Joel Daly, Founder and EVP of Sales of HOSTING discusses ways in which healthcare CIOs can leverage new business models to realize increased technology efficiencies, enable information-driven decisions and improve patient service.

1. The HOSTING Healthcare
Cloud
1

2. • This webinar is being recorded and an on-demand
version will be available at the same URL at the
conclusion of the webinar
• Please submit questions via the button on the upper left
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• If we don’t get to your question during the webinar,
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2
Housekeeping

3. HOSTING Overview
180
6
380
400
Employees
Independent Audits In 2014
US-based Datacenters
SOC 2
TYPE II
SOC 3
CERTIFIED
H I P A A
C O M P L I A N THealthcare Customers
CHIME Founding Partner
3

4. Healthcare and select clients
4

5. Industry Comparison
6.0
%
5.8
%
4.7
%
4.5%
3.2
%
Financial Services Software / Tech Education Media Healthcare
IT Spend as Percent of Revenue
Source: Gartner IT Metrics 2013
5

6. The 5 Budgetary Buckets
Compliance & Security
Interoperability
Back-Office
Applications
New Clinical
Service Apps
Core Clinical
Systems
1
2
3
4
5
6

7. TECHNOLOGY IMPACT
All of
which inhibits our
ability to
maximize our
clinical impact
and serve more
patients
Technology
is...
1.Limiting our
clinical mission
and/or business
model
2.Causing us
significant
business risk
3.Dependent on
people we have
a hard time
retaining
6

8. IT Labor Benchmarks
8
Job Title Avg Salaries Function (What They Manage) Metric Ratio Benchmark
CIO/CTO $110K-$225K Architect CXO per Company 1:1
Project Managers
(PM)
$60K-$95K Manages Tech Projects Projects per QRT per PM 5:1
Network Eng $55K-$95K Internet | Data | Network
Security
Sites per Head 10:1
Developers $75K-$120K Application Development Apps per Developer 8:1
DBA | Data
Manager
$95K-$180K DB Support DBA per Company 1:1
Sys Admin $45K-$65K Desktops | Servers | Printers Servers per Tech 250:1
Telcom $45K-$65K Phones / PBX Phones per Tech 1000:1
Physical Security $35K-$55K Access Control/Physical Security Sites per Head 12:1
Desktop Support $35K-$55K Desktop Employee per Tech 300:1
Apps Support $45K-$65K Apps Support Apps per Tech 30:1
QA $60K-$95K SaaS QA and Internal QA Releases per Month per Eng 2:1
Training $45K-$65K Training Classes per QRT per Trainer 5:1
Storage Engineer $95K-$150K Storage and Databack-up Data (TB) per Eng 50:1
Compliance /
Business Continuity
$85-$120K Internal Audits | Certifications Head per Company 1:1

9. IT Leader’s Business Challenge
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10. IT Leader’s Business Challenge
Help Me Grow
Help Me Deliver Sooner
Help Me with
New Revenue
10
Save Me Money
Match Costs with Revenue
Build in Future Savings
Guide Me
What are Others in my Space
Doing Better then Me?
Save Me from Myself
Reduce My Risk
Uptime & Compliance
Contract and Tech Flexibility
I hate Moving

11. Benchmark Challenge
Core Clinical
Systems
Back-Office
Applications
Reduce
Interoperability
Compliance & Security
Invest
New Clinical
ServiceApps
11

12. Behavioral
Health Org
Compliance & Security
Interoperability
Back-Office
Applications
New Clinical
ServiceApps
Core Clinical
Systems
Can’t Do It Alone
Vendor /
Partners
Co-Source
PHI

13. • Visual Ops
• 5 Frogs on a Log
• Dual-Vendor Strategy
• Checklist Manifesto
My Advice on Where to Go
13

14. New Business Models
14

15. Healthcare Cloud Use Cases
15

16. MHC of Denver
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17. 3STAFF
.ING CONCERNS
HOSTING staff operates as an
extension of MHCD’s IT staff
New VDI platform has enhanced
stability and availability, helping
to maximize the clinical staff’s impact
Solution enhances skill mix,
addresses key business drivers, and
allows MHCD to focus on its clinical
mission
•MHCD struggled to find and
retain the right quantity of IT staff,
and the right expertise to fully
support its mission
•The Virtual Desktop Interface
was experiencing numerous
issues that limited staff
productivity
•MHCD wanted additional
guidance on how to redesign their
systems, and was seeking the
right partner
•Designed and implemented a
system-wide Proof of Concept
customized to MHCD’s needs
•Designed and implemented a
new Virtual Desktop Interface
customized to MHCD’s needs
•Embedded support teams to
complement MHCD capabilities
Situation Solution Status
17

18. The Plan
18
 Clinical Systems
 Move to SaaS Model
 Interoperability/Security
 Design Scalable Architecture
 Leverage Part-Time Compliance Experts – Dashboard Tracking
 Everything Else (Phased Approach)
 Got Out of the Datacenter Business (Healthcare Cloud)
 Implemented a Virtual Desktop Solution
 Leverage Part-Time IT Experts – Managed Services
 New Applications
 Reduce Budget Above to Focus on New Revenue Streams

19. The Process
19
CONSULT
Diagnostic Offer
SOLVE
Solution matching
EXECUTE
Roadmap

20. The Process
CONSULT
Diagnostic Offer
SOLVE
Solution matching
EXECUTE
Roadmap
Architecture Assessment
Security
Virtual Desktop Proof of Concepts
20
Application Map
Vendor Map
Part Time Staff (Delivery Team)
Private Cloud
Virtual Desktop
Part Time Staff as a Service
(CISO and Tech Acct Manager)

21. The Result
21
View Dr. Clark‘s video in “Attachments”
section:
https://www.youtube.com/wat ch?v=1nDDIFP2feQ&feature= youtu.be

22. Appendix

23. Compliance & Security
Interoperability
Proof of Concept
Back-Office
Applications
New Clinical
Service Apps
Project Based Services Recurring Services
Compute
Network
Tele-care
Access | Threat
& Patching
BCDR
Part-Time
Sys AdminCloud Desktop Apps
Part-Time
Sec Officer
Core Clinical
Systems
Storage Part-Time
DBA
Assessments
HIPAASecurity
Path to Cloud DB Health Checks
Cloud Desktop
Assessments
HOSTING SERVICES
PHI

24. HIPAA-COMPLIANCE DASHBOARD
23

25. OPS DASHBOARDS FOR IT STAFF

26. T
?RUST BUT VERIFY your PARTNER
• No secret “outs”
e.g. through Janitor or
Conduit clauses: “This
entire agreement will only
apply if [Competitor X] is a
Business Associate as
described by [HIPAA]”
Is your partner’s Is it Specific?
BAA “Real”?
Are Responsibilities
Outlined?
•“HOSTING agrees to…
use appropriate
safeguards to protect PHI
and comply with HIPAA”
• Data Center’s
• Customer’s
• Joint
26

27. Industry Leading Customer
Satisfaction
65
NPS
2015 Q1
Our NPS Peers
Compliance
Dashboard
27

28. About you
28

29. 29
Q&A
Joel Daly | HOSTING Founder and EVP of Sales