4-page Case Study
Posted: 7/5/2006
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Mitera Healthcare Provider Improves Integration Among Systems with Licensing Agreement

Since opening in Athens in 1979, Mitera has set a high standard for medical services. Mitera offers the latest diagnostic technologies and integrates its clinical and administrative systems to provide better patient care. To streamline integration among those systems, Mitera maintains the newest releases of Microsoft® software on all of its desktops through a Microsoft Open Value Volume Licensing Agreement. This agreement provides a fixed unit cost for three years, which Mitera can spread out over three annual payments. Open Value also offers the flexibility to add licenses throughout the agreement term and provides additional technical support and license tracking benefits. With Open Value, Mitera saves 15 percent on software acquisition costs, reduces license management time by 30 percent per year, and provides a secure, stable computing environment.


In the early 1970s, a team of 30 obstetrician-gynecologists joined together to create a healthcare facility in Athens, Greece, that would offer the most advanced diagnostic technology and treatment options for people all over the country. The group committed to remaining on the leading edge of medical care.

* It’s much easier to support our users now, because we only have one version of the software and the same drivers on each desktop. *
Markos Speis,
IT Director, Mitera
Nearly 30 years later, Mitera has lived up to the vision of its founders. It maintains the very latest laboratory facilities and stays in the forefront of new research developments. With 750 employees and a network of 1,500 associate doctors representing 30 medical specialties, Mitera is one of the largest healthcare facilities in Europe. Mitera’s facilities in Athens include obstetrical-gynecological, general, and pediatric clinics. Mitera provides routine care to approximately 35,000 inpatients, as well as tens of thousands of outpatients, and delivers an average of 13,000 babies annually.

Technology plays a major role in Mitera’s success. Financial, medical, information, and imaging systems are integrated so that all relevant data on each patient is available in a unified electronic patient record. In addition, Mitera has created a business intelligence and decision support system based on Microsoft® SQL Server™, which draws from clinical and administrative systems to run a range of financial reports and aid management decisions.

Mitera’s key requirements for its technology systems include:

  • The ability to provide immediate clinical information, such as lab results or images.
  • 24-hour-a-day system availability with minimal downtime.
  • Security to safeguard patient data.
  • Connectivity among a variety of information systems.
  • Controlled costs.

Mitera chose Microsoft software in the early 1990s for its innovative capabilities and because of the broad availability of Microsoft Certified Partners in Greece to provide support. Initially, Mitera acquired retail packs of licenses for Microsoft desktop software and Client Access Licenses (CALs) for Microsoft servers. To help spread out upgrade costs, the healthcare provider upgraded only a portion of its installed base each year. As a result, it took an average of two to three years for all desktops to move to new software releases. As the organization grew, having users on two or three versions of the software increased the support burden on the IT staff and sometimes hampered collaboration among users.

* Innovation is a key to success and with our Open Value agreement we can use the latest version of Microsoft tools with minimum cost *
Markos Speis,
IT Director, Mitera
“When we had multiple versions of the desktop operating system it caused a real support problem, because every time we updated the desktop, we had to test and deploy multiple versions of the update,” says Markos Speis, IT Director for Mitera.

Mitera needed a cost-effective way to maintain all of its 110 desktops on the most up-to-date software to improve productivity for the IT staff, administrators, and clinicians.


In 2004, Mitera signed a three-year Microsoft Open Value Licensing Agreement with the Company–wide Option to simplify license management, gain greater control over the software upgrade cycle, and manage software costs more efficiently. The agreement covers Microsoft Office Professional Edition 2003, the Windows® XP Professional Service Pack 2 operating system, as well as CALs and server licenses for Microsoft SQL Server Enterprise Edition, Microsoft Exchange Server, and the Windows Server™ 2003 operating system.

Through this agreement, Mitera pays a single price per desktop and has the flexibility to add licenses for the covered software throughout the term of the agreement and account for those additions at the end of each year. Mitera also takes advantage of Software Assurance benefits that come with the Open Value agreement, including:

  • The ability to spread licensing costs out over three annual payments.
  • New version rights, which provide immediate access to new versions of licensed software released during the three-year agreement.
  • Extended Hotfix Support, which allows Mitera to request nonsecurity hotfixes for products in the Extended Lifecycle Support phase and pay for the hotfixes only when they need them. (The Extended Lifecycle Support phase refers to the second half of the 10-year support period provided for Microsoft business and developer products.)

The Open Value Volume Licensing Agreement enables Mitera to track all of its Microsoft desktop software licenses through a single agreement and to upgrade to subsequent versions of the software soon after release; the Company-wide Option gives Mitera access to its licenses perpetually. As an Open Value customer, Mitera also has access to a secure Microsoft portal that provides details on its purchases and licenses, reports on its use of Software Assurance benefits, Volume License Product Keys, and other licensing resources.


By implementing a Microsoft Open Value Volume Licensing Agreement, Mitera saved 15 percent on software acquisition costs, reduced license management time by 30 percent annually, gained more predictable licensing costs for budgeting, and achieved a secure and stable work environment.

A 15 Percent Savings on Acquisition Costs

Speis estimates that the volume pricing for licenses acquired through the Microsoft Open Value Volume Licensing Agreement saves Mitera approximately 15 percent in acquisi¬tion costs compared to the full retail price. “Innovation is a key to success and with our Open Value agreement we can use the latest version of Microsoft tools with minimum cost,” says Speis. “With the same release of the same products on each desktop, I can negotiate a better deal with the reseller for each license.”

This savings enables Mitera to upgrade all of its desktops to the latest version of software at the same time, which in turn saves support costs because the IT staff only has to support one version of each operating system and software application. “It’s much easier to support our users now, because we only have one version of the software and the same drivers on each desktop,” says Speis. In addition, paying the licensing costs in three annual payments provides Mitera with predictable costs throughout the life of the agreement.

Easier Budgeting, Reduced Management Time

The Open Value Licensing Agreement offers a fixed cost per desktop so Mitera license administrators only have to keep track of the number of desktops. The company tracks licenses online through the password-protected Microsoft Volume Licensing Services Web site. On the site, administrators can view all licensing information, including agreement details, license orders, and Volume License Product Keys.

Mitera adds 10 to 15 desktops each year, and it recalculates the costs at the end of each agreement year, based on those addi¬tions. “With Open Value, we’ve reduced by about 30 percent the time it takes to monitor our Microsoft software licenses to ensure we have the appropriate licenses for each desktop,” says Speis.

A Secure and Stable Work Environment

Because Open Value makes it economically feasible for Mitera to upgrade all of its desktops to the latest software as new releases are available, the company has enhanced security and connectivity among its many systems. The Extended Hotfix Support also helps ensure continued integration with legacy systems as the front-end software is updated. These benefits help create a more stable environment that provides increased security as well as accessibility.

“Because we have the latest version of the Windows operating systems on our desktops, we have the latest security features,” says Speis. “This helps to improve access to information so that our medical staff gets critical patient information as quickly as possible. Getting lab results immediately can be critical, so keeping all of our desktops up-to-date is essential to what we do here.”
Microsoft Solutions for the Healthcare Industry
Healthcare and life sciences organizations are under tremendous pressure to meet regulatory requirements, improve patient care, and reduce the time it takes to develop drugs and take them to market. To meet this challenge, Microsoft and its partners have developed cost-effective solutions that enable healthcare organizations to streamline and automate daily processes that improve productivity and deliver information whenever and wherever it is needed. The result is enhanced productivity, safety, and quality.

For more information about Microsoft solutions for the healthcare industry, go to:

For More Information

For more information about Microsoft products and services, call the Microsoft Sales Information Center at (800) 426-9400. In Canada, call the Microsoft Canada Information Centre at (877) 568-2495. Customers who are deaf or hard-of-hearing can reach Microsoft text telephone (TTY/TDD) services at (800) 892-5234 in the United States or (905) 568-9641 in Canada. Outside the 50 United States and Canada, please contact your local Microsoft subsidiary. To access information using the World Wide Web, go to: www.microsoft.com

For more information about Mitera S.A., call 0030 210-686-9950 or visit the Web site at:

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Solution Overview

Organization Size: 750 employees

Organization Profile

Mitera, located in Athens, Greece, is one of the largest healthcare facilities in Europe. It has 750 employees and a network of 1,500 associate doctors representing 30 medical specialties.

Business Situation

Due to budgeting requirements, Mitera could only upgrade the software on a portion of its 110 desktops each year, which created a support burden on the IT staff.


Mitera signed a Microsoft® Open Value Volume Licensing Agreement to cover all of its Microsoft desktop operating system and productivity software (including version upgrades), as well as Client Access Licenses for various Microsoft server offerings.


  • A secure, stable work environment
  • A 15 percent savings on acquisition costs
  • Easier budgeting
  • A 30 percent reduction in license management time


  • HP DC 7600 desktop computers
  • HP DC 7100 desktop computers
  • HP 8500 ProLiant server computers
  • HP DL580 ProLiant server computers
  • HP DL380 ProLiant server computers
  • HP Integrity rx4640 server computers
  • HP EVA 5000

Software and Services
  • Microsoft Windows Server 2003, Standard x64 Edition
  • Microsoft Exchange Server 2003
  • Microsoft Office Professional Edition 2003
  • Microsoft SQL Server 2005
  • Microsoft Windows XP Professional For Itanium-Based Systems

Vertical Industries
Health Provider