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1 Confidential
Helping our Partners transform the cost, quality and delivery of patient care via the Cloud
Mission
2 Confidential
Market Factors – Executive Summary
Business Issues How VMware Addresses
Safely accelerate critical EHR projects: Rationalize, consolidate and modernize infrastructure via the Cloud.
Low clinical adoption rates for new EMR systems. Meaningful Use reimbursements as risk.
Hospitals must meet 2015 federally mandated EHR Meaningful Use targets or face significant penalties
ISV’s straining to deliver net new EHR product to an increasingly IT savvy, educated and competitive market place
Comply with new federally mandated HITECH regulatory compliance guidelines.
Centralize and secure critical data and systems while increasing the availability and recoverability of EHR systems.
Reduce TTM & TCO of ISV products and enable delivery via Cloud
Provide an exceptionally better end user experience that is simple, secure and increases mobility.
Must transform the cost, quality and delivery of patient care
Clinical Infrastructure Rationalization; Improve Clinician Workflow; ITaaS
$51 Billion
© 2009 VMware Inc. All rights reserved
Industry in Cloud Context
Healthcare Cloud = Connected Care
4 Confidential
Who Really Cares About the Cloud? –Healthcare
Top Drivers to the Cloud- Speed to Implement- Higher IT utilization- Cost reduction- Deployment flexibility- Agility- Scalability across locations
5 Confidential
Patient
VMware Healthcare Cloud = Connected Healthcare
Providers
Life Sciences
Payers
6 Confidential
Healthcare Forced to Accelerate/Skip
Mainframe
PC / Client-Server
Web
Cloud
Computing
Existing legacy applications and data must be brought safely forward with little to no disruption to the clinical staff’s workflow.
Our solutions can provide a path forward that is….both non-disruptive (evolutionary) and transformational (revolutionary)
Timeline/Journey
1980
Today
2015 -17
7 Confidential
COST EFFICIENCYCOST EFFICIENCYQUALITY OF SERVICE
BUSINESS AGILITYBUSINESS AGILITY
The Virtualization Journey – Healthcare Providers
Ownership/ Sponsorship
Business Value
Approach
Key Capabilities
Phase IT Production
IT
Reactive
Shared resource pools Elastic capacity
CAPEX
OPEX
Business Production
IT / Clinicians
Selective
Zero-touch infrastructure Increased control +
service assurance
CAPEX
OPEX
Availability
Responsiveness
Stages of Adoption and Maturity
IT as a Service
CIO
Proactive
Service definition Self-service Chargeback
CAPEXOPEX
AvailabilityResponsiveness
Compliance
HealthcareToday
Planned 2011 Investments
Strategic Impact of Healthcare Transformation
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Significant Obstacles for Healthcare IT Leaders
Meaningful Use, ARRA/HITECH, HIPAA/Breach…..• Time to delivery, Complexity, Compliance, Skilled Staff - Visibility
Clinician Productivity & Satisfaction• Access, Experience, Mobility, Management
Application Support and Rationalization• Performance and Reliability
Inflexible & Fragile Datacenter Infrastructures• Overwhelming Complexity & Costs
• Enforcement of IT Standards and Security
• Disaster Recovery – Expensive, Complex & Unreliable
How to Prepare for and Leverage Cloud Computing Affiliated Physicians, Telemedicine, Rural/Remote Facilities Health Information Exchanges, Mergers/Acquisitions
* HIMSS & VMware National Healthcare Virtualization Focus Groups
9 Confidential
The Status Quo Will No Longer Do
Albert Einstein
"We can’t solve problems by using the same kind of thinking we used when we created them.....”
10 Confidential
Private Cloud
Clinical Infrastructure Rationalization
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Clinical Application Deployment. Today
Typical HIS Application
DevTest
• Typically 2x’s Server count for “better” availability
• Increased complexity, lower availability, expensive
• Test / Dev typically matches production 1:1 • Infrastructure sits idle most of the time, expensive
…and this is only one small application!
Citrix
# of Servers*: Annual Energy Cost*:3 $2,421.006 $4,842.0015 $12,105.0018 $14,526.00
* Based on VMware Green Calculator
12 Confidential
Healthcare IT: Complex Infrastructure of “One-Off’s”
Production
Production
Development
Test
Production DevelopmentTest
Development
Citrix
Citrix
Citrix
Vendor A
Vendor B
Vendor C
“…the number of applications we have to support is staggering…and not getting smaller anytime soon….” Focus Group Feedback
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Healthcare IT: Complex Infrastructure of “One-Off’s”
App-Prod
App-Prod
App-Prod
App - DevApp - Test
App - DevApp - Test
Test/Dev
TS-Citrix
TS-Citrix
TS-Citrix
Vendor A
Vendor B
Vendor C • Infrastructure of Application Silo’s and One-Offs’• Bloated, Expensive Siloed Terminal Server Farms• So much Variance Increases Risk and Support Costs
This complexity stifles investment, innovation and drains resources from more strategic patient care investments
This “thinking” is no longer sustainable
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Clinical Application
Clinical Applications
Too Complex, Large Server Footprint
HA and Clustering Hardware, SoftwareProcedures
Little to no Automation
Disaster Recovery Almost Impossible
Totally Separate Architecture Silos for Client Application Deployment
High Availability
VirtualizedDesktops
Disaster Recovery
Automation
Server Consolidation
Compliance
CloudInfrastructure
Development
VMware vSphere
Reduce Complexity & Footprint
Integrated HA and Clustering
Security / Compliance
Increase Quality & Supportability
Reliable Disaster Recovery
Fat, Thin, Web & Legacy SupportAlternative to MSTS/Citrix
Cloud Delivery Platform
15 Confidential
VMware vSphere
The Journey to the Private Healthcare Cloud
Storage Compute Network Clients Applications
EMR, CPOERIS/PACS
The Private Cloud
16 Confidential
VMware vSphere
The Journey to the Private Healthcare Cloud
Storage Compute Network Clients Applications
EMR, CPOERIS/PACS
HIT Datacenter Engine
The Private Cloud
17 Confidential
VMware vSphere
The Best Platform for your Clinical Applications
Reduce Costs by Consolidating Datacenters, Rationalizing & “Archiving” Applications
7x24x365 EHR systems require Robust, Highly Available Compute Platforms for Patient Safety
Reliable Disaster Recovery is No Longer a “nice to have”
Increase Compliance while Reducing Variance & Complexity
Modular HIT Datacenter Engine
The Private Cloud
18 Confidential
Become an assistant in better patient care. Spend more time with the patient.
End User Computing
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The Desktop in Healthcare Is Changing…
PC is viewed as less strategic…
• Hard to manage
• Resource drain
• Low levels of service
• Expensive
• Not secure
Compute model moving to End User Centric
By the end of 2012, 60% of all enterprise PC configurations will use at least one technology that is considered desktop virtualization*
*Predicts 2010: PC End-User Issues, Gartner – Dec. 2009
20
OPEXCAPEX
For every $1 spent on hardware, companies spend $3 to manage
$1
$3$3
The Cost of Desktop Management Is Staggering
Incr
easi
ng
IT C
ost
s
Source: IDC Study 2009Are the needs of IT and end-users being met?
21
Needs And Requirements Different
The Clinical Desktop
Users: Fast access to applications and
data from any terminal Ability to roam their session as
they move High availability Familiar look and feel Secure remote access
IT : Simplify management Quickly roll out new applications
or services EMR/EHR Maintain compliance and protect
sensitive data Satisfy end users Reduce costs
22
Virtualization Breaks Down the Desktop Components
Persona
Applications
Operating System
23
Modernizing the Desktop – A Managed Service Model
Persona
Applications
Operating System
Centralized Management
DesktopDelivery
ModernDesktop
24
Follow Me Desktop – Example with SSO
Streamline Workflow – Tap and Go• User taps badge or swipes finger to reconnect to desktop
• Single click SSO to all Clinical Applications
• User disconnects from desktop with card tap
• Desktop maintained on server as user roams
Wireless WOW
Thin Client
Laptop
Remote Physicians Office
Nurses Station Desktop
Also Includes•Password Management/Reset
•Automatic Compliance Reporting
•Support for various authentication modalities
•Reauthentication support – i.e. drug dispensing
Improve Workflows
25
Meets the Needs of the Provider
Always On
Follows User
Any Device
Familiar Interface
Apps all Work
26
And the Needs of Healthcare IT
Quickly Provision
Easily Manage
Maintain Security
Lower Costs
High Availability
27
Traditional PC vs VMware ViewTCO Comparison
Breakthrough TCO and Acquisition Cost
Source: IDC White Paper 2009
Acquisition Cost Per User
$200
$400
$600
$800
$1000
$1200
2010Time
Reduce Costs
Traditional PC With VMware View$0
$200
$400
$600
$800
$1,000
$1,200
$1,400
$1,600
Device IT - Admin IT - Install
IT - HelpDesk Downtime Server
Storage Software Professional Services
40% less TCO
$585 lessper user per
year - IDC
40% less TCO
$585 lessper user per
year - IDC
$1450$1450
$865$865
Average Corporate PC
sub-$500
$250Datacenter Infrastructure Cost
Acquisition cost sub $500 per userAcquisition cost
sub $500 per user
28 Confidential
Reach out and extend the reach of your care organizations
Cloud Services
29 Confidential
VMware Cloud Director
Physicians Practices- Offering Multi-Tenant Hosting Service
Practice A Practice B
VMware vSphere + vCenter + vShield
Company A Company B Company C
Practice C
Solution – vShield Edge, VMware vCloud Director
• Guarantee full confidentiality and protection of tenant apps and data with built-in firewall and VPN
• Use enterprise directory services for security policies• Accelerate compliance by logging all traffic information
on per-tenant basis• Lower cost of security by 100+% by eliminating purpose
built appliances and by increasing utilization and VM density
Requirements
• Host potentially hundreds or thousands of tenants in shared infrastructure with:
• Traffic Isolation between the tenants• Complete protection and confidentiality of tenant
apps and data• Integration with enterprise directory services (e.g.
Active Directory)• Complying with various audit requirements
30 Confidential
The Cloud: Extending Services and Care
Hospital - Datacenter Hospital
InternalRadiologist
Remote Radiologist
Private Cloud
Remote Radiologist
2 Hour Drive VMware ViewPC-o-IP
© 2009 VMware Inc. All rights reserved
Final Thoughts
33 Confidential
Healthcare Cloud Solutions
RationalizeConsolidate
Private Cloud
o Deliver IT infrastructure as a service over a private cloud to build a flexible and efficient virtual infrastructure.
o Deploy applications and resources when and where you need them for the ultimate control over service levels.
Improve WorkflowSecured Mobility
Desktop
o Improve clinician efficiency, satisfaction and quality of patient care with "follow me" desktops.
o Provide standardized desktops as managed service while providing a superior clinician experience over traditional methods.
Extend/ShareServe
o Leverage the power of cloud computing while retaining the flexibility and open standards to support your existing IT infrastructure.
o Package and provide clinical applications and services to the market. Quicker, cheaper and more secure.
EHR/HISSaaS
Cloud Services
34 Confidential
Healthcare Partner Growth Opportunities
HIT/CPEHR Certifications• HIMSS
Best Practice for HC Providers$1M/year per Provider – Maintenance/Service/Support
$10K/year per Physician – Maintenance/Service/Support
TechMed Alliance• Value Added Programs & Support
Solution Sell• $55K VMware Licenses + $560K Other Product Drag = $615K Total
• Cloud Services = Managed Monthly Recurring Revenue Services
35 Confidential
Helping our partners transform the cost, quality and delivery of patient care via the Cloud
Thank You!