HIMSS Annual Conference Orlando, FL February 19, 2017 The AWS Cloud and Managing the Healthcare Data Tsunami Mark Johnston Director of Global Business Development Healthcare and Life Sciences Amazon Web Service hitcloudforum.com #HITCloud
Today s Agenda: Market context and a primer on AWS Managing healthcare data at scale Security and compliance
65% of Hospital CEOs see the transition from volume to value as their biggest financial challenge 2/3 More than two-thirds of IT budgets go toward keeping the lights on $2.1M Average cost of a cyberattack on a healthcare system
How This Affects You Value-based care requires data-driven decisionmaking but you don t have the necessary resources to implement Your traditional IT model lacks the agility you need to keep pace with new technology that can improve outcomes Insufficient security, compliance and availability can hamper your ability to compete and open the door to sophisticated, hard-toidentify attacks
Responding requires a new model Incorporate new technology into care delivery Manage your data intelligently Reduce risk
Enabling innovation across the ecosystem Providers Payers Patients Health Information Exchanges Healthcare data security Connected Health Precision medicine EHR Revenue Cycle Management Healthcare ERP
AWS is a global service built for scale and reliability 16 Regions 42 Availability Zones 68 Edge Loca6ons Region & Number of Availability Zones AWS GovCloud (2) EU Ireland (3) US West Frankfurt (2) Oregon (3) London (2) Northern California (3) Asia Pacific US East Singapore (2) N. Virginia (5), Ohio (3) Sydney (2), Tokyo (3), Seoul (2), Mumbai (2) Canada Central (2) China Beijing (2) South America São Paulo (3) Announced Regions Paris, Ningxia
The AWS PlaSorm Account Support Support Managed Services Professional Services Partner Ecosystem Marketplace Business Applica6ons DevOps Tools Business Intelligence Security Networking Database & Storage SaaS Subscrip6ons Opera6ng Systems Mgmt. Tools Monitoring Audi6ng Service Catalog Server Management Configura6on Tracking Op6miza6on Resource Templates Automa6on AnalyLcs Query Large Data Sets Elas6csearch Business Analy6cs Hadoop/ Spark Real-6me Data Streaming Orchestra6on Workflows Managed Search Managed ETL Dev Tools Private Git Repositories Con6nuous Delivery Build, Test, and Debug Deployment ArLficial Intelligence Voice & Text Chatbots Machine Learning Text-to- Speech Image Analysis IoT Rules Engine Local Compute and Sync Device Shadows Device Gateway Registry Mobile Build, Test, Monitor Apps Push No6fica6ons Build, Deploy, Manage APIs Device Tes6ng Iden6ty Enterprise ApplicaLons Document Sharing Email & Calendaring Hosted Desktops Applica6on Streaming Backup Game Development 3D Game Engine Mul6-player Backends Training & Cer6fica6on Solu6on Architects Account Management Security & Pricing Reports Technical Acct. Management MigraLon Hybrid ApplicaLon Services Security Database Storage Compute Networking Infrastructure Applica6on Discovery Data Integra6on Transcoding Iden6ty & Access Object Storage Virtual Machines Regions Applica6on Migra6on Integrated Networking Step Func6ons Archive Simple Servers Availability Zones Data Migra6on Iden6ty Federa6on Messaging Exabyte-scale Data Transport Web Applica6ons Points of Presence Database Migra6on Resource Management Block Storage Auto Scaling Server Migra6on VMware on AWS Aurora MySQL PostgreSQL Oracle SQL Server Isolated Resources Key Storage & Management Dedicated Connec6ons Ac6ve Directory Global CDN DDoS Protec6on Load Balancing Applica6on Analysis Managed File Storage Batch Scalable DNS Devices & Edge Systems Cer6ficate Management MariaDB Containers Web App. Firewall Data Warehousing Event-driven Compu6ng NoSQL
AWS Pace of Innovation AWS has been continually expanding its services to support virtually any cloud workload, and it now has more than 90 services that range from compute, storage, networking, database, analytics, application services, deployment, management, developer, mobile, Internet of Things (IoT), Artificial Intelligence (AI), security, hybrid and enterprise applications. AWS has launched a total of 1,017 new features and/or services year to date* - for a total of 2,913 new features and/or services since inception in 2006. 1,01 7 516 61 159 2010 2012 2014 2016 * As of 1 January 2017
AWS Positioned as a Leader in the Gartner Magic Quadrant for Cloud Infrastructure as a Service, Worldwide* AWS is positioned highest in execution and furthest in vision within the Leaders Quadrant *Gartner, Magic Quadrant for Cloud Infrastructure as a Service, Worldwide, Leong, Lydia, Petri, Gregor, Gill, Bob, Dorosh, Mike, August 32016 This graphic was published by Gartner, Inc. as part of a larger research document and should be evaluated in the context of the entire document. The Gartner document is available upon request from AWS : http://www.gartner.com/doc/reprints?id=1-2g2o5fc&ct=150519&st=sb Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.
Data is the new currency in healthcare
Analytics on AWS Act on information as it happens Capture, store, and gain insight from your data Unstructured data, structured data, streams Managed Big Data and Machine Learning Ecosystem Visualization Warehousing Short- and longterm storage Change Healthcare (formerly Emdeon) uses AWS for its revenue cycle management platform, sharing data on over 200 million customers with 5,000 hospitals and 60,000 pharmacies
Amazon Redshift Data warehousing for everyone Faster, simpler, less expensive Massively parallel, petabyte scale Fully managed $1000 per TB per year; 1/10 th traditional costs Use your existing integration and BI tools We were handed 25 million historical claims 3 months ago... we spun up thousands of machines and crunched this data in a matter of hours. Mackenzie Kosut Head of Technical Operations, Oscar Insurance
AWS for Storage Build for durability, scale, and flexibility Designed for 99.999999999% durability, and redundantly stored across multiple facilities and devices Durable Highly Scalable Flexible Efficient Fine-grained Access Control Ecosystem Philips HealthSuite Digital Platform is built on AWS, storing 19 PB of PHI using HIPAA-eligible storage services.
AWS for Storage Storage options for data throughout its lifecycle S3 Standard S3 Standard - Infrequent Access Amazon Glacier Active data Milliseconds Infrequently accessed data Milliseconds $0.0125/GB/mo Archive data 3-5 hours $0.007/GB/mo
Deploy however you like Fully Featured Compute Common Controls for Security & Access Resource & Deployment Management Your Datacenter Integrated Networking Data Integration & Life Cycle Management Amazon Web Services Flexible hybrid options
But what about security and compliance?
Strengthen your security posture Over 50 global compliance certifications and accreditations Security infrastructure built to satisfy military, global banks, and other high-sensitivity organizations Powerful native functionality and tools at little or no cost Benefit from AWS industry leading security teams 24/7, 365 days a year Leverage security enhancements gleaned from 1M+ customer experiences Healthcare institutions don t have the time and resources to devote to cybersecurity that an established cloud provider might have. Lee Kim Director, Privacy and Security, HIMSS North America
Access a deep set of cloud security tools Networking Encryption Virtual Private Cloud Web Application Firewall Key Management Service CloudHSM Server-side Encryption Identity Compliance IAM SAML Federation Active Directory Integration Service Catalog CloudTrail & Inspector Config
HIPAA-eligible Services HIPAA-eligible services for every application Business Associate Addendum available Compute Storage Database Managed Big Data Archiving Data Warehousing Networking
In closing
Get rid of time-consuming, expensive tasks Move from risk-laden up-front expense to flexible variable expense Stop guessing at capacity planning Remove complicated infrastructure management that adds little business value Go global in minutes
And focus on your core mission Lower the time spent on infrastructure Concentrate on new business initiatives Dedicate more resources to innovation The cloud can lower the operating cost, and actually allow us to focus on what we do well, which is taking care of patients. William H. Morris Associate CIO, Cleveland Clinic
Thank You https://aws.amazon.com/health/ mjj@amazon.com