Tag: health care

  • Five Great DevOps Job Opportunities

    Five Great DevOps Job Opportunities

    devopsy.kinsta.cloud is now providing a weekly DevOps jobs report through which opportunities for DevOps professionals will be highlighted as part of an effort to better serve our audience.

    Our goal in these challenging economic times is to make it easier for DevOps professionals to advance their careers.

    Of course, the pool of available DevOps talent is still relatively constrained, so when one DevOps professional takes on a new role it tends to create an opportunity for others.

    The five job postings shared this week are selected based on the company looking to hire, the vertical industry segment and naturally, the pay scale being offered.

    We’re also committed to providing additional insights into the state of the DevOps job market. In the meantime, for your consideration:

    Monster.com

    Google
    Mountain View, CA
    Software engineer
    $167,149

    ZipRecruiter

    Deloitte
    Boca Raton, FL
    DevSecOps Engineering Lead
    $145,000 to $241,000

    Dice.com

    gWorks
    Omaha, NE
    DevOps Manager
    $150,000 to $180,000

    SimplyHired

    Cubic Corp
    Ashburn, VA
    DevOps Engineer
    $87,000 – $120,000

    Indeed.com

    Blue Cross and Blue Shield of North Carolina
    Remote
    DevOps Engineer
    $94,600 to $120,000

  • Nolij Consulting Brings Expertise Beyond the Public Sector

    Nolij Consulting Brings Expertise Beyond the Public Sector

    Alan Shimel talks with Ashley Mehta, CEO and president of Nolij Consulting, about the company’s deep expertise in health care IT, digital health care transformation, testing and evaluation, and the use of emerging technologies to solve issues in the government IT space. Now, the company is going commercial, and Mehta explains how their expertise can benefit IT organizations beyond the public sector. The video is below, followed by a transcript of the conversation.

    Announcer: This is Digital Anarchist.

    Alan Shimel: Hey, everyone. Welcome to another session here on TechStrong TV. We’ve got a new company, a new guest, first-time guest to introduce you to today. I want to introduce you to Ashley Mehta. Ashley is a founder, CTO of a company called Nolij. It’s not spelled the way you would think though. I’m going to let her explain that. Hey, Ashley, welcome to TechStrong TV.

    Ashley Mehta: Thank you, Alan. Thanks for having me.

    Shimel: It’s a pleasure to have you on. So I know I already said it so I guess we’ve got to address that first. How do you spell the company’s name?

    Mehta: It’s N-O-L-I-J, it’s a play off of knowledge. You know, so I had some friends in the Silicon Valley and they said you have to kind of spell a little different, so that’s what we did when I started the business, yes.

    Shimel: Excellent. Well, I guess the question is let’s share with our audience, let’s assume they don’t know anything about Nolij. So why don’t we give them a quick background there and then we can talk a little bit about your background as well.

    Mehta: Yeah. No, that sounds great. So Nolij is a woman-owned small business. We started in about 2012. I had worked for some large consulting business to learn all the ins and outs of the business and management side, and slowly just kind of started building my woman-owned small business.

    Today we have around 150 employees and we are primarily a health IT company doing work within HHS and the Defense Health Agency. We also do work within Homeland Security within the GSA. So it’s been a lot of fun and we have an outstanding company.

    Shimel: Absolutely. Very cool. People think, oh, startups, overnight success. You’ve been at this now for about eight or nine years, and as have I here at MediaOps, working on eight years now. You know, you put everything you got into it, right? You said you worked for some big consulting companies, but give us a little bit more of your background if you don’t mind.

    Mehta: Yeah. So I’m originally from Ohio, went to Ohio State University, graduated in marketing.

    Shimel: OH.

    Mehta: Yeah, yeah. The Ohio State University. We have the Buckeye fans within our family. My dad has had his own business. My oldest brother’s in healthcare in mergers and acquisitions and doing very well. I’ve got a twin brother that’s also in technology and business. And then my dad was, like I said, had his own business, and cousins and uncles.

    So we have a big background in basically finance and entrepreneurs and business and I guess it’s just kind of a little bit in my blood.

    Shimel: Good for you.

    Mehta: Yeah. So it’s been a lot of fun.

    Shimel: Yep. So recently Nolij expanded into the commercial market.

    Mehta: Yeah. So actually before COVID hit we started kind of thinking about, hey, let’s start exploring into the commercial market, see what’s out there. We do a lot of work within, like I said, health IT. We thought, hey, let’s go and see the private hospitals. We do a little bit of work within the private hospitals in regards to the contract that we have with the Department of Defense, working with them to make sure the electronic healthcare records are integrated with our system, so if any of the military personnel have to go into the private hospitals that their electronic healthcare records are there.

    So we’re really just venturing out, getting our feet wet, figuring out if it’s going to be a viable market for us, and hired experts within the commercial markets. So we’re experimenting with the private hospitals and we’re also going to start to experiment with the payers as well, but we just have a very energetic workforce, great employees, a lot of technical talent, and just really trying to figure out how else we can grow. So of course started it before COVID hit and then COVID was interesting.

    Shimel: To say the least. [Laughs]

    Mehta: Yeah, yeah. But we focused a lot on marketing and kind of getting our name out there, so thanks a lot for this opportunity, Alan. It’s a pleasure and really, truly appreciate it. [Laughs]

    Shimel: Oh, no. It’s our pleasure. I mean, part of what we like to do is bring interesting companies, interesting service products to the audience so that they understand. So you’re doing this, let’s say, going on seven years, and you say, you know what, we’re going to – when did you decide to say, okay, we need to get into that commercial market?

    Mehta: Yeah. That’s a great question. So one of our largest projects is within the Department of Defense, the Defense Health Agency. So we actually have the pleasure of actually doing the IV&V for software testing for the electronic healthcare records on the Department of Defense Side. And Alan, I’m sure you’re probably familiar with that they’re trying to commercialize the product. It’s called MHS GENESIS, which is a Cerner commercial product, and Dentrix, which makes up MHS GENESIS, which is basically the Department of Defense’s electronic healthcare records that will flow digitally into the VA.

    So once you retire from the military and you become a veteran you don’t have to literally hand over your healthcare records to the VA and have them scan it in and upload and that kind of thing, that it’s just all electronically. So it’s just better care for the people that serve our country. And so we’ve been doing all this support, making sure that there’s no defects and that kind of thing within the software. I think it was just kind of a point where, hey, it’s a large project, we do an outstanding job, we know the ins and outs of interoperability and data and defects and how to mitigate a lot of the risk with them in technology and software, which is very complex because there are so many systems that are integrated to make up these electronic healthcare cords.

    So we were just thinking that, hey, let’s venture out into the commercial side, see if we can get some business there, provide opportunities for our employees to grow, for the company to grow, and I think it’s always great to get the expertise and get the guidance, and then you’ve got the resources to do the work, but just kind of see what else is out there. So that’s what we’ve been doing. Because you always have to build upon the capabilities that you have, and so the commercial market there’s a lot of opportunities to do that.

    Shimel: Absolutely. I want to bring up something, and I hope I don’t embarrass you, but obviously Nolij is a woman-owned or woman-founded run business. In the federal space we have, you want to call them, set-asides for minority, women-owned business, economically-disadvantaged community businesses, stuff like that. We don’t have that as much in the commercial space, frankly. So I wanted to ask you – and I realize you venturing forth into the commercial market is rather new for you, but how do you find it as a woman CEO? The differences between navigating what for you is the comfortable confines of the gov space versus kind of the wild west of commercial.

    Mehta: We’re not really focused on the fact that we are – I mean, we are woman-owned because I’m a woman, but we’re really focused on the customer and the technology that we have to offer. So we have to get out there, submit excellent proposals that have to do with emerging technology to help increase efficiencies and decrease risk for clients. Quite frankly, I think on the government side I think I’ve only submitted maybe one or two proposals that are set aside for woman-owned small business. A lot of them are small business and if a woman happens to own it then the government gets those brownie points and allocates those towards woman-owned small business.

    But I don’t see tons of opportunities set aside specifically for woman-owned small business. Maybe on subcontracting plans, if it’s a large set-aside, then they’ll say, okay, you have to give 5 percent to HUD zone and 5 percent to woman-owned and 8A and that kind of thing. But I don’t think that – at least I haven’t seen within the agencies that I have been doing a lot of work in, real strong set-asides for woman-owned small business where women are actually competing to win the work. I mean, a lot of times you see these companies that quite frankly are owned by men [laughs] that get their wives to be the woman –

    Shimel: Oh, I saw plenty of it. Yeah. One of the companies I founded was about 60 percent of our business was DOD back in –

    Mehta: I’m sorry, say that again, Alan. I didn’t hear that.

    Shimel: Sixty percent of our business was DOD. This is like in the mid 2005 to 2010 timeframe. And back then it was like native-owned business as a lot of set-asides. And I saw this firsthand and it got me really down on that whole line of doing things. It was like a good idea; try to give native-owned businesses business, right?

    But then what they were doing is you would have like this small native-owned business that had one person who as a Native American as the titular head/owner of the company, and then they were just kind of acting as a front for the usual suspects, right? [Laughs] The large integrators. And I realized it was a good idea but in practice it was abused and it’s not what the intent there was. It was wrong.

    Mehta: Yeah.

    Shimel: It is. So let me ask you a question. For people out here watching this now, when should they reach – what is the fact pattern, if you will, for when they say, hey, you know what, Nolij may be something that can help us here? Nolij is a company that might be able to help us.

    Mehta: What is the what? I didn’t hear that.

    Shimel: What is the fact pattern or what is – give us a typical engagement sort of scenario. Commercial companies out there saying, you know what, I’d like to reach out to these folks. They might be able to help us with this problem.

    Mehta: Yeah. So we have lots of technologists that are in the areas of quality assurance and software testing, artificial intelligence, RPA, which is robotic process automation. We’ve just recently partnered with probably about eight different emerging technologies, different various artificial intelligence platforms that either helps out with customer service or help out with operations, like a lot of bots. But I would say that the whole integration of systems, getting them to work, making sure there’s no defects, because at the end of the day it’s like the customer, they’re using these systems and they have to be happy, right? Especially when you’re dealing with people’s sensitive information in regards to their personal health information or their personal data, cybersecurity.

    We’re also kind of partnering with companies that have various cybersecurity technologies. So I think that we’re just kind of out there. And as a small business, you have to have strong partners to grow as well. Even large businesses have to have small businesses to grow because they have expertise in certain fields. So it’s really just about just building those strong partnerships, being able to go in, do the work with the clients, and just be successful in just making the customer successful. So I think there’s a lot of trust there that kind of goes into that when the customers give you an award.

    Shimel: Absolutely. Ashley, you know what I realized? We got into the whole how do you spell Nolij, but we never gave the website for people who may be wanting to get more information. What is the website and if you could spell it.

    Mehta: Sure. It’s obviously W-W-W dot N-O-L-I-J consulting dot com.

    Shimel: Very cool. Nolij Consulting with an N. I love it. Ashley, thanks for being our guest on TechStrong TV today. Great continued success. Best wishes. Come back and keep us posted.

    Mehta: Thanks, Alan. I definitely will do that. Thanks. I appreciate it.

    Shimel: Very cool.

    Mehta: Thanks.

    Shimel: Alright. Thank you. Ashley Mehta, CEO, cofounder of Nolij Consulting. That’s N-O-L-I-J, here on TechStrong TV. We’re going to take a break. We’ll be right back.

    [End of Audio]

  • The No-Code Revolution: 5 Industries That Will Win Big

    The No-Code Revolution: 5 Industries That Will Win Big

    The year 2020 tested the mettle of countless businesses and industries, but those who were able to stay afloat had one thing in common: the ability to adapt to an increasingly digitized world by embracing future-facing technology.

    For companies already steeped in the tech world, these changes came more naturally, but not all industries were equally equipped to transform. For those caught on their back foot, the key was to apply existing technologies to old systems and analog problems.

    No-code platforms quickly shot to the fore of these innovative solutions, and their importance will long-outlive the pandemic that was the catalyst for their growth. At its core, the no-code revolution is leveling the development playing field and lowering the barrier to entry of digitization. Programmers and non-programmers alike can now create enterprise-grade application software through graphical user interfaces (GUIs) and configuration instead of traditional computer programming.

    It is increasingly clear that these tools will form the prevailing wind of innovation, filling the sails of digital transformation for years to come—some have already called it the most disruptive trend of 2021. Yet many industries are only just beginning to realize the possibilities that no-code truly holds. Here are five of the industries that are benefiting most from the no-code revolution, and tips for how companies in each sector can continue to successfully implement no-code tools.

    1. Retail
    For years, online shopping was a convenience for many consumers. In 2020, it became a necessity.

    After a decade spent struggling to keep up with the rise of online conglomerates, the fate of retail industries was already questionable when the COVID-19 pandemic hit. Indeed, many of the businesses that first began to fail in the earliest days of the pandemic were retail giants who relied too heavily on their brick-and-mortar appeal. For brands that bit the dust, the “why” is no big secret: they failed to adopt new digital technologies and lost the loyalty of couch-bound customers.

    With no-code tools, the transition from “customer-friendly storefront” to “customer-friendly front end” is becoming quicker and easier than ever before. By allowing retailers to develop brand-tailored digital storefronts and progressive web apps that are as easy to design as they are to use, these tools will undoubtedly be one of the keys to success as the retail industry fights through the pandemic and looks toward a sustainable future.

    2. Insurance
    As with many legacy industries, insurance was long caught in the shadow of flashy innovators from the tech sector. But the push for transformation in insurance came not a moment too soon—not only did the year leading up to the pandemic see insurance leaders set their sights on digital innovation, but it was no-code tools that played a crucial role in leading the charge toward change.

    By allowing traditionally slow-moving enterprises to operate with startup agility, no-code tools are giving legacy insurance leaders in previously sheltered markets the edge they need to compete with digital-first newcomers.Today’s consumers increasingly expect a seamless digital user experience with everything from social media to gaming to insurance. With no-code tools, these expectations can be met without the need for high-level programmers or IT professionals.

    As they look toward the future, insurers who implement no-code platforms will be able to spend more time focusing on the quality of their products and less time losing customers due to outdated tech, all while cutting costs and simplifying operations at every level of their organization.

    3. Banking, Fintech and Payments
    Banking, another industry rife with legacy enterprises, has faced many of the same hurdles as its insurance counterpart, and it is for many of the same reasons that no-code development tools have extensive potential in the ever-shifting landscape of banking and its adjacent sectors.

    Mobile banking applications have already changed the way that everyday people think about, track and interact with their money. In a digital era where remote functionality is as urgent as it is practical, no-code tools can provide financial enterprises of any size with the opportunity to build, maintain and update consumer-facing platforms that meet customer standards, offer cross-platform integration and uphold necessary private data security.

    4. Health Care
    The COVID-19 pandemic has been a powerful accelerant for a diverse array of health care technologies, fueling rapid growth in fields like telemedicine and remote patient monitoring. As health systems continue harnessing technology to become more efficient and to improve patient outcomes, no-code tools can provide innovative solutions to multiple problems through the entire process of healthcare and treatment.

    Calendaring and scheduling platforms that make it easier for patients to arrange appointments, and easier for providers to keep track of them, can be developed and curated without writing a single line of code. No-code platforms are also one of the simplest ways that health care practitioners can offer user-friendly virtual visits, saving time for patients and providers alike, and minimizing unnecessary trips to and from germ-filled waiting rooms. Additionally, the ability of no-code platforms to turn high-level back-end data functionality into a widely accessible tool will make it easier than ever for health care organizations to log patient data securely and swiftly, which can ultimately be leveraged to track illnesses and find treatments, fast.

    With the ease of no-code development, health care professionals can spend less time addressing technical difficulties and more time addressing their patients.

    5. Manufacturing
    Manufacturing leaders have already expressed a keen understanding of the need for no-code solutions.

    Manufacturing Execution Systems (MES) have long been tasked with coordinating, executing and tracking the processes at a given factory or plant, but the rigidity that makes MES so useful for IT components of the manufacturing process also makes it difficult to use for shop floor personnel.

    Compared to MES, no-code platforms are cheaper to customize, quicker to implement and easier to update in accordance with changing operational needs. As manufacturers are increasingly expected to produce new, customized products with increasing speed and frequency, the need for no-code solutions will go from being a tech trend to an industry necessity.

    Unlike many past disruptive trends, which have often been characterized by their uniqueness, the rise of no-code is making innovation easier and more accessible across the board. While the industries listed above—retail, insurance, banking, health care and manufacturing—are each particularly well-poised to benefit from the no-code revolution, these five sectors mark only the beginning of what is to come.

    The development capabilities of no-code platforms will only continue to grow in the coming years. So, too, will the reach of these innovative tools.

  • SauceCon Speaker Profile: Mike Millgate, Optum

    SauceCon Speaker Profile: Mike Millgate, Optum

    Automation architect Mike Millgate wants to work himself out of a job. Of course, he doesn’t want to make himself obsolete. He simply wants to automate testing so that QA teams can free their time to do other strategic exercises, such as exploratory testing and focus on security.

    Mike knows what he’s talking about. At Optum, a health services and innovation company, he manages a suite of tests that runs in three hours, testing 18 different applications and more than 24,000 total test cases. He is passionate about parallelization, and notes that if the tests weren’t running in parallel, they would take 55 days to run.

    At the upcoming SauceCon conference, Mike will present, “Testing at the Speed of Concurrency,” taking attendees on a journey of in-house machine testing into cloud-based testing. He will show what works and what doesn’t, and how to use parallelization to improve efficiency as the machines are increasingly doing the work.

    Mike hopes his presentation will help attendees learn how to perform massive numbers of tests in parallel, whether they are using Sauce Labs or another test platform. His mantra is, “Quality is a team effort,” and says the entire team needs to be equally invested to be successful.

    Mike has been at Optum for 15 years. As an expert in test automation in the healthcare industry, he was brought into the tech surge to help fix healthcare.gov in 2013. His work in the industry helps Optum achieve its goal: to help people live healthier lives and to help make the health system work better for everyone.

    A resident of southern Utah, Mike loves hiking and exploring nearby national parks with his family. He is passionate about foster care and adoption, having adopted three young boys with his wife. Mike also runs daily and has competed in two marathons.

    Would he say test automation is a marathon or a sprint? “If you do it right, you can get a marathon’s worth of testing done in a sprint time frame,” he says.

    Join Mike and other presenters at SauceCon, the first-ever Sauce Labs user conference. SauceCon is a three-day event filled with training, workshops, best practices and visionary content from the leading minds in automated testing. For more on upcoming SauceCon presentations or to register, visit the SauceCon website.

    About the Author / Rebecca Cramer

    Rebecca Cramer is a writer and communications strategist specializing in technology. With more than 20 years of experience across disciplines including marketing, internal and executive communications at companies such as Dell and Quest Software, Rebecca is passionate about creating and sharing good content of all kinds. In her spare time, she enjoys spending time at the beach and hiking in her native Southern California.

  • Health Care’s Shift to the Cloud via the Hybrid Cloud, Part 2

    Health Care’s Shift to the Cloud via the Hybrid Cloud, Part 2

    In part one of this series, we looked at how the healthcare industry has changed, requiring integrations and interoperability that were not previously needed.

    Having established that the cloud is the way to go and that the hybrid cloud is the stepping stone hospital CIOs are comfortable with, we must ask how DevOps can help.

    DevOps in Health Care

    The legacy HL7 connection technology healthcare facilities use is a great example of how DevOps brings interoperability to health care and the hybrid cloud. “We have a cloud-hosted HL7 interface that can connect to any number of different hospitals and to our system as well. That’s something that would be very difficult to do without a cloud-based HL7 interface,” said Mayank Thanawala, CTO of HealthLoop, a provider of a cloud-based platform to automate follow-up medical care.

    Another challenge hybrid cloud can address concerns the registries that track patient episodes and the bundled payment initiatives that health insurance companies use to pay the hospital systems, Thanawala noted. “The challenge is that hospitals have to get the patient data into the registries in order to receive payment.”

    A hybrid cloud makes it easier to submit data to the registries because it provides an opportunity to connect to the registries using a system that already connects with the EMR system also and contains other data useful for registries and payments.

    Thanawala illustrated registry solutions in the hybrid cloud. The Comprehensive Care for Joint Replacement Program is a large registry hosted by Medicare CMS. Hospitals need data such as diagnosis histories from medical records and patient-reported survey information to submit to this registry. “So, in an example of a hybrid cloud, HealthLoop is a cloud system that uses a web interface to ask the patients the questions and collect the data. Then we use this hybrid cloud-based HL7 interface to query the on-premises EHR (electronic health records) system for all the rest of the data, fill in the blanks, create this file for this registry, and basically solve the hospital’s problem,” he said.

    How DevOps Speeds the to the Hybrid Cloud

    DevOps and the move to containers have helped accelerate health care’s move to the hybrid cloud. “When you deploy a Ruby on Rails API in, say, a Docker container, because of how the container is configured it is going to take care of logging for all of the applications and transactions and putting those in a store that will keep the transactions for the seven-year period that HIPAA requires,” Thanawala said. This automation saves the hospital CIO the step of having the logging set up.

    In the same way, if encryption of data both in flight and at rest is set up automatically in the container default configurations, that’s another matter the hospital CIO doesn’t have to worry about, he said.

    If applications are set up as microservices in containers so that they already perform all these functions when containers are created or scaled up, the hospital and HIPAA requirements surrounding these activities automatically are met. “This lets startups like HealthLoop focus on building app functionality so we don’t have to worry about these other more involved matters,” Thanawala noted.

    Even with health care’s complex move to the hybrid cloud, the modularity, completeness and singularity of applications in container technology as microservices make it possible to configure the containers, use them as building blocks and to build out efficient, scalable solutions in the cloud, he said. “It allows companies such as Catalyze, a medical systems integration and compliance organization, which we use to offer its products in a PaaS (platform-as-a-service) model using compliant containers so that we can simply deploy the containers and not have to worry about building compliance.”

    Saving Time, Effort, Worry

    HealthLoop’s story is a great example of how the automation and modularity of DevOps components such as containers and microservices can make or break new business opportunities, such as taking health care to the cloud and solving interoperation challenges.

  • Health Care’s Shift to the Cloud via the Hybrid Cloud, Part 1

    Health Care’s Shift to the Cloud via the Hybrid Cloud, Part 1

    The changing healthcare scene is dragging hospital systems into the cloud to enable the interoperability necessary for the industry to send electronic medial records (EMRs) and other data to outside systems such as registries that enable bundled payments.

    Because health insurance companies and Medicare only pay for patient episodes rather than for each subsequent treatment regardless of whether they’re medically necessary, hospitals must follow each treatment and take responsibility for them all. This gives hospitals incentive to get treatments right the first time.

    devopsy.kinsta.cloud paints the landscape behind the healthcare industry’s DevOps-enabled move to the hybrid cloud together with illustrations of how DevOps speeds that transition.

    The Old World Order in Health Care

    The Old World order for health care dictated that each hospital maintain its own isolated, protected, siloed and closed systems and patient health records, which in the not-too-distant past were maintained entirely in paper documents and charts. “That closed system was a file cabinet,” said Mayank Thanawala, CTO of HealthLoop, a provider of a cloud-based platform to automate follow-up medical care.

    Patients likely would have outpatient visits with their doctors at the local clinic adjacent to the hospital. Interoperability between the hospital systems and the clinic systems amounted to hospital staff faxing over the patient record or chart or sending it over via Sneakernet.

    A transition still occurring to move all that into EMRs/EHRs (electronic health records), although in a similar model as paper, with closed systems tied to the hospital and local clinics. “These are mostly not cloud systems but are rather on premises with largely client-server topologies,” Thanawala said.

    Pain Points Driving Health Care’s Shift to the Cloud

    In the old billing model, the hospital or physician billed the patient’s insurance or Medicare for each individual visit and procedure, treating them as separate, disconnected events even when the patient had the same treatment twice for a single need. “Insurance companies and specifically Medicare are now saying, ‘Hospitals, we don’t really care about all these complications, we care about the overall cost. If your patient had to go to the emergency room and had to have you perform the same surgery over again, that’s on you. We’re only paying for that initial surgery,’” Thanawala said.

    The result is that the hospital must know whether the patient had additional care or the same care twice for the same need, where they had the procedure or treatment and what that was. A closed system, electronic or paper cannot address these requirements. “That is driving the need for interoperability between systems across different organizations, which is driving the shift to the cloud to handle that need,” Thanawala noted.

    Delays in the Industry’s Shift to the Cloud

    There is a breadth and complexity to health care that requires a great deal of cloud infrastructure, which is creating delays in the industry’s move to the cloud. Health care and HIPAA regulations demand tight, auditable security, which is easier to achieve with the current on-premises systems. “There’s not a lot of confidence in cloud security. It’s getting better, but hospital CIOs have great responsibility and want to be the kings of their domains where security and control are concerned,” Thanawala said.

    At the same time, and because it can be problematic for hospitals to update workflow technologies, the cloud must support legacy connections such as HL7 that are not going away. “HL7 is designed to work within a network. Once you talk about cloud systems accessing HL7, you are talking about site-to-site VPNs for security and developing to embedded older technologies such as versions 8 or 9 of Internet Explorer,” he said.

    The fact that the data so heavily affects people’s lives, including life-or-death situations, makes the proper scalability, security, stability, uptime and privacy, as well as all the other goals of the cloud and DevOps, doubly important. “It adds another level of scrutiny and pressure to the move to the cloud,” Thanawala said.

    Take, for example, auditing, which touches every piece of healthcare data with such intensity. “From a systems perspective, you have to start thinking about auditing systems and tracking all transactions seven years back, which puts a lot of pressure on logging systems and databases,” he noted.

    As for uptime, if a healthcare system goes down, how does it affect life-or-death situations in that moment?

    How Health Care’s Transition to the Hybrid Cloud is Unique

    “The hybrid cloud gives the hospital CIO the ability to maintain control over what they need to control and still look to the cloud to enable the integration and interoperability with outside systems,” Thanawala said. This is important because of the many factors that make transitioning to the cloud unique in the healthcare industry, including:

    • Users in hospitals blame their systems—systems the CIO is responsible for—for any number of challenges and errors.
    • Healthcare facilities don’t really have to scale in the cloud quickly, because in health care there already is a defined patient population and facilities won’t have a large number of new users signing up that it can’t handle.
    • Service providers must convince hospital CIOs that collaborating with cloud technologies, including opening up VPNs and ports where necessary, is worth the risk.

    Digging into DevOps

    In part two of this series, we’ll explore how DevOps helps to enable the hybrid cloud in health care.