cloud computing in health care.pptx
- 2. Current Market Dynamics Market Dynamics 1. Escalation of consumerism 2. Impact of healthcare regulation and restructuring of financial risks 3. Influence of digitalization 4. Focus on preventive healthcare 5. for medical practice and healthcare delivery transformation Impact • Traditional healthcare mechanisms augmented with digital options • Increased technology investment to accelerate healthcare digitization • Shifting of roles played by incumbent healthcare actors Growing importance of data integration & comparative analysis • Accrual of medical knowledge & practice improvement accelerated • New business models for lower cost and better efficiency
- 3. Benefits of Cloud Computing for Healthcare Economic Operational Functional
- 4. Economic • Cost flexibility • OPEX vs. CAPEX • Reduced IT resource expenses
- 5. Operational Increased scalability Improved security & privacy CSPs employ expert professional staff
- 6. Functional • Enhanced interoperability & integration • More easily share information • Rapid development & innovation • Support for mobile & IoT devices • Sophisticated analytic capabilities
- 7. High Value Cloud Computing Services for Healthcare Population Health Management Care Management Support Diagnostic Support Image Handling Service Medical Practitioner Assistance Patient Connectivity Data Distribution Services Laboratory Services Clinical Research
- 8. Considerations for Leveraging Cloud Computing for Healthcare Technical Area Considerations of Cloud Computing Privacy & Security Strong cloud service agreements (CSA) must be established Awareness of where & how ePHI is moved, handled & stored Ability to track creation, modification and deletion of ePHI Use of third-party authentication highly recommended Background screenings for CSP personnel who “touch” ePHI Regulation & Compliance Healthcare entity responsible for compliance Require CSP to contractually agree to maintain all ePHI in adherence with government standards and regulations Request CSP certifications (HIPAA, ISO/IEC 27001, etc. Service Reliability KPIs for reliability/performance must be defined & monitored Disaster recovery & change management is critical Integration, Interoperability, Portability Standard healthcare interfaces and data models facilitates migration to different CSPs Ensure compatible business and operational processes & smooth integration with existing enterprise systems Standards Understand available standards and CSP adherence Critical standards that impact healthcare include Continua Health Alliance, ISO TC 215, ISO/IEE 11073, HL7, HIMSS, HITSP
- 9. Guidance for Leveraging Cloud Computing in Healthcare Prescriptive series of steps customers should take to ensure successful deployment of cloud-based healthcare solutions 7 Steps to Ensure Successful Deployment 1. Build the business case for cloud computing 2. Prioritize specific cloud- based healthcare solutions 3. Determine cloud deployment & service models 4. Address security and privacy requirements 5. Integrate with existing enterprise systems 6. Negotiate CSAs and monitor KPIs 7. Manage the cloud environment
- 10. Step 1: Build the business case for cloud computing Considerations Automate management Orchestrate virtual assets Provide ‘built in’ local/global disaster protection Deliver real- time business intelligence Enable IoT augmented patient care Leverage Big Data analytics & cognitive assistance for medical professionals Economies of scale Flexible payment models Recommendations • Complete an application / workload assessment study • ID services that can be migrated to cloud • Determine which applications can be replaced with available cloud services • ID entirely new capabilities that can be provided by cloud services • Barriers of entry to cloud-based healthcare services have disappeared • Prevalence of SaaS offerings & improved CSAs now available Ensure best service category & deployment model selected to fit business objectives • Network connectivity & security are critical dependencies
- 11. Step 2: Prioritize specific cloud-based healthcare solutions Develop a Strategy • Avoid platform bias Avoid • Understand your current state Understand • Define your future state Define • Select cloud service provider(s) Select • Plan a phased approach Plan • Establish a proof of concept Establish • Scale to production Scale Cloud Drivers / Use Cases • IT cost reduction • Connected healthcare • Big Data Analytics Telemedicine • IoT enabled healthcare • Diagnostics support • DevOps • Disaster Recovery as a Service • Backup as a Service
- 12. Step 3: Determine cloud deployment & service models Deployment Model Considerations Security Data classification Business model Target operating model Application architecture Cost Performance Service Model Considerations • Depends mainly on existing in-house solutions and IT skills • SaaS preferred when in-house healthcare service does not exist, and IT skills limited • PaaS is a good option when in-house IT skills available - acquire new healthcare services & enhance services to satisfy unique requirements • IaaS most cost-effective alternative when HCO looking for additional storage and compute capacity to support existing inhouse healthcare solutions
- 13. Step 4: Address security & privacy requirements • Security is shard responsibility between cloud customers and cloud service provider (NIST 800-160, CSA, ISO/IEC 27017, ISO/IEC 27018) • Understand regulations that govern the privacy and security of healthcare data (HIPAA and GDPR) • Physical, administrative, and technical safeguards must be addressed in cloud environment (Mobile / IoT devices pose challenges, Encryption and two-factor authentication are key technical safeguards) • Do not collect ePHI unnecessarily • Do not allow ePHI to spread to systems where it’s not required • Securely dispose of ePHI when it is no longer needed
- 14. Step 5: Integrate with existing enterprise systems Integration Requirements HYBRID CLOUD COMPUTING IDENTITY & ACCESS MANAGEMENT IT ADMINISTRATION & MANAGEMENT MEDICAL DEVICE IOT § ADVANCED ANALYTICS TELEMEDICINE STANDARDS CONFORMANCE AUDIT, COMPLIANCE & OPERATIONAL INTELLIGENCE MIDDLEWARE
- 15. Step 6: Negotiate cloud service agreements & monitor KPIs Considerations Understand business level performance objectives Identify metrics critical to achieving objectives Ensure metrics are defined at the right level of granularity that can be monitored on continuous basis Identify standards that provide consistency in metric definitions and methods of collection Analyze and leverage the metrics on an ongoing basis as a tool for influencing business decisions Understand service responsibility line Potential KPIs • Patient satisfaction KPIs: patient wait times, examining room usage, bed and room turnover, claim processing time • Operational effectiveness KPIs: new streams of info provide better visibility into inpatient flow, revenue cycles and patient feedback loops • Wearable device KPIs: time taken to react to out-of-normal measurements • Social media KPIs: track positive & negative media mentions and consumer sentiment as they relate to public health issues • Measure how quick to respond to sentiment through communication channels
- 16. Step 7: Manage the environment Focus Areas Management of electronic health records (including sharing) Automation of internet connected devices with real time data (IoT) Field devices including physician / nurse tablets for capturing & displaying data Management of intelligent cognitive assistants (physician assistant) Systems maintenance
- 17. Thank you