(bright, upbeat music playing) >> Hello, Brilliant Cloud community and welcome back to AWS re:Invent, where we are live all day everyday from the show floor, here in Las Vegas, Nevada. I'm Savannah Peterson joined by my beautiful co-host, Lisa Martin here on theCUBE. Lisa, you're smiling, you're radiating, day three, you would think it was day one. How you doing? >> Amazing. I can't believe the energy that has been maintained >> It's been a theme. on this show floor, since Monday night at 4:00 pm. >> I know, and I kind of thought today we might see some folks trickling out. It is packed, as our guests and I were, we were all just talking about, right before the segment, almost too packed which is a really great sign for AWS. >> It is. We're hearing north of 55,000 people here. And of course, we only get a little snapshot of what's at the Venetian. >> Literally this corner, yeah. We don't get to see anything else around The Strip, that's going on, so it's massive. >> Yeah, it is very massive. I'm super excited. We've got two guests from Infosys with us on this last segment from this stage today. David and Anant, welcome to the show. How you doing? >> Awesome. >> You're both smiling and I am really excited. We have our first prop of the show, (David and Anant laughing) and it's a pretty flashy, sexy prop. Anant, what's going on here? >> Oh, so this is something that we are very proud of. Last year we won one award, which was very special for us because it was our first award with AWS, and that was, "The Industry Partner of The Year Award." And on the back of that, this year we won three awards and this is super awesome for us, because all of them are very special. One was in collaboration, second was in design, and third was in sustainability. So we are very proud, and we thank AWS, and it's a fantastic partnership. >> Yeah, congratulations. >> Anant: Yes. I mean that's huge. >> Yes, it's absolutely huge. And the second one is, we are the Launch Partner for MSK, which again is a very proud thing for us. So I think those are the two things that we wanted to talk about. >> How many awards are you going to win next year then? (all laughing) >> We want to target more than three. (Savannah chuckles) >> Keep it going up. >> Probably five, right? >> So it's the odd numbers, one, three, five, seven, ten. Yeah. Yeah. Yeah. >> Savannah: There you go. >> I think we got that question last year and we said we'd get two, and we ended up over-delivering with three, so who knows? >> Hey, nothing wrong with setting the bar low and clearing it. And I mean, not setting it low, setting it with one and clearing it with three is pretty fantastic. We talk about it as an ego thing sometimes with awards and it feels great for internal culture, but David, what does it mean on the partnership side to win awards like that? >> So what's really important for us with our partners is to make sure that we're achieving their goals, and when their goals are achieved in our partnership it's just the byproduct that we're achieving our own with our clients. The awards are a great representation of that to see, you know, again, being recognized in three different categories really shows that we've had success with AWS, and in turn, you know, Anant and I can attest to it. We've been very successful at the partnership on our side. >> Yeah, and I bet it's really exciting for the team. Just speaking for Energy (indistinct) >> And there's celebration, you know, there's been a few cocktails being raised... >> Has there? In Las Vegas? >> David: I know. Cocktails? >> Lisa Martin: Shocking! I'm shocked! >> Lisa Martin: I know! (all laughing) I wouldn't mind one right now to be really, really honest. Let's dig into the product a little bit. Infosys Cobalt. What's the scoop, Anant? >> Yeah, so first of all, we were the first ones to actually launch a Cloud brand called Cobalt, right? We were the first ones in the world. In fact, one of our competitor followed us soon after. So essentially what we did was we brought all our Cloud offerings into one brand called Cobalt. It becomes very clear to our customers on what our proposition is. It is very consistent to the market in terms of what our narrative is. And it's a little easy for our customers to understand what we bring to the table. So Cobalt is not one product or what one platform it's a set of services, solutions and platforms that we bring to accelerate customer's journey where they're leveraging Cloud. So that's what Cobalt is. >> Awesome, everyone wants to do everything faster. >> Yes. >> Lisa Martin: Yeah. >> And the booth was packed. I walked by earlier, it was absolutely buzzing. >> Yes. >> Yeah. Nobody wants to do, you know, wants less data slower. >> Anant: Yes. (Savannah laughs) >> It's always more faster. >> Anant: More faster. And we're living in this explosion unlike anything this swarm of data unlike anything that we've ever seen before. Every company, regardless of industry has to be a data company. >> Anant: Yes. But they have to be able to work with the right partners to extract, to first of all harness all that data, extract insights in real time, because of course on the consumer side we're not patient anymore. >> Anant: Yes. We expect a personalized, realtime, custom experience. >> Anant: Absolutely. >> How do you work with AWS to help deliver that and how do the partners help deliver that as well? >> Well I'll start with on the partner side of it. You walk through the hallways here or down the aisles you see partners like MongoDB, Snowflake, Databricks and such, they're all attesting their commitment and their strong partnership with AWS, and coincidentally they're also very good partners of our own. And as a result... >> Savannah: One big happy family here at AWS when you met. >> And this is something that I'm calling, coining the phrase sub-ecosystems. These are partnerships where one is successful with each other, and then the three come together, and we go together with an integrated solution. And it's really taking off. It's something that's really powerful. The fun thing about re:Invent here is isn't just that we're having amazing discussions with our clients and AWS, but we're also having with the other partners here about how we can all work together so... And data analytics is a big one, security is another hot one-- >> Lisa Martin: Security is huge. >> Savannah: Yeah. Cost optimization from the start. >> Absolutely. And Ruba was saying this, right? Ruba said, like she was giving example of a marathoner. Marathon is not a single man or a single woman sport, right? So similarly Cloud journey is a team's, sort of you know, team journey, so that's why partners play a big role in that and that's exactly what we are trying to do. >> So you guys get to see a lot of different companies across a lot of different industries. We're living in very interesting times, how do you see the Cloud evolving? >> Oh, yeah. So what we did when we launched Cobalt in 2020 we have now evolved our story. We call it Cobalt 2.0. And essentially what we wanted to do was to focus on industry Clouds. So it's not just about taking a workload and moving it from point A to point B or moving data to Cloud or getting out of data centers, but it's also being very specific to the industry that this specific customer belongs to, right? So for example, if we go to banking they would say we want to better our security posture. If we go to a retailer they want to basically have smart stores. If we go to a manufacturing customer they want to have a smart factory. So we want to make sure that there are specific industry blueprints and specific reference architectures that we bring and start delivering outcomes. So we call it something called... >> Savannah: I know you're hot on business outcomes. >> Yes. >> Savannah: Yes. So we call it something called the link of life forces. So there are six technologies; Cloud, Data, Edge, IOT, 5G, and AI. They will come together to deliver business outcomes. So that's where we are heading with Cobalt 2.0, And that's essentially what we want to do with our customers. >> Savannah: It's a lot to think about. >> Yes. >> David: Yes. >> And, yeah, go for it David. >> I was just saying from a partnering perspective, you know prior to Cloud, we were talking about transactional type businesses where if you ask a technology company who their partner is its generally a reseller where they're just basically taking one product and selling it to their client. What's happened with cloud now it's not about the transaction upfront it's about the actual, you know, the consumption of the technology and the bringing together all of these to form an outcome, it changes the model dramatically, and quite honestly, the global system integrators like Infosys are in great position because we can pull that together to the benefit of our partners, put our own secret sauce around it and take these solutions to market and drive consumption because that's what the Cloud's all about. >> Right. Well, how are you helping customers really treat Cloud as a strategic focus? You know we often hear companies talk about we're Cloud first. Well not everything belongs in the Cloud. So then we hear companies start talking about being Cloud smart. >> Anant: Yes. How are you helping, and so we'll go with that. How are you helping enterprises really become Cloud smart and where is the partner angle? So we'll start with you and then we'll bring the partner angle in. >> Oh yeah, big time. I think one of the things that we have been educating our customers is Cloud is not about cost takeout. So Cloud is about innovation, Cloud is about growth. And I'll give two examples. One of the beauty products companies they wanted to set up their shop in US and they said that, you know, "we don't have time to basically buy the infrastructure, implement an ERP platform, and you know, or roll it out, test it and go into production. We don't have so much time. Time to market is very important for us." And they embarked on the Cloud journey. So expanding into new market, Cloud can play a big role. That is one of the ways to expand and you know, grow your business. Similarly, there is another company that they wanted to go into retail banking, right? And they didn't have years to launch a product. So they actually use AWS and it's a joint Infosys and AWS customer. A pretty big bank. They launched retail banking and they did it in less than six months. So I think these are some of the examples of cloud not being cost takeout but it's about innovation and growth. So that's what we are trying to tell customers. >> Savannah: Big impacts. >> Big impact. Yes, absolutely. >> And that's where the Cobalt assets come into play as well. You know, as Anant mentioned, we have literally thousands of these industries specific and they're derived in a lot of cases in partnership with the companies you see down the aisles here, and AWS. And it accelerates the deployments and ensures a successful adoption, more so than before. You know, we have clients that are coming to us now that used to buy, run their own procurement. You know they would have... Literally there was one bank that came to us with a over a hundred products >> The amount of work. I'm just seeing it... >> A list of a hundred products. Some they bought directly from a vendor, some they went through a distributor, some they went through a reseller and such, >> Savannah: It's so ad-hoc. And they're looking at this in a completely different way and they're looking to rationalize those technologies, again, look for companies that will contract for a business outcome and leverage the cloud and get to that next era, and it's a fun time. We're really excited. >> I can imagine you're really a part of the transformation process for a lot of these companies. >> Anant: Absolutely. Anant when we were chatting before we went live you talked about your passion for business outcomes. Can you give us a couple examples of customers or business outcomes that really get you and the team excited? Same thing to you David, after. >> Well, absolutely. Even our contractual structures are now moving into business outcomes. So we are getting paid by the outcomes that we are delivering, right? So, one of the insurance customers that we have we actually get paid by the number of claims that we process, right? Similarly there is a healthcare customer where we actually get paid by the number of customers that we cater to from a Medicare and Medicaid standpoint, right? >> Savannah: Tangible results processed and projected-- >> Successful process of claims. >> Interesting. >> Anant: Exactly. >> Yeah. (indistinct) reality. >> Yeah, reality, (chuckles) What a novel idea. >> Yeah. (Savannah and Lisa chuckle) >> One of the great examples you hear about airplane engines now that the model is you don't buy the engine, you basically pay for the hours that it's used, and the maintenance and the downtime, so that you take the risk away. You know, you put that in the context of the traditional business. You're taking away the risk of owning the individual asset, the maintenance, any of the issues, the bug fixes. And again, you're partnering with a company like Infosys, we'll take on that based upon our knowledge and based upon our vast experience we can confidently contract in that way that, you know, years ago that wasn't possible. >> Savannah: It's kind of a sharing economy at scale style. >> David: Exactly. >> Anant: Absolutely. >> Yeah, which is really exciting. So we have a new challenge here on theCUBE this year at re:Invent. We are looking for your 32nd Instagram real sizzle soundbite. Your hot take, your thought leadership on the biggest theme or most important thing coming out of this year's show. David, we'll start with you. We've been starting with Anant, so I'm going to go to you. We're making eye contact right now so you're in the hot seat. (all laugh) >> Well, I think there was a lot of time given to sustainability on the stage this week, and I think that, you know, every CEO that we talk to is bringing that up as a major priority and that's a very important element for us as a company and as a service provider. >> Savannah: I mean, you're obviously award winning in the sustainability department. >> Exactly. Nice little plug there. >> Yeah. >> You know, and I think the other things that have come up we saw a lot about data analytics this week. You know, I think new offerings from AWS but also new partnerships that we're going to take advantage of. And again, security has been a hot topic. >> Absolutely. Anant, what's your hot take? >> Yeah. I think one very exciting thing for partners like us is the re-imagining that is being done by Ruba for the partners, right? The AWS marketplace. I think that is a big, big thing that I took out. Of course, sustainability is huge. Like Adam said, the fastest way to become sustainable is to move to Cloud, right? So rather than overthinking and over-engineering this whole topic just take your workloads and move it to Cloud and you'll be sustainable, right? So I think that's the second one. And third is of course cybersecurity. Zscaler, Palo Alto, CrowdStrike, these are some of the big companies that are at the event here, and we have been partnering with them. Many more. I'm just calling out three names, but many more. I think cybersecurity is the next one. So I think these are three on top of my mind. >> Just a few things you casually think about. That was great. Great responses from both of you Anant, David, such a pleasure to have you both with us. We hope to have you back again. You're doing such exciting things. I'm sure that everything we talked about is going to be a hot topic for many years to come as people navigate the future as well as continue their business transformations. It is always a joy to sit next to you on stage my dear. >> Likewise. And thank all of you, wherever you're tuning in from, for joining us here at AWS re:Invent live from Las Vegas, Nevada. With Lisa Martin, I'm Savannah Peterson, and for the last time today, this is theCUBE, the leader in high tech coverage. (bright, upbeat music playing)

>>And good afternoon. Welcome back here on the Cub as to continue our coverage at aws Reinvent 22, win the Venetian here in Las Vegas, day two, it's Wednesday. Thanks. Still rolling. Quite a along. We have another segment for you as part of the Global Startup program, which is under the AWS Startup Showcase. I'm joined now by Vink at Viera, who is the CEO and co-founder of R Set. And good to see you, >>Sir. Thanks for having me here. Yeah, >>No, a real pleasure. Looking forward to it. So first off, for some of, for yours who might not be familiar with Roxette, I know you've been on the cube a little bit, so you're, you're an alum, but, but why don't you set the stage a little bit for Rock set and you know, where you're engaged with in terms of, with aws? >>Definitely. Rock Set is a realtime analytics database that is built for the cloud. You know, we make realtime applications possible in the cloud. You know, realtime applications need high concurrency, low latency query processing data needs to be fresh, your analytic needs to be fast. And, you know, we built on aws and that's why we are here. We are very, very proud partners of aws. We are in the AWS Accelerate program, and also we are in the startup program of aws. We are strategic ISV partner. And so yeah, we make real time analytics possible without all the cost and complexity barriers that are usually associated with it. And very, very happy to be part of this movement from batch to real time that is happening in the world. >>Right. Which is certainly an exciting trend. Right. I know great news for you, you made news yesterday, had an announcement involved with the intel with aws, who wants to share some of that >>With us too? Definitely. So, you know, one, one question that I always ask people is like, you know, if you go perspective that I share is like, if you go ask a hundred people, do you want fast analytics on fresh data or slow analytics on stale data? You know, a hundred out of a hundred would say fast and fresh, right? Sure. So then the question is, why hasn't this happened already? Why is this still a new trend that is emerging as opposed to something that everybody's taking for granted? It really comes down to compute efficiency, right? I think, you know, at the end of the day, real time analytics was always in using, you know, technologies that are, let's say 10 years ago using let's say processors that were available 10 years ago to, you know, three cloud, you know, days. There was a lot of complexity barriers associated with realtime analytics and also a lot of cost and, and performance barriers associated with it. >>And so Rox said from the, you know, from the very beginning, has been obsessing about building the most compute efficient realtime database in the world. And, you know, AWS on one hand, you know, allows us to make a consumption based pricing model. So you only pay for what you use. Sure. And that shatters all the cost barriers. But in terms of computer efficiency, what we announced yesterday is the Intel's third generation Zon scalable processors, it's code named Intel Ice Lake. When we port it over Rock said to that architecture, taking advantage of some of the instructions sets that Intel has, we got an 84% performance boost, 84, 84, 84. >>It's, it's incredible, right? >>It's, it's an incredible charts, it's an incredible milestone. It reduces the barrier even more in terms of cost and, you know, and, and pushes the efficiency and sets a, a really new record for how efficient realtime, you know, data processing can be in the cloud. And, and it's very, very exciting news. And so we used to benchmark ourselves against some of our other, you know, realtime, you know, did up providers and we were already faster and now we've set a, a much, much higher bar for other people to follow. >>Yep. And, and so what is, or what was it about real time that, that, you know, was such a barrier because, and now you've got the speed of, of course, obviously, and maybe that's what it was, but I think cost is probably part of that too, right? That's all part of that equation. I mean, real time, so elusive. >>Yeah. So real time has this inherent pattern that your data never stops coming. And when your data never stops coming, and you can now actually do analytics on that. Now, initially people start with saying, oh, I just want a real time dashboard. And then very quickly they realize, well, the dashboard is actually in real time. I'm not gonna be staring at the 24 7. Can you tap on my shoulder when something is off, something needs to be looked at. So in which case you're constantly also asking the question, is everything okay? Is everything all right? Do I need to, is is that something that I need to be, you know, double clicking on and, and following up on? So essentially very quickly in real time analytics, what happens is your queries never stop. The questions that you're asking on your data never stops. And it's often a program asking the question to detect anomalies and things like that. >>And your data never stops coming. And so compute is running 24 7. If you look at traditional data warehouses and data lakes, they're not really optimized for these kinds of workloads. They're optimized to store massive volumes of data and in a storage efficient format. And when an analyst comes and asks a question to generate a report, you can spin up a whole bunch of compute, generate the report and tear it all down when you're done. Well, that is not compute running 24 7 to continuously, you know, you know, keep ingesting the data or continuously keep answering questions. So the compute efficiency that is needed is, is much, much, much higher. Right? And that is why, you know, Rox was born. So from the very beginning, we're only built, you know, for these use cases, we have a, an extremely powerful SQL engine that can give you full feature SQL analytics in a very, very compute efficient way in the cloud. >>Right. So, so let's talk about the leap that you've made, say in the last two years and, and, and what's been the spur of that? What has been allowed you to, to create this, you know, obviously a, a different kind of an array for your customers from which to choose, but, but what's been the spark you think >>We touched upon this a little earlier, right? This spark is really, you know, the world going from batch to real time. So if you look at mainstream adoption of technologies like Apache, Kafka and Confluent doing a really good job at that. In, in, in growing that community and, and use cases, now businesses are now acquiring business data, really important business data in real time. Now they want to operationalize it, right? So, you know, extract based static reports and bi you know, business intelligence is getting replaced in all modern enterprises with what we call operational intelligence, right? Don't tell me what happened last quarter and how to plan this quarter better. Tell me what's happening today, what's happening right now. And it's, it's your business operations using data to make day to day decisions better that either grows your top line, compresses your bottom line, eliminates risk that are inherently creeping up in your business. >>Sure. You know, eliminate potential churn from a customer or fraud, you know, deduction and, and getting on top of, you know, that, you know, a minute into this, into, into an outage as opposed to an hour into the outage. Right? And so essentially I think businesses are now realizing that operational intelligence and operational analytics really, you know, allows them to leverage data and especially real time data to make their, you know, to grow their businesses faster and more efficiently. And especially in this kind of macro environment that is, you know, more important to have better unit economics in your business than ever before. Sure. And so that is really, I think that is the real market movement happening. And, and we are here to just serve that market. We are making it much, much easier for companies that have already adopted, you know, streaming technologies like Kafka and, and, and knows Canis MSK and all these technologies. Now businesses are acquiring these data in real time now. They can also get realtime analytics on the other end of it. Sure. >>You know, you just touched on this and, and I'd like to hear your thoughts about this, about, about the economic environment because it does drive decisions, right? And it does motivate people to look for efficiencies and maybe costs, you know, right. Cutting costs. What are you seeing right now in terms of that, that kind of looming influence, right? That the economy can have in terms of driving decisions about where investments are being made and what expectations are in terms of delivering value, more value for the buck? >>Exactly. I think we see across the board, all of our customers come back and tell us, we don't want to manage data infrastructure and we don't want to do kind of DIY open source clusters. We don't wanna manage and scale and build giant data ops and DevOps teams to manage that, because that is not really, you know, in their business. You know, we have car rental companies want to be better at car rentals, we want airlines to be a better airline, and they don't, don't want their, you know, a massive investment in DevOps and data ops, which is not really their core business. And they really want to leverage, you know, you know, fully managed and, you know, cloud offerings like Rock said, you know, built on aws, massively scalable in the cloud with zero operational overhead, very, very easy to get started and scale. >>And so that completely removes all the operational overhead. And so they can invest the resources they have, the manpower, they have, the calories that they have on actually growing their businesses because that is what really gonna allow them to have better unit economics, right? So everybody that is on my payroll is helping me grow my top line or shrink my bottom line, eliminate risk in my business and, and, and, and churn and, and fraud and other, and eliminate all those risks that are inherent in my business. So, so that is where I think a lot of the investments going. So gone are the days where, you know, you're gonna have these in like five to 10% team managing a very hard to operate, you know, open source data management clusters on EC two nodes in, in AWS and, and kind of DIYing it their way because those 10 people, you know, if all they do is just operational maintenance of infrastructure, which is a means to an end, you're way better off, you know, using a cloud, you know, a bond in the cloud built for the cloud solution like rock and eliminate all that cost and, and replace that with an operationally much, much simpler, you know, system to op, you know, to to work with such as, such as rock. >>So that is really the big trend that we are seeing why, you know, not only real time is going more and more mainstream cloud native solutions or the real future even when it comes to real time because the complexity barrier needs to be shattered and only cloud native solutions can actually, >>You get the two Cs cost and complexity, right. That you, you need to address. Exactly. Yeah, for sure. You know, what is it about building trust with your, with your clients, with your partners? Because you, you're talking about this cloud environment that, that everyone is talking about, right? Not everyone's made that commitment. There are still some foot draggers out there. How are you going about establishing confidence and establishing trust and, and, and providing them with really concrete examples of the values and the benefits that you can provide, you know, with, with these opportunities? >>So, you know, I grew up, so there's a few ways to to, to answer this question. I'll, I'll, I'll come, I'll cover all the angles. So in, in order to establish trust, you have to create value. They, you know, your customer has to see that with you. They were able to solve the problem faster, better, cheaper, and they're able to, you know, have a, the business impact they were looking for, which is why they started the project in the first place. And so establishing that and proving that, I think there's no equivalence to that. And, you know, I grew up at, at, you know, at Facebook back in the day, you know, I was managing online data infrastructure, okay. For Facebook from 2007 and 2015. And internally we always had this kind of culture of all the product teams building on top of the infrastructure that my team was responsible for. >>And so they were not ever, there was never a, a customer vendor relationship internally within Facebook that we're all like, we're all part of the same team. We're partnering here to have you, you know, to help you have a successful product launch. There's a very similar DNA that, that exists in Rock said, when our customers work with us and they come to us and we are there to make them successful, our consumption based pricing model also forces us to say they're not gonna really use Rock said and consume more. I mean, we don't make money until they consume, right? And so their success is very much integral part of our, our success. And so that I think is one really important angle on, you know, give us a shot, come and do an evaluation, and we will work with you to build the most efficient way to solve your problem. >>And then when you succeed, we succeed. So that I think is a very important aspect. The second one is AWS partnership. You know, we are an ISV partner, you know, AWS a lot of the time. That really helps us establish trust. And a lot of the time, one of the, the, the people that they look up to, when a customer comes in saying, Hey, what is, who is Rock? Said? You know, who are your friends? Yeah. Who are your friends? And then, you know, and then the AWS will go like, oh, you know, we'll tell you, you know, all these other successful case studies that R has, you know, you know, built up on, you know, the world's largest insurance provider, Europe's largest insurance provider. We have customers like, you know, JetBlue Airlines to Klarna, which is a big bator company. And so, so all these case studies help and, and, and, and platform and partners like AWS helps us, helps you amplify that, that, you know, and, and, and, and, and give more credibility. And last but not least, compliance matters. You know, being Soto type two compliant is, is a really important part of establishing trust. We are hip hop compliant now so that, you know, we can, you know, pi I phi data handling that. And so I think that will continue to be a part, a big part of our focus in improving the security, you know, functionality and, and capabilities that R set has in the cloud, and also compliance and, and the set of com, you know, you know, standards that we are gonna be compliant against. >>Well, I'm glad you hit on the AWS too, cause I did wanna bring that up. I, I appreciate that and I know they appreciate the relationship as well. Thanks for the time here. It's been a pleasure. Awesome. Learning about Rockette and what you're up to. Thank you. >>You bet. >>It's a pleasure. Thank you. Vi ka. All right. You are watching the cube coverage here at AWS Reinvent 22. And on the cube, of course, the leader, the leader in high tech coverage.

>> Welcome back to Los Angeles. TheCUBE is live. I can't say that enough. The cube is live. We're at KubeCon Cloud Native Con 21. We've been here all day yesterday, and today and tomorrow I'm talking with lots of guests, really uncovering what's going on in the world of Kubernetes. Lisa Martin, here with Dave Nicholson. We've got some folks. Next we're going to be talking about a customer use case, which is always one of my favorite things to talk about. Please welcome Micah Coletti, the principal platform engineer at CHG healthcare, and Venkat Ramakrishnan VP of products from Portworx by Pure Storage, guys welcome to the program. >> Thank you. >> Happy to be here. >> Yeah. So Micah, first of all, let's go ahead and start with you. Give the audience an overview of CHG healthcare. >> Yeah. So CHG healthcare, we're a staffing company. So we try like a little companion. So our clients are doctors and hospitals, so we help staff hospitals with temporary doctors or even permanent placing. So we deal with a lot of doctors, a lot of nursing and we're a combination of multiple companies. So CHG is the parent. So, and yeah, we're known in the industry as one of the leaders in this field and providing hospitals with high quality doctors and nurses. And, you know, our customer service is like number one, and one of the things our CEO is really focused on is now how do we make that more digital? How do we provide that same level of quality of service, but a digital experience as rich for her. >> I can imagine it was a massive need for that in the last 18 months alone. >> COVID definitely really raised that awareness up for us and the importance of that digital experience and that we need to be out there in the digital market. >> Absolutely. So you're a customer port works by pure storage, we're going to get into that, but then Venkat talk to us about what's going on, the acquisition of port works by pure storage was about a year ago. Talk to us about your VP of products what's going on. >> Yeah, I mean, you know, first of all, I think I could not say how much of a great fit for a Portworx will be part of pure storage, it's, pure itself is a very fast moving, large startup that's a dominant leader in the flash and data center space, and, you know, pure recognizes the fact that Kubernetes is the new operating system of the cloud is not how, you know, it's kind of virtualizing the cloud itself, and there's a, you know, a big burgeoning need for data management and Kubernetes and how you can kind of orchestrate workloads between your on-prem data centers and the cloud and back. So Portworx fits right into the story as complete vision of data management for our customers, and it's been phenomenal. Our business has grown as part of being part of a pure, and you know, we're looking at launching some new products as well, and it's all exciting times. >> So you must've been pretty delighted to be acquired as a startup by essentially a startup because, because although pure has reached significant milestones in the storage business and is a leader in flash storage still that that startup mindset is absolutely unique. That's not, that's not the same as being acquired by a company that's been around for a hundred years seeking to revitalize itself. >> Absolutely. >> Can you talk a little bit about that aspect? >> Yeah, So I think, you know, purist culture is a highly innovation-driven and it's a very open, flat culture, right? I mean, it's, everybody in pure is accessible. It can easily have a composition with folks and everybody has his learning mindset and Portworx is and has always been the same way. Right? So when you put these teams together, if we can create wonders, I mean, we right after the acquisition, just within a few months, we announced an integrated solution that portworx orchestrates volumes and file shares in pure splash products and then delivers as an integrated solution for our customers, and pure has a phenomenal cloud-based monitoring and management system called pure one that we integrated well into. Now, we're bringing the power of all of the observability that pure's customers are used to for all of the corporate customers, and I've been super happy, you know, delegating that capability to our customers and our customers are delighted. Now they can have a complete view all the way from Kubernetes app to the flash. and I don't think any one company in the planet can even plan they can do that. >> I think it's fair to acknowledge that pure one was observability before observability was a word that everyone used regularly. >> Yep. >> Sounds very interesting. >> Micah Talk to us about, obviously you are a customer. CHG is a customer of Portworx now Portworx by Pure Storage. Talk to us about the use case. What, what was the compellent? Was there a compelling event and from a storage perspective that led you to Portworx in the first place. >> So we beat, they began this, our CEO base came to the vision, we need to have a digital presence we need enhances. and this was even before COVID. So they brought me on board and my, my manager read glossary. We basically had this task to, how are we going to get out into the cloud? How are we going to make that happen? And we chose to follow a very much a cloud native strategy and the platform of choice, I mean, it just made sense with Kubernetes. And so when we were looking at Kubernetes, we were starting to figure out how we're doing. We knew that data is going to be a big factor. You know, being a, provide data. We're very much focused on an event driven. We're really pushing to event driven architecture. So we leverage Kafka on top of Kubernetes, but at the time we were actually leveraging Kafka with a MSK down, out in AWS, and that was just a huge cost to us. So I came on board, I had experienced with Portworx, a prior company before that, and I basically said, we need to figure out a great storage relay overlay. and the only way to do is we got to have high performance storage, we've got to have secure. We got to be able to backup and recover that storage. And the Portworx was the right match. And that allowed us to have a very smooth transition off of MSK onto Kubernetes saving us a significant amount of money per month, and just leverage that already existing hardware that our existing compute memory and just, and the, and move right to Portworx. >> Leveraging your existing investments. >> Exactly. >> Which is key, >> Very key, very key so. >> So how common are the challenges that when you guys came together with CHG, how common are the challenges? >> It's actually a, that's a great question. You know, this is, you know, I'll tell you the challenges that Micah and his team are running into is what we see a lot in the industry where people pay a ton of money, you know to other vendors are, you know, especially in some cases use some cloud native services, but they want to have control over the data. They want to control the cost and they want higher performance and they want to have, you know, there's also governance and regulatory things that they need to control better. So they want to kind of bring these services and have more control over them. Right? So now we will work very well with all of our partners, including the cloud providers, as well as, you know, on-prem and server vendors and everybody, but different customers have different kinds of needs. And Portworx gives them that flexibility. If you are a customer who want, you know, have a lot of control over your applications, the performance, the latency, and want to control costs very well and leverage your existing investments Portworx can deliver that for you in your data center. Right now, you can integrate that with pure slash and you get a complete solution, or you want to run it in cloud, and you still want to have leverage the agility of the cloud and scale Portworx delivers a solution for you as well. So it kind of not only protects their investment its future proves their architecture, you get future proving your architecture completely. So if you want to tear the cloud or burst the cloud, you have a great solution that you can continue to leverage >> Micah, when you hear future-proof and I'm a marketer. So I always go, I love to know what it means to different people. What does that mean to you in your environment? >> My environment. So a future-proof means like one of the things we've been addressing lately, that's just a real big challenge. And I'm sure it's a challenge in the industry, especially the Q and A's is upgrading our clusters. The ability to actually maintain a consistent flow with how fast Kubernetes is growing, you know, they're, they they're out. I think he cast, we leverage the cast. So it's like 121 or 122 now, and that effort to upgrade a cluster, it can be a daunting one. With Portworx, we actually were able to make that to where we could actually spin up a brand new cluster. And with Portworx shift, all our applications, services, data migrated completely over, Portworx handles all of that for us and stand up that new cluster in, in less than a day. And that effort, I mean, it would take us a week, two weeks to do so, not even man hours and time spent there, but just the reliability of being able to do that in the cost, you know, instead of standing up a new cluster and configuring it and doing all that and spending all that time, we can just really, we move to what we call blue green cut-over strategy. And Portworx is an essential piece of that. >> So Venkat, is it fair to say that there are a variety of ways that people approach Portworx from a value perspective in terms of, I know that one area that you are particularly good in is the area of backups in this environment, but then you get data management and there's a third kind of vector there. What is the third vector? >> As all of the data services, >> Data services, >> Yeah Like for example, deep database as a service on any Kubernetes cluster feed on your cloud or your on-prem data centers. >> Which data, what kind of databases are you talking about? >> I mean we're talking about anything from Reddit Kafka, Post-stress my sequel console, we are supporting. We just announced something called a Portworx Data Services Offering that essentially delivers all these databases as a service on any Kubernetes cluster that a customer can point to and lets them kind of get the automated management of the database from day one to day three, the entire life cycle, you know, through regular Kubernetes, scoop cuddle experience through APIs and SDKs and a nice slick UI that they can, you know, that's, role-based access control and all of that, that they can completely control their data and their applications through it. And you know, that's the third vector of Portworx office. >> Micah a question for you. So Portworx has been a part of pure storage? You've known it since obviously for several years before you were at CHG, you brought it to CHG. You now know it a year into being acquired by a fast paced startup. Talk to me about the relationship and some of the benefits that you're getting with Portworx as a part of pure storage? >> Well, I mean, one of the things I, you know, when I heard about the acquisition, my first thing was, I was a little bit concerned is that relationship going to change? And when we were acquiring, when we were looking at adopting Portworx, one thing I would tell my management is Portworx is not just a vendor that wants to throw a solution on you and provide some capability. They're a partner. They want to partner with you and your success in your journey and this whole cloud native journey to provide this rich digital experience in the, for not only our platform engineering team, but our Dev teams, but also be able to really accelerate the development of our services. So we can provide that digital portal for our end users. And that didn't change. If anything, that it accelerated that relationship did not change. You know, I came to Venkat with an issue. We just we're, we're dealing with, he immediately got someone on a phone call with me. And so that has not changed. So it's really exciting to see that now that they've been acquired, that they still are very much invested in the success of their customers and making sure we're successful. You know, it's not all of a sudden. I was worried I was going to have to do a whole different support PA process, and it was going to go into a black hole. Didn't happen. They still are very much involved with their customers. >> It's sounds kind of Venkat similar to what you talked about with the cultural alignment. I've known here for a long time and they're very customer centric sounds like one of the areas in which there was a very strong alignment with Portworx >> Absolutely. and Portworx has always taken pride in being customer first company. Our founders are heavily customer focused. You know, they are aligned. They want, they have always aligned. our portraits business to our customers' needs. Now Pure is a company that's maniacally focused on customers, right? I mean, that's all in a pure pounder cars and everybody cared about. And so, you know, bringing these companies together and being part of the Pure team, I kind of see how, how synergistic it is. And, you know, we have, you know, that has enabled us to serve our customer's customers even better than before. >> So I'm curious about the two of you personally, in terms of your, your histories, I'm going to assume that you didn't both just bounce out of high school into the world of Kubernetes, right? So like Lisa and I you're spanning the generations between the world of say virtualization based on x86 architecture, virtualization, where you're not, you don't have microservices, you have a full blown operating system that you're working with. Kind of talk about, you know, Micah with you first talk about what that's been like navigating that change. We were in the midst of that. Do you have advice for others that are navigating that change? >> Don't be afraid of it. You know, a lot of people want to, you know, I call it we're moving from where we're name me. We still have cats and dogs. They have a name that the VMs either whether or not they're physical boxes or their VMs to where it's more like, he'd say cattle, you know, it's like we don't own the OOS and not to be afraid of afraid of that, because change is really good. You know, the ability for me to not have to worry about patching and operating system, it's huge, you know, where I can rely on someone like EKS and, and the version and allow them to, if a CV comes out, they let me know. I go and I use their tools to be able to upgrade. So I don't have to literally worry about owning that OOS and containers as the same thing. You know, you, you know, it's all about being fault-tolerant right. And being able to be changed or where, you know, you can actually roll out a new version of a container, a base image with a lot of ease without having to go and patch a bunch of servers. I mean, patch night was hell and sorry if I could say that, but it was a nightmare, you know, but this whole world has just been a game changer with that. >> So Venkat from your perspective, you were coming at it, going into a startup, looking at the landscape in the future and seeing opportunity. What what's that been like for you? I guess the question for you is more something, Lisa and I talk about this concept of peak Kubernetes, where are we in the wave? Is this just, is this just the beginning? Are we in the thick of it? >> I think I would say we're kind of transitioning from early adopters, early majority phase in the whole, you know, crossing the chasm analogy, right? So I would say we're still early stages of this big wave. That's going to transform how infrastructure is built. Apps are apps are built and managed and run in production. I think some of the pieces, the key pieces are falling in place and maturing. There are some other pieces like observability and security, you know, kind of edge use cases need to be, you know, they're kind of going to get a lot more mature and you'll see that the cloud, as we know today, and the apps, as we know today, they're going to be radically different. And you know, if you're not building your apps and your business on this modern platform, on this modern infrastructure, you're going to be left behind. You know, I, my wife's birthday was a couple of days ago. I was telling the story to my couple of friends is that I, I used another flowers delivery website. They miss delivering the flowers on the same day, right. So they told me all kinds of excuses. Then I just went and looked up a, you know, like door dash, which is delivers, you know, and then, you know, like your food, but there's also flower delivery and door dash and I don't do I door dash flowers to her, and I can track the flower delivery all the way she did not need them, but my kids love the chocolates though. Right. So, and you know, the case in point is that you cannot be in a building, a modern business without leveraging the model tool chain and modern tool chain and how the business is going to be delivered at that thing is going to be changing dramatically. And those kinds of customer experience, if you don't deliver, you're not going to be successful in business. And Kubernetes is the fundamental technology that enables this containers is a fundamental piece of technology that enables building new businesses, you know, modernizing existing businesses. And the 5G is going to be, there's going to be new innovations. It's going to get unleashed. And again, Kubernetes and containers enable us to leverage those. And so we're still scratching the surface on this. It's big. Now, it's going to be much, much bigger, you know, as, as we go into the next couple of years. >> Speaking, scratching the surface, Micah, take us out in the last 30 seconds or so with where CHG healthcare is on institutional transformation, how is Portworx facilitating that? >> So we're, we're right in the thick of it. I mean, we are, we still have what we call the legacy. We're working on getting those, but I mean, we're really moving forward to provide that rich experience, especially with event driven platforms like Kafka and Kubernetes and partnering with Portworx is one of the key things for us with that. And AWS along with that. But we're a, and I remember I heard a talk and I can't, I can't remember her name, but he talked about how, how Pure Kubernetes is sort of like the 56K modem, right. You're hearing it and see, but it's got to get to the point where it's just there. It's just the high-speed internet and Kelsey Hightower. That's great. But yeah, and I really liked that because that's true, you know, and that's where we are. We're all in that transition where we're still early, it's still at 50. So you still want to hear note, you still want to do cube CTL. You want to learn it the hard way and do all that fun stuff. But eventually it's going to be where it's just, it's just there. And it's running everything like 5G. I mean, stripped down doing micro, you know, Kate's things like that. You know, we're going to see it in a lot of other areas and just periphery and really accelerate the industry in compute and memory and storage, and. >> Yeah, a lot of acceleration. Guys thank you. This has been a really interesting session. I always love digging into customer use cases. How CHG is really driving its evolution with Portworx. Venkat, thanks for sharing with us, What's going on with Portworx a year after the acquisition. It sounds like all good stuff. >> Thank you. Thanks for having us. >> Pleasure. All right. For Dave Nicholson, I'm Lisa Martin. You're watching theCUBE live from Los Angeles. This is our coverage of KubeCon Cloud Native Con 21.

>> Welcome to this IBM Watson Health "Client Conversation." We're probing the dynamics of the relationships between IBM and its clients. And we're going to look back, we're going to explore the present situation and we're going to discuss the future state of healthcare. My name is Dave Vellante from theCUBE and with me are Dr. David Huelsman, who is a radiologist at TriHealth, which is a provider of healthcare in hospitals and John Kritzman who is with of course IBM Watson Health. Gentlemen welcome. Thanks so much for coming on. >> Thank you. >> Yeah, thanks for having us. >> Doctor let me say you're welcome. Let me start with you. As an analyst and a TV host in the tech industry, we often focus so much on the shiny new toy, the new widget, the new software. But when I talk to practitioners, almost to a person, they tell me that the relationship and trust are probably the most important elements of their success, in terms of a vendor relationship. And over the last year, we've relied on both personal and professional relationships to get us through some of the most challenging times any of us have ever seen. So, Dr. Huelsman, let me ask you, and thinking about the challenges you faced in 2020, what does partnership mean to you and how would you describe the relationship with IBM? >> Well, it is exactly the reason why when we started our journey on this enterprise imaging project at TriHealth, that we very early on made the decision We only wanted one vendor. We didn't want to do it piecemeal, like say get a vendor neutral archive from one organization, and the radiology viewer from another. We wanted to partner with the chosen vendor and develop that long-term relationship, where we learn from each other and we mutually benefit each other, in sort of not just have a transactional relationship, but that we share the same values. We share the same vision. And that's what stood out to us is Watson Health imagings vision, mirrored TriHealth's in what we were trying to achieve with our enterprise imaging project. >> You know, let me follow up with that if I could. A lot of times you hear the phrase, "Single throat to choke" and it's kind of a pejorative, right? It's a really negative term. And the way you just described that Dr. Huelsman is you were looking for a partnership. Yeah, sure. Maybe it was more manageable and maybe it was a sort of Singletree, but it was really about the partnership, going forward in a shared vision and really shared ownership of the outcome. Is that a fair characterization? >> Yeah, how about more positive is "One hand to shake." >> Wow, yeah, I love it. (chuckles) One hand to shake. I'm going to steal that line. That's good. I like it. Keep it positive. Okay, John, when you think about the past 12 months and I know you have history with TriHealth, and more recently have rejoined the account, but how would you kind of characterize that relationship and particularly anything you can add about the challenges of the 2020? What stands out to you? >> Yeah, I think going back to your one hand to shake or one vendor to hug all that's not allowed during COVID, but we're excited to be back working with you, I am in particular. And at the beginning of this sales process and RFP when you guys were looking for that vendor partner, we did talk to you about the journey, the journey with AI that we already had mature products on the vendor neutral archive side and all the product pieces that you were looking for. And I know you've recently went live over the last year and you've been working through, crawling through and learning to walk and starting to run, hopefully. And at some point we'll get to the end of the marathon, where you'll have all the AI pieces that you're looking for. But this journey has been eyeopening for all of us, from using consultants in the beginning, to developing different team members to help make you successful. So I think I've been tracking this from the outside looking in, and I'm happy to be back, more working direct with you this year to help ensure your longterm success. >> Yeah, that's great John. You have some history there. I'm going to probe that a little bit. So doctor, you talked about this enterprise imaging project. I presume that's part of, that's one of the vectors of this journey that you're on. What are you trying to accomplish in the sort of near term and midterm in 2021? John mentioned AI, is there a data element to this? Are there other, maybe more important pressing things? What are your main goals for 2021? >> Sure. Well, where we are, where we've started, the first step was getting all of our imaging stored consistently in the same place and in the same way. We had like many health system, as you grow, you acquire facilities, you acquire physician practices and they all have their own small packs system, different ways of storing the data. And so it becomes very unwieldy to be a large organization and try to provide a consistent manner of your physicians interacting with the data, with the imaging in the same way. And so it was a very large dissatisfier in our EMR to, oh if you wanted to see cardiovascular imaging, it's this tab. If you wanted to see radiology, it was this tab. If you wanted to see that, oh you got to go to the media tab. And so our big goal is, okay, let's get the enterprise archive. And so the Watson enterprise archive is to get all of our imaging stored in the same place, in the same way. And so that then our referring physicians and now with our patients as well, that you can view all the imaging, access it the same way and have the same tools. And so that's the initial step. And we're not even complete with that first step, that's where COVID and sort of diverting resources, but it's there, it's that foundation, it's there. And so currently we have the radiology, cardiology, orthopedics and just recently OB-GYN, all of those departments have their images stored on our Watson Enterprise Archive. So the ultimate goal was then any imaging, including not just what you typically think of radiology, but endoscopy and arthroscopy and those sort of images, or wound care images, in that any image, any picture in our organization will be stored on the archive. So that then when we have everything on that archive, it's easier to access consistently with the same tools. But it's also one of the large pieces of partnering with with Watson Health Imaging, is the whole cognitive solutions and AI piece. Is that, well now we're storing all the data in a consistent manner, you can access it in a consistent manner, well then we hope to analyze it in a consistent manner and to use machine learning, and the various protocols and algorithms that Watson Health Imaging develops, to employ those and to provide better care. >> Excellent, thank you for that. John, I wonder if you could add to that? I mean, you've probably heard this story before from other clients, as well as TriHealth, I call it EMR chaos. What can you add to this conversation? I'm particularly interested in what IBM Watson Health brings to the table. >> Sure, we've continued to work with TriHealth. And like we said earlier, you do have to walk before you can run. So a lot of this solution being put in place, was getting that archive stood up and getting all the images transferred out of the legacy systems. And I think that we're nearly done with that process. Doing some find audits, able to turn off some of the legacy systems. So the data is there for the easier to do modalities first, the radiology, the cardiology, the OB, as Dr. Huelsman mentioned and the ortho. And now it's really getting to the exciting point of really optimizing everything and then starting to bring in other ologies from the health system, trying to get everything in that single EMR view. So there was a lot of activity going on last year with optimizing the system, trying to fine tune hanging protocols, make the workflow for everybody, so that the systems are efficient. And I think we will continue on that road this year. We'll continue down further with other pieces of the solution that were not implemented yet. So there's some deeper image sharing pieces that are available. There are some pieces with mobile device image capture and video capture that can be deployed. So we look forward to working in 2021 on some of those areas, as well as the increased AI solutions. >> So Dr. Huelsman I wonder if you could double click on that. I mean if you're talking to IBM, what are the priorities that you have? What do you, what do you really need from Watson Health to get there? >> So I spoke with Daniel early last week, and sort of described it as now we have the foundation, we sort of have the skeleton and now it's time to put meat on the bones. And so what we're excited about is the upcoming patient synopsis would be the first piece of AI cognitive solutions that Watson Health Imaging provides. And it's sort of that partnership of we're not expecting it to be perfect, but is it better than we have today? There is no perfect solution, but does it improve our current workflow? And so we'll be very interested of when we go live with patients synopsis of does this help? Is this better than what we have today? And the focus then becomes partnering with Watson Health Imaging is how do we make it better for ourselves? How do we make it better for you? I think we're a large health organization and typically we're not an academic or heavy research institution, but we take care of a lot of patients. And if we can work together, I think we'll find solutions. It's really that triple aim of how to provide better care, at cheaper costs, with a better experience. And that's what we're all after. And what's your version of patient, the current version of patients synopsis, and okay does it work for us? Well, even if it does, how do we make it better? Or if it doesn't, how do we make it work? And I think if we work together, make it work for TriHealth, you can make it work at all your community-based health organizations. >> Yeah. So, John that brings me to, Dr. Huelsman mentioned a couple of things in terms of the outcomes. Lower costs, better patient experience, et cetera. I mean, generally for clients, how do you measure success? And then specifically with regard to TriHealth, what's that like? What's that part of the partnership? >> Yes, specifically with TriHealth, the measure of success will be when Dr. Huelsman is able to call and be a super reference for us, and have these tools working to his satisfaction. And when he's been able to give us great input from the customer side, to help improve the science side of it. So today he's able to launch his epic EMR in context and he has to dig through the data, looking for those valuable nuggets and with using natural language processing, when he has patients synopsis, that will all be done for him. He'll be able to pull up the study, a CT of the head for instance and he'll be able to get those nuggets of information using natural language processing that Watson services and get the valuable insights without spending five or 10 minutes interrogating the EMR. So we look forward to those benefits for him, from the data analytics side, but then we also look forward to in the future, delivering other AI for the imaging side, to help him find the slices of interest and the defects that are in that particular study. So whether that's with our partner AI solutions or as we bring care advisers to market. So we look forward to his input on those also. >> Can you comment on that Dr. Huelsman? I would imagine that you would be really looking forward to that vision that John just laid out, as well as other practitioners in your organization. Maybe you could talk about that, is that sort of within your reach? What can you tell us? >> Well, absolutely. That was sort of the shared vision and relationship that we hope for and sort of have that shared outlook is we have all this data, how do we analyze it to improve, provide better care cheaper? And there's no way to do that without you harnessing technology. And IBM has been on the cutting edge of technology for my lifetime. And so it's very exciting to have a partnership with WHI and IBM. There's a history, there's a depth. And so how do we work together to advance, because we want the same things. What impressed me was sure, radiology and AI has been in the news and been hyped and some think over-hyped, and what have you. Everyone's after that Holy grail. But it's that sense of you have the engineers that you talk to, but there is an understanding that don't design the system for the engineers, design it for the end user. Design it for the radiologist. Talk to the end user, because it can be the greatest tool in the world, but I can tell you as a radiologist, if it interrupts my workflow, if it interrupts my search pattern for looking at images, it doesn't help me and radiologists won't use it. And so just having a great algorithm won't help. It is how do you present it to the end user? How do I access it? How can I easily toggle on and off, or do I have to minimize and maximize, and log into a different system. We talked earlier is one throat to choke, or one vendor to hug, we only want one interface. Radiologists and users just want to look at their... They have the radiology viewer, they have their PACS, we look at it all day and you don't want to minimize that and bring up something else, you want to keep interacting with what you're used to. And the mouse buttons do the same thing, it's a mouse click away. And that's what the people at Watson Health Imaging that we've interacted with, they get it. They understand that's what a radiologist would want. They want to continue interacting with their PACS, not with a third vendor or another program or something else. >> I love that. That ton of outside in thinking, starting with the radiologist, back to the engineer, not the reverse. I think that's something that IBM, and I've been watching IBM for a long time, it's something that IBM has brought to the table with its deep industry expertise. I maybe have some other questions, but John I wanted to give you an opportunity. Is there anything that you would like to ask Dr. Huelsman that maybe I haven't touched on yet? >> Yeah. Being back on your account this year, what do you see as a success? What would you count as a success at the end of 2021, if we can deliver this year for you? >> The success would be say, at the end of the year, we've got the heavy hitters, all stored on the archive. Do we pick up all the little, we've got the low hanging fruit, now can we go after the line placement imaging and the arthroscopy and dioscomy, and all those smaller volume in pickups, that we truly get all of our imaging stored on that archive. And then the even larger piece is then do we start using the data on the archive with some cognitive solution? I would love to successfully implement, whether it's patient synopsis or one of the care advisors, that we start using sort of the analytics, the machine learning, some AI component that we successfully implement and maybe share good ideas with you. And sure we intend to go live with patient synopsis next month. I would love it by the end of the year, if the version that we're using patients synopsis and we find it helpful. And the version we use is better than what we went live with next month, because of feedback that we're able to give you. >> Great we looked forward to working with you on that. I guess, personally, with the pandemic in 2020, what have you become, I guess in 2020 that maybe you weren't a year ago before the pandemic, just out of curiosity? >> I'm not sure if we're anything different. A mantra that we've used in the department of radiology at TriHealth for a decade, "Improved service become more adaptable." And we're a service industry, so of course we want to improve service, but be adaptable, become more adaptable. And COVID certainly emphasize that need to be adaptable, to be flexible and the better tools we have. It was great early in the COVID when we had the shutdowns, we found ourselves, we have way more radiologists than we had studies that needed interpreted. So we were flexible all often and be home more. Well, the referring physicians don't know like, well is Dr. Huelsman working today? We don't expect them to look up our schedules. If I get a page that, Hey, can you take a look at this? It was great that at that time I didn't have a home workstation, but I had iConnect access. Before there was no way for me to access the images without getting on a VPN and logging on, it takes 10, 15 minutes before I'm able. Instead I could answer the phone, and I'm not going to say, "Oh, I'm sorry, I'm not at the hospital day, call this number someone else will help you." I have my iPad, go to ica.trihealth.com logged on, I'm looking at the images two minutes later. And so the ease of use, the flexibility, it helped us become adaptable. And I anticipate with we're upgrading the radiology viewer and the iConnect access next month as well, to try to educate our referring physicians, of sort of the image sharing capabilities within that next version of our viewer. Because telehealth has become like everywhere else. It's become much more important at TriHealth during this pandemic. And I think it will be a very big satisfier for both referring physicians and patients, that those image sharing capabilities, to be able to look at the same image, see the annotation that either the radiologist or the referring physician, oncologist, whoever is wanting to share images with the patient and the patient's family, to have multiple parties on at the same time. It will be very good. >> With the new tools that you have for working from home with your full workstation, are you as efficient reading at home? >> Yes. >> And having full access to the PACS as in-house? >> Absolutely. >> That's great to hear. Have you been able to take advantage of using any of the collaboration tools within iConnect, to collaborate with a referring physician, where he can see your pointer and you can see his, or is that something we need to get working? >> Hopefully if you ask me that a year from now, the answer will be yes. >> So does that exit a radiologist? Does that help a radiologist communicate with a referring physician? Or do you feel that that's going to be a- >> Absolutely. We still have our old school physicians that we love who come to the reading room, who come to the department of radiology and go over studies together. But it's dwindling, it's becoming fewer and fewer as certain individuals retire. And it's just different. But the more direct interaction we can have with referring physicians, the better information they can give us. And the more we're interacting directly, the better we are. And so I get it, they're busy, they don't want to, they may not be at the hospital. They're seeing patients at an outpatient clinic and a radiologist isn't even there, that's where that technology piece. This is how we live. We're an instantaneous society. We live through our phone and so great it's like a FaceTime capability. If you want to maintain those personal relationships, we're learning we can't rely on the orthopedist or whomever, whatever referring physician to stop by our reading room, our department. We need to make ourselves available to them and make it convenient. >> That market that you working in Cincinnati, we have a luxury of having quite a few customers with our iConnect solutions. There's been some talk between the multiple parties, of potentially being able to look across the other sites and using that common tool, but being able to query the other archives. Is that something that you'd in favor of supporting and think would add value so that the clinicians can see the longitudinal record? >> Yes And we already have that ability of we can view care everywhere in our EMR. So we don't have the images right away, but we can see other reports. Again, it's not convenient. It's not a click away, but it's two, three, four clicks away. But if I see, if it's one of my search patterns of I just worked the overnight shift last week and then you get something through the ER and there's no comparisons, and it's an abnormal chest CT. Well, I look in Care Everywhere. Oh, they had a chest CT at a different place in the city a year ago, and I can see the report. And so then at that time I can request, and it can take an hour or so, but look back and the images will be accessible to me. But so how do we improve on that? Is to make the images, that I don't have to wait an hour for the images. If we have image sharing among your organizations that can be much quicker, would be a big win. >> As you read in your new environment, do you swivel your chair and still read out of any other specialty systems, for any types of studies today? >> No, and that was a huge win. We used to have a separate viewing system for mammography and we were caught like there were dedicated viewing stations. And so even though we're a system, the radiologist working at this hospital, had to read the mammograms taken at that hospital. And one at the other hospital could only read the ones taken at that hospital. And you couldn't share the workload if it was heavy at one site and light at the other. Well, now it's all viewed through the radiology viewer if you merge PACS, in not just general radiology, but impressed. It has been so much better world that the workflow is so much better, that we can share the work list and be much more efficient. >> Do you feel that in your, your new world, that you're able to have less cherry picking between the group, I guess? Do you feel like there's less infighting or that the exams are being split up evenly through the work list? Or are you guys using some sort of assignment? >> No. And I'm curious with our next version of PACS, the next version of merge packs of 008. I forget which particular >> John: 008. >> It's 008, yeah. I know there's the feature of a smart work list to distribute the exams. Currently, we just have one. It's better than what we have before. It's one large list. We've subdivided, teased out some things that not all of the radiologist read of like MSK and cardiac and it makes it more convenient. But currently it is the radiologist choose what study they're going to open next. To me how I personally attack the list is I don't look at the list. Some radiologists can spend more time choosing what they're going to read next than they do reading. (chuckles) And so if you don't even look, and so the feature I love is just I don't want to take my eyes off my main viewer. And I don't want to swivel my chair. I don't want to turn my head to look at the list, I want everything right in front of me. And so currently the way you can use it is I never look at the list. I just use the keyboard shortcuts of, okay, well I'm done with that study. I mark it, there's one button I click on my mouse that marks it dictated, closes it and brings up the next study on the list. >> Hey guys, I got to jump in. We're running up against the clock, but John if you've got any final thoughts or Dr. Huelsman, please. >> Sure. Dr. Huelsman, I guess any homework for me? What are the top two or three things I can help you with in 2021 to be successful? >> Keep us informed of what you're working on, of what's available now. What's coming next, and how soon is it available? And you let us see those things? And we'll give you a feedback of hey, this is great. And we'll try to identify things, if you haven't thought of them, hey, this would be very helpful. >> Gents, great conversation. Gosh we could go on for another 45 minutes. And John you really have a great knowledge of the industry. And Dr. Huelsman, thanks so much for coming on. Appreciate it. >> Thank you. >> You're welcome >> And thanks for spending some time with us. 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