cloud computing webinar - john reza

© 2012 Copyright Genpact. All Rights Reserved.

Cloud Computing doesn’t have

to be so cloudy in the

Healthcare industry!

© 2 2012 Copyright Genpact. All Rights Reserved.

The Four Essential Ingredients

For Healthcare Payers,

Providers and PBMs to Become

a Formidable Competitor :

Cloud, Analytics, Mobility, Process


About the speakers

John Reza Principal, Healthcare Practice, Headstrong

John is an accomplished Information Technology executive with twenty-five years of experience in the Healthcare

industry’s Payer and Provider segments. He is an expert in the delivery of large-scale, cross-functional, and

enterprise-wide initiatives that address C-Suite pain points. His extensive operational, business process, technology,

financial, strategy, and compliance experiences have resulted in his unique ability and know-how to solve and

execute on complex and complicated organizational challenges. He is a firm believer in “It’s All About the Execution.”

Noelia Torres Cloud Specialist, Rackspace

As a Cloud Specialist for Rackspace Hosting, she lives by the service and culture that drives fanatical support. Noelia

joined Rackspace in January 2007 as part of the online qualifying team where she was in charge of speaking with

prospects and finding the right place for them within the sales organization. She then got promoted to the Email &

Apps sales team, a cloud based team focused on providing software as a service solutions (hosted email, hosted

sharepoint, backup solutions and archiving). She piloted the team she's part of today and is in charge of internal cloud

adoption, training and support for mid-market customers at Rackspace. She is Cloud U certified and holds a B.S in

Marketing and French from Louisiana State University.

Chris Dauw Director, Fruition Partners

As Director of Development at Fruition Partners, Chris is responsible for overseeing the company’s cloud strategy,

product roadmap and channel partnerships. Bringing more than 15 years of software and corporate development

experience, Chris plays a key role in keeping Fruition at the forefront of cloud platform innovation. Chris has lead

development teams building enterprise PaaS solutions for strategic accounts like Facebook, Coca-Cola, McDonald's,

Caesar's Entertainment, and Devry University. He is a frequent speaker and evangelist in cloud delivery and his work

has been showcased at both the Salesforce's Dreamforce and ServiceNow's Knowledge end user conferences.


Agenda

Introduction and Welcome (12:00 – 12:03 PM) – Eastern Standard Time

John Reza, Healthcare Practice Leader, Headstrong

Cloud Computing – ABC’s of Cloud Computing (12:03 – 12:10 PM)

John Reza

Definition and Example Use of Cloud (12:11 – 12:35 PM)

Noelia Torres, Cloud Specialist, Rackspace

Platform as a Service (12:36 – 12:50 PM)

Chris Dauw, Director of Development, Fruition Partners

Panel Discussion (12:51 – 12:58 PM)

Closing (12:58 - 1:00 PM)

John Reza


Company Information

• Established: 1997

• Listed NYSE G

• $1.26B in Revenue (2010)

• Began as a GE Business Unit

• Operating Centers in 13 countries

• Leading Six Sigma and Lean Capabilities

• 53,000 Employees (Including Headstrong)

Strong

IT and

Domain focus

BPM,

Re-engineering

And Analytics

• Established: 1981

• Global leader in consulting to the financial markets

• Deep industry expertise in Wealth management, Derivatives, Prime services, Ref Data and others

• Strong onsite and offshore expertise

• Emerging practice in Healthcare and Asset mgmt

Creating a compelling value proposition for clients

https://www.caremark.com/wps/portal/!ut/p/kcxml/04_Sj9SPykssy0xPLMnMz0vM0Y_QjzKLd4w39DQCSZnFG8Qbm-pHogk5IkSC9L31fT3yc1P1A_QLckMjyh0dFQH7usmg/delta/base64xml/L3dJdyEvd0ZNQUFzQUMvNElVRS82X0FfMUky


ABC’s of Cloud Computing

John Reza


The phrase originates from

the cloud symbol used by

flow charts and diagrams to

symbolize the Internet.

Where Did Term Cloud Computing Come From?


“Cloud computing is a model for

enabling ubiquitous, convenient, on-

demand network access to a shared

pool of configurable computing

resources (e.g., networks, servers,

storage, applications, and services)

that can be rapidly provisioned and

released with minimal management

effort or service provider interaction.”

National Institute of Standards and Technology


So What’s in the Cloud?

Cloud is an Information Technology

infrastructure that is available at a remote

location(s) to provide its subscribers with

various hardware, software, and services.

Definition of Cloud Computing

Servers

Networks

Storage

Telecom

Backup &

Recovery

Routers

Switches Firewalls

Email

Databases

File Sharing

Security

Internet Helpdesk

Redundancy

Monitoring

Hospital Information Systems

CPOE Revenue Cycle Management

EHR

Payroll A/R

Healthcare Insurance Systems

Claims

EHR

Network & Database Administration

Analytics Pharmacy


Servers

Networks

Storage

Telecom

Backup &

Recovery

Routers

Switches

Firewalls

Email

Databases

File Sharing

Security

Internet

Helpdesk

Redundancy

Monitoring

Management

Prepare Design Acquire Implement Maintain Optimize

Plan Build operate

Multimillion-Dollar Companies

The “Traditional” Route

Internal Information Technology Organizations

Data Center

Pharmacy Chains

Large Upfront CAPEX, Labor Costs, Licensing Fees, Maintenance Costs

Time Consuming and Slow Time-to-Production & Market


Cost Borne by Vendors or Internal IT

Multibillion-

Dollar

Companies

Start-ups

Small and

Medium

Enterprises

External

Cloud

Prepare Design Acquire Implement Maintain Optimize

Large CAPEX Labor Costs Maintenance Costs

The End User Perspective

Internal

Cloud Internal Chargeback

IaaS, SaaS, PaaS Vendors

Pharmacy Chains

The Cloud Route

Pay-as-

You-Use

IT Organizations

ACOs

Servers

Networks

Storage

Telecom

Backup &

Recovery

Routers

Switches

Firewalls

Email

Databases

File Sharing

Security

Internet

Helpdesk

Redundancy

Monitoring

Management

HD/SW & Services


Start-ups

Small and

Medium

Enterprises Pharmacy Chains

Cloud Computing for Everyone!

VA HHS

FDA

SSA

State Health

Information

Exchange

Community

Exchanges

Self-Funded

Accountable

Care

Organizations

Integrated

Delivery

Networks

Servers

Networks

Storage

Telecom

Backup &

Recovery

Routers

Switches Firewalls

Email

Databases

File Sharing

Security

Internet Helpdesk

Redundancy

Monitoring

Hospital Information Systems

CPOE Revenue Cycle Management

EHR

Payroll A/R

Healthcare Insurance Systems

Claims

EHR

Network & Database Administration

Analytics Pharmacy


1. Total Cost of Ownership

2. Security & Privacy

Implications

3. Competitive Advantage

4. Exit Strategy

5. Legally Binding Contract

The Five Must Do’s of Cloud Readiness Analysis


National Health Information Network : Future State

Nationwide Health

Information Network

State Health

Information

Exchange

Private Health

Information

Exchange

Community Exchanges

State Health

Insurance

Exchange

Texas Health

Insurance

Exchange

IDN

ACO

Electronic Health Records IDN

Telemedicine

CPOE

VA

HHS

FDA

Health Plans

SSA

PHR

Mobile

Payers

ACO

Chains


Definition and Example Use of

IaaS/SaaS/PaaS

Noelia Torres


The Cloud Computing Stack


SaaS: Software as Service

SaaS applications are designed for end users and are delivered over

the web. With SaaS a provider licenses the application to customers

as a service on demand, through a subscription and typically no

monthly contracts.


Where SaaS makes sense:

Some of our healthcare customers

using SaaS @ Rackspace.


PaaS: Platform as a Service

Platform as a service brings the benefits that SaaS brought for

application but over to the software development world. PaaS can be

defined as a computing platform that allows the creation of web

applications quickly and easily and without the complexity of buying

and maintaining the software and infrastructure underneath it.

There are basically four types of PaaS solutions – social application

platforms, raw compute platforms, web application platforms and

business application platform.


IAAS: Infrastructure as a Service

IaaS is a way of delivering Cloud computing infrastructure such as servers,

storage, network and operating systems-as an on demand product.

IaaS can be obtained as a “Public Cloud” or “Private Cloud”.

Hybrid Cloud: Some providers offer

a combination of traditional dedicated

hosting alongside public and/or

private cloud.


Private versus Public


Hybrid Solution


Why this matters? Shift in Key Spend for IT

This is a subset of the worldwide IT market, representing business IT spending on Business Applications, Systems

Infrastructure Software, Application Development & Deployment Software, Servers and Storage. Source IDC's New

IT Cloud Services Forecast: 2009-2013, (http://blogs.idc.com/ie/?p=543 ) October 2009

Third-party hosting infrastructure services gaining momentum. U.S. companies'

adoption of third-party hosting infrastructure services.

Because almost Half of private clouds Are outsourced to Third-party service providers

Gartner indicates that by 2012, 20% of business will own no IT assets.

Small businesses are seeking broader technology support conversations

http://blogs.idc.com/ie/?p=543


Cloud Adoption and Deployments by industry


Emerging devices

of small

business owners use

smartphones.3

⅓

New generation of workers

million strong,

the “millennial” generation

is the most tech-savvy,

connected generation

of our time.1

70

of U.S. small and midsize

businesses have workers

that work from home.2

Increasingly mobile workforce

77%

Communication overload

In October 2011,

of U.S. email was spam.4

>73%

The rise of cloud computing

of U.S. small businesses are

investing in or investigating

cloud services.5

>60%

1) Firefish Blog, Oct 2011; 2) Techaisle, Jul 2011; 3) Discover, Dec 2010; 4) Symantec, Oct 2011; 5) Techaisle, 2010

A bit of perspective on the Opportunity to consume Cloud…


Platform as a Service & Use

Cases

Chris Dauw


Elevate Service Management

to the Cloud


About Fruition

• Cloud Development Consulting Company

• Founded in 2003

• Global client base

• Certified ITIL Professionals

• Cloud Thought Leaders

• Integration Specialists

200+ customers

120+ employees

5+ add per month

4 offices in NA


PaaS Ecosystem


C O R E P L A T F O R M

Tasks CMDB Integrations

Database

Connectivity

Role-based

Security

User

Interface Scripting

Form & List

Management

P L A T F O R M S E R V I C E S Content

Management Email Workflow Social Approvals Notification Search Analytics

B U S I N E S S A U T O M A T I O N A P P S

S T R A T E G Y

IT Governance

IT Cost

Project and Portfolio

Service Portfolio

D E S I G N

IT Asset and Contract

Service Level

Service Catalog

Software Dev Lifecycle

T R A N S I T I O N

CMDB Change

Discovery Release

Runbook Automation

Knowledge

O P E R A T I O N S

Manage Docs

Field Service

Request

Incident

Problem R E S O U R C E S


• Thousands of developers

• Other firms build complementary solutions

• Users share their experiences

• Channel partners flock to the platform

• People, firms, partners, and customers

can monetize their IP and products

• Providers of third-party data, analytical

algorithms and other non-software types

of IP integrate their products

What’s the Big Deal?

Platform

Increase Stickiness + Buzz

More Platform

Engagements

More Business

Value

Deeper Innovation

and Expertise


Why Cloud Platform versus other stacks?

• Best in class next Generation cloud platform

• No Lock In: Built on familiar technologies like Javascript, XML, and Mysql

• Light weight client side user interface

• Robust email handling

• Hooks into your organization

• Compliments your existing IT processes and framework

Proven

Agile

Social

Mobile


5

Easy to Govern

Less Expensive

Easy to Integrate

Fast to Develop

Easier to Use

Reasons to Move

Your Apps to


5 Reasons to Move Your Apps to the Cloud

• Easy to Use: Responsive, Intuitive, Social Collaborative

• Fast to Develop: 5x faster than other development platforms. Infrastructure,

components, user management, workflow, mobile, reporting already there for

you

• Easy to Integrate: Soap/Rest included out of the box for all of your objects

enabling hundreds of millions of transactions every day

• Less Expensive: No software, no servers, no overhead

• Easy to Govern: Groups, Roles, Access Control Rules enable you to have total

control over the app without limiting the user experience


Use Case: PaaS and Coca-Cola



Business Challenge

• 25,000 Global vendors,

bottlers, distributers need

access to Coke Systems

Fruition PaaS Solution

• Extend SNC interface to

allow for generic login

with custom interface

• Provision application

access through SNC

Workflow

• Provision access based

on roles, region,

organization

• Full reporting capability

on access, performance



“How Many Consultants do you have working on this, like ten?!?”

Actual Number: 2


Key Energy: Occupational Health and Safety

Business Challenge

• Energy exploration

company with

numerous field assets

that require inspection,

audit, maintenance and

reporting to

government agencies

• Environmental Health

and Safety issues

expose businesses to a

tremendous amount of

financial risk, legal

liability, and regulatory

concerns.

Fruition PaaS Solution • Extend SNC CI’s to cover Field Assets like Oil Rigs, Trucks, Mines

• Extend SNC workflow for field inspection of assets

• Extend SNC mobility to iPads for Field Inspectors

• Integrate external interfaces to Dept of Transportation for accident

reporting (e.g. tractor trailer)


Business Challenge

• Antiquated custom

database solution

managing customer

Medicare data. Lack of

scale and difficult to

support

Fruition PaaS Solution

• Custom ticketing solution

for customer CRM

• Track claims and maintain

audit records for

compliance

• Working prototype in

several weeks

• Unique ServiceNow

Architecture allows this

Use Case: Fruition Medicare Part D


Use Case: Virtual Clinical Trial Management

Business Challenge

• Provide a state-of-the art

• Virtual sales and contact

center to facilitate clinical trials

Fruition Solution

• Flexible Campaign Resource

Management Platform for the

Pharmaceutical and

Biotechnology Industries

• Virtual Call Center for Clinical

Trials Empowers

Pharmaceutical & Biotech

Organizations to Easily

Allocate, Manage and

Distribute Samples along with

Promotional Campaign

Elements


Questions and Answers

Thank You


[email protected]

cloud computing webinar - john reza

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