veera raghavan
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The Cloud and HealthcareVeera S. Raghavan, Executive Director & Global Practice Head
Dell Services
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Global TrendsIT adoption and Digitization of Healthcare
Healthcare industry has significantly underutilized technology
Information digitized but not portable - inhibiting information sharing
Success depends very much on first understanding patients’ need – Being Patient Centric
1st wave of IT adoption
In 1950 healthcare started adopting IT to process vast amount of statistical data. The automation was the key for the organizations.
2nd wave of IT adoption
In 70’s during the second wave of IT, healthcare, it gave ehealth card in Germany, and catalyzed HITECH in US, NPfIT in UK.
3rd wave of IT adoption
Healthcare missed the wave around Y2K; made strides lately in US – such as ACA, MU etc, which are yet to yield results.
Reference: Healthcare’s digital future
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Global Trends in Healthcare IT industry Current Dynamics
Industry shift
Healthcare industry is shifting toward an information-centric care delivery model, that support cooperation, collaborative workflows and information sharing.
Future ready IT platforms Healthcare organizations are looking towards IaaS, PaaS and SaaS as service model as a cost effective solution in delivery of healthcare
IT resourcingDearth of qualified IT resources and increased cost of operations forcing providers to either outsource or adopt cloud to bring the cost of operations lower and focus on core services.
Around the globe, healthcare reforms has mandated that it is time for healthcare information technology (HIT) to be modernized and cloud computing is at the center of this transformation.
Power of centralization
Reference: Cloud Standards customer council
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Traditional IT Environment
Storage
Compute
Networking
O/S
Middleware
Virtualization
Data
Applications
Runtime
Infrastructure(as a Service)
Storage
Compute
Networking
O/S
Middleware
Virtualization
Data
Applications
Runtime
Ven
dor mana
ged
Platform(as a Service)
Ven
dor manag
ed
Storage
Compute
Networking
O/S
Middleware
Virtualization
Applications
Runtime
Data
Software(as a Service)
Ve
ndor man
aged
Storage
Compute
O/S
Middleware
Virtualization
Applications
Runtime
Data
Networking
Setting the contextA view of the Cloud layers
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Better information.Better healthcare.
Delivers cutting edge technology, applications and services solutions that facilitate flexible, elastic, efficient, and low cost solution for Indian healthcare
Dell Healthcare and Life Sciences
•Owned by single organization•Operated either by own or outsourced
Available for large industry group in multitenant environment
Deployed for a specific community comprises many organization within the community
A combination of two or more clouds enabled technology or applications such as Private and Public
Cloud for HealthcareDeployment Models
Private Public Community Hybrid
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CloudHospital IT
Status
Private spending
72%Around
65000 hospital with in-patient care (Below average bed ratio 1.5/1000)
Spends around $470M on IT currently
Annual Spending
IT usability Operational, Clinical, Finance and Billing
In-house Infrastructure Management
Expected annual IT spending in hospital - $1460M by 2020
IT spending in hospital - Growing at with 25% CAGR
Source: National Health Accounts (NHA),Ministry of Health and Family Welfare (MOH&FW) and Zinnov Cloud Computing
Public Spending
26%
80% private hospitals
20% public hospitals
45% (up to 100 beds )
75% (100-200 beds)
80% (200 and above)55%
hardware 20-25% software
20-25% services
Indian Healthcare and CloudCloud for Healthcare
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IT Journey:2009 : First Cloud HIS on Public Cloud2012 : ERP on Private Cloud2013 : Private Cloud installation of IVI CIS 2014 : HIS & ERP for 22 Centers and CIS for 9 Centers on Cloud
Key Nova Objectives:Patients – World-Class surgical care with superior outcomes at 20-25% lower price Insurance and Corporate Employers – Affordable Healthcare with Pan India Presence Surgeons – Pride of Ownership; Flexible work schedule and improved lifestyle
Nova Medical CenterTotal Centers: 22
Surgeons: 500
Surgeries: 8000
Nova Specialty Surgery
Nova IVI Fertility
Case StudyNova Medical Center
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Summary
• Cost• Speed• Expertise/Staffing
• Compliance/Security• Disaster Recovery• Mobility
Benefits of cloud for Healthcare
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A cloud based IT system is good option forHealthcare chains, including diagnostics‘Greenfield’ /new hospitalsMidsized hospitals/hospital groupsHospital-in-a-hospital
Current Trends Cloud (Infra) providers are investing…Platform cloud providers are not popular yet...SaaS based HIS systems ˗ Few upcoming players with true cloud technology˗ No national or large player
India healthcare market
13Around 77% hospital leader shows interest to adopt cloud for their hospital in India
Saving cost
Good for hospital data and avoid physical data storage
Most suitable for bigger hospital and chains
Cost effective and efficient services
Security is a concern
Data centralization, data sharing and real time availability
Greater impact and a wonderful idea
Indian Healthcare and Cloud Leader Speaks on Cloud