Cloud Computing Webinar - John Reza

© 2012 Copyright Genpact. All Rights Reserved.
Cloud Computing doesn’t have
to be so cloudy in the
Healthcare industry!

The Four Essential Ingredients
For Healthcare Payers,
Providers and PBMs to Become
a Formidable Competitor :
Cloud, Analytics, Mobility, Process

About the speakers
John Reza
Principal, Healthcare Practice, Headstrong
John is an accomplished Information Technology executive with twenty-five years of experience in the Healthcare
industry’s Payer and Provider segments. He is an expert in the delivery of large-scale, cross-functional, and
enterprise-wide initiatives that address C-Suite pain points. His extensive operational, business process, technology,
financial, strategy, and compliance experiences have resulted in his unique ability and know-how to solve and
execute on complex and complicated organizational challenges. He is a firm believer in “It’s All About the Execution.”
Noelia Torres
Cloud Specialist, Rackspace
As a Cloud Specialist for Rackspace Hosting, she lives by the service and culture that drives fanatical support. Noelia
joined Rackspace in January 2007 as part of the online qualifying team where she was in charge of speaking with
prospects and finding the right place for them within the sales organization. She then got promoted to the Email &
Apps sales team, a cloud based team focused on providing software as a service solutions (hosted email, hosted
sharepoint, backup solutions and archiving). She piloted the team she's part of today and is in charge of internal cloud
adoption, training and support for mid-market customers at Rackspace. She is Cloud U certified and holds a B.S in
Marketing and French from Louisiana State University.
Chris Dauw
Director, Fruition Partners
As Director of Development at Fruition Partners, Chris is responsible for overseeing the company’s cloud strategy,
product roadmap and channel partnerships. Bringing more than 15 years of software and corporate development
experience, Chris plays a key role in keeping Fruition at the forefront of cloud platform innovation. Chris has lead
development teams building enterprise PaaS solutions for strategic accounts like Facebook, Coca-Cola, McDonald's,
Caesar's Entertainment, and Devry University. He is a frequent speaker and evangelist in cloud delivery and his work
has been showcased at both the Salesforce's Dreamforce and ServiceNow's Knowledge end user conferences.

Agenda
Introduction and Welcome (12:00 – 12:03 PM) – Eastern Standard Time
John Reza, Healthcare Practice Leader, Headstrong
Cloud Computing – ABC’s of Cloud Computing (12:03 – 12:10 PM)
John Reza
Definition and Example Use of Cloud (12:11 – 12:35 PM)
Noelia Torres, Cloud Specialist, Rackspace
Platform as a Service (12:36 – 12:50 PM)
Chris Dauw, Director of Development, Fruition Partners
Panel Discussion (12:51 – 12:58 PM)
Closing (12:58 - 1:00 PM)
John Reza

Company Information
• Established: 1997
• Listed NYSE G
• $1.26B in Revenue (2010)
• Began as a GE Business Unit
• Operating Centers in 13 countries
• Leading Six Sigma and Lean Capabilities
• 53,000 Employees (Including Headstrong)
Strong
IT and
Domain focus
BPM,
Re-engineering
And Analytics
• Established: 1981
• Global leader in consulting to the financial
markets
• Deep industry expertise in Wealth
management, Derivatives, Prime services, Ref
Data and others
• Strong onsite and offshore expertise
• Emerging practice in Healthcare and Asset
mgmt
Creating a compelling value proposition for clients

ABC’s of Cloud Computing
John Reza

The phrase originates from
the cloud symbol used by
flow charts and diagrams to
symbolize the Internet.
Where Did Term Cloud Computing Come From?

“Cloud computing is a model for
enabling ubiquitous, convenient, on-
demand network access to a shared
pool of configurable computing
resources (e.g., networks, servers,
storage, applications, and services)
that can be rapidly provisioned and
released with minimal management
effort or service provider interaction.”
National Institute of Standards and Technology

So What’s in the Cloud?
Cloud is an Information Technology
infrastructure that is available at a remote
location(s) to provide its subscribers with
various hardware, software, and services.
Definition of Cloud Computing
Servers
Networks
Storage
Telecom
Backup &
Recovery
Routers
Switches
Firewalls
Email
Databases
File Sharing
Security
Internet Helpdesk
Redundancy
Monitoring
Hospital Information Systems
CPOE
Revenue Cycle Management
EHR
PayrollA/R
Healthcare Insurance Systems
Claims
EHR
Network & Database Administration
Analytics Pharmacy

Servers
Networks
Storage
Telecom
Backup &
Recovery
Routers
Switches
Firewalls
Email
Databases
File Sharing
Security
Internet
Helpdesk
Redundancy
Monitoring
Management
Prepare Design Acquire Implement Maintain Optimize
Plan Build operate
Multimillion-Dollar Companies
The “Traditional” Route
Internal Information Technology Organizations
Data Center
Pharmacy Chains
Large Upfront CAPEX, Labor Costs, Licensing Fees, Maintenance Costs
Time Consuming and Slow Time-to-Production & Market

Cost Borne by Vendors or Internal IT
Multibillion-
Dollar
Companies
Start-ups
Small and
Medium
Enterprises
External
Cloud
Prepare Design Acquire Implement Maintain Optimize
Large CAPEX Labor Costs Maintenance Costs
The End User Perspective
Internal
Cloud Internal Chargeback
IaaS, SaaS, PaaS Vendors
Pharmacy Chains
The Cloud Route
Pay-as-
You-Use
IT Organizations
ACOs
Servers
Networks
Storage
Telecom
Backup &
Recovery
Routers
Switches
Firewalls
Email
Databases
File Sharing
Security
Internet
Helpdesk
Redundancy
Monitoring
Management
HD/SW & Services

Start-ups
Small and
Medium
EnterprisesPharmacy Chains
Cloud Computing for Everyone!
VA
HHS
FDA
SSA
State Health
Information
Exchange
Community
Exchanges
Self-Funded
Accountable
Care
Organizations
Integrated
Delivery
Networks
Servers
Networks
Storage
Telecom
Backup &
Recovery
Routers
Switches
Firewalls
Email
Databases
File Sharing
Security
Internet Helpdesk
Redundancy
Monitoring
Hospital Information Systems
CPOE
Revenue Cycle Management
EHR
PayrollA/R
Healthcare Insurance Systems
Claims
EHR
Network & Database Administration
Analytics Pharmacy

1. Total Cost of Ownership
2. Security & Privacy
Implications
3. Competitive Advantage
4. Exit Strategy
5. Legally Binding Contract
The Five Must Do’s of Cloud Readiness Analysis

National Health Information Network : Future State
Nationwide Health
Information Network
State Health
Information
Exchange
Private Health
Information
Exchange
Community Exchanges
State Health
Insurance
Exchange
Texas Health
Insurance
Exchange
IDN
ACO
Electronic Health Records
IDN
Telemedicine
CPOE
VA
HHS
FDA
Health Plans
SSA
PHR
Mobile
Payers
ACO
Chains

Definition and Example Use of
IaaS/SaaS/PaaS
Noelia Torres

The Cloud Computing Stack

SaaS: Software as Service
SaaS applications are designed for end users and are delivered over
the web. With SaaS a provider licenses the application to customers
as a service on demand, through a subscription and typically no
monthly contracts.

Where SaaS makes sense:
Some of our healthcare customers
using SaaS @ Rackspace.

PaaS: Platform as a Service
Platform as a service brings the benefits that SaaS brought for
application but over to the software development world. PaaS can be
defined as a computing platform that allows the creation of web
applications quickly and easily and without the complexity of buying
and maintaining the software and infrastructure underneath it.
There are basically four types of PaaS solutions – social application
platforms, raw compute platforms, web application platforms and
business application platform.

IAAS: Infrastructure as a Service
IaaS is a way of delivering Cloud computing infrastructure such as servers,
storage, network and operating systems-as an on demand product.
IaaS can be obtained as a “Public Cloud” or “Private Cloud”.
Hybrid Cloud: Some providers offer
a combination of traditional dedicated
hosting alongside public and/or
private cloud.

Private versus Public

Hybrid Solution

Why this matters? Shift in Key Spend for IT
This is a subset of the worldwide IT market, representing business IT spending on Business Applications, Systems
Infrastructure Software, Application Development & Deployment Software, Servers and Storage. Source IDC's New
IT Cloud Services Forecast: 2009-2013, (http://blogs.idc.com/ie/?p=543 ) October 2009
Third-party hosting infrastructure services gaining momentum. U.S. companies'
adoption of third-party hosting infrastructure services.
Because almost
Half of private clouds
Are outsourced to
Third-party service
providers
Gartner indicates that by 2012, 20% of business will own no IT assets.
Small businesses are seeking broader technology support conversations

Cloud Adoption and Deployments by industry

Emerging devices
of small
business owners use
smartphones.3
⅓
New generation of workers
million strong,
the “millennial” generation
is the most tech-savvy,
connected generation
of our time.1
70 of U.S. small and midsize
businesses have workers
that work from home.2
Increasingly mobile workforce
77%
Communication overload
In October 2011,
of U.S. email was spam.4
>73%
The rise of cloud computing
of U.S. small businesses are
investing in or investigating
cloud services.5
>60%
1) Firefish Blog, Oct 2011; 2) Techaisle, Jul 2011; 3) Discover, Dec 2010; 4) Symantec, Oct 2011; 5) Techaisle, 2010
A bit of perspective on the Opportunity to consume Cloud…

Platform as a Service & Use
Cases
Chris Dauw

Elevate Service Management
to the Cloud

About Fruition
• Cloud Development Consulting Company
• Founded in 2003
• Global client base
• Certified ITIL Professionals
• Cloud Thought Leaders
• Integration Specialists
200+ customers
120+ employees
5+ add per month
4 offices in NA

PaaS Ecosystem

C O R E P L A T F O R M
Tasks CMDB Integrations
Database
Connectivity
Role-based
Security
User
Interface
Scripting
Form & List
Management
P L A T F O R M S E R V I C E S
Content
Management
Email Workflow Social Approvals Notification Search Analytics
B U S I N E S S A U T O M A T I O N A P P S
S T R A T E G Y
IT Governance
IT Cost
Project and Portfolio
Service Portfolio
D E S I G N
IT Asset and Contract
Service Level
Service Catalog
Software Dev Lifecycle
T R A N S I T I O N
CMDB Change
Discovery Release
Runbook Automation
Knowledge
O P E R A T I O N S
Manage Docs
Field Service
Request
Incident
Problem

• Thousands of developers
• Other firms build complementary solutions
• Users share their experiences
• Channel partners flock to the platform
• People, firms, partners, and customers
can monetize their IP and products
• Providers of third-party data, analytical
algorithms and other non-software types
of IP integrate their products
What’s the Big Deal?
Platform
Increase Stickiness +
Buzz
More
Platform
Engageme
nts
More
Business
Value
Deeper
Innovation
and
Expertise

Why Cloud Platform versus other stacks?
• Best in class next Generation cloud
platform
• No Lock In: Built on familiar
technologies like Javascript, XML, and
Mysql
• Light weight client side user interface
• Robust email handling
• Hooks into your organization
• Compliments your existing IT processes
and framework
Proven
Agile
Social
Mobile

5
Easy to
Govern
Less
Expensive
Easy to
Integrate
Fast to
Develop
Easier to
Use
Reasons to Move
Your Apps to

5 Reasons to Move Your Apps to the Cloud
• Easy to Use: Responsive, Intuitive, Social Collaborative
• Fast to Develop: 5x faster than other development platforms. Infrastructure,
components, user management, workflow, mobile, reporting already there for
you
• Easy to Integrate: Soap/Rest included out of the box for all of your objects
enabling hundreds of millions of transactions every day
• Less Expensive: No software, no servers, no overhead
• Easy to Govern: Groups, Roles, Access Control Rules enable you to have total
control over the app without limiting the user experience

Use Case: PaaS and Coca-Cola

Business Challenge
• 25,000 Global vendors,
bottlers, distributers need
access to Coke Systems
Fruition PaaS Solution
• Extend SNC interface to
allow for generic login
with custom interface
• Provision application
access through SNC
Workflow
• Provision access based
on roles, region,
organization
• Full reporting capability
on access, performance

“How Many Consultants do you have working on this, like ten?!?”
Actual Number: 2

Key Energy: Occupational Health and Safety
Business Challenge
• Energy exploration
company with
numerous field assets
that require inspection,
audit, maintenance and
reporting to
government agencies
• Environmental Health
and Safety issues
expose businesses to a
tremendous amount of
financial risk, legal
liability, and regulatory
concerns.
• Extend SNC CI’s to cover Field Assets like Oil Rigs, Trucks, Mines
• Extend SNC workflow for field inspection of assets
• Extend SNC mobility to iPads for Field Inspectors
• Integrate external interfaces to Dept of Transportation for accident
reporting (e.g. tractor trailer)

Business Challenge
• Antiquated custom
database solution
managing customer
Medicare data. Lack of
scale and difficult to
support
• Custom ticketing solution
for customer CRM
• Track claims and maintain
audit records for
compliance
• Working prototype in
several weeks
• Unique ServiceNow
Architecture allows this
Use Case: Fruition Medicare Part D

Use Case: Virtual Clinical Trial Management
Business Challenge
• Provide a state-of-the art
• Virtual sales and contact
center to facilitate clinical trials
Fruition Solution
• Flexible Campaign Resource
Management Platform for the
Pharmaceutical and
Biotechnology Industries
• Virtual Call Center for Clinical
Trials Empowers
Pharmaceutical & Biotech
Organizations to Easily
Allocate, Manage and
Distribute Samples along with
Promotional Campaign
Elements

Questions and Answers

Thank You
john.reza@headstrong.com

Cloud Computing Webinar - John Reza

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