Published on March 20, 2014
MTBC Cloud EMR
Presentation Outline Part 1: Introduction of Cloud Computing Part 2: Amazon Elastic Cloud Compute (EC2) Part 3: Hosted MTBC-EMR Part 4: EC2 Management Console & Hosted EMR Demo
Cloud computing: the latest evolution of hosting
Difference b/w W-Azure, A-EC2 & G-Apps • Early Stage • Need to provide .Net code for front end and back end server • Storage for applications and DB Services • Provide Development tools for coding • Good enterprise integration • Pricing based on Database size and API Size and users • Commercially Available • Upload your VM or install your applications and share to your clients • Not applicable • Simple Volume Storage Service • Fully controlled virtual Machines • Pricing is based on Virtual Server Specifications and Time • In Public Beta • Write application with limitation Pathon and submit it to Google • Provide Development tools for coding • Database Datastore APIs • Integrate the application with Google services • Pricing is based on Cloud Application Usage Windows Azure Amazon EC2 Google Apps
Highlights of Amazon Service • Pay only for the resources that you actually consume • Amazon Machine Image (AMI) • Amazon Elastic Block Store (S3) • Amazon Virtual Private Cloud (VPC) • Elastic IP Addresses • Amazon CloudWatch • Elastic Load Balancing • Security Groups • VM Import
Amazon Pricing Strategy • Price is based on instance type, its specification and region were it is running • Instance Types: – On Demand Instance – Reserved Instance – Spot Instance • Instance Specification – Standard Instance – High Memory Instance – High CPU Instance • Instance Regions – US East (Virginia) – US West (Northern California) – EU (Ireland) – Asia Pacific (Singapore) – Asia Pacific (Tokyo)
How Hosted MTBC-EMR works Amazon EC2 Server Amazon EC2 Console Client System Internet Practice 1 Installed EMR EMR Documents EMR Database Sync Service Practice 2 Installed EMR EMR Documents EMR Database Sync Service Practice 3 Installed EMR EMR Documents EMR Database Sync Service Microsoft Remote App -EMR Practice 1 -EMR Practice 2 -EMR Practice 3 Active Directory User 1 User 2 ….. …… User N RD Web Access & Firewall RDWeb Pages GPO Settings Ports Setting Security Group Setting EC 2 Instance in Running State SSL Certificate: Secure and Encrypted Data Flow
Our Medical Data Security at Amazon EC2 • Bit locker (Server Drives will be encrypted) • Group Policy Management of Server Users • Windows Firewall Setting • Amazon EC2 Security Groups • SSL Certificate Installation (Encrypted Secure Communication between client & Server) • HIPPA Compliance (Amazon Claims)
Benefits to Clients • No need to buy a Specified Server Machine for MTBC EMR Server. • No need to fulfill clients system specification to install and run MTBC EMR. • No need to hire and pay an IT guy to maintain Server and client machines. • Available EMR to use for practice within one to two hour after Signup. • No need to worry about Server crash and it restoration. • No need to pay for online backup vaults for MTBC-EMR databases.
Benefits to MTBC • Very easy MTBC-EMR installation process. • There is no need to take control of Client machines for EMR installation and issues resolution. • We can easy create Server Snapshots and restore them within 5 minutes. • No need to send EMR Patch updates and run them all the client machines. We have to replace the updated exes only on the Hosted Server. • No need to worry about data synchronization issue, we can check the issues immediately when we need.
Hosted EMR Cost & Price Analysis (Ruff) • Cost for (~36 Users): – EC2 Reserved Instance (3y) : $4000 – SSL for Reserved Instance: $90 – Per User RD Web Services License: $84*36 – Total One Time Cost for three Year: $7042 – EC2 Reserved Instance Per Month Cost: $350 • Client Price: – Initial Sign Up per Practice: $1000 – Per Provider Per Month Charge(1+2 Users): $295 – E.g: 3 provider in each practice (4 practice): $4000 – After One Month 12providers Charges: $3540 $4000 + $3540 = $7540
What we have done so for Hosted EMR!!! Integration with MTBC Website Online Hosted Demo EMR Package for New Clients
Demonstration Amazon Web Services Console Demo Hosted EMR Demo
References • Amazon Elastic Compute Cloud (Amazon EC2) – http://aws.amazon.com/ec2/ • What is cloud computing – http://www.salesforce.com/in/cloudcomputing/ • HIPAA AND EC2 – http://aws.amazon.com/about-aws/whats-new/2009/04/06/whitepaper-hipaa/ – http://www.ehrdoctors.com/hippa-and-ec2/ • Windows Azure (cloud services operating system) http://www.microsoft.com/windowsazure/windowsazure/ • Google App Engine – http://code.google.com/appengine/business/ • Amazon EC2 Pricing Strategy – http://aws.amazon.com/ec2/#pricing • Amazon Elastic Block Store (EBS) – http://aws.amazon.com/ebs/ • Amazon CloudFront – http://aws.amazon.com/cloudfront/ • Hosted EMR – demo.mtbc.com
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