Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
2. “In today’s world, business
moves at the speed of
software.” -- Dale Sanders
Great people and great facilities are not enough
anymore.
Software is the enabling or disabling factor to
success in today’s business world.
2
Why should C-levels care about
topics like this one?
3. For Example
Think about the impact that good and bad software is having on the
speed of these critical business transformations in healthcare, alone
• Healthcare.gov
• Population Health Management
• Accountable Care & Value Based Reimbursement
• EHR interoperability
• Detailed cost accounting
• Patient engagement
• Analytics at the point of care that can help raise
quality of care, lower cost of care, and speed
translational research
3
4. On a scale of 1-5, what is your overall perception of
Microsoft as a company– its people, products, and
culture?
1. Very negative
2. Negative
3. Neutral
4. Positive
5. Very positive
4
Poll Question
5. Agenda
• My up and down experiences with Microsoft
• Microsoft’s cultural and technological transformation
• Microsoft’s analytics options
• SQLServer, PDW, APS
• Microsoft Azure
• PowerX product line
• Data visualization and manipulation tools
5
10. Poll Question
At what Level does your organization consistently
and broadly operate in the Analytics Adoption Model?
10
11. “Closed Loop Analytics”
“Presenting data in the workflow of decision making,
such that the data optimizes the outcome of the
decision.” (Sanders, HIMSS 2015 )
Physicians are 15x more likely to modify their
decisions about patient orders and protocols if
presented with data at the point of care, as opposed
to presenting data in “offline” clinical quality
improvement meetings. (Komomoto, BMJ, 2007)
11
13. “Closed Loop Analytics”
Mean Time To Improvement and Span of Population Affected
Loop C: Populations
● MTTI: Years, decades
● SPA: Millions, several hundred thousand
● Analytic consumers: Board of Directors, executive leadership team,
Strategic plans and policy
Loop B: Protocols
● MTTI: Weeks, months
● SPA: Subsets of patients– hundreds, thousands
● Analytic consumers: Care improvement teams, clinical service lines
Loop A: Patients
● MTTI: Minutes, hours
● SPA: Individual patients
● Analytic consumers: Physicians and patients at the point of care
13
14. Big vs. Small Data
The ROI of data to Population Health
14
15. Volume, Ability, Act
The volume of data far outpaces our ability to
analyze and act on data… but we think otherwise
15
21. Microsoft Openness
21
• Over the last three years, the single largest contributor of code to Open Source
• 20% of Azure infrastructure runs on Linux
• .Net is now in the Open Source community
• Tight integration with Hadoop through Hortonworks
• Support for Dockers containers
• Microsoft owns 310 Android patents
• Supports Facebook’s Open Compute data center project
• Third largest contributor to the Linux kernel
Steve Ballmer, 2001: “Linux is a cancer”
Satya Nadella, 2014: “Microsoft loves Linux”
24. The Transition Period
• Too early to go all-in on Hadoop & NoSQL
• Too late to go all-in on relational databases
• You have to straddle both and this is where Microsoft’s products and
strategy excel
24
25. Microsoft’s Analytics Product Lines
Lots of good, familiar patterns and integration across these products
PowerBI
Excel
PowerView
PowerMap
PowerQ&A
PowerQuery
PowerPivot
The Future of Computing:
Azure
Hybrid Architecture:
Analytics Platform
Services (APS)
Old Reliable on Steroids:
Parallel Data Warehouse
(PDW)
Old Reliable: SQLServer
25
26. Price-Performance Numbers*
• EMC Greenplum
• IBM PureData
• Microsoft PDW
• Oracle Exadata
• Teradata Data Warehouse Appliance
26
* -- Thank you, Value Prism Consulting, Oct 2013
35. What is Azure?
One of the key missing concepts in this definition is that Azure is a
hybrid cloud, meaning you can bridge data and applications between
on-premise and the Azure cloud.
As of April 11, 2015, there are 3,019 applications in the Azure
Marketplace. These are overwhelmingly business-level apps, not
consumer apps as we are accustomed to in the Apple and Google app
stores.
38. Huge Azure Infrastructure
100+ datacenters
One of the top 3 networks in the world (coverage, speed, connections)
2x AWS and 6x Google number of offered regions
Operational Announced
Central
US
Iowa
West US
California
North
Europe
Ireland
East US
Virginia
East US 2
Virginia
US Gov
Virginia
NorthCentral
US
Illinois
US Gov
Iowa
South Central
US
Texas
Brazil
South
Sao Paulo
West Europe
Netherlands
China North
Beijing
China South
Shanghai
Japan
East
Saitama
Japan
West
Osaka
India
West
India
East
East Asia
Hong
Kong
SE Asia
Singapore
Australia
West
Melbourne
Australia
East
Sydney
38
45. Azure Security, Privacy,
Compliance
45
• ISO 27001/27002 Audit and Certification
• SOC 1/SSAE 16/ISAE 3402 and SOC 2
Attestations
• Cloud Security Alliance (CSA) Cloud Controls Matrix (CCM)
• Federal Risk and Authorization Management Program
(FedRAMP)
• Federal Information Security Management Act (FISMA)
• Federal Bureau of Investigation (FBI) Criminal Justice
Information Services (CJIS)
• Payment Card Industry (PCI) Data Security Standards
(DSS) Level 1
• United Kingdom G-Cloud OFFICIAL Accreditation
• Australian Government Information Security Registered
Assessors Program (IRAP)
• Multi-Tier Cloud Security Standard for Singapore
(MTCS SS 584:2013)
• HIPAA Business Associate Agreement (BAA)
• EU Model Clauses
• Food and Drug Administration 21 CFR Part 11
• Family Educational Rights and Privacy Act (FERPA)
• Federal Information Processing Standard (FIPS)
• Trusted Cloud Service Certification developed by China Cloud
Computing Promotion and Policy Forum (CCCPPF)
• Multi-Level Protection Scheme (MLPS)
48. Closing Thoughts
• Business moves at the speed of software
• Older C-levels don’t generally grasp this… I’m old so I can say
that
• I don’t impress easily when it comes to IT vendors,
especially Microsoft
• History will show that the new Microsoft is one of the
biggest cultural and technological re-toolings of all time
• Their hybrid “data lake” analytics and big data vision and
execution are unmatched
• Azure is the future of computing
• It’s going to completely disrupt organizational IT strategies and
the role of the CIO, in a good way
48
Notes de l'éditeur
LOOP C:
Plan on the basis of quality
Drive quality based on data
Move this to paper: Evidence that clinicians trust
Stay connected from any device
We are working on the next wave of mobile apps for Power BI. These apps will allow users to access their Power BI dashboards through immersive mobile apps for iPad, iPhone, Windows, and Android devices – releasing throughout H1 CY2015. On Dec 18th the iPad app will be the first available and found in the Apple store, with the other apps following in the coming months. These apps will also allow users to receive alerts to important changes in their data as well as to share and collaborate with colleagues so that they can take immediate action, from any device.
Over the last few years we’ve truly delivered a huge infrastructure to enable us to grow our services at scale around the globe. Whether it’s our flagship facilities in Quincy, Washington or Boydton, Virginia, or some of the newly announced facilities in Shanghai, Australia and Brazil, it really is key for us to make smart investments around the world to deliver services in a resilient and reliable fashion.
A lot of people ask, what goes into site selection at Microsoft and how do we decide where to place our datacenter investments? There are over thirty-five factors in our site selection criteria. But really, the top elements are around proximity to customers and energy and fiber infrastructure, insuring that we have the capacity and the growth platforms to be able to grow our services.
Another key element is about skilled workforce. We need to insure that we have the right people to run and operate our datacenters on a day to day basis.