Lecture by Dr Mohammad Al-Ubaydli from Patients Know Best at the State of the Cloud 2010 summit in Boston.

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?

11. Competitive advantage in recruitment

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