The Enterprise Storage Management Solution (ESMS) is a comprehensive data storage, management and sharing solution that, depending on the ownership structure, can either be financed through capital or operating budgets. ESMS financing options include purchase lease, lease with option to purchase and fee for service, as well as a combination of these choices for various solution components. Fee for service model can take two basic forms — fee per study or per gigabyte (GB) stored. Each form has its own charging schemes. Learn more about the billing methods, as well as other factors to consider in the fee for service models.

Identifying the ownership structure and location of the secure data center that will house the infrastructure, servers and storage components are the initial steps in ESMS implementation. Deployment options may be any or a combination of the following methods:

  • Acquiring the institution to perform the installation, systems integration and ongoing operational support only through a vendor
  • Using a managed service model, where the vendor provides the said services with minimal assistance from the institution

The following crucial factors should be considered during the implementation phase:

  • Data migration — Migrating the vendor’s independent ESMS must be the responsibility of the principle vendor.
  • On- and off-site data storage — The healthcare enterprise must have two distant, secure and highly available data centers that have separate power grids and not subject to the same environmental disasters.

Take note of end-of-contract considerations about electronic protected health information (ePHI) stored by the vendor. These include conditions, penalties, cost for additional functionality and inclusion of additional clinical department or sites, and cost to use ESMS outside the vendor’s enterprise.