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API Compatibility: From cruising at self-service speed to “we gotta have a meeting”

Today’s announcement that Citrix is dropping support for OpenStack has reverberated through the clouderati sphere like a new Justin Bieber song through my niece’s third grade class. Super important but will not matter much when the next idol arrives.

In any case, a lot of smart people have written about it. I’ll leave them to explain the whole thing.

Cloud Avenue has a good in-depth coverage post. And so does James Staten of Forrester. Randy Bias also weighs in as well.  I’m sure I’m missing other worthy commentators.

But the post that most caught my attention came from Thorsten at Rightscale‘s.  We both share something in common: we both build products that connect to cloud API’s. Including vendor who have API’s that claim to be compatible EC2. This experience, I think provides a useful point of view when thinking about API compatibility. Not to mention it creates a jaundiced view of the human soul.

Thorsten writes.

I’ve said it many times and I’ll repeat it again: it’s the semantics of the resources in the cloud that matter, not the syntax of the API. This means that “API compatibility” has to reach very, very deep to be meaningful. Let me give you a couple of examples around EC2.

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The Rise of Cisco UCS and the Cisco Services Data Center Transformation Experience

March 2009 was an exciting time for both for Cisco and for me personally.  Cisco launched the revolutionary Unified Computing System, with many observers across the industry doubting if we’d stay the course (and if we’re honest, some truly misplaced derision – I wonder who is on Planet Zircon now!).  And I joined the Cisco Data Center Services team from the Cisco R&D organization!  So with the recent third generation launch of Cisco UCS, described very well by my colleague Todd Brannon, I thought it would be a good time to reflect on our data center services portfolio around that time, and where we are now.  My previous blogs chronicle part of this journey, however I have to say, the direct comparison I draw here I personally think shows that we have indeed brought a new transformational experience to the data center for our customers. And I’d like to give you my personal recollections on how and what I found out about Cisco’s approach to shaking the incumbents’ lack of innovation in the blade server market.

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“You’re going to need a bigger room” NC UCS User Group

The NC UCS User Group is a hit! The Users have spoken and with the help of some great speakers, we have successfully completed 2 NC User Group meetings for this quarter. We had very good turnout in both Greensboro and RTP.

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Big Data: Coming Soon to Your Doctor’s Examining Room – Part 2

William Moore is Executive Vice President and CTO for CareCore National, LLC. CareCore’s private cloud is based on the Cisco Unified Data Center.

This is part 2 of Bill Moore’s blog focused on Big Data in the healthcare industry. Read part 1 and related blog, “It’s a Boy!”

In part 1 of my blog I proposed that the cloud is succeeding in enabling new healthcare models where the original electronic medical records (EMRs) vision stalled. The reason is that the cloud has the scale to manage and analyze very large data sets—so-called big data.

Big data and the new analysis tools it demands are changing the game for healthcare. They reveal insights about outcomes across very large reservoirs of patient information that previously weren’t possible to analyze, at least not in real time.

The vision is giving your doctors an evidence-based clinical tool that factors in your entire history, collected from multiple independent sources. These might include lab results, previous physician input, hospital data, and retrospective claims history. Placing this kind of tool in a physician’s hands at the moment of need is game-changing.

Evidence-Based Clinical Tools in the Cloud

That’s what we do at CareCore. The foundation of our service is evidence-based medicine sourced from panels of leading physicians in their fields. We’ve added workflows to support the physician in collecting patient information that big-data analysis has shown to influence outcomes.

Consider a physician is treating a cardiac patient. Not long ago, the physician had to rely solely his or her own historical training and knowledge, and whatever research a busy practice allowed. Today, that same physician can access real-time data on thousands of similar cardiologists treating tens of thousands of similar patients, and can review various appropriate courses of treatment in the context of efficacy for other patients like the one sitting in the exam room right now.

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It’s a boy!

Related blog: Coming Soon to Your Doctor’s Examining Room by William Moore, CTO of CareCore National

“It’s a boy!!!” my friend Kim told me just minutes after her 18 week ultrasound. Even though we were texting I could tell her excitement was restrained despite the exclamation points. Later that day she shared “he’s healthy but…[big inhale]…he has a cleft lip [even bigger exhale]”

This unexpected information meant more tests for her and her unborn son, Mason. It meant a series of surgeries starting at 6 months until age 5. It brought a lot of anxiety to Kim’s entire family.

In addition, the diagnosis raised a lot of questions such as, “Will Mason be okay? How will my family support him and cope with our baby having surgery? Will my insurance cover all that is needed to treat his cleft lip? Will his treatment be personalized? Will I…will he…be subjected to unnecessary tests? Will there be a lot of tests? Can I trust that his healthcare team is up to date on all the latest treatments? Will there be a team of healthcare experts to support us as Mason recovers from each surgery?”

Kim had a lot to prepare for and wanted to feel confident about Mason’s healthcare team. She wanted to know that the most experienced doctors would provide the best care possible based on leading industry practices.  What she wanted most was peace of mind that her son would be ok.

Improving the outcomes of patients like Mason while simultaneously alleviating the burden on physicians is no easy task. It takes a bold and innovative company to tackle such a challenge, one who is at the forefront of the healthcare industry and can envision improved care, better outcomes, and healthier people.

CareCore National is such a company. The company currently has contracts with more than 25 health plans working with 600,000 physicians providing care to 68.8 million people.

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