[Applause]
good morning it's my pleasure to be here
this morning I want to thank AWS for
giving me time this morning to tell our
story of how we believe we can transform
how each of us manages our own health
and care so many of you probably don't
know who Cerner is but it's a high
likelihood that your doctor your health
care providers using a Cerner system or
the world's largest publicly traded pure
healthcare IT company in the world
our 26,000 associates help our clients
manage more than 27,000 facilities in 35
countries the problem is our market is
not sustainable healthcare costs are
approaching 20% of the GDP here in the
United States
it's outpacing the general economy and
there's few signs that it's actually
slowing down moreover our clients are
facing extreme pressure from declining
reimbursements aging populations
physician shortages all in an era where
they're being asked not only to
guarantee sort of the quality of their
outcome but the costs as well now we
believe technology holds the key to
being able to create sustainable models
for healthcare and to do that we believe
that we need to add a new layer to
healthcare focus not around the venue of
care but optimized around the unique
needs of each individual the ability to
create a lifetime relationship and then
match their unique needs to the
resources in their community
interestingly health care costs don't
just affect healthcare
it affects actually all segments society
who manage their constituents and so
we've been intentionally partnering in
each of these segments to understand
what are their challenges what are their
unique approaches and how would we bring
their data and efforts together in a
unified whole around the consumer so our
vision is use a new layer personalized
around healthcare I have a quick video
that shows how we believe this comes
together at a personal level for each of
us that I'd like to share with you now
the Cerner healthy intent platform
enables you to manage the health of a
population one person at a time
aggregating and normalizing data from a
broad set of sources including EHRs
claims and personal data to create a
consolidated longitudinal record for
each person healthy intent identifies a
member of a target population and
applies intelligence to assemble a
personalized plan for their health and
care from a catalog of evidence-based
strategies for managing a particular
objective intelligence suggests how
conditions should be managed across the
continuum recognizes gaps in care and
proposes steps to resolve them how the
intent continuously monitors for new
information creating unexpected value
like personalized just-in-time reminders
frictionless programmable and
instinctive to health care needs healthy
intent supports a care teams ability to
take the right action at the right time
every time
now while the video focuses very much on
the life of an individual and sort of
the care protocols
the reality is studies show that 70 to
80 percent of our health outcomes and
the cost is related to social behavioral
and environmental factors not the
treatment plan and what this means to us
is we must needs we must learn to engage
the individual in their daily lives not
just help them manage their condition
and we think the secret to that is
actually to interact and engage on a
daily basis to understand that Jane's
not only a patient but she's a mother
she's a wife she's a caregiver she's a
working professional and she's trying to
manage all of this on the go in her busy
lifestyle so how do we bring all that
together we see the system working in
three stages the first is the ability to
aggregate information around Jane from
all aspects of her life not just
clinical and
Anne Shiell but consumer devices
environmental social where does she work
what's her access to transportation does
she have a social support system how do
we create then and apply the best
available knowledge to not only
understand Jane's unique needs but how
do we measure match her to the best
available resources in her community the
best thing I could give Jane may not be
another provider and it may not be
another medication maybe access to
transportation or healthy food is the
number one things we can provide and
then the third is to take that and
direct and coordinate those actions in
an open ecosystem of partners to make
sure those activities are occurring and
producing the desired outcome and what
this does for us is how do we create a
personalized plan of health for each
person now that's a bold and expansive
vision and not something we can
accomplish solely a Cerner but we need
an entire industry rallied around a
common vision and it's one of the
reasons we chose AWS so there there's
many reasons we were attracted to AWS
being a long time sort of observer but
for reasons really come to mind that
drove our decision-making the first was
really the breadth of services they
offer it actually sped our ability to
deliver our vision gave us access to new
technologies and I'd like to say it let
us do what we do well which was no
healthcare the second was to prove an
ability to scale to the size of the
healthcare industry at 20% of the GDP
healthcare is enormous and we needed
partners who had proven abilities to
manage that size complexity of data
the third was really it give us a
consistent and cost-effective way to
reach around the globe to all of our
customers not just in the United States
but anywhere in the world and then
finally as we think about crossing
industry boundaries AWS actually
provided a perfect meeting place for
innovators collaborators across
industries to come together to solve
healthcare
doing this quickly where we at today we
have an enormous amount of data we have
data on about 150 million people that
represents about 10 petabytes processing
about a hundred and ten thousand times a
day we have launched global locations in
not only Canada and Australia and as
well as the US and are actively moving
around the globe and we're actively
integrating with various innovators not
only in our industry but in consumer
devices life sciences and research to
give you a feeling of how this has been
transformative to us the pace and sort
of effectiveness our vision is limited
only by our ability to create the
intelligence that powers it and so what
we did was partner with AWS using their
elastic ecosystem and their ml services
be a sage maker combined with our
longitudinal data and healthcare
knowledge and we're able to reduce the
time it takes us and the cost to create
a new intelligence model by more than
80% what this ecosystem lets us do and
what's our data scientists and partners
do is actually query healthcare
information in de-identified data sets
transform it to be intelligent ready
create those complex models and
algorithms as well as validate their
findings all in a single environment
like many of you we're early in our
journey with Amazon but we're on the
cusp of something extremely exciting
we started with today's business
problems and with the help of our AWS
team were quickly able to prove out a
few use cases the first is we proved
even at the size of our cloud we could
create a fully redundant copy of our
cloud on demand significantly reducing
our upfront capital costs we've been
able to launch Canada and Australia
reducing our time to market dramatically
while matching the cost of that to the
size of our clients in those markets and
the last is we've created a robust
ecosystem that powers
our next generations of solutions so as
we look forward what's in our near-term
windshield and horizon is expanded use
of the AWS services not only to speed
our vision but to actually increase
developer agility we're looking at
production workflows mostly under the
guise of how do we get to much more
effective continuous delivery safely and
securely and then realization of the
partner ecosystem so to kind of close
this out we we have a bold vision for
how do we put the person at the center
of their healthcare with the ability to
bring all the resources of their
community together from industries not
only health care but industries that
you're working in as well we don't
believe access to technology is no
longer the barrier I think we're
squarely in the area of implied
intelligence and if you actually
interact with consumers directly I
believe you have an active role to play
and how we transform healthcare delivery
making sure each of us have the tools we
need to manage our health and care thank
you for your time
[Applause]
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