Myra Davis, SVP | CIO

John Hamm, Director | CTO

TRANSFORMING THE DATA CENTERIN THE DIGITAL AGE

• Overview of Texas Children's

• Digital Age Readiness

• Organizational Readiness

✓ Digital Supply Chain

✓ Interoperability

✓ Foundation

AGENDA

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TECHNOLOGY IS CRITICAL TO SYSTEM OF CARE

INPATIENTMain Campus, West Campus, Pavilion for Women, Woodlands

PRIMARY CAREe.g., TCPs, Urgent Cares, The

Centers, OB/GYN Clinics

COMMUNITY PARTNERSHIPS

e.g., St. Joseph's, CHI, Methodist

SUB-SPECIALTY CAREe.g., Health Centers,

CCC, MFM

eHealthGeographic reach and monitoring

TransportProviding maternal, pedi & NICU transport

Health PlanAccess & Coverage

Research InfrastructureBringing innovative solutions to the bedside

WE ARE GROWING…

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HEALTH IT IS CRITICAL TO SYSTEM OF CARE

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• Health IT (HIT) is not a single product; it encompasses a technical system of computers and software that operates in the context of a larger socio-technical system – a collection of hardware and software working in concert within an organization that includes people, processes, and technology.

Patient Experience

Ex: The MyChart Bedside is designed to improve patient experience

Quality & SafetyEx: Alarm Management technology

improves patient safety

ResearchEx: Electronic data warehouse

enables research and innovation

RadiologyEx: Image sharing application,

lifeIMAGE, enhances patient care

eHealth

Ex: The Vidyo solution enables Maternal Fetal Medicine

Electronic Medical RecordCare Link | Care Quality

Care Everywhere

Transport

Ex: The Kangaroo Crew uses the RescueNet solutions for Dispatch, ePCR

and Billing Patient Care and Safety

Ex: Positive Patient Identification (PPID) Barcode Medication Administration (BCMA)

DIGITAL AGE READINESS

ACCELERATING PACE

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Time.com, http://content.time.com/time/interactive/0,31813,2048601,00.html

Artificial Intelligence

Machine Learning

Augmented Reality

Virtual Reality

Robotics

13 April 2017

Texas Children's

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> Definition:

» IoT is an ecosystem that includes Things, Communications Applications, Data, and Analytics.

> Benefits of IoT:

» Improves Patient Care and Safety

» Innovation with IoT brings solutions faster, reduces time and cost

Thingsex: Clinical Workstation

Gatewaysex: Wireless

Smartphonesex: iPhones, IPods

Cloudex: Internet

Enterpriseex: Apps

The Woodlands• 65,000 Network

Ports

• 11,000 peak wireless connections

DRIVING FORCES

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~$8 Billion in VC investments annually

Houston:

TMCx,

Johnson & Johnson Innovation

AT&T Innovation Labs

Idea to Product < 3 Months

Moores Law: Power of Chips doubles every 18 months

Kryders Law: Storage demand doubles every 12 months

Nielsen’s Law: Bandwidth doubles every 21 months

Science, Technology, Engineering, Math

Robotics and Coding Summer Camps include Health Museum, Rice University, IDTech,

Sylvan Learning, American Robotics Academy…

ID TECH @ RICE UNIVERSITY

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Our youth are already building tomorrow’s technology…

Multi-generation readiness

ORGANIZATION READINESS

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Digital Supply Chain

Interoperability

Foundation

Agility and speed to adopt technology

DIGITAL SUPPLY CHAIN

DIGITAL SUPPLY CHAIN REALITY

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What users expect:

Where we are today:

Week 1 Week 2 Week 3 Week 4 Week # Week # Week # Week # Week # Week…

Request

Evaluation / Estimation

CommercialLogistics

Financials

Design

ACCELERATE THE DSC (DEVOPS)

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Fail Fast

Automate

As a Service

i.e. Legal Robot uses machine learning techniques like deep

learning to understand legal language, then compare the

language with other contracts to identify boilerplate vs.

custom, measure the complexity and readability of the

language, and identify the responsibilities, rights, and terms

of an agreement.

Startup Partnerships

Innovation Lab

Interoperability Scoring

Communalize Standards

Hybrid Cloud Enabled

Compute and Storage as a Service

Data, Application, and Interface Catalogue

Security by Design

INTEROPERABILITY

Capability to plug in and plug out IOT

INTEROPERABILITY

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Patient Engagement

Consumer Engagement

Health Information Exchange

Open Source

Technology Standards

FTP, HTTP/HTTPS, ODBC, POP, SMTP, SNA, SOAP, SSL, TCP/IP and web services

Individual Health Community HealthPopulation Health

Readiness and elasticity of your technology foundation – Data Center

FOUNDATION

DATA CENTER FOUNDATION

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• Highly Available

• Consolidate and Virtualize

• Standardize and Automate

• Secure by Design

• Hybrid Cloud

IBM, https://www-935.ibm.com/services/in/en/it-services/data-center/

Te x a s C h i l d r e n ’s C o r p o r a t e N e t w o r k

TEXAS CHILDREN’S RELIES ON A COMPLEX ARCHITECTURE TO PROVIDE CLINICAL AND BUSINESS SERVICES

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Internet

Tr u s t e d N e t w o r k U n t r u s t e d N e t w o r k

Cloud Service

DATA CENTER TRANSFORMATION PROJECT

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Current StateTier 1 and 2 Data Centers

201610 Data Centers (including TCHP)

2,000 servers (10% growth each year)

400+ server applications, 53 Critical

25,000+ End Points

2.5 Petabytes data (1x 1000 Terabytes)

4X technology growth 2010-2015 – higher growth curve expected 2015 - 2020

Future StateTier 3 Data Centers

‘17-’20Tier 3 Data Centers with redundancy

100% critical applications can failover

Simple, automated, scalable for future

Secure from ground up

Part of cloud ecosystem

Leverage capital synergies and lower OPEX

DEFENDING AGAINST ATTACKS

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Te x a s C h i l d r e n ’s C o r p o r a t e N e t w o r k

Threat &Vulnerability Management

Web Gateway Protections

Network Access Control

Intrusion Detection & Prevention Security Monitoring & AlertsEndpoint Security Application Security

Data Loss Prevention

Multi Factor Authentication

Access Control

Requirements Gathering

Application & Hardware

Assessment

Application Rationalization

Dependency Mapping

Sequencing and Plan

Location

Technology

Services

Space and location

assignment

Technology Design

Migration Plan

Capability Model GAP

Analysis

Execute Data Center

Migration

DATA CENTER TRANSFORMATION METHODOLOGY

Calibrate the business strategywith the latest in nextgeneration data center,technology, and strategies.Learning period for the datacenter team.

Critical point to inventory thedata center hardware andidentify the dependenciesbetween application andtechnology layers. This willdefine the strategy andmigration plan. Parallel withrequirements gathering.

Critical decision point tochoose a partner, based on apublished RFP driven off ofthe requirements andassessment work for location,technology, and serviceproviders..

The space assignment,technology design, migrationplan, and people capabilitymodel drive the executionplan. From this point forward,the project follows a welldefined plan.

Hardware infrastructure in silo towers, supported by engineers whom custom solution each tower. In some cases there are multiple vendors for the same silo.

Network

Server

Storage

Security

Leveraging automation, infrastructure services will be simplified, while providing elasticity and scalability. Capacity will be built and consumed when needed.

TODAY 2018 CAPABILITY SHIFT

Automate

Engineer

Design

Network Servers Storage Security

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• Servers and Applications

• Secure by Design

• Reduces Digital Supply Chain Time

POWER OF ENABLEMENT

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FY17 FY18 FY19 FY20 FY21

Difference 18 Month and 5 18 Month 5 Year

F5 YEAR FINANCIAL COMPARISON

FY17 FY18 FY19 FY20 FY21

Data Center - 18 Month Approach Fully Funded

FY17 FY18 FY19 FY20 FY21

Data Center Transformation - 5 Year Approach using LC

• 24.3% Capex Savings

• 20% OpexReduction in HW/SW Maintenance

• FTE Reallocation

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Do you have your digital supply chain mapped – steps, dependencies, and time?

Do you have an interoperability, data, or enterprise integration strategy?

Is your data center technology elastic, service oriented, and highly available?

Assess your readiness for

the digital age

Myra DavisSVP & CIO

Information Services

John HammDirector & CTO

Information Services

T H A N K Y O U