A HIPAA Compliant Cloud Platform to Power EHR & Artificial Intelligence Infused Services

Author: Dario Traverso

Cloud Computing has been met by the healthcare space with a healthy degree of caution, at times demonized as a HIPAA security risk, while simultaneously championed as a savior to data sharing & accessibility woes. Despite the confusion, cloud labeled offerings have begun to saturate the marketplace, but often vary widely in their adoption of cloud principles. In this abstract we outline the case for an open & modular Cloud Platform to support a range of providers at all scales. The current EHR market space is highly fragmented and bereft with silo-ed solutions. While cloud computing has become undeniably en vogue, many of the current 'cloud systems' are merely legacy solutions that have been re-branded and deployed on public cloud infrastructure without any fundamental changes to the underlying software. Here it is crucial to define the difference between a software solution that runs on the cloud, and a Cloud Platform. At present there are a number of public cloud offerings such as Amazon AWS, Microsoft Azure, IBM BlueMix, and Google Cloud Platform. What these public clouds have in common is that they provide Infrastructure as a Service (Iaas). Many legacy solutions rely on a software architecture known as client-server, typically requiring an on-site physical server. In many cases vendors have simply relocated this server component to the public cloud and begun extolling their software as cloud based. While this can provide an incremental improvement in certain cases, it is certainly not synonymous with Cloud Platform. A Cloud Platform provides another layer of abstraction atop the aforementioned IaaS layer, in the form of a Platform as a Service (PaaS) which is instrumental in infusing platform-level capabilities to the services running on it. *High Availability --Globally available cloud that can survive regional outages without interruption and is 'self-healing'. *Scalability --Ability to shrink and grow elastically in response to demand to ensure performance *HIPAA Compliance & Security --By securing the cloud at the platform level we can enforce HIPAA compliance for all solutions powered by the platform. *Open API --Provide 3rd party solutions & devices a mechanism to interface with the Cloud Platform, leverage its power, and work collaboratively with other solutions. A robust production grade healthcare Cloud Platform should introduce not only technical innovation, but beneficial disruption to historically limiting marketplace IT paradigms as well. Cloud platforms intrinsically lend themselves to data sharing at the technology level, but this can only be fully realized with diverse participation at the professional level as well. At Angarus.io we've endeavored from the beginning to create an open Cloud Platform that's inclusive to both healthcare and wellness providers. By bringing together traditional practitioners such as physicians, dentists, with professionals from the wellness end of the spectrum such as nutritionists and acupuncturists – we're able to mine and discover clinically significant insight from the cumulative network effect. As a centralized data repository the platform also powers services in the areas of: *Cognitive computing --Integration with IBM Watson allows for Artificial Intelligence driven clinical insight. *Machine Learning --Harness a range of ML techniques to solve classification problems like medical imaging diagnosis. *Big Data --As a globally available platform, collecting heterogeneous data from a multitude of sources enables us to perform public health insight with real-time data analysis diseases, epidemics, and health trends. The cloud platform is central nexus in healthcare 2.0, and the foothold from which we can employ a number of computer science driven techniques to improve clinical outcomes and operational efficiency.

Co Author/Co-Investigator Names/Professional Title: Goris Haghverdian CTO @ Angarus.io