Cloud Computing and Your Future. Steve McEvoy UNC Webinar July 12 th, 2013

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1 Cloud Computing and Your Future Steve McEvoy UNC Webinar July 12 th, 2013

2 Goals To discuss technology in a way that might actually be useful to you in your future Practice Talk will be available online for download (early next week) so you don t have to take notes

3 The Cloud

4 Wikipedia says: Cloud Computing Cloud computing is the delivery of computing as a service rather than a product, whereby shared resources, software, and information are provided to computers and other devices as a metered service over a network (typically the Internet)

5 Cloud Computing What do you think it is?

6 In-House Server Server Files/Images Backups Databases Office Network Firewall

7 Hosted Computing Off Site Server Firewall Office Network

8 Cloud Computing Your Data Your Applications Firewall Office Network

9 Hosted Computing Off Site Server Data Center Firewall Office Network

10 The Cloud The industries current favorite Buzzword Has Momentum Evolving fast

11 What s in a Name? The Cloud As in My Backup is in the Cloud Cloud Computing As in We don t have a Server, all that work is done using Cloud Computing Cloud Apps As in I use a Cloud App for my

12 Cloud Computing The Hype is exciting, but does any of it really matter to the Orthodontist? Technology yum

13 What can the Cloud do for You? Practices are constantly looking for ways to improve themselves Improving your IT is part of that process Most would prefer to develop their expertise in Orthodontic matters rather than IT Outsourcing

14 Cloud Promises

15 Cheaper, Faster, Easier It s the Internet right, everything should be simple, fast and free! Well if not free, should save money and/or improve performance Should be simple to learn and use

16 Software Maintenance Reduce costs by having someone else tasked to maintain the software, licensing, Servers, backups, etc. Trained Experts doing it is probably better than self taught in house expert

17 Always on Latest Version Good to have the latest versions of the apps you use everyday Reduce cost by not having to apply updates with internal resources Reduced hassle factor Or is it Improved Happy Factor?

18 Best Practices Setting up and maintaining your software following the best practices Likely to have a better overall result than your own IT having to figure it out and keep up

19 Hardware Done Better It would be difficult and costly to implement the highly redundant and secure setup of the Cloud within your own Practice (no downtime goal) It should be expected that performance will always be better than minimum and kept current

20 Typical In House Hardware Cable Modem Router Storage Server

21 Doing it Cloud Style ISP ISP Router Switch Storage Server Storage Server

22 Security Security of your Data should be paramount Better than your in-house practices Locked in a fortress on top of a mountain surrounded by tall walls And a moat Filled with Angry Alligators

23 Secure in the Cloud

24 Backup Done Right Backup of your data should be done better than your Practice is likely doing on its own. Let an expert: Know exactly what to backup Back it up frequently Verify it frequently

25 Disaster Recovery Moving to the Cloud is a Disaster Recovery plan (in Advance!) What would you do in the event of a Fire/Theft/Flood? Using the Cloud you should be able to just get another PC anywhere and get on the Internet somehow and be back in business.

26 Extending Life Get more life out of your existing PCs Processing power is in the Cloud, so your local PCs performance isn t as important anymore If you normally get 5 years of life from a PC, you might be able to get 7 now. Equates to lower annual equipment costs

27 Less Expensive PCs When you do need to replace a PC, it doesn t need to be anything special Simpler PC = Cheaper PC

28 Simpler PC Savings Feature Traditional Cloud Savings Model Optiplex 7010 Optiplex 3010 $ 14 Windows Pro Home $ 21 Processor i5 i3 $ 50 Memory 8GB 4GB $ 55 Video 1GB Basic $ 80 Warranty NBD Pro NBD Basic $ 36 MS Office Business Ed Starter $ 173 Total $916 $487 $ 429 You could save about $429 per PC if buying with the Cloud in mind Simpler to setup too!

29 Eliminate the Server Traditional Office Server Redundant Disks Holds all the data Has the backup Has power protection Has software licensing Needs a geek Files/Images Backups Server Databases

30 Eliminate the Server Most expensive part of your Network Just parts and licensing are over $10K Geek is another $2K Capital Intensive 5 year lifespan Dell Server $5,000 UPS $500 Backup System $1,600 SQL 2012 $944 SQL Users $2,187 Server CALs $167 $10,398

31 Work from Anywhere! Doesn t matter where you access it from, works the same. Great for Multi-office Practices Reduce the complexity of your office network Great for working from Home Improve your quality of life by spending less time at the office Even while at a study club or meeting No complicated process to take a case along

32 Freedom of Choice Choose whether to run on Mac or PC PCs are generally cheaper Much more prevalent in Dental Specialties Mac s are pretty And cost a pretty penny!

33 Cloud Options

34 Your Cloud Options For Practice Management and Imaging Ortho2 Edge Cloud 9 Ortho Dolphin Anywhere Orthotrac Cloud others coming along

35 Skinning the Cat Each has taken a different approach Does it matter? A Porsche and Prius both have 4 wheels and get you places. Each is unique and yet accomplishes the basic goals. Consider each on how they meet the promises we discussed and your priorities

36 Cost Savings Knowing if it will save you money need a thorough consideration of you costs No two Practices are the same Some situations are a no brainer, and some are a no way. Lets do an example that you could adapt

37 Assumptions The life of a PC or Server is 5yrs We ll use PCs for the hardware Printers, Scanners, etc will be the same either way so can be ignored An IT person costs $155 per hour

38 Assumptions The Network will have 11 PCs 2 Reception 1 Sign-In 1 Consult 1 Finance/Admin 1 Records 1 Doctor 4 Chairs

39 Server Cost Savings No big expensive Server Saves Initial Capital Investment $10,328 in hardware and software $2,000 in Labor to implement Totals $12,328 for 5 years = $207 /mo Saves on Ongoing Server Maintenance Assuming 1 hour per month of IT guy $155/mo Dell Server $5,000 UPS $500 Backup System $1,600 SQL 2012 $944 SQL Users $2,187 Server CALs $167 $10,398

40 Workstation Cost Savings Being able to buy the more basic PCs Saves Initial Capital Investment $429 per PC for the hardware Simpler to setup saves 1 hr = $155 ea $6,424 total for 11 PCs $108 per month total Reduced ongoing Support Feature Traditional Cloud Savings Model Optiplex 7010 Optiplex 3010 $ 14 Windows Pro Home $ 21 Processor i5 i3 $ 50 Memory 8GB 4GB $ 55 Video 1GB Basic $ 80 Warranty NBD Pro NBD Basic $ 36 MS Office Business Ed Starter $ 173 Total $916 $487 $ less mins per month per PC = $142 per mo

41 Other Costs Internet Backup Assume 50GB less of Data = ~$50 per month Internet Connection A wash for your primary connection, you d have one either way Add an additional Cost of $50 per month for a secondary service (if you feel you need one)

42 Other Savings Didn t account for extra savings from: Sales Tax Shipping Financing/Money Costs Less Hassle Factor = $??? per month Happier Staff = Priceless

43 Total Savings Expense Capital Annual Monthly Server Hardware/Software $ 10,398 $ 2,080 $ 173 Server Setup Labor $ 2,000 $ 400 $ 33 Reduced Server Support $ 1,860 $ 155 Simpler PCs (11 of them) $ 4,719 $ 944 $ 79 Simpler to Setup PC (11) $ 1,705 $ 341 $ 28 Reduced Workstation Support $ 1,705 $ 142 Internet Backup $ 50 $ 18,822 $ 7,329 $ 661

44 Multi-Office can Save More No additional Terminal Server Perhaps $6K with setup No need for Terminal Server Licensing $80 per remote user one time fee No need for expensive T1 lines to link the offices Can cost $600 per month per link

45 Solutions Comes Standard With Peace of Mind that others are focused on: Security Backup Monitoring Updates More Time Leaves you with more time to use for other things

46 Is it Right for Your Future? Crappy Internet? No (for any Cloud option) If I was building a new Practice Yes (start with a clean slate) If I was a new Grad Yes (no capital required) If I was multi location Probably (model for the answer, and most certainly a yes if you have T1 lines)

47 Is it Right for You? If I had an existing network 4+ yrs old Maybe (model for the answer) If I had a new network already Probably not till next time (but model to be sure) If I was frustrated with my network or IT Probably (to reduce the frustration)

48 Final Thought Choosing a Practice Management Solution is a Religious Decision You will live with it a long time Once you ve picked the best tool for your Practice then put in the proper network to support it. Don t choose Mac or Cloud first

49 MME s Blog blog.mmeconsulting.com

50 AAO Technology Blog AAOTechBlog.com

51 Thank You! Presentation Online at

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