Mtbc cloud ehr

MTBC Cloud EMR

Ghazanfar Latif (Gabe)gabe@prebinary.com

Presentation Outline

Part 1: Introduction of Cloud Computing

Part 2:

Amazon Elastic Cloud Compute (EC2) Part 3:

Hosted MTBC-EMR Part 4:

EC2 Management Console & Hosted EMR Demo

As an end-consumer, believe it or not

you’ve been using Cloud for long times

Cloud computing: the latest evolution of hosting

Cloud computing characteristicsCloud Computing is not answer for all

But it could simplify our lives……

Your data is replicated3 or 4 times in their data center

High Availability

Adding “servers” is a click away. Running in just minutes, not days

Sensitive Data in the Cloud?are there yet?

Data at Rest

Data in Motion

Encryption

It can even load balance your server traffic

Expect your Cloud

Networkis always up

Yes, you can even pick your data

and “servers” reside

Cloud Computing is relatively new technology

Hosted Server & Applications Access

Employees

CustomersSuppliers

Hosting Players

Often Monthly

Your contracts

Cloud Players

Pay As You Go

Pay only what you use

Let’s BuildHuge Data Center

Capacity Planning

Disaster Plan

Cooling Management

Server Crashes

Huge Investment

In the mean time,… Many things have changed Can we bridge the gap?

Leave it the expertswho have a lot of money to spend to build

giant datacenters across the globe

Only a handful of major player can build this massive infrastructure

Cloud Players Hosting Players

Only few can afford billions dollar investment on data centers

Hundreds of them aroundthe world

Difference b/w W-Azure, A-EC2 & G-Apps

• Early Stage• Need to provide .Net

code for front end and back end server

• Storage for applications and DB Services

• Provide Development tools for coding

• Good enterprise integration

• Pricing based on Database size and API Size and users

• Commercially Available• Upload your VM or

install your applications and share to your clients

• Not applicable

• Simple Volume Storage Service

• Fully controlled virtual Machines

• Pricing is based on Virtual Server Specifications and Time

• In Public Beta • Write application with

limitation Pathon and submit it to Google

• Provide Development tools for coding

• Database Datastore APIs

• Integrate the application with Google services

• Pricing is based on Cloud Application Usage

Windows Azure Amazon EC2 Google Apps

Highlights of Amazon Service

• Pay only for the resources that you actually consume• Amazon Machine Image (AMI)• Amazon Elastic Block Store (S3)• Amazon Virtual Private Cloud (VPC)• Elastic IP Addresses• Amazon CloudWatch• Elastic Load Balancing• Security Groups• VM Import

EC2 Architecture

Amazon Pricing Strategy

• Price is based on instance type, its specification and region were it is running

• Instance Types:– On Demand Instance– Reserved Instance– Spot Instance

• Instance Specification– Standard Instance– High Memory Instance– High CPU Instance

• Instance Regions– US East (Virginia)– US West (Northern California)– EU (Ireland)– Asia Pacific (Singapore)– Asia Pacific (Tokyo)

How Hosted MTBC-EMR works

AmazonEC2 Server

Amazon EC2 Console

Client System

Internet

Practice 1Installed EMREMR

DocumentsEMR DatabaseSync Service

Practice 2Installed EMREMR

DocumentsEMR DatabaseSync Service

Practice 3Installed EMREMR DocumentsEMR DatabaseSync Service

Microsoft Remote App

-EMR Practice 1-EMR Practice 2-EMR Practice 3

Active DirectoryUser 1User 2…..……User N

RD Web Access & Firewall

RDWeb Pages GPO Settings Ports Setting

Security Group Setting EC 2 Instance in Running State

SSL Certificate: Secure and Encrypted Data Flow

Our Medical Data Security at Amazon EC2

• Bit locker (Server Drives will be encrypted)• Group Policy Management of Server Users• Windows Firewall Setting• Amazon EC2 Security Groups• SSL Certificate Installation (Encrypted Secure

Communication between client & Server)• HIPPA Compliance (Amazon Claims)

Benefits to Clients

• No need to buy a Specified Server Machine for MTBC EMR Server.

• No need to fulfill clients system specification to install and run MTBC EMR.

• No need to hire and pay an IT guy to maintain Server and client machines.

• Available EMR to use for practice within one to two hour after Signup.

• No need to worry about Server crash and it restoration.• No need to pay for online backup vaults for MTBC-EMR

databases.

Benefits to MTBC

• Very easy MTBC-EMR installation process. • There is no need to take control of Client machines for

EMR installation and issues resolution.• We can easy create Server Snapshots and restore them

within 5 minutes.• No need to send EMR Patch updates and run them all the

client machines. We have to replace the updated exes only on the Hosted Server.

• No need to worry about data synchronization issue, we can check the issues immediately when we need.

Hosted EMR Cost & Price Analysis (Ruff)

• Cost for (~36 Users):– EC2 Reserved Instance (3y) : $4000– SSL for Reserved Instance: $90– Per User RD Web Services License: $84*36– Total One Time Cost for three Year: $7042– EC2 Reserved Instance Per Month Cost: $350

• Client Price:– Initial Sign Up per Practice: $1000– Per Provider Per Month Charge(1+2 Users): $295– E.g: 3 provider in each practice (4 practice): $4000– After One Month 12providers Charges: $3540

$4000 + $3540 = $7540

What we have done so for Hosted EMR!!!

Integration with MTBC WebsiteOnline Hosted Demo EMR Package for New Clients

Demonstration Amazon Web Services Console Demo

Hosted EMR Demo

References

• Amazon Elastic Compute Cloud (Amazon EC2)– http://aws.amazon.com/ec2/

• What is cloud computing– http://www.salesforce.com/in/cloudcomputing/

• HIPAA AND EC2– http://aws.amazon.com/about-aws/whats-new/2009/04/06/whitepaper-hipaa/– http://www.ehrdoctors.com/hippa-and-ec2/

• Windows Azure (cloud services operating system)http://www.microsoft.com/windowsazure/windowsazure/

• Google App Engine– http://code.google.com/appengine/business/

• Amazon EC2 Pricing Strategy– http://aws.amazon.com/ec2/#pricing

• Amazon Elastic Block Store (EBS)– http://aws.amazon.com/ebs/

• Amazon CloudFront– http://aws.amazon.com/cloudfront/

• Hosted EMR– demo.mtbc.com

Thanks fromGhazanfar Latif

Questions ?Comments ??

Suggestions ???