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Confiden'al.	Copyright	Medigram@2017	
Saving	Lives	Through	Mobile,	Contextual	Informa'on
Confiden'al.	Copyright	Medigram@2017	
	 	 				Mobile	≠	Desktop		
		
Industry 4.0 Health IT Leader
Unlock the Mobile & IoT Gold Rush
August	4,	2017	
(ISC)2	East	Bay	Summer	Conference	
Cyber	Health,	Privacy,	and	Automa'on	
Track	6:	Sherri	Douville,	CEO	Medigram
Confiden'al.	Copyright	Medigram@2017	
How I Got Here Today
	
Interests:	
•  Lifelong	interest	in	healthcare	
•  Mobile	compu'ng	&	mobile	security	
•  Biophysics,	R	coding/#3	Big	Data/IoT	cer'ficates	
•  Video,	mobile	games	childhood	hobby	
•  10+	Yrs.	regulated	clinical	sales	with	J&J,	#12	disease	states/service	lines	
•  Strategic	business	advisor	
•  NorCal	HIMSS	Board:	Innova'on	Conference	2017	co-chair	&	board	
nomina'ng	commi_ee
Confiden'al.	Copyright	Medigram@2017	
Agenda:
Mobile Computing, Hospital Challenges, & Mobile Security
•  IoT	is	exci'ng,	more	work	to	do	
•  Mobile	challenges	in	hospitals	
•  Mobile	security	complexity	
•  How	to	Talk	to	Physician	execu'ves	
•  How	to	Engage	Your	Board
Confiden'al.	Copyright	Medigram@2017	
	
	
	 	 								
	 		
	 	Communica'on	Delay	=	Leading	Cause	of	Preventable	Death
Confiden'al.	Copyright	Medigram@2017	
Mobile: A New World
Confiden'al.	Copyright	Medigram@2017	
Newer Chips: Harder to Run Web/Sequential Software
Why Apps That Are “OK” at Home Don’t Work in Hospitals
-What’s wrong with 8 cores?
Confiden'al.	Copyright	Medigram@2017	
EMI/RFI/ISI Impact on Mobile Phone (& App) F(x)
Image	source:	Murata	
Will	Dr.	Collins	get	this	data?	
	
	
Phone	Drops	Signal	&	Slows	Performance		
	
SoAware	which	is	slow	elsewhere		
doesn’t	work	in	many	hospitals
Confiden'al.	Copyright	Medigram@2017	
Hospitals = Faraday Cage
Why Smartphones Are Hard in Hospitals
Nothing	gets	in	or	out	here!
Confiden'al.	Copyright	Medigram@2017	
CONNECTIVITY	WORSENS:	OLDER,	WEB,	&	CONSUMER	TECH	FAILING	
Apps	that	worked	two	years	ago	no	longer	work	in	hospitals
Confiden'al.	Copyright	Medigram@2017	
Where EMI Comes From –High Level
Confiden'al.	Copyright	Medigram@2017	
New Med Technologies
Create New Unexpected Sources of EMI/RFI
Confiden'al.	Copyright	Medigram@2017	
Mobile ≠ Desktop
App Crashes Due to Latency
Confiden'al.	Copyright	Medigram@2017	
2-second delay load = abandonment rates up to 87 percent
Latency Is Security Vulnerability
Confiden'al.	Copyright	Medigram@2017	
Saving Lives
Designing For Bad Connectivity & Low Latency
•  Guaranteed	NoTficaTons	
	
•  Always	know	if	the	message	
was	received	in	seconds
Confiden'al.	Copyright	Medigram@2017	
Combating Latency
Confiden'al.	Copyright	Medigram@2017	
Successful HIT & SV Jokes: Combating Latency
Confiden'al.	Copyright	Medigram@2017	
Network Security Necessary, Not Sufficient
Confiden'al.	Copyright	Medigram@2017	
	
	
Image	credit	IDG	
IT App Management Technique
Confiden'al.	Copyright	Medigram@2017	
Mobile: More Ways Into the Network
Confiden'al.	Copyright	Medigram@2017	
IoT No. 1 Exec Cyber Security Concern in Tech Pro Research
-80% of IoT applications not tested for vulnerabilities
Confiden'al.	Copyright	Medigram@2017	
Addressing	Compliance	&	Security
Confiden'al.	Copyright	Medigram@2017	
Unprecedented Complexity, Entry Points
Credit:	DHS	Study	on	Mobile	Device	Security
Confiden'al.	Copyright	Medigram@2017	
Mobile Computing Stack
Credit:	DHS	Study	on	Mobile	Device	Security
Confiden'al.	Copyright	Medigram@2017
Confiden'al.	Copyright	Medigram@2017	
What’s at Stake?
Confiden'al.	Copyright	Medigram@2017	
Homeland Hack: Will Life Imitate Art?
Confiden'al.	Copyright	Medigram@2017	
Mobile Security Management
MDM, MAM, EMM, IIC –What’s It Going to Be?
Credit:	Aberdeen	Research
Confiden'al.	Copyright	Medigram@2017	
Relating to Physician Leaders: Bring Data
Confiden'al.	Copyright	Medigram@2017	
Physician Leader Aspirations?
What’s Internal & What’s Not
?
Confiden'al.	Copyright	Medigram@2017	
Ask: What Are Key Clinical Service Lines?
Confiden'al.	Copyright	Medigram@2017	
Partnering With Your Board
Confiden'al.	Copyright	Medigram@2017
Confiden'al.	Copyright	Medigram@2017	
How to Talk to Your Board

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