1. 2/23/2010
ASP ASAP
Dr. Richard Swafford
Chief Information Officer
Community Clinics Health Network (CCHN)
Overview/Agenda
• What is an ASP?
• y
Why Should I Host?
• What Can I Expect if I Host?
• Financial and Operational
Considerations
• Final Thoughts
g
• Summary
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2. 2/23/2010
What is an ASP?
• Application Service Provider (ASP)
• Centralization
• Application Support
• System Support
• Backups/Disaster Planning
What is an ASP?
• ASP versus Hosting
• Similar in Terms of Support
• Licensing Differences
• Cost Differences
• Other Services
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3. 2/23/2010
What is an ASP?
• Hosting/ASP Examples
• Most PM/EMR Vendors
• Private Agencies
• Health Networks
• Co‐Location Facilities
Why Should I Host?
• Advantages to a Hosted Service
• Focus on Core Business
• Reduce Internal IT Workload
• Backups and Redundancy
• Data Center Considerations
• Cost
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4. 2/23/2010
Why Should I Host?
• Disadvantages to a Hosted Service
• Data Outside of Clinic Walls
• Interruption in Service
• Capacity of the Provider
• Cost Could be a Factor
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5. 2/23/2010
What Can I Expect If I Host?
• Support and Maintenance
• Redundancy
• Fault Tolerance
• Backups
• Hardware Failure Procedures
• Change Management
What Can I Expect If I Host?
• Security
• Physical Security
• Access Security
• Communication Security
Changes will Occur in Your Current Processes
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6. 2/23/2010
What Can I Expect If I Host?
• Connectivity
• WAN Considerations
• Multi‐Site vs Single Site
• Who is Responsible for Service?
• Outages
What Can I Expect If I Host?
• Upgrades and Enhancement
• Version Control
• Single versus Multiple Database
• Terminal Services and Versions
• System Changes/Customization
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7. 2/23/2010
What Can I Expect If I Host?
• Termination of Services
• Who Owns the Licenses
• System Access After Termination
• System Transfers
• Contract Language
What Can I Expect If I Host?
• Fees
• Hosting Fees
• Upgrade/Maintenance Fees
• Project Fees
• Other Fees
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8. 2/23/2010
Financial and Operations Considerations
• Financial Considerations
• Break‐Even Analysis
y
• Typically 3 Years
• Potential Reduction in Staff
• Increased Cost of Connectivity
• Growth
Financial and Operations Considerations
• Operational Considerations
• Training Differences
• Trouble Calls
• Contingency Planning
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9. 2/23/2010
Final Thoughts
• ASP/Hosting can save the organization
money; however, one must understand the
downsides.
• Check out your provider before entering
into a contract.
• Ensure contract language protects the
organization.
i i
• Connectivity is King!
Summary
• What is an ASP?
• Why Should I Host?
• What Can I Expect if I Host?
• Financial and Operational
Considerations
• Final Thoughts
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10. 2/23/2010
Dr. Richard Swafford, PhD
Chief Information Officer
800‐640‐1662 x 311 or 619‐542‐4311
800 640 1662 x 311 or 619 542 4311
rswafford@ccc‐sd.org
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