2012 rightscale conference nyc - thomas packert, chief technology officer, carecloud
TRANSCRIPT
Thomas PackertCTO
Saul WaizerCloud Technology Manager
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Who We Are• An on-demand software and services company for healthcare
• Founded by experienced healthcare IT professionals
• Our products and services include:
– Revenue Cycle Management services
– Healthcare IT Platform
– On-demand, modern, easy to use, collaborative electronic health record
– Software-as-a-service for administrative, financial and clinical functions
– Revenue Cycle Management services
• Open philosophy and commitment to work with best of breed vendors
• Agile development and rapid customization of customer requirements
• Winner of IBM SmartCamp Silicon Valley
• Backed by Intel Capital and Norwest Venture Partners with $20M of venture capital
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Fully Web-Based
• Accessible through multiple devices
• Platform agnostic
• Browser agnostic
Focus on Design and Usability
• Desktop-class experience
• Intuitive and easy user interface
• Reduced training requirements
Enterprise-Class Capabilities
• Multi-tenant / sophisticated client configurations
• Handles small to very large practices
• Role-Based Security and Workflow
Open & Secure Systems Philosophy
• Rapid integration with virtually any system including other EMR & HIE vendors
• Highly configurable and any protocol
Our Technology
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•Sales Prevention – will explaining cloud security slow down or prevent sales
• New rules and financial penalties stipulated in 2009 HITECH Act
• Introduction of the ‘willful neglect’ concept with HITECH act
• Security Models unproven, theoretical Virtualization attacks like Blue Pill, Red Pill
Original concerns of ‘going cloud’
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Saul Waizer
Manager of Cloud Infrastructure @CareCloud
•High Availability
•Scalability
•Virtualization
•Cloud Infrastructure
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Goals: Zero Failure - Architected for Disaster
• Redundancy
• Eliminate single points of failure
• Security
•HIPAA compliance and regulations
• Scalability
• Automate provisioning of server capacity, enable auto-scaling.
• Costs
• Implement a cost effective solution that allows our infrastructure to scale based on needs without incurring in long term costs or contracts.
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Goals: Zero Failure - Architected for Disaster
Talk with the Experts. #RightScale
Simplify – The RightScale Solution
•RightScale Professional Services
•Create work plan based on company goals
•Customized Server Templates
•RightScripts
•Auto-Scaling arrays
•Clustering
•Centralized management
•Automation is the key
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Goals: Zero Failure - Architected for Disaster
Talk with the Experts. #RightScale
Complex Simplicity
S3Auto-Scaling Elastic Arrays
Authentication Cluster
CloudFront Database/Caching Cluster
External Application Cluster
Dynamic Routing Processing
SSL Termination
Load Balancing
RightScale managing AWS
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How it works
A sophisticated layer handles incoming traffic, routing, load balancing and SSL termination.
Complex simplicity: This layer adds and removes instances without human intervention
Dynamic Routing Processing
SSL Termination Load Balancing
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How it works
This layer controls our alert-based arrays, built from the ground up to assemble a fully functional production ready CareCloud instance
Full Control: We are able to independently scale each component of our application as needed, provision virtually infinite capacity and computing power in an automated fashion. Elastic arrays shrink automatically, reducing our costs and maintaining elasticity.
Auto-Scaling Arrays
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Conclusion - Architecting for High Availability
•Can your current app scale? Find weak points
•Can you survive a large failure? Design with HA in mind
•Cloud or Hybrid?
•Avoid single points of failure. Multi-AZ, Multi-Cloud HA
•Automate and Optimize
•Document everything
•Test, test, test, drink coffee, test again.
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Thank You
Thomas Packert
CTO @CareCloud
Saul Waizer
Cloud Technology Manager @CareCloud