This white paper offers best practices regarding the technology infrastructure, business processes, and IT organizational structure to help healthcare providers maximize the value and impact of ITaaS across their organizations.
Consolidating and Standardizing Enterprise ImagingDiane Hunt, MBA
A healthcare marketing campaign called "Not What You Think", to drive hospital consolidation and standardization with Canon products. Developed by Diane Hunt, MBA and the Canon Team.
The Dell Boomi platform for healthcare helps corporate healthcare houses, as well as R & D centers, streamline their workflows as well as boost API management for maximum integrity. http://bit.ly/2UOr1Xy
Consolidating and Standardizing Enterprise ImagingDiane Hunt, MBA
A healthcare marketing campaign called "Not What You Think", to drive hospital consolidation and standardization with Canon products. Developed by Diane Hunt, MBA and the Canon Team.
The Dell Boomi platform for healthcare helps corporate healthcare houses, as well as R & D centers, streamline their workflows as well as boost API management for maximum integrity. http://bit.ly/2UOr1Xy
Improve Patient Care and Reduce IT Costs with Vendor Neutral Archiving and Cl...EMC
This paper illustrates how Vendor Neutral Archive combined Atmos cloud storage enable healthcare organizations to break down PACS silos to reduce storage and archive costs, and provide secure, anywhere access to medical images on any device at the point of care.
Epic EMR - Root Cause Fault Detection in complex Healthcare Records systemsDennis Redwine
Very few HealthCare IT vendors understand how to deliver Root Cause Analysis. In this presentation from AI4Cloud we discuss how Artificial Intelligence can be used to address this challenge.
Epic EMR is a perfect example for our discussion because of its complexity and ubiquity in Medical Records missions.
EMC Isilon: A Scalable Storage Platform for Big DataEMC
This white paper provides insights into EMC Isilon's shared storage approach, covering a wide range of desired characteristics including increased efficiency and reduced total cost.
IDC Study on Enterprise Hybrid Cloud StrategiesEMC
White Paper discussing IDC Survey of over 650 enterprise IT decision makers that was designed to understand the evolution of the cloud across world’s largest IT organizations.
Digital Transformation in Healthcare: Journey to Oracle Cloud for Integrated,...Alithya
Healthcare has always been a data-driven industry. Until recently, many healthcare institutions struggled with disparate data in siloed enterprise systems because an integrated Cloud solution wasn’t widely available across Enterprise Resource Planning (ERP), Human Capital Management (HCM), and Enterprise Performance Management (EPM) processes. Today more than ever, it is critical that health systems have the ability to deliver quality care at the right cost. Equally important is the ability to remain agile and adapt to events around them. Without the right foundation in place – these things are impossible. That is why digital transformation is the future of healthcare.
Healthcare has always been a data-driven industry. Until recently, many healthcare institutions struggled with disparate data in siloed enterprise systems because an integrated Cloud solution wasn’t widely available across Enterprise Resource Planning (ERP), Human Capital Management (HCM), and Enterprise Performance Management (EPM) processes. Today more than ever, it is critical that health systems have the ability to deliver quality care at the right cost. Equally important is the ability to remain agile and adapt to events around them. Without the right foundation in place – these things are impossible. That is why digital transformation is the future of healthcare.
In this session, attendees learn:
• Establishing the foundation in the chart of accounts. Visualize how the right COA design can provide actionable analytics.
• Gain an understanding of how financials can directly connect with an EPM-focused solution like Planning to reduce manual processes and increase the efficiency of financial operations teams, therefore, assisting in bringing about real cost transparency to your organization.
• Finally, see how a Human Capital Management (HCM) and Payroll solution integrates seamlessly with the Planning process to provide better visibility into and reporting capabilities on the organization’s employees.
Join us as we embark on the Oracle Cloud digital transformation journey in pursuit of improving healthcare outcomes and bending the cost curve.
White paper: Functional Requirements for Enterprise Clinical Data Management:...Carestream
As healthcare organizations plan for the future growth and integration of clinical
data into their IT ecosystems, it’s crucial to clearly define the functional requirements spanning the needs of users across the enterprise. This white paper provides an overview of the key functional requirements. To learn more visit carestream.com/clinical-collaboration
Shopping for a practice management solution can be a little overwhelming. You have lots of systems to choose from, so how do you decide which one will answer your total practice needs best? What is the difference between All-in-one platforms vs. Stand-alone programs. Or the difference between cloud based vs local server solutions. How do I know which type is best suited to my specific office situation and budget? This whitepaper explores it all.
The term Actionable Architecture moves the EA from a static project to a central platform for the capture and dissemination of IT and business process information.
In essence, EA becomes a strategic foundation for knowledgeable decision making and is based on traceable facts in a repository.
AGILE CLOUD: MANAGING THE EMPOWERED USERdinCloud Inc.
As important as the back end technologies of virtual data center operations, application virtualization
and orchestration may be, a substantial portion of cloud’s ‘magic’ is its ability to provide new forms of
support to line-of-business staff, providing advanced automation options for functions that were
previously poorly automated or entirely manual.
Enterprise Analytics: Serving Big Data Projects for HealthcareDATA360US
Andrew Rosenberg's Presentation on "Enterprise Analytics: Serving Big Data Projects for Healthcare" at DATA 360 Healthcare Informatics Conference - March 5th, 2015
Virtual Instruments - Infrastructure Performance Management White PaperJohn McDonald
Summary
Enterprise IT Agility Challenges Mission critical Federal IT application delivery infrastructures are being virtualized at a break-neck pace, and are increasingly abstracted and complex. Agile development means changes are continual, and these same infrastructures are required to deliver a flawless end-user experience characterized by hyper-responsive performance and availability.
Impediments to Aligning IT Organizations with Mission Goals Not having the right people, processes and technology solutions, and leveraging old technologies that weren’t purpose-built to handle today’s complex and ever-changing infrastructure, prevents IT from delivering mission-aligned service levels.
Infrastructure Performance Management (IPM) – a Platform to Ensure Federal IT Value IPM is a new platform category for managing the physical, virtual and cloud infrastructure.
Capabilities Required in an IPM Platform Key requirements include continuous, real-time, system-wide data collection from heterogeneous IT infrastructures, combined with unbiased correlation and analysis.
Benefits of an IPM platform Delivers ROI to Federal Agencies for both CAPEX and OPEX savings. Ensures optimal budget alignment. Guarantees performance, mitigates risk and aligns Federal IT infrastructures with agency application and mission requirements.
Virtual Instruments’ VirtualWisdom platform A comprehensive IPM platform providing 360o visibility into the performance, health and availability of the IT infrastructure
Improve Patient Care and Reduce IT Costs with Vendor Neutral Archiving and Cl...EMC
This paper illustrates how Vendor Neutral Archive combined Atmos cloud storage enable healthcare organizations to break down PACS silos to reduce storage and archive costs, and provide secure, anywhere access to medical images on any device at the point of care.
Epic EMR - Root Cause Fault Detection in complex Healthcare Records systemsDennis Redwine
Very few HealthCare IT vendors understand how to deliver Root Cause Analysis. In this presentation from AI4Cloud we discuss how Artificial Intelligence can be used to address this challenge.
Epic EMR is a perfect example for our discussion because of its complexity and ubiquity in Medical Records missions.
EMC Isilon: A Scalable Storage Platform for Big DataEMC
This white paper provides insights into EMC Isilon's shared storage approach, covering a wide range of desired characteristics including increased efficiency and reduced total cost.
IDC Study on Enterprise Hybrid Cloud StrategiesEMC
White Paper discussing IDC Survey of over 650 enterprise IT decision makers that was designed to understand the evolution of the cloud across world’s largest IT organizations.
Digital Transformation in Healthcare: Journey to Oracle Cloud for Integrated,...Alithya
Healthcare has always been a data-driven industry. Until recently, many healthcare institutions struggled with disparate data in siloed enterprise systems because an integrated Cloud solution wasn’t widely available across Enterprise Resource Planning (ERP), Human Capital Management (HCM), and Enterprise Performance Management (EPM) processes. Today more than ever, it is critical that health systems have the ability to deliver quality care at the right cost. Equally important is the ability to remain agile and adapt to events around them. Without the right foundation in place – these things are impossible. That is why digital transformation is the future of healthcare.
Healthcare has always been a data-driven industry. Until recently, many healthcare institutions struggled with disparate data in siloed enterprise systems because an integrated Cloud solution wasn’t widely available across Enterprise Resource Planning (ERP), Human Capital Management (HCM), and Enterprise Performance Management (EPM) processes. Today more than ever, it is critical that health systems have the ability to deliver quality care at the right cost. Equally important is the ability to remain agile and adapt to events around them. Without the right foundation in place – these things are impossible. That is why digital transformation is the future of healthcare.
In this session, attendees learn:
• Establishing the foundation in the chart of accounts. Visualize how the right COA design can provide actionable analytics.
• Gain an understanding of how financials can directly connect with an EPM-focused solution like Planning to reduce manual processes and increase the efficiency of financial operations teams, therefore, assisting in bringing about real cost transparency to your organization.
• Finally, see how a Human Capital Management (HCM) and Payroll solution integrates seamlessly with the Planning process to provide better visibility into and reporting capabilities on the organization’s employees.
Join us as we embark on the Oracle Cloud digital transformation journey in pursuit of improving healthcare outcomes and bending the cost curve.
White paper: Functional Requirements for Enterprise Clinical Data Management:...Carestream
As healthcare organizations plan for the future growth and integration of clinical
data into their IT ecosystems, it’s crucial to clearly define the functional requirements spanning the needs of users across the enterprise. This white paper provides an overview of the key functional requirements. To learn more visit carestream.com/clinical-collaboration
Shopping for a practice management solution can be a little overwhelming. You have lots of systems to choose from, so how do you decide which one will answer your total practice needs best? What is the difference between All-in-one platforms vs. Stand-alone programs. Or the difference between cloud based vs local server solutions. How do I know which type is best suited to my specific office situation and budget? This whitepaper explores it all.
The term Actionable Architecture moves the EA from a static project to a central platform for the capture and dissemination of IT and business process information.
In essence, EA becomes a strategic foundation for knowledgeable decision making and is based on traceable facts in a repository.
AGILE CLOUD: MANAGING THE EMPOWERED USERdinCloud Inc.
As important as the back end technologies of virtual data center operations, application virtualization
and orchestration may be, a substantial portion of cloud’s ‘magic’ is its ability to provide new forms of
support to line-of-business staff, providing advanced automation options for functions that were
previously poorly automated or entirely manual.
Enterprise Analytics: Serving Big Data Projects for HealthcareDATA360US
Andrew Rosenberg's Presentation on "Enterprise Analytics: Serving Big Data Projects for Healthcare" at DATA 360 Healthcare Informatics Conference - March 5th, 2015
Virtual Instruments - Infrastructure Performance Management White PaperJohn McDonald
Summary
Enterprise IT Agility Challenges Mission critical Federal IT application delivery infrastructures are being virtualized at a break-neck pace, and are increasingly abstracted and complex. Agile development means changes are continual, and these same infrastructures are required to deliver a flawless end-user experience characterized by hyper-responsive performance and availability.
Impediments to Aligning IT Organizations with Mission Goals Not having the right people, processes and technology solutions, and leveraging old technologies that weren’t purpose-built to handle today’s complex and ever-changing infrastructure, prevents IT from delivering mission-aligned service levels.
Infrastructure Performance Management (IPM) – a Platform to Ensure Federal IT Value IPM is a new platform category for managing the physical, virtual and cloud infrastructure.
Capabilities Required in an IPM Platform Key requirements include continuous, real-time, system-wide data collection from heterogeneous IT infrastructures, combined with unbiased correlation and analysis.
Benefits of an IPM platform Delivers ROI to Federal Agencies for both CAPEX and OPEX savings. Ensures optimal budget alignment. Guarantees performance, mitigates risk and aligns Federal IT infrastructures with agency application and mission requirements.
Virtual Instruments’ VirtualWisdom platform A comprehensive IPM platform providing 360o visibility into the performance, health and availability of the IT infrastructure
PyCon lightning talk on my Toro module for Tornadoemptysquare
With Tornado’s gen module, you can turn Python generators into full-featured coroutines, but coordination among these coroutines is difficult without mutexes, semaphores, and queues.
Toro provides to Tornado coroutines a set of locking primitives and queues analogous to those that Gevent provides to Greenlets, or that the standard library provides to threads.
A consolidated version of my portfolio for application to Michigan State University's Design Specialization.
The presentation is simplistic to allow focus on the design elements of the work itself.
This white paper explores the current state of cybercrime and what organizations can expect in 2013. Topics include malware development, hacktivism, DDoS attacks and online account takeover.
A consolidated data center has been an attractive alternative for CIOs to protect the IT investment as many of them have realized that centralized infrastructure and processes help optimize the shared resources and in turn bring greater ROI from their IT investments. This whitepaper explains the various benefits of data center consolidation and how CIOs can work collaboratively with service providers to build an outcome based IT framework that can deliver cost efficiencies, savings and innovation in an organization.
3 Ways Imaging Platforms Empower Your Enterprise - Part 2: InteroperabilityMach7 Technologies
This 3 Part Executive Brief explores key reasons image- empowering the enterprise has become one of the most significant “frontiers” to address in the healthcare eco-system. Image Sharing, IT system interoperability, and Data Analytics
are three critical business enablers that healthcare C-Suites
are discussing. Learn more at http://www.mach7t.com/
A study on significance of adopting cloud computing paradigm in healthcare se...cloud100
This is a very nice IEEE paper to get latest information on cloud computing security and privacy practices, challenges and the solution. This paper mainly discusses the significances of adopting cloud computing in healthcare sector and describes that how cloud computing can be adopted by the healthcare organization and what are the challenged for it.
Managing It Innovation: Recessionary and Post-Recessionary Service and Staffi...IJMIT JOURNAL
Information Technology (IT) service and staffing models were increasingly reduced in the wake of
recession, which often limits focus for long-term innovation, as the remaining services and staff are focused
on producing short-term requirements. Despite these cutbacks, organizations must continue to innovate and
provide contributions to the set of stakeholders. In addition as the post-recessionary timeframe begins,
organizations that continued to innovate throughout the recession, must retain human capital and take
advantage of their prior investments. Organizations that focus on innovation during recessionary
timeframes, are more likely to emerge in a superior competitive position during post-recessionary
timeframes. This paper explores identified industry best practices for IT service and staffing models that
can be utilized to ensure adequate resources are dedicated to achieving innovation, and management
implications for post-recessionary methods. In addition, a review of the capacities and capabilities which
fall under the new IT service and staffing models are developed in the form of an innovation matrix. This
approach reduces IT requirements to focus on key strategic service areas, with considerations for reduced
staffing needs during periods of economic downturn, and staffing retention during the following economic
upturn.
The overwhelming challenges of IT infrastructure managementNIIT Technologies
CIOs are now looking at IT infrastructure management as a mean to drive business transformation. To transform the way businesses work, CIOs need responsive systems and processes to bridge the gap between operations and business. With this understanding, IT leaders need to align IT with business and manage IT infrastructure as a service model. This paper surveys the challenges service providers face in managing IT infrastructures. It also lists down solutions for the effective management of IT infrastructures.
Governance and Architecture in Data IntegrationAnalytiX DS
AnalytiX™ Mapping Manager™ provides this discipline and rigor through its dedicated data mapping methodology as well as its metadata management processes and powerful patented mapping technology. AnalytiX™ Mapping Manager™ was designed and developed to not only fill the gap of having the ability to manage and version mapping specifications, but to also streamline and improve current process and drive standards around the entire process and across the enterprise for all integration and governance processes.
Optimizing patient care with Citrix XenApp & XenDestopCitrix
Centrally manage EHR apps in the datacenter, enabling easier app updates, simpler compliance and instant access by clinicians using any device.
Learn more: http://www.citrix.com/health
Netmagic solutions, leading IT Managed service provider with Data centers & Cloud Computing in India fulfills your entire IT infrastructure requirements: from collocation services to dedicated hosting, diaster recovery & data Storage solutions.
A Real-World Solution for Patient-Centric WorkflowCarestream
Vendor Neutral Archives can reduce costs and demands upon system administration while resolving enterprise clinical workflow challenges.
For more information, please visit: http://www.carestream.com/vna
A different way to look at the challenges of IT operations :
monitoring your environment is one thing but don't you need to know who is taking care of your issues ?
IT operations is as much about your NOC people than it is about your monitoring infrastructure
Going Digital? Not Without a Simple, Modern and Secure IT BackboneCognizant
To compete in today’s digital world, enterprises need a fast, efficient and extensible IT foundation that reduces complexity, enhances agility and enables resiliency. Here’s our blueprint on how to get started.
IT Infrastructure Management | Defination, Objectives & StrategiesGrapesTech Solutions
The rise of technology is accelerating at an unprecedented speed, and there’s no way of stopping it. Regardless of however much fear, there may be of new technology, it is the way towards progress and development. In this ever-evolving wave of technology, it is crucial to stay ahead of the curve and be aware of the tech industry news and the upcoming technology that may arise. Several tech trends are reshaping the world’s industries and challenging past traditions.
INDUSTRY-LEADING TECHNOLOGY FOR LONG TERM RETENTION OF BACKUPS IN THE CLOUDEMC
CloudBoost is a cloud-enabling solution from EMC
Facilitates secure, automatic, efficient data transfer to private and public clouds for Long-Term Retention (LTR) of backups. Seamlessly extends existing data protection solutions to elastic, resilient, scale-out cloud storage
Transforming Desktop Virtualization with Citrix XenDesktop and EMC XtremIOEMC
With EMC XtremIO all-flash array, improve
1) your competitive agility with real-time analytics & development
2) your infrastructure agility with elastic provisioning for performance & capacity
3) your TCO with 50% lower capex and opex and double the storage lifecycle.
• Citrix & EMC XtremIO: Better Together
• XtremIO Design Fundamentals for VDI
• Citrix XenDesktop & XtremIO
-- Image Management & Storage
-- Demonstrations
-- XtremIO XenDesktop Integration
EMC FORUM RESEARCH GLOBAL RESULTS - 10,451 RESPONSES ACROSS 33 COUNTRIES EMC
Explore findings from the EMC Forum IT Study and learn how cloud computing, social, mobile, and big data megatrends are shaping IT as a business driver globally.
Reference architecture with MIRANTIS OPENSTACK PLATFORM.The changes that are going on in IT with disruptions from technology, business and culture and so IT to solve the issues has to change from moving from traditional models to broker provider model.
Force Cyber Criminals to Shop Elsewhere
Learn the value of having an Identity Management and Governance solution and how retailers today are benefiting by strengthening their defenses and bolstering their Identity Management capabilities.
Container-based technology has experienced a recent revival and is becoming adopted at an explosive rate. For those that are new to the conversation, containers offer a way to virtualize an operating system. This virtualization isolates processes, providing limited visibility and resource utilization to each, such that the processes appear to be running on separate machines. In short, allowing more applications to run on a single machine. Here is a brief timeline of key moments in container history.
This white paper provides an overview of EMC's data protection solutions for the data lake - an active repository to manage varied and complex Big Data workloads
This infographic highlights key stats and messages from the analyst report from J.Gold Associates that addresses the growing economic impact of mobile cybercrime and fraud.
This white paper describes how an intelligence-driven governance, risk management, and compliance (GRC) model can create an efficient, collaborative enterprise GRC strategy across IT, Finance, Operations, and Legal areas.
The Trust Paradox: Access Management and Trust in an Insecure AgeEMC
This white paper discusses the results of a CIO UK survey on a“Trust Paradox,” defined as employees and business partners being both the weakest link in an organization’s security as well as trusted agents in achieving the company’s goals.
VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
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It is a sample of an interview for a business english class for pre-intermediate and intermediate english students with emphasis on the speking ability.
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[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Premium MEAN Stack Development Solutions for Modern BusinessesSynapseIndia
Stay ahead of the curve with our premium MEAN Stack Development Solutions. Our expert developers utilize MongoDB, Express.js, AngularJS, and Node.js to create modern and responsive web applications. Trust us for cutting-edge solutions that drive your business growth and success.
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Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
Kseniya Leshchenko: Shared development support service model as the way to ma...Lviv Startup Club
Kseniya Leshchenko: Shared development support service model as the way to make small projects with small budgets profitable for the company (UA)
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Youtube – https://www.youtube.com/startuplviv
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3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
IT-as-a-Service Solutions for Healthcare Providers
1. IT-AS-A-SERVICE SOLUTIONS FOR
HEALTHCARE PROVIDERS
Best Practices for ITaaS in Healthcare
Environments
EMC HEALTHCARE SOLUTIONS
ABSTRACT
Healthcare organizations are no longer asking if they should deploy
virtualization and cloud computing models, but instead are focused on how.
In fact, many already have taken an important first step in their cloud
journey by virtualizing and standardizing their infrastructure. ITaaS,
another phase in this journey, provides healthcare organizations with the
opportunity to lower operational costs, restructure from capital to operating
expenses, and improve service levels. This white paper offers best practices
regarding the technology infrastructure, business processes, and IT
organizational structure to help healthcare providers maximize the value
and impact of ITaaS across their organizations
August 2013
EMC WHITE PAPER
1
2. TABLE OF CONTENTS
EXECUTIVE SUMMARY ............................................................................................................................3
INTRODUCTION .....................................................................................................................................4
INITIAL CONSIDERATIONS....................................................................................................................6
Identify and solidify business and clinical objectives ...........................................................................6
Conduct an application inventory ....................................................................................................6
Perform a healthcare workload analysis ...........................................................................................6
Leverage best practice methodologies ..............................................................................................7
Align IT services with clinical and business needs ..............................................................................7
Evaluate staffing and training requirements ......................................................................................8
BUILDING A VIRTUALIZED CLOUD INFRASTRUCTURE ...........................................................................9
Standardize and virtualize ..............................................................................................................9
EMC solutions for meeting technical requirements .............................................................................9
Accelerated deployment for multi-tenant environments .................................................................... 10
Backup-as-a-service solutions for data protection ............................................................................ 10
Business continuity and continuous availability ................................................................................ 11
Trusted IT infrastructure: security and governance .......................................................................... 11
End-to-end computing platform .................................................................................................... 12
TRANSFORMING IT PROCESSES ...........................................................................................................13
Build a service catalog ................................................................................................................. 13
Enable financial accountability ...................................................................................................... 14
Align IT roles with needs of the enterprise ...................................................................................... 14
Transform IT processes ............................................................................................................... 14
Redefine the IT service delivery process ......................................................................................... 15
CONCLUSION .......................................................................................................................................16
2
3. EXECUTIVE SUMMARY
Healthcare providers are facing the dual challenges of achieving EMR meaningful use milestones while managing shrinking
margins. As a result, health IT organizations are investing in agile IT infrastructures that meet “always on, access anywhere”
requirements at a reduced cost. In fact, providers are no longer asking whether they should deploy virtualization, cloud
computing, and ITaaS models, but are focusing on how to best deploy these strategic projects.
An IT-as-a-Service (ITaaS) foundation enables healthcare organizations to stand up new technologies, service delivery methods,
and consumption models geared toward the needs of their internal customers. In addition, ITaaS enables organizations to
accelerate deployment of key healthcare applications and extend mature services to non-affiliated systems, providing additional
revenue streams.
Key ITaaS technology enablers include a cloud-based, highly automated technology infrastructure, as well as an online catalog
of standardized business, IT, and clinical services that clinicians and administrators can directly consume.
Through this approach, IT can reduce costs dramatically while accelerating the delivery of new IT services to help improve
organizational collaboration. Achieving these results requires careful planning, significant stakeholder support, and expert
execution.
This white paper provides best practices to guide IT organizations along their multi-phased ITaaS journey. By following these
recommendations, IT organizations will be well prepared to address the challenges and maximize the rewards of an ITaaS
transformation.
3
4. INTRODUCTION
Healthcare organizations are under growing pressure to respond to Affordable Care Act (ACA) mandates and meet EMR
meaningful use requirements. These demands are driving many organizations to adopt new business models that will enhance
patient care delivery and outcomes at a lower IT cost. To enable this transition, many organizations are implementing IT-as-aService (ITaaS) to help lower operational costs, restructure costs from capital to operating expenses, improve service levels and
accelerate deployment of key healthcare applications (Figure 1).
Figure 1 – ITaaS Drives Significant Cost Savings
With ITaaS, IT organizations at integrated delivery networks (IDNs), healthcare systems, and hospitals can operate as an
internal “service provider of choice” and "broker" of services from third-party service providers to meet the growing needs of
clinical and business users. In addition, healthcare IT organizations are able to extend their reach to external enterprises
involved with care collaboration, such as ambulatory care, physician offices, skilled nursing facilities, home healthcare and other
smaller, healthcare providers.
This new service-oriented approach moves beyond traditional IT complexity and rigidity by decoupling services from physical
hardware assigned to specific applications. Instead, compute, storage, networking, security, and availability services are pooled,
aggregated, delivered, and managed by intelligent, policy-driven software in a highly virtualized environment. The result is an IT
infrastructure optimized for clinical and business agility, high performance and availability, and greater efficiency (Figure 2).
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5. Figure 2 – Primary ITaaS Attributes
Implementing ITaaS is a multi-phased journey, and not one to be taken without a defined strategy and well-defined project
milestones. IT organizations are encouraged to team with vendors that possess a broad range of IT and healthcare knowledge
combined with experienced resources to address specific projects.
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6. INITIAL CONSIDERATIONS
To help begin your ITaaS journey, EMC provides jump-start workshops and professional services to assess existing
environments and ITaaS readiness. Such offerings include guided visioning sessions and workload assessments for
rationalization of application inventories.
In addition, EMC can help your organization create an ITaaS roadmap incorporating a service delivery framework (Figure 3) and
defining the best practices needed to bridge technical and financial gaps with current capabilities and goals. Your organization
can accelerate roadmap development by using EMC’s cloud selection tools that define required capacities and provide the most
efficient migration path for each application. These tools help eliminate complex analysis while improving accuracy and expose
the risks of cloud transformation before engaging in these transitions.
Figure 3 – Service Delivery Framework Enables Improved Service Model
Identify and solidify business and clinical objectives
As you embark on ITaaS initiatives, it's critical to gain consensus among your stakeholders, including clinical leads, nursing,
radiology, surgery, finance, human resources and other departments, on the future state envisioned for the organization and its
affiliates.
The IT organization must then assess its existing landscape and readiness, including clinical workloads, capacity, data growth
rate, security infrastructure, and level of regulatory compliance. From here, you can determine what changes are needed to
support agreed-upon business and clinical objectives.
Conduct an application inventory
By conducting a comprehensive inventory of all applications, your organization can define patterns of computing use and identify
opportunities for improvement. During this process, EMC can help your team group applications into portfolios according to
requirements for HIPAA, performance, business continuity, and user device selection and delivery.
Perform a healthcare workload analysis
Next, your organization should perform a workload analysis of all applications in each business unit and clinical department
across the enterprise. This analysis will help identify which stakeholders are using specific applications, how these applications
are being used, and the key performance indicators (KPIs) for availability, capacity utilization, system response times and other
measures.
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7. EMC provides software tools and professional services as you map users to workloads and determine business and clinical
priorities, impact, and risk of each workload. The resulting requirements define opportunities for application rationalization and
IT service management activities. They also ultimately shape the data center consolidations and migrations needed to deploy
infrastructure-as-a-service, software-as-a-service and eventually platform-as-a-service.
Leverage best practice methodologies
To align IT services with business needs and enable ITaaS, many IT organizations have adopted IT Service Management (ITSM)
methods including those based upon the Information Technology Infrastructure Library (ITIL). Organizations also are embracing
recommendations from the National Institute of Standards and Technology (NIST), which publishes guidelines on cloud
computing and security.
In addition, ITaaS roadmaps should include plans for adopting Common Security Frameworks (CSFs) from organizations such as
HITRUST, which define the need for information governance, risk and compliance (GRC) tools and methods. IT should prepare to
use recommended technologies that satisfy requirements emerging from security and risk assessments conducted for attestation
during meaningful use stages.
Align IT services with clinical and business needs
Transitioning to ITaaS is a fundamental shift in how IT is built, run, delivered, and consumed. To help with this process, EMC has
developed a healthcare specific-process that facilitates the mapping of required stakeholder services to ITaaS methods and
technologies. Foundational ITaaS capabilities can include infrastructure, desktop, and backup-as-a-service capabilities. On top of
this ITaaS foundation, providers can then incorporate aggregated clinical and business services.
Examples of EMC Global Services to help build healthcare-specific ITaaS frameworks include:
•
EMC Cloud Advisory Service develops an enterprise cloud strategy for transformation to ITaaS, including business case
development; workload analysis for private, public and hybrid cloud models; operational transformation of skills, roles and
processes; and execution roadmaps.
•
Cloud Infrastructure Service defines the right architectural design for a specific cloud and ITaaS strategy such as hybrid,
public, and private, and enables organizations to accelerate adoption and benefits of cloud technology solutions, including
converged infrastructures.
•
Cloud Optimized Applications Services help organizations accomplish their application rationalization and modernization
objectives to accelerate virtualization of mission-critical applications. These services also enable platform-as-a-service,
application replatforming and application infrastructure optimization.
•
IT Operations and Service Management Services provide capabilities for an agile cloud operating model, including
financial management and chargeback, service catalogs and service portal development, service orchestration and service
automation, service design and workflow optimization.
•
End-user Computing Services accelerate the move to desktop-as-a-service using technologies like VMware® View™ and
incorporating mobile platforms.
•
Software Lifecycle Automation Services (DevOps) accelerate the software development process through automated
infrastructure provisioning and tighter integration between application developers and operations.
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8. Evaluate staffing and training requirements
Transforming IT into a service provider also expands opportunities for your staff to broaden their technical expertise, deepen
their role as consultants, and create additional revenue streams for the organization (Figure 4).
Figure 4 – New Organizational Roles for IT
Some of your IT staff may need to be repositioned as business analysts, who work closely with clinicians and other users to
define, meet and measure requirements for IT services. Others will be focused on ensuring consistent service delivery, whether
services are delivered internally or are brokered by IT via external technology, software, and service providers.
Organizations must also evaluate roles and skill sets to determine what staff training or hiring will be needed for the transition to
ITaaS. In addition, they will need to evaluate if any IT functions should be augmented by application partners and consultants.
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9. BUILDING A VIRTUALIZED CLOUD INFRASTRUCTURE
Healthcare organizations can leverage a comprehensive portfolio of solutions and services from EMC to incorporate virtualization,
cloud computing, and ITaaS capabilities. The foundation begins with a cloud-based infrastructure that provides efficient resource
utilization, high application availability, agility in provisioning IT resources, and high performance.
Standardize and virtualize
It’s not unusual for larger healthcare systems to begin their ITaaS journey with multiple data centers and highly diverse, multivendor infrastructures. As healthcare organizations evolve as a result of merger and acquisition activities, these disparate
environments often become more difficult to manage and grow.
To streamline IT, EMC recommends standardizing key components such as servers, operating systems, storage, and networking.
Standardization allows IT to treat infrastructure as a consolidated asset and focus on building business and clinical value.
Standardizing is also an important step in virtualizing the infrastructure.
With virtualization, IT can decouple the infrastructure from physical systems, enabling greater agility in managing resources for
diverse workloads. Virtualization also facilitates consolidation because less hardware is needed. With virtualization also comes
greater opportunity for automation, which enables self-service capabilities.
EMC solutions for meeting technical requirements
Key considerations for building your cloud infrastructure should include:
Performance and reliability
Healthcare providers can leverage the EMC VMAX Cloud Edition, which is engineered to meet the performance, availability, and
scalability demands of a private and hybrid cloud. It also supports multi-tenancy, which allows physicians, nurses,
administrators, finance officers, clinical employees and other groups to allocate their own private space in the cloud.
Four key advantages of the VMAX Cloud Edition include:
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A pre-configured and purpose-built solution to accelerate time-to-service configuration and delivery
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Automation of day-to-day tasks to reduce operational burdens and costs
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Self-service control through portals to improve tenant experience with the option to nest services in existing service catalogs
that are provided via secure REST APIs
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Predictable linear pricing, which allows IT to focus on growing and consuming services without lengthy negotiation and
procurement processes when additional capacity is required
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10. Accelerated deployment for multi-tenant environments
To simplify and speed deployment of cloud infrastructures, healthcare providers are investing in converged infrastructures, such
as VCE Vblock Systems, which provide infrastructure-as-a-service to support multi-tenant environments (Figure 5).
Figure 5 – Current Healthcare Solutions for Vblock Systems
By seamlessly integrating best-in-class compute, network, and storage technologies from industry leaders, Cisco, EMC, and
VMware, Vblock Systems provide dynamic pools of resources that can be intelligently provisioned and managed to address your
changing IT demands.
Vblock Systems automate many of the tasks associated with integrating, validating, and managing infrastructure to improve IT
efficiency. VCE offers end-to-end accountability, unified management, and single support for the converged, ITaaS-enabled
infrastructure, allowing healthcare providers to focus on accelerating EMR meaningful use objectives for improved care delivery.
Backup-as-a-service solutions for data protection
To protect data in the cloud, healthcare providers should also consider backup-as-a-service (BaaS). Benefits provided by EMC’s
BaaS solutions include:
•
•
Scalable and elastic capacity limits
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Metered usage based on factors such as size, number of copies, and data age, among others
•
Appropriate granularity of recovery at the file or directory level
•
100 percent hands-off management or user-friendly portals
•
Active background processing for data collection and backup without requiring users to manually start backups
•
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Acceptable recovery time objective (RTO) and recovery point objective (RPO)
Healthcare-specific security, especially in multi-tenant deployments
11. To enable BaaS, EMC offers a range of backup solutions, such as EMC Avamar deduplication backup, Avamar with EMC Data
Domain deduplication storage, EMC NetWorker backup and recovery and EMC Data Protection management solutions. These
integrated solutions meet backup requirements across the entire healthcare organization.
By using an integrated delivery platform with data duplication, your organization can significantly increase backup and recovery
performance while reducing IT and management costs. These BaaS solutions can be deployed at your site or an external data
center operated by a service provider. In addition, elements of the solution can run on tenants’ premises.
EMC also offers professional services that accelerate adoption and time to value of your backup investments. For example, the
EMC Backup Infrastructure Assessment can transform your backup operations by providing an end-to-end assessment of your
backup environment and supporting infrastructure, including a review of operational processes, procedures, competencies, and
service level objectives.
Business continuity and continuous availability
For maximum availability, EMC provides an active-active distributed storage configuration to attain zero RTO if total site loss
occurs. Unlike array-based replication solutions, EMC VPLEX enables 100 percent storage availability by stretching storage
clusters across data centers.
In addition, VPLEX supports a wide range of operating environments because it has been tested and certified with all of the
mainstream clustering tools. EMC also works closely with healthcare software providers to certify their solutions for VPLEX
environments.
By “stretching” or “extending” storage, VPLEX allows single clusters to be implemented across data centers instead of assigning
clusters to separate data centers. In addition, VPLEX enables a single cluster to be spread across healthcare-specific application
environments. This allows VPLEX to provide shared storage across array boundaries, enhancing high availability and disaster
recovery design and operations.
VPLEX enables users to dynamically move information across platforms located in the same data center or separate sites. This
data mobility enables increased capacity and utilization, enhanced performance, and dynamic scaling, among other benefits.
Trusted IT infrastructure: security and governance
Security and governance are paramount requirements for delivery of healthcare ITaaS environments. IT must protect against
both outside threats and internal security breaches. Healthcare-specific security solutions from RSA provide the adaptive and
risk-based authentication needed in cloud environments.
Governance ensures monitoring of thresholds to ensure providers stay within their risk tolerance. This applies to security, but
also to business continuity, IT configuration management, and HIPAA compliance.
To achieve comprehensive governance, the RSA Archer eGRC solution allows healthcare organizations to build collaborative
programs that manage data security and mitigate risks (Figure 6). Archer eGRC enables IT to ensure HIPAA compliance while
automating security framework business processes and gain critical visibility into risk and controls
Figure 6 - Active Governance with a Single Platform
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12. With the flexible Archer eGRC platform, business and clinical users can tailor components, create supporting applications, and
integrate them with multiple data sources without touching a single line of code. The RSA Archer eGRC Community and
Exchange solutions provide an active user community with an online exchange of applications, content, services, and
integrations.
The benefits of the Archer eGRC solution include:
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Efficiency – Users can ask a question once and use the results to demonstrate compliance with multiple regulations and
healthcare security frameworks.
•
Automation – Automation of workflow, risk-based scoping, data collection, assessment scoring, and findings generation and
notifications to reduce administration.
•
•
Accountability – Assignment of accountability at all levels of the healthcare enterprise hierarchy and infrastructure.
Collaboration – Enablement of users across business silos such as health information management (HIM), finance, clinical
operations, and legal, to collaborate and align common processes for managing clinical and business data, as well as
protected health information (PHI).
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Visibility – Ability to gain a complete view of exposure and gaps across a healthcare organization by relating risks and audit
findings to objects such as controls, objectives, processes, facilities, and technologies, as well as integrating risk
management with key business and clinical processes.
End-to-end computing platform
Healthcare organizations can deploy the VMware vCloud® for Healthcare, which provides an end-to-end-care cloud computing
platform for exchanging information and delivering products and services that can lead to better availability of healthcare
systems (Figure 7). Flexible and customizable, it is a comprehensive framework supporting the entire IT care environment—from
point-of-care to the most critical patient-care systems—to help safely accelerate the transition to truly connected care.
Figure 7- VMware vCloud for Healthcare
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13. Designed to future-proof the entire IT care environment, vCloud for Healthcare enables organizations to:
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Reduce costs: Decrease data center and capital costs by as much as 60 percent and without sacrificing compute
performance.
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Increase mobility: Deliver desktops and clinical workspaces that roam with clinicians, providing fast access to applications
and data—without requiring multiple passwords—in a workspace that is always on and readily available.
•
Protect information privacy: Reduce the threat of lost or stolen personal healthcare information (PHI) by keeping all data
in the data center—not on PCs or mobile devices. Whether users log in onsite or remotely, the experience is just like using a
local application.
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Enhance security: Position security services exactly where they are needed—from application segmentation to trust zone
maintenance.
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Maintain compliance: Continuously and automatically monitor and update infrastructure and applications, as well as
support detailed discovery and assessment across physical and virtual systems for central control of changes and
configuration.
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Achieve interoperability: Move applications between virtualization and cloud platforms—to private, hybrid and public
clouds and back again. Because VMware supports open APIs, organizations can also streamline management and control of
workloads across clouds.
TRANSFORMING IT PROCESSES
An ITaaS framework better positions your organization to speed service delivery and reliably support the dynamic needs of your
customers in a highly-automated and agile infrastructure. In this environment, the business and clinical departments will be able
to rapidly provision resources and incur costs based on usage.
Build a service catalog
A key enabler of an “as-a-service” model is the development of a service catalog to help facilitate the transformation from a
custom-engineering organization to one where standard offerings are the norm (Figure 8). EMC can help your organization
create a service catalog.
Figure 8 – The Service Catalog: A Unified View of the Full Range of Services
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14. EMC recommends that IT should create a service catalog according to the results of initial assessment of services. Using a
service portal, an effective service catalog should:
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Improve response time to business and clinical needs through automation, self-service, and enhanced visibility into IT
performance and usage
•
Enhance operational and management efficiencies for further control by automating service delivery
•
Achieve financial transparency as IT effectively meets SLAs and lowers capital and operational expenditures over time
IT also will want to evaluate how those services are consumed via the service catalog.
One way is through an "app" store—an online portal that users access for services. In designing an app store, IT should enable
role-based access so that doctors, nurses, pharmacists, administrative managers, and others can choose from a tailored set of
offerings relevant to their respective functions.
Further customizing the app store portal for secure patient access also helps the provider track recovery and provide follow-up
instructions after a patient is discharged—a critical component in reducing readmission rates.
Enable financial accountability
IT will need systems and processes to capture usage and chargeback—or show-back—to individual departments for IT services
consumed. Key considerations in developing a chargeback process include:
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Detailing all factors that determine actual costs to deliver services
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Showing greater transparency of business performance and value
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Tracking details of services rendered clearly and accurately
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Transferring budgets from IT to business and clinical departments
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Enabling IT and users to be more prudent and reduce over-allocation of resources
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Supporting IT’s “marketing” of competitive offerings to the business
Align IT roles with needs of the enterprise
With ITaaS, much less time is needed to build and maintain technology assets so IT can now focus on orchestrating service
delivery and consumption. This will require new roles and broader skill sets.
Rather than depending on individual specialists in compute, storage, or networking, IT will need to transition staff to becoming
cloud architects and administrators. Primary roles must fundamentally shift from handling password restores and "keeping the
lights on" activities to analyzing business requirements and designing services to meet them.
In addition, IT will need to market its services to the healthcare organization, requiring additional skills and programs. As a
service broker, IT will also need to perform market analysis of public cloud offerings and determine which ones should be
integrated into the service catalog.
Transform IT processes
IT processes will need to evolve from creating and administering silos of compute, storage, and networking to horizontal
strategies based on management of the cloud infrastructure as a whole. New processes also must be established to manage
service-level agreements for cloud services and not just server or storage capacity and performance. Procedures for design
standards and adding new services to the service catalog also will need to be incorporated.
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15. Figure 9 – A Holistic View of ITaaS
From a broader perspective, IT will need new processes for capturing the strategic direction of the healthcare organization and
integrating it into the service delivery framework.
Redefine the IT service delivery process
With ITaaS, the service delivery process will need to evolve. The whole concept of delivering ITaaS revolves around a prompt
and efficient response to the needs of the business. As a result, traditional iterative configuration and service development
cycles that issue releases on a quarterly or semi-annual basis are no longer acceptable.
IT should adopt an agile development and delivery methodology with an iterative and incremental approach so that service
updates can be moved into production quickly and efficiently. Instead of three-month or six-month cycles, IT should strive for
monthly or more frequent releases to meet the needs of its most demanding stakeholders.
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