Monday, December 22, 2008

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

I was involved with a project for a fairly large Pharma company which
had about 233 websites that it maintained for its numerous consumer
product lines.

It acquired another consumer Pharma company that brought in another
100+ product websites in.... There were then a dozen variants to these
websites to cater to internationalisation - customers /partners across
the world

The websites were hosted with a dozen vendors and its management was
outsourced . It was so unorganised and the company was burning a lot
of money in maintaining them. Then there was an integration and
consolidation effort looking for an integrated scalable Content
management and web solution at a lower TCO.
Then they started looking for Global delivery/offshore vendors like us
to help reduce the TCO............

Business Applications such as this for large Pharma firms are better
amenable to be moved to CC and Cloud based Content Management (CMS)
solutions that can dynamically scale and serve content globally may
find new opportunities..Increased usage of CC at a lower cost /TCO
perhaps means less Global IT outsourcing from the US ! -;) (which is
good)

-Sankar

On Dec 23, 2:57 am, "John Brothers" <joh...@gmail.com> wrote:
> 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 application on a resilient hardware (stock
> >> exchange, ATMs, etc) than to provide flexible hosting service that
> >> remains resilient.
>
> >> Do you guys know about any such software solutions? Any pointers
> >> appreciated!
>
> >> Regards,
>
> >> Daniel
>
> >> > Granted, they are harder customers than most, but there is no compelling
> >> > reason for them to need to do everything in-house as long as regulations
> >> are
> >> > met.
>
> >> > On Sat, Dec 20, 2008 at 3:05 PM, Johan Louwers <sun...@dds.nl> wrote:
>
> >> >> I think that specific clouds will come for for example banking, medical
> >> >> companies and such. The clouds will have been developed with
> >> consideration
> >> >> for sox and such requirements.
>
> >> >> those markets will be small, however the company who will start it will
> >> be
> >> >> able to make a fair deal of money from it.
>
> >> >> regards,
> >> >> johan louwers.
>
> >> >> -- origineel bericht --
> >> >> Onderwerp:      [ Cloud Computing ] State of affairs : Moving
> >> Healthcare
> >> >> Applications to the Cloud..
> >> >> Van:    Sankar Nagarajan <nagarajansan...@gmail.com>
> >> >> Datum:          20-12-2008 19:28
>
> >> >> Today,Many IT departments are evaluating the privacy, security, and
> >> >> governance issues of public compute clouds, and some may decide it's a
> >> >> route they're not willing to take. (See Bob Evans' related post on
> >> >> InformationWeek's Global CIO blog :http://tinyurl.com/cloud1)
>
> >> >> On the other side ,There is much debate going on in terms of deploying
> >> >> certain consumer and medical/healthcare applications with sensitive
> >> >> or  personal consumer data on the cloud (http://preview.tinyurl.com/
> >> >> cloud2) as being 'Un-ethical,Illegal and Untrustworthy"
>
> >> >> Another point to consider is , Pharma /Life Sciences companies have
> >> >> strict FDA and Sarbanes-Oxley related policies and compliance tightly
> >> >> tied to their IT Systems and operations
>
> >> >> Given the above, What is your viewpoint on How the trend will evolve
> >> >> for this industry?
>
> >> >> Do you think this would be one of the Industry verticals that would
> >> >> see a *Lower Adoption* of cloud computing?
>
> >> >> Do you think Technology and solutions are fast evolving that its a
> >> >> matter of time before Healthcare or Pharma firms will find answers to
> >> >> the challenges faced by them today? or Would the Cloud Vendors evolve
> >> >> specific solutions to cater to this industry alone?
>
> >> >> Please share your views....
>
> >> >> - SANKAR NAGARAJAN
> >> >>http://www.linkedin.com/in/nsk007
>
> >> --
> >> Daniel Drozdzewski
>
> > --
> > Cheers,
> > Jan
>
> --
> 678 467 3504
> Agile Development Blog: IndefiniteArticles.com
> Stone Magic: Stonemagic.Picobusiness.com- Hide quoted text -
>
> - Show quoted text -

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