Many IT systems have not changed significantly since the 80ies. They just have grown. Database upon database has been added. Many IT systems present as a fragile construction consisting of a collection of databases kept together by a variety of middleware, ring-fenced by a firewall.
Cloud computing needs to be regarded as an universal concept, an Ideology rather than an architectural or structural feature. Cloud computing is in the first instance virtualization.
Virtualisation of care: Health Care over the web, self-help-groups, smart devices in Ambient assisted living. Strengthening informal care, Patients empowered
IPv4, IPv6. There will be alternatives to the IP system. Open flow. Data connections of the 70ies and 80ies
Modern as in modern era (15th century)
Societal change and technological progress main drivers for change
The Future Internet = IoT + IoS
Christoph thuemmler cloud computing
Healthcare in The CloudDr. Christoph Thuemmler, MD, Mobile and Wireless Computing, Birmingham 2011
Mission Statement The Centre for Applied E-health at Edinburgh Napier University looks into the interactions and interdependencies between health in a wider context and information communication technologies and their direct and indirect effects on individuals, industries and society as a whole. The Institute is involved in the development, evaluation and validation of novel technologies, strategies and policies related to the field of e-health on a national and international level.
What we are really doing… RFID, barcode, license plate technologies Care models Cloud Computing, Architectures, Networking Future Internet (IoT, IoS) Risk Management Virtualization, Integration, Aggregation
Current projects Data Capture and Auto Identification Reference Project [DACAR] www.dacar.org.uk Trusted Services MUNICH Platform www.munichplatform.eu IERC European Internet of Things Knowledge Cluster
“Cloud Computing -What do youmean?”Centralized storage?Distributed storage?Remote application hosting?Federated services?Service oriented architecture(SOA)?A Network of Virtual Machines?The Internet?
Views from the shop-floor “I think among IT professionals we should talk about distributed storage or centralised storage and remote application hosting as opposed to using silly phrases used to confuse and cloud ;) the issue”.
“Over the years our IT System has grown to perfection”
National Institute ofStandards andTechnology (USA)"Cloud computing is a model forenabling convenient, on-demandnetwork access to a shared poolof configurable computingresources (e.g., networks,servers, storage, applications,and services) that can be rapidlyprovisioned and released withminimal management effort orservice provider interaction."
Cloud computing opportunities insimplified real world terms Information available at any time, from anywhere, anyhow Hardware and software as a service Better options for virtualization of Health Care Monitoring of objects all along the value chain Hospital Controlling Enabling of the Internet of Things and next generation technology Improved Governance
The risks of cloudcomputing in health care What happened to the Music industry when Itunes was introduced? What happened to the online community when Google started to introduce a whole variety of different services (Software, hardware as a service) all accessible via a joined portal What happened to the financial world when Pay Pal started? What disaster has struck us by introducing the smart phone and its flexible, agile, compatible operating platforms (IOS, Windows, Android)? What about ebay. Facebook, Smart Meters?
Myth No1: Cloudcomputing is not safe Fact: Cloud computing is as safe or unsafe as any other computing strategy. People are using online banking, google and ebay for years. The vast majority has never encountered any significant problems. New ISO/IEC standards are in place to protect medical data networks ( ISO 80001)
Myth No 2: Cloud computing willmake whole IT departmentsredundant Cloud computing will mobilize efficiency reserves and will reduce the costs of hardware and software. However, the local IT network will continue to require attention and routine tasks, such as staff training and system maintenance will remain. There will be additional demand for governance and supervision.
Myth No 3: “What are we doing ifthe Internet is down?” Hospitals will have servers where the latest data traffic will be captured and can be accessed over the local network. The cloud will also be accessible via alternative networks such as GPRS, GSM, 3G, 4G, etc.
Care Models in Transition Distributed Patient “modern” care model Centered Care Patient Care homes GP Hospital Specialists District Pharmacist nurse Informal Carer
Distributed Patient Centered Care= Distributed Computing Service oriented Main Frame Server Architecture (Cloud) Client Server client client
Kaiser Permanente Visit 2010Mobile Healthcare in a global market
Garfield CentreKP Garfield Health Care Innovation Centre, Oakland, California
Cloud computing asenabler for theInternet of Things• Passive RFID• Active RFID• Barcode• 2D Barcode• Bio Sensors• Smart devices (ECG, Pacemaker, portable smart Insulin pumps) s
Multi-National Initiative for CloudComputing in Health Care [MUNICH] www.munichplatform.eu is an open, public, experimental E- health cloud Physically located at Klinikum Rechts der Isar at Technical University Munich, Germany Industry driven, applications close to the market
SummaryDistributed patient centered care = Distributedpatient centered computingCloud computing = virtualization (of care)Cloud computing will enable the Future InternetCloud computing will save moneyCloud computing will improve the quality of care