The advent of Cloud Computing in the healthcare industry is heralded as the Healthcare Information Revolution (HIR). Healthcare companies initiated into the cult of Cloud Computing have become ground for talk about the evolution of healthcare informationally. In the healthcare industry, cloud computing is marked by global sharing of electronic medi-records. It has brought to the menu of healthcare progress the merits of enhanced security and the limitless scope of innovation. This is made possible through communication with the healthcare matrix across the world. Let's find out more:
http://suyati.com/impact-of-cloud-computing-on-healthcare-industry/
A technology called cloud computing has generated a great deal of interest as well as trepidation in health care organizations across the globe. Along with the potential benefits of cost reduction, disaster recovery, and dynamic storage scalability come numerous concerns, of which security and patient information privacy are paramount. These concerns have been identified as a mixture of reality and perception that must be overcome for health care to take advantage of the benefits of cloud computing. To overcome the identified barriers to further expansion of health care into the cloud will require adoption of methodology proposed by others by performing detailed data touch point planning and configuration as well as fully taking advantage of new encryption and data center technology.
Interoperability in Healthcare Data: A Life-Saving AdvantageHealth Catalyst
When health system clinicians make care decisions based on their organization’s EHR data alone, they’re only using a small portion of patient health information. Additional data sources—such as health information exchanges (HIEs) and patient-generated and -reported data—round out the full picture of an individual’s health and healthcare needs. This comprehensive insight enables critical, and sometimes life-saving, treatment and health management choices.
To leverage the data from beyond the four walls of a health system and combine it with clinical, financial, and operational EHR data, organizations need an interoperable platform approach to health data. The Health Catalyst® Data Operating System (DOS™), for example, combines, manages, and leverages disparate forms of health data for a complete view of the patient and more accurate insights into the best care decisions.
The advent of Cloud Computing in the healthcare industry is heralded as the Healthcare Information Revolution (HIR). Healthcare companies initiated into the cult of Cloud Computing have become ground for talk about the evolution of healthcare informationally. In the healthcare industry, cloud computing is marked by global sharing of electronic medi-records. It has brought to the menu of healthcare progress the merits of enhanced security and the limitless scope of innovation. This is made possible through communication with the healthcare matrix across the world. Let's find out more:
http://suyati.com/impact-of-cloud-computing-on-healthcare-industry/
A technology called cloud computing has generated a great deal of interest as well as trepidation in health care organizations across the globe. Along with the potential benefits of cost reduction, disaster recovery, and dynamic storage scalability come numerous concerns, of which security and patient information privacy are paramount. These concerns have been identified as a mixture of reality and perception that must be overcome for health care to take advantage of the benefits of cloud computing. To overcome the identified barriers to further expansion of health care into the cloud will require adoption of methodology proposed by others by performing detailed data touch point planning and configuration as well as fully taking advantage of new encryption and data center technology.
Interoperability in Healthcare Data: A Life-Saving AdvantageHealth Catalyst
When health system clinicians make care decisions based on their organization’s EHR data alone, they’re only using a small portion of patient health information. Additional data sources—such as health information exchanges (HIEs) and patient-generated and -reported data—round out the full picture of an individual’s health and healthcare needs. This comprehensive insight enables critical, and sometimes life-saving, treatment and health management choices.
To leverage the data from beyond the four walls of a health system and combine it with clinical, financial, and operational EHR data, organizations need an interoperable platform approach to health data. The Health Catalyst® Data Operating System (DOS™), for example, combines, manages, and leverages disparate forms of health data for a complete view of the patient and more accurate insights into the best care decisions.
This paper aims to provide an understanding of the model and exploring options available for complementing the technology and infrastructure needs of Healthcare organizations.
The practice of using a network of remote servers hosted on the Internet to store, manage, and process data, rather than a local server or a personal computer.
Cloud Computing, Introduction to Cloud computing, Basic concept of cloud computing, Benefits of cloud computing, Disadvantages of cloud computing, Deployment Models, Service Models, Platforms for Cloud Computing, Conclusion
Cloud Computing Technology
Cloud Architecture
Cloud Modeling and Design
Foundation Grid
Cloud and Virtualization
Virtualization and Cloud Computing.
Cloud Lifecycle model
Cloud computing :
Accessibility: Cloud computing facilitates the access of applications and data from any location worldwide and from any device with an internet connection.
Cost savings: Cloud computing offers businesses scalable computing resources hence saving them on the cost of acquiring and maintaining them.
Security: Cloud providers especially those offering private cloud services, have strived to implement the best security standards and procedures in order to protect client’s data saved in the cloud.
Disaster recovery: Cloud computing offers the most efficient means for small, medium, and even large enterprises to backup and restore their data and applications in a fast and reliable way.
Cloud computing began to get both awareness and popularity in the early 2000s.
When the concept of cloud computing originally came to prominence most people did
not fully understand what role it fullled or how it helped an organization. In some
cases people still do not fully understand the concept of cloud computing. Cloud
computing can refer to business intelligence (BI), complex event processing (CEP),
service-oriented architecture (SOA), Software as a Service (SaaS), Web-oriented architecture
(WOA), and even Enterprise 2.0. With the advent and growing acceptance
of cloud-based applications like Gmail, Google Calendar, Flickr, Google Docs, and
Delicious, more and more individuals are now open to using a cloud computing environment
than ever before. As this need has continued to grow so has the support
and surrounding infrastructure needed to support it. To meet those needs companies
like Google, Microsoft, and Amazon have started growing server farms in order to
provide companies with the ability to store, process, and retrieve data while generating
income for themselves. To meet this need Google has brought on-line more
than a million servers in over 30 data centers across its global network. Microsoft
is also investing billions to grow its own cloud infrastructure. Microsoft is currently
adding an estimated 20,000 servers a month. With this amount of process, storage
and computing power coming online, the concept of cloud computing is more of a
reality than ever before. The growth of cloud computing had the net eect of businesses
migrating to a new way of managing their data infrastructure. This growth of
cloud computing capabilities has been described as driving massive centralization at
its deep center to take advantage of economies of scale in computing power, energy
consumption, cooling, and administration.
Infrastructure as a Service ( IaaS) is one of the three fundamental services in cloud computing. IaaS provides access to basic computing resources such as hardware- processor, storage , network cards and more
This paper aims to provide an understanding of the model and exploring options available for complementing the technology and infrastructure needs of Healthcare organizations.
The practice of using a network of remote servers hosted on the Internet to store, manage, and process data, rather than a local server or a personal computer.
Cloud Computing, Introduction to Cloud computing, Basic concept of cloud computing, Benefits of cloud computing, Disadvantages of cloud computing, Deployment Models, Service Models, Platforms for Cloud Computing, Conclusion
Cloud Computing Technology
Cloud Architecture
Cloud Modeling and Design
Foundation Grid
Cloud and Virtualization
Virtualization and Cloud Computing.
Cloud Lifecycle model
Cloud computing :
Accessibility: Cloud computing facilitates the access of applications and data from any location worldwide and from any device with an internet connection.
Cost savings: Cloud computing offers businesses scalable computing resources hence saving them on the cost of acquiring and maintaining them.
Security: Cloud providers especially those offering private cloud services, have strived to implement the best security standards and procedures in order to protect client’s data saved in the cloud.
Disaster recovery: Cloud computing offers the most efficient means for small, medium, and even large enterprises to backup and restore their data and applications in a fast and reliable way.
Cloud computing began to get both awareness and popularity in the early 2000s.
When the concept of cloud computing originally came to prominence most people did
not fully understand what role it fullled or how it helped an organization. In some
cases people still do not fully understand the concept of cloud computing. Cloud
computing can refer to business intelligence (BI), complex event processing (CEP),
service-oriented architecture (SOA), Software as a Service (SaaS), Web-oriented architecture
(WOA), and even Enterprise 2.0. With the advent and growing acceptance
of cloud-based applications like Gmail, Google Calendar, Flickr, Google Docs, and
Delicious, more and more individuals are now open to using a cloud computing environment
than ever before. As this need has continued to grow so has the support
and surrounding infrastructure needed to support it. To meet those needs companies
like Google, Microsoft, and Amazon have started growing server farms in order to
provide companies with the ability to store, process, and retrieve data while generating
income for themselves. To meet this need Google has brought on-line more
than a million servers in over 30 data centers across its global network. Microsoft
is also investing billions to grow its own cloud infrastructure. Microsoft is currently
adding an estimated 20,000 servers a month. With this amount of process, storage
and computing power coming online, the concept of cloud computing is more of a
reality than ever before. The growth of cloud computing had the net eect of businesses
migrating to a new way of managing their data infrastructure. This growth of
cloud computing capabilities has been described as driving massive centralization at
its deep center to take advantage of economies of scale in computing power, energy
consumption, cooling, and administration.
Infrastructure as a Service ( IaaS) is one of the three fundamental services in cloud computing. IaaS provides access to basic computing resources such as hardware- processor, storage , network cards and more
No company is safe from a Ransomware attack (malicious forms of software programmed to steal company data and hold it for "ransom"). However, technology has allowed us to mitigate these attacks by implementing proper recovery systems that can ensure that cyber criminals will never see a dime from your business.
Cloud Computing: What it Means/Does/Costs and Why You Should CareDW Nelson
At the 2008 DETC conference, David Nelson told us "Computers, as we know them, will disappear". By now, everyone has read the headlines and heard the exhortations about how Cloud Computing (running our applications and storing our data on the web) will transform our lives.
But just what are these applications that will lead us into this exciting new paradigm? This session will spotlight a number of the hottest web-based applications, including a description and example of "The Virtual Office, for Virtually Nothing". Come learn how to separate fact from fiction, and determine for yourself if the promise of cloud computing is finally coming true!
The Sensing Enterprise: Towards the Next Generation Dynamic Virtual Organisa...Milan Zdravković
Noran, O.; Romero, D. and Zdravkovic, M. (2014) The Sensing Enterprise: Towards the Next Generation Dynamic Virtual Organisations. In: Collaborative Systems for Smart Networked Environments, L.M. Camarinha-Matos and H. Afsarmanesh (Eds.), in International Federation for Information Processing, AICT 434, Springer, pp. 209-216, 2014.
A framework for secure healthcare systems based on big data analytics in mobi...ijasa
In this paper we introduce a framework for Healthcare Information Systems (HISs) based on big data
analytics in mobile cloud computing environments. This framework provides a high level of integration,
interoperability, availability and sharing of healthcare data among healthcare providers, patients, and
practitioners. Electronic Medical Records (EMRs) of patients dispersed among different Care Delivery
Organizations (CDOs) are integrated and stored in the Cloud storage area, this creates an Electronic
Health Records (EHRs) for each patient. Mobile Cloud allows fast Internet access and provision of EHRs
from anywhere and at any time via different platforms. Due to the massive size of healthcare data, the
exponential increase in the speed in which this data is generated and the complexity of healthcare data
type, the proposed framework employs big data analytics to find useful insights that help practitioners take
critical decisions in the right time. In addition, our proposed framework applies a set of security
constraints and access control that guarantee integrity, confidentiality, and privacy of medical information.
We believe that the proposed framework paves the way for a new generation of lower cost, more efficient
healthcare systems.
Cloud computing & big data for service innovation & learning2016
Cloud Computing and Big Data for Service Innovations & Learning
Up till now, most of the adoption of cloud computing focusses on the automation and consolidation of traditional IT services. As such, the gains are confined to the uniformity of control, cost reduction and better governance. Recent adoption of the cloud has gradually moved into tactical and even strategic levels thereby demonstrating a high level of gains for using the cloud for business transformations and innovations. Such benefits include dynamism in business model compositions and speed and ease in orchestrating service innovations in the cloud. This talk will shed light on how massive and rapid accumulation of data in the cloud can support human-machine cooperative problem solving and re-define the landscape of Open Innovation and Connectionist Learning via a Knowledge Cloud.
How cloud computing is beneficial for the Healthcare industry.pdfLaura Miller
The healthcare industry is one of the most highly regulated and competitive industries in the world. As such, it is necessary for healthcare organizations to stay up-to-date with the latest technology and innovations in order to remain competitive and provide the best possible care to their patients.
Cloud computing is an innovative technology that has the potential to revolutionize the healthcare industry and provide many benefits to both healthcare providers and patients.
In this blog post, we will discuss how cloud computing is beneficial for the healthcare industry and how healthcare organizations can take advantage of this technology.
Cloud eHealth in Medical Imaging & RadiologyCarestream
Cloud computing in medical imaging, with real life examples. Presentation given by Pierre Yves Nectoux, at the World of Health IT congress, in Barcelona Spain, on 15 March 2010. Presentation includes two case studies, as well as a general implementation example.
For more on the cloud, visit http://www.carestream.com/cloud
Cloud computing redefines the way we deliver and use services to support the creation of business value. This change in delivery shifts the way data centres provide applications and infrastructure support to users. Like any major IT project, migrating from a traditional IT Infrastructure to a Cloud environment is not an exercise to be taken lightly.
Whether you are planning to running a private, public or hybrid cloud service in your organisation this presentation will help you prepare a cloud ready data centre and enable you to assess & prioritise your workload migration.
AUTOMATED TESTING OF LAB MANAGEMENT SERVICES ON CLOUDIndium Software
While cloud computing offers clinical laboratories the advantage of lowers costs of
infrastructure and better storage, among others, it also poses challenges of data integrity and
security. IP-driven automated testing frameworks such as Indium’s iSafe provide the labs with a
quick, accurate and comprehensive assessment of the health and performance of their services
on the cloud platform.
Karim Damji, SVP Product Management and Marketing at Saama discusses how to spend less time wrangling your data. Learn about the latest technological advances have enabled a platform-based approach to help solve complex problems in a data source-agnostic manner. Improve data processing, standardization and creation of analytics-ready datasets. Introduce machine learning capabilities to improve predictions of risks. Enhance the user experience through the use of a conversational experience. Create executive summaries embedded with relevant persona-based insights.
Cloud computing in healthcare industry.pdfMobibizIndia1
Electronic Medical Records or EMR is a mandate that leverages businesses to welcome cloud-based solutions for securing and storing a high volume of patient data. The good part is that cloud solutions cannot don't need to replace the existing data to incorporate new data into the cell.
Similar to Cloud computing and health care - Facing the Future (20)
The Future of Pharmacy: Using Technology to Drive Practice ChangeJerry Fahrni
Delivered at Health Connect Partners conference in Chicago October 17, 2016. The presentation covers some of the current technology used in acute care pharmacies, as well as some technologies that I believe, have the potential to change the way pharmacists will practice in the near future.
Cleaning and Disinfecting iv Hoods and RoomsJerry Fahrni
There are plenty of rules regarding when and how pharmacy iv rooms should be cleaned and disinfected. This presentation gives a basic overview of those rules as found in USP Chapter <797>
Understanding Beyond-Use Dating for Sterile CompoundsJerry Fahrni
This presentation looks at the differences between a manufacturer's expiration date and a sterile compounds beyond-use date (BUD). In addition the presentation covers the BUD requirements for CSPs as presented in USP General Chapter 797
IV Admixtures continue to be an issue in everyday pharmacy operations. This presentation covers some things that can be done to help minimize those errors.
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP) Jerry Fahrni
Webinar presented on March 26, 2014 for unSUMMIT U
While a strong majority of hospitals are riding the current of bar-code medication administration (BCMA), only a few hundred have incorporated BCMP into their medication-use processes. This is about to change. The BCMP technology current is swelling, which we expect will sweep most hospitals into safer drug compounding practices within the next five years.
Based on six months of research and site visits, we will share our observations and thoughts on the two main types of BCMP workflow technologies on the market—highly automated robotic to semiautomated-manual systems. We will give attention to workflow applications, product functions and features, similarities and differences, strengths and weaknesses. We will explain various approaches to scanner-assisted ingredient verification, scales-assisted volume verification, and image-assisted order verification and archiving.
Evolution of practice in an age of informationJerry Fahrni
Contrary to popular beliefs, pharmacy practice has undergone significant change over the past decade. Pharmacists have been empowered to engage patients like never before through the advent of new automation as well as innovative mobile technologies. The medication distribution process has been
streamlined allowing pharmacists more time to engage in cognitive services and patient care. Innovative mobile technologies have given rise to a new generation of well-connected patients that are interested in their own care like
never before. This has resulted in an unprecedented amount of information available to healthcare professionals from which a host of services may be provided.
This presentation outlines key changes to pharmacy practice,
along with examples of new automation and mobile technologies that illustrate these developments and implications for the future of pharmacy practice.
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024Tobias Schneck
As AI technology is pushing into IT I was wondering myself, as an “infrastructure container kubernetes guy”, how get this fancy AI technology get managed from an infrastructure operational view? Is it possible to apply our lovely cloud native principals as well? What benefit’s both technologies could bring to each other?
Let me take this questions and provide you a short journey through existing deployment models and use cases for AI software. On practical examples, we discuss what cloud/on-premise strategy we may need for applying it to our own infrastructure to get it to work from an enterprise perspective. I want to give an overview about infrastructure requirements and technologies, what could be beneficial or limiting your AI use cases in an enterprise environment. An interactive Demo will give you some insides, what approaches I got already working for real.
UiPath Test Automation using UiPath Test Suite series, part 4DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 4. In this session, we will cover Test Manager overview along with SAP heatmap.
The UiPath Test Manager overview with SAP heatmap webinar offers a concise yet comprehensive exploration of the role of a Test Manager within SAP environments, coupled with the utilization of heatmaps for effective testing strategies.
Participants will gain insights into the responsibilities, challenges, and best practices associated with test management in SAP projects. Additionally, the webinar delves into the significance of heatmaps as a visual aid for identifying testing priorities, areas of risk, and resource allocation within SAP landscapes. Through this session, attendees can expect to enhance their understanding of test management principles while learning practical approaches to optimize testing processes in SAP environments using heatmap visualization techniques
What will you get from this session?
1. Insights into SAP testing best practices
2. Heatmap utilization for testing
3. Optimization of testing processes
4. Demo
Topics covered:
Execution from the test manager
Orchestrator execution result
Defect reporting
SAP heatmap example with demo
Speaker:
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Transcript: Selling digital books in 2024: Insights from industry leaders - T...BookNet Canada
The publishing industry has been selling digital audiobooks and ebooks for over a decade and has found its groove. What’s changed? What has stayed the same? Where do we go from here? Join a group of leading sales peers from across the industry for a conversation about the lessons learned since the popularization of digital books, best practices, digital book supply chain management, and more.
Link to video recording: https://bnctechforum.ca/sessions/selling-digital-books-in-2024-insights-from-industry-leaders/
Presented by BookNet Canada on May 28, 2024, with support from the Department of Canadian Heritage.
UiPath Test Automation using UiPath Test Suite series, part 3DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 3. In this session, we will cover desktop automation along with UI automation.
Topics covered:
UI automation Introduction,
UI automation Sample
Desktop automation flow
Pradeep Chinnala, Senior Consultant Automation Developer @WonderBotz and UiPath MVP
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Securing your Kubernetes cluster_ a step-by-step guide to success !KatiaHIMEUR1
Today, after several years of existence, an extremely active community and an ultra-dynamic ecosystem, Kubernetes has established itself as the de facto standard in container orchestration. Thanks to a wide range of managed services, it has never been so easy to set up a ready-to-use Kubernetes cluster.
However, this ease of use means that the subject of security in Kubernetes is often left for later, or even neglected. This exposes companies to significant risks.
In this talk, I'll show you step-by-step how to secure your Kubernetes cluster for greater peace of mind and reliability.
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
Neuro-symbolic is not enough, we need neuro-*semantic*Frank van Harmelen
Neuro-symbolic (NeSy) AI is on the rise. However, simply machine learning on just any symbolic structure is not sufficient to really harvest the gains of NeSy. These will only be gained when the symbolic structures have an actual semantics. I give an operational definition of semantics as “predictable inference”.
All of this illustrated with link prediction over knowledge graphs, but the argument is general.
Elevating Tactical DDD Patterns Through Object CalisthenicsDorra BARTAGUIZ
After immersing yourself in the blue book and its red counterpart, attending DDD-focused conferences, and applying tactical patterns, you're left with a crucial question: How do I ensure my design is effective? Tactical patterns within Domain-Driven Design (DDD) serve as guiding principles for creating clear and manageable domain models. However, achieving success with these patterns requires additional guidance. Interestingly, we've observed that a set of constraints initially designed for training purposes remarkably aligns with effective pattern implementation, offering a more ‘mechanical’ approach. Let's explore together how Object Calisthenics can elevate the design of your tactical DDD patterns, offering concrete help for those venturing into DDD for the first time!
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
Guy Korland, CEO and Co-founder of FalkorDB, will review two articles on the integration of language models with knowledge graphs.
1. Unifying Large Language Models and Knowledge Graphs: A Roadmap.
https://arxiv.org/abs/2306.08302
2. Microsoft Research's GraphRAG paper and a review paper on various uses of knowledge graphs:
https://www.microsoft.com/en-us/research/blog/graphrag-unlocking-llm-discovery-on-narrative-private-data/
Slack (or Teams) Automation for Bonterra Impact Management (fka Social Soluti...Jeffrey Haguewood
Sidekick Solutions uses Bonterra Impact Management (fka Social Solutions Apricot) and automation solutions to integrate data for business workflows.
We believe integration and automation are essential to user experience and the promise of efficient work through technology. Automation is the critical ingredient to realizing that full vision. We develop integration products and services for Bonterra Case Management software to support the deployment of automations for a variety of use cases.
This video focuses on the notifications, alerts, and approval requests using Slack for Bonterra Impact Management. The solutions covered in this webinar can also be deployed for Microsoft Teams.
Interested in deploying notification automations for Bonterra Impact Management? Contact us at sales@sidekicksolutionsllc.com to discuss next steps.
5. Cloud Computing Community Private Hybrid Public Essential Characteristics Service Models Deployment Models National Institute of Standards and Technology, Information Technology Laboratory Definition of Cloud Computing, Version 15, March 7, 2009 Software as a Service (SaaS) Platform as a Service (PaaS) Infrastructure as a Service (IaaS) Measured Service Rapid Elasticity On-Demand Self Service Broad Network Access Resource Pooling
8. Model Traditional SaaS Deployment Installed Hosted Location On premise (internalized) Centralized In “the cloud” (externalized) Decentralized Pricing Large up front cost + maintenance Small or no up front cost + pay as you go Development Longer cycle Short, continuous cycle Updates Large, infrequent Smaller, frequent
9.
10.
11. Cost – Cloud vs. Traditional Model The Economics of Cloud Computing: Addressing the Benefits of Infrastructure in the Cloud. Posted October 6, 2009
18. Security and mobility – Laptops The Cost of a Lost Laptop - Ponemon Institute, April 2009 10,000 laptops lost in airports each week Average cost of a lost or stolen laptop is $49,246 For a healthcare laptop the average is $67,873
19. Source: DATALOSSdb.org Trulife 7,000 Cardiolog Consultants Inc 8,000 Aurora Medical Ctr 6,400 MARA 29,800 Shands Healthcare 12,500 Halifax Health 33,000
20. Cloud / SaaS Computing Model “The scale and flexibility of cloud computing gives the providers a security edge”
21. Concerns: SaaS and the cloud ReliaCloud survey version 1.0 | January 13, 2010
22. Exploring Cloud SLAs: Amazon vs Rackspace – http://www.thewhir.com/blog/Joshua_Beil/020110_Exploring_Cloud_SLAs_Amazon_vs_Rackspace Rackspace Amazon Uptime 100% 99.95% Timespan Current period “ service year” Time-to-resolve 1 hour Not specified Availability 99.9% 99.9%
24. “ ..about 70 percent of our folks are doing things that are entirely cloud-based, or cloud inspired. And by a year from now that will be 90 percent.” “In three years time, desktops will be irrelevant.” “The implication that has not been expressed here or in the industry is Mobile First – the principal of everything being developed for mobile first.”
Service-based software: the future for flexible software 2000 ● Software as a Service: Strategic Backgrounder. February 2001. Software & Information Industry Association
Source: Messaging Total Cost of Ownership: Microsoft Exchange 2003 and Lotus Domino in Small and Medium Organizations, META Group, July 2004 Timothy Chou, The End of Software, SAMS Publishing, 2005 Microsoft Wages Campaign Against Using Free Software, The Wall Street Journal, December 9, 2002 Robert Mahowald, Do Service Providers Deliver Value and Reduce Enterprise Costs?, IDC, 2003 18:1 statistics, Trends in technology’, survey, Berkeley University of California, USA, March 2002
O&S – operations and support LCC – Life cycle cost NPV – net present value (calculated as each cloud scenario’s discounted net benefits minus the one-time investment. Positive dollar fiture = positive economic benefit vs. SQ (status quo data center) environment BCR – Benefit-to-cost ratio – discounted net benefits divided by its discounted investment costs. # >1 indicates a positive economic benefit vs. SQ environment DPP – discounted payback period -# years it takes for each scenario’s accumulated annual benefits to equal its total investment cost
The Office of the National Coordinator of Health Information Technology (ONC) / National Health Information Network (NHIN)
The Cost of a Lost Laptop - Ponemon Institute, April 2009
European Network and Information Security Agency Report
• 99.95% Uptime : Approximately 21.9 minutes per month or .365 hours per month, which is equal to 262.8 minutes per year or 4.38 hours per year
A lot of people don’t care and that’s a mistake.
“ ..about 70 percent of our folks are doing things that are entirely cloud-based, or cloud inspired. And by a year from now that will be 90 percent.” – Steve Ballmer, Microsoft CEO, March 4, 2010 at speech delivered at Paul G. Allen Center for Computer Science & Engineering, University of Washington http://www.microsoft.com/presspass/exec/steve/2010/03-04Cloud.mspx “In three years time, desktops will be irrelevant.” – John Herlihy, European Director of Google online sales, Digital Landscapes conference Dublin “The implication that has not been expressed here or in the industry is Mobile First – the principal of everything being developed for mobile first.” – Eric Schmidt, Google CEO, Mobile World Congress in Barcelona
http://www.computerworld.com/s/article/9160918/Cloud_servers_help_hospital_with_digital_records &quot;We could have gone with a classic environment - server clusters and building arrays for storage; the problem was that we'd have to build it for the largest load we'd ever need and we had no guarantee anyone would use it.&quot; Bill Gillis, eHealth Technical Director
HealthVault Community Connect 250 Patient pilot Looked at patients with chronic diseases HTN Diabetes Heart Failure Data collected Glucometers Blood pressure monitors Scales Pedometers Data Sent to HealthVault and sent to hospital system Increased days between visits 71% for diabetes 26% for HTN According to Randall C. Starling, M.D., M.P.H., Section Head of Heart Failure & Cardiac Transplant Medicine, Cleveland Clinic. “The ability to monitor weight, blood pressure and activity levels of heart failure patients on a regular basis ensures more timely doctor visits and avoidance of more expensive interventions.”
http://www.cmio.net/index.php?option=com_articles&view=article&id=21390:cloud-computing-the-forecast-for-image-management http://www.healthcareitnews.com/news/montana-providers-use-cloud-computing-share-radiology-data http://www.emix.com/pdfs/Facilities%20Use%20Cloud%20Computing%20to%20Share%20Radiology%20Images.pdf A-b 245 miles b-c 67 miles A = Great Falls Clinic B= Kalispell Med Ctr C = St. Luke Hosp PACS http://www.expresshealthcare.in/200702/radiologybuzz04.shtml “ Smaller practices and health information exchange s are often using applications that are based in a cloud computing model, or software-as-a-service [SaaS] model,” says Moore. “Large hospitals and IDNs are increasingly looking to provide a repository for the massive amounts of data that they need to store and access, on an as-needed basis—more of a utility service.” - managing partner at Chilmark Research , a healthcare technology industry analyst firm.
http://healthit.hhs.gov/, U.S. Department of Health & Human Services Considerations for eHealth data Data volume Interoperability Portability and access