business-case_cloud computing for vasan group of hospitals

7/31/2019 Business-Case_Cloud Computing for Vasan Group of Hospitals

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VASAN CLOUD

1

2012

9/10/2012

CLOUD COMPUTING FOR VASAN GROUP OFHOSPITALS

Suganya R. (28052)Deepthi T. (28073)Gowtham S. (28082)


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TABLEOF CONTENTS

Executive Summary .........................................................................................................................3Business Case Analysis Team .......................................................................................................... 4

Problem Definition ........................................................................................................................... 4Problem Statement .............................................................................................................................. ...... ...... ...... ......4Organizational Impact ................................................................................................................................................ .5

Technology Migration .................................................................................................................................................6

Project Overview ............................................................................................................................10Goals and Objectives .................................................................................................................................................11

Project Performance ............................................................................................................................... ...... ...... .......11

Project Assumptions ........................................................................................................................................... .......12

Project Constraints .................................................................................................................................................. ..13

Major Project Milestones ............................................................................................................................. ...... .......13

Strategic Alignment ....................................................................................................................... 14

Cost Benefit Analysis .....................................................................................................................14

Approvals .......................................................................................................................................17

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EXECUTIVE SUMMARY

The Increasing complexity in the internal processes of the

healthcare companies such as report generation, resource utilization etc.,

leads to decrease in the performance and even non-performance. This is

mainly due to the usage of the good old legacy systems. This challenge

drives us to look for a better technology that would satisfy our need for

managing the complexities.

Hence, we require a technology that would not only to

overcome the bottlenecks posed by the challenges (ie.,short term ) but also

as a step that would lead to strategic competitive advantage for

institution(long term).

The game changer would be the Cloud computing technology. This

technology is a buzzword and is being regarded as the strategic weapon for

the years to come. Cloud computing has its own unique benefits such as on-

demand service, scalability and measurability.

We propose Vasan Cloud for the Hospital Information

Management system. Our Cloud service is focusing on the areas of Software

as a service (SAAS) model where different modules like Patient Registration,Out Patient Management, In Patient Management, Patient Billing, Laboratory

Information System and EMR are deployed as service. Vasans Cloud as IaaS

is to create secure, state-of-art facility to store the data / information

available in different hospitals and to provide access to users in a secured

manner, as per their roles and privileges. The private health record as

mentioned by government, transaction details are kept in private cloud

whereas disclosable patient records, newsletters and other non-private data

are kept on public cloud.

The main aspects of this project would be eliminating the two

main challenges such as Data governance and Regulatory compliances.

Implementation of this project would benefit the organization in following

aspects

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Low cost in expanding with applications, Its storage and

Infrastructure

Pay per use

Scalability

Faster Run Time and Response time

BUSINESS CASE ANALYSIS TEAM

The following individuals comprise the business case analysis team. They

are responsible for the analysis and creation of the Vasan Cloud Project

business case.

Role Description Name/TitleExecutive

Sponsor

Provide executive support

for the projectVP Operations

Technology

Support

Provides all technology

support for the project

VP Information

Technology

Process

Improvement

Advises team on process

improvement techniquesProcess Team Lead

Project ManagerManages the business

case and project teamProject Manager

Software SupportProvides all software

support for the projectSoftware Group Lead

PROBLEM DEFINITION

Problem Statement

Cloud enables the user in moving away from in-house data

centers into remote applications running in a cloud of computers.

Globally around 32% of the healthcare organizations are using cloud

applications and the remaining organizations which are not using any

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cloud applications have now started considering adopting the same in the

next three to five years.

Vasan Hospitals face a number of challenges in building,

implementing and maintaining Hospital Management Information System

(HMIS) .Cloud helps in overcoming the technologically challenging tasks

such as designing, implementing and maintaining data centers of Vasan

Hospitals.

The main issues faced by Vasan Hospitals are

o High volumes of digital medical data

o Difficulty in analyzing large volumes of data for core medical and

lab processes

o Consolidated storage of PACS, Radiology, Lab and clinical

information

o Administration difficulties due to expansion of the hospital across

the regions

o Providing a detailed report on patients diagnosis using previous

collected data

Organizational Impact

The organization has to align its strategy to that of Cloud. It would

result in

1. Low cost in expanding with applications, Its storage and

Infrastructure

2. Pay per use

3. Scalability

4. Faster Run Time and Response time

This Project will impact Vasan Hospitals in several ways. It willchange the tool, Processes and Roles and responsibilities that were

previously engaged in the organization.

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Tools: The existing legacy administration platform will be replaced

with Cloud. It would include building up of a Centralized Data Centre

with the architectural design

Processes: With the project, comes more efficient and streamlined

Report generation, Transaction, administrative and payroll processes.

The use of such a project would help in eliminating the time and

efforts needed in building the HMIS of the organization. This improved

efficiency will also lessen the burden on managers and provide

autonomy to employees in managing their administrative and payroll

tasks and actions.

Hardware/Software: in addition to the software and licensing for

the project, Vasan Hospitals needs required to purchase additional

servers to accommodate its anticipated growth for the next 10 years.

Technology Migration

Vasan Cloud is proposed to be launched as Software as a Service

(SaaS) and Infrastructure as a Service (IaaS) model where differentmodules like Patient Registration, Out Patient Management, In Patient

Management, Patient Billing, Laboratory Information System and EMR are

deployed as service. The requirement of the Cloud as IaaS is to create

secure, state-of-art facility to store the data / information available in

different hospitals and to provide access to users in a secured manner, as

per their roles and privileges. The private health record as mentioned by

government, transaction details are kept in private cloud whereas

disclosable patient records, newsletters and other non-private data are

kept on public cloud.

The key envisaged features are

Highly secured state-of-art Data center.

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Highly secured and fast data transfer/ transaction between hospitals

and repository.

Consolidation of data from different hospitals.

Analysis and verification of consolidated data.

Defining Unified Identity Management, controlling logical and physical

access.

Uniform IT security and governance policy.

Secured access of data as per pre-defined privileges and roles.

The cloud architecture consists of:

Server Farm, Network Services, Databases, SAN storage Area.

Computing and network infrastructure (cabling, fibre, and electronics).

A communication room where all WAN equipment are kept and fibre

terminated.

Environmental control and HVAC systems.

Fire Detection and Suppression systems.

Power distribution, generation and conditioning systems -

Uninterruptible Power Supplies, generators.

Physical security and access control prevention, allowance, and

logging.

Housing all critical ICT infrastructure and applications under a unified

and secured environment.

Network Operating and Control Center (NOCC) for enterprise

management.

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Architecture of Vasan Cloud

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VPN connection between cloud and hospital

The connectivity between the central server and the hospitals is

one of the major components of the cloud architecture. A Virtual

Private network (VPN) is established between all hospitals and the

data centre using physical network links between them. This is

achieved by sourcing the services from an Internet Service Provider

(ISP). For the purpose of redundancy, services from multiple ISPs could

be sourced as shown in the figure. When multiple data centers could

be they can seamlessly be integrated into this structure. Each DC will

become one node of the VPN. This will facilitate better redundancy

and availability.

PHASE TASK CSF1. Detailed

Discussion

Feasibility Study (Audit

Roles)

Design: Business

Requirements mapping

Project initiation

Evaluation of process

requirement

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to IT Strategy

2. Building private

cloud, leasing

public cloud

Data transfer and

transformation

Customizing the package

Running the essential

software

Define functions and

process

Build cloud

3. Testing and

implementation

Acceptance Testing

Implementation

End User Training

Create go-live plan

Documentation

Integrate

applications

Test Iaas, Saas in

public and private

cloud4. Post

implementation

Documentation

Post implementation

support

Run trial

Maintain cloud

PROJECT

OVERVIEW

This Project overview provides detail for how this project will address

Vasan Hospitalss business problem by automating its Patient

Registration, Out Patient Management, In Patient Management, Patient

Billing, Laboratory Information System report generation, transaction,

administrative and payroll processes at a lower cost and higher gain. It

also provides overcoming their major challenges of Data governance and

regulatory compliances. The overview consists of a project description,

goals and objectives for the Project, project performance criteria, project

assumptions, constraints, and major milestones. As the project is

approved and moves forward, each of these components will be expanded

to include a greater level of detail in working toward the project plan.

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Goals and Objectives

The Vasan Cloud Project directly supports several of the

corporate goals and objectives established by Vasan Hospitals. The

following table lists the business goals and objectives of the project

Business

Goal/ObjectiveDescription

Timely and accurate

reporting

Web based tool will allow real-time and

accurate reporting of all payroll and

administrative metrics

Efficient Data

Analysis

Using Business Intelligence tools, the

collected data are analyzed and pattern

extractions are done accurately for future

needs

Reduce infrastructure

cost

Centralization, Collaboration and

Virtualization helps in eliminating the cost

incurred due to infrastructure

Reduce overhead

costs

Eliminate redundant systems for storing,

protecting, and sharing patient medical

records

Project Performance

The following table lists the key resources, processes, or services

and their anticipated business outcomes in measuring the

performance of the project. These performance measures will bequantified and further defined in the detailed project plan.

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Key

Resource/Process/ServicePerformance Measure

Information management

(Includes Report Generation,Patient Registration details, Out

Patient Management, In Patient

Management, Laboratory

Information System

The web-based system will reduce

reporting discrepancies (duplicatesand gaps). It facilitates pattern

extraction and data mining

processes with use of Business

Intelligence in the organisation

Transaction and BillingMakes billing and transaction

processes easy and secured.

Administration and payroll

Automates administrative and

payroll processes within the

organization.

Staff Resources

Elimination of staff positions in HR

and payroll which are no longer

required as several functions will

now be automated.

Project Assumptions

The following assumptions apply to the Vasan Cloud Project. As

project planning begins and more assumptions are identified, they will

be added accordingly.

All employees are trained properly in order to use the web-based

technologiesBudget has been allocated for the training

Funding is available for purchasing hardware/software and other

equipments needed for project implementation

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All department heads will provide necessary support for successful

project completion

Project has executive-level support and backing

Project Constraints

The following constraints apply to the Vasan Cloud Project. As project

planning begins and more constraints are identified, they will be

added accordingly.

There are limited IT resources available to support the Project and

other, ongoing, IT initiatives.

As implementation will be done internally and not by the product

developers or vendors, there will be limited support from the

hardware/software providers.

Major Project Milestones

The tentative schedule at this time for the project has been listed

below. These milestones can be adjusted according the requirements

as the project progress.The following are the major project milestones

identified at this time. As the project planning moves forward and the

schedule is developed, the milestones and their target completion

dates will be modified, adjusted, and finalized as necessary to

establish the baseline schedule.

Milestones/Deliverables Target Date

Project Charter 01/10/2012

Project Plan Review and Completion 15/10/2012

Project Kickoff 01/11/2012

Detailed Discussion (Phase I Complete) 10/11/2012

Building private cloud, leasing public cloud (Phase II

Complete)30/11/2012

Testing and implementation (Phase III Complete) 30/12/2012

Post implementation (Phase IV ) 15/01/2013

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STRATEGIC ALIGNMENT

The Vasan Cloud Project is in direct support of several of Vasan

Hospitals Strategic Plans. By directly supporting these strategic plans,

this project will improve our business and help move the company forward

to the next level of maturity.

PlanGoals/Objectiv

esRelationship to Project

Strategic

plan for

Information

Manageme

nt

Improve record

keeping and

informationmanagement

This project will allow for real-time

information and data entry, increased

information accuracy, and a consolidated

repository for all payroll and

administrative data

Strategic

Plan for

Technology

Up

gradation

Utilize new

technology to

support

company and

department

missions more

effectively

New technology will allow many payroll

and administrative functions to be

automated reducing the levels of staff

required to manage these systems. It

also employs Business Intelligence for

Pattern extraction by using medical data

which helps in future diagnosis

Strategic

Plan for

Human

Capital

Training the

workforce for

the new

technological

advancements.

Reduces labor

This project allows the employee to take

an active role in managing his/her payroll

and administrative processes. Enhances

the employees and the people with the

ease of using technologies for report

generations and Billing processes.

COST BENEFIT ANALYSIS

For Vendor:

IaaS:

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For leasing IaaS Vasan could go with Amazon. In Amazon the cost for

storing 50 TB of data was approximately $360,000. But now, the cost has

dropped to about $259,000. On the other hand, Vasan could link together 25

2-TB drives, which would give you the same 50 TB of storage, for $3,000

SaaS:

For SaaS Vasan could go with Zoho. Zoho offers a comprehensive suite

of award-winning online business, productivity & collaboration applications.

Zoho offers the following to vasan

Clinical Information Systems (CIS)

o Electronic Medical Records (EMR)

o Picture Archiving and Communication System (PACS)

o Radiology Information System (RIS)

o Computerized Physician Order Entry (CPOE)

o Laboratory Information System (LIS)

o Pharmacy Information System (PIS)

Non Clinical Information Systems (NCIS)

o Revenue Cycle Management (RCM)

o Automatic Patient Billing (APB)

o Cost accounting

o Payroll

o Claims management

Not only does the zoho eliminate the cost of infrastructure, software

and space, it also reduces the need to hire additional employees to manage

an on-premise solution. Software upgrades and ongoing maintenance, which

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can feasibly take one full-time staff equivalent, are also outsourced in the

cloud.

IBM Global Financing offerings provide qualified companies with:

0% interest rate for select servers, storage and software (1)

Fair Market Value leasing that helps further lower your Total Cost of

Ownership with savings up to 16 percent compared to outright

purchase

Vasan could use the massive data stored in the IaaS in Business Intelligence.

BI could offer its benefits in the following ways

Priority conditions scoreboard

Recognition/pay for performance contracts

Quality accreditation reporting support

Care team data support.

Research hypothesis discovery

Access and outreach planning support

Waste reduction and cost effectiveness analysis

Staffing and scheduling analysis

Patient Education Statistics

Financial Analysis on using the data on Business intelligence

Business intelligence enables healthcare providers to drill from reports

into detailed analyses of costs and revenues, view data underlying

cash flow statements, and compare planned versus actual income and

margin.

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Analytical capabilities allow providers to analyze current care practice

patterns to identify unnecessary or under-utilized services, execute

cash flow analysis, forecast collections, and monitor underwriting

requirements.

Reporting capabilities enable healthcare organizations to meet

statutory reporting requirements and ensure accountability from

financial analysts to business unit management, executives, and

directors.

APPROVALS

The signatures of the people below indicate an understanding in the

purpose and content of this document by those signing it. By signing thisdocument you indicate that you approve of the proposed project outlined

in this business case and that the next steps may be taken to create a

formal project in accordance with the details outlined herein.

Approver

NameTitle Signature Date

Vasan . M President andCOO

Ahmed . K Executive VP

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