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Summary

2011 Desktop Virtualization Trends in Healthcare
Research Report
Sponsored by Imprivata, Inc

10 Maguire Road, Building 4
Lexington, MA 02421-3120 USA
1
Executive Summary
Imprivata®, the #1 independent single sign-on (SSO) and access management provider for
healthcare and other regulated industries, sponsored a survey to identify desktop virtualization
technology trends in the healthcare industry as compared to other industries. The study
revealed that the healthcare industry, often regarded as a technology laggard, is
uncharacteristically leading the charge with regards to desktop virtualization. Key findings
included:
• 35% of healthcare respondents were using desktop virtualization today. This adoption
rate rivaled those of other, traditionally early-adopting industries, such as financial
services

• The adoption rate for server virtualization for healthcare respondents was at 46% - well
below the average adoption rate of 74.5% across all industries. In addition, only 15% of
healthcare respondents indicated plans to adopt server virtualization within the next
three years

• The forecasted healthcare virtual desktop deployment rate for the next 12 months is
higher than any other industry in the survey. 43% of healthcare respondents expect to
have more than half of their users using desktop virtualization. The next highest
industry, financial services, predicts 40%

• The top drivers for IT adoption of VDI in healthcare were remote access (39%), desktop
manageability (27%) and user desktop roaming (14%),
• The primary benefits of desktop virtualization for healthcare respondents were desktop
availability (34%), improved user satisfaction (24%) and simplified workflow (19%)

• 43% of healthcare respondents not using desktop virtualization today cited cost as the
major barrier to adoption

• Only 13% of healthcare respondents report using cloud services today. 64% indicated
that they have no plans to adopt within the next 3 years

Methodology
IT decision makers in healthcare, government, financial services and other regulated industries
were surveyed to understand their adoption rates and reasons for desktop virtualization. A
total of 477 IT decision makers and executives were surveyed with 363 of the respondents from
the healthcare industry. Healthcare respondent data are analyzed in this research brief and
their profiles are presented below in Table 1

Hospital Size 1-99 beds 100-299 beds 300+ beds
No. of beds (%) 27% 33% 40%
Yes, Part of HC 44% 56% 71%
Network
Table 1. Healthcare Respondent Profiles (n=363)
2
Key Findings
Desktop Virtualization Trends in Healthcare
Based on the survey results, healthcare desktop virtualization adoption rates correlate with
other industries, which is surprising considering the reputation of the healthcare industry as
slow in adopting new information technologies. 35% of healthcare respondents reported using
desktop virtualization today (Figure 1.)
100%
90%
% of respondents using VDI
80%
70%
60%
50% No
40%
Yes
30%
20%
10%
0%
Healthcare Financial Government Technology Other
Services
Figure 1: Desktop Virtualization Adoption Rates by Industry
Data from the survey reports that only an estimated 46% of healthcare respondents are using
server virtualization (Figure 2). This usage rate is well below the average adoption rate of 74.5%
across all industries. In addition, only 15% of healthcare respondents indicated plans to adopt
server virtualization within the next three years

3
100%
% Using Server Virtualization Today
90%
80%
70%
60%
50% No
40%
Yes
30%
20%
10%
0%
Healthcare Financial Government Technology Other
Services
Figure 2: Server Virtualization Adoption Rates by Industry
In addition to the overall desktop virtualization adoption rate, healthcare also displayed a
higher level of deployment. 31% of healthcare respondents and 25% of technology respondents
using VDI claimed that more than half of their users were already using virtual. Figure 3 shows
the current cross industry deployment rate

100%
90%
80%
70%
76 – 100%
60%
51 – 75%
50%
40% 26 – 50%
30% 11 – 25%
20% <10%
10%
0%
Healthcare Financial Government Technology Other
Services
Figure 3: 2011 Current Deployment Cross Industry
4
For 2012 all industries showed progress in deployments with the largest move being made between the
less than 10% deployed to the 11 – 25% deployed group. Healthcare leads the way in terms of those
organizations with more than half of their users using virtual desktops with 43% of respondents
outpacing financial services which forecasted 40%

100%
90%
80%
70%
60% 76 – 100%
51 – 75%
50%
26 – 50%
40%
11 – 25%
30%
<10%
20%
10%
0%
Healthcare Financial Government Technology Other
Services
Figure 3a: Forecasted 2012 Cross Industry deployments
Primary Benefits of VDI in Healthcare
The reasons cited for initial adoption of VDI were remote access (39%), desktop manageability
(27%) and to enable desktop roaming (14%), all features that help ensure that clinicians can
access critical patient information wherever they are and whenever they need it. After
adoption, (Figure 4a) respondents reported benefits of desktop availability (34%), improved
user satisfaction (24%) and simplified workflow (19%). Of those organizations that are not
planning to adopt desktop virtualization, 43% cite cost as the major barrier to adoption, and
46% cite desktop virtualization as not a priority (Figure 12)

5
9%
3%
8%
Remote Access
39%
Desktop Manageability
Desktop Roaming
Information Security
14%
Support iPad Adoption
Other
27%
Figure 4: Primary Reason to Adopt VDI in Healthcare
11%
11% 34%
Improved Desktop Availability
Improved User Satisfaction
Simplified User Workflow
Reduced Help Desk Calls
19%
Other
24%
Figure 4a: Primary Benefits Seen After Adopting Desktop Virtualization in Healthcare
Healthcare Data Segmentation by Size
The survey segmented hospitals into those with beds numbering 1-99, 100 – 299 and 300+, to
assess the desktop virtualization needs of small, medium and large healthcare facilities

6
Server Virtualization
The usage of server virtualization increases in large hospitals with 54% of 300+ bed facilities
using server virtualization (Figure 5)

100%
90%
% Server Virtualization Usage
80%
70%
60%
50%
No
40%
30% Yes
20%
10%
0%
1 – 99 100 – 299 300 +
Hospital Size
Figure 5: Server Virtualization Usage in Healthcare by Size
Desktop Virtualization Usage Trends in Healthcare by Size
Unlike the server virtualization statistics, reported usage of VDI is equally strong in the 100 –
299 and 300+ bed segments (Figure 6)

7
100%
90%
80%
% Respondents Using VDI
70%
60%
50%
No
40%
Yes
30%
20%
10%
0%
1 – 99 100 – 299 300 +
Hospital Size
Figure 6: Healthcare Users of Desktop Virtualization by Size
Figure 7 displays a strong deployment of VDI with over 30% of respondents from the two largest
segments showing that more than 50% of their users are using virtual desktops today. In 2012 this is
predicted to continue with almost 49% and 45% percent respectively of the 100 – 299 and 300+ bed
segments respectively looking to have more than 50% of their users using VDI. Of particular note is that
30% the 100 – 299 segment and 22.5% of the 300+ bed segment expect more than 75% of their users to
be using VDI exhibiting that many organizations see desktop virtualization as a good solution broadly
across their user communities

8
100%
90%
80%
70%
% of Users Using VDI
60% 76 – 100%
50% 51 – 75%
40% 26 – 50%
30% 11 – 25%
20% <10%
10%
0%
1 – 99 100 – 299 300 +
Hospital Size
Figure 7: 2011 VDI Deployment by Size
100%
90%
80%
% of Users Using VDI
70%
60% 76 – 100%
50% 51 – 75%
40% 26 – 50%
30% 11 – 25%
20% <10%
10%
0%
1 – 99 100 – 299 300 +
Hospital Size
Figure 8: 2012 Projected VDI Deployment by Size
VDI Usage by Department in Healthcare Organizations
Overall, respondents report high benefit levels using desktop virtualization in patient care units
and administrative / support settings (Figure 9). The 100 – 299 bed segment was particularly
9
strong in patient care units and ED – environments where clinicians are highly mobile and
require access to information from a number of different devices

90%
80%
70%
60%
% Usage
50%
40%
30%
20%
1 – 99
10%
0% 100 – 299
300 +
Figure 9: Departments with Highest Utilization of Virtual Desktops
VDI Usage by Role in Healthcare
Figure 10 shows broad use in the primary clinical and support staff

80.00%
70.00%
60.00%
50.00%
1 – 99
40.00%
30.00% 100 – 299
20.00% 300 +
10.00%
0.00%
Physicians Nurses Administrative Other
staff
Figure 10: VDI Adoption by Role in Healthcare
10
Primary Benefits of VDI in Healthcare
Interestingly, there were a number of differences in the perceived benefits experienced by the
different hospital segments. The smaller hospital segment (1 – 99 beds) reported simplified
clinician workflow (25%), reduced helpdesk calls (25%) and improved desktop availability (19%)
as the top three benefits (Figure 11). The top two benefits for the middle segment (100 -299
beds) were improved desktop availability (41%) and simplified clinician workflow (29%). The
largest segment (300 + beds) split between improved desktop availability (35%) and improved
user satisfaction (37.5%)

100%
90%
80% Other
Perceived Benefits (%)
70%
60% Reduced helpdesk calls
50%
40% Improved desktop
availability
30%
Simplified clinician workflow
20%
10%
Improved user satisfaction
0%
1 – 99 100 – 299 300 +
Hospital Size
Figure 11: Top Perceived Benefits since Adoption of Desktop Virtualization
Barriers to Adoption of VDI by Hospital Size
As most hospitals marshal their resources to tackle Meaningful Use, many who are not using
VDI simply reported that desktop virtualization was not a priority at this time. Cost though was
also perceived as a barrier across all three segments (Figure 12)

11
60%
50%
Primary Barriers to VDI Adoption (%)
40%
30%
20% 1 – 99
10% 100 – 299
0% 300 +
Figure 12: Respondent Perceptions of Barriers to Adoption of Virtual Desktops by Size
Cloud Services in Healthcare
Only 13% of healthcare respondents report using cloud services today and 64% indicate that
they have no plans to adopt within the next 3 years (Figure 13). When asked why, 61% of those
with no plans to adopt stated that this was not a priority at this time. Of the 37% of healthcare
respondents that either have adopted, or are planning to adopt within the next 3 years, 60%
cited the flexibility that they gain from the cloud as being the primary reason for adoption

Cloud Adoption In Healthcare
13%
11% No Plans
Within 36 months
Within 24 months
8% Within 12 months
64% Already Using
5%
Figure 13: Cloud Adoption in Healthcare
12

Manageability (27%) and user desktop roaming (14%), • The primary benefits of desktop virtualization for healthcare respondents were desktop availability (34%), improved user …