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Shanthi Vigneshwaran, FDA | CUBE Conversation, June 2020


 

>> Narrator: From theCUBE studios in Palo Alto in Boston, connecting with thought leaders all around the world, this is a cube conversation. >> Everyone welcome to this cube conversation here in the Palo Alto cube studios. I'm John Furrier your host of theCUBE, with a great guest here, Shanthi Vigneshwaran, who is with the Office of Strategic programs in the Center for Drug Evaluation and Research within the US Food and Drug Administration, FDA, is the Informatica Intelligent Disrupter of the Year award. Congratulations, Shanthi welcome to this cube conversation. Thanks for joining me. >> Thank you for having me. >> Congratulations on being the Informatica Intelligent Disrupter of the year award. Tell us more about the organization. I see FDA everyone's probably concerned these days making sure things going faster and faster, more complex, more things are happening. Tell us about your organization and what you work on. >> FDA is huge, our organization is Center for Drug Evaluation research. And its core mission is to promote public health by ensuring the availability of safety and effective drugs. For example any drugs you go and buy it in the pharmacy today, Our administration helps in trying to approve them and make sure it's so in term of quality and integrity of the marketed products in the industry. My office is specifically Office of strategic programs whose mission is to transform the drug regulatory operations with the customer focus through analytics and informatics. They work towards the advancement for the CDERs public health mission. >> What are some of the objectives that you guys have? What are some things you guys have as your core top objectives of the CDER, the drug research group? >> The core objectives is we wanted to make sure that we are promoting a safe use of the marketed drugs. We want to make sure there's the availability of the drugs that are going to the patients are effective. And also the quality of the drugs that are being marketed are able to protect public health. >> What are some of the challenges that you guys have to take in managing the pharmaceutical safety, because I can only imagine certainly now that supply chains, tracing, monitoring, drug efficacy, safety, all these things are happening. What are some of the challenges in doing all this? >> In our office there are challenges in three different areas. One is the drug regulation challenges because as drugs are being more advanced and as there are more increasingly complex products, and there are challenging in the development area of the drugs, we wanted to make sure here we have a regulation that supports any advancement in science and technology. The other thing is also Congress is actually given new authorities and roles for the FDA to act. For example the Drug Quality and Security Act, which means any drug that's they want to track and trace all the drugs that goes to the public is they know who are the distributors, who are the manufacturers. Then you have the 21st Century Cures Act, and also the CARES Act package which was recently assigned, which also has a lot of the OTC drug regulatory modernization. Then there's also the area of globalization because just as disease don't have any borders, Product safety and quality are no longer on one country. It's basically a lot of the drugs that are being manufactured are overseas and as a result we wanted to make sure there are 300 US ports. And we want to make sure the FDA regulated shipments are coming through correctly to proper venues and everything is done correctly. Those are some the challenges we have to deal with. >> So much going on a lot of moving purchase as people say, there's always drug shortages, always demand, knowing that and tracking it. I can only imagine the world you're living in because you got to be innovative, got to be fast, got to be cutting edge, got to get the quality right. Data is super critical. And can you share take a minute to explain some of the data challenges you have to address and how you did that. Because I mean I could almost just my mind's blown just thinking about how you live it every day. Can you just share some of those challenges that you had to address and how did you do? >> Some of the key challenges we actually see is we have roughly 170,000 regulatory submissions per year. There are roughly 88,000 firm registration and product listing that comes to us, and then there are more than 2 million adverse event reports. So with all these data submissions and organization as such as us we need it, we have multiple systems where this data is acquired and each has its own criteria for validating the data. Adding to it are internal and external stakeholders also want certain rules and the way the data is being identified. So we wanted to make sure there is a robust MDM framework to make sure to cleanse and enrich and standardize the data. So that it basically make sure the trust and the availability and the consistent of the data, is being supplied to published to the CDER regulatory data users. >> You guys are dealing with- >> Otherwise like it's almost to give them a 360 degree view of the drug development lifecycle. Through each of the different phases, both pre market which is before the drug hits the market, and then after it hits the market. We still want to make sure the data we receive still supports a regulatory review and decision making process. >> Yeah, and you got to deliver a consumer product to get people at the right time. All these things have to happen, and you can see it clearly the impacts everyday life. I got to ask you that the database question 'cause the database geek inside of me is just going okay. I can only imagine the silos and the different systems and the codes, because data silos is big document. We've been reporting on this on theCUBE for a long time around, making data available automation. All these things have to happen if there's data availability. Can you just take one more minute talk about some of the challenges there because you got to break down the silos at the same time you really can't replace them. >> That's true. What we did was we did leave it more of us I mean, step back like seven years ago, when we did the data management. We had like a lot of silo systems as well. And we wanted to look at we wanted to establish a, we knew we wanted to establish a master data management. So we took a little bit more of a strategic vision. And so what we ended up saying is identifying what are the key areas of the domain that will give us some kind of a relationship. What are the key areas that will give us the 360 degree lifecycle? So that's what we did. We identified the domains. And then we took a step back and said and then we looked at what is the first domain we wanted to tackle. Because we know what are these domains are going to be. And then we were like, okay, let's take a step back and say which is the domain we do it first that will give us the most return on investment, which will make people actually look at it and say, hey, this makes sense. This data is good. So that's what we ended up looking at. We looked at it as at both ends. One is from a end user perspective. Which is the one they get the benefit out of and also from a data silo perspective which is the one data domains that are common, where there's duplication that we can consolidate. >> So that's good. You did the work up front. That's critical knowing what you want to do and get out of it. What were some of the benefits you guys got out of it. From an IT standpoint, how does that translate to the business benefits? And what was achieved? >> I think the benefits we got from the IT standpoint was a lot of the deduplication was not theirs. Which basically means like a lot of the legacy systems and all of the manual data quality work we had to do we automated it. We had bots, we also had other automation process that we actually put into work with Informatica, that actually helped us to make sure it's the cost of it actually went for us considerably. For example it used to take us three days to process submissions. Now it takes us less than 24 hours to do it, for the users to see the data. So it was a little bit more, we saw the, we wanted to look at what are the low hanging fruits where it's labor intensive and how can we improve it. That's how we acted there. >> What are some of the things that you're experiencing? I mean, like, we look back at what it was before, where it is now? Is it more agility, you more responsive to the changes? Was it an aspirin? Was it a complete transformation? Was some pain reduced? Can you share just some color commentary on kind of before the way it was before and then what you're experiencing now? >> So for us, I think before, we didn't know where the for us, I mean, I wouldn't say we didn't know it, when we have the data, we looked at product and it was just product. We looked at manufactured they were all in separate silos. But when we did the MDM domain, we were able to look at the relationship. And it was very interesting to see the relationship because we now are able to say is. for example, if there is a drug shortage during due to hurricane, with the data we have, we can narrow down and say, Hey, this area is going to be affected which means these are the manufacturing facilities in that area , that are going to be not be able to function or impacted by it. We can get to the place where the hurricane tracks we use the National Weather Service data, but it helps us to narrow down some of the challenges and we can able to predict where the next risk is going to be. >> And then before the old model, there was either a blind spot or you were ad hoc, probably right? Probably didn't have that with you. >> Yeah, before you were either blind or you're doing in a more of a reactionary not proactively. Now we are able to do a little bit more proactively. And even with I mean drug shortages and drug supply chain are the biggest benefit we saw with this model. Because, for us the drug supply chain means linking the pre and post market phases that lets us know if there's a trigger and the adverse events, we actually can go back to the pre market side and see where the traceability is who's at that truck. What are all the different things that was going on. >> This is one of the common threats I see in innovation where people look at the business model and data and look at it as a competitive advantage, in this case proactivity on using data to make decisions before things happen, less reactivity. So that increases time. I mean, that would probably you're saying, and you get there faster, if you can see it, understand it, and impact the workflows involved. This is a major part of the data innovation that's going on and you starting to see new kinds of data whereas has come out. So again, starting to see a real new changeover to scaling up this kind of concept almost foundationally. What's your thoughts just as someone who's a practitioner in the industry as you start to get this kind of feelings and seeing the benefits? What's next, what do you see happening because you haven't success. How do you scale it? What how do you guys look at that? >> I think our next is we have the domains and we actually have the practices that we work. We look at it as it's basically data always just changes. So we look at is like what are some of the ways that we can improve the data? How can we take it to the next level. Because now they talk about power. They are also warehouse data lakes. So we want to see is how can we take these domains and get that relationship or get that linkages when there is a bigger set of data that's available for us. What can we use that and it actually we think there are other use cases we wanted to explore and see what is the benefit that we can get a little bit more on the predictability to do like post market surveillance or like to look at like safety signals and other things to see what are the quick things that we can use for the business operations. >> It's really a lot more fun. You're in there using the data. You're seeing the benefits and real. This is what clouds all about the data clouds here. It's scaling. Super fun to talk about and excited. When you see the impacts in real time, not waiting for later. So congratulations. You guys have been selected and you receive recognition from Informatica as the 2020, Intelligent Disrupter of the year. congratulations. What does that mean for your organization? >> I think we were super excited about it. But one thing I can say is when we embarked on this work, like seven years ago, or so, problem was like we were trying to identify and develop new scientific methods to improve the quality of our drugs to get that 360 degree view of the drug development lifecycle. The program today enables FDA CDER to capture all the granular details of data we need for the regulatory data. It helps us to support the informed decisions that we have to make in real time sometimes or and also to make sure when there's an emergency, we are able to respond with a quick look at the data to say like, hey this is what we need to do. It also helps the teams. It recognizes all the hard work. And the hours we put into establishing the program and it helped to build the awareness within FDA and also with the industry of our political master data management is. >> It's a great reward to see the fruits of the labor and good decision making I'm sure it was a lot of hard work. For folks out there watching, who are also kind of grinding away in some cases, some cases moving faster. You guys are epitome of a supply chain that's super critical. And speed is critical. Quality is critical. A lot of days critical. A lot of businesses are starting to feel this as part of an integrated data strategy. And I'm a big proponent. I think you guys have have a great example of this. What advice would you have for other practitioners because you got data scientists, but yet data engineers now who are trying to architect and create scale, and programmability, and automation, and you got the scientists in the the front lines coming together and they all feed into applications. So it's kind of a new things go on. Your advice to folks out there, on how to do this, how to do it right, the learnings, share. >> I think the key thing I, at least for my learning experience was, it's not within one year you're going to accomplish it, It's kind of we have to be very patient. And it's a long road. If you make mistakes, you will have to go back and reassess. Even with us, with all the work we did, we almost went back a couple of the domains because we thought like, hey, there are additional use cases how this can be helpful. There are additional, for example, we went with the supply chain, but then now we go back and look at it and say like, hy, there may be other things that we can use with the supply chain not just with this data, can we expand it? How can we look at the study data or other information so that's what we try to do. It's not like you're done with MDM and that is it. Your domain is complete. It's almost like you look at it and it creates a web and you need to look at each domain and you want to come back to it and see how it is you have to go. But the starting point is you need to establish what are your key domains. That will actually drive your vision for the next four or five years. You can't just do bottom up, it's more of like a top down approach. >> That's great. That's great the insight. And again, it's never done. I mean, it's data is coming. It's not going away. It's going to be integrated. It's going to be shared. You got to scale it up. A lot of hard work. >> Yeah. >> Shanthi thank you so much for the insight. Congratulations on your receiving the Disrupter of the Year Award winner for Informatica. congratulations. Intelligence >> Yeah, thank you very much for having me. Thank you. >> Thank you for sharing, Shanthi Vigneshswaran is here, Office of Strategic programs at the Center for Drug Evaluation and Research with the US FDA. Thanks for joining us, I'm John Furrier for theCUBE. Thanks for watching. (soft music)

Published Date : Jun 23 2020

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leaders all around the world, of the Year award. Disrupter of the year award. and integrity of the marketed of the drugs that are going What are some of the all the drugs that goes to the public of the data challenges you have to address and the way the data is being identified. of the drug development lifecycle. of the challenges there because you got What are the key areas that will give us You did the work up front. and all of the manual data quality work of the challenges and or you were ad hoc, probably right? and the adverse events, and seeing the benefits? on the predictability to do Disrupter of the year. And the hours we put into of the labor and good decision making couple of the domains That's great the insight. the Disrupter of the Year Yeah, thank you very at the Center for Drug

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Vikas Ratna and James Leach, Cisco


 

>>Mm. >>Welcome back to the Cube. Special presentation. Simplifying Hybrid Cloud Brought to You by Cisco We're here with Vegas Rattana, who's the director of product management for you? CSS Cisco and James Leach, who was director of business development at Cisco. Gents, welcome back to the Cube. Good to see you again. >>Hey, thanks for having us. >>Okay, Jim, let's start. We know that when it comes to navigating a transition to hybrid cloud, it's a complicated situation for a lot of customers and as organisations that they hit the pavement for their hybrid cloud journeys, one of the most common challenges that they face. What are they telling you? How is Cisco specifically UCS helping them deal with these problems? >>Well, you know, first, I think that's a That's a great question. And, you know, the customer centric view is is the way that we've taken. Um, it's kind of the approach we've taken from Day one, right? So I think that if you look at the challenges that we're solving for their customers are facing, you could break them into just a few kind of broader buckets. The first would definitely be applications, right? That's the That's where the rubber meets your proverbial road. Um, with the customer. And I would say that you know, what we're seeing is the challenges customers are facing within applications come from the way that applications have evolved. So what we're seeing now is more data centric applications. For example, um, those require that we are able to move, um, and process large datasets really in real time. Um, and the other aspect of application, I think, to give our customers kind of some pose some challenges would be around the fact that they're changing so quickly. So the application that exists today or the day that they make a purchase of infrastructure to be able to support that application. That application is most likely changing so much more rapidly than the infrastructure can't keep up with today. So, um, that creates some some challenges around. How do I build the infrastructure? How do I write? Size it without over provisioning, for example. But also there's a need for some flexibility around life cycle and planting those purchase cycles based on the life cycle of the different hardware elements and within the infrastructure, which I think is the second bucket of challenges. We see customers who are being forced to move away from the like a modular or blade approach, which offers a lot of operational and consolidation benefits. And they have to move to something like, um, Iraq server model for some applications because of these needs that these data centric applications have. And that creates a lot of opportunity for silo going. The infrastructure and those silos, in turn, create multiple operating models within the A data centre environment that, you know, again drive a lot of complexity. So that complexity is definitely the the enemy here. Um, and then finally, I think life cycles. We're seeing this democratisation of of processing, if you will, right, so it's no longer just CPU focus. We have GPU. We have F p g A. We have things that are being done in storage and the fabrics that stitch them together that are all changing rapidly and have very different life cycles. So when those life cycles don't align for a lot of our customers, they see a challenge in how they can can manage this these different life cycles and still make a purchase without having to make too big of a compromise in one area or another because of the misalignment of life cycles. So that is a kind of the other bucket. And then finally, I think management is huge, right? So management at its core is really right size for for our customers and give them the most value when it when it meets the mark around scale and scope. Um, back in 2000 and nine, we weren't meeting that mark in the industry and UCS came about and took management outside the chassis, right? We put at the top of the rack, and that works great for the scale and scope we needed at that time. However, as things have changed, we're seeing a very new scale and scope needed, Right? So we're talking about hybrid cloud world that has to manage across data centres across clouds. And, um, you know, having to stitch things together for some of our customers poses a huge challenge. So there are tools for all of those those operational pieces that that touched the application that touched the infrastructure. But they're not the same tool. They tend to be, um, disparate tools that have to be put together. So our customers, you know, don't really enjoy being in the business of building their own tools. So, um, so that creates a huge challenge. And one where I think that they really crave that full hybrid cloud stack that has that application visibility but also can reach down into the infrastructure. >>Right? You know, Jim, I said in my my Open that you guys, Cisco sort of changed the server game with the original UCS. But the X Series is the next generation, the generation of the next decade, which is really important cause you touched on a lot of things. These data intensive workloads, alternative processors to sort of meet those needs. The whole cloud operating model and hybrid cloud has really changed. So how's it going with the X Series? You made a big splash last year. What's the reception been in the field? >>Actually, it's been great. Um, you know, we're finding that customers can absolutely relate to our UCS X series story. Um, I think that the main reason they relate to it as they helped create it, right, it was their feedback and their partnership that they gave us Really, those problem areas, those, uh, those areas that we could solve for the customer that actually add significant value. So, you know, since we brought you see s to market back in 2000 and nine, we had this unique architectural, um uh, paradigm that we created. And I think that created a product which was the fastest in Cisco history. Um, in terms of growth, Um, what we're seeing now is X series is actually on a faster trajectory. So we're seeing a tremendous amount of uptake. We're seeing, uh, both in terms of the number of customers. But also, more importantly, the number of workloads that our customers are using and the types of workloads are growing. Right? So we're growing this modular segment that exists not just, um, you know, bringing customers onto a new product, But we're actually bringing them into the product in the way that we had envisioned, which is one infrastructure that can run any application and do it seamlessly. So we're really excited to be growing this modular segment. Um, I think the other piece, you know that, you know, we judge ourselves is, you know, sort of not just within Cisco, but also within the industry and I think right now is a You know, a great example. Our competitors have taken kind of swings and misses over the past five years at this, um, at a kind of a new next architecture, and we're seeing a tremendous amount of growth even faster than any any of our competitors have seen. When they announced something, um, that was new to this space. So I think that the ground up work that we did is really paying off. Um, and I think that what we're also seeing is it's not really a leapfrog game, Um, as it may have been in the past, Um, X series is out in front today, and we're extending that lead with some of the new features and capabilities we have. So we're delivering on the story that's already been resonating with customers, and we're pretty excited that we're seeing the results as well. So as our competitors hit walls, I think we're you know, we're executing on the plan that we laid out back in June when we launched that series to the world. And, uh, you know, as we as we continue to do that, um, we're seeing, you know, again tremendous uptake from our customers. >>So thank you for that, Jim. So viscous. I was just on Twitter just today, actually talking about the gravitational pull. You've got the public clouds pulling C x o is one way. And you know I'm Prem folks pulling the other way and hybrid cloud So organisations are struggling with a lot of different systems and architectures and and ways to do things. And I said that what they're trying to do is abstract all that complexity away, and they need infrastructure to support that. And I think your stated aim is really to try to help with that with that confusion with the X series. Right? So how so? Can you explain that? >>Sure. And and and that's the right, Uh, the context that you built up right there, Dave, if you walk into Enterprise Data Centre, you see platform of computer systems spread all across because every application has its unique needs. And hence you find Dr Note Driving system memory system, computing system, coordinate system and a variety of farm factors. When you do, you, for you and every one of them typically come with a variety of adapters and cables and so forth Just create silence of resources. Fabric is broad. The actress brought the power and cooling implications the rack, you know, the space challenges and above all, the multiple management plane that they come of it, which makes it very difficult for I t to have one common centre policy and enforce it all across across the firmware and software and so forth and then think about the great challenges of the baroness makes it even more complex as these go through the great references of their own. As a result, we observe quite a few of our customers. Uh, you know, really, uh, seeing Anna slowness in that agility and high burden, uh, in the cost of overall ownership, this is where the X rays powered by inter side. We have one simple goal. We want to make sure our customers get out of that complexities. They become more Asyl and drive lower tco and we are delivering it by doing three things. Three aspects of simplification first simplify their whole infrastructure by enabling them to run their entire workload on single infrastructure and infrastructure, which removes the narrowness of fun factor and infrastructure which reduces direct from footprint that is required infrastructure were power and cooling better served in the Lord. Second, we want to simplify it with by delivering a cloud operating model where they can create the policy ones across compute network stories and deployed all across. And third, we want to take away the pain they have by simplifying the process of upgrade and any platform evolution that they are going to go through the next 23 years. So that's where the focus is on just driving down the simplicity lowering down there. >>That's key. Less friction is is always a good thing now, of course, because we heard from the hyper flex guys earlier, they had news. Not to be outdone, you have hard news as well. What innovations are you announcing around X series today? >>Absolutely. So we are following up on the excited, exciting extras announcement that we made in June last year. Day and we are now introducing three innovation on experience with the bowl of three things First, expand the supported World War and extra days. Second, take the performance to new levels. Third dramatically reduced the complex cities in the data centre by driving down the number of adapters and cables. To that end, three new innovations are coming in. First, we are introducing the support for the GPU note using a cable list and very unique X fabric architecture. This is the most elegant design to add the GPS to the compute note in the model of form factor thereby, our customers can now power in AML workload on any workload that needs many more number of GPS. Second, we are bringing in GPS right onto the computer note and thereby the our customers can now fire up the accelerated video upload, for example, and turf, which is what you know we are extremely proud about, is we are innovating again by introducing the fifth generation of our very popular unified fabric technology with the increased bandwidth that it brings in, coupled with the local drive capacity and density is that we have on the computer note our customers can now fire up the big data workloads the F C I work. Lord, uh, the FDA has worked with all these workloads that have historically not lived in the model of form. Factor can be run over there and benefit from the architectural benefits that we have. Second, with the announcement of fifth generation fabric, we become the only vendor to now finally enable 100 gig and two and single board banned word and the multiple of those that are coming in there. And we are working very closely with our partners to deliver the benefit of these performance through our Cisco validated design to oversee a franchise. And third, the innovations in, uh, in the in the fifth and public again allow our customers to have fewer physical adapters, made the Internet adapter made with our general doctors or maybe the other stories adapters. They reduced it down and coupled with the reduction in the cable so very, very excited about these three big announcements that we're making in this part of the great >>A lot There. You guys have been busy. So thank you for that. Because so, Jim, you talked a little bit about the momentum that you have. Customers are adopting. What problems are they telling you that X series addresses and and how do they align with where where they want to go in the future? >>Um, that's a great question. I think if you go back to um and think about some of the things that we mentioned before. Um, in terms of the problems that we originally set out to solve, we're seeing a lot of traction. So what the cost mentioned, I think, is really important, right? Those pieces that we just announced really enhanced that story and really move again to kind of to the next level of, of taking advantage of some of these problem solving for our customers. You know, if you look, you know, I think the cost mentioned accelerated VD. That's a great example. Um, these are where customers you know, they need to have this dense compute. They need video acceleration, they need type policy management, right. And they need to be able to deploy these, um, these systems anywhere in the world. Well, that's exactly what we're hitting on here with X series right now, we're hitting the mark in every every single way, right? We have the highest compute config density that we can offer across the, you know, the very top end configurations of CPUs. Um, and a lot of room to grow. Um, we have the the premier cloud based management. You know, hybrid cloud suite. Um uh, in the industry. Right. So check there. We have the flexible GPU accelerators that that the cost just talked about that we're announcing both on the system and also adding additional ones to the through the use of the X fabric, which is really, really critical to this launch as well. And, uh, you know, I think finally, the fifth generation of fabric interconnect and virtual interface card, um, and an intelligent fabric module go hand in hand in creating this 100 gig and end bandwidth story that we can move a lot of data again. You know, having all this performance is only as good as what we can get in and out of it, right? So giving customers the ability to manage it anywhere be able to get the bandwidth that they need to be able to get the accelerators that are flexible to that fit exactly their needs. This is huge, right? This solves a lot of the problems we can take off right away with the infrastructure. As I mentioned, X fabric is really critical here because it opens a lot of doors here. We're talking about GPS today, but in the future, there are other elements that we can disaggregate like the GPS that solve these lifecycle mismanagement issues. They solve issues around the form factor limitations. It solves all these issues for like it does for GPU. We can do that with storage or memory in the future, So that's going to be huge, right? This is disaggregate Asian that actually delivers right. It's not just a gimmicky bar trick here that we're doing. This is something that that customers can really get value out of Day one. And then finally, I think the future readiness here. You know, we avoid saying future proof because we're kind of embracing the future here. We know that not only are the GPS going to evolve, the CPUs are going to evolve the drives, the storage modules are going to evolve. All of these things are changing very rapidly. The fabric that stitches them together. It's critical, and we know that we're just on the edge of some of the developments that are coming with C XL with with some of the the PC express changes that are coming in the in the very near future. So we're ready to go X and the X fabric is exactly the vehicle that's going to be able to deliver those technologies to our customers. Our customers are out there saying that you know, they want to buy into something like X Series that has all the operational benefits, but at the same time, they have to have the comfort in knowing that they're protected against being locked out of some technology that's coming in the future. We want our customers to take these disruptive technologies and not be disrupted, but use them to disrupt, um, their competition as well. So, um, you know, we're really excited about the pieces today, and I think it goes a long way towards continuing to tell the customer benefit story that X Series brings And, um, again, stay tuned because it's going to keep getting better as we go. >>A lot of headroom, uh, for scale and the management piece is key. There just have time for one more question because talk to give us some nuggets on the road map. What's next for? For X X series that we can look forward to? >>Absolutely Dave, as as we talked about. And James also hinted this is the future radio architecture, a lot of focus and innovation that we are going through is about enabling our customers to seamlessly and painlessly adopt very disruptive hardware technologies that are coming up no infantry place. And there we are, looking into enabling the customer journey as the transition from PCH in less than 4 to 5 to six without rip and replace as they embraced the Excel without rip and replace as they embrace the newer paradigm of computing through the desegregated memory desegregated P. C, A, r N B and dance drives and so forth. We're also looking forward to extract Brick Next Generation, which will and now that dynamic assignment of GPS anywhere within the chassis and much more. Um, so this this is again all about focusing on the innovation that will make the Enterprise Data Centre operations a lot more simpler and drive down the PCO by keeping them not only covered for today, but also for future. So that's where some of the focus is on there. >>Okay, Thank you guys. We'll leave it there in a moment. I'll have some closing thoughts. >>Mhm

Published Date : Mar 11 2022

SUMMARY :

Good to see you again. We know that when it comes to navigating a transition to hybrid Um, and the other aspect of application, I think, to give our customers kind generation, the generation of the next decade, which is really important cause you touched on a lot of things. product in the way that we had envisioned, which is one infrastructure that can run any application So thank you for that, Jim. implications the rack, you know, the space challenges and above Not to be outdone, you have hard news as well. This is the most elegant design to add the GPS to So thank you for that. This solves a lot of the problems we can take off right away with the For X X series that we can look forward to? is the future radio architecture, a lot of focus and innovation Okay, Thank you guys.

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IBM, The Next 3 Years of Life Sciences Innovation


 

>>Welcome to this exclusive discussion. IBM, the next three years of life sciences, innovation, precision medicine, advanced clinical data management and beyond. My name is Dave Volante from the Cuban today, we're going to take a deep dive into some of the most important trends impacting the life sciences industry in the next 60 minutes. Yeah, of course. We're going to hear how IBM is utilizing Watson and some really important in life impacting ways, but we'll also bring in real world perspectives from industry and the independent analyst view to better understand how technology and data are changing the nature of precision medicine. Now, the pandemic has created a new reality for everyone, but especially for life sciences companies, one where digital transformation is no longer an option, but a necessity. Now the upside is the events of the past 22 months have presented an accelerated opportunity for innovation technology and real world data are coming together and being applied to support life science, industry trends and improve drug discovery, clinical development, and treatment commercialization throughout the product life cycle cycle. Now I'd like to introduce our esteemed panel. Let me first introduce Lorraine Marshawn, who is general manager of life sciences at IBM Watson health. Lorraine leads the organization dedicated to improving clinical development research, showing greater treatment value in getting treatments to patients faster with differentiated solutions. Welcome Lorraine. Great to see you. >>Dr. Namita LeMay is the research vice-president of IDC, where she leads the life sciences R and D strategy and technology program, which provides research based advisory and consulting services as well as market analysis. The loan to meta thanks for joining us today. And our third panelist is Greg Cunningham. Who's the director of the RWE center of excellence at Eli Lilly and company. Welcome, Greg, you guys are doing some great work. Thanks for being here. Thanks >>Dave. >>Now today's panelists are very passionate about their work. If you'd like to ask them a question, please add it to the chat box located near the bottom of your screen, and we'll do our best to answer them all at the end of the panel. Let's get started. Okay, Greg, and then Lorraine and meta feel free to chime in after one of the game-changers that you're seeing, which are advancing precision medicine. And how do you see this evolving in 2022 and into the next decade? >>I'll give my answer from a life science research perspective. The game changer I see in advancing precision medicine is moving from doing research using kind of a single gene mutation or kind of a single to look at to doing this research using combinations of genes and the potential that this brings is to bring better drug targets forward, but also get the best product to a patient faster. Um, I can give, uh, an example how I see it playing out in the last decade. Non-oncology real-world evidence. We've seen an evolution in precision medicine as we've built out the patient record. Um, as we've done that, uh, the marketplace has evolved rapidly, uh, with, particularly for electronic medical record data and genomic data. And we were pretty happy to get our hands on electronic medical record data in the early days. And then later the genetic test results were combined with this data and we could do research looking at a single mutation leading to better patient outcomes. But I think where we're going to evolve in 2022 and beyond is with genetic testing, growing and oncology, providing us more data about that patient. More genes to look at, uh, researchers can look at groups of genes to analyze, to look at that complex combination of gene mutations. And I think it'll open the door for things like using artificial intelligence to help researchers plow through the complex number of permutations. When you think about all those genes you can look at in combination, right? Lorraine yes. Data and machine intelligence coming together, anything you would add. >>Yeah. Thank you very much. Well, I think that Greg's response really sets us up nicely, particularly when we think about the ability to utilize real-world data in the farm industry across a number of use cases from discovery to development to commercial, and, you know, in particular, I think with real world data and the comments that Greg just made about clinical EMR data linked with genetic or genomic data, a real area of interest in one that, uh, Watson health in particular is focused on the idea of being able to create a data exchange so that we can bring together claims clinical EMR data, genomics data, increasingly wearables and data directly from patients in order to create a digital health record that we like to call an intelligent patient health record that basically gives us the digital equivalent of a real life patient. And these can be used in use cases in randomized controlled clinical trials for synthetic control arms or natural history. They can be used in order to track patients' response to drugs and look at outcomes after they've been on various therapies as, as Greg is speaking to. And so I think that, you know, the promise of data and technology, the AI that we can apply on that is really helping us advance, getting therapies to market faster, with better information, lower sample sizes, and just a much more efficient way to do drug development and to track and monitor outcomes in patients. >>Great. Thank you for that now to meta, when I joined IDC many, many years ago, I really didn't know much about the industry that I was covering, but it's great to see you as a former practitioner now bringing in your views. What do you see as the big game-changers? >>So, um, I would, I would agree with what both Lorraine and Greg said. Um, but one thing that I'd just like to call out is that, you know, everyone's talking about big data, the volume of data is growing. It's growing exponentially actually about, I think 30% of data that exists today is healthcare data. And it's growing at a rate of 36%. That's huge, but then it's not just about the big, it's also about the broad, I think, um, you know, I think great points that, uh, Lorraine and Greg brought out that it's, it's not just specifically genomic data, it's multi omic data. And it's also about things like medical history, social determinants of health, behavioral data. Um, and why, because when you're talking about precision medicine and we know that we moved away from the, the terminology of personalized to position, because you want to talk about disease stratification and you can, it's really about convergence. >>Um, if you look at a recent JAMA paper in 2021, only 1% of EHS actually included genomic data. So you really need to have that ability to look at data holistically and IDC prediction is seeing that investments in AI to fuel in silico, silicone drug discovery will double by 20, 24, but how are you actually going to integrate all the different types of data? Just look at, for example, diabetes, you're on type two diabetes, 40 to 70% of it is genetically inherited and you have over 500 different, uh, genetic low side, which could be involved in playing into causing diabetes. So the earlier strategy, when you are looking at, you know, genetic risk scoring was really single trait. Now it's transitioning to multi rate. And when you say multi trade, you really need to get that integrated view that converging for you to, to be able to drive a precision medicine strategy. So to me, it's a very interesting contrast on one side, you're really trying to make it specific and focused towards an individual. And on the other side, you really have to go wider and bigger as well. >>Uh, great. I mean, the technology is enabling that convergence and the conditions are almost mandating it. Let's talk about some more about data that the data exchange and building an intelligent health record, as it relates to precision medicine, how will the interoperability of real-world data, you know, create that more cohesive picture for the, for the patient maybe Greg, you want to start, or anybody else wants to chime in? >>I think, um, the, the exciting thing from, from my perspective is the potential to gain access to data. You may be weren't aware of an exchange in implies that, uh, some kind of cataloging, so I can see, uh, maybe things that might, I just had no idea and, uh, bringing my own data and maybe linking data. These are concepts that I think are starting to take off in our field, but it, it really opens up those avenues to when you, you were talking about data, the robustness and richness volume isn't, uh, the only thing is Namita said, I think really getting to a rich high-quality data and, and an exchange offers a far bigger, uh, range for all of us to, to use, to get our work done. >>Yeah. And I think, um, just to chime, chime into that, uh, response from Greg, you know, what we hear increasingly, and it's pretty pervasive across the industry right now, because this ability to create an exchange or the intelligent, uh, patient health record, these are new ideas, you know, they're still rather nascent and it always is the operating model. Uh, that, that is the, uh, the difficult challenge here. And certainly that is the case. So we do have data in various silos. Uh, they're in patient claims, they're in electronic medical records, they might be in labs, images, genetic files on your smartphone. And so one of the challenges with this interoperability is being able to tap into these various sources of data, trying to identify quality data, as Greg has said, and the meta is underscoring as well. Uh, we've gotta be able to get to the depth of data that's really meaningful to us, but then we have to have technology that allows us to pull this data together. >>First of all, it has to be de-identified because of security and patient related needs. And then we've gotta be able to link it so that you can create that likeness in terms of the record, it has to be what we call cleaned or curated so that you get the noise and all the missing this out of it, that's a big step. And then it needs to be enriched, which means that the various components that are going to be meaningful, you know, again, are brought together so that you can create that cohort of patients, that individual patient record that now is useful in so many instances across farm, again, from development, all the way through commercial. So the idea of this exchange is to enable that exact process that I just described to have a, a place, a platform where various entities can bring their data in order to have it linked and integrated and cleaned and enriched so that they get something that is a package like a data package that they can actually use. >>And it's easy to plug into their, into their studies or into their use cases. And I think a really important component of this is that it's gotta be a place where various third parties can feel comfortable bringing their data together in order to match it with other third parties. That is a, a real value, uh, that the industry is increasingly saying would be important to them is, is the ability to bring in those third-party data sets and be able to link them and create these, these various data products. So that's really the idea of the data exchange is that you can benefit from accessing data, as Greg mentioned in catalogs that maybe are across these various silos so that you can do the kind of work that you need. And that we take a lot of the hard work out of it. I like to give an example. >>We spoke with one of our clients at one of the large pharma companies. And, uh, I think he expressed it very well. He said, what I'd like to do is have like a complete dataset of lupus. Lupus is an autoimmune condition. And I've just like to have like the quintessential lupus dataset that I can use to run any number of use cases across it. You know, whether it's looking at my phase one trial, whether it's selecting patients and enriching for later stage trials, whether it's understanding patient responses to different therapies as I designed my studies. And so, you know, this idea of adding in therapeutic area indication, specific data sets and being able to create that for the industry in the meta mentioned, being able to do that, for example, in diabetes, that's how pharma clients need to have their needs met is through taking the hard workout, bringing the data together, having it very therapeutically enriched so that they can use it very easily. >>Thank you for that detail and the meta. I mean, you can't do this with humans at scale in technology of all the things that Lorraine was talking about, the enrichment, the provenance, the quality, and of course, it's got to be governed. You've got to protect the privacy privacy humans just can't do all that at massive scale. Can it really tech that's where technology comes in? Doesn't it and automation. >>Absolutely. >>I, couldn't more, I think the biggest, you know, whether you talk about precision medicine or you talk about decentralized trials, I think there's been a lot of hype around these terms, but what is really important to remember is technology is the game changer and bringing all that data together is really going to be the key enabler. So multimodal data integration, looking at things like security or federated learning, or also when you're talking about leveraging AI, you're not talking about things like bias or other aspects around that are, are critical components that need to be addressed. I think the industry is, uh, it's partly, still trying to figure out the right use cases. So it's one part is getting together the data, but also getting together the right data. Um, I think data interoperability is going to be the absolute game changer for enabling this. Uh, but yes, um, absolutely. I can, I can really couldn't agree more with what Lorraine just said, that it's bringing all those different aspects of data together to really drive that precision medicine strategy. >>Excellent. Hey Greg, let's talk about protocols decentralized clinical trials. You know, they're not new to life silences, but, but the adoption of DCTs is of course sped up due to the pandemic we've had to make trade-offs obviously, and the risk is clearly worth it, but you're going to continue to be a primary approach as we enter 2022. What are the opportunities that you see to improve? How DCTs are designed and executed? >>I see a couple opportunities to improve in this area. The first is, uh, back to technology. The infrastructure around clinical trials has, has evolved over the years. Uh, but now you're talking about moving away from kind of site focus to the patient focus. Uh, so with that, you have to build out a new set of tools that would help. So for example, one would be novel trial, recruitment, and screening, you know, how do you, how do you find patients and how do you screen them to see if are they, are they really a fit for, for this protocol? Another example, uh, very important documents that we have to get is, uh, you know, the e-consent that someone's says, yes, I'm, well, I understand this study and I'm willing to do it, have to do that in a more remote way than, than we've done in the past. >>Um, the exciting area, I think, is the use of, uh, eco, uh, E-Pro where we capture data from the patient using apps, devices, sensors. And I think all of these capabilities will bring a new way of, of getting data faster, uh, in, in this kind of model. But the exciting thing from, uh, our perspective at Lily is it's going to bring more data about the patient from the patient, not just from the healthcare provider side, it's going to bring real data from these apps, devices and sensors. The second thing I think is using real-world data to identify patients, to also improve protocols. We run scenarios today, looking at what's the impact. If you change a cut point on a, a lab or a biomarker to see how that would affect, uh, potential enrollment of patients. So it, it definitely the real-world data can be used to, to make decisions, you know, how you improve these protocols. >>But the thing that we've been at the challenge we've been after that this probably offers the biggest is using real-world data to identify patients as we move away from large academic centers that we've used for years as our sites. Um, you can maybe get more patients who are from the rural areas of our countries or not near these large, uh, uh, academic centers. And we think it'll bring a little more diversity to the population, uh, who who's, uh, eligible, but also we have their data, so we can see if they really fit the criteria and the probability they are a fit for the trial is much higher than >>Right. Lorraine. I mean, your clients must be really pushing you to help them improve DCTs what are you seeing in the field? >>Yes, in fact, we just attended the inaugural meeting of the de-central trials research Alliance in, uh, in Boston about two weeks ago where, uh, all of the industry came together, pharma companies, uh, consulting vendors, just everyone who's been in this industry working to help define de-central trials and, um, think through what its potential is. Think through various models in order to enable it, because again, a nascent concept that I think COVID has spurred into action. Um, but it is important to take a look at the definition of DCT. I think there are those entities that describe it as accessing data directly from the patient. I think that is a component of it, but I think it's much broader than that. To me, it's about really looking at workflows and processes of bringing data in from various remote locations and enabling the whole ecosystem to work much more effectively along the data continuum. >>So a DCT is all around being able to make a site more effective, whether it's being able to administer a tele visit or the way that they're getting data into the electronic data captures. So I think we have to take a look at the, the workflows and the operating models for enabling de-central trials and a lot of what we're doing with our own technology. Greg mentioned the idea of electronic consent of being able to do electronic patient reported outcomes, other collection of data directly from the patient wearables tele-health. So these are all data acquisition, methodologies, and technologies that, that we are enabling in order to get the best of the data into the electronic data capture system. So edit can be put together and processed and submitted to the FDA for regulatory use for clinical trial type submission. So we're working on that. I think the other thing that's happening is the ability to be much more flexible and be able to have more cloud-based storage allows you to be much more inter-operable to allow API APIs in order to bring in the various types of data. >>So we're really looking at technology that can make us much more fluid and flexible and accommodating to all the ways that people live and work and manage their health, because we have to reflect that in the way we collect those data types. So that's a lot of what we're, what we're focused on. And in talking with our clients, we spend also a lot of time trying to understand along the, let's say de-central clinical trials continuum, you know, w where are they? And I know Namita is going to talk a little bit about research that they've done in terms of that adoption curve, but because COVID sort of forced us into being able to collect data in more remote fashion in order to allow some of these clinical trials to continue during COVID when a lot of them had to stop. What we want to make sure is that we understand and can codify some of those best practices and that we can help our clients enable that because the worst thing that would happen would be to have made some of that progress in that direction. >>But then when COVID is over to go back to the old ways of doing things and not bring some of those best practices forward, and we actually hear from some of our clients in the pharma industry, that they worry about that as well, because we don't yet have a system for operationalizing a de-central trial. And so we really have to think about the protocol it's designed, the indication, the types of patients, what makes sense to decentralize, what makes sense to still continue to collect data in a more traditional fashion. So we're spending a lot of time advising and consulting with our patients, as well as, I mean, with our clients, as well as CRS, um, on what the best model is in terms of their, their portfolio of studies. And I think that's a really important aspect of trying to accelerate the adoption is making sure that what we're doing is fit for purpose, just because you can use technology doesn't mean you should, it really still does require human beings to think about the problem and solve them in a very practical way. >>Great, thank you for that. Lorraine. I want to pick up on some things that Lorraine was just saying. And then back to what Greg was saying about, uh, uh, DCTs becoming more patient centric, you had a prediction or IDC, did I presume your fingerprints were on it? Uh, that by 20 25, 70 5% of trials will be patient-centric decentralized clinical trials, 90% will be hybrid. So maybe you could help us understand that relationship and what types of innovations are going to be needed to support that evolution of DCT. >>Thanks, Dave. Yeah. Um, you know, sorry, I, I certainly believe that, uh, you know, uh, Lorraine was pointing out of bringing up a very important point. It's about being able to continue what you have learned in over the past two years, I feel this, you know, it was not really a digital revolution. It was an attitude. The revolution that this industry underwent, um, technology existed just as clinical trials exist as drugs exist, but there was a proof of concept that technology works that this model is working. So I think that what, for example, telehealth, um, did for, for healthcare, you know, transition from, from care, anywhere care, anytime, anywhere, and even becoming predictive. That's what the decentralized clinical trials model is doing for clinical trials today. Great points again, that you have to really look at where it's being applied. You just can't randomly apply it across clinical trials. >>And this is where the industry is maturing the complexity. Um, you know, some people think decentralized trials are very simple. You just go and implement these centralized clinical trials, but it's not that simple as it it's being able to define, which are the right technologies for that specific, um, therapeutic area for that specific phase of the study. It's being also a very important point is bringing in the patient's voice into the process. Hey, I had my first telehealth visit sometime last year and I was absolutely thrilled about it. I said, no time wasted. I mean, everything's done in half an hour, but not all patients want that. Some want to consider going back and you, again, need to customize your de-centralized trials model to, to the, to the type of patient population, the demographics that you're dealing with. So there are multiple factors. Um, also stepping back, you know, Lorraine mentioned they're consulting with, uh, with their clients, advising them. >>And I think a lot of, um, a lot of companies are still evolving in their maturity in DCTs though. There's a lot of boys about it. Not everyone is very mature in it. So it's, I think it, one thing everyone's kind of agreeing with is yes, we want to do it, but it's really about how do we go about it? How do we make this a flexible and scalable modern model? How do we integrate the patient's voice into the process? What are the KPIs that we define the key performance indicators that we define? Do we have a playbook to implement this model to make it a scalable model? And, you know, finally, I think what organizations really need to look at is kind of developing a de-centralized mature maturity scoring model, so that I assess where I am today and use that playbook to define, how am I going to move down the line to me reach the next level of maturity. Those were some of my thoughts. Right? >>Excellent. And now remember you, if you have any questions, use the chat box below to submit those questions. We have some questions coming in from the audience. >>At one point to that, I think one common thread between the earlier discussion around precision medicine and around decentralized trials really is data interoperability. It is going to be a big game changer to, to enable both of these pieces. Sorry. Thanks, Dave. >>Yeah. Thank you. Yeah. So again, put your questions in the chat box. I'm actually going to go to one of the questions from the audience. I get some other questions as well, but when you think about all the new data types that are coming in from social media, omics wearables. So the question is with greater access to these new types of data, what trends are you seeing from pharma device as far as developing capabilities to effectively manage and analyze these novel data types? Is there anything that you guys are seeing, um, that you can share in terms of best practice or advice >>I'll offer up? One thing, I think the interoperability isn't quite there today. So, so what's that mean you can take some of those data sources. You mentioned, uh, some Omix data with, uh, some health claims data and it's the, we spend too much time and in our space putting data to gather the behind the scenes, I think the stat is 80% of the time is assembling the data 20% analyzing. And we've had conversations here at Lilly about how do we get to 80% of the time is doing analysis. And it really requires us to think, take a step back and think about when you create a, uh, a health record, you really have to be, have the same plugins so that, you know, data can be put together very easily, like Lorraine mentioned earlier. And that comes back to investing in as an industry and standards so that, you know, you have some of data standard, we all can agree upon. And then those plugs get a lot easier and we can spend our time figuring out how to make, uh, people's lives better with healthcare analysis versus putting data together, which is not a lot of fun behind the scenes. >>Other thoughts on, um, on, on how to take advantage of sort of novel data coming from things like devices in the nose that you guys are seeing. >>I could jump in there on your end. Did you want to go ahead? Okay. So, uh, I mean, I think there's huge value that's being seen, uh, in leveraging those multiple data types. I think one area you're seeing is the growth of prescription digital therapeutics and, um, using those to support, uh, you know, things like behavioral health issues and a lot of other critical conditions it's really taking you again, it is interlinking real-world data cause it's really taking you to the patient's home. Um, and it's, it's, there's a lot of patients in the city out here cause you can really monitor the patient real-time um, without the patient having coming, you know, coming and doing a site visit once in say four weeks or six weeks. So, um, I, and, uh, for example, uh, suicidal behavior and just to take an example, if you can predict well in advance, based on those behavioral parameters, that this is likely to trigger that, uh, the value of it is enormous. Um, again, I think, uh, Greg made a valid point about the industry still trying to deal with resolving the data interoperability issue. And there are so many players that are coming in the industry right now. There are really few that have the maturity and the capability to address these challenges and provide intelligence solutions. >>Yeah. Maybe I'll just, uh, go ahead and, uh, and chime into Nikita's last comment there. I think that's what we're seeing as well. And it's very common, you know, from an innovation standpoint that you have, uh, a nascent industry or a nascent innovation sort of situation that we have right now where it's very fragmented. You have a lot of small players, you have some larger entrenched players that have the capability, um, to help to solve the interoperability challenge, the standards challenge. I mean, I think IBM Watson health is certainly one of the entities that has that ability and is taking a stand in the industry, uh, in order to, to help lead in that way. Others are too. And, uh, but with, with all of the small companies that are trying to find interesting and creative ways to gather that data, it does create a very fragmented, uh, type of environment and ecosystem that we're in. >>And I think as we mature, as we do come forward with the KPIs, the operating models, um, because you know, the devil's in the detail in terms of the operating models, it's really exciting to talk these trends and think about the future state. But as Greg pointed out, if you're spending 80% of your time just under the hood, you know, trying to get the engine, all the spark plugs to line up, um, that's, that's just hard grunt work that has to be done. So I think that's where we need to be focused. And I think bringing all the data in from these disparate tools, you know, that's fine, we need, uh, a platform or the API APIs that can enable that. But I think as we, as we progress, we'll see more consolidation, uh, more standards coming into play, solving the interoperability types of challenges. >>And, um, so I think that's where we should, we should focus on what it's going to take and in three years to really codify this and make it, so it's a, it's a well hum humming machine. And, you know, I do know having also been in pharma that, uh, there's a very pilot oriented approach to this thing, which I think is really healthy. I think large pharma companies tend to place a lot of bets with different programs on different tools and technologies, to some extent to see what's gonna stick and, you know, kind of with an innovation mindset. And I think that's good. I think that's kind of part of the process of figuring out what is going to work and, and helping us when we get to that point of consolidating our model and the technologies going forward. So I think all of the efforts today are definitely driving us to something that feels much more codified in the next three to five years. >>Excellent. We have another question from the audience it's sort of related to the theme of this discussion, given the FDA's recent guidance on using claims and electronic health records, data to support regulatory decision-making what advancements do you think we can expect with regards to regulatory use of real-world data in the coming years? It's kind of a two-parter so maybe you guys can collaborate on this one. What role that, and then what role do you think industry plays in influencing innovation within the regulatory space? >>All right. Well, it looks like you've stumped the panel there. Uh, Dave, >>It's okay to take some time to think about it, right? You want me to repeat it? You guys, >>I, you know, I I'm sure that the group is going to chime into this. I, so the FDA has issued a guidance. Um, it's just, it's, it's exactly that the FDA issues guidances and says that, you know, it's aware and supportive of the fact that we need to be using real-world data. We need to create the interoperability, the standards, the ways to make sure that we can include it in regulatory submissions and the like, um, and, and I sort of think about it akin to the critical path initiative, probably, I don't know, 10 or 12 years ago in pharma, uh, when the FDA also embrace this idea of the critical path and being able to allow more in silico modeling of clinical trial, design and development. And it really took the industry a good 10 years, um, you know, before they were able to actually adopt and apply and take that sort of guidance or openness from the FDA and actually apply it in a way that started to influence the way clinical trials were designed or the in silico modeling. >>So I think the second part of the question is really important because while I think the FDA is saying, yes, we recognize it's important. Uh, we want to be able to encourage and support it. You know, when you look for example, at synthetic control arms, right? The use of real-world data in regulatory submissions over the last five or six years, all of the use cases have been in oncology. I think there've been about maybe somewhere between eight to 10 submissions. And I think only one actually was a successful submission, uh, in all those situations, the real-world data arm of that oncology trial that synthetic control arm was actually rejected by the FDA because of lack of completeness or, you know, equalness in terms of the data. So the FDA is not going to tell us how to do this. So I think the second part of the question, which is what's the role of industry, it's absolutely on industry in order to figure out exactly what we're talking about, how do we figure out the interoperability, how do we apply the standards? >>How do we ensure good quality data? How do we enrich it and create the cohort that is going to be equivalent to the patient in the real world, uh, in the end that would otherwise be in the clinical trial and how do we create something that the FDA can agree with? And we'll certainly we'll want to work with the FDA in order to figure out this model. And I think companies are already doing that, but I think that the onus is going to be on industry in order to figure out how you actually operationalize this and make it real. >>Excellent. Thank you. Um, question on what's the most common misconception that clinical research stakeholders with sites or participants, et cetera might have about DCTs? >>Um, I could jump in there. Right. So, sure. So, um, I think in terms of misconceptions, um, I think the communist misconceptions that sites are going away forever, which I do not think is really happening today. Then the second, second part of it is that, um, I think also the perspective that patients are potentially neglected because they're moving away. So we'll pay when I, when I, what I mean by that neglected, perhaps it was not the appropriate term, but the fact that, uh, will patients will, will, will patient engagement continue, will retention be strong since the patients are not interacting in person with the investigator quite as much. Um, so site retention and patient retention or engagement from both perspectives, I think remains a concern. Um, but actually if you look at, uh, look at, uh, assessments that have been done, I think patients are more than happy. >>Majority of the patients have been really happy about, about the new model. And in fact, sites are, seem to increase, have increased investments in technology by 50% to support this kind of a model. So, and the last thing is that, you know, decentralized trials is a great model and it can be applied to every possible clinical trial. And in another couple of weeks, the whole industry will be implementing only decentralized trials. I think we are far away from that. It's just not something that you would implement across every trial. And we discussed that already. So you have to find the right use cases for that. So I think those were some of the key misconceptions I'd say in the industry right now. Yeah. >>Yeah. And I would add that the misconception I hear the most about is, uh, the, the similar to what Namita said about the sites and healthcare professionals, not being involved to the level that they are today. Uh, when I mentioned earlier in our conversation about being excited about capturing more data, uh, from the patient that was always in context of, in addition to, you know, healthcare professional opinion, because I think both of them bring that enrichment and a broader perspective of that patient experience, whatever disease they're faced with. So I, I think some people think is just an all internet trial with just someone, uh, putting out there their own perspective. And, and it's, it's a combination of both to, to deliver a robust data set. >>Yeah. Maybe I'll just comment on, it reminds me of probably 10 or 15 years ago, maybe even more when, um, really remote monitoring was enabled, right? So you didn't have to have the study coordinator traveled to the investigative site in order to check the temperature of the freezer and make sure that patient records were being completed appropriately because they could have a remote visit and they could, they could send the data in a via electronic data and do the monitoring visit, you know, in real time, just the way we're having this kind of communication here. And there was just so much fear that you were going to replace or supplant the personal relationship between the sites between the study coordinators that you were going to, you know, have to supplant the role of the monitor, which was always a very important role in clinical trials. >>And I think people that really want to do embrace the technology and the advantages that it provided quickly saw that what it allowed was the monitor to do higher value work, you know, instead of going in and checking the temperature on a freezer, when they did have their visit, they were able to sit and have a quality discussion for example, about how patient recruitment was going or what was coming up in terms of the consent. And so it created a much more high touch, high quality type of interaction between the monitor and the investigative site. And I think we should be looking for the same advantages from DCT. We shouldn't fear it. We shouldn't think that it's going to supplant the site or the investigator or the relationship. It's our job to figure out where the technology fits and clinical sciences always got to be high touch combined with high-tech, but the high touch has to lead. And so getting that balance right? And so that's going to happen here as well. We will figure out other high value work, meaningful work for the site staff to do while they let the technology take care of the lower quality work, if you will, or the lower value work, >>That's not an, or it's an, and, and you're talking about the higher value work. And it, it leads me to something that Greg said earlier about the 80, 20, 80% is assembly. 20% is actually doing the analysis and that's not unique to, to, to life sciences, but, but sort of question is it's an organizational question in terms of how we think about data and how we approach data in the future. So Bamyan historically big data in life sciences in any industry really is required highly centralized and specialized teams to do things that the rain was talking about, the enrichment, the provenance, the data quality, the governance, the PR highly hyper specialized teams to do that. And they serve different constituencies. You know, not necessarily with that, with, with context, they're just kind of data people. Um, so they have responsibility for doing all those things. Greg, for instance, within literally, are you seeing a move to, to, to democratize data access? We've talked about data interoperability, part of that state of sharing, um, that kind of breaks that centralized hold, or is that just too far in the future? It's too risky in this industry? >>Uh, it's actually happening now. Uh, it's a great point. We, we try to classify what people can do. And, uh, the example would be you give someone who's less analytically qualified, uh, give them a dashboard, let them interact with the data, let them better understand, uh, what, what we're seeing out in the real world. Uh, there's a middle user, someone who you could give them, they can do some analysis with the tool. And the nice thing with that is you have some guardrails around that and you keep them in their lane, but it allows them to do some of their work without having to go ask those centralized experts that, that you mentioned their precious resources. And that's the third group is those, uh, highly analytical folks that can, can really deliver, uh, just value beyond. But when they're doing all those other things, uh, it really hinders them from doing what we've been talking about is the high value stuff. So we've, we've kind of split into those. We look at people using data in one of those three lanes and it, and it has helped I think, uh, us better not try to make a one fit solution for, for how we deliver data and analytic tools for people. Right. >>Okay. I mean, DCT hot topic with the, the, the audience here. Another question, um, what capabilities do sponsors and CRS need to develop in-house to pivot toward DCT? >>Should I jump in here? Yeah, I mean, um, I think, you know, when, when we speak about DCTs and when I speak with, uh, folks around in the industry, I, it takes me back to the days of risk-based monitoring. When it was first being implemented, it was a huge organizational change from the conventional monitoring models to centralize monitoring and risk-based monitoring, it needs a mental reset. It needs as Lorraine had pointed out a little while ago, restructuring workflows, re redefining processes. And I think that is one big piece. That is, I think the first piece, when, you know, when you're implementing a new model, I think organizational change management is a big piece of it because you are disturbing existing structures, existing methods. So getting that buy-in across the organization towards the new model, seeing what the value add in it. And where do you personally fit into that story? >>How do your workflows change, or how was your role impacted? I think without that this industry will struggle. So I see organizations, I think, first trying to work on that piece to build that in. And then of course, I also want to step back for the second to the, uh, to the point that you brought out about data democratization. And I think Greg Greg gave an excellent point, uh, input about how it's happening in the industry. But I would also say that the data democratization really empowerment of, of, of the stakeholders also includes the sites, the investigators. So what is the level of access to data that you know, that they have now, and is it, uh, as well as patients? So see increasingly more and more companies trying to provide access to patients finally, it's their data. So why shouldn't they have some insights to it, right. So access to patients and, uh, you know, the 80, 20 part of it. Uh, yes, he's absolutely right that, uh, we want to see that flip from, uh, 20%, um, you know, focusing on, on actually integrating the data 80% of analytics, but the real future will be coming in when actually the 20 and 18 has gone. And you actually have analysts the insights out on a silver platter. That's kind of wishful thinking, some of the industries is getting there in small pieces, but yeah, then that's just why I should, why we share >>Great points. >>And I think that we're, we're there in terms that like, I really appreciate the point around democratizing the data and giving the patient access ownership and control over their own data. I mean, you know, we see the health portals that are now available for patients to view their own records, images, and labs, and claims and EMR. We have blockchain technology, which is really critical here in terms of the patient, being able to pull all of their own data together, you know, in the blockchain and immutable record that they can own and control if they want to use that to transact clinical trial types of opportunities based on their data, they can, or other real world scenarios. But if they want to just manage their own data because they're traveling and if they're in a risky health situation, they've got their own record of their health, their health history, uh, which can avoid, you know, medical errors occurring. So, you know, even going beyond life sciences, I think this idea of democratizing data is just good for health. It's just good for people. And we definitely have the technology that can make it a reality. Now >>You're here. We have just about 10 minutes left and now of course, now all the questions are rolling in like crazy from the crowd. Would it be curious to know if there would be any comments from the panel on cost comparison analysis between traditional clinical trials in DCTs and how could the outcome effect the implementation of DCTs any sort of high-level framework you can share? >>I would say these are still early days to, to drive that analysis because I think many companies are, um, are still in the early stages of implementation. They've done a couple of trials. The other part of it that's important to keep in mind is, um, is for organizations it's, they're at a stage of, uh, of being on the learning curve. So when you're, you're calculating the cost efficiencies, if ideally you should have had two stakeholders involved, you could have potentially 20 stakeholders involved because everyone's trying to learn the process and see how it's going to be implemented. So, um, I don't think, and the third part of it, I think is organizations are still defining their KPIs. How do you measure it? What do you measure? So, um, and even still plugging in the pieces of technology that they need to fit in, who are they partnering with? >>What are the pieces of technology they're implementing? So I don't think there is a clear cut as answered at this stage. I think as you scale this model, the efficiencies will be seen. It's like any new technology or any new solution that's implemented in the first stages. It's always a little more complex and in fact sometimes costs extra. But as, as you start scaling it, as you establish your workflows, as you streamline it, the cost efficiencies will start becoming evident. That's why the industry is moving there. And I think that's how it turned out on the long run. >>Yeah. Just make it maybe out a comment. If you don't mind, the clinical trials are, have traditionally been costed are budgeted is on a per patient basis. And so, you know, based on the difficulty of the therapeutic area to recruit a rare oncology or neuromuscular disease, there's an average that it costs in order to find that patient and then execute the various procedures throughout the clinical trial on that patient. And so the difficulty of reaching the patient and then the complexity of the trial has led to what we might call a per patient stipend, which is just the metric that we use to sort of figure out what the average cost of a trial will be. So I think to point, we're going to have to see where the ability to adjust workflows, get to patients faster, collect data more easily in order to make the burden on the site, less onerous. I think once we start to see that work eases up because of technology, then I think we'll start to see those cost equations change. But I think right now the system isn't designed in order to really measure the economic benefit of de-central models. And I think we're going to have to sort of figure out what that looks like as we go along and since it's patient oriented right now, we'll have to say, well, you know, how does that work, ease up? And to those costs actually come down and then >>Just scale, it's going to be more, more clear as the media was saying, next question from the audiences, it's kind of a best fit question. You all have touched on this, but let me just ask it is what examples in which, in which phases suit DCT in its current form, be it fully DCT or hybrid models, none of our horses for courses question. >>Well, I think it's kind of, uh, it's, it's it's has its efficiencies, obviously on the later phases, then the absolute early phase trials, those are not the ideal models for DCTs I would say so. And again, the logic is also the fact that, you know, when you're, you're going into the later phase trials, the volume of number of patients is increasing considerably to the point that Lorraine brought up about access to the patients about patient selection. The fact, I think what one should look at is really the advantages that it brings in, in terms of, you know, patient access in terms of patient diversity, which is a big piece that, um, the cities are enabling. So, um, if you, if, if you, if you look at the spectrum of, of these advantages and, and just to step back for a moment, if you, if you're looking at costs, like you're looking at things like remote site monitoring, um, is, is a big, big plus, right? >>I mean, uh, site monitoring alone accounts for around a third of the trial costs. So there are so many pieces that fall in together. The challenge actually that comes when you're in defining DCTs and there are, as Rick pointed out multiple definitions of DCTs that are existing, uh, you know, in the industry right now, whether you're talking of what Detroit is doing, or you're talking about acro or Citi or others. But the point is it's a continuum, it's a continuum of different pieces that have been woven together. And so how do you decide which pieces you're plugging in and how does that impact the total cost or the solution that you're implementing? >>Great, thank you. Last question we have in the audience, excuse me. What changes have you seen? Are there others that you can share from the FDA EU APAC, regulators and supporting DCTs precision medicine for approval processes, anything you guys would highlight that we should be aware of? >>Um, I could quickly just add that. I think, um, I'm just publishing a report on de-centralized clinical trials should be published shortly, uh, perspective on that. But I would say that right now, um, there, there was a, in the FDA agenda, there was a plan for a decentralized clinical trials guidance, as far as I'm aware, one has not yet been published. There have been significant guidances that have been published both by email and by, uh, the FDA that, um, you know, around the implementation of clinical trials during the COVID pandemic, which incorporate various technology pieces, which support the DCD model. Um, but I, and again, I think one of the reasons why it's not easy to publish a well-defined guidance on that is because there are so many moving pieces in it. I think it's the Danish, uh, regulatory agency, which has per se published a guidance and revised it as well on decentralized clinical trials. >>Right. Okay. Uh, we're pretty much out of time, but I, I wonder Lorraine, if you could give us some, some final thoughts and bring us home things that we should be watching or how you see the future. >>Well, I think first of all, let me, let me thank the panel. Uh, we really appreciate Greg from Lily and the meta from IDC bringing their perspectives to this conversation. And, uh, I hope that the audience has enjoyed the, uh, the discussion that we've had around the future state of real world data as, as well as DCT. And I think, you know, some of the themes that we've talked about, number one, I think we have a vision and I think we have the right strategies in terms of the future promise of real-world data in any number of different applications. We certainly have talked about the promise of DCT to be more efficient, to get us closer to the patient. I think that what we have to focus on is how we come together as an industry to really work through these very vexing operational issues, because those are always the things that hang us up and whether it's clinical research or whether it's later stage, uh, applications of data. >>We, the healthcare system is still very fragmented, particularly in the us. Um, it's still very, state-based, uh, you know, different states can have different kinds of, uh, of, of cultures and geographic, uh, delineations. And so I think that, you know, figuring out a way that we can sort of harmonize and bring all of the data together, bring some of the models together. I think that's what you need to look to us to do both industry consulting organizations, such as IBM Watson health. And we are, you know, through DTRA and, and other, uh, consortia and different bodies. I think we're all identifying what the challenges are in terms of making this a reality and working systematically on those. >>It's always a pleasure to work with such great panelists. Thank you, Lorraine Marshawn, Dr. Namita LeMay, and Greg Cunningham really appreciate your participation today and your insights. The next three years of life sciences, innovation, precision medicine, advanced clinical data management and beyond has been brought to you by IBM in the cube. You're a global leader in high tech coverage. And while this discussion has concluded, the conversation continues. So please take a moment to answer a few questions about today's panel on behalf of the entire IBM life sciences team and the cube decks for your time and your feedback. And we'll see you next time.

Published Date : Dec 7 2021

SUMMARY :

and the independent analyst view to better understand how technology and data are changing The loan to meta thanks for joining us today. And how do you see this evolving the potential that this brings is to bring better drug targets forward, And so I think that, you know, the promise of data the industry that I was covering, but it's great to see you as a former practitioner now bringing in your Um, but one thing that I'd just like to call out is that, you know, And on the other side, you really have to go wider and bigger as well. for the patient maybe Greg, you want to start, or anybody else wants to chime in? from my perspective is the potential to gain access to uh, patient health record, these are new ideas, you know, they're still rather nascent and of the record, it has to be what we call cleaned or curated so that you get is, is the ability to bring in those third-party data sets and be able to link them and create And so, you know, this idea of adding in therapeutic I mean, you can't do this with humans at scale in technology I, couldn't more, I think the biggest, you know, whether What are the opportunities that you see to improve? uh, very important documents that we have to get is, uh, you know, the e-consent that someone's the patient from the patient, not just from the healthcare provider side, it's going to bring real to the population, uh, who who's, uh, eligible, you to help them improve DCTs what are you seeing in the field? Um, but it is important to take and submitted to the FDA for regulatory use for clinical trial type And I know Namita is going to talk a little bit about research that they've done the adoption is making sure that what we're doing is fit for purpose, just because you can use And then back to what Greg was saying about, uh, uh, DCTs becoming more patient centric, It's about being able to continue what you have learned in over the past two years, Um, you know, some people think decentralized trials are very simple. And I think a lot of, um, a lot of companies are still evolving in their maturity in We have some questions coming in from the audience. It is going to be a big game changer to, to enable both of these pieces. to these new types of data, what trends are you seeing from pharma device have the same plugins so that, you know, data can be put together very easily, coming from things like devices in the nose that you guys are seeing. and just to take an example, if you can predict well in advance, based on those behavioral And it's very common, you know, the operating models, um, because you know, the devil's in the detail in terms of the operating models, to some extent to see what's gonna stick and, you know, kind of with an innovation mindset. records, data to support regulatory decision-making what advancements do you think we can expect Uh, Dave, And it really took the industry a good 10 years, um, you know, before they I think there've been about maybe somewhere between eight to 10 submissions. onus is going to be on industry in order to figure out how you actually operationalize that clinical research stakeholders with sites or participants, Um, but actually if you look at, uh, look at, uh, It's just not something that you would implement across you know, healthcare professional opinion, because I think both of them bring that enrichment and do the monitoring visit, you know, in real time, just the way we're having this kind of communication to do higher value work, you know, instead of going in and checking the the data quality, the governance, the PR highly hyper specialized teams to do that. And the nice thing with that is you have some guardrails around that and you keep them in in-house to pivot toward DCT? That is, I think the first piece, when, you know, when you're implementing a new model, to patients and, uh, you know, the 80, 20 part of it. I mean, you know, we see the health portals that We have just about 10 minutes left and now of course, now all the questions are rolling in like crazy from learn the process and see how it's going to be implemented. I think as you scale this model, the efficiencies will be seen. And so, you know, based on the difficulty of the therapeutic Just scale, it's going to be more, more clear as the media was saying, next question from the audiences, the logic is also the fact that, you know, when you're, you're going into the later phase trials, uh, you know, in the industry right now, whether you're talking of what Detroit is doing, Are there others that you can share from the FDA EU APAC, regulators and supporting you know, around the implementation of clinical trials during the COVID pandemic, which incorporate various if you could give us some, some final thoughts and bring us home things that we should be watching or how you see And I think, you know, some of the themes that we've talked about, number one, And so I think that, you know, figuring out a way that we can sort of harmonize and and beyond has been brought to you by IBM in the cube.

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Don Heiliger, Accenture and Leo Barella, Takeda | AWS Executive Summit 2021


 

>>Oh, welcome back to theCube coverage of AWS re:Invent Executive Summit presented by Accenture. I'm John,  your host of theCube. We're joined by two great guests, Leo Barella, Chief Technology Officer of Takeda and Don Heiliger Managing Director at Accenture. Gentlemen, welcome to theCube. >> Thank you. Great to be here.  >>Last year, Karl Hick joined us to discuss Takeda's cloud journey. I know a lot's gone by the pandemic. Didn't go away as fast as we hoped, but we're starting to see visibility of the future with cloud at narrow and seeing cloud scale. Um, it's refactoring of business models, new opportunities. How's it gone? >>Well, I think it's a, it's going wonderful, as planned actually.  I can, I can share with you that there are definitely some lessons learned, uh, what the plan was quite structured. We definitely discovered that  maybe we should have actually had about 50% of our time, uh, in the planning for organizational change management and communication. And because we definitely, uh, want to, uh, be able to kind of explain why, uh, moving to cloud is actually important to, to our business. Uh, and so, so if you were to actually do it again, uh, I think we would have probably put a lot more time in communicating the value of the program and wild visibly. Now, uh, we're going to be able to move a lot faster than a, than a year ago. Uh, seeing that the community of the Qaeda is, uh, is already, you know, kind of come around, uh, to, to truly understand the value of, uh, of, uh, moving to cloud >>No last year, any Jessie gave up on stage the keys to success for the cloud journey, you guys were in the middle of it. Um, what was the big takeaway, um, on the, on, on your, your journey, because a lot of people are having real situational awareness and doubling down on successes, identifying what's not working and being real agile. This has been the big aha. What's the big aha moments you had, uh, this year? >>Well, I can tell you that. I say from the, the migration of our applications to cloud, which, which is basically table stakes for elimination of our data centers. So at the end of the program, we're likely gonna retain only few application in our data centers, but move more than 80% of our application workloads to cloud. What actually most excited about is, uh, is really our new strategy around data as a digital platform enabler. Uh, so from now on we're, we're really going to be focusing on the value stream of the Qaeda at the understanding of, of digital platforms that we actually want to able to, to, to further consolidate, um, and, um, uh, you know, and globally expand, uh, the, the, the technologies that we have, but old built on a data foundation, uh, that, that is actually governed across the community of the Qaeda. So data actually becomes the center of our strategy. Uh, and then digital is basically just a way for us to actually interact with data, uh, which includes applications, such as machine learning and AI, which we were heavily investing in. And, uh, and we definitely plan on now leveraging more and more. >>And just to real quick, before we go to a central for a second, I want you to double down on that journey dynamics because we're seeing and maybe reporting, and the theme here this year at reinvent is multiple workloads in the cloud changing workloads. You have evolution of workloads, data as the center of it. And then this cultural shifts where you got the, you know, these modern applications at the top of the stack. So you were AIS contributing. So you've got three major innovation theaters kind of exploding. I mean, this is pretty, I mean, one of those is, is mindblowing. Nevermind, all three. >>Yeah. And I can tell you that, uh, you know, um, I'd like to achieve further expand the circle, uh, beyond the Qaeda. We don't necessarily believe that the digital transformation is just about, I don't want enterprise. That is definitely a fundamental, uh, but the digital transformation is truly about, um, connecting the Qaeda as a digital, uh, pharmaceutical company to the overall healthcare ecosystem and be able to basically transact with our partners, uh, in real time, which is the reason why we actually put data at the center because at the end of the day, uh, when other partners wants to interact with our data, the should in real time be able to transact as if they were transacting on their own systems with our own data, especially DCPS and patients, >>Don your, your reaction, because a lot of learnings, new opportunities, you're at the center of essentially doing a lot of great work. We've been documented a lot of it as well. What's your reaction? >>I mean, I just to amplify a lot of Leo's comments already, I think if I, if I think back and on this journey with, with the Qaeda and AWS and Accenture as the power of three, I think, you know, leaning in to that has been a recipe for success. So as Leo said, we've definitely had some lessons learned, but you know, being there with this power of three, I think has been, uh, enabling us to, uh, attack those challenges that have, uh, that have come up and, and really gotten ahead of those. I think the other thing you talked about is this, um, you know, all these different things coming together, you know, before the pandemic, we had, uh, done done some research at Accenture that kind of had two groups of companies with the leader leaders and the laggards. And, uh, it showed, know the difference in revenue growth of the leaders that adopt technology and those that are falling behind and really, um, that gap has widened, but there's a new entrance of companies that have emerged, which is the, leapfroggers the ones that take advantage of all of the things that like AWS has to offer in terms of the AI capabilities, the data capabilities, the foundational elements that are enabling them to really do this compressed transformation journey in a much shorter timeline. >>I think that's been the element that, uh, you know, I think we know you and I have firsthand together with our AWS colleagues of us being able to really do this on a pace that I think has just been on, on the unseen or unmatched in the past. >>Well, we get to the innovation pilots you guys are doing. I want to just jump on that topic for a quick second time. If you don't mind, that's a really important point. I think the people who shifted to the cloud and replatformed, and then learned all the goodness and then refactored their businesses have done great. This notion of leapfrog is people who move and say, Hey, I don't need, I'm going to replatform and refactor at the same time, get the learnings from others. Okay. They get the best practice is so what's the scar tissue from all the pioneers who have been playing in the cloud, who got the benefits are also paving the path for others. This is actually a motivating, cultural and personal kind of impact motivation. People are happier. What's your guys' reaction to this culture of the cloud, this cloud reef, leapfrogging and refactoring. >>Yeah. I mean, uh, w what I'm saying, uh, and, and lovely, or your perspective on this too, but frankly, you know, I think, uh, you know, with, with the, uh, the war on talent right now, that's out there. I think, you know, companies are investing, whether they're leaders, whether they're leapfroggers in this digital, uh, you know, platform I think are attracting the best talent and actually making it a place where people can innovate. And I know we're going to talk about some of the innovations here in a second, but I think that is, um, you know, some, a way to differentiate, uh, right now in the marketplace, given everything that we're seeing around, uh, retention and attraction of talent. I mean, being able to be on the front edge of this is quite critical in any company's view, but, you know, especially when you're trying to attract the best talent in, in, uh, developing, uh, medicines that actually say lots, >>Leo jumping on this wave and moving leapfrogging, what's your perspective on this? >>Yeah. You know, I, I agree to, uh, you know, talent is that talent is key. Uh, and quite frankly, uh, you know, Takeda, we've been at, you know, pharmaceutical company for the past 240 years. Uh, and now what should you really, uh, you know, starting to become a digital, um, pharmaceutical, uh, power. Uh, and, and so, uh, part of the attractiveness of, uh, of joining Takeda for instance, is the fact that, uh, not only you actually get to, uh, you know, uh, be with a company that is investing heavily, uh, in, in, in digital re-skilling and actually training of people, but also you're connecting to the mission of, uh, of literally saving saving lives, right? So basically, uh, the, the, the connection of really this transformation to become a digital superpower, uh, and also, uh, the, the mission of, uh, of really finding new medicines were, uh, for people that actually experienced, you know, for instance, you know, order of disease, uh, it's quite exciting because it's, uh, it's the application of artificial intelligence machine learning, uh, where now you're actually really trying to find someone that is, that is struggling. Uh, and we're now actually connecting them to a cure that, that is drastically changing their lifestyle. >>It's interesting, the agile agility and the speed of innovation really kind of puts away the old analysis of like, what's the payback. I mean, if you, if you can't see the value right away, then you, then you don't know what you're doing. Basically people in the cloud that say I can contribute and leapfrog and get that value. This has been a big part of the business model. And one of the ways people are doing it is just getting involved, starting pilots, doing the projects. Um, so I'd like to have you guys share the project that you guys have got going on with nurse line. Can you share what you're trying to achieve and how has the cloud enabled you to, to innovate, but also capture the value and can, and can you see it, is there, is there a big analysis there's like a big payback it's like you're buying this 20 year project, or how do you guys look at this? >>I mean, the nimbleness of, uh, of cloud, uh, in our ability to come in and fail fast is what's extremely attractive to, uh, to, to the business, right? Because now all of a sudden we can quickly spin up a prototype. We can quickly actually put it out as a product and actually see how effective it is compared to traditional processes. Uh, so for instance, nurse line is actually what we, uh, it's one of the many, uh, innovation initiatives that we actually have going on, but specifically addressing, uh, one of our, um, uh, therapy areas, which is, uh, our plasma derived therapies, uh, plasma and other therapies is actually, uh, the supply chain actually really starts with, uh, the good wheel of a innovative individual like yourself, um, deciding to actually not donate plasma that eventually is being processed and fractionated to deliver medicines that are life savings in most cases is actually the, the literally life savings. >>Um, and, uh, so what we're trying to do is actually really make that experience as flawless as, uh, in, as seamless as possible. Uh, if you, if you, if you have ever experienced, you know, going into Amazon go, uh, where you kind of, you know, walk in, you get some groceries and walk out and don't pass through a register. And, uh, it's the same type of experience that we actually want to provide where, uh, in the past, um, when you're actually donating plasma, obviously it's a, it's a fairly invasive procedure because obviously you need to actually be in a, being a bad and your, your plasma is getting distracted, but there's a lot of paperwork that you need to actually fill in. And, uh, and what we actually did, uh, is now actually enabled that through a digital experience where a donor, uh, they do a short approaching the center can now actually initiate a chat with, uh, with Amazon connect the ILX. >>Uh, and then, uh, depending on the priority, uh, the donor is going to assign to a nurse that can actually be anywhere in the country. Uh, in all of a sudden the nurse can actually initiate, uh, through, through Amazon connect, um, a dialogue with the, you know, with, with the donor, uh, answering some of the questions in the, you know, in the regular questionnaire. So, so now all of a sudden the nurse is actually feeding up the people work for you. Uh, and, uh, and that is actually done through the initiation of a video call. Uh, and we're actually using chime, which is, again, a part of like, you know, the, the, you know, the, the Amazon AWS services. And then basically upon the, the completion of a, of the questionnaire that is action, analytic, Tronic signature, that has been applied to, um, you know, to the form. >>Uh, and so did, this is actually all happening while basically the person is actually walking through the center or walking into the center. Uh, and now all of a sudden, the only thing that they need to do is actually having a signed bat and, uh, and actually initiate the process of, uh, of plasma donation. So all of this is actually done through microservices. Uh, now everything that we do now is actually API enabled and, you know, obviously like many other companies right now, what I should really think about microservices and the usability of, of technology and, and reusable components. So we're extremely excited about the fact that now, uh, that experience can actually be carried on, uh, to, to other parts of the business and that, that, that can actually leverage these technologies. >>That's a great example of refactoring. What's next for you guys, a division Accenture, what's the plans? >>Well, again, uh, the Google got done. >>Well, I was going to say, I mean, I think, you know, we, we started touching on it, uh, experience, right. And, uh, how do we embed more technology experiences that we're all used to? I mean, you know, to get into some of the return to office, the easiest way for me to do some of the COVID testing has been using my, uh, my trusty iPhone. Right. And so, as, as Liam talked about that experience, uh, part of this beyond just the therapies and, and attracting donors is really key for any business to succeed and thrive. Um, yeah, I think it, you know, if you think about, um, you've got the natives that are really more technology-based, you've got the, the Peloton of the world that obviously have, you know, a platform, but also a product you're going to see product and specifically life sciences companies get more into platform enabled, uh, services that they can provide outside, uh, as a, uh, service to others. And I think, um, you know, the, the platform, uh, experience and the user experience, the donor experience, all that I'd say innovating in, in more use cases like, uh, some of the ones you just heard that's what's next, and being able to, uh, use those guys more even externally to, uh, to do even more good for society, >>Leah, your thoughts with that. >>Well, um, you know, what I should really just getting started, right? So it's not a, you know, this transformation is now cloud enabled, uh, but, but w we're systematically actually going through our value chain, uh, and trying to throw the, understand, uh, you know, our customers, you know, again, as a business, we don't actually sell directly to consumers. So we're, we're, we're basically brokering through, but primarily through CPS and hospitals, right, to basically be able to diagnose a disease that can actually be cured with our products. Uh, and we do feel that, uh, you know, there is actually a huge role that we can actually play because obviously we're are experts in the, of, uh, you know, of the disease that we actually cure with our products. So basically the interactions, like the one that I just described nurse line, uh, can actually be directed, uh, not only to the HCPs, but also to the patients, uh, and the access to communities. >>Uh, and so we want to actually continue to provide platforms by which, you know, people that experienced, you know, especially a rare disease can now actually already connect and, uh, and, and, and share, um, you know, th th the sense of community that, that the business is, is so, so very important, right? For someone that physically has, uh, you know, the diseases that we cure. Uh, so again, uh, I think that the systematic approach of API APIs, and actually making sure that the data is actually ready for say the FDA to actually consume, to accelerate the clinical trials or to an hospital to kind of already understand if there is maybe a clinical trial that can be applied to one of the patients that is, that is actually showing some, some side effects that, uh, you know, or, or symptoms that visibly can be cured with, you know, with our, with our products, I think is going to be, uh, you know, ultimately the, the value that we can provide to society. So >>You guys did a great work and a great example. And to me, and this really showcases the management philosophy of cloud and the culture of cloud, where you take something like connect, and you can refactor and reconfigure these existing resources in a way that creates value, that saves lives. And this is the new, this new playbook. Congratulations on an exceptional story. I appreciate it. Thanks for coming on the cube coverage rapist, reinvent executive summit presented by Accenture I'm John ferry, your host, thanks for watching.

Published Date : Nov 30 2021

SUMMARY :

Officer of Takeda and Don Heiliger Managing Director at Accenture. Great to be here. I know a lot's gone by the pandemic. seeing that the community of the Qaeda is, uh, is already, you know, kind of come around, you had, uh, this year? um, and, um, uh, you know, and globally expand, uh, the, And just to real quick, before we go to a central for a second, I want you to double down on that journey dynamics because end of the day, uh, when other partners wants to interact with our data, the should in We've been documented a lot of it as well. and Accenture as the power of three, I think, you know, leaning in to that has been a recipe I think that's been the element that, uh, you know, I think we know you and I have firsthand Well, we get to the innovation pilots you guys are doing. in this digital, uh, you know, platform I think are attracting the best talent and actually and quite frankly, uh, you know, Takeda, we've been at, you know, pharmaceutical company for the past the cloud enabled you to, to innovate, but also capture the value and I mean, the nimbleness of, uh, of cloud, uh, in our ability to come in and fail fast is you know, going into Amazon go, uh, where you kind of, you know, walk in, you get some groceries and walk out uh, through, through Amazon connect, um, a dialogue with the, you know, Uh, and now all of a sudden, the only thing that they need to do is actually What's next for you guys, a division Accenture, And I think, um, you know, the, the platform, Uh, and we do feel that, uh, you know, there is actually a huge role that we can actually play because obviously Uh, and so we want to actually continue to provide platforms by which, you know, people that experienced, management philosophy of cloud and the culture of cloud, where you take something like connect,

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Toni Manzano, Aizon | AWS Startup Showcase | The Next Big Thing in AI, Security, & Life Sciences


 

(up-tempo music) >> Welcome to today's session of the cube's presentation of the AWS startup showcase. The next big thing in AI security and life sciences. Today, we'll be speaking with Aizon, as part of our life sciences track and I'm pleased to welcome the co-founder as well as the chief science officer of Aizon: Toni Monzano, will be discussing how artificial intelligence is driving key processes in pharma manufacturing. Welcome to the show. Thanks so much for being with us today. >> Thank you Natalie to you and to your introduction. >> Yeah. Well, as you know industry 4.0 is revolutionizing manufacturing across many industries. Let's talk about how it's impacting biotech and pharma and as well as Aizon's contributions to this revolution. >> Well, actually pharmacogenetics is totally introducing a new concept of how to manage processes. So, nowadays the industry is considering that everything is particularly static, nothing changes and this is because they don't have the ability to manage the complexity and the variability around the biotech and the driving factor in processes. Nowadays, with pharma - technologies cloud, our computing, IOT, AI, we can get all those data. We can understand the data and we can interact in real time, with processes. This is how things are going on nowadays. >> Fascinating. Well, as you know COVID-19 really threw a wrench in a lot of activity in the world, our economies, and also people's way of life. How did it impact manufacturing in terms of scale up and scale out? And what are your observations from this year? >> You know, the main problem when you want to do a scale-up process is not only the equipment, it is also the knowledge that you have around your process. When you're doing a vaccine on a smaller scale in your lab, the only parameters you're controlling in your lab, they have to be escalated when you work from five liters to 2,500 liters. How to manage this different of a scale? Well, AI is helping nowadays in order to detect and to identify the most relevant factors involved in the process. The critical relationship between the variables and the final control of all the full process following a continued process verification. This is how we can help nowadays in using AI and cloud technologies in order to accelerate and to scale up vaccines like the COVID-19. >> And how do you anticipate pharma manufacturing to change in a post COVID world? >> This is a very good question. Nowadays, we have some assumptions that we are trying to overpass yet with human efforts. Nowadays, with the new situation, with the pandemic that we are living in, the next evolution that we are doing humans will take care about the good practices of the new knowledge that we have to generate. So AI will manage the repetitive tasks, all the human condition activity that we are doing, So that will be done by AI, and humans will never again do repetitive tasks in this way. They will manage complex problems and supervise AI output. >> So you're driving more efficiencies in the manufacturing process with AI. You recently presented at the United nations industrial development organization about the challenges brought by COVID-19 and how AI is helping with the equitable distribution of vaccines and therapies. What are some of the ways that companies like Aizon can now help with that kind of response? >> Very good point. Could you imagine you're a big company, a top pharma company, that you have an intellectual property of COVID-19 vaccine based on emergency and principle, and you are going to, or you would like to, expand this vaccination in order not to get vaccination, also to manufacture the vaccine. What if you try to manufacture these vaccines in South Africa or in Asia in India? So the secret is to transport, not only the raw material not only the equipment, also the knowledge. How to appreciate how to control the full process from the initial phase 'till their packaging and the vials filling. So, this is how we are contributing. AI is packaging all this knowledge in just AI models. This is the secret. >> Interesting. Well, what are the benefits for pharma manufacturers when considering the implementation of AI and cloud technologies. And how can they progress in their digital transformation by utilizing them? >> One of the benefits is that you are able to manage the variability the real complexity in the world. So, you can not create processes, in order to manufacture drugs, just considering that the raw material that you're using is never changing. You cannot consider that all the equipment works in the same way. You cannot consider that your recipe will work in the same way in Brazil than in Singapore. So the complexity and the variability is must be understood as part of the process. This is one of the benefits. The second benefit is that when you use cloud technologies, you have not a big care about computing's licenses, software updates, antivirals, scale up of cloud ware computing. Everything is done in the cloud. So well, this is two main benefits. There are more, but this is maybe the two main ones. >> Yeah. Well, that's really interesting how you highlight how this is really. There's a big shift how you handle this in different parts of the world. So, what role does compliance and regulation play here? And of course we see differences the way that's handled around the world as well. >> Well, I think that is the first time the human race in the pharma - let me say experience - that we have a very strong commitment from the 30 bodies, you know, to push forward using this kind of technologies actually, for example, the FDA, they are using cloud, to manage their own system. So why not use them in pharma? >> Yeah. Well, how does AWS and Aizon help manufacturers address these kinds of considerations? >> Well, we have a very great partner. AWS, for us, is simplifying a lot our life. So, we are a very, let me say different startup company, Aizon, because we have a lot of PhDs in the company. So we are not in the classical geeky company with guys all day parameter developing. So we have a lot of science inside the company. So this is our value. So everything that is provided by Amazon, why we have to aim to recreate again so we can rely on Sage Maker. we can rely on Cogito, we can rely on Landon we can rely on Esri to have encryption data with automatic backup. So, AWS is simplifying a lot of our life. And we can dedicate all our knowledge and all our efforts to the things that we know: pharma compliance. >> And how do you anticipate that pharma manufacturing will change further in the 2021 year? Well, we are participating not only with business cases. We also participate with the community because we are leading an international project in order to anticipate this kind of new breakthroughs. So, we are working with, let me say, initiatives in the - association we are collaborating in two different projects in order to apply AI in computer certification in order to create more robust process for the MRA vaccine. We are collaborating with the - university creating the standards for AI application in GXP. We collaborating with different initiatives with the pharma community in order to create the foundation to move forward during this year. >> And how do you see the competitive landscape? What do you think Aizon provides compared to its competitors? >> Well, good question. Probably, you can find a lot of AI services, platforms, programs softwares that can run in the industrial environment. But I think that it will be very difficult to find a GXP - a full GXP-compliant platform working on cloud with AI when AI is already qualified. I think that no one is doing that nowadays. And one of the demonstration for that is that we are also writing some scientific papers describing how to do that. So you will see that Aizon is the only company that is doing that nowadays. >> Yeah. And how do you anticipate that pharma manufacturing will change or excuse me how do you see that it is providing a defining contribution to the future of cloud-scale? >> Well, there is no limits in cloud. So as far as you accept that everything is varied and complex, you will need power computing. So the only way to manage this complexity is running a lot of power computation. So cloud is the only system, let me say, that allows that. Well, the thing is that, you know pharma will also have to be compliant with the cloud providers. And for that, we created a new layer around the platform that we say qualification as a service. We are creating this layer in order to qualify continuously any kind of cloud platform that wants to work on environment. This is how we are doing that. >> And in what areas are you looking to improve? How are you constantly trying to develop the product and bring it to the next level? >> Always we have, you know, in mind the patient. So Aizon is a patient-centric company. Everything that we do is to improve processes in order to improve at the end, to deliver the right medicine at the right time to the right patient. So this is how we are focusing all our efforts in order to bring this opportunity to everyone around the world. For this reason, for example, we want to work with this project where we are delivering value to create vaccines for COVID-19, for example, everywhere. Just packaging the knowledge using AI. This is how we envision and how we are acting. >> Yeah. Well, you mentioned the importance of science and compliance. What do you think are the key themes that are the foundation of your company? >> The first thing is that we enjoy the task that we are doing. This is the first thing. The other thing is that we are learning every day with our customers and for real topics. So we are serving to the patients. And everything that we do is enjoying science enjoying how to achieve new breakthroughs in order to improve life in the factory. We know that at the end will be delivered to the final patient. So enjoying making science and creating breakthroughs; being innovative. >> Right, and do you think that in the sense that we were lucky, in light of COVID, that we've already had these kinds of technologies moving in this direction for some time that we were somehow able to mitigate the tragedy and the disaster of this situation because of these technologies? >> Sure. So we are lucky because of this technology because we are breaking the distance, the physical distance, and we are putting together people that was so difficult to do that in all the different aspects. So, nowadays we are able to be closer to the patients to the people, to the customer, thanks to these technologies. Yes. >> So now that also we're moving out of, I mean, hopefully out of this kind of COVID reality, what's next for Aizon? Do you see more collaboration? You know, what's next for the company? >> The next for the company is to deliver AI models that are able to be encapsulated in the drug manufacturing for vaccines, for example. And that will be delivered with the full process not only materials, equipment, personnel, recipes also the AI models will go together as part of the recipe. >> Right, well, we'd love to hear more about your partnership with AWS. How did you get involved with them? And why them, and not another partner? >> Well, let me explain to you a secret. Seven years ago, we started with another top cloud provider, but we saw very soon, that this other cloud provider were not well aligned with the GXP requirements. For this reason, we met with AWS. We went together to some seminars, conferences with top pharma communities and pharma organizations. We went there to make speeches and talks. We felt that we fit very well together because AWS has a GXP white paper describing very well how to rely on AWS components. One by one. So this is for us, this is a very good credential, when we go to our customers. Do you know that when customers are acquiring and are establishing the Aizon platform in their systems, they are outbidding us. They are outbidding Aizon. Well we have to also outbid AWS because this is the normal chain in pharma supplier. Well, that means that we need this documentation. We need all this transparency between AWS and our partners. This is the main reason. >> Well, this has been a really fascinating conversation to hear how AI and cloud are revolutionizing pharma manufacturing at such a critical time for society all over the world. Really appreciate your insights, Toni Monzano: the chief science officer and co-founder of Aizon. I'm your host, Natalie Erlich, for the Cube's presentation of the AWS startup showcase. Thanks very much for watching. (soft upbeat music)

Published Date : Jun 24 2021

SUMMARY :

of the AWS startup showcase. and to your introduction. contributions to this revolution. and the variability around the biotech in a lot of activity in the world, the knowledge that you the next evolution that we are doing in the manufacturing process with AI. So the secret is to transport, considering the implementation You cannot consider that all the equipment And of course we see differences from the 30 bodies, you and Aizon help manufacturers to the things that we in order to create the is that we are also to the future of cloud-scale? So cloud is the only system, at the right time to the right patient. the importance of science and compliance. the task that we are doing. and we are putting in the drug manufacturing love to hear more about This is the main reason. of the AWS startup showcase.

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2021 AWSSQ2 054 AWS Mike Tarselli and Michelle Bradbury


 

>> Announcer: From theCUBE studios in Palo Alto and Boston, connecting with thought leaders all around the world. This is a CUBE Conversation. >> Hello. Welcome to today's session of the AWS Startup Showcase, The Next Big Thing in AI, Security & Life Sciences. Today featuring TetraScience for the life sciences track. I'm your host Natalie Erlich, and now we are joined by our special guests, Michelle Bradbury, VP of Product at TetraScience, as well as Mike Tarselli, the Chief Scientific Officer at TetraScience. We're going to talk about the R&D Data Cloud movement in life sciences, unlocking experimental data to accelerate discovery. Thank you both very much for joining us today. >> Thank you for having us. >> Yeah, thank you. Great to be here. >> Well, while traditionally slower to adopt cloud technology in R&D, global pharmas are now launching digital lab initiatives to improve time to market for therapeutics. Now, can you discuss some of the key challenges still facing big pharma in terms of digital transformation? >> Sure. I guess I'll start in. The big pharma sort of organization that we have today happens to work very well in its particular way, i.e., they have some architecture they've installed, usually on-premises. They are sort of tentatively sticking their foot into the cloud. They're learning how to move forward into that, and in order to process and automate their data streams. However, we would argue they haven't done enough fast enough and that they need to get there faster in order to deliver patient value and efficiencies to their businesses. >> Well, how specifically, now for Michelle, can R&D Data Cloud help big pharma in this digital transformation? >> So the big thing that large pharmas face is a couple different things. So the ecosystem within large pharma is a lot of diverse data types, a lot of diverse file types. So that's one thing that the data cloud handles very well to be able to parse through, harmonize, and bring together your data so that it can be leveraged for things like AI and machine learning at large-scale, which is sort of the other part where I think one of the large sort of challenges that pharma faces is sort of a proliferation of data. And what cloud offers, specifically, is a better way to store, more scalable storage, better ability to even tier your storage while still making it searchable, maintainable, and offer a lot of flexibility to the actual pharma companies. >> And what about security and compliance, or even governance? What are those implications? >> Sure. I'll jump into that one. So security and compliance, every large pharma is a regulated industry. Everyone watching this probably is aware of that. And so we therefore have to abide by the same tenets that they would. So 21 CFR Part 11 compliance, getting ready for GXP ready systems, And in fact, doing extra certifications around a SOC 2 Type 2, ISO 9001, really every single regulation that would allow our cloud solution to be quality, ready, inspectable, and really performant for what needs to be done for an eventual FDA submission. >> And can you also speak about some of the advances that we're seeing in machine learning and artificial intelligence, and how that will impact pharma, and what your role is in that at TetraScience? >> Sure. I'll pass this one to Michelle first. >> I was going to say I can take that one. So one of the things that we're seeing in terms of where AI and ML will go with large pharma is their ability to not only search and build models against the data that they have access to right now, which is very limited in the way they search, but the ability to go through the historical amount of data, the ability to leverage mass parallel compute on top of these giant data clusters, and what that means in terms of not only faster time to market for drugs, but also, I think, more accurate and precise testing coming in the future. So I think there's so much opportunity for this really data-rich vertical and industry to leverage in a lot of the modern tooling that it hasn't been able to leverage so far. >> And Mike, what would you say are the benefits that a fully automated lab could bring with increased fairness and data liquidity? >> Yeah, sure. Let's go five years into the future. I am a bench chemist, and I'm trying to get some results in, and it's amazing because I can look up everything the rest of my colleagues have ever done on this particular project with a single click of a button in a simple term set in natural language. I can then find and retrieve those results, easily visualize them in our platform or in any other platform I choose to use. And then I can inspect those, interrogate those, and say, "Actually, I'm going to be able to set up this automation cascade." I'll probably have it ready by the afternoon. All the data that's returned to me through this is going to be easily integratable, harmonized, and you're going to be able to find it, obviously. You're going to interoperate it with any system, so if I suddenly decide that I need to send a report over to another division in their preferred vis tool or data system of choice, great! I click three buttons, configure it. Boom. There goes that report to them. This should be a simple vision to achieve even faster than five years. And that data liquidity that enables you to sort of pass results around outside of your division, and outside of even your sort of company or division, to other who are able to see it should be fairly easy to achieve if all that data is ingested the right way. >> Well, I'd love to ask this next question to both of you. What is your defining contribution to the future of cloud scale? >> Mike, you want to go first? >> (chuckles) I would love to. So right now the pharmaceutical and life sciences companies, they aren't seeing data increase linearly. They're seeing it increase exponentially, right? We are living in the exabyte era, and really have on the internet since about 2016. It's only going to get bigger, and it's going to get bigger in a power law, right? So you're going to see, as sequencing comes on, as larger form microscopy comes on, and as more and more companies are taking on more and more data about each individual sample, retaining that data for longer, doing more analytics of that data, and also doing personalized medicine, right, more data about a specific patient, or animal, or cell line. You're just going to see this absolute data explosion. And because of that, the only thing you can really do to keep up with that is be in the cloud. On-prem, you will be buying disk drives and out of physical materials before you're going to outstrip the data. Michelle? >> Yeah. And, I think, to go along with not just the data storage scale, I think the compute scale. Mike is absolutely right. We're seeing personalized drugs. We're seeing customers that want to, within a matter of three, four hours, get to a personalized drug for patients. And that kind of scale on a compute basis not just requires a ton of data, but requires mass compute ability to be able to get it right, right? And so it really becomes this marriage of getting a huge amount of data, and getting the mass compute to be able to really leverage that per patient. And then the one thing that... Sort of enabling that ecosystem to come centrally together across such a diverse dataset is sort of that driving force. If you can get the data together but you can't compute it, if you can compute it but you can't get it together, it all needs to come together. Otherwise it just doesn't work. >> Yeah. Well, on your website you have all these great case studies, and I'd love it if you could outline some of your success stories for us, some specific, concrete examples. >> Sure. I'll take one first, and then they'll pass to Michelle. One really great concrete example is we were able to take data format processing for a biotech that had basically previously had instruments sitting off in a corner that they could not connect, were integratable for a high throughput screening cascade. We were able to bring them online. We were able to get the datasets interpretable, and get literally their processing time for these screens from the order of weeks to the order of minutes. So they could basically be doing probably a couple hundred more screens per year than they could have otherwise. Michelle? >> We have one customer that is in the process of automating their entire lab, even using robotics arms. So it's a huge mix of being able to ingest IoT data, send experiment data to them, understand sampling, getting the results back, and really automating that whole process, which when they even walked me through it, I was like, "Wow," and I'm like, "so cool." (chuckles) And there's a lot of... I think a lot of pharma companies want, and life science companies, want to move forward in innovation and do really creative and cool things for patients. But at the end of it, you sort of have to also realize it's like their core competency is focusing on drugs, and getting that to market, and making patients better. And we're just one part of that, really helping to enable that process and that ecosystem come to life, so it's really cool to watch. >> Right, right. And I mean, in this last year we've seen how critical the healthcare sector is to people all over the world. Now, looking forward, what do you anticipate some of the big innovations in the sector will be in the next five years, and where do you see TetraScience's role in that? >> So I think some of the larger innovations are... Mike mentioned one of them already. It's going to be sort of the personalized drugs the personalized health care. I think it is absolutely going to go to full lab automation to some degree, because who knows when the next pandemic will hit, right? And we're all going to have to go home, right? I think the days of trying to move around data manually and trying to work through that is just... If we don't plan for that to be a thing of the past, I think we're all going to do ourselves a disservice. So I think you'll see more automation. I think you'll see more personalization, and you'll see more things that leverage larger amounts of data. I think where we hope to sit is really at the ecosystem enablement part of that. We want to remain open. That's one of the cornerstones. We're not a single partner platform. We're not tied to any vendors. We really want to become that central aid and the ecosystem enabler for the labs. >> Yeah, to that point- >> And I'd also love to get your insight. >> Oh! Sorry. (chuckles) Thank you. To that point, we're really trying to unlock discovery, right? Many other horizontal cloud players will do something like you can upload files, or you can do some massive compute, but they won't have the vertical expertise that we do, right? They won't have the actual deep life sciences dedication. We have several PhDs, postdocs, et cetera, on staff who have done this for a living and can do this going forward. So you're going to see the realization of something that was really exciting in sort of 2005, 2006, that is fully automated experimentation. So get a robot to about an experiment, design it, have a human operator assist with putting together all the automation, and then run that over and over again cyclically until you get the result you want. I don't think that the compute was ready for that at the time. I don't think that the resources were up to snuff, but now you can do it, and you can do it with any tool, instrument, technique you want, because to Michelle's point, we're a vendor-agnostic partner networked platform. So you can actually assemble this learning automation cascade and have it run in the background while you go home and sleep. >> Yeah, and we often hear about automation, but tell us a little bit more specifically what is the harmonizing effect of TetraScience? I mean, that's not something that we usually hear, so what's unique about that? >> You want to take that, or you want me to go? >> You go, please. (chuckles) >> All right. So, really, it's about... It's about normalizing and harmonizing the data. And what does that... What that means is that whether you're a chromatography machine from, let's say Waters, or another vendor, ideally you'd like to be able to leverage all of your chromatography data and do research across all of it. Most of our customers have machinery that is of same sort from different customers, or sorry, from different vendors. And so it's really the ability to bring that data together, and sometimes it's even diverse instrumentation. So if I track a molecule, or a project, or a sample through one piece, one set of instrumentation, and I want to see how it got impacted in another set of instrumentation, or what the results were, I'm able to quickly and easily be able to sort of leverage that harmonized data and come to those results quickly. Mike, I'm sure you have a- >> May I offer a metaphor from something outside of science? Hopefully that's not off par for this, but let's say you had a parking lot, right, filled with different kinds of cars. And let's say you said at the beginning of that parking lot, "No, I'm sorry. We only have space right here for a Ford Fusion 2019 black with leather interior and this kind of tires." That would be crazy. You would never put that kind of limitation on who could park in a parking lot. So why do specific proprietary data systems put that kind of limitation on how data can be processed? We want to make it so that any car, any kind of data, can be processed and considered together in that same parking lot. >> Fascinating. Well, thank you both so much for your insights. Really appreciate it. Wonderful to hear about R&D Data Cloud movement in big pharma, and that of course is Michelle Bradbury, VP of Product at TetraScience, as well as Mike Tarselli, the Chief Scientific Officer at TetraScience. Thanks again very much for your insights. I'm your host for theCUBE, Natalie Erlich. Catch us again for the next session of the AWS Startup Session. Thank you. (smooth music)

Published Date : Jun 8 2021

SUMMARY :

leaders all around the world. We're going to talk about Great to be here. to improve time to and that they need to get there faster to be able to parse through, harmonize, our cloud solution to be one to Michelle first. but the ability to go through There goes that report to them. Well, I'd love to ask this and it's going to get bigger and getting the mass compute and I'd love it if you could outline and then they'll pass to Michelle. and getting that to market, and where do you see I think it is absolutely going to go to get your insight. and have it run in the background (chuckles) and come to those results quickly. beginning of that parking lot, and that of course is Michelle Bradbury,

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An Absolute Requirement for Precision Medicine Humanized Organ Study


 

>>Hello everybody. I am Toshihiko Nishimura from Stanford. University is there to TTT out here, super aging, global OMIM global transportation group about infections, uh, or major point of concerns. In addition, this year, we have the COVID-19 pandemic. As you can see here, while the why the new COVID-19 patients are still increasing, meanwhile, case count per day in the United state, uh, beginning to decrease this pandemic has changed our daily life to digital transformation. Even today, the micro segmentation is being conducted online and doctor and the nurse care, uh, now increase to telemedicine. Likewise, the drug development process is in need of major change paradigm shift, especially in vaccine in drug development for COVID-19 is, should be safe, effective, and faster >>In the >>Anastasia department, which is the biggest department in school of medicine. We have Stanford, a love for drug device development, regulatory science. So cold. Say the DDT RDS chairman is Ron Paul and this love leaderships are long mysel and stable shaper. In the drug development. We have three major pains, one exceedingly long duration that just 20 years huge budget, very low success rate general overview in the drug development. There are Discoverly but clinical clinical stage, as you see here, Tang. Yes. In clinical stage where we sit, say, what are the programs in D D D R S in each stages or mix program? Single cell programs, big data machine learning, deep learning, AI mathematics, statistics programs, humanized animal, the program SNS program engineering program. And we have annual symposium. Today's the, my talk, I do like to explain limitation of my science significance of humanized. My science out of separate out a program. I focused on humanized program. I believe this program is potent game changer for drug development mouse. When we think of animal experiment, many people think of immediately mouse. We have more than 30 kinds of inbred while the type such as chief 57, black KK yarrow, barber C white and so on using QA QC defined. Why did the type mice 18 of them gave him only one intervention using mouse, genomics analyzed, computational genetics. And then we succeeded to pick up fish one single gene in a week. >>We have another category of gene manipulated, mice transgenic, no clout, no Kamal's group. So far registered 40,000 kind as over today. Pretty critical requirement. Wrong FDA PMDA negative three sites are based on arteries. Two kinds of animal models, showing safety efficacy, combination of two animals and motel our mouse and the swine mouse and non-human primate. And so on mouse. Oh, Barry popular. Why? Because mouse are small enough, easy to handle big database we had and cost effective. However, it calls that low success rate. Why >>It, this issue speculation, low success rate came from a gap between preclinical the POC and the POC couldn't stay. Father divided into phase one. Phase two has the city FDA unsolved to our question. Speculation in nature biology using 7,372 new submissions, they found a 68 significant cradle out crazy too, to study approved by the process. And in total 90 per cent Radia in the clinical stages. What we can surmise from this study, FDA confirmed is that the big discrepancy between POC and clinical POC in another ward, any amount of data well, Ms. Representative for human, this nature bio report impacted our work significantly. >>What is a solution for this discrepancy? FDA standards require the people data from two species. One species is usually mice, but if the reported 90% in a preclinical data, then huge discrepancy between pretty critical POC in clinical POC. Our interpretation is data from mice, sometime representative, actually mice, and the humor of different especially immune system and the diva mice liver enzyme are missing, which human Liba has. This is one huge issue to be taught to overcome this problem. We started humanized mice program. What kind of human animals? We created one humanized, immune mice. The other is human eyes, DBA, mice. What is the definition of a humanized mice? They should have human gene or human cells or human tissues or human organs. Well, let me share one preclinical stages. Example of a humanized mouse that is polio receptor mice. This problem led by who was my mentor? Polio virus. Well, polio virus vaccine usually required no human primate to test in 13 years, collaboration with the FDA w H O polio eradication program. Finally FDA well as w H O R Purdue due to the place no human primate test to transgenic PVL. This is three. Our principle led by loss around the botch >>To move before this humanized mouse program, we need two other bonds donut outside your science, as well as the CPN mouse science >>human hormone, like GM CSF, Whoah, GCSF producing or human cytokine. those producing emoji mice are required in the long run. Two maintain human cells in their body under generation here, South the generation here, Dr. already created more than 100 kinds based on Z. The 100 kinds of Noe mice, we succeeded to create the human immune mice led the blood. The cell quite about the cell platelets are beautifully constituted in an mice, human and rebar MAs also succeeded to create using deparent human base. We have AGN diva, humanized mouse, American African human nine-thirty by mice co-case kitchen, humanized mice. These are Hennessy humanized, the immune and rebar model. On the other hand, we created disease rebar human either must to one example, congenital Liba disease, our guidance Schindel on patient model. >>The other model, we have infectious DDS and Waddell council Modell and GVH Modell. And so on creature stage or phase can a human itemize apply. Our objective is any stage. Any phase would be to, to propose. We propose experiment, pose a compound, which showed a huge discrepancy between. If Y you show the huge discrepancy, if Y is lucrative analog and the potent anti hepatitis B candidate in that predict clinical stage, it didn't show any toxicity in mice got dark and no human primate. On the other hand, weighing into clinical stage and crazy to October 15, salvage, five of people died and other 10 the show to very severe condition. >>Is that the reason why Nicole traditional the mice model is that throughout this, another mice Modell did not predict this severe side outcome. Why Zack humanized mouse, the Debar Modell demonstrate itself? Yes. Within few days that chemistry data and the puzzle physiology data phase two and phase the city requires huge number of a human subject. For example, COVID-19 vaccine development by Pfizer, AstraZeneca Moderna today, they are sample size are Southeast thousand vaccine development for COVID-19. She Novak UConn in China books for the us Erica Jones on the Johnson in unite United Kingdom. Well, there are now no box us Osaka Osaka, university hundred Japan. They are already in phase two industry discovery and predict clinical and regulatory stage foster in-app. However, clinical stage is a studious role because that phases required hugely number or the human subject 9,000 to 30,000. Even my conclusion, a humanized mouse model shortens the duration of drug development humanize, and most Isabel, uh, can be increase the success rate of drug development. Thank you for Ron Paul and to Steven YALI pelt at Stanford and and his team and or other colleagues. Thank you for listening.

Published Date : Jan 8 2021

SUMMARY :

case count per day in the United state, uh, beginning to decrease the drug development. our mouse and the swine mouse and non-human primate. is that the big discrepancy between POC and clinical What is the definition of a humanized mice? On the other hand, we created disease rebar human other 10 the show to very severe condition. that phases required hugely number or the human subject 9,000

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Exascale – Why So Hard? | Exascale Day


 

from around the globe it's thecube with digital coverage of exascale day made possible by hewlett packard enterprise welcome everyone to the cube celebration of exascale day ben bennett is here he's an hpc strategist and evangelist at hewlett-packard enterprise ben welcome good to see you good to see you too son hey well let's evangelize exascale a little bit you know what's exciting you uh in regards to the coming of exoskilled computing um well there's a couple of things really uh for me historically i've worked in super computing for many years and i have seen the coming of several milestones from you know actually i'm old enough to remember gigaflops uh coming through and teraflops and petaflops exascale is has been harder than many of us anticipated many years ago the sheer amount of technology that has been required to deliver machines of this performance has been has been us utterly staggering but the exascale era brings with it real solutions it gives us opportunities to do things that we've not been able to do before if you look at some of the the most powerful computers around today they've they've really helped with um the pandemic kovid but we're still you know orders of magnitude away from being able to design drugs in situ test them in memory and release them to the public you know we still have lots and lots of lab work to do and exascale machines are going to help with that we are going to be able to to do more um which ultimately will will aid humanity and they used to be called the grand challenges and i still think of them as that i still think of these challenges for scientists that exascale class machines will be able to help but also i'm a realist is that in 10 20 30 years time you know i should be able to look back at this hopefully touch wood look back at it and look at much faster machines and say do you remember the days when we thought exascale was faster yeah well you mentioned the pandemic and you know the present united states was tweeting this morning that he was upset that you know the the fda in the u.s is not allowing the the vaccine to proceed as fast as you'd like it in fact it the fda is loosening some of its uh restrictions and i wonder if you know high performance computing in part is helping with the simulations and maybe predicting because a lot of this is about probabilities um and concerns is is is that work that is going on today or are you saying that that exascale actually you know would be what we need to accelerate that what's the role of hpc that you see today in regards to sort of solving for that vaccine and any other sort of pandemic related drugs so so first a disclaimer i am not a geneticist i am not a biochemist um my son is he tries to explain it to me and it tends to go in one ear and out the other um um i just merely build the machines he uses so we're sort of even on that front um if you read if you had read the press there was a lot of people offering up systems and computational resources for scientists a lot of the work that has been done understanding the mechanisms of covid19 um have been you know uncovered by the use of very very powerful computers would exascale have helped well clearly the faster the computers the more simulations we can do i think if you look back historically no vaccine has come to fruition as fast ever under modern rules okay admittedly the first vaccine was you know edward jenner sat quietly um you know smearing a few people and hoping it worked um i think we're slightly beyond that the fda has rules and regulations for a reason and we you don't have to go back far in our history to understand the nature of uh drugs that work for 99 of the population you know and i think exascale widely available exoscale and much faster computers are going to assist with that imagine having a genetic map of very large numbers of people on the earth and being able to test your drug against that breadth of person and you know that 99 of the time it works fine under fda rules you could never sell it you could never do that but if you're confident in your testing if you can demonstrate that you can keep the one percent away for whom that drug doesn't work bingo you now have a drug for the majority of the people and so many drugs that have so many benefits are not released and drugs are expensive because they fail at the last few moments you know the more testing you can do the more testing in memory the better it's going to be for everybody uh personally are we at a point where we still need human trials yes do we still need due diligence yes um we're not there yet exascale is you know it's coming it's not there yet yeah well to your point the faster the computer the more simulations and the higher the the chance that we're actually going to going to going to get it right and maybe compress that time to market but talk about some of the problems that you're working on uh and and the challenges for you know for example with the uk government and maybe maybe others that you can you can share with us help us understand kind of what you're hoping to accomplish so um within the united kingdom there was a report published um for the um for the uk research institute i think it's the uk research institute it might be epsrc however it's the body of people responsible for funding um science and there was a case a science case done for exascale i'm not a scientist um a lot of the work that was in this documentation said that a number of things that can be done today aren't good enough that we need to look further out we need to look at machines that will do much more there's been a program funded called asimov and this is a sort of a commercial problem that the uk government is working with rolls royce and they're trying to research how you build a full engine model and by full engine model i mean one that takes into account both the flow of gases through it and how those flow of gases and temperatures change the physical dynamics of the engine and of course as you change the physical dynamics of the engine you change the flow so you need a closely coupled model as air travel becomes more and more under the microscope we need to make sure that the air travel we do is as efficient as possible and currently there aren't supercomputers that have the performance one of the things i'm going to be doing as part of this sequence of conversations is i'm going to be having an in detailed uh sorry an in-depth but it will be very detailed an in-depth conversation with professor mark parsons from the edinburgh parallel computing center he's the director there and the dean of research at edinburgh university and i'm going to be talking to him about the azimoth program and and mark's experience as the person responsible for looking at exascale within the uk to try and determine what are the sort of science problems that we can solve as we move into the exoscale era and what that means for humanity what are the benefits for humans yeah and that's what i wanted to ask you about the the rolls-royce example that you gave it wasn't i if i understood it wasn't so much safety as it was you said efficiency and so that's that's what fuel consumption um it's it's partly fuel consumption it is of course safety there is a um there is a very specific test called an extreme event or the fan blade off what happens is they build an engine and they put it in a cowling and then they run the engine at full speed and then they literally explode uh they fire off a little explosive and they fire a fan belt uh a fan blade off to make sure that it doesn't go through the cowling and the reason they do that is there has been in the past uh a uh a failure of a fan blade and it came through the cowling and came into the aircraft depressurized the aircraft i think somebody was killed as a result of that and the aircraft went down i don't think it was a total loss one death being one too many but as a result you now have to build a jet engine instrument it balance the blades put an explosive in it and then blow the fan blade off now you only really want to do that once it's like car crash testing you want to build a model of the car you want to demonstrate with the dummy that it is safe you don't want to have to build lots of cars and keep going back to the drawing board so you do it in computers memory right we're okay with cars we have computational power to resolve to the level to determine whether or not the accident would hurt a human being still a long way to go to make them more efficient uh new materials how you can get away with lighter structures but we haven't got there with aircraft yet i mean we can build a simulation and we can do that and we can be pretty sure we're right um we still need to build an engine which costs in excess of 10 million dollars and blow the fan blade off it so okay so you're talking about some pretty complex simulations obviously what are some of the the barriers and and the breakthroughs that are kind of required you know to to do some of these things that you're talking about that exascale is going to enable i mean presumably there are obviously technical barriers but maybe you can shed some light on that well some of them are very prosaic so for example power exoscale machines consume a lot of power um so you have to be able to design systems that consume less power and that goes into making sure they're cooled efficiently if you use water can you reuse the water i mean the if you take a laptop and sit it on your lap and you type away for four hours you'll notice it gets quite warm um an exascale computer is going to generate a lot more heat several megawatts actually um and it sounds prosaic but it's actually very important to people you've got to make sure that the systems can be cooled and that we can power them yeah so there's that another issue is the software the software models how do you take a software model and distribute the data over many tens of thousands of nodes how do you do that efficiently if you look at you know gigaflop machines they had hundreds of nodes and each node had effectively a processor a core a thread of application we're looking at many many tens of thousands of nodes cores parallel threads running how do you make that efficient so is the software ready i think the majority of people will tell you that it's the software that's the problem not the hardware of course my friends in hardware would tell you ah software is easy it's the hardware that's the problem i think for the universities and the users the challenge is going to be the software i think um it's going to have to evolve you you're just you want to look at your machine and you just want to be able to dump work onto it easily we're not there yet not by a long stretch of the imagination yeah consequently you know we one of the things that we're doing is that we have a lot of centers of excellence is we will provide well i hate say the word provide we we sell super computers and once the machine has gone in we work very closely with the establishments create centers of excellence to get the best out of the machines to improve the software um and if a machine's expensive you want to get the most out of it that you can you don't just want to run a synthetic benchmark and say look i'm the fastest supercomputer on the planet you know your users who want access to it are the people that really decide how useful it is and the work they get out of it yeah the economics is definitely a factor in fact the fastest supercomputer in the planet but you can't if you can't afford to use it what good is it uh you mentioned power uh and then the flip side of that coin is of course cooling you can reduce the power consumption but but how challenging is it to cool these systems um it's an engineering problem yeah we we have you know uh data centers in iceland where it gets um you know it doesn't get too warm we have a big air cooled data center in in the united kingdom where it never gets above 30 degrees centigrade so if you put in water at 40 degrees centigrade and it comes out at 50 degrees centigrade you can cool it by just pumping it round the air you know just putting it outside the building because the building will you know never gets above 30 so it'll easily drop it back to 40 to enable you to put it back into the machine um right other ways to do it um you know is to take the heat and use it commercially there's a there's a lovely story of they take the hot water out of the supercomputer in the nordics um and then they pump it into a brewery to keep the mash tuns warm you know that's that's the sort of engineering i can get behind yeah indeed that's a great application talk a little bit more about your conversation with professor parsons maybe we could double click into that what are some of the things that you're going to you're going to probe there what are you hoping to learn so i think some of the things that that are going to be interesting to uncover is just the breadth of science that can be uh that could take advantage of exascale you know there are there are many things going on that uh that people hear about you know we people are interested in um you know the nobel prize they might have no idea what it means but the nobel prize for physics was awarded um to do with research into black holes you know fascinating and truly insightful physics um could it benefit from exascale i have no idea uh i i really don't um you know one of the most profound pieces of knowledge in in the last few hundred years has been the theory of relativity you know an austrian patent clerk wrote e equals m c squared on the back of an envelope and and voila i i don't believe any form of exascale computing would have helped him get there any faster right that's maybe flippant but i think the point is is that there are areas in terms of weather prediction climate prediction drug discovery um material knowledge engineering uh problems that are going to be unlocked with the use of exascale class systems we are going to be able to provide more tools more insight [Music] and that's the purpose of computing you know it's not that it's not the data that that comes out and it's the insight we get from it yeah i often say data is plentiful insights are not um ben you're a bit of an industry historian so i've got to ask you you mentioned you mentioned mentioned gigaflop gigaflops before which i think goes back to the early 1970s uh but the history actually the 80s is it the 80s okay well the history of computing goes back even before that you know yes i thought i thought seymour cray was you know kind of father of super computing but perhaps you have another point of view as to the origination of high performance computing [Music] oh yes this is um this is this is one for all my colleagues globally um you know arguably he says getting ready to be attacked from all sides arguably you know um computing uh the parallel work and the research done during the war by alan turing is the father of high performance computing i think one of the problems we have is that so much of that work was classified so much of that work was kept away from commercial people that commercial computing evolved without that knowledge i uh i have done in in in a previous life i have done some work for the british science museum and i have had the great pleasure in walking through the the british science museum archives um to look at how computing has evolved from things like the the pascaline from blaise pascal you know napier's bones the babbage's machines uh to to look all the way through the analog machines you know what conrad zeus was doing on a desktop um i think i think what's important is it doesn't matter where you are is that it is the problem that drives the technology and it's having the problems that requires the you know the human race to look at solutions and be these kicks started by you know the terrible problem that the us has with its nuclear stockpile stewardship now you've invented them how do you keep them safe originally done through the ascii program that's driven a lot of computational advances ultimately it's our quest for knowledge that drives these machines and i think as long as we are interested as long as we want to find things out there will always be advances in computing to meet that need yeah and you know it was a great conversation uh you're a brilliant guest i i love this this this talk and uh and of course as the saying goes success has many fathers so there's probably a few polish mathematicians that would stake a claim in the uh the original enigma project as well i think i think they drove the algorithm i think the problem is is that the work of tommy flowers is the person who took the algorithms and the work that um that was being done and actually had to build the poor machine he's the guy that actually had to sit there and go how do i turn this into a machine that does that and and so you know people always remember touring very few people remember tommy flowers who actually had to turn the great work um into a working machine yeah super computer team sport well ben it's great to have you on thanks so much for your perspectives best of luck with your conversation with professor parsons we'll be looking forward to that and uh and thanks so much for coming on thecube a complete pleasure thank you and thank you everybody for watching this is dave vellante we're celebrating exascale day you're watching the cube [Music]

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Itumeleng Monale, Standard Bank | IBM DataOps 2020


 

from the cube studios in Palo Alto in Boston connecting with thought leaders all around the world this is a cube conversation hi buddy welcome back to the cube this is Dave Volante and you're watching a special presentation data ops enacted made possible by IBM you know what's what's happening is the innovation engine in the IT economy is really shifted used to be Moore's Law today it's applying machine intelligence and AI to data really scaling that and operationalizing that new knowledge the challenges that is not so easy to operationalize AI and infuse it into the data pipeline but what we're doing in this program is bringing in practitioners who have actually had a great deal of success in doing just that and I'm really excited to have it Kumal a Himalayan Manali is here she's the executive head of data management or personal and business banking at Standard Bank of South Africa the tomb of length thanks so much for coming in the queue thank you for having me Dave you're very welcome and first of all how you holding up with this this bovid situation how are things in Johannesburg um things in Johannesburg are fine we've been on lockdown now I think it's day 33 if I'm not mistaken lost count and but we're really grateful for the swift action of government we we only I mean we have less than 4,000 places in the country and infection rate is is really slow so we've really I think been able to find the curve and we're grateful for being able to be protected in this way so all working from home or learning the new normal and we're all in this together that's great to hear why don't you tell us a little bit about your your role you're a data person we're really going to get into it but here with us you know how you spend your time okay well I head up a date operations function and a data management function which really is the foundational part of the data value chain that then allows other parts of the organization to monetize data and liberate it as as as the use cases apply we monetize it ourselves as well but really we're an enterprise wide organization that ensures that data quality is managed data is governed that we have the effective practices applied to the entire lineage of the data ownership and curation is in place and everything else from a regulatory as well as opportunity perspective then is able to be leveraged upon so historically you know data has been viewed as sort of this expense it's it's big it's growing it needs to be managed deleted after a certain amount of time and then you know ten years ago of the Big Data move data became an asset you had a lot of shadow I people going off and doing things that maybe didn't comply to the corporate ethics probably drove here here you're a part of the organization crazy but talk about that how what has changed but they in the last you know five years or so just in terms of how people approach data oh I mean you know the story I tell my colleague who are all bankers obviously is the fact that the banker in 1989 had to mainly just know debits credits and be able to look someone in the eye and know whether or not they'd be a credit risk or not you know if we lend you money and you pay it back the the banker of the late 90s had to then contend with the emergence of technologies that made their lives easier and allowed for automation and processes to run much more smoothly um in the early two-thousands I would say that digitization was a big focus and in fact my previous role was head of digital banking and at the time we thought digital was the panacea it is the be-all and end-all it's the thing that's gonna make organizations edit lo and behold we realized that once you've gotten all your digital platforms ready they are just the plate or the pipe and nothing is flowing through it and there's no food on the face if data is not the main photo really um it's always been an asset I think organizations just never consciously knew that data was that okay so so what sounds like once you've made that sort of initial digital transformation you really had to work it and what we're hearing from a lot of practitioners like self as challenges related to that involve different parts of the organization different skill sets of challenges and sort of getting everybody to work together on the same page it's better but maybe you could take us back to sort of when you started on this initiative around data Ops what was that like what were some of the challenges that you faced and how'd you get through them okay first and foremost Dave organizations used to believe that data was I t's problem and that's probably why you you then saw the emergence of things like chatter IP but when you really acknowledge that data is an essay just like money is an asset then you you have to then take accountability for it just the same way as you would any other asset in the organization and you will not abdicate its management to a separate function that's not cold to the business and oftentimes IT are seen as a support or an enabling but not quite the main show in most organizations right so what we we then did is first emphasize that data is a business capability the business function it presides in business makes to product management makes to marketing makes to everything else that the business needs for data management also has to be for to every role in every function to different degrees and varying bearing offense and when you take accountability as an owner of a business unit you also take accountability for the data in the systems that support the business unit for us that was the first picture um and convincing my colleagues that data was their problem and not something that we had to worry about they just kind of leave us to to it was was also a journey but that was kind of the first step into it in terms of getting the data operations journey going um you had to first acknowledge please carry on no you just had to first acknowledge that it's something you must take accountability of as a banker not just need to a different part of the organization that's a real cultural mindset you know in the game of rock-paper-scissors you know culture kinda beats everything doesn't it it's almost like a yep a trump card and so so the businesses embrace that but but what did you do to support that is there has to be trust in the data that it has to be a timeliness and so maybe you could take us through how you achieve those objectives and maybe some other objectives that business the man so the one thing I didn't mention Dave is that obviously they didn't embrace it in the beginning it wasn't a it wasn't there oh yeah that make sense they do that type of conversation um what what he had was a few very strategic people with the right mindset that I could partner with that understood the case for data management and while we had that as as an in we developed a framework for a fully matured data operations capability in the organization and what that would look like in a target date scenario and then what you do is you wait for a good crisis so we had a little bit of a challenge in that our local regulator found us a little bit wanting in terms of our date of college and from that perspective it then brought the case for data quality management so now there's a burning platform you have an appetite for people to partner with you and say okay we need this to comply to help us out and when they start seeing their opt-in action do they then buy into into the concept so sometimes you need to just wait for a good Christ and leverage it and only do that which the organization will appreciate at that time you don't have to go Big Bang data quality management was the use case at the time five years ago so we focused all our energy on that and after that it gave us leeway and license really bring to maturity all the other capabilities at the business might not well understand as well so when that crisis hit of thinking about people process in technology you probably had to turn some knobs in each of those areas can you talk about that so from a technology perspective that that's when we partnered with with IBM to implement information analyzer for us in terms of making sure that then we could profile the data effectively what was important for us is to to make strides in terms of showing the organization progress but also being able to give them access to self-service tools that will give them insight into their data from a technology perspective that was kind of I think the the genesis of of us implementing and the IBM suite in earnest from a data management perspective people wise we really then also began a data stewardship journey in which we implemented business unit stewards of data I don't like using the word steward because in my organization it's taken lightly almost like a part-time occupation so we converted them we call them data managers and and the analogy I would give is every department with a P&L any department worth its salt has a FDA or financial director and if money is important to you you have somebody helping you take accountability and execute on your responsibilities in managing that that money so if data is equally important as an asset you will have a leader a manager helping you execute on your data ownership accountability and that was the people journey so firstly I had kind of soldiers planted in each department which were data managers that would then continue building the culture maturing the data practices as as applicable to each business unit use cases so what was important is that every manager in every business unit to the Data Manager focus their energy on making that business unit happy by ensuring that they data was of the right compliance level and the right quality the right best practices from a process and management perspective and was governed and then in terms of process really it's about spreading through the entire ecosystem data management as a practice and can be quite lonely um in the sense that unless the whole business of an organization is managing data they worried about doing what they do to make money and most people in most business units will be the only unicorn relative to everybody else who does what they do and so for us it was important to have a community of practice a process where all the data managers across business as well as the technology parts and the specialists who were data management professionals coming together and making sure that we we work together on on specific you say so I wonder if I can ask you so the the industry sort of likes to market this notion of of DevOps applied to data and data op have you applied that type of mindset approach agile of continuous improvement is I'm trying to understand how much is marketing and how much actually applicable in the real world can you share well you know when I was reflecting on this before this interview I realized that our very first use case of data officers probably when we implemented information analyzer in our business unit simply because it was the first time that IT and business as well as data professionals came together to spec the use case and then we would literally in an agile fashion with a multidisciplinary team come together to make sure that we got the outcomes that we required I mean for you to to firstly get a data quality management paradigm where we moved from 6% quality at some point from our client data now we're sitting at 99 percent and that 1% literally is just the timing issue to get from from 6 to 99 you have to make sure that the entire value chain is engaged so our business partners will the fundamental determinant of the business rules apply in terms of what does quality mean what are the criteria of quality and then what we do is translate that into what we put in the catalog and ensure that the profiling rules that we run are against those business rules that were defined at first so you'd have upfront determination of the outcome with business and then the team would go into an agile cycle of maybe two-week sprints where we develop certain things have stand-ups come together and then the output would be - boarded in a prototype in a fashion where business then gets to go double check that out so that was the first iterate and I would say we've become much more mature at it and we've got many more use cases now and there's actually one that it's quite exciting that we we recently achieved over the end of of 2019 into the beginning of this year so what we did was they I'm worried about the sunlight I mean through the window you look creative to me like sunset in South Africa we've been on the we've been on CubeSat sometimes it's so bright we have to put on sunglasses but so the most recent one which was in in mates 2019 coming in too early this year we we had long kind of achieved the the compliance and regulatory burning platform issues and now we are in a place of I think opportunity and luxury where we can now find use cases that are pertinent to business execution and business productivity um the one that comes to mind is we're a hundred and fifty eight years old as an organization right so so this Bank was born before technology it was also born in the days of light no no no integration because every branch was a standalone entity you'd have these big ledges that transactions were documented in and I think once every six months or so these Ledger's would be taken by horse-drawn carriage to a central place to get go reconcile between branches and paper but the point is if that is your legacy the initial kind of ERP implementations would have been focused on process efficiency based on old ways of accounting for transactions and allocating information so it was not optimized for the 21st century our architecture had has had huge legacy burden on it and so going into a place where you can be agile with data is something that we constantly working toward so we get to a place where we have hundreds of branches across the country and all of them obviously telling to client servicing clients as usual and and not being able for any person needing sales teams or executional teams they were not able in a short space of time to see the impact of the tactic from a database fee from a reporting history and we were in a place where in some cases based on how our Ledger's roll up and the reconciliation between various systems and accounts work it would take you six weeks to verify whether your technique were effective or not because to actually see the revenue hitting our our general ledger and our balance sheet might take that long that is an ineffective way to operate in a such a competitive environment so what you had our frontline sales agents literally manually documenting the sales that they had made but not being able to verify whether that or not is bringing revenue until six weeks later so what we did then is we sat down and defined all the requirements were reporting perspective and the objective was moved from six weeks latency to 24 hours um and even 24 hours is not perfect our ideal would be that bite rows of day you're able to see what you've done for that day but that's the next the next epoch that will go through however um we literally had the frontline teams defining what they'd want to see in a dashboard the business teams defining what the business rules behind the quality and the definitions would be and then we had an entire I'm analytics team and the data management team working around sourcing the data optimising and curating it and making sure that the latency had done that's I think only our latest use case for data art um and now we're in a place where people can look at a dashboard it's a cubed self-service they can learn at any time I see the sales they've made which is very important right now at the time of covert nineteen from a form of productivity and executional competitiveness those are two great use cases of women lying so the first one you know going from data quality 6% the 99% I mean 6% is all you do is spend time arguing about the data bills profanity and then 99% you're there and you said it's just basically a timing issue use latency in the timing and then the second one is is instead of paving the cow path with an outdated you know ledger Barret data process week you've now compressed that down to 24 hours you want to get the end of day so you've built in the agility into your data pipeline I'm going to ask you then so when gdpr hit were you able to very quickly leverage this capability and and apply and then maybe other of compliance edik as well well actually you know what we just now was post TDP our us um and and we got GDP all right about three years ago but literally all we got right was reporting for risk and compliance purposes they use cases that we have now are really around business opportunity lists so the risk so we prioritize compliance report a long time it but we're able to do real-time reporting from a single transaction perspective I'm suspicious transactions etc I'm two hours in Bank and our governor so from that perspective that was what was prioritize in the beginning which was the initial crisis so what you found is an entire engine geared towards making sure that data quality was correct for reporting and regulatory purposes but really that is not the be-all and end-all of it and if that's all we did I believe we really would not have succeeded or could have stayed dead we succeeded because Dana monetization is actually the penis' t the leveraging of data for business opportunity is is actually then what tells you whether you've got the right culture or not you're just doing it to comply then it means the hearts and minds of the rest of the business still aren't in the data game I love this story because it's me it's nirvana for so many years we've been pouring money to mitigate risk and you have no choice do it you know the general council signs off on it the the CFO but grudgingly signs off on it but it's got to be done but for years decades we've been waiting to use these these risk initiatives to actually drive business value you know it kind of happened with enterprise data warehouse but it was too slow it was complicated and it certainly didn't happen with with email archiving that was just sort of a tech balk it sounds like you know we're at that point today and I want to ask you I mean like you know you we talking earlier about you know the crisis gonna perpetuated this this cultural shift and you took advantage of that so we're out who we the the mother nature dealt up a crisis like we've never seen before how do you see your data infrastructure your data pipeline your data ops what kind of opportunities do you see in front of you today as a result of ovid 19 well I mean because of of the quality of kind data that we had now we were able to very quickly respond to to pivot nineteen in in our context where the government put us on lockdown relatively early in in the curve or in the cycle of infection and what it meant is it brought a little bit of a shock to the economy because small businesses all of a sudden didn't have a source of revenue or potentially three to six weeks and based on the data quality work that we did before it was actually relatively easy to be agile enough to do the things that we did so within the first weekend of of lockdown in South Africa we were the first bank to proactively and automatically offer small businesses and student and students with loans on our books a instant three month payment holiday assuming they were in good standing and we did that upfront though it was actually an opt-out process rather than you had to fall in and arrange for that to happen and I don't believe we would have been able to do that if our data quality was not with um we have since made many more initiatives to try and keep the economy going to try and keep our clients in in a state of of liquidity and so you know data quality at that point and that Dharma is critical to knowing who you're talking to who needs what and in which solutions would best be fitted towards various segments I think the second component is um you know working from home now brings an entirely different normal right so so if we had not been able to provide productivity dashboard and and and sales and dashboards to to management and all all the users that require it we would not be able to then validate or say what our productivity levels are now that people are working from home I mean we still have essential services workers that physically go into work but a lot of our relationship bankers are operating from home and that face the baseline and the foundation that we said productivity packing for various methods being able to be reported on in a short space of time has been really beneficial the next opportunity for us is we've been really good at doing this for the normal operational and front line and type of workers but knowledge workers have also know not necessarily been big productivity reporters historically they kind of get an output then the output might be six weeks down the line um but in a place where teams now are not locate co-located and work needs to flow in an edge of passion we need to start using the same foundation and and and data pipeline that we've laid down as a foundation for the reporting of knowledge work and agile team type of metric so in terms of developing new functionality and solutions there's a flow in a multidisciplinary team and how do those solutions get architected in a way where data assists in the flow of information so solutions can be optimally developed well it sounds like you're able to map a metric but business lines care about you know into these dashboards you usually the sort of data mapping approach if you will which makes it much more relevant for the business as you said before they own the data that's got to be a huge business benefit just in terms of again we talked about cultural we talked about speed but but the business impact of being able to do that it has to be pretty substantial it really really is um and and the use cases really are endless because every department finds their own opportunity to utilize in terms of their also I think the accountability factor has has significantly increased because as the owner of a specific domain of data you know that you're not only accountable to yourself and your own operation but people downstream to you as a product and in an outcome depend on you to ensure that the quality of the data you produces is of a high nature so so curation of data is a very important thing and business is really starting to understand that so you know the cards Department knows that they are the owners of card data right and you know the vehicle asset Department knows that they are the owners of vehicle they are linked to a client profile and all of that creates an ecosystem around the plan I mean when you come to a bank you you don't want to be known as a number and you don't want to be known just for one product you want to be known across everything that you do with that with that organization but most banks are not structured that way they still are product houses and product systems on which your data reside and if those don't act in concert then we come across extremely schizophrenic as if we don't know our clients and so that's very very important stupid like I can go on for an hour talking about this topic but unfortunately we're we're out of time thank you so much for sharing your deep knowledge and your story it's really an inspiring one and congratulations on all your success and I guess I'll leave it with you know what's next you gave us you know a glimpse of some of the things you wanted to do pressing some of the the elapsed times and the time cycle but but where do you see this going in the next you know kind of mid term and longer term currently I mean obviously AI is is a big is a big opportunity for all organizations and and you don't get automation of anything right if the foundations are not in place so you believe that this is a great foundation for anything AI to be applied in terms of the use cases that we can find the second one is really providing an API economy where certain data product can be shared with third parties I think that probably where we want to take things as well we are really utilizing external third-party data sources I'm in our data quality management suite to ensure validity of client identity and and and residents and things of that nature but going forward because been picked and banks and other organizations are probably going to partner to to be more competitive going forward we need to be able to provide data product that can then be leveraged by external parties and vice-versa to be like thanks again great having you thank you very much Dave appreciate the opportunity thank you for watching everybody that we go we are digging in the data ops we've got practitioners we've got influencers we've got experts we're going in the crowd chat it's the crowd chat net flash data ops but keep it right there way back but more coverage this is Dave Volante for the cube [Music] you

Published Date : May 28 2020

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Matt Carroll, Immuta | CUBEConversation, November 2019


 

>> From the Silicon Angle Media office, in Boston Massachusetts, it's the Cube. Now, here's your host, Dave Vellante. >> Hi everybody, welcome to this Cube Conversation here in our studios, outside of Boston. My name is Dave Vellante. I'm here with Matt Carroll, who's the CEO of Immuta. Matt, good to see ya. >> Good, nice to have me on. >> So we're going to talk about governance, how to automate governance, data privacy, but let me start with Immuta. What is Immuta, why did you guys start this company? >> Yeah, Immuta is an automated data governance platform. We started this company back in 2014 because we saw a gap in the market to be able to control data. What's happened in the market as changes is that every enterprise wants to leverage their data. Data's the new app. But, governments want to regulate it and consumers want to protect it. These were at odds with one another, so we saw a need of creating a platform that could meet the needs of everyone. To democratize access to data and in the enterprise, but at the same time, provide the necessary controls on the data to enforce any regulation, and ensure that there was transparency as to who is using it and why. >> So let's unpack that a little bit. Just try to dig into the problem here. So we all know about the data explosion, of course, and I often say data used to be a liability, now it's turned into an asset. People used to say get rid of the data, now everybody wants to mine it, and they want to take advantage of it, but that causes privacy concerns for individuals. We've seen this with Facebook and many others. Regulations now come into play, GDPR, different states applying different regulations, so you have all these competing forces. The business guys just want to go and get out to the market, but then the lawyers and the compliance officers and others. So are you attacking that problem? Maybe you could describe that problem a little further and talk about how you guys... >> Yeah, absolutely. As you described, there's over 150 privacy regulations being proposed over 25 states, just in 2019 alone. GDPR has created or opened the flood gates if you will, for people to start thinking about how do we want to insert our values into data? How should people use it? And so, the challenge now is, you're right, your most sensitive data in an enterprise is most likely going to give you the most insight into driving your business forward, creating new revenue channels, and be able to optimize your operational expenses. But the challenge is that consumers have awoken to, we're not exactly sure we're okay with that, right? We signed a YULU with you to just use our data for marketing, but now you're using it for other revenue channels? Why? And so, where Immuta is trying to play in there is how do we give the line of business the ability to access that instantaneously? But also give the CISO, the Chief Information Security Officer, and the governance seems the ability to take control back. So it's a delicate balance between speed and safety. And I think what's really happening in the market is we used to think about security from building firewalls, we invested in physical security controls around managing external adversaries from stealing our data. But now it's not necessarily someone trying to steal it, it's just potentially misusing it by accident in the enterprise. And the CISO is having to step in and provide that level of control. And it's also the collision of the cloud and these privacy regulations. Cause now, we have data everywhere, it's not just in our firewalls. And that's the big challenge. That's the opportunity at hand, democratization of data in the enterprise. The problem is data's not all in the enterprise. Data's in the cloud, data's in SaaS, data's in the infrastructure. >> It's distributed by it's very nature. All right, so there's a lot of things I want to follow up on. So first, there's GDPR. When GDPR came out of course, it was May of 2018 I think. It went into effect. It actually came out in 2017, but the penalties didn't take effect till '18. And I thought, okay, maybe this can be a framework for governments around the world and states. It sounds like yeah sort of, but not really. Maybe there's elements of GDPR that people are adopting, but then it sounds like they're putting in their own twists, which is going to be a nightmare for companies. So, are you not seeing a sort of, GDPR becoming this global standard? It sounds like, no. >> I don't think it's going to be necessarily global standard, but I do think the spirit of the GDPR, and at the core of it is, why are you using my data? What was the purpose? So traditionally, when we think about using data, we think about all right, who's the user, and what authorizations do they have, right? But now, there's a third question. Sure, you're authorized to see this data, depending on your role or organization right? But why are you using it? Are you using it for certain business use? Are you using it for personal use? Why are you using this? That's the spirit of GDPR that everyone is adopting across the board. And then of course, each state, or each federal organization is thinking about their unique lens on it, right? And so you're right. This is going to be incredibly complex. And the amount of policies being enforced at query time. I'm in my favorite, let's just say I'm in Tableau or Looker right? I'm just some simple analyst, I'm a young kid, I'm 22, my first job right? And I'm running these queries, I don't know where the data is, right? I don't know what I'm combining. And what we found is on average in these large enterprises, any query at any moment in time, might have over 500 thousand policies that need to be enforced in real time. >> Wow. >> And it's only getting worse. We have to automate it. No human can handle all those edge cases. We have to automate. >> So, I want to get into how you guys actually do that. Before I do, there seems to be... There's a lot of confusion in the marketplace. Take the word data management, data protection. All the backup guys are using that term, the database guys use that term, GOC folks use that term, so there's a lot of confusion there. You have all these adjacent markets coming together. You've got the whole governance risk and compliance space, you've got cyber security, there's privacy concerns, which is kind of two sides of the same coin. How do you see these adjacencies coming together? It seems like you sit in the middle of all that. >> Yeah, welcome to why my marketing budget is getting bigger and bigger. The challenge we're facing now is I think, who owns the problem right? The Chief Data Officer is taking on a much larger role in these organizations, the CISO is taking a much more larger role in reporting up to the board. You have the line of business who now is almost self-sustaining, they don't have to depend on IT as much any longer because of the cloud and because of the new compute layers to make it easier. So who owns it? At the end of the day, where we see it is we think there's a next generation of cyber tools that are coming out. We think that the CISO has to own this. And the reason is that the CISO's job is to protect the enterprise from cyber risk. And at the core of cyber risk is data. And they must own the data problem. The CDO must find the data, and explain what that data is, and make sure it's quality, but it is the CISO that must protect the enterprise from these threats. And so, I see us as part of this next wave of cyber tools that are coming out. There's other companies that are equally in our stratosphere, like BigID, we're seeing AWS with Macy doing sensitive data discovery, Google has their data loss prevention service. So the cloud players are starting to see, hey, we've got to identify sensitive data. There's other startups that are saying hey, we got to identify and catalog sensitive data. And for us, we're saying hey, we need to be able to consume all that cataloging, understand what's sensitive, and automatically apply policies to ensure that any regulation in that environment is met. >> I want to ask you about the cloud too. So much to talk to you about here, Matt. So, I also wanted to get your perspective on variances within industries. So you mentioned Chief Data Officers. The ascendancy of the Chief Data Officers started in financial services, healthcare, and government where we had highly regulation industries. And now it's sort of seeped into more commercial. But it terms of those regulated industries, take healthcare for example. There are specific nuances. Can you talk about what you're seeing in terms of industry variance. >> Yeah, it's a great point. Starting with like, healthcare. What does it mean to be HIPPA compliant anymore? There are different types of devices now where I can point it at your heartbeat from a distance away and I can have 99 percent accuracy of identifying you, right? It takes three data points in any data set to identify 87 percent of US citizens. If I have your age, sex, location, I can identify you. So, what does it mean anymore to be HIPPA compliant? So the challenge is how do we build guarantees of trust that we've de-identified these DESA's, cause we have to use it, right? No one's going to go into a hospital and say, "You know what, I don't want you to say my life. "Cause I want my data protected," right? No one's ever going to say that. So the challenges we face now across these regulated industries is the most sensitive data sets are critical for those businesses to operate. So there has to be a compromise. So, what we're trying to do in these organizations is help them leverage their data and build levels of proportionality, to access that right? So, the key isn't to stop people from using data. The key is to build the controls necessary to leverage a small bit of the data. Let's just say, we've made it indistinguishable. You can only ask Agriculture and Statistics the question. Well, you know what, we actually found some really interesting things there, we need to be a little bit more useful, it's this trade-off between privacy and utility. It's a pendulum that swings back and forth. As someone proves I need more of this, you can swing it, or just mask it. I need more of it? All right, we'll just redact some of the certain things. Nope, this is really important, it's going to save someone's life. Okay, completely unmasked, you have the raw data. But it's that control that's necessary in these environments, that's what's missing. You know, we came out of the US Intelligence community. We understood this better than anyone. Because highly regulated, very sensitive data, but we knew we needed the ability to rapidly control. Well is this just a hunch, or is this a 9-11 event? And you need the ability to switch like that. That's the difference and so, healthcare is going through a change of, we have all these new algorithms. Like Facebook the other day said, hey, we have machine learning algorithms that can look at MRI scans, and we're going to be better than anyone in the world at identifying these. Do you feel good about giving your data to Facebook? I don't know, but we can maybe provide guaranteed anonymization to them, to prove to the world they're going to do right. That's where we have to get to. >> Well, this is huge, especially for the consumer, cause you just gave several examples. Facebook's going to know a lot about me, a mobile device, a Fit Bit, and yet, if I want to get access to my own medical records, it's like Fort Knox to try to get, please, give this to my insurance company. You know, you got to go through all these forms. So, you've got those diverging objectives and so, as a consumer, I want to be able to trust that when I say yes you can use it, go, and I can get access to it, and other can get access to it. I want to understand exactly what it is that you guys do, what you sell. Is it software, is it SAS, and then let's get into how it works. So what is it? >> Yeah, so we're a software platform. We deploy into any infrastructure, but it is not multi-tenant so, we can deploy on any cloud, or on premises for any customer, and we do that with customers across the world. But if you think about at the core of what is Immuta, think of Immuta as a system of record for the CISO or the line of business where I can connect to any data, on any infrastructure, on any compute layer, and we connect into over 61 different storage platforms. We then have built a UI where lawyers... We actually have three lawyers as employees that act as product managers to help any lawyer of any stature take what's on paper, these regulations, these rules and policies, and they digitize it essentially, in active code. So they can build any policy they want on any data in the ecosystem, in the enterprise, and enforce it globally without having to write any code. And then because we're this plane where you can connect any tool to this data, and enforce any regulation because we're the man in the middle, we can audit who is using what data and why. In every action, in any change in policy. So, if you think about it, it's connect any tool to any data, control it, any regulation, and prove compliance in a court of law. >> So you can set the policy at the data set level? >> Correct. >> And so, how does one do that? Can you automate that on the creation of that data set? I mean you've got you know, dependencies. How does that all work? >> Yeah, what's a really interesting part of our secret sauce is that one, we could do that at the column level, we can do it at the row level, we can do it at the cell level. >> So very granular. >> Very, very granular. This is something again, we learned from the US Intelligence community, that we have to have very fine grained access to every little bit of the data. The reason is that, especially in the age of data, is people are going to combine many data sets together. The challenge isn't enforcing the policy on a static data set, the challenge is enforcing the policy across three data sets where you merge three pieces of data together, who have conflicting policies. What do you do then? That's the beauty of our system. We deal with that policy inheritance, we manage that lineage of the policy, and can tell you here's what the policy will be. >> In other words, you can manage to the highest common denominator as an example. >> Or we can automate it to the lowest common denominator, where you can work in projects together recognizing hey, we're going to bring someone into the project that's not going to have the level of access. Everyone else will automatically change it to the lowest common denominator. But then you share that work with another team and it'll automatically be brought to the highest common denominator. And we've built all these work flows in. That was what was missing and that's why I call it a system of record. It's really a symbiotic relationship between IT, the data owner, governance, the CISO, who are trying to protect the data, and the consumer, and all they want to do is access the data as fast as possible to make better, more informed decisions. >> So the other mega-trend you have is obviously, the super power of machine intelligence, or artificial intelligence, and then you've got edge devices and machine to machine communication, where it's just an explosion of IP addresses and data, and so, it sounds like you guys can attack that problem as well. >> Any of this data coming in on any system, the idea is that eventually it's going to land somewhere, right? And you got to protect it. We call that like rogue data, right? This is why I said earlier, when we talk about data, we have to start thinking about it as it's not in some building anymore. Data's everywhere. It's going to be on a cloud infrastructure, it's going to be on premises, and it's likely, in the future, going to be on many distributed data centers around the world cause business is global. And so, what's interesting to us is no matter where the data's sitting, we can protect it, we can connect to it, and we allow people to access it. And that's the key thing is not worrying about how to lock down your physical infrastructure, it's about logically separating it. And that's why what differentiates us from other people is one, we don't copy the data, right? That's the always the barrier for these types of platforms. We leave the data where it is. The second is we take all those regulations and we can actually, at query time, push it down to where that data is. So rather than bring it to us, we push the policy to the data. And what that does is that's what allows us, what differentiates us from everyone else is, it allows us to guarantee that protection, no matter where the data's living. >> So you're essentially virtualizing the data? >> Yeah, yeah. It's virtual views of data, but it's not all the data. What people have to realize is in the day of apps, we cared about storage. We put all the data into a database, we built some services on top of it and a UI, and it was controlled that way, right? You had all the nice business logic to control it. In the age of data, right? Data is the new app, right? We have all these automation tools, Data Robot, and H20, and Domino, and Tableau's building all these automation work flows. >> The robotic process automation. >> Yeah, RPA, UI Path, the Work Fusion, right? They're making it easier and easier for any user to connect to any data and then automate the process around it. They don't need an app to build a unique work flows, these new tools do that for them. The key is getting to the data. And the challenge with the supply chain of data is time to data is the most critical aspect of that. Cause, the time to insight is perishable. And so, what I always tell people, a little story, I came from the government, I worked in Baghdad, we had 42 minutes to know whether or not a bad guy in the environment, we could go after him. After that, that data was perishable, right? We didn't know where he was. It's the same thing in the real world. It's like imagine if Google told you, well, in 42 minutes it might be a good time to go 495. (laughter) It's not very useful, I need to know the information now. That's the key. What we see is policy enforcement and regulations are the key barrier of entry. So our ability to rapidly, with no latency, be able to connect anyone to that data and enforce those policies where the data lives, that's the critical nature. >> Okay, so you can apply the policies and you do it quickly, and so now you can help solve the problem. You mentioned a cloud before, or on prem. What is the strategy there with regard to various clouds and how do you approach multi-clouds? >> I think cloud is what used to be an infrastructure as a service game, is now becoming a compute game. I think large, regulated enterprises, government, healthcare, financial services, insurance, are all moving to cloud now in a different way. >> What do you mean by that? Cause people think infrastructure as service, they'll say oh that's compute storage and some networking. What do you mean by that? >> I think there's a whole new age of software that's being laid on top of the availability of compute and the availability of storage. That's companies like Databricks, companies like Snowflake, and what they're doing is dramatically changing how people interact with data. The availability zones, the different types of features, the ability to rip and replace legacy warehouses and main frames. It's changing the ability to not just access, but also the types of users that could even come on to leverage this data. And so these enterprises are now thinking through, "How do I move my entire infrastructure of data to them? "And what are these new capabilities "that I could get out of that?" Which, that is just happening now. A lot of people have been thinking, "Oh, this has been happening over the past five years," no, the compute game is now the new war. I used to think of like, Big Data, right? Big Data created, everyone started to understand, "Ah, if we've got our data assets together, "we can get value." Now they're thinking, "All right, let's move beyond that." The new cloud at our currents works is Snowflake and Databricks. What they're thinking about is, "How do I take all your meta-data "and allow anyone to connect any BI tool, "any data science tool, and provide highly performance, "and highly dependable compute services "to process petabytes of data?" It's pretty fantastic. >> And very cost efficient and being able to scale, compute independent of storage, from an architectural perspective. A lot of people claim they can do that, but it doesn't scale the same way. >> Yeah, when you're talking about... Cause that's the thing is you got to remember, these financial systems especially, they depend on these transactions. They cannot go down and they're processing petabytes of data. That's what the new war is over, is that data in the compute layer. >> And the opportunity for you is that data that can come from anywhere, it's not sitting in a God box, where you can enforce policies on that corpus. You don't know where it's coming from. >> We want to be invisible to that right? You're using Snowflake, it's just automatically enforced. You're using Databricks, it's automatically enforced. All these policies are enforced in flight. No one should even truly care about us. We just want to allow you to use the data the way you're used to using it. >> And you do this, this secret sauce you talked about is math, it's artificial intelligence? >> It's math. I wish I could say it was like super fancy, unsupervised neural nets or what not, it's 15 years of working in the most regulated, sticky environments. We learned about very simple novel ways of pushing it down. Great engineering's always simple. But what we've done is... At query time, what's really neat is we figured a way to take user attributes from identity management system and combine that with a purpose, and then what we do is we've built all these libraries to connect into all these dispert storage and compute systems, to push it in there. The nice thing about that is prior to this what people were doing, was making copies. They'd go to the data engineering team and they'd say hey, "I need to ETL this "and get a copy and it'll be anatomized." Think about that for a second. One, the load on your production systems, of all these copies, all the time, right? The second is CISO, the surface area. Now you've got all this data that in a snapshot in time, is legal and ethical, might change tomorrow. And so, now you've got an increase surface area of risk. Like that no-copy aspect. So the pushing it down and then the no-copy aspect really changed the game for enterprises. >> And you've got providence issues, like you say. You've got governance and compliance. >> And imagine trying, if someone said to you, imagine Congress said hey, "Any data source that you've processed "over the past five years, I want to know if "there was these three people in any of these data sources "and if there were, who touched that data "and why did they touch it?" >> Yeah and storage is cheap, but there's unintended consequences. People are, management isn't. >> We just don't have a unified way to look at all of the logs cross listed. >> So we started to talk about cloud and then I took you down a different path. But you offer your software on any cloud, is that right? >> Yeah, so right now, we are in production on Immuta's Marketplace. And that is a managed service, so you can go deploy in there, it'll go into your VPC, and we can manage the updates for you, we have no insight into your infrastructure, but we can push those updates, it'll automatically update, so you're getting our quarterly releases, we release every season. But yeah, we started with AWBS, and then we will grow out. We see cloud is just too ubiquitous. Currently, we still support though, Bigquery, Data Praq, we support Azure, Data Light Storage version two, as well as Azure Databricks. But you can get us through Immuta's Marketplace. We're also investing in ReInvent, we'll be out there in Vegas in a couple weeks. It's a big event for us just because obviously, the government has a very big stake in AWBS, but also commercial customers. It's been a massive endeavor to move. We've seen lots of infrastructure. Most of our deals now are on cloud infrastructure. >> Great, so tell us about the company. You've raised, I think in a Series B, about 28 million to date. Maybe you could give us the head count, and whatever you can share about momentum, maybe customer examples. >> Yeah, so we've raised 32 million to date. >> 32 million. >> From some great investors. The company's about 70 people now. So not too big, but not small anymore. Just this year, at this point, I haven't closed my fiscal year, so I don't want to give too much, but we've doubled our ARR and we've tripled our LOGO count this year alone and we've still got one more quarter here. We just started our fourth quarter. And some customer cases, the way I think about our business is I love healthcare, I love government, I love finance. To give you some examples is like, COGNO is a really great example. COGNO and what they're trying to solve is can they predict where a child is on the autism spectrum? And they're trying to use machine learning to be able to narrow these children down so that they can see patterns as to how a provider, a therapist is helping these families give these kids the skills to operate in the real world. And so it's like this symbiotic relationship utilizing software, surveys and video and what not, to help connect these kids that are in similar areas of the spectrum, to help say hey, this is a successful treatment, right? The problem with that is we need lots of training data. And this is children, one, two, this is healthcare, and so, how do you guarantee HIPPA compliance? How do you get through FDA trials, through third party, blind testing? And still continue to validate and retrain your models, while protecting the identity of these children? So we provide a platform where we can anonymize all the data for them, we can guarantee that there's blind studies, where the company doesn't have access to certain subsets of the data. We can also then connect providers to gain access to the HIPPA data as needed. We can automate the whole thing for them. And they're a startup too, there are 100 people. But imagine if you were a startup in this health-tech industry and you had to invest in the backend infrastructure to handle all of that. It's too expensive. What we're unlocking for them, I mean yes, it's great that they're HIPPA compliant and all that, that's what we want right? But the more important thing is like, we're providing a value add to innovate in areas utilizing machine learning, that regulations would've stymied, right? We're allowing startups in that ecosystem to really push us forward and help those families. >> Cause HIPPA compliance is table stay compulsory. But now you're talking about enabling new business models. >> Yeah, yeah exactly. >> How did you get into all this? You're CEO, you're business savvy, but it sounds like you're pretty technical as well. What's your background? >> Yeah I mean, so I worked in the intelligence community before this. And most of my focus was on how do we take data and be able to leverage it, either for counter-terrorism missions, to different non-kinetic operations. And so, where I kind of grew up in is in this age of, think about billions of dollars in Baghdad. Where I learned is that through the computing infrastructure there, everything changed. 2006 Baghdad created this boom of technology. We had drones, right? We had all these devices on our trucks that were collecting information in real time and telling us things. And then we started building computing infrastructure and it burst Hadoop. So, I kind of grew up in this era of Big Data. We were collecting it all, we had no idea what to do with it. We had nowhere to process it. And so, I kind of saw like, there's a problem here. If we can find the unique little, you know, nuggets of information out of that, we can make some really smart decisions and save lives. So once I left that community, I kind of dedicated myself to that. The birth of this company again, was spun out of the US Intelligence community and it was really a simple problem. It was, they had a bunch of data scientists that couldn't access data fast enough. So they couldn't solve problems at the speed they needed to. It took four to six months to get to data, the mission said they needed it in less than 72 hours. So it was orthogonal to one another, and so it was very clear we had to solve that problem fast. So that weird world of very secure, really sensitive, but also the success that we saw of using data. It was so obvious that we need to democratize access to data, but we need to do it securely and we need to be able to prove it. We work with more lawyers in the intelligence community than you could ever imagine, so the goal was always, how do we make a lawyer happy? If you figure that problem out, you have some success and I think we've done it. >> Well that's awesome in applying that example to the commercial business world. Scott McNeely's famous for saying there is no privacy in the internet, get over it. Well guess what, people aren't going to get over it. It's the individuals that are much more concerned with it after the whole Facebook and fake news debacle. And as well, organizations putting data in the cloud. They need to govern their data, they need that privacy. So Matt, thanks very much for sharing with us your perspectives on the market, and the best of luck with Immuta. >> Thanks so much, I appreciate it. Thanks for having me out. >> All right, you're welcome. All right and thank you everybody for watching this Cube Conversation. This is Dave Vellante, we'll see ya next time. (digital music)

Published Date : Nov 7 2019

SUMMARY :

in Boston Massachusetts, it's the Cube. Matt, good to see ya. What is Immuta, why did you guys start this company? on the data to enforce any regulation, and get out to the market, but then the lawyers and the governance seems the ability to take control back. but the penalties didn't take effect till '18. and at the core of it is, why are you using my data? We have to automate it. There's a lot of confusion in the marketplace. So the cloud players are starting to see, So much to talk to you about here, Matt. So, the key isn't to stop people from using data. and I can get access to it, and other can get access to it. and we do that with customers across the world. Can you automate that on the creation of that data set? we can do it at the row level, The reason is that, especially in the age of data, to the highest common denominator as an example. and the consumer, and all they want to do So the other mega-trend you have is obviously, and it's likely, in the future, You had all the nice business logic to control it. Cause, the time to insight is perishable. What is the strategy there with regard to are all moving to cloud now in a different way. What do you mean by that? It's changing the ability to not just access, but it doesn't scale the same way. Cause that's the thing is you got to remember, And the opportunity for you is that data We just want to allow you to use the data and they'd say hey, "I need to ETL this And you've got providence issues, like you say. Yeah and storage is cheap, to look at all of the logs cross listed. and then I took you down a different path. and we can manage the updates for you, and whatever you can share about momentum, in the backend infrastructure to handle all of that. But now you're talking about enabling new business models. How did you get into all this? so the goal was always, how do we make a lawyer happy? and the best of luck with Immuta. Thanks so much, I appreciate it. All right and thank you everybody

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John Frushour, New York-Presbyterian | Splunk .conf19


 

>> Is and who we are today as as a country, as a universe. >> Narrator: Congratulations Reggie Jackson, (inspirational music) you are a CUBE alumni. (upbeat music) >> Announcer: Live from Las Vegas it's theCUBE covering Splunk.Conf19. Brought to you by Splunk. >> Okay, welcome back everyone it's theCUBE's live coverage here in Las Vegas for Splunk.Conf19. I am John Furrier host of theCUBE. It's the 10th Anniversary of Splunk's .Conf user conference. Our 7th year covering it. It's been quite a ride, what a wave. Splunk keeps getting stronger and better, adding more features, and has really become a powerhouse from a third party security standpoint. We got a C-SO in theCUBE on theCUBE today. Chief Information Security, John Frushour Deputy Chief (mumbles) New York-Presbyterian The Award Winner from the Data to Everywhere Award winner, welcome by theCube. >> Thank you, thank you. >> So first of all, what is the award that you won? I missed the keynotes, I was working on a story this morning. >> Frushour: Sure, sure. >> What's the award? >> Yeah, the Data Everything award is really celebrating using Splunk kind of outside its traditional use case, you know I'm a security professional. We use Splunk. We're a Splunk Enterprise Security customer. That's kind of our daily duty. That's our primary use case for Splunk, but you know, New York Presbyterian developed the system to track narcotic diversion. We call it our medication analytics platform and we're using Splunk to track opioid diversion, slash narcotic diversions, same term, across our enterprise. So, looking for improper prescription usage, over prescription, under prescription, prescribing for deceased patients, prescribing for patients that you've never seen before, superman problems like taking one pill out of the drawer every time for the last thirty times to build up a stash. You know, not resupplying a cabinet when you should have thirty pills and you only see fifteen. What happened there? Everything's data. It's data everything. And so we use this data to try to solve this problem. >> So that's (mumbles) that's great usage we'll find the drugs, I'm going to work hard for it. But that's just an insider threat kind of concept. >> Frushour: Absolutely. >> As a C-SO, you know, security's obviously paramount. What's changed the most? 'Cause look at, I mean, just looking at Splunk over the past seven years, log files, now you got cloud native tracing, all the KPI's, >> Frushour: Sure. >> You now have massive volumes of data coming in. You got core business operations with IOT things all instrumental. >> Sure, sure. >> As a security offer, that's a pretty big surface area. >> Yeah. >> How do you look at that? What's your philosophy on that? >> You know, a lot of what we do, and my boss, the C-SO (mumbles) we look at is endpoint protection and really driving down to that smaller element of what we complete and control. I mean, ten, fifteen years ago information security was all about perimeter control, so you've got firewalls, defense and depth models. I have a firewall, I have a proxy, I have an endpoint solution, I have an AV, I have some type of data redaction capability, data masking, data labeling capability, and I think we've seen.. I don't think security's changed. I hear a lot of people say, "Oh, well, information security's so much different nowadays." No, you know, I'm a military guy. I don't think anything's changed, I think the target changed. And I think the target moved from the perimeter to the endpoint. And so we're very focused on user behavior. We're very focused on endpoint agents and what people are doing on their individual machines that could cause a risk. We're entitling and providing privilege to end users today that twenty years ago we would've never granted. You know, there was a few people with the keys to the kingdom, and inside the castle keep. Nowadays everybody's got an admin account and everybody's got some level of privilege. And it's the endpoint, it's the individual that we're most focused on, making sure that they're safe and they can operate effectively in hospitals. >> Interviewer: What are some of the tactical things that have changed? Obviously, the endpoint obviously shifted, so some tactics have to change probably again. Operationally, you still got to solve the same problem: attacks, insider threats, etc. >> Frushour: Yeah. >> What are the tactics? What new tactics have emerged that are critical to you guys? >> Yeah, that's a tough question, I mean has really anything changed? Is the game really the game? Is the con really the same con? You look at, you know, titans of security and think about guys like Kevin Mitnick that pioneered, you know, social engineering and this sort of stuff, and really... It's really just convincing a human to do something that they shouldn't do, right? >> Interviewer: Yeah. >> I mean you can read all these books about phone freaking and going in and convincing the administrative assistant that you're just late for meeting and you need to get in through that special door to get in that special room, and bingo. Then you're in a Telco closet, and you know, you've got access. Nowadays, you don't have to walk into that same administrative assistant's desk and convince 'em that you're just late for the meeting. You can send a phishing email. So the tactics, I think, have changed to be more personal and more direct. The phishing emails, the spear phishing emails, I mean, we're a large healthcare institution. We get hit with those types of target attacks every day. They come via mobile device, They come via the phishing emails. Look at the Google Play store. Just, I think, in the last month has had two apps that have had some type of backdoor or malicious content in them that got through the app store and got onto people's phones. We had to pull that off people's phones, which wasn't pretty. >> Interviewer: Yeah. >> But I think it's the same game. It's the same kind to convince humans to do stuff that they're not supposed to do. But the delivery mechanism, the tactical delivery's changed. >> Interviewer: How is Splunk involved? Cause I've always been a big fan of Splunk. People who know me know that I've pretty much been a fan boy. The way they handle large amounts of data, log files, (mumbles) >> Frushour: Sure. >> and then expand out into other areas. People love to use Splunk to bring in their data, and to bring it into, I hate to use the word data leg but I mean, Just getting... >> Yeah >> the control of the data. How is data used now in your world? Because you got a lot of things going on. You got healthcare, IOT, people. >> Frushour: Sure, sure. >> I mean lives are on the line. >> Frushour: Lives are on the line, yeah. >> And there's things you got to be aware of and data's key. What is your approach? >> Well first I'm going to shamelessly plug a quote I heard from (mumbles) this week, who leads the security practice. She said that data is the oxygen of AI, and I just, I love that quote. I think that's just a fantastic line. Data's the oxygen of AI. I wish I'd come up with it myself, but now I owe her a royalty fee. I think you could probably extend that and say data is the lifeline of Splunk. So, if you think about a use case like our medication analytics platform, we're bringing in data sources from our time clock system, our multi-factor authentication system, our remote access desktop system. Logs from our electronic medical records system, Logs from the cabinets that hold the narcotics that every time you open the door, you know, a log then is created. So, we're bringing in kind of everything that you would need to see. Aside from doing something with actual video cameras and tracking people in some augmented reality matrix whatever, we've got all the data sources to really pin down all the data that we need to pin down, "Okay, Nurse Sally, you know, you opened that cabinet on that day on your shift after you authenticated and pulled out this much Oxy and distributed it to this patient." I mean, we have a full picture and chain of everything. >> Full supply chain of everything. >> We can see everything that happens and with every new data source that's out there, the beauty of Splunk is you just add it to Splunk. I mean, the Splunk handles structured and unstructured data. Splunk handles cis log fees and JSON fees, and there's, I mean there's just, it doesn't matter You can just add that stream to Splunk, enrich those events that were reported today. We have another solution which we call the privacy platform. Really built for our privacy team. And in that scenario, kind of the same data sets. We're looking at time cards, we're looking at authentication, we're looking at access and you visited this website via this proxy on this day, but the information from the EMR is very critical because we're watching for people that open patient records when they're not supposed to. We're the number five hospital in the country. We're the number one hospital in the state of New York. We have a large (mumbles) of very important people that are our patients and people want to see those records. And so the privacy platform is designed to get audit trails for looking at all that stuff and saying, "Hey, Nurse Sally, we just saw that you looked at patient Billy's record. That's not good. Let's investigate." We have about thirty use cases for privacy. >> Interviewer: So it's not in context of what she's doing, that's where the data come in? >> That's where the data come in, I mean, it's advanced. Nurse Sally opens up the EMR and looks at patient Billy's record, maybe patient Billy wasn't on the chart, or patient Billy is a VIP, or patient Billy is, for whatever reason, not supposed to be on that docket for that nurse, on that schedule for that nurse, we're going to get an alarm. The privacy team's going to go, "Oh, well, were they supposed to look at that record?" I'm just giving you, kind of, like two or three uses cases, but there's about thirty of them. >> Yeah, sure, I mean, celebrities whether it's Donald Trump who probably went there at some point. Everyone wants to get his taxes and records to just general patient care. >> Just general patient care. Yeah, exactly, and the privacy of our patients is paramount. I mean, especially in this digital age where, like we talked about earlier, everyone's going after making a human do something silly, right? We want to ensure that our humans, our nurses, our best in class patient care professionals are not doing something with your record that they're not supposed to. >> Interviewer: Well John, I want to hear your thoughts on this story I did a couple weeks ago called the Industrial IOT Apocalypse: Now or Later? And the provocative story was simply trying to raise awareness that malware and spear phishing is just tactics for that. Endpoint is critical, obviously. >> Sure. >> You pointed that out, everyone kind of knows that . >> Sure. >> But until someone dies, until there's a catastrophe where you can take over physical equipment, whether it's a self-driving bus, >> Frushour: Yeah. >> Or go into a hospital and not just do ransom ware, >> Frushour: Absolutely. >> Actually using industrial equipment to kill people. >> Sure. >> Interviewer: To cause a lot of harm. >> Right. >> This is an industrial, kind of the hacking kind of mindset. There's a lot of conversations going on, not enough mainstream conversations, but some of the top people are talking about this. This is kind of a concern. What's your view on this? Is it something that needs to be talked about more of? Is it just BS? Should it be... Is there any signal there that's worth talking about around protecting the physical things that are attached to them? >> Oh, absolutely, I mean this is a huge, huge area of interest for us. Medical device security at New York Presbyterian, we have anywhere from about eighty to ninety thousand endpoints across the enterprise. Every ICU room in our organization has about seven to ten connected devices in the ICU room. From infusion pumps to intubation machines to heart rate monitors and SPO2 monitors, all this stuff. >> Interviewer: All IP and connected. >> All connected, right. The policy or the medium in which they're connected changes. Some are ZP and Bluetooth and hard line and WiFi, and we've got all these different protocols that they use to connect. We buy biomedical devices at volume, right? And biomedical devices have a long path towards FDA certification, so a lot of the time they're designed years before they're fielded. And when they're fielded, they come out and the device manufacturer says, "Alright, we've got this new widget. It's going to, you know, save lives, it's a great widget. It uses this protocol called TLS 1.0." And as a security professional I'm sitting there going, "Really?" Like, I'm not buying that but that's kind of the only game, that's the only widget that I can buy because that's the only widget that does that particular function and, you know, it was made. So, this is a huge problem for us is endpoint device security, ensuring there's no vulnerabilities, ensuring we're not increasing our risk profile by adding these devices to our network and endangering our patients. So it's a huge area. >> And also compatible to what you guys are thinking. Like I could imagine, like, why would you want a multi-threaded processor on a light bulb? >> Frushour: Yeah. >> I mean, scope it down, turn it on, turn it off. >> Frushour: Scope it down for its intended purpose, yeah, I mean, FDA certification is all about if the device performs its intended function. But, so we've, you know, we really leaned forward, our CSO has really leaned forward with initiatives like the S bomb. He's working closely with the FDA to develop kind of a set of baseline standards. Ports and protocols, software and services. It uses these libraries, It talks to these servers in this country. And then we have this portfolio that a security professional would say, "Okay, I accept that risk. That's okay, I'll put that on my network moving on." But this is absolutely a huge area of concern for us, and as we get more connected we are very, very leaning forward on telehealth and delivering a great patient experience from a mobile device, a phone, a tablet. That type of delivery mechanism spawns all kinds of privacy concerns, and inter-operability concerns with protocol. >> What's protected. >> Exactly. >> That's good, I love to follow up with you on that. Something we can double down on. But while we're here this morning I want to get back to data. >> Frushour: Sure. >> Thank you, by the way, for sharing that insight. Something I think's really important, industrial IOT protection. Diverse data is really feeds a lot of great machine learning. You're only as good as your next blind spot, right? And when you're doing pattern recognition by using data. >> Frushour: Absolutely. >> So data is data, right? You know, telecraft, other data. Mixing data could actually be a good thing. >> Frushour: Sure, sure. >> Most professionals would agree to that. How do you look at diverse data? Because in healthcare there's two schools of thought. There's the old, HIPAA. "We don't share anything." That client privacy, you mentioned that, to full sharing to get the maximum out of the AI or machine learning. >> Sure. >> How are you guys looking at that data, diverse data, the sharing? Cause in security sharing's good too, right? >> Sure, sure, sure. >> What's your thoughts on sharing data? >> I mean sharing data across our institutions, which we have great relationships with, in New York is very fluid at New York Presbyterian. We're a large healthcare conglomerate with a lot of disparate hospitals that came as a result of partnership and acquisition. They don't all use the same electronic health record system. I think right now we have seven in play and we're converging down to one. But that's a lot of data sharing that we have to focus on between seven different HR's. A patient could move from one institution to the next for a specialty procedure, and you got to make sure that their data goes with them. >> Yeah. >> So I think we're pretty, we're pretty decent at sharing the data when it needs to be shared. It's the other part of your question about artificial intelligence, really I go back to like dedication analytics. A large part of the medication analytics platform that we designed does a lot of anomaly detections, anomaly detection on diversion. So if we see that, let's say you're, you know, a physician and you do knee surgeries. I'm just making this up. I am not a clinician, so we're going to hear a lot of stupidity here, but bare with me. So you do knee surgeries, and you do knee surgeries once a day, every day, Monday through Friday, right? And after that knee surgery, which you do every day in cyclical form, you prescribe two thousand milligrams of Vicodin. That's your standard. And doctors, you know, they're humans. Humans are built on patterns. That's your pattern. Two thousand milligrams. That's worked for you; that's what you prescribe. But all of the sudden on Saturday, a day that you've never done a knee surgery in your life for the last twenty years, you all of a sudden perform a very invasive knee surgery procedure that apparently had a lot of complications because the duration of the procedure was way outside the bounds of all the other procedures. And if you're kind of a math geek right now you're probably thinking, "I see where he's going with this." >> Interviewer: Yeah. >> Because you just become an anomaly. And then maybe you prescribe ten thousand milligrams of Vicodin on that day. A procedure outside of your schedule with a prescription history that we've never seen before, that's the beauty of funneling this data into Splunk's ML Toolkit. And then visualizing that. I love the 3D visualization, right? Because anybody can see like, "Okay, all this stuff, the school of phish here is safe, but these I've got to focus on." >> Interviewer: Yeah. >> Right? And so we put that into the ML Toolkit and then we can see, "Okay, Dr. X.." We have ten thousand, a little over ten thousand physicians across New York Presbyterian. Doctor X right over here, that does not look like a normal prescriptive scenario as the rest of their baseline. And we can tweak this and we can change precision and we can change accuracy. We can move all this stuff around and say, "Well, let's just look on medical record number, Let's just focus on procedure type, Let's focus on campus location. What did they prescribe from a different campus?" That's anomalous. So that is huge for us, using the ML Toolkit to look at those anomalies and then drive the privacy team, the risk teams, the pharmacy analytics teams to say, "Oh, I need to go investigate." >> So, that's a lot of heavy lifting for ya? Let you guys look at data that you need to look at. >> Absolutely. >> Give ya a (mumbles). Final question, Splunk, in general, you're happy with these guys? Obviously, they do a big part of your data. What should people know about Splunk 2019, this year? And are you happy with them? >> Oh, I mean Splunk has been a great partner to New York Presbyterian. We've done so much incredible development work with them, and really, what I like to talk about is Splunk for healthcare. You know, we've created, we saw some really important problems in our space, in this article. But, we're looking, we're leaning really far forward into things like risk based analysis, peri-op services. We've got a microbial stewardship program, that we're looking at developing into Splunk, so we can watch that. That's a huge, I wouldn't say as big of a crisis as the opioid epidemic, but an equally important crisis to medical professionals across this country. And, these are all solvable problems, this is just data. Right? These are just events that happen in different systems. If we can get that into Splunk, we can cease the archaic practice of looking at spreadsheets, and look up tables and people spending days to find one thing to investigate. Splunk's been a great partner to us. The tool it has been fantastic in helping us in our journey to provide best in-class patient care. >> Well, congratulations, John Frushour, Deputy Chief Information Security Officer, New York Presbyterian. Thanks for that insight. >> You're welcome. >> Great (mumbles) healthcare and your challenge and your opportunity. >> Congratulations for the award winner Data to Everything award winner, got to get that slogan. Get used to that, it's two everything. Getting things done, he's a doer. I'm John Furrier, here on theCube doing the Cube action all day for three days. We're on day two, we'll be back with more coverage, after this short break. (upbeat music)

Published Date : Oct 23 2019

SUMMARY :

you are a CUBE alumni. Brought to you by Splunk. from the Data to Everywhere Award winner, I missed the keynotes, New York Presbyterian developed the system to I'm going to work hard for it. just looking at Splunk over the past You got core business operations with IOT things And it's the endpoint, it's the individual Interviewer: What are some of the tactical Is the game really the game? So the tactics, I think, have changed to be It's the same kind to convince humans to do Cause I've always been a big fan of Splunk. I hate to use the word data leg but I mean, the control of the data. And there's things you got to be aware of She said that data is the oxygen of AI, And so the privacy platform is designed to not supposed to be on that docket for that to just general patient care. Yeah, exactly, and the privacy of our patients is paramount. And the provocative story was simply trying to This is an industrial, kind of the hacking seven to ten connected devices in the ICU room. but that's kind of the only game, And also compatible to what you guys are thinking. I mean, scope it down, "Okay, I accept that risk. That's good, I love to follow up with you on that. And when you're doing pattern recognition by using data. So data is data, right? There's the old, HIPAA. I think right now we have seven in play a lot of complications because the duration I love the 3D visualization, right? the pharmacy analytics teams to say, Let you guys look at data that you need to look at. And are you happy with them? as the opioid epidemic, but an equally important Thanks for that insight. and your opportunity. Congratulations for the award winner Data to Everything

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Anthony Abbattista, Deloitte Consulting | UiPath FORWARD III 2019


 

>>live from Las Vegas. It's the Q covering you. I pat Forward America's 2019. Brought to you by you, I path Welcome >>back to Las Vegas. Everybody's is Day two of the Cubes coverage of you AI Path forward. Three. This is the third year of North American Conference, and second year the Cube is covered. This Anthony at Batista's here, Cuba. Lami was on last year from from Deloitte. He's a principal there, Anthony. Good to see again. >>Great to be here. Great. >>Yes. So it is. I mean, we've seen the growth of our P A. Generally you AI path, the whole automation were starting to talk about intelligent automation. A. I has its wings, and it's starting toe sore. But give us the update from a year ago. We talked about, you know, accelerating last year. I think it was you had a really good statements around looking, Yes, go on Fast is good, but you wanna accelerate the right things, you know, speeding up for bad processes. Paving the cow path, as I sometimes call it, is really not the way to go. But what's new? >>So I do think there's still some issues around getting programs t to scale and thinking about automation at scale, which has been a major theme here. The conference is still in front of us. People are still figuring out how the climate that curve well, I think is new is way Thought about automation before it was, it was a whore statement was that humans or automation is about going to replace the human on. I really think we've no lights. Always had a campaign about I t a. I that that we kicked off a couple of years ago and said, How do we have automation and humans interact with each other? And I don't just mean attended, attended bots, But how do we actually start to use automation as sort of the glue that hang together a much more rich experience to start to put the components there? So that leads us to the age of with, which is how we how we use technology along with humans, to change their role in there been some great talks. One of my partners earlier they was here with Walmart's, his client on. They talked about how they're redefining the HR processes at Wal Mart on that was That was a really good presentation because they changed the workers work. They didn't replace workers. >>So how was this concept of the age of with how is that different than attended? Boss, can you maybe talk about a possible use case or example? >>So if you think about a call center way, know who's coming in? We used to just look them up and say, Hey, do we know who's calling? Now we can say that we know is calling. Do they have a history with us? Way can use data, and that's another part of the width. Is Dave plus analytics with automation? And we could say, Well, what else do we know about this person to have a history of calling us? They have an open ticket. Have they had some issues or complaints in the past that we can deal with or get in front of on and basically start to put the intelligence in the front end? And that could be unattended, right? That could just be some screen pops around automation way start to introduce natural language. We start to introduce some advanced analytics, and that would be a simple, simple way of enhancing that process. >>So let me double click on that so normally what you would get this year in the other end of the line of the call center. And it's like, Hold on, I'm just reading the notes and you know, they're scanning these notes. It's like an eye test, you know, and they can't. They can't ever get to see. It's a faster for you to just explain. Let me tell you what what I'm imagining is in a different experience where this is happening in near real time, getting pop ups or some other messaging. Is that absolutely experience on how real is this today? >>This Israel. And you know, I I always like to say all them anything. All the main thing is easy if you just take the process, repave the cow path. But it's very real because the natural language components they work up front. Now you can ask some questions you could start to do pre searches on which materials might might help with that type of question. You also can train the process over time. So daily overtime. What's the call satisfaction? Did you actually complete what it was? The call got started about on how quickly you do that so you could train these models and start to use machine learning to actually improve that experience even further. So I think that's left again, back to the whip. It's adding these components. >>I like talking to folks with a consulting background because you know, when you're talking to the vendor community, they get very excited about our why and how you know, lack of disruption to install some software, right? And so that's one of the advantages, I guess, of our P A. As you can pop it into an existing process, good or bad, and get going right away. We've seen this time and time again in the industry. When you have when you have a big force people to change, you know it's slow When you can show Immediate Roo. I start to see these rocket ships at the same time as a consultant, you really want to have a bigger impact on business you don't want to just repeat in automate Bad process is. So how do you work with clients to sort of manage that that insatiable desire for quick R A y, and then the transformative components that. You know, I could maybe defend you from disruption or allow you to be an incumbent disruptor. >>So I think what's interesting is transformation. Use the word we were really good transformation program. So starting to say how that we think of automation first as we do a traditional transformation program is is very near and dear to us now. And instead of saying, Hey, we're gonna bolt the ear piece system and then figure out if we can get some improvement by automating later. We're saying, you know what? Let's sort of double go backwards. Maybe it's a little fashion, but what is this whole process look like? And can we put automation and launch not is a process improvement after lunch? So I think we think of these transformation programmes, But AARP programs for ready and they're doing at automation is now on the tip of the front end of the program rather than afterthought. Reporting used to be >>right, so I mean, >>you guys >>have to be technology agnostic in your business. I mean, we happen to be a U IE path conference, but there, you know, if our p a generally you iPad specifically, it's not a panacea for all problems. I mean, we've talked about a I we talked about other automation process automation capabilities. You've got existing systems. All this stuff has to work together. So so and people always say technology last people process first. You guys lived that, Um So how are you seeing automation evolved in in terms of adoption of the how people are dealing with existing systems and some of the other technologies that you're having to bring together. >>So I think the first thing is, the technology has to work. It has to be bulletproof, resilient. If you're going to put it in these processes and make it make it part of your work life reserving clients or that sort of thing. So first it needs to be bulletproof. That's becoming a given second. I'd like to think that's, well, architected more. Maura's. You bring in a I or other advanced components. You need thio. Be ready to have a changing ecosystem. You know, the best document processing right now might not be the best in six months. So starting to think of your automation solution is that the technical glue and this is allow you to swap out the trade components as you as you refined processes going forward or something new hits the market. So now we're working ecosystem, I think, for the r p a. Vendors that are having great success in a market like you have have they sort of give you that platform, and they give you the off ramps and the on ramps to integrate the other technologies. And like I said, I think that's table stakes in addition, being bulletproof. But the next piece of that is how we get various people involved in the value proposition of creating automation. So various tools and studios, some for the business user that might not be as technical, maybe self designed about it, eh? Process description level on, then maybe a more technical work bench for the technical body builder. So I'm starting to see that in the product suite and somebody announcements here this week. Hallie, we tailor the tools to different users and engage them in that process from one into the other. >>So you mentioned scaling before what the blockers, what's the challenges of scaling? Why's it seemed to be so hard? It's clearly an area of focus here at this event. >>So I think first of all, the technology is is still new to some areas. They're still back and forth with the business or I t led initiative. I think there are some scars and wounds over the last few years of automation where people might have gotten started on the wrong foot. There's even some reduced to learn from. So I think people are looking for the business case. They're getting more comfortable with it. So the job sizes, deal sizes, air getting bigger for the FDA vendors and for us. But I think it's just an evolution. And, like I said, there a lot of stubbed toes early on a nomination. >>What are >>some of the big mistakes that you've seen? People make >>people thinking that it's only a business tool, or only a technology tool or technology to the point that they get started on something that becomes either a real technology problem, a real business problem? Maybe you told the body out in the business, and you attach it to your ear piece system and you cause performance problems or you have security problems on. Then it becomes a real I t problem also seeing the reverse where you know, when I t group will start and say Let's do some automation And they pushed into some departments it might have a fully big business case, might now have good support, and it becomes a technology science project rather than delivery in the real value. >>I was tryingto a week sort of Think about analogies. Analogous ascendance sees in software. I use service now a little bit, but that was kind of a heavy lift. It started an I t. It was very clear. You know, I t You're seeing this massive rapid growth of you ai path fastest growing probably the fastest growing software segment in history and striking to me that we're just now starting to see Cloud come into the play here. If we just you iPad that big announced this week. It's got this new SAS capability, which you would think you would, you know, be born in the cloud. But people have explained why that is. Do you have concerns about the pace of growth and a company like you I path and its competitors their ability to sort of keep up and continue to deliver quality. I mean, a big part of what you guys do is sort of risk management. Well, so how do you manage that risk? >>So I think what you look for if you're going to be in the lion's partner, if you're going the work together and pursue things together first you have to have the basics. It has to be bulletproof. It has to work. When you hit bumps in the road, you have to have escalation pass. That makes sense. And there's growing pains in any firm, or any company that grows grows as quickly as you tap. On the other hand, the question is, your culture is the line. Do you know the fix problems? Do you put your customers first? I think that's what we look like. Look at in the lions, which is how we have a partner with. People have similar DNA about customers first, and you put everything else aside, roll your sleeves up and do the right thing. So that's what we look for in lines like This >>Way. Always talked about the buzzwords of digital transformation, which conferences like this, it is kind of buzzy, but when you talk to customers, they're actually going through digital transformations. And then a couple years ago, they started experimenting. They bought one of everything and they'd run things in parallel with, you know, legacy systems. But now they're starting to place their bets, saying, actually, we've got some use cases that are working. We're gonna double down on the stuff that, you know, we think works. Our p a in some cases fits there. We're gonna unplug some of the legacy stuff and try to deal with our technical debt. But I guess my question is, where do you see our P? A fitting in to that whole digital transformation? Major, I like to think of a matrix where you've got different sets of service is and you've got different industries that are tapping, you know, all data centric that that are tapping these new capabilities and formulating new businesses. News industries. That's how you see this disruption happening. And then the incumbent saying, Hey, we've got assets to we're gonna tap that same matrix and whether it's open source software or cloud or new security paradigms or data and analytics. So where do you see our P? A fitting into that matrix? >>So I think at the glue level. At the architectural level, it can be the orchestrator of the experience of taking a variety technologies integrating them, providing again on ramps and off ramps, doing with a human canoe, looking at screens, analyzing content so it could be the glue that orchestrates those processes orchestrates. Maybe some of the so it was used to be a void between legacy systems and new systems on darky A helps take all that away or level the playing field on. That s So that's has another set of eyes and ears for process integration, our technology integration. And I think that's what it's probably it's best place now. Are there good process tools there? Can we get, you know, community developments? A big discussion right now. I think some people have been successful at it, but it requires a lot of care and feeding and planning to have your community hand the rails or stay between the curbs and do useful things. So I think we're in the beginning of how far can we go with community development? I think the technology is really the glue. >>So community of elven terms of best practice sharing >>and users have developing their own bots. You know, what are the guardrails? Does the process? They're automating matter. Does it introduced a risk? Eyes going to perform. How do you make sure your bots are an evil that people are creating? It's a pretty powerful technology. >>Is their I p in there that you don't want it? We talked about this last year that you don't want to necessarily share with others. So, um, now your role used to have focused specifically in financial service is now you're more horizontal. But how does the light look at this opportunity? Is there is it an automation practice? Is it you cut across all industries with automation, or is it sort of broader than that? >>So my colleague here runs the offering, which is Do we have the people, the training, the tools that delivery centers in the know how to go out and do this kind of work? And we've scaled tremendously in the automation space. The second part is, how do we look to the Jason sees? So we work very closely with our colleagues in a I and ML when we say how we go do the next generation of this out of the gate, How we experiment, how we say, Do you want fries with that as we as we do some of this work. But then we look for the industry in the intersection, and that's where a firm like Lloyd we've got deep, deep industry expertise, way say, well, those intersections where we can go make something happen way come work with our partners are lions you know, partners in making making something happen at an industry specific level, or can we go solve a specific problem? So I think that's what we bring that unique. But we do it both ways. >>It's kind of off off the topic here, but I was talking about that matrix before and again. I'm envisioning technology, horizontal technologies and then vertical industries, and it used to be for decades if you were in it. And if you're in financial service is, you are pretty much stuck in financial service is you had a value chain that was specific to financialservices, and you knew it inside and out, whether it was product development or marketing or sales distribution, whatever it was. That same thing for automobiles on manufacturing, an education on and on and on, and you develop these industry areas of expertise and domain experts with in there. And you guys have built up a global powerhouse doing, But you're seeing a CZ digital. It's cos. Become digital. What's the difference in the business in a digital business? That's how they use data. Data is at the core, and you're now seeing organizations Company's tech company specifically traverse different industries. You're seeing Amazon, you know, in content you're seeing Apple and financialservices other companies getting into health care. >>How is >>that? First of all, you see that and what do you think it was driving that? And how does that affect your business? Or your clients asking youto help you traverse new new industries, get into new industries or defend against others? You know, these big tech companies tryingto with a duel, disruption agenda, trying to take him >>over, and the center of all that you mentioned a little. But the center of that is who the ultimate customers, and we'll experience that they want how they want that experience integrated, so it's not channel by channel anymore. It's which pieces fit together and how I want to buy things and how I want to be serviced. You're getting whole crossed economies around what the consumer wants, unable by technology. I think the other thing that plays into that is you start thinking of the Internet of things and how connected people are. And how do you use monetize and integrate data about particular people and how they want to be served to make that a better experience? I think the consumer ultimately is driving. A lot of that technology is in the billions. >>Yeah, is you think about that picture again. You'd like to use a metaphor of a matrix. I mean, I see our p a is just, you know, one piece of that. You know, there's so many others you mentioned. I o t We talk about a I all the time we talk about Blockchain. It's how you put those different capabilities together and apply them to your business. That really makes the difference. Not that RPG right now feels very tactical, but it's part of a much more strategic agenda. >>Absolutely on again. It could be the glue in an ecosystem of emerging technologies. I do see there's the eyes and ears. The fact that what you get out of the box from regular p. A vendor. Really? Integrate some really, really painful things. Looking at spreadsheets and thinking the guys with green visors column numbers. It's really good at that stuff as, ah, base task. >>Yeah, nothing wrong with tactical and quick. Roo, I So, Anthony, thanks very much for coming on The Cube. Really appreciate your time. >>Thank you. Great to be here >>to welcome. All right, Keep right, everybody. We're back with our next guest. Day two from you. I path forward in Las Vegas. You watching the cue?

Published Date : Oct 16 2019

SUMMARY :

Brought to you by you, Everybody's is Day two of the Cubes coverage of you AI Path forward. Great to be here. I think it was you had a really good statements around looking, So I do think there's still some issues around getting programs t to scale and thinking about automation So if you think about a call center way, And it's like, Hold on, I'm just reading the notes and you know, they're scanning these notes. All the main thing is easy if you just take the process, repave the cow path. I like talking to folks with a consulting background because you know, when you're talking to the vendor community, So starting to say how that we think of automation first as we do a traditional transformation but there, you know, if our p a generally you iPad specifically, is that the technical glue and this is allow you to swap out the trade components as you as you So you mentioned scaling before what the blockers, what's the challenges of scaling? So I think first of all, the technology is is still new to some areas. Then it becomes a real I t problem also seeing the reverse where you know, when I t group will start and say Let's I mean, a big part of what you guys do is sort of risk management. So I think what you look for if you're going to be in the lion's partner, if you're going the work We're gonna double down on the stuff that, you know, we think works. Can we get, you know, community developments? How do you make sure your bots are an evil that people are creating? We talked about this last year that you don't want to necessarily share with out of the gate, How we experiment, how we say, Do you want fries with that as we as we And you guys have built up a global powerhouse doing, over, and the center of all that you mentioned a little. I see our p a is just, you know, one piece of that. The fact that what you get out of the box from regular p. Really appreciate your time. Great to be here to welcome.

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Keynote Analysis | IFS World 2019


 

>>from Boston, Massachusetts. It's the Q covering I. F s World Conference 2019. Brought to you by I F s. Hi, buddy. Welcome to Boston. You're watching the cubes coverage of I s s World in the Heinz Auditorium in Boston. I'm Day Volonte with my co host, Paul Gill and Paul. This is the the largest enterprise resource planning software company that our audience probably has never heard of. This is our second year covering I f s World. Last year was in Atlanta. They moved to Boston. I f s is a Swedish based company. They do about $600 million in annual revenue, about 3700 employees. And interestingly, they have a development center in Sri Lanka, of all places. Which is kind of was war torn for the last 15 years or so, but nonetheless, evidently, a lot of talent and beautiful views, but so welcome. >>Thank you, Dave. I have to admit, before our coverage last year, I had never even heard of this company been around this industry for more than 30 years. Never heard of this company. They've got 10,000 customers. They've got a full house next door in the keynote and very enthusiastic group. This is a focus company. It's a company that has a lot of ah ah, vision about where wants to go some impressive vision documents and really a company that I think it's coming out of the shadows in the U. S. And it will be a force to be reckoned with. >>So I should say they were founded in the in the mid 19 eighties, and then it kind of re architected their whole platform around Client server. You remember the component move? It was a sort of big trends in the in the nineties. In the mid nineties opened up offices in the United States. We're gonna talk to the head of North America later, and that's one of the big growth areas that growing at about three. They claim to be growing at three x the overall market rate, which is a good benchmark. They're really their focus is really three areas e r. P asset management software and field service management, and they talk about deep functionality. So, for instance, they compete with Oracle ASAP. Certainly Microsoft and in four company we've covered in four talks a lot about the last mile functionality. That's not terminology that I f s uses, but they do similar types of things. I'll give you some examples because, okay, what's last mile? Functionality? Things like, um, detailed invoicing integration, contract management. Very narrow search results on things like I just want to search for a refurbished parts so they have functionality to allow you to do that. Chain. A custom e custody chain of custody for handling dangerous toxic chemicals. Certain modules to handle FDA compliance. A real kind of nitty gritty stuff to help companies avoid custom modifications in certain industries. Energy, construction, aerospace and defense is a big area for that. For them, a CZ well as manufacturing, >>there's a segment of the e r P market that often is under uh is under seeing. There's a lot of these companies that started out in niches Peoples off being a famous example, starting out on a niche of the market and then growing into other areas. And this company continues to be very focused even after 35 years, as you mentioned, just energy aerospace, a few construction, a few basic industries that they serve serve them at a very deep level focused on the mid market primarily, but they have a new positioning this year. They're calling the challengers for the challengers, which I like. It's a it's a message that I think resonates. It's easy to understand there position their customers is being the companies that are going to challenge the big guys in their industries and this time of digital transformation and disruption. You know, that's what it's all about. I think it's a great message of bringing out this year. >>Of course I like it because the Cube is a challenger, right? Okay, even though we're number one of the segments that we cover, we started out as a sort of a challenger. Interestingly, I f s and the gardener Magic Corners actually, leader and Field Service Management. They made an acquisition that they announced today of a company called Asked. He asked, U S he is a pink sheet OTC company. I mean, they're very small is a tuck in acquisition that maybe they had a They had a sub $20 million market cap. They probably do 25 $30 million in revenue. Um, Darren rules. The CEO said that this place is them is the leader in field service management, which is interesting. We're gonna ask him about that to your other point. You look around the ecosystem here that they have 400 partners. I was surprised last night. I came early to sort of walk around the hall floor. You see large companies here like Accenture. Um and I'm surprised. I mean, I remember the early days when we did the service. Now conferences 2013 or so you didn't see accent. You're Delloye E Y p W c. Now you see them at the service now event here that you see them? I mean, and I talked to essential last night. They said, Yeah, well, we actually do a lot of business in Europe, particularly in the Scandinavian region, and we want to grow the business in the U. S. >>Europe tends to be kind of a blind spot for us cos they don't see the size of the European market, all the activities where some of the great e. R. P. Innovation has come out of Europe. This company, as you mentioned growing three times the rate of the market, they have a ah focus on your very tight with those customers that they serve and they understand them very well. And this is a you can see why it's centuries is is serving this market because, you know they're simply following the money. There's only so much growth left in the S a P market in the Oracle market. But as the CEO Darren said this morning, Ah, half of their revenues last year were from net new customers. So that's that's a great metric. That indicates that there's a lot of new business for these partners to pursue. >>Well, I think there's there's some fatigue, obviously, for big, long multi year s AP integrations, you're also seeing, you know, at the macro we work with Enterprise Technology Research and we have access to their data set. One of the things that we're seeing is a slowdown in the macro. Clearly, buyers are planning to spend less on I T in the second half of 2019 than they did in the first half of 2019 and they expect to spend less in Q four than they expected to in July. So things are clearly softening at the macro level. They're reverting back to pre 2018 levels but it's not falling off a cliff. One of the things that I've talked to e t. R about the premise we put forth love to get your thoughts is essentially we started digital transformation projects, Let's say in earnest in 2016 2017 doing a lot of pilots started kind of pre production in 2018. And during that time, what people were doing is they were had a lot of redundancy. They would maintain the legacy systems and they were experimenting with disruptive technologies. You saw, obviously a lot of you. I path a lot of snowflake and other sort of disruptive technology. Certainly an infrastructure. Pure storage was the beneficiary of that. So you had this sort of dual strategy. We had redundancy of legacy systems, and then the new stuff. What's happening now is, is the theory is that we're going into production. Would digital transformation projects and where were killing the legacy stuff? Okay, we're ready to cut over >>to a new land on that anymore, >>right? We're not going to spend them anymore. Dial that down. Number one. Number two is we're not just gonna spray and pray on all new tech Blockchain a i rp et cetera. We're gonna now focus on those areas that we think are going to drive business value. So both the incumbents and the disruptors are getting somewhat affected by that. That slowdown in that narrowing of the focused. And so I think that's really what's happening. And we're gonna, I think, have to absorb that for a year or so before we start to see new wave of spending. >>There's been a lot of spending on I t over the last three years. As you say, driven by this need, this transition that's going on now we're being going to see some of those legacy systems turned off. The more important thing I have to look at, I think the overall spending is where is that money being spent is being spent on on servers or is it being spent on cloud service is, and I think you would see a fairly dramatic shift going on. They're so the overall, the macro. I think it's still healthy for I t. There's still a lot of spending going on, but it's shifting to a new area there. They're killing off some of that redundancy. >>Well, the TR data shows couple things. There's no question that server and storage spending is has been declining and attenuating for a number of quarters now. And there's been a shift going on from that. Core infrastructure, obviously, into Cloud Cloud continues its steady march in terms of taking over market share. Other areas of bright spots security is clearly one. You're seeing a lot of spending in an analytics, especially new analytics. I mentioned Snowflake before we're disrupting kind of terror Data's traditional legacy enterprise data warehouse market. The R P. A market is also very hot. You AI path is a company that continues to extend beyond its its peers, although I have to say automation anywhere looks very strong. Blue Prison looks very strong. Cloudera interestingly used to be the darling is hitting sort of all time lows in the E. T R database, which is, by the way, that one of the best data sets I've ever seen on on spending enterprise software is actually still pretty strong. Particularly, uh, you know, workday look strong. Sales force still looks pretty strong. Splunk Because of the security uplift, it still looks pretty strong. I have a lot of data on I f s Like you said, they don't really show up in the e t R survey base. Um, but I would expect, with kind of growth, we're seeing $600 million. Company hopes to be a $1,000,000,000 by 2022 2021. I would think they're going to start showing up in the spending >>service well again in Europe. They may be They may be more dominant player than we see in the US. As I said, I really had not even heard of the company before last year, which was surprising for a company with 10,000 customers. Again, they're focused on the mid market in the mid market tends to fly a bit under the radar. Everyone thinks about what's happening in the enterprise is a huge opportunity out there. Many more mid market companies and there are enterprises. And that's a that's been historically a fertile ground for e. R. P. Companies to launch. You know J. D. Edwards came out of the mid market thes are companies that may end up being acquired by the Giants, but they build up a very healthy base of customers, sort of under the radar. >>Well, the other point I wanted to make I kind of started to about the digital transformation is, as they say, people are getting sort of sick of the big, long, ASAP complicated implementations. As small companies become midsize companies and larger midsize companies, they they look toward an enterprise resource planning, type of, of platform. And they're probably saying, All right, wait. I've got some choices here. I could go with an an I F. S, you know, or maybe another alternative. T s a p. You know, A S A P is maybe maybe the safe bet. Although, you know, it looks like i f s is got when you look around at the customers, they have has some real traction, obviously a lot of references, no question about it. One of things they've been digging for saw this gardener doing them for a P I integrations. Well, they've announced some major AP I integrations. We're gonna talk to them about that and poke it that a little bit and see if that will So to solve that criticism, that what Gardner calls caution, you know, let's see how real that is in talking to some of the customers will be talkinto the executives on members of the ecosystem. And obviously Paul and I will be giving our analysis as well. Final thoughts >>here. Just the challenge, I think, is you note for these midmarket focus Cos. Has been growing with their customers. And that's why you see of Lawson's in the JD Edwards of the World. Many of these these mid market companies eventually are acquired by the big E R P vendors. The customers eventually, if they grow, have to go through this transition. If they're going to go to Enterprise. The R P you know, they're forced into a couple of big choices. The opportunity and the challenge for F s is, can they grow those customers as they move into enterprise grade size? Can they grow them with with E. I. F s product line without having them forcing them to transition to something bigger? >>So a lot of here a lot of action here in Boston, we heard from several outside speakers. There was Linda Hill from Harvard. They had a digital transformation CEO panel, the CEO of soo say who will be on later uh PTC, a Conway, former PeopleSoft CEO was on there. And then, of course, Tony Hawk, which was a lot of fun, obviously a challenger. All right, so keep it right there, buddy. You're watching the Cube live from I F s World Conference at the Heinz in Boston right back, right after this short break.

Published Date : Oct 8 2019

SUMMARY :

Brought to you by I F s. house next door in the keynote and very enthusiastic group. functionality to allow you to do that. And this company continues to be very You look around the ecosystem here that they have 400 partners. But as the CEO Darren said this morning, Ah, half of their revenues last One of the things that I've talked to e t. R about the premise we put forth love to get your thoughts is essentially That slowdown in that narrowing of the focused. There's been a lot of spending on I t over the last three years. I have a lot of data on I f s Like you said, As I said, I really had not even heard of the company before last year, which was surprising for a We're gonna talk to them about that and poke it that a little bit and see if that will So to solve The customers eventually, if they grow, have to go through this transition. So a lot of here a lot of action here in Boston, we heard from several outside speakers.

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Lars Toomre, Brass Rat Capital | MIT CDOIQ 2019


 

>> from Cambridge, Massachusetts. It's the Cube covering M I T. Chief data officer and information quality Symposium 2019. Brought to you by Silicon Angle Media. >> Welcome back to M I. T. Everybody. This is the Cube. The leader in live coverage. My name is David wanted. I'm here with my co host, Paul Gill, in this day to coverage of the M I t cdo I Q conference. A lot of acronym stands for M I. T. Of course, the great institution. But Chief Data officer information quality event is his 13th annual event. Lars to Maria's here is the managing partner of Brass Rat Capital. Cool name Lars. Welcome to the Cube. Great. Very much. Glad I start with a name brass around Capitol was That's >> rat is reference to the M I t school. Okay, Beaver? Well, he is, but the students call it a brass rat, and I'm third generation M i t. So it's just seen absolutely appropriate. That is a brass rods and capital is not a reference to money, but is actually referenced to the intellectual capital. They if you have five or six brass rats in the same company, you know, we Sometimes engineers arrive and they could do some things. >> And it Boy, if you put in some data data capital in there, you really explosions. We cause a few problems. So we're gonna talk about some new regulations that are coming down. New legislation that's coming down that you exposed me to yesterday, which is gonna have downstream implications. You get ahead of this stuff and understand it. You can really first of all, prepare, make sure you're in compliance, but then potentially take advantage for your business. So explain to us this notion of open government act. >> Um, in the last five years, six years or so, there's been an effort going on to increase the transparency across all levels of government. Okay, State, local and federal government. The first of federal government laws was called the the Open Data Act of 2014 and that was an act. They was acted unanimously by Congress and signed by Obama. They was taking the departments of the various agencies of the United States government and trying to roll up all the expenses into one kind of expense. This is where we spent our money and who got the money and doing that. That's what they were trying to do. >> Big picture type of thing. >> Yeah, big picture type thing. But unfortunately, it didn't work, okay? Because they forgot to include this odd word called mentalities. So the same departments meant the same thing. Data problem. They have a really big data problem. They still have it. So they're to G et o reports out criticizing how was done, and the government's gonna try and correct it. Then in earlier this year, there was another open government date act which said in it was signed by Trump. Now, this time you had, like, maybe 25 negative votes, but essentially otherwise passed Congress completely. I was called the Open as all capital O >> P E >> n Government Data act. Okay, and that's not been implemented yet. But there's live talking around this conference today in various Chief date officers are talking about this requirement that every single non intelligence defense, you know, vital protection of the people type stuff all the like, um, interior, treasury, transportation, those type of systems. If you produce a report these days, which is machine, I mean human readable. You must now in two years or three years. I forget the exact invitation date. Have it also be machine readable. Now, some people think machine riddle mil means like pdf formats, but no, >> In fact, what the government did is it >> said it must be machine readable. So you must be able to get into the reports, and you have to be able to extract out the information and attach it to the tree of knowledge. Okay, so we're all of sudden having context like they're currently machine readable, Quote unquote, easy reports. But you can get into those SEC reports. You pull out the net net income information and says its net income, but you don't know what it attaches to on the tree of knowledge. So, um, we are helping the government in some sense able, machine readable type reporting that weaken, do machine to machine without people being involved. >> Would you say the tree of knowledge You're talking about the constant >> man tick semantic tree of knowledge so that, you know, we all come from one concept like the human is example of a living thing living beast, a living Beeston example Living thing. So it also goes back, and they're serving as you get farther and farther out the tree, there's more distance or semantic distance, but you can attach it back to concept so you can attach context to the various data. Is this essentially metadata? That's what people call it. But if I would go over see sale here at M I t, they would turn around. They call it the Tree of Knowledge or semantic data. Okay, it's referred to his semantic dated, So you are passing not only the data itself, but the context that >> goes along with the data. Okay, how does this relate to the financial transparency? >> Well, Financial Transparency Act was introduced by representative Issa, who's a Republican out of California. He's run the government Affairs Committee in the House. He retired from Congress this past November, but in 2017 he introduced what's got referred to his H R 15 30 Um, and the 15 30 is going to dramatically change the way, um, financial regulators work in the United States. Um, it is about it was about to be introduced two weeks ago when the labor of digital currency stuff came up. So it's been delayed a little bit because they're trying to add some of the digital currency legislation to that law. >> A front run that Well, >> I don't know exactly what the remember soul coming out of Maxine Waters Committee. So the staff is working on a bunch of different things at once. But, um, we own g was asked to consult with them on looking at the 15 30 act and saying, How would we improve quote unquote, given our technical, you know, not doing policy. We just don't have the technical aspects of the act. How would we want to see it improved? So one of the things we have advised is that for the first time in the United States codes history, they're gonna include interesting term called ontology. You know what intelligence? Well, everyone gets scared by the word. And when I read run into people, they say, Are you a doctor? I said, no, no, no. I'm just a date. A guy. Um, but an intolerant tea is like a taxonomy, but it had order has important, and an ontology allows you to do it is ah, kinda, you know, giving some context of linking something to something else. And so you're able Thio give Maur information with an intolerant that you're able to you with a tax on it. >> Okay, so it's a taxonomy on steroids? >> Yes, exactly what? More flexible, >> Yes, but it's critically important for artificial intelligence machine warning because if I can give them until ology of sort of how it goes up and down the semantics, I can turn around, do a I and machine learning problems on the >> order of 100 >> 1000 even 10,000 times faster. And it has context. It has contacts in just having a little bit of context speeds up these problems so dramatically so and it is that what enables the machine to machine? New notion? No, the machine to machine is coming in with son called SP R M just standard business report model. It's a OMG sophistication of way of allowing the computers or machines, as we call them these days to get into a standard business report. Okay, so let's say you're ah drug company. You have thio certify you >> drugged you manufactured in India, get United States safely. Okay, you have various >> reporting requirements on the way. You've got to give extra easy the FDA et cetera that will always be a standard format. The SEC has a different format. FERC has a different format. Okay, so what s p r m does it allows it to describe in an intolerant he what's in the report? And then it also allows one to attach an ontology to the cells in the report. So if you like at a sec 10 Q 10 k report, you can attach a US gap taxonomy or ontology to it and say, OK, net income annual. That's part of the income statement. You should never see that in a balance sheet type item. You know his example? Okay. Or you can for the first time by having that context you can say are solid problem, which suggested that you can file these machine readable reports that air wrong. So they believe or not, There were about 50 cases in the last 10 years where SEC reports have been filed where the assets don't equal total liabilities, plus cheryl equity, you know, just they didn't add >> up. So this to, >> you know, to entry accounting doesn't work. >> Okay, so so you could have the machines go and check scale. Hey, we got a problem We've >> got a problem here, and you don't have to get humans evolved. So we're gonna, um uh, Holland in Australia or two leaders ahead of the United States. In this area, they seem dramatic pickups. I mean, Holland's reporting something on the order of 90%. Pick up Australia's reporting 60% pickup. >> We say pick up. You're talking about pickup of errors. No efficiency, productivity, productivity. Okay, >> you're taking people out of the whole cycle. It's dramatic. >> Okay, now what's the OMG is rolling on the hoof. Explain the OMG >> Object Management Group. I'm not speaking on behalf of them. It's a membership run organization. You remember? I am a >> member of cold. >> I'm a khalid of it. But I don't represent omg. It's the membership has to collectively vote that this is what we think. Okay, so I can't speak on them, right? I have a pretty significant role with them. I run on behalf of OMG something called the Federated Enterprise Risk Management Group. That's the group which is focusing on risk management for large entities like the federal government's Veterans Affairs or Department offense upstairs. I think talking right now is the Chief date Officer for transportation. OK, that's a large organization, which they, they're instructed by own be at the, um, chief financial officer level. The one number one thing to do for the government is to get an effective enterprise worst management model going in the government agencies. And so they come to own G let just like NIST or just like DARPA does from the defense or intelligence side, saying we need to have standards in this area. So not only can we talk thio you effectively, but we can talk with our industry partners effectively on space. Programs are on retail, on medical programs, on finance programs, and so they're at OMG. There are two significant financial programs, or Sanders, that exist once called figgy financial instrument global identifier, which is a way of identifying a swap. Its way of identifying a security does not have to be used for a que ce it, but a worldwide. You can identify that you know, IBM stock did trade in Tokyo, so it's a different identifier has different, you know, the liberals against the one trading New York. Okay, so those air called figgy identifiers them. There are attributes associated with that security or that beast the being identified, which is generally comes out of 50 which is the financial industry business ontology. So you know, it says for a corporate bond, it has coupon maturity, semi annual payment, bullets. You know, it is an example. So that gives you all the information that you would need to go through to the calculation, assuming you could have a calculation routine to do it, then you need thio. Then turn around and set up your well. Call your environment. You know where Ford Yield Curves are with mortgage backed securities or any portable call. Will bond sort of probabilistic lee run their numbers many times and come up with effective duration? Um, And then you do your Vader's analytics. No aggregating the portfolio and looking at Shortfalls versus your funding. Or however you're doing risk management and then finally do reporting, which is where the standardized business reporting model comes in. So that kind of the five parts of doing a full enterprise risk model and Alex So what >> does >> this mean for first? Well, who does his impact on? What does it mean for organizations? >> Well, it's gonna change the world for basically everyone because it's like doing a clue ends of a software upgrade. Conversion one's version two point. Oh, and you know how software upgrades Everyone hates and it hurts because everyone's gonna have to now start using the same standard ontology. And, of course, that Sarah Ontology No one completely agrees with the regulators have agreed to it. The and the ultimate controlling authority in this thing is going to be F sock, which is the Dodd frank mandated response to not ever having another chart. So the secretary of Treasury heads it. It's Ah, I forget it's the, uh, federal systemic oversight committee or something like that. All eight regulators report into it. And, oh, if our stands is being the adviser Teff sock for all the analytics, what these laws were doing, you're getting over farm or more power to turn around and look at how we're going to find data across the three so we can come up consistent analytics and we can therefore hopefully take one day. Like Goldman, Sachs is pre payment model on mortgages. Apply it to Citibank Portfolio so we can look at consistency of analytics as well. It is only apply to regulated businesses. It's gonna apply to regulated financial businesses. Okay, so it's gonna capture all your mutual funds, is gonna capture all your investment adviser is gonna catch her. Most of your insurance companies through the medical air side, it's gonna capture all your commercial banks is gonna capture most of you community banks. Okay, Not all of them, because some of they're so small, they're not regularly on a federal basis. The one regulator which is being skipped at this point, is the National Association Insurance Commissioners. But they're apparently coming along as well. Independent federal legislation. Remember, they're regulated on the state level, not regularly on the federal level. But they've kind of realized where the ball's going and, >> well, let's make life better or simply more complex. >> It's going to make life horrible at first, but we're gonna take out incredible efficiency gains, probably after the first time you get it done. Okay, is gonna be the problem of getting it done to everyone agreeing. We use the same definitions >> of the same data. Who gets the efficiency gains? The regulators, The companies are both >> all everyone. Can you imagine that? You know Ah, Goldman Sachs earnings report comes out. You're an analyst. Looking at How do I know what Goldman? Good or bad? You have your own equity model. You just give the model to the semantic worksheet and all turn around. Say, Oh, those numbers are all good. This is what expected. Did it? Did it? Didn't you? Haven't. You could do that. There are examples of companies here in the United States where they used to have, um, competitive analysis. Okay. They would be taking somewhere on the order of 600 to 7. How 100 man hours to do the competitive analysis by having an available electronically, they cut those 600 hours down to five to do a competitive analysis. Okay, that's an example of the type of productivity you're gonna see both on the investment side when you're doing analysis, but also on the regulatory site. Can you now imagine you get a regulatory reports say, Oh, there's they're out of their way out of whack. I can tell you this fraud going on here because their numbers are too much in X y z. You know, you had to fudge numbers today, >> and so the securities analyst can spend Mme. Or his or her time looking forward, doing forecasts exactly analysis than having a look back and reconcile all this >> right? And you know, you hear it through this conference, for instance, something like 80 to 85% of the time of analysts to spend getting the data ready. >> You hear the same thing with data scientists, >> right? And so it's extent that we can helped define the data. We're going thio speed things up dramatically. But then what's really instinct to me, being an M I t engineer is that we have great possibilities. An A I I mean, really great possibilities. Right now, most of the A miles or pattern matching like you know, this idea using face shield technology that's just really doing patterns. You can do wonderful predictive analytics of a I and but we just need to give ah lot of the a m a. I am a I models the contact so they can run more quickly. OK, so we're going to see a world which is gonna found funny, But we're going to see a world. We talk about semantic analytics. Okay. Semantic analytics means I'm getting all the inputs for the analysis with context to each one of the variables. And when I and what comes out of it will be a variable results. But you also have semantics with it. So one in the future not too distant future. Where are we? We're in some of the national labs. Where are you doing it? You're doing pipelines of one model goes to next model goes the next mile. On it goes Next model. So you're gonna software pipelines, Believe or not, you get them running out of an Excel spreadsheet. You know, our modern Enhanced Excel spreadsheet, and that's where the future is gonna be. So you really? If you're gonna be really good in this business, you're gonna have to be able to use your brain. You have to understand what data means You're going to figure out what your modeling really means. What happens if we were, You know, normally for a lot of the stuff we do bell curves. Okay, well, that doesn't have to be the only distribution you could do fat tail. So if you did fat tail descriptions that a bell curve gets you much different results. Now, which one's better? I don't know, but, you know, and just using example >> to another cut in the data. So our view now talk about more about the tech behind this. He's mentioned a I What about math? Machine learning? Deep learning. Yeah, that's a color to that. >> Well, the tech behind it is, believe or not, some relatively old tech. There is a technology called rd F, which is kind of turned around for a long time. It's a science kind of, ah, machine learning, not machine wearing. I'm sorry. Machine code type. Fairly simplistic definitions. Lots of angle brackets and all this stuff there is a higher level. That was your distracted, I think put into standard in, like, 2000 for 2005. Called out. Well, two point. Oh, and it does a lot at a higher level. The same stuff that already f does. Okay, you could also create, um, believer, not your own special ways of a communicating and ontology just using XML. Okay, So, uh, x b r l is an enhanced version of XML, okay? And so some of these older technologies, quote unquote old 20 years old, are essentially gonna be driving a lot of this stuff. So you know you know Corbett, right? Corba? Is that what a maid omg you know, on the communication and press thing, do you realize that basically every single device in the world has a corpus standard at okay? Yeah, omg Standard isn't all your smartphones and all your computers. And and that's how they communicate. It turns out that a lot of this old stuff quote unquote, is so rigidly well defined. Well done that you can build modern stuff that takes us to the Mars based on these old standards. >> All right, we got to go. But I gotta give you the award for the most acronyms >> HR 15 30 fi G o m g s b r >> m fsoc tarp. Oh, fr already halfway. We knew that Owl XML ex brl corba, Which of course >> I do. But that's well done. Like thanks so much for coming. Everyone tried to have you. All right, keep it right there, everybody, We'll be back with our next guest from M i t cdo I Q right after this short, brief short message. Thank you

Published Date : Aug 1 2019

SUMMARY :

Brought to you by A lot of acronym stands for M I. T. Of course, the great institution. in the same company, you know, we Sometimes engineers arrive and they could do some things. And it Boy, if you put in some data data capital in there, you really explosions. of the United States government and trying to roll up all the expenses into one kind So they're to G et o reports out criticizing how was done, and the government's I forget the exact invitation You pull out the net net income information and says its net income, but you don't know what it attaches So it also goes back, and they're serving as you get farther and farther out the tree, Okay, how does this relate to the financial and the 15 30 is going to dramatically change the way, So one of the things we have advised is that No, the machine to machine is coming in with son Okay, you have various So if you like at a sec Okay, so so you could have the machines go and check scale. I mean, Holland's reporting something on the order of 90%. We say pick up. you're taking people out of the whole cycle. Explain the OMG You remember? go through to the calculation, assuming you could have a calculation routine to of you community banks. gains, probably after the first time you get it done. of the same data. You just give the model to the semantic worksheet and all turn around. and so the securities analyst can spend Mme. And you know, you hear it through this conference, for instance, something like 80 to 85% of the time You have to understand what data means You're going to figure out what your modeling really means. to another cut in the data. on the communication and press thing, do you realize that basically every single device But I gotta give you the award for the most acronyms We knew that Owl Thank you

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Corey Quinn, The Duckbill Group | AWS Public Sector Summit 2019


 

>> live from Washington D. C. It's the Cube covering aws public sector summit DC brought to you by Amazon Web services. >> Welcome back, everyone to the cubes Live >> coverage of a ws public sector summit here in Washington D. C. I'm your >> host Rebecca Night, along with my co host, John >> Furrier. We're here with Cory Quinn, Cloud Economist The Duck Billed group and a cube host at large. Welcome. Welcome to our show. A medium >> at best, most days. But we'll see what happens when ever expanding. Someday I'll be a 10 x engineer, but not today. >> Right? Right. Exactly. >> Next host. Exactly. >> There we go, >> Cloud. Stand up on the side. We need to mention that >> Yes, generally more cloud improv. But no one believes that. It's off the cuff. So we smile, we nod, we roll with Tio. Yeah, no one wants to hear me sing in any form. >> I promise. Strapping So, Cory, you have been here. You are on the ground having great conversations with people here. 18,000 people at this summit Give us give our viewers a low down on the vibe. The energy What? What do you hear? Very different >> feeling in the commercial summits you're seeing. People are focusing on different parts of the story, and one thing I find amusing is talking to people who work in the public sector. Show up in their first response is, Oh, I'm so behind and then you go to the commercial summit. You talk to people who are doing bleeding edge things, and their response is, Oh, I'm so behind and everyone thinks that they're falling behind the curve and I'm >> not sure how >> much of that is a part of people just watching a technology. Events outpace them versus the ever increasing feature velocity. If they show on slide year over year over year, consistent growth and people feel like they're being left in the dust, it's it's overwhelming. It's drinking from a fire hose. And I don't think that that gets any easier when you're talking to someone in public sector where things generally move in longer planning cycles because they definitional have to, and I'd argue should, >> but you should help them, make them feel better and say, Don't worry. The private sector feels the same way. Not just everyone >> has these problems. That's that's the poor little challenge of this is everyone believes that if you go to the one magic company, their environment is going to be wonderful. They're adopting everything. It doesn't exist. I've gone into all of the typical tech companies you would expect and talk to people. And everyone wants you for three or four drinks into them, gets very honest and starts crying. What would its higher fire their own environment is? It says a lot of conference. We're going around. Here's how we built this amazing thing as a proof of concept is what the part they don't say or for this one small, constrained application. People are trying to solve business problems, not build perfect architecture. And that's okay. >> Yeah, process. They're not. They're not businesses, their agencies. As you said, they're like, slow as molasses when it comes to moving speed. And you could even see Andy Jazzy during his fireside Shep. He's already studying, laying the groundwork. Well, >> once you're in the >> cloud, here's how you know the adoption level so you can see that it's land not landing expand like the enterprise, which is still slow. It's land, get the adoption and then expand, So the public sector clearly has a lot of red tape. I mean, no doubt about it. >> That means anyone who'd argue that point >> chairman's like 1985. It's like, you know, hot tub time machine, you know, nightmare. But Andy Jazz, he also says on differently to heavy lifting is what they want to automate away. That's the dream. That's the That's the goal. Absolute. It's hard. This is the real challenge. Is getting the public sector adopted getting the adoption, your thoughts when what you're hearing people are they jumping in? They put a toe in the water, kicking the tires. As Andy said, >> all of the above and more. I think it's a very broad spectrum and they mentioned there. I think they were 28,000 or 12,000 non profit organizations that they wind up working with as customers and they all tend to have different velocities across the board as they go down that path. I think that the idea that there's one speed or you can even draw a quick to line summary of all the public sector is a bit of a Basile explanation. I see customers are sometimes constrained by planning cycles. There's always the policies and political aspects of things where if you wind up trying to speed things up, you're talking to some people who will not have a job. If you remove the undifferentiated heavy lifting because that's been their entire career, we're going to help you cut waste out of your budget. Well, that's a hard sell to someone who is incentivized based upon the size of the budget that they control it. You wind up with misaligned incentives, and it's a strange environment. But the same thing that I'm seeing across the corporate space is also happening in public sector. We're seeing people who are relatively concerned about where they're going to hire people from what those people look like, how they're going to transform their own organizations. Digital transformations, attired term. >> And it's like you have rosy colored glasses on too much. You're gonna miss the big picture. You gotta have a little bit of skepticism. I think to me governments always had that problem where I'm just gonna give up. I'm telling different. I can't get the outcome I want, because why even try? Right? I think now, with cloud what I hear Jazzy and Amazon saying is. Hey, at least you get some clear visibility on the first position of value, so there's some hope there, right? So I think that's why I'm seeing this adoption focus, because it's like they're getting the customers. For instance, like I'm a university. I could be a professor, but my credit card down my university customer, I got a couple instances of PC to so ding and another one to the 28,000 >> exactly number of customers is always a strange >> skeptical there. But now, for the first time, you, Khun got should go to a team saying, Hey, you know all that B s about not get the job done, you can get it with clouds. So it's gettable. Now it's attainable. It's not just aspirations. >> Movers really will make the difference. In the end, with the university customer's question, the people who were in that swing >> the tide can that be a generational shift, a deb ops mindset in government? That's a big question. >> Well, they have some advantages. For example, we took a look at all the Gulf cloud announcements and the keynote yesterday, and that must have been a super easy keynote to put together because they're just using the traditional Kino slides and reinvent 2014 because it takes time to get things certified as they moved through the entire pipeline process. And there's nothing inherently wrong with that. But the services that are going into come cloud or things that are tried and tested in a lot of other environments. There's an entire community out there. There's an established body of knowledge. So a lot of the path that government is walking down has already been from a technical perspective paid for them. >> I want to riff on an idea on to make a proposal with you here in real time. You're I think what we should do is make a proposal to the U. S. Government that we basically take equity in the agencies and then take them public. >> That's not a bad idea, absolutely not about commercialized. >> The entities create a stock option program, Cory, because listen, if I'm if I'm a talent, why would I gotta work for an agency when I could make three times Mohr get public and be rich, and that's the problem with talent. You walk around the expo for here. The booths are much smaller, and I didn't understand that at first, and then it clicked for me. If you want to sell services to government, you don't buy a bigger booth. You buy a Congress person and it turns out those air less expensive. That's how acquisitions tend to work in this space. So folks walking around or not, generally going to be the customers that buy things. People walking around in many cases are the talent and looking for more talent. And it does become extremely compelling to have those people leave public sector and go into private sector. In some cases where we'll pay you three times more and added bonus most days, this is America. After all, no one's shooting at you, so that does your >> cloud. Economists were kind of joking about your title, but if you think about it, there are economics involved. It's lower cost, faster, time to value. But what we're getting at is an incentive system. So you think fiscal monetary policy of incentives. So you know, Rebecca, this this This is the challenge that the policy guys gotta figure because the mechanisms to get stuff done is by the politicians or do this or do that. We're getting at something, really, to the heart of human beings, that mission of the mission of the agency or objective they're doing for the labor of love or money? Yes, Reed, why not create an incentive system that compensate? >> You think That's incentive system for taxpayers, though, too, in the sense of >> if I can see the trillions of dollars on the >> budget, a lot of what >> governments do shouldn't necessarily be for sale. I think the idea of citizen versus customer tends to be a very wide divergence, and I generally pushback on issues to attempt, I guess, convinced those into the same thing. It's you wind up with a very striated, almost an aristocracy Socratic society. >> I don't think that tends >> to lead anywhere. Good way. Everyone is getting political today for some reason. >> Well, I >> mean fireside chat to digital >> transformations. People process technology. You can superimpose that onto any environment where those public policy or whatever or national governments, the people, his issues there, processes, issues, technologies is each of one of them have their own challenge. Your thoughts on public sectors challenges opportunities. Four people process technology. >> You have to be mission driven for starters in order to get the people involved. As far as the processes go, there are inherently going to be limitations sometimes and easily observable in the form of different regulatory regimes that apply to these different workloads. And when we talk about the technology well, we're already seeing that that is becoming less of a gap over time. What used to be that o on ly we can secure a data center well enough from a physical security standpoint, there's a quote from the CIA that said on its worst day that cloud was cloud. Security was better than any on premises environment that they could build. And there's something to be said for that. Their economies of scale of like by >> the tech gaps going away. Almost zero yes. So if that OK, text, good check training fault of the people side. Absolute awareness competency processes a red tape automation opportunity. That could be. >> But this is also not to assume that the commercial world has unlock either. Where does the next generation come from? You talk to most senior cloud folks these days and most of us tend to have come up from working help desks being grumpy, you nexus in men's or you nexus movement because it's not like there's a second kind of those and we go up through a certain progression. Well, those jobs aren't there anymore. They've been automated away. The road that we walked is largely closed. Where does the next generation come from? I don't have a great answer. >> Talent question is a huge one. This is going to be the difference. Rebecca. We were riffing on this on our opening. >> It's the only one. >> Your thoughts. I mean, were you even hearing all this stuff and you've been researching this? What? Your thoughts. >> I think that we need to think more. I think tech companies need to think more broadly about where they're going to get this next generation of people, and they don't need to necessarily be people who have studied CS in school. Although, of course we need those people too. >> But the people with the bright, the creative, the expansive world views who are thinking about these problems and can learn >> the tech, I mean the tough guy, you know why >> block change you into a nice CEO and everyone gets >> rich, but I think when Jessie was saying today during his fireside, in the sense of we need to make sure that we're building tools, that >> you don't need to be a machine learning expert to deploy, you know we need to make simpler, more intuitive tools, and then that's really important here. >> Amazon does well in that environment about incentives. >> I think that >> one thing that the public sector offers that you don't often see in the venture start of world or corporate America or corporate anywhere, for that matter, is the ability to move beyond next quarter, planning the ability to look at long term projects like What >> does >> it take to wind up causing significant change across the world? Where is it take to build international space Station? You're not gonna be able to ship those things 180 days, no matter how efficiently you build things. And I think that the incentives and as you build them, have to start aligning with that. Otherwise you wind up with government trying to compete on compensation with the private sector. I don't think that works. I think you may have an opportunity to structure alignments around sentence in a very different life. >> It's an open item on the compensation. Until they agree, we'll watch. It was ideas. We'll see what tracks. But to me, in my opinion, what I think's gonna be killer for game game one here. This of this revolution is the people that come out of the woodwork because cloud attracts attract smart people and smart people are leaning into the government with cloud. It was the other way around before the cloud people, I don't want to get involved in government, and that was a big ding on government attracting qualified people. So I think Cloud is going to attract some smart people that want to help for the purpose and mission of whatever the outcome of that political or agency or government initiative with a cyber security there. People will care about this stuff who want the social equity not so much, >> Yeah, I think that's >> going to be a wild card. I think we're going to see like a new might in migration of talented people coming into quote assist government. That's a work for government to figure out how to be better at whatever the competition is and that is going to be I think the first lever of you start to see new names emerge. This person who just changed the organization over here become a hero Dev Ops mindset being applied to new environments. >> And we've seen that to some extent with the U. S. Digital service with 18 half where you have industry leaders from the commercial side moving into public sector and working in government for a time and then matriculating back into the public sector and the private sector, I think that there winds up being a lot of opportunity for more programs like that of scaling this stuff out >> and career change and career passer tissue. And there is this more fluid iti. As you're saying, >> I think that money isn't everything. You know. There's a lot of research that shows up to a certain threshold of income. You >> don't get that much happier. I don't know if Jeff >> basis is that much happier than us. I mean, >> we live in a little more bank and say, you know, >> you see the other side of it, too, is you build all these things together where you have okay. What? >> What is it >> that moves people? What do they care about. It's not just money, and I think that the old styled the old are very strict hierarchy within organizations where things are decided by tenure. Service is a bit of a problem if you have someone who works for. The EPA has been doing a deep dive cloud work for 10 years. There's nothing specific to the EPA about what that person has mastered. They shouldn't be able to laterally transition into the FDA, for example, >> Jackson Fireside Chat, Those interesting point about the fire phone that they talked about. And this is the transfer ability of skill sets and you getting at the thing that I will notice is that with Cloud attracts this interdisciplinary skill sets so you don't have to be just a coder. You khun, note how code works and be an architect, or you could be a change agent some somewhere else in an organization. So that's >> going to >> be interesting. That's not necessarily what how governments have always been siloed right? So can can these silos can these old ways of doing things. This is the question. This is why it's fun to cover this market. >> We're already >> seeing that in the public sector were being able to write code is rapidly transitioning into a very being very similar to I can speak French. Great. That's not a career in and of itself. That's a skill sad that unlocks of different right. A different career paths forward, but it doesn't wind up saving anything. It doesn't want a preserving its own modern aristocracy path forward or >> use the building an example. I don't have to learn how to pour concrete organ, right? The blueprints. Yes. So as we start getting into these systems conversations, you're going to start to see these different skill sets involved. Huge opportunity. If >> you're in >> school today and you're studying computer science, great learned something else, too, because the intersection between that and other spaces are where the knish opportunities are. That's the skill set of the future. That's where you're going to start seeing opportunities. Do not just succeed personally, but start to change the world. >> But Cory Great. Thanks for coming on and make an appearance and sharing what you found on the hallways. Good to see you. Coop con in Europe. Thanks for holding down the fort there. >> Of course I appreciate it. It was an absolute Bonner. >> Excellent. Great. Well, thank you so much. Thank >> you. I'm Rebecca Knight for John Furrier. Stay tuned. You are watching the Cube.

Published Date : Jun 12 2019

SUMMARY :

aws public sector summit DC brought to you by Amazon Web services. Welcome to our show. But we'll see what happens when ever expanding. Right? Exactly. We need to mention that It's off the cuff. You are on the ground You talk to people who are doing bleeding edge things, and their response is, Oh, I'm so behind and everyone thinks And I don't think that that gets any easier when you're talking The private sector feels the same way. That's that's the poor little challenge of this is everyone believes that if you go to the one magic And you could even see Andy Jazzy during his fireside Shep. So the public sector clearly has a lot of red tape. But Andy Jazz, he also says on differently to heavy lifting is what they want that there's one speed or you can even draw a quick to line summary of all the public sector is a bit I think to me governments always had that problem where I'm just gonna give up. But now, for the first time, you, Khun got should go to a team saying, In the end, with the university customer's question, the tide can that be a generational shift, a deb ops mindset So a lot of the path that government is walking down has already been I want to riff on an idea on to make a proposal with you here in real time. and that's the problem with talent. that the policy guys gotta figure because the mechanisms to get stuff done is by the politicians I think the idea of citizen versus customer tends to be a very to lead anywhere. You can superimpose that onto any environment You have to be mission driven for starters in order to get the people involved. fault of the people side. But this is also not to assume that the commercial world has unlock either. This is going to be the difference. I mean, were you even hearing all this stuff and you've been researching this? I think tech companies need to think more broadly about where you don't need to be a machine learning expert to deploy, you know we need to make simpler, And I think that the incentives and as you build them, have to start aligning with that. So I think Cloud is going to attract some smart people that want to help for the purpose and is and that is going to be I think the first lever of you start to see new names into the public sector and the private sector, I think that there winds up being a lot of opportunity for And there is this more fluid iti. I think that money isn't everything. I don't know if Jeff basis is that much happier than us. you see the other side of it, too, is you build all these things together where you have okay. Service is a bit of a problem if you have someone is that with Cloud attracts this interdisciplinary skill sets so you don't have to be This is the question. seeing that in the public sector were being able to write code is rapidly transitioning into a very I don't have to learn how to pour concrete organ, right? That's the skill set of the future. Thanks for coming on and make an appearance and sharing what you found on the hallways. It was an absolute Bonner. Well, thank you so much. You are watching the Cube.

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StrongbyScience Podcast | Ed Le Cara, Smart Tools Plus | Ep. 3


 

>> Produced from the Cube studios. This's strong by science, in depth conversations about science based training, sports performance and all things health and wellness. Here's your hose, Max Marzo. Thank you for being on two. Very, >> very excited about what we have going on for those of you not familiar with that Ella Keira, and I'm going to say his name incorrectly. Look here. Is that correct? Had >> the care is right. Very good. Yes. Also, >> I've practiced that about nineteen times. Oh, the other night, and I can't feel like I get it wrong and is one of the more well rounded individuals I've come across. His work is awesome. Initially learned quite a bit about him from Chase Phelps, who we had on earlier, and that came through Moore from blood flow restriction training. I've had the pleasure of reading up on quite a bit, and his background is more than unique. Well, around his understatement and really excited have on, I call him one of the most unique individuals people need to know about, especially in the sports science sylph sports science world. He really encompasses quite a bit of just about every domain you could think about. So add Thank you for being on here if you don't mind giving a little bit of background and a bio about yourself. >> Thanks so much. You know, not to. Not to warn anybody, really. But it kind of started as a front line medic in the Army. Really? You know, the emphasis back then was a get people back toe action as soon as possible. So that was my mindset. I spent about eight years in an emergency department learning and training through them. I undergo interviews and exercise physiology from University of California. Davis. I love exercise science. I love exercise physiology. Yeah, started doing athletic training because my junior year in college, I was a Division one wrestler. Tor my a c l p c l N L C E o my strength coach, chiropractor, athletic trainer all the above. Help me get back rustling within four months with a brace at a pretty high level of visual. On level on guy was like, Well, I don't want to go to med school, but what I want to do is help other people recover from injury and get back to the activities that they love. And so I was kind of investigating. Try to figure out what I wanted to do, Really want to be an athletic trainer? We didn't realize how much or how little money they make, um And so I was kind of investigating some other things. Checked out physical therapy, dentistry. But I really wanted to be in the locker room. I wanted to have my own practice. I wanted to be able to do what I wanted to do and not sit on protocols and things like that because I don't think that exists. And so I chose chiropractic school. I went to chiropractic school, learned my manual therapy, my manual techniques, diagnosis, loved it, was able to get patients off the street, didn't have tto live and die by insurance and referrals, was able only to open my own clinic. And and about four years in I realized that I didn't really know very much. I knew howto adjust people, and you had to do a little bit soft tissue. But not really. We weren't taught that I felt like my exercise background and really dropped off because I wasn't doing a lot of strength conditioning anymore. And so I went back and got a phD in sports medicine and athletic training. I had a really big goal of publishing and trying to contribute to the literature, but also understanding the literature and how it applies to the clinical science and clinical practice and try to bridge the gap really, between science and in the clinic and love treating patients. I do it every single day. A lot of people think I don't cause I write so much education, but, like I'm still in my clinic right now, twelve hours a day in the last three days, because it's what I love to dio on DH. Then just for kicks and giggles, I went out and got an MBA, too, so I worked in a lot of different environments. Va Medical System, twenty four hour Fitness Corporate I've consulted for a lot of companies like rock tape. It was their medical director. Fisma no trigger point performance. Have done some research for Sarah Gun kind of been able to do a lot with the phD, which I love, but really, my home base is in the clinic in the trenches, helping people get better. In fact, >> activity. That's awesome. Yeah, Tio coming from athletic training back on athlete. So I myself play I. Smit played small Division three basketball, and I'm a certified athletic trainer as well, and it's the initial love you kind of fall into being in that realm, and that's who you typically work with and then realizing that maybe the hours and the practice that they do isn't fit for you and finding ways you can really get a little more hands on work. I took the sports scientists route. It sounds like you're out has been just about everything and all the above. So it's great to hear that because having that well rounded profile, we weren't athlete. Now you've been in the medical side of the street condition inside even the business development side. You really see all domains from different angles. Now I know you are the educational director for smart tools with their blood flow restriction training chase. How younger? Very highly, uh, about your protocols. I've listened to some of them. If you don't mind diving into a little bit, what exactly is blood flow restriction training and what are the potential benefits of it? >> Yeah, you know it is about two thousand fourteen. I got approached by smart tools. They had developed the only FDA listed or at that point of FDA approved instrument assisted soft tissue mobilization tools other people like to call it, you know, basically grass in or whatever. Andi was really intrigued with what their philosophy wass, which was Hey, we want to make things in the US We want to create jobs in the U. S. And and we want to create the highest quality product that also is affordable for the small clinic. Whereas before the options Ray, you know, three thousand dollars here, two thousand dollars here on DH. So I wrote education for smart tools because of that, and because I just blot. I just believed so much in keeping things here in the U. S. And providing jobs and things locally. Um, so that's really where this all started. And in about two thousand fifteen, my buddy Skylar Richards up FC Dallas he has of the MLS. Yes, the the the lowest lost game days in the MLS. And yeah, I mean, when you think about that and how hard that is such a long season, it's such a grind is the longest season in professional sports. You think? Well, what is he doing there? I mean, I really respect his work up there. And so, like, you know, we were working on a project together and how I was fortunate enough to meet him. And I just really got to pick his brand on a lot of stuff and things I was doing in the clinic. And what could I do? Be doing better. And then one day it just goes, you know, have you seen this be afar stuff? And I'm like, No, I have no idea. It's your idea about it. And so, as usual at the science geek that I am, I went and I went to med sports discus. And I was like, Holy crap, man, I can't even I can't even understand how many articles are out there regarding this already. And this is back to you in two thousand fifteen, two thousand sixteen. I was so used to, you know, going and looking up kinesiology, tape research and being really bad. And you gotta kind of apply. You gotta apply a lot of these products to research. That's really not that strong. This was not the case. And so I brought it to neck the CEO of startles. And like, Dude, we've really got a look at this because really, there's only one option, and I saw the parallels between what was happening with Instrument assisted where there wasn't very many options, but they were very, very expensive and what we could do now with another thing that I thought was amazing. And it wasn't a passive modality because I was super excited about because, you know, I had to become a corrective exercise specialist because I knew I didn't have enough time with people to cause to strengthen hypertrophy. But be afar allows me to do that. And so that's really where I kind of switched. My mind went well, I really need to start investigating this and so to answer your question. VFR is the brief and in tremendous occlusion of arterial and venous blood flow, using a tourniquet while exercising at low intensities or even at rest. And so what that means is we basically use it a medical grade tourniquet and restrict the amount of oxygen or blood flow into a limb while it's exercising and totally including Venus, return back to the heart. And what this does is the way that explains my patients. Is it essentially tricks your brain into thinking you're doing high intensity exercise. But you're not and you're protecting tissue and you don't cause any muscle damage that you normally would with high intensity exercise or even low intensity exercise the failure. And so it works perfectly for those people that we can't compromise tissue like for me in a rehab center. >> Gotcha. Yeah, no, it's It's a super interesting area, and it's something that I have dove into not nearly as much as you have. But you can see the benefits really steaming back from its origins right when it was Katsu train in Japan, made for older adults who couldn't really exercise that needed a fine way to induce hypertrophy now being used to help expedite the healing process being used in season after ah, difficult gamed and prove healing, or whether it's not for whether or not it's used to actually substitute a workout. When travel becomes too demanding, toe actually load the system now with B f ar, Are you getting in regards to hypertrophy similar adaptations? Hypertrophy wise. If you were to do be a far with a low low, say, twenty percent of your one right max, compared to something moderately heavier, >> yeah, or exceeds in the time frame. You know, true hypertrophy takes according to the literature, depending on what reference you're looking at at the minimum, twelve weeks, but more likely sixteen weeks. And you've got to train at least sixty five percent. Or you've got to take low intensity loads to find his twenty to thirty five percent of one read max all the way to failure, which we know causes damage to the tissue be a farce. Starts to show hypertrophy changes that we two. So you know, my my best. My so I this It's kind of embarrassing, but it is what it is. But like, you know, I started learning mother our stuff. I'm a earlier Dr. Right? So I go right away and I go by the first product, I can. I have zero idea what I'm doing there. Zero like and a former Mr America and Mr Olympia Former Mr America champion and the one of the youngest Mr Olympia Tze Hor Olympia Mr Olympia ever compete. He competed and hey didn't stand But anyway so high level bodybuilder Okay, whatever you us. But he was definitely Mr America. He comes into my clinic when I was in Denver, It was probably a neighbour of you at the time, and he and he's like, Okay, I got this pain in my in my tryst up. It's been there for six months. I haven't been able to lift this heavy. My my arm isn't his biggest driving me crazy, right? The bodybuilder, of course, is driving him crazy, so I measure it. He's a half inch difference on his involves side versus on uninvolved side. I diagnosed him with Try some tendinitis at zero idea what I'm doing and be a far. But I said, Listen, I want you to use these cuffs. I got to go to Europe. I gotta go lecture in Europe for a couple weeks and I want you two, three times a week. I want you to do three exercise. I like to use the TRX suspension trainer. I've done a lot of work with them, and I really respect their product and I love it for re up. So I said, Listen, I want you three exercises on the suspension trainer I want to do is try to do a bicep. I want to do some, you know, compound exercise, and in that case I gave, Melo wrote, Come back in two weeks. He comes back in the clinic. I remember her is involved. Side was a quarter of an inch larger than his uninvolved type, and he's like, Do, That's two weeks. I'm like, Dude, that's two weeks And he's like, This is crazy and I go, Yeah, I agree. And since then, I've been, like, bought it like it's for hypertrophy. It is unbelievable. You get people that come in and I've had, you know, like after my injury in college rustling I my a c l I've torn it three times. Now, you know, my quad atrophy was bad. My calf was not the same size, literally. Symmetry occurs so quickly. When you start applying these principles, um, it just blows me away. >> So when you're using it, are using it more and isolated manner or are doing more compound exercises. For example, if you're doing a C l artifically assuming they're back too full function ish, Are you doing bodyweight squads or that starting off with the extensions? How do you kind of progress that up program? >> Yeah, it really just depends on where they're at. Like, you know, day with a C l's. You can pretty much start if there's no contraindications, you convey. Stay docks. Start day one. I'm right after surgery to try to prevent as much of that quad wasting that we get from re perfusion, injury and reactive oxygen species. All the other things that occur to literally day one. You can start and you'LL start isolated. You might start with an isometric. I really do like to do isometrics early on in my in my rehab. Um, and you can use the cops and you can You can fatigue out all the motor units if they're not quite air yet. Like, let's say, pre surgically, where they can't use the lamb, they're in a they're either bedridden or they're in a brace or they're a cast. You can use it with electric stim and or a Russian stem. And with that contraction, not only did you drive growth hormone, but you can also prevent atrophy by up to ninety, ninety five percent so you can start early early on, and I like to call it like phases of injury, right? Like pre surgical or pre injury, right at injury, you kind of get into the sub acute phase of inflammation. You kind of progressed isolated exercises and he goingto isolated in compound and you going to compound in any kind of move through the gamut. What's so cool about the afar is you're not having to reinvent the wheel like you use the same protocols, even use. I mean, really. I mean, if you're using lightweight with sarabande or resistance to being which I do every day, I'd be a far on it. Now, instead of your brain thinking you're not doing anything, your brain's like whoa, high intensity exercise. Let's let's help this tissue recovered because it's got to get injured. So we're gonna grow. >> That's yeah, that's pretty amazing. I've used it myself. I do have my smart tools. I'm biased. I like what you're doing. I really like the fact that there's no cords. It's quite mobile, allows us to do sled pushes, resisted marches, whole wide span and movements on DH before we're kind of hopped on air here. You're talking about some of the nutritional interventions you add to that, whether it be vitamin C college in glucose to mean. What specifically are you putting together on DH? Why're you doing that? Is that for tissue healing? >> Yeah, that's right. It's way. Have ah, in my clinic were Multidisciplinary Clinic in Dallas, Texas, and called the Body Lounge is a shameless plug, but way really believe that healing has to start from the inside, that it has to start with the micro nutrients and then the macro nutrients. And then pretty much everything can be prevented and healed with nutrition and exercise. That's what we truly believe, and that's what we try to help people with. The only thing that I use manual therapy for and I do a lot of needling and all these other things is to help people get it down there. Pain down enough so that they can do more movement. And so, from a micro nutrient standpoint, we've gotta hit the things that are going to help with college and synthesis and protein sentences, So that would be protein supplementation that would be vitamin C. We do lots of hydration because most of us were walking around dehydrated. If you look at some of the studies looking at, you know, even with a normal diet, magnesium is deficient. Vitamin C is deficient during the winter all of us are vitamin D deficient Bluetooth. I own production starts, you know, basically go to kneel. So all those things we we will supplement either through I am injection intramuscular injection or through ivy >> and you guys take coral. Someone's on that, too for some of the good Earth ion for the violent de aspects are taking precursors in a c. Are you guys taking glue to file? >> We inject glorify on either in your inner, either in your i V or in in the I am. You know, with the literature supporting that you only absorb about five to ten percent of whatever aural supplementation you take. We try to we try to push it. I am arrive. And then in between sessions, yes, they would take Coral to try to maintain their levels. We do pre, you know, lab testing, prior lab testing after to make sure we're getting the absorption rate. But a lot of our people we already know they don't absorb B twelve vitamin, and so we've got to do it. Injectable. >> Yeah, Chef makes sense with the B f r itself. And when I get a couple of questions knocked out for I go too far off topic. I'm curious about some of these cellars swelling protocols and what that specifically is what's happening physiologically and how you implement that. >> Yeah, so South Swell Protocol, where we like to call a five by five protocol way. Use the tourniquet. It's in the upper extremity at fifty percent limb occlusion pressure at eighty percent limb occlusion pressure in the lower extremity. You keep him on for five minutes, and then you rest for three minutes, meaning I deflate the cuffs. But don't take them off, and then I re inflate it same pressure for five minutes and then deflate for three minutes. You're five on three off for five rounds, justified by five protocol. What's happening is that you're basically you're creating this swelling effect because, remember, there's no Venus return, so nothing is. But you're getting a small trickle in of fluid or blood into that limb. And so what happens is the extra Seiler's extra Styler swelling occurs. Our body is just dying for Homo stasis. The pressures increase, and there's also an osmotic uh, change, and the fluid gets pushed extra. Sara Lee into the muscle cell body starts to think that you're going to break those muscle cells. I think of it as like a gay. A za water balloon is a great analogy that I've heard. So the water balloon is starting to swell that muscle cell starts to swell. Your body thinks your brain thinks that those cells need to protect themselves or otherwise. They're going to break and cause a popped oh sis or die. And so the response is this whole cascade of the Mt. Horsey one, which is basically a pathway for protein synthesis. And that's why they think that you can maintain muscle size in in inactive muscle through the South Swell Protocol and then when we do this, also protocol. I also like to add either isometrics if I can or if they're in a cast at electric stim. I like to use the power dot that's my favorite or a Russian stim unit, and then you consent. Make the setting so that you're getting muscular. Contraction with that appears to drive growth forma, and it drives it about one and a half times high intensity exercise and up to three times more so than baseline. When we have a growth hormone spurt like that and we have enough vitamin C. It allows for college and synthesis. I like to call that a pool of healing. So whether you can or cannot exercise that limb that's injured if I can create that pool of healing systemically now I've got an environment that can heal. So I have zero excuse as a provider not to get people doing something to become, you know, healing faster, basically. And are you >> typically putting that at the end? If they were training? Or is that typically beginning? We're in this session I put in assuming that that is done in conjunction with other movements. Exercises? >> Yeah, so, like, let's say I have a cast on your right leg. You've got a fracture. I failed to mention also that it appears that the Afar also helps with bone healing. There's been a couple studies, Um, so if we could get this increased bone healing and I can't use that limb that I'm going to use the other lambs and I'm going to use your cardiovascular function, um, I'm going to use you know, you Let's say with that leg, I'LL do upper body or a commoner with cuffs on in order to train their cardiovascular systems that way. Maintain aerobic capacity while they're feeling for that leg, I will do crossover exercises, so I'll hit that opposite leg because something happens when I use the cuffs on my left leg. I get a neurological response on my right leg, and I and I maintain strength and I reduced the amount of atrophy that occurs. And it's, you know, it's all in neurological. So if I had an hour with somebody and I was trying to do the cell school protocol, I would probably do it first to make sure because it's a forty minute protocol. It is a long protocol. If you add up five, five minutes on three minutes off now, during the three minutes off, I could be soft tissue work. I can do other things toe help that person. Or I could just have an athletic tournament training room on a table, and they can learn to inflate and deflate on their own. It doesn't like it's not has to be supervised the whole time, and that's usually what they do in my office is I'LL put him in the I V Lounge and i'Ll just teach them how to inflate deflate and they just keep time. Uh and there, go ahead. I mean, interrupt my bowl. No, no, no, it's okay. And then I just hit other areas. So if I do have extra time, then I might Do you know another body pushing upper body pole? I might do, you know, whatever I can with whatever time I have. If you don't have that much time, then you do the best you can with the cells for protocol. And who study just came out that if you only do two rounds of that, you don't get the protein synthesis measured through M. Dorsey long. So a lot of times, people ask me what can I just do this twice and according to the literature looks like No, it's like you have to take it two five because you've got to get enough swelling to make it to make the brain think that you're gonna explode >> those muscle cells. >> Well, let me take a step back and trap process majority of that. So essentially, what you do with the seller swelling protocol is that you initiate initiating protein synthesis by basically tripping the body that those cells themselves are going to break down. And then when you add the message of the electrical muscular stimulation, you're getting the growth hormone response, the otherwise wouldn't. Is >> that correct? That's correct. So and go ahead. So imagine after a game, I just you know, I'm Skyler Richards. I just got done with my team. Were on the bus or on the airport, our airplane. My guys have just finished a match. You know, you're Fords have run seven miles at high intensity sprint. You think we have any muscle breakdown? Probably have a little bit of damage. They gotta play again in a few days, and I want to do things to help the recovery. Now I put them on with East M. They're not doing any exercise. There's just chilling there, just hanging out. But we're getting protein synthesis. We're getting growth hormone production. I give him some vitamin C supplementation. I give him some protein supplementation, and now not only do we have protein census, but we also have growth hormone in college, in formation in the presence of vitamin C. So that's where we kind of get into the recovery, which chase is doing a >> lot of work with and how much vitamin C are supplemented with, >> you know, really depends. I try to stick to ride around in a new patient. I won't go start off three thousand and I'LL go to five thousand milligrams. It will cause a little dirty pants if I can quote some of my mentors so I try to start them light and I'll move them up I'LL go with eyes ten thousand if I need it but typically stay in the three to five thousand range >> And are you having collagen with that as well? >> I personally don't but I think it would be a good idea if he did >> with some of that. I guess I really like the idea of using the B f R a zit on the opposite lake that's injured to increase cortical drive. So we're listeners who aren't familiar when you're training one limb yet a neurological phenomenon that occurs to increase performance in the other limb. And so what ends referred to if you had one lamb that was immobilizing couldn't function. If you use BF are on the other limb, you're able to stimulate, so it's higher type to voter units able have a cortical drive that near maximal intent, which is going to help, then increase the performance of the other leg that you also say that is promoting this positive adaptation environment is kind of hormonal. Malu I per se How long does that last for the presence of growth hormone? >> It looks like that the stimulation last somewhere between forty eight and seventy two hours. And so I think that that's why when they've done studies looking at doing the afar for strength of hypertrophy, you know, five days a week, compared to two to three days a week for two to three days a week, or just essentially equal to the five days a week. So I think it is long enough that if you do it like twice a week that you're going to get enough cross over >> cash it and you're using it two for the anthologies of effect. So what do you using Be fr yu have that temporary time period of time window where a need that might be bothering your doesn't irritate as much. And are you using that window than to train other exercise and movements while they have, ah, pain for emotion. >> Yeah, absolutely. So it's and I really can't explain it. It's, um we know from the science that it doesn't matter what type of exercise that we do. There is an animal Jesus effect. And that's why I emphasized so much with provider, especially manual therapists attend to think, Hey, you know, my my hands or my needles or my laser or my ultrasound or East them or whatever it is, is the healing driver. It's not the healing driver exercises a healing driver, and I know that's my opinion and people argue with me. But it's true. My hands are not nearly as important as getting people moving because of the energies that perfect and just overall health effects. With that said, the Afar has some sort of Anil Jesus effect that I can't explain now. Of course, we all know it's in the brain. There's something that goes on where you're able to reduce the pain level for up to forty five minutes and then I can train in that window. There is an overall ability to improve people's movement even longer than that, to what I find is that once I get people moving their tenancy just like inertia. Once you get to move in, it keeps moving. Same thing with people that I work with. They tend to get moving more in my clinic. They get confidence, then they end up moving more and more and more. And they get away from, um, being >> scared. Yeah, I know that. That's a great way to put it, because you do have that hesitation to move. And when you providing a stimulus that might ease some of the pain momentarily. I know there is some research out there. Look at Tanaka Thie, the ten apathy being like knee pain, essentially the layman's term kind way to put it. And they're doing it with, like the Metrodome in the background going Ping Ping ping. They're having that external stimulus that they focus on to help disassociate the brain and the knee and the pain. And this is something I can't top what chase and how he says. Yeah, we've been using, like you alluded to Thebe fr, too. Remove the presence of pain so they can do something. These exercises that they typically associate with pain in a pain for your way. >> Yeah, And then now that they're exercising now you get the additional Anil Jesus effect of the exercise itself. Says I'm like a double like a double lang >> Gotcha. Yeah, with blood flow restriction train because it does promote such an environment that really has an intense Jane court stimulus to the body where you get this type to five or stimulated high levels of lactate high levels of metabolite accumulation. I said she had paper about the possible use of bloodflow restriction trading cognitive performance has curious if you had a chance account dive into some of that. I love to hear some of your thoughts being that you have such asshole listed view of everything. >> Yeah, definitely. I think I didn't get a chance to look at it. I appreciate you sending that to me because I have to lecture and may on reaction times, and I was trying to figure out how I'm gonna like include the afar in this lecture at some point, not be totally, you know, inauthentic. But now I can. So I totally appreciate it. I know that there is, and I know that there's an additional benefit. I've seen it. I've worked with stroke patients, other types of people that I have auto, immune, disease, different types of conditions where I've used the Afar and their functional capacity improves over what their physical capacity is doing on. And so I am not surprised at what I'm seeing with that. And I've got to learn more about what other people are thinking. It was interesting what you sent me regarding the insulin growth factor one. We know that that's driven up much higher with the Afar compared to low intensity exercise and the relationship between that and cognitive function. So I've gotta dive deeper into it. I'm not definitely not a neuroscientists, You know, I'm like a pretty much floor if I p e teacher and, you know, just trying to get people moving. And I've gotta understand them more because there is a large association between that exercise component and future >> health, not just of muscles but also a brain. Yeah, >> one of things that I do work with a neurosurgeon and he's awesome. Dr. Chat Press Mac is extremely intelligent, and he saw the blood flow restriction trade as one those means to improve cognitive performance, and I didn't find the paper after he had talked about it. Well, the things that interested me was the fact that is this huge dresser, especially in a very controlled where typically, if you're going to get that level of demand on the body, you knew something very intense. So do something that is almost no stress, Feli controlled and then allowing yourself to maybe do some sort of dual processing tasks with its reaction time and reading for use in a diner vision board. Whether if you have a laser on your head, you have to walk in a straight line while keeping that laser dot on a specific screen. I'm excited to see how be afar material or just something other domains. Whether it is, you know, motor learning or reeducation ofthe movement or vestibular therapy. I think this has a very unique place to really stress the body physiologically without meeting to do something that requires lots of equipment for having someone run up and down with a heavy sled. I'd be curious to hear some of your thoughts. I know you haven't had a huge opportunity dive into, but if I had a hand, you the the key to say Hey What do you see in the future for be fr in regards to not just the cognitive standpoint but ways you can use B a far outside of a physical training area. What kinds? Specific domains. You see it being utilised in >> we'LL definitely recovery. I love the fact of, you know, driving growth hormone and supplement incorrectly and letting people heal faster naturally. Ah, I think the ischemic preconditioning protocol is very underutilized and very not known very well, and he's skimming. Preconditioning is when we use one hundred percent occlusion either of the upper extremity or the lower extremity. We keep it on for five minutes and we do two rounds with a three minute rest in between. And I have used this to decrease pain and an athlete prior to going out and playing like a like a high level sport or doing plyometrics. We're doing other things where they're going to get muscle damage to that eye intensity exercise so you get the Anil Jesus effect around an injured tissue. But they really unique thing about the ischemic preconditioning is that it has been shown to reduce the amount of muscle damage that occurs due to the exercise. That's why they call it Preconditioning so we can utilize a prior to a game. We can use a prior to a plyometrics session. We can use it prior to a high intensity lifting session and reduce the amount of damage that occurs to the tissue. So we don't have such a long recovery time when we could continue to train at high levels. I think that that is probably the most exciting thing that I've seen. Absent of cognitive possibilities, I think it wise it on is I'd like to use with the lights. What do some lights? Teo, do some reaction time and do some, you know, memory training and things. And I love to torture my people and get them nice and tired. I think what's going to come around is all these mechanisms. They are what they are. But the true mechanism that I'm seeing is that fatigue is the primary factor. If I can fatigue you centrally and Aiken fatigue, you peripherally and the muscle that's for the adaptation occurs So although right now you know we always are on these. We have to use the specific sets and rats and weights and all these other things so true for the research, because we need to make it is homogenous as we can, but in clinic, if you're a patient, comes to me with a rotator cuff tear. I don't know what you're on, right, Max is for your external rotation. I've gotta guess. And so if I don't do exactly the right amount of weight, doesn't mean I'm not getting the benefit. Well, I'm telling you, anecdotally, that's not true. I just know that I have to take you to fatigue. And so if I'm off by a couple of wraps a big deal, I'm just not going to take you to failure. So I don't get the injury to the tissue that you normally would occur with lightweight to failure. I'm gonna get that fatigue factor. I'm going to get you to adapt, and I'm gonna get you bigger and stronger today than you were yesterday. That's the >> goal. Yeah, that's ah, that's a great way to put it because you're looking at again, you know, mechanisms in why things are occurring versus, you know, being stuck to literature. I have to use twenty percent. How do we find a way to fatigue this system and be fr being a component of that now, outside of blood flow research in train with your practice, it sounds It is quite holistic. Are there any specific areas that you see the other? That was other therapists other, You know, holistic environments could learn from outside of blood flow restriction training. What areas could they really? You know what advice such a safer that I would you give someone who's tried together holistic program to dive into outside of Sebi Afar? Is there any specific devices specific modalities supposed to specific means for a nutrition for that? >> I mean, if I was to try to put us you know what we're trying to dio. I would say that it's all about capacity versus demand. I want to try to maximize the capacity of the individual or the organism to exceed the demands that you're trying to apply to it. If we can do that, will keep you injury free will keep forming. If I allow those demands to exceed your capacity, you're going to get injured. So what can I do to maximize your capacity through nutrition, through exercise, through rest, through meditation, through prayer, through whatever that is through sleep? I think that that's really looking at the person as a whole. And if I can keep thinking about what are the demands that I'm applying? Teo, whatever tissue that is, and I can keep those demands just slightly below and try to increase the capacity, I'm going to get people better. And really, that's all I think about. Can that disk take how much pressure cannot take and what direction can I take it? Well, I'm gonna work at that direction and so we can do a little bit more and a little bit more and a little bit more, and I try to really make it simple for myself versus Reliant on a modality or anything else in that matter. Really, it's It's really just thinking about how much How much can they How much can they tolerate? And I'm goingto put restrictions on you so that you don't exceed that capacities That way that tissue can heal. And if it can't and you know, maybe that's referral to you know, some of the surgeons are non surgical positions that I work with is they may be fail my treatment. Most people can improve their capacity. We've seen eighty five year olds, Not just me, I'm saying in the literature. Improve their strength through resistance training. Eighty five. The body will always adapt. Ware not weak beings were not fragile, Weaken De stressed and we need to be stressed and we need to be stressed until the day that you put me in the grave. Otherwise we will get Sir Compagnia and we will degrade and our brain will become mush. And I just want to go that way. And I want help as many people that have the same philosophy, whether I'm doing it, one on one with somebody from teaching others. I want them now The same philosophy, Tio >> well, that makes total sense. I love the idea of we need to continually stress ourselves because do you feel like as we age, we have a Smith or belief that we can't do more, but we can't do more because we stopped doing more? Not because we can't. I work with an individual who are hey, hip replacement. Ninety six years old. He came back and four months later was working out again. And that alone was enough evidence for me to realize that it's not necessarily about, Oh, as I get older, I have to be this and we kind of have that thought process. As we age, we do less so we start to do left but find ways to stress the system in a way that can handle it right to the idea. What is the capacity, like you said? And what is their ability to adapt? Are there any specific ways that you assess an individual's capacity to handle load? Is that a lot of subject of understanding who they are? Further any other metrics you using whether we sleep tracking H R V for anything in that domain? >> I have not really done a lot of a lot of that. It's more about, you know what they tell me they want to do. You know you want to come in and you want a lift. Your grandkid. Well, that's That's our That's our marker. You want to come in and you want to do the cross that open. Okay, well, that's your marker. You want to come in, you want to run a marathon. That's your marker. You know, we could always find markers either of activities of daily living or they could be something out there. That's that's that. That's a goal. You know, Never don't half marathon, and I want to do that. So those were really the markers that I use haven't gotten into a lot of the other things. My environment, you >> know? I mean, I would love to have ah, >> whole performance center and a research lab and all that stuff and then, you know, maybe someday that with what I have and what I work with, it's it's more about just what the person wants to do and what is something fun for them to do to keep them active and healthy and from, and that really becomes the marker. And if it's not enough, you know, somebody had a e r physician committee as well. You know, I walk, you know, twenty or thirty minutes and then I walked, you know, at work all day. And I'm like Did It's not enough. And I sent him some articles that looking at physiological adaptation to walking and he's like, Yeah, you're right, it's not enough that I'm like, you know, we're a minimalist. Were like Okay, well, this is the vitamin C you need in order to be healthy, not the recommendations are so you don't get scurvy. A lot is a big difference between, you know, fending off disease versus optimal health. I'm out for optimal health, So let's stress the system to the point where we're not injuring ourselves. But we are pushing ourselves because I think there's such a huge physiological and but also psychological benefit to that. >> Yeah, this that's a great way to put it riff. Ending off disease, right? We're not. Our health care system is not very proactive. You have to have something go wrong for your insurance to take care of it. It's very backwards. That's unfortunate. Then we would like to be like. It's a place where let's not look at micro nutrients and you what were putting in her body as a means to what he says you avoided and scurry. Well, let's look at it from way to actually function and function relative to our own capacity in our own goals. Um, with that, are you doing blood work? I'm assuming of some sort. Maybe. >> Yeah, we do. Labs. Teo, look, att. A variety of different things. We don't currently do Hormonal therapy. We've got some partners in town that do that. We decided we wanted to stay in our lane and, you know, really kind of stick to what we do. And so we refer out any hormonal deficiencies. Whether you need some testosterone growth hormone is from other things. Estrogen, progesterone, whatever s. So we're not doing that currently, and we don't see ourselves doing that because we have some great partners that you a much better job than we would ever do. So I'm also a big believer in stay in your lane, refer out, make friends do whatever is best for the patient of the client. Um, because there's that pays way more dividends them than trying to dio everything you know all announce. Unless you have it already in the house that has a specialty. Yeah. No, that >> makes sense to find a way to facilitate and where you can excel. Um >> and I >> know you got a lot of the time crunch here. We have the wrap it up here for people listening. Where can we find more out about yourself? Where can we listen to you? What social media's are you on and one of those handles >> So instagram I'm under just my name Ed. Look, terra e d l e c a r a Facebook. Same thing. Just Ed. Look era Twitter and la Cara. Everything's just under Everclear. Really? Every Tuesday I do would be a far I call it BF our Tuesday I do kind of a lunch and learn fifteen twenty minutes on either a research article or protocol. If I got a question that was asked of me, I'll answer it on DH. That's an ongoing webinar. Every Tuesday I teach live be If our course is pretty much all over the world, you can go to my website at like keira dot com or d m e on any of the social media handles, and I'LL be happy to respond. Or you could just call my client body Launch Park City's dot com and give me a call >> and you're doing educational stuff that's on the B Afar Tuesday and your webinars well are those sign up websites for those, And if so, is it under your website and look era dot com? >> Uh, that's a great point. I really should have it home there. It's if you go on my social media you you'LL see it was all announced that I'm doing No, you know, whatever topic is I try to be on organized on it. I will put a link on my website. My website's getting redone right now, and so I put a link on there for be If our Tuesday under I have >> a whole >> be fr. It's called B F, our master class. It's my online BF our course on underneath there I'LL put a link. Tio might be a far Tuesdays >> gadget. Is there anything you wanna selfishly promote? Cause guys, that is an amazing resource. Everything he's talking about it it's pretty much goal anyway, You can hear more about where you work out any projects, anything that you'd be wanting others to get into or listen to that you're working on that you see, working on the future or anything you just want to share. >> I'm always looking at, you know, teaching you no more courses like love teaching. I love, you know, doing live courses. Esso I currently teach to be if our course I teach the instrument assist. Of course. Programming. I teach a, uh, a cupping movement assessment and Fossen course. So any of those things you can see on my website where I'm gonna be next? We're doing some cool research on recovery with a pretty well known pretty, well known uh, brand which I hope we'll be able to announce at some point. It looks like the afar Mike increased oxygenation in muscle tissue even with the cuffs on. So it looks like it looks like from preliminary studies that the body adapts to the hypoxic environment and my increased oxygenation while the cuffs are on. I'll know more about that soon, but that's pretty exciting. I'Ll release that when I when I can you know? Other than that if I can help anybody else or help a friend that's in Dallas that wants to see me while I'm here. I practiced from seven. AM almost till seven. P. M. Every night on. I'm also happy to consult either Via Skype. Er, >> um, by phone. >> Gosh. And you smart tools use a dotcom. Correct for the CFR cuffs. >> Yeah, you can either. Go toe. Yeah, you can go to my side of you connect with me. If you want to get it, I can get you. Uh, we could probably do a promotional discount. And if you want to get some cups but smart tools plus dot com is is the mother ship where we're at a Cleveland our We're promoting both our live courses and are and our material in our cups. >> I can vouch them firsthand. They're awesome. You guys do Amazing work and information you guys put out is really killer. I mean, the amount of stuff I've been able to learn from you guys and what you've been doing has helped me a ton. It's really, really awesome to see you guys promoting the education that way. And thank you for coming on. I really appreciate it. It was a blast talking Teo again. Guys, go follow him on Instagram. He's got some amazing stuff anyway. You can read about him, learn about him and what he's doing. Please do so and thank you. >> Thank you so much. I really appreciate it a lot of spreading the word and talking to like minded individuals and making friends. You know that I have kind of this ongoing theme of, you know, it's all about, You know, there's two things that we can control in our life. It's really what we put in our mouths and how much we move and people like you that air getting the word out. This information is really important that we've got to take control of our health. We're the only ones responsible. So let's do it. And then if there's other people that can help you reach out to them and and get the help you need. >> Well, that's great. All right, guys. Thank you for listening. Really Appreciate it. And thank you once again

Published Date : Mar 21 2019

SUMMARY :

you for being on two. very excited about what we have going on for those of you not familiar the care is right. So add Thank you for being on here if you don't mind giving a little bit of background and and you had to do a little bit soft tissue. the hours and the practice that they do isn't fit for you and finding ways you can really get a little And this is back to you in two thousand fifteen, two thousand sixteen. and it's something that I have dove into not nearly as much as you have. I want to do some, you know, compound exercise, and in that case I gave, Melo wrote, How do you kind of progress that up program? And with that contraction, not only did you drive growth hormone, You're talking about some of the nutritional interventions you add to that, whether it be vitamin C I own production starts, you know, basically go to kneel. the violent de aspects are taking precursors in a c. Are you guys taking glue You know, with the literature supporting that you only absorb about five to and how you implement that. a provider not to get people doing something to become, you know, Or is that typically beginning? and according to the literature looks like No, it's like you have to take it two five because you've got to get enough swelling And then when you add the message of the electrical muscular stimulation, So imagine after a game, I just you know, I'm Skyler Richards. you know, really depends. referred to if you had one lamb that was immobilizing couldn't function. long enough that if you do it like twice a week that you're going to get enough cross over So what do you using Be fr you know, my my hands or my needles or my laser or my ultrasound or East them or whatever And when you providing a stimulus Yeah, And then now that they're exercising now you get the additional Anil Jesus effect of the exercise itself. stimulus to the body where you get this type to five or stimulated high levels of lactate I appreciate you sending that to me health, not just of muscles but also a brain. I know you haven't had a huge opportunity So I don't get the injury to the tissue that you normally would occur with lightweight to failure. You know what advice such a safer that I would you give someone who's tried together holistic program to I mean, if I was to try to put us you know what we're trying to dio. I love the idea of we need to You know you want to come in and you want a lift. And I sent him some articles that looking at physiological adaptation to walking and he's like, with that, are you doing blood work? We decided we wanted to stay in our lane and, you know, really kind of stick to what we do. makes sense to find a way to facilitate and where you can excel. know you got a lot of the time crunch here. If our course is pretty much all over the world, you can go to my website at like keira dot It's if you It's my online BF our course You can hear more about where you work out any projects, anything that you'd be I love, you know, doing live courses. Correct for the CFR cuffs. And if you want to get some cups but smart tools I mean, the amount of stuff I've been able to learn from you guys and what you've been doing has You know that I have kind of this ongoing theme of, you know, And thank you once again

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Charlotte Wylie, Symantec | RSA 2019


 

>> Live from San Francisco. It's the Cube covering artists. A conference twenty nineteen Brought to You by Four Scout >> Welcome back, everybody, Geoffrey. Here with the cue, we're in North America and the newly refinished Mosconi Center Downtown San Francisco in the force Cow boo. Happy to be here first time and we have our next guest. She's Charlotte Wiley, chief of staff from Symantec. Great to meet you. >> Nice to meet you, teacher. Thanks for having >> absolutely so impressions of the show. This is a crazy show. Forty dollars, people. Aren't many shows like this >> it issue just a little overwhelming. It's my second year here, and it's no less overwhelming. Second year here. It's, uh it's just prolific. Everything that say the session, the keynotes all day, all the networking, the basis. Amazing. >> So I'm curious how your perception has changed. I >> was looking at your background, Your hearing a financial institution before your own kind of the purchaser side of the house. >> Now you're over on >> this side of the house. How's that kind of change your perception when you walk this crazy floor, I imagine before you're like, Yeah, how am I going to digest all this? >> Well, no one wants to be my friend anymore, which is interesting. So, um, you know, working on the vendor side of the defense is the dark side. It's It's a very different experience. When I came here a couple years go to bank. Everyone wants to talk to you. Or is this time? Is this a healthy, competitive nature going on between all the vendors, which is great. You want to see that? Yeah. It sze got the same enthusiasm. Same vase on the floor, which is wonderful. >> So semantics. Been a leader in the space for a very, very long time. One of the original, you know, kind of original security companies back in the day when we're just trying to protect that. You know, I guess our Web browser right from from some malicious activity. Wow. The world has changed. And one of the big new components now is his internet of things. In this tie of it with ot operations technology. You know something you've spent some time on a wonderful get your take on how that's increasing the threat surface, you know, increasing the complexity. And yet there's still a lot of value there if you can bring those systems together. >> Yeah, absolutely. So I think that Kate thing is this. You know, this simplicity here is, uh What? What you don't know, You can see. And what you can't see you can't monitor on DH. That's the key thing to remember when you think about t n OT so with Coyote specifically, if you, uh you've definitely got a nice routine, you network somewhere everyone has. But if you can't see that thing, it is incredibly vulnerable Throat vector for any organization. So really, it's it's a point of egress for any doubt of ex filtration. And if you've got someone compromised in the network already on your way, see it as being a very opportune ingress point to getting a lateral move. Right. So they are incredibly, inherently vulnerable. Right? These things are they're usually hard coded, authenticated. They are. They have massive under. Police often remain unpatched. When you cannot see, you don't know, Right? So some of the dirty side of the fence, right? The same problem exists. They typically were not built to connect to the Internet. Right. So this is something very new that we're trying to tackle right. And one of the key things I think about is that it's probably a little bit few tile to make these OT and I and I. A device is inherently secure. You think about in twenty twenty. We're going to see like twenty five billion devices proliferating our globe, which is incredible. So how do we how do we make it more school? Let's back off from becoming inherently secure. Let's up on the visibility. If you visualize you, Khun Segment, and you can enforce. And then you can take control of what has access to your network, right? A >> lot of interesting conversations about this today, obviously or in the force cow boo. But I think one of the people earlier said they had fifty percent more devices on the network than they anticipated. And it turns out his remote offices and people are plugging things in. Another little factoid is that maybe that hit no s on that device is actually windows in tea. Is it a tea? A little box. And nobody even knew because you knew that's an embedded in team. But then on the other side, we had a lease on, and she was talking about great example on security cameras and just that a lot of these newer devices that you can connect have a plethora of services packaged in on the assumption that you might use them. So rather than have not too many, they put them all in. But you don't necessarily need to turn all those things on. So again, you're just opening up this huge kind of exposure. >> Huge explosion. That's it. I think it's a really good conversation to have with your stakeholders about talking about the target breach. So when people start to understand that that really originated from a hate tax system, right compromise haystack system. So when you're talking about T initialization, that's a really good years case to say. Look, this is a huge bridge that was compromised from because we didn't They didn't have visibility over the anxiety. >> It's funny if you each Max keep coming up, over and over and over there. Obviously the biggest threat that way have I'm jacket to see if I could see like a movie with me. Nasty HBC think come until that munching up the company. But it's funny. Different topic. Shifting gears completely, really, about kind of diversity, diversity of opinion, diversity of perspective, diversity of thought and how that's a really important and effective tool use in trying to accomplish missions. In this really crazy, complex task, you can't abs single point of view, single point of reference, kind of a single pain that you think about. I know that's something that you've been in a lot of time on, >> so my role it's semantic because Chief of staff, I own the diversity agenda for the global security office. And it's bean aerial laser focus on me for the past twelve months, which is our industry has a systemic problem around attracting and retaining talent from diverse backgrounds. Right? We're gonna tackle it head on on We don't really successfully in semantics. Oh, wait. Give this fabulous mandate through to our leadership who got on board with laser focus around, making sure that we get a diverse slate of candidates when we bring in new people and that that translated incredibly well. So we saw a rise of interview to conversion. Foreign ft for females in six months off forty percent >> fourteen or forty four zero for zero. >> So just by making it part of the interviewing experience. Having a diverse slate of candidates, making sure that we're really giving a foreign opportunities coming right really has changed playing Plainfield. >> And then the other thing, of course, is the retention, which is a big problem for attention that we're, you know, women dropping out and not coming back. >> That's and this every organization has to step up to make sure that they're waiting, but their making a workforce that is flexible, that accommodates so some of that. Some of the mental load that women have, whether it's through a child, care whether it's to do with older parents. But also when we talk about diversity, it's nothing. You know just about the gender piece, right? We're going to accommodate for other people as well underrepresented minorities. Early Korea, Different people have different socio economic backgrounds, maybe haven't come from a typical university training course, right, Something that we've focused on heavily. We've been working with a large enough profits to bring in early career guys who have not had a university background who may have had a really rough time coming out of school, getting them in, training them up through internships, bringing them up to speed over six months and converting them into FDA, which I feel is really a way tio to build a diverse workforce and get people an opportunity that didn't have it >> now was someone spearheading that before you came on border was there Was there an effort that really kind of put a dedicated resource on it when you when you took it over? >> So I took over about a year ago and I double down on the effort. We were working with Europe before that. Had a fantastic colleague was doing a lot of work with Europe on. We're just seeing fabulous results with converted nearly thirty three percent of our internships into FT. >> Thirty three and you're not in those thirty three or not coming from, you know, kind of a classic. They're not coming pig population. >> Absolutely these air IGA passionate, enthusiastic young people who have a tenacity to just pick things up because they're so grateful to be there right there, so happy to be given the opportunity. And it's some It's an untapped resource that I think a lot of people who are looking to have solved aside the security talent shortages should be looking into great that we get programs in place for a Girl Scout middle school. But let's think about alternative ways of getting new talent in. And I think that they're not for profit right way after >> such a big problem. And like you say, it's a big problem, you know, from from little girls. And, you know, all the way up to mid mid career women that air dropping out and not coming back before you even get into the boardroom. We work with a ton of organization like Athena Alliance with towards that the boardroom level all the way down to Grace Hopper. You know, this working more kind of college graduate level girls intact? I mean, there's a lot of luckily, a lot of people are trying to focus on the problem, but unfortunately, the numbers or not turning in the correct direction, they're actually turning in the wrong direction. Yeah, >> so really, that's it for me. It's about laser focus. You really got it. If you make your party your agenda making party returned right? Don't give it. The nursery had not. Don't say that you will do the things actually commit to it and get it done right. I'm not a huge fan of talk. It's Qatargas work on. So, yeah, I think there's a lot of opportunity. The people they don't step up to the great doing enough >> to to your earlier first line, right? If you're not measuring it, you know, and tracking against it, how do you know if you're being silly and what it's under served? You have to give it a little juice, right? You can't just have to expect the status quo to suddenly change, right? >> Absolutely metrics. Incredibly employed. And start with you metrics. Dashboard record where your tracking, in terms of your representation of females, underrepresented minorities. Your bets. You're early Korea. Really? What you want to see is a huge influx or the interviewing stage into the into the FT conversion. You want to see an influx in your leadership. You want more women in your leadership team because that's the way to drive a better female pipeline, right? Same goes on because I'm are minority. Same guys. Early career. >> Yeah, so important that they look up and see somebody that looks like one hundred percent C. C an opportunity to be that person, something alright. Charlotte. Well, thanks for, uh, for taking a few minutes of your day. And great Teo learned about all your What you working on? That's >> great. Thanks. Having >> alright? She Charlotte? I'm Jeff. You're watching the Cube? Where are, say twenty nineteen in the force Cow booth. Thanks for watching. >> We'LL see you next time.

Published Date : Mar 7 2019

SUMMARY :

It's the Cube covering refinished Mosconi Center Downtown San Francisco in the force Cow boo. Nice to meet you, teacher. absolutely so impressions of the show. Everything that say the session, So I'm curious how your perception has changed. of the house. How's that kind of change your perception when you walk this crazy floor, So, um, you know, One of the original, you know, That's the key thing to remember when you think about plethora of services packaged in on the assumption that you might use them. I think it's a really good conversation to have with your stakeholders about kind of a single pain that you think about. And it's bean aerial laser focus on me for the past twelve months, So just by making it part of the interviewing experience. And then the other thing, of course, is the retention, which is a big problem for attention that we're, you know, That's and this every organization has to step up to make sure that they're waiting, but their making a workforce So I took over about a year ago and I double down on the effort. Thirty three and you're not in those thirty three or not coming from, you know, kind of a classic. to just pick things up because they're so grateful to be there right there, so happy to be given the opportunity. And like you say, it's a big problem, you know, from from little girls. If you make your party your agenda making party returned And start with you metrics. Yeah, so important that they look up and see somebody that looks like one hundred percent C. C an opportunity to be that Having Where are, say twenty nineteen in the force Cow booth.

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Russell L. Jones, Deloitte | RSA 2019


 

>> Live from San Francisco, it's theCUBE! Covering the RSA Conference 2019. Brought to you by ForeScout. >> Hey, welcome back everybody, Jeff Frick here with theCUBE. We're at RSA at Moscone at downtown San Francisco. We're in the ForeScout booth, our first time in the ForeScout booth, we're really excited to be here and we're talking about cyber security, I don't know what the official number is this year, probably 45 thousand professionals walkin' around, talkin' about security. And we've got our next guest on, he is Russell Jones, partner on cyber risk services for Deloitte. Russell, great to meet you! >> Same to meet you as well. >> So, I asked him before we turned on, what's getting you excited these days and he said, everything! So, this is a crazy busy space. What have you been working on lately, what's kind of your take away from the first couple days at the show? >> Yeah, it is a crazy, busy space and if you look at the cyber landscape, everything's moving at the speed of the internet, so it's this cat and mouse game in terms of attackers trying to find new ways to get into systems that is driving the industry. When you talk about health care though, the issue is these systems, like medical devices, often times are connected to people. >> Right. >> And so, the implications of a hack against, let's say, a MRI machine or a fusion pump, could be devastating to an actual person connected to it. And that's really what's driving a lot of innovation in terms of some of the technologies you see, like ForeScout, and also, a lot of what's going on from a regulatory perspective, and also the hospitals and the health care system themselves. >> Right. >> Trying to solve that problem, managing cyber risk as it relates to clinical technology. >> And a lot of that stuff wasn't connected before, right? There weren't IP addresses on every MRI machine or all these pump machines or, you know, you have a pacemaker, all these things. How are they looking at kind of the risk reward from a connected device that gives you all kinds of benefits-- >> Yeah. >> but it does open up this attack surface that previously had maybe an air gap there? >> That's a great point, bottom line is the life saving, life extending attributes of these medical technologies and medical devices far outweighs the risk of cyber, however, we got to be smart about managing that risk. So, we're going to see more connectivity, not less. Train's left the station, in terms of what's coming and in the future of the healthcare, connecting more of, not only the medical devices, but the information in them and being able to share that and then bring it together and aggregate it in ways that, you know, with analytics on top of it allows doctors and researchers in the clinical community to connect dots in ways that solve cancer, solve some different maladies that have plagued us forever. >> Right. >> So I think, on the one hand, it's great, this connectivity is extending healthcare out to people in rural locations and it's also bringing together a lot of different data from everything from your Fitbit to your pacemaker to apps that you have on your phone in a way that's going to benefit us. >> Right, right, so, one of the things about healthcare is they're way out in front of, kind of, not healthcare in terms of regulations. >> Yeah. >> You know, and HIPAA's been around for a long time, GDPR just went into place in Europe last year, so when you look at it from a regulatory environment, which people have to consider, there's not only the complexity of the machines, there's not only the complexity of the security, but you also have regulatory environment. >> Yeah. >> How is the cyber security in healthcare, with their very unique regulations, kind of impacting the way people should think about the problem, the way they should implement solutions? >> That's a good question, I think we've thought about, in the cyber community, forever. We talk about confidentiality, integrity, availability, right, the triangle. When you think about healthcare and clinical technology and medical devices, you need to flip that triangle upside down and the focus is integrity and availability, those things together equal patient safety. So, in other words, as we're connecting more of these devices to each other, to electronic health record systems, to the cloud, the integrity of the information in there, which is being used by doctors and other folks to make decisions about treatment, about surgical procedures, about medicines, it's crucial that that information and the integrity of it is maintained. And then the availability of the device is critical, right? If you're going in to get an MRI and it's down because it's been hacked, there's usually not a spare MRI and so there's a profound impact for patients that are scheduled back to back to back to back to go get that procedure, that MRI that's going to be used by a doctor to do some surgery or some other kind of a treatment plan >> Right. >> So integrity and availability are huge in the cyber world. And, if you look at the regulations, depending on which one we're talking and which part of the world, right? You mentioned HIPAA, we've got security and privacy, you've got GDPR, you've got the FDA that have guidance around what they want the manufacturers to do, building security into the devices. >> Right. >> They all have an impact on cyber and how it's going to be addressed, how we're going to manage cyber risk in the healthcare world. >> Right. >> In that environment. >> And then there's this whole new thing, I went to the Wall Street Journal Health Conference a couple weeks back, I don't know if you were there, but there was two people up where you now you can take your genetic footprint, right? >> Yeah. >> You can take your 23andMe results and after you figure out where your family's from, you can actually sell it back into a research market-- >> Yeah. >> so that doctors and clinicians and people doing trials on new drugs can now take your data in kind of a marketplace, back into a whole nother application so it's kind of outside of the core healthcare system, if you will. >> That's right. >> But I mean, it's basically, it's me, right? (laughs) In the form of my DNA footprint. >> Yup. >> It's crazy, crazy amounts of strange data that now is potentially exposed to a hack. >> That's right, and so the implications there, obviously, privacy, right? That's a huge issue, I think, that we're going to have to address and that's why you see GDPR and that's why you see the California Consumer Privacy Act. >> Right. >> There's a recognition that, again, the train's left the station, there's a lot of good things that come out of sharing data and sharing information, there's a lot benefits that can come out of it for the consumers, patients. There's a dark side as well and that has to be managed. That's why we have the privacy regulations that we have, we're probably going to see more, probably going to see more things like the California Consumer Privacy Act. >> Right. >> More states and eventually-- >> Right. >> probably a federal act for the US. >> Do you think that the healthcare industry is better equipped to deal with GDPR and the California Healthcare Act because of things like HIPAA and they kind of come from that world? Or is this just a whole new level of regulation that they now have to account for? >> I think it's probably a mixed bag. On the one hand, healthcare has been dealing with privacy for a long time, even before HIPAA, right. And then HIPAA has very specific requirements around how you have to manage that information and consent and notifying the patient of their rights. On your other hand, you look at some of the new things, like GDPR, it goes way beyond HIPAA, and I think-- >> It goes way beyond HIPAA? >> Goes way behind HIPAA, like for example, this whole notion of the right to be forgotten. >> Right. >> Right, that's a requirement on the GDPR. That means, me as a patient, if I tell my doctor, I want you to get rid of all my medical records, everything in your system everywhere about me, I want it gone. Not that it makes sense-- >> Right, right. >> but, at least in Europe, if they ask to do that, you have to be able to comply. From a technology perspective and a medical device perspective, some of these devices are very complex, ecosystem of devices, components that make up the product. >> Right >> That's a very difficult thing to do. There's no one delete button-- >> Right. >> that you hit that can delete you from all different instances, downstream from where you came into the healthcare system. >> Right. >> And so, when you think about it from a cyber perspective, it gets to be very challenging. >> The other thing, right, is health care's always under tremendous kind of price pressure from the insurers and the consumers and a bad medical event can wipe-- >> Yeah. >> people out, right? >> Yeah. >> Especially when they're later in life and they're not properly insured, when they're making kind of an ROI analysis on cyber investments versus all the other things they can spend their money on, and they can't spend it all on security, that's not possible, how are they factoring in kind of the cyber investment, it's kind of this new layer of investment that they have to make because all these things are invested versus just investing in better beds and better machines and better people? >> That's the million dollar question. (laughs) I would say, some hospitals and health systems are doing it better than others, so maybe a little bit more further along and mature about thinking about the total cost of ownership and also, the patient factor, right? What has to be balanced, obviously, is not just the costs, but at the end of the day, what's best for the patient. And you hear this term, patient centricity, a lot today. And there's a recognition from all the players in the echo system, it's all about the patient. >> I'm so glad you say that 'cause I think a lot of people probably think that the patient sometimes gets lost in this whole thing, but you're saying no. >> There is an acknowledgement over the last few years and it's called patient centricity, it's an acknowledgement that the way we're going into the future of healthcare and the kinds of medical devices and technology and cloud solutions that are becoming part of the healthcare fabric, they're all being built and geared towards the patient being the center of the equation, not the doctor, not the hospital, it's the patient. >> Right, right, right, that's good to hear. >> And so, to answer your original question, we're in early days and really trying to balance the patient and patient centricity versus we've got vulnerabilities in our environment that could impact the patient and we've only got limited people and costs. >> Right, right. >> Making decisions that kind of balance all of those things. >> Right, alright Russell, last question, we're sitting here in the ForeScout booth. >> Yes. >> Obviously you have a relationship with them, talk about kind of what their solution adds to some of the stuff that you're workin' on. >> So, ForeScout, one of the reasons that we're working closely with ForeScout, their solution, really, they've taken an approach that's holistic around these issues that we're talking about, right, managing cyber risk, complex environment, a lot of different devices that are connected to each other and to the cloud and to the internet. They have built a solution that focuses on ability to have visibility into those devices that are on your network, some of which you may not even know exists, and then being able to kind of build an asset inventory around that visibility that allows you to do things like detect, based on policy, activity that suggests that you might be hacked or there might be some internal processes or players that are doing things that are going to put patients at risk or have you in non-compliance with GDPR, HIPAA and the rest. >> Right. >> And then their solution goes beyond ability to kind of visibility and detect, but to actually do something actionable, right? Security controls and orchestration with other technologies, like Simp Solutions and SOAR Solutions. Being able to orchestrate, hey, I know that I detected some activity on this infusion pump that suggests that we may being hacked, let me send an alert out, but then let me also, maybe, quarantine that part of the network. So, it's the ability to orchestrate between different security technologies that exist in a hospital environment, that's what we like about ForeScout. >> I'm just curious, when they run their first kind of crawl, if you will-- >> Yeah. >> are people surprised at the results of what's on there, that they had no clue? >> I mean, yes and no. >> Yes and no, okay. >> I think, most of the big hospitals that we work with, they know that, what they don't know, and especially when-- >> They know what they don't know. >> you're talkin' about a health system that maybe has a 100 thousand connected medical devices across the health system, they know what they don't know. They're looking for solutions to help them better manage and understand the things that they don't know, that they don't know. >> Right. >> Versus what they do know about. >> Right. >> And I think that's what we bring to the table in terms of kind of cyber risk services Deloitte brings, and then that's what ForeScout brings with their solution to be able to kind of help solve those problems. >> Well Russell, thanks for taking a few minutes out of your day to share those stories, super-- >> Thank you. >> super important work, you know, it's one thing to steal a few bucks out of the bank account, like you said. >> Yeah. >> It's another thing to start taking down machines at the hospital, not a good thing. >> Not a good thing. >> Alright >> Thank you. >> He's Russell, I'm Jeff, you're watchin' theCUBE, we're at RSA in Moscone in the ForeScout booth, thanks for watching, we'll see you next time. (techno music)

Published Date : Mar 6 2019

SUMMARY :

Brought to you by ForeScout. in the ForeScout booth, we're couple days at the show? the issue is these systems, and the health care system themselves. as it relates to clinical technology. kind of the risk reward from in the clinical community to connect dots to your pacemaker to apps that you have the things about healthcare complexity of the machines, that that information and the the manufacturers to do, risk in the healthcare world. the core healthcare system, In the form of my DNA footprint. of strange data that now is That's right, and so the implications and that has to be managed. and notifying the patient of their rights. of the right to be forgotten. requirement on the GDPR. if they ask to do that, you That's a very difficult thing to do. that you hit that can delete you it gets to be very challenging. and also, the patient factor, right? I'm so glad you say that that the way we're going that's good to hear. that could impact the patient Making decisions that kind in the ForeScout booth. to some of the stuff a lot of different devices that So, it's the ability to the health system, they to be able to kind of out of the bank account, like you said. machines at the hospital, in the ForeScout booth,

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Amy Guarino, Kyndi | CUBEConversation 2, February 2019


 

(energetic string music) >> Hi, I'm Peter Burris and welcome to another Cube Conversation from our beautiful studios in Palo Alto. As we do with every Cube Conversation, we want to find a great topic and a smart person to talk about it, and that's what we've got today. What's the topic? We're going to be talking about new classes of AI, that are capable of addressing some of the more complex white-collar worker work that gets done. And to have that conversation, we've got Amy Guarino, who's the COO of Kyndi, here on the Cube with us today. Amy, welcome to the Cube. >> Thank you very much Peter. >> So, tell us a little bit about yourself first. >> Sure, so I grew up at IBM in sales and sales management, and then started doin' startups. Most recently, I spent eight years at Marketo, and then just after the Vista acquisition, I joined Kyndi. So that was two years ago. It was a nine person science and research kind of an organization and we've done a few things to get the group in order and we now have 31 folks and really focus on explainable AI. >> Okay, so explainable AI, what is that? >> So what's really interesting is that AI has had a lot of success, specifically around deep learning, neural nets. And one of the challenges with that approach is that it is a black box. You can't understand what the outcome was, or is. And what's really interesting, I was with a customer yesterday, and they were telling me that they were using deep learning around water treatment plants. But they got a lot of feedback that if I'm going to be drinking water, you need to explain to me what it is that you're doing to it and why. And they were like, well holy cow, we can't. And they said, that's a problem. And that's why they came to us, cause they wanted to learn about how you could do explainable type of AI. And the approach that we take really focuses on language. And how do analyze that language, but doin' it in a way where you're able to trace back to the actual raw data source to make sure that it really is correct. So we think about it as more augmenting humans versus replacing humans. >> Well let me see if I can break that down, cause I think of AI, at least things that are pertinent to AI, in a couple of different ways, kind of a mix. To what degree is something programatic, and therefore you can discover patterns in how the program operates so that you can improve it. But there's also social elements to any system that has to happen. >> Yes. >> And it's, and the black box is good for very programatic, relatively structured, where the problem space is relatively well defined, relatively well articulated and has a very specific role in a broader context of things. But when we start talking about activities that have a significant social component, where human beings are a major participant or a major source of value in the activity set that's being performed, you can't count on a black box because humans won't adopt it. So is it, when you say discoverable AI, was that it? >> Explainable AI. >> Explainable AI, is it really AI for those use cases where human beings are and essential part of the value, creation value chain? >> I think that's a great way to think about it. We initially thought it was going to be most applicable in regulated industries, where you had a requirement to explain it. But what we found is it absolutely works there, but it also is very relevant for any kind of decisions where humans are allocating resources or doing something and they have to explain why. >> So the explainable AI means that the AI can be more easily adopted by human centered activities. >> Absolutely. >> Okay, so how, so we think about AI, we think about deep learning, we think about machine learning, I mean, text automatically introduces natural language processing. What of, what elements are you combining to make the explainable AI of Kyndi work? >> So what we do is we actually ingest documents, PDF's, word documents, any kind of text, we then apply natural language processing to that to be able to parse out the entities, the terms, all of the concepts. We apply machine learning so that we can extract what we call proto-ontology, or structure, from that. So you don't have to do a lot of work upfront building out a taxonomy, and therefore we have benefit of being able to go from one domain to another very quickly and then we take all-- >> Which, by the way, blackbox AI does not do well. >> That's correct, that's absolutely correct. We addressed that deficiency as well. And then we take that output and we put it in what we call cognitive memory, which is a knowledge graph. It's a proprietary knowledge graph that allows us then to be able to search the information on there from a context perspective, so a cognitive type of search. We can also apply certain preset, sort of a filters, for different applications. So, one of the areas where we focus on is around pharmaceutical, and they're very interested in understanding and analyzing a lot of the texts associated with reports around drug discovery. And to be able to understand where there's data integrity and where's there's not-- >> And whether the process had been followed right, you got to believe. >> Yes, absolutely. And to be able to apply those preset filters against that across a really large data set and be able to highlight and get to a smaller subset that the scientists can dig into and really understand where there are potential issues and figure out how to mitigate those issues is critical. >> So let me see if I can generalize. A explainable AI being applied in a domain, like pharmaceutical-- >> Yes. >> that has a common set of audit features to it, in terms of the methods used-- >> Yes. >> for drug discovery, drug authorization, and okay. And utilizing that with the drug discovery people who are responsible for actually validating that the process is being followed appropriately to limit the amount of manual work that goes into the audit process, have I got that right? >> Yes, absolutely, by a huge factor. >> How huge? >> It's like 100 times. >> Oh, okay, well that works. >> Yes, it does work. >> So we're talking about being able to, you said 100 times, to reduce the number of people or to increase the volume of possible candidates for drug commercialization. >> Absolutely right, absolutely right. >> So what other domains do you expect Kyndi to be applied to? >> It's a very broad capability. It's any kind of work where you're reading lots of text. Today we focus in terms of the pharma opportunities. We have a lot of manufacturing folks that are looking at ways to be able to look at and review, sort of tribal knowledge that exists within a manufacturing environment. As people retire, there's a lot of information that doesn't quite get passed down and they're trying to figure out ways to get that information and also make it more easily searchable. >> Can you look at COBOL code? >> Uh, we've talked about it, we've talked about it. We do that and also in the government, we do a lot of work. >> Alright, so, you know it's interesting that you started talking about pharmaceutical. Most firms like yours work their way up to pharmaceutical. >> Yes. >> Because pharmaceutical is, you know the FDA is governed by rules where liabilities actually are associated with software. >> Yes. >> Most domains doesn't have to worry about that. So you guys are starting with the hardest problems with the greatest potential commercial risk and you're working your way into others. >> Well I think it's because it's explainable. I think that's the advantage that we have. And so we are able, then, to go back and provide that provenance to be able to support how we got there. And so it makes a big difference. >> Okay, so what's going to happen with Kyndi in 2019? >> We're going to continue to grow and really expand, particularly on the commercial side of the business, and go beyond pharmaceutical into manufacturing, maybe even a little for the financial services. But really make our customers successful, show how successful we can be. And that's going to be our marketing capability, to be able to help share this with the rest of the world. >> Yeah, if you're around COBOL, you can help my CIO guys. >> Okay. (laughter) >> There's a lot of people, like me, retiring. Alright, Amy Guarino, COO of Kyndi, talking about explainable AI and the need for new classes of tools that can augment human activity, make 'em more productive. Amy, thanks very much for being on The Cube. >> Thanks Peter, it's been great. >> Once again, I'm Peter Burris, thanks very much for watching this Cube Conversation. Until next time. (energetic string music)

Published Date : Feb 22 2019

SUMMARY :

And to have that conversation, we've got Amy Guarino, get the group in order and we now have 31 folks and And the approach that we take really focuses on language. any system that has to happen. And it's, and the black box is good for very programatic, and they have to explain why. So the explainable AI means that the AI can be Okay, so how, so we think about AI, we think about We apply machine learning so that we can extract And to be able to understand where there's data integrity you got to believe. And to be able to apply those preset filters against So let me see if I can generalize. process is being followed appropriately to limit the times, to reduce the number of people or to increase We have a lot of manufacturing folks that are looking We do that and also in the government, we do a lot of work. Alright, so, you know it's interesting that you started Because pharmaceutical is, you know the FDA is governed Most domains doesn't have to worry about that. that provenance to be able to support how we got there. to be able to help share this with the rest of the world. you can help my CIO guys. explainable AI and the need for new classes of tools Once again, I'm Peter Burris, thanks very much

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Dr. Prakriteswar Santikary, ERT | IBM CDO Fall Summit 2018


 

>> Live, from Boston, it's theCUBE, covering IBM Chief Data Officer Summit. Brought to you by IBM. >> Welcome back everyone to theCUBE's live coverage of the IBM CDO Summit here in Boston, Massachusetts. I'm your host Rebecca Knight, along with my co-host Paul Gillin. We're joined by Dr. Prakriteswar Santikary known as Dr Santi. He is the Vice President and Global Chief Data Officer at eResearch Technology. Thank you so much for coming back on theCUBE. >> Yeah, thank you for inviting me. >> So Dr Santi tell our viewers a little bit about eResearch Technology. You're based in Marlborough... >> Yeah, so we're in Boston, but ERT has been around since 1977 and we are a data and technology company that minimizes risks and uncertainties within clinical trial space and our customers are pharmaceutical companies, biotechnology companies, medical device companies, and where they really trust us in terms of running their clinical trials on our platform. So we have been around over 40 years, so we have seen a thing or two in the space. It's a very complex domain a very highly regulated as you know, because it's dealing with patients lives. So we take huge pride in what we do. >> We know how involved clinical trials can be long, very expensive, how are the new tools, big data impacting the cost? >> Well, that has been an age old problem within the clinical trials, usually a drug takes about eight to 12 years and costs about $2 billion from start to commercialization. So it's a very lengthy, manual and arduous process. So there are lots going on in this clinical trial domain that's tries to shorten the timeline and employing of big data technologies, modern data platform to expedite data processing, data collection from mobile devices and health technologies and all these. Artificial intelligence is playing a big role in terms of disrupting some of these domains, particularly if you see the protocol development down to patient selection, down to study design, then study monitoring. So you need to do all those things and each takes long long long time, so AI with the big data technologies is they're really making a difference. >> In what ways? >> For example, patient selection is one of the huge pin points in any clinical trial, because without patients there are no clinical trials. Particularly when you try to launch a drug, you will have to identify the patients, select the patients and not only select the patients, you have to make sure those patients stay with the clinical trials throughout the duration of the trial. So patient engagement is also a big deal. So with these big data technologies, like now you can see all this mobile health devices that patients are wearing using which you can monitor them. You can remind, send them a reminder, take your drug or you can send a text saying that there will be a clinical visit at that site come at seven o'clock, don't come at nine o'clock. So these kind of encouragement and constant feedback loop is really helping patients stay engaged. That is critical. Then matching patients with the given clinical trials is a very manual and arduous process, so that's where the algorithms is helping. So they are just cranking up real world evidence data for example claims data, prescription data and other type of genomic data and they're matching patients and the clinical trial needs. Instead of just fishing around in a big pond and find out, okay I need three patients. So go and fish around the world to get the three patients. That's why current process is very manual and these AI techniques and behind technologies and big data technologies are really disrupting this industry. >> So are the pharmaceutical companies finding that clinical trials are better today because patients are more engaged and they are getting as you said this constant reminder, take your drug, stay with us. Do you think that they are, in fact, giving them better insights into the efficacy of the drug? >> Yes because you will see their compliance rate is increasing, so because remember when they have to fill out all these diaries, like morning diaries evening diaries, when they are taking which medicine, when they are not taking. It used to be all manual paper driven, so they would forget and particularly think about a terminally ill patient, each day is so critical for them. So they don't have patience, nor do they have time to really maintain a manual diary. >> Nor do their caregivers have the time. Right. >> So this kind of automation is really helping and that is also encouraging them as well, that yeah somebody is really caring about me. We are not just a number, patient is not a number that somebody is really relating to them. So patient engagement, we have a product that specifically focuses around patient engagement. So we do all these phase one through phase four trials, one, two, three, four and then forced marketing, obviously, but through the entire process, we also do patient engagement, so that we help our customers like pharmaceutical companies and biotechnology companies so that they can run their trials with confidence. >> How about analyzing the data that you collect from the trials, are you using new techniques to gain insights more quickly? >> Yes, we are. We just recently launched a modern data platform, a data lake while we are consolidating all the data and anonymizing it and then really applying AI techniques on top of it and also it is giving us real time information for study monitoring. Like which side is not complying, with patients or not complying, so if the data quality is a big deal in clinical trials, because if the quality is good, then FDA approval, there is a chance that FDA may approve, but if the data quality is bad, forget about it, so that's why I think the quality of the data and monitoring of that trial real time to minimize any risks before they become risks. So you have to be preempted, so that's why this predictive algorithms are really helping, so that you can monitor the site, you can monitor individual patient through mHealth devices and all these and really pinpoint that, hey, your clinical trials are not going to end on time nor on budget. Because here you see the actual situation here, so, do something instead of waiting 10 years to find that out. So huge cost saving and efficiency gain. >> I want to ask about data in healthcare in general because one of the big tensions that we've talked about today is sort of what the data is saying versus what people's gut is saying and then in industry, it's the business person's gut but in healthcare it is the doctor, the caregivers' gut. So how are you, how have you seen data or how is data perceived and is that changing in terms of what the data shows that the physician about the patient's condition and what the patient needs right then and there, versus what the doctors gut is telling him that the patient needs? >> Yeah and that's where that augmentation and complementary nature, right? So AI and doctors, they're like complementing each other, So predictive algorithm is not replacing doctors the expertise, so you still need that. What AI and predictive algorithm is playing a big role is in expediting that process, so instead of sifting through manual document so sifting through this much amount of document, they would only need to do this much of document. So then that way it's minimizing that time horizon. It's all about efficiency again, so AI is not going to be replacing doctors anytime soon. We still need doctors, because remember a site is run by a primary investigator and primary investigator owns that site. That's the doctor, that's not a machine. That's not an AI algorithm, so his or her approval is the final approval. But it's all about efficiency cost cutting and bringing the drugs to the market faster. If you can cut down these 12 years by half, think about that not only are you saving lots of money, you are also helping patients because those drugs are going to get to the market six year earlier. So you're saving lots of patients in that regard as well. >> One thing that technologies like Watson can do is sort through, read millions of documents lab reports and medical journals and derive insights from them, is that helping in the process of perhaps avoiding some clinical trials or anticipating outputs earlier? >> Yes, because if you see Watson run a clinical study with Cleveland Clinic recently or Mayo Clinic I think or maybe both. While they reduce the patient recruitment time by 80%, 80%. >> How so? >> Because they sweep through all those documents, EMR results, claims data, all this data they combined-- >> Filter down-- >> Filter down and then say, for this clinical trial, here are the 10 patients you need. It's not going to recommend to who those 10 patients are but it will just tell you that, the goal is the average locations, this that, so that you just focus on getting those 10 patients quickly instead of wasting nine months to research on those 10 patients and that's a huge, huge deal. >> And how can you trust that, that is right? I mean I think that's another question that we have here, it's a big challenge. >> It is a challenge because AI is all about math and algorithm, right? So when you, so it's like, input black box, output. So that output may be more accurate than what you perceive it to be. >> But that black box is what is tripping me up here. >> So what is happening is sometimes, oftentimes, if it is a deep learning technique, so that kind of lower level AI techniques. It's very hard to interpret that results, so people will keep coming back to you and say, how did you arrive at that results? And that's where most of the, there are techniques like Machine Learning techniques that are easily interpretable. So you can convince FDA folks or other folks that here is how we've got to it, but there are a deep learning techniques that Watson uses for example, people will come and, how did you, how did you arrive at that? And it's very hard because those neural networks are multi-layers and all about math, but as I said, output may be way more accurate, but it's very hard to decipher. >> Right, exactly. >> That's the challenge. So that's a trust issue in that regard. >> Right, well, Dr. Santi, thank you so much for coming on theCUBE. It was great talking to you. >> Okay, thank you very much. Thanks for inviting. >> I'm Rebecca Knight for Paul Gillin we will have more from the IBM CDO Summit in just a little bit. (upbeat music)

Published Date : Nov 15 2018

SUMMARY :

Brought to you by IBM. Thank you so much for coming back on theCUBE. So Dr Santi tell our viewers a little bit about So we have been around over 40 years, so we have seen So you need to do all those things and each takes and not only select the patients, you have to make sure So are the pharmaceutical companies finding that Yes because you will see their Nor do their caregivers have the time. so that they can run their trials with confidence. so that you can monitor the site, him that the patient needs? the expertise, so you still need that. Yes, because if you see Watson run a clinical study here are the 10 patients you need. And how can you trust that, that is right? what you perceive it to be. So you can convince FDA folks or other folks So that's a trust issue in that regard. thank you so much for coming on theCUBE. Okay, thank you very much. from the IBM CDO Summit in just a little bit.

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Will Spendlove, Conga, Suzan O'Leary, Abiomed | Conga Connect West at Dreamforce 2018


 

>> From San Francisco, it's theCUBE covering Conga Connect West 2018. Brought to you by Conga. >> Hey, welcome back everybody, Jeff Rick here with theCube. The Mark Benny office finished this portion of the keynote, so we can get back to business here. Special event outside of sales force, the 171,000 people over watching Mark and the keynote. We're here at a special Conga event, it's called Conga Connect West. It's about 3,000 people they said they had last year, 3 days of taking over the thirsty bear, they've got free food, free drink, free entertainment, lot of demos, come on over. The invitation is open. Just make sure you come early because the line is really long, but we're excited to get into it with a practitioner, we love to talk to customers. So, really excited to have our next guest, Susan O'Leary, she's a continuous improvement leader 6and program manager for Abiomed. Great to see you. >> Hey Jeff, thank you so much for that introduction. I'm so excited to be here. >> Excellent, and with her is Will Spindla, the VP of marketing from Conga. Will, great to see you. Warming up before your panel tomorrow. >> Exactly. (laughs) >> So, first off, impressions of this show, it never fails to amaze me when we come to Dreamforce, what happens to downtown San Francisco. >> It's insane, isn't it? >> It is crazy. It never disappoints, there is so much going on at every moment, and especially right here at Connect West. >> Right. So, what is Abiomed, for folks that aren't familiar with the company? >> So, Abiomed, we're a class-3 medical device company. We make the world's smallest heart pump and our corporate mission is to recover hearts and save lives. And more recently, we have some commercials for our flagship product, the Impella product, on T.V. So I feel like we've really arrived at some point in the company's maturity that we have television commercials. >> Right, so what does class-3 mean? >> So, it's a certain level of classification within the FDA, and class-3 means essentially, in the simplest way, that it goes inside the body. >> Okay. >> So, the rigor at which it's controlled, and how products are introduced into market, have a very rigorous path for patient quality and compliance and safety, it's a pretty exciting space to be, but it's not easy to bring a product to market. >> And you've got hardware, I imagine you've got all kinds of crazy software, you probably have all types of continuous monitoring, not a simple device. >> No. >> And a very important one. >> A very important one. That's right. >> So we're here at Conga, Connect West, what do you guys do with Conga, where does Conga play in your world? >> So Conga has enabled Abiomed to do amazing things. We're here at Dreamforce, obviously as Salesforce customers, and we began our journey with Salesforce back in 2009, and we discovered that we had some business processes that still resided outside of Salesforce, that people were struggling with these PowerPoint presentations and putting together their sales forecast, and all the data that would really drive that lives in the Salesforce orb. A tour on the app exchange back probably 2010 I would say, Will, and Jeff, I found the composer product, and it was a pretty easy sell to our VP of sales, a quick proof of concept, taking certain data that people were manually manipulating and with the click of a button, here is your forecast blown up in all kinds of colors and charts and graphs, it was a game changer. >> All right, so that's early intro, right, 'cause the biggest knock on Salesforce, always, is getting sales people to use it, right, and changing behavior is much harder than writing software or developing software. So, did you find that that app was the killer app to get the sales team to actually use the tool? >> Well, so they were using- >> 'Cause everybody's got the same story, right, everyone's got PowerPoint, and a lot of times people use Salesforce for reporting, not actually working, and now it's double data entry, I can't stand it, but it sounds like this composer was really a game-changer for you. >> Well, it brought the best of both worlds together because our field organization was using Salesforce, they're doing their work in that application, and yet the model that leadership wanted for delivering their weekly forecast in their update was very, very specific, and you couldn't do that in any Salesforce report. You can do it in Excel. >> So the forecast model was outside of Salesforce driven by the executive leadership, even though the day-to-day work was happening inside of Salesforce? >> You're right, you're right. >> And this was like, "Oh, it happens over and over again?" >> (laughs) It was the visualization that was impossible in standard Salesforce reports, but you could build it in Excel, and then merge the data with the composer product, so that was our first use case, and we have invented so many more, but that got us in the door, so to speak. >> So, Will, have you ever heard that story before? >> Well, what I was going to say, I think it's interesting because I worked at Salesforce for about six years before I came to Conga, and one of the things that we often saw was that sales people sometimes put their data in Salesforce, unless they're coaxed very greatly, but what they actually don't do a lot of the time is leverage the data that's inside there once it's there. And so the nice part about having a tool like Conga is that you can make it so the sales people don't have to do anything with the data, right? You can automate- >> Exactly. >> Creation of reports and charts and PowerPoint presentations, so that the sales reps, they don't have to do anything. >> They just click a button. >> Click a button. >> They click a button, they have the relationships with their customers, they know how to win the deals, they know how to take all those conversations to the next level, and why do we want them crunching numbers and doing that? We don't want them doing that. There's no value in that. So, you find great tools that take the data and put it in a button, and game changed. >> Yeah, and then you can ensure that whatever process or policy your company, like Abiomed has, every single sales rep is within that guideline, so they're not making their own decisions, they're doing what the organization wants them to. >> That's right, they're following a tested and validated model that delivers what leadership wants. And I'm probably not joking if I say half a day on Friday, if you were a cardiology account manager, you would be trying to cobble this together in a PowerPoint and then turn it in to the office. Half a day. >> So the office is asking for a PowerPoint presentation on the updated status of your pipeline, basically? >> This very specific visualization model. And, with Composer, with how people are with data, they think that this is all they really need, but once they saw what we could put in that output document from Composer, it has grown to be an enormous analytic tool set for the field team that drives their forecast. >> I'm just curious in terms of the scale and the size of team, don't tell me anything out of school but, are you talking tens of reps, hundreds of reps? >> Hundreds of reps. >> Hundreds of reps. >> Globally, we have over 100 sales territories, and so we have easily 450 feet on the street. And certain people have different roles, right, so the cardiology account manager role is that forecasting leader in the company, that person is really clicking that button to generate that document, and there's well over 100 in our organization. >> So, Will, you hear these stories all the time, I'm sure, is Composer the killer app to get people to start to embrace this tool? Do you see that time and time again? >> Yeah, I think one of the nice parts about Composer is that you can, in some respects, direct your entire sales or organization on the way the company wants to showcase themselves, whether it's in reporting, whether it's highly branded and pixel-perfect documents, what we've seen a lot of people do is you may have a monthly or a quarterly business review. >> Oh, we do that! We have Composer for that. We have this beautifully crafted merge template that delivers a business review to our customers. Yeah, that was the second thing we did with Composer. >> That's right. >> Where we first did the forecast then we did the business review. >> Business review. >> Wow! >> And you can do that in Excel, or in PowerPoint, or in Word, or even in HTML, it just gives you the ability to take data, that sits inside Salesforce, and push it out in any format you want. And the nice part, too, is you can pull data from other systems. >> Right. >> So it can be in your ERP or your accounting system and brings it all into one spot. >> I just can't help but think of the poor guy on the receiving end of the 450 PowerPoint decks on Friday afternoon, I mean how did that get rolled up? >> Yeah, we had another process for that. >> I don't want to hear that one, that one sounds scary. >> There's the regional, there's a country base- >> Too much. >> And it's all Composer. It's all Composer. >> Last question for you, Susan. So, have you been able to leverage the success of Composer to basically expand into more applications in the Salesforce suite with Conga or other, to actually get your adoption up, and now start to add more and more applications? >> Yeah, that's a great question, Jeff, and certainly Composer was that early-adoption product that was such an easy sell, it had win-win written over it in capital letters, everybody really got it right away. "We're buying this, we're doing this." And then over the years, Conga in its development life cycle put out a couple other game-changing products that we also have, we have their Action Grid product, and their contract solution. >> Was that as easy of a sell? >> Yes. >> Okay. (laughs) >> Well, it wasn't IT organizations selling solution on business, business is saying, "We want a quoting platform, and we need something better than standard Salesforce." So, we started looking at what is now CPQ, but it was called Steelwork at the time, and then we needed to solve for the contract life cycle management part of that, and a contract product didn't even exist at the time. And we were looking at other solutions, and we were trying to make something work, and we learned about the contract product through a Connect event that a colleague of mine attended, and came back from that event, and just said "Sue, you've got to stop everything you're doing, you've got to go talk to Pete Castro at Conga, and you have to see this contract tool. Because I know we're almost at the end of this project, but literally you're going to rip out everything that we did before and you're going to want to do this." So guess what we did? We did it! >> Will, you can't let this one off your hip, I'm telling you. She's awesome. >> It was a tough timeline and that was part of the promise that we needed to hear back when we went to the table, was we can't miss our launch. >> Yeah, yeah. >> To do this pivot and switch and can we do it? >> But that's easy compared to getting sales people to change behavior, timelines are one thing, but if you got people to actually use the tool the way the tool is supposed to be used, then the ancillary benefits are tremendous. Thank you for sharing that story with us, Sue. >> You're very welcome, Jeff. We do have the Action Grid product, but I'm not the expert in that space, but I've seen some amazing things. >> You've got the sales people using Salesforce on a weekly basis, plant the flag and call it enough. Come on now! All right, so thanks again. He's Will, she's Sue, I'm Jeff, you're watching theCube for Conga Connect West at Salesforce Dreamforce in San Francisco, thanks for watching. (electronic music)

Published Date : Sep 26 2018

SUMMARY :

Brought to you by Conga. 3 days of taking over the thirsty bear, I'm so excited to be here. Will, great to see you. (laughs) to amaze me when we come to Dreamforce, what happens to It is crazy. So, what is Abiomed, for folks that aren't familiar company's maturity that we have television commercials. it goes inside the body. So, the rigor at which it's controlled, and how all kinds of crazy software, you probably have A very important one. drive that lives in the Salesforce orb. So, did you find that that app was the killer app 'Cause everybody's got the same story, right, Well, it brought the best of both worlds together use case, and we have invented so many more, but is that you can make it so the sales people PowerPoint presentations, so that the sales reps, So, you find great tools that take the data Yeah, and then you can model that delivers what leadership wants. the field team that drives their forecast. that button to generate that document, and there's that you can, in some respects, Yeah, that was the second thing we did with Composer. the business review. And the nice part, too, is you can pull data So it can be in your ERP or your accounting system and And it's all Composer. So, have you been able to leverage the success of Composer that we also have, we have their Action Grid product, called Steelwork at the time, and then we needed Will, you can't let this one off your hip, that we needed to hear back when we went to the table, was Thank you for sharing that story with us, Sue. We do have the Action Grid product, but I'm not the You've got the sales people using Salesforce on a weekly

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Dr Prakriteswar Santikary, ERT | MIT CDOIQ 2018


 

>> Live from the MIT campus in Cambridge, Massachusetts, it's the Cube covering the 12th annual MIT Chief Data Officer and Information Quality Symposium. Brought to you by SiliconANGLE Media. >> Welcome back to the Cube's coverage of MIT CDOIQ here in Cambridge, Massachusetts. I'm your host, Rebecca Knight along with my co-host, Peter Burris. We're welcoming back Dr. Santikary who is the Vice President and Chief Data Officer of ERT, thanks for coming back on the program. >> Thank you very much. >> So, in our first interview, we talked about the why and the what and now we're really going to focus on the how. How, what are the kinds of imperatives that ERT needs to build into its platform to accomplish the goals that we talked about earlier? >> Yeah, it's a great question. So, that's where our data and technology pieces come in. As we were talking about, you know, the frustration that the complexity of clinical trials. So, in our platform like we are just drowning in data, because the data is coming from everywhere. They are like real-time data, there is unstructured data, there is binary data such as image data, and they normally don't fit in one data store. They are like different types of data. So, what we have come up with is a unique way to really gather the data real-time in a data lake and we implemented that platform on Amazon Web Services Cloud and that has the ability to ingest as well as integrate data of any volume of any type coming to us at any velocity. So, it's a unique platform and it is already live. Press release came out early part of June and we are very excited about that and it is commercial right now, so yeah. >> But, you're more than just a platform. The product and services on top of that platform, one might say that the services in many respects are what you're really providing to the customers. The services that the platform provides, have I got that right? >> Yes, yes. So, platform like in a uBuild different kinds of services, we call it data products on top of that platform. So, one of the data products is business intelligence where you do real-time decisioning and the product is RBM, Risk Based Monitoring, where you come up with all the risks that a clinical trial may be facing and really expose those risks preemptively. >> So, give us an examples. >> Examples will be like patient visit, for example. A patient may be noncompliant with the protocol, so if that happens, then FDA is not going to like it. So, before they get there, our platform almost warns the sponsors that hey, there is something going on, can you take preemptive actions? Instead of just waiting for the 11th hour and only to find out that you have really missed out on some major things. It's just one example, another could be data quality issues, right? So, let's say there's a gap in data, and/or inconsistent data, or the data is not statistically significant, so you raise some of these with the sponsors so that they can start gathering data that makes sense. Because at the end of the day, data quality is vital for the approval of the drug. If that quality of the data that you are collecting is not good, then what good is the drug? >> So, that also suggests a data governance is gotta be a major feature of some of the services associated with the platform. >> Yes, data governance is key, because that's where you get to know who owns which data, how do you really maintain the quality of data overtime? So, we use both tools, technologies, and processes to really govern the data. And as I was telling you in our session one, that we are the custodian of this data, so we have fiduciary responsibility in some sense to really make sure that the data is ingested properly, gathered properly, integrated properly. And then, we make it available real-time for our real-time decision making, so that our customers can really make the right decisions based on the right information. So, data governance is key. >> One of the things that I believe about medical profession is that it's always been at the vanguard of ethics, social ethics, and increasingly, well, there's always been a correspondence within social ethics and business ethics. I mean ideally, they're very closely aligned. Are you finding that the medical ethics, social medical ethics of privacy and how you handle data, are starting to inform a broader understanding of the issues of privacy, ethical use of data, and how are you guys pushing that envelope if you think that has an important future? >> Yes, that is a great question like we use all these, but we have like data security in place in our platform, right? And the data security in our case plays at multiple level. We don't co-mingle one sponsor's data with others, so they're always like particularized. We partition the data in technical sense and then we have permissions and roles so they will see what they're supposed to be seeing. Not like interdepending on the roles, so yeah, data security is very critical to what we do. We also de-anonymize the data, we don't really store the PII like personally identifiable information as well like e-mail address, or first name or last name, you know? Or social security number for that matter. We don't, when you do analysis, we de-identify the data. >> Are you working with say, European pharmaceuticals as well, Bayer and others? >> Yeah, we have like as I said -- >> So, you have GDPR issues that you have satisfied? >> We have GDPR issues, we have like HIPAA issues, so you name it, so data privacy, data security, data protection, they're all a part of what we do and that's why technology's one piece that we do very well. Another pieces are the compliance, science, because you need all of those three in order to be really, you know, trustworthy to your ultimate customers and in our case they are pharmaceutical companies, medical device companies, and biotechnology companies. >> Where there are lives at stake. >> Exactly. >> So, I know you have worked, Santi, in a number of different industries, I'd love to get your thoughts on what differentiates ERT from your competitors and then, more broadly, what will separate the winners from the losers in this area? >> Yeah, obviously before joining ERT I was the Head of Engineering at Ebay. >> Who? (panel members laughing) >> So, that's the bidding platform, so obviously we were dealing with consumer data, right? So, we were applying artificial intelligence, machine learning, and predictive analytics, all kinds of things to drive the business. In this case, while we are still doing predictive analytics, but the idea of predictive analytics is very different, because in our case here at ERT, we can't recommend anything because they are all like, we can't say hey, don't take Aspirin, take Tylenol, we can't do that, it needs to be driven by doctors. Whereas at Ebay, we would just talking to the end consumers here and we would just predict. >> Again, different ethical considerations. >> Exactly, but in our domain primarily like ERT, ERT is the best of breed in terms of what we do, driving clinical trials and helping our customers and the things that we do best are those three ideas like data collection, obviously the data custodiancy that includes privacy, security, you name it. Another thing we do very well is real-time decisioning that allow our customers, in this case pharmaceutical companies, who will have this integrated dataset in one place, almost like cockpit, where they can see which data is where, what the risks are, how to mitigate those risks, because remember that this trials are happening globally. So, your sites, some sites are here, some sites are in India, who knows where? >> So, the mission control is so critical. >> Critical, time critical. And as well as, you know, cost effective as well, because if you can mitigate those risks before they become problems, you save not only cost, but you shorten the timeline of the study itself. So, your time to market, you know? You reduce that time to market, so that you can go to market faster. >> And you mentioned that it can be as long, the process can be a $3 billion dollar process, so reducing time to market could be a billion dollars a cost and a few billion dollars of revenue, because you get your product out before anybody else. >> Exactly, plus you're helping your end goals which is to help the ultimate patients, right? Because you can bring the drug five years earlier than what you have ended for, then you would save lots of lives there. >> So, the one question I had is we've talked a lot about these various elements, we haven't once mentioned master data management. >> Yes. >> So, give us a little sense of the role that master data management plays within ERT and how you see it changing, because you used to be a very metadata, technical-oriented thing and it's becoming much more something that is almost a reflection of the degree to which an institution has taken up the role that data plays within decision-making and operations. >> Exactly, a great question. At the master data management has people, process, and technology, all three that they co-mingle each other to drive master data management. It's not just about technology. So, in our case, our master data is for example, site, or customers, or vendors, or study, they're master data because they lead in each system. Now, depenation of those entities and semantics of those entities are different in each system. Now, in our platform, when you bring data together from this pair of systems, somehow we need to harmonize these master entities. That's why master data management comes into play. >> While complying with regulatory and ethical requirements. >> Exactly. So, customers for example aren't worried as once said. Or, pick any other name, can be spared 20 different ways in 20 different systems, but when you are bringing the data together, into a called platform, we want nobody to be spared only one way. So that's how you mental the data quality of those master entities. And then obviously we have the technology side of things, we have master data management tools, we have data governance that is allowing data qualities to be established over time. And then that is also allowing us to really help our ultimate customers, who are also seeing the high-quality data set. That's the end goal, whether they can trust the number. And that's the main purpose of our integrated platform that we have just launched on AWS. >> Trust, it's been such a recurring theme in our conversation. The immense trust that the pharmaceutical companies are putting in you, the trust that the patients are putting in the pharmaceutical companies to build and manufacture these drugs. How do you build trust, particularly in this environment? On the main stage they were talking this morning about, how just this very notion of data as an asset. It really requires buy-in, but also trust in that fact. >> Yeah, trust is a two-way street, because it has always been. So, our customers trust us- we trust them. And the way you build the trust is through showing, not through talking, right? So, as I said, in 2017 alone, 60% of the FDA approval went through our platform, so that says something. So customers are seeing the results, they're seeing their drugs are getting approved, we are helping them with compliance, we're artists with science, obviously with tools and technologies. So that's how you build trust, over time, and we have been around since 1977, that helps as well because it says that true and tried methods, we know the procedures, we know the water as they say, and obviously folks like us, we know the modern tools and technologies to expedite the clinical trials. To really gain efficiency within the process itself. >> I'll just add one thing to that, trust- and test you on this- trust is a social asset. At the end of the day it's a social asset. There are a lot of people in the technology industry continuously forget is that they think trust is about your hardware, or it's about something in your infrastructure, or even your applications. You can say you have a trusted asset, but if your customer says you don't, or a partner says you don't, or some group of your employees say you don't, you don't have a trusted asset. Trust is where the technological, the process, and the people really come together, that's the test of whether or not you've really got something the people want. >> Yes, and your results will show that, right. Because at the end of the day, your ultimate test is the results. Everything hinges on that. And the experience helps, as your experience with tools and technologies, signs, regulatories, because it's a multidimensional venn diagram almost, and we are very good at that, and we have been for the past 50 years. >> Well Santi, thank you so much for coming on the program again, it's really fun talking to you. >> Thank you very much, thank you. >> I'm Rebecca Knight for Peter Burris, we will have more from M.I.T CDOIQ in just a little bit.

Published Date : Aug 15 2018

SUMMARY :

Brought to you by SiliconANGLE Media. thanks for coming back on the program. So, in our first interview, we talked about and that has the ability to ingest one might say that the services in many respects and the product is RBM, Risk Based Monitoring, where you If that quality of the data that you are collecting a major feature of some of the services so that our customers can really make the right decisions is that it's always been at the vanguard of ethics, and then we have permissions and roles in order to be really, you know, trustworthy Yeah, obviously before joining ERT So, that's the bidding platform, and the things that we do best are those three ideas so that you can go to market faster. because you get your product out before anybody else. Because you can bring the drug So, the one question I had is something that is almost a reflection of the degree Now, in our platform, when you bring data together that we have just launched on AWS. in the pharmaceutical companies And the way you build the trust is through showing, and the people really come together, that's the test Because at the end of the day, your ultimate test is Well Santi, thank you so much for coming on the program we will have more from M.I.T CDOIQ in just a little bit.

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Wrap | MIT CDOIQ


 

>> Live from the MIT campus in Cambridge, Massachusetts, it's theCUBE covering the 12th annual MIT Chief Data Officer and Information Quality Symposium, brought to you by SiliconANGLE media. >> We are wrapping up a day of coverage here at theCUBE for MIT CDOIQ here in Cambridge, Massachusetts. I'm Rebecca Knight, along with Peter Burris. We've been here all day, folks. We've learned a lot, we've had a lot of great conversations here, a lot of lively debate and interest. So, Peter, this morning, you were talking about this fundamental idea that data needs to be viewed as an asset within an organization. Obviously we're here with a bunch of people who are drinking that Kool-Aid, but-- >> Living that Kool-Aid. >> Living that Kool-Aid, embodying that Kool-Aid. So based on what we heard today, do you think that business has caught up? >> Well, I would say two things. First of all, this has been, as you said, it's been absolutely marvelous series of conversations in many respects. This is what theCUBE is built for, right? Smart people in conversation on camera. And we've had some smart people here today. What I got out of it on that particular issue is that there is general agreement among CDOs that they have to start introducing this notion of asset and what that means in their business. There's not general agreement, or there's a general, I guess not agreement, but there's general concern that we still aren't there yet. I think that everybody that we talk to I think, would come back and say, yes we grew those practices, but the conventions are not as established and mature as they need to be for everybody in our business to agree so that we can acculturate. Now we did hear some examples of folks that have done it. So that great BBDA case we talked about was an example. There was a company that is actually becoming, is really truly institutionalizing, acculturating that notion of data as an asset that performs work, but I think we've got general agreement that that's the right way of thinking about it, but also a recognition that more work needs to be done, and that's why conferences like this are so important. >> Well, one of the things that really struck me about what BBDA did was this education campaign of its 130,000 employees, and as you said, really starting from the ground and saying, this is how we're going to do things. This is who we are as an organization. >> Yeah, and it was a great conversation because one of the points I made was, specifically, that BBDA is a bank. It is an information-based business that has very deep practices and principles associated with information, and when they decided that they need to move beyond that, they were able to get the entire bank to adopt a set of practices that are leading to new types of engagement models, product orientations, service capabilities. That's a pretty phenomenal feat. So, it's happening and it can get done, and there are examples of it happening. Another thing we talked about was the fact that over the course of the next few years, one of the big, one of the most exciting things about digital business is not just digital business and digital, what people call digital maintenance, but that transformation practices. That way forward. And we talked about the idea of how you wrapper existing goods and services and offerings with data to turn them into something else, and the incumbents are going to find ways of doing that so they can re-establish themselves as leaders in a lot of different markets. >> And that's what will separate the people who really get this from the people who, or from the organizations that are going to lag. >> Yeah, we're starting to hear that a lot more from clients, is that the idea increasingly is, okay, I've already got customers. I've already got offers. How do I wrapper them? Using a term we heard from a professor at MIT. How do I wrapper them to improve them utilizing data? And that's a big challenge, but it's happening. >> One of the other fun interviews we had was all about clinical trials, and the use of data in these clinical trials. There are so many challenges about, with clinical trials because of the time it takes to conduct one of these, the cost that it takes, and then at the end you are dealing with patients who just say, "oh, I think I'm not going to take that drug today." Or other factors that take place here. I mean, what do you see, I know your dad is a physician, what do you see as the most exciting thing about the use of data in clinical trials, but also just in the healthcare industry in general? >> Well, so what we heard, and it was a great combination of interviews, but what we heard is that to bring a new drug to market can cost $4 billion and take 15 years. And the question is, can data, first off, reduce the cost of bringing a new drug to market? And we heard numbers like, yeah, by $1 billion or even more. So imagine having the cost of bringing a new drug to market, but also reducing the time by as much as two thirds. That's very, very powerful stuff when we come down to it. And as you said, the way you do that is you have to protect your data to make sure you're complying with various regulations, but as you said, for example, sustaining someone in the trial even though they're starting to feel better because the drug's working. Well, people opt out. They abandon the trial. Well can you use data to keep them tied in, to provide new types of benefits and new types of capabilities so they want to sustain their participation in the trial. >> Or at least the pharma company, hey, this person's dropping out, you need to explain that to the FDA, and that's going to become a point, yeah. >> Or you need to provide an incentive to keep them in. >> Right. >> Or another example that was used was, if we can compress the amount of time, but then recognize that we can sustain an engagement with a patient and collect data longer, that even though we can satisfy the specific regulatory mandates of a trial, shorter, we can still be collecting data because we have a digital engagement model as part of this whole process subject to keeping privacy in place and ownership notions in place, and everything else, complying with regulatory notions. So that is I think a very powerful example. And again, Santi, Dr. Santi was talking specifically about how ERT is helping to accelerate this whole process because over the course of the next dozen years, we're going to learn more about people, the genome is going to become better understood. Genomics is going to continue to evolve. Data is going to become increasingly central to how we think about defining disease and disease processes, and one of the key responses is to learn from that and apply data so that we can more rapidly build the new procedures, devices, and drugs that are capable of responding. >> When we're thinking about what keeps the chief data officers up at night, we know that data security, data fidelity, privacy, the other thing we really heard about from Melana Goldban from PwC Accelerator is the idea about bias, and that is a real concern. From the way she is talking about, it sounded as though companies are more aware of this. It really is an organizational challenge that they recognize that not just matters for social reasons but really for business reasons too, frankly. It affects your bottom line. Where do you come out on that? Do you think we're moving in the right direction? >> First of all, it was a great interview, and a lot of what Melana said was illuminating to me, and I agree with virtually everything she said. We're doing a piece of research on that right now. I would say that, in fact, most companies are not fully factoring the role that bias plays in a lot of different ways. That's one of the things that absolutely must happen as part of the acculturation process, what's known as evidence-based management starts to take grip more within businesses is to understand not only what bias introduced into data now, but as you create derivatives on that data, how that bias changes, delays that data. And that is a relatively poorly understood problem. >> But it's a big problem. >> Oh, it's going to be even bigger because we're going to utilize AI and it's actually going to limit the range of options that people consider as they make a decision, or make the decisions directly for the individual, act on behalf of the brand, what we call agency, a system of agency. And not understanding that range, not having it be auditable, not understanding what the inherent bias is can very quickly send a business off the rails in unexpected ways. So we're devoting a lot of time and energy into understanding that right now. But here's the challenge, that we've got business decision makers who are very familiar with certain kinds of information. There's nobody gets to be the CEO or the COO or a senior person in business if they don't have a pretty decent understanding of findings. So financial information is absolutely adopted within the board room and the senior ranks of management in virtually all businesses of any consequential size today. What we're asking them to do is to learn about wholly new classes of data. New data conventions, what it means, how to apply it, how you should factor it, how to converge agreement around things, that allows them to be as mature in their use of customer data or production data or partner data or any other number of metrics as they are with financial data. That's a real tall order. It's one of the significant challenges that a lot of businesses face today. So it's not that they don't get data or they don't understand data. It's that the sources of data and therefore the range of options that are going to be shaped by data are becoming that much more significant in business. >> And it's how they need to think about data too. I mean I was really struck by Tom Sasala at the very beginning saying, one of the reasons the intelligence community didn't predict 9/11 is that we didn't have people who were thinking like Hollywood people, thinking audaciously enough about what could happen and that similarly we need to have business leaders and executives, who may be very good at crunching numbers, really think much more broadly about the kinds of-- >> And Tom is absolutely right. We also, cuz I was very close to the DoD at the time, there was serious confirmation bias that was going on at that time too. >> Exactly. But clearly he's right, that the objective is for executives to, as a group, acknowledge the powerful role that data can play, have a data-first mentality as opposed to a bias or experience-first mentality. Because my experience is very private relative to your experience. And it takes a lot of time for us to negotiate that before we can make a very, very consequential move. That's not going to go away. We're human beings. But we increasingly need to look at data, which can provide a common foundation for us to build our biases upon so that we can be more specific and more transparent about articulating my interpretations. You can't start doing that until you are better, more willing to utilize data as a potentially unifying tool and mechanism for thinking about, thinking about how we move forward with something. >> That's great. And it's a great way to end our day of coverage here at M.I.T CDOIQ. Thank you so much. It's been a pleasure, >> As always, Rebecca. >> hosting with you. And thanks to the crew and everyone here. It's been really a lot of fun. I'm Rebecca Knight for Peter Burris. We will see you next time on theCUBE. (techno music)

Published Date : Jul 18 2018

SUMMARY :

brought to you by SiliconANGLE media. data needs to be viewed Living that Kool-Aid, that they have to start Well, one of the things that are leading to new that are going to lag. from clients, is that One of the other fun interviews we had but also reducing the time and that's going to become a point, yeah. incentive to keep them in. the genome is going to the other thing we really heard about is to understand not only what bias It's that the sources of data and that similarly we need that was going on at that time too. But clearly he's right, that the objective And it's a great way to And thanks to the crew and everyone here.

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Dr Prakriteswar Santikary, ERT | MIT CDOIQ 2018


 

>> Live from the MIT campus in Cambridge Massachusetts, it's theCube, covering the 12th annual MIT Chief Data Officer and Information Quality Symposium, brought to you by SiliconANGLE media. >> Welcome back to theCUBE's coverage of MIT CDOIQ here in Cambridge, Massachusetts. I'm your host Rebecca Knight along with my co-host Peter Burris. We're welcoming back Dr. Santikary, who is the Vice President and Chief Data Officer of ERT. Thanks for coming back on the program. >> Thank you very much. >> So in our first interview we talked about the why and the what and now we're really going to focus on how, the how. How, what are the kinds of imperatives that ERT needs to build into its platform to accomplish the goals that we talked about earlier. >> Yeah, it's a great question. So, that's where our data and technology pieces come in. We are as we were talking about in our first session that the complexity of clinical trials. So in our platform like we are just drowning in data because the data is coming from everywhere. There are like real-time data, there is unstructured data, there is binary data such as image data and they normally don't fit in one data store. They are like different types of data. So what we have come up with is a unique way to really gather the data real time, in a data lake, and we implemented that platform on Amazon web services ... Cloud and ... that has the ability to ingest as well as integrate data of any volume, of any type coming to us at any velocity. So it's a unique platform and it is already live, press release came out early part of June and we are very excited about that. And it is commercial right now. So, yeah. >> But you're more than just a platform, you're product and services on top of that platform, one might say that the services in many respects are what you're really providing to the customers, the services that the platform provides. Have I got that right? >> Yes, yes. So platform like you build different kinds of services we call it data products on top of that platform. So one of the data products is business intelligence. Why do you do real time decisioning? Another product is RBM, Risk-Based Monitoring, where you ... come up with all the risks that a clinical trial may be facing and really expose those risks preemptively. >> So give us some examples. >> Examples will be like patient visit for example. Patient may be non-compliant with the protocol. So if that happens then FDA is not going to like it. So before they get there our platform almost warns the sponsor that hey there is something going on can you take preemptive actions? Instead of just waiting for the 11th hour and only to find out that you have really missed out on some major things. It's just one example. Another could be data quality issues, right. So let's say there is a gap in data and/or inconsistent data or the data is not statistically significant. So you've to raise some of these with the sponsors so that they can start gathering data that makes sense because at the end of the day, data quality is vital for the approval of the drug. If the quality of the data that you are collecting is not good, then what good is the trial? >> So that also suggested that data governance is got to be a major feature of some of the services associated with the platform. Have I got that right? >> Yes, data governance is key because that's where you get to know who owns which data. How do you really maintain the quality of data over time? So we use both tools, technologies, and processes to really govern the data and as I was telling you in our session one, that we have the custodian of these data. So we have fiduciary responsibility in some sense to really make sure that the data is ingested properly, gathered properly, integrated properly and then we make it available real time for real time decision making so that our customers can really make the right decisions based on the right information. So data governance is key. >> One of the things that I believe about medical profession is that it's always been at the vanguard of ethics, social ethics and increasingly, well there has always been a correspondence between social ethics and business ethics. I mean, ideally they're very closely aligned. Are you finding that the medical ethics, social medical ethics of privacy and how you handle data are starting to inform a broader understanding of the issues of privacy, ethical use of data, and how are you guys pushing that envelope if you think that that is an important feature? >> Yeah, that's a great question. We use all these, but we have like data security in place in our platform, right? And the data security in our case plays at multiple level. We don't co-mingle one sponsor's data with other's. So they are always like particalized. We partition the data in technical sense and then we have permissions and roles. So they will see what they are supposed to be seeing. Not like, you know depending on the roles. So yeah, data security is very critical to what we do. We also de-anonymize the data. We don't really store the PII like Personally Identifiable Information as well like email address or first name or last name or social security number for that matter. When we do analysis, we de-identify the data. >> Are you working with European pharmaceuticals as well, Bayer and others? >> Yeah, we have like as I said. >> So you have GDPR issues (crosstalk). >> We have GDPR issues. We have like HIPPA issues. So you name it. Data privacy, data security, data protection. They are all a part of what we do and that's why technology is one piece that we do very well. Another pieces are the compliance, science. Because you need all of those three in order to be really trustworthy to your ultimate customers and in our case they are pharmaceutical companies, medical device companies, and biotechnology companies. >> Where there are lives at stake. >> Exactly. >> So I know you have worked Santi in a number of different industries. I'd like to get your thoughts on what differentiates ERT from your competitors and then more broadly, what will separate the winners from the losers in this area. >> Yeah, obviously before joining ERT, I was the head of data engineering at eBay. >> Who? (laughing) >> So that's the bidding platform so obviously we were dealing with consumer data right? So we were applying like artificial intelligence, machine learning and predictive analytics. All kinds of thing to drive the business. In this case, while we are still doing predictive analytics but the ideal predictive analytics is very different because in our case here at ERT we can't recommend anything because they are all like we can't say hey don't take Aspirin, take Tylenol. We can't do that. It's to be driven by doctors. Whereas at eBay, we were just talking to the end consumers here and we would just predict. >> Different ethical considerations. >> Exactly. But in our domain primarily like ERT, ERT is the best of breed in terms of what we do, driving clinical trials and helping our customers and the things that we do best are those three areas like data collection. Obviously the data custodiancy that includes privacy, security, you name it. Another thing we do very well is real time decisioning. So that allow our customers, in this case, pharmaceutical companies who will have this integrated dataset in one place. Almost like a cockpit where they can see which data is where, where the risks are, how to mitigate those risks. Because remember that these trials are happening globally. So some sites are here, some sites are in India. Who knows where? >> So the mission control is so critical. >> Critical, time critical. >> Hmm. >> And as well as you know cost-effective as well because if you can mitigate those risks before they become problems, you save not only cost but you shorten the timeline of the study itself. So your time to market, you know. You reduce that time to market so that you can go to market faster. >> And you mentioned that it can be, they could be, the process could be a 3 billion dollar process. So reducing time to market could be a billion dollars of cost and a few billion dollars of revenue because you get your product out before anybody else. >> Exactly. Plus you are helping your end goals which is to help the ultimate patients, right? >> And that too. >> Because if you can bring the drug five years earlier than what- >> Save lives. >> What you had intended for then you know, you'd save lots of lives there. Definitely. >> So the one question I have is we've talked a lot about these various elements. We haven't once mentioned master data management. >> Yes. >> So give us a little sense of the role that master data management plays within ERT and how you see it changing. Because it used to be a very metadata technical oriented thing and it's becoming much more something that is almost a reflection of the degree to which an institution has taken up the role that data plays within decision making and operation. >> Exactly, a great question. The master data management has like people, process, and technology. All three, they co-mingle each other to drive master data management. So it's not just about technology. So in our case, our master data is for example, site or customers, or vendors or study. They're master data because they live in each system. Now definition of those entities and semantics of those entities are different in each system. Now in our platform when you bring data together from disparate systems, somehow we need to harmonize these master entities. That's why master data management- >> While complying with regulatory and ethical requirements. >> Exactly. So customers for example Novartis let's say, or be it any other name, can be spelled 20 different ways in 20 different systems. But when we are bringing the data together into our core platform, we want Novartis to be spelled only one way. So that's how you maintain the data quality of those master entities. And then obviously we have the technology side of things. We have master data management tools. We have data governance that is allowing data qualities to be established over time and then that is also allowing us to really help our ultimate customers who are also seeing the high quality dataset. That's the end goal, whether they can trust the number. And that's the main purpose of our integrated platform that we have just launched on AWS. >> Trust is just, it's been such a recurring theme in our conversation. The immense trust that the pharmaceutical companies are putting in you, the trust that the patients are putting in the pharmaceutical companies to build and manufacture these drugs. How do you build trust, particularly in this environment? We've talked, on the main stage they were talking this morning about how just this very notion of data as an asset, it really requires buy-in, but also trust in that fact. >> Yeah, yeah. Trust is a two-way street, right? Because it has always been. So our customers trust us, we trust them. And the way you build the trust is through showing not through talking, right? So, as I said, in 2017 alone, 60% of the FDA approval went through our platform. So that says something. So customers are seeing the results. So they are seeing their drugs are getting approved. We are helping them with compliance, with audits, with science, obviously with tools and technologies. So that's how you build trust over time. And we have been around since 1977, that helps as well, because it's a ... true and tried method. We know the procedures. We know the water, as they say. And obviously, folks like us, we know the modern tools and technologies to expedite the clinical trials, to really gain efficiency within the process itself. >> I'll just add one thing to that and test you on this. Trust is a social asset. >> Yeah. >> At the end of the day it's a social asset and I think what a lot of people in the technology industry continuously forget, is that they think the trust is about your hardware, or it's about something in your infrastructure, or even in your applications. You can say you have a trusted asset but if your customer says you don't or a partner says you don't or some group of your employees say you don't, you don't have a trusted asset. >> Exactly. >> Trust is where the technological, the process, and the people really come together. >> And the people come together. >> That's the test of whether or not you've really got something that people want. >> Yes. And your results will show that, right? Because at the end of the day, your ultimate test is the results, right? And because that, everything hinges on that. And then the experience helps as you're experienced with tools and technologies, science, regularities. Because it's a multidimensional Venn diagram almost. And we are very good at that and we have been for the past 50 years. >> Great. Well Santi, thank you so much for coming on the program again. >> Okay, thank you very much. >> It was really fun talking to you. >> Thank you. >> I'm Rebecca Knight for Peter Burris. We will have more from MIT CDOIQ in just a little bit. (upbeat futuristic music)

Published Date : Jul 18 2018

SUMMARY :

brought to you by SiliconANGLE media. Thanks for coming back on the program. So in our first interview we talked about that has the ability to ingest as well as integrate one might say that the services in many respects So one of the data products is business intelligence. So if that happens then FDA is not going to like it. So that also suggested that data governance to really govern the data and as I was telling you is that it's always been at the vanguard of ethics, and then we have permissions and roles. So you name it. So I know you have worked Santi Yeah, obviously before joining ERT, So that's the bidding platform so and the things that we do best are those three areas so that you can go to market faster. So reducing time to market Plus you are helping your end goals What you had intended for then you know, So the one question I have is is almost a reflection of the degree to which Now in our platform when you bring data together and ethical requirements. So that's how you maintain the data quality on the main stage they were talking this morning And the way you build the trust to that and test you on this. is that they think the trust is about your hardware, the process, and the people really come together. That's the test of whether or not Because at the end of the day, for coming on the program again. We will have more from MIT CDOIQ in just a little bit.

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DeLisa Alexander, Zui Dighe & Dana Lewis | Red Hat Summit 2018


 

>> Announcer: Live from San Francisco, it's theCUBE, covering Red Hat Summit 2018. Brought to you by Red Hat. >> Welcome back, here, when we here live, it's theCube, here in San Francisco live for Red Hat, Summit 2018. I'm John Furrier, the host of theCUBE. Our next three guests is the Delisa Alexander, Executive Vice President, Chief People Officer at Red Hat. Welcome to theCUBE. >> Thanks. >> Zui Dighe, who's the... Did I get that right? Zz-- >> Zui, yeah, mm-hmm. >> Zui? OK, winner of the Open Source Academic Award from Duke University, Go Blue Devils (chuckles). >> Zui: Yes. >> And we have Dana Lewis, winner of Open AP with OpenAPS, which stands for? >> The Open Source Artificial Pancreas System. >> Artificial open-source Pancreas System, great stuff. So congratulations, you guys are all award winners. Before we get into some of the questions, love your applications, talk about the program. What is this about? What's the awards program here at Red Hat Summit, and why are these guys here? >> So as Red Hat, we believe, as an open-source leader, we have a responsibility to promote women in technology and particularly women in open-source. And so, one of the things we thought we could do is to create an award that really spotlights the contributions women are making in open-source to inspire future generations to consider being open-source developers or contributors. >> Congrat, Delisa, love that you're doing that. It's fantastic. We'll start with the young student gun here. What's your degree, first of all? What are you studying? >> I'm studying biomedical engineering and computer science. >> John: Tough major, huh? >> Yep, very tough. (Delisa laughing) Not easy, but I'm-- >> This is an easy-- >> First question is, how do you in a block chain impact? It's funny, Jim always asked that question on day one. No, in all serious, tell about what your application is. This is super important. >> Yeah, yeah. So I'm basically working on researching and creating a tracking system for vaccines that enter into developing countries. So through that, you're able to understand how exactly do vaccines travel through these countries as well as where does the system break. And if you can pinpoint that, you can actually solve the problem. >> And how did you get the idea? How did this all come together? >> I was in a research course at Duke, which has collaboration with the university in Uganda, and we actually got to travel to Uganda and interview various stakeholders, pharmaceutical companies, health system, and understand how does the-- We wanted to be in vaccines, but we didn't know what exactly to do. And so after interviewing, I kind of came up with the idea of why don't we actually put a tracker on these devices that gives off the GPS location and the temperature so we can actually understand the entire system. >> It's going to get that ground truth, too, and again, the local areas. >> Yeah. >> The big walk away, what, about vaccines. This is important to track it from the origination to destination and making sure it all kind of matches up. >> Making sure, first of all, you don't have any data on exactly where they're going because this box is just carried by hand. And the pharmaceutical companies, once they ship the vaccines into Uganda, after that, they don't provide any data on what's going on. So that data is also important, and it's also, you want to know when does the system break because often in last end, when the vaccines are actually administered, they've already gone out of their cold chain cycle, and so they don't work anymore. >> That's a great story. How 'about your story? This is a good one. This is a real practical one for people with diabetes. Talk about, first of all, show the product 'cause it's always good to a little live prop there. So turn, yeah, there it is. So what is that? >> So this is an open-source hardware board. It's actually got an Intel Edison on the back side. But what this does is, it talks to my insulin pump and my continuous glucose monitor, brings the data together, runs it through an algorithm, and sends commands back to the insulin pump to tell it what to do. So this is what we call a close-loop system where we have the computer doing the math instead of the human with diabetes doing the math several times throughout the day. >> And does it do auto-injections as well? So it kind of feeds the glucose levels as well? So it's data-- >> Right. So the insulin pump is automatically dosing the insulin, and we also have a continuous feed of the blood sugar every five minutes as well. >> And that's what you mean by close-loop. >> Exactly. >> For people have these monitors, they have remotes, statistics. Does it talk to a device as well? The mobile device, how does that work? >> Yeah, so I can glance down at my watch and see how I'm doing, on my phone. My loved ones, wherever they are, can see how things are going. So if they need to intervene, they're able to do that remotely. So it really provides peace of mind as well as a lot better outcomes for those of us living with Type I diabetes. >> And what was the motivation here, to get involved deeply in this project? >> It was really selfish, I wanted to sleep, and I couldn't hear my CGM alarm, my glucose alarm. And so my project actually started of, just get the data off to make a louder alarm. And then we built an algorithm that allowed us to look into the future and do proactive alarms. And then we worked with other people to actually communicate with the insulin pump, and that's how we progressed to closing the loop. And because I've been helped so much by other people in open-source, it was a no-brainer to also make our work open-source. >> And so you open-source everything. What other progress can you share? I mean, you have predictive analytics that tell you that, "OK, I'm going to go for a hike soon, "so therefore, I'm going to do this," and all kinds of cool data gathering. Does that play into it? Is it a lifestyle and-- >> Absolutely. >> So it's like a FitBit meets close-loop. (Women laugh) >> It's more like taking standard medical devices and boosting their capacities with the help of computing technologies. It's not fancy machine learning. It's the same math a person with diabetes would do, but the benefit is, it's automated to go every five minutes, and it doesn't fall asleep, it doesn't get lazy, it doesn't round up or vary down. It's going to be giving really precise increments so that when your situation changes, you skip a meal that you though you were going to eat, you're going to go hiking, for whatever reason, if you're going up or down more than expected, it can react instantaneously and much better than a human can. >> I'm so glad you're doing that, too. How does someone get involved with this project? Obviously, it's open-source software, but you have devices. Is it in market? Is there? >> So this is an open-source project because we are not a company, so we cannot distribute medical devices. That's frowned upon by the FDA. And so this is an open-source DIY project for people who want to get involved either to help with the project or build one themselves. They can go to OpenAPS.org. We've written a plain language reference design to help anybody, whether you're a person with diabetes, a loved one, a healthcare provider, a researcher or developer understand how the system works, and then that leads you to the documentation of how to build one as well as to the code where anybody can get involved and help out. >> So that's the loophole, (Dana laughs) to say it plainly, get around that whole being a company. You build your own. >> Yes. >> So that's the way, that's here. OK, great, so congratulations. So where's this all going? This is fantastic, this story. How many other people are involved in the program that you have? Share more about how people can get involved, too. >> This is our fourth year of having the program, and we're really just thrilled with the quality of the nominations. We had over 100 nominations. Our judges then narrowed the field down to 10, and then the community selected the winners. We don't really see an end to this. We just see the community adding and growing organically. So one thing we did this time is, we introduced our winners to our CO.LAB students, and so now they're creating a network. And that network density is just increasing and improving and, I think, getting stronger. >> It's really amazing. And one thing I've always loved about open-source, and you guys see the benefit of it, obviously, with winning and succeeding, is that democratization and community are coming together at a whole nother level. And I think what's interesting about the projects that you guys have is, you got good things happening with tech. So it's tech for good. But since Obama put the Jobs Act in, means fund these projects now as entrepreneurial ventures and be mission-driven OFFLEM. You don't have to do it as a non-profit. So we're seeing a huge growth in entrepreneurial activity around tech for good on projects that would never would funded before. So you're seeing a whole nother generation of great tools and technologies saying, "Hey, let's solve a problem." >> Yeah, and I think that's one of thing I love about us both being in healthcare is, it really shows that there's amazing applications. We can take this technology and apply it in healthcare and do it in different ways, and it doesn't have to be a company right away. It doesn't have to be either a for profit or non for profit. There's a lot of ways open-source is bringing people together to solve the very problems we need to be solving. >> Do you feel good that you built something great like that, and think now you got people using the software? What's the feeling like? >> Oh, it's just incredibly rewarding. I mean, myself, I just have the peace of mind to be able to go to sleep at night. That is a priceless feeling, but then when I hear other people using it, they build the project for different reasons. Some, they want to be able to remotely monitor their loved ones. Others are doing it for their children so that they have better health outcomes. But there's just these amazing stories outpouring from the community. And to me, that's the beauty of open sources. You can really apply it however you need to apply it to your lifestyle. >> Where can someone get involved in your project? Is there like a GitHub repository? >> Yep. >> Is there a site? >> Everything's on GitHub for us, but I would go to OpenAPS.org first. It links to the documentation and the code where people can connect. >> OpenAPS.org. >> That's right. >> OK, great. How 'about your project? How do people get involved with what you're doing? >> Ours is on GitHub right now, so you can get involved through there. But I guess we're kind of right now developing in the backend stages. Soon we'll be at that stage where you can contribute more. And right now, we've just been using other open-source libraries and kind of contributed in that way. But actually, we talked earlier about how do you get involved in open-source, and especially being a student, I kind of fell into coding because of open-source in a sense >> Working on your project? where, yeah, yeah, yeah. So coming into college, I wanted to apply the engineering concepts I was learning in the classroom, and I got involved in a lot of entrepreneurship on campus, and through that, I was asked to make a front-end interface, and I didn't really know how to go about doing that. So then I found an open-source library stumbling around that was doing a similar thing. And that's how I kind of taught myself, and then from there, I branched out and learned more and more. And I think for any budding student, budding entrepreneur, open-source is a great way to take your ideas further. And my interest is in healthcare, so that's where I went, but anyone could have an idea, "Oh, I want to start this business in this way." And they might not think that open-source is a way to go about doing that, but it is a great way to learn more. >> It's a good way to change a lot of things, not just career or projects. >> Yeah. >> There's a nonlinear progression of learning happening. You can come in, you're stumbling around, quote, learning. >> Yeah, yeah. >> It's not like chapter one course, online course. Go to chapter two. >> Right, that is true. >> There's a YouTube, there's stuff on GitHub, open-source. There's people involved. This points to a whole new generational shift. >> It is. >> Of learning, connecting, you're tapping into it. >> It's so exciting because she's the role model we're talking about. We want girls to see that you can become a coder later. You don't have to necessarily start-- >> She's 14, she'd coding in unity. >> Yeah! >> I tell a soliloquy, great. (Delisa laughing) Do some smart contracts and get the bobchain action. (Delisa laughing) Bobchain's the future, you're the Bitcoin in intheoreum. Some cool stuff. >> Yeah. Congratulations, thanks for doing this. >> Thank you very much. >> Very inspirational, and thanks for sharing the story on theCUBE, and keep in touch, thanks for coming, appreciate it. >> Thank you. >> Thanks for having us. >> Great women in tech, great leaders doing some great stuff. Award winners, celebrities here on theCUBE. I'm John Furrier. Be back with more live coverage after this short break. (electronic musical flourish)

Published Date : May 11 2018

SUMMARY :

Brought to you by Red Hat. Welcome to theCUBE. Did I get that right? OK, winner of the Open Source Academic Award So congratulations, you guys are all award winners. And so, one of the things we thought we could do is What are you studying? (Delisa laughing) First question is, how do you in a block chain impact? And if you can pinpoint that, And so after interviewing, I kind of came up with the idea and again, the local areas. from the origination to destination and it's also, you want to know when does the system break 'cause it's always good to a little live prop there. and sends commands back to the insulin pump and we also have a continuous feed of the blood sugar Does it talk to a device as well? So if they need to intervene, just get the data off to make a louder alarm. And so you open-source everything. So it's like a FitBit meets close-loop. but the benefit is, it's automated to go every five minutes, but you have devices. and then that leads you to the documentation So that's the loophole, (Dana laughs) in the program that you have? and so now they're creating a network. and you guys see the benefit of it, obviously, and it doesn't have to be a company right away. And to me, that's the beauty of open sources. and the code where people can connect. How do people get involved with what you're doing? and kind of contributed in that way. and I didn't really know how to go about doing that. It's a good way to change a lot of things, You can come in, you're stumbling around, Go to chapter two. This points to a whole new generational shift. connecting, you're tapping into it. You don't have to necessarily start-- Bobchain's the future, you're the Bitcoin in intheoreum. Yeah. and thanks for sharing the story on theCUBE, Be back with more live coverage after this short break.

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