Click here to close now.

Welcome!

Java Authors: Carmen Gonzalez, Pat Romanski, John Smith, Kelly Murphy, AppDynamics Blog

Related Topics: Cloud Expo, Java, Microservices Journal, Virtualization, Web 2.0, Big Data Journal

Cloud Expo: Article

Healthcare IT and the Cloud

Moving healthcare data into a Cloud Ecosytem

Over the last few weeks I've been hearing a lot of discussion around HIPAA. When we speak about HIPAA, invariably the two components of data security and data privacy arises.

In the traditional data centers, database managers and data owners know where their data resides and implement the necessary processes to preserve privacy and audit access.

However, when we move to the cloud, the cloud being all about data, we are looking at servers, network, and storage that are abstracted. This raises concern that data owners may not necessarily know where their data sets physically reside and we are looking at Cloud Service Provider (CSP) employees who will be handling confidential patient data or Personally Identifiable Information (PII).

Of importance here is that when it comes to leveraging the cloud ecosystem for healthcare segments, the foremost concerns are around HIPAA and the  HITECH Act compliance capabilities and meaningful use provisions.

So what is meaningful use? According to HealthIT.gov

"Meaningful use is the set of standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that governs the use of electronic health records and allows eligible providers and hospitals to earn incentive payments by meeting specific criteria."

The goal of meaningful use is to promote the spread of Electronic Health Records (EHR) to improve health care in the United States.

Benefits of meaningful use of EHRs include:

  • Complete and accurate information.
  • Better access to information.
  • Patient empowerment.

In the healthcare world, organizations are positioning to attain meaningful use. This to capture the incentives allocated by the Federal Government as well as to ensure that reimbursements do not face jeopardy for providers not in line with the meaningful use provisions.

As healthcare practitioners and organizations increase the use of technology solutions in delivering clinical care, their IT departments are faced with additional stress to provide availability on demand and operate data center approaching 99.999 percent availability. In most cases this is a major challenge that can lead to the risk of unscheduled outages and costly solutions.

Assuring high availability for healthcare applications, means meeting uptime requirements; and in today's environments will require access to more than one data center. This can significantly impact the overall capital investment in data center infrastructure for healthcare organizations.

Looking to the cloud as a solution is not only the next step in services but will ensure high availability of clinical applications. This will allow a healthcare organization to leverage the expertise and financial stability of an established CSP. Another advantage of leveraging a cloud ecosystem, is that of rapid provisioning and deployment, with the ability to change compute capacity as demand changes.

Thus in the event of failure, server instances can be seamlessly moved to alternate hosts or in anticipation can be clustered to provide redundancy.

Some may ask whether it is risky to transfer data from site to cloud. The answer is no as a majority of organizations move data over the Internet via encryption channels. Where we can see concerns arising is with the hand-off of data into the (CSP) environment.

In a seamless environment all data will have site to site encryption up to and including storage. Where we can see some separation is with healthcare application vendors support.

In the cloud, it is a given that we can have a number of people with access to the physical servers and storage that cloud consumers have no control over. For an IT Security person this will elicit conflicting concerns as on one hand there is the presupposition that complete control is being relinquished which can only be assured with prescriptive precautions defined by a CSP.

The cloud computing ecosystem is still evolving and as such there is still a lack of industry-wide certifications. As we mature within this ecosystem the intent is to drive toward processes, best practices and certifications which would provide legal protection that can reduce the complexities of a long negotiation and complex SLA requirements.

Within a regular data center or even a small IT shop, as an IT Security leader one of my first expectation for any shop is some form of centralized logging with automation. Similarly by transferring such a mindset into the cloud ecosystem (they are after datacenters) any healthcare customer security leaders expect the assurance that detailed reporting is a given.

Having worked on the security strategy and assessment separately for a few cloud computing projects I have seen first-hand, that access rights was a major focus. In light of this, it is not a complex process to segment solutions for healthcare. As a result any access to servers and storage dedicated to a healthcare customer by anyone within a CSP organization will be logged and thus can provide the assurance of controls around access.

From a legal perspective, more specifically talking contracts, healthcare customers expect the provisions of strong financial penalties to indemnify against a breech as well as to hold the CSP accountable.

Some CSPs are moving to providing a HIPAA Business Associate Agreement (BAA) for their healthcare customers. The assurance provided by their BAA demonstrates meeting the compliance requirements (enabling the physical, technical, and administrative safeguards required) of the HIPAA and the HITECH Acts.

In closing, I will state that HIPPA compliance and cloud computing do not have to be in conflict. Rather healthcare entities can leverage the benefits of the cloud, coupled with the necessary due diligence and legal contracts to meet their needs.

More Stories By Jon Shende

Jon RG Shende is an executive with over 18 years of industry experience. He commenced his career, in the medical arena, then moved into the Oil and Gas environment where he was introduced to SCADA and network technologies,also becoming certified in Industrial Pump and Valve repairs. Jon gained global experience over his career working within several verticals to include pharma, medical sales and marketing services as well as within the technology services environment, eventually becoming the youngest VP of an international enterprise. He is a graduate of the University of Oxford, holds a Masters certificate in Business Administration, as well as an MSc in IT Security, specializing in Computer Crime and Forensics with a thesis on security in the Cloud. Jon, well versed with the technology startup and mid sized venture ecosystems, has contributed at the C and Senior Director level for former clients. As an IT Security Executive, Jon has experience with Virtualization,Strategy, Governance,Risk Management, Continuity and Compliance. He was an early adopter of web-services, web-based tools and successfully beta tested a remote assistance and support software for a major telecom. Within the realm of sales, marketing and business development, Jon earned commendations for turnaround strategies within the services and pharma industry. For one pharma contract he was responsibe for bringing low performing districts up to number 1 rankings for consecutive quarters; as well as outperforming quotas from 125% up to 314%. Part of this was achieved by working closely with sales and marketing teams to ensure message and product placement were on point. Professionally he is a Fellow of the BCS Chartered Institute for IT, an HITRUST Certified CSF Practitioner and holds the CITP and CRISC certifications.Jon Shende currently works as a Senior Director for a CSP. A recognised thought Leader, Jon has been invited to speak for the SANs Institute, has spoken at Cloud Expo in New York as well as sat on a panel at Cloud Expo Santa Clara, and has been an Ernst and Young CPE conference speaker. His personal blog is located at http://jonshende.blogspot.com/view/magazine "We are what we repeatedly do. Excellence, therefore, is not an act, but a habit."

@ThingsExpo Stories
Wearable devices have come of age. The primary applications of wearables so far have been "the Quantified Self" or the tracking of one's fitness and health status. We propose the evolution of wearables into social and emotional communication devices. Our BE(tm) sensor uses light to visualize the skin conductance response. Our sensors are very inexpensive and can be massively distributed to audiences or groups of any size, in order to gauge reactions to performances, video, or any kind of presentation. In her session at @ThingsExpo, Jocelyn Scheirer, CEO & Founder of Bionolux, will discuss ho...
The true value of the Internet of Things (IoT) lies not just in the data, but through the services that protect the data, perform the analysis and present findings in a usable way. With many IoT elements rooted in traditional IT components, Big Data and IoT isn’t just a play for enterprise. In fact, the IoT presents SMBs with the prospect of launching entirely new activities and exploring innovative areas. CompTIA research identifies several areas where IoT is expected to have the greatest impact.
The 4th International Internet of @ThingsExpo, co-located with the 17th International Cloud Expo - to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA - announces that its Call for Papers is open. The Internet of Things (IoT) is the biggest idea since the creation of the Worldwide Web more than 20 years ago.
Every day we read jaw-dropping stats on the explosion of data. We allocate significant resources to harness and better understand it. We build businesses around it. But we’ve only just begun. For big payoffs in Big Data, CIOs are turning to cognitive computing. Cognitive computing’s ability to securely extract insights, understand natural language, and get smarter each time it’s used is the next, logical step for Big Data.
There's no doubt that the Internet of Things is driving the next wave of innovation. Google has spent billions over the past few months vacuuming up companies that specialize in smart appliances and machine learning. Already, Philips light bulbs, Audi automobiles, and Samsung washers and dryers can communicate with and be controlled from mobile devices. To take advantage of the opportunities the Internet of Things brings to your business, you'll want to start preparing now.
17th Cloud Expo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterprises are using some form of XaaS – software, platform, and infrastructure as a service.
P2P RTC will impact the landscape of communications, shifting from traditional telephony style communications models to OTT (Over-The-Top) cloud assisted & PaaS (Platform as a Service) communication services. The P2P shift will impact many areas of our lives, from mobile communication, human interactive web services, RTC and telephony infrastructure, user federation, security and privacy implications, business costs, and scalability. In his session at @ThingsExpo, Robin Raymond, Chief Architect at Hookflash, will walk through the shifting landscape of traditional telephone and voice services ...
Explosive growth in connected devices. Enormous amounts of data for collection and analysis. Critical use of data for split-second decision making and actionable information. All three are factors in making the Internet of Things a reality. Yet, any one factor would have an IT organization pondering its infrastructure strategy. How should your organization enhance its IT framework to enable an Internet of Things implementation? In his session at Internet of @ThingsExpo, James Kirkland, Chief Architect for the Internet of Things and Intelligent Systems at Red Hat, described how to revolutioniz...
For IoT to grow as quickly as analyst firms’ project, a lot is going to fall on developers to quickly bring applications to market. But the lack of a standard development platform threatens to slow growth and make application development more time consuming and costly, much like we’ve seen in the mobile space. In his session at @ThingsExpo, Mike Weiner is Product Manager of the Omega DevCloud with KORE Telematics Inc., will discuss the evolving requirements for developers as IoT matures and conduct a live demonstration of how quickly application development can happen when the need to comply...
Container frameworks, such as Docker, provide a variety of benefits, including density of deployment across infrastructure, convenience for application developers to push updates with low operational hand-holding, and a fairly well-defined deployment workflow that can be orchestrated. Container frameworks also enable a DevOps approach to application development by cleanly separating concerns between operations and development teams. But running multi-container, multi-server apps with containers is very hard. You have to learn five new and different technologies and best practices (libswarm, sy...
SYS-CON Events announced today that DragonGlass, an enterprise search platform, will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. After eleven years of designing and building custom applications, OpenCrowd has launched DragonGlass, a cloud-based platform that enables the development of search-based applications. These are a new breed of applications that utilize a search index as their backbone for data retrieval. They can easily adapt to new data sets and provide access to both structured and unstruc...
Converging digital disruptions is creating a major sea change - Cisco calls this the Internet of Everything (IoE). IoE is the network connection of People, Process, Data and Things, fueled by Cloud, Mobile, Social, Analytics and Security, and it represents a $19Trillion value-at-stake over the next 10 years. In her keynote at @ThingsExpo, Manjula Talreja, VP of Cisco Consulting Services, will discuss IoE and the enormous opportunities it provides to public and private firms alike. She will share what businesses must do to thrive in the IoE economy, citing examples from several industry sector...
With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo in Silicon Valley. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be! Internet of @ThingsExpo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 17th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The Internet of Things (IoT) is the most profound change in personal an...
The security devil is always in the details of the attack: the ones you've endured, the ones you prepare yourself to fend off, and the ones that, you fear, will catch you completely unaware and defenseless. The Internet of Things (IoT) is nothing if not an endless proliferation of details. It's the vision of a world in which continuous Internet connectivity and addressability is embedded into a growing range of human artifacts, into the natural world, and even into our smartphones, appliances, and physical persons. In the IoT vision, every new "thing" - sensor, actuator, data source, data con...
IoT is still a vague buzzword for many people. In his session at @ThingsExpo, Mike Kavis, Vice President & Principal Cloud Architect at Cloud Technology Partners, discussed the business value of IoT that goes far beyond the general public's perception that IoT is all about wearables and home consumer services. He also discussed how IoT is perceived by investors and how venture capitalist access this space. Other topics discussed were barriers to success, what is new, what is old, and what the future may hold. Mike Kavis is Vice President & Principal Cloud Architect at Cloud Technology Pa...
Disruptive macro trends in technology are impacting and dramatically changing the "art of the possible" relative to supply chain management practices through the innovative use of IoT, cloud, machine learning and Big Data to enable connected ecosystems of engagement. Enterprise informatics can now move beyond point solutions that merely monitor the past and implement integrated enterprise fabrics that enable end-to-end supply chain visibility to improve customer service delivery and optimize supplier management. Learn about enterprise architecture strategies for designing connected systems tha...
There's Big Data, then there's really Big Data from the Internet of Things. IoT is evolving to include many data possibilities like new types of event, log and network data. The volumes are enormous, generating tens of billions of logs per day, which raise data challenges. Early IoT deployments are relying heavily on both the cloud and managed service providers to navigate these challenges. In her session at Big Data Expo®, Hannah Smalltree, Director at Treasure Data, discussed how IoT, Big Data and deployments are processing massive data volumes from wearables, utilities and other machines...
SYS-CON Events announced today that the "First Containers & Microservices Conference" will take place June 9-11, 2015, at the Javits Center in New York City. The “Second Containers & Microservices Conference” will take place November 3-5, 2015, at Santa Clara Convention Center, Santa Clara, CA. Containers and microservices have become topics of intense interest throughout the cloud developer and enterprise IT communities.
Buzzword alert: Microservices and IoT at a DevOps conference? What could possibly go wrong? In this Power Panel at DevOps Summit, moderated by Jason Bloomberg, the leading expert on architecting agility for the enterprise and president of Intellyx, panelists will peel away the buzz and discuss the important architectural principles behind implementing IoT solutions for the enterprise. As remote IoT devices and sensors become increasingly intelligent, they become part of our distributed cloud environment, and we must architect and code accordingly. At the very least, you'll have no problem fil...
SYS-CON Events announced today that MetraTech, now part of Ericsson, has been named “Silver Sponsor” of SYS-CON's 16th International Cloud Expo®, which will take place on June 9–11, 2015, at the Javits Center in New York, NY. Ericsson is the driving force behind the Networked Society- a world leader in communications infrastructure, software and services. Some 40% of the world’s mobile traffic runs through networks Ericsson has supplied, serving more than 2.5 billion subscribers.