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Don Mims, Baylor, Scott & White Health - Nutanix .NEXTconf 2017 - #NEXTconf - #theCUBE


 

>> Narrator: Live from Washington, DC, it's The Cube covering .NEXT conference brought to you by Nutanix. >> We're back at Nutanix .NEXT. This is The Cube, the leader in live tech coverage. We go out to the events and extract the signal from the noise. My name is Dave Vellante and I'm here with my longtime co-host Stu Miniman. Don Mims is here as the director of infrastructure and virtualization at Baylor, Scott, & White Health. Don, great to see you. Thanks for comin' on The Cube. >> Thanks for havin' me. I appreciate it bein' here, it's very nice. >> Yeah, so Baylor, Scott, & White Health, we weren't familiar with that before we met you. Tell us a little bit about the organization. >> Sure. So, Baylor, Scott & White Health is based in Dallas, Texas. We've recently had, over the last couple of years, a merger opportunity. We merged with Scott & White that is down in Temple, Texas which is a little farther east, or west and south of Dallas. And we've grown our organization to around 40 hospitals, over 500 clinics and we continue to grow and make strives in the healthcare space. >> Dallas is booming. I mean, obviously-- >> It is. World-class city with world-class healthcare. Talk about some of the things that are happening in healthcare that are sort of driving your strategy, the challenges that you guys are having. I mean, obviously, there's, there's EMR, there's meaningful use, there's, you know, changes in the Affordable Care Act, all that stuff. That and or other things that are really driving strategy and creating challenges for you. >> Yeah, one of the biggest things that we're doin' right now is movin' into the digital space. So, the patient, centered focus being in a traditional brick and mortar facility, is shifting. Patients wants quicker access to data, quicker access to physicians. So, bein' able to create solutions that can deliver a physician and patient experience, possibly from a mobile device, a phone, a tablet, a PC, is where we're movin' the market towards. So, some of the solutions that we're building and delivering are enabling a faster delivery of technology for healthcare. >> You know, sort of, when you think about last decade, docs were, sort of, averse, somewhat to technology. >> You're right. >> And mobile really changed that, hasn't it? >> It has. >> How has that affected your, the backend infrastructures? >> So, it definitely has to be more robust. As you're delivering content now, video, web chats, things like that that have to be reliable because now patient outcomes depend on that type of data delivery, the backend has to be available more than ever at this time. >> So it's kind, you actually kind of have an IOT use case in the hospitals, right? >> We're gettin' there. >> And then when you start pushin' video around it's got to be very challenging. Now you're also doing some projects around DNA sequencing. Is that right? >> We are. It's very exciting space. We recently delivered a solution on Nutanix to create a DNA sequencing platform that hasn't been done before as we know it. The vendor, this was the first time for the vendor, a first time for Baylor, and it has been very successful implantation and it's, it's a very robust system today. >> Don, can you bring us inside a little bit? What were the requirements you were lookin' for? What led you down the path to Nutanix? Had you been usin' them before or was this the first-use case? >> It's actually not the first-use case. The project actually started out as a, it was a migration. The customer was using a hosted solution. It was slow. Their sequencing data was taking a long time. Their results were being held up because of the way their architecture was set up. So, we decided to bring it in-house and put it on a platform that was kind of new to us and try to deliver it with better speed and it definitely has done that. >> And does that trickle down to, you know, what does that mean to the cost of solutions? I mean, I think we all know it, you know, DNA sequencing used to take a long time and a lot of money and it's now, you know, kind of, do a swab type things and it's done a lot less. >> Yeah, so with this platform, the customer, the physician is now not only going to use this platform to get results quicker, we're also going to start potentially offering this as a service to others and help other physicians and other clinics also get their results quicker as well. So, it's going to grow over time to just an in-house solution to maybe something more broad-scale. >> So you saw the keynotes this morning. They're pushin' a lot of information at us. Obviously, we, Stew and I talked about it in our open. Nutanix, a couple years ago, sort of pivoted beyond hyper-coverged infrastructure, tryin' to position as cloud even though they still a lot of hyper-converged infrastructure, let's face it. But, as a consumer, as a practitioner, how does that message relate to you? You have a lot of vendors tryin' to sell to you. You got cloud, different cloud strategies, cloud, cloud, cloud, cloud, cloud. Dev-ops, containters. So, do you, what do you want to see from a company like Nutanix? Do you want them to, like, stick to their knitting, hey just give me hyper-converged infrastructure, or do you want them to take you on, on a journey? I wonder if you could add some color to that. >> Sure, and where you're goin' with that question is exactly the reason we chose this solution because it's way bigger than just a hyper-converge, you know, solution. That was, for me, that was kind of the first thing. That's what got us hooked and then the innovation that's come, you know, since then, and things that we've learned about the product and where they're goin' with automation, migration strategies of current workloads, the ease of management, the cloud strategy, the partnerships that they're makin' now with other, with other partners. That's really what I like to see and that continued growth is why we chose this product 'cause they have that vision and it's really appealing. >> And so, do you, are you using public cloud today? >> We are in a very limited manner. As you can imagine, health care and personal health information in the cloud can be kind of scary to some people so we have started that roadmap and we continue to try to expand that as we go. >> Is it fair to say that as an infrastructure professional that you're, you're, can I summarize your infrastructure strategy is you want, like, to, substantially mimic the attributes of a public cloud where it makes sense on prem. Is that fair? >> That's exactly what we're tryin' to do. Speed to delivery, server provisioning, resiliency of the infrastructure, invisible infrastructure, you might have heard that term today or over the past few days. That's what we're tryin' to accomplish. >> Self-service or no? >> Self-service internally right now. So, my own staff are going to use the automation internally to deliver quicker and then eventually as we perfect that, we'll let our customers self-service. >> So be as cloud-like as possible but not too cloud-like too soon? >> Exactly. >> So do you feel as though, as an IT pro, that you are on the path to achieving that vision? >> I do. We are, at Baylor, we're breaking new grounds with what we've done recently and I think the longterm vision to where we want to be is going to be, is going to be big over the next few years. >> So we get, we get into a lot of discussions with folks in our community that are, you know, kind of, cloud bigots, I'll call them and they say, "Hey, the vendors like Nutanix "and even more so vendors like IBM and HPE "and, you know, EMC, and their customers "will never be able to achieve what Amazon achieves." My question to you is, and you probably agree with that, I mean, Amazon's ahead of you, I bet. But, I would hope. But, how do you feel about that? Is that okay? Do you lose sleep over that or do you feel as though, "Hey, we've made so much progress." I wonder if you could comment on that as an IT pro. >> Yeah, sure. So, briefly on that topic, Amazon's business model is a little different than the industry that we're in, right? >> Yeah, sure. >> And, we're not really in the technology delivery business, right? We're in healthcare and patient servicing but what we do behind the scenes to enable the patient satisfaction and patient outcomes using this web-scale technology or this Amazon-like infrastructure is something that we're going to continue to build and grow on. We'll never be in that position, like Amazon is. But behind the scenes with automation and the infrastructure resiliency, using that same technology is what we're going to, how we're going to accomplish that. >> So a big part of that, 'cause you mentioned some of the digital transformation you're doin' up front, a big part of that cloud-like on prem, is makin' your people more productive and not, you know, focused on provisioning LUNs and servers and-- >> That's right. >> You know, pluggin' in cables. It's really automating as much as possible. So, have you seen the affect on non-differentiated IT labor in your shop? >> We have. So, just within our team, the amount of time the engineers have to spend on just this specific infrastructure has been greatly reduced so we get to spend more time doin' things like protectin' our environment. You know, a lot of these, these viruses have been comin' out lately. These, these exploits. So, we've been able to patch more diligently, remediate issues, and then we've seen other reduction in time for other teams. Storage team, they don't have to deal with our stuff anymore. They can focus in other areas. So it's really been a shift in the way we do business. >> So just one more followup, I know that Stu wants to jump in. So, and this is a hard question to be precise on, but, in rough terms, if you think in, you know, rough percentage terms, how much, you know, sort of, of the labor effort you've been able to shift to more interesting, the fun stuff, as Stu calls it. Is it a 5% factor or a 20%, 50%, you know, 100% factor? I wonder if you could just give us some anecdotal-- >> Right now the impact has been pretty small. If you look at the, our Nutanix infrastructure today, it's a very small portion of our overall infrastructure since it's fairly new. >> Right. >> But, I can tell you, the time that we spend on that right now is very minimal. I have one engineer that oversees the entire infrastructure at this point. I'm freein' up multiple other resources to do other things, so it's been an improvement. >> And so, and so pre-, pre-hyper-converged, if you didn't go that direction you'd have more than one engineer or? >> Oh, I'd have, I'd probably have at least three times as many. >> So three x factor, wow. >> Just because there's so many other components that you have to manage that aren't just specific to that one stack. >> David: Mhm, right. >> Don, you've got virtualization in your title, how do you look at virtualization today? Where are you in that journey? We've been hearin' at a lot of these shows that we've been at that, you know, virtualization feels like it's played out for the most part. We know where it is. Cloud has been the big discussion. Where is it in your job? >> So, kind of two paths in my infrastructure. We have server virtualization which is traditional, you know, virtualizing the compute workload. And then also on application virtualization, so app delivery. And I think there's still a lot of room for growth in both of those aspects. Application delivery is going to continue to morph and it can be delivered from multiple different platforms and I can see it doin' that over time. Server virtualization is a way to go and what we're doin' there is tryin' to continue to deliver the capacity, you know, that we're at or continue to grow it but at the same time shrinking that hardware footprint and relieving some of the stress in the data center and that's what we're lookin' for. >> On server virtualization what are you usin' today? >> For server virtualization we use VM ware, ESX. >> And have you looked at the HV stuff at all? >> We have and I'm very excited about that and it's kind of one of those things where you can't jump in with two feet right off the bat just because it is a little new and you feel like you need to really look at it really closely but at the same time, I'm pretty confident that it's going to be a good, longterm replacement as we continue to look at it. >> One of the, Nutanix has really been looking out for their future plans. One, share, you know, what resonates with you, and what about yourself? What kind of future strategy do you have? What are you looking for from the vendor community to help you do even more with your resources? >> So, the vendor community definitely, this is kind of a new area for them. A lot of the application vendors we talked to aren't really familiar with this platform so I think as this product grows and as this space grows, I think more vendor awareness is going to come about and they're going to be more comfortable with this as a solution. >> Okay, yeah, especially healthcare. It's all those ISVs that need to integrate and support and say, "Yes, I'm okay with it." >> Exactly. >> We saw that with virtualization at first and... >> Yup. And health care is always traditionally a little bit behind 'cause it's a little more conservative space. So, I think it'll take a little bit of time for them to feel comfortable there, as well. >> So what are the big problems you're tryin' to solve today from an infrastructure standpoint? >> Well, you know, financial issues are always a topic, right? So, what we're tryin' to do is deliver infrastructure to support our patients in a cost-effective way. So bein' as frugal with the money that we do have and buyin' the right technology and not spendin' a lot of money on a diverse stack and wasting financials. >> I mean, you just basically, you know, reduced your IT labor in that little part of the world by, you know, a factor of, you know, 3x as we talked about. Is there a gain-sharing philosophy where some of that reduction comes back to you for innovation or is it just, sort of, go back to other parts of the hospital? >> It will go back, probably, just to the bigger, to the bigger team. I mean, there are benefits to us, you know, specifically that we're going to achieve, but overall, that time-saving goes back and allows, you know, different teams to do other things which overall will help improve our whole environment. >> So in the keynotes today, and I was talking to you off-camera about one-click migration, there was a database migration and, I think it was one-click DR as well, but I'm interested in the database stuff. You've got some experience with databases. Actually, let me ask you, is that part of the infrastructure definition is database on down? >> It is. >> Yeah, okay. So what was your reaction to the sort of one-click database migration? >> It's very exciting. I think that's going to help in the aspect of migrating workloads from, from Legacy or traditional to this new platform. There's, I think there's still some components that you have to consider. The migration is very nice but, you know, validation, testing, all those kind of components also have to be part of that whole plan. >> So if I looked at the, I mean, database migrations can sometimes be real hard balls. So if I, if I look at the cycle, you know, the anatomy of a migration, let's say it takes, you know, n amount of time, what is that amount of time, you know, on average, and I know it's a hard, it's one of those stupid average questions. >> It can vary based on size. >> Yeah, I know it's a big it depends. But what percent of that, that, that value chain, if you will, that sequence chain is Nutanix attacking with what you saw today in your view? >> So, what you do is reduce the execution part of that migration and you probably reduce a lot of the planning phase of that because in any kind of a database migration, there are so many factors that go into that and a lot of the discussion is around how are we going to move this workload to this new space? And Nutanix has solved that by taking care of the how and then, you know, you just need to figure out how you're going to validate, test it, and confirm that once it's there, everything continues to work as expected. So I think you've reduced the time of planning and execution both with that strategy. >> I mean, the planning piece has actually got to be a huge portion-- >> Huge. >> Is it half of the total? >> It's probably at least half. >> Yeah, I would think so. >> Because the better you plan, the better you're going to execute, right, so. >> Yeah, yeah, right, right. Okay, good. Well, Don, I'll give you a last word on futures. What kinds of things are you workin' on that, you know, you can share with us? >> So for us, the future is going to be to, to continue to converge this stack. We're going to continue to move forward with automation. Try to reduce the delivery time for applications and servers and infrastructure and eventually simplify our management layer and spend more time doin' other things, doin' more fun stuff. And that's what we're lookin' to do. >> Love it. As I always say, love havin' the practitioners on we get to pepper questions and get the real story. So Don, thanks very much for comin' on The Cube. >> Thank you for havin' me, I appreciate it. >> You're very welcome. Alright, keep it right there everybody. Stu and I will be back with our next guest right after this short break.

Published Date : Jun 29 2017

SUMMARY :

brought to you by Nutanix. Don Mims is here as the director of I appreciate it bein' here, it's very nice. we weren't familiar with that before we met you. and make strives in the healthcare space. I mean, obviously-- strategy, the challenges that you guys are having. So, some of the solutions that we're building You know, sort of, when you think about last decade, the backend has to be available more than ever at this time. And then when you start pushin' video around and it has been very successful implantation kind of new to us and try to deliver it with better speed and a lot of money and it's now, you know, the customer, the physician is now not only going to I wonder if you could add some color to that. and then the innovation that's come, you know, and personal health information in the cloud infrastructure strategy is you want, like, to, you might have heard that term today So, my own staff are going to use the automation internally is going to be, is going to be big over the next few years. My question to you is, and you probably agree with that, than the industry that we're in, right? and the infrastructure resiliency, So, have you seen the affect on the amount of time the engineers have to spend So, and this is a hard question to be precise on, If you look at the, our Nutanix infrastructure today, I have one engineer that oversees the at least three times as many. that you have to manage that aren't just shows that we've been at that, you know, deliver the capacity, you know, that we're at and you feel like you need to really to help you do even more with your resources? A lot of the application vendors we talked to and say, "Yes, I'm okay with it." for them to feel comfortable there, as well. Well, you know, financial issues are I mean, you just basically, you know, I mean, there are benefits to us, you know, and I was talking to you off-camera about So what was your reaction to the sort of components that you have to consider. So if I, if I look at the cycle, you know, that value chain, if you will, and then, you know, you just need to figure out Because the better you plan, you know, you can share with us? We're going to continue to move forward with automation. As I always say, love havin' the practitioners on we get to Stu and I will be back with our next guest

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