>>Hello and welcome back to the cubes live coverage of A W. S. Public sector summit. I'm john Kerry hosting CUBA. We're live in Washington D. C. For two days, an actual event with an expo floor with real people face to face and of course we're streaming it digitally on the cube and cube channels. And so our next guest, Mark Francis chief digital health integration officer Electronic caregiver, Mark great to see you tech veteran and former intel back in the day. You've seen your ways of innovation. Welcome to the cube. >>Thanks so much. It's a pleasure to be here. >>So we were talking before we came on camera about all the innovation going back in the computer industry but now with health care and delivery of care telemedicine and how the structural systems are changing and how cloud is impacting that. You guys have an interesting solution on AWS that kind of, to me connect the dots for many tell us what you guys do and take us through the product. >>Sure. Happy to do so uh our company is electronic caregiver were actually founded back in 2009. We're based in Los cruces new Mexico so off the grid. Um but since that time we have been spending a lot of time and money doing foundational R and D pilots and product development work. Really say how do you bridge that chasm between the doctor's office and the patient home in a way that you can put a patient facing device and equipment in a patient's home that's going to drive high level of engagement, obtain actionable curated data that's presented out to caregivers and the caregivers can then act upon that to help direct and deliver high quality care. >>So basically is the future of medicine, >>the future of medicine. Right. Right. We look at medicine, we look at the future of medicine as being a hybrid model of in person care plus remote care. And we really see ourselves at the epicenter of providing a platform to help enable that. >>You know the big story here at the public sector. Some and we've been reporting on a digitally for the previous year is the impact the pandemic has had on the industry and and not just normal disruption, you know technology and start ups, disruption happens, structural changes being forced upon industries by the force majeure. That is the pandemic education, health care and so video and data and connected oriented systems are now the thing structurally that's changing it. That's causing all kinds of business model, innovations and challenges. Yeah. What's your take on that? Because this is real. >>Yeah. It is real. It it's funny that this is actually my third digital health company. Um First one was in in uh Silicon Valley early remote patient monitoring company. We end up selling it to bosh uh when I joined intel to be part of our digital health group, we did that for five years and ended a joint venture with G. E. So people have been playing around in remote patient monitoring telehealth for some time until the pandemic though there wasn't really a strong business model to justify scaling of these businesses. Um uh the pandemic change that it forced adoption and force the government to allow reimbursement coach as well. And as a result of that we've seen this pure if aeration of different product offering service offerings and then payment models around telehealth broadly speaking >>well since you started talking the music started cranking because this is the new music of the industry, we're here on the expo floor, we have face to face conversations going on and uh turn the music down. Hey thanks guys, this is a huge thing and I want to uh highlight even further what is the driver for this? Because is it, I mean actually clouds got some benefits but as you guys do the R. And D. What's going on with what's the key drivers for medicine? >>Yeah, I would take two things from a from a technology perspective, the infrastructure is finally in place to enable this type of charity distance before that it really wasn't there now that's there and the products that folks are used are much more affordable about the provider's side and the patient side. The main driver is um uh there's a lot of underlying trends that were happening that we're just being ignored Whether it was 50% non adherence to treatment plans, massive medication mismanagement um lack of professional and informal caregivers, all those things were kind of happening underneath the surface and then with Kobe, it all hit everybody in the phase. People started using telehealth and then realize, hey, we can deliver high quality care, we can deliver value based care mixed with a hybrid model of tele care plus patient care. And it turned out that, that, that works out well. So I think it's now a realization that tell care not only connects patients but solve some of these other issues around adherents, compliance, staffing and a number of other >>things and that this is a structural change we were talking about. Exactly. All right, So talk about amazon, what do you guys are doing on AWS? How's that all work? >>That's working out great. So as we, as we launch at a 2.0, we built it on 24 foundational aws and Amazon services. It's a serverless architecture, um, uh, which is delivered. What enables us to do is we have a whole bunch of different patients facing devices which we now integrate all into one back end through which we can run our data analytics are machine learning and then present curated actual data to the providers on top of that. We've also been developing a virtual caregiver that's really, really innovative. So we're using the unity engine to develop a very, very realistic virtual caregiver that is with the patient 24 hours a day in their home, they develop a relationship with that individual and then through that they can really drive greater you know more intimate care plan and a more intimate relationship with their human caregivers that's built using basic technology behind Alexa pauline lacks as well as IOT core and a lot of other ai ml services from from amazon as well. >>Not to get all nerdy and kind of seeking out here because under the hood it's all the goodness of amazon. We've got a server list, you got tennis is probably in there doing something who knows what's going on there, You've got polly let's do this and that but it also highlights the edge the ultimate network edges the human and if you've got to care for the patient at home or wherever on the run whatever. Yeah you got to get the access to the data so yeah I can imagine a lot of monitoring involved too. Yeah can you take us through how that works? >>Yeah and for us we like to talk about intelligence as opposed to data because data for data sakes isn't actionable. So really what can we do through machine learning and artificial intelligence to be able to make that data more actionable before the human caregiver because you're never going to take a human out of the equation. Uh But uh we had a lot of data inputs, they're both direct data inputs such as vital signs, we also get subtle data input. So with our with our uh with Addison or virtual caregiver uh the product actually come to the camera away from intel called the real sense cameras. And with that we get to see several signs of changes in terms of gate which might be in the indicative of falls risk of falls. We can see body temperature, pulse, heart rate, signs of stress, lack of sleep. Maybe that's a sign of uh adverse reaction to a new medication. There's a bunch of different direct and indirect inputs. We can take run some analysis against and then say hey there's something here you might want to look at because it might be indicating a change in health. >>So this is where the innovation around these bots and ai come in because you're essentially getting pattern matching on other signals you already know. So using the cameras and or sensors in to understand and get the patients some signaling where they can maybe take action call >>fun or Yeah, that's exactly. And the other thing we get, we get to integrate information related to what are called social determinants of health. So there's a whole body of research now showing that 65% of someone's health is actually driven by non clinical issues. So again issues of food security, transportation, access to care, mental health type issues in terms of stress and stuff like we can start gathering some of that information to based upon people's behaviors or for you to assessments which can also provide insights to help direct care. >>So maybe when I'm doing the Cuban reviews, you guys can go to work and look at me. I'm stressed out right now, having a great time here public sector, this is really cool. So take a minute to explain the vision. What does this go from here? I'll see low hanging fruit, telemedicine, check data, observe ability for patient for optimizing care, check what happens next industry disruption, what how these dominoes have been kind of fall? >>Yeah, for us uh we really are seeing more providers and more payers system. Integrators looking now to say how do I put together a comprehensive solution from the doctor's office to inpatient hospital to home that can remove it. A lot of barriers to care addi which is our platform is designed to be interoperable to plug into electronic health care systems, whether it's Cerner, Epic or Athenahealth, whatever it might be to be able to create that you pick us seamless platform for provider to use. We can push all of the data to their platform if they want to use that or they could use our platform and dashboard as well. We make it available to healthcare providers but also a lot of people are trying to age in place and they're getting treated by private duty providers, senior housing providers and other maybe less clinical caregivers. But if you're there every day with somebody you can pick up signs which might prevent a major health episode down the road. So we want to close that circle our our vision is how do we close the circle of care so that people get the right information at the right time to deliver the right >>care. So it's kind of a health care stack of a new kind of stack. So I have to ask you if there was an eye as pass and sass category um infrastructure as a service platform as a service. And then says it sounds like you guys are kind of combine the lower parts of the stack and enable your partners to develop on top of. Is that how it >>works? Yes it does. Yeah. Yeah. So with addie, the interesting thing that we've done it's designed to have open a P. I. For a lot of modules as well. So if we're working with the american Heart Association and we want to do a uh cardiac care module from using their I. P. We could do that if we want to integrate with Uber health or lift we could do that as well if we want to do something in the amazon and pill pack, it's a plug in that we could do that. So if I'm a patient or or a loved one at home instead of going to 10 different places or use our platform and then pull up four different apps. Everything can be right there at their fingertips. You can either do it by touch or you can use this voice because it's all a voice or a touch of interaction. >>So just because I'm curious and and and for clarification, the idea of going past versus SAS platform versus software as a service is why flexibility or customization? Why not go SAS and be a SAS application? >>Uh we've talked mostly about, we've we've gone back and forth platform as a service or infrastructure as a service. So that's more the debate that we've had. It's more about the scalability that we can offer. Um uh not just in the United States, but globally as well. Um and really that's really the thing that we've been looking at, especially because there's so many different sources of data, if you want to provide high quality care that needs to be integrated. We want to make sure that we created a platform, not just for what we provide but for what others in the environment can provide. >>So you really want to enable other people to create that very much layer on top of you guys, do you have out of the box SAS to get people going or is that just >>With the release of adding 2.0, now we do. So now folks go to our website and they contact our development those tools and and those libraries are available. >>Now, this is an awesome opportunity. So for people out there who are wanting to innovate on you, they can just say, okay, I'll leverage your the amazon web services of healthcare essentially. >>That's a nice bold ambitious statement. Yeah, but I mean kind of but if we if we can achieve that, then we'd be quite happy and we think the industry, you're gonna partner >>benefit of that. It's an ecosystem play. Exactly, yeah. It's kind of like. >>Yeah, yeah, yeah, yeah. And for us, what we do covert is a perfect example going back to that. So when Covid hit um were based in las cruces, new Mexico last winter lost crew system to el paso and overwhelmed. They're at capacity. Different health care systems came to us, they asked if we partner with them to deliver a basically a triage program for folks that were coming into the er with Covid. So we designed a Kobe at home programs. So you get diagnosed, get a kit, go home and using telehealth virtual visits, remote monitoring. Be able to stay healthy at home without doing community spread. And by making sure that you were being watched over by a care professionals 24 hours a day. We did that um worked with 300 people Malcolm would all of them said healthy. We were able to expand uh inpatient capacity by 77%. We saved the system over $6 million in in three months. We've now been asked and we're actually replicating that in Memphis now and then also we've been asked to do so down in Mississippi >>mark, great conversation. Uh real quick. I only I don't have much time left but I want to ask you, does this mean that we're gonna see a clip of proliferation of in home kind of devices to assist? >>Yeah, we will. Uh, what we've seen is a big pivot now towards hospital at home model of care. So you have providers saying, you know, I'll see you in my facility but also extend capabilities so I can see you and treat you at home as well. We've also seen a realization that telehealth is more than a than an occasional video visit because if all you're doing is replacing an occasional in person visit with an occasional video visit. You're not really changing things now. There's a whole different sensors ai other integrations that come together to be able to enable these different models >>for all the business school folks out there and people who understand what's going on with structural change. That's when innovation really changes. Yeah, this is structural change. >>Absolutely. >>Mark, thanks for coming on. Mark Francis chief Digital Health Integration Officer Electronic Caregiver here on the Q. Thanks. Coming >>on. Thank you. My pleasure. >>Okay, more coverage after this short break. I'm john Kerry, your host Aws public Sector summit, We'll be right back mm mm mm

>>from the Cube Studios in Palo Alto and Boston connecting with thought leaders all around the world. This is a cube conversation. Welcome to the >>Special Cube program. We are here with the Amazon Web Services Public Sector Partner Awards program. It's a celebration of AWS public sectors partners and their end user customers where there's been innovation and we're pleased to have on this show here, the award winner for the most innovative AI and ML Artificial intelligence and machine learning solution. Axial three D is the partner, and the end user is Belfast Hospital. He got Roger Johnson, the CEO of actual three D, and Dr Tim Brown consulted transplant surgeon at Belfast Hospital, who has been doing amazing things not only on the as an innovative partner, but really during Covic making things happen by solving the problem of the surgical gap in the number of surgeries that you're doing really high performance saving lives. Congratulations. First of all, congratulations. Roger. Dr Kimberly. Thanks for joining me. >>Re pleasure. >>Okay, let's get into it. First of all, Dr Tim Brown, I really want to commend you on the amazing work that you're doing before we get into some of the partnership awards conversations. You have been at the front lines solving a lot of problems around the gap between the number of surgeries that could take place with Cove. It, um, tell that story real quick. I really think it's super important. Take a minute to >>explain. Yeah, thanks for the opportunity. And it's been an incredible rollercoaster for the last three months, pretty much all of the transplant programs across the world who have been affected by Coupet of shut down but with some pretty innovative on the grill leadership team Working advances with managed to open a program up again. And and Belfast, we have a bytes and 50 to 50 disease donor transplants year over the last three months, with just a 90 90 kidney transplants. Pretty much we've cleared the whole waiting list in Northern Ireland, pretty much for people waiting for a kidney transplant at this time. And it's been a remarkable few weeks, but it really is a testament to the critical care community. People that work in intensive care is the high marks, a support organ donation. Of course, our donors who have given so selflessly at such a tragic time for them. So I'd like to pay tribute to all of our donors into the amazing people who have been involved in the team. Mark belt faster this time. >>That's super amazing. Can you just I just want to pause from and just captured the number of order of magnitude. You said it was 6 to 10 year and you didn't 90 90. >>Yeah, so six weeks basically Teoh, two years work in six weeks old in the middle of the night as well. So it's been It's been hard of hard work, so you can see the sleeplessness. I'm trying to catch up with a minute, but it's been really, really satisfying. An incredible I come for patients and legacy of this of this, the program is gonna last about faster. 40 years. >>Well, I want to say congratulations. I'll give you my Cube Award for not changing the world but saving the world. One person at a time. 90 interviews and six weeks. That's amazing. That's like thinking clearing the waiting list. You really changing lives there. Congratulations. >>That's very kind of you. Thank you very much. >>Roger. Good. A great partner and customer. You have here. Talk about this award. You guys have talked about the company? What is this all about? Why you guys in this position? Why are you winning? >>Yes, So I think our motivation for our company is driven by our partners, such such as? In what they're doing transforms care And even in these horrific situation, our scenarios. We have the moment with Kobe. Think you're hearing the start of the amazing story our job is to give Surgeons liked him the best possible insight that he can have going into his surgeries For the last 20 years, surgeons of relied largely on two D imaging, so C, t and memory scans or for being able to plan their surgeries when it's murdered, technology should apply them much greater insight or they actually perform the surgery. So we've created a technology that platforms on AWS that allows us to turn those traditional hard to understand to the images into micro millimeter precise models off the patients exact anatomy. The value hopefully, two amazing colleagues like Tim is that instead of trying to interpret what a two D image CD or memory scan might mean he can actually see for the first time before he opens the patient up exactly what he's going to find when when he when he starts the surgery. So he immediately start to complete that planning before the surgery actually takes. So hopefully that analyze a number of benefits to results without the shorter operations. Find less surgical meeting we brought into the surgery. Hopefully, faster Surgeries names last risk of infection For patients being shorter Time means most >>awesome. Dr. Brian, I want to get your take on this. Can you describe the impact on your side because you know the future of work, which is everyone's been talking about in the tech industry for many years now, with code we were just talking about. The success is you're having and changing lives and saving lives. The notion of work workplace work, forces, work loads, work flows are all changing. Certainly the workplace people aren't as on site as they used to be. The workforce has to be protected. How does the AI and how does the actual three D help you and your work flows? Are you getting more done? Can you give specifics around the impact to your job? >>Yeah, it's a bit It's been a fantastic journey to date. We're still learning away. It's a journey. We're trying to work out exactly where this lies in. The fact that Kubla does not come along, which has changed, or working practices, that means that we have to look for different solutions on this, I think, is very 100 solution to amend. My practice over the last three years has been in terms of complex and real surgery on oncological surgery, where we have, for example, a tumor and kidney where we think, my goodness, we're gonna have to take this kidney I and throw it in the bin because it's very badly disease. So the index case that we were involved with that was building a child who wanted to donate his kidney to his daughter. But when we worked him up, we find a tumor in his kidney, which ordinarily would have to be discarded. But thanks to the imaging that Excel was able to produce for us, we were able to plan Well, geez, well cut well and as a result of kidney, I really plan a removal of the tumor from the kidney itself. We really repair kidney and then transplant it into his daughter. So with the technology that was available, we were able to save two lives on one particular case on, and it's really grown from there on. We've been involved in five or six different, really complex cases where the imaging has changed the outcomes for our patients who ordinarily wouldn't have been able to. Chief insight comes, I think, the AI interface on the AI solution we've developed in our partnership with the Excel. As I said, it's a journey and we're still finding our way. But to insights that I've really got our the first is that what we want to do is reduce variability, not just in our in our observers, from the way that we interpret imaging tradition is what you're saying is, look a two D images. We're now able to sit and look at this, emerging in a three dimensional space on our desk. Rather than trying to reconstruct these things in your head, we can look at them and discuss the different images with our colleagues in real time, a zealous that which I think is probably the most important thing, is that we're not able to engage our patients and a partnership. Before we had a bit of an unfair advantage that we're able to interpret these images because 20 or 30 years of getting used to doing this as professionals. But the patients are presented with some incredibly difficult decisions to make by their own health and with very little understanding that. But now I can handle the model of their own disease very easy to understand, and that gives my patient autonomy to make the decisions about their own bodies back again. And I think that's a hugely powerful, powerful tool for these guys have about potential decisions that they have to make that more effective for the rest of their lives. >>So the problem you're solving was one of the technical problem. So you're trying to figure out manually, get more insight into the the imaging and to the customer or the patient. This case customer, the patient. I can make a better decision. Those are two problems, statements that seem to be the big ones that I missed. Anything? >>Absolutely, absolutely. >>Okay, so actual three d you guys have a great solution? How >>did you >>get here? Tell us about your story. What's what's What's the big trajectory for you guys? In terms of the value proposition, it seems to be amazing and again highlights. The advantages of technology really solves the problem. But the outcome on the patient side is pretty phenomenal. >>Yes, so the chance for us is there or the development that we have made. The lately, we admit, is to be able to automatically turn these two D images into three D models. So we take each of the slices off of memory or cities. Using AWS is machine learning. We construct three D macro millimeter precise representation of For me. That's only possible. First of all, we treat the algorithms that we created on Amazon platform using over a 1,000,000 pre labeled CDs. Consume our system automatically detect. Yeah, it's a level. What is bone? What is ligament? What is on our earlier vessel? With the training that we're able to perform, we've been able to with with these 1,000,000 images we've been able to in effect, tree and our system automatically detect the parts of me with this micro service level that hasn't been previously possible. This technology, or the ability to create three D models, has existed for maybe 10 or 15 years, but it's it's needed. Experts like him who were, in effect manually code the two D image pixel level and could affect so some software and turn it into a three D image. Typically, too, it's in ours, often expert like them to do. And the problem is, Tim could only do one of the time. We estimate there about three million of these complex surgeries each year in the world that need open effort from greatly from this enhanced imaging. And we couldn't get 33 million under these, especially. And that. So we have this process no on the AWS platform, with dozens of these models in parallel, and each more will take maybe a few minutes to turn from the CD into the into the three D representation. So through the park off the Amazon Public cloud, we've been able to provide this this powerful machine learning automated solution that can actually scale toe man >>Dr Brian talk about the impact because, I mean Andy Jassy, the CEO of AWS, always talks about this. When I interviewed him, he says, you know, we're here to help do the heavy lifting this sounds like some pretty heavy lifting. What was just talked about? I mean, the manual work involved. You essentially have a collective intelligence and supercomputer power with AWS. What's your take on this as this evolves? Why isn't everyone doing this? >>Yeah, well, I don't know why. Every minute. That's that's That's the key question. It really is. From my perspective, there is no heavy lifting at all, and what I do is I push a couple buttons. I put a bit of data, and I send it off. From my perspective, it is about as easy as it gets is probably a ZTE sending email, which we do hundreds of times a day. And so, from from my perspective, I'm delighted to say there's no heavy lifting until I get a patient's data. I send data through to excel, who will then fool me and say, Listen to what is it exactly that we want to have a personal service from actual on? A couple days later, there's a delivery of a beautiful life size three D representation model, will check and then take to plan on and treat a patient with. So the heavy lifting really has all been done. A Z Roger alluded to in the past. It was hugely time consuming work that required a huge amount of training. But basically that's being replaced with a push of a button on. These supercomputers have taken all of my heavy lifting away on, and I think this is one of the true representation. Zoff technology really, really advances real world solutions and my patients are benefactors. From this >>Roger Dr Brown. Lay out the architecture because, first of all, pretend I want to take this every single friend that I have here in California and around the world. I want to just deploy this. What's the architecture and what's needed on the deployment side? Say it to Belfast as you deploy this. What's kind of involved in you? Just take us through high level. I must be cloud scales. Amazing, No doubt about it. We just talked about that. But what's involved in the architecture side of my standing? A bunch PC two's Is there sage maker involvement? What's the architecture and then deployment? What does that look like? >>Sure, So again, a slight step back. One of the challenges when, when we is the MedTech community try and introduce innovation into health and hospitals that the hospitals i t. Infrastructure network definition is often very locked on. So we're trying to bring new software and load it and install it in the hospital data system. That is a huge, often lengthy process that has to be done through lots of hoops in terms off Hey, network a compliance. Lots of different steps along the journey and that often wants from a good reasons, is a significant barrier to the timely adoption off innovative technologies in the cars. What a what a platform a selfie on AWS allies were just another website, as Tennis said, is, uh, only that, though his only existence with actual three D in terms of the interface is dragging and dropping the CT scan into our website into a portal portal exists quickly on the AWS instance. In one of our region, we are working with a little in the US. Never leave the US We use the the public client version in US East. We take advantage of many features within AWS, but a sage maker is probably a core of what we do. It's not innovation that AWS introduced know several years ago that was like juice this this machine learning trained set of algorithms that allow us to give this disruption. >>And it sounds like the more you use it, the more get smarter. Or is that as well? >>Absolutely. So our journey is, As Tim said, we're on a journey not only in terms off the technology and you're very receptive. In terms of yes, the more we train it, the more we treated on specific anatomy types or pathology types or trouble types, the better our system gets recognizing the specific characteristics of those. More importantly, this is about a journey I having made this disruption, we make the change and transformation off new standards of care pathways. That's the innovation that we just enable. It's amazing. Surgical teams like hymns. Let me transformation >>Dr Brown on your side. You're sitting there. I got a big problem trying to solve these problems. I got patients one but one better outcomes. They want to live. I don't want to throw away kitty, so I don't have to you to solve that problem that when when they bring that over, what was it like over on your side of the house is a practitioner. Deploying it. You've got you've got two jobs going. You're kind of doing I t integration on one hand and you're a surgeon on the other, trying to make things happen. You know what I see? This is not a lot of I t here. What's the deployment? Looks like. >>Yeah, deployment means I don't know. Why ever announces doing that. Such a straightforward, easy situation. It's that's remarkable. Ready? It's such a good solution, and I think part of any sort of change management program, and this again is change management. It's challenging the way we think about things. It's challenging people's comfort zones on any time we need to do change. We've got this anatomy of change. You've got innovators go early, adopters will lead the doctors, and I think what we're going to see over the next 5 to 10 years is people are recognizing that this technology is a game changer, possibly being driven by their patients who say I'm on the three D model and I want to see what this actually looks like because basically not black and white picture you're showing me doesn't make any sense to me and I think there's going to be the two drivers is that the first is that we want to have a consistency of care on the lack of variation in our care across across old old services. But as well is that patients? I think we're gonna drive this as well. So once once we get the innovators and the early adopters of this technology on board, then we'll see a tipping point. And that's that's when it becomes an acceptable normal thing for people to do. When they come in the hospital, they'll be sure print tight off their three d printed like moral off their pathology. I'm not a huge demand for their decision making for treatment processes, and that's a true collaboration between doctor or surgeon on the patient. That's that's where we need to be in the 21st century. It's it's going to be a collaborative decision making process. You talked about the pressures, journeys and this This is a really integral part. This is the roadmap of your journey to a large extent. So I think this I can see this being rolled out worldwide, being driven by patients buying a correction and variability of healthcare provision. >>That's a great example is an innovative award winner for the most innovative use of artificial intelligence and machine learning. Three D images saving lives Congratulations, Tim Rogers. Phenomenal Final question As we end this out, what's the scar tissue pun intended? You know, What did you learn? What was some of the things that you could share with folks as people look at this and say This is an example of cloud scale and the technology for good. What lessons have you learned? What can you share for folks? Take a minute to explain the split. Roger. We'll start with you. >>Yeah, sure. So I think a number off lessons for us on this journey Assistances, This is Ah, we're at the start of a journey of understanding the power off the what three d imaging can bring just to providing a consistent use variable care, but also as a stem also alluded to in terms of off the patient understanding, I think that patient understanding is one of the huge leap forwards that way. Didn't set out initially thinking we're going to be able to help educate on better inform patients. But that was one of the derive benefits suddenly part. So that was a great lesson. I think there is incredible levels of adoption that we're starting to see across the US across Europe because it's so easy to adopt. Compared to traditional methods, surgeons registered for Canadian start transacting and instead of us almost as opposed to having to have these huge I t programs. So I think we're now starting to really scratch the surface and start seeing the benefits of this isn't an administrative system. It's not me. HR system. It's not a finance system. Or maybe a healthcare was comfortable. And using public like this is core hard core clinical services, clinical diagnosis. Clinical education on the Amazon cloud is enabling that it just wouldn't be possible with this technology we started. Actually, the lessons were learning or just just >>Dr Tim Brown and take us home and the segment with your take lessons learned and advice to others. >>I think the lessons learned are the doctors and health care providers are all extremely wary off change of new innovations because they feel that already they're overburdened. Probably my colleagues in the states and across Europe perfectly like they were a bit over, burdened by all the things that we have to do, and this may potentially have been more difficult or wants to your workloads. And actually, let's make your workload along each year convincing people and getting people to understand that this really does make your life a lot easier. It actually removes all the scar tissue, removes the difficulties that have been put in place by by organizations on once. People realize that, that's what that there is no heavy lifting. And this will make a huge difference to your practices, your patients understanding of your practice, and we'll stop so people really realize that the tipping point will be achieved. I'm looking forward to that day because this this is going to be the new normal in the next 5 to 10 years. >>While the performance that you're putting up the numbers of 90 transplant successfully over six weeks dwarfs the full year, last year really kind of shows the outcome is a game changer. And again, congratulations on your success. Roger think Thank you for coming on Corrections on being the award winner. Eight of his partner for the most innovative AI and machine learning solutions. Thanks for taking the time for this 80 s partner awards program. Thank you. >>Thank you. >>Okay, I'm John Furrier. We're covering the AWS Public Sector Partner Awards program put on by the Cube and AWS Public Sector Partners. Thanks for watching. Yeah, Yeah, yeah, yeah, yeah.

from the cube studios in Palo Alto in Boston connecting with thought leaders all around the world this is a cube conversation I am stupid a man and this is a special cube conversation we've been talking a lot of course for many years about the ascent of cloud and today in 2020 multi cloud is a big piece of the discussion and we're really happy to help unveil coming out of cell al kiram which is helping the networking challenges when it comes to multi cloud and I have the two co-founders they are brothers I have Amir who is the CEO and a DIF who is the CTO the Khan brothers thank you so much for joining us and congratulations on the launch of the company thank you sue for having us on the show it's a pleasure to see you again all right so Amir we've had you on the program your previous company that you've done was of course the fella you the two of you have worked together at I believe five companies successful companies acquired you know the most recent one into Cisco so a mirror obviously you know you know strong networking theme your brother the CTO I was going to talk to us about the engineering but give us you know just the the story of Al Kyra what you've been building and now ready to unveil to the world certainly needs to so in around 2018 timeframe we started looking into the next big problem to solve in the industry which was not only a substantial you know from the market size perspective but also from the customers perspective was solving a major pain point so when we started looking into the cloud customers and started talking to our customers they were struggling from the cloud networking perspective even in a single cloud and it was a new environment for them and they had to understand all the nitty-gritty details of each one of these clouds and when you go to multi cloud environment it becomes exponentially complicated to address not only connectivity but how to deploy services like firewall and other services including low balancers and IP address management etc and remote access so we started digging deeper into this problem and start working with the customers and took a clean sheet of paper and came up with a very comprehensive approach to offering a solution which is as a service this time we are not shipping any hardware or software it is you know just like any other SAS application you just come to our portal I just drag and drop literally draw out your network and click on provision and you know come back after 40 minutes or so your full global cloud infrastructure is up and running so out if your brother laid out a pretty broad vision there any of us from the networking world we know there's a lot of complexity there and therefore it takes a lot of work when I want to do things simply as a service is you know a huge growth area bring us inside the engineering challenges that you and the team have been working on to build this solution second let's do so we've been working both our men and myself in the networking industry for more than 25 years now and our the way we have worked and what we have believed in is that we need to solve customer problems we never believed in like doing a science project so here also we started working with customers as we have always done in the past we understood the customers pain points the challenges they were facing especially in this case and in cloud networking space multi-cloud networking space based on the user requirements users or the customers use cases we started the building a service and here what we have built is a complete network as a service it's a multi cloud met work as a service which not only provides connectivity to multiple routes but also addresses the needs for bringing in networking services as well as security services making sure that you have a full policy based infrastructure on top of it you have deep visibility into into the clouds as well as into on-premise into and visibility into and monitoring troubleshooting and all of it is delivered to you as a service so that's what we have been doing here at ELQ here excellent so when we look at multi-cloud of course you know every cloud they have some similar things they have some different things they all tend to do things a little bit differently you know one of the secret sauces that have been talked about for the last few years is ESP BAM space like you and built with Nutella to help really enable those environments so if we've got a diagram here which I think will help explain a little bit as you know we're out here it how it plugs into these different environments walk us through a little bit what we're seeing here and what you're actually doing a tell Kira so here we are building a global unifying the multi cloud Network it's consumed as a service think of it as consuming it just like you would consume any other SAS like our SAS issue so you come to lqs portal you register and then there you go and you start building your global multi-cloud unified network with integrated services so here what you see is is a Elka's cloud services exchange with comprises of cloud exchange points you can bring these up these cloud exchange points up anywhere on the globe you can decide like what networking services security services you need in these cloud exchange points you can connect the multiple clouds from there you can bring your existing on-premise connector matiee into the CX PS all these CX B's have a full mesh of overlay high speed low latency connectivity among each other so there is a full network which comes up between these CX B's and this the whole infrastructure scales with customers as as a customer scale so it's a horizontally scalable veil a very highly redundant and resilient infrastructure which we have both all right so armor now that we understand the basics of the technology you've got some strong investors including Sequoia kleiner perkins give us you know what is being announced day you're coming out of stealth where are you with the product you know how many employees you have and where are you with the discussion of customer adoption so stew we're obviously bringing this to the market and we will be announcing it on April 15th it's available for the customers to consume our solution as a service on that day so they are welcome to reach out to us and we'll be happy to help them and as a matter of fact just come to our website and register for the service and yeah we rightly said that we have a superstar team of not only the venture capital companies but also the board members representing those companies the bill Cochran and mamoon Hamid Wright who the leading VCS are on the board of our company including myself inactive all right I'm all right love to actually bring up the second slide that we have here walk us through you said you know the service you know how do people get started how do they understand you know what would walk us through what what they do so the biggest challenge when we started looking into these problems you know Stu was that it was very complicated you have to piecemeal bring up instances and the cloud and stitch them together and when you try to integrate the services that was a different challenge for the customers right so we wanted to make sure that it was so simple and clean that the customer didn't even have to think about any underlying construct on any of the clouds they should not have to worry about learning each individual power from the you know networking perspective so here's your portal you just come you know step one is come to a portal or register step two is you start drawing your network based on your intent what on-prem an activity you want to bring into this service what type of services you need like all all the firewalls and then you know what pilots you need to connect and everything happens seamlessly the from on pram pram through services into the cloud and across multiple clouds it's a seamless service that we have created and with full analytics capabilities and full governance built in alright so I'll to bring us into what this means for customers you know how do they manage it you know is this the networking team is it the cloud architects you know what api's are there how does this fit into kind of what customers are doing today and you know solve some of those challenges that we laid out earlier in the discussion yes trauma from the customers perspective it's as I said it's it's completely delivered as a service customers come to our portal they draw out the network they select the services they click on provision and the whole network comes up within minutes so the main thing here is that from a customer's point of view if they are connecting to different clouds they don't need to understand any of the underlying specifics or underlying constructs of any of the of the cloud in order to bring can I bring up connectivity so we what we are doing here is we are abstracting the clouds here so we are building a virtual cloud network so if you if you think of if you compare it with what we did in the in the previous life be virtualized the when so here would be a doing is we are virtualizing the cloud network so underlying doesn't matter which cloud you sit on which cloud you need to connect to which networking services whether cloud native services or whether you you want to consume our care services or we also support like customer bringing in third-party services as well so it's all all offered from our platform all offered is a service for to the customer again no expertise required in any of the underlying networking constructs of any of these cards give us what we should be looking at from a technology roadmap from Akira through the rest of 2020 good question as to so as I mentioned earlier our roadmap is dictated by customer requirements so we prioritize what customers need from us so we have come out with a scalable platform we have come out with a marketplace for networking services in there in the near term we'll be expanding our market place with more services we will be addressing more use cases and when I talk about use cases I can give you some examples like there's a view you not just only need connectivity into cloud you might have different requirements from from throughput perspective or bandwidth perspective or different services that you need to front-end your cloud but you may have certain applications such as internet basing application where you eat like traffic coming in from the internet inbound to those applications you might need services like a load balancer like an external load balancer in our services exchange you might also need like a firewall you might need traffic engineering or sorry service eaning capability is where you would chain service through multiple or traffic through multiple of these services like a firewall in the load balancer so we have built a platform which gives you all those capabilities going forward we will be adding more services more use cases to it we have a long ways ahead of us and we will be putting all our effort in delivering a roadmap as we go all right so Amma your technical team definitely has their hands full and uh you know robust after work on uh give us the the high-level what we should be looking for out Kira for people that are out there you know multi-cloud and networking you know tend to get talked a lot there's many big companies and some small ones what will separate al Kira from the rest of the market today and what should we be looking to see the company's progression through 2020 yeah thanks for asking that yeah certainly I mean you know from the solution perspective out it's said that you know it's so fundamentally important to have a very strong basis right and that's what we have done we are bringing out a certain number of services and now we will continue to grow on that will create a big marketplace we will continue to improve on which clouds we connect to and how and we will be building our own services in certain cases as well now building a technology is just one piece of it we have to go out to market with a company that the customers can trust every single you know the department in that company whether it's sales or how they do business with us all the business back-end pieces have to be sorted out and that's what we've been working with and you know then go to market partners that is very very important right support is very important so let me spend a little bit of time on go to market strategy we have been working with the service riders so that we can extend our reach not only to the large customers but also to midsize customers across the globe so you will see us in the future announcing major service water partnerships as well as we've been working with large sis bars and system integration in a partners and also we have taking a slightly different approach this time because it's a service so we are going with telecom master agents which have been you know working with the service providers the cloud providers the cable providers as a channel and they have a huge reach into the customer base so we we have a very comprehensive strategy not only from the go to market in the technology perspective but also how we are going to support our customers and continue to build a relationship to build a lasting company yeah I'm a super important point there absolutely we've seen the maturation and change in the service providers as today they are working with many of the public cloud providers and they're as you said a close touch point and a trusted partner of our customers all right so before I let you go you know YouTuber brothers everybody in today's day and age is spending even more time with family but you know your your situation you've worked together for a long time what keeps bringing the two of you together working together and then talk about that ball so I mean we're very close-knit family we have four brothers and one sister and obviously active and I have been the closest because we have been working together for the longest we have at least work in five different companies together our families travel together we have three daughters each we live about five minutes you know walk from each other and we you know just have this bond where we not only have you know the family close but also very close-knit friends a circle which we both hang out with and we you know obviously have common interest in the sports as well we play squash and tennis and work out so after four if they want to take a stab at it but also yeah so we've always been very close in fact we've been together for the last like ever since I can remember like even even college days he was we were roommates for for some time also he ever say we have like our circle of friends is the same also so again we're very close and we work well together so we complement each other's skills and and it's it's worked out in the past hopefully it will work out again and I look forward to working with them for many many more years to come yeah well I'm or not - thank you so much for sharing the the coming out of stealth for Al Kyra we definitely look forward to watching your progress and you know seeing how you're helping customers in this multi-cloud world thank you for joining us - thank you so much thank you for having us all right I'm Stu minimun and thank you so much for watching this special cube conversation on the cube [Music]

>> Massachusetts, it's theCUBE! Covering WTG Transform 2019. Brought to you by Winslow Technology Group. >> Welcome back, I'm Stu Miniman, and we're here at WTG Transform 2019, across the Mass Pike from Fenway Park where we're hoping the rain's going to stop in time for the game tonight where we have 189 users here with Winslow Technology, digging in a lot of technology, networking with their peers, and I'm thrilled to have on another one of the ED users on the program. Plamen Dimitrov is director of Information Technology at Kiawah Island Golf Resorts coming to us from South Carolina. Thank you so much for joining us. >> Thank you for having me. >> All right, as I was actually telling you, I'm familiar with Kiawah, my father is retired down to John's Island right off of Charlestown, South Carolina. You have a beautiful golf course there, there've been professional events there, we actually have one of our Cubeos, does some PGA coverage, John Walls, so he and I have talked about Kiawah a few times, but for those of our audience that aren't as familiar, haven't been able to enjoy it, tell us a little bit about Kiawah. >> Kiawah is a beautiful island, over about 10 miles of oceanfront, side, where the Kiawah Golf Resort is spread out. We have different accommodations with a lot of different activities for all ages, starting with the Sanctuary Hotel, which is a Five Star by Forbes and a Five Diamond by AAA. Or you can choose any of our villas from one to eight bedroom villas. We have five beautiful golf courses, which one of them is ocean course, previously hosted Ryder Cup in 1991, and PGA in 2012, and we are also proud to be a host of the PGA 2021, very exciting. Apart of that, we are announced to be Tennis Resort #1 in the world by tennisresortonline.com. We have over 22 tennis course, different variations from car course to clay. On top of that, we have a lot of pools, swimming pools, water parks, a lot of recreation, kayaking. It can be a beautiful journey for any visitors. >> Yeah, so, Plamen I know some of the IT people listening to this are going to be like, "Boy, he's got a tough job there!" Sounds gorgeous, right on the ocean, so many things there, bring us a little bit inside the IT, your world, what that entails, and, boy, there's got to be some different challenges and opportunities that you face, versus the kind of traditional business IT. >> As every island, we have all of our friends, like salty water and all things like that. And besides that, I've mentioned that the company's spread out over 10 miles, we have a total of 23 locations, and all they share the same systems and applications. Our current challenges, from an IT standpoint, are things that not all of the vendors that can keep up with the current technology and the all new and moderns, so we have some, what we call, old school applications, they can't keep up, and then you have the new applications that can be hosted on the Cloud, for instance. In the same time, those applications need to somewhat work with each other and have some interfaces, so this is where we face the, these days a challenge, a little bit, and where our partnership with Winslow, were able to help us determine which is the best route for us. And we determined that having a data center on island, and they have another one off the island, is the best for us to go. They helped us go through the planning of what's the right set up to be used, and I think we're in the right direction. >> Okay, great, so you have two data centers and you're also using Cloud services, if I heard right? >> Correct. >> Okay. There's been a big discussion here, is like, all right, what is the Cloud's strategy and it is an ever changing world and there is no one right answer, so, when you look at yourselves, what is your Cloud strategy today and what makes you help determine where you'll be moving in the future? >> In one of the sessions, they mentioned it's all about checks and balance, and it's to be able to measure how to apply your cash in a way that it makes sense, and one day, maybe, for some applications makes sense to be on premise, another day makes sense to bring it on the Cloud. And I can give you an example, recently what we did was, we were looking into switching to Office 365, pretty much everybody knows about it, and there's a good study that, after you go over a certain threshold, it's much easier to, and much more cost effective, to have something on premise versus going to a Cloud version. Now, again, it depends on the size of the company, it depends on the... Your future projects and goals, for some people it may be different than us. But I think that the future more and more, things will be what's called colocating the Cloud, which is mainly by other providers, and we're going to have two called a key that you can get to those applications from anywhere. >> Plam, bring us inside a little bit that the data centers, you said you have two of them, what's your infrastructure stack look like today? >> We've been looking at the various solutions, hyper-converged, and hybrids, and with the help of Winslow, we determined that sticking to the 3-2-1 traditional solution is the way we go. We use their Compellent products, all flash erase, very flexible and very reliable, very nice speed it provides, performance-wise they're a great product. Then, after that story solution, you have two data switches and then a number of servers. We use, on top of that, the VMware as our hypervisor, along with their VDI environment called Horizon for some remote clients that they don't need much, but that's basically our setup. >> Great, and how long have you been using the Compellent solutions? >> The Compellent solutions, we've been using them for a year and a half, since I joined the company, but my relationship with Winslow goes far back, since 2013 where I used to work for another company here in Nantucket. And the very first person I worked with was John Cliffords from Winslow. Very great guy, and he introduced us to the Dell world. This is when we bought the first EqualLogic and afterwards, I went to Belmont, where we also bought (mumbles), and we just keep going along. >> All right, great, Plamen, last question I have for you, what brings you to an event like this, what were you hoping to get out of it, and how's it been going for you so far? >> Well, what brings me to an event like this, most of the time is on one side to see what Dell has to offer, and some people attend, they'll conference, but I think a place like this, where you have smaller scale conference, it's much more beneficial for me. A, from a learning experience and B, from creating connections, making connections with other users, which this is the best because sales rep can say, "Yeah, this is what you need." But then, from a user perspective, it's priceless to absorb experience. >> All right, well, Plamen Dimitrov, I really appreciate you sharing your journey, and everything that Kiawah Golf Resorts is doing, thank you so much. >> Thank you very much. >> All right, we'll be back with more coverage here from WTG Transform 2019, I'm Stu Miniman, thanks for watching theCUBE. (funky electro music)

>> Announcer: Live from Las Vegas, it's The Cube, covering IBM Think 2018, brought to you by IBM. (lively music) >> Hello everyone, welcome back to The Cube. We're here live in Las Vegas for IBM Think 2018. It's where all the action's happening. Third day of three days, wall to wall coverage, I'm John Furrier, co-host of The Cube, we have two great guests here, Paul Papas, Global Leader of Digital Strategy at IBM's iX, new digital agency, and his cohort Matt Candy, European leader of IBM iX, a new agency within IBM specifically developed for expanding the digital services to their customers, to create the best experiences, using technology, data, and other analog and digital capabilities. Wimbledon and among others. Guys, welcome to The Cube. >> Thank you, thank you, and thanks for that great introduction. >> So Paul, so take a minute, this is a novel concept. When I think of agency I think ad agency, buy some keywords, PR firms, you know, more of an adjunct to a core organization, kind of a service provider. >> Yeah. >> You guys have it a little bit different agency focus, more like management consultants meets World Economic Forum, meets, you know, UX UI design, because you are building this company. Take a minute to explain what iX is, and what's different about it in context what people might think it is. >> Sure, and thanks, a great set up in there it's like you melded a lot in there of what we do. So you can think of us as a combination of strategy consultancy, digital agency, consulting systems integrator. So we do three things with our clients, we help them design, well we help them define, their digital strategies, really their business strategy in a digital world. We help them design world-class customer experiences. Experiences that are going to be personalized, and have an impact. And then lastly we help them implement the technology. Implement the customer platforms that they use to engage with their customers in a personalized, meaningful, omni-channel way, all of those things that we do help drive a measurable business impact so nothing we do is hypothetical, everything we do is real and drives a real business impact for our clients. So, where if you might look at an agency a lot of people think of agency as marketing communications agencies, and the world has changed so fast around digital, >> Or ad agencies. >> Or advertising agencies, you know, in that vein, we're on the more transformational side. In fact we consider ourselves a business design partner. So what we're trying to do with our clients around the world is help them redefine, redesign their businesses, so that they're fit for purpose, so that they can survive and thrive in this modern world. >> Yeah, I want to get your thoughts on this, because you know looking back as a historian if you will of evolution, technology used to be slower, so agencies added value on something complex, ad agencies would create ad campaigns and some glam, glamour around something. And we even saw it in some of the lead gen side of the business, where this beautiful micro-site and the graphics are amazing, it looked great but actually didn't scale there's no tech behind it. Now fast forward, you have the requirement for cool, relevant, and glamorous, but actually having tech involved. Cloud computing has really enabled this, and the role of data has really enabled it, so this is now the new normal, the new normal for these higher-end functionalities is actually having a tech stack, technology stack, combined with business engineering logic, >> Paul: Yeah. >> And real business outcome, like profit, money outcome objectives that people might want. How do you guys explain that story because, you know, I would just call a consultant up in the past, are you guys combining it to make it easier? What's the purpose that customers call you guys in for? What are they asking for from you guys? >> So I'll start off and then Matt, you can add color commentaries, so, the way we describe what you just, what you just brought to life there, was, we have multi-disciplinary teams, so we have a combination of business strategists right, so when our clients are engaging us, they could be working with a business strategist who's really comfortable showing up for work and wearing a suit and tie, and he could be sitting next to, in our studio, sitting next to one of our creative designers who's tattooed from his wrist to his neck. >> The hoodie guy building everything. >> The hoodie guy, right, sitting there building there, next to one of our data scientists who's popping open his Lenovo laptop, it's got the latest chip in it, and he's so pumped 'cause he's going to run some crazy data analytics on it, applying AI on top of it. And all of these people work together using Design Thinking so we have an approach we call IBM Design Thinking, they've all been trained, we've trained over 16 thousand people on Design Thinking, and they all work together and come together to solve our clients' ploblems. They work in a studio environment, and we've opened up 38 studios around the world. Studios are places where we co-create with our clients, or we invite our clients in to ideate, innovate and co-create >> So it's agile on the format, on the projects, not like Waterfall, hey now you pass the ball to the other guy, it's all integrated team. >> Yes, and what you end up having is, you end up having the view of understanding the business and the client's business challenge, which is where we start when we define the strategy, when we do the design work, it's underpinned with an understanding of the technology that's going to bring this to life. So we like to say that we don't do creative for creative's sake or creative just for the beauty of the art, we do creative that can actually be made real. >> Yeah, you guys put a relevant package together. So I got to ask you now, the beauty of cloud computing was, is that you don't have to provision a data center if you don't need it. Now you see people needing a data center for privacy reasons they store their data, hence the hybrid cloud strategy, et cetera et cetera, but if I want to do something like what you guys are doing, it's going to cost me money to build it out. One, where are the people? Skills of the people, salaries of the people, tools for the people, all that is expensive to build out. So it's natural to go to someone who's already got it. So I want you guys to talk about that dynamic, of buy versus build, what stays in-house that's core competency, and what's the scale leverage that the clients get from working with you guys, 'cause you have that advantage. >> Yeah, and actually what I like to tee up is, this cost effective approach that we use to help our clients jumpstart the work that they're doing, we call it an innovation garage, and Matt and the team in the UK and in Europe have really been champions of this approach. Why don't you share some of the work we do around innovation garages. >> Yeah, so, I mean, one example is our client BP who we've been working with in this space, and helping them drive a lot of the digital reinvention of their business. And so, teams of data scientists, designers, developers, working hand in hand with product owners from the client side but ideating, finding new different digital products and services that help improve advocacy of customers drive loyalty, drive new revenue streams but very quickly taking those ideas and turning them into prototypes right, paper prototypes, actual MVPs, minimum viable products, launching them into market right, choosing some target markets, but putting very measurable KPIs around each of those things >> What's the timetable on that roughly, ballpark? >> Probably getting those MVPs out at eight to 10 weeks right >> So, fast. >> Oh yeah, fast. >> It's not months, not eight months. >> No, no, there's no Waterfall. And so a radically different approach to getting things out there, in the hands of real users. And then testing and learning, iterating, and then based on the data, actual fact and data backed against those KPIs and measurements then starting taking the decision around whether we're going to scale that into a global product. >> Yeah before we go to drill down on that, what's the alternative to doing that? How many months would it take if I want to do it from scratch in-house? >> Spinning up large transformation programs right, and >> John: A year. >> Yeah, at least, multi-years >> John: At minimum. >> Multi-years, and I think the other thing John, that's kind of key about this way of working, is that you're starting to infuse new ways of working and new ways of thinking into the client's organization right, and so Design Thinking: lean, agile, dev ops, right all of these approaches to get things done in a more rapid way and so, you're kind of driving change and transformation through making and creating and doing, not through some big change management program. And so we've been, if I took BP for example, training and certifying their people in IBM Design Thinking, certifying them as product owners and so, through the act of making and creating these services, it's changing their culture and changing how they get stuff done and it's a bit like a fire, kind of a little fire that burns and spreads within the organization as people see what's going on and want to become part of it. >> And one of the ways we do that we actually co-locate in these innovation garages. So you take a company like BP, if you go to our South Bank office, we have a dedicated floor where you have a hundred BP people with the IBM iX team, working in this innovation garage model, >> So they're learning too with you it's not like you're doing all the work and they're integrating in. No, no, we're learning together and they're building new skills and we're building new skills, and we're coming up with new ideas and innovations we're doing it in a cost-effective way, to your point before, in the past companies would spend a lot of money to try to go down a big path and try to in essence, boil an ocean sometimes. >> Yeah and your one guy quits, you got to replace, skill gaps, massive challenges. >> But also I find that from the client's perspective the thing that they're most proud of, some of the things they're most proud of, is the bin, what they call the bin. And so it's all of those ideas that we've killed as far to the left as possible right, and taking an idea that traditionally may have turned into some big program, multi-millions spent on doing it to find that it actually didn't deliver the outcome for the end consumer. >> So Matt, talk about the example with Wimbledon 'cause obviously everyone kind of can recognize that brand, you guys have been working at Wimbledon, you have a relationship with them so they've known IBM for years. What's the current state of the art with Wimbledon? What are some of the things you're doing for those guys and how is iX team, your integrated design team, working with those guys? >> So we've been partnering with Wimbledon now for about 28 years, so relationship goes back to 1990, I mean Wimbledon's been around back since the 1870s, you know, the home of kind of tennis, tennis in an English garden, so complete with rain and drizzle and gray clouds and everything else. And so, probably over the last seven years we've been working with them to drive their digital transformation, and so, how they engage with fans, and so how they use data and analytics to drive insights to put very personalized experiences in the hands of fans. So if you think about an event like Wimbledon, runs for 13 days, and about 500 thousand people get to physically experience Wimbledon in the grounds. And so their whole strategy from a digital perspective is taking the beauty of the grounds and the experience, and how they can manifest that digitally to millions of people around the world. >> And that's more than live streaming that's more than highlights, that's replicating the vibe the buzz, the experience of being there. >> Completely, so if you look at the web channel right when you go to that website, you don't actually see tennis players and stuff on there. What you might see is a beautiful flower just wafting in the breeze right, so a lot of the technology and the experience that we put together is trying to bring to life the beauty of the grounds right, through those digital mediums. And also being very thoughtful and purposeful about the different channels, so when you think about the mobile app right people use that to get snack access to data they're on the move, they want to understand the scores, alerts, iPad, people tend to use that sat on the sofa in front of the telly, you know, second screen experience so there's a different set of use cases and demands. We launched the first Apple TV app for grand slam tennis tournaments. So again, people tend to be using that for catch up and replays and so, being very thoughtful and purposeful about the... >> And you got to keep track of the digital culture 'cause it's like fashion, you got to know what's state of the art, what's going to sell VR, AR, whole new creatives coming out >> You do but you also have to do it in a way that's authentic to the product. >> Tech fashion. (laughter) The latest and greatest. >> Hashtag new hashtag tech fashion But you also have to do it, what I was going to say, you have to do it in a way that's authentic to the brand that you're representing. >> John: And relevant. >> Correct, so we're expressing the brand of Wimbledon online through digital channels and mobile channels, it has to be consistent with the brand, the brand values, the brand purpose, the brand mission. >> And that goes in to the design side of it 'cause they're going to tell you look if we go off the brand, we're not... >> The beauty, the elegance, the elegance of the sport, the elegance of the All England Tennis Club, you have to capture all of that and represent it in a way that's genuine. >> Alright so this is where the melting pot between agency, creative, ad agency, where it's much more about experience, less about the tech, and tech come together. So I wanted to ask you, I did a panel this year at Sundance called the New Creative, with Intel and it was all about the emerging new creative artists that have tech behind it, and here's what we talked about, I want to get your reaction to it. Agile, which killed Waterfall development, made things less risky, the old days was, you build something, a lot of craftsmanship goes into it, but you ship it, you don't know if it's going to work, and you hope it works and sells. Then Agile de-risked that, but you're shipping code every day. But what we lost with Agile that's now coming back, and I think this is where you guys are hitting the mark, the idea of craftsmanship in the product is coming back. So you got Agile, that's good, but it felt boring, it felt, the products didn't feel great. Yeah, certainly they were successful and they used data to be agile and always be iterating, fail fast, et cetera, but now the users want craftsmanship, they want art, they want more experience in the tech product What's your reaction to that, what's your vision? Do you agree and, if you do, what's your opinion? >> Well I agree on the recommitment to craft, and the approach that we take to that is really starting with Design Thinking, and we view this a couple different ways. One, we think Design Thinking is a way to actually solve business problems in the modern world. Now design, we view as a craft. So we have very specific craftspeople that are pure designers, that's what they do every day for a living. Everyone in our organization practices Design Thinking. So I believe that the use of Design Thinking coupled with our design community and the world-class talent that we have there, has enabled to really get an underlying need, right. So when you're doing a design, you have to have the understanding of the underlying need of the customers that you're trying to serve. And that's what we really get at, so the craftsmanship that comes in through applying Design Thinking, applying your design principles to creating something that can then be made real and have an impact. If you ask our designers, in our 38 studios around the world what they love about being part of IBM iX and being part of IBM, it's the impact that they can have. That they can see their design scale, they can see it brought to life in a way that is far beyond anything they could've done at any agency >> Can't fake design, it's like security, you can't fake it, it either works or it doesn't. >> And the way we think about design right is about almost design with a capital D. And so it's not just about how things look and feel, it's about how they work, and so how you can apply design to help solve problems in a very different way right. And how you apply design to strategy because designers are problem solvers. And so actually having people apply a designer's mindset to problem solving, you end up with very different outcomes right, you end up with a lot more innovation driving into what you're building, and I think you end up with products and services that actually help make somebody's life a little bit easier right, you're taking friction out of their life you're delivering something meaningful and of value to them. >> You're doing empathy mapping, you're doing customer journey mapping, you're doing a persona development. I want to build on what Matt said though that designers are problem solvers. When we look at Design Thinking, we have a method called IBM Design Thinking, and the logo that we use for Design Thinking is actually an infinity loop. So what we do is we combine Design Thinking with Agile and I think of IBM Design Thinking as a 3-D printing of a solution to a problem. We're designing it, we're getting at an underlying need, we're prototyping something fitting a proof of concept, we're learning, we're now doing another iteration of Design Thinking and learning more about the underlying need, testing something, and as we keep testing and learning, we add more texture to the solution of the problem and it starts coming into focus for us. >> Yeah, and the key word's problem. I interviewed a Stanford professor on the cutting edge of innovation, design she said, "Don't fall in love with your product. Fall in love with solving problems." And I think that's kind of what you guys believe. >> And I think John, to the point that you raised, about Agile, you know, we see many organizations driving kind of Agile transformation and shifting, and you know, I think our perspective is very much is you need this combination of design, of Agile and dev-ops together, because Agile allows you to pivot quickly, dev-ops allows you to kind of learn and get rapid feedback from production and putting things out there, and you've got to have this kind of design-led approach to doing stuff, because you've got to make sure that what you're building and putting out there serves a purpose and a real outcome for the end user. >> That's perfect, and most people think oh, we're Agile, check. No, whoa, hold on, stop, yeah it's not a silver bullet. >> You brought up a great point from a business leadership perspective that don't fall in love with your products, fall in love with the problems that you're solving, We are seeing that across every industry we work in, and I think this new digital age, with all these emerging technologies going mainstream so fast, AI, AR, VR, blockchain, it's allowing companies to, in some ways, reimagine their purpose, but in some ways, revisit their original purpose. So if you look at, Ford as an example, they've declared that they're going from pure car manufacturing, to mobility services. If you look at our clients in the life sciences industry, years ago they would've declared themselves as pharmaceutical manufacturers right? But now they would look at themselves as partners in health and partners in the health ecosystem. And every industry we're operating in, there's that re-imagining or revisit of the core mission. >> I think this is the only interview I haven't asked about blockchain, but I was just talking to Jesse Lund about blockchain and we talked about digital currencies, digital, and we observed, and we were talking about things are happening faster. So what's happening on digital it's a speed gain, across the board, with currency there's no clearing, it's digital, it moves instantly. So his banking side, that's his thesis, but here, your customers are challenged with looking down the barrel and being scared when, damn, this is going to be fast, what if I screw this up? I mean this is kind of how I see it happening, like it's accelerated in all aspects. >> And this is where I think, in terms of the business that we're in how we're different, and you've kind of raised the traditional agencies and stuff earlier, John. I think the difference for us is, you know when you think about the world of advertising, and companies driving their message out through shouting loudly and campaigns and building micro-sites, actually, our perspective very much is that these, most organizations need to look at how they digitally reinvent, right. And so therefore the scale of change needed as they look to reinvent their businesses, the business models, the skill pools within the organization, how they're going to use data and insights to drive different experiences you start to move to a very different level of change and transformation right, and one where these technology platforms, and becoming a platform business in these organizations, right, need a partner fundamentally who can help them scale and drive that change. >> And the data's critical, using data, using cloud, dev-ops, Agile, design, all rolled into a highly accelerated process, that's hard. >> It is hard but, >> You guys are doing it though. >> Well yeah, that's what we do for a living. It's what our clients are faced with right now. It's kind of a like a Dickensian-like challenge, right, it's A Tale of Two Cities. With all the emerging tech that we were talking about before there's never been a better time to create new innovations. To be innovative in some of the things that we're doing with BP was a great example of that. And some of the bigger things we're doing with some clients that are trying to reinvent their organization around a renewed purpose. But at the same time, there's never been a bigger threat to existing companies, in terms of there's never been more opportunity to be disrupted. So between these two poles of never been a better time to be in business, never been a tougher time to be disrupted, that's where our clients are operating. And this juxtaposition of core and new where our clients have mostly been in business for more than a few years. They have a core business that they need to grow and optimize, while they also need to expand into the new. And they can't do one or the other, they have to do both at the same time. >> And you know the customers I talk to in the industry, around this area, really look down, they look at three choices. Go for it, that's scary, need a partner to do that you guys are there for that. Don't do anything, put your head in the sand. Or three, create blockers and ban stuff. So you're seeing, you kind of walk in and you kind of figure out who's doing what. You see the blockers with all these excuses, no well we've got this other... And then the head, well we should be, they don't do anything, they're not moving. And then people who move. >> Yeah. >> I mean that's the reality right now. >> You know, what we see, we just published this research you know, a C-suite study, so we interviewed 12,000 C-suite executives, over 2,500 CEOs, and the title of this study's The Incumbents Strike Back, and that's what we're seeing now, so we're not seeing folks kind of sitting or putting their heads in the sand, they're looking at their legacy business, and the competitive advantage they have because of all the knowledge and incumbent advantage that they have, and now applying that. >> Well Paul and Matt, we don't have enough time to go into the impact of blockchain and cryptocurrencies, and initial coin offering's impact, to the token economics of how your business will change but we'll do that another time. >> Fantastic. >> Alright thanks for joining The Cube. I'm John Furrier here live in Las Vegas for IBM Think 2018. A lot of great conversations here in The Cube number one live tech coverage, extracting the signal from the noise. We'll be back with more after this short break. (techno music)

>>Live from the Mandalay convention center in Las Vegas, Nevada. It's not cue at IBM insight 2014 >>you're all your hosts. John furrier and Dave Volante.. >>Okay. Welcome back everyone. We're here live inside the cube at IBM insight. I'm Sean with Dave Volante. We go after the events, extract the signal and noise. We go wall to wall covers what we do here. I don't, of course we're excited to have awesome gas. We talked to the executives, entrepreneurs, but we get the media stars in here. Uh, Katie Lyndon doll. Welcome to the cube. You are with CNN, the today show. You're the tech correspondent and you get a lot of energy. I could just tell this is going to be fun. It's been fun to hear the last few days. So I mean, Watson is the geeky story of any what, what are you seeing? Let me get the wife in a second. But outside of Watson, what's the coolest thing you've seen? >>I'm constantly on the hunt for the latest innovations in technology and I think that's probably the best part about my job. And always chasing down high level stories. I recently just came back for a dive with NASA. I learned that NASA astronauts actually train underwater to simulate microgravity and I'm like, Oh my gosh, no way. And they're like, do you want to come down to the world's only Marine underwater habitat? I was like, yes, please. So went down to the Florida keys, it's an hour off the coast and was diving literally with NASA European space agency and the Canadian space agency underwater. And again, it's the world's only underwater Marine habitat and seeing how they train in everything from asteroid mining to um, underwater surgery to actually seeing how the body responds to exercise. I guess water simulates one sixth of gravity. So it was a pretty dynamic shoot. >>I was doing that for NBC news and it's just I, those are the types of stories. I, I am a diver. I actually was doing a story on big data last year and it required me to get my dive certs and the Island of Bermuda feel very bad. It was a presentation that I was speaking on here at insight a, there was all this crowdsourced information about how the lion fish, if you've ever heard of the lion fish has been, it's an invasion in the Atlantic ocean. I took all of this information and metrics and made a story for CNN and it required me to get my advanced dive certs. So now I'm getting all these dive stories cause there's not a lot of us dive reporters. So the lion fish story for CNN too. Another good example of a piece that I go after. >>So you, you bring a lot of energy. What do you see here? I mean you see a lot of stories and you get pitched stories. I can imagine that your email box flux, I mean it's like, Oh >>I have 78,000 unread emails right now. I'm not proud of that. But yes, constantly being pitched. >>I had 40,000 I'm a little bit blind. I'm going to give that to you in the today show. Not too shabby. But what do you do? You get pitched all the time and so you got the vet stories. What's your formula for vetting stories? I mean, what gets your attention and how do you go outside your comfort zone to select good stories? What your attention. It's funny, >>you know, so I've been in television for the last 10 years and I feel like now I have this internal barometer and knowing when something's very good and the scope of the things that I cover from, you know, in the past month alone when I was talking about the NASA piece and then I'll flip the next day and do top Halloween gadgets on today's show. So it's, it's very vast, but I can instantly tell and it's, it's come through experience and being in a background in technology and knowing what's gonna work for the consumer and knowing a hot product. When I see it and I I T I gotten pretty good I think at it spotting a product that a consumer is going to love but also finding a story that is, maybe it's super nerdy, but my job is to take it and to bring it down to a level that's entertaining for any kind of audience, whether it be CNN or whether it be today. >>So it says your Guinness book of world record holder, share that in little nugget with the folks in. Yes, that is a true story. I have a Guinness world record holder in the most high fives and one minute. Okay, so this probably solicit some like how the heck did that happen? I've always been fascinated with Guinness world records and I always wanted one and I've always been obsessed with a high five like I am paranoid of huggers, there's nothing that scares me more or good high five just go for the five. I don't want to bring it in and okay, it's a little OCD. I will completely aware. So anyways, I found that this Guinness world record was held by a clown in England for the most high fives and one minute. So I convinced I was hosting a show on spike TV and I convinced them to allow me to break this record. >>So we had all these people line up in the MTV cafeteria and you have a Guinness world record adjudicator come onsite, you get two tries and if you win you get a plaque in a formal ceremony. The cube before we should do the most consecutive interviews to having a drink of water. We want to just come here and we could break something able to break something or like you said, it's his official. Yeah, we started to get like real nervous and like hot and yeah, so I had two tribes. Oh I was, I was giving him a big ass big fitness person. So I was like ready. And if clown beats me at this point, it's over your careers. division. You'll never work again because I beat it on the first try and then I advanced it on a single hand or you go, there's a whole process as you can imagine with the adjudicator's she's like real intense. >>She's like counting with her clicker on the high five so I go down this line of people and it has to be over there can't be like a mailed in like you know like a high five you go for the five names and then I got a couple that were disqualified, you know like a couple didn't count because it wasn't like a full on five four so like a film replay. Super slow motion. I like argued a few. I was like no, I was for sure up on that one. The flag, it was sponsored by PRL. It wasn't but it should have been but it was fun. So I have a plaque how many? 107 heard rumors that it's been broken but I didn't care as long as I've got a plan to that plan at one point. Okay. Let's cut to about IBM because Watson is the coolest thing I'll say is pretty mainstream. >>It hits your wheelhouse. I'll see for the day I've seen jeopardy. Absolutely. Now how does that translate into a story for sure. Stuff going on here. What do you, so what's very cool about Watson? I called my boyfriend because I've had a relationship with him now over the last few years, a few years ago on CVS. I actually got to challenge Watson on a full game of jeopardy and I think that was of course the most, the most memorable part of Watson when he took on the two, you know, jeopardy champions. But so this is like a lifetime moment for me. I got a full game of jeopardy, me Watson and another individual smoked me and actually I was doing okay and then it was like tennis vocab. I was like, Oh, I got this. You know, like I've been in sports my whole life. I've been worked at ESPN for seven years. >>I got this in the bag, I was doing good. And then they were like, Oh, we had them on the low setting. I was like, all right, really? Like really? Like I was just feeling good about myself. I finished with $2, two bucks. Um, and I thought it was so cool how gimmicky it was, you know, in a healthy beach in the tennis category. Oh, you smoking, you never in the low setting for sure. I got a few of those, a few. I actually got set in Tennessee vocab. You're going to have it right. Even watching tennis your whole life. Right. ESPN is embarrassing and disappointing. And then I weighed you too much and then the double jeopardy. Anyways, I digress. So how cool is it that I got to play Watson but then now years later seeing the power in it in many different developments and most notably I work over at as a volunteer at Sloan Memorial Kettering cancer center for a small group called Candlelighters that works with individuals that come in from around the world for cancer treatments. >>Now Sloan is one of those powerful cancer centers in the world is actually using it as predictive analysis. So here and I work with these kids and I, it's very complex. When they go in for a diagnosis, there's lots of different problems that they have and really it's, it's, it's, it's, it's guesswork for a doctor now. They can put all of these things that are happening with it, with a child into a machine, and they can pump out a hypotheses. Of course, you're going to have to have the human interaction tailored with that to have the emotional side, but I had been fascinated, especially on the medical side, watching your boyfriend at this point. That's interesting. We'll get that to the world of Facebook. It's complicated. I heard rumors that he's talks back and we'll listen to this a true statement. He's a lot smarter than I am. >>I'm intimidated by that, but what's the coolest demo with Watson that you've seen besides jeopardy? Yeah, that would have, well I actually learned something new from a few developers that I met yesterday about the new chef app. So being able to go into your pantry and to do some recipe from what you have, the ingredients you have insider, I think that's a little more consumer friendly. So I was kind of like, um, I'm excited to check that one out. Looking at the tech landscape, what are you most excited about? I mean, what's the coolest kind of consumer meats like gadget, short door, tech cloud. If you could pull a few favorites at what's, what's drawing your attention? Uh, one that we actually had here that's probably popped into mind. There's so many to choose from, but in the world of Oculus rift, and the reason I say that is not for the gaming aspect, but more for the potential in the landscape of physical therapy. >>The first time I got on Oculus raft, I was actually training on a Navy boat and I was doing a segment where all my camera men were all around me. I lost track of reality and I got so immersed into virtual reality and being there and even as a huge diver, I get very motion sick and I got motion sick on the boat. Being in this physical, this augmented reality world, we're actually shooting this at the birthplace of Oculus rift. So we really diving behind the scenes into the actual, uh, software and hardware and it was such a cool, immersive experience and realize that what this could do for physical therapy or even at the dentist at a lower end, I think the capabilities for augmented reality and taking yourself out of that moment are huge. So I think that's very exciting. How about drones? >>Oh my gosh. So yes, let's talk to, and my nephew the other day and he said, do you want to see the drone that I built? And I said, yeah, it's got this four or five quadcopter. It's a quadcopter. Yup. I said, where'd you get the software for? He goes, I'll download it. It's all open source. I hacked it a little bit. I actually have several drones. Okay. Nominal. Because this blew me away. I probably have what I consider is the best prosumer drone. It's a DGI Phantom, a DJI Phantom two and I have got some incredible aerial footage over the mountains of Montana and also over a Bermuda, the Island of Bermuda. I sent it up, put it over a shipwreck, gorgeous. And for me as a flake, being in photo and video and going out and getting my own video and not having to rely on a cop, a copter for, you know, that would be thousands of dollars worth of footage or relying on a cameraman. >>I just sent that baby up. I'm like, please don't hit anybody. It's a little hard to operate when you get the one, the higher end models. I have a couple of the parents too. There are a lot easier to operate and do it right from my iPhone, but I am just like, I'm so into it now. I think it's a little gimmicky when we talk about Amazon and pizza deliveries and taco deliveries and beer deliveries with a drone shooting surprises. Texas man, what am, I don't know about that. But uh, I think it's fascinating. I think it's a really cool technology. And again, I've personally saved tens and thousands of dollars using my drones. So you, when you flew over these sites yet proximate, so you had visual concepts. So the Phantom Jerome that I have, that's my favorite one. I actually attach a GoPro to it so I can send it up and I use the gyroscope or just kind of move my GoPro around in mid air. It goes hundreds of feet high. I mean, you've really got to get a grasp on it and know what you're doing. I had it out in a field well before I took it out to an Island on a beach. But I'm not, a drive is not something you really, it's not a remote control car. Now did you build it? Oh no. Goodness. Aww, that's totally on the market. Yeah, I got it at B and H photo >>sending them out. So in San Francisco off their balconies and then they're going out to, you know, angel Island, Alcatraz, and literally they're flying out then unregulated. It's like someday there'll be drone collisions, let's say this is unregulated. This is a huge, people are geeking out with the drones. It's super exciting. Dave camera's shooting down him sending him into football venues or you know, the world series delivering packages. But mom's a streaker. I mean Amazon. I like that. Okay. So what else is new for you? Tell us more about some, some cool behind the scenes at a today's show. Any sad night live, uh, opportunities for you next been >>to Saturday night live. Oh my gosh. By the way, that's like the hottest ticket in New York to get. I've had the opportunity to go to two shows cause my friend's a cameraman over there. The rehearsal for it is like amazing. I know that's a huge digression, but talking about something to see in person, that's one of my bucket lists. Phenomenal. Yeah. Phenomenal. What else is new in New York and the scene there? Uh, Oh, we constantly covering a lot of different pieces. Uh, one, I just came back from Africa a little bit ago. I was doing a number of pieces over there from an elephant orphanage to one of my favorite pieces that we'll be rolling out soon. I did it for cnn.com and also working on a video piece of it. I went in embedded myself in the second poorest part of the entire world in the slums of Kibera, Kenya, and it was amazing to see that in these very poor areas, 70 to 80% cell penetration. A lot of people don't think that a smartphone would be prevalent. It sure is. And these kids, yeah, absolutely. There's cell towers everywhere. These kids were, you know, they don't have much, but they have e-reader devices and they can have thousands of books when they're walking 10 miles to school. You walk into the school that doesn't have any electricity, it's a hundred degrees, but they all have e-readers, Kindles right on their desk. I was blown away. I went to several different schools around Eastern Kenya. Fascinating story to be able to cover. So >>yeah, that's a really good point. In mobile penetration. If I was talking to this startup that where their business plan is to build, sell a solar battery recharging stations because they have the exact points, like they have all these devices but it's not, they don't have the traditional electricity and the parks >>one outlet in the entire school. So fortunately for, you know, with wifi off it's about a week charge on a Kindle. So it is, >>yeah, I think, I think that's a great market opportunity. Certainly in emerging countries, the mobile penetration, I'm so suites about the IBM show here. Is this your first time here or, >>I have had the luxury and the opportunity to be a part of several IBM events and everyone is so uniquely different. And this one all about developers obviously. So something I get to nerd out in myself in that is an it girl and also a developer. It's fun to be able to learn. I picked up so much new information so I just kind of like, they're like, you can, you're done with, I'm like, I'm going to hang out for a little bit longer. >>You know, you know you're a, you know, you're a geek when you're geeking out, when you're off the clock, you know Steve and I the same way. We're like we should stop rookies now let's keep going. So CES, UFC, yes, >>yes, every year for sure. And for anyone that hasn't been to CF, it's kind of on the bucket list for anybody that's attending technology, 35 football fields full of gadgets. Amazing. Yeah, it's always one of my biggest times of the year. So we'll be back here. >>now do you enjoy CES or is it a hard slog for you because you must have to really get down and dirty for CS, I mean a lot of stuff to cover. >>I did and I tried to make it to like the most random boosts. I find someone of my best technology products and like the ma and PA type shops that don't have the million dollar booth and like you know that are really back in a corner and I'm like zero in, >>you go on to cover, by the way, do you go into cover? You kind of sneak in there and you go into the camera guys. No, I go for it. You go for it. Okay. Time. Okay. All right guys. Um, that's awesome. Well can. Thanks for coming on the cube. We really appreciate spending the time. We'd love the personality. I love the energy. I mean Dave and I think you know, we're, first of all we're huge fans of your work. Especially the ESPN part. No, we're, we're big sports fans. In fact we call this the ESPN of tech cause it's our kind of version of like trying to be like ESPN. But we think technology is going mainstream. People at this new generation are geeks and even too, you alluded to ESPN, even sports and technology, I can't tell you how many pieces I've covered in pro athletes and how tech is entering in that space. Everywhere. Disruption in the data, the social media, you know, limiting have agents that go direct to the audience. Just super exciting. I mean I'm real big fan of media, tech, sports and entertainment. Thanks for coming on the cube. We appreciate it. We'll be right back with this after the short break here inside the cube live in Las Vegas. I'm John and Dave. We write back.