Cloud technology enables anyone — or anyone authorized — to
use the Internet from anywhere to access computing capabilities and data that
are hosted somewhere else, as opposed to onsite. The cloud offers considerable
benefits to healthcare, which is undergoing dramatic and essential
transformation without the necessary financial or technological means to
support the level and speed of change required.
The term “cloud” actually refers to how the Internet has
been depicted for years in diagrams and flowcharts — as a picture of a cloud.
The concept itself dates back to the mid-1980s, when IBM first began leasing
usage of the computing power of its large mainframe systems that, at the time,
only the largest and most well-financed companies could afford to own. A decade
or so later, smaller application service providers began offering
Software-as-a-Service in the cloud to meet very specific business needs. The
real advancement in cloud computing came when the technology enabled the major
players, such as Amazon and Google, to logically partition their computing
capacity in a manner that could be accessed by multiple clients in a flexible,
secure and scalable manner.
Flexible. Secure. Scalable. These adjectives are mentioned
most often when discussing the cloud’s value proposition, regardless of
industry or application. They are certainly enticing attributes for healthcare,
which faces increasing technology needs, security requirements and financial
constraints. But the ability to create collaborative networks will likely be
the most valuable to hospitals and other healthcare organizations.
One area in healthcare that can benefit from this technology
is the role of the supply chain. There is a wealth of data in supply chain
systems about products used in patient care. While hospitals have typically
focused more on the price paid for products, better data capture about
utilization and linkages with other systems and data can provide insights into
how the products used in patient care impact both cost and quality, which will
increasingly determine how providers are reimbursed.
There is also the operational role of the supply chain to
consider, which is the second largest and fastest growing operating expense for
most hospitals. In other industries, the cloud’s ability to facilitate supplier
collaboration is seen as a source of operational efficiency and cost reduction.
That value is being recognized more in healthcare. According to a 2009 HIMSS
study, more than three-quarters of hospitals reported using an exchange, which offers
supply chain applications in the cloud, to do business electronically with the
suppliers from which they purchase the majority of their consumable products.
Efforts are now underway to provide similar functionality and visibility for
implantable devices. Given that implantables represent some of the highest
priced and most sophisticated products used in patient care, the cloud has
great potential to deliver even greater benefits from an operational, clinical
and financial standpoint.
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