Veera raghavan

1. 1
The Cloud and Healthcare
Veera S. Raghavan,
Executive Director & Global Practice Head
Dell Services

2. 2
Global Trends
IT adoption and Digitization of Healthcare
1st wave of IT adoption
In 1950 healthcare started
adopting IT to process
vast amount of statistical
data. The automation was
the key for the
organizations.
2nd wave of IT adoption
In 70’s during the second
wave of IT, healthcare, it
gave ehealth card in
Germany, and catalyzed
HITECH in US, NPfIT in
UK.
3rd wave of IT adoption
Healthcare missed the
wave around Y2K; made
strides lately in US – such
as ACA, MU etc, which
are yet to yield results.
 Healthcare industry has significantly underutilized technology
 Information digitized but not portable - inhibiting information sharing
 Success depends very much on first understanding patients’ need – Being Patient Centric
Reference: Healthcare’s digital future

3. 3
Global Trends in Healthcare IT industry
Current Dynamics
Industry shift
Healthcare industry is shifting
toward an information-centric care
delivery model, that support
cooperation, collaborative
workflows and information
sharing.
Future ready IT platforms
Healthcare organizations are
looking towards IaaS, PaaS and
SaaS as service model as a
cost effective solution in
delivery of healthcare
Power of centralization
Around the globe, healthcare
reforms has mandated that it is
time for healthcare information
technology (HIT) to be modernized
and cloud computing is at the
center of this transformation.
IT resourcing
Dearth of qualified IT resources
and increased cost of operations
forcing providers to either
outsource or adopt cloud to bring
the cost of operations lower and
focus on core services.
Reference: Cloud Standards customer council

4. 4
Traditional IT
Environment
Applications
Data
Runtime
Middleware
O/S
Virtualization
Compute
Storage
Networking
Infrastructure
(as a Service)
Applications
Data
Runtime
Middleware
O/S
Virtualization
Compute
Storage
Networking
Vendor managed
Platform
(as a Service)
Vendor managed
Applications
Data
Runtime
Middleware
O/S
Virtualization
Compute
Storage
Networking
Software
(as a Service)
Vendor managed
Applications
Data
Runtime
Middleware
O/S
Virtualization
Compute
Storage
Networking
Setting the context
A view of the Cloud layers

5. Delivers cutting edge technology, applications and services solutions that facilitate
flexible, elastic, efficient, and low cost solution for Indian healthcare
Dell Healthcare and Life Sciences
Better information.
5
Better healthcare.
•Owned by single
organization
•Operated either by
own or outsourced
Available for large
industry group in
multitenant
environment
Deployed for a
specific community
comprises many
organization within the
community
A combination of two
or more clouds
enabled technology or
applications such as
Private and Public
Cloud for Healthcare
Deployment Models
Private Public Community Hybrid

6. 6
Cloud Adoption is for real in the US market
2014 HIMMS Analytics
Cloud Survey

7. 7
Cloud Adoption is for real in the US market
Already using cloud
Yet to adopt cloud

8. 8
Indian Healthcare and Cloud
Cloud for Healthcare
Hospital Cloud
IT
Status
Private spending
72%
Around
65000
hospital with in-patient
care (Below average bed
ratio 1.5/1000)
Spends around
$470M on IT
currently
Annual Spending
80%
(200 and
55%
above) hardware
IT usability
Operational, Clinical, Finance
and Billing
In-house
Infrastructure
Management
Expected annual
IT spending in
hospital -
$1460M by 2020
IT spending
in hospital -
Growing at
with 25%
CAGR
Source: National Health Accounts (NHA),Ministry of Health and Family Welfare (MOH&FW) and Zinnov Cloud Computing
Public Spending
26%
80%
private
hospitals
20%
public
hospitals
45%
(up to 100
beds )
75%
(100-
200 beds)
20-
25%
software
20-
25%
services

9. 9
Nova Medical
Center
Total Centers: 22
Surgeons: 500
Surgeries: 8000
Nova Specialty
Surgery
Nova IVI
Fertility
Case Study
Nova Medical Center
IT Journey:
2009 : First Cloud HIS on Public Cloud
2012 : ERP on Private Cloud
2013 : Private Cloud installation of IVI CIS
2014 : HIS & ERP for 22 Centers and CIS for 9 Centers on Cloud
Key Nova Objectives:
Patients – World-Class surgical care with superior outcomes at 20-25% lower price
Insurance and Corporate Employers – Affordable Healthcare with Pan India Presence
Surgeons – Pride of Ownership; Flexible work schedule and improved lifestyle

10. 10
Benefits of cloud for Healthcare
Summary
• Cost
• Speed
• Expertise/Staffing
• Compliance/Security
• Disaster Recovery
• Mobility

11. 11
India healthcare market
Current Trends
Cloud (Infra) providers are investing…
Platform cloud providers are not popular yet...
SaaS based HIS systems
˗ Few upcoming players with true cloud technology
˗ No national or large player
A cloud based IT system is good option for
Healthcare chains, including diagnostics
‘Greenfield’ /new hospitals
Midsized hospitals/hospital groups
Hospital-in-a-hospital

12. 12
Thank you

13. Indian Healthcare and Cloud
Leader Speaks on Cloud
Data centralization,
data sharing and real
time availability
Security is a concern
13
Saving cost
Good for hospital data and
avoid physical data storage
Greater impact and a
wonderful idea
Most suitable for
bigger hospital and
chains
Cost effective and
efficient services
Around 77% hospital leader shows interest to adopt cloud for their hospital in India