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Cloud computing in health care
         for State of the Cloud Executive Conference 2010
”State of the Cloud 2010” in Europe
Roadmap
Experiences of a patient-controlled
medical records company
1. Introduction
2. Cloud computing inside Patients Know Best
3. Teaching the UK National Health Service to trust
cloud computing (through Patients Know Best)
Roadmap
Experiences of a patient-controlled
medical records company
1. Introduction
2. Cloud computing inside Patients Know Best
3. Teaching the UK National Health Service to trust
cloud computing (through Patients Know Best)
What I learned from
nurses and doctors
A bit about me…

                  Trained as physician at the
                  University of Cambridge.

                  Trained as programmer and
                  worked as NIH Staff Scientist.


                  Honourary Senior Research
                  Associate, UCL Medical School.


                  Continuing research on PHRs from
                  2,700 US hospitals, new book in
                  2010: book.patientsknowbest.com
Cloud computing in healthcare
Roadmap
Experiences of a patient-controlled
medical records company
1. Introduction

2. Cloud computing inside Patients Know Best
3. Teaching the UK National Health Service to trust
cloud computing (through Patients Know Best)
Cloud computing inside
Google Apps for single-sign on as well as for its apps




Apart from the our patient-controlled record, everything we do is in someone else’s cloud
Accounting, receipt scanning, legal contracts

Test servers, SVN repository, selenium testing

Videos, blogs, podcast and wiki

We do not rely on any files stored on individuals’ computers
Prove it: Can you do this better and cheaper?
Competitive advantage in recruitment
No need for amateur sys-admins




Technology team can focus on what they do best, and go home earlier
No frustrations of patching part-time or responsibility of locking down security

Doing far more, far more quickly, than they did at pervious employers
Roadmap
Experiences of a patient-controlled
medical records company
1. Introduction
2. Cloud computing inside Patients Know Best

3. Teaching the UK National Health Service to
trust cloud computing (through Patients Know Best)
Our customers
Use our platform to save money
from shared workflow
1. Addenbrooke’s hospital wanted us for
online consultations
2. Bupa and Great Ormond Street hospital
wanted us for electronic prescribing
3. Next year, 15 more NHS hospitals join

     We can do what Microsoft,
  Google and the NHS cannot do
Transparency is what lets the NHS trust us




We use open source software to store patient data
Data are verifiably encrypted at the patient level

Each patient controls who else can decrypt the data

If necessary, CIO could run the same software to store their patients’ data

We can prove that we cannot misuse the data because we cannot even use the data
The NHS lets clinicians and patients trust us




Only company inside NHS secure network that makes data available to patients outside
Any patient can use any device they already own

Patient can invite clinicians outside of the NHS

Integration with existing NHS resources, e.g. NHS Choices and NHS Mail

Even though no one cares / understands that we use open source software
Training allows users to succeed with the cloud




Our web site has 10 pages about the company and 2,000 about research papers
Best practices available at http://wiki.patientsknowbest.com

Personal health records: A guide for clinicians book (Wiley, 2010) http://book.patientsknowbest.com

Because new technologies require new habits
Mohammad Al-Ubaydli
        Patients Know Best
        team@patientsknowbest.com
        www.patientsknowbest.com




Thank you for listening

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Cloud computing in healthcare

  • 1. Cloud computing in health care for State of the Cloud Executive Conference 2010
  • 2. ”State of the Cloud 2010” in Europe
  • 3. Roadmap Experiences of a patient-controlled medical records company 1. Introduction 2. Cloud computing inside Patients Know Best 3. Teaching the UK National Health Service to trust cloud computing (through Patients Know Best)
  • 4. Roadmap Experiences of a patient-controlled medical records company 1. Introduction 2. Cloud computing inside Patients Know Best 3. Teaching the UK National Health Service to trust cloud computing (through Patients Know Best)
  • 5. What I learned from nurses and doctors
  • 6. A bit about me… Trained as physician at the University of Cambridge. Trained as programmer and worked as NIH Staff Scientist. Honourary Senior Research Associate, UCL Medical School. Continuing research on PHRs from 2,700 US hospitals, new book in 2010: book.patientsknowbest.com
  • 8. Roadmap Experiences of a patient-controlled medical records company 1. Introduction 2. Cloud computing inside Patients Know Best 3. Teaching the UK National Health Service to trust cloud computing (through Patients Know Best)
  • 9. Cloud computing inside Google Apps for single-sign on as well as for its apps Apart from the our patient-controlled record, everything we do is in someone else’s cloud Accounting, receipt scanning, legal contracts Test servers, SVN repository, selenium testing Videos, blogs, podcast and wiki We do not rely on any files stored on individuals’ computers
  • 10. Prove it: Can you do this better and cheaper?
  • 12. No need for amateur sys-admins Technology team can focus on what they do best, and go home earlier No frustrations of patching part-time or responsibility of locking down security Doing far more, far more quickly, than they did at pervious employers
  • 13. Roadmap Experiences of a patient-controlled medical records company 1. Introduction 2. Cloud computing inside Patients Know Best 3. Teaching the UK National Health Service to trust cloud computing (through Patients Know Best)
  • 14. Our customers Use our platform to save money from shared workflow 1. Addenbrooke’s hospital wanted us for online consultations 2. Bupa and Great Ormond Street hospital wanted us for electronic prescribing 3. Next year, 15 more NHS hospitals join We can do what Microsoft, Google and the NHS cannot do
  • 15. Transparency is what lets the NHS trust us We use open source software to store patient data Data are verifiably encrypted at the patient level Each patient controls who else can decrypt the data If necessary, CIO could run the same software to store their patients’ data We can prove that we cannot misuse the data because we cannot even use the data
  • 16. The NHS lets clinicians and patients trust us Only company inside NHS secure network that makes data available to patients outside Any patient can use any device they already own Patient can invite clinicians outside of the NHS Integration with existing NHS resources, e.g. NHS Choices and NHS Mail Even though no one cares / understands that we use open source software
  • 17. Training allows users to succeed with the cloud Our web site has 10 pages about the company and 2,000 about research papers Best practices available at http://wiki.patientsknowbest.com Personal health records: A guide for clinicians book (Wiley, 2010) http://book.patientsknowbest.com Because new technologies require new habits
  • 18. Mohammad Al-Ubaydli Patients Know Best team@patientsknowbest.com www.patientsknowbest.com Thank you for listening