when I arrived at Augusta Health three years ago the workstation analysts that I employ within the IT department had a room that was chalked full of hardware floor-to-ceiling piles of computer parts and I had staff that were pulling apart computers and working on circuit boards very expensive and relatively inefficient and we knew we needed to move in a new direction and to reduce our overhead and our cost structure so we decided to move towards thin clients I had used them successfully in other environments and and we get started to use it here but it had not been fully hold up we have gone in that direction and since that day we have not purchased any further microcomputers we bringing new technology into the organization will trial that technology in the IT department first it's our philosophy that we need to experience the pain before I ask our customers to adopt new technology so we trial it in IT make sure that the proof that we have a proof of concept then we roll it out to a single unit this is what we did with the Imprivata and we had a single floor of nurses who are willing to be our our guinea pigs and they piloted the product for about 30 days at the end of that it was so successful that other floors other nurses were asking when is it our turn so we did a big bang approach after that first 30 day and implemented across all the rest of our inpatient units if a fat client required replacing if it died for any reason our staff would have to know what we're in the hospital is located what kind of application base it and what kind of applications were installed and then after putting that very specific image on that device for that particular workflow there was always continue troubleshooting because of the the nature of fresh install now if the device fails they just go out and swap out a thin client since all the applications are now back in the server in the data center they all they have to do is configure for the appropriate policies based on the area of the hospital that we've designated and the configuration is instantaneous to replace a desktop now at an end point now it's a 30-minute swap out of a thin client whereas in past a fat pc desktop computer to take up to several days to from start to finish if we had not moved to the thin client environment I would need i would estimate at least twenty-five percent more workstation analysts to maintain the peace of environment that we are we use a thin client today that is directly attached to the monitor so it's a single footprint for our users it's it's neat it's tidy as we move forward we will be very interested in utilizing a zero footprint client in which the client is embedded in the monitor so that is something that we routinely looking for and at the same time having the XP embedded and continuing to have those devices work with Imprivata is fundamental we want to continue to develop that environment so that we're using thin clients in business office environments locations where users are assigned to a specific device and want to be able to customize it the same as they can with their PC today so we're looking to go into Xendesktop in order to allow that user to set up the background we have on their screen or how they like Microsoft Outlook to present their email for instance we need to give them that PC like experience and XenDesktop will help us to do that one of the things that noticed is that on the floors we predominantly have thin clients now with Imprivata Single Sign-On and as you look around the units you'll see that there's still a couple of fat client and desktop computers that we have for redundancy sake that often aren't connected to the Imprivata badge-in process and providers tend to steer away from those and look for the little red lights on the Imprivata badge-in so it's very easy to see that this has been automatically and intrinsically adopted just by virtue of it being easier than logging into a computer the old-fashioned way

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