>>no real filter and that kind of stuff. But you're also an entrepreneur, right? And you know the business, you've been in software, you detect business. I'm instructing you get a lot of pictures, this entertainment business on our show, we're a bubble. We don't do a lot of tech deals that were talking because it's boring tv tech people love tech consumers love the benefit of text. No consumer opens up their iphone and says, oh my gosh, I love the technology behind my, what's it been like being on the shark tank? You know, filming is fun and hang out just fun and it's fun to be a celebrity at first your head gets really big and you get a really good tables at restaurants and who says texas has got a little possessed more skin in the game today in charge of his destiny. Great robert Herjavec. No, these two stars cube alumni >>welcome back to the cubes coverage of A W. S. Public sector seven. I'm john for your host of the cube got a great segment here on healthcare startup accelerators of course. Sandy carter is co hosting media. This one Vice President Aws. She's awesome on the cuBA and jennifer Blumenthal co founder and C of one record entrepreneur, very successful. Thanks for coming on jennifer. Thank good to see you. Sandy thanks for joining me again. You >>are most welcome, >>jennifer. Before we get into the whole accelerated dynamic, just take a minute to explain what you guys do. One record. >>Sure. So one record is a digital health company that enables users to access aggregate and share their healthcare information. So what that means is we help you as a person get your data and then we also help companies who would like to have workflows were consumers in the loop to get their data. So whether they're sharing it with a provider, researcher payer. >>So, Sandy, we've talked about this amazon web services, healthcare accelerator cohort batches. What do you call cohort batches? Cohorts explain what's going on with the healthcare accelerator? >>Yeah. So, um, we decided that we would launch and partner an accelerator program and accelerator program just provides to a start up a little bit extra technical help. A little bit extra subject matter expertise and introductions to funders. And so we decided we were going to start one for health care. It's one of the biggest disruptive industries in public sector. Um, and so we weren't sure how it's gonna go. We partnered with Kids X. Kids X is part of the Los Angeles system for medical. And so we put out a call for startups and we had 427 startups, we were told on average and accelerating it's 50-100. So we were blown away 31 different countries. So it was really amazing. And then what we've been doing is down selecting and selecting that Top 10 for our first cohort. So we're going from 427 down to 10. And so obviously we looked at the founders themselves to see the quality of the leadership of the company, um the strength of their technology and the fit of the technology into the broader overall healthcare and healthcare ecosystem. And so we were thrilled that jennifer and one record was one of the top 10 start ups in this space that we chose to be in the, in the cohort. And so now we're going to take it to the six weeks intensive where we'll do training, helping them with AWS, provide them A W. S. Credits and then Kid X will also provide some of the health care uh subject matter >>expertise as well. Can I get some of those credits over here to maybe? >>Yes, you can actually, you can talk to me don you can't >>Talk to me, Jennifer, I gotta ask you. So you're an entrepreneur. So doing start doing cos it's like a roller coaster. So now to make the top 10 but also be in the area of his accelerator, it's a partnership, right? You're making a bet. What's your take on all this? >>Well, we've always been partners with a W. S. We started building on AWS in the very beginning. So when I was setting up the company a huge decision early on with infrastructure and when I saw the launch of the accelerator, I had to apply because we're at the point in the company that we're growing and part of growing is growing with the VW. So I was really excited to take advantage of that opportunity and now in the accelerator, it's more of thinking about things that we weren't thinking about the services that we can leverage to fill in the gaps within our platform so we can meet our customers where they are >>using award winning MSP cloud status city, your partners, great relationship with the ecosystem. So congratulations Sandi. What's the disruption for the healthcare? Because right now education and health care, the two top areas we're seeing and we're reporting on where cloud scale developed two point or whatever buzzword digital transformation you want to use is impacting heavily healthcare industry. There's some new realities. What's your, what's your vision, what's your view? >>Hey john before she does that, I have to give a plug to Claudius city because they just made premier partner as well, which is a huge deal. Uh and they're also serving public sector. So I just wanted to make sure that you knew that too. So you can congratulate. Go ahead, jennifer >>Well, so if I zoom in, I think about a P. I. S. Every day, that's what I think about and I think about microservices. So for me and for one record, what we think about is legislation. So 21st century Cures act says that you as a consumer have to be able to access your healthcare data from both your providers and from your players and not just your providers, but also the underlying technology vendors and H. I. E. S. H. I am and it's probably gonna extend to really anyone who plays within the healthcare ecosystem. So you're just going to see this explosion of A. P. I. S. And we're just your one of that. I mean for the payers that we went into effect on july 1st. So I mean when you think about the decentralization of healthcare where healthcare is being delivered plus an api economy, you're just going to have a whole new model developing and then throwing price transparency and you've got a whole new cake. >>I'm smiling because I love the peacocks. In fact, last night I shouldn't have tweeted this but there's a little tweet flames going on around A. P. Is being brittle and all this stuff and I said, hey developer experience about building great software apps are there for you. It's not a glue layer by itself. You got to build software around the so kind of a little preaching to the younger generation. But this health care thing is huge because think about like old school health care, it was anti ap I was also siloed. So what's your take on has the culture is changing health care because the user experience, I want my records, I want my privacy, I want to maintain everything confidential but access. That's hard. >>I think well health care to be used to just be paper was forget about a. P. I. Is it was just paper records. I think uh to me you think about uh patient journey, like a patient journey starts with booking an appointment and then everything after that is essentially an api call. So that's how I think about it is to all these micro transactions that are happening all the time and you want your data to go to your health care provider so they can give you the proper care, you want your data to go to your pair so they can pay for your care and then those two stakeholders want your data so that they can provide the right services at the right time to the right channel. And that is just a series of api calls that literally sits on a platform. >>What's interesting, I'd love to get your take on the where you think the progress bar is in the industry because Fintech has shown the way you got defy now behind a decentralized finance, health care seems to be moving on in a very accelerated rate towards that kind of concept of cloud, scale, decentralization, privacy. >>Yeah, I mean, that's a big question, what's interesting to me around that is how healthcare stakeholders are thinking about where they're providing care. So as they're buying up practices primary care specialty care and they're moving more and more outside of the brick and mortar of the health care system or partnering with your startups. That's really where I think you're going to see a larger ecosystem development, you could just look at CVS and walmart or the dollar store if they're going to be moving into health care, what does that look like? And then if you're seeking care in those settings, but then you're going to Mayo clinic or Kaiser permanente, there's so many new relationships that are part of your hair circle >>delivery is just what does that even mean now, delivery of health >>care. It's wherever you it's like the app economy you want to ride right now, you want a doctor right now, that's where we're heading its ease of use. >>This is this exciting startups, changing the game. Yes, I love it. I mean, this is what it's all about this health >>Care, this is what it's all about. And if you look at the funding right now from VCS, we're seeing so much funding pour into health care, we were just looking at some numbers and in the second quarter alone, the funding went up almost 700%. And the amount of funding that is pouring into companies like jennifer's company to really transform healthcare, 30% of it is going into telehealth. So when you talked about, you know, kind of ai at the edge, getting the right doctor the right expert at the right time, we're seeing that as a big trend in healthcare to >>well jennifer, I think the funding dynamics aside the opportunity for market total addressable market is massive when the application is being decomposed, you got front end, whether it's telemedicine, you got the different building blocks of healthcare being radically reconfigured. It's a re factoring of healthcare. Yeah, >>I think if you just think about where we're sitting today, you had to use an app to prove proof of vaccination. So this is not just national, this is a global thing to have that covid wallet. We at one record have a covid wallet. But just a couple years from now, I need more than just by covid vaccination. I need all my vaccinations. I need all my lab results. I need all my beds. It's opening the door for a new consumer behavior pattern, which is the first step to adoption for any technology. >>So somebody else covid wallet. So I need >>that was California. Did the, did a version of we just have a pen and it's pretty cool. Very handy. I should save it to my drive. But my phone, but I don't jennifer, what's the coolest thing you're working on right now because you're in the middle of all the action. >>I get very excited about the payer app is that we're working on. So I think by the end of the month we will be connected to almost to all the blues in the United States. So I'm very excited when a user comes into the one record and they're able to get their clinical data from the provider organization and then their clinical financial and formulary data from their payers because then you're getting a complete view, You're getting the records for someone who gave you care and you're getting the records from someone who paid for your care. And that's an interesting thing that's really moving towards a complete picture. So from a personal perspective that gets exciting. And then from a professional perspective, it's really working with our partners as they're using our API s to build out workflows and their applications. >>It's an api economy. I'd like to ask you to on the impact side to the patient. I hear a lot of people complaining that hey, I want to bring my records to the doctor and I want to have my own control of my own stuff. A lot of times, some doctors don't even know other historical data points about a patient that could open up a diagnosis and, or care >>or they can't even refer you to a doctor. Most doctors really only refer within a network of people that they know having a provider directory that allows doctors refer, having the data from different doctors outside of their, you know, I didn't really allows people to start thinking beyond just their little box. >>Cool. Well, great to have you on and congratulations on being in the top 10 saying this is a wonderful example of how the ecosystem where you got cloud city, your MSP. You mentioned the shout out to them jerry Miller and his team by working together the cloud gives you advantages. So I have to ask, we look at amazon cloud as an entrepreneur. It's kind of a loaded question, but I'm going to ask it. I love it. >>You always do it >>when you look at amazon, what do you see as opportunities as an entrepreneur? Because I'll see the easy ones. They have computing everything else. But like what's the, what does cloud do for you as an entrepreneur? What does it, what does it make you do? >>Yeah. So for been working with jerry since the beginning for me when I think about it, it's really the growth of our company. So when we start building, we really just thinking about it from a monolithic build and we move to microservices and amazon has been there every step of the way to support us as that. And now, you know, the things that I'm interested in are specifically health lake and anything that's NLP related that we could plug into our solution for when we get data from different sources that are coming in really unstructured formats and making it structured so that it's searchable for people and amazon does that for us with their services that we can add into the applications. >>Yeah, we announced that data health like and july it has a whole set of templates for analytics, focused on health care as well as hip hop compliance out of the box as well. >>The I think I think that's what's important is people used to think application first. Now it's creating essentially a data lake, then analytics and then what applications you build on top of that. And that's how our partners think about it and that's how we try and service them using amazon as our problem. So >>you're honing in on the value of the data and how that conflicts and then work within the whatever application requests might come >>in. Yes, >>it's interesting. You know, we had an event last month and jerry Chen from Greylock partners came on and gave a talk called castles in the cloud. He's gonna be cute before. He's a, he's a veces, they talk about moats and competitive manage so having a moat, The old school perimeter moz how cloud destroyed that. He's like, no, now the castles are in the cloud, he pointed snowflake basically data warehouse in the cloud red shifts there too. But they can be successful. And that's how the cloud, you could actually build value, sustainable value in the cloud. If you think that way of re factoring not just hosting a huge, huge, huge thing. >>I think the only thing he, this was customer service because health care is still very personal. So it's always about how you interact with the end user and how you can help me get to where they need to be going >>and what do you see that going? Because that's, that's a good point. >>I think that is a huge opportunity for any new company that wants to enter healthcare, customer service as a service in health care for all the different places that health care is going to be delivered. Maybe there's a company that I don't know about, but when they come out, I'd like to meet them. >>Yeah, I mean, I can't think of one cover that can think of right now. This is what I would say is great customer service for health care. >>And if there is one out there contacted me because I want to talk to you about AWS. >>Yeah. And you need the app from one record that make it all >>happen. That's where Omni channel customer service across all health care entities. Yeah, that's >>a great billion dollar idea for someone listening to our show right now. >>Right, alright. So saying they had to give you the opportunity to talk more because this is a great example of how the world's very agile. What's the next step for the AWS Healthcare accelerator? Are there more accelerators? Do you do it by vertical? >>What happens next? So, with the healthcare accelerator, this was our first go at the accelerator. So, this is our first set of cohorts, Of course, all 427 companies are going to get some help from a W. S. as well. We also you'll love this john We also did a space accelerator. Make sure you ask Clint about that. So we have startups that are synthesizing oxygen on mars to sending an outpost box to the moon. I mean, it's crazy what these startups are doing. Um, and then the third accelerator we started was around clean energy. So sustainability, we sold that one out to, we had folks from 66 different countries participate in that one. So these have been really successful for us. So it reinvent. When we talk again, we'll be announcing a couple of others. So right now we've got healthcare, space, clean energy and we'll be announcing a couple other accelerators moving forward. >>You know, it's interesting, jennifer the pandemic has changed even our ability to get stories. Just more stories out there now. So you're seeing kind of remote hybrid connections, ap ideas, whether it's software or remote interviews or remote connections. There's more stories being told out there with digital transformation. I mean there wasn't that many before pandemic has changed the landscape because let's face it, people were hiding some really bad projects behind metrics. But when you pull the pandemic back and you go, hey, everyone's kind of emperors got no clothes on. Those are bad projects. Those are good projects that cloud investment worked or I didn't have a cloud investment. They were pretty much screwed at that point. So this is now a new reality of like value, you can't show me value. >>It's crazy to me when I meet people who tell me like we want to move to the cloud of like, why are you not on the cloud? Like this really just blows my life. Like I don't understand why you have on prem or while you did start on the cloud, this is more for larger organizations, but younger organizations, you know, the first thing you have to do, it's set up that environment. >>Yeah. And then now with the migration plans and seeing here, uh whereas education or health care or other verticals, you've got, now you've got containers to give you that compatibility and then you've got kubernetes and you've got microservices, you've got land. Uh I mean, come on, that's the perfect storm innovation. There's no excuses in my opinion. So, you know, if you're out there and you're not leveraging it, then you're probably gonna be out of business. That's my philosophy. Thank you for coming up. Okay. Sandy, thank you. Thank you, john Okay. Any of his coverage here, summit here in D. C. I'm john ferrier. Thanks for watching. Mm >>mm mm mhm. I have been in the software and technology industry for over 12 years now, so I've had >>the opportunity

(upbeat music) >> Narrator: Live from Las Vegas, it's theCube. Covering AWS re:Invent 2019 brought to you by Amazon Web Services and Intel, along with it's ecosystem partners. >> Hello there and welcome back to theCube's live coverage here in Las Vegas for AWS re:Invent 2019. This is theCube's seventh year covering re:Invent. They've been doing this show for eight years, we missed the first year, I'm John Furr, and my co-host David Vellante. We're here extracting the signal from the noise, and we're here with an amazing guest, our friend, she's been here with us from the beginning of theCube, since inception. Always great to get to comment with her. Sandy Carter Vice President with Amazon Web Services. >> Thank you. >> Now in the public sector handling partners. Great to see you, thanks for coming on again and sharing your content. >> So great to see you guys, so dressed up and looking good guys, I have to say. (laughs) >> You're looking good to, but I can't help but stare at our other guest here, the IoT suitcase. >> First, tell us-- >> Yes. >> About the IoT suitcase. >> Well we, in public sector we have a partner program, and that program helps entrepreneurs. And we're really keen on especially helping female entrepreneurs. So one of our entrepreneurs created this suitcase, that's an IoT based suitcase, you can put your logo's and that sort of thing on it, but more importantly for public sectors, she created this safety ring, John. And so, if I touch it I've de-activated it, but if I touch it, it will call the police for me, if I'm being assaulted. Or if I'm having an emergency, I can touch it and have an ambulance come for me as well. And the really cool thing about it is she worked backwards from the customer, figuring out like how are most people assaulted, and if you have an emergency and you fall, what's the best way to get ahold of someone. It's not your phone, because you don't always carry it, it's for a device like this. >> Or a bigger device that you can't, or you leave on the table somewhere, but that's you know it's attractive. >> It's awesome. >> And it's boom, simple. >> And it's pink. (laughs) >> What I love fast about re:Invent as an event is that there's so much innovation going on, but one of the areas that's become modernized very rapidly is the public sector. Your now in this area, there's a lot of partners, a huge ecosystem going, and the modernization effort is real. >> It is. >> Could you share some commentary on what's going on. Give people a feel for the pace of change, what's accelerating? What are people doubling down on, what are some of the dynamics in public sector? >> Yeah, so if you know public sector, public sector actually has a lot of Windows or Microsoft workloads in it. And so we're seeing a lot of public sector customers looking to modernize their Windows workloads, in fact we made several announcements just yesterday around helping more public sector customers modernize. For example, one is Windows Servers 2003, and 2008 will go out of support, and so we have a great new offering, with technology, that can help them to not re-factor, but actually abstract those layers and move quickly to 2016 and 2019, because both of those will go out of support in January. >> A lot of people don't know, and I've learned this from talking with Andy Jassy in the keynote, as well as hearing from some other folks, is that you got, Amazon runs a lot of Windows. >> Oh, we have 57% Windows workloads on AWS in terms of market segment share. Which is 2x the next nearest cloud provider, 2x. And most customers choose to run their Windows workloads on us, because we are so innovative, we move really fast. We're more reliable. The latest public data from 2018 shows that the nearest cloud provider had seven times more downtime. So if your in public sector or even commercial, who can afford to be down that long, and then finally, we have better security. So one of the things we've been focused on for public sector is FedRamp solutions. We know have over 90 solutions that are FedRamp ready. Which is four times more than the next two cloud providers. Four times more than the two combined. >> That's interesting, so I got to ask the question that's popping up in my mind, I'm sure people are curious about. >> Yeah. >> I get the Windows working on Amazon, and that makes a lot of sense, why wouldn't you want to run on the best cloud. The question I would have is, how would the licensing work, because, that's seems to be lock-in spec, Oracle does it, Microsoft does it, does license become the lock-in. So, when something expires, what happens on the licensing side. Licensing is really tricky, and in fact, October 1st, Microsoft made some new licensing changes. And so, we have some announcement to help our customers still bring their own licenses, or what we call fondly, BYOL over to AWS, so they don't have to double invest on the license. >> So you can honor that license on AWS. >> Yeah, and you have to do it on a dedicated host. Which at midnight madness, we announced new dedicated host solution, that's very cloud-like. Makes it as easy to run a dedicated host instance as it is an EC2 instance. So, wicked easy, very cost effective if your moving those on-premises workloads over. >> I just want to point out John, something that's really important here is a lot of times, software companies will use scare tactics, to your point. They'll jack up the cost of the license, to say, ah you got to stay with us, if you run on our hardware or our platform, you pay half. And then they'll put out, "Oh, Amazon's twice as expensive." But these are all negotiable. I've talked to a number of customers, particularly on the Oracle side, and said, no, no, we just went to Oracle and said look, you got a choice, I either give us the same license price or we're migrating off your database. Okay, all right. But some of it is scare tactics, and I think you know increasingly, that's not working in the marketplace. So I just wanted to point that out. >> So what's the strategy for customers to take, I guess that's the question. Because, certainly the licensing becomes again like they get squeezed, I can see that. But what do customers do, is there a playbook? >> Well there is, and so the best one is you buy your license from Microsoft, and then using BYOL, you can bring that over to AWS. It's faster, more performance, more reliable, that sort of thing. If you do get restricted though John, like they are doing for instance with their end of support, you could run that on Azure, and get all the security fixes. We are trying to provide technical solutions, like the ability to abstract Windows Server 2003 and Server 2008 as it goes out of support. >> I mean certainly in the case of Oracle, it used to be you know 10-15 years ago, you didn't have a choice. Instead of one RDBMS, and now it's so much optionality in databases. >> And I will also tell you that we have a lot of customers today, who are migrating from SQL server, or Oracle over to Aurora. Aurora, is equally as performant, and a tenth of the cost. So we actually have this team called the database freedom team that will help you do that migration. In fact I was talking to a very large customer last night, and I was explaining some of the options. And their like, "Let's do the Aurora thing." Let's do it two-step. Let's start by migrating the database over, Oracle and SQL and then I want to go to Aurora. It's like database built for the cloud, it's faster and its cheaper. So why wouldn't you do that? >> Yeah, and I think the key is, to my question about a friction. What's frictionless? How can they get it done quickly without going through the trip-wires of the licensing. >> Certain workloads are tough, right. You know if you're running your business on high transaction volume. But a lot of the analytics stuff, the data warehouse, you know look at Amazon's own experiences. You guys are just ticking it off, moving over from Oracle to Aurora, it's been fun to watch. >> I want to get you guy's perspective Dave, you and Sandy, because I think you guys might have good insight on this, because everyone knows that I'm really passionate about public sector, I've been really enamored with Teresa's business from Day one, but when she won the CIA deal, that really got my attention. As I dug into the Jedi deal, and that all went sideways, it really jumped out at me, that public sector is probably the most transformative market, because they are modernizing at a record pace. I mean this is like a glacier moving market. They don't really have old ways, they got the beltway bandits, they got old procurement, old technology, and like literally in a short period of time, they have to modernize. So they're becoming more enterprise like, can you guys, I mean pros in the enterprise, what's your take? It just seems like a Tsunami of change in the public sector, because the technology is driving it. What do you guys think about this? Am I on or off base? What are some of the trends that are going on? >> I mean I have a perspective, but please. >> No, okay. So I'll start. So I see so much transformation regardless of what industry your looking at. If you're looking at Government for example working with SAP NS2, we just actually took 26 different flavors of SAP ERP for the Navy, and helped them to migrate to the cloud. For the US Navy, which is awesome. Arkis Global, did the same thing for the UK. We actually have Amazon Connect in there, so that's like a cool call center driven by Machine Learning, and the health care system for the UK. Or you can even look at things, like here in the U.S. there's a company that really looks at how you do monitoring for the children to keep them safe. They've partnered up with a National Police Association, and they are bringing that to the cloud. So regardless of education, non-profits, government, and it's around the world, it's not just the US. We are seeing these governments education, start-ups, non-profits, all moving to the cloud, and taking their own legacy systems to Linux, to Aurora, and moving very rapidly. >> And I think Andy hit on it yesterday, it's got to start with top-down leadership. And in the government, if you can get somebody whose a leading thinker, CIO, we're going cloud first. Mandate cloud, you know you saw that years ago, but today, I think it's becoming more mainstream. I think the one big challenge is obviously the disruption in defense and that's why you talked about Jedi, in defense it's very high risk, and it needs disruption, it's like healthcare its like certain parts of financial services are very high risk industries, so they need leadership, and they need the best platform underneath in a long term strategy. >> Well Jedi actually went different. It was actually the right call, but I reported on that. But I think that what gets me is that Cerner on stage yesterday, on Yaney's keynote highlights that it's just not inefficiencies that you can solve, there's multiple win-win-win benefits so in that health care example, lower the costs, better care, better, the providers are in better shape, so in government in public sector, there's really no excuse to take the slack out of the system. >> Yeah. >> Well, there's regulation though. >> Yeah, and Dave mentioned cloud first strategies, we're also seeing a lot of movement around data. You know data is really powerful. Andy mentioned this as well yesterday, but for example in our partner keynote where I just came from. We had on stage Avis. Now, Avis, not public sector customer, but what they're doing is, the gentleman said, was that your car can now talk to you, and that data is now being given to local state officials, local city officials, they can use it for emergency response systems. So that public and private use of data, coming together, is also a big trend that we're seeing. >> I think that's a great example, because Avis I think what he said is a 70 year old company, I think the fleet was 18 billion dollar fleet. >> 600,000 vehicles. >> 600,000 vehicles, 18 billion dollars worth of assets, this is not a born in the cloud start-up, right. That's essentially transformed the entire fleet and made it intelligent. >> Right, and using data to drive a lot of their changes. Like the way they manage fuel for 600,000 cars, and the way they exchange that with local officials is helping them to you know not just be number two, but to start to take over number one. >> But to your point, data is at the core, right. >> Yeah. >> If you are the incumbent and you want to transform, you got to start with the data. >> Sandy, I want to get your reaction to two memes that have been developing on theCube this week. One is, if you take the T out of Cloud Native, and it's Cloud Naive. (Sandy laughs) The other one is, if your born in the cloud, that's great, your winning, but at the price of becoming re-born in the cloud. This is the transformation. Some are, and they're going to not have a long shelf life. So there's a real enterprise and now public sector re-birth, re-borning in the cloud, the new awakening. This is something that is happening. You're an industry veteran, you've seen a lot of waves, what's the re-born, what's this getting back on the cloud, really happening. What is going on? >> It's really interesting, because now I'm in the partner business, and one of our most successful programs is called our partner transformation program. And what that does, is it's a hundred day transformation program to get our partners drinking our own champagne, which is to be on the cloud. And one of the things, we know we first started testing it out, we didn't have a lot of takers, but now, those partners who have gone through that transformation, they're seeing 70% year to year growth, versus other apion partners, even though they're at an advanced layer, they're only seeing 34% growth. So its 2x of revenue growth having transformed to the cloud. So I think, you know back to your question, I think some of this showing the power. Like, why do you go to the cloud, it's not just about cost, it's about agility, it's about innovation, it's about that revenue growth, right. I mean 2x, 70% growth, you can't sneeze at that. That's pretty impactful. >> And you know this really hits, something of passion for me and Dave and our team is the impact on a society. This is a real focus across all generations now, not just millennials, and born in the web, into older folks like us, who have seen before the web. There's real impact, mission driven things. This is a check for good, shaping technology for good. Educate you guys have. This is a big part of what you guys are doing. >> Absolutely, this is one of the reasons why I really wanted to come work in the public sector, because it's fun helping customers make money, and we still do that. But it's really better, when you can help them make money and do great things. So you know, making with the Mayo clinic, for example, and some of these non-profit hospitals, so they can get better data. The GE example that Andy used yesterday, that data is used in public sector. Doing things, like, I know that you guys are part of re-powered tech. You know we brought a 112 unrepresented minorities and women to the conference. And I have to tell you I got goosebumps when one person came up to me and he said, it's the first time he stayed in a hotel, and he's coming here to enhance his coding. You don't realize when I go back to my country, you will have changed my life. And that's just like, don't you get goosebumps from that, versus it's great to change a company, and we want to do that, but it's really great when you can impact people, and that form or fashion. >> And the agility makes that happen faster, its a communal activity, tech for good is here. >> Absolutely, and we just announced today, right before this in the partner's session, that we now have the public safety and disaster response competency for our partners. Because when a customer is dealing with some sort of disaster or emergency they need a disconnected environment for a long periods of time. They need a cloud solution to rally the troops. So we announced that, and we had 17 partners step up immediately to sign up for that. And again, that's all about, giving back, helping in emergency situations, whether it's Ebola in Africa or Hurricane Dorene, right. >> Well, Sandy congratulations, not only have you a senior leader for AWS doing a great job. >> Thank you. >> Just a great passion, and Women in Tech, Underabridged Minorities, you do an amazing job on Tech for Good. >> Thank you. Well it's such an honor to always be on the show. I love what you guys do. I love the memes, I'm going to steal them, okay. >> Can I ask you another question? >> Absolutely. >> Before you wrap. You've had an opportunity to work with developers, you've experienced other clouds. Now you're with AWS and a couple of different roles. Can you describe, what's different about AWS, is it cultural, is it the innovation, I mean what's tangible that you can share with our audience in terms of the difference. >> I think it's a couple of things, the first one the way they we hire. So we hire builders, and you know what it really starts from that hiring. I actually interviewed Vernor the other day, and he and I had a debate about can you transform a company where you have all the same people, or do you need to bring in some new talent as well. So I think it's the way we hire. We search for people that not only meet the leadership criteria, but also are builders, are innovators. And the second one is, you know when Andy says we're customer obsessed, we're partnered obsessed. We really are. We have the mechanisms in place, we have the product management discipline. We have the process to learn from customers. So my first service I launched at AWS, I personally talked to 141 customers and another 100 partners. So think about that, that's almost two hundred almost fifty customers and partners. And at most large companies, as a senior executive you only spend about 20% of your time with customers, I spent about 80% of my time here with customers and partners. And that's a big difference. >> Well we look forward to covering the partner network this year. >> Awesome >> Your amazing, we'll see Teresa Carson on theCube here at 3:30. We are going to ask her some tough questions. What should we ask Teresa? >> What to jest Teresa? Where did you get those red pants? (everyone laughs) >> She's amazing, and again. >> She is amazing. >> We totally believe in what you're doing, and we love the impact, not only the technology advancement for modernizing the public sector across the board. But there's real opportunity for the industry to make, shape technology for betterment. >> Yeah. >> You're doing a great job. Thank you so much. >> Thank you. I think we should start another hashtag for theCube too, is #technologyforgood. >> Awesome. >> What do you think? >> Let's do it. >> I love that. >> But Jonathan been doing a lot of work in that area. >> I know he has. >> We love that. #technologyforgood, #techforgood. This is theCube here live in Las Vegas for re:Invent. I want to thank Intel and AWS, this is the big stage. We had two stages, without sponsoring our mission we wouldn't be here. Thank you AWS and Intel. More coverage after this short break. (dramatic music)

>> 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)