We deliver network solutions for health care systems. Learn the validated approaches for successful deployment of critical systems. We illustrate the topologies a technically advances hospital network employs and project the best practices. Find out which vendor solution best fits the need for uptime, redundancy, and advance features. Imaging systems must be integrated with vendor neutral storage moreover enabling a scalable optimized infrastructure. Performance architectures will comprise strategic management of high demand systems in essence providing the needed mechanisms to provide redundancy by clustering. iSite and PowerScribe will incorporate a dual clustered architecture. The physical servers will be setup as a fail over cluster manager feature. Each fail over will have a SQL cluster associated with it. The fail over process will be managed by a virtual IP address (VIP). If one node fails SQL services and Microsoft features will cutover seamlessly. A HP 3 PAR SAN will be attached to each cluster managed by a Quorum. Replication will occur between networks to insure redundancy and bandwidth management. NAT will be managed at the router for replication. EPIC will follow the same architecture with the addition of a high availability server (HA). The cluster server environment will generate incremental replication by scheduled tasking. This data will replicate to the high availability server every thirty minutes located at the disaster recovery site.