Removing Barriers from Migrating to the Hybrid Cloud 32, February 20, 2017 Jan Bates, Systems Operations Director, UK Healthcare Mark Seale, AVP IT

Transcription

1 Removing Barriers from Migrating to the Hybrid Cloud 32, February 20, 2017 Jan Bates, Systems Operations Director, UK Healthcare Mark Seale, AVP IT Operations, FirstCare Health Plans Kate McCarthy, Senior Analyst, Forrester 1

2 Speaker Introduction Jan Bates Systems Operations Director UK Healthcare Add Speaker Photo Here 2

3 Speaker Introduction Mark Seale AVP IT Operations FirstCare Health Plans Add Speaker Photo Here 3

4 Facilitator Introduction Kate McCarthy Senior Analyst Forrester Add Speaker Photo Here 4

5 Conflict of Interest Have no real or apparent conflicts of interest to report. 5

6 Agenda Cloud trends Current environment at UK Healthcare Current environment at FirstCare Health Plans Panel Discussion Open Q&A 6

7 Learning Objectives Contrast various cloud models and network connectivity options that remove barriers for migrating applications to the cloud Identify barriers and differentiate between options that would mitigate barriers to the cloud Facilitate sharing between audience members around concerns and benefits 7

8 An Introduction of How Benefits Were Realized for the Value of Health IT E: 77% of hospitals, biotech firms, pharmaceuticals and insurance providers are seeking partners and assistance to help them maintain a high infrastructure reliability 1. S: The costs of expanding on-premise storage is already unsustainable with predicted 25,000 petabytes of digital medical data by

9 Infrastructure Delivery Model From a data standpoint, we have an internal hot site. Any cloud hosted apps we have must be SSAE compliant. VP of IT at NJ hospital system CURRENT MODEL FUTURE MODEL In-house (production) In-house (test/dev) In-house (DR) Colo (DR) Colo (production) Colo (test/dev) IaaS (production) IaaS (dev/test) IaaS (DR) SaaS (admin & corp) SaaS (ancillary) SaaS (mobility) 80% SaaS (revenue cycle mgmt.) SaaS (core care delivery) Do not subscribe to SaaS 68% 54% 46% 45% 44% 33% 23% 22% 18% 16% 27% 26% 24% 21% 9% 14% 12% 7% 6% 7% 5% 5% 4% 4% 5% 2% 3% 4% 5% 4% 7% 3% 3% 8% 7% 9% 6% 11% 7% 4% 2% 8% 14% 16% 9% 15% 9% 15% 20% 7% 27% 24% 21% 35% 16% 30% 20% 34% 19% 30% 20% 35% 24% 21% 22% 31% 20% 16% 45% 6 months 12 months 24 months Q4/Q11 Please select which of the following describe(s) your CURRENT/FUTURE technology infrastructure delivery model. Select all that apply. Base n= 157 9

10 Seeing a shift in outsourcing to Cloud Heavy development to extend internally built EHR. Leverage cloud more for development, archival etc. VP of IT at TN senior living facilities 2014 vs Technology Infrastructure 82% 80% 74% 68% 55% 54% 37% 46% 32% 33% 24% 23% 19% 22% 18% 15% 16% 10% In-house (production) In-house (dev/test) In-house (DR) Colo (DR) Colo (production) Colo (test/dev) IaaS (production) IaaS (test/dev) IaaS (DR) Q4 Please select which of the following describe(s) your CURRENT technology infrastructure delivery model. Select all that apply Base n = Base n = 149

11 Cloud Applications APPLICATIONS CURRENTLY IN THE CLOUD APPLICATIONS PLANNING TO MOVE TO THE CLOUD IN FUTURE QCloud3 What are the top specific applications that you have in the cloud today? Please enter at least one application. QCloud4 What specific applications or workloads are you planning to send to the cloud in the next 12 months? Please enter at least one application or workload. 11

12 UK Healthcare current environment LTCH Self Hosted on campus data center 400 physical servers 1363 virtual servers 1365 TB storage LTCA Self Hosted on campus data center 230 physical servers 1335 virtual servers 1685 TB storage 4 x 10Gbps In-house Fiber 20 x 10Gbps In-house Fiber Data Center Aggregation 2 x 10Gbps DWDM (Dark Fiber) Resiliency with SAN Replication and High Availability Server Failover. Makes network stronger and more resilient to normal failures that result in unplanned downtime. LTC1 Co-location data center Self supported infrastructure 100 physical servers 497 virtual servers 974 TB storage 12

13 Cloud Ready Application Criteria Number of Users (Higher # = Larger Risk, Best if >500) Deployment Timeline (over a year: 1, 6 mon to a year: 2, less than 6 mon: 3) Ability to get BAA Signed with Cloud Provider (Scalability/Flexibility needed, Could be a deal breaker) Flexible Contract Terms? (1 for Flexible, 0 for not) Hardware Lifecycle is Typically 5 years Application Tier (Tier 3 or 4 application: 3, Tier 2: 2, Tier 1: 1) PHI related application (no PHI or scrubbed data: 1, PHI: 0) What goal are you trying to achieve by moving an application or workload to the cloud? Manage costs, time to market, efficiency, supplement skills 13

14 100Mbp MPLS FirstCare Health Plan s current environment Austin Corporate Office Self Hosted Data Center 250 VM 10 Physical Servers 35 TB Data Hosted VoIP 250 Users 1Gbp MPLS Backup VPN BGP MPLS BGP DR Data Center Shared Data Center 275 VM 10 Physical Servers 35 TB Data Lubbock Call Center and Provider Relations 10 VM Self Hosted Contact Center Hosted VoIP 120 Users Abilene Small office 2 VM 10 Users VoIP connected Amarillo Small office 2 VM 10 Users VoIP connected Customer / Project: FirstCare MPLS Network Only 14

15 A Summary of How Benefits Were Realized for the Value of Health IT E: 77% of hospitals, biotech firms, pharmaceuticals and insurance providers are seeking partners and assistance to help them maintain a high infrastructure reliability 1. S: The costs of expanding on-premise storage is already unsustainable with predicted 25,000 petabytes of digital medical data by and looking at cloud models as alternative 15

16 Questions Please remember to complete the online session evaluation! Thank you for the gift of your time today! Jan Bates, UK Healthcare Kate McCarthy, Mark Seale, FirstCare Health Plans 16