16 Gbps speeds in an efficiently designed 1U package. It comes standard with a single power supply with integrated fans. A second, optional power supply provides additional redundancy for increased resiliency. Dell DR Series Disk Backup and Disaster Recovery Solution With hospitals operating 24/7, IT departments are under intense pressure to ensure data availability and integrity while still meeting capacity and backup window constraints.
  • 17. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 17 Minimize the time and storage needed to protect production data by using a backup-to-disk appliance as the repository for protected data. The Dell DR Series appliances ensure data recovery and integrity and overcome the toughest backup and disaster recovery challenges. They provide faster backup and restore times, and reduce the amount of storage necessary to protect ever-growing data sets. By using built–in, block-based deduplication and compression in conjunction with DR Rapid technology, the DR4300, the DR6300 and the DR2000v help you: • Reduce the storage footprint for backups. • Enable backup data to remain on disk and online longer. • Remove the need to use tapes for backup. • Minimize the amount of data sent over networks to disaster recovery sites. Through the use of innovative Dell deduplication and compression technology, the DR Series systems can help achieve data reduction levels up to 15:1. This reduction in data means that more backup data can be retained longer and within the same footprint. As disk backup target repositories, the DR Series systems are specifically engineered to handle high- throughput streaming backup workloads, with all deduplication and compression operations being performed inline. This approach minimizes the impact on backup and recovery performance. Certifications The Dell SC4020 All Flash Storage Center array is certified by MEDITECH for up to 40 hosts. The Dell SC9000 All Flash Storage Center array is certified by MEDITECH for up to 125 hosts. Both solutions are certified for all three versions of MEDITECH --Magic, Client Server 5.x and MT 6.x. A Dell MEDITECH Solutions Architect can help you choose the right solution for your environment. To obtain these stringent certifications, the Dell Compellent solutions were thoroughly vetted in a series of exhaustive functional and scalability tests that were designed and monitored by MEDITECH. Each passed this high bar set by MEDITECH for the certification, which is a testament to their robustness and suitability for the demanding needs of the MEDITECH market.
  • 18. Dell SC9000 and SC4020 All Flash Solutions for MEDITECH Page 18 For More Information Dell Compellent Storage Center www.dell.com/Compellent BridgeHead Software ISB/IDR http://www.bridgeheadsoftware.com/products/meditech_solutions/bridgehead_integrated_serverless _backup_and_integrated_disaster_recovery/ Dell PowerEdge Servers http://www.dell.com/us/business/p/servers Dell Networking Switches http://www.dell.com/us/business/p/networking-products Brocade Fibre Channel Switches http://www.brocade.com/products/all/switches/product-details/300-switch/index.page Dell DR Backup Storage Systems http://software.dell.com/products/dr-series-disk-backup-appliances/ MEDITECH http://www.meditech.com/home/