|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.
Is your application too difficult to manage? Do changes take dozens of developers hundreds of hours to execute, and frequently result in downtime across all your site’s functions? It sounds like you have a monolith! A monolith is one of the three main software architectures that define most applications. Whether you’ve intentionally set out to create a monolith or not, it’s worth at least weighing the pros and cons of the different architectural approaches and deciding which one makes the most s...
Apr. 24, 2017 09:00 PM EDT Reads: 2,562
Cloud Expo, Inc. has announced today that Aruna Ravichandran, vice president of DevOps Product and Solutions Marketing at CA Technologies, has been named co-conference chair of DevOps at Cloud Expo 2017. The @DevOpsSummit at Cloud Expo New York will take place on June 6-8, 2017, at the Javits Center in New York City, New York, and @DevOpsSummit at Cloud Expo Silicon Valley will take place Oct. 31-Nov. 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
Apr. 24, 2017 07:15 PM EDT Reads: 2,405
To more closely examine the variety of ways in which IT departments around the world are integrating cloud services, and the effect hybrid IT has had on their organizations and IT job roles, SolarWinds recently released the SolarWinds IT Trends Report 2017: Portrait of a Hybrid Organization. This annual study consists of survey-based research that explores significant trends, developments, and movements related to and directly affecting IT and IT professionals.
Apr. 24, 2017 04:00 PM EDT Reads: 1,462
This recent research on cloud computing from the Register delves a little deeper than many of the "We're all adopting cloud!" surveys we've seen. They found that meaningful cloud adoption and the idea of the cloud-first enterprise are still not reality for many businesses. The Register's stats also show a more gradual cloud deployment trend over the past five years, not any sort of explosion. One important takeaway is that coherence across internal and external clouds is essential for IT right n...
Apr. 24, 2017 02:45 PM EDT Reads: 1,486
Developers want to create better apps faster. Static clouds are giving way to scalable systems, with dynamic resource allocation and application monitoring. You won't hear that chant from users on any picket line, but helping developers to create better apps faster is the mission of Lee Atchison, principal cloud architect and advocate at New Relic Inc., based in San Francisco. His singular job is to understand and drive the industry in the areas of cloud architecture, microservices, scalability ...
Apr. 24, 2017 11:00 AM EDT Reads: 3,318
Back in February of 2017, Andrew Clay Schafer of Pivotal tweeted the following: “seriously tho, the whole software industry is stuck on deployment when we desperately need architecture and telemetry.” Intrigue in a 140 characters. For me, I hear Andrew saying, “we’re jumping to step 5 before we’ve successfully completed steps 1-4.”
Apr. 24, 2017 07:30 AM EDT Reads: 1,528
Enterprise architects are increasingly adopting multi-cloud strategies as they seek to utilize existing data center assets, leverage the advantages of cloud computing and avoid cloud vendor lock-in. This requires a globally aware traffic management strategy that can monitor infrastructure health across data centers and end-user experience globally, while responding to control changes and system specification at the speed of today’s DevOps teams. In his session at 20th Cloud Expo, Josh Gray, Chie...
Apr. 24, 2017 05:15 AM EDT Reads: 3,077
In large enterprises, environment provisioning and server provisioning account for a significant portion of the operations team's time. This often leaves users frustrated while they wait for these services. For instance, server provisioning can take several days and sometimes even weeks. At the same time, digital transformation means the need for server and environment provisioning is constantly growing. Organizations are adopting agile methodologies and software teams are increasing the speed ...
Apr. 23, 2017 08:00 PM EDT Reads: 3,217
Software as a service (SaaS), one of the earliest and most successful cloud services, has reached mainstream status. According to Cisco, by 2019 more than four-fifths (83 percent) of all data center traffic will be based in the cloud, up from 65 percent today. The majority of this traffic will be applications. Businesses of all sizes are adopting a variety of SaaS-based services – everything from collaboration tools to mission-critical commerce-oriented applications. The rise in SaaS usage has m...
Apr. 22, 2017 06:15 PM EDT Reads: 4,707
The proper isolation of resources is essential for multi-tenant environments. The traditional approach to isolate resources is, however, rather heavyweight. In his session at 18th Cloud Expo, Igor Drobiazko, co-founder of elastic.io, drew upon his own experience with operating a Docker container-based infrastructure on a large scale and present a lightweight solution for resource isolation using microservices. He also discussed the implementation of microservices in data and application integrat...
Apr. 22, 2017 05:45 AM EDT Reads: 6,048
We'd all like to fulfill that "find a job you love and you'll never work a day in your life" cliché. But in reality, every job (even if it's our dream job) comes with its downsides. For you, the constant fight against shadow IT might get on your last nerves. For your developer coworkers, infrastructure management is the roadblock that stands in the way of focusing on coding. As you watch more and more applications and processes move to the cloud, technology is coming to developers' rescue-most r...
Apr. 22, 2017 04:00 AM EDT Reads: 3,976
2016 has been an amazing year for Docker and the container industry. We had 3 major releases of Docker engine this year , and tremendous increase in usage. The community has been following along and contributing amazing Docker resources to help you learn and get hands-on experience. Here’s some of the top read and viewed content for the year. Of course releases are always really popular, particularly when they fit requests we had from the community.
Apr. 22, 2017 03:45 AM EDT Reads: 3,472
Keeping pace with advancements in software delivery processes and tooling is taxing even for the most proficient organizations. Point tools, platforms, open source and the increasing adoption of private and public cloud services requires strong engineering rigor – all in the face of developer demands to use the tools of choice. As Agile has settled in as a mainstream practice, now DevOps has emerged as the next wave to improve software delivery speed and output. To make DevOps work, organization...
Apr. 22, 2017 12:00 AM EDT Reads: 8,764
Today we can collect lots and lots of performance data. We build beautiful dashboards and even have fancy query languages to access and transform the data. Still performance data is a secret language only a couple of people understand. The more business becomes digital the more stakeholders are interested in this data including how it relates to business. Some of these people have never used a monitoring tool before. They have a question on their mind like “How is my application doing” but no id...
Apr. 21, 2017 11:45 PM EDT Reads: 7,023
Even for the most seasoned IT pros, the cloud is complicated. It can be difficult just to wrap your head around the many terms and acronyms that make up the cloud dictionary-not to mention actually mastering the technology. Unfortunately, complicated cloud terms are often combined to the point that their meanings are lost in a sea of conflicting opinions. Two terms that are used interchangeably (but shouldn't be) are hybrid cloud and multicloud. If you want to be the cloud expert your company ne...
Apr. 21, 2017 04:15 PM EDT Reads: 2,180
In his general session at 19th Cloud Expo, Manish Dixit, VP of Product and Engineering at Dice, discussed how Dice leverages data insights and tools to help both tech professionals and recruiters better understand how skills relate to each other and which skills are in high demand using interactive visualizations and salary indicator tools to maximize earning potential. Manish Dixit is VP of Product and Engineering at Dice. As the leader of the Product, Engineering and Data Sciences team at D...
Apr. 21, 2017 02:45 AM EDT Reads: 5,772
In his session at 20th Cloud Expo, Scott Davis, CTO of Embotics, will discuss how automation can provide the dynamic management required to cost-effectively deliver microservices and container solutions at scale. He will discuss how flexible automation is the key to effectively bridging and seamlessly coordinating both IT and developer needs for component orchestration across disparate clouds – an increasingly important requirement at today’s multi-cloud enterprise.
Apr. 19, 2017 06:00 AM EDT Reads: 4,246
SYS-CON Events announced today that CollabNet, a global leader in enterprise software development, release automation and DevOps solutions, will be a Bronze Sponsor of SYS-CON's 20th International Cloud Expo®, taking place from June 6-8, 2017, at the Javits Center in New York City, NY. CollabNet offers a broad range of solutions with the mission of helping modern organizations deliver quality software at speed. The company’s latest innovation, the DevOps Lifecycle Manager (DLM), supports Value S...
Apr. 18, 2017 03:30 PM EDT Reads: 4,325
The human body is the most complex machine ever created! With a complex network of interconnected organs, millions of cells and the most advanced processor, human body is the most automated system in this planet. In this article, we will draw comparisons between working of a human body to that of a datacenter. We will learn how self-defense and self-healing capabilities of our human body is similar to firewalls and intelligent monitoring capabilities in our datacenters. We will draw parallels b...
Apr. 16, 2017 01:00 PM EDT Reads: 2,718
Cloud adoption is often driven by a desire to increase efficiency, boost agility and save money. All too often, however, the reality involves unpredictable cost spikes and lack of oversight due to resource limitations. In his session at 20th Cloud Expo, Joe Kinsella, CTO and Founder of CloudHealth Technologies, will tackle the question: “How do you build a fully optimized cloud?” He will examine: Why TCO is critical to achieving cloud success – and why attendees should be thinking holisticall...
Apr. 16, 2017 10:00 AM EDT Reads: 2,847