cloud computing the coming storm. bio robert fox - data architect, arkansas blue cross blue shield ...
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Cloud Computing
The coming storm
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Bio
Robert Fox - Data Architect, Arkansas Blue Cross Blue Shield
18 years of data architecture and warehousing experience in the finance, telecom, and health insurance industries.
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What is a cloud?
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Cloud computing: A way to increase capacity or add capabilities on the fly without investing in new infrastructure, training new personnel, or licensing new software. Cloud computing encompasses any subscription-based or pay-per-use service that, in real time over the Internet, extends IT's existing capabilities.
[Information World]
Cloud computing: A way to increase capacity or add capabilities on the fly without investing in new infrastructure, training new personnel, or licensing new software. Cloud computing encompasses any subscription-based or pay-per-use service that, in real time over the Internet, extends IT's existing capabilities.
[Information World]
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Cloud Hardware Example - SAN
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Local Disk Storage Storage Area Network
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Trends in Cloud Storage Solutions
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Cloud Hardware – Logical Servers
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Logical ServersDedicated Servers
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Cloud Hardware – Grid Computing
Grid ServerDedicated Server
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Cloud Software – Virtual Applications
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Enterprise Service Bus (ESB)
ClaimsApp
MembersApp
Time Entry
Sales ForceAutomation
ClaimsMembersTime Entry
Sales ForceAutomation
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Cloud Software – Software Services
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Enterprise Service Bus (ESB)
ExchangeApp
ClaimsApp
DemographicsVendor
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Cloud Resources – Services
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Full Time Employees
Temp Contractors
Outsourced Resources
• Call Centers• Network Support• Shredding• Food Services• Immigration
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Cloud Solutions Can Reduce Expenses
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Patients
Providers
Payers
Premiums
Paym
entsServices
ExpensesProfits
ExpensesProfits
CareWellness
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Local vs. Cloud Solutions
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Cloud SolutionsCloud SolutionsLocal SolutionsLocal Solutions
•Complete solution under your control
•No risk introduced from “partners”•Easily customizable
•Complete transparency•Dedicated Equipment
•Performance•No potential for “mixing” data with other clients
•Low cost after initial investment
•Complete solution under your control
•No risk introduced from “partners”•Easily customizable
•Complete transparency•Dedicated Equipment
•Performance•No potential for “mixing” data with other clients
•Low cost after initial investment
•Scalable•small or large company•phased adoption
•Economical •Through competition•Through economies of scale (on demand)•Shift from upfront capital investment to pay-as-you-go operational expense
•Lets you focus on your business•Shared legal risk•Portability - Disaster Recovery
•Scalable•small or large company•phased adoption
•Economical •Through competition•Through economies of scale (on demand)•Shift from upfront capital investment to pay-as-you-go operational expense
•Lets you focus on your business•Shared legal risk•Portability - Disaster Recovery
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Security – HIPAA “Final Rule”
HIPAA originated in 1996. It was updated this year (A.K.A. “HIPAA 2.0”). The updates go into effect yesterday - September 23rd.
New documentation includes 1,358 occurrences of the term “Business Associate” - any entity with access to PII/PHI data other than the originator.
HIPAA Final Rule defines the legal obligations of these Business Associates, including an agreement for them to sign.
There are Legal and Financial obligations in both directions for failure to have your Business Associates sign the HIPAA Final Rule Business Associate Agreement (BAA).
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If you use a cloud service, it should be your Business Associate. If they refuse to sign a Business Associate Agreement, don’t use the cloud service.”
David Holtzman, Information Privacy Division, Office for Civil Rights(Enforcement arm of Health and Human Services)
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Recommendations
Decide what problem you are trying to fix Compliance?
Mobile Workforce?
Scalability?
Disaster Recovery?
Expenses?
Make enterprise decisions, not departmental ones.
Adopt enterprise Services Oriented Architecture (SOA)
Include the Business, IT, and Legal in the decision
Buy value, not hype14