I 100% agree, especially about the Citrix technology being so relevant today. Years ago I said, “this stuff is slick”. Many people don’t agree with either of us though … Shame.
BTW: I joke not about the desk fans and DBASE III+. The last time I saw this, about 2 years ago, to make it more humorous, the apps didn’t use shared locking. Different client data on different i486 DX boxes. Love it.
/Sal
Sal Magnone
+1 646 269 5648
From: cloud-computing@googlegroups.com [mailto:cloud-computing@googlegroups.com] On Behalf Of Jan Klincewicz
Sent: Monday, December 22, 2008 3:16 PM
To: cloud-computing@googlegroups.com
Subject: [ Cloud Computing ] Re: State of affairs : Moving Healthcare Appli cations to the Cloud..
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 <salmagnone@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.klincewicz@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 <suntac@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 <nagarajansankar@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
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