Myra Davis, SVP | CIO
John Hamm, Director | CTO
TRANSFORMING THE DATA CENTERIN THE DIGITAL AGE
• Overview of Texas Children's
• Digital Age Readiness
• Organizational Readiness
✓ Digital Supply Chain
✓ Interoperability
✓ Foundation
AGENDA
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TECHNOLOGY IS CRITICAL TO SYSTEM OF CARE
INPATIENTMain Campus, West Campus, Pavilion for Women, Woodlands
PRIMARY CAREe.g., TCPs, Urgent Cares, The
Centers, OB/GYN Clinics
COMMUNITY PARTNERSHIPS
e.g., St. Joseph's, CHI, Methodist
SUB-SPECIALTY CAREe.g., Health Centers,
CCC, MFM
eHealthGeographic reach and monitoring
TransportProviding maternal, pedi & NICU transport
Health PlanAccess & Coverage
Research InfrastructureBringing innovative solutions to the bedside
WE ARE GROWING…
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HEALTH IT IS CRITICAL TO SYSTEM OF CARE
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• Health IT (HIT) is not a single product; it encompasses a technical system of computers and software that operates in the context of a larger socio-technical system – a collection of hardware and software working in concert within an organization that includes people, processes, and technology.
Patient Experience
Ex: The MyChart Bedside is designed to improve patient experience
Quality & SafetyEx: Alarm Management technology
improves patient safety
ResearchEx: Electronic data warehouse
enables research and innovation
RadiologyEx: Image sharing application,
lifeIMAGE, enhances patient care
eHealth
Ex: The Vidyo solution enables Maternal Fetal Medicine
Electronic Medical RecordCare Link | Care Quality
Care Everywhere
Transport
Ex: The Kangaroo Crew uses the RescueNet solutions for Dispatch, ePCR
and Billing Patient Care and Safety
Ex: Positive Patient Identification (PPID) Barcode Medication Administration (BCMA)
DIGITAL AGE READINESS
ACCELERATING PACE
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Time.com, http://content.time.com/time/interactive/0,31813,2048601,00.html
Artificial Intelligence
Machine Learning
Augmented Reality
Virtual Reality
Robotics
13 April 2017
Texas Children's
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> Definition:
» IoT is an ecosystem that includes Things, Communications Applications, Data, and Analytics.
> Benefits of IoT:
» Improves Patient Care and Safety
» Innovation with IoT brings solutions faster, reduces time and cost
Thingsex: Clinical Workstation
Gatewaysex: Wireless
Smartphonesex: iPhones, IPods
Cloudex: Internet
Enterpriseex: Apps
The Woodlands• 65,000 Network
Ports
• 11,000 peak wireless connections
DRIVING FORCES
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~$8 Billion in VC investments annually
Houston:
TMCx,
Johnson & Johnson Innovation
AT&T Innovation Labs
Idea to Product < 3 Months
Moores Law: Power of Chips doubles every 18 months
Kryders Law: Storage demand doubles every 12 months
Nielsen’s Law: Bandwidth doubles every 21 months
Science, Technology, Engineering, Math
Robotics and Coding Summer Camps include Health Museum, Rice University, IDTech,
Sylvan Learning, American Robotics Academy…
ID TECH @ RICE UNIVERSITY
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Our youth are already building tomorrow’s technology…
Multi-generation readiness
ORGANIZATION READINESS
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Digital Supply Chain
Interoperability
Foundation
Agility and speed to adopt technology
DIGITAL SUPPLY CHAIN
DIGITAL SUPPLY CHAIN REALITY
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What users expect:
Where we are today:
Week 1 Week 2 Week 3 Week 4 Week # Week # Week # Week # Week # Week…
Request
Evaluation / Estimation
CommercialLogistics
Financials
Design
ACCELERATE THE DSC (DEVOPS)
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Fail Fast
Automate
As a Service
i.e. Legal Robot uses machine learning techniques like deep
learning to understand legal language, then compare the
language with other contracts to identify boilerplate vs.
custom, measure the complexity and readability of the
language, and identify the responsibilities, rights, and terms
of an agreement.
Startup Partnerships
Innovation Lab
Interoperability Scoring
Communalize Standards
Hybrid Cloud Enabled
Compute and Storage as a Service
Data, Application, and Interface Catalogue
Security by Design
INTEROPERABILITY
Capability to plug in and plug out IOT
INTEROPERABILITY
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Patient Engagement
Consumer Engagement
Health Information Exchange
Open Source
Technology Standards
FTP, HTTP/HTTPS, ODBC, POP, SMTP, SNA, SOAP, SSL, TCP/IP and web services
Individual Health Community HealthPopulation Health
Readiness and elasticity of your technology foundation – Data Center
FOUNDATION
DATA CENTER FOUNDATION
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• Highly Available
• Consolidate and Virtualize
• Standardize and Automate
• Secure by Design
• Hybrid Cloud
IBM, https://www-935.ibm.com/services/in/en/it-services/data-center/
Te x a s C h i l d r e n ’s C o r p o r a t e N e t w o r k
TEXAS CHILDREN’S RELIES ON A COMPLEX ARCHITECTURE TO PROVIDE CLINICAL AND BUSINESS SERVICES
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Internet
Tr u s t e d N e t w o r k U n t r u s t e d N e t w o r k
Cloud Service
DATA CENTER TRANSFORMATION PROJECT
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Current StateTier 1 and 2 Data Centers
201610 Data Centers (including TCHP)
2,000 servers (10% growth each year)
400+ server applications, 53 Critical
25,000+ End Points
2.5 Petabytes data (1x 1000 Terabytes)
4X technology growth 2010-2015 – higher growth curve expected 2015 - 2020
Future StateTier 3 Data Centers
‘17-’20Tier 3 Data Centers with redundancy
100% critical applications can failover
Simple, automated, scalable for future
Secure from ground up
Part of cloud ecosystem
Leverage capital synergies and lower OPEX
DEFENDING AGAINST ATTACKS
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Te x a s C h i l d r e n ’s C o r p o r a t e N e t w o r k
Threat &Vulnerability Management
Web Gateway Protections
Network Access Control
Intrusion Detection & Prevention Security Monitoring & AlertsEndpoint Security Application Security
Data Loss Prevention
Multi Factor Authentication
Access Control
Requirements Gathering
Application & Hardware
Assessment
Application Rationalization
Dependency Mapping
Sequencing and Plan
Location
Technology
Services
Space and location
assignment
Technology Design
Migration Plan
Capability Model GAP
Analysis
Execute Data Center
Migration
DATA CENTER TRANSFORMATION METHODOLOGY
Calibrate the business strategywith the latest in nextgeneration data center,technology, and strategies.Learning period for the datacenter team.
Critical point to inventory thedata center hardware andidentify the dependenciesbetween application andtechnology layers. This willdefine the strategy andmigration plan. Parallel withrequirements gathering.
Critical decision point tochoose a partner, based on apublished RFP driven off ofthe requirements andassessment work for location,technology, and serviceproviders..
The space assignment,technology design, migrationplan, and people capabilitymodel drive the executionplan. From this point forward,the project follows a welldefined plan.
Hardware infrastructure in silo towers, supported by engineers whom custom solution each tower. In some cases there are multiple vendors for the same silo.
Network
Server
Storage
Security
Leveraging automation, infrastructure services will be simplified, while providing elasticity and scalability. Capacity will be built and consumed when needed.
TODAY 2018 CAPABILITY SHIFT
Automate
Engineer
Design
Network Servers Storage Security
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• Servers and Applications
• Secure by Design
• Reduces Digital Supply Chain Time
POWER OF ENABLEMENT
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FY17 FY18 FY19 FY20 FY21
Difference 18 Month and 5 18 Month 5 Year
F5 YEAR FINANCIAL COMPARISON
FY17 FY18 FY19 FY20 FY21
Data Center - 18 Month Approach Fully Funded
FY17 FY18 FY19 FY20 FY21
Data Center Transformation - 5 Year Approach using LC
• 24.3% Capex Savings
• 20% OpexReduction in HW/SW Maintenance
• FTE Reallocation
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Do you have your digital supply chain mapped – steps, dependencies, and time?
Do you have an interoperability, data, or enterprise integration strategy?
Is your data center technology elastic, service oriented, and highly available?
Assess your readiness for
the digital age
Myra DavisSVP & CIO
Information Services
John HammDirector & CTO
Information Services
T H A N K Y O U
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