gain momentum accelerate - micromd · the 60’s – mainframes, medicare and medicaid. the 70’s...

SUPERIOR INFRASTRUCTURE + OPERATIONAL EXCELLENCE + PEOPLE WHO DELIVER

Sunny Days in the CloudDean HinerStrategic Account Manager

Move ForwardGain Momentum

accelerateHenry Schein Users Conference

October 11th, 2016


Involta Boise – IDDecember 2014

300 Racks

Dean HinerStrategic Account

Manager

[email protected]

www.involta.com

• Strategic Consulting• Operational Background• Healthcare Cloud Provider• Manufacturing Cloud Provider• Government Cloud Provider• Compliance Experience• Connectivity to Desktop Support

Brings leading edge focus to HealthCare

Presenter Background

mailto:[email protected]


The Cloud and Cloud Computing


accelerate

“The Cloud”


• What is the Cloud?• Where is the Cloud?

• When to use the Cloud?• Why would you use the Cloud?

• How does the Cloud work?


Definition• Lots of confusion• Several different “loosely applied” definitions• A style of computing in which massively scalable IT-related

capabilities are provided "as a service" using Internet technologies to multiple external customers

• An internal or external “cloud enabled” service offering • The provision of dynamically scalable and often virtualized

resources as a service over the Internet.• A general term for anything that involves delivering hosted

services over the Internet.

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• Cloud computing is a model for enabling convenient, on-demand network access to a shared pool of configurable computing resources (e.g., networks, servers, storage, applications, and services) that can be rapidly provisioned and released with minimal management effort or service provider interaction. (NIST Definition, National Institute of Standards and Technology)

Definition

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“The Cloud” by definition


Cloud computing:(noun)

Internet-based computing in which large groups of remote servers are networked so as to allow sharing of data-processing tasks, centralized data storage, and online access to computer services or resources.

Any computer related task that is done entirely on the Internet


Summarized History 1960 - John McCarthy opined that "computation may someday be organized as a

public utility" Early 1990s – The term “cloud” comes into commercial use referring to large

networks and the advancement of the Internet. 1999 – Salesforce.com is established, providing an “on demand” SaaS (Software as

a Service). 2001 – IBM details the SaaS concept in their “Autonomic Computing Manifesto” 2005 – Amazon provides access to their excess capacity on a utility computing and

storage basis 2007 – Google, IBM, various Universities embark on a large scale cloud computing

research project 2008 – Gartner says cloud computing will “shape the relationship among

consumers of IT services, those who use IT services and those who sell them”

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Health Care Past to Present – A Quick Look


The 60’s – Mainframes, Medicare and Medicaid

The 70’s – Departmental Islands – StandAlone Solutions

The 80’s – Networking – Financial and Care Systems begin to interact

The 90’s – IT Cost Transformation brings technology bedside

The 00’s – Consolidation Advances

The 10’s – ACO’s; EMR’s; HIE’s; ABC’s; PRO’s; EDW

The acceleration of analytics, applications and expectations marks the future for Healthcare IT. And more from less.

Secure, Compliant, Protected.

What is Cloud Computing


• Allows users to deal with the software without having the compute hardware.

• Everything is done by remote, nothing is saved locally


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http://upload.wikimedia.org/wikipedia/commons/2/27/Cloud_applications.jpg

http://upload.wikimedia.org/wikipedia/commons/2/27/Cloud_applications.jpg


TYPES OF CLOUD

• Public Cloud• Private Cloud• Community Cloud• Hybrid Cloud• Combined Cloud


Deployment Model

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http://en.wikipedia.org/wiki/File:Cloud_computing_types.svg

http://en.wikipedia.org/wiki/File:Cloud_computing_types.svg


• Cloud computing often leverages:– Massive and Rapid scalability– Virtualization– Resilient computing– Low cost software– Geographic distribution, (many datacenters)– Service orientation– Advanced security technologies

Cloud Characteristics

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Virtual is Reality!


• Fundamentally changed the IT infrastructure landscape.• Ease of Management, Operational Flexibility, Resiliency Capabilities• Enables opportunities for higher performance at lower cost• More eggs in more baskets.• Ease of Error can expose your resources…another Click It challenge


• Core objectives and principles that cloud computing must meet to be successful: – Security – Scalability– Availability – Performance – Cost-effective – Acquire resources on demand – Release resources when no longer needed – Pay for what you use – Leverage others’ core competencies – Turn fixed cost into variable cost

Objectives of Cloud Computing

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Issues with the Cloud• Security (number 1 concern)• Performance• Availability• Lack of Standards• Inability to Customize• Hard to Integrate with current in-house IT• Regulatory requirements• Not enough suppliers yet

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PC based computing model• All

compute and storage is done on the PC


Server based computing model• All

compute is on the PC storage is done on the Server


Thin Client based computing model• The

majority of compute and all the storage is done on the Server


Redundant Server Model• All

compute and storage is done on redundant servers and redundant storage


Cloud Model• All

compute and storage is done on redundant servers and redundant storage

• In a secure data center


Cloud Architecture


• Cloud Software as a Service (SaaS)– Use provider’s applications over a network

• Cloud Platform as a Service (PaaS)– Deploy customer-created applications to a cloud

• Cloud Infrastructure as a Service (IaaS)– Rent processing, storage, network capacity, and other

fundamental computing resources

To be considered “cloud” services are deployed on top of cloud infrastructure that has the key characteristics

Cloud Service Models

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Services

Application

Development

Platform

Storage

Hosting

Cloud Computing Service LayersDescription

Services – Complete business services such as PayPal, OpenID, OAuth, Google Maps, Alexa

ServicesApplication

Focused

InfrastructureFocused

Application – Cloud based software that eliminates the need for local installation such as Google Apps, Microsoft Online

Storage – Data storage or cloud based NAS such as CTERA, iDisk, CloudNAS

Development – Software development platforms used to build custom cloud based applications (PAAS & SAAS) such as SalesForce, MicroMD

Platform – Cloud based platforms, typically provided using virtualization, such as Amazon ECC, Sun Grid

Hosting – Physical data centers such as those run by IBM, HP, NaviSite, Involta


• Clouds are massively complex systems that can be reduced to simple primitives that are replicated thousands of times

• These complexities create many issues related to security as well as all aspects of Cloud computing

• Clouds typically have a single security architecture but have many customers with different demands

• Cloud security issues may drive and define how we adopt and deploy cloud computing solutions

• Highly sensitive data is likely to be on private clouds where organizations have complete control over their security model

Analyzing Cloud Security


Analyzing Cloud Security


More on Security• Trusting vendor’s security model • Where is the data stored and who is securing it• Inability to respond to audit requirements• Indirect administrator accountability• Loss of physical control• Data retention / backup standards• Redundancy / Disaster Recovery • Handling Compliance

o GLBA, HIPAA, SOX, PCYo State lawso International – EU Data Protection Directiveo FTC Scrutinyo SAS 70 / SAE16 Audits 29


ISSUES RELATED TO CLOUD COMPUTING

• Cloud computing may create a dependence on the provider (Google, Amazon) and may make it difficult to move to another platform.

• Google itself admits that Google App Engine is targeted at consumer applications, not businesses.

• There’s always the risk that the Cloud provider may change business models or even go out of business.


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• Estimates vary widely on possible cost savingso “If you move your data center to a cloud provider, it will cost a tenth of

the cost.” – Brian Gammage, Gartner Fellow

• Use of cloud applications can reduce costs from 50% to 90% -CTO of Washington D.C.

• IT resource subscription pilot demonstrated a 28% cost savings -Alchemy Plus cloud (backing from Microsoft)

• “Using Cloud infrastructure saves 18% to 28% before considering that you no longer need to buy peak capacity” –George Reese, founder Valtira and enStratus

• When implementing Cloud you must consider other costs which may not be apparent today.

Cloud Economics


• Public clouds work great for some but not all applications

• Private clouds offer many benefits for internal applications

• Public and private clouds can be used in combination• Cloud Computing is the fastest growing part of IT• Tremendous benefits to customers of all sizes• Cloud services are simpler to acquire and scale up or

down

Cloud summary


MicroMD Cloud Based PM + EMR Features + Security


accelerate


MicroMD Cloud Based PM + EMR Features + Security

• Secure offsite data storage• 24/7 secure access, monitoring and maintenance• 99% uptime• Server tools including switches, firewalls, software and

infrastructure support• Data disaster recovery and managed data backups

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Cloud Security

• Secure data storage – no one outside of your selected users can access your data

• SSL 128 bit encryption• Unique individual loginpassword for each user• Audit trails for log-in, log-out and system access• System log-off after a pre-set length of inactivity

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Cloud Benefits

• 24/7 access to MicroMD software over a secure high speed Internet connection from any office PC

• No in-office server required; continue to use in-office PCs, scanners and printers

• Eliminates the responsibility for system backups and in-house server maintenance

• Reduced IT support expenses• Consistent budgeting with a regular per-user monthly fee for core

functionality• Peace of mind to no longer worry about system failure and data lost;

redundant servers minimize downtime from hardware failures• Allows practice administrative staff to concentrate on maximizing their

use of MicroMD and clinicians to focus on learning how to integrate MicroMD into their daily use as efficiently as possible 36


Questions

Session Wrap-up• Feedback to your presenter

You can provide feedback to Lauren McNally at [email protected], or [email protected]

• Want to learn more? Contact [email protected]

• Want to take advantage of the cloud? Contact your Henry Schein Sales Representative

• What one thing should you take away? The cloud is a safe and secure alternative to on premise solution

Dean HinerStrategic Account Manager

[email protected]


gain momentum accelerate - micromd · the 60’s – mainframes, medicare and medicaid. the 70’s...

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