Well-known medical institution executives predict a dramatic shift: moving from a local IT infrastructure to a cloud. This includes electronic health records, clinical decision support, and data analysis.

5年后,医院数据中心将绝迹?

According to Richard Stroup of the Kansas City Children's Charity Hospital, there will be very few on-site staff in the data center in the future.

Whenever the Carolinas HealthCare System discards the server or storage hardware, the IT department's staff will follow the rules. They will put the shape of X on the floor, saying: Do not put new hardware here.

Craig Richardville, chief information and analyst at Carolinas, said: "In the past, I was proud of my data center, but now I can't wait to get rid of this data center." Other medical executives have similar ideas. Beth? Dr. John Halamka, CIO of the Beth Israel Deaconess Medical Center, is one of them. Halamka said: "I predict that five years later, we will not have a data center. We will go to the cloud to find electronic health records (EHR), clinical decision support and data analysis."

Already changing

Some aggressive medical institutions and payers have benefited from cloud hosting, such as Medicare and Medicaid Services Centers, and Kansas City Children's Charity Hospital. Jessica Kahn, director of data and systems at the Centers for Medicare and Medicaid Services, said the center built a cloud-based analytics platform that saved $5 million in infrastructure spending.

Richard Stroup, director of information at the Children's Charity Hospital, said that the Children's Charity Hospital uses cloud services to host applications and data, making it easier to track the high-risk pediatric patients after discharge, effectively saving the lives of these patients. In addition, Stroup said that other child medical institutions can also share services through the cloud. Currently, the Seattle Children's Hospital, Cincinnati Children's Hospital, etc. are already using the service.

History is repeating itself

Extensive migration to the cloud is not a completely new concept. In fact, in 2003, Nicholas Carr wrote an article in the Harvard Business Review entitled "IT is no longer important", throwing a view that IT will be commoditized, which has caused an uproar in the field of enterprise technology, but At that time, the medical industry may have been rarely noticed.

Carr wrote at the time: "A series of widely adopted technologies have reshaped the industry in the past two centuries, from steam engines and railways to telegraphs and telephones, to generators and internal combustion engines, and IT is considered the latest technology trend. In short During the period, as they were integrated into the commercial infrastructure, these technologies brought a once-in-a-lifetime opportunity for forward-looking companies. However, as IT became ubiquitous, and the penetration rate increased and costs were reduced, they became commercial inputs. From a strategic point of view, they become invisible and they are no longer important."

Think about electricity. Various companies used to build hydroelectric infrastructure on the riverside. They eventually realized that this was not a core competency, so the power generation business that outsourced the power generation business and that could generate electricity for many customers came along. It's hard to find several companies today that they think their power generation is a competitive advantage. Some hospital groups are using cloud infrastructure services to seek innovation. If they need to build or purchase enough storage and computing power, they can't innovate.

James Lawson, chief solutions officer at Verge Health, a risk management provider, said there was a similar shift in the medical industry.

Lawson said: "A few years ago, if you thought we put the patient's data in the cloud, then you must be crazy. And today, if you think you want to put patient data on my server, then you must be crazy. ."

Although Lawson said that a large-scale move to the cloud may take more than five years, once the pace of change is getting faster, the slow hospital may be technically backward.

Lawson added: "If you are the last person to use the data center, and the competitors are using the money vacated to generate revenue, the benefits of moving to the cloud will become clear."

Future data center

Carr believes that technology is no longer important, but the industry's understanding of putting health data into the cloud is about to change dramatically.

Richards, chief information and analysis officer at Carolinas, said the medical group is aggressively entering the cloud, including Cerner, Epic, Microsoft 365 and many other applications.

At the same time, Beth? Halamka of the Isrell Deaconess Medical Center explains that at the moment, medical institutions must plan for joint approaches, including those that use a single EHR.

Stroup of the Children's Charity Hospital also gave his own predictions, Stroup said: "The future field data center will have only two employees: a man and a dog. The man is there to feed the dog, the dog is there. In order to prevent the man from messing up the data center."

(Author: Shen Jian Miao)

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