An Academic Medical Center's Journey to the Cloud

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1 An Academic Medical Center's Journey to the Cloud A Complimentary Webinar From healthsystemcio.com Sponsored by Iron Mountain Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You!

2 Housekeeping Moderator Anthony Guerra, editor-in-chief, healthsystemcio.com Ask A Question We will be holding a Q&A session after the formal presentations. You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists. Download the Deck Go to Shortened URL at bottom of all slides View the Archive You will receive an when our archive recording is ready. Separate registration is required.

3 Agenda Approximately 45 Minutes minutes: Jaime Parent, Associate CIO, Rush University Medical Center 5 minutes: A Word From Our Sponsor: Michael Leonard, Director of Product Management, Healthcare IT, Iron Mountain minutes: Q&A w/jaime Parent

4 An Academic Medical Center's Journey to the Cloud

5 Agenda for today What is the cloud? How did we get to this point? Where is it going? The Rush experience

6 Wikipedia says

7 Cloud Ecosystem Public Cloud Virtual Private Cloud External Internal Private Cloud Private Cloud Enterprise Public domain.

8 Simplified, the cloud is Public domain

9 Journey to the cloud 1970s 1980s 1990s 2000s

10 What the experts are saying The interesting thing about cloud computing is that we've redefined cloud computing to include everything that we already do. I can't think of anything that isn't cloud computing with all of these announcements. The computer industry is the only industry that is more fashion-driven than women's fashion. Maybe I'm an idiot, but I have no idea what anyone is talking about. What is it? It's complete gibberish. It's insane. When is this idiocy going to stop? Larry Ellison, Oracle CEO, Sept 2008 Line-of-business leaders everywhere are bypassing IT departments to get applications from the cloud (also known as software as a service, or SaaS) and paying for them like they would a magazine subscription. And when the service is no longer required, they can cancel that subscription with no equipment left unused in the corner. We look forward to a successful relationship with the CIA. Daryl Plummer, Gartner analyst Amazon s official response to hosting for CIA The benefits may be clear, but deciding when and how to put a cloud strategy in place is still a big challenge. Bob Welton, Regional Director, Northern Europe, NTT.

11 Vendors - Selling the cloud to your customers Homework first Do you know the business & the customer? Do you know who to target in the organization? Can you align your services with their IT strategy? Can you align no-brainers? Can you demonstrate you re in for the long haul?

12 Customers: How to win with a cloud vendor. Agree on common definitions and terminology Understand customer needs and vendor capabilities Seek joint opportunities for success Know points both vendor and customer Partner together Win-Win Make sure cloud computing is good for both!

13 Questions for CIOs? Do you have a cloud strategy? How does your organization manage risk? Are you willing to listen to a solid ROI proposition? How comfortable are you with your data offsite or offshore? How could you sell this to your organization?

14 One Journey 2008 ERP Selection Result: Deferred purchase $6M upfront infrastructure costs (not all utilized) Competing capital costs Hesitancy of cloud security 2010 gmail vs. outlook Result: Outlook Ill timed gmail outages Exchange Integration SharePoint expansion Overcame strong university cultural push 2013 ERP Selection: Cloud offering Result: Hosted EMR Significant upfront costs Service ~ operational funds Pay as you implement Overall significant ROI 2014 Student Information Services hosted HIE?

15 Wrapping it up ROI goes a long way Privacy concerns easing Increase in mobile devices trending Good option for primarily new system implementations Viable disaster recovery option? Probably

16 Iron Mountain Healthcare Services 2014 Iron Mountain Incorporated. All rights reserved. Iron Mountain and the design of the mountain are registered trademarks of Iron Mountain Incorporated. All other trademarks and registered trademarks are the property of their respective owners.

17 Understand your Storage Management Strategy Frequency of data access Amount of data Backup and Disaster Recovery - Short RTO/RPO - Constantly changing - High performance - Must recover Time Archive - Big data / Data Warehousing - Growing exponentially - Rarely accessed - Long-term retention

18 Segment your Data Data Type Strategy Database/Applications/ File Shares Data frequently changing May be associated with data repository (RIS, CVIS, etc.) Needed for data recovery Backup Online Server Backup for short RTO/RPO requirements Tape Vaulting for long term retention and backup of last resort Your Data Repository (PACS/ECM, etc.) Immediate access Continually growing Long-term retention Regulated Clinical Imaging (PACS/ECM) EMR/EHR (HIS/RIS) Unstructured Data (Office Documents) Archive Archive copy of data Data continuously transmitted to Archive Fast access from local cache Scanned Image Archiving Medical Image Archiving

19 Key Considerations for Cloud Vendors Have you validated your vendors understanding of HIPAA requirements? Have you updated contracts with your current cloud vendors to include Business Associate Agreements? Have you reviewed your vendors audit record? Do you understand the type of encryption the vendor offers? Do you know what your vendor does with the data once they have it? 19

20 Iron Mountain Solution Portfolio Archiving Services Backup Services Data Centers and IT Services - Medical Archive - Vendor Neutral Archive - Archival Tape Management - Retention Consulting Services - Offsite Tape Vaulting - Server Online Backup - PC Online Backup - Data Restoration Services - Escrow Services - Data Center Services - Colocation Services - Secure Media and IT Asset Disposition - Consulting Services

21 For More Information Michael Leonard Director, Health IT Services

22 Q&A Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists.

23 Thank You! You will receive an when our archive recording is ready. (Separate registration is required) Thanks to our sponsor: Iron Mountain! CHIME CHCIO Credits Attending our Webinars = 1 CEU Questions/Comments Anthony Guerra aguerra@healthsystemcio.com Go to to view our upcoming schedule and see the last 12 months of archived events.