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Presentation Outline
Part 1: Introduction of Cloud Computing
Part 2:
Amazon Elastic Cloud Compute (EC2) Part 3:
Hosted MTBC-EMR Part 4:
EC2 Management Console & Hosted EMR Demo
As an end-consumer, believe it or not
you’ve been using Cloud for long times
Cloud computing: the latest evolution of hosting
Cloud computing characteristicsCloud Computing is not answer for all
But it could simplify our lives……
Your data is replicated3 or 4 times in their data center
High Availability
Adding “servers” is a click away. Running in just minutes, not days
Sensitive Data in the Cloud?are there yet?
Data at Rest
Data in Motion
Encryption
It can even load balance your server traffic
Expect your Cloud
Networkis always up
Yes, you can even pick your data
and “servers” reside
Cloud Computing is relatively new technology
Hosted Server & Applications Access
Employees
CustomersSuppliers
Hosting Players
Often Monthly
Your contracts
Cloud Players
Pay As You Go
Pay only what you use
Let’s BuildHuge Data Center
Capacity Planning
Disaster Plan
Cooling Management
Server Crashes
Huge Investment
In the mean time,… Many things have changed Can we bridge the gap?
Leave it the expertswho have a lot of money to spend to build
giant datacenters across the globe
Only a handful of major player can build this massive infrastructure
Cloud Players Hosting Players
Only few can afford billions dollar investment on data centers
Hundreds of them aroundthe world
Difference b/w W-Azure, A-EC2 & G-Apps
• Early Stage• Need to provide .Net
code for front end and back end server
• Storage for applications and DB Services
• Provide Development tools for coding
• Good enterprise integration
• Pricing based on Database size and API Size and users
• Commercially Available• Upload your VM or
install your applications and share to your clients
• Not applicable
• Simple Volume Storage Service
• Fully controlled virtual Machines
• Pricing is based on Virtual Server Specifications and Time
• In Public Beta • Write application with
limitation Pathon and submit it to Google
• Provide Development tools for coding
• Database Datastore APIs
• Integrate the application with Google services
• Pricing is based on Cloud Application Usage
Windows Azure Amazon EC2 Google Apps
Highlights of Amazon Service
• Pay only for the resources that you actually consume• Amazon Machine Image (AMI)• Amazon Elastic Block Store (S3)• Amazon Virtual Private Cloud (VPC)• Elastic IP Addresses• Amazon CloudWatch• Elastic Load Balancing• Security Groups• VM Import
EC2 Architecture
Amazon Pricing Strategy
• Price is based on instance type, its specification and region were it is running
• Instance Types:– On Demand Instance– Reserved Instance– Spot Instance
• Instance Specification– Standard Instance– High Memory Instance– High CPU Instance
• Instance Regions– US East (Virginia)– US West (Northern California)– EU (Ireland)– Asia Pacific (Singapore)– Asia Pacific (Tokyo)
How Hosted MTBC-EMR works
AmazonEC2 Server
Amazon EC2 Console
Client System
Internet
Practice 1Installed EMREMR
DocumentsEMR DatabaseSync Service
Practice 2Installed EMREMR
DocumentsEMR DatabaseSync Service
Practice 3Installed EMREMR DocumentsEMR DatabaseSync Service
Microsoft Remote App
-EMR Practice 1-EMR Practice 2-EMR Practice 3
Active DirectoryUser 1User 2…..……User N
RD Web Access & Firewall
RDWeb Pages GPO Settings Ports Setting
Security Group Setting EC 2 Instance in Running State
SSL Certificate: Secure and Encrypted Data Flow
Our Medical Data Security at Amazon EC2
• Bit locker (Server Drives will be encrypted)• Group Policy Management of Server Users• Windows Firewall Setting• Amazon EC2 Security Groups• SSL Certificate Installation (Encrypted Secure
Communication between client & Server)• HIPPA Compliance (Amazon Claims)
Benefits to Clients
• No need to buy a Specified Server Machine for MTBC EMR Server.
• No need to fulfill clients system specification to install and run MTBC EMR.
• No need to hire and pay an IT guy to maintain Server and client machines.
• Available EMR to use for practice within one to two hour after Signup.
• No need to worry about Server crash and it restoration.• No need to pay for online backup vaults for MTBC-EMR
databases.
Benefits to MTBC
• Very easy MTBC-EMR installation process. • There is no need to take control of Client machines for
EMR installation and issues resolution.• We can easy create Server Snapshots and restore them
within 5 minutes.• No need to send EMR Patch updates and run them all the
client machines. We have to replace the updated exes only on the Hosted Server.
• No need to worry about data synchronization issue, we can check the issues immediately when we need.
Hosted EMR Cost & Price Analysis (Ruff)
• Cost for (~36 Users):– EC2 Reserved Instance (3y) : $4000– SSL for Reserved Instance: $90– Per User RD Web Services License: $84*36– Total One Time Cost for three Year: $7042– EC2 Reserved Instance Per Month Cost: $350
• Client Price:– Initial Sign Up per Practice: $1000– Per Provider Per Month Charge(1+2 Users): $295– E.g: 3 provider in each practice (4 practice): $4000– After One Month 12providers Charges: $3540
$4000 + $3540 = $7540
What we have done so for Hosted EMR!!!
Integration with MTBC WebsiteOnline Hosted Demo EMR Package for New Clients
Demonstration Amazon Web Services Console Demo
Hosted EMR Demo
References
• Amazon Elastic Compute Cloud (Amazon EC2)– http://aws.amazon.com/ec2/
• What is cloud computing– http://www.salesforce.com/in/cloudcomputing/
• HIPAA AND EC2– http://aws.amazon.com/about-aws/whats-new/2009/04/06/whitepaper-hipaa/– http://www.ehrdoctors.com/hippa-and-ec2/
• Windows Azure (cloud services operating system)http://www.microsoft.com/windowsazure/windowsazure/
• Google App Engine– http://code.google.com/appengine/business/
• Amazon EC2 Pricing Strategy– http://aws.amazon.com/ec2/#pricing
• Amazon Elastic Block Store (EBS)– http://aws.amazon.com/ebs/
• Amazon CloudFront– http://aws.amazon.com/cloudfront/
• Hosted EMR– demo.mtbc.com
Thanks fromGhazanfar Latif
Questions ?Comments ??
Suggestions ???
