1. NEXT STEP IT,
Boulbaba LABIADH : Directeur Associé

2. Plan
- Présentation NextStep IT
- Références NextStep IT
- Cisco’s Medical-Grade Network
- Modernize Clinical Desktops
2

3. Mission
Aider les entreprises à avoir une
infrastructure IT capable d’améliorer
leur rentabilité, augmenter la
satisfaction de ses clients et réduire le
risque opérationnel
3

4. Champs D’actions
Etude, Conseil et Assistance
technique
Intégration des solutions
4

5. Conseil, Etude & Assistance technique
Conseil
• Conception des infrastructures réseau, sécurité, communications unifiées ,
système, virtualisation et Data Center
Etude
• Etude de besoin et rédaction des cahiers des charges
• Etude de performance
• Audit d’infrastructure réseau, sécurité, serveur, stockage et virtualiation
Assistance
Technique
5
• Stabilisation de l’infrastructure
• Optimisation des configurations des équipements réseau et sécurité
• Renforcement de la sécurité de l’infrastructure réseau et système
• Assistance à l’implémentation des normes (ISO27001, ISO 20000,PCI-DSS, etc.)

6. Intégration
Infrastructure
• Solutions de réseaux Locaux, réseau étendu, Mobilité, Serveur,
système, virtualisation et Data Center
Communication
• Téléphonie sur IP, Collaboration, Communication unifiée, solutions de
vidéoconférences
Sécurité
• Sécurité réseau, Sécurité du périmètre, Sécurité Internet, sécurité des
données, Authentification forte
Gestion et supervision
• Suivi de performance, Alertes, Tableaux de bord, KPI, Gestion des
configurations, Service Desk, Gestion de parc
6

7. 7
Organisation en Projet
NEXTSTEP IT
Account Manager
Equipe projet
du Client
NEXTSTEP IT
Project Manager
NEXTSTEP IT
Implementation
Team
NEXTSTEP IT
Training Team
NEXTSTEP IT
Logistic Team
NEXTSTEP IT
Financial Team
Equipe Technique du
Client

8. Partenariat
8
Partenaires stratégiques:
Partenaires technologiques:

9. Qualification de l’équipe
9

10. Ils nous ont fait confiance - Healthcare
10
Clinique
NOUR
GABES
Clinique
OPTHALMO
TUNIS

11. Ils nous ont fait confiance-Finances
11

12. Ils nous ont fait confiance - hôtellerie
12

13. Ils nous ont fait confiance – Secteur publique
13

14. Ils nous ont fait confiance – Industrie
14

15. Ils nous ont fait confiance - Service
15

16. 16
Cisco’s Medical-
Grade Network
Framework for
Healthcare

17. 17
Cisco’s Medical-Grade Network Framework for Healthcare
Data Center
Allow nurses and doctors
to administer patient care
from anyplace, anytime
through secure wireless
capabilities
Enable patients
and guests to stay
connected through
secure connectivity
Enable an interoperable
healthcare ecosystem
through a flexible and
scalable network
framework
Bring connectivity
to the hospital's
infrastructure through
automated biomed
devices
Meet government
and industry mandates
through a regulatory
compliant architecture
(ex: PCI)

18. 18
Cisco MGN 2.0—Campus Architectures
Business Challenges Cisco Solution
Provides architecture to help meet high availability
needs of healthcare environment
Integrates flexible switching and routing
to support clinical and biomedical devices
Structures Management System Creates
Framework for Changes
Supports various needs of access
and devices
Provides Highly Secure Access to Clinical
Network Resources
Utilize Best Practices in supporting IT
and Voice Systems
Maintaining High Availability
(Network and In Box Redundancy)
Supporting Clinical and Biomedical
Devices and Systems
Change Management
Access Design and Optimization
Guest Services Support
Supporting Voice, IT Devices and Systems
Cisco MGN 2.0
Cisco MGN 2.0—Campus Architectures Meet Needs of Healthcare Providers to
Provide a Highly Available and Secure Network Ready for Today’s
Modern Healthcare Environment

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Cisco MGN 2.0 — Wireless Architectures
Cisco MGN 2.0
Provides room level accuracy and
facilitates
Provides secure access to clinical
Network resources
Keeps PHI and PCI data
secure today and tomorrow
Leverage RTLS to monitor
environmentally sensitive
pharmaceuticals and specimens
VoWLAN provides instant
care provider communication
Rogue AP detection and prevention,
802.1X EAP authentication with strong
WPA2 AES encryption
Business Challenges
Asset Monitoring and Tracking
Security
Clinical Access
HIPAA and PCI Compliance
Environmental Monitoring
Improve patient care
Cisco
MGN 2.0
CiscoMGN 2.0—Wireless Architectures provide best possible wireless
deployment, giving healthcare providers with a truly capable wireless
network ready for today’s modern healthcare environment.

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Cisco MGN 2.0—Security Architectures
Business Challenges Cisco MGN 2.0
Provides Architecture to Meet
Various Regulatory Requirements
Integrate Security into
Network to Meet Audits
Keeps ePHI and PCI Data
Secure Today and Tomorrow
Leverage SAFE Architecture
to Prevent Data Loss
Provides Secure Access to
Clinical Network Resources
Utilize Best Practices in
Securing IT and Voice Systems
Regulatory
HIPAA and PCI Compliance
Securing ePHI
Data Loss Prevention
Securing Clinical and Biomedical
Devices and Systems
Securing Voice, IT Devices and Systems
Cisco
MGN 2.0
Cisco MGN 2.0—Security Architectures Meet Security Needs for Regulatory and
Compliance, Data Loss Prevention and Threat Mitigation, Giving Healthcare
Providers a Secure Network Ready for Today’s
Modern Healthcare Environment

21. 21
Network Infrastructure
Converged Infrastructure for Flexible Deployment
Solution Description Features/Benefits Product/Technology
 Reliable high bandwidth
 Caregiver productivity
 Cisco Aironet
802.11n access
 Track hospital assets &
 Cisco Catalyst Switch
 Flexible deployment options
facilitate security with location
 Cisco Router
 Manage distributed networks
centrally
 IT efficiency with network
 3G modules for the ISR
consolidation
 Location / presence aware
Mobile
Doctor/Nurse/Staff
3G Network Services
Healthcare
Network
Borderless Networks
Remote
Offices and clinics
Wired or 802.11n
3G/4G/
Cellular
Wi-Fi
Wired

22. 22
Network Services: Mobility
Optimize Performance and Clinical Workflow
 Wheelchair is monitored
within the hospital via active
RFID tag and Wi-Fi network
Solution Description
 Uses Wi-Fi to track equipment
 Integrates real-time location in
the workflow
 Increases equipment utilization
 Ensures privacy & compliance
Parking Lot
On Premises
Asset Tracker
! ALERT
Hospital
Features/Benefits
 Manage equipment loss
 Issue patient location alerts
 Cost-effectively locate staff
 Reduce waste with condition
alerts
 Manage security & compliance
Product/Technology
 Cisco Aironet Access Points
 Cisco WCS, Controllers
 Mobility Services Engine
 Context Aware Software
 Wheelchair leaves the
hospital premises
 Alert notification is issued
RFID #:33-6488-0111-A

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Network Services: Performance
Enhance Video and Data Application Performance
Remote Physician Radiologist
Solution Description Features/Benefits Product/Technology
 Seamless and secure
 Application performance
 Cisco WAAS
remote access
consistency for Doctors/
 UCS Express on
 Consultation with video
Nurses
Vmware/Windows
and collaboration
 Enhanced efficiency
 Performance Routing on
 Intelligent bandwidth
 Scales to meet video growth
ISR G2
management
WAAS

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Network Service: Protect Patient Privacy
Security Protect Patient Privacy
Network Encrypted 
Secure 
Threat Control 
Solution Description Features/Benefits Product/Technology
 Prevent unauthorized
 Persistent policy enforcement
 Cisco TrustSec
access to patient & hospital
 Security persistence & integrity
 IronPort Web Security
records
 Improve life-critical network
Appliance
 Protect medical network
resiliency
 Adaptive Security
from Internet threats
 Flexible delivery models
Appliance
 Deliver secure and
seamless experience

25. 25
Network Service: EnegeryWise
Optimize Energy Usage of hospital, Clinics, Devices
Solution Description Features/Benefits Product/Technology
 Application performance
consistency for Doctors/
Nurses
 Enhanced efficiency
 Scales to meet video growth
 Visibility and Control for
PoE and PC Devices
 Open SDK/API to Third
Party Devices
 Network Building
Controller and Building
Management Systems
 Low Energy Cost
 Increased sustainability
 Comply with regulatory
directives
 Reduce GhG emissions
 Integration Schneider
Electric
 Cisco Catalyst switches
and Cisco ISR G2
IT Admin
ON
OFF
All devices set to automatically
turn off after business hours

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Policy and Management
Reduced Operating Costs for Medical Grade Networks
Description Features/Benefits Product/Technology
 Consolidated policy into
single platform
 Simplified wired &
wireless management
 Automatic
implementation of
services
 Consistent policy across
hospital network , clinics
& unmanaged devices
 Simplified provisioning,
management of user
access
 Cisco Identity
Services Engine
 Lumos
 CiscoWorks LMS 4.1
Data Center
Remote
Clinics
PLEASE
UPDATE
TRUSTSEC
One Touch 
Sites Updated 

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Network Services: Video
Simplify Video Delivery over the Same IP Network
Description Features/Benefits Product/Technology
 Manage multiple
collaboration applications
over same IP Network
 Any device, anywhere -
Medical Imaging
HealthPresence
Security monitoring
 Enhances the patient/provider
experience
 Easier to access quality care
 Extends the reach of providers
 Redirects unnecessary ER visits
 Increases productivity &
efficiency
 Cisco Teleprence
 Specialist Uses Cisco TelePresence to
provide care to remote patient
 Vitals Software provide secure
session management for
transmission of medical data, and
viewing the patient EMR
 Compatible medical devices facilitate
medical consult

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User Services: AnyConnect 3.0
Increase End-Device Flexibility Securely
Threat Control  Corporate File
Sharing
Skype
You Tube
Salesforce.com
Data-Loss
Prevention

Acceptable Use 
Access Control 
Solution description Features/Benefits Product/Technology
 Seamless VPN on mobile
devices for remote access
 Industry-leading web
security
 Policy enforcement
 Always-on connectivity
 Security for managed &
unmanaged mobile devices
 Cisco AnyConnect Secure
Mobility Client 3.0
 Cisco Web Security
Appliance 7.0
 Cisco ASA 8.3

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Cisco Solutions and Technology
Transforming the Patient Experience
Unified
Location Based
Services
Remote Access
using AON/WAAS
Communications
Wireless
Connected Imaging
Video Language
Interpretative Service
Medical Grade
Network
Nurse Call
Integration
TelePresence Video Surveillance
Digital Signage
Clinical
Bedside
Services
Application Access

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Modernize Clinical
Desktops with VMware
View and ThinApp

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The Desktop in Healthcare Is Changing…
• PC is viewed as less strategic…
▫ Hard to manage
▫ Resource drain
▫ Low levels of service
▫ Expensive
▫ Not secure
• Compute model moving to End
User Centric
By the end of 2012, 60% of all
enterprise PC configurations will
use at least one technology that
is considered desktop
virtualization*

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The Cost of Desktop Management Is Staggering
For every $1 spent on hardware, companies spend $3 to manage
$1
$$33
CAPEX OPEX
Increasing IT Costs
Are the needs of IT and end-users being met?

33. 33
Medical Application Procurement
# of Servers*: Annual Energy Cost*:
13685 $$$114224,,8,4,1542022156..0.0.000000
Typical HIS Application
App - Test App - Dev
• Typically 2x’s Server count for “better”
availability
Term - SBC
• Increased complexity, lower availability, expensive
• Test / Dev typically matches production 1:1 • Infrastructure sits idle most of the time, expensive
…and this is only one application

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Delivering and Managing Clinical Desktops
Today..
Adding More Applications? More and more and Desktop!
App-Prod
App-Prod
App-Prod
Test/Dev
Vendor C
App - Test App - Dev
Vendor B
App - Test App - Dev
TS1
TS2
TS3
Vendor A

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Use Virtualization
App-Prod
App-Prod
Test/Dev
App - Test App - Dev
App-Prod App - Test App - Dev
TS-1
TS-2
TS-3
VMware vSphere

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Virtualization Breaks Down the Desktop
Components
Persona
Applications
Operating System

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Build upon VMware Foundation to Create
Internal Private Cloud
HIT Services
VMware vSphere
Storage Compute Network Desktops Applications

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Deliver desktops and apps as a managed
service
Platform
VMware vSphere for
desktops
Management
VMware View Manager
Vmware View Composer
VMware ThinApp
VMware View
User Experience
PCoIP
Print
Multi-monitor display
Multimedia
USB redirection

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MERCI DE VOTRE
ATTENTION