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Breaking the Silos and Connecting the Unconnected

In the past, enterprise architecture was designed to be silos – Data, Voice, Clinical and many more. Demarcation, Control and Ownership was given special emphasis. IT departments ruled and decided what, when, how systems were procured, installed and operated.

As market transitions happened and new consumption models became available, the line of business started procuring cloud based services to keep up with their demands outside of the IT’s enterprise systems. While this accelerated innovation and efficiencies, with applications everywhere, challenges grew alongside.

CIP-EnterpriseAs health care providers adopt more cloud and software-as-a-service (SaaS) services, their application environment has become extraordinarily complex. With billions of new cloud, mobile, and Internet of Things (IoT) connections coming over the next few years, things will get even more complicated. IT is facing high operational costs and inefficiencies as they struggle to simply and manages all of these diverse applications, systems, data, and things, many of which no longer even reside within the enterprise. They look for new ways to capitalize on existing resources and data, augment other services outside of the enterprise and deliver new customer experiences to stay ahead.

To keep up with the needs of our customers to enjoy seamless services from anywhere, the Cisco Integration Platform helps to connects all of your diverse on-premise, cloud, and SaaS applications across the enterprise, and makes it easy to securely exchange data and services between them. And it does it in an automated fashion, reusing application integrations and APIs to radically accelerate the delivery of patient experiences.


Cisco is connecting infrastructure with data, applications, and devices to enrich the collaboration and sharing of data between patients, physicians, and providers. Market leading infrastructure solutions can now be integrated into back office clinical applications, and utilized in new ways. Integration is playing a key role in creating a connected healthcare experience. This is leading to more personalized care, self-service, and extending the value a health system can provide outside the four walls of the physical facility. Please visit the Cisco HIMSS booth (#2002) to see the Cisco Integration Platform and many other solutions in action.

It’s my privilege to join Kristen Wilson-Jones, CTO, Sutter Health RD&D and David Chao, Director of Industry Solutions at Mulesoft in a panel discussion at the Mulesoft event at HIMSS 2015 (Time: on April 14th at 5.00pm, RSVP Link: We will talk further about how Internet of Everything will shape up Healthcare delivery and experiences. On behalf of the entire team, I want to invite you to join the conversation.

Look forward to seeing you at HIMSS 2015.

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Webcast: Telehealth Innovation at Baptist Health South Florida

Join us on Wednesday, October 15 at 11:00 am PST/2:00 pm EST to hear about telehealth innovations at Baptist Heath South Florida. The winner of an American Hospital Association 2014 Most Wired Innovator Award for IT projects, Baptist Health’s e-Pharmacy initiative is a shining example of transformation in care delivery.

Conceived as an initiative to support medication compliance by high-risk patients, the program’s outstanding results have led to potential new initiatives in the areas of Tele-Dermatology and Tele-Cardiology.

Leslee Gross  RN, MHCA, CENB  AVP, Baptist Health South Florida

Leslee Gross, Baptist Health South Florida

During this live, complimentary webcast, I will be hosting Leslee Gross, Assistant Vice President of Baptist Health South Florida, who will describe the 680-bed organization’s foray into Telehealth.

Leslee will focus on metrics and results, along with best practices and lessons-learned related to organizational and process changes required to make the project a success. A live Q/A will follow.

Register now to hold your spot.

Wednesday, October 15, 2014
2:00 pm EST
1:00 pm CST
11:00 am PST

Register now



See Cisco Care-at-a-Distance Solutions at ATA 2014

The American Telemedicine Association (ATA) Annual Meeting and Tradeshow is fast approaching.  If you are planning to attend ATA 2014 from May 17-20 in Baltimore, be sure to visit the Cisco booth to see products and solutions that connect patients and care teams so they can easily engage anytime from anywhere.

Print Cisco will have a large booth (#4617) in the exhibit hall to showcase market-leading solutions that overcome the barrier of distance while improving the patient experience. Highlights include:

  • Extended Care: New browser-based health and wellness collaboration solution platform
  • Cisco HealthPresence:  Highly secure and scalable software integrates high-definition video, advanced audio, third-party medical devices, and collaboration tools
  • Cisco Virtual Patient Observation: A centralized approach to patient sitting that can help improve efficiency, staff satisfaction, and staff safety
  • And more! Gift card

While you’re in our booth, take a second and let us scan your name badge so you’ll be entered for a chance to win a $250 American Express gift card!

Finally, don’t miss hearing from Cisco healthcare executive Barbara Casey in the Industry Executive Session panel discussion:

Tuesday, May 20: 1:15 – 2:15 pm Barbara Casey, Senior Executive Director, Cisco Healthcare Business Transformation

In the meantime, we invite you to learn more about Cisco Care-at-a-Distance solutions for telehealth.

We’ll see you in Baltimore!


6 Healthcare IT Transitions: The Hackers delight

From FDA (Food and Drug Administration) to FBI (Federal bureau of Investigations), they see a core issue bubbling up: The vulnerability of Healthcare systems to cyber-attacks. Both agencies have issued an advisory in this regard in the last 1 year.


Source: – Healthcare amounts to 17% of incidents in 2013

FDA Advisory was focused on medical devices and hospital networks, while the FBI’s communication is focused on hackers attempting to hack personal medical records and health insurance data and even goes to calling out the gaps in resiliency to cyber-attacks as compared with other sectors such as financial and retail sectors.

In addition, looking at statistics from, Health Care sector has consistently been in the top 3 sectors that have had the most incidents.

But the question is, why now?

This is where the correlation with the Health Care IT transition time lines adds up. It’s the other side of Health Care IT transitions that we looked at in the previous part (At the security cross roads of Healthcare reforms and IoE – 6 Health Care IT Transitions) of this blog series – the threat that have emerged from open anywhere, anytime, any device access which has enabled convenience and transformational experience to patients and care teams.

Let’s see an example of the changing dynamics of some of these transitions from a Hackers perspective by analyzing one of these transitions: Transition from Paper charts to EMR and enabling anywhere anytime, any device access to my care teams and my patients.

Health Care IT Transitions and their Security Implications 1-3 of 6

Health Care IT Transitions and their Security Implications (1-3 of 6)

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At the Security Cross Roads of Health Care Reforms and IoE – 6 Health Care IT Transitions

The saying ‘Tell me how you will measure me and I will tell you how I will behave’ could have been the perfect tag line for the US Health Care Reforms. When we look at how Health Care Information technology is getting used to enable reforms, we see that most of the technologies existed prior to the reforms, but there wasn’t a compelling reason to adopt it. Once the measurement criteria, the carrots and the sticks were defined, the behaviors changed, and to achieve the metrics, the technology adoption picked up. As an example, according to CDC’s report, the adoption of office based physicians with EHR systems has increased to 78.4% in 2013 from 17.3% in 2003.


Percentage of office based physicians with EHR systems in US

Maybe a coincidence, but the Health Care reforms and Health Care Internet of Everything (IoE) are very much intertwined. The Health Care reforms focus on the ‘why’ and ‘what’ changes are needed to enable outcomes and define how performance is measured.  The Health Care Internet of Everything focuses on how technology can be leveraged to enable the goals of Health Care Reforms. By connecting the unconnected, IoE brings more information from multiple sources (things and people) to create an enhanced evidence based model to enable better outcomes.

From an IT perspective, Health Care Reforms requires breaking boundaries, opening up the access, enabling choices, improving data collection from multiple critical sources, and enabling information sharing. It is definitely a challenge to achieve these needs using the traditional approaches in Health Care.  Hence Health Care approaches have evolved to leverage Health care IT as a change agent, thereby resulting in many new Health Care IT transitions.

Let us explore six key Health Care IT transitions that have significant security implications.

Healthcare-IT-Transition-part-1 Read More »

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