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The Cloud and HealthcareVeera S. Raghavan, Executive Director & Global Practice Head

Dell Services

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Global TrendsIT adoption and Digitization of Healthcare

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

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.

Reference: Healthcare’s digital future

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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

IT resourcingDearth 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.

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.

Power of centralization

Reference: Cloud Standards customer council

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Traditional IT Environment

Storage

Compute

Networking

O/S

Middleware

Virtualization

Data

Applications

Runtime

Infrastructure(as a Service)

Storage

Compute

Networking

O/S

Middleware

Virtualization

Data

Applications

Runtime

Ven

dor mana

ged

Platform(as a Service)

Ven

dor manag

ed

Storage

Compute

Networking

O/S

Middleware

Virtualization

Applications

Runtime

Data

Software(as a Service)

Ve

ndor man

aged

Storage

Compute

O/S

Middleware

Virtualization

Applications

Runtime

Data

Networking

Setting the contextA view of the Cloud layers

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Better information.Better healthcare.

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

•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 HealthcareDeployment Models

Private Public Community Hybrid

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Cloud Adoption is for real in the US market

2014 HIMMS AnalyticsCloud Survey

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Already u

sing cl

oud

Yet to adopt c

loud

Cloud Adoption is for real in the US market

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CloudHospital 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

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)

80% (200 and above)55%

hardware 20-25% software

20-25% services

Indian Healthcare and CloudCloud for Healthcare

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IT Journey:2009 : First Cloud HIS on Public Cloud2012 : ERP on Private Cloud2013 : 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

Nova Medical CenterTotal Centers: 22

Surgeons: 500

Surgeries: 8000

Nova Specialty Surgery

Nova IVI Fertility

Case StudyNova Medical Center

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Summary

• Cost• Speed• Expertise/Staffing

• Compliance/Security• Disaster Recovery• Mobility

Benefits of cloud for Healthcare

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A cloud based IT system is good option forHealthcare chains, including diagnostics‘Greenfield’ /new hospitalsMidsized hospitals/hospital groupsHospital-in-a-hospital

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

India healthcare market

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Thank you

13Around 77% hospital leader shows interest to adopt cloud for their hospital in India

Saving cost

Good for hospital data and avoid physical data storage

Most suitable for bigger hospital and chains

Cost effective and efficient services

Security is a concern

Data centralization, data sharing and real time availability

Greater impact and a wonderful idea

Indian Healthcare and Cloud Leader Speaks on Cloud