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Southeast Iowa Regional Medical Center Uses AWS to Improve Recovery Times by 67% CASE STUDY Overview Southeast Iowa Regional Medical Center is committed to providing its largely rural community with the same high-quality healthcare found in larger hospitals. Integral to this mission are IT services, which is why the hospital decided to upgrade its disaster recovery solution. By using AWS Elastic Disaster Recovery (formerly CloudEndure Disaster Recovery) to set up a secondary site on AWS, the hospital improved its recovery times by 67% and strengthened the reliability of its electronic health records (EHR). On-Premises Secondary Site Not Meeting Recovery Objectives From patient registration platforms to electronic vital sign monitors, hospitals depend on the availability of IT systems. In particular, hospitals rely on EHR applications. Southeast Iowa Regional Medical Center has been using the MEDITECH 6.x EHR platform since 2018. It provides the hospital with a single electronic record for all patients across inpatient and ambulatory settings, and requires at least 50 servers with many interdependencies. Losing access to MEDITECH EHR would have a detrimental impact on patient care. To prevent downtime, the hospital had previously set up a secondary site in an on-premises data center. However, the hospital was unable to meet its requisite recovery time objective (RTO) and recovery point objective (RPO). (RTO is the maximum amount of time needed to recover from a disaster after notification of business disruption. RPO is the maximum amount of time that data loss is tolerable.) It was also unable to conduct comprehensive disaster recovery tests. According to Shane Tapper, the hospital's systems executive of informatics, "We were less confident in the data that we had as it was becoming more difficult to test the scenarios that needed to be tested." Using AWS to Protect Patient Data and Accelerate Recovery In order to improve the recovery capabilities of the hospital's EHR platform, Southeast Iowa Regional Medical Center reached out to Healthcare Triangle – an AWS Partner that helps hospitals leverage the cloud for scalable, cost-effective, and secure disaster recovery. The IT team at the hospital shared with Healthcare Triangle their main requirements: 1. The ability to conduct periodic, non-disruptive tests to validate the hospital's RTO and RPO; 2. Improved recovery objectives — an RTO of 12 hours and an RPO of 4 hours; 3. Visibility into the health of all servers at any point in time; and 4. Support of MEDITECH EHR. Taking these requirements into consideration, Healthcare Triangle recommended that the hospital use Elastic Disaster Recovery to set up a secondary site on AWS. Elastic Disaster Recovery is a highly automated service that minimizes downtime and data loss by continuously replicating on-premises and cloud-based applications into AWS, and quickly launching them in the case of an IT disruption. According to Chris Paalman, director of engineering and operations at Healthcare Triangle, "Because MEDITECH is a complex application, there weren't a lot of disaster recovery Highlights • Hospital needed a more reliable disaster recovery solution for its MEDITECH 6.x EHR platform. • Used Elastic Disaster Recovery to set up secondary site on AWS within six weeks. • Replicated 61 on- premises servers comprising 14 TB of data. • Improved recovery time objective by 67% and recovery point objective by 50%. • Gained reliable, non- disruptive testing and real-time visibility into health of servers. "We were able to offload the entire solution without anyone outside of our team knowing what was going on. There was no impact on database times and no impact on internet connectivity." Shane Tapper Systems Executive of Informatics at Southeast Iowa Regional Medical Center aws.amazon.com/disaster-recovery | © 2021, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

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