Healthcare on Cloud

Varun Sood

Fortis Healthcare Limited

Fortis Healthcare: An Overview

A fast growing integrated healthcare delivery service provider,

incorporated in 1996, with a leadership position in India

“Patients first” culture with world class clinical capabilities

across various medical specialties

62 secondary, tertiary and quaternary healthcare facilities in

34 cities in India with a current total potential bed capacity of

over 9,500 beds

Leader in the organized diagnostics segment in India with 12

Reference Labs, > 230 network laboratories and a footprint

spanning over 4000 Collection points across 450 cities

International presence in Singapore, Dubai, Nepal, Sri Lanka,

Mauritius across multiple healthcare verticals

Presence across ~ 17 States~ 34 Cities

;

Our Hospital network in India

Our Purpose

Our Mission

Saving and Enriching Lives

Become a globally respected healthcare organization known for clinical excellence and distinctive patient care

App 1 App 2 App x

- Servers, Storage, etc.- Placed at one or more locations- One or more application per server

- In premise / Location/ Building LAN- Another location on extended LAN WAN- Internet

Desktop Laptop Other Devices

Users

Devices

Network

Application Software

Infrastructure

- Database Software- Application Server Software- Etc.

Server Software

App 3

Enterprise IT Landscape today

What is the Cloud? – A non-IT person’s view

App 1 App 2 App x

- Servers, storage, etc.- Placed at one or more locations- One or more applications per server

Application Software

Infrastructure

- Database Software- Application Server Software- Etc.

Server Software

App 3

Soft

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s A

Se

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e

Pla

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rm A

s A

Se

rvic

e

Infr

a A

s A

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• Dedicated Virtualized Infra (or small scale shared)

• Own or partners

• Shared Virtualized Large Scale Infra

• Partners

Public Cloud

Private Cloud

We are on the Public Cloud but didn’t set out to do so……

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Performance

Security

Scalability

Service Commitments

Commitment

Comprehensiveness of Service

Service Orientation

Business

Stability

Economics

Manageability

Strategy & Direction

IT Function

Why are we important to them?

Partner

• We set out to address evolving business needs and find solutions for some existing issues

• Over 2 months, evaluated 19 potential partners on criteria listed below

Based on our evaluation, we decided on the Public Cloud as it addressed all of the above

A simplistic view to Healthcare Sector’s focus

Cure Achieve required clinical outcomes

Experience Treat with Empathy

Accessible Make needed services available

Reach Touch more life’s

Make and Keep

People Healthy

Examples of how the Cloud help’s our Industry

Cure Achieve required clinical outcomes

• Enable faster extension of systems to monitor and manage clinical care and outcomes

• Enabling patients to access their health records across episodes and providers

Experience Treat with Empathy

• Enable faster extension of systems to provide consistent experience to patients and attendants

• Empowering patients to be involved in managing their care process

Accessible Make needed services available

• Enable remote delivery of services in a faster and controlled manner

Reach Touch more life’s

• Optimize spend enabling investments in facilities and programs for patients

Cloud in Healthcare Services: Some Possibilities

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• Backend systems (Fin, HR, SCM, domain controllers, etc.)

• Office productivity (email, Office, collaboration, etc.)

• Security (antivirus, DLP, IDS, IPS, etc.)

• External and Internal facing systems (websites, portals etc.)

Simple

• Hospital Information Systems

• RIS/ PACS with VNA and LIS/ CLIMS

• Remote Care monitoringTransformative

• EPR/ EMR building to EHR

• Home health

• Remote Care deliveryDisruptive

Where are we and what do we plan to do?

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Currently still on premise

Some Inhouse Hospital

Information Systems

Custom LOB applications

e.g. CAPEX, Intranet, Spend

Analytics, Customer Analytics etc.)

Already Moved

Unified Hospital

Information SystemEnterprise RIS/ PACS with VNA

Additional modules from

Still On-premise In Progress In Planning

Benefits realized …. And some challenges

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Free up capital by reducing recurring

costs and IT investment needs

Complete flexibility to grow the business on

demand

Availability of systems has

improved

Manageability overhead reducing –

transition pain

Some Challenges: • Internal mindset change

within IT function:

Control vs. services

• Rethinking systems

architecture

• ISV support

• Support ecosystem Benefits

Essentials to keep in mind for Cloud

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Regulations and Laws

Connectivity

Application Readiness and

Application partner support

Cloud partner support

Ability to customize

Management and Monitoring

Nuances

Thank You

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