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Peer Panel:
Not-for-profits using
cloud computing



                                Julie Chapman
                     NP...
Today’s Speakers

              Julie Chapman, President,
               NPower Greater DC Region

              Shyam D...
About NPower

Who:    NPower is the only nonprofit that provides technical
        support and advice exclusively to other...
NPower ON! Clients




1.    Advocates for Justice and Education        20. Five Talents International                    ...
Spotlight on 3 Nonprofits
Using Cloud Computing
• Volunteers of America Chesapeake
• DC Primary Care Association
• America...
What we will cover today…

•   About us
•   Before Cloud Computing
•   After Cloud Computing
•   What we learned
Mission
• A faith-based, nonprofit corporation that provides
  high-quality human services that result in positive life
  ...
Our Operations
• An Affiliate of Volunteers of America, a $1 Billion
  national Human Services Organization
• Key Facts – ...
Before Cloud Computing
                                        There are no limits to caring.®




• Windows XP desktop pl...
After Cloud Computing
                                      There are no limits to caring.®




• Email moved to Microsoft...
What We Learned
• Educate, Educate, Educate!
• Always emphasize the ROI so staff is willing to go through the
  transition...
About DC Primary Care Association (DCPCA)
• Non-profit health action and advocacy organization that seeks
  to improve hea...
Before Cloud Computing & Electronic Health
Record (EHR)

• Each clinic had a legacy system that was used for patient
  sch...
After Cloud Computing & EHR

• A single integrated practice management and electronic
  health record was adopted by each ...
Current EHR Architecture
 DCPCA Architecture                                                                              ...
Future EHR Architecture - True Cloud Computing
                                                                    Propose...
What motivated shift to cloud computing?

 • Improve quality of care
 • Reduce the volume of paper – staff were drowning i...
Lessons Learned/Words of Wisdom

• Training, training, training. Incorporate continuous, on-going
  training into your org...
Cloud Computing at AIPAC

American Israel Public Affairs Committee
American Israel Educational Foundation
          251 Ma...
Mission
 We are a national grassroots advocacy
organization whose mission is to promote
strong US/Israel ties through educ...
Organizational Structure
• Legal Entities
   – AIPAC – 501C4
   – AIEF – 501C3
   – 251 Mass Ave LLC – Building held by AI...
The Cloud and AIPAC
• Our definition of cloud:
  – Scalable (storage)
  – Resilient
  – Secure
  – Browser-based access
  ...
Then

   Headquarters


 Membership data
     Web sites
       Email
  Cash Processing
 Accounts Payable
 Financial System...
Now
                                                             Accounts Payable
Web Presence
                           ...
Business Issues Driving Change
• Best of Breed for solutions
• Resilience
• Mobility and flexibility to access information...
Lessons
• Do it right – invest in training, explaining why, and integrate
  feedback to the final solution.
• These IT pro...
Q&A
Cloudcomputing Speakerpanel 100422145548 Phpapp01
Cloudcomputing Speakerpanel 100422145548 Phpapp01
Cloudcomputing Speakerpanel 100422145548 Phpapp01
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Transcript of "Cloudcomputing Speakerpanel 100422145548 Phpapp01"

  1. 1. Peer Panel: Not-for-profits using cloud computing Julie Chapman NPower Greater DC Region Microsoft NGO Connection Day Wednesday, April 21, 2010
  2. 2. Today’s Speakers  Julie Chapman, President, NPower Greater DC Region  Shyam Desigan, CFO Volunteers of America Chesapeake  Donna Ramos-Johnson, CTO DC Primary Care Association  Chrystal Kern, CFO Chaim Yudkowski, CIO AIPAC
  3. 3. About NPower Who: NPower is the only nonprofit that provides technical support and advice exclusively to other nonprofits. We are mission driven to build capacity around the strategic use of technology. What: We provide high quality and affordable to our region’s nonprofits: • Technology Assessment and Planning • Network Solutions • Managed Services--NPower ON! Why: Our work is more than just technology – it’s about building and strengthening our nonprofit community.
  4. 4. NPower ON! Clients 1. Advocates for Justice and Education 20. Five Talents International 38. Partners for Livable Communities 2. Afterschool Alliance 21. Georgetown BID 39. Peace X Peace 3. America Speaks 22. Girls on the Run of Northern VA 40. Physician Assistant Education Association 4. Annenberg Media 23. GlobalGiving Foundation 41. Polaris Project 5. Association of Children's Museums 24. Goodwill of Greater Washington 42. Potomac Conservancy 6. Association of Partners for Public Lands 25. Healthy Teen Network 43. Primary Care Coalition 7. Capital Area Immigrants' Rights 26. Housing Unlimited, Inc. 44. Sexual Minority Youth Assistance League 8. CEDPA 27. Jobs Have Priority 45. Threshold Services 9. CLASP 28. Justice at Stake Campaign 46. Urban Alliance 10. Coalition for Juvenile Justice 29. Latin American Working Group 47. USO of Metropolitan Washington 11. Community Council for the Homeless 30. Latino Economic Development Corporation 48. Volunteers of America Chesapeake 12. Community Health Charities 31. Legal Aid Society 49. Washington Area Women's Foundation 13. Community of Hope 32. LifeSTARTS Youth and Family Services 50. Washington Legal Clinic for the Homeless 14. Consumer Health Foundation 33. Lutheran Volunteer Corps 51. Women's Collective 15. Danya Institute 34. Mentors Inc 52. Young Playwrights’ Theater, Inc. 16. DC Bar Foundation 35. National Citizens Coalition for Nursing Home 53. YWCA National Capital Area 17. DC Scores Reform (NCCNHR) 54. YWCA – Washington Area Women in the Trades 18. DC Vote 36. Neighborhood Legal Service Program 19. Equal Justice Works 37. Our Place DC
  5. 5. Spotlight on 3 Nonprofits Using Cloud Computing • Volunteers of America Chesapeake • DC Primary Care Association • American Israel Public Affairs Committee
  6. 6. What we will cover today… • About us • Before Cloud Computing • After Cloud Computing • What we learned
  7. 7. Mission • A faith-based, nonprofit corporation that provides high-quality human services that result in positive life changes for individuals and families throughout Maryland, Virginia, and the District of Columbia. As part of a national organization, we strive to fill the communities’ human service needs through a dedicated team of staff and volunteers to encourage self-reliance, dignity and hope. We coordinate our efforts with other agencies and local organizations to maximize the impact of our work.
  8. 8. Our Operations • An Affiliate of Volunteers of America, a $1 Billion national Human Services Organization • Key Facts – VOA Chesapeake: ‒ 3 Service Lines: Mental Health/Intellectual Disabilities, Homeless Services and Corrections ‒ 28 programs in MD, DC & VA with annual revenue of $22.5 Million ‒ 388 FT and 220 PT Employees ‒ Lean IT Dept with 1 ½ onsite IT staff
  9. 9. Before Cloud Computing There are no limits to caring.® • Windows XP desktop platform with all business applications and e- mail hosted by a “managed services” company • Only administration and 4 programs on Hosted infrastructure—140 of nearly 500 full time employees • Files saved on hosted shared drive at admin and these 4 programs. Rest on local computer WITHOUT backup • Paper, Paper, Paper…10% of paper documents in Administration scanned into shared drive. Rest in files! • 2 of the 4 audit findings related to lack of backup documentation. Trouble!!!
  10. 10. After Cloud Computing There are no limits to caring.® • Email moved to Microsoft BPOS platform • Company-wide email—better communications between programs and Exec Team! • Backup and HIPAA-compliant cloud-based shared storage on Rackspace/Jungledisk for the program • Cloud-based document management and archival system, KnowledgeTree. Backend of the solution is Amazon S3 • Cloud-based PR and donor management applications are being reviewed for selection
  11. 11. What We Learned • Educate, Educate, Educate! • Always emphasize the ROI so staff is willing to go through the transition pains • Ensure that your mobile users are looped in and the exchange server on the cloud talks to smartphones/PDAs • Check your firewalls and spamware. These need to be managed to the new architecture • Cloud is not the magic pill. May not work for all applications—but can solve many concerns over time • Understand who holds your data on the cloud and ensure that you have a way of getting it back
  12. 12. About DC Primary Care Association (DCPCA) • Non-profit health action and advocacy organization that seeks to improve health care and health coverage for low-income, uninsured, and medically vulnerable populations in the District of Columbia • Annual budget of $8.9 million • 26 employees (23 FT and 3 PT) • Membership includes 15 community health centers (with 48 sites in the District of Columbia), hospitals, individuals and others health interest groups • Key technical assistance program areas: – Medical Homes DC – Health Information Technology – Community Health Access
  13. 13. Before Cloud Computing & Electronic Health Record (EHR) • Each clinic had a legacy system that was used for patient scheduling/check-in and billing • Clinical operations were manual processes; medical records were still paper based • Staff was drowning in paper and struggled to do their jobs; critical pieces of patient data were often lost • Patient information was kept in “silos” based on service provided – difficult to have a comprehensive view of a patient’s health status
  14. 14. After Cloud Computing & EHR • A single integrated practice management and electronic health record was adopted by each clinic – one vendor vs.. several vendors • Streamlined staff interactions and patient flow – everyone could seen where the patient was in the system • Electronic interfaces with claims clearinghouse, lab results, e- prescribing • Remote access for providers to their patient information • Foundation for the exchange of patient information among clinic facilities and with other health care providers
  15. 15. Current EHR Architecture DCPCA Architecture Database Servers Application Servers DL380 DL380 Dual-Core Xeon 3 GHz Dual-Core Xeon 3 GHz DL360 DL360 DL360 8GB RAM 8GB RAM Dual-Core Xeon 3 GHz Dual-Core Xeon 3 GHz Dual-Core Xeon 3 GHz (2) 72 gig internal disk (2) 72 gig internal disk 4GB RAM 4GB RAM 4GB RAM (2) 72 gig internal disk (2) 72 gig internal disk (2) 72 gig internal disk FTP Servers Training/Test Server DL360 Dual-Core Xeon 3 GHz 4GB RAM Interface Server (2) 72 gig internal disk DL360 DL320 DL320 Dual-Core Xeon 3 GHz Dual-Core Xeon 3 GHz Dual-Core Xeon 3 GHz 4GB RAM 2GB RAM 2GB RAM (2) 72 gig internal disk (2) 72 gig internal disk (2) 72 gig internal disk CLARiiON EMC CX3-10 2.5TB usable Reports Server DL360 Dual-Core Xeon 3 GHz 8GB RAM (2) 72 gig internal disk Cisco Catalyst 3750 EMI TMX1000 SSL Accelarator Switch-24 ports PowerEdge 2950 VMWARE ESX Server Cisco ASA 5520 64GB RAM Firewall Edition TMX1000 SSL Accelarator Dual Quad Core 3.0GHz Cisco Catalyst 3750 EMI 6x300GB 15k Drives Switch-24 ports • Individual servers performing core functions (application, database, FTP, interface, etc) • High risk if one component fails then loses a core function
  16. 16. Future EHR Architecture - True Cloud Computing Proposed Virtual Server Layout 04/15/2010 Physical VM Machines will use VMSphere 4 Enterprise version (4 licenses required) WWCI MySQL 64 MySQL 64 MySQL 64 All virtual Servers will operating on Windows 2008 R2. BFTC WWCI BFTC MCMC DCPCA-DBCLUST01 Cisco Nexus 1000v will be used on each server to DCPCA-APP01 DCPCA-RPT01 optimize routing and network load (included in Vsphere 4 Enterprise) SOME All Servers will have 2 partitions (C: and D:). MySQL 64 MySQL 64 MySQL 64 MySQL 64 LCDP SOME FMCS LCDP COH Application servers and database servers will have a eCW VM SEVER 1 (CISCO 1) DCPCA-APP02 20G/80G split partition DCPCA-RPT02 Clusters will be allocated with 500GB for local DB storage All other specific (e.g. memory, CPU and network speeds) allocations will be determined as necessary. MCMC MySQL 64 MySQL 64 MySQL 64 MySQL 64 MySQL 64 MySQL 64 WWCI BFTC MCMC WWCI BFTC MCMC DCPCA-APP03 DCPCA-PROD01 DCPCA-SLAVE01 DCPCA-DBCLUST02 COH MySQL 64 MySQL 64 MySQL 64 MySQL 64 MySQL 64 MySQL 64 MySQL 64 MySQL 64 SOME FMCS LCDP COH FMCS SOME FMCS LCDP COH eCW VM SERVER 2 (CISCO 2) DCPCA-APP04 DCPCA-PROD02 DCPCA-SLAVE02 Currently Active Currently Active Currently Active IP: 10.235.1.204 IP: 10.235.1.206 IP: 10.235.1.208 TEMP. ON EHX TEMP. ON EHX TEMP. ON EHX TO BE COMPLETED 11/31/2010 Currently Active Currently Active Currently Active ALL CLINICS ALL CLINICS IP: 10.235.1.101 IP: 10.235.1.196 IP: 10.235.1.215 EHX FUTURE FTP ALL CLINICS ALL CLINICS VM EHX SERVER (HP) FUTURE INTERFACE FUTURE TEST ENV. BRIDGEIT SERVER (REPORTING) Management Server WUG SERVER (DC) (DC) • Reduced cost through consolidation of hardware • Streamlined server management and monitoring
  17. 17. What motivated shift to cloud computing? • Improve quality of care • Reduce the volume of paper – staff were drowning in paperwork • Reduce the amount of time spent searching for needed information • Move to a multi-disciplinary team approach to patient care – treat the whole person vs. focus on a single part • Break down the silos of data
  18. 18. Lessons Learned/Words of Wisdom • Training, training, training. Incorporate continuous, on-going training into your organization • Identify one-person in the organization whose sole job is to support the system. It’s a full time job • Educate staff on the big picture and not just on what they need to do. They need to know how they fit in and their impact/value to the entire system • Get a good assessment of the technology infrastructure at every location; don’t make any assumptions
  19. 19. Cloud Computing at AIPAC American Israel Public Affairs Committee American Israel Educational Foundation 251 Mass Ave. LLC
  20. 20. Mission We are a national grassroots advocacy organization whose mission is to promote strong US/Israel ties through educational programs and advocacy support
  21. 21. Organizational Structure • Legal Entities – AIPAC – 501C4 – AIEF – 501C3 – 251 Mass Ave LLC – Building held by AIPAC • Statistics – 250 Employees – 18 US offices, 1 International office
  22. 22. The Cloud and AIPAC • Our definition of cloud: – Scalable (storage) – Resilient – Secure – Browser-based access – Platform and browser agnostic • Cloud computing can be internally or externally hosted
  23. 23. Then Headquarters Membership data Web sites Email Cash Processing Accounts Payable Financial Systems Business Intelligence NO Virtual Servers Broadcast Email
  24. 24. Now Accounts Payable Web Presence Headquarters Any Bill Financial System: Dynamics NAV Virtual Server HR Various Systems Donor Relationship Management Email Cash Processing Exchange Business Intelligence Broadcast Email
  25. 25. Business Issues Driving Change • Best of Breed for solutions • Resilience • Mobility and flexibility to access information • Capital expenditure control • Security • Business continuity • Operational efficiency and impact to head count for operational tasks • Organizational scalability
  26. 26. Lessons • Do it right – invest in training, explaining why, and integrate feedback to the final solution. • These IT projects are recursive; they are being adopted for organizational agility. Incorporate those opportunities to further leverage the investment. • It always takes longer than you planned. • It always costs more. • It impacts the culture in ways you can’t anticipate. If you are fortunate, they will be good impacts. • Sometimes, Rule 1 needs to be do no harm.
  27. 27. Q&A
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