AR

Operations — digital twin

A model of the operation, not a picture of it

Services, their dependencies, the vendors behind them, what they cost and what they risk — held together so a change in one place can be reasoned about everywhere else.

Service map — Meridian Health Systems, IT Operations

5 services · 4 vendors

EHR Platform

Tier 1

Availability

96.4%

Tickets
11,240 tickets / qtr
Incidents
9 P1–P2 / qtr
Changes
412 changes / qtr
Infra cost
$2.9M/qtr infra

Depends on: Identity & Access Management, Network Infrastructure

Patient Scheduling System

Tier 1

Availability

98.6%

Tickets
7,880 tickets / qtr
Incidents
5 P1–P2 / qtr
Changes
238 changes / qtr
Infra cost
$0.8M/qtr infra

Depends on: EHR Platform, Identity & Access Management

Clinical Data Warehouse

Tier 2

Availability

99.6%

Tickets
1,910 tickets / qtr
Incidents
1 P1–P2 / qtr
Changes
164 changes / qtr
Infra cost
$1.4M/qtr infra

Depends on: EHR Platform, Network Infrastructure

Network Infrastructure

Tier 1

Availability

99.1%

Tickets
6,420 tickets / qtr
Incidents
6 P1–P2 / qtr
Changes
587 changes / qtr
Infra cost
$1.1M/qtr infra

Depends on:

Identity & Access Management

Tier 1

Availability

99.4%

Tickets
8,310 tickets / qtr
Incidents
2 P1–P2 / qtr
Changes
301 changes / qtr
Infra cost
$0.4M/qtr infra

Depends on: Network Infrastructure

Dependencies & vendors

Northwind Managed Services

Supports: EHR Platform, Patient Scheduling System

Spend

$4.2M/yr

SLA

97.5% met

Aster Cloud (AWS)

Supports: Clinical Data Warehouse, All tier-1 workloads

Spend

$7.8M/yr

SLA

Commitment 62% covered

Vantiq Security

Supports: Identity & Access Management

Spend

$1.1M/yr

SLA

99.1% met

Corvex Networks

Supports: Network Infrastructure

Spend

$2.6M/yr

SLA

98.2% met

What-if

If the recurring root cause on the EHR integration bus (EHR-INT-02) is eliminated, what happens to ticket volume and cost per ticket over the next quarter?

Ticket volume (next quarter)

37,978

Cost per ticket

$3.12

P1–P2 incidents on EHR Platform

9

Quarterly run cost

$6.90M