The Data Center is Dead Long Live the Virtual Data Center Hector Rodriguez, MBA Microsoft WW Health Chief Industry Security Officer September 12, 2018
Enterprise Data Centers are Vanishing Enterprise data centers will vanish over the next seven years Cloud data center traffic will represent 95% of total date center traffic by 20 2 2018 HITRUST Alliance
Virtual Data Centers are Anywhere & Everywhere Analyst Perspective - Gartner planning assumption: By 2025, 80% of enterprises will have shut down their traditional data center, versus 10% today. The new CIO perspective - My data center is everywhere and anywhere I need compute capability to enable my business https://blogs.gartner.com/david_cappuccio/2018/07/26/the-data-center-is-dead/ 3 2018 HITRUST Alliance
Moving to the Cloud is Inevitable By 2020, 80% of healthcare data will pass through the cloud at some point in its lifetime as providers seek to leverage cloud-based technologies and infrastructure for data collection, aggregation, analytics and decisionmaking By 2020 clouds will stop being referred to as public and private. It will simply be the way business is done and IT is provisioned. If you re resisting the cloud because of security concerns, you re running out of excuses. 4 2018 HITRUST Alliance
And Mission Critical to Business Transformation Scale processing, productivity, expertise, reach and teamwork Reduce capex and opex Enable agility and innovation 71% of strategic buyers cite scalability, cost and business agility as the most important drivers for using cloud services. Gigaom Research Enable transformation of care delivery and population health 5 2018 HITRUST Alliance
What is a Virtual Data Center? 6 2018 HITRUST Alliance
Modern Terminology Software Defined X Software Defined Data Center (SDDC) also known as Virtual Data Center (VDC) is an architecture/design that extends virtualization concepts such as abstraction, pooling, and automation to all data center resources and services to achieve IT as a service Software Defined Network (SDN) different network technologies that make the network more flexible, agile, and manageable to support the virtualized infrastructure of the modern data center Software Defined Storage (SDS) decouples storage software from the underlying storage devices using a virtualized software management layer that operates above the storage hardware SDDC/VDC design includes use of private, public, and hybrid clouds 7 2018 HITRUST Alliance
What is the End-state in Healthcare? 8 2018 HITRUST Alliance
The Hybrid Virtual Data Center Public Hyper-Scale Datacenter Global: Hyper-scale, globally connected cloud services deployed from regional Microsoft datacenters. Local datacenters enable customers to address local data residency requirements. Sovereign: Hyper-scale cloud services, isolated from global cloud services. Deployed from local datacenters to meet unique requirements of specific markets. CO-LO Datacenter Cloud services deployed on dedicated resources, hosted or operated by a partner. Provides integrated or industryspecific service offerings. Customer Datacenter Deployed on customerdedicated resources with Microsoft products and technologies. Benefit from cloud experiences on your own premises. Public Hybrid Hosted Private 9 2018 HITRUST Alliance
End State: The Hybrid Virtual Data Center Cloud Technology SaaS adoption Perimeter of a Modern Enterprise Platform as a Service Infrastructure as a Service Internet of Things 1 st class mobile experience 10 2018 HITRUST Alliance
The Hybrid Patient Experience & Journey Use portal or apps to schedule an appointment or receive guidance Experience symptoms? Choose physician, if needed, based on evaluations Report symptoms Receive lab orders Visit the physician in person or remotely Schedule appointment with lab Chat with physician or nurse about symptoms Schedule an appointment by self or with assistance Visit lab for tests Schedule appointments with care team members Receive treatment plan Chat or meet with physician or nurse about results Visit pharmacy for prescriptions Meet with care team members, as needed Treat issues Chat or meet with physician to discuss progress Discuss satisfaction with others Access history, lab results, insurance claims Obtain prescription refills Receive reminders for follow-up care Seeking health information online Choosing a physician or facility for treatment Remote interactions with physician and clinicians Digital Hotspots Appointment scheduling Accessing electronic health records (EHR) Sharing EHR /EMR with other physicians Digitally receiving prescriptions Interactions with other care team members Filling, refilling and approving refills for prescriptions Reporting satisfaction Ongoing patient care and patient reminders
Now, Imagine If You Had Virtual and Agile Data Center Resources 12 2018 HITRUST Alliance
Imagine If John Lennon Water Color Portriat by V-IMAgine-L, Called Imagine
Imagine If Imagine if your patients can reach their care providers, receive guidance and treatment when needed, access records and information, have an improved experience during office and inpatient visits, and receive ongoing personalized support for their treatment.
Solution Storyboard Engage Your Patients Support patient self-care, streamline access to care providers and medical records, create a better patient experience, and improve treatment Patient records Devices & Data Support self care and streamlined access to providers Healthy and satisfied patient Respond quickly to provide support and customized plans Demographics Care Plans PHR Clinician Activities Wearables & Devices Microsoft Band Conditions Collecting and interacting with personal health record using wearable devices Patient Patient information educated the patients for preventive care and selfcare Social Care Collaborate Support patient groups Family Informed and involved in care decision process Knowledgeable Engaged Healthy Empowered Top-line Impact: Patients will feel in control of their condition and will be supported by the professional health facility through services that are transformed around the patient-owned and controlled record Benefits Start Stop Continue Fewer hospital admissions Reduced length of stay Fewer admissions to care homes Decreased burden on health and social care Patient and their families more knowledgeable and engaged in care Better health intelligence based on analytics generated from personal data Relying on new technologies such as PHR, wearable devices and predictive analytics Providing patients with greater access to their Personal health information Encourage patients towards self-care by providing knowledge and best practices Engaging customers across multiple channels Worrying about the safety and security of patient-held and generated data Managing patient conditions for the patient rather than getting the patient to manage themselves Resorting to high cost medical or social care interventions before exhausting patient self-care solutions High-acuity and emergency care Focusing on the elderly and vulnerable who are unable to self-care Apply medical/professional knowledge supported by data analytics. Increasing the involvement of patient and families participation in care decision making
Imagine If Imagine if you can easily access and record patient information from anywhere, remotely provide and coordinate care in real-time with other care team members, and streamline scheduling and administration
Solution Storyboard Empower Your Care Teams Improve patient interactions with providers, provider productivity, care co-ordination, information sharing and better decision making. Patient and providers connect Providers efficiently collaborate, share information, and treat patients Increased provider efficiency and treatment outcomes Patient Mobile data Data management Information Treatment Anytime, anywhere Collaboration Tools Capabilities Advanced Analytics 360 Patient View Scheduling Home care Telemedicine Services and information Treat patients Collaborate Improve outcomes Benefits Start Stop Continue Improved collaboration of the care team Improved responsiveness of providers Improved patient satisfaction and health Improved patient s ability to remotely interact with care providers Reduced cost of travel from patients and clinicians Improving the collaboration and communication of providers Sharing more information between providers Providing more complete patient data to physicians and clinicians Improving the decision making capabilities of physicians and clinicians Frustrating patients with unresponsive and inefficient care Inefficient workflows for serving patients Inefficiently allocating resources Struggling to gather data about patients and treatment options Storing data in silos and restricting its access to clinicians Supporting patient self-care Creating engaging relationships between providers and patients Addressing the productivity needs of physicians and clinicians in supporting the health of our community
Imagine If Imagine if providers can analyze the clinical, population health data located across disparate internal and external sources to identity disease patterns, predict outbreaks, determine medical best practice and detect claim fraud improving the overall clinical and operational efficiencies
Solution Storyboard Optimize Your Clinical and Operational Effectiveness Gather and analyse data from many sources to generate insight for improving the health of patients and the community. Gather data Internal Sources External sources Hospital records Patients devices Treatment Logs Medical Records Population Research Government Patient data Collaboration Tools Data Management Capabilities Advanced Analytics Analyze data and apply insights Health insights i Intelligence Answers Intervention Services and information Improve community health and provider success Reduce Health risk Increased reimbursements Improved Quality of care Fraud detection Improved community health Benefits Start Stop Continue Improve decision making by providers, payers, administrators, and policy makers Provide patients with insight and guidance in improving their health Identify promising treatments and interventions Proactive intervention to prevent hospitalization Gathering and analyzing data to support better insight and improve health outcomes Make insight available to players across the healthcare value chain Investigating more difficult health challenges for patients and the community Providing self service data analysis capabilities to clinicians Making decisions based on incomplete or inapplicable data Making decisions based on faulty analysis of data Struggling to demonstrate the outcomes of care Depending on the IT team for data retrieval and analysis Improving patient and community health Gathering information from many sources, including wearable devices Improving the understanding of the needs of patients and citizens
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