Achieving Virtual Desktop Success in Healthcare: Experts in healthcare IT discuss the ways you can accelerate virtualized desktop adoption, speed clinician access to Electronic Health Records (EHR), and enhance desktop performance and user experience. Delivering compliant and high performing clinician workspaces depends on creating a consistent desktop experience and remediating bottlenecks that impact performance and user productivity. This webinar will show you how to deliver "lean" clinician workspaces and assure high levels of user satisfaction: . Best practices to leverage and pitfalls to avoid when deploying VDI in a hospital . Architect a virtual workspace that meets your organization's requirements . Gain total performance visibility of all IT domains to improve user experience . Preemptively detect and resolve issues before users are effected . Optimize current infrastructure usage

1. Presenters
Brian Diamond (LANStatus)
Sean Donahue (RES Software)
Krish Chandra (eG Innovations)
Virtual Desktop
Success in Hospitals:
Achieve High
Performing, Consistent and
Compliant Clinician Desktops

2. Virtual Desktops Considerations For
Hospitals
Brian Diamond
CEO
LANSTATUS, LLC
Brian.Diamond@Lanstatus.com

3. LANStatus Overview
• Founding member of Trusted Healthcare Information
Solutions Alliance (THISA, recently renamed Avitas
Partners
• Citrix Managed Gold Partner, VMWare Enterprise
Partner, Microsoft NSI Virtualization and Systems
Management partner
• Virtual Bench for Citrix Consulting Services
• Client Engagements in Healthcare, Financial
Services, Insurance, Manufacturing, Media, Legal
, Government and Education

4. Healthcare Experience
• Hospitals and Healthcare as an industry is unique
• HIPAA Compliance and meaningful use
• Bring your own devices (BYOD) impact on
environment
• Improving the quality of patient care

5. Vendor Overview
• RES Software will show the day in the life of the end
user and how their software is an enabler that allows
clinicians to either see more patients, or spend more
time with existing patients by simplifying their
working experience
• eG Innovations will show how proactive
management assists systems administrators in
achieving a highly available, highly scalable
infrastructure

6. Improving the Quality of Patient Care
• Eliminate downtime
• Reduce performance slow downs
• Provide Location based printing
• Create an easier user experience
• Faster delivery of applications and desktops
In the end, it is about the patient, not the computing
infrastructure.

7. How To Achieve Consistent
Clinician Desktops
Sean Donahue
Senior Director, Alliance Marketing
RES Software
S.Donahue@ressoftware.com

8. 8
The RES Software Mission
To make IT organizations 10X more productive at
delivering IT services and managing user workspaces.
We do this by developing technology that:
• Creates value and makes a difference for
IT organizations
• Unlocks the full potential of IT people
• Drives superior IT operational efficiency

9. 9
Ever Feel You Need to be Cloned?
• Healthcare: 6.4
• Finance: 4.3
• Insurance: 3.4
• Technology:3.2
About How Many Devices Do You Use a Day?

10. IT Trends & Challenges
Cloud-based
Technologies
Hybrid End-User
Computing
Consumerization
of IT
Macro Trends
Workstyles
Devices
App Delivery
Workers will average
5 network-connected devices
per day by 2020
(2) Citrix, Reported in Silicon Republic
35% of applications are
browser-based, and either
thin or hosted
(3) Gartner, Inc.
12M people use at least 3
connected devices and 7
applications, from 3
locations each month
(1) Source: Forrester Research
IT Impact Trends
Productivity Losses
Compliance Breaches
Rising IT Labor Costs
$7.2 million
average cost per data breach
(4) Ponemon Institute
$1,586 to $3,757
lost productivity per year per
corporate desktop
(3) Gartner, Inc.
$686 to $872
annual cost of managing
corporate desktop
(3) Gartner, Inc.
IT Challenges

11. The Growing Impact on IT
Is managing
IT getting
too complex
and costly?
Traditional Apps &
PC Lifecycle
Management Systems
Task Workers
& Desktop PCs
Virtualized &
Streamed Apps
Knowledge Workers
& Laptops
Virtual &
Remote Desktops
Mobile Workers
& Tablet PCs
Cloud-Based Apps &
Mobile Device
Management
Remote/Home Office
Workers & smart phones
App Delivery &
Management
User Workstyles &
Devices

12. “Client virtualization
does not replace
physical PCs, but
instead adds significant
infrastructure and
costs, creating a hybrid
environment of both
physical virtual
desktops… traditional
datacenter or PC-
centric approaches
break down.”
- David K
Johnson, Forrester
Research, Inc. 2012
The Growing Impact on IT
App Delivery &
Management
User Workstyles &
Devices
Traditional Apps &
PC Lifecycle
Management Systems
Task Workers
& Desktop PCs
Virtualized &
Streamed Apps
Knowledge Workers
& Laptops
Virtual &
Remote Desktops
Mobile Workers
& Tablet PCs
Cloud-Based Apps &
Mobile Device
Management
Remote/Home Office
Workers & smart phones

13. Corporate IT Meets Consumer IT

14. But Wait! There’s More
• It’s not just about the data
• How are your users going to work on that
data?
• 20% of my time is spent on “My Apps”
• 80% of my time is spent on Corporate Apps
(We hope.)

15. Cerner
My Productivity AppsMy Mobile Apps
MDM MAM MIM EMM MOMMY!!
Angry Birds is NOT a Productivity App

16. Let’s Look at a Day in the Life of Ann…
Data Center
Cerner
This is Ann, our life-saving
registered nurse

17. 08:00 – 09:00
Ann starts her
morning routine at
the nurses’ station.

18. 09:00 – 11:00
• Ann dashes to the ER and accesses her Workstation-on-Wheels
• She’s able to login fast. Very fast.
• She’s immediately productive with a consistent user experience
• She launches a virtual desktop containing the EHR application
• She enjoys Dynamic Print and Device Redirection
Suddenly,
Roy and Johnny
burst into
Rampart with a
critical
ER patient!

19. And by 9:04 Ann is Ready to Save a Life

20. 11:00 – 12:15
The critical emergency is now happily resolved…
• Ann follows her patient to the recovery ward
• Ann uses her tablet to launch a VDI session
• Consistency and control are her keys to
happiness
• Along with Roy & Johnny, who are now back
at Station 51

21. 12:15 – 13:00
• But wait! Ann gets hungry. She decides to
change out of her scrubs and grab a snack.
As she leaves the patient ward, her
workspace dynamically adjusts to her
location.
• When she changes Wi-Fi access
spots, the EHR app is dynamically
restricted
• Access to sensitive patient data is now
securely revoked
• But her Facebook account is now
allowed
Thanks IT!

22. How Do You Solve this Epidemic?
• Healthcare: 6.4
• Finance: 4.3
• Insurance: 3.4
• Technology:3.2

23. Context Awareness

24. Location and Device Awareness
Examples:
• Network location
• OS type
• Access Type
• Application version
• USB storage
• Hardware spec
• Wi-Fi hot spot

25. Enterprise Class Management
• Single
management
console
• Lightweight
architecture
• Just a few
clicks away

26. What Do We Conclude?
Combine a solid EMM
plan with Workspace
Virtualization and give
your users the bling
without the sting.

27. How To Achieve High
Performing, Clinician Desktops
Krish Chandra
Director, Solution Engineering
eG Innovations
krishk@eginnovations.com

28. About eG Innovations
 eG Innovations dramatically simplifies and accelerates
performance management across mission-critical virtual, cloud
and physical IT environments
 Only eG Innovations award-winning root-cause diagnosis
technology can automatically pinpoint performance issues by
auto-correlating the user’s service experience with the
underlying infrastructure and application components
 Deliver exceptional performance, user productivity, and ROI
Worldwide
Locations
New York, New Jersey, Boston, Chicago, Los Angeles, Dallas, Austin,
Singapore, London, The Hague, Chennai
Customers Over 1,000 customers worldwide
Awards
& Recognition

29. VDI Performance Assurance
Virtualization
Desktop
Brokers
and
Support
Systems
Performance
management for VDI is
extremely unique as you
need a solution that
combines multiple
different performance
management
methodologies
VDI

30. 
Monitor
VDI
Service, not
Silos

Deep
Visibility
into
Sessions
VDI Performance Assurance

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting

31. 
Monitor
VDI
Service, not
Silos

Deep
Visibility
into
Sessions

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting
VDI Performance Assurance

32. VDI is slow
VDI is not
working
VDI freezes
often
Users care about the “service”
The CPU usage of
the VMware servers
is ok.
The DNS servers are
responding well to
queries.
IT operations teams focus
on infrastructure silos
This disconnect is a threat to the success of transformational IT
initiatives & the promise of agility, scalability, and cost savings!
The User / IT Management
Disconnect

Monitor
VDI
Service, not
Silos
Monitor the VDI Service, Not Silos

33. Know when
user access is
slowing

Monitor
VDI
Service, not
Silos
Monitor the VDI Service, Not Silos

34. Get 360o Visibility
Know which tiers
are working and
which are not.

Monitor
VDI Service,
not Silos
Virtual Server Monitoring Solutions cannot give you 360o visibility.
They focus on the virtualization platform only.

35. Monitor Every Layer, Every Tier
The VMs looks fine. vCenter
does not show any alert.
There is an alert indicating
an issue within the virtual
desktop.
The hypervisor looks fine.

Monitor
VDI
Service, not
Silos

36. Monitor Every Layer, Every Tier
Oops – there is 26%
retransmission from
the virtual desktop

Monitor
VDI
Service, not
Silos

37. Automatic Root-Cause Diagnosis
Root-cause
The effect of the problem
Deep visibility into every layer, every tier, & service-based
correlation enable rapid/accurate diagnosis of performance issues.

Monitor
VDI
Service, not
Silos

38. 
Monitor
VDI
Service, not
Silos

Deep
Visibility
into
Sessions
VDI Performance Assurance

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting

39. Know usage patterns and trends for effective capacity planning
and load distribution.
Plan Based on Usage Report
Top users, Top applications

Right-Size
for Great
ROI

40. Get More Out of Your Investment
Track user sessions on each server

Right-Size
for Great
ROI
A few of the servers
are handling most of
the sessions

41. 
Right-Size
for Great
ROI
Know How to Invest Widely
Find your VDI bottlenecks

42. 
Monitor
VDI
Service, not
Silos

Deep
Visibility
into
Sessions
VDI Performance Assurance

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting

43. Preemptive Detection & Alerting
Broad Coverage Deep Insights
- LUN queue length
- VM CPU Ready
- TCP Retransmissions
- Memory leaks
- Profile sizes
Virtual
Physical
Cloud
Storage Application
Network
Database
Virtualization
It is important to have the right metrics
Look for domain expertise in VDI, collect the right metrics.
Otherwise, it will be a case of “Garbage in, Garbage out”!

Preemptive
Detection
& Alerting

44. Preemptive detection & alerting lets administrators
see and fix problems before users notice
Auto-Baseline Key Metrics
• Auto-compute time-of-day baselines
• Alert administrators when metrics violate baselines

Preemptive
Detection
& Alerting

45. 
Preemptive
Detection
& Alerting
The domain server goes down, pulling down the VDI service. Why?
Event history provides a clue …
A Preemptive Alerting Example
Real-World Scenario
The domain
server has failed
and rebooted.
5 hours earlier, a pro-
active alert about
memory leak!

46. 
Monitor
VDI Service,
not Silos

Deep
Visibility
into
Sessions
VDI Performance Assurance

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting

47. Monitor Users, Not Just VMs
• Workload of the VM is user-dependent
• When a user complains, need to know which
physical server and VM they are on
• Need to know who the top users are for
capacity planning
• User information required for billing, capacity
planning
Poor user experience impacts VDI success.
So focus on monitoring users, not just VMs!

Monitor
Users, not
just VMs

48. Monitor Users, Not Just VMs
Know which ESX/Xen server
he/she is logged on to

Monitor
Users, not
just VMs
When a user
calls, search for the
user

49. Monitor Users, Not Just VMs
See all the other users
logged on to the same
ESX/Xen host.
See performance issues at the user level so you can fix
and right-size your VDI environment for user satisfaction.

Monitor
Users, not
just VMs

50. 
Monitor
VDI
Service, not
Silos

Deep
Visibility
into
Sessions
VDI Performance Assurance

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting

51. Deep Visibility Into Sessions
CPU usage inside a
virtual desktop is high

Deep
Visibility
into
Sessions

52. Deep Visibility Into Sessions
The top CPU process is
Windows Media Player.
The user is watching a
movie 

Deep
Visibility
into
Sessions
Accelerate problem resolution
by understanding why a VM is consuming resources.

53. 
Monitor
VDI
Service, not
Silos

Deep
Visibility
into
Sessions
VDI Performance Assurance

Right-Size
for Great
ROI

Monitor
Users,
Not Just
VMs

Preemptive
Detection
& Alerting

54. “Dramatically simplify and
accelerate VDI performance
management.
Deliver peak
performance, user
satisfaction and ROI.”
VDI Performance Assurance Benefits
VDI
Performance
Assurance
IT Productivity
Higher
service
uptime
Simplicity
User Satisfaction
Cost control & ROI

55. &

56. Next Steps
More Details
www.lanstatus.com | www.ressoftware.com | www.eginnovations.com
Contact Us
+1.203.459.0488
Brian.Diamond@lanstatus.com
RES Software
+1.781.626.0582
S.Donahue@ressoftware.com
Twitter:@Seando40
eG Innovations (US)
+1.732.794.1259
webinar@eginnovations.com