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© eG Innovations, Inc | www.eginnovations.com
Beyond Monitoring:
Leveraging Unified IT Performance
Management for Patient Care and
Satisfaction
Presented by:
© eG Innovations, Inc | www.eginnovations.com
Introduction
Today’s Moderator
Tom Sullivan
Editor-in-Chief
Healthcare IT News,
A HiMSS Media publication
© eG Innovations, Inc | www.eginnovations.com
 Please submit your questions at any time
during the webinar using the questions panel
on the on-screen client.
 This webinar is being recorded. You will
receive a link to the recording in a few days.
 A copy of this presentation is posted on
Slideshare:
http://www.slideshare.net/eginnovations/
Logistics
© eG Innovations, Inc | www.eginnovations.com
Bala Vaidhinathan
CTO
eG Innovations
bala@eginnovations.com
Wendy Howard
Infrastructure Engineer
St. Charles Health System
wshoward@stcharleshealthcare.org
Today’s Presenters

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A Deep Dive Into Comprehensive Citrix & VDI Monitoring with eG Enterprise
A Deep Dive Into Comprehensive Citrix & VDI Monitoring with eG EnterpriseA Deep Dive Into Comprehensive Citrix & VDI Monitoring with eG Enterprise
A Deep Dive Into Comprehensive Citrix & VDI Monitoring with eG Enterprise

Performance management of Citrix technologies has always been a challenge. Determining if user complaints of Citrix logon slowness, session disconnects, screen freezes, etc. are caused by the Citrix stack or by one of the supporting tiers has often been a time consuming and knowledge intensive process. Virtualization of Citrix applications has only added to the challenge. View this presentation to learn how eG Innovations, one of the earliest Citrix-focused monitoring software vendors, has been adapting its eG Enterprise solution to keep pace with Citrix technology evolution.

vdicitrixcitrix performance monitoring
eG Enterprise Logon Simulator for Citrix XenApp & XenDesktop
eG Enterprise Logon Simulator for Citrix XenApp & XenDesktopeG Enterprise Logon Simulator for Citrix XenApp & XenDesktop
eG Enterprise Logon Simulator for Citrix XenApp & XenDesktop

eG Enterprise Citrix logon simulator helps you fix XenApp & XenDesktop issues before users are affected. Proactively monitor Citrix XenApp logon slowdowns. In this presentation, you will discover how to: - Proactively monitor logon performance by simulating and testing XenApp and XenDesktop logon sessions from various locations - Identify why logon is slow and which step in the logon process takes more processing time: is it authentication, enumeration, HDX session establishment, application launch? - Test and ensure if the entire Citrix delivery infrastructure (XenApp, XenDesktop, NetScaler, StoreFront, PVS, license server, AD, etc.) is working as expected to support user logon - Leverage deep Citrix monitoring capabilities of eG Enterprise to identify real user logon issues in real time and provide speedy resolution

eg enterpriselogon simulatorcitrix
Choosing the Best Approach for Monitoring Citrix User Experience: Should You ...
Choosing the Best Approach for Monitoring Citrix User Experience: Should You ...Choosing the Best Approach for Monitoring Citrix User Experience: Should You ...
Choosing the Best Approach for Monitoring Citrix User Experience: Should You ...

A great user experience is key for the success of any Citrix application virtualization or desktop virtualization initiative. To ensure user satisfaction and productivity, Citrix administrators should monitor the user experience proactively, detect times when users are likely to be seeing slowness, pinpoint the cause of such issues and initiate corrective actions to quickly resolve issues, thereby ensuring user satisfaction and productivity. A key question is where should the monitoring of the Citrix infrastructure be performed from - the network, the server infrastructure, or from the client? View this presentation to: • Learn about the different approaches to Citrix user experience monitoring, their benefits and shortcomings • Hear about a hybrid approach that provides the most cost-effective yet comprehensive monitoring for a Citrix server farm • See a live demonstration of the hybrid Citrix monitoring approach and its ability to cover all aspects of Citrix user experience

citrix performance managementcitrix performance monitoringvirtualization monitoring
© eG Innovations, Inc | www.eginnovations.com
The Keystones of Healthcare IT Today:
Application and Desktop Virtualization
 Citrix XenApp and XenDesktop
are the leading solution
 Large increases in capability
and complexity over many
years
 VMware server virtualization
drives most Citrix deployments
 VMware Horizon is the leading
competitor for desktop and
application virtualization
© eG Innovations, Inc | www.eginnovations.com
The Keystones of Healthcare IT Today:
Application and Desktop Virtualization
Citrix healthcare
deployments:
 Mostly on-premises
datacenters
 Running all Windows
applications
 Running all enterprise
healthcare applications
© eG Innovations, Inc | www.eginnovations.com
The Keystones of Healthcare IT Today:
Application and Desktop Virtualization
Privacy Security Flexibility
Operational
Efficiency
Improved
Service
Delivery and
Patient Care
Benefits of Virtualized Applications and Desktops
© eG Innovations, Inc | www.eginnovations.com
The Keystones of Healthcare IT Today:
Application and Desktop Virtualization
Risks in a Virtualized Applications and Desktops Strategy
Cost to
deploy
Increased
downtime
and slow
performance
Reduced
productivity
Lower
patient
satisfaction
Delayed
billing

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Peak performance and a positive user experience are the keys to the success of Citrix XenApp and XenDesktop deployments to virtualize your applications and desktops. When application slowness occurs - and users notice - productivity and business revenue can be negatively impacted. Check out these slides from Bala Vaidhinathan, CTO of eG Innovations, a Citrix-Ready Partner, so you can discover how to address common performance challenges as well as learn some Citrix performance monitoring best practices, including how you can: • Resolve user complaints at the helpdesk, without escalating issues to Citrix experts • Troubleshoot and resolve Citrix logon slowness issues quickly • Find the root-cause of "Citrix is slow" complaints and determine what is causing the problem - i.e., network, VMware, Active Directory, application, Citrix, storage, etc. • Respond to 'my browser is slow in Citrix' - is it the browser users are accessing or something else? • Go from reactive to proactive monitoring of your Citrix services and keep users satisfied and productive

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Managing the End User Experience with GPU-Powered Insights
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Thank you for the demo. Let me know if you have any other questions!

nvidiacitrix performance monitoringcitrix monitoring
Monitor & Manage Citrix App Performance Using Microsoft SCOM
Monitor & Manage Citrix App Performance Using Microsoft SCOMMonitor & Manage Citrix App Performance Using Microsoft SCOM
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Citrix application infrastructures are very performance sensitive. “Citrix is slow” or “Citrix is not working” is a common complaint heard at the help desk from frustrated users. These complaints could be caused from a small problem anywhere in your infrastructure and you have to spend hours finding out where the real problem lies before you can resolve it and restore a positive user experience. Is it really a Citrix issue, or is the issue actually originating somewhere else in the infrastructure – i.e., the network, application, virtual platform, storage, etc.? View these slides and discover how you can extend Microsoft System Operations Center (SCOM) – using the Microsoft SCOM Citrix Universal Management Pack - to monitor and manage Citrix infrastructures end to end, so when a user complains that Citrix is slow, you can pinpoint exactly where the cause of the problem lies — in just one click. Learn how to: • Monitor all of your Citrix tiers – XenApp, XenDesktop, XenServer, NetScaler, XenMobile, etc. directly from the Microsoft SCOM console • Get deep visibility into every aspect of Citrix performance • Pinpoint in just one click where the real cause of a problem lies • Proactively detect and fix performance issues before users complain • Publish real-time dashboards in Microsoft SCOM to provide key insights for the different stakeholders in your organization • Generate powerful, end-to-end historical and trend reports that help you optimize and right-size your Citrix infrastructure for maximum ROI

microsoft scomcitrix performance managementcitrix monitoring
© eG Innovations, Inc | www.eginnovations.com
 Consistent, excellent user experience directly
impacts patient care and satisfaction
 Clinical
 Administration
 Out-patient
 In-patient
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm
© eG Innovations, Inc | www.eginnovations.com
The Impact of a Traditional, Siloed Monitoring Strategy
I can’t login.
There is too
much lag on my
screen.
My application is
taking forever to
load!
Users care about “services”
The CPU usage of
the Linux servers
is ok.
The DNS servers are
responding well to
queries.
IT operations teams focus
on infrastructure silos
The User / IT Management
Disconnect
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm
Different teams are responsible for the performance of separate
tiers/components, but IT service delivery involves ALL.
© eG Innovations, Inc | www.eginnovations.com
Impact on IT
Cross-team coordination reduces speed to resolution for problems that arise,
and impacts the ability to implement preventive fixes and smart growth.
End User
Client Admin
LAN
Admin
Firewall
admin
Server admin
Virtualization
admin
Domain
admin
ERP Admin Sys admin Application
Admin
The server
is working
OK
No other
complaints
All lights
Are green
We don’t
see anything
wrong
Database Admin
This is not
working
VMs are lightly
loaded
Everything
Is OK
Not our
problem
Looks
fine Not mine
either
Talk to
the other
guys
IT Service
Manager
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm
© eG Innovations, Inc | www.eginnovations.com
Impact on Help Desk
Help desk support is negatively impacted by
inability to route issues correctly and quickly.
End User
Client Admin
LAN
Admin
Firewall
admin
Server admin
Virtualization
admin
Domain
admin
ERP Admin Sys admin Application
Admin
The server
is working
OK
No other
complaints
All lights
Are green
We don’t
see anything
wrong
Database Admin
This is not
working
Everything
Is OK
Not our
problem
Looks
fine Not mine
either
Talk to
the other
guys
Help Desk
Associate
VMs are lightly
loaded
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm

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See live the brand-new release of eG Enterprise v6 – the first intelligent performance monitoring solution designed to simplify the management of today’s complex and distributed IT environments. Find out how eG Enterprise helps you make IT Operations more productive, reduce IT support cost & complexity, and keep your end users happy & productive. During the demonstration, we will show how you can: - Have a single unified solution that addresses your application monitoring, database monitoring, server monitoring, network monitoring, virtualization monitoring, service monitoring and even mobile device monitoring needs; - Use intelligent analytics to analyze and correlate performance across the tiers to provide unparalleled speed & ease of proactive alerting, diagnosis & analysis; - View best-in-class customizable dashboards that integrate performance metrics to provide real-time role-based and domain-based views on user experience, system and service health, resource consumption, capacity and more; - Report on historical performance and trends and analyze usage patterns to right-size and optimize your IT infrastructure for maximum ROI; - Address gaps in your current monitoring for Citrix XenApp/XenDesktop, virtual desktop infrastructures (VDI), multi-tier Java applications and heavily virtualized IT environments – in the cloud or on-premise;

eg enterpriseeg innovationsperformance monitoring
4 Best Practices for Delivering Exceptional VDI User Experience
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This document discusses best practices for monitoring VMware Horizon virtual desktop infrastructure (VDI) environments. It recommends: 1) Measuring all aspects of the user experience, including logins, application launches, and session performance, using both synthetic and real user monitoring. 2) Monitoring every layer of the Horizon infrastructure and supporting systems like Active Directory, storage, and networking to pinpoint where problems originate. 3) Correlating performance across layers to determine the root cause of issues affecting user experience.

vmware horizonvmwareuser experience
Oracle database performance monitoring diagnosis and reporting with EG Innova...
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The Oracle database platform is powering many of today's business-critical applications and services. As applications and IT infrastructures are getting more complex and interconnected, performance issues anywhere in the IT infrastructure can quickly cascade and negatively impact end user experience. When Oracle database access is slow, is the issue with the Oracle database configuration or sizing? Or could it because of the storage tier? Virtualization platform? Application queries? Network? Join this live demo to see how next-generation performance monitoring & analytics provides deep visibility into Oracle database environments to accelerate the diagnosis of application and server performance issues, and quickly restore user experience. During the live demonstration, we will show you how to: • Have a single unified monitoring solution that addresses your database, virtualization, network and storage monitoring, diagnosis, analytics, and reporting needs; • Use intelligent analytics to analyze and correlate performance inside the database server and across the other tiers of your IT environment to provide unparalleled speed & ease of proactive alerting, diagnosis & analysis; • View best-in-class customizable dashboards that integrate performance metrics regarding the database and other tiers to provide real-time role-based and domain-based views on user experience, system and service health, resource consumption, capacity and more; • Report on historical performance and trends and analyze usage patterns to right-size and optimize your IT infrastructure for maximum ROI;

analysisoracle performance monitoring
© eG Innovations, Inc | www.eginnovations.com
Citrix XenApp/XenDesktop and VMware
Horizon are mature and complex platforms
 Provisioning, user access, GPU resource
management, mobile, etc.
 Multiple steps, multiple logins
 Susceptible to conditions across the entire
infrastructure, so small issues almost
anywhere can impact the user experience
 Traditionally, performance monitoring has
required many tools
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm
© eG Innovations, Inc | www.eginnovations.com
Example: Suppose the database server is 50% slower than normal. . .
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm
A problem in one tier can affect all the other
tiers involved in service delivery.
© eG Innovations, Inc | www.eginnovations.com
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm
Disk reads
Streaming Media AppSlow Database Queries
Excessive disk reads by the media server
slow down Oracle database accesses
Virtual infrastructures are hard to manage. Traditional, siloed monitoring
tools are not designed to handle these dynamic environments.
Another Example:
© eG Innovations, Inc | www.eginnovations.com
Performance sensitivity negates the effectiveness of
traditional monitoring approaches. Effective
management requires:
 Visibility across the infrastructure for
troubleshooting
 Reporting from across the infrastructure for
planning and design
 Single pane of glass view across all tiers and
throughout each layer is the only means to
preventive management
 Virtualization complexity demands dependency-
aware, automatically correlated insight for
efficiency
The Challenge: Great User Performance in a
Performance-Sensitive Service Delivery Paradigm

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“My application is slow” is a common complaint heard at the help desk from frustrated users and Java application slow downs are so frequent these days that they cost businesses twice as much as actual downtime. When slowness occurs, IT managers often do not have sufficient visibility and insight to quickly determine what caused, and how to resolve, the issue. Is it due to the network, the database, application code, virtualization or storage? In this webinar, Bala Vaidhinathan, CTO of eG Innovations, presented a multi-dimensional approach to performance monitoring and diagnosis that is necessary for ensuring that your Java applications are performing effectively – ensuring quick resolution and a positive user experience. View the slides to discover: • How to monitor the real user experience of Java applications and be proactively alerted to issues • How tag-and-follow transaction tracing helps identify application code issues quickly • Why you need to go beyond transaction tracing for root-cause diagnosis of Java performance issues • Why insights into the Java container and Java virtual machine performance matter • How performance correlation across the application and infrastructure tiers is essential for root-cause diagnosis

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How to Get the Fastest Possible Citrix Logon Times?
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Logon is a user's first interaction with the Citrix digital workspace service, and hence, a slow logon can influence a user's opinion of the service in a way that no other metric can. Therefore, logon time is the #1 key performance indicator (KPI) in Citrix environments. Slow logons have an impact not just on user perception, but also on productivity. When each logon takes minutes — maybe on multiple systems — it results in lost work time and costs the business. So, it is imperative that logons be as quick and non-intrusive as possible. But how can we make this happen? Learn some of the best practices for Citrix Logon time optimization.

citrix performance managementcitrix monitoringcitrix xenapp
Citrix XenApp and XenDesktop Performance Management Made Easy
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This document outlines a presentation about using eG Enterprise to provide fast and easy performance monitoring of Citrix XenApp/XenDesktop environments. It discusses how current Citrix performance management can be slow and manual when issues span multiple tiers. eG Enterprise provides comprehensive, automated monitoring across infrastructure tiers to quickly detect, diagnose, and resolve performance bottlenecks through a single intelligent dashboard. The presentation includes examples of how eG Enterprise detected and alerted on memory, CPU, and disk I/O bottlenecks through automated diagnosis and pre-emptive detection.

monitoringcitrixperformance management
© eG Innovations, Inc | www.eginnovations.com
The Solution: Unified Performance
Management for the Healthcare Enterprise
Unified Performance Management Goes Far Beyond Traditional
Monitoring:
REACH across the
infrastructure
DEPTH throughout each
stack
SPEED to resolution,
through automated
correlation and diagnosis
© eG Innovations, Inc | www.eginnovations.com
The Solution: Unified Performance
Management for the Healthcare Enterprise
•Reduce downtime
•Increase application availability
•Boost user experience
Boost
User Satisfaction
& Productivity
•Simplify, automate & accelerate
diagnosis & troubleshooting
•Optimize staffing levels & reduce OPEX
Reduce
IT Support
Cost & Complexity
•Increase hardware utilization
•Leverage investment in software
•Right-size & optimize environment
Reduce Infrastructure
Cost & Avoid Cost
Overruns
•Accelerate deployments & rollout
•Reduce risk, deliver successful projects
& peace of mind
Deliver
on Time, on Budget,
on Target
KEYBENEFITS
© eG Innovations, Inc | www.eginnovations.com
St. Charles Health System
 Largest provider of medical care in Central Oregon
 Non-profit, multi-location health system focused on
excellent care and high patient satisfaction
 Four hospitals and 120+ medical providers
 Region’s largest employer with 3800+ caregivers
“Creating America’s healthiest community, together.”
© eG Innovations, Inc | www.eginnovations.com
St. Charles Health System
Our Complex Environment
 Virtualization in two datacenters
 Application types:
 Windows 32bit/64bit applications
 EMR, clinical, non-clinical
 XenApp and XenDesktop 4.5/6.5/7.6
 Citrix Servers
 300+ servers – VM and provisioned
 Running Windows 2003/2008/2012
“Creating America’s healthiest community, together.”

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How to Deliver an Exceptional End User Experience in your Citrix Environment
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Citrix Cloud services simplify the delivery and management of Citrix solutions, helping our users to extend their existing on-premises software deployments or even move one hundred percent to the cloud. Citrix Cloud services deploy secure digital workspaces in hours, placing the sensitive app, desktop and data resources on any cloud or hybrid cloud. Accessing the apps, desktops and any data has become easy than ever with Citrix Workspace. Citrix Workspace fully aggregates all apps, data, and files across all applications, and it offers a user-centric experience where everything you need to work is in one unified app, with conditional access and performance made simple based on user context and IT-designed policies. Citrix Cloud services support the integration with different technologies that vary significantly from one organization to another. The first step for users is to access their provisioned desktops, applications, and files, which is why monitoring the logon performance has become critical for Citrix solutions. That's why eG Innovations provides a free login simulator for Citrix Workspace, through their eG Enterprise solution which is verified as Citrix Ready. One of the primary requirements by organisations is to achieve exceptional Citrix user experience and service quality. eG Enterprise helps to proactively monitor all aspects of Citrix user experience - login times, application launch times, screen refresh latencies, virtual channel bandwidth usage, etc., and more importantly helps to identify underlying infrastructure tiers to help determine where the root cause of a problem lies; whether it is network, database, application, Citrix, or storage. Discover how Citrix and eG Innovations combine to provide you with end-to-end performance management and learn how to: • Deliver a secure digital workspace, and to improve business productivity with a fully integrated digital workspace from any cloud or hybrid cloud. • Ensure the success of new deployments and migration to Citrix Cloud with pre-built migration reports • End-to-end monitoring of Citrix services across user experience, session performance, connectivity, licensing, infrastructure health and capacity • Monitor Citrix services on physical, virtual and cloud infrastructures from Single pane of glass.

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How to Obtain Peak Performance from Your Virtual Environment
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How to Obtain Peak Performance from Your Virtual Environment

Virtualization introduces new dynamic dependencies – between physical machines and virtual machines (VMs) and between VMs. These dependencies make it quite complicated to monitor and manage virtualized infrastructures to ensure service performance and business continuity. For virtualization initiatives to be successful, it is critical that end-users see the same or better performance from virtual infrastructures as they had experienced with physical infrastructures. The eG Monitor for Oracle VM correlates performance across the entire infrastructure, including Oracle VM Server for x86, guest VMs, and Oracle Linux. Automatic virtualization-aware root-cause diagnosis enables administrators to rapidly identify bottlenecks and to right-size their infrastructure for peak performance. In this webinar, you will learn how you can attain 360-degree visibility and pre-emptively detect and fix the root-cause of performance bottlenecks. View this webinar to learn more about : - Best practices in managing your virtual infrastructure - Why use eG Monitor for Oracle VM - Benefits of using Oracle VM for your Virtualization platform

virtualization monitoringoracle performance monitoringvirtualization performance
eG Innovations
eG InnovationseG Innovations
eG Innovations

The eG Enterprise Suite provides real-time monitoring and proactive infrastructure management to help customers rapidly diagnose IT performance issues. It uses automated root cause analysis to identify the underlying problem instead of just surface symptoms. This helps reduce troubleshooting time from hours to minutes. The single-agent monitoring solution provides visibility across applications, databases, networks and more to eliminate finger-pointing between teams. Customers have reported resolving issues 4-9 minutes faster and impacting 4,512 fewer customers per problem since using the eG Suite.

© eG Innovations, Inc | www.eginnovations.com
St. Charles Health System
Key IT Responsibilities and Tasks Performed:
 Maintenance
 Troubleshooting
 New projects
 Reporting
 Emergency upgrades
“Creating America’s healthiest community, together.”
© eG Innovations, Inc | www.eginnovations.com
St. Charles Health System
Healthcare Expectations of IT at SCHS
 Every IT activity needs to have a focus on patient safety
 Generate positive Caregiver experiences with IT
 Keep up with HIPAA and ICD changes, meaningful use
 Comply with legal and government regulations for data retention
 Provide interoperability between healthcare entities
 Maintain HIE – Health Information Exchange
“Creating America’s healthiest community, together.”
© eG Innovations, Inc | www.eginnovations.com
SCHS IT: The Challenge
Late 2014:
 Aging IT infrastructure
 Growth of healthcare information
requirements
 “A massive technology overhaul” was
required to streamline IT services
How do we improve the user experience?
© eG Innovations, Inc | www.eginnovations.com
SCHS IT: The Challenge
Late 2014:
 Legacy Citrix XenApp was historically problematic
 Difficult upgrade path
 Login problems
 System availability issues
 Prior tools included EdgeSight and Powershell scripts
 Siloed monitoring ineffective and not scalable
 Missing the “big picture”
 Overall frustrating experience for clinical users

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This document discusses a webinar presented by eG Innovations on ensuring high-performing Microsoft .NET applications. The webinar covered full stack .NET monitoring including user experience monitoring, business transaction monitoring, .NET application monitoring, and infrastructure performance monitoring. It emphasized the importance of monitoring across the entire .NET stack from the user to infrastructure to identify performance issues and their root causes. The presentation recommended eG Enterprise as a solution to provide converged APM/IPM for unified monitoring of .NET environments.

.netmicrosoftmicrosoft .net
How to Make Citrix Logons Faster?
How to Make Citrix Logons Faster?How to Make Citrix Logons Faster?
How to Make Citrix Logons Faster?

Slow logon is one of the most common user complaints faced by Citrix admins. When logon is slow, it affects the end-user experience and business productivity. Because XenApp and XenDesktop logon comprises many steps and depends on various parts of the infrastructure, it is often difficult to know what is causing logon slowness. The biggest question every Citrix admin has is “How do I make Citrix logons faster”? Here are some best practices from George Spiers, CTP, based on his real-world experience to optimize your Citrix infrastructure to make logons up to 75% faster. • Understand what factors are involved in Citrix login processing • Learn optimization techniques to make logon faster including profile management and image optimization • Learn how to improve logon times using new Citrix technologies such as App Layering and WEM • Pick up tips, tricks and tools to proactively detect logon slowdowns

citrixcitrix logoncitrix optimization
eG Enterprise Citrix XenDesktop Monitor Product Tour
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The webinar discusses eG Enterprise's performance monitoring capabilities for Citrix XenDesktop environments. It highlights key challenges in monitoring XenDesktop performance across tiers when visibility is limited. eG Enterprise provides deep, end-to-end visibility across the entire infrastructure and desktop virtualization stack to diagnose issues. The webinar covers best practices like monitoring the full service rather than individual silos, gaining deep session-level insights, preemptive detection and right-sizing to optimize performance.

© eG Innovations, Inc | www.eginnovations.com
SCHS IT: The Challenge
Impact:
 Lack of real-time visibility across the
infrastructure
 Extra effort to identify root causes with
each problem: Is it Citrix? The network?
Elsewhere in the physical or virtual
infrastructure?
 Multiple tools with manual correlation and
analysis across teams
 Long Mean Time to Recovery (MTTR)
 Service Desk “in the dark”
© eG Innovations, Inc | www.eginnovations.com
SCHS IT Transformation
Primary goals for Desktop Transformation
Project (DTP):
– Create Citrix XenApp/XenDesktop 7.6 site
– Move from physical desktops to virtual
desktops (VDI) via XenDesktop (Windows 7)
– Supply XenDesktop on Thin Clients to clinical
areas
– Adopt Citrix Provisioning Services and
Microsoft App-V for images and application
virtualization
– Many sub-projects:
• Single sign-on, follow-me desktops, AppSense,
active-active disaster recovery site availability
© eG Innovations, Inc | www.eginnovations.com
SCHS IT Transformation
Select a proven healthcare IT service
integration provider
Denali Advanced Integration
 Richard Hussain, Solutions Architect
from Denali, to advise and manage
transition
 Assessed goals and challenges of
Citrix XenApp performance
monitoring
 Responsible for success of design,
architecture and rollout
© eG Innovations, Inc | www.eginnovations.com
SCHS IT Transformation – We need help!
 SCHS Enterprise Client Architect asked Denali to
search for a monitoring solution
 Requirements
 Unified, real-time monitoring across the entire IT
infrastructure, including in-depth Citrix insight
 Support all existing technologies at St. Charles
 Support future technologies being architected for DTP
 Single-source solution for total visibility

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Achieving Virtual Desktop Success in Healthcare: Experts in healthcare IT discuss the ways you can accelerate virtualized desktop adoption, speed clinician access to Electronic Health Records (EHR), and enhance desktop performance and user experience. Delivering compliant and high performing clinician workspaces depends on creating a consistent desktop experience and remediating bottlenecks that impact performance and user productivity. This webinar will show you how to deliver "lean" clinician workspaces and assure high levels of user satisfaction: . Best practices to leverage and pitfalls to avoid when deploying VDI in a hospital . Architect a virtual workspace that meets your organization's requirements . Gain total performance visibility of all IT domains to improve user experience . Preemptively detect and resolve issues before users are effected . Optimize current infrastructure usage

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Java Application Performance and AnalyticsJava Application Performance and Analytics
Java Application Performance and Analytics

This webinar highlights how next-generation application performance monitoring & analytics provides deep visibility into the Java stack to accelerate the diagnosis of application performance issues and quickly restore user experience. During the live demonstration, we will show how to: - Have a single unified monitoring solution that addresses your application monitoring, diagnosis, analytics, and reporting needs; - Use intelligent analytics to analyze and correlate performance inside the Java stack and across the tiers of your IT environment to provide unparalleled speed & ease of proactive alerting, diagnosis & analysis; - View best-in-class customizable dashboards that integrate Java application performance metrics to provide real-time role-based and domain-based views on user experience, system and service health, resource consumption, capacity and more; - Report on historical performance and trends and analyze usage patterns to right-size and optimize your IT infrastructure for maximum ROI;

java performancejava monitoring
Citrix XenServer Success
Citrix XenServer SuccessCitrix XenServer Success
Citrix XenServer Success

The document discusses ensuring peak performance of critical business applications in virtualized environments. It begins by outlining some common myths around virtualization and performance management. Specifically, it notes that virtualization does not inherently make performance management easier, resource reservations do not prevent VMs from interfering with each other, and that performance issues can originate from any IT layer. It then introduces eG Innovations as a company that provides full-stack performance visibility and automated root cause diagnosis across networks, storage, servers, virtualization and applications. This helps optimize environments, reduce troubleshooting time, and ensure projects are delivered on time and on budget. The document concludes by inviting the audience to a free trial of eG Innovations' monitoring services.

xenserverperformancecitrix
© eG Innovations, Inc | www.eginnovations.com
The Solution: Unified-Citrix Performance
Management
 Watched demo of eG Enterprise and gained interest
 After leadership buy-in, we decided to implement
 Worked directly with one support person
 Received on-site training
 Customized our configuration
© eG Innovations, Inc | www.eginnovations.com
 Four 60” monitors centrally displaying system
status at all times in the IT department
 “Monitoring At a Glance” by anybody who walks
by.
 Central view ensures immediate insight into any
issue that can impact the user experience, even
before they notice a problem
 Currently monitoring 281 various components
 Core Citrix infrastructure is most critical
The Solution: Unified-Citrix Performance
Management
© eG Innovations, Inc | www.eginnovations.com
Key Workflows and Functions
 Automated diagnosis and dependency display, across all tiers: Red, yellow, green status
indicators save time and improve service
 User-experience dashboards, drill-downs and infrastructure-wide topology view for instant
visibility into issues’ root causes
 Proactive email alerts to indicate potential issues across the infrastructure and allow
preventive fixes
 Infrastructure-wide historical analysis for targeted reporting to management and exec –
trend analysis
 Customizable thresholds to ensure we meet the highest level of standards
The Solution: Unified-Citrix Performance
Management
© eG Innovations, Inc | www.eginnovations.com
Benefits for SCHS IT – both proactive and reactive monitoring
 Proactive:
 Alerts for potential issues with Provisioning Servers
 Identify and fix problems as they occur, across all tiers, before caregivers experience
slowness/downtime
 Reactive:
 Unified monitoring yielded a 50% improvement in caregivers’ login times soon after
deployment.
 Detailed executive reporting and historical analysis are used for sharing performance
improvements.
 Patient satisfaction is high when clinical systems/applications are performing well.
The Solution: Unified-Citrix Performance
Management

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Citrix XenApp and XenDesktop deliver significant benefits to enterprise and service providers by providing a unified solution for delivery of virtual desktops and applications on demand. Watch this webinar to learn about next-gen performance monitoring best practices that you need to put in place to get the most out of your Citrix XenApp / XenDesktop investments and reliably deliver virtual desktops and applications to users. Join desktop virtualization expert Bala Vaidhinathan (CTO, eG Innovations) and Vasu T.N (Technical Marketing Lead, Citrix) and learn how to: • Gain complete performance visibility of all IT domains impacting the experience of virtual desktop/application users • Utilize next-gen management solutions that complement and integrate with Citrix Director/EdgeSight to accelerate troubleshooting and resolution • Ensure a seamless desktop experience and maximize virtual desktop user satisfaction by pre-emptively detecting and resolving performance issues - before users notice • Ensure maximum ROI by right-sizing your XenApp and XenDesktop infrastructure using powerful reporting & analytics

citrix monitordirectorcitrix monitoring
The 7 Secrets of Performance Management in Virtualized Environments
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Whether you virtualize desktops or critical business applications, the dynamics and complexities of virtualized environments can cause significant performance and user experience issues that can diminish the benefits of virtualization and risk interruption of critical business processes. The toughest performance problems are the ones where users call and complain that "my application is slow". IT administrators often struggle to determine the root-cause of the problem and restore service levels: Is it the application server? The virtualization layer? Is it the network? Database? Storage ...? Join our live webinar with virtualization experts Dave Bartoletti (Forrester Research) and Srinivas Ramanathan (eG Innovations), and find out how to deliver: • Reliable performance assurance and user satisfaction • Complete performance visibility across your virtualized environment • Automatic, rapid root cause diagnosis for even the most complex performance problems • Pre-emptive problem detection and alerting before users call • Rapid ROI through right-sizing and optimization

application performancevirtualizationperformance
How to Avoid the Top 7 Mistakes Made When Managing Citrix Performance
How to Avoid the Top 7 Mistakes Made When Managing Citrix PerformanceHow to Avoid the Top 7 Mistakes Made When Managing Citrix Performance
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The document discusses avoiding mistakes when managing Citrix performance. It recommends looking for monitoring tools with Citrix expertise that provide end-to-end visibility across infrastructure components. Built-in Citrix tools are useful for troubleshooting but not sufficient for overall performance management. Virtual desktop monitoring differs from virtual server monitoring as it requires understanding user experience and activity within desktops. The document promotes a solution called eG Enterprise for comprehensive Citrix performance monitoring and diagnosis.

business continuitycitrixapm
© eG Innovations, Inc | www.eginnovations.com
Future Impact for SCHS
 Infrastructure-wide historical data
creates opportunity for new IT
initiatives.
 Future plans for expanding
Unified coverage using SCOM
connectors
 Future plans to provide more real-
time status on health systems to
Service Desk
The Solution: Unified-Citrix Performance
Management
© eG Innovations, Inc | www.eginnovations.com
Overview: Unified-Citrix Performance Management
from eG Innovations
© eG Innovations, Inc | www.eginnovations.com
A Real-World Example
08:00
User to the helpdesk – “my application access is very slow. I am not able to
work properly.”
8:00AM
Helpdesk
We will
get on it
right
away!
© eG Innovations, Inc | www.eginnovations.com
A Real-World Example
08:00 Helpdesk receives a call that application access is slow
09:00
Helpdesk has received many calls that application access is slow. The Citrix
admin is called to look at the issue.
11:00
The Citrix admin has reviewed Director/EdgeSight metrics, has killed the
offending process. But user complaints persist.
12:00
The Citrix admin decides to reboot the server but the problem persists even after
the reboot.
13:00
The problem does not appear to be specific to Citrix. The Citrix admin calls
for a conference call with the other administrators …

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The document discusses challenges in assuring virtual desktop infrastructure (VDI) performance and user experience. It introduces Login VSI and eG Innovations as solutions to address two key challenges: validating and predicting performance of a complex VDI stack through load testing (addressed by Login VSI), and monitoring user experience in a complex, changing VDI environment through end-to-end monitoring (addressed by eG Innovations). An integrated solution using both products is presented to help VDI operators manage performance and user experience.

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Today's performance monitoring challenge is to go beyond basic virtualization metrics provided by tools like VCops, to manage the complex, dynamic, multi-application virtualized infastructures that involve multiple hypervisors and mission critical applications like SAP. Because, if not properly managed, virtualization dynamics and dependencies can cause significant performance and user experience issues that diminish the benefits of virtualization and risk interruption of critical business processes.

vmwarevcopsperformance
Citrix XenDesktop 7 Performance Monitoring Best Practices
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Citrix XenDesktop 7 Performance Monitoring Best Practices

Citrix XenDesktop 7 represents a radical change in the desktop virtualization space, providing a unified solution for delivery of virtual desktops and applications on demand. But is the best virtual desktop platform alone sufficient to guarantee desktop virtualization success? Attend this webinar to learn about next-gen performance monitoring best practices that you need to put in place to get the most out of your XenDesktop 7 investments and reliably deliver virtual desktops to more users and without glitches or cost/time overruns. Join desktop virtualization expert Bala Vaidhinathan (CTO, eG Innovations) and learn how to: - Deliver superior end-user experience, simplify management, and reduce total cost of ownership of Citrix XenDesktop 7 virtual desktop environments - Utilize next-gen management solutions that complement Citrix Director/EdgeSight to accelerate troubleshooting - Boost user productivity by means of powerful analytics and reporting, deep performance visibility, and auto-correlated diagnosis - across every layer, every tier of the XenDesktop 7 infrastructure - Assure virtual desktop user satisfaction by pre-emptively detecting and resolving performance issues - before users notice - Ensure maximum ROI by right-sizing your XenDesktop 7 infrastructure using powerful reporting & analytics

citrix xendesktop 7performance monitoringmigration
© eG Innovations, Inc | www.eginnovations.com
What Follows …
Citrix Director / EdgeSight
VMware VCOPS - Virtual
Task Manager - Windows
Event Viewer - Windows
EMC Ionix - Storage Cisco UCS Manager - Hardware
CiscoWorks - Network
© eG Innovations, Inc | www.eginnovations.com
eG Enterprise – How does it help?
Network Web on
XenServer
Active Directory
SQL
ZDC on
VMware ESX
License Server
Profile Server
Enterprise
Apps
vCenterOracle
Client
SAN
Switch
Complete visibility – every layer, every tier!
“My
application is
slow!”
XenApp on
VMware ESX
© eG Innovations, Inc | www.eginnovations.com
Automated
Diagnosis
User
Experience
Management
Right-Sizing
& Capacity
Planning
Pre-emptive
Alerting
Total
Performance
Visibility
End User
Experience
Storage
Connection
Brokers
Profile Servers
Network
Applications
Virtualization
Infrastructure
& App Performance
Service
Performance
Online
Banking
Accounting
Trading
Patient
records
. . .
eG Enterprise
Overview: Unified-Citrix Performance Management
from eG Innovations
© eG Innovations, Inc | www.eginnovations.com
Real-World Example - Revisited
06:30
The helpdesk receives an automatic alert saying that access to Ctirix is
slowing down. No user has been impacted yet.
6:30AM
Helpdesk
This looks
odd. Let’s
get to the
bottom of
this before
users start
calling …

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Microsoft System Center Operations Manager (SCOM) is a leading platform for performance monitoring and management of Microsoft applications (such as Active Directory, Microsoft SQL Server, Exchange Server, IIS and SharePoint). However, SCOM does not have extensive capabilities to monitor non-Microsoft systems and applications (like Citrix, SAP, Oracle, Java, Sybase, etc.), nor does SCOM have virtualization-awareness for platforms like VMware vSphere, Citrix XenServer, Red Hat Enterprise Virtualization, AIX LPARs and Solaris LDOMs, or virtual desktops (VDI). To extend the scope of Microsoft SCOM to manage these environments, enterprises have to look at multiple third party products that provide individual management packs, one for each specific non-Microsoft platform. This traditional "multi-pack approach" creates complexity and only provides a fragmented view of the IT infrastructure. This approach leads to slow problem isolation and diagnosis, and often results in poor user experience and loss of user productivity. Join performance monitoring expert Srinivas Ramanathan (CEO, eG Innovations) to learn about eG Enterprise for SCOM, a new universal management pack that fills this gap and provides a single, integrated solution with SCOM to address the performance management needs of today's enterprises. This webinar presentation will show you how to: • Monitor and troubleshoot the entire IT service infrastructure end to end from the SCOM console • Monitor applications and platforms not natively supported by System Center Operations Manager • Instantly diagnose and get actionable insight into IT service health and performance • Provide automatic, rapid root cause diagnosis for even the most complex performance problems • Receive proactive problem detection and alerting before users call • Maximize the return on your investment in System Center Operations Manager

sapscommonitor
Take Control of Application Performance
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An industry-leading analyst discusses how you can take control of application performance and provide superior end-user experiences. Then, you’ll hear how a major US healthcare provider eliminated sporadic performance outages that affected its public-facing website, and prevented revenue loss and many hundreds of hours in support costs. To learn more, watch the webcast replay: http://rvbd.ly/1JGz1ke Or to learn more about AppInternals, visit: http://rvbd.ly/1IsjC5t

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4 Keys to a Successful Citrix Migration
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4 Keys to a Successful Citrix Migration

This document discusses keys to a successful Citrix migration using eG Enterprise software. It identifies 4 keys: 1) having universal insight across the enterprise, 2) testing and troubleshooting, 3) building performance profiles for the current and new environments, and 4) maintaining a positive end user experience. eG Enterprise provides a single interface for monitoring all applications, platforms, and domains, and helps optimize staffing levels, reduce costs, deliver projects on time and budget, and ensure migration success.

© eG Innovations, Inc | www.eginnovations.com
Triage Problems Quickly
The application that is
responsible for the slow
down – a samba backup
job
6:35AM
Helpdesk
Yup, the
backup job
is taking up
resources
…
© eG Innovations, Inc | www.eginnovations.com
Focus on the Root-Cause, Not Effects
Without root-cause diagnosis, you have no idea where the problem lies
With root-cause diagnosis, you have a clear idea of what to do to resolve the problem.
All the problems
appear to be equally
important.
The root-cause
of the problem
The effects of
the problem
© eG Innovations, Inc | www.eginnovations.com
The Result
06:30 The helpdesk seels an alert of a slowdown with Citrix access.
06:35
The helpdesk reviews the service topology and determines that there is an
issue on the VMware server. Contacts the VM administrator.
06:45
The VMware administrator realizes that the backup job is impacting the user
experience. Reschedules the backup job for later in the evening.
Citrix Performance
Management Made
Rapidandautomated
diagnosis
© eG Innovations, Inc | www.eginnovations.com
Why eG Innovations?
• Total visibility into the Citrix platform and all external
network/ process bottlenecks impacting performance for
caregivers: network, applications, storage, and databases.
• Accelerated discovery and diagnosis of performance
issues in virtualized applications.
• Single, scalable solution for all performance monitoring
needs, across all physical and virtual tiers.

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A recent survey by eG Innovations and xenappblog found that 68% of organizations are using 2-5 different tools for monitoring and managing their Citrix infrastructure. Multiple monitoring tools make it expensive to operate and troubleshoot IT infrastructure issues. Furthermore, a lot of manual effort is required to diagnose and fix performance issues. Join Richard Faulkner, Enterprise Solutions Architect and CTP from Conversant Group, and John Worthington, Director of Customer Success at eG Innovations, and learn how you can get a single-pane-of-glass view of your Citrix infrastructure – from the client end to the virtual desktops/apps and even the backend applications. See how you can: --Monitor and get proactive alerts on the experience seen by Citrix users --Track the performance of every layer and every tier of your Citrix infrastructure: NetScalers, StoreFronts, Virtual apps and desktops, WEM, PVS, License servers, etc. --Troubleshoot in a single click and identify where the root-cause of a problem is: network, or storage, or virtualization, or the Citrix stack? --Get insights to right-size and optimize your Citrix deployment

Green Your IT Enterprise In 2010
Green Your IT Enterprise In 2010Green Your IT Enterprise In 2010
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OCSL - VMware, vSphere Webinar May 2013
OCSL - VMware, vSphere Webinar May 2013OCSL - VMware, vSphere Webinar May 2013
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VMware vSphere, the industry-leading virtualisation platform for building cloud infrastructures, enables you to run business critical applications and respond to business needs.

 
by OCSL
vspherevmwarevirtualisation
© eG Innovations, Inc | www.eginnovations.com
Presented by:
Q&A
Beyond Monitoring:
Leveraging Unified IT Performance
Management for Patient Care and
Satisfaction
© eG Innovations, Inc | www.eginnovations.com
Presented by:
Thank You!
Beyond Monitoring:
Leveraging Unified IT Performance
Management for Patient Care and
Satisfaction

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Beyond Monitoring | Leveraging Unified IT Performance Management for Patient Care and Satisfaction

  • 1. © eG Innovations, Inc | www.eginnovations.com Beyond Monitoring: Leveraging Unified IT Performance Management for Patient Care and Satisfaction Presented by:
  • 2. © eG Innovations, Inc | www.eginnovations.com Introduction Today’s Moderator Tom Sullivan Editor-in-Chief Healthcare IT News, A HiMSS Media publication
  • 3. © eG Innovations, Inc | www.eginnovations.com  Please submit your questions at any time during the webinar using the questions panel on the on-screen client.  This webinar is being recorded. You will receive a link to the recording in a few days.  A copy of this presentation is posted on Slideshare: http://www.slideshare.net/eginnovations/ Logistics
  • 4. © eG Innovations, Inc | www.eginnovations.com Bala Vaidhinathan CTO eG Innovations bala@eginnovations.com Wendy Howard Infrastructure Engineer St. Charles Health System wshoward@stcharleshealthcare.org Today’s Presenters
  • 5. © eG Innovations, Inc | www.eginnovations.com The Keystones of Healthcare IT Today: Application and Desktop Virtualization  Citrix XenApp and XenDesktop are the leading solution  Large increases in capability and complexity over many years  VMware server virtualization drives most Citrix deployments  VMware Horizon is the leading competitor for desktop and application virtualization
  • 6. © eG Innovations, Inc | www.eginnovations.com The Keystones of Healthcare IT Today: Application and Desktop Virtualization Citrix healthcare deployments:  Mostly on-premises datacenters  Running all Windows applications  Running all enterprise healthcare applications
  • 7. © eG Innovations, Inc | www.eginnovations.com The Keystones of Healthcare IT Today: Application and Desktop Virtualization Privacy Security Flexibility Operational Efficiency Improved Service Delivery and Patient Care Benefits of Virtualized Applications and Desktops
  • 8. © eG Innovations, Inc | www.eginnovations.com The Keystones of Healthcare IT Today: Application and Desktop Virtualization Risks in a Virtualized Applications and Desktops Strategy Cost to deploy Increased downtime and slow performance Reduced productivity Lower patient satisfaction Delayed billing
  • 9. © eG Innovations, Inc | www.eginnovations.com  Consistent, excellent user experience directly impacts patient care and satisfaction  Clinical  Administration  Out-patient  In-patient The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm
  • 10. © eG Innovations, Inc | www.eginnovations.com The Impact of a Traditional, Siloed Monitoring Strategy I can’t login. There is too much lag on my screen. My application is taking forever to load! Users care about “services” The CPU usage of the Linux servers is ok. The DNS servers are responding well to queries. IT operations teams focus on infrastructure silos The User / IT Management Disconnect The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm Different teams are responsible for the performance of separate tiers/components, but IT service delivery involves ALL.
  • 11. © eG Innovations, Inc | www.eginnovations.com Impact on IT Cross-team coordination reduces speed to resolution for problems that arise, and impacts the ability to implement preventive fixes and smart growth. End User Client Admin LAN Admin Firewall admin Server admin Virtualization admin Domain admin ERP Admin Sys admin Application Admin The server is working OK No other complaints All lights Are green We don’t see anything wrong Database Admin This is not working VMs are lightly loaded Everything Is OK Not our problem Looks fine Not mine either Talk to the other guys IT Service Manager The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm
  • 12. © eG Innovations, Inc | www.eginnovations.com Impact on Help Desk Help desk support is negatively impacted by inability to route issues correctly and quickly. End User Client Admin LAN Admin Firewall admin Server admin Virtualization admin Domain admin ERP Admin Sys admin Application Admin The server is working OK No other complaints All lights Are green We don’t see anything wrong Database Admin This is not working Everything Is OK Not our problem Looks fine Not mine either Talk to the other guys Help Desk Associate VMs are lightly loaded The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm
  • 13. © eG Innovations, Inc | www.eginnovations.com Citrix XenApp/XenDesktop and VMware Horizon are mature and complex platforms  Provisioning, user access, GPU resource management, mobile, etc.  Multiple steps, multiple logins  Susceptible to conditions across the entire infrastructure, so small issues almost anywhere can impact the user experience  Traditionally, performance monitoring has required many tools The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm
  • 14. © eG Innovations, Inc | www.eginnovations.com Example: Suppose the database server is 50% slower than normal. . . The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm A problem in one tier can affect all the other tiers involved in service delivery.
  • 15. © eG Innovations, Inc | www.eginnovations.com The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm Disk reads Streaming Media AppSlow Database Queries Excessive disk reads by the media server slow down Oracle database accesses Virtual infrastructures are hard to manage. Traditional, siloed monitoring tools are not designed to handle these dynamic environments. Another Example:
  • 16. © eG Innovations, Inc | www.eginnovations.com Performance sensitivity negates the effectiveness of traditional monitoring approaches. Effective management requires:  Visibility across the infrastructure for troubleshooting  Reporting from across the infrastructure for planning and design  Single pane of glass view across all tiers and throughout each layer is the only means to preventive management  Virtualization complexity demands dependency- aware, automatically correlated insight for efficiency The Challenge: Great User Performance in a Performance-Sensitive Service Delivery Paradigm
  • 17. © eG Innovations, Inc | www.eginnovations.com The Solution: Unified Performance Management for the Healthcare Enterprise Unified Performance Management Goes Far Beyond Traditional Monitoring: REACH across the infrastructure DEPTH throughout each stack SPEED to resolution, through automated correlation and diagnosis
  • 18. © eG Innovations, Inc | www.eginnovations.com The Solution: Unified Performance Management for the Healthcare Enterprise •Reduce downtime •Increase application availability •Boost user experience Boost User Satisfaction & Productivity •Simplify, automate & accelerate diagnosis & troubleshooting •Optimize staffing levels & reduce OPEX Reduce IT Support Cost & Complexity •Increase hardware utilization •Leverage investment in software •Right-size & optimize environment Reduce Infrastructure Cost & Avoid Cost Overruns •Accelerate deployments & rollout •Reduce risk, deliver successful projects & peace of mind Deliver on Time, on Budget, on Target KEYBENEFITS
  • 19. © eG Innovations, Inc | www.eginnovations.com St. Charles Health System  Largest provider of medical care in Central Oregon  Non-profit, multi-location health system focused on excellent care and high patient satisfaction  Four hospitals and 120+ medical providers  Region’s largest employer with 3800+ caregivers “Creating America’s healthiest community, together.”
  • 20. © eG Innovations, Inc | www.eginnovations.com St. Charles Health System Our Complex Environment  Virtualization in two datacenters  Application types:  Windows 32bit/64bit applications  EMR, clinical, non-clinical  XenApp and XenDesktop 4.5/6.5/7.6  Citrix Servers  300+ servers – VM and provisioned  Running Windows 2003/2008/2012 “Creating America’s healthiest community, together.”
  • 21. © eG Innovations, Inc | www.eginnovations.com St. Charles Health System Key IT Responsibilities and Tasks Performed:  Maintenance  Troubleshooting  New projects  Reporting  Emergency upgrades “Creating America’s healthiest community, together.”
  • 22. © eG Innovations, Inc | www.eginnovations.com St. Charles Health System Healthcare Expectations of IT at SCHS  Every IT activity needs to have a focus on patient safety  Generate positive Caregiver experiences with IT  Keep up with HIPAA and ICD changes, meaningful use  Comply with legal and government regulations for data retention  Provide interoperability between healthcare entities  Maintain HIE – Health Information Exchange “Creating America’s healthiest community, together.”
  • 23. © eG Innovations, Inc | www.eginnovations.com SCHS IT: The Challenge Late 2014:  Aging IT infrastructure  Growth of healthcare information requirements  “A massive technology overhaul” was required to streamline IT services How do we improve the user experience?
  • 24. © eG Innovations, Inc | www.eginnovations.com SCHS IT: The Challenge Late 2014:  Legacy Citrix XenApp was historically problematic  Difficult upgrade path  Login problems  System availability issues  Prior tools included EdgeSight and Powershell scripts  Siloed monitoring ineffective and not scalable  Missing the “big picture”  Overall frustrating experience for clinical users
  • 25. © eG Innovations, Inc | www.eginnovations.com SCHS IT: The Challenge Impact:  Lack of real-time visibility across the infrastructure  Extra effort to identify root causes with each problem: Is it Citrix? The network? Elsewhere in the physical or virtual infrastructure?  Multiple tools with manual correlation and analysis across teams  Long Mean Time to Recovery (MTTR)  Service Desk “in the dark”
  • 26. © eG Innovations, Inc | www.eginnovations.com SCHS IT Transformation Primary goals for Desktop Transformation Project (DTP): – Create Citrix XenApp/XenDesktop 7.6 site – Move from physical desktops to virtual desktops (VDI) via XenDesktop (Windows 7) – Supply XenDesktop on Thin Clients to clinical areas – Adopt Citrix Provisioning Services and Microsoft App-V for images and application virtualization – Many sub-projects: • Single sign-on, follow-me desktops, AppSense, active-active disaster recovery site availability
  • 27. © eG Innovations, Inc | www.eginnovations.com SCHS IT Transformation Select a proven healthcare IT service integration provider Denali Advanced Integration  Richard Hussain, Solutions Architect from Denali, to advise and manage transition  Assessed goals and challenges of Citrix XenApp performance monitoring  Responsible for success of design, architecture and rollout
  • 28. © eG Innovations, Inc | www.eginnovations.com SCHS IT Transformation – We need help!  SCHS Enterprise Client Architect asked Denali to search for a monitoring solution  Requirements  Unified, real-time monitoring across the entire IT infrastructure, including in-depth Citrix insight  Support all existing technologies at St. Charles  Support future technologies being architected for DTP  Single-source solution for total visibility
  • 29. © eG Innovations, Inc | www.eginnovations.com The Solution: Unified-Citrix Performance Management  Watched demo of eG Enterprise and gained interest  After leadership buy-in, we decided to implement  Worked directly with one support person  Received on-site training  Customized our configuration
  • 30. © eG Innovations, Inc | www.eginnovations.com  Four 60” monitors centrally displaying system status at all times in the IT department  “Monitoring At a Glance” by anybody who walks by.  Central view ensures immediate insight into any issue that can impact the user experience, even before they notice a problem  Currently monitoring 281 various components  Core Citrix infrastructure is most critical The Solution: Unified-Citrix Performance Management
  • 31. © eG Innovations, Inc | www.eginnovations.com Key Workflows and Functions  Automated diagnosis and dependency display, across all tiers: Red, yellow, green status indicators save time and improve service  User-experience dashboards, drill-downs and infrastructure-wide topology view for instant visibility into issues’ root causes  Proactive email alerts to indicate potential issues across the infrastructure and allow preventive fixes  Infrastructure-wide historical analysis for targeted reporting to management and exec – trend analysis  Customizable thresholds to ensure we meet the highest level of standards The Solution: Unified-Citrix Performance Management
  • 32. © eG Innovations, Inc | www.eginnovations.com Benefits for SCHS IT – both proactive and reactive monitoring  Proactive:  Alerts for potential issues with Provisioning Servers  Identify and fix problems as they occur, across all tiers, before caregivers experience slowness/downtime  Reactive:  Unified monitoring yielded a 50% improvement in caregivers’ login times soon after deployment.  Detailed executive reporting and historical analysis are used for sharing performance improvements.  Patient satisfaction is high when clinical systems/applications are performing well. The Solution: Unified-Citrix Performance Management
  • 33. © eG Innovations, Inc | www.eginnovations.com Future Impact for SCHS  Infrastructure-wide historical data creates opportunity for new IT initiatives.  Future plans for expanding Unified coverage using SCOM connectors  Future plans to provide more real- time status on health systems to Service Desk The Solution: Unified-Citrix Performance Management
  • 34. © eG Innovations, Inc | www.eginnovations.com Overview: Unified-Citrix Performance Management from eG Innovations
  • 35. © eG Innovations, Inc | www.eginnovations.com A Real-World Example 08:00 User to the helpdesk – “my application access is very slow. I am not able to work properly.” 8:00AM Helpdesk We will get on it right away!
  • 36. © eG Innovations, Inc | www.eginnovations.com A Real-World Example 08:00 Helpdesk receives a call that application access is slow 09:00 Helpdesk has received many calls that application access is slow. The Citrix admin is called to look at the issue. 11:00 The Citrix admin has reviewed Director/EdgeSight metrics, has killed the offending process. But user complaints persist. 12:00 The Citrix admin decides to reboot the server but the problem persists even after the reboot. 13:00 The problem does not appear to be specific to Citrix. The Citrix admin calls for a conference call with the other administrators …
  • 37. © eG Innovations, Inc | www.eginnovations.com What Follows … Citrix Director / EdgeSight VMware VCOPS - Virtual Task Manager - Windows Event Viewer - Windows EMC Ionix - Storage Cisco UCS Manager - Hardware CiscoWorks - Network
  • 38. © eG Innovations, Inc | www.eginnovations.com eG Enterprise – How does it help? Network Web on XenServer Active Directory SQL ZDC on VMware ESX License Server Profile Server Enterprise Apps vCenterOracle Client SAN Switch Complete visibility – every layer, every tier! “My application is slow!” XenApp on VMware ESX
  • 39. © eG Innovations, Inc | www.eginnovations.com Automated Diagnosis User Experience Management Right-Sizing & Capacity Planning Pre-emptive Alerting Total Performance Visibility End User Experience Storage Connection Brokers Profile Servers Network Applications Virtualization Infrastructure & App Performance Service Performance Online Banking Accounting Trading Patient records . . . eG Enterprise Overview: Unified-Citrix Performance Management from eG Innovations
  • 40. © eG Innovations, Inc | www.eginnovations.com Real-World Example - Revisited 06:30 The helpdesk receives an automatic alert saying that access to Ctirix is slowing down. No user has been impacted yet. 6:30AM Helpdesk This looks odd. Let’s get to the bottom of this before users start calling …
  • 41. © eG Innovations, Inc | www.eginnovations.com Triage Problems Quickly The application that is responsible for the slow down – a samba backup job 6:35AM Helpdesk Yup, the backup job is taking up resources …
  • 42. © eG Innovations, Inc | www.eginnovations.com Focus on the Root-Cause, Not Effects Without root-cause diagnosis, you have no idea where the problem lies With root-cause diagnosis, you have a clear idea of what to do to resolve the problem. All the problems appear to be equally important. The root-cause of the problem The effects of the problem
  • 43. © eG Innovations, Inc | www.eginnovations.com The Result 06:30 The helpdesk seels an alert of a slowdown with Citrix access. 06:35 The helpdesk reviews the service topology and determines that there is an issue on the VMware server. Contacts the VM administrator. 06:45 The VMware administrator realizes that the backup job is impacting the user experience. Reschedules the backup job for later in the evening. Citrix Performance Management Made Rapidandautomated diagnosis
  • 44. © eG Innovations, Inc | www.eginnovations.com Why eG Innovations? • Total visibility into the Citrix platform and all external network/ process bottlenecks impacting performance for caregivers: network, applications, storage, and databases. • Accelerated discovery and diagnosis of performance issues in virtualized applications. • Single, scalable solution for all performance monitoring needs, across all physical and virtual tiers.
  • 45. © eG Innovations, Inc | www.eginnovations.com Presented by: Q&A Beyond Monitoring: Leveraging Unified IT Performance Management for Patient Care and Satisfaction
  • 46. © eG Innovations, Inc | www.eginnovations.com Presented by: Thank You! Beyond Monitoring: Leveraging Unified IT Performance Management for Patient Care and Satisfaction