Presented by Group 6: Sandra Li, Elizabeth Mejia, Giselle Salgado, and Kamil Stasik

1. Cloud Technology
Presented by Group 6:
Sandra Li, Elizabeth Mejia,
Giselle Salgado, and Kamil Stasik

2. Introduction
What is the cloud?
● “Cloud computing is the delivery
of different services through the
Internet. These resources
include tools and applications
like data storage, servers,
databases, networking, and
software”(Frankenfield, 2020).

3. Epic Application
● EPIC Haiku is an application that
Android and Apple iPhone users are
able to use
● EPIC Canto is only designed for
Apple iPhone users

4. What is MyChart?
● MyChart allows patients to have access to
their medical records via a secure network
and receive messages from their physician
● Patients are able to request appointments,
request prescriptions and view health
summary.
● The physician is able to control which results
the patient is able to view

5. How does the healthcare field use the cloud?
● Both the physician and patient are able to access medical records via a cloud
database such as eclinicalworks, epic and cerner.
● Telemedicine apps make it convenient for healthcare providers to provide
care for patients during a pandemic, like the one we are experiencing now.
● The cloud makes it possible for physicians store and share data in order to
speed up the research process that might be needed to treat a patient.
● Patients are able to keep their physician updated on their medical conditions

6. History of Cloud Technology
● J.C.R Licklider’s visual of “intergalactic computer network”
● 1960s - ARPANET was established.
○ The initial purpose was for communication and sharing resources among scientific users.
● 1980s - National Science Foundation began an initiative to build a backbone
network
○ In 1986, the National Science Foundation also creased network access to the supercomputer
sites in the United States
● 1990s - Network of network was developed, the modern internet
○ World wide web (www) was invented by Tim Berners Lee

7. Concurrent Use
of Cloud
Technology
Implementation of Electronic
Health Record with Cloud
Technology

8. Cloud Computing Advantages in EHR
● Cost
● Security and Privacy
● Scalability
● Implementation platform and independence
● Reducing errors and improving quality
● Exchange and sharing ability

9. Milestone in the Cloud
● In 1999, the launch of Salesforce.com that became a pioneer
● In 2002, the launch of Amazon Web Services (AWS)
● In 2006, the launch of Amazon - Elastic Compute Cloud (EC2)
● In 2008, the launch of Google App Engine (GAE)
● In 2010, the launch of Microsoft Azure and Rackspace and NASA pioneer
● In 2011, the launch of IBM Smartcloud

10. Three goals of
Cloud Technology
Implementation
according to
Salesforce
1. Cost Savings
2. Security
3. Flexibility

11. Impact of Healthcare and Nursing
● Data Management
● Telemedicine & Videoconferencing
● Digital libraries
● Virtual Medical Universities
● Management Information Systems
● General Health Education
● Drug Discovery

12. Impact on Patient Safety
● Patient identification
● Medication administration
● Specimen barcoding
● Electronic shift handover
● Integrated information & communication
● Automatic drawing & drug calculations
● Nursing process

13. Cloud Technology Infrastructure
● Grid computing
● Virtualization
● Service-oriented architecture
● Shared services
● Large-scale system management automation

14. Privacy, Confidentiality & Security
● HIPAA (Health Information Portability Accountability Act)
● HITECH (Health Information Technology for Economic & Clinical Health)
● ARRA (American Recovery & Reinvestment Act)
● PCI (Payment Card Industry)
● SOC 2 ( Service Organization Control)
● FISMA ( Federal Information Security Management Act)

15. Impact on population and/or geographic region
● Telemarketers
● Bookkeeping clerk
● Benefits managers
● Receptionist
● Couriers
● Proofreaders
● Computer support specialist
● Market research analysis
● Advertising & Retail salesperson
● Accountant & Security jobs

16. Patient’s Vantage Point
Disadvantages:
● Patient privacy
● Cybersecurity
● Pt. care due to outages
Advantages:
● Nurses respond in a timely manner
● Nurses have positive attitude
● Pt. care is efficient

17. Nurses Vantage Point
Advantages:
● Nurses have a quicker access to patient’s results.
● Nurse could retrieve results offsite
● Have the same information available even from a
different workstation.
Disadvantages:
● HIPAA violations could occur
● Difficulty transitioning to EMR
● Technological problems could occur

18. Healthcare Organization Vantage Point
Advantages
1. Cost Saving
2. Continuous Care
3. Better Security
Disadvantages
1. Limited control
2. Outages
3. Data security

19. Challenge of Training
● Initial loss of productivity
● Required training for all staff
● Can lead to financial losses
● Privacy concerns
● Early training reduces productivity withdraw and risk of privacy breach

20. Challenge of Cost
● $50,000 - 70,000 installation cost
● $32,000 lost to productivity during learning period
● $9,000 in annual maintenance fees
● Medicare reimburses up to $44,000
● Medicaid reimburses up to $63,000

21. Regulatory Implications
● Patient privacy
● Cyber security
● Cyber security legislation
● Internal audits
● Security updates

22. Cloud Controversy
● Overdependence on technology
● Loss of provider autonomy
● Can be solved with on going maintenance
● Requires continuous updates and user feedback

23. Summary
● Cloud technology was founded by Joseph Carl Robnett Licklider in the 1960s
● The term, “cloud” is the ability to host a software platform or service remotely
from any location and is freely accessible to use via internet.
● Cloud technology has impacted the healthcare and nursing in a positive way.
● The innovative approach about Telehealth with Cloud technology has the
potential to save costs to healthcare and improve care for its patients.
● Monitoring common conditions through cloud technology can save an
unnecessary visit to the Emergency Room and save cost for patient as well.
● The visits to ER, especially for the current pandemic situation, should be for
the most critical patients only.

24. Summary continued
● Cloudy technology has made medical information accessible for physicians,
nurses and patients.
● Telemedicine has become popular due to no travel time for patients, no
waiting time and more physicians are available.
● User training, cost, and privacy security are serious barriers in adopting cloud
technology in healthcare.
● New solutions are continuously being developed to remove these barriers.

25. Team Evaluation
1. How did the team function well? (e.g., team strengths, team balance, etc.)
○ The team functioned well with one another despite our busy schedules. We were able to
create a group chat and kept each other updated on our progress and assigned criteria. One
of our strengths that we have observed is communication and being able to complete the RUA
in a timely manner. We were also able to check on each others work to make sure that we
were on the right track and that we were not missing any information.
1. What problems did you have interacting as a team? (e.g., team weakness,
outside challenges, technology, etc.)
○ We did come across a challenge within the team that resulted us working together to find a
solution. There was a portion of our presentation that did not meet the criteria and had to
fix/redo from scratch. We were able to provide resources to one another to help fix the
problem..

26. Team Evaluation continued
3. What specific actions would you recommend to future teams to help them
interact, function, and collaborate successfully?
● What we would suggest doing is as soon as students get their group assignment, they should start
reaching out to one another and exchange contact information to set up a group chat to assign
what each group member is in charge of completing. If students waited until last minute to do so,
then everything would feel rushed and unorganized.
● We would also suggest setting an early deadline (a week or couple of days before the due date) to
have the project completed. By setting the due date a week or couple of days early would allow the
group to view the completed project and make any necessary changes.

27. References
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informatiku BiH, 26(1), 24–28. https://doi.org/10.5455/aim.2018.26.24-28
Ahmed, R. R. (2019, September 28). Advantages & Disadvantages of Cloud Computing In HealthCare. Retrieved from
https://www.dincloud.com/blog/cloud-computing-health-industry-pros-cons
Barret, D., & Kipper, G. (2010). Cloud Computing Service. Retrieved from
https://www.sciencedirect.com/topics/computer-science/cloud-computing-service
Booth, D. (2017). Building Environmental Health Capacity in the Cloud. Journal of Environmental Health, 79(10), 32–33.
CyberlinkASP. (2015, July 15). The Pros and Cons of Cloud Computing for Healthcare. Retrieved April 12, 2020, from
https://www.cyberlinkasp.com/pros-cons-cloud-computing-healthcare/
Delgado , R. (2016, July 28). Six key benefits of cloud computing in the healthcare industry. Retrieved April 10, 2020, from
https://www.cloudcomputing-news.net/news/2016/jul/28/six-key-benefits-cloud-computing-healthcare-industry/
ECPI. (n.d.). History of Cloud Computing. Retrieved from https://www.ecpi.edu/blog/a-brief-history-of-cloud-computing
Dennis, W.. Pullin, FACHE Cybersecurity:Positive Changes Through Processes and Team Culture. Fall 2018.

28. References continued
Frankenfield, J. (2020, January 29). How Cloud Computing Works. Retrieved April 6, 2020, from
https://www.investopedia.com/terms/c/cloud-computing.a
Luo, X. (Robert), Zhang, W., Bose, R., Li, H., & Chung, Q. B. (2018). Producing competitive advantage from an infrastructure
technology: The case of cloud computing. Information Systems Management, 35(2), 147–160.
https://doi.org/10.1080/10580530.2018.1440732
Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270933/
Network and Computer Systems Administrators : Occupational Outlook Handbook: : U.S. Bureau of Labor Statistics. (2019, September
4). Retrieved from https://www.bls.gov/ooh/computer-and-information-technology/network-and-computer-systems-
administrators.htm#tab-5
Provider BYO Device Setup for Epic Haiku or Canto. (n.d.). Retrieved April 11, 2020, from
https://www.pinnaclehealth.org/for-employees-and-professionals/for-medical-professionals/provider-byo-device-setup-for-epic-
h
aiku-or-canto/

29. References continued
Raza, K. (2017, June 13). Council Post: How The Cloud Is Transforming Healthcare. Retrieved April 10, 2020, from
https://www.forbes.com/sites/forbestechcouncil/2017/06/13/how-the-cloud-is-transforming-healthcare/#447249081fd7
Salesforce. (2020). 12 Benefits of Cloud Computing. Retrieved from
https://www.salesforce.com/products/platform/best-practices/benefits-of-cloud-computing/
Williams, H. (2018, March 13). The history of cloud computing: A timeline of key moments from the 1960s to now. Retrieved from
https://www.computerworld.com/article/3412271/the-history-of-cloud-computing--a-timeline-of-key-moments-from-the-1960s-
to-now.html
Your secure online health connection. (n.d.). Retrieved April 11, 2020, from
https://mychart.ochin.org/mychart/default.asp?mode=stdfile&option=faq
Some images retrieved from google.com