removing barriers from migrating to the hybrid cloud€¦ · removing barriers from migrating to...
TRANSCRIPT
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Removing Barriers from Migrating to the Hybrid Cloud
32, February 20, 2017
Jan Bates, Systems Operations Director, UK Healthcare
Mark Seale, AVP IT Operations, FirstCare Health Plans
Kate McCarthy, Senior Analyst, Forrester
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Speaker Introduction
Jan BatesSystems Operations Director
UK Healthcare
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3
Speaker Introduction
Mark SealeAVP IT Operations
FirstCare Health Plans
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4
Facilitator Introduction
Kate McCarthySenior Analyst
Forrester
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Conflict of Interest
Have no real or apparent conflicts of interest to report.
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Agenda
• Cloud trends
• Current environment at UK Healthcare
• Current environment at FirstCare Health Plans
• Panel Discussion
• Open Q&A
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Learning Objectives
• Contrast various cloud models and network connectivity options that remove barriers for migrating applications to the cloud
• Identify barriers and differentiate between options that would mitigate barriers to the cloud
• Facilitate sharing between audience members around concerns and benefits
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An Introduction of How Benefits Were Realized for the Value of Health IT• E: 77% of hospitals, biotech firms,
pharmaceuticals and insurance providers are seeking partners and assistance to help them maintain a high infrastructure reliability1.
• S: The costs of expanding on-premisestorage is already unsustainable with predicted 25,000 petabytes of digital medical data by 20202
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In-house (production)
In-house (test/dev)
In-house (DR)
Colo (DR)
Colo (production)
Colo (test/dev)
IaaS (production)
IaaS (dev/test)
IaaS (DR)
SaaS (admin & corp)
SaaS (ancillary)
SaaS (mobility)
SaaS (revenue cycle mgmt.)
SaaS (core care delivery)
Do not subscribe to SaaS
80%
68%
54%
46%
33%
23%
22%
18%
16%
45%
44%
27%
26%
24%
21%
Infrastructure Delivery Model
Q4/Q11 Please select which of the following describe(s) your CURRENT/FUTURE technology infrastructure delivery model. Select all that apply. Base n= 157
9%
14%
12%
7%
6%
7%
5%
5%
4%
4%
2%
4%
4%
3%
4%
8%
14%
8%
7%
9%
6%
11%
5%
3%
5%
7%
7%
3%
2%
7%
24%
21%
16%
20%
19%
20%
15%
16%
22%
9%
9%
15%
20%
27%
45%
35%
30%
34%
30%
35%
24%
21%
31%
20%
16%
6 months
12 months
24 months
CURRENT MODEL… FUTURE MODEL…
“From a data standpoint, we have an internal hot site. Any cloud hosted apps we have must be SSAE compliant.” – VP of IT at NJ hospital system
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16%18%22%23%
33%
46%
54%
68%
80%
10%15%
19%24%
32%37%
55%
74%
82%
IaaS (DR)IaaS(test/dev)
IaaS(production)
Colo(test/dev)
Colo(production)
Colo (DR)In-house(DR)
In-house(dev/test)
In-house(production)
2014 vs. 2016 Technology Infrastructure
2016
2014
Seeing a shift in outsourcing to Cloud
Q4 Please select which of the following describe(s) your CURRENT technology infrastructure delivery model. Select all that apply.2016 Base n = 157
2014 Base n = 149
“Heavy development to extend internally built EHR. Leverage cloud more for development, archival etc.” – VP of IT at TN senior living facilities
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Cloud Applications
QCloud3 What are the top specific applications that you have in the cloud today? Please enter at least one application.
QCloud4 What specific applications or workloads are you planning to send to the cloud in the next 12 months? Please enter at least one application or workload.
APPLICATIONS CURRENTLY IN THE CLOUD APPLICATIONS PLANNING TO MOVE TO THE CLOUD IN FUTURE
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LTCHSelf Hosted on campus
data center
400 physical servers
1363 virtual servers
1365 TB storage
LTCA Self Hosted on campus
data center
230 physical servers
1335 virtual servers
1685 TB storage
LTC1Co-location data center
Self supported infrastructure
100 physical servers
497 virtual servers
974 TB storage
Data Center
Aggregation
20 x 10Gbps
In-house Fiber
4 x 10Gbps
In-house Fiber
2 x 10Gbps
DWDM
(Dark Fiber)
Resiliency with SAN Replication and High
Availability Server Failover. Makes network
stronger and more resilient to normal failures that
result in unplanned downtime.
UK Healthcare current environment
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What goal are you trying to achieve by moving an application or workload to the cloud?Manage costs, time to market, efficiency, supplement skills
Cloud Ready Application Criteria
Flexible Contract Terms?
(1 for Flexible, 0 for not)
Number of Users(Higher # = Larger Risk,
Best if >500)
Hardware Lifecycle is Typically 5 years
Deployment Timeline
(over a year: 1, 6 mon to a year: 2, less than 6 mon: 3)
Application Tier(Tier 3 or 4 application: 3, Tier 2: 2, Tier 1: 1)
Ability to get BAA Signed with Cloud Provider (Scalability/Flexibility needed,
Could be a deal breaker)
PHI related application(no PHI or scrubbed data:
1, PHI: 0)
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Small office2 VM
10 UsersVoIP connected
Self Hosted Data Center250 VM
10 Physical Servers35 TB Data
Hosted VoIP250 Users
Shared Data Center275 VM
10 Physical Servers35 TB Data
Customer / Project: FirstCareMPLS Network Only
1Gbp MPLS
DR Data Center
10
0M
bp
MP
LS
Call Center and Provider Relations10 VM
Self Hosted Contact CenterHosted VoIP
120 Users
Lubbock
AmarilloSmall office
2 VM10 Users
VoIP connected
Abilene
MPLSBGP
Backup VPNBGP
Austin Corporate Office
FirstCare Health Plan’s current environment
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A Summary of How Benefits Were Realized for the Value of Health IT• E: 77% of hospitals, biotech firms,
pharmaceuticals and insurance providers are seeking partners and assistance to help them maintain a high infrastructure reliability1.
• S: The costs of expanding on-premisestorage is already unsustainable with predicted 25,000 petabytes of digital medical data by 20202 and looking at cloud models as alternative
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• Please remember to complete the online session evaluation!
• Thank you for the gift of your time today!
• Jan Bates, UK Healthcare
•https://www.linkedin.com/in/jan-bates-12224211
•Kate McCarthy, Forrester
•@Healthcare_Kate
•Mark Seale, FirstCare Health Plans
•https://www.linkedin.com/in/markseale
Questions