|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.
Operationalizing the network continues to be a driving force behind DevOps and SDN. The ability to solve real problems using programmability to automate and orchestrate infrastructure provisioning and configuration across the application release process remains the hope for many interested in one or the other - and often times both. A recent Avaya sponsored, Dynamic Markets survey (reg required) dove deep into the demesne of SDN and found that many of the problems companies have - and expect ...
May. 5, 2015 08:00 AM EDT Reads: 2,076
We just finished the first O’Reilly Software Architecture Conference and the overwhelming most popular topic was microservices. Why all the hype about an architectural style? Microservices are the first post-DevOps revolution architecture. The DevOps revolution highlighted how much inadvertent friction an outdated operations mindset can cause, starting the move towards automating away manual tasks.
May. 5, 2015 08:00 AM EDT Reads: 1,992
We’re living in exciting but demanding technological times. Big Data, Internet of Things, Apple Watch, ubiquitous computing, smart machines, robotics, and home automation . . . things that were the talk of science fiction only a few short years ago are on every CIOs wish list today. But to the point, the revolution in technology has led to major shifts in how organizations today ideate, plan, develop, and deploy software solutions. It used to be that software release cycles would take upwards of...
May. 5, 2015 08:00 AM EDT Reads: 368
“This win means a great deal to us because it is decided by the readers – the people who understand how use of our technology enables new insights that drive the business,” said Matt Davies, senior director, EMEA marketing, Splunk. “Splunk Enterprise enables organizations to improve service levels, reduce operations costs, mitigate security risks, enhance DevOps collaboration, create new product and service offerings and obtain deeper insight into customer behavior. Being named Best Business App...
May. 5, 2015 07:45 AM EDT Reads: 2,916
Software is eating the world. Companies that were not previously in the technology space now find themselves competing with Google and Amazon on speed of innovation. As the innovation cycle accelerates, companies must embrace rapid and constant change to both applications and their infrastructure, and find a way to deliver speed and agility of development without sacrificing reliability or efficiency of operations. In her Day 2 Keynote DevOps Summit, Victoria Livschitz, CEO of Qubell, discussed...
May. 5, 2015 06:00 AM EDT Reads: 4,755
SYS-CON Events announced today that Akana, formerly SOA Software, has been named “Bronze Sponsor” of SYS-CON's 16th International Cloud Expo® New York, which will take place June 9-11, 2015, at the Javits Center in New York City, NY. Akana’s comprehensive suite of API Management, API Security, Integrated SOA Governance, and Cloud Integration solutions helps businesses accelerate digital transformation by securely extending their reach across multiple channels – mobile, cloud and Internet of Thi...
May. 5, 2015 04:00 AM EDT Reads: 2,455
SYS-CON Events announced today that Open Data Centers (ODC), a carrier-neutral colocation provider, will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place June 9-11, 2015, at the Javits Center in New York City, NY. Open Data Centers is a carrier-neutral data center operator in New Jersey and New York City offering alternative connectivity options for carriers, service providers and enterprise customers.
May. 5, 2015 03:30 AM EDT Reads: 3,253
BlueBox bridge the chasm between development and infrastructure. Hosting providers are taking standardization and automation too far. For many app developers it does nothing but spawn mayhem and more work. They have to figure out how their creations live on a pre-fab infrastructure solution full of constraints. Operations-as-a-Service is what BlueBox does. BlueBox utilizes development tools such as OpenStack, EMC Razor, Opscode’s Chef and BlueBox's proprietary tools give the power to do the unor...
May. 5, 2015 03:00 AM EDT Reads: 1,885
SYS-CON Events announced today that Vicom Computer Services, Inc., a provider of technology and service solutions, will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. They are located at booth #427. Vicom Computer Services, Inc. is a progressive leader in the technology industry for over 30 years. Headquartered in the NY Metropolitan area. Vicom provides products and services based on today’s requirements...
May. 5, 2015 03:00 AM EDT Reads: 2,500
SYS-CON Events announced today that Blue Box has been named “Bronze Sponsor” of SYS-CON's DevOps Summit New York, which will take place June 9-11, 2015, at the Javits Center in New York City, NY. Blue Box delivers Private Cloud as a Service (PCaaS) to a worldwide customer base. Built on a technology platform leveraging decades of operational expertise in cloud and distributed systems, Blue Box Cloud is a managed private cloud product available in both hosted and on-prem versions. Each Blue Box ...
May. 5, 2015 02:00 AM EDT Reads: 1,981
“We are a managed services company. We have taken the key aspects of the cloud and the purposed data center and merged the two together and launched the Purposed Cloud about 18–24 months ago," explained Chetan Patwardhan, CEO of Stratogent, in this SYS-CON.tv interview at 15th Cloud Expo, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
May. 5, 2015 01:00 AM EDT Reads: 3,016
"Blue Box has been around for 10-11 years, and last year we launched Blue Box Cloud. We like the term 'Private Cloud as a Service' because we think that embodies what we are launching as a product - it's a managed hosted private cloud," explained Giles Frith, Vice President of Customer Operations at Blue Box, in this SYS-CON.tv interview at DevOps Summit, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
May. 5, 2015 12:30 AM EDT Reads: 3,686
SYS-CON Events announced today Isomorphic Software, the global leader in high-end, web-based business applications, will exhibit at SYS-CON's DevOps Summit 2015 New York, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Isomorphic Software is the global leader in high-end, web-based business applications. We develop, market, and support the SmartClient & Smart GWT HTML5/Ajax platform, combining the productivity and performance of traditional desktop software ...
May. 4, 2015 10:00 PM EDT Reads: 692
This is a no-hype, pragmatic post about why I think you should consider architecting your next project the way SOA and/or microservices suggest. No matter if it’s a greenfield approach or if you’re in dire need of refactoring. Please note: considering still keeps open the option of not taking that approach. After reading this, you will have a better idea about whether building multiple small components instead of a single, large component makes sense for your project. This post assumes that you...
May. 4, 2015 03:00 PM EDT Reads: 1,920
SYS-CON Events announced today the DevOps Foundation Certification Course, being held June ?, 2015, in conjunction with DevOps Summit and 16th Cloud Expo at the Javits Center in New York City, NY. This sixteen (16) hour course provides an introduction to DevOps – the cultural and professional movement that stresses communication, collaboration, integration and automation in order to improve the flow of work between software developers and IT operations professionals. Improved workflows will res...
May. 4, 2015 01:30 PM EDT Reads: 3,347
This digest provides an overview of good resources that are well worth reading. We’ll be updating this page as new content becomes available, so I suggest you bookmark it. Also, expect more digests to come on different topics that make all of our IT-hearts go boom!
May. 4, 2015 01:00 PM EDT Reads: 1,850
Cloud computing seems destined to be the way enterprises will use information technology. The drastic cost reductions and impressive operational improvements make the transition an unstoppable trend. The “What is cloud computing?” question now, however, seems to be morphing into “Where is cloud computing going?” While software-as-a-service (SaaS) providers see their market rocketing upward as the easiest and quickest path for cloud adoption, infrastructure-as-a-service providers are suffering...
May. 4, 2015 12:45 PM EDT Reads: 921
SYS-CON Events announced today that B2Cloud, a provider of enterprise resource planning software, will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. B2cloud develops the software you need. They have the ideal tools to help you work with your clients. B2Cloud’s main solutions include AGIS – ERP, CLOHC, AGIS – Invoice, and IZUM
May. 4, 2015 12:00 PM EDT Reads: 4,432
I woke up this morning to the devastating news about the earthquake in Nepal. Sitting here in California that destruction is literally on the other side of the world but my mind immediately went to thinking about my good friend Jeremy Geelan. See Jeremy and his family have been living in Kathmandu for a while now. His wife, in fact, is the Danish Ambassador to Nepal!
May. 4, 2015 12:00 PM EDT Reads: 1,112
Lacking the traditional fanfare associated with any technology that can use the word "container" or mention "Docker" in its press release, Ubuntu Core and its new Snappy system management scheme was introduced late last year. Since then, it's been gaining steam with Microsoft and Amazon and Google announcing support for the stripped-down version of the operating system. Ubuntu Core is what's being called a "micro-OS"; a stripped down, lean container-supporting machine that's becoming more pop...
May. 4, 2015 12:00 PM EDT Reads: 1,012