2012 RightScale Conference NYC - Thomas Packert, Chief Technology Officer, CareCloud
 

2012 RightScale Conference NYC - Thomas Packert, Chief Technology Officer, CareCloud

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Healthcare in the Cloud: CareCloud's CTO and Cloud Technology manager will take you through their experiences and challenges in migrating from a physical infrastructure to a hybrid model. They will ...

Healthcare in the Cloud: CareCloud's CTO and Cloud Technology manager will take you through their experiences and challenges in migrating from a physical infrastructure to a hybrid model. They will discuss their zero failure architecture for healthcare in the cloud and how they use auto-scaling to eliminate variability problems.

Thomas Packert is Chief Technology Officer at CareCloud, where he is responsible for identifying technologies and managing implementations of CareCloud’s proprietary systems to maximize the scalability, flexibility, and productivity enjoyed by the company's clients. His mission is to deliver high-productivity, secure, compliant systems for all stakeholders. Mr. Packert comes to CareCloud with numerous years of experience developing healthcare billing systems, healthcare supply chains, and financial reporting systems for HMOs.

Saul Waizer is Cloud Technology Manager at CareCloud. Mr. Waizer leads the infrastructure team and oversees the development of CareCloud's core technology and infrastructure. He specializes in High-Availability, cloud infrastructure, PaaS, and web scaling. Over the last 10 years Mr. Waizer has managed systems and network operations for domestic and international organizations in many industries, including online banking, healthcare, entertainment, and internet security. At CareCloud, Mr. Waizer uses his expertise to mentor others on cloud computing, lead research and development efforts, and help introduce new technologies to the company's ever-evolving platform.

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  • Introduce myself Manager of Cloud Infrastructure. Oversee the design anddevelopment of CareCloud's core technology and infrastructureToday we are here to share some of the experiences and challenges we faced in migrating from a physical infrastructure to a hybrid model and how Rightscale helped us along the way.
  • As a company with access to sensitive patient records and healthcare information ne of the major challenges I’ve had to deal with is compliance with the US department of health regulations, AKA HIPAA regulations or HIPAA compliance.This is very different from your typical app. HIPAA requires companies like carecloud to establish security standards for transmitting health data electronically. In a nutshell, the majority of the PHI is kept in-house, all data transmitted to and from the cloud is encrypted.
  • This diagram shows the initial architecture when I joined carecloudPoint out single points of failure, design flaws and key changes needed
  • The Cookie Cutter approach automate everything,

2012 RightScale Conference NYC - Thomas Packert, Chief Technology Officer, CareCloud 2012 RightScale Conference NYC - Thomas Packert, Chief Technology Officer, CareCloud Presentation Transcript

  • Thomas PackertCTOSaul WaizerCloud Technology Manager
  • 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 capitalTalk with the Experts. #RightScale
  • Talk with the Experts. #RightScale
  • Our Technology 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 protocolTalk with the Experts. #RightScale
  • Original concerns of ‘going cloud’ • 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 PillTalk with the Experts. #RightScale
  • Saul Waizer Manager of Cloud Infrastructure @CareCloud • High Availability • Scalability • Virtualization • Cloud InfrastructureTalk with the Experts. #RightScale
  • 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.Talk with the Experts. #RightScale
  • Goals: Zero Failure - Architected for DisasterTalk 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 keyTalk with the Experts. #RightScale
  • Goals: Zero Failure - Architected for DisasterTalk with the Experts. #RightScale
  • Complex Simplicity Dynamic Routing SSL Load Processing Termination Balancing S3 Auto-Scaling Elastic Arrays Authentication Cluster CloudFront Database/Caching Cluster External Application Cluster RightScale managing AWSTalk with the Experts. #RightScale
  • How it works Dynamic Routing SSL Termination Load Balancing Processing A sophisticated layer handles incoming traffic, routing, load balancing and SSL termination. Complex simplicity: This layer adds and removes instances without human interventionTalk with the Experts. #RightScale
  • How it works Auto-Scaling Arrays 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.Talk with the Experts. #RightScale
  • 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.Talk with the Experts. #RightScale
  • Thank You Thomas Packert CTO @CareCloud tpackert@carecloud.com Saul Waizer Cloud Technology Manager @CareCloud swaizer@carecloud.comTalk with the Experts. #RightScale