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Future-ready Healthcare IT Platforms: Get to the Cloud

Andrew Litt, MD, Chief Medical Officer, Dell Healthcare and Life sciences

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Panelist

David Tomlinson CIO/CFO; Centegra

Bill Russell CIO;

St. Joseph Health

Ismelda GarzaIT Director; Comanche

County Medical Center

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Current Usage

Moving beyond the cloud hype

Enterprise cloud application revenues reached $22.9B in 2011 and are projected to reach$67.3B by 2016.

60% of server workloads will be virtualized by 2014.

Global cloud traffic will account for nearly two-thirds of total data center traffic by 2016.

Today 46% of business data stored outside of internal IT structures.

Over the past three years nearly 74% of data centers increased physical server count.

IaaS cloud management & security and PaaS are growing from $7.6B in 2011 to $35.5B in 2016.

24%

37%

39%

Private

Hybrid

Public

Projected Market Spend of

$241 Billion by 2020

Source: Dell Customer Research, April 2013

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Industry adoption varies

Gartner

Advanced Heavy Moderate Measured Lagging

Adopting

Private cloud PaaS and IaaS

Community cloud and service providers

Community cloud and SaaS

Email and collaboration

Panicky migration from vendor to provider

Not much happening

Public records, medical processes

Industry

Financial services

Telecommunications

Government

Education

High tech

Energy and utilities

Healthcare

Retail Brokerage and messaging integration

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Healthcare transformation in the cloud

Healthcare and Life Sciences

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Changing healthcare landscape2013Traditional IT still dominant41.8% of a healthcare organization's IT budget is allocated to traditional IT deployment

2015Cloud IT growth acceleratesWithin two years' time traditional IT budget will decrease to 35.4%. Use of public cloud services will increase from 12.6% to 15.8%

2017Cloud IT multi $B marketAlthough adoption is held back by regulatory initiatives and security concerns, the cloud market in healthcare is expected to grow to $5.4 billion by 2017

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Impediments to cloud adoption for healthcare providers

Concerns over security and availability

Have not yet developed a cloud roadmap

No end-to-end service management strategy

Unclear future and roadmap for cloud services

Have not yet created a service catalog for cloud services

Have concerns about cross-border rules

Have not identified what our exit plan for cloud would be

Concerns that cloud providers will not continue to innovate

40

28.4

20.5

17.4

14.1

11.8

11.3

7

Source: IDC's Global Technology and Industry Research Organization IT Survey, 2012

(% of respondents)

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Multiple regulatory requirements

Health Insurance Portability and Accountability Act (1996)

Security rules• 45 CFR 160• 45 CFR 162• 45 CFR 164

HIPA HITECH MEANINGFUL USE

American Recovery and Reinvestment Act – Health Information Technology for Economic and Clinical Health (2009)

HIPAA Security Rule Plus• New civil money penalties for

violations• Covered entities and business

associates must comply• Breach notification obligation for

breaches on or after Sept. 2009

Meaningful Use (2010)

Risk Analysis• 45 CFR 164.308 (a)

(1)• Core Measure 15

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How can audits and penalties impact you

Breach Notification Rule

KPMG contract:Audits of 150 hospitals

Fines and penalties

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Challenges = cloud opportunity

Reduce costs

Improve quality of care

Operate under high regulations2

Effectively manage IT resources4

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• Manage specific environment on customer behalf

• Facilitate aggressive implementation schedules

• SLA easy to understand and implement (99.95% uptime)

• Free up hospital IT resources to focus on service delivery and application implementation

• Expect predictable outcomes with a choice of service levels for operational availability.

• Choose disaster recovery options that allow you to meet Recovery Point Objectives and Recovery Time Objectives

• Select add-on solution options to fulfill your specific requirements

• Reliable & secure ISB backup, recovery, and tape administration

• Highly secure and reliable network connectivity options offer HIPAA-compliant data encryption

• System monitoring

• Pre-defined server availability levels

• Standard data administration procedures and tools

Why Cloud?

Secure Flexible Simple

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Dell cloud strategy for healthcare

Hospitals Physicians Payers Life Science

Healthcare cloud platform

Establish an Interoperability Network connecting Healthcare ConstituentsDevelop a Next Generation delivery mechanism based on a secure Cloud Platform that support derivative data driven solutions Integrate Current and Future Solutions through the cloud to deploy at scale

Strategic Pillars

1

2

3Analytics Archiving & Storage

Reporting &

AlertingOther

Electronic Medical Records

Revenue Cycle

Services

Payers Solutions

Healthcare solutions

Data Management Security

Other

InteroperabilityMobility

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Dell Healthcare in the Cloud

diagnostic image objects managed by Dell in the cloud. Protecting medical images for 7% of US Population

6B+

Security events29B

50+customers supported with cloud-based HIS and DR

MEDITECH

Processed daily by Dell SecureWorks, a core component of the Dell Cloud

Integration processes

650,000+Per day with Dell Boomi,over 3Xs our nearest competitor

To market with the Dell OpenStack Solution

1stMore EMRs supported in a secure dedicated Healthcare Cloud than any other healthcare IT services provider

$200MDell achieved this by virtualizing 10,000 servers and reducing applications from 7,000 to less than 2,500

Dell’s Crowbar deployment, management and services

saved by Dell

400Kphysicians and 500 individual practices supported by Dell’s physician hosting cloud solution

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David Tomlinson, CIO/CFO

Centegra

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Bill Russell, CIO

St. Joseph Health,

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Ismelda Garza; IT Director

Comanche County Medical Center

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Q&A

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Let’s get started

Visit the Solution Showcase to see our end-to-end healthcare solutions and services Gain hands on experience, see demonstrations at the Solution Showcase

Schedule a visit to a Dell Solution Center near you: Austin • New York City • Washington D.C. Chicago • Santa Clara • Mexico City • Sao Paolo

Go to www.Dell.com/healthcare

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