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HIMSS Annual Conference Orlando, FL February 19, 2017
The AWS Cloud and Managing the Healthcare Data Tsunami
Mark Johnston Director of Global Business Development
Healthcare and Life Sciences Amazon Web Service
Today’s Agenda: • Market context and a primer on AWS • Managing healthcare data at scale • Security and compliance
2/3 More than two-thirds of IT budgets go toward keeping the lights on
$2.1M Average cost of a cyberattack
on a healthcare system
65% of Hospital CEOs see the
transition from volume to value as their biggest financial
challenge
How This Affects You
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
Responding requires a new model
Incorporate new technology into care delivery
Manage your data intelligently
Reduce risk
Payers Patients Providers
Health Information Exchanges
Healthcare data security Precision
medicine
Healthcare ERP
Revenue cycle management
EHR Revenue Cycle Management
Connected Health
Enabling innovation across the ecosystem
AWS is a global service built for scale and reliability
16Regions–42AvailabilityZones–68EdgeLoca6ons
Region&NumberofAvailabilityZonesAWSGovCloud(2) EU
Ireland(3)USWest Frankfurt(2)Oregon(3) London(2)NorthernCalifornia(3)
AsiaPacificUSEast Singapore(2)N.Virginia(5),Ohio(3) Sydney(2),Tokyo(3),
Seoul(2),Mumbai(2)CanadaCentral(2) China
Beijing(2)SouthAmericaSãoPaulo(3)
AnnouncedRegionsParis,Ningxia
AccountSupportSupport
ManagedServices
ProfessionalServices
PartnerEcosystem
Training&Cer6fica6on
Solu6onArchitects
AccountManagement
Security&PricingReports
TechnicalAcct.Management
MarketplaceBusiness
Applica6ons
DevOpsTools
BusinessIntelligence
Security
Networking
Database&Storage
SaaSSubscrip6ons
Opera6ngSystems
Mobile
Build,Test,MonitorApps
PushNo6fica6ons
Build,Deploy,ManageAPIs
DeviceTes6ng
Iden6ty
EnterpriseApplicaLons
DocumentSharing
Email&Calendaring
HostedDesktops
Applica6onStreaming
Backup
GameDevelopment
3DGameEngine
Mul6-playerBackends
Mgmt.Tools
Monitoring
Audi6ng
ServiceCatalog
ServerManagement
Configura6onTracking
Op6miza6on
ResourceTemplates
Automa6on
AnalyLcsQueryLargeDataSets
Elas6csearch
BusinessAnaly6cs
Hadoop/Spark
Real-6meData
StreamingOrchestra6onWorkflows
ManagedSearch
ManagedETL
ArLficialIntelligence
Voice&TextChatbots
MachineLearning
Text-to-Speech
ImageAnalysis
IoT
RulesEngine
LocalComputeand
SyncDeviceShadows
DeviceGateway
Registry
Hybrid Devices&EdgeSystems
DataIntegra6on
IntegratedNetworking
ResourceManagement
VMwareonAWS
Iden6tyFedera6on
MigraLon Applica6onDiscovery
Applica6onMigra6on
DatabaseMigra6on
ServerMigra6on
DataMigra6on
Infrastructure Regions AvailabilityZones
PointsofPresence
Compute Containers Event-drivenCompu6ng
VirtualMachines
SimpleServers AutoScaling BatchWeb
Applica6ons
Storage ObjectStorage Archive BlockStorage ManagedFile
Storage
Exabyte-scaleData
Transport
Database MariaDB DataWarehousing NoSQLAurora MySQL Oracle SQLServerPostgreSQL
ApplicaLonServices Transcoding Step
Func6ons Messaging
Security Cer6ficateManagement
WebApp.Firewall
Iden6ty&Access
KeyStorage&Management
DDoSProtec6on
Applica6onAnalysis
Ac6veDirectory
DevTools
PrivateGitRepositories
Con6nuousDelivery
Build,Test,andDebug
Deployment
Networking IsolatedResources
DedicatedConnec6ons
LoadBalancing ScalableDNSGlobalCDN
TheAWSPlaSorm
* As of 1 January 2017
2010
61
516
1,01 7
159
2012 2014 2016
AWS has been continually expanding its services to support virtually any cloud workload, and it now has more than 90 services that range from compute, storage, networking, database, analytics, application services, deployment, management, developer, mobile, Internet of Things (IoT), Artificial Intelligence (AI), security, hybrid and enterprise applications. AWS has launched a total of 1,017 new features and/or services year to date* - for a total of 2,913 new features and/or services since inception in 2006.
AWS Pace of Innovation
AWS Positioned as a Leader in the Gartner Magic Quadrant for Cloud Infrastructure as a Service, Worldwide*
AWS is positioned highest in execution
and furthest in vision within the
Leaders Quadrant
*Gartner, Magic Quadrant for Cloud Infrastructure as a Service, Worldwide, Leong, Lydia, Petri, Gregor, Gill, Bob, Dorosh, Mike, August 32016 This graphic was published by Gartner, Inc. as part of a larger research document and should be evaluated in the context of the entire document. The Gartner document is available upon request from AWS : http://www.gartner.com/doc/reprints?id=1-2G2O5FC&ct=150519&st=sb Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.
Data is the new currency in healthcare
Act on information as it happens Capture, store, and gain insight from your data
Managed Big Data and Machine
Learning
Ecosystem Unstructured data, structured data,
streams
Visualization Warehousing Short- and long-term storage
Analytics on AWS
Change Healthcare (formerly Emdeon) uses AWS for its revenue cycle management platform, sharing data on over 200 million customers with 5,000 hospitals and 60,000 pharmacies
Data warehousing for everyone
• Massively parallel, petabyte scale • Fully managed • $1000 per TB per year; 1/10th traditional costs • Use your existing integration and BI tools
Faster, simpler, less expensive
Amazon Redshift
“We were handed 25 million historical claims 3 months ago...... we spun up thousands of machines and crunched this data in a matter of hours.” Mackenzie Kosut – Head of Technical Operations, Oscar Insurance
Build for durability, scale, and flexibility Designed for 99.999999999% durability, and redundantly stored across multiple facilities and devices
Highly Scalable Flexible Durable
Efficient Fine-grained Access Control Ecosystem
AWS for Storage
Philips HealthSuite Digital Platform is built on AWS, storing 19 PB of PHI using HIPAA-eligible storage services.
Storage options for data throughout its lifecycle
AWS for Storage
S3 Standard
Active data Milliseconds
Archive data 3-5 hours
$0.007/GB/mo
Infrequently accessed data Milliseconds
$0.0125/GB/mo
S3 Standard - Infrequent Access
Amazon Glacier
Deploy however you like
Your Datacenter
Amazon Web Services
Fully Featured Compute
Resource & Deployment Management
Common Controls for Security &
Access
Integrated Networking
Data Integration & Life Cycle
Management
Flexible hybrid options
But what about security and compliance?
Strengthen your security posture
Powerful native functionality and tools at little or no cost
Over 50 global compliance certifications and accreditations
Leverage security enhancements gleaned from 1M+ customer experiences
Benefit from AWS industry leading security teams 24/7, 365 days a year
Security infrastructure built to satisfy military, global banks, and other high-sensitivity organizations
“Healthcare institutions don’t have the time and resources
to devote to cybersecurity that an established cloud provider
might have.” Lee Kim – Director, Privacy and Security, HIMSS North America
Access a deep set of cloud security tools
Encryption
Key Management
Service
CloudHSM Server-side Encryption
Networking
Virtual Private Cloud
Web Application
Firewall
Compliance
Config CloudTrail &
Inspector
Service Catalog
Identity
IAM
Active Directory
Integration
SAML Federation
Compute Storage Database Managed Big Data
Archiving Data Warehousing Networking
HIPAA-eligible services for every application Business Associate Addendum available
HIPAA-eligibleServices
In closing
Move from risk-laden up-front expense to flexible variable expense
Stop guessing at capacity planning
Go global in minutes
Get rid of time-consuming, expensive tasks
Remove complicated infrastructure management that adds little business value
And focus on your core mission
Lower the time spent on infrastructure
Dedicate more resources to innovation
Concentrate on new business
initiatives
“The cloud can lower the operating cost, and actually allow us to focus on what we do well, which is taking care of patients.”
William H. Morris – Associate CIO, Cleveland Clinic
