the benefits of “the cloud” for healthcare applications ̶ rich bader president & ceo tao...
TRANSCRIPT
The Benefits of “The Cloud” for Healthcare Applications �
Rich BaderPresident & CEO
TAO SummitApril 11, 2013
Without the Risk
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Agenda
Technology/IT challenges for Healthcare organizations
IT investment/timeline for meaningful use funding
Cloud computing service models
Balancing the benefits — Cost/Risk/Speed
Disaster Recovery
Healthcare customer examples
A bit about EasyStreet
18-year-old “IT-as-a-Service” provider to Northwest organizations
Colocation, cloud computing, and managed services for personalized IT infrastructure solutions
Complete lifecycle of services: Plan, Build, Run, Monitor Local headquarters for deep customer relationships,
high touch, responsive service, community involvementHealthcare customers include: Salem Hospital, Harris
Healthcare, OCHIN, OHSU, Oregon Health Network (OHN), Oregon Health Authority (OHA)
Sustainable business practices yield energy efficiency and zero carbon footprint
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Technology concerns for Healthcare CEOs
Healthcare CEOs were asked, “How concerned are you about the following potential business threats to your growth prospects? To what extent do you anticipate changes at your companyin the following areas over the next 12 months?”
Source: PwC’s 16th Annual CEO Survey, 2013
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Healthcare organizations struggle to attract IT talent
John HalamkaCIO, Beth Israel Deaconess Medical CenterCIO Journal
Healthcare CIOs are finding it hard to attract and retain IT professionals to operate hospital computer systems. They blame the talent crunch on several factors, including limited supply of qualified workers, poaching by rivals, rising levels of compensation and legacy computer systems that IT staff don’t like to use. To make matters worse, providers, consultants and vendors are ҅mining the same talent pool.’
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Providers weigh in on staffing challenges
Source: 2012 CHIME CEO Survey; PwC Health Research Institute Human Capital Survey 2012
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What skills are most needed to achieve HIT priorities?
Source: PwC Health Research Institute Human Capital Survey 2012
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Sectors compete for specialists
■ ONC HIT workforce development program rolesSource: PwC Health Research Institute analysis
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Solutions for CCOs and ACOs
CCOs/ACOs are virtual organizations that need to share patient health info Don’t have a data center or IT staff Difficult to extract resources from the partners because they may
be competitors An infrastructure provider is politically neutral
With IaaS you can benefit from the cost savings, increased flexibility, manageability, speed
and added data protection of hosting applications in the cloud while leaving you with more time to focus on
providing better patient care.
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IT investment needed for meaningful use funds
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Evolution toward the cloud
Cloud computing service models
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Infrastructure-as-a-Service
An excellent option for healthcare organizations that are: Facing the expense of a technology or hardware refresh Ready to implement EMR and EHR solutions that require complex
environments Short-staffed due to changing needs or loss of experienced IT
professionals Desiring a Disaster Recovery environment outside their own region Concerned about ePHI security or other compliance issues (HIPAA-
compliant providers) Seeking a more predictable cost structure
Audit and compliance Security Information (outside of security) Availability and performance Interoperability Contract Billing Vendor viability Organization
CapEx OpEx Fixed vs. variable Startup/migration; recurring Network
Initial deployment Change requests Scalability Provisioning Flexibility
Source of Risk items: Cloud Computing for Dummies
Balancing the benefits
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Risk reduction benefits
Added data protection through improved data security and system reliability
24/7 staff coverage
Greater network capacity/redundancy options
Avoid under- and over-capacity planning
Make sure your provider is HIPAA-compliant
COMPLIANCE
Cloud reliability roadmap
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Speed and flexibility benefits
Speed and agility Skilled vendors and a common infrastructure allow rapid deployment
of changes Delays may result in loss or reduction of meaningful use incentives
Flexibility and manageability Scalable options for storage, connectivity and compute capacity
Depth of experience and breadth of professional staff
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Economies of scale for bandwidth, redundancies, maintenance, patching, power consumption, software licensing
Eliminate CapEx and on-prem data center capacity issues Data center facilities, compute power, networking, firewalls, backup,
storage, recovery and management services are provided
Facilitate expansion and hardware refresh
Increase occupational focus Cloud computing saves time, allowing you to focus on providing
better patient care
Cost benefits
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Customer Example #1
Oregon-based Hospital Large skilled internal IT staff Significant assets already in place Hardware refresh provided opportunity to improve DR
Solution Primary infrastructure in EasyStreet colocation 9-cabinet cage Redundant/diverse connectivity DR infrastructure located at hospital site Data replication/DR playbook managed by hospital IT
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Customer Example #2
Arizona-based healthcare provider New “green-field” clinical information system Complicated modern application Extremely high availability/performance required
Solution HOT/HOT Disaster Recovery Solution (RPO 1 hour, RTO 4 hours) Identical dedicated private clouds in Beaverton and Phoenix Multiple replication techniques used
‒ Database / storage / hypervisor based DR playbook jointly developed by customer and EasyStreet
