Windows Azure Bringing the Cloud to HealthCare

1. Windows Azure Bringing the Cloud to HealthCare

2. Presenters Agenda • Who are we? • Why Windows Azure? • Where is Windows Azure? • What is it good for? • How can you get it? • How is it supported? • What are the key scenarios? Feel free to ask questions throughout the presentation.

3. Bill Zack • Windows Azure Cloud Technical Solutions Specialist (N3/Microsoft) • Microsoft Windows Azure Specialist (6 Years or so…) starting at Microsoft  • Cloud & .NET Architect, Developer and Blogger (CloudyInNashville.com) • Healthcare applications: • Healthcare Clinic Electronic Medical Records • Medical Professional cloud based Video Training Systems • Hospital Laboratory Results analysis • Health Insurance Claims Data Recovery • Pharmaceutical Molecular Analysis (Big Data) • Multi-company HealthCare Claim Fraud Detection Clearinghouse • A Founder of several community groups including the Nashville Windows Azure Users Group • Designed and Implemented Cloud applications on Windows Azure & Amazon Web Services • Frequent presenter on Cloud Design Patterns at Cloud Expo • Also written a few books and white papers

4. Robb Wells • Windows Azure Cloud Technical Solutions Specialist (N3/Microsoft) • IT Director for AneScan, an Anesthesia software company, whose infrastructure runs on Windows Azure as well as Office365 for SharePoint and Exchange (sidenote: helped integrate Iguana for HL7 integration to AneScan application on Azure platform) • Currently under contract to N3 providing Windows Azure support to Microsoft partners and customers Healthcare Experience(17 years with HCA) • Founding Director of IT Security Operations for the TriStar Health System (6 years) 16 Hospitals, multiple Surgery and Outpatient Imaging Centers across Tennessee, Georgia and Kentucky • Previous multi-year member of the Information Security Council for HCA at enterprise level • Founding IT Director StoneCrest Medical Center (5 years) in Smyrna a 75 bed hospital facility • IT Director for Summit Medical Center in Donelson (5 years) a 175 bed hospital facility • PC/network/server technician/administrator (2 years) for Hendersonville Medical Center and Southern Hills hospitals Former Owner of Computer Solutions a small computer consulting firm based in Nashville

5. Contact Information • Robb Wells • eMail: robbwells@comcast.net • Twitter: @robbwells • Phone: 615 533-7189 • Bill Zack • eMail: wzack@live.com • Blog: CloudyInNashville.com • Twitter: @WilliamHZack • Phone: 203 545-2339

6. Why consider the cloud? Public Cloud Platform $30 Speed Scale Economics $25 $20 Market Share (in Billions) $15 $10 $5 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

7. Real World examples: http://www.meetwindowsazure.com/Stories

8. Cloud innovation presents challenges for IT • How do I integrate with my existing IT investments? • What about my heterogeneous, complex IT landscape? • What about security and compliance?

9. Enterprise needs Security Heterogeneity Integration Secure and reliable Broad and flexible On-premises and Cloud

10. Virtualization Enterprise needs Integration Identity Data Platform On-premises Cloud Windows Azurefundamentals On-premises AND Cloud DevOps and mgmt Development

11. Enterprise needs Heterogeneity Integration Languages CMS Devices Databases Windows Azurefundamentals Operating Systems Open, Broad and Flexible On-premises AND Cloud

12. Enterprise needs TRANSPARENCY Heterogeneity Security Languages CMS Devices Databases Windows Azurefundamentals Operating Systems Open, Broadand Flexible Trustworthy

13. HIPAA/HITECH Compliance Considerations Addressing HIPAA Security and Privacy Requirements in the Microsoft Cloud

14. Rich Lilly Microsoft Team Project Leadership Associates Security and Compliance for reference Windows Azure Compliance and Security top ten talking points

15. TRANSPARENCY RELATIONSHIP EXPERIENCE Enterprise needs Security Trust through transparency ISO 27001 Cloud Security Alliance (STAR) Industry standards Regulatory compliance Trust center $ Monthly SLAs Yearly audits Independently verified Real-time status Service dashboard Windows Azurefundamentals Trustworthy Azure Trust Center Azure Security Overview from Microsoft /

16. TRANSPARENCY RELATIONSHIP EXPERIENCE Enterprise needs Security Count on your existing relationship Attach to your EA Enterprise ready procurement 24x7x365 Enterprise-ready support MCS, CSS, Partners Trusted advisors Windows Azurefundamentals Trustworthy

17. TRANSPARENCY RELATIONSHIP EXPERIENCE Enterprise needs Security Unparalleled experience in online security Windows Azurefundamentals • Today, we manage 200+ global services, running 24x7 • 9.9 billion instant messages routed a day • 600 million unique users monthly on Windows Live and MSN • 1 Petabyte+ of updates served monthly Windows Update • 5M LiveMeeting conference minutes per year • 200 billion+ authentications through Windows Azure AD Trustworthy

18. delivers. Security Heterogeneity Integration On-premises AND cloud Open, Broad, Flexible Trustworthy Secure and reliable Broad and flexible On-premises and Cloud Enterprise ready by design.

19. TL chf $ $ $ £ ₩ kr $ kr руб Global datacenters € Global CDN Rp Global support $ $ ¥ R Local account teams Local currencies • 24 x 7 x 365support Over 1 billion customers, 20 million businesses76markets worldwide • 280 years of combined industry experience in infrastructure, security, product dev, and global ops

20. app services cloud services caching service bus media identity hpc analytics integration web sites mobile services data services SQL database HDInsight table blob storage infrastructure services virtual machines virtual network vpn traffic manager cdn

21. Services • Compute • Virtual Machines • Cloud Services • Web Sites • Mobile Services • Data Services • Storage • SQL Database • Backup • Cache • HDInsight • Hyper-V Recovery Manager • Application Services • Media Services • Active Directory • Multi-Factor Authentication • Service Bus • Notification Hubs • BizTalk Services • Scheduler • Visual Studio Online

24. Support Options

25. Demos • Tour of the Windows Azure Portal • Quick create of a Virtual Machine • Quick create of a Website

29. app services cloud services caching service bus media identity Apps hpc analytics integration web sites mobile services data services SQL database HDInsight table blob storage caching identity cloud services table virtual network infrastructure services virtual machines virtual network vpn traffic manager cdn

30. Azure datacenters, your datacenters. app services cloud services caching service bus media identity virtual network virtual machines hpc analytics integration web sites mobile services vpn data services SQL database HDInsight table blob storage virtual network infrastructure services virtual machines virtual network vpn traffic manager cdn vpn

31. Store, backup, recover your data 1 Develop, test, run your apps Develop, test, run your apps Extend your infrastructure Extend your infrastructure Incorporate Media in your business On Demand Training - Media Services Scenarios to get started with Windows Azure Secure your Remote Users Secure your Remote Users

32. Store, backup, recover your data Simple and fast on-ramp to Azure Active data instantly available locally Archives less used data to Windows Azure Recover data from any internet connection Reduce enterprise storage TCO by 60-80% Physical or Virtual Servers StorSimple Your Data Center

33. Azure and StorSimple ASAP Offers $100K for ~100TB1 with 7020 appliance2OR 7520 appliance2 (no additional cost) • $50K for ~50TB1 • with 7020 appliance2(no additional cost) • $50K/year on Azure EA for storage • Covers 50TB of Azure storage through StorSimple appliance for most use cases • $100K/year on Azure EA for storage • Covers 100TB of Azure storage through StorSimple appliance for most use cases What customers are paying for • 7020 appliance (worth $70K) • Gold support for 1 year with Next Business Day (NBD) parts • Option-1: 7020 appliance (worth $70K) • Gold support for 3 years with NBD parts • Option-2: 7520 appliance (worth $120K) • Gold support for 1 year with NBD parts What customers get at NO additional cost • Option-1 – 7020 with 3 years of Gold support • Additional $7,500 for upgrade to platinum support for 3 years • Additional $10,000 for upgrade from 7020 to 5520 • Option-2 – 7520 with 1 year of Gold Support • $7,500 per year for Gold support in years 2 & 3 • Additional $2,500 per year for upgrade to platinum support • $5,000 per year for Gold support in years 2 & 3 • Additional $2,500 per year for upgrade to platinum support • Additional $10,000 for upgrade from 7020 to 5520 Additional costs (Xyratex charges customer directly) • 1 Approximate amount of storage. This varies based on discounts, Azure storage type selected (local vs. geo replicated) and usage of other Azure services. • 2 Appliance built and distributed by Xyratex

34. Store, backup, recover your data 1 Develop, test, run your apps Develop, test, run your apps Extend your infrastructure Extend your infrastructure Incorporate Media in your business On Demand Training - Media Services Scenarios to get started with Windows Azure Secure your Remote Users Secure your Remote Users

36. Develop, test, run your apps Use VMs Developers IT Admin Provision VMs Test and development using Windows Azure Manage environment Cost effective (pay for what you use) Improved developer agility with platform services Ready to use gallery of images Ship tested in realistic scale scenarios Use existing development tools & languages Access on-premise resources if necessary

37. Develop, test, run your apps Start VMs and app development in Azure Deploy anywhere with no lock-in Your Datacenter, or Your Hoster Easy VM portability If it runs on Hyper-V, it runs in Windows Azure Production environment

38. Store, backup, recover your data 1 Develop, test, run your apps Develop, test, run your apps Extend your infrastructure Extend your infrastructure Incorporate Media in your business On Demand Training - Media Services Scenarios to get started with Windows Azure Secure your Remote Users Secure your Remote Users

40. Extend your infrastructure Windows Azure Windows Azure Infrastructure Services Virtual Machines with on-demand scale & compute Spin up and tear down in minutes, no hardware provisioning Connect with on-premises Active Directory and domains Integrates Windows Azure Virtual Networks Use what you know, manage with System Center Integrates with Azure Platform, Apps, and Storage Services Virtual Network Active Directory SharePoint SQL Server Internet Your Datacenter

41. Extend your infrastructure Windows Azure Your Workloads and Infrastructure Services Design, implement, and develop on SharePoint 2010/2013 without hardware Develop custom internet sites and collaboration apps Apps with public web front ends, variable traffic or sit in a demilitarized zone Custom apps, Specialty Servers running workloads with periodic spikes Virtual Network Active Directory SharePoint SQL Server Internet Existing Datacenter On-premise

42. Store, backup, recover your data 1 Develop, test, run your apps Develop, test, run your apps Extend your infrastructure Extend your infrastructure Incorporate Media in your business On Demand Training - Media Services Scenarios to get started with Windows Azure Secure your Remote Users Secure your Remote Users

43. BC-Sports and Azure

44. What are Media Services? Functional Components for Building Custom Media Workflows in the Cloud FormatConversion Live Streaming Windows Azure Media Services Ingestion Advertising Content Protection On-Demand Streaming Encoding Analytics

45. Workload Solutions

46. Store, backup, recover your data 1 Develop, test, run your apps Develop, test, run your apps Extend your infrastructure Extend your infrastructure On Demand Training - Media Services On Demand Training - Media Services Scenarios to get started with Windows Azure Secure your Remote Users Secure your Remote Users

48. Introducing Multi Factor Authentication

49. Any two or more of the following factors: Something you know: a password or PIN. Something you have: a phone, credit card or hardware token. Something you are: a fingerprint, retinal scan or other biometric. Stronger when using two different channels (out-of-band). What is multi-factor authentication? 01234 Hardware token Certificates Smartcard Phone

50. What is Windows Azure Multi-Factor Authentication? Powered by PhoneFactor, acquired by Microsoft in 2012. Trusted by thousands of enterprises to authenticate employee, customer, and partner access. Secures applications and identities in the cloud and on-premises.