For more information go to our cloud computing healthcare solutions page: http://www.logicworks.net/healthcare-cloud-solutions Logicworks has partnered with HIStalk to present "Cloud Isn't (Always) The Answer" -- an exploration of how infrastructure solutions, both including and beyond healthcare cloud computing, are central to how healthcare organizations will continue to grow and improve patient care. No healthcare organization needs a cloud - they need HIPAA compliant, highly available solutions that help them deploy and grow key applications. This PowerPoint will explain why public clouds, private clouds, and bare metal infrastructure are all good options, just for different circumstances. We'll review the best practices we've learned from building cloud computing infrastructure for clinical applications, HIEs, HIXs, and analytics platforms. We will also review the benefit of DevOps in improving reliability and security. This PowerPoint will: • Explain how decisions about infrastructure and tools affect (and are affected by) business strategies. • Determine situations in which cloud infrastructure is the best choice and those where it isn't. • Describe the benefits of DevOps.

1. Cloud Is Not (Always) The Answer
June 25, 2014
Presented by

3. Cloud is Not (Always)
the Answer
Jason Deck
Vice President of Strategic Development
Logicworks
jdeck@logicworks.net
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4. “Nobody Needs a Cloud.”
Does that Seem Strange?
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5. Interconnected Areas
Scalable
Auditable
Predictable
Available
Adaptable
ANALYTICS
HIXHIE
CLINICAL APPS
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6. Long view
Pick the right tools
Invest in DevOps
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7. Long view
COST CURVES AUTOMATION REGULATIONS
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8. Tools
PRIVATE CLOUD
PUBLIC CLOUD
Virtualized private infrastructure. Network, storage, compute, managed hosting
and cloud computing security, database, and OS. Application-specific. Predictable
performance.
BARE METAL
Non-virtualized private infrastructure Network, storage, compute, managed
hosting and cloud computing security, database, and OS Typical for database
AWS managed services with High Availability design, Compliance, Infinite
scalability
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9. Tools
BARE METAL
PRIVATE CLOUD
COMPUTING
HYBRID
AWS MANAGED
SERVICES
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10. DevOps
BARE METAL
PRIVATE CLOUD
COMPUTING
HYBRID
AWS MANAGED
SERVICES
DevOps
Agility
Time
Minimize Retrofitting
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11. Complexity
HIE HIX CLINICALANALYTICS
HIPAA
File Sharing
Financial Data
Spiky Compute
Multiple Systems
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12. HIE
HIPAA Compliant
Hosting
File Exchange
Growth?
Fun Fact
One Logicworks HIE client has grown their storage
footprint over 1000% in 3 years.
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13. HIX
Growth? Regulatory Uncertainty? Safeguard Procedures Report?
Fun Fact
The feds just announced a deal for AWS to become
a storage platform for records being sent to CMS.
HIPAA Compliant
Hosting
File Exchange
IRS + FTI
(Federal Tax Information)
Connect to CMS
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14. Analytics
Use case for public cloud solutions seems obvious, but LW
clients in this space operate on both public and private
clouds.
Fun Fact
Spiky Compute? ACO Integration? Data Resource?
HIPAA Compliant
IRS + FTI
(Federal Tax Information)
ERP Integration
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15. Clinical
Fun Fact
HIPAA End User Computing Printers
Consolidation? Community Connect? Disaster Recovery?
Logicworks is working with a system CIO right now to
build a production Epic environment in the cloud that
will host multiple Community Connect providers.
PACS Systems Exchanges
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16. Epic Cloud
Built for growth
3 year storage footprint
1 year compute
Revenue model for downstream providers
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17. Tools
PRIVATE CLOUD
COMPUTING
DevOps
HYBRID
BARE METAL
AWS MANAGED
SERVICES
Agility
Time
Minimize Retrofitting
We solve Problems
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18. We are a 21 year-old complex managed hosting provider for compliant, mission-critical applications.
We’ve Built
30 State HIEs
HIX
Healthcare ISVs and Analytics
Platforms
Private Cloud and Compliant Managed Hosting
Public Cloud and Bare Metal
Extensive DevOps Practice
Managed Security and Audit Support
Our Toolkit