Epic On NetApp - NetApp - ProSeries

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Epic on NetAppBrian O’MahonyGlobal Healthcare Solution Architect (EHR)June 16th, 2021 2021 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —

Today’s AgendaEpic on NetApp1) NetApp Healthcare2) Why NetApp for Epic?3) The Latest from Epic4) Sizing and Architecture5) Automation6) Next Steps2 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL

LeadershipHealthcare Industry ExpertsHealthcare &Life SciencesDave NesviskyExecutive Director - HealthcareRaleigh, NCDavid.Nesvisky@netapp.com703.624.3041Jessica JorgensenChief GTM Strategist - HealthcareDenver, COJessica.Jorgensen@netapp.com303.324.75904Brian PruittStrategic Partner Mgr – EpicDenver, COBrian.Pruitt@netapp.com720.391.1644Kim GarriottImaging & FED BDMIndianapolis, INkim.garriott@netapp.com317.997.0199Esteban RubensPrincipal, Healthcare AI PracticeStratham, NHesteban.rubens@netapp.com603.208.7501Brian O’MahonySolution Architect (SA)- EpicBoston, MABrian.Omahony@netapp.com617.894.6772Tony Turner, RTAMER SO. BDM & ImagingAtlanta, GATony.Turner@netapp.com404.217.1642Ray DeiotteAMER NO. BDM, Pharma & CDODenver, CORay.deiotte@netapp.com719.237.6878Lisa HinesTeleHealth, Payer Market & SLED BDMGreenville, SClisa.hines@netapp.com864.809.8149John DuignanSA: MEDITECH, ImagingAustin, TXJohn.Duignan@netapp.com512.851.7793Philippe WackersHealthcare Lead, EMEABelgium, Germanyphilippe.wackers@netapp.com 32 475 71 58 09Stephan SchmittSolution Architect EMEAFrankfurt, GermanyStephan.Schmitt@netapp.com 49 151 120 55980Scott RaymondAMER West. BDM & CIODenver, COScott.Raymond@netapp.com562.233.4577

Data Fabric Deployment OptionsCloud ConsiderationsApproved by Epic!PUBLICCLOUDMULTICLOUDStorageGridNetApp All-Flash FAS 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL — Limited Use OnlyBackup and Tiering

Epic Data Stores and ReportingKey Application ComponentsDRProductionExternalEMR DataEpic MirrorEpic MirrorTestRefreshHR DataCost DataClaims DataEpic DREpic ReportEpicProductionIntegrated EHRDataClarityCogito CaboodleSupplyChain DataEmployeeSatisfactionDataVMWareExternalEMR DataDRWebBLOBSnapMirror 2019 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —WebBLOBHyperspaceVDIPatientSatisfactionData

Healthcare SilosToday’s Reality Multiple teams to managethe environments Silos Application Infrastructure Data Team High TCO Maintenance RenewalNightmare 2021 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL — Limited Use Only

Scale and Simplicity forHealthcare TodayONLY with NetAppMultiple Epic Silos and PlatformsConsolidation, Simplicity and ScaleNetApp Data FabricPublic cloudOn premisesEpic ODBEpic ODBEpic Cogito SuiteEpic HyperspaceEpic Web & ServiceNetApp ONTAPEpic Cogito SuiteEpic HyperspaceEpic Web & ServiceEpic Web BLOBCitrix/VMwareEpic Web BLOBCitrix/VMwareSUP/REL/TSTMedical ImagingSUP/REL/TSTMedical Imaging 2021 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL — Limited Use Only

Simplicity of Managing Capacity and PerformanceConsolidation and ScaleEpic Performance ProfileGeneral Performance ProfileGuaranteed Performance egrityBackupsValuePerformanceEpic ic ologyReportExtremeNAS

NetApp ONTAPEpic’s Highest Rated Storage PlatformStorage Arrays for the Epic EnvironmentStorage Technology Discussion for Network Attached StorageNetApp FAS/AFFHIGHONTAP is the only vendor withHigh Comfort rating for bothNAS and SAN on a singleplatformVery CommonONTAP the only Epic approvedvendor to consolidate all Epicto a single platform. 2020 NetApp, Inc. All rights reserved.

Futureproof IT with NetApp “No Compromise” All Flash SolutionFCNVMe/FCiSCSINFSCIFSS3Scale Out by Adding Controllers(Maximum 24 Controllers)Scale UpIndividualControllersCloudAll Flash FAS (AFF)All Flash FAS (AFF)FASNVMe/FC SSDSeamlessly AddNext-GenerationCommodity ServersFASScale OutCommon Set of Enterprise Grade FeaturesInline Compression & Inline DedupecompactionSnapVaultSnapMirrorNDOHybrid ClusterApplication IntegrationData Fabric

Over 170 HealthcareOrganizations TrustNetApp to run Epic!

Epic’s Highest Rated Storage PlatformConsolidation and Simplicity with NetAppHONORROLLExceeds Epic Honor RollRequirements and the ONLYvendor with a “High Comfort” ratingfor both SAN & NASContractual guarantee ofPerformance ( 500 μs)Data Reduction (5:1)Availability (100%)ClarityProdBLOBMULTICLOUDPUBLICCLOUDOnly vendor approved toconsolidate all Epic workloads intoa single platformOnly with NetApp cancustomers run Epic (Production,DR, Archive and Tiering) in thecloud of your choice 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL — Limited Use OnlyLeverage NetAppautomation to reduce Epicbackup/refresh times from10 hours to 2 minutes

What’s New From EpicCloud Included in August 2020 Epic release Limited scale and performance New for 2020 Cache database replacement Lack of enterprise data management 3 - # of Epic copies Allows customers to move betweencapabilities 2 - # of Operating Systems AIX and RHEL at no cost Lack of 9’s for critical EHR solutionAddresses scale and ability to High cost of cloud solutionsconsolidate into a single database 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —(primary/archive) 1 – Archive copy in DR site StorageGrid and Cloud!

Epic Production and DR in AzureAzure NetApp Files for EpicCURRENT CHALLENGESWITH AZURE NETAPP FILES Limited to 6-7M Global References on native AWS and Azure 80M GLOBAL REFERENCES Only able to accommodate smaller Epic deployments(less than 25% of customer base) Over 230k IOPs Accommodates 100% of Epic customer base High TCO Lower TCO w/ NetApp Storage Efficiencies 99.9% SLA 99.99% SLA AZURE NETAPP FILESCourtesy of Epic Systems 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —

Epic Honor Roll SolutionsCLOUDCloud VolumesONTAPCloud VolumesService/ANFJuly 2021Late 2021(approval in process)(testing in process) 2021 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL — Limited Use OnlyTBD

Azure NetApp Files for EpicNetApp Cloud ManagerArchitecture Overview – Cloud-only DeploymentAzure Primary RegionAzure Disaster Recovery RegionCaché/IRIS MirroringDaily DBDumpEpic ProdReportClarityNon-ProdWebBLOBHyperspaceEpic DRWebBLOB SOSOSOSANFCross-RegionReplicationAzure NetApp FilesAzure NetApp FilesYOUR EPIC EHR DATA – MANAGEDBackup ServiceCloud BackupCompliance & SecurityData MigrationAutomationResource ManagementCloud ComplianceCloud SyncAnsibleCloud InsightsCloud SecureCloud TieringREST APISpot Cloud AnalyzerVirtual Desktop Service 2021 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL ---

Azure NetApp Files for EpicNetApp Cloud ManagerArchitecture Overview – Hybrid DeploymentCustomer Data CenterAzure Disaster Recovery RegionCaché/IRIS MirroringDaily DBDumpEpic ProdReportClarityNon-ProdWebBLOBHyperspaceEpic DRWebBLOB SOSOSOSCloud SyncAzure NetApp FilesYOUR EPIC EHR DATA – MANAGEDBackup ServiceCloud BackupCompliance & SecurityData MigrationCloud ComplianceCloud SyncCloud SecureCloud TieringAutomationEpic AutomationService AnsibleCloud InsightsSpot Cloud AnalyzerREST API 2021 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL ---Resource ManagementVirtual Desktop Service **

NetApp Cloud Insights forMonitor, Optimize and Secure Epic EHRStop ransomware in its tracks with actionable intelligenceFull-stack visibility of your Epic infrastructure beyond EpicSystem PulseEnsure corporate compliance by auditing Epic access andusage patternsDirectly identify Active IQ risks and take advantage ofprescriptive guidanceCreate Epic dashboards instantly that are relevant to yourspecific needs 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —

Epic Sizing Decision Tree for CloudWork with the NetApp Epic Alliance Team to validate designsCloud Preference?What is the size of thecustomers Epic Database?Less than 2TB2-5TB10-20TB 20TBAzure NetApp FilesTBDCloud Volumes ONTAPSmall Instance20Cloud Volumes ONTAPMedium InstanceCloud Volumes ONTAPLarge Instance 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —

NetApp SAN and Flash Leadership Customer Momentum NetApp All Flash FAS (AFF) SAN is growing by 100% year-over-year (YoY) Most of our AFF customers use SAN (68%) 60% of net-new NetApp ONTAP customers use SAN NetApp is 1 of 2 growing major SAN vendors in theindustry* Industry Partnerships Brocade, CiscoNVMe Steering Committee memberSamsung #1 Storage VendorToshibaIntel* Source:IDC Quarterly Enterprise Storage System Tracker, Q4 2018, March 7, 2019 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL — Limited Use Only Technology Leadership First Epic high comfort all flash array First unified (SAN NAS) storage system. Only vender with high comfort for Epic large-scaleSAN and NAS First unified target (FCoE IP on the same port). First 1/10/40/100GbE iSCSI storage system. First vendor with primary SAN deduplication. First to 32Gb FC end to end. First to deliver NVMe/FC end-to-end. First to offer SAN application acceleration withPMEM tier on server side with MAX Data SAN application near memory speed

AFF: NVMe/FC Ready via Software UpgradeDisruptive Technology, that can be Adopted Non-disruptivelySCSIFCiSCSI FCP: SCSI-3 command set encapsulated in an FC frameFCHeaderFC FrameSCSI-3CommandDataFCHeaderFC CP NVMe/FC: NVMe command set encapsulated in an FC frameExisting AFFExisting serverA300/A400/A700/A800with new NVMe/FC driverHBANVMe/FCExisting SANInfrastructureNVMe over FabricsFC 2020 NetApp, Inc. All rights reserved. NetApp Confidential – Limited Use OnlyHBAReady

EPIC NVA HW/SW TopologyBroadcomLPe32002-M232GB HBA2x Brocade G720A800 HA pairHardwareQuantityStorageNetApp AFF A800 high-availability (HA) pairwith four 32Gb FC target ports and 36 1.75TBSSDs2SwitchesBrocade G720 64Gb FC ports switch1Fibre Channel HBAsEmulex LPe32002-M2 32Gb FC8x86 serversFujitsu RX2540 M288x Fujitsu RX2540M2 serversSoftwareVersionNetApp ONTAP9.8Brocade Fabric OS9.0.1aEmulex FirmwareFV11.4.204.25 DV11.4.354.0VMwareESXi 7.0LegendEach Lineequals two32GB Links

A800 Epic GenIO testing with FCP and NVMe/FCNVA-1159-DESIGN: Epic on modern SANNVMe pass GenIO to 730,000 IOPsFCP pass GenIO to 575,000 IOPsValidates ONTAP A800can scale to any sizeEpic environmentIn 4U: 1.58 PiB Effective Capacity (3:1).Scale: cluster to 9.48 PiB Effective CapacityScale: cluster to 4,380,000 IOPsConsolidate: SAN and NAS workloadsGuaranteed Performance: SLMMultitenancy: SVM’s24NetApp Sales Kickoff 2021 NetApp, Inc. All rights reserved. NetApp Confidential – Limited Use Only

FIO resultsClarity testing using FIO25NVA-1159-DESIGN: Epic on modern SANNetApp Sales Kickoff 2021 NetApp, Inc. All rights reserved. NetApp Confidential – Limited Use Only

Evolving Availability Requirements Demand More Than Just aResilient Storage spx Deliver consistent performance SLA’s Scale out design High Availability Consolidation of tiers, protocols and poolsof storage Nondisruptive Operations Proactive Analytic and self healing Native Ransomware and Cyberattackprotection Delivering 99.999999% uptime onproduction system running ONTAP 9.5 orhigher and following best practices. Hybrid cloud integration RAID-DP is 4000 times more reliablewhen RAID5 Self managing storage Focus on end user experience 2020 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL ---

2) Sizing 2020 NetApp, Inc. All rights reserved.

Sizing NetApp Storage for Epic WorkloadsIOPSCaché database bufferswrite operations in thehost buffer cache andcommits these writeoperations to storagewith a large write cycleof 80 second intervals.Sized for Peak IOPs with 50%/50% R/WPeak IOPsRead IOPs WriteIOPsWrite OperationsPer 80-Secondwrite burstAverageTotal IOPsRead IOPsRead operationsTime0s45s80sEpic recommends thatwrite cycles becompleted in 45seconds or less tomaintain optimalperformancePeak write IOPS number of write operations in 80-second write cycle 45 secondsTotal IOPS peak write IOPS read IOPS

Storage Pool Mappings for Epic WorkloadsIO Projections and RequirementsEpic Hardware Configuration GuideValid Until: May 5, 2021Storage Design Summary- 2020 NetApp, Inc. All rights reserved. NetApp Confidential – Limited UseAdded on year of growth 20%IOPs (80-Second Write Burst)/45 Read IOPsSized over three years growthStorage must be capable ofexpanding to Future VersionEstimate

NetApp All Flash FAS A400 - XXXX – 36 Months SupportDC1A400DC2A400SVM FCPEpic MirrorSVM NASSVM FCPSVM NASSnapMirror/SnapVaultDR RackProduction Rack

GenIO Performance TestingEpic Validated ONTAP testingAll 9.7 tesitng done with same hardware, RHEL 7.6 virtual servers on VMWare 6.7 and 32G FCP switchesLongest write Effective Write Ranread AveModelTotal IOPS FCPRequired IOPs NVMe/FCcycle ( 45s) latency ( 1ms)( 2ms)A220 ONTAP 9.7A300 ONTAP 9.3A400 ONTAP 9.7A700 ONTAP 9.3A800 ONTAP 00400,000693,1441,370,000Platform Performance 00,000400,000200,0000A220 ONTAP 9.7A300 ONTAP 9.3Required IOPs 2020 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL ---A400 ONTAP 9.7Total IOPS FCPA700 ONTAP 9.3NVMe/FCA800 ONTAP 9.7

GenIO Performance TestingEpic Validated ONTAP testingAll 9.7 tesitng done with same hardware, RHEL 7.6 virtual servers on VMWare 6.7 and 32G FCP switchesLongest write Effective Write Ranread AveModelTotal IOPS FCPRequired IOPs NVMe/FCcycle ( 45s) latency ( 1ms)( 2ms)A220 ONTAP 9.7A300 ONTAP 9.3A400 ONTAP 9.7A700 ONTAP 9.3A800 ONTAP .0532.4834.97Write Cycle (s)0.120.120.110.090.090.700.650.610.750.50Read Latency ,370,000Write Cycle 05,824105,824105,824A800ONTAP9.7Write Cycle 2020 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL TAP9.7A700ONTAP9.3Write 400ONTAP9.7A700ONTAP9.3Ranread Ave ( 2ms)A800ONTAP9.7

Let’s compare apples to apples efficiencyAll vendors have equal Raw capacity, what really matters is /GB for effective capacityEffectiveRaw83,81924 X 3.8TBRAID-DP and ADP66.33%261,320Usable55,6004.7:1Effective Used44,642206,1954.5:1 Savings 2020 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL ---80%

Epic Sizing Decision TreeWork with the NetApp Epic Alliance Team to validate designsWhat is the size of thecustomers Epic Database?Less than 10TB10-40TBComputeComputeBrocadeG620PROD: A400 HA Pair w/24x1.9TB NVMeDR: A400 HA Pair w/12x1.9TB NVMe34Broadcom32GB HBABrocadeG720PROD: A400 HA Pair w/24x3.8TB SSDDR: A400 HA Pair w/12x3.8TB SSD 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —Greater than 40TBComputeBroadcom32GB HBABrocadeG720PROD: A800 HA Pair w/24x7.6TB SSDDR: A800 HA Pair w/12x7.6TB SSDBroadcom32GB HBA

3) WorkFlow Automation 2020 NetApp, Inc. All rights reserved.

Easily solve Patient care with NetApp.SimpleEasyadjective1. plain or basic2. unsophisticated 2021 NetApp, Inc. All rights reserved.vs.adjective1. not hard or difficult2. requiring minimal effort

NetApp & Ansible Configuration ManagementSimplify your Configuration Management with AnsibleAccelerate: automatecomplex tasks with littleeffort and leverage time forother tasksReliable: consistent state forevery workloadOpen-Source: no vendorlock-in, infrastructurevendor-agnosticSimple & Secure: agentless.Only openSSH and API(HTTPS) are required on themanaged nodesMinimal learning required:Playbooks use an easy,descriptive language andfamiliar toolsFast: Rapidly addresschanging demands on yourstorage -keep-a-secret/37 2020NetApp,All rightsreserved. 2020NetApp,Inc.Inc.All rightsreserved.

Epic Environment Refresh StrategyChallenges Complex backup workflowintegration Epic customers are required to standup 10-30 full copy testenvironments from the prod DB.Example SUP, REL, PJX . Required to automate refresh andend up with complex unsupportedcustom scripts No support for custom scripts andnot best practice or honor roll Increased cost with longerdeployment time, high operationhours, no efficiencies saving onexpensive SSD. 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —

Epic DR ClusterEpic Production ClusterEpic MirrorDaily DB DumpEpic Data ManagementFully automation solutionEpic ProdFreeze/ThawReport ProdNone ProdEnvCopyClarityHyperspaceEpic DRFCP/NVMe/SMBDR Non-ProdFCP/NVMe/SMBScale outONTAP ClusterClarityEpic ReportEpic ProductionEpic ReportCloneSUP CloneREL CloneSnapMirrorPJX CloneBackup CloneMountEpic DRHyperspaceHyperspaceVMwareVMwareWebBLOB (SMB)WebBLOB (SMB)SnapMirrorSVM-DRStreamBackupHyperspace

EHR ResourcesTools to help you WIN!Epic Best PracticesEpic Quick Reference GuideEpic Sizing GuidelinesEpic on FlexPodEpic Short ProposalHyperspace on HCI Sales KitEpic Advanced Selling Methodology 2020 NetApp, Inc. All rights reserved. — NETAPP CONFIDENTIAL —Epic DR in Cloud Sales Kit

Let us help you get startedWork with NetAppEpic Team toidentify andprioritize use casesSchedule Epic DesignWorkshop tailored toyour customerVisit our DataVisionaryCenterCustomer Proofof Concept(CPoC)Brian PruittGlobal Healthcare Alliance Mgr – EHRDenver, tomerReference CallLearn more atwww.netapp.com/healthcareBrian O’MahonyGlobal Healthcare Solution Architect – EHRBoston, MABrian.Omahony@netapp.com617-894-6772

Thank you.43 2020 NetApp, Inc. All rights reserved. --- NETAPP CONFIDENTIAL ---

Multiple Epic Silos and Platforms NetApp ONTAP Medical Imaging SUP/REL/TST Citrix/VMware Epic Web BLOB Epic Web & Service Epic Hyperspace Epic Cogito Suite Epic ODB Epic ODB Epic Cogito Suite Epic Web BLOB Citrix/VMware SUP/REL/TST Medical Imaging Epic Hyperspace Epic Web & Service On premises Public cloud NetApp Data Fabric ONLY with NetApp