Choosing Cloud hosting for a

growing and dynamic

organization: Fortis Healthcare
Group 2
Pratiksha Jadhav (PGP11041)
Prerna Jain (PGP11042)
Riya Ghai (PGP11047)
Romali Das (PGP11049)
Shilpi Anand (PGP11055)
Introduction
● Fortis Healthcare was started in 2010 in India and spread across internationally

● It has 55 healthcare facilities in India and it is the largest healthcare network in India as well

● Varun Sood is the CIO and head strategic initiatives of Fortis Healthcare

● By 2015, healthcare became one of the largest sector in India.From 2008-20 the market was
expected to grow at a rate of 16.5% CAGR

● The industry was expected to earn a revenue of USD 280 million by 2020

(Source: Case,Choosing Cloud hosting for a growing and dynamic organization: Fortis Healthcare ) 2
What is the background of the existing system in the organization?

IT was a support function Outdated systems Decentralized IT

and lacked strategic were in place Infrastructure
orientation

Many in-progress Vendors managed Frequent outages of

projects several IT services important functions for
hours

3
Consider what are the factors that lead to change in the
current technology?
Challenges in-

1 2 3 4

Organizational Alignment Competency Perception

structure
The IT infrastructure IT department was Acceptable server There was a gap between
was decentralized, reactive and outages for hours the goals and objectives of
hence enterprise wide implemented based on frequently, specially the IT and business team
information sharing end user requirements during peak hours on
was hindered Saturdays

4
What are the various available options for cloud
technology?

1 2 3

SaaS PaaS IaaS

For email and other For Rapid Development For Legacy Systems

5
Discuss on the most suitable option based on the need of
the organization?
Requirements:
● On-demand Self Service
● Broad Network Access
● Resource Pooling
● Rapid Elasticity
● Measured Service
Available Options:
● SaaS
● PaaS
● IaaS

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SaaS would be the best choice to go forward with:
● Since many users would be using the services hosted on the cloud, any future
updates to the software and hardware would be managed centrally
● Managed from a central location
● Can be hosted on a remote server
● Ensures security of critical data
● Application Availability is ensured

7
How would you answer the following
questions that were asked before
adopting Cloud?

8
Are the demand patterns uniform or varying?

Demand patterns are Cloud give For example, on

varying flexibility to scale to Saturdays they face
demands very high inflow of
patients

9
What is the frequency of usage application?

Immediate benefit- In traditional system, With cloud,

high availability frequency of frequency of
downtime was 2-4 downtime reduced to
times per month 2-3 timers per month

10
Here we are considering Hospital
Is the available software Information System (HIS)
● Current applications: TrakCare &
usable as it is or will Cognos
● Running on physical infrastructure in
customization be premise
required? ● Move to Azure or Office365

Customization will be required as both the

systems won’t be compatible

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What is the phase of the company? Is it a start-up or a
mature organization? Can it afford investments in IT?

Mature Organization
Well established chain of
hospitals in growing phase
and rapidly expanding its
IT Investments presence Affordability
● Cheaper ● Actual and expected
● Data centre: USD 1 reduction in expenses
mn (2013-14) were close
● Reduced to 300,000 in ● Better to invest the
2014-15 same amount in IT

Source: Table 1 12
How important is the application for the organization? Is the application
‘Mission Critical’?

01 02
Coordinated Treatment Process Improved Patient Safety
Easy flow of information between multiple A centralised database circumvents the risk
doctors for patients requiring multiple check of medical errors and helps keep tracks of
ups or cross speciality check ups ongoing treatments

Minimized Operational Expense

HIS reduces the hassle of maintaining
04 03 Improved Patient Experience
The HIS reduces the patients requirement of
multiple patient databases at different carrying medical documents for every check
hospitals and thereby employing up and provides a seamless experience
designated individuals to manage it

13
Do the government or
● Officially recognised as online
any statutory body information and data access or
mandate certain retrieval services under GST Act
(2017)
requirements? ● Government has also issued Personal
Data Protection Bill 2018

14
How mature is the vendor? Does the vendor guarantee
service in the future?
The Microsoft Azure cloud was released in 2008, and it was employed by Fortis in
2014 which gave this cloud solution 6 years to mature.
Yes, we can say that the vendor guarantees services in the future.
Fortis always looked for commitment and comprehensiveness in the range of the
services provided. Microsoft had significant engagements with Fortis, and were
working with them since a long time.
Moreover, they were as invested in the solution as Fortis was and not only
considered Fortis an important partner but were also equally concerned about
achieving success towards it’s business objectives.

15
How easy will it be for the company to switch away from
the vendor; especially if better solutions emerge?
If better solutions emerge, yes the company can make a transition as they did for
their existing software.
However, there should not be any lapse in the security offered and the existing
applications should be compatible with the new platform/solution.

16
Will technology from two or more vendors integrate with
each other?

1. Yes, technology from two or more vendors can be integrate with each other
2. Multicloud is the use of cloud services from more than one cloud vendor.
3. A multicloud solution is a cloud computing solution that's portable across
multiple cloud providers' cloud infrastructures.
4. Multicloud solutions are typically built on open-source, cloud-native
technologies, and is supported by all public cloud providers including Azure.

17
How secure is Public Cloud ?

Along with consistent

upgrades, public cloud With public cloud, you
providers also “crowdsource” gain an entire team of elite
the best security talent. security experts for a much
Has more up-to-date lower price
security features than
private networks

18
Does the vendor provide/assure desired performance ?

1. Speed of service
2. Enhanced flexibility
3. Integrated delivery pipeline
4. Disaster recovery
5. Security

19
THANKS!
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