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Moving Healthcare Applications to the Cloud
Important Considerations

EXPERIENCE. INNOVATION.
© 2013 Velocity Technology Solutions, Inc.
About The Speakers
Jim Archer
Jim has many years of executive leadership experience in identifying technology
and staffing solutions that run mission-critical applications for hospitals. He has
assisted hospitals through a transformation process that aligns technology and
application platforms with the hospital’s overall strategic plan.
Brian Symonds
Brian is a partner at TrustPoint Solutions, an advisory and consulting firm
focused on the technology and operational needs of healthcare provider IT
organizations. Over the last several years, Brian has led healthcare clients
through major transformations relative to IT infrastructure and technology
management as both consultant and interim CTO.

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

2
First, a Level Set on Cloud
Cloud definitions vary.
According to Gartner:
“Cloud computing is a style of
computing where scalable and elastic
IT-related capabilities are provided
‘as a service’ to external customers
using Internet Technologies.”

Cloud Attributes
Service Based
Scalable & Elastic
Shared
Metered by Use
Internet Technologies
Source: Gartner

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

4
Cloud Models
Private

Hybrid

Public

• Private: where
service access is
limited or the
customer has some
control/ ownership
of the service
implementation,
e.g., built by
enterprise IT
• Virtual private:
same as “private”
but replace
“enterprise IT” with
“third-party
provider”

• Policy-based and
coordinated service
provisioning, use
and management
across a mixture of
internal and
external cloud
services.

• When the customer
does not see the
implementation
behind the
boundary, and the
provider doesn’t
care who the
customer is, you
have a public cloud.

Source: Gartner, including http://blogs.gartner.com/thomas_bittman/2010/05/18/clarifying-private-cloud-computing/

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

5
Benefits of Cloud Computing in Healthcare
Growth no longer restricted by “physical” infrastructure
Decrease critical project timelines (e.g. EHR, ICD-10)
Scalability, add additional users and applications quickly
Greater control over costs: opex vs. capex
Minimize operational errors that impact system availability
Reduce resources needed for steady state operations

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

6
Common Uses of Cloud in Healthcare
• Downtime recovery processes
• Email
• Medical image archiving
• Medical record systems
• Personal health records
• Information sharing from outside sources (Medicare,
HIEs)
• Enterprise content storage

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

7
Risks to Manage When Moving to the Cloud
• Security
• Compliance (HIPAA)
• Management of users
• Deployment of infrastructure
• Level of management required
• Service levels
• Downtime recovery
• Appropriate application deployment

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

8
Advice from Healthcare Companies Using Cloud:

How to Evaluate Cloud Computing Solutions
Application expertise and support
Reliability, resiliency, future-proofing
Patient information security methods
HIPAA, regulatory compliance
Recovery downtime procedures

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

9
Hospital Case Study: Problem/Challenge

• Turnover - high level resources
• Lack of back up and recovery procedures
• Imminent hardware and technical refreshes
• Mandate to reduce operating costs

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

10
Results
» Identified $825,000 in cost savings in the first year

✚
» Reduction in Oracle licenses, maintenance, and no-cost version
upgrades

✚

» Approximately first year savings of $370,000 OPEX plus $250,000
CAPEX in savings from not having to do a hardware refresh

✚

» Ongoing net savings after first year realized at $450,000

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

11
Velocity’s Approach to Ensuring Customers
Realize the Benefits of Cloud
Private Cloud Model

Secure, stable, high performance, dynamic

Unique Intellectual Property

greater transparency and control

Building-Block Architecture

optimized for applications, easily adapted

Economies of Scope, Scale

reduced cost and higher levels of service

Fully-Managed

frees IT to focus on customer service

Customer Experience Lifecycle

adapts service as customer needs change

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

12
Velocity Contacts
Jim Archer
Vice President of Healthcare Solutions
Velocity Technology Solutions, Inc.
jim.archer@velocity.cc
678-427-2142
Brian Symonds
Partner
TrustPoint Solutions
bsymonds@trustpointsolutions.com
678-794-7810

866-638-2779 | velocity.cc

EXPERIENCE. INNOVATION.

Velocity Proprietary and Confidential

13

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Moving healthcare applications to the cloud

  • 1. Moving Healthcare Applications to the Cloud Important Considerations EXPERIENCE. INNOVATION. © 2013 Velocity Technology Solutions, Inc.
  • 2. About The Speakers Jim Archer Jim has many years of executive leadership experience in identifying technology and staffing solutions that run mission-critical applications for hospitals. He has assisted hospitals through a transformation process that aligns technology and application platforms with the hospital’s overall strategic plan. Brian Symonds Brian is a partner at TrustPoint Solutions, an advisory and consulting firm focused on the technology and operational needs of healthcare provider IT organizations. Over the last several years, Brian has led healthcare clients through major transformations relative to IT infrastructure and technology management as both consultant and interim CTO. EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 2
  • 3. First, a Level Set on Cloud Cloud definitions vary. According to Gartner: “Cloud computing is a style of computing where scalable and elastic IT-related capabilities are provided ‘as a service’ to external customers using Internet Technologies.” Cloud Attributes Service Based Scalable & Elastic Shared Metered by Use Internet Technologies Source: Gartner EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 4
  • 4. Cloud Models Private Hybrid Public • Private: where service access is limited or the customer has some control/ ownership of the service implementation, e.g., built by enterprise IT • Virtual private: same as “private” but replace “enterprise IT” with “third-party provider” • Policy-based and coordinated service provisioning, use and management across a mixture of internal and external cloud services. • When the customer does not see the implementation behind the boundary, and the provider doesn’t care who the customer is, you have a public cloud. Source: Gartner, including http://blogs.gartner.com/thomas_bittman/2010/05/18/clarifying-private-cloud-computing/ EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 5
  • 5. Benefits of Cloud Computing in Healthcare Growth no longer restricted by “physical” infrastructure Decrease critical project timelines (e.g. EHR, ICD-10) Scalability, add additional users and applications quickly Greater control over costs: opex vs. capex Minimize operational errors that impact system availability Reduce resources needed for steady state operations EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 6
  • 6. Common Uses of Cloud in Healthcare • Downtime recovery processes • Email • Medical image archiving • Medical record systems • Personal health records • Information sharing from outside sources (Medicare, HIEs) • Enterprise content storage EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 7
  • 7. Risks to Manage When Moving to the Cloud • Security • Compliance (HIPAA) • Management of users • Deployment of infrastructure • Level of management required • Service levels • Downtime recovery • Appropriate application deployment EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 8
  • 8. Advice from Healthcare Companies Using Cloud: How to Evaluate Cloud Computing Solutions Application expertise and support Reliability, resiliency, future-proofing Patient information security methods HIPAA, regulatory compliance Recovery downtime procedures EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 9
  • 9. Hospital Case Study: Problem/Challenge • Turnover - high level resources • Lack of back up and recovery procedures • Imminent hardware and technical refreshes • Mandate to reduce operating costs EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 10
  • 10. Results » Identified $825,000 in cost savings in the first year ✚ » Reduction in Oracle licenses, maintenance, and no-cost version upgrades ✚ » Approximately first year savings of $370,000 OPEX plus $250,000 CAPEX in savings from not having to do a hardware refresh ✚ » Ongoing net savings after first year realized at $450,000 EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 11
  • 11. Velocity’s Approach to Ensuring Customers Realize the Benefits of Cloud Private Cloud Model Secure, stable, high performance, dynamic Unique Intellectual Property greater transparency and control Building-Block Architecture optimized for applications, easily adapted Economies of Scope, Scale reduced cost and higher levels of service Fully-Managed frees IT to focus on customer service Customer Experience Lifecycle adapts service as customer needs change EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 12
  • 12. Velocity Contacts Jim Archer Vice President of Healthcare Solutions Velocity Technology Solutions, Inc. jim.archer@velocity.cc 678-427-2142 Brian Symonds Partner TrustPoint Solutions bsymonds@trustpointsolutions.com 678-794-7810 866-638-2779 | velocity.cc EXPERIENCE. INNOVATION. Velocity Proprietary and Confidential 13