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The Modern
Datacenter
An intelligent infrastructure
for health
Jason Bowne
Datacenter/Cloud TSP Health
& Life Sciences, Microsoft
Modern datacenter – An intelligent infrastructure
Strategic health objectives
Improve patient
care experience
Improve health of
populations
Reduce per capita
cost of healthcare
Goals
Business
Barriers to reaching health goals
Fast-changing market demands and regulatory mandates
High operational costs of technology
Increased compliance and accountability
Slow to react to
business requests
Perceived cost to
move legacy apps
and infrastructure
to a modern
datacenter
How to move
beyond
virtualization
Complexity driven
by management/
monitoring tools
Health workers
who want to use
their personal
devices
Time and
resources
IT
Cloud: What’s the ROI?
1.7x
ROI on cloud apps over on-premises apps
40% 25%
Benefits increase
over time Nucleus Research
Azure Virtual MachinesHIPAA BAA
Public cloud
1
AgilityPeople-centric ITSecurity, privacy, complianceUnified management
Private cloud Service providers
Modern datacenter components
Unified management
Virtual
Infrastructure
Physical
Infrastructure
Applications
and Data
Data
Applications
Compute Storage Network Pooled Compute, Storage, and Network
Data
Applications
We will reduce the time spent at a
keyboard interacting with individual
servers… Instead, our staff will interact
with several thousand servers at once.
We wanted more powerful automation
tools that would let the IT staff focus
on managing a data center rather than
managing individual servers.
Philip Best
Architect, HCA IT&S
Charlie Butler
Enterprise Architect, HCA IT&S
Security, privacy, and compliance
Control
Transparency Accountability
Effectively manage health regulations
DirectAccess gives us an opportunity
to greatly simplify the delivery of IT
services to new employees and the
integration of acquisitions into the
company. This helps the company
grow faster.
Rick King
Windows Infrastructure Services,
Kindred Healthcare
People-centric IT
Apps
Devices Data
Management. Access. Protection.
DataAppsDevices Empower health teams
Allow clinicians to work
on the devices they
choose and provide
consistent access to
organizational resources.
Unify your
environment
Deliver unified
application and device
management on-
premises and in the
cloud.
Protect your data
Help protect health
organization information
and manage risk.
Empower, unify, and protect
Clinicians
We can do more than take notes; we
can send out doctor referrals, set up
the next appointment, and email the
patient a copy of their exercise plan
right there on the spot.
Dr. Laura Mickelson
Doctor of Physical Therapy,
Sports Reaction Center
Agility
Cloud innovation
everywhere
Datacenter
without boundaries
Dynamic
application delivery
Today’s datacenter
• Cumbersome
• Deficient security, privacy, and
compliance
• Rigid and inflexible
• Complex and costly
• Time-consuming to manage
The modern hybrid datacenter
Agility
Public cloud
1Private cloud Service providers
1
Datacenter without
boundaries
2
Cloud innovation
everywhere
3
Dynamic application
delivery
EmblemHealth is using the Windows
Azure platform to host various types of
data which, via the Windows Phone 7
development system, can be easily and
quickly accessed through the
development of new health apps for
the phone, PC or other devices.
Microsoft in Health Blog
05 September 2013
Why Microsoft
Battle-tested
infrastructure
Continued commitment
to security, privacy, and
compliance
A unified platform for
on-premises, public
cloud, and service
provider infrastructures
Next steps
Put the cloud OS vision to work
• System Center 2012 R2 Preview
• Windows Azure Trial
• Windows Server 2012 R2 Preview
No-cost training: Microsoft Virtual Academy
Join the community: Microsoft Health User Group
Experience TDI:
Transform the Datacenter Immersion
(Contact jbowne@microsoft.com)
© 2013 Microsoft Corporation. All rights reserved. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing
market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS,
IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

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Modern Datacenter_FY14_FINAL

  • 1. The Modern Datacenter An intelligent infrastructure for health Jason Bowne Datacenter/Cloud TSP Health & Life Sciences, Microsoft
  • 2. Modern datacenter – An intelligent infrastructure
  • 3. Strategic health objectives Improve patient care experience Improve health of populations Reduce per capita cost of healthcare
  • 4. Goals Business Barriers to reaching health goals Fast-changing market demands and regulatory mandates High operational costs of technology Increased compliance and accountability Slow to react to business requests Perceived cost to move legacy apps and infrastructure to a modern datacenter How to move beyond virtualization Complexity driven by management/ monitoring tools Health workers who want to use their personal devices Time and resources IT
  • 5. Cloud: What’s the ROI? 1.7x ROI on cloud apps over on-premises apps 40% 25% Benefits increase over time Nucleus Research
  • 6. Azure Virtual MachinesHIPAA BAA Public cloud 1 AgilityPeople-centric ITSecurity, privacy, complianceUnified management Private cloud Service providers
  • 9. Data Applications Compute Storage Network Pooled Compute, Storage, and Network Data Applications
  • 10. We will reduce the time spent at a keyboard interacting with individual servers… Instead, our staff will interact with several thousand servers at once. We wanted more powerful automation tools that would let the IT staff focus on managing a data center rather than managing individual servers. Philip Best Architect, HCA IT&S Charlie Butler Enterprise Architect, HCA IT&S
  • 11. Security, privacy, and compliance Control Transparency Accountability
  • 13. DirectAccess gives us an opportunity to greatly simplify the delivery of IT services to new employees and the integration of acquisitions into the company. This helps the company grow faster. Rick King Windows Infrastructure Services, Kindred Healthcare
  • 15. Management. Access. Protection. DataAppsDevices Empower health teams Allow clinicians to work on the devices they choose and provide consistent access to organizational resources. Unify your environment Deliver unified application and device management on- premises and in the cloud. Protect your data Help protect health organization information and manage risk. Empower, unify, and protect Clinicians
  • 16. We can do more than take notes; we can send out doctor referrals, set up the next appointment, and email the patient a copy of their exercise plan right there on the spot. Dr. Laura Mickelson Doctor of Physical Therapy, Sports Reaction Center
  • 18. Today’s datacenter • Cumbersome • Deficient security, privacy, and compliance • Rigid and inflexible • Complex and costly • Time-consuming to manage The modern hybrid datacenter Agility Public cloud 1Private cloud Service providers 1 Datacenter without boundaries 2 Cloud innovation everywhere 3 Dynamic application delivery
  • 19. EmblemHealth is using the Windows Azure platform to host various types of data which, via the Windows Phone 7 development system, can be easily and quickly accessed through the development of new health apps for the phone, PC or other devices. Microsoft in Health Blog 05 September 2013
  • 20. Why Microsoft Battle-tested infrastructure Continued commitment to security, privacy, and compliance A unified platform for on-premises, public cloud, and service provider infrastructures
  • 21. Next steps Put the cloud OS vision to work • System Center 2012 R2 Preview • Windows Azure Trial • Windows Server 2012 R2 Preview No-cost training: Microsoft Virtual Academy Join the community: Microsoft Health User Group Experience TDI: Transform the Datacenter Immersion (Contact jbowne@microsoft.com)
  • 22. © 2013 Microsoft Corporation. All rights reserved. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

Editor's Notes

  1. Hi. My name is < >. I’m here to talk with you today about the modern datacenter―an intelligent infrastructure for health.
  2. Some of the topics we’ll cover today include how you can: Improve performance and operational efficiencies of the platforms and technology investments you’ve already made at a lower overall cost. Swiftly and agilely respond to changes in business demand. Enable care teams and administrators to work from virtually any location, on any device, anytime, with robust security . 1, 2, 3 And effectively manage security, and regulatory privacy and compliance. At the core, it’s all about transforming your datacenter to what we call a modern datacenter —an intelligent infrastructure. On your terms, within your timelines, and within your budget. By leveraging Microsoft technologies, in private, public, and service provider clouds, or a combination of those―your IT team can spend less time managing infrastructure―and by that I mean all of your existing technology investments in servers, applications, devices, user requests, and so on―and more time focusing on the business of health. --------------------- 1 An appropriate device, Internet connection, and supported browser and/or carrier network connectivity are required. Data charges may apply. 2 Office currently supports PCs running Windows 7 or higher; Macs running Mac OS X version 10.6 or later (required for Office 365 only); Windows Phone 7.5 or later; iPhone 4, iPhone 4S, iPhone 5, iPod touch (5th generation) running iOS 6.1 or later. 3 Microsoft solutions may not support all devices at the same level of features, functions, capabilities, and security.
  3. Let’s back up a minute and set the stage for why a modern datacenter is important. First, health organizations like yours have some pretty weighty strategic business objectives: To improve the patient care experience. And that includes quality of care, responsiveness, and satisfaction. All in less time and at lower costs. To improve the overall health of the populations/communities you serve. To reduce the per capita cost of healthcare. To help you move toward achieving those objectives, your organization needs new designs. Second, the regulatory mandates that govern security, privacy, and compliance add layers of complexity to business requirements and can consume the bandwidth of the resources (i.e., your IT team) that support them. These two major factors can be compounded by both business and IT challenges.
  4. To attain your overarching health goals, your business has some barriers to overcome―barriers that are placing significant pressures on your IT team. On the business side The healthcare market is changing quickly―current and future market demands and regulatory mandates. The raw cost of technology and its operation are high, making it difficult to reduce the costs of delivering accountable care. Moving from a transactional healthcare model to an accountable, outcomes-based model increases compliance requirements. Your IT team is right in the middle of these business challenges and of the goals your organization wants to achieve. On the IT side Existing datacenter models make it very difficult to react quickly to business needs: There are servers to purchase, rack, build, tune, interconnect, test, bring into production, and wrap service management (i.e., ITIL and ITSM practices) around. All of this takes time and money, (usually a lot of both). There is a perceived cost to moving legacy apps and infrastructure to a modern datacenter model, further hampered by traditional datacenter thinking that can impede the adoption of a more intelligent infrastructure. Virtualization is a step toward and a critical component of a modern datacenter. But it’s only one component. Keeping focus solely on virtualization can slow modern datacenter adoption. Most of today’s datacenters have many tools to manage and monitor their technology. These siloed datacenter components add tremendous complexity and cost to datacenter operations and reduce IT’s ability to ensure the services provided to the organization are running well (i.e., focusing on components rather than the overarching service made up of multiple components). Doctors, nurses, and clinicians want to be more productive; some even bring their own devices to work. This puts pressure on IT teams to figure out how to enable those devices to work in their environments and to ensure they’re secured and compliant. All of these factors (and several others) place time and resource constraints on your already-burdened IT team. The thing is, technology doesn’t have to be the barrier to reaching your goals, it can be what enables you to get there.
  5. As we think about new designs that can support health organizations, one of those designs is cloud. Important questions to ask about cloud are: What’s the ROI? What do I save? What will cloud do for my organization? CIOs and IT Architects say there must be more benefit and hard-dollar savings when moving from self-built, self-hosted, and self-managed technology to a remotely built, remotely hosted, remotely managed technology. And, indeed, there is. A September 2012 Nucleus Research study reported that cloud applications deliver 1.7 times more ROI than on-premises applications. The standard contributor of initial hardware and software cost removal was present, but there were three other contributing factors to the ROI multiplier of cloud application usage: 40% less consulting Deployed cloud applications don't require consultants to come back on site when configuration changes are needed; business & IT can make them on their own very quickly (configuring versus customizing). 25% less on internal application support Limited IT internal spend is needed to support applications as analysts can make changes within the cloud service vendor rather than traditional internal IT resources. Benefits from cloud applications increase over time—agility is key Faster iterations of cloud apps are managed by the vendor. Expansion of usage doesn't require long and costly IT projects. Easy user onboarding expands usage and, thus, reaps value of investment (contributing to the higher ROI) Businesses can take advantage of incremental upgrades to gain value faster with less operational friction. Now that we see what the ROI the cloud can offer, let’s talk about Microsoft’s cloud vision.
  6. (The Microsoft Cloud OS is not a product, it’s a vision.) Microsoft’s cloud OS vision for health comes to life through the modern datacenter. And it begins with the private cloud. Think of your datacenter in a private cloud design as one big system, where compute, network, and storage are pooled, and you have the ability to carve out (on demand) the resources you need to respond to business requests. You can even give individuals the ability to request those resources themselves through self-service and reducing operational complexity Once a private cloud is in place, you take advantage of a public cloud and service providers to get the agility you need to respond to business needs. Private cloud = control Public cloud = scale Service providers = customization and reach All three components of the Cloud OS are part of one consistent platform. One example of ‘one consistent platform’ is in the extension of the Windows Azure Management portal functionality, look and feel into the Windows Azure Pack that can be used in a private cloud, as well as a service provider. In health and life sciences, the Cloud OS vision is supported by four pillars. And we’ll delve into all four today. Unified management Security, privacy, and compliance People-centric IT Agility
  7. Lets talk more about these four components: Unified management Unified management enables you to take advantage of a single platform to help preserve and leverage your existing IT investments while efficiently managing the boundless capacity of cloud environments, applications, and devices to improve control, enhance security, and contain costs. Manage your compute, network, and storage infrastructure as a pool of resources. Security, privacy, and compliance Help protect critical IT assets, infrastructure, communications, and data against vulnerabilities as you effectively manage privacy and regulatory compliance. People-centric IT Cost-effectively enable authorized health workers to efficiently collaborate and communicate in real time with robust security—independent of location or device—to help enhance responsiveness and improve productivity – ultimately delivering better care and outcomes. Agility Leverage a resilient, elastic, intelligent infrastructure fabric that helps give health workers and administrators on-demand access to organizational and sensitive information, patients, and each other from virtually any device, anywhere.
  8. Historically, your IT team has managed datacenter complexity and your volumes of physical servers through server consolidation and virtualization. But the real future of datacenter transformation lies in automatically managing infrastructure as a pooled resource of compute, networking, and storage capability. Your infrastructure moves from operational cost center to becoming intelligent when all datacenter pooled resources are delivered back to your business as an optimized business service, enabling growth and speeding responses to continuum of care demands. Physical infrastructure Being able to manage your physical infrastructure is foundational. Servers, networking equipment, and storage components are primarily managed as siloed technology. Physical datacenters servers are virtualization hosts; networking and storage are becoming more software-defined. Virtual infrastructure Being highly virtualized is a primary step in modernizing the datacenter, and it addresses the challenge of limited datacenter physical capacity. But as we said earlier, it’s only one step. Managing/monitoring your entire virtual infrastructure to ensure everything is running well (not just virtualized) is a core tenant of cloud. It doesn’t matter if servers are physical or virtual; what matters is that they’re running well. Applications and data Infrastructure is the foundation that supports the technology your organization needs to develop and run applications that create, modify, retrieve, and delete data. Keeping infrastructure management separate from application and data management adds tremendous complexity to overall technology management. Taking a unified approach to managing your infrastructure (be it physical or virtual), applications, and data can help ensure you reduce the complexity of managing your technology, and reduce the costs associated with that management.
  9. Todays datacenters, for the most part, manage compute, networking, and storage as silos: Separate teams, separate tools, and at times, separate operational processes.   So when you think about moving to a modern datacenter, you have to look at how adding a cloud architecture is going to make this picture better—how you can extend beyond the walls of your datacenter without creating more complexity to manage. And you also want to think specifically about a platform that allows for management of heterogeneous environments. That’s unified management. Supporting messages Through a single management platform, virtualize, pool, and abstract datacenter resources into a flexible, intelligent private cloud fabric that serves as a strategic business enabler―not another operational cost. Enable health worker self-service, automating routine tasks and reducing unnecessary IT workload. Reduce operational costs through monitoring, management, and automation, which can enable you to reallocate a greater percentage of IT budget to strategic business initiatives. Many of today’s datacenters are used at a fraction of their capacity, Microsoft private cloud solutions can help you protect and build on your existing investments and skill sets; potentially save on hardware costs; lower energy consumption; and improve datacenter mobility and efficiency by reducing your number of on-premises servers and the staff required to support them.
  10. An overarching strategy at HCA - Information Technology & Services, Inc. (HCA IT&S) is to simplify IT, so that teams can focus on business drivers. Core tenants of that strategy are to automate processes and to upgrade data center infrastructure. With modern datacenter benefits like multi-hypervisor management and the ability to manage thousands of servers at once, HCA IT&S dramatically improved IT efficiency and can respond faster to business needs.” HCA IT&S http://www.microsoft.com/casestudies/Windows-Server-2012/HCA-Information-Technology-Services-Inc/Healthcare-Provider-Upgrades-Software-to-Increase-IT-Automation-and-Respond-Faster/710000001632 Organization size 199,000 employees Organization profile HCA - Information Technology & Services, Inc. (HCA IT&S) provides IT services to HCA Holdings, Inc. a leading provider of healthcare services in the United States. Business situation HCA IT&S was eager to improve IT efficiency and increase the speed at which it adopts new technologies. Improvements in both areas could help the IT staff respond faster to business needs. Solution HCA IT&S joined the Microsoft Rapid Deployment Program to explore the Windows Server 2012 operating system and to experiment with working more strategically with a key vendor. Benefits Dramatically improve IT efficiency Gain more strategic relationship with vendors Speed response to business needs Hardware HP ProLiant DL380 servers Software and services Windows Server 2012 Microsoft Hyper-V Microsoft System Center 2012 Microsoft Consulting Services Datacenter Windows PowerShell Industry Health Provider Country/Region United States Language English
  11. Let’s move on the second component: Security, privacy, and compliance. All three are core tenants of Microsoft’s design methodology through the trustworthy computing initiative, which began more than 11 years ago and remains a top priority. Microsoft began with our first datacenter in 1989―with the world’s first online services like MSN and Hotmail―and have worked closely with others in the industry and with customers to help make computing safe for everyone. Microsoft continues to invest not only in its datacenters, but policy development, certifications, and attestations, and I’ll talk more about this in a minute. We remain committed to delivering more security innovations moving forward. As members of health organizations, you clearly have many security, privacy, and compliance considerations. Strict regulations like the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) mandate that you protect the confidentiality of patient health information (PHI). Meaningful-use standards that govern electronic health records and dictate the use of technology in the continuum of care. In recent years, HIPAA rules have become more stringent, increasing penalties up to US$1.5 million per breach and clarifying reporting requirements for those breaches. It’s not news to you that all of these are putting serious pressure on Health IT departments to leverage technology and shift from a transaction healthcare model to an accountable outcome model, while keeping information safe and secure. We already touched on PHI confidentiality; it’s one of the greatest concerns facing the management of health data. For all data managed on-premises or in the cloud, PHI privacy must be managed according to local regulations while still enabling the correct care givers to access it when appropriate.   Given mobile worker and healthcare consumers’ growing demands that information be accessible from various locations and on their own devices, these same provisions apply to data at rest and in-transit between devices and the cloud.   To meet these demands, there are three key components we need to think about: transparency, control, and accountability.   Transparency For some people, storing sensitive data in the cloud makes them nervous. At Microsoft, we’re often asked, “What are you doing with our data?” Microsoft only uses data to provide its customers with services. This may include troubleshooting aimed at detecting or repairing problems affecting the operation of these services and the improvement of features. By posting assessments of our cloud offerings on the Cloud Security Alliance's Security, Trust & Assurance Registry; providing documentation to customers that specifies our shared responsibilities with regard to applications and data; and launching Online Trust Centers for Office 365, Azure, Dynamics CRM and Microsoft Online Services, we provide transparency into all our cloud services. Control Rigorous technical development standards and thorough privacy reviews help to ensure that privacy and data protections are systematically incorporated into the development of Microsoft products and services throughout their lifecycles. The Microsoft Privacy Standard for Development governs the development and deployment of Microsoft products and services. Each new Microsoft product or service undergoes a privacy review designed to identify privacy requirements and to help product teams follow Microsoft privacy policies and standards. With a complete range of interoperable public, private, and hybrid cloud solutions that adhere to leading privacy regulation requirements, health organizations can exercise maximum control over where they store their information. Accountability We support organizational accountability to meet local privacy regulations and laws. Microsoft has more than 40 full-time privacy professionals and several hundred other employees who oversee the application of our privacy policies, standards, and procedures. Our privacy governance framework defines specific obligations for data use and protection in terms that our customers can readily understand.
  12. Addressing healthcare regulations is embedded in the DNA of Microsoft cloud solutions. You can consolidate on one cloud from a single source, with a common security and privacy framework that’s specifically tailored to help support the compliance needs of health organizations like yours. Let’s talk more specifically about how Microsoft can help you manage security, privacy, and compliance. As you know, HIPAA requires that health organizations: Ensure the confidentiality, integrity, and availability of all electronic PHI. Protect against anticipated threats or hazards to the security of PHI. Protect against unauthorized uses or disclosures of PHI. Mandate workforce compliance with these requirements. To accomplish these four overarching principles, the HIPAA Security Rule lays out a risk analysis and risk management process to implement appropriate security requirements. The Microsoft Security Design Lifecycle (SDL): Aims to limit software vulnerabilities by providing a continuous security and privacy perspective through all phases of the development process. Emphasizes the cause and effect of security vulnerabilities and requires regular evaluation of SDL processes and introduction of changes in response to new technology advancements or new threats. As you customize and integrate new medical software applications into your environment, SDL processes can be used to: Ensure that the code developed to customize the software is secured. Provide a framework to evaluate the software security of the applications themselves prior to deployment. Reinforce those HIPAA regulations designed to ensure that electronic PHI remains secured. Business Associate Agreement and the 2013 “Omnibus HIPAA Final Rules” HIPAA now requires that all contractors and subcontractors performing services on behalf of a healthcare provider adhere to HIPAA security and privacy requirements in the form of a Business Associate Agreement (BAA) contract. A business associate is an organization or individual that maintains protected health information (PHI) on behalf of a HIPAA-covered entity and has access to such data, even if they never view the data. HIPAA recognizes the desirability that the safeguards and requirements that apply to covered entities also flow down to business associates. HIPAA specifies that covered entities require their business associates to agree to put appropriate measures in place to safeguard PHI. This is typically done through a BAA to govern the relationship between covered entities and business associates. Under the HITECH Act, business associates must comply with certain requirements of the Security Rule as if they were covered entities. In 2013, the Department of Health and Human Services issued an omnibus to HIPAA, expanding HIPAA oversight from the U.S. Department of Health and Human Services for healthcare organizations and their business associates. With these changes, healthcare organizations expect that their business associates not only understand HIPAA and how it applies, but that they also actively reflect applicable changes in the law in a BAA in order to assist both parties with addressing continued compliance. On April 25, 2013, Microsoft announced the release of a new, revised version of its HIPAA BAA, to help healthcare customers address compliance for the final omnibus HIPAA rule, which went into effect March 26, 2013.  The Microsoft updated BAA covers Office 365, Microsoft Dynamics CRM Online, and Windows Azure Core Services. The Microsoft BAA covers a range of public, private, and hybrid cloud solutions that support a healthcare organization’s compliance needs and enables those organizations to move to the cloud at their own pace. These solutions include: Office 365 – The collaboration capabilities of Lync Online and SharePoint Online allow healthcare workers throughout the continuum of care to communicate in real time with robust security and work as a team continuously from virtually any device, regardless of whether they’re on the move or at a desk. Microsoft Dynamics CRM Online – A customer relationship management system, Dynamics CRM Online allows health plans, health, human services, and life sciences organizations to manage caseloads; monitor delivery of care; and track client, patient, and program outcomes on-premises or in the cloud. Windows Azure Core Services – Windows Azure public cloud/private cloud platform enables covered entities to retain their most sensitive data on site in their own datacenters, as in the case of an enterprise data warehouse, and use the public cloud to rapidly deploy variable-demand applications that take full advantage of Windows Azure Core Services. End-to-end trust Delivering on end-to-end trust requires being able to manage identity and access, and applying audit controls across a trusted stack of people, devices, operating system, application software, and data. The end-to-end trust approach to security and privacy is part of a comprehensive vision for a trustworthy Internet ecosystem, one that enables everyone to make effective trust decisions about their health information. This includes: Trusted devices. Designed by applying a holistic approach to security, Windows 8 and Windows Phone offer health workers their choice of feature-rich, flexible devices. Trusted operating system. The Secure Boot, a new security feature in Windows 8, blocks the loading of any program that hasn’t been signed by an OS-provided key, helping protect the integrity of devices, system files, and software. Trusted applications. A .NET-based application platform protects patient data using built-in cryptology, centrally managed apps, and cloud-ready organizational authentication services. Trusted people. Identity-based access combined with encryption, certification, and authentication enhances control of access to confidential data, documents, and care records. Trusted data. With Information Rights Management, health workers can restrict document permissions for specific people, helping prevent personal health information (PHI) from falling into the wrong hands. Audit. Built-in security technologies throughout the IT environment help enable consistent enforcement regulatory compliance and improve auditing of data and application access.
  13. Kindred Healthcare used Direct Access (a VPN technology built into Microsoft’s infrastructure and client technologies) to remove the friction of external health team access to the trusted internal hospital network and to enable IT to manage devices whenever they have an Internet connection. The result: Reduced cost, because it’s built-in, and reduced complexity for health staff, because they don’t have to take any action to connect. Kindred Healthcare Example of innovation in security http://www.microsoft.com/casestudies/Windows-Server-2012-Datacenter/Kindred-Healthcare/Healthcare-Provider-Enhances-Security-Reduces-Support-Effort-with-Upgrade/710000001533 Organization size 76,000 employees Organization profile Kindred Healthcare is a healthcare services company that operates hospitals, nursing centers, home health, and rehabilitation services across the United States. Business situation Kindred wanted an easier way to ensure that its 3,500 mobile computers received regular security updates. It also wanted to reduce support costs and provide faster network connectivity to remote users. Solution Kindred deployed the Windows Server 2012 operating system to take advantage of DirectAccess, a technology that simplifies connection to corporate intranets. Benefits Enhance network security Reduce operating costs Conserve network bandwidth Provide better experience for mobile workers Support business growth Software and services Windows Server 2012 Datacenter DirectAccess Microsoft Consulting Services Datacenter Industry Health Provider Country/Region United States Language English Partner(s) Microsoft Services
  14. Let’s move on to the third component: People-centric IT. The growing demands of mobile health workers and patients require that information be accessible from virtually any location and on any device they choose. 1, 3 Whether data is at rest or in-transit between devices and the cloud (private cloud, public cloud, or service provider), the expectation is that it will remain secured, private, and confidential. For all data managed on-premises or in the cloud, patient health information privacy must be managed according to local regulations while enabling designated care teams to access it when appropriate from the devices that enable those workers to be the most productive. Some further challenges? The explosion of devices eroding the standards-based approach to health IT. And deploying and managing apps across multiple platforms. By effectively managing devices and by providing anytime-anywhere access to apps and data, people-centric IT can empower everyone in your health organization to be more productive, helping to enable better health outcomes. --------------------- 1 An appropriate device, Internet connection, and supported browser and/or carrier network connectivity are required. Data charges may apply. 2 Office currently supports PCs running Windows 7 or higher; Macs running Mac OS X version 10.6 or later (required for Office 365 only); Windows Phone 7.5 or later; iPhone 4, iPhone 4S, iPhone 5, iPod touch (5th generation) running iOS 6.1 or later. 3 Microsoft solutions may not support all devices at the same level of features, functions, capabilities, and security.
  15. Empowering, unifying and protecting clinicians, devices, applications and data comprise the people-centric IT approach in health. Deploy proven, familiar applications and deliver them on the devices health teams use every day. By effectively managing application and hardware lifecycles, you can help sustain operational continuity, increase efficiency, and improve productivity. Provide healthcare workers with a rich experience and access to the data, applications, and information they need in-transit between hospital and office, or while working from home, on the devices they choose―without increasing support costs and while reducing downtime. Do it all by simplifying management as your IT team maintains security, control, and compliance. Improve IT efficiency by relying on a single, security-enhanced unified management infrastructure for all your clinicians’ devices―including desktop PCs, Windows RT tablets, Windows Phone, Android smartphones, iPads, and iPhones. By supporting a security-based Bring Your Own Device (BYOD) strategy, you can help your team maintain constant communication and sustain productivity via PCs, smartphones, or tablets, wherever their travels take them. A single, centralized admin console can help your IT specialists secure and manage apps, devices, and data to maintain compliance and mitigate risk. With an automatic prompt to sign in with a single-click, connect mobile devices to security-enhanced health networks, online apps, and backend systems, so care teams can find, share, and update time-sensitive information from virtually any location, anytime.
  16. This health customer example speaks to the productivity gained from taking a people-centric IT approach. Taking next-step actions with patients rather than later in the back office helps strengthen the healthcare value chain and improves the patient care experience. Sports Recreation Center http://www.microsoft.com/casestudies/Windows-8-Pro/Sports-Reaction-Center/Therapy-Center-Gains-15-Hours-a-Week-in-Higher-Productivity-from-Windows-8-Pro-Devices/710000003169 Organization size 9 employees Organization profile Sports Reaction Center is a physical therapy clinic in Bellevue, Washington, specializing in sports injury management. It has a 30-year history of helping athletes with injury prevention and recovery. Business situation Therapists still took notes on paper when meeting with patients, since it afforded them a greater level of intimacy than having a big computer screen between them and patients. But therapists spent hours a day transcribing their handwritten notes into the patient management system, usually at night during off-hours. If the business owner and office manager wanted to work on a document from home, they either had to email the document to themselves or drive back into the office to put it on a thumb drive. Data security was always a concern, with patient records moving between paper, electronic systems, and portable devices. Solution Sports Reaction Center deployed four Lenovo ThinkPad Twist Ultrabooks running the Windows 8 Pro operating system. Physical therapists take the convertible laptop-tablet computers into exam rooms with them and record notes electronically, eliminating the need for later transcription. Benefits Improved efficiency Improved productivity Improved work-life balance More time to spend with patients and to develop new services/gain competitive advantage Hardware Lenovo ThinkPad Twist Ultrabooks Software and services Windows 8 Pro Microsoft Office Professional Plus 2013 Industry Health Provider Country/Region United States Language English Partner Lenovo
  17. And our last component, agility. The ability to deploy compute, network, and storage on-premises, in a public cloud, or with a service provider gives your health IT team the agility and productivity required to deliver on your business requests faster. When we talk about agility in connection to the modern datacenter, there are three primary components: A datacenter without boundaries—thinking beyond the four walls of the traditional datacenter and optimizing public cloud as well as service provider capabilities. Using cloud innovation everywhere (not just public or service providers)—automation and pooling resources are key tenants of this component. Dynamic application delivery. This is where true agility shines on the intelligent infrastructure – where you can rapidly and dynamically deliver applications to the business, reducing cost and time to implement solutions.
  18. Today’s datacenters Don’t enable IT teams to respond swiftly to business needs. Must ensure security, privacy, and compliance as core tenants, which is no simple task. Still have traditional infrastructure in place, something technologists don’t want to change, which, of course, goes back IT’s inability to satisfy business needs. The multiple tools, platforms, and diverse applications all increase complexity, adding operational cost to continuing in the current model. Require IT teams to spend enormous amounts of time just keeping the lights on (manual daily tasks and traditional datacenter work). _______________________ By transforming today’s datacenters into a modern datacenters, health organizations can gain the agility needed to create a more interconnected, accountable outcomes-based health model. (What’s needed is an intelligent infrastructure.) _______________________ When you think about moving to a hybrid cloud model, there are three things that you really have to have in order to make hybrid work.   First of all, you need cloud options on demand. You need to be able to extend to the cloud when it makes sense for your organization. Today, your datacenter is configured to meet the specific needs of your business, right? Your cloud solution should meet that same standard. Think about consistency across clouds, management of heterogeneous resources, and workload mobility.   Next, you need to reduce cost and complexity. There’s a common misperception that moving to hybrid cloud is going to increase the burden on IT, but it’s really just the opposite. You can put a private cloud in place on existing infrastructure and gain a level of automation and agility not experienced in the past.   Third—and most importantly—you have to be able to deliver rapid responses to the business. Transforming the datacenter has to make you faster. So whatever resources you add or changes you make, that’s the standard—has it enabled IT to deliver services more rapidly? _______________________ What does Microsoft offer?   Microsoft enables you to have a Datacenter without boundaries, which means that you have the ability to go beyond the resources you have on-premises. You can easily access cloud resources when it makes the most sense for your organization: For new applications or websites that require global scale in a snap. For infrastructure that needs to scale at a moment’s notice to meet the most demanding business requirements. For storage, back-up, and recovery at reduced cost. You get a consistent experience across datacenter and cloud deployments, so you can leverage existing skills when taking advantage of the new hybrid model. Expanding your options for hybrid cloud, as we recently announced, you can now take advantage of Windows Azure Infrastructure Services using the same virtual machine format as Windows Server. Then you want to be able to take advantage of Cloud innovation everywhere. At Microsoft, we work with massive scale deployments every day, both internally and with some of the largest companies on the planet. As we learn from those deployments, we bring them back to you in all of our products, both in the datacenter, like Windows Server, or in the cloud, like Windows Azure. This deep expertise with enterprise datacenter that combine with real-world knowledge and experience from cloud deployments is pretty unique in the industry. Our Global Foundation Services organization supports more than one billion customers and 20+ million businesses running on Microsoft Cloud Services in 76 markets worldwide. Building on this cloud experience, we are continuing to bring you innovative new offerings—especially in storage, networking, and identity.   And then, really the most important piece of all, Dynamic application delivery. The goal of creating all this infrastructure is to make you faster and more agile when responding to the business needs. That means you need to master automation, using it to get routine tasks out of your way. Microsoft lets you provision, deploy, monitor, and manage everything—applications and infrastructure—from a consistent platform across clouds, so that you can provide the best possible service to your health organization. _________________________
  19. EmblemHealth increased agility by taking advantage of the Windows Azure public cloud (with its HIPAA BAA compliance) to extend the reach and accessibility of patient information stored on private cloud infrastructure to mobile health apps via Windows Azure. They didn’t need to set up a infrastructure portal. Instead, they used Windows Azure as the portal (not the location) for PII. http://www.microsoft.com/health/en-us/blog/Pages/post.aspx?postID=82&aID=7 Organization profile Insurance company EmblemHealth offers the HIP Health Plan of NY and GHI (Group Health Incorporated) to 2.9 million people in New York, New Jersey and Connecticut. Business situation EmblemHealth was determined to quickly develop and deploy user-friendly mobile health apps without having to build new infrastructure and go back to the development drawing board for each new app. They needed a single platform to support a growing and evolving portfolio of health apps. And, they needed a platform that would enable them to build each app once and deploy it anyplace, anytime, across many devices and many screens. Solution Use the cloud to host public health data (such as providers’ locations), EmblemHealth can develop mobile applications for a myriad of devices, and deliver the data to users’ devices in real time. For example, EmblemHealth supported the development of a flu shot finder application earlier this year which provides NYC residents with information about where one can get a flu shot. The information resides in a database on Windows Azure, and the mobile application pulls the relevant information and syncs with the GPS system on a Windows Phone 7 device to give users detailed walking/driving directions to their preferred flu shot location. The company aims to make apps available on all platforms, including Android, BlackBerry and Apple iOS. Benefits Make more general health data available Effectively address authentication Quickly develop and deploy user-friendly mobile health apps Hardware Windows Phone Software and services Windows Azure SQL Azure Microsoft Office Professional Plus 2013 Industry Health Insurance Provider Country/Region United States Language English
  20. As you transform your datacenter, you’ll put in place the four pillars we’ve discussed today: Unified management Security, privacy, and compliance People-centric IT Agility Here are a few reasons I’d like you to consider the Microsoft platform to transform your datacenter into a modern datacenter, putting an intelligent infrastructure in place to support the needs/demands of your health organization. Microsoft is one of three companies in the world that runs a cloud as large as Azure (over 1,000,000 servers) all on Hyper-V (our infrastructure is battle-tested). Microsoft’s continued focus on and commitment to security, compliance, and privacy ensures the trust value chain with our health customers like you is strong (more information at Microsoft Security Intelligence Report published twice a year). Microsoft is the only company today that combines on-premises, public cloud, and service provider infrastructures as a single platform.