Tuesday, December 23, 2008

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

@ 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 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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