Building the Hospital Concierge system of the Future in the Cloud

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1 Building the Hospital Concierge system of the Future in the Cloud S. P. T. Krishnan Ph.D. Sean Finnerty CISSP Principal Architect Executive Director USA: Herndon Philadelphia Los Angeles India: Hyderabad Pune Udaipur Bangalore

2 Agenda Hospital Concierge System Regulatory Standards Business Needs Baseline Benefits Technical Options PCI DSS Solution Architecture High-level GLBA HIPAA GDPR (Europe) Detailed Technical Details Components

3 Business Need - 1 / 3 Patients / Visitors using Nurse call button for non-medical requests Where is the nearest food court? What time is lunch? Can I have some ice chips? Nurse s valuable medical time is wasted which could otherwise be used to provide medical care to patients The hospital found that printed information sheet was not consulted OR The patients are not mobile/well enough to read the same Using voice to ask help/info was a natural way forward

4 Business Need - 2 / 3 Management wanted a automated way to track complaints & responsiveness know patients/visitors satisfaction with service quality How long did it take for a nurse to respond? Is there a correlation between requests/responses and rooms? Are the patients/visitors unhappy about something? Be proactive in reaching out to patients/visitors Give them a humane (using voice) way of reaching out

5 Business Need - 3 / 3 Explore a voice-enabled method of aiding nurses with medical readings 2nd channel to verify readings Eventually be the only method for patient readings We are Listening... Patient Privacy is highest priority and non-negotiable

6 Technical Options - Frontend On-prem user-facing endpoint options Raspberry Pi based DIY solution Amazon Echo Google Home Selected Amazon Echo and Alexa First to arrive in market Most feature rich Completed end-to-end developer and deployment ecosystem

7 Technical Options - Backend Hosting Options In-cloud or On-prem Using Managed Services Vs Build Our Own Desired Characteristics Autoscaling Pay-per-use PaaS Model; No fixed running cost Settled with Cloud. Which cloud? Amazon Web Services Google Cloud Platform Selected AWS as it is integrated with Alexa service.

8 Solution Architecture - High-level

9 Solution Architecture - Detailed

10 Solution Architecture - Detailed continues...

11 Frontend Components Amazon Echo Speech capture and transmission Alexa Skill registration Speech generation Alexa Skill Service Speech-to-Text conversion Skill parameter parsing Hosts Alexa Skill Executes Alexa Skill Invokes Skill backend

12 Backend Components All services used are Lambda: Managed execution environment DynamoDB: Managed NoSQL database service S3: Managed object storage service SNS: Managed , text notification service IAM: Managed Identity and AA service

13 Regulatory Standards Standards, Compliance

14 Using Cloud to Streamline Compliance The Baseline Benefits Speed Scalability Automated Security Layered Security Key Regulatory Standards PCI DSS GLBA HIPAA GDPR (Europe) Compliance needs Logging Control and data classification Redundancy Maintenance Out-of-box Encryption-at-rest Encryption-in-transit

15 Regulatory Compliance in AWS Products -scope/ reamline-compliance

16

17 Thank You! Do you have any questions? S. P. T. Krishnan Sean Finnerty REAN Cloud LLC 2201 Cooperative Way, Suite 302 Herndon, VA (844) 377- (7326)

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