Wednesday, December 24, 2008

[ Cloud Computing ] Re: State of affairs : Moving Healthcare Appli cations to the Cloud..

Here is another instance of an ondemand Patient/Clinical trial related
Product/App moved in to SaaS model
http://www.opsource.net/news/press/read_news.php?&newsid=81

All these seem to suggest that more and more such apps. may follow in
course of time....


-Sankar

On Dec 24, 8:55 am, "Ed Loessi" <ed.loe...@faulknertechnologies.com>
wrote:
> I saw this presentation on Slideshare today.
>
> http://www.slideshare.net/JustinKestelyn/oracle-in-the-cloud-aws-webi...
>
> If you go to slide 28 you will see an overview of an Oracle/Amazon solution
> for Harvard Medical School for a drug simulation application.  Not sure what
> compliance examples they faced but I imagine that a full blown version of
> that type of solution would be handling lots of patient/participant data at
> some point.  I would venture to say that Amazon is poking around what it
> takes to offer services in the market so it may be that at the moment that
> the early clouds are not fully compliant but I suspect that they will figure
> it out fairly quickly.
>
> Ed Loessi
>
> Ed Loessi
> CEO Faulkner Technologies
> Email: ed.loe...@faulknertechnologies.com
>
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>
> On Tue, Dec 23, 2008 at 10:36 PM, Sankar Nagarajan <
>
>
>
> nagarajansan...@gmail.com> wrote:
>
> > @ Barbara - "And I agree with John, that many applications are not CPU
> > bound, however
> > they can be very much storage & latency bound in research areas.
> > Research
> > areas have massive amounts of unstructured, high value data to
> > manage."
>
> > Barbara,
>
> >  I think private clouds for Research organisations that have to do
> > with huge number crunching and deal with massive amounts of data are
> > already starting to appear. As an instance, a few weeks ago, HPC (High
> > performance computing) providers such as RSystems last month partnered
> > with Wolform Research (the company that develops the popular Mathworks
> > scientific analysis and reporting tools) on a Cloud computing
> > initiative.
>
> >http://www.rsystemsinc.com
>
> > Wolform Research is enabling a pay per use kind of a model (SaaS model
> > for their software) that will help researchers and firms to rent and
> > run computing intensive modeling and analysis online.
>
> > - Sankar
>
> > On Dec 23, 10:05 pm, "Barbara Bour" <barb...@principiainc.com> wrote:
> > > Dear Cloud Computing Members,
>
> > > I am really enjoying this stream.
>
> > > While I agree with John that there is opportunity for routine application
> > > consolidation, development improvements, etc.. The medical industry is at
> > > cross roads, where reducing costs will be essential and largely driven by
> > > external factors: Health Care costs of aging population, and very
> > > problematic addiction to high margin, block buster drug business model
> > > within pharma.
>
> > > Pharma will become the next GM if they don't aggressively apply every
> > trick
> > > in the book including routing application consolidation/improvements,
> > > leverage of open source & cloud computing to drive down their burn rates
> > > because drug profits will be driven down by overwhelming external forces.
>
> > > Medical will become more dysfunctional and expensive if it continues in
> > its
> > > current state.
>
> > > And I agree with John, that many applications are not CPU bound, however
> > > they can be very much storage & latency bound in research areas. Research
> > > areas have massive amounts of unstructured, high value data to manage.
>
> > >   _____
>
> > > From: cloud-computing@googlegroups.com
> > > [mailto:cloud-computing@googlegroups.com] On Behalf Of John Brothers
> > > Sent: Monday, December 22, 2008 4:57 PM
> > > To: cloud-computing@googlegroups.com
> > > Subject: [ Cloud Computing ] Re: State of affairs : Moving Healthcare
> > Appli
> > > cations to the Cloud..
>
> > > Yeah, I've done a fair amount of software dev for both the clinical trial
> > > management side of Pharma as well as Sales and Marketing.   I don't see
> > any
> > > obvious wins for CC in the Sales and Marketing, but then if they were
> > > obvious, people would be doing them already :)
>
> > > On the Trial Management side...  it seems like there's more potential for
> > CC
> > > in trial management, but I struggle with what that might look like.  They
> > > generally are never CPU-bound.    In other words, there's still a lot of
> > > potential for plain old regular software development improvements to
> > their
> > > processes and systems, before we even consider CC.
>
> > > As web applications for CTM proliferate, I could see the use of clouds to
> > > manage demand and ease deployment, but that's hardly a killer app.
>
> > > john
>
> > > On Mon, Dec 22, 2008 at 3:16 PM, Jan Klincewicz <
> > jan.klincew...@gmail.com>
> > > wrote:
>
> > > It actually gets a little more complicated than that.  Pharma typically
> > > consists of Drug Discovery (the Science part) as well as typical Front
> > > Office (Corporate, Regulatory, Marketing/Sales etc.)  They have totally
> > > different needs and agendas.  I have found the Science side to usually be
> > > somewhat autonomous and cutting edge, adopting supercomputers, grids,
> > etc...
> > > much more open to Linux, Open Source etc.  The Corporate side is more
> > > conservative, more MSFT / Solaris-oriented but they equally share
> > regulatory
> > > compliance painpoints.
>
> > > Healthcare likewise, comprises clinical operations as well as Insurance
> > > Processing. On the hospital floors, and in the clinics, you are likely to
> > > see most apps delivered by Citrix Presentation Server (XenApp) which
> > > actually does a pretty good job of enforcing security.  I can see why it
> > is
> > > so popular where "locked-down" thin clients have no way to capture
> > patient
> > > data.
>
> > > Though I work strictly on the XenServer side of Citrix, I am becoming
> > > increasingly impressed by how their 18-year-old technology is relevant
> > today
> > > (even more) in CC environments.  They answered a lot of the concerns
> > being
> > > discussed here over a decade ago ...
>
> > > I dont see a lot of dBase III apps anymore (which is shame... I was once
> > an
> > > ace Clipper jockey back in the day ...)
>
> > > On Mon, Dec 22, 2008 at 10:21 AM, Sal Magnone <salmagn...@gmail.com>
> > wrote:
> > > >>I don't think it's as easy with SoX as saying 'as long as somebody
> > > >>takes care of compliance issues'...
>
> > > Yes, but it's common with HIPAA. The easiest way to unload your privacy
> > > concerns is to actually unload them. Now that doesn't really remove
> > > liability but it does show a reasonable attempt and spreads the liability
> > > around. From the perspective of many in healthcare at the top, anybody
> > > handles IT better than they do.
>
> > > One thing in this thread that I noted (and this applies to my last
> > > statement) - we seem to be lumping PHARMA in with Healthcare (actual care
> > > and care facilities) and healthcare related services (like utilization
> > > management and TPA activity). These are three different worlds from a
> > > requirements and corporate IT sophistication standpoint. These three is
> > > clearly in three different evolutionary places with the odd exception.
> > They
> > > are also in three different mindsets.
>
> > > For the most part this is the way I see it-
> > > PHARMA is about science as well as money and they know how to use
> > technology
> > > and embrace it.
> > > CARE is about the same but with much greater aversion to cost and
> > > complexity. Lot's of COBOL in hospitals. Everything costs too much but
> > > they'll use if they have to.
> > > SERVICES is the place where desk fans are cooling i486 boxes with 100meg
> > HDs
> > > running DBASE III+ apps that are backed up to local tape (maybe).
>
> > > /Sal
>
> > > -----Original Message-----
> > > From: cloud-computing@googlegroups.com
>
> > > [mailto:cloud-computing@googlegroups.com] On Behalf Of Daniel
> > Drozdzewski
> > > Sent: Monday, December 22, 2008 9:43 AM
> > > To: cloud-computing@googlegroups.com
> > > Subject: [ Cloud Computing ] Re: State of affairs : Moving Healthcare
> > Appli
> > > cations to the Cloud..
>
> > > On Sat, Dec 20, 2008 at 8:23 PM, Jan Klincewicz
> > > <jan.klincew...@gmail.com> wrote:
> > > > I have sold into many Pharma / Health Care customers, and they do have
> > > > serious compliance issues.  That being said, they were often more than
> > > > willing to outsource their operations to HP / IBM / EDS etc.  As long
> > as
> > > > SOMEBODY takes care of the compliance issues, I think they will be
> > > > satisfied.  There is no real magic to it, other than reams of
> > > documentation,
> > > > paperwork, change controls, lock-downs etc.
>
> > > Hey guys,
>
> > > I don't think it's as easy with SoX as saying 'as long as somebody
> > > takes care of compliance issues'...
>
> > > Isn't the point of SoX to impose as many in-house safety measures and
> > > double checks within the company as possible together with reporting
> > > to regulators?
> > > (In)famous section 404 talks solely on internal controls and risk
> > > assessment.
>
> > > This makes me think, that for the cloud to be picked up by big
> > > companies (that have great deal of SoX compliance need), cloud vendors
> > > must provide service that is open to attestation by the customers and
> > > can provide strong assurance (by the application of crypto, protocols,
> > > certificates, etc) so that not just a contract with the vendor, but
> > > used technologies and protocols impose properties needed by the big
> > > business.
>
> > > I also agree that 24/7 availability is another issue that needs
> > > addressing for mission critical apps to me moved up to the clouds.
> > > Tandem(HP-Non Stop) and few others provide the hardware platform, but
> > > there is also need for replicating protocols, assurance of data
> > > integrity across duplicated nodes etc. It is considerably easier to
> > > run one specialized
>
> ...
>
> read more »- Hide quoted text -
>
> - Show quoted text -

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