John Muir Health Prescribes Hybrid Cloud

Mitch Wagner

John Muir Health is looking to hybrid cloud to help cut down its IT estate. Cut it way down.

"Five years from now, I'd love for the data center to fit in my office," Bill Hudson, associate CIO of John Muir Health, tells Enterprise Cloud News.

John Muir Health is a two-hospital health network in East Bay, San Francisco, and also a network provider provider for independent community and third-party physicians. Like many health organizations, John Muir has implemented Epic for electronic medical records (EMR).

"We're on a serious mission to get rid of our legacy hardware and get rid of our legacy software," Hudson says. John Muir Health doesn't see maintaining an IT infrastructure as providing strategic value, which lies instead in providing business and clinical services.

The organization is moving to a hybrid delivery model, with Epic hosted internally, disaster recovery contracted off-site, and Workday providing core financials and human capability management. "We're starting to coalesce around a suite-based approach" to reduce cost and complexity, Hudson says.

Similarly, the company is looking to consolidate multiple technology stacks -- for example, five storage platforms over the last year and a half -- around a core architecture, for a foundation from which it can connect internally and externally, simplifying and standardizing the overall environment.

"Complexity is quite a bit more expensive," Hudson says. "Five different storage platforms is a luxury." Simplification will redirect John Muir Health's focus where it needs to be. "We're not in the business of infrastructure, security or analytics. We're in the business of healthcare."

In addition to simplification, the cloud can help John Muir Health cut expensive real estate costs.

And John Muir Health is looking to improve reliability for the 350 local physicians for which it provides EMR services. "When I'm a service provider, the requirement to have a higher degree of availability for them than I have for myself is strong," Hudson says.

Cloud provides enhanced security compared with an on-premises installation. "A lot of organizations look at the cloud as a loss of control. I look at it as leveraging expertise we don't have and can't afford to bring on," Hudson says.

For on-premises systems, John Muir Health looks to vArmour to provide security through microsegmentation. "The EMR we're running is based on many layers of business logic, reporting, analytics -- that creates a lot of devices connecting to each other, with opportunity for threats to come on the network and propagate undetected," Hudson says. vArmour monitors east-west connections between service layers, applications, and the client.

Microsegmentation provides an alternative to traditional network application security, which controlled which applications were allowed to use which ports, Hudson says. "That was great when your entire architecture could fit on a piece of paper," Hudson says. "But now hundreds of services talk to each other, and keeping track of them is difficult."

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9/13/2018 | 3:26:33 PM
John Muir Health is a broadly perceived
John Muir Health is a broadly perceived, not-revenue driven medicinal services association serving patients in the San Francisco Bay Area. Supplement Store in Pakistan. It incorporates a system of in excess of 1,000 essential care and claims to fame doctors and more than 6,500 representatives crosswise over therapeutic focuses in the San Francisco Bay zone, including an injury focus and a social health focus.
[email protected]
10/24/2017 | 12:54:43 PM
Re: Costs and real estate
That does make sense but there are certainly other implications to the move that would add some security and storage implications.
10/19/2017 | 1:36:22 PM
Re: Costs and real estate
@Mitch that would be a much more dramatic change. It also generally open up more accessibility and flexibility than onsite servers
Mitch Wagner
Mitch Wagner
10/19/2017 | 12:13:10 PM
Re: Costs and real estate
I don't think he was referring to miniaturizing servers so much as vastly reducing the number of on-site servers by moving to the cloud. 
[email protected]
10/19/2017 | 10:29:13 AM
Costs and real estate
Mitch we can only hope that he is right that the systems will get smaller and consequently be more portable and require less space. The logistics of keeping all those servers maintained at the correct temperature and in the most appropriate location is a feat. If the future brings simplification and smaller scale with a bigger punch there are many areas of businesses that will benefit.
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