THE IT&S 2015 ANNUAL REPORT

Modernizations
IT as a Service
(ITaaS)
The continued evolution of
public cloud services (IaaS,
PaaS, and SaaS) is causing
the IT industry to rethink its
core business and causing
us to ask questions: Is IT&S
in the business of running
data centers or running
applications? What is the
right mix for HCA? We must
determine when we do host
applications, when we have
others host for us, and when
we purchase a service. These
answers will eventually
lead us to retool some of
our employees away from
traditional hardware and
software roles to automation,
DevOps, and service broker
roles.
Patient
Engagement
Solutions
As HCA’s patient base
continues to require new
avenues for technological
engagement, we must
consider a broader spectrum
in defining how we deliver our
content. This strategy should
be all-inclusive, defining
standards and best practices
for mobile applications
(front-end and back-end
development), patient portal
customization, the physical
web, telehealth, wayfinding,
as well as enhanced audio/
video capabilities in patient
rooms, finding multiple ways
for patients to “connect” from
wherever they are.
Data Center
IT&S is at a tipping point
regarding the future of our
data centers with three major
factors currently influencing
our direction: First, our
traditional enterprise data
centers have the ability to
continue consolidation to
further reduce costs. Second,
the growing use of cloud
services will offset the need
for IT&S to host applications.
Third, many of the divisional/
facility data centers are facing
security, space, and power
constraints. IT&S will need
to find the right combination
of enterprise data centers,
cloud services, and microdata
centers (on premises or
colocation) to address these
changing dynamics.
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