HP Converged Cloud Customer Presentation

Healthcare in the Cloud Dan Gonos CTO/HP Fellow, HP Enterprise Services Risto Laakkonen HUS IT Production Manager May 15th, 2012

Service Delivery Concept

1.Everything as a Service 2.Software a Service 3.Platform as a Service 4.Infrastructure as a Service

5.Which One is Right One ?

Deployment Models

1.Private Cloud Enterprise owned or leased

2.Community Cloud Shared infrastructure for specific community

3.Public Cloud Sold to the public, mega-scale infrastructure

4.Hybrid Cloud Composition of two or more clouds

Service Delivery Concept and SLA

1.SLA or SLM means: Service Level Management 2.That could mean that we have Confrontation as a Customer

Service Delivery Concept and Deployment Models and SLA

1.Which one is the right combination ?

Service Delivery Concept and Deployment Models and SLA

One of the views to look closer this question is SLM view

SLA or SLM means: Service Level Management

This means that we have as a Customer some requirements

Some examples…..

Service Delivery Concept and SLA

1.SLA or SLM means: Service Level Management which Vendor has to commit

2.TYPICAL SLA:s in HUS Contracts 1. Response Time • from 30 min to 4 hour 2.Time limit when Service has run normally • from 1 hour to 4 hours up to NBD

3. Reaction time • From 30 min to 1 day

4. Delivery time

Global Mega Trends

Evolving Business Models 1

Technology Advancements 2

3 Changing Workforce

Waves of Information Technology Wave 1 Wave 2 Wave 3 Wave4

1956-1966 1966-1976 1976-1984 1984-1992 1992-2000 2000-2008 2008-2016 2016-2024 Innovation Refinement Innovation Refinement Innovation Refinement Innovation Refinement & growth & design & growth & design & growth & design & growth & design To Everything-as-a-Service To Networked Computers To Personal from Computers Isolated Computers To Electronic from Computers Mainframe from Computers Human Computers

The 4th Wave Understand the flattening world Explosion at the edge Move to Cause & Effect Deliver personalization Seek simplification Leverage automation & simulation Variablize resources Ensure security & privacy Embrace sustainability

Accelerating innovation & change

98,000 kaggle Pandora Music tweets SolidFire Scribd. SmugMug iHandy Amazon Finance SuperCam salesforce.com 23,148 apps AppFog Travel Joyent Plex Systems Snapfish Urban downloaded DCC Google Xactly Facebook Parse Product SAP eBay Dragon Diction PingMe GoGrid LinkedIn Reference Configurator CCC HP CRM Hosting.com UPS Mobile Atlassian Tata Communications Bromium 400,710 ads Bills of Material buzzd Lifestyle Engineering Ariba NetReach Amazon Web Services SCM Splunk requests Inventory Quickbooks Scanner Pro Sport NetDocuments Zoho LimeLight Quality Control ScaleXtreme EMC box.net Alterian Foursquare Pinterest Burroughs HCM Datapipe Qvidian Taleo Education Hitachi Cost Management OpenText Hyland IBM every Manufacturing Projects MRM Workscape Sage NetSuite Mobile, Social, Unisys Order Entry Mainframe Client/Server The Internet Big Data & The Cloud 60 seconds

Cash Management CyberShift PaperHost DocuSign CloudSigma Bull Yandex Baidu NEC ERP Hootsuite Games HCM Xerox Yahoo! YouTube Time and Expense Serif nebula Fijitsu Microsoft HP ePrint Atlassian Fixed Assets Workbrain Costing Accounts OpSource SLI Systems Zynga Navigation 2000 lyrics played Receivable Avid Mixi Elemica iSchedule Workday cloudability Billing ADP VirtualEdge Yandex Photo & Video on Tunewiki Payroll SCM Activity PLM Corel Khan Academy Twitter Heroku Zillabyte Yammer Training Management Adobe CyberShift Renren Entertainment Sales tracking & Yahoo SuccessFactors Viber Time & Rostering Kinaxis Marketing Microsoft News Atlassian Answers.com Attendance SugarCRM 1,500 pings Service Saba BrainPOP RightScale Social Networking Commissions PPM Sonar6 Quadrem CYworld sent on PingMe Database Kenexa Sonar6 MobileFrame.com Claim Processing Business Jive Software Saba myHomework Softscape NetSuite Tumblr. Qzone Data Warehousing Intacct Toggl Fring Amazon dotCloud Cornerstone onDemand Exact Online 34,597 people Cookie Doodle Xing Mozy FinancialForce.com New Relic Softscape MailChimp PingMe are using Zinio Utilities Zynga Ah! Fasion Girl IntraLinks Volusion Associatedcontent BeyondCore SmugMug MobilieIron Fed Ex Mobile Productivity 208,333 minutes Rackspace Flickr Twitter Angry Birds played Paint.NET TripIt

Cloud An environment where highly Cloud Service scalable and elastic services can be Service easily consumed over the internet Provider through a low-touch, pay-per-use Consumer Provider business model Perspective: Consumer Perspective: … all the details related to providing a complete solution, at an attractive price, …all you need is a device and an internet on a cost structure that leads to a Two very different connection to get the value. profitable business model are your roles • You don’t need software, hardware, responsibility. technical knowledge. • You don’t own the assets. • You own and manage all of the IT Two very different assets • You don’t assume the specific costs and • You assume the specific costs and risks perspectives risks of the service components. of the service components Consumers of the “Cloud” are concerned with services it can perform rather than the underlying technologies used to achieve the requested function.” 12 © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. 1 2 Cloud Levels - Everything-as-a-Service

“Users” Enterprise 3.0, Social Networking, Collaboration

Business Business Process Services – (BPO)

Information Information-as-a-Service – (Info-aaS)

Application Software-as-a-Service – (SaaS)

Middleware Platform-as-a-Service (PaaS)

Database Data(base)-as-a-Service – (DBaaS)

Servers Infrastructure-as-a-Service (IaaS) Enterprise Value Enterprise Storage Storage/Data-as-a-Service (DaaS) Network Virtual Network Services

Design drives Cloud Economics

TRADITIONAL IT: CLOUD: Distributed Integrated design design Applications

Integrated Middleware Compute System Applications Customer Middleware integration Database Storage Database Compute Storage Network Network

Software-as-a-Service (SaaS)

Software-as-a-Service (SaaS) is a business model and a technical architecture for delivering applications as network-available services rather than as locally-deployed packaged software.

SaaS solutions are typically hosted by a vendor supporting multiple clients with one application (multi-tenant) solution. SaaS solutions also contrast with application service provider (ASP) models which usually deliver applications as hosted single-tenant solutions. SaaS is also a key component of successful BPO offerings, which include SaaS applications and the staff needed to execute the outsourced business function.

SaaS applications are priced “by the drink”, which means that clients pay for their actual usage of the application.

Usage is measured in meaningful business terms like number of applications processed in the period, or number cases processed, or number of agency employees, or number of notices generated, or number of active members, or number of transactions...

Case Study: CalWIN California Work Opportunity & Responsibility to Kids (CalWORKs) Information Network (CalWIN)

– Integrated eligibility, enrollment and case management system – Federal, state and county programs including Medicaid, Temporary Assistance Needy Families (TANF), Supplemental Nutrition Program (SNAP), In-home Supportive Services, Foster Care, Adoption Assistance, County General Assistance, Child Care, Cash Assistance Program for Immigrants (CAPI), and County Medical Service Program (CMSP) – Scope: • Serves 43% of California’s Social Services population • 30,000 users across 850 sites • Issues benefits to 2.8 million families • Total transactions 21 million daily…sub-second response time Recognized as a 2008 • Over 4 million client correspondences per month in 14 CIO 100 Award Honoree languages soon to be 21 CalWIN Consortium won – Technical Architecture 2007 Excellence Award – • Tiered / Service Oriented Architecture (SOA) “Best of California” • Web-based 16 © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.

CalWIN at a Glance

CalWIN is an integrated social services enrollment and case management system fully operational since January 2005 Yolo Placer Sacramento Serving 43% of Sonoma Solano California’s Alameda caseload San Francisco Contra Costa San Mateo across 18 Fresno Santa Cruz Tulare counties: Santa Clara San Luis Obispo Orange Santa Barbara Ventura 17 © Copyright 2012 Hewlett-Packard Development Company, L.P. San Diego The information contained herein is subject to change without notice.

The CalWIN Journey

Addressing the Business Issues

Enhancing Our Working Knowledge of Systems

Using selected HP and Building upon HP best County existing Addressing the Technological practices and industry Investments in Technology Issues frameworks 18 © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.

CalWIN Model

rd Internal Portal Browser Mobile Device External Portal email Post 3 Party & Government Telephony Gateways FrontPlane™

Internal staffs External & Self Service Consumers Other Parties & Intermediaries

Presentation/UX Client Staff Administration Benefits Line (Phone) Core Core Services

Intake Verification Benefit Authorization Inquiry Identity Resolution Eligibility Determination Case Maintenance Interfaces Fair Hearing/Grievances Support Support Service Benefit Determination Enrollment

CrossPlane™ Data Collection

Scheduling Workflow Correspondence CRM Quality Assurance/Control Security History Maintenance Investigations Reporting/Business Intelligence Policy Management Benefit Recovery Profiling

Periodic/Mass Processing Reference/Controls Simulation Exception Handling

Enterprise Service Bus Transformation Messaging Web Services External Intelligent Routing Information Integration Web BackPlane™ Services Adapters JCA JMS JDBC MQ FTP EDI SOAP SQL … Legacy Adapters Legacy Adapters

Data Stores External Exchanges Enterprise Information Legacy Environments interChange/MMIS LegacyLegacy Policy Federal Partners LegacyApplicationApplication Hearings Recovery CorrespondenceArchives Management Application State/Local Partners LegacyApplication Data Data InfoPlane™ Imaging/Document Management Application CollectionsClaim QualityCase ContactEligibility CitizenPolicy AccountsHistory Identity& Data Rules Print and Mail Access Data Data 19 © Copyright 2012 Hewlett-PackardClient Development Case Company,Worker L.P.Reference Benefit Data Analytics Interface Warehouse The information contained herein is subject to change without notice. Other 3rd Parties

ROI Targets

Strategic Outcomes The project provides users with automated tools to increase the accuracy of benefits administration by increasing productivity and efficiency, reducing payment errors, and reducing the overall cost of program administration.

Business Results Metrics

 Total Cost of Ownership *****  End User Productivity (benefits administration) *****  Payment Errors *****  Applications Operations Cost *****  Return on Investment *****

Case Study: Health-e Connect

Claims Labs Members PHR

Providers without EMRs EMR-EHR Access Data Sources Pharmacy Health-e Connect (EMR-EHR-PHR SaaS) Subscription-based • Improve health quality and patient safety Providers with EMRs • Demonstrate measurable Other HIE data sources EHR Access health improvement 21 © Copyright 2012 Hewlett-Packard Development Company, L.P. • Achieve cost reductions The information contained herein is subject to change without notice.

Information Services…Autonomy

Infrastructure Applications Information ANYWHERE ANYWHERE ANYWHERE = Services ANYWHERE

It will be a journey…with different on-ramps Organizations will start with different use cases…and create unique paths

Standardize, Consolidate, Packaged Packaged Consume Consume Dev/Test Cloud Virtualize, Applications Applications Cloud Cloud Automate

Managed Cloud Public Cloud Traditional Private Cloud Converged Cloud

Application SaaS Application Build Cloud Dev/Test Cloud Transformation Dev/Test Cloud Applications Transformation (re-architect/replace) (re-architect/replace)

Applications “destinations” determined by their current and future state capabilities • Transformational • Mission critical, hardened workload • New development or transformable to Public Cloud “Purgatory” • Security and manageability requirements • Less heavy interaction with other apps • Not able to be • At least “minimum” transformation of apps • Less security and non critical workload transformed or moved • Not transformable to pure cloud stack

Thank you