Welcome!

Virtualization Authors: Carmen Gonzalez, Liz McMillan, Mike Kavis, Anne Buff, Andrew Phillips

Blog Feed Post

MaaS applied to Healthcare – Use Case Practice

MaaS (Model as a Service) might allow building and controlling shared healthcare Cloud-ready data, affording agile data design, economies of scale and maintaining a trusted environment and scaling security. With MaaS, models map infrastructure and allow controlling persistent storage and deployment audit in order to certify th at data are coherent and remain linked to specific storage. As a consequence, models allow to check where data is deployed and stored. MaaS can play a crucial role in supplying services in healthcare: the model containing infrastructure properties includes information to classify the on-premise data Cloud service in terms of data security, coherence, outage, availability, geo-location and to secure an assisted service deployment and virtualization.

Introduction
Municipalities are opening new exchange information with healthcare institutes. The objective is sharing medical research, hospital acceptance by pathology, assistance and hospitalization with doctors, hospitals, clinics and, of course, patients. This open data [6] should improve patient care, prevention, prophylaxis and appropriate medical booking and scheduling by making information sharing more timely and efficient. From the data management point of view it means the service should assure data elasticity, multi-tenancy, scalability, security together with physical and logical architectures that represent the guidelines to design healthcare services.

Accordingly, healthcare services in the Cloud must primarily secure the following data properties [2]:
-      data location;
-      data persistence;
-      data discovery and navigation;
-      data inference;
-      confidentiality;
-      availability;
-      on-demand data secure deleting/shredding [4] [5] [11] [12].

These properties should be defined during the service design and data models play the “on-premise” integral role in defining, managing and protecting healthcare data in the Cloud. When creating healthcare data models, the service is created as well and properties for confidentiality, availability, authenticity, authorization, authentication and integrity [12] have to be defined inside: here is how MaaS provides preconfigured service properties.

Applying MaaS to Healthcare – Getting Practice
Applying MaaS to design and deploy healthcare services means explaining how apply the DaaS (Database as a Service, see [2] and [4]) lifecycle to realize faster and positive impacts on the go-live preparation with Cloud services. The Use Case introduces the practices how could be defined the healthcare service and then to translate them into the appropriate guidelines. Therefore, the DaaS lifecycle service practices we are applying are [4]:

Take into account, healthcare is a dynamic complex environment with many actors: patients, physicians, IT professionals, chemists, lab technicians, researchers, health operators…. The Use Case we are introducing tries to consider the whole system. It provides the main tasks along the DaaS lifecycle and so how the medical information might be managed and securely exchanged [12] among stakeholders for multiple entities such as hospital, clinics, pharmacy, labs and insurance companies.

The Use Case
Here is how MaaS might cover the Use Case and DaaS lifecycle best practices integrate the above properties and directions:

Objective To facilitate services to healthcare users and to improve exchange information experience among stakeholders. The Use Case aims to reduce costs of services by rapid data designing, updating, deployment and to provide data audit and control. To improve user experience with healthcare knowledge.
Description Current costs of data design, update and deployment are expensive and healthcare information (clinical, pharmaceutical, prevention, prophylaxis…) is not delivered fast enough based upon user experience;
Costs for hospitalization and treatments information should be predictable based upon user experience and interaction.
Actors Clinical and Research Centres;
Laboratories;
Healthcare Institute/Public Body  (Access Administrators);
Healthcare Institute/Public Body (Credentials, Roles Providers);
Patients;
IT Operations (Cloud Providers, Storage Providers, Clinical Application Providers).
Requirements Reducing costs and rapidly delivering relevant data to users, stakeholders and healthcare institutes;
Enabling decision making information to actors who regularly need access [11] [12] to healthcare services but lack the scale to exchange (and require) more dedicated services and support;
Fast supporting and updating healthcare data to users due to large reference base with many locations and disparate applications;
Ensuring compliance and governance directions are currently applied, revised and supervised;
Data security, confidentiality, availability, authenticity, authorization, authentication and integrity to be defined “on-premise”.
Pre-processing and post-processing Implementing and sharing data models;
Designing data model properties according to private, public and/or hybrid Cloud requirements;
Designing “on-premise” of the data storage model;
Modeling data to calculate “a priori” physical resources allocation;
Modeling data to predict usage “early” and to optimize database handling;
Outage is covered by versions and changes archived based on model partitioning;
Content discovery assists in identifying and auditing data to restore the service to previous versions and to irrecoverably destroying the data, if necessary, is asked by the regulations.
Included and extended use case Deployment is guided from model properties and architecture definition;
Mapping of data is defined and updated, checking whether the infrastructure provider has persistence and finding out whether outages are related to on-line tasks;
Deploying and sharing are guided from model properties and architecture definition.


Following, we apply MaaS’ properties (a subset) to the above healthcare Use Case. Per contra, Data Model properties (a subset) are applied along the DaaS lifecycle states:


MaaS Properties

DaaS Lifecycle States

Healthcare Data Model Properties
Data Location Create Data Model
Model Archive and Change
Deploy and Share
Data models contain partitioning properties and can include data location constraints. User tagging of data (a common Web 2.0 practice, through the use of clinic user-defined properties) should be managed. Support to compliant storage for preventative care data records should be provided
Data persistence Create Data Model
Model Archive & Change
Secure delete
For any partition, sub-model, or version of models, data model has to label and trace data location. Model defines a map specifying where data is stored (ambulatory care, clinical files have different storages). Providers persistence can be registered. Data discovery can update partition properties to identify where data is located
Data inference Create Data Model Data model has to support inference and special data aggregation: ambulatory might inference patient’s insurance file. All inferences and aggregations are defined, updated and tested into the model
Confidentiality Create Data Model
Populate, Use and Test
Data model guides rights assignment, access controls, rights management, and application data security starting from data model. As different tenants (hospitals, clinics, insurance companies and pharmacies) access the data, users and tenants should be defined inside the model. Logical and physical controls have to be set
High availability Deploy and Share
Model Archive and Change
Data model and partitioning configuration together with model changes and versions permits mastering of a recovery scheme and restoration when needed. Data inventory (classified by Surgery, Radiology, Cardiology, for example) vs discovery have to be traced and set.
Fast updates at low cost Create Data Model
Generate Schema/Update Data Model
Data reverse and forward engineering permits change management and version optimization in real-time directly on data deployed properties
Multi-database partitioning Create Data Model
Deploy and Share
Bi-directional partitioning in terms of deployment, storage, and evolution through model versioning has to be set. Multi-DBMS version management helps in sharing multi-partitioning deployments: for example, Insurance and Surgery by Patient, normally are partitioned and belong to different tenants vs different databases
Near-zero configuration and administration Create Data Model
Generate Schema/Update Data Model
Data models cover and contain all data properties including scripts, stored procedures, queries, partitions, changes and all configuration and administration properties. This means administrative actions decrease to leave more time for data design and update (and deployment). Regulation compliance can be a frequent administration task: models ensure that healthcare compliance and governance is currently aligned



The Outcome
MaaS defines service properties through which the DaaS process can be implemented and maintained. As a consequence, applying the Use Case through the introduced directions, the following results should be outlined.

Qualitative Outcomes:
1)    Healthcare actors share information on the basis of defined “on-premise” data models: models can be implemented and deployed using a model-driven paradigm;
2)    Data Models are standardized in terms of naming convention and conceptual templates (Pharma, Insurance, Municipality… and so on): in fact, models can be modified and updated with respect the knowledge they were initially designed;
3)    Storage and partitioning in the Cloud can be defined “a priori” and periodic audits can be set to certify that data are coherent and remain linked to specific sites;
4)    The users consult the information and perform 2 tasks:
4.1) try the (best) search and navigate the knowledge for personal and work activities;
4.2) give back information about user experience and practice/procedures that should be updated, rearranged, downsized or extended depending upon community needs, types of interaction, events or public specific situations.
5)    Models are “on-premise” policy-driven tools. Regulation compliance rules can be included in the data model. Changes on current compliance constraints means changes on the data model before it is deployed with the new version.

Quantitative Outcomes:
1)    Measurable and traceable costs reduction (to be calculated as a function of annual Cloud Fee, Resources tuning and TCO);
2)    Time reduction in terms of knowledge fast design, update, deployment, portability, reuse (to be calculated as a function of SLA, data and application management effort and ROI);
3)    Risk reduction accordingly to “on-premise” Cloud service design and control (to be calculated as a function of recovery time, chargeback on cost of applied countermeasures compared with periodical audit based upon model information).

Conclusion
MaaS might provide the real opportunity to offer a unique utility-style model life cycle to accelerate cloud data optimization and performance in the healthcare network. MaaS applied to healthcare services might be the right way to transform the medical service delivery in the Cloud. MaaS defines “on-premise” data security, coherence, outage, availability, geo-location and an assisted service deployment. Models are adaptable to various departmental needs and organizational sizes, simplify and align healthcare domain-specific knowledge combining the data model approach and the on-demand nature of cloud computing. MaaS agility is the key requirements of data services design, incremental data deployment and progressive data structure provisioning. Finally, the model approach allows the validation of service evolution. The models’ versions and configurations are a catalogue to manage both data regulation compliance [12] and data contract’s clauses in the Cloud among IT, Providers and Healthcare actors [9].

References
[1] N. Piscopo - ERwin® in the Cloud: How Data Modeling Supports Database as a Service (DaaS) Implementations
[2] N. Piscopo - CA ERwin® Data Modeler’s Role in the Relational Cloud
[3] D. Burbank, S. Hoberman - Data Modeling Made Simple with CA ERwin® Data Modeler r8
[4] N. Piscopo – Best Practices for Moving to the Cloud using Data Models in the DaaS Life Cycle
[5] N. Piscopo – Using CA ERwin® Data Modeler and Microsoft SQL Azure to Move Data to the Cloud within the DaaS Life Cycle
[6] N. Piscopo – MaaS (Model as a Service) is the emerging solution to design, map, integrate and publish Open Data http://cloudbestpractices.net/2012/10/21/maas/
[7] N. Piscopo - MaaS Workshop, Awareness, Courses Syllabus
[8] N. Piscopo - DaaS Workshop, Awareness, Courses Syllabus
[9] N. Piscopo – Applying MaaS to DaaS (Database as a Service ) Contracts. An intorduction to the Practice http://cloudbestpractices.net/2012/11/04/applying-maas-to-daas/
[10] N. M. Josuttis – SOA in Practice
[11] H. A. J. Narayanan, M. H. GüneşEnsuring Access Control in Cloud Provisioned Healthcare Systems
[12] Kantara Initiatives -http://kantarainitiative.org/confluence/display/uma/UMA+Scenarios+and+Use+Cases

Disclamer
This document is provided AS-IS for your informational purposes only. In no event the contains of “How MaaS might be applied to Healthcare – A Use Case” will be liable to any party for direct, indirect, special, incidental, economical (including lost business profits, business interruption, loss or damage of data, and the like) or consequential damages, without limitations, arising out of the use or inability to use this documentation or the products, regardless of the form of action, whether in contract, tort (including negligence), breach of warranty, or otherwise, even if an advise of the possibility of such damages there exists. Specifically, it is disclaimed any warranties, including, but not limited to, the express or implied warranties of merchantability, fitness for a particular purpose and non-infringement, regarding this document or the products’ use or performance. All trademarks, trade names, service marks and logos referenced herein belong to their respective companies/offices.


Read the original blog entry...

More Stories By Cloud Ventures

The Cloud Ventures Network is an expert community of leading Cloud pioneers. Follow our best practice blogs at http://CloudBestPractices.net

@ThingsExpo Stories
SYS-CON Events announced today that Harbinger Systems will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Harbinger Systems is a global company providing software technology services. Since 1990, Harbinger has developed a strong customer base worldwide. Its customers include software product companies ranging from hi-tech start-ups in Silicon Valley to leading product companies in the US and large in-house IT organizations.
SYS-CON Events announces a new pavilion on the Cloud Expo floor where WebRTC converges with the Internet of Things. Pavilion will showcase WebRTC and the Internet of Things. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devices--computers, smartphones, tablets, and sensors – connected to the Internet by 2020. This number will continue to grow at a rapid pace for the next several decades.
The only place to be June 9-11 is Cloud Expo & @ThingsExpo 2015 East at the Javits Center in New York City. Join us there as delegates from all over the world come to listen to and engage with speakers & sponsors from the leading Cloud Computing, IoT & Big Data companies. Cloud Expo & @ThingsExpo are the leading events covering the booming market of Cloud Computing, IoT & Big Data for the enterprise. Speakers from all over the world will be hand-picked for their ability to explore the economic strategies that utility/cloud computing provides. Whether public, private, or in a hybrid form, clo...
SYS-CON Events announced today that Gridstore™, the leader in software-defined storage (SDS) purpose-built for Windows Servers and Hyper-V, will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Gridstore™ is the leader in software-defined storage purpose built for virtualization that is designed to accelerate applications in virtualized environments. Using its patented Server-Side Virtual Controller™ Technology (SVCT) to eliminate the I/O blender effect and accelerate applications Gridsto...
SYS-CON Events announced today that Red Hat, the world's leading provider of open source solutions, will exhibit at Internet of @ThingsExpo, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Red Hat is the world's leading provider of open source software solutions, using a community-powered approach to reliable and high-performing cloud, Linux, middleware, storage and virtualization technologies. Red Hat also offers award-winning support, training, and consulting services. As the connective hub in a global network of enterprises, partners, a...
As the Internet of Things unfolds, mobile and wearable devices are blurring the line between physical and digital, integrating ever more closely with our interests, our routines, our daily lives. Contextual computing and smart, sensor-equipped spaces bring the potential to walk through a world that recognizes us and responds accordingly. We become continuous transmitters and receivers of data. In his session at Internet of @ThingsExpo, Andrew Bolwell, Director of Innovation for HP’s Printing and Personal Systems Group, will discuss how key attributes of mobile technology – touch input, senso...
The Internet of Things (IoT) is making everything it touches smarter – smart devices, smart cars and smart cities. And lucky us, we’re just beginning to reap the benefits as we work toward a networked society. However, this technology-driven innovation is impacting more than just individuals. The IoT has an environmental impact as well, which brings us to the theme of this month’s #IoTuesday Twitter chat. The ability to remove inefficiencies through connected objects is driving change throughout every sector, including waste management. BigBelly Solar, located just outside of Boston, is trans...
Connected devices and the Internet of Things are getting significant momentum in 2014. In his session at Internet of @ThingsExpo, Jim Hunter, Chief Scientist & Technology Evangelist at Greenwave Systems, will examine three key elements that together will drive mass adoption of the IoT before the end of 2015. The first element is the recent advent of robust open source protocols (like AllJoyn and WebRTC) that facilitate M2M communication. The second is broad availability of flexible, cost-effective storage designed to handle the massive surge in back-end data in a world where timely analytics...
Internet of @ThingsExpo Silicon Valley announced on Thursday its first 12 all-star speakers and sessions for its upcoming event, which will take place November 4-6, 2014, at the Santa Clara Convention Center in California. @ThingsExpo, the first and largest IoT event in the world, debuted at the Javits Center in New York City in June 10-12, 2014 with over 6,000 delegates attending the conference. Among the first 12 announced world class speakers, IBM will present two highly popular IoT sessions, which will take place November 4-6, 2014 at the Santa Clara Convention Center in Santa Clara, Calif...
The Internet of Things (IoT) promises to evolve the way the world does business; however, understanding how to apply it to your company can be a mystery. Most people struggle with understanding the potential business uses or tend to get caught up in the technology, resulting in solutions that fail to meet even minimum business goals. In his session at Internet of @ThingsExpo, Jesse Shiah, CEO / President / Co-Founder of AgilePoint Inc., will show what is needed to leverage the IoT to transform your business. He will discuss opportunities and challenges ahead for the IoT from a market and tec...
SYS-CON Events announced today that TeleStax, the main sponsor of Mobicents, will exhibit at Internet of @ThingsExpo, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. TeleStax provides Open Source Communications software and services that facilitate the shift from legacy SS7 based IN networks to IP based LTE and IMS networks hosted on private (on-premise), hybrid or public clouds. TeleStax products include Restcomm, JSLEE, SMSC Gateway, USSD Gateway, SS7 Resource Adaptors, SIP Servlets, Rich Multimedia Services, Presence Services/RCS, Diame...
From a software development perspective IoT is about programming "things," about connecting them with each other or integrating them with existing applications. In his session at @ThingsExpo, Yakov Fain, co-founder of Farata Systems and SuranceBay, will show you how small IoT-enabled devices from multiple manufacturers can be integrated into the workflow of an enterprise application. This is a practical demo of building a framework and components in HTML/Java/Mobile technologies to serve as a platform that can integrate new devices as they become available on the market.
SYS-CON Events announced today that O'Reilly Media has been named “Media Sponsor” of SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. O'Reilly Media spreads the knowledge of innovators through its books, online services, magazines, and conferences. Since 1978, O'Reilly Media has been a chronicler and catalyst of cutting-edge development, homing in on the technology trends that really matter and spurring their adoption by amplifying "faint signals" from the alpha geeks who are creating the future. An...
The Transparent Cloud-computing Consortium (abbreviation: T-Cloud Consortium) will conduct research activities into changes in the computing model as a result of collaboration between "device" and "cloud" and the creation of new value and markets through organic data processing High speed and high quality networks, and dramatic improvements in computer processing capabilities, have greatly changed the nature of applications and made the storing and processing of data on the network commonplace.
SYS-CON Events announced today that Aria Systems, the recurring revenue expert, has been named "Bronze Sponsor" of SYS-CON's 15th International Cloud Expo®, which will take place on November 4-6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Aria Systems helps leading businesses connect their customers with the products and services they love. Industry leaders like Pitney Bowes, Experian, AAA NCNU, VMware, HootSuite and many others choose Aria to power their recurring revenue business and deliver exceptional experiences to their customers.
The Internet of Things (IoT) is going to require a new way of thinking and of developing software for speed, security and innovation. This requires IT leaders to balance business as usual while anticipating for the next market and technology trends. Cloud provides the right IT asset portfolio to help today’s IT leaders manage the old and prepare for the new. Today the cloud conversation is evolving from private and public to hybrid. This session will provide use cases and insights to reinforce the value of the network in helping organizations to maximize their company’s cloud experience.
As a disruptive technology, Web Real-Time Communication (WebRTC), which is an emerging standard of web communications, is redefining how brands and consumers communicate in real time. The on-going narrative around WebRTC has largely been around incorporating video, audio and chat functions to apps. In his session at Internet of @ThingsExpo, Alex Gouaillard, Founder and CTO of Temasys Communications, will look at a fourth element – data channels – and talk about its potential to move WebRTC beyond browsers and into the Internet of Things.
SYS-CON Events announced today that Gigaom Research has been named "Media Sponsor" of SYS-CON's 15th International Cloud Expo®, which will take place on November 4-6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Ashar Baig, Research Director, Cloud, at Gigaom Research, will also lead a Power Panel on the topic "Choosing the Right Cloud Option." Gigaom Research provides timely, in-depth analysis of emerging technologies for individual and corporate subscribers. Gigaom Research's network of 200+ independent analysts provides new content daily that bridges the gap between break...
We certainly live in interesting technological times. And no more interesting than the current competing IoT standards for connectivity. Various standards bodies, approaches, and ecosystems are vying for mindshare and positioning for a competitive edge. It is clear that when the dust settles, we will have new protocols, evolved protocols, that will change the way we interact with devices and infrastructure. We will also have evolved web protocols, like HTTP/2, that will be changing the very core of our infrastructures. At the same time, we have old approaches made new again like micro-services...
The Industrial Internet revolution is now underway, enabled by connected machines and billions of devices that communicate and collaborate. The massive amounts of Big Data requiring real-time analysis is flooding legacy IT systems and giving way to cloud environments that can handle the unpredictable workloads. Yet many barriers remain until we can fully realize the opportunities and benefits from the convergence of machines and devices with Big Data and the cloud, including interoperability, data security and privacy.