|By Cloud Best Practices Network||
|December 10, 2012 04:54 PM EST||
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.
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  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 :
- data location;
- data persistence;
- data discovery and navigation;
- data inference;
- on-demand data secure deleting/shredding    .
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  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  and ) 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 :
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  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;
Healthcare Institute/Public Body (Access Administrators);
Healthcare Institute/Public Body (Credentials, Roles Providers);
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   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:
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
|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|
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.
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.
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).
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  and data contract’s clauses in the Cloud among IT, Providers and Healthcare actors .
 N. Piscopo - ERwin® in the Cloud: How Data Modeling Supports Database as a Service (DaaS) Implementations
 N. Piscopo - CA ERwin® Data Modeler’s Role in the Relational Cloud
 D. Burbank, S. Hoberman - Data Modeling Made Simple with CA ERwin® Data Modeler r8
 N. Piscopo – Best Practices for Moving to the Cloud using Data Models in the DaaS Life Cycle
 N. Piscopo – Using CA ERwin® Data Modeler and Microsoft SQL Azure to Move Data to the Cloud within the DaaS Life Cycle
 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/
 N. Piscopo - MaaS Workshop, Awareness, Courses Syllabus
 N. Piscopo - DaaS Workshop, Awareness, Courses Syllabus
 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/
 N. M. Josuttis – SOA in Practice
 H. A. J. Narayanan, M. H. Güneş – Ensuring Access Control in Cloud Provisioned Healthcare Systems
 Kantara Initiatives -http://kantarainitiative.org/confluence/display/uma/UMA+Scenarios+and+Use+Cases
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.
See storage differently! Storage performance problems have only gotten worse and harder to solve as applications have become largely virtualized and moved to a cloud-based infrastructure. Storage performance in a virtualized environment is not just about IOPS, it is about how well that potential performance is guaranteed to individual VMs for these apps as the number of VMs keep going up real time. In his session at 18th Cloud Expo, Dhiraj Sehgal, in product and marketing at Tintri, will discu...
Apr. 30, 2016 04:15 PM EDT Reads: 719
So, you bought into the current machine learning craze and went on to collect millions/billions of records from this promising new data source. Now, what do you do with them? Too often, the abundance of data quickly turns into an abundance of problems. How do you extract that "magic essence" from your data without falling into the common pitfalls? In her session at @ThingsExpo, Natalia Ponomareva, Software Engineer at Google, will provide tips on how to be successful in large scale machine lear...
Apr. 30, 2016 04:15 PM EDT Reads: 984
Machine Learning helps make complex systems more efficient. By applying advanced Machine Learning techniques such as Cognitive Fingerprinting, wind project operators can utilize these tools to learn from collected data, detect regular patterns, and optimize their own operations. In his session at 18th Cloud Expo, Stuart Gillen, Director of Business Development at SparkCognition, will discuss how research has demonstrated the value of Machine Learning in delivering next generation analytics to im...
Apr. 30, 2016 04:15 PM EDT Reads: 1,659
Up until last year, enterprises that were looking into cloud services usually undertook a long-term pilot with one of the large cloud providers, running test and dev workloads in the cloud. With cloud’s transition to mainstream adoption in 2015, and with enterprises migrating more and more workloads into the cloud and in between public and private environments, the single-provider approach must be revisited. In his session at 18th Cloud Expo, Yoav Mor, multi-cloud solution evangelist at Cloudy...
Apr. 30, 2016 03:30 PM EDT Reads: 1,426
There is an ever-growing explosion of new devices that are connected to the Internet using “cloud” solutions. This rapid growth is creating a massive new demand for efficient access to data. And it’s not just about connecting to that data anymore. This new demand is bringing new issues and challenges and it is important for companies to scale for the coming growth. And with that scaling comes the need for greater security, gathering and data analysis, storage, connectivity and, of course, the...
Apr. 30, 2016 03:15 PM EDT Reads: 693
This is not a small hotel event. It is also not a big vendor party where politicians and entertainers are more important than real content. This is Cloud Expo, the world's longest-running conference and exhibition focused on Cloud Computing and all that it entails. If you want serious presentations and valuable insight about Cloud Computing for three straight days, then register now for Cloud Expo.
Apr. 30, 2016 02:30 PM EDT Reads: 1,694
Redis is not only the fastest database, but it has become the most popular among the new wave of applications running in containers. Redis speeds up just about every data interaction between your users or operational systems. In his session at 18th Cloud Expo, Dave Nielsen, Developer Relations at Redis Labs, will shares the functions and data structures used to solve everyday use cases that are driving Redis' popularity.
Apr. 30, 2016 02:00 PM EDT Reads: 1,058
SYS-CON Events announced today that Stratoscale, the software company developing the next generation data center operating system, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Stratoscale is revolutionizing the data center with a zero-to-cloud-in-minutes solution. With Stratoscale’s hardware-agnostic, Software Defined Data Center (SDDC) solution to store everything, run anything and scale everywhere...
Apr. 30, 2016 01:15 PM EDT Reads: 1,518
[session] Don’t Forget the Ops: Build Operations into Your Cloud By @BMCSoftware | @CloudExpo #Cloud
Many private cloud projects were built to deliver self-service access to development and test resources. While those clouds delivered faster access to resources, they lacked visibility, control and security needed for production deployments. In their session at 18th Cloud Expo, Steve Anderson, Product Manager at BMC Software, and Rick Lefort, Principal Technical Marketing Consultant at BMC Software, will discuss how a cloud designed for production operations not only helps accelerate developer...
Apr. 30, 2016 01:00 PM EDT Reads: 1,100
Angular 2 is a complete re-write of the popular framework AngularJS. Programming in Angular 2 is greatly simplified – now it's a component-based well-performing framework. This immersive one-day workshop at 18th Cloud Expo, led by Yakov Fain, a Java Champion and a co-founder of the IT consultancy Farata Systems and the product company SuranceBay, will provide you with everything you wanted to know about Angular 2.
Apr. 30, 2016 12:45 PM EDT Reads: 1,682
SYS-CON Events announced today that Peak 10, Inc., a national IT infrastructure and cloud services provider, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Peak 10 provides reliable, tailored data center and network services, cloud and managed services. Its solutions are designed to scale and adapt to customers’ changing business needs, enabling them to lower costs, improve performance and focus inter...
Apr. 30, 2016 12:45 PM EDT Reads: 947
You think you know what’s in your data. But do you? Most organizations are now aware of the business intelligence represented by their data. Data science stands to take this to a level you never thought of – literally. The techniques of data science, when used with the capabilities of Big Data technologies, can make connections you had not yet imagined, helping you discover new insights and ask new questions of your data. In his session at @ThingsExpo, Sarbjit Sarkaria, data science team lead ...
Apr. 30, 2016 12:30 PM EDT Reads: 452
SYS-CON Events announced today that Men & Mice, the leading global provider of DNS, DHCP and IP address management overlay solutions, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. The Men & Mice Suite overlay solution is already known for its powerful application in heterogeneous operating environments, enabling enterprises to scale without fuss. Building on a solid range of diverse platform support,...
Apr. 30, 2016 12:00 PM EDT Reads: 2,274
SYS-CON Events announced today that Enzu, a leading provider of cloud hosting solutions, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Enzu’s mission is to be the leading provider of enterprise cloud solutions worldwide. Enzu enables online businesses to use its IT infrastructure to their competitive advantage. By offering a suite of proven hosting and management services, Enzu wants companies to foc...
Apr. 30, 2016 12:00 PM EDT Reads: 941
Peak 10, Inc., has announced the implementation of IT service management, a business process alignment initiative based on the widely adopted Information Technology Infrastructure Library (ITIL) framework. The implementation of IT service management enhances Peak 10’s current service-minded approach to IT delivery by propelling the company to deliver higher levels of personalized and prompt service. The majority of Peak 10’s operations employees have been trained and certified in the ITIL frame...
Apr. 30, 2016 12:00 PM EDT Reads: 896
You deployed your app with the Bluemix PaaS and it's gaining some serious traction, so it's time to make some tweaks. Did you design your application in a way that it can scale in the cloud? Were you even thinking about the cloud when you built the app? If not, chances are your app is going to break. Check out this webcast to learn various techniques for designing applications that will scale successfully in Bluemix, for the confidence you need to take your apps to the next level and beyond.
Apr. 30, 2016 11:30 AM EDT Reads: 1,455
Increasing IoT connectivity is forcing enterprises to find elegant solutions to organize and visualize all incoming data from these connected devices with re-configurable dashboard widgets to effectively allow rapid decision-making for everything from immediate actions in tactical situations to strategic analysis and reporting. In his session at 18th Cloud Expo, Shikhir Singh, Senior Developer Relations Manager at Sencha, will discuss how to create HTML5 dashboards that interact with IoT devic...
Apr. 30, 2016 11:00 AM EDT Reads: 900
Artificial Intelligence has the potential to massively disrupt IoT. In his session at 18th Cloud Expo, AJ Abdallat, CEO of Beyond AI, will discuss what the five main drivers are in Artificial Intelligence that could shape the future of the Internet of Things. AJ Abdallat is CEO of Beyond AI. He has over 20 years of management experience in the fields of artificial intelligence, sensors, instruments, devices and software for telecommunications, life sciences, environmental monitoring, process...
Apr. 30, 2016 11:00 AM EDT Reads: 859
SYS-CON Events announced today that Ericsson has been named “Gold Sponsor” of SYS-CON's @ThingsExpo, which will take place on June 7-9, 2016, at the Javits Center in New York, New York. Ericsson is a world leader in the rapidly changing environment of communications technology – providing equipment, software and services to enable transformation through mobility. Some 40 percent of global mobile traffic runs through networks we have supplied. More than 1 billion subscribers around the world re...
Apr. 30, 2016 11:00 AM EDT Reads: 846
In his session at 18th Cloud Expo, Sagi Brody, Chief Technology Officer at Webair Internet Development Inc., will focus on real world deployments of DDoS mitigation strategies in every layer of the network. He will give an overview of methods to prevent these attacks and best practices on how to provide protection in complex cloud platforms. He will also outline what we have found in our experience managing and running thousands of Linux and Unix managed service platforms and what specifically c...
Apr. 30, 2016 10:00 AM EDT Reads: 1,122