 Live from San Francisco, extracting the signal from the noise, it's theCUBE, covering Oracle OpenWorld 2015, brought to you by Oracle. Now your hosts, John Furrier and Brian Grace Lee. Okay, welcome back everyone. We are here live in San Francisco for Oracle OpenWorld. We are on the Howard Street where they block off the roads for this awesome event, 60,000 people here. This is theCUBE's SiliconANGLE flagship program. We're going to go out to the events and extract the signal noise. I'm John Furrier, the founder of SiliconANGLE. I'm John, my co-host, Brian Grace Lee. And I was at wikibond.com. The next guest is Anna Angus, who is the IT manager, Yuzi Leuven. Welcome to theCUBE. Appreciate it. Thank you for being here. So thanks for flying all the way over from Europe to attend and come to Oracle OpenWorld. Great to see you. So tell us a little about what you guys do. Let's do a start there. So I work for the largest healthcare provider in Belgium, so University Hospitals Leuven. And hospitals measured in bed. So we have 2,000 beds, 9,500 employees, just to give a small idea. What we do a little bit different for the electronic patient record and medical record, we build this by ourselves. So we have 70 other developers in-house working day in, day out on the software. That means that we work also completely electronically. There's no paper involved anymore in the hospital. Everything goes electronically. Also the ordering, the flow and this kind of things. And that makes it also very challenging, of course, because when the system is down, we have a small problem because the hospital stops working at that moment. Also what we do is because we have a very unique solution there. And in healthcare you want to collaborate with other hospitals because for a patient it's very important that you can, for example, search for the best treatment as close with his home as possible. So we work together with 18 other hospitals and we share the medical file. And that's our application. And with sharing I mean really sharing. That means when a patient goes to another hospital, the physicians there see exactly the same as the physicians at our hospital. That's what the users want. That's what people want. That's what we want. Because it's very important if you want to collaborate with other hospitals. Not every hospital has the same specialty. So it's important for patient safety that you can send the patient to the right hospital, to the right physician. What was the old way of doing things? Because the database would lock everything down. Data protection was the primary concern and that would foreclose a user experience or doctor experience in this case to provide the best care possible. In the past it was terrible because in the past what happens then a patient wants for example a second opinion. Or we say now maybe you have to go to that hospital or the hospitals say you have to go to Leuven because they are very specialized. But then you start over from zero. You start again. All the exams, everything. And that takes a lot of time but also a lot of money of course that's spent there. In the best case you send the paper file over to the new physician. But well that's very boring. You have to read to all this. It's very time consuming and not efficient. So we were talking earlier you guys are a little bit unique. You do in-house development so you're a little bit of a technology shop. You're essentially a service provider to a number of different hospitals. And then your IT. And when people think of healthcare they think about user experience. They think about some of that feels like sometimes it's in contrast to IT. How do you guys think about creating great user experience? Things that the doctors feel comfortable with obviously. Talk about just the mindset you guys have around that. That's very important of course. That's clear. Let's first talk about the physicians and the nurses. Because that is for me my first users. That's your customer. For me it's my customers in the first round. And what they expect is to have the right data on the right moment wherever they are. They can be maybe abroad. They can maybe in the hospital. That's challenging. And it must be also very fast. For example when you arrive in an emergency room well I don't hope but assume you arrive. Of course the physician there they want in immediately all your information. It's a data driven business. But also for example your radiology images of 10 years ago. Because it can be important at that moment. So for example to give that flexibility we keep everything online. On spinning discs, on flash whatever. Because they want the radiology image in less than 2 seconds. If it comes from tape or other media it takes just too long. And that's very important. Security for example. And privacy especially in Europe. It's very complicated. So what we do there is for example you can only have access to a patient file when you have a kind of contact with that patient. So when you go to surgery a patient from that moment we open and then depending on what kind of operation it is let's say after 3 months we stop again the access to that patient file. You guys were lucky enough to get the M7 in beta. The big announcement here is going to be that we're kind of teasing it out early. Which is great because John Fallow opened the kimono yesterday. One of our favorite guests on the cube. Talk us through some of the things that you've done with the beta. Share some insights and color. I mean is it earth shattering, groundbreaking and security must be a home run because now you can write software on top of it with the spark solution to move through hospitals which is number one concern. Data protection, security, what not. So give us the walk around on the test drive you have in the beta. Okay so like I mentioned before we work together with those other hospitals. Five years ago we only managed our 2000 beds today we are going over the 10,000 beds and we will end probably in the next year 15,000 beds. So we have to scale up five times seven times. So my first interest in the M7 was scalability. Can I scale because the business was asking this can we assign other contracts with other hospitals. So we always see that the infrastructure can scale up. So we did a lot of scaling tests with the M7 and the results were really awesome because what we saw was first of all a performance improvement of three times and that's huge. And so today if we compare it with our current load and depending how you look to the figures at least we can scale up 10 times but probably 15 times with the M7. So you get performance increase of 10x up to 10x so more who knows you have to put your envelope on that but 3x that you pointed out added functionality you were able to do on top of that so okay I get the you can always look at something and say I made it go faster but are you getting any enablement from that this environment. Because we are now faster we can be faster with the M7 we can also scale up with what more hospitals can join also give other opportunities because the system is much faster the bandwidth to the memory is much faster. We can also do other applications other kind of applications and in the past were very more difficult or very difficult I give just one example our application is very transactional of course it is clear for example when you prescript a medication or drug we check for example you are a woman you are pregnant is this combination is this possible very simple checks you can do this online because you can give a response in a few in less than a second but we also want to do more complex and that is very difficult to do online so we create microservices we call it angels and what those angels are doing is in the background just checking a lot of data and compare it and do very complex rules and at the end give a message to the physicians say Ola we have found something because the hardware now is much more faster we can do much more angels everyone needs a guardian angel come on versus the devil so that is one of the kind of applications we now can do even more we can put more angels in place for looking after to the patients this creates an interesting situation because in the past I mean developers don't want to think about plumbing they don't want to think about hardware how much do your developers now go oh I do care about this hardware I do care what I can do in SQL talk about that mindset we were very happy already in the past that we collaborate very closely with our developers because personally I don't believe that you can develop without thinking on the infrastructure and vice versa there must be a really good interaction they must know what the cost is from how they program from special kind of procedures that they do and in our hospital we have a very close relationship so that works very easily of course when you have more performance on the other side you can do much more things at the end if you have more functionality that you can offer of course our developers can use this and will use this in the future microservices cloud we saw Larry Ellison on stage last night he even put Docker on a slot I guess Docker is a standard now which shows the new way for Oracle so I got to ask you what's the sentiment internally with your team are you guys high-fiving each other are you guys super excited to change your life with this new capability and new performance certainly with the security piece what's been the sentiment what's been the vibe what's been the overall feeling where we go for example the security features of the M7 is definitely something we really want to use especially the end-to-end encryption for example in the past we already looked for it for ages like everybody and you tried to solve it in software and it's hard because it's not hard on a simple system but when you have a system where 6,000 users are continuously online and do enormous amount of transactions then you can't handle this you need a huge infrastructure to handle this so we are really thrilled with the silicon features this kind of features in silicon the same with the compression of data this kind of things we really want to use this as fast as possible you mentioned a couple of times you guys are development shop you do in-house development Mark Hurd this morning said he expects 30%, 40% of people doing dev test in the cloud if he were to come to you knocking your door today and say hey why aren't you doing your development is that something you guys are excited about is that something right now there's still laws and barriers that prevent it I'm the wrong guy to talk about it because I'm an infrastructure guy and as an infrastructure guy I say well we can handle this perfectly and we give the service to our developers but we have the same discussions inside in the hospital also the developers are very excited about the new tools and you see that as an infrastructure guy we have some difficulties to follow them and so we are now looking how we will do this so of course the problem that we have is we are a very agile developing cycle we develop each week we have a new version of our software and to do this that means that also all our developers works on the real data because otherwise it's almost not possible and then infrastructure is code how do you guys do that infrastructure as code is the term we love devops, ethos, means application developers don't have to mind what's going on under the hood provisioning up and down the stack so how do you guys do it so successfully as infrastructure guys most people don't look at agile they are the slow boat to China compared to the app developers so how do you do agile as an infrastructure development team and the second part of the question is will those guys to be free of all the infrastructure configuration well I think put you on the spot there but I think the key what makes our successful is is the real integration of and the developer and the database administrator and the infrastructure guys they sit continuously together they really fits very well they help each other it's in our hospital setting not a problem that when my DBA see that some of the new procedures that they have put in production generate a lot of IO for example they go to sit together and because we have such an agile process in developing in a few days we can even patch this and roll out overall the hospitals so you're in essence having to just sort of Oracle does a lot of the integration work you're almost having to build engineered IT teams so that you are blurring those lines between them and that's very important especially when we want in healthcare also I think in most of business we find in healthcare we must be very flexible because especially in a university hospital things change very fast and to handle this we must be very flexible the developing team must be very flexible they are because they can generate every week the code base well also I have to say the code base is not enormous different than the week before it's just small changes but also on the infrastructure you must be very very flexible there can be tomorrow a new application there and you have to gear it up and taking care of its performance enough so you guys are super excited you said your developers are excited how do you recruit the new full stack developers a new developer environment exists so there's a need for that speed is critical and the young guns coming in they want to work in an environment that's got challenges so what are the things you're throwing at the new recruits how do you recruit new talent recruiting new talent is hard also because a hospital has a let's say certain culture but from the outside I think it's a little bit boring I think IT in a hospital is crucial for the hospital and you can go to each hospital from some size and you see they do really huge things on IT side so the first step is to try to go to the outside world and to convince them how exciting IT in a hospital can be that's also one of the reasons I sit here by the way so that's the first step secondly is we do a sales pitch so a job interview for me is the first first step is a sales pitch to them to make them comfortable to see how flexible will work the culture is very important that you have been in the team we try to convince them and then the hard part is especially for the young guys they're completely they come from college they have a very special mindset how to do and in the real world it's a little bit different and we try also to convince them that the real world is you have some things where you want to go to but in an enterprise environment it's a little bit different it goes a little bit slower and we try to convince them and the most important part of hiring people is to keep them and I think we do a good job of this so we have less than 1% turnover people that leave us so that's very good let me ask you to put your crystal ball hat on look towards the future a little bit you mentioned it's hard to put data in the cloud you're very data centered business what would have to happen Mark made a comment I expect most of the data to be in the cloud what would have to change in your environment for that to happen well first of all I think what we will do step one and we are busy already with this is the traditional IT ERP for example email things 365 because there I can't give any added value not on the software side not on the infrastructure side so it's just email or it's just just an ERP there I follow completely that's simple we will do we are in process of this then you have the huge transaction business where you make a difference and that's our medical file there I think it will take more time also the architecture of the application has to change probably and also it's our grown jewels and that's different it's also a lot of transactions performance wise is completely different there so I think that will take a long time but medical data you have in different kinds the ideology images for example where we store them now on permits if someone comes for me and they say I have a good deal and the TCO is lower for putting in the cloud that will be no problem at all and that I think it's very easy also to do so rich media and this kind of things I think it will move faster the database will be probably the last we are here and I guess to be IT manager thanks for sharing your data and insights here on the cube of course it's great the final word here quickly summarize your experience of the beta and what's going on at Oracle OpenWorld this year what's the vibe, share with the folks who are not here what's the big story here at Oracle OpenWorld well I was surprised but the story is cloud completely I haven't heard anything else even the database is not mentioned anymore you really have to look for a session about stupid hardware or stupid database cloud is there it's definitely ready for this all the geeks are in those sessions we heard that yesterday this is some deep sessions there are deep sessions but also high level too thanks so much for sharing really appreciate your time we are live here at Oracle OpenWorld on Howard Street in San Francisco for the cubes continuous exclusive coverage of Oracle OpenWorld go to SiliconANGLE.tv because we have every Wednesday we feature women Wednesday highlighted women in tech we pick a guest of the week and we make it a podcast we have podcasting go to Wikibon.com for the great research we'll be right back with more live coverage from theCUBE after this short break