Strike Up the Band | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Strike Up the Band

April 1, 2006
by Leo Bodden
| Reprints

Our bandwidth costs were already on a steady climb: 20 percent annual growth for five years running. And we hadn't even yet implemented PACS — the break-through, but bandwidth-intensive, picture archiving and communication system application. We needed an intelligent solution.

The implementation of dense wavelength division multiplexing (DWDM) technology has halted New York-Presbyterian Hospital's escalation in costs and effectively future-proofed our network for foreseeable growth in bandwidth demand. Long-term cost avoidance was the primary driver behind our decision. By making the decision now to upgrade to DWDM, we have effectively leveled future bandwidth costs at what they are today — while providing the bandwidth we need for PACS and an array of life-saving services.

Consistently ranked as one of the top hospitals in the country in U.S. News & World Report's guide to "America's Best Hospitals," New York-Presbyterian is the nation's largest not-for-profit, non-sectarian hospital. We provide state-of-the-art inpatient, ambulatory and preventive care in all areas of medicine through five major centers. Today, the New York-Presbyterian Healthcare System — an affiliation of acute-care and community hospitals, long-term care facilities, ambulatory sites and specialty institutes — has grown to serve one in four patients in the New York metropolitan area.

Arriving at DWDM

The first solution we considered was simply expanding our existing asynchronous transfer mode infrastructure with additional synchronous optical network (SONET) rings or point-to-point DS-3 land-line connections. Quickly, however, it became clear that this was neither a simple nor long-term solution. Deploying Ethernet-based applications over a SONET infrastructure would require complex spanning tree configurations for redundancy, and, in fact, the links would have been saturated with traffic even before our new applications were implemented.

WDM-enabled optical networking offered a compelling alternative. With WDM, individual applications are assigned wavelengths of light, multiplexed at one end of a strand of an optical-fiber link and de-mulitplexed at the other. Because the light wavelengths do not interfere with one another, traffic from multiple protocols can be carried over the same strand of optical fiber — and application performance is native speed. Protocol conversion is unnecessary, so there are no limitations regarding bit rates or latency.

Dense WDM (DWDM), coarse WDM (CWDM) and even hybrid CWDM/DWDM platforms are available. The difference between DWDM and CWDM is how densely wavelengths are arranged. CWDM uses 20-nanometer spacings, enabling up to eight "virtual channels" for application traffic to be created on a single strand of optical fiber. In DWDM, wavelengths are more tightly arranged — spaced 1.6 nanometers or less between one another. This enables up to 64 virtual channels of application traffic to be created on a strand.

DWDM platforms require higher cost components, so they tend to be more expensive than CWDM models. Yet we chose the unsurpassed scalability of DWDM because it offered an opportunity to create a network infrastructure that we are confident will serve us for the next five to 10 years.

With this solution in place, we'll be running at only 10 percent of the bandwidth capacity of our infrastructure, even with PACS fully implemented. With all foreseeable bandwidth demand in place, we'll still be running at only 20 percent capacity. We have developed a cost-effectively scalable infrastructure that we believe will accommodate our bandwidth growth for at least the next 10 years.

Fast, flexible and resilient

New York-Presbyterian Hospital deployed ADVA Optical Networking's Fiber Service Platform (FSP) 3000 DWDM systems at all five of our Manhattan campus locations, including data centers and patient-care facilities. The network, enhanced with erbium doped fiber amplifier (EDFA) modules that enable native-speed application performance over longer distances, is a ring and logical mesh architecture that measures 50 kilometers in circumference. We have realized a series of valuable benefits.

First, it's a high-speed, resilient infrastructure with zero single points of failure. One of the primary reasons we selected the ADVA system from the range of DWDM solutions that we considered was because, even if we lose power to a given location, pass-through traffic does not terminate on the impacted ADVA gear. Given our ring topology — and the fact that two of our sites have no capability for battery-power backup — this was a characteristic we felt we could not live without. The necessity of this feature was reinforced when New York and dozens of other cities in the eastern United States and Canada experienced an extended blackout in August 2003.

Second, the network provides simultaneous support for 64 channels of data, voice and video services of up to 10Gbit/s. The ADVA solution provides quality of service (QoS) capabilities that our mission-critical traffic is provided with dedicated bandwidth and controlled levels of jitter and latency.

Third, the network offers inherent support for fibre channel storage-area networking (SAN) applications. Distributing information assets across a metro area is the most meaningful approach to ensuring quick, complete recovery from data-center unavailability. A geographically dispersed setup is reliable by its very nature and allows efficient resource sharing among locations. Our network performs disc mirroring via the fibre channel protocol among dispersed information resources and an updated copy of all data is steadily available.

And, fourth, as part of this solution we have deployed a flexible network architecture that allows us to accommodate emerging requirements. This is crucial, as healthcare remains amid an ongoing, rapid technological transformation. For example, one of the future applications we are considering is computerized physician order entry (CPOE). The potential benefits in terms of reduced errors and heightened efficiency are compelling. Our new network affords us the flexibility to consider new applications such as CPOE without worrying about the additional costs for bandwidth support.

A wise decision

Fiber build-out was completed in September 2004, and New York-Presbyterian Hospital's new network went live in January 2005. If the projected bandwidth purchases we would have made in expanding our SONET infrastructure are not factored, the ROI still proves in at three and a half years.

With increasing numbers of higher bandwidth network applications enabling unprecedented capabilities, hospitals are being challenged to affordably offer their patients state-of-the-art care. DWDM-enabled optical networking is allowing New York-Presbyterian Hospital to do just that. We have achieved that rare combination of networking power and flexibility necessary to allow gradual, cost-effective adoption of new capabilities and services.

Leo Bodden is director of CORE Resources (Network Services) at NewYork-PresbyterianHospital. Sidebar:

Growing Pains

By 2001, New York-Presbyterian's network had begun to show the strain of significant growth. We began the process of building a network capable of cost-effectively supporting a variety of compelling, new applications, including:

  • PACS, which would allow caregivers across multiple locations to digitally store, manipulate and share cardiology and radiology images;
  • physiological monitoring, in which real-time telemetry data can be relayed from intensive-care units to a central location for constant analysis;
  • Fibre channel disc mirroring, in which data is synchronously written to geographically dispersed data centers, ensuring business continuity in the event of failure at any site, and
  • Voice over Internet Protocol (VoIP), providing business-grade voice service over flexible, cost-effective IP infrastructure.
  • Additionally, we sought to connect to the NYSERNet New York City Dark Fiber Network, offering nearly unlimited metropolitan-area network (MAN) capacity at a fixed price. L.B.


The Health IT Summits gather 250+ healthcare leaders in cities across the U.S. to present important new insights, collaborate on ideas, and to have a little fun - Find a Summit Near You!


/article/strike-band

See more on

betebet sohbet hattı betebet bahis siteleringsbahis