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Should mission-critical services be local or 'cloud' hosted?

Mark R

Diamond Member
Just wondering what people's views are.

We recently had an incident where a major group of hospitals had moved all their IT services to a datacenter about 20 miles away. One day, a few weeks ago, something catastrophic happened, somewhere along the line, and all network connectivity with the datacenter was lost.

All local applications (e.g. electronic patient record, PACS (X-ray/CT scan/MRI scan viewing), bookings, test ordering, results, blood transfusion, OR record keeping systems, e-mail/blackberry mail, VOIP phones, etc.) were down for about 24 hours. As you might imagine, this caused total chaos - as people had to go back to pen/paper fall-back methods. And then there was the massive backlog that had to be transcribed when the systems came back the next day.

There's been no word on the cause of the failure, and not even my departmental IT admin knows anything about it. I wonder if there is some sort of NDA clause in the contract with the ASP/datacenter.

It's far from clear whether the fact that the hosting was outsourced was relevant, but nonetheless, I'd be interested to hear opinions from people about whether this sort of thing is good or bad, and whether the size of the enterprise is relevant (for point of reference, there are about 10,000 employees here).
 
My job at a local govt agency is currently on keeping things local for now. We only have one line to the internet currently so if that went down we would be in trouble. Unless you have multiple paths out to the cloud I can't see it worth it.
 
The lesson to learn here is to have both local and "cloud" or remote based systems. That way, in this case of a remote failure, the local network resources can pick up the slack.

My company learned this lesson the hard way. Just because it can be cheaper to not run servers on-site, does not mean the reliability/availability of network resources will be better.
 
It's all about determining what you can afford to be without and what you can afford to spend. Every organization should have a disaster plan that would evaluate each system, determine the allowable downtime and then plan for redundant systems as necessary to meet that requirement.
 
wow, cant believe a hospital would want to outsource all of that...seems like too much risk to put up with

the hospital I work at has its own data center hosting everything for its health system at one site...so a few other hospitals and branches and clinics all get everything from corporate. they do a number of IT related things poorly, but i havent heard any horror stories about any serious failures *Shrug*
 
Hosting your services in a remote datacenter is not necisarily a bad thing. This anecdote only proves that poorly designed networks have problems.

If the network had proper redundancy, moving servers to an off-site, secure location can be a very good idea.
 
mission critical should be 3-datacenter hosted. This allows you to have full operations over a long distance. A hosting center is quite fine if it fits the nature of the beast. rackspace is fine for some and then there are higher level services and many lower level services.

Cloud = hosted= Saas = Timeshare etc. very ambigous word indeed.

Keep in mind there are certain requirements that require you have lock and key on door. Compliance laws. They are a beast these days. It's possible to do anything but if the cost of maintaining compliance +time > doing it yourself then you are going to do it yourself.
 
I would never do this, but then again I am a control freak and would never, ever trust anyone else with my data.
All it takes is a construction worker with a backhoe and then no more connectivity....
 
yeah we had that happen where they tore through BOTH(!?!?) 440 mains at the same time. no power. game over. amazing what power a hoe can have 😉
 
I'm really surprised that a medical facility with 10,000 employees has no tested DR plan for their hosted services. I don't think having things "in the cloud" is a problem in itself but it means that your DR plan is are a lot more important and you need to have well documented backup procedures for every system.
 
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