Last week, I keynoted the Markley Group annual meeting and spoke about the data center issues that keep me up at night.
1. At Harvard Medical School, increasing amounts of research is done in "silicon" instead of wet labs. The growth in demand is unpredictable and bursty. When grants are funded, demand for new equipment is instantaneous. Data centers often have fixed real estate, limited power, and constrained capital budgets for expansion, making unplanned expansion problematic.
2. There is zero tolerance for downtime in the face of constantly changing technologies. We need to continuously innovate, providing the latest technology while maintaining existing systems at high levels of reliability.
3. Power and cooling needs are increasing exponentially. We've already virtualized all our application servers and we're beginning to virtualize database servers. Virtualizing high performance computing nodes does not really help since those nodes require maximal raw processing power. Harvard Medical School's compute cluster has 6000 cores. Our data center infrastructure needs optimal power usage efficiency to minimize energy costs.
4. Storage demand is now multi-petabyte. Drive density is increasing and costs are falling, but backing up and archiving petabytes is still a challenge.
5. Regulatory and compliance requirements now require searching and e-discovery of increasingly complex data stores. Although most healthcare organizations typically do not face Sarbanes-Oxley reporting requirements, other requirements such as HIPAA, ARRA/HITECH, and the Affordable Care Act have their own data retention and analysis implications.
My solution to many of these issues has been to create "elastic data centers" using external hosting facilities such as those provided by the Markley Group. Harvard Medical School has two such floors - a "low density" 5kw/rack 1000 square foot floor with an option to expand to 5000 share feet and a "high density" 30kw/rack floor with unlimited expansion capabilities. This flexibility enables me to shift the burden of power and cooling planning to someone else, while enabling me to serve my customers on demand.
BIDMC's EHR hosting center is another example of an elastic data center. We provide a private cloud with eClinical Works EHR offered via a Software as a Service model. The problem is that we do not know how many clinicians we'll support over time, so we contracted for an outsourced hosting center with easy expandability.
What will the next few years bring in data centers? My prediction is that
• On demand storage and compute cycles from private cloud facilities will become commonplace
• Clusters and Grids will enable communities of collaborators to flexibly share processing power
• Green Data Centers with Power Usage Effectiveness less than 1.50 will reduce the rate of growth of data center energy costs
• HIPAA compliant private clouds will evolve to enables EHRs and other person identified data to be hosted in the cloud
• The amount of storage and compute cycles needed to meet increasing demands will strain existing hospital-owned data centers, resulting in more elastic data centers hosted externally.
It's an exciting time to be in IT!
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