Patient Privacy and Outcomes Through Optimal Network Performance
RADIOLOGY COMPANY IMPROVES PATIENT PRIVACY AND OUTCOMES THROUGH OPTIMAL NETWORK PERFORMANCE
CUSTOMER TYPE: Private Medical Practice
- Lacked ability to quickly and securely transfer large medical images across a number of MPLS VPN connections
- Utilized LiveAction’s solution, LiveNX*, to generate a complete topology view of live network flows from end-to-end, so IT teams could identify and solve issues faster
- Enhanced network performance, increased bandwidth and prioritized traffic through Quality of Service (QoS)
- Increased internal organizational productivity, patient satisfaction and the success of patient outcomes—by enabling the proper transfer of patient-critical records (to and from clinics and hospitals)
The U.S. based radiology company described here is a small and highly dedicated team of radiologists and technical staﬀ providing medical imaging services for local area hospitals. The group has a diverse collection of state-of-the-art equipment including nuclear medicine devices such as MRI, PET and SPECT scanners as well as photoacoustic and thermal imaging devices.
Patients are also scanned at their local hospital locations and after processing and initial physician evaluations are completed, the resulting digital images are often sent using an MPLS-VPN network carried over Ethernet to other local hospitals for additional physician analysis and diagnosis.
According to the company’s IT Manager, the network itself isn’t very complicated, but it faces challenges a typical enterprise network would never see. Besides stringent government requirements for patient privacy, network speed and reliability take on a new meaning when delays or failures can sometimes aﬀect a patient’s chances for survival. To add to the challenge, nearly 90% of the network’s traﬃc consists of very large ﬁle transfers between hospitals and even to a physician’s home oﬃce.
WAN appliances didn’t help. One would assume that dedicated Ethernet links would ensure high speed and full control of available bandwidth. Yet performance related issues did persist. Using WAN optimization appliances seemed to be an obvious solution based on industry performance claims attributed to conventional networks. However these devices rely primarily on compression and de-duplication to achieve good results. The company’s images were already highly compressed and because the transmissions were never repeated, the WAN appliances had nothing to optimize, essentially providing a near zero gain in performance despite the high cost of installing appliances at every remote location.
There were also some unknown issues with network performance that the team could not resolve with the WAN optimizers. They needed the ability to see what was actually happening inside their network devices—not unlike the detailed scans they capture daily of the human body.
Through his connections in the local IT community, the IT manager discovered LiveAction (now known as LiveNX*). He was intrigued with its rich visualizations, real-time situational awareness, and the ability to conﬁgure Cisco routers on-the-ﬂy, so he obtained a trial version for his laptop.
Within a few minutes after installation, LiveAction generated a topology view of the network showing live ﬂows from beginning to end, across multiple devices and interfaces. Clicking on diﬀerent network elements revealed successively deeper and richer levels of information. For the ﬁrst time he could literally see what was happening on and inside his network. And what he saw was surprising—almost disturbing.
Two well-known methods for enhancing performance are increasing bandwidth and prioritizing traﬃc using Quality of Service (QoS) policies. Increasing bandwidth was not an option for the company since they were already using a high performance MPLS managed service. Because of this, they felt no need to implement QoS. Their assumption was that, aside from transferring large medical images, the remaining traﬃc on the network was of such low volume and low priority that it would have a negligible eﬀect on performance. Also, the closed network of interconnected hospitals made the network appear immune from outside congestion and interference.
However, just as an MRI or PET scan can reveal unknown human anomalies, LiveAction uncovered several issues that would have been impossible to predict and see using conventional monitoring methods. In one case, the IT manager was summoned to work in the early morning hours by an urgent call stating that the network had slowed to a near shutdown. Using LiveAction, he quickly discovered what was choking the network and preventing ﬁle transfers from taking place. The culprit was an ad-hoc peer-to-peer network using his MPLS-VPN network for transport. While this was permitted for normal low volume traﬃc, the network clients were downloading extremely large ﬁles and were apparently using the network for unauthorized, non-medical reasons.
The IT manager was able to resolve this very quickly using two methods that were unavailable before LiveAction. First he used LiveAction to identify the oﬀending devices and applications and he could literally watch this traﬃc from source to destination. Then, using LiveAction, he applied a new QoS policy to the network routers. With a few adjustments he was able to create and apply the new policy that essentially blocked the rogue applications and ultimately shaped the traﬃc for proper prioritization to ensure maximum performance while still permitting other legitimate traﬃc to traverse the network. Then, using LiveAction’s QoS monitoring and NetFlow visualizations, he was able to conﬁrm that the policies were indeed working and the network was healthy and operating at peak performance.
In addition to healing its network, the company now has a robust and highly visual QoS solution with the ﬂexibility to reprioritize traﬃc on the spot whenever requirements change at diﬀerent times of the day or night.