>>Now welcome back to the Cube as we continue our coverage here. AWS Reinvent 2022, going out here at the Venetian in Las Vegas. Tens of thousands of attendees. That exhibit Hall is full. Let me tell you, it's been something else. Well, here in the executive summit, sponsored by Accenture. Accenture rather. We're gonna talk about Baptist Health, what's going on with that organization down in South Florida with me. To do that, I have Tony Abro, who's the SVP and Chief Digital and Information Officer. I have Ashley Lane, the managing director of the Accenture Healthcare Practice, and on the far end Poop Kumar, who is the VP and cto Baptist Health Florida won and all. Welcome. Thank you. First off, let's just talk about Baptist Health, the size of your footprint. One and a half million patient visits a year, not a small number. >>That was probably last year's number, but okay. >>Right. But not a small number about your footprint and, and what, I guess the client base basically that you guys are serving in it. >>Absolutely. So we are the largest organization in South Florida system provider and the 11 hospitals soon to be 12, as you said, it's probably about 1.8 million by now. People were, were, were supporting a lot of other units and you know, we're focusing on the four southern counties of South Florida. Okay. >>So got day Broward. Broward, yep. Down that way. Got it. So now let's get to your migration or your cloud transformation. As we're talking about a lot this week, what's been your, I guess, overarching goal, you know, as you worked with Accenture and, and developed a game plan going forward, you know, what was on the front end of that? What was the motivation to say this is the direction we're going to go and this is how we're gonna get there? >>Perfect. So Baptist started a digital transformation initiative before I came about three years ago. The board, the executive steering committee, decided that this is gonna be very important for us to support us, to help our patients and, and consumers. So I was brought in for that digital transformation. And by the way, digital transformation is kind of an umbrella. It's really business transformation with technology, digital technologies. So that's, that's basically where we started in terms of consumer focused and, and, and patient focus. And digital is a big word that really encompasses a lot of things. Cloud is one of, of course. And, you know, AI and ML and all the things that we are here for this, this event, you know, and, and we've started that journey about two years ago. And obviously cloud is very important. AWS is our main cloud provider and clearly in AWS or any club providers is not just the infrastructure they're providing, it's the whole ecosystem that provides us back value into, into our transformation. And then somebody, I think Adam this morning at the keynote said, this is a team sport. So with this big transformation, we need all the help and that we can get to mines and, and, and hands. And that's where Accenture has been invaluable over the last two years. >>Yeah, so as a team sport then depu, you, you've got external stakeholders, otherwise we talked about patience, right? Internal, right. You've, you've got a whole different set of constituents there, basically, but it takes that team, right? You all have to work together. What kind of conversations or what kind of actions, I guess have you had with different departments and what different of sectors of, of the healthcare business as Baptist Health sees it in order to bring them along too, because this is, you know, kind of a shocking turn for them too, right? And how they're gonna be doing business >>Mostly from an end user perspective. This is something that they don't care much about where the infrastructure is hosted or how the services are provided from that perspective. As long as the capabilities function in a better way, they are seemingly not worried about where the hosting is. So what we focus on is in terms of how it's going to be a better experience for, from them, from, from their perspective, right? How is it going to be better responsiveness, availability, or stability overall? So that's been the mode of communication from that perspective. Other than that, from a, from a hosting and service perspective, the clientele doesn't care as much as the infrastructure or the security or the, the technology and digital teams themselves. >>But you know, some of us are resistant to change, right? We're, we're just, we are old dogs. We don't like new tricks and, and change can be a little daunting sometimes. So even though it is about my ease of use and my efficiency and why I can then save my time on so and so forth, if I'm used to doing something a certain way, and that's worked fine for me and here comes Tony and Depo and here comes a, >>They're troublemaker >>And they're stir my pot. Yeah. So, so how do you, the work, you were giving advice maybe to somebody watching this and say, okay, you've got internal, I wouldn't say battles, but discussions to be held. How did you navigate through that? >>Yeah, no, absolutely. And Baptist has been a very well run system, very successful for 60 something odd years. Clearly that conversation did come, why should we change? But you always start with, this is what we think is gonna happen in the future. These are the changes that very likely will happen in the future. One is the consumer expectations are the consumer expectations in terms of their ability to have access to information, get access to care, being control of the process and their, their health and well-being. Everything else that happens in the market. And so you start with the, with that, and that's where clearly there are, there are a lot of signs that point to quite a lot of change in the ecosystem. And therefore, from there, the conversation is how do we now meet that challenge, so to speak, that we all face in, in, in healthcare. >>And then from there, you kind of designed the, a vision of where we want to be in terms of that digital transformation and how do we get there. And then once that is well explained and evangelized, and that's part of our jobs with the help of our colleagues who have, have been doing this with others, then is the, what I call a tell end show. We're gonna say, okay, in this, in this road, we're gonna start with this. It's a small thing and we're gonna show you how it works in terms of, in terms of the process, right? And then as, as you go along and you deliver some things, people understand more, they're on board more and they're ready for for more. So it's iterative from small to larger. >>The proof is always in the place, right? If you can show somebody, so actually I, I obviously we know about Accenture's role, but in terms of almost, almost what Tony was just saying, that you have to show people that it works. How, how do you interface with a client? And when you're talking about these new approaches and you're suggesting changes and, and making these maybe rather dramatic proposals, you know, to how they do things internally, from Accenture's perspective, how do you make it happen? How, how do you bring the client along in this case, batches >>Down? Well, in this case, with Tony and Depu, I mean, they have been on this journey already at another client, right? So they came to Baptist where they had done a similar journey previously. And so it wasn't really about convincing >>Also with Accenture's >>Health, also with Accenture's Health, correct. But it wasn't about telling Tony Dupe, how do we do this? Or anything like that. Cuz they were by far the experts and have, you know, the experience behind it. Well, it's really like, how do we make sure that we're providing the right, right team, the right skills to match, you know, what they wanted to do and their aspirations. So we had brought the, the healthcare knowledge along with the AWS knowledge and the architects and you know, we said that we gotta, you know, let's look at the roadmap and let's make sure that we have the right team and moving at the right pace and, you know, testing everything out and working with all the different vendors in the provider world specifically, there's a lot of different vendors and applications that are, you know, that are provided to them. It's not a lot of custom activity, you know, applications or anything like that. So it was a lot of, you know, working with other third party that we really had to align with them and with Baptist to make sure that, you know, we were moving together at speed. >>Yeah, we've heard about transformation quite a bit. Tony, you brought it up a little bit ago, depu, just, if you had to define transformation in this case, I mean, how big of a, of a, of a change is that? I mean, how, how would you describe it when you say we're gonna transform our, you know, our healthcare business? I mean, I think there are a lot of things that come to my mind, but, but how do you define it and, and when you're, when you're talking to the folks with whom you've got to bring along on this journey? >>So there's the transformation umbrella and compos two or three things. As Tony said, there is this big digital transformation that everybody's talking about. Then there is this technology transformation that powers the digital transformation and business transformation. That's the outcome of the digital transformation. So I think we, we started focusing on all three areas to get the right digital experience for the consumers. We have to transform the way we operate healthcare in its current state or, or in the existing state. It's a lot of manual processes, a lot of antiquated processes, so to speak. So we had to go and reassess some of that and work with the respective business stakeholders to streamline those because in, it's not about putting a digital solution out there with the anti cured processes because the outcome is not what you expect when you do that. So from that perspective, it has been a heavy lifting in terms of how we transform the operations or the processes that facilitates some of the outcomes. >>How do you know it's working >>Well? So I I, to add to what Deep was saying is I think we are fortunate and that, you know, there are a lot of folks inside Baptist who have been wanting this and they're instrumental to this. So this is not a two man plus, you know, show is really a, you know, a, a team sport. Again, that same. So in, in that, that in terms of how do we know it works well when, when we define what we want to do, there is some level of precision along the way. In those iterations, what is it that we want to do next, right? So whatever we introduce, let's say a, a proper fluid check in for a patient into a, for an appointment, we measure that and then we measure the next one, and then we kind of zoom out and we look at the, the journey and say, is this better? >>Is this better for the consumer? Do they like it better? We measure that and it's better for the operations in terms of, but this is the interesting thing is it's always a balance of how much you can change. We want to improve the consumer experience, but as deeply said, there's lot to be changed in, in the operations, how much you do at the same time. And that's where we have to do the prioritization. But you know, the, the interesting thing is that a lot of times, especially on the self servicing for consumers, there are a lot of benefits for the operations as well. And that's, that's where we're in, we're in it together and we measure. Yeah, >>Don't gimme too much control though. I don't, I'm gonna leave the hard lifting for you. >>Absolutely, absolutely right. Thank you. >>So, and, and just real quick, Ashley, maybe you can shine some light on this, about the relationship, about, about next steps, about, you know, you, you're on this, this path and things are going well and, and you've got expansion plans, you want, you know, bring in other services, other systems. Where do you want to take 'em in the big picture in terms of capabilities? >>Well, I, I mean, they've been doing a fantastic job just being one of the first to actually say, Hey, we're gonna go and make an investment in the cloud and digital transformation. And so it's really looking at like, what are the next problems that we need to solve, whether it's patient care diagnosis or how we're doing research or, you know, the next kind of realm of, of how we're gonna use data and to improve patient care. So I think it's, you know, we're getting the foundation, the basics and everything kind of laid out right now. And then it's really, it's like what's the next thing and how can we really improve the patient care and the access that they have. >>Well, it sure sounds like you have a winning accommodation, so I I keep the team together. >>Absolutely. >>Teamwork makes the dream >>Work. Absolutely. It is, as you know. So there's a certain amount of, if you look at the healthcare industry as a whole, and not, not just Baptist, Baptist is, you know, fourth for thinking, but entire industry, there's a lot of catching up to do compared to whatever else is doing, whatever else the consumers are expecting of, of an entity, right? But then once we catch up, there's a lot of other things that we were gonna have to move on, innovate for, for problems that we maybe we don't know we have will have right now. So plenty of work to do. Right. >>Which is job security for everybody, right? >>Yes. >>Listen, thanks for sharing the story. Yeah, yeah. Continued success. I wish you that and I appreciate the time and expertise here today. Thank you. Thanks for being with us. Thank you. Thank you. We'll be back with more. You're watching the Cube here. It's the Executive Summit sponsored by Accenture. And the cube, as I love to remind you, is the leader in tech coverage.

Probably Toronto, Canada. It's the cube covering blockchain futurist conference 2018, brought to you by the queue. Hello and welcome back to you keep live covers here in Toronto for the untraceable blockchain uterus conference two days a wall to wall coverage. We were just seeing it here on the coupon shopper host Dave Vellante, Tony Lane, Cuba last night with culture and we have James Mcdonald, head of strategy of Sentinel. He's also a PGA professional golf professional and a boxer. Extraordinary. Welcome to the cube. Thanks. You ever had in my notes. Funny before camera came on. Super exciting. Even though the market's kind of in a downward trough and by the, you know, do its normal cycle and Crypto, tons of energy. The culture is changing. There's a real energy around focusing on high quality builders, high quality individuals. This is a real dynamic projects for good projects for profit is great engineering going on. What could be better for sure, and we've been through the trod so many times. We've gotten to the point that now I just kind of like. I'm like, well, I mean we're here again. You know what I mean? And now it's time for, we figure out right now who's really in it to win it and who's just playing the game. Tell you know what I love about. You've got great energy, great. Already got great culture. You've been around, you've seen it early, you've been involved in a lot of the iterations of the industry that's just now growing to be a baby and his growing up into it's elementary school years. What are you, what's your take? I mean you look at this, I know you do a lot of retreats and self reflection. What's the industry? Where's it come from? Where is it now? How do you feel about what's happening? So I did in blockchain since 2011 and from a price perspective, there's actually a science fiction story that came out on Reddit in 2014 or 13 by someone named, got underscore Nada and it's called I am from the future. And I am here to stop you from what you were doing in this science fiction story. He outlines this pricing curve that basically shows the first five years of bitcoins existence. If no other market factors happen, no outside influence, no qualitative influenced the first five years, 10 x every year, second five years, every other year, 10 x every other year. And what's crazy is that if we wouldn't have had Mt. Gox and some of these other events like bitcoin was only supposed to go to 10 k last year, which is double. So if we wouldn't have had those external events, that pattern would have actually been it. So what's really easy and simple to remember about bitcoin is that it has a scarce supply. That's, I think that's the easiest way to put any of this. And so this is just a period of time. The market over extended itself and it shouldn't have gone realistically past 10 K it doubled. So yeah, I mean that's a if that's to be expected, right? No, no. In my opinion, I looked at either an exercise about six months with my friend. We look at the Nasdaq during the pre bubble days and we'll exchange of the Nasdaq and that's just a small scale relative to global care crypto. It's actually in line with some of the expansion we've seen in other financial market, so I kinda think it's good to have to do curation going on and calling out some of the dead wood, bring it into the better projects. This is kind of the reality now. Rip Good Times. Well, you know Bradley or yesterday at the cloud and blockchain conference posited that wasn't talking about Bitcoin, he was talking about ether. He said there's just too many damn coins and every ICO is most ics anyway. Tied to the theory. Yes, buy it. Well, I mean you can take this one too, but what I see is a decoupling at some point that has to be some sort of decoupling at the moment. Everything is very correlated and I think as time goes on you will see it's like survival of the fittest. Right? So you've got, you've got a lot of blockchains and you've got a lot of tokens on ethereum that want to come off to theory and it's survival of the fittest. I feel like. Yeah, the best ones will prevail and the ones that aren't trusted or secure. Yeah. So talk about who's in it to win it. What do you look for in the contenders versus the pretenders? What are the attributes that you as deep experts in this field look toward the winters? Well, I see as right now we're kind of like a candy that you love coming out with a new flavor. It's like everyone's like, oh yeah, like remember this candy gotta buy it now, but at the end of the day it's pretty much the same candy and she was like a little different sweetener and so we will experience obviously a sharp correction. Yeah, for sure. But I think what's really beautiful about this is it's actually enabling creative potential jobs of the future are not going to be, oh, I know how to do c plus plus now I have a job forever. It's going to be about reinvention at that is the real economy of the future and chains and huge enabler for that new markets are opening up to. So it's not just the reinvention, which I agree, reimagined the reinvention and new markets. Our change was on earlier saying eight and 80 day tour of 10 countries. New markets are exploding. That's just a new markets is rechanging system, not your grandfather's venture capital model, silicon valley or New York or London. It's with the globe. There are many, many reasons to tokenize the world. The thing that, the thing that stands out to me is, you know, when you look at tokenizing securities, the fact that this opens up the free market to everyone, you know, these things can be traded 24 slash seven, three, six, five from anywhere in the world. Traditionally if you want to buy stocks, will streets open for less time than it's been. It's closed and so it. It just opens up the free market to everyone all over the world and to me that's that journalists, you're a professional golfer. Someone use a golf analogy too, because I'd love Golf Golfer, so excellent Golfer. Not a pro, but he could be. I don't keep score with them many times and he never played. She played like, well, why don't you twice a year consistently shoots. There's a little bit hockey and a happy Gilmore going on golf metaphor, so the world that we know that's the centralized governed world banks, big corporations that are being essential. I consider them like a wooden shaft and the old clubs. Now all of a sudden graphite shafts, youth club heads, new technology. The game doesn't really change fundamental APP, but it changes the performance you by that is that a good analogy? Needed to. Perfect analogy. When you go to the golf clubs, then you've got the older members and they don't buy it. They say that the performance doesn't increase with the new technology, but really we know that old stodgy members, it comes down to that people are naturally averse to change. People don't change something that they don't quite understand. They'd naturally dismissed if they don't want to delve in, felt dismiss that and everyone here today is going down this rabbit hole, but there's a hell of a lot of people out there that I didn't really get it. I don't want to get it. So. And they'll dismiss that and they'll even. They'll even talk it down if it threatens them. At the game changes. No, I mean come on. If you look at the current distribution, over time we've moved from tribalized kings and Queens to nation states. Let's hope that we actually enable a redistribution of wealth. I want to see blockchain create the garden of Eden. We're experiencing now is basically same incentives, slightly less bad people, and I feel that if we really use new technology is an opportunity for change. Change is gonna happen and if we make the integration of new technology about experiencing compassion in action as humanity, we changed human perception, human behavior, your understanding of your own limitations. When we enabled real freedom, not just the illusion of freedom as money on Amazon yesterday, which he's with, he's done an amazing work what he's doing to transform the Caribbean islands with exchange changing a society there digitally connected almost 100 percent penetration of mobile. It's incredible. They can't access some basic services society. A new game changer. You're taking an integrative approach to how you interact with people and it's part of your persona. Maybe I'm pushing the golf analogy to bring it, bring it, watching the end of the PGA this week and they were interviewed. Tiger Woods is back and he's comes in and they were interviewing him and he wants to be on the Ryder Cup team. Now, if you've observed him in the Ryder Cup, not great. This is a team sport. The euro's always killed the Americans when the superstar is right and it's sort of the same thing that you're saying. It's the get the haves and have nots. It's a team sport and it's community driven. Increases viewings like you wouldn't need tigers pain. Everyone tunes in, which is great for the sport, for the Americans because they always lose when he plays. I think it would be, you know, why not put him in the team because it's good for the game. It gets people more engaged. He goes and he's been humbled. You know that your thing is there a lock if you the back, you want them involved but you don't want to dominate it. Alright, so guys, let's take it back to reality. You guys are working together on a project we talking, talking you guys, what are you guys working on know about the projects you guys are involved in right now. What James and I do together is we take these skills, we've learned through my life, you a performing artist in his previous life as a professional athlete and we've really taken what we've learned through our knowledge and our network to help entrepreneurs who are driven with integrity and appear to be a success. So it's really, well we do together is we just really, um, and that's, that's what we do both for fun and for enjoyment. And what I'm working on personally, James is the head of strategy at a company and I'll let him get into that when I'm working on personally is global citizenship and my company culture is actually focused on something really integral to the block chain which is capitalizing the market share on the tradition, the transition out of nation states and into oriented and governance models. So we have one layer that's open source for free for the world, for ever to own your agreements and to own your identity as a self sovereign individual stewarded by your community to give everyone more context on each other. And then our for profit businesses basically facebook connects people to their friends, culture connects people to communities and connects communities to dapps that are services and economists basically. And we build that whole ecosystem. So that's really what I'm up to at culture. And then James and I have our own adventure together and James is also had a strategy at center. Yup. Okay. So sentinel is an interoperable network layer for distributed resources. So let me break that down. What block chain technology allows is for you to monetize access resources like access bandwidth, access, GPU or CPU power. And so our first working product is a decentralized vpn. So you know what a vpn is. Sure. So the sentinel, the VPN is distributed. So what that allows you to do for example, is you could access, you can monetize your excess bandwidth by hosting a note that people can connect to it. And the beauty of the decentralized vpn is that it's probable, so all the code is open source and there's proof that the data is actually being kept private, it's encrypted, um, and there's no, there's no centralized or a body or a company that can be shut down or, or forced to give up data or paid for paid for data. It's distributed. So it's fast and it's secure. So yeah, there's a lot of big companies in the crypto space that are very concerned with data privacy and they didn't, may not trump central vpn, traditional centralized vpn paid. So you host your own node, you get paid. It's a marketplace. So anyone in the world can set up their own node, run their own node, help other people obscure their traffic if they don't want. Like for example, Gdpr, if you don't want every website that you visit to monitor literally everything you do, you might want to consider using a vpn for the sake of preserving your own personal privacy and the integrity of your data which you own and rightfully should actually own the monetization value of. So in the world you can have a few node and you guys can pay, people can pay $5 your whole network and use it. So I can sell my xx compute capacity, network bandwidth, the storage sewer. No touching that. A storage, I mean down the line. So it's for, for, for distributed resources. That sentinel. The first product is the dvps yes. Down the line. Yeah. We're going to come up with much more so others could actually plug into that platform like a live stream in China. I can pop on a vpn. There it is. Run Google apps in China because you can run google. Yes. You know, she'd even China. Let's you. Cool. All right guys. Well thanks so much for coming on. Appreciate it. Thanks. Very inspirational. I think there's a lot of mission driven cultural change coming very fast. This next generation coming up is going to be the stewards of making the change happen. It's our job to set the table and get these services out there. Congratulations. Okay. Cube coverage here live in Toronto at the untraceable blockchain futures conference. Two days is the cube wall to wall coverage. I'm John Furrier, stay with us Dave ones continuing the best gas, the most important people. Bring in the great blockchain crypto world together here in Toronto. We'll be right back.