O novo normal na área da saúde- first call deck

1. O novo normal na área da Saúde
Melissa Ravanini
Arquiteta de Soluções com foco em saúde
ravanini@amazon.com

2. 2
2/3
Mais de dois terços
dos orçamentos de
TI são destinados a
manter os ambientes
funcionais
54%
Dos CEOs de Hospitais
dizem que obter valor
de grande volume de
dados é seu maior
desafio financeiro
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

3. Healthcare hoje Healthcare em breve
Subjetivo, alta variabilidade no
atendimento clínico
Consistente, confiável,
melhores práticas no
atendimento clínico

4. Healthcare hoje Healthcare em breve
Medicina reativa: trate depois
de ficar doente
Medicina proativa: trate antes
de ficar doente

5. Healthcare hoje Healthcare em breve
Manual, uso intensivo de mão
de obra
Automatizado, IA/ML
permitindo um atendimento
médico mais personalizado
eHealth iHealth

6. Como isso
afeta você?
• Value-based care requires data-driven
decision-making but you don’t have the
necessary resources to implement
• Your traditional IT model lacks the agility you
need to keep pace with new technology that
can improve outcomes
• Insufficient security, compliance and
availability can hamper your ability to
compete and open the door to sophisticated,
hard-to-identify attacks
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.6

7. 7
A resposta requer um novo modelo
FOQUE
em diferenciar sua
companhia
novas tecnologias
no dia a dia do
atendimento
INCORPORE
seus dados de
forma inteligente
GERENCIE
riscos
REDUZA
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

8. Foque na
diferenciação
E reduza o débito técnico
8 © 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

9. Reduza tarefas caras e que consomem
tempo
Repense sua abordagem em investimentos
em tecnologia, reduzindo complexidade e
custos
Pare de advinhar a capacidade necessária
Remova infraestrutura com complicada
gestão que adiciona pouco valor ao negócio
Otimize os investimentos em TI
Cleveland Clinic built their
Healthy Brains App on top of
AWS, allowing them to easily
deploy across a variety of devices
and locations while still
maintaining HIPAA compliance.
“AWS allows us to focus on
patients first, driving the best
quality for the lowest cost. It’s all
about value for our patients”
William Morris
CIO – Cleveland Clinic
9 © 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.
https://aws.amazon.com/pt/solutions/case-studies/cleveland-clinic/

10. Foque na sua missão principal
Diminua o tempo
gasto em
infraestrutura
10
Concentre em
novos negócios
Dedique mais
recursos à inovação
“By going to AWS, we can focus on
the science of healthcare. For us
that means analytics rather than
IT, enabling us to attack the
healthcare industry’s cost and
quality challenges.”
David Frazee
Chief Technology Officer
3M Health Information Systems
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.
https://aws.amazon.com/solutions/case-studies/3M-health-information-systems/

11. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.
O Fred Hutchinson Cancer Research Center utiliza
para extrair dados
chaves dos registros médicos de pacientes.
Isso ajuda no desenvolvimento das pesquisas
clínicas, identificando potenciais pacientes.
https://www.youtube.com/watch?v=cJ3eUPOXV4Q

12. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.

13. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.

14. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.

15. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.
Amazon
Comprehend
Medical

16. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.
Amazon
Comprehend
Medical

17. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.
Amazon
Comprehend
Medical

18. © 2019, Amazon Web Services, Inc. or its affiliates. All rights reserved.

19. Opções flexíveis para arquiteturas híbridas
Fully Featured
Compute
Resource &
Deployment
Management
Common Controls
for Security &
Access
Integrated
Networking
Data Integration &
Life Cycle
Management
Your
Datacenter
Amazon Web
Services
21 © 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

20. VMware Cloud na AWS para saúde
Disaster recovery, backup, and business continuity
(imaging, archiving, data retention)
Establish data lake and consolidate healthcare data, analytics, AI/ML
Application migrations (ERP, supply chain, tier 2–3 applications)
Prod, dev, test, lab, research, clinical and non-clinical training
Acquisitions of new healthcare systems, geographic expansion
Burst capacity (open enrollment, cold and flu season)
BAA for PHI
workloads

21. 23
Incorpore novas
tecnologias na
entrega do
cuidado à saúde
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

23. Ritmo em inovação da AWS
2011 2012 2013 2014 2015 2016 2017 2018
80+ 160
280
516
722
1017
1430
1957
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

24. Funcionalidades gerenciadas te fornecendo novas
formas de se conectar com seus clientes e
pacientes Center for Medicare and
Medicaid Services
launched multiple services
to support open
enrollment, scaling to
support millions of users
with a decreased time-to-
launch.
“AWS has enabled us to
do things that we could
never do in the traditional
datacenter model”
Jon Booth
Director
26
Inove no engajamento com o paciente
Managed features Mobile Analytics
Code-triggered
compute
Notifications
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.
https://aws.amazon.com/pt/solutions/case-studies/healthcare-gov/

25. Fundação Instituto de Pesquisa e
Estudo de Diagnóstico por Imagem
Projeto de inteligência artificial que contribui na priorização de
pacientes com lesões cerebrais graves, auxiliando na antecipação
do atendimento de pacientes em quadro de urgência
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.27
https://forumsaudedigital.com.br/fidi-amplia-projeto-de-inteligencia-artificial-na-rede-publica-de-saude-de-sao-paulo/

28. Smart Hospital Room
Cedars-Sinai
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.30
https://www.cedars-sinai.org/newsroom/cedars-sinai-taps-alexa-for-smart-hospital-room-pilot/

29. © 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.31
Serviço Nacional de Saúde do Reino Unido - NHS
Alexa, quais os sintomas da gripe?
Alexa, qual o pronto socorro mais
próximo de minha residência?
https://www.theguardian.com/society/2019/jul/10/nhs-teams-up-with-amazon-to-bring-alexa-to-patients

30. 34
Gerencie seus
dados de forma
inteligente
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

31. Obtenha valor dos seus dados
35
Central Storage
Catalog & Search
Access and search
metadata
• AWS Glue Data
Catalog
• DynamoDB
• Elasticsearch
Access & User Interface
Give your users easy and secure
access
• API Gateway
• Identity & Access Management
• Cognito
Data Ingestion
Get your data into S3 quickly
and securely
• Kinesis Firehose
• Glue ETL
• Snowball
• Database Migration
Service
Processing & Analytics
Use of predictive and
prescriptive analytics to gain
better understanding
• QuickSight
• Amazon AI
• EMR
• Redshift
• Elasticsearch
• Athena
• Kinesis
• RDS
Protect & Secure
Use entitlements to ensure
data is secure and users’
identities are verified
• Security Token Service
• CloudWatch
• CloudTrail
• Key Management Service
Secure, cost-effective
storage in Amazon S3
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

32. Change Healthcare is the
largest health
administrative network in
US. They use AWS for its
revenue cycle
management platform,
sharing data on over 200
million customers with
5,000 hospitals and
60,000 pharmacies in a
secure and compliant way
36
Managed Big Data
and Machine
Learning
EcosystemUnstructured data,
structured data,
streams
Visualization Warehousing Short- and long-
term storage
Capture, armazene e ganhe
visibilidade nos seus dados
Atue na informação enquanto ela acontece
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.
https://aws.amazon.com/pt/solutions/case-studies/change-healthcare/

33. AWS para Data Lakes
Armazenamento e análise em larga escala com
compartilhamento de dados de forma segura Celgene é uma
biofarmacêutica de escala
global que desenvolve
terapias com medicamentos
para câncer e doenças
inflamatórias:
“The speed is important, but
equally important is the
additional intellectual
curiosity this enables for
researchers. Even small gains
in research staff productivity
can have a significant impact
on cost and time to market.”
Lance Smith
Diretor de TI - Celgene
38
Ingestão rápida de dadso Separe seu storage da sua computaçãoDados centralizados
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.
https://aws.amazon.com/pt/solutions/case-studies/celgene/

34. “Escolhemos a AWS pela liderança. São pioneiros
e hoje não existe nada melhor no mercado. Além
disso, a AWS tem na sua estrutura todos os dados
do projeto 1000 Genomes, o que facilita o acesso
e reduz o tempo de processamento”
Dr. Pedro Galante
Pesquisador do IEP
https://aws.amazon.com/pt/solutions/case-studies/sirio-libanes/

36. 45
Reduza riscos
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

37. Mova rápido.
Fique seguro.OU

38. Mova rápido.
Fique seguro.E

39. Programas de segurança da AWS 3.3

40. Modelo de Responsabilidade Compartilhada

41. Virtual Private Cloud
Isolated cloud resources
Web Application Firewall
Filter Malicious Web Traffic
Shield
DDoS protection
Certificate Manager
Provision, manage, and
deploy SSL/TSL certificates
Rede
Key Management Service
Manage creation and control
of encryption keys
CloudHSM
Hardware-based key storage
Server-Side Encryption
Flexible data encryption
options
Criptografia
IAM
Manage user access and
encryption keys
SAML Federation
SAML 2.0 support to allow
on-prem identity integration
Directory Service
Host and manage Microsoft
Active Directory
Organizations
Manage settings for multiple
accounts
Identidade e Gestão
Service Catalog
Create and use standardized
products
Config
Track resource inventory and
changes
CloudTrail
Track user activity and API
usage
CloudWatch
Monitor resources and
applications
Inspector
Analyze application security
Compliance
Acesse um amplo portfolio de ferramentas de segurança
Macie
Discover, Classify & Protect
data
© 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

42. Clientes e parceiros da indústria global de saúde
“Our strength is we understand the clinical world.
We’re not going to waste our capital and talent
on core infrastructure. We want to use it to craft
digital solutions for healthcare.”
Jeroen Tas
Chief Innovation and Strategy Officer

43. Resumo
Elimine débito técnico despendioso e
realoque recursos
Inove rapidamente e solidifique sua
vantagem competitiva
Reduza riscos ao focar recursos
dedicados à segurança, compliance e
alta disponibilidade
"AWS is our
trusted partner
that is going to
run our company
for the next 140
years.”
Jim Fowler
CIO, GE
53 © 2019, Amazon Web Services, Inc. or its Affiliates. All rights reserved.

44. Obrigada!
Melissa Ravanini
Arquiteta de Soluções com foco em saúde
ravanini@amazon.com