By Michael Kalinowski
Summary: Cloud-based LIS solutions are becoming popular in the U.S., offering benefits like flexibility and scalability, but the choice between cloud and on-premises solutions depends on each lab’s operational needs and concerns about data security.
Takeaways:
- Cloud-based LIS advantages: Offers flexibility, scalability, lower costs, disaster recovery, and advanced security measures.
- On-premises LIS advantages: Provides greater data control and security, suitable for larger labs with existing infrastructure.
- Expert opinion: Dennis Winsten, a healthcare information systems consultant, generally recommends cloud solutions for smaller labs while acknowledging that large labs may benefit from sticking with on-premises systems.
Cloud-based laboratory information system (LIS) solutions are a growing trend for medical laboratories throughout the U.S., but is cloud computing the best choice for your lab’s operational and financial future?
That depends on where you prefer to store your lab’s LIS software and data and your feelings about data security:
- Cloud Computing Solutions: LIS software and data are stored on external servers managed by a third-party provider (such as Microsoft’s Azure platform or Amazon Web Services) and accessed via an internet connection.
- On-Premises Solutions: LIS software and data are stored on servers within the healthcare facility and maintained and managed by an IT staff.
Despite being a relatively new concept, cloud-based LIS solutions have grown considerably in popularity in recent years because they provide the flexibility, scalability, and accessibility needed to power an advanced LIS solution and meet the modern demands of high-volume laboratory medicine.
On-prem solutions, although not as scalable and accessible, are still considered by many to be more secure than cloud-based solutions and allow the organization to maintain full control over its data.
Count Dennis Winsten (an independent healthcare information systems consultant) as one of many industry experts who believe the advantages of cloud computing far outweigh the disadvantages.
The Future of LIS Solutions Lies in the Cloud
When it comes to computers and healthcare systems, few can match Winsten’s 40-plus years of experience in the field. He’s witnessed the evolving healthcare landscape and believes in the power of emerging technologies such as cloud computing, viewing them as vital keys to future success for his clients.
Winsten recently shared his thoughts while weighing the virtues and disadvantages of cloud-based LIS solutions.
LIS Solutions: Accessibility and Convenience
In an industry where efficient laboratory workflow management and finding ways to be more productive are highly valued attributes, one doesn’t have to look far to see how cloud computing can enhance both.
“For me, the biggest benefits are accessibility and convenience of use,” says Winsten, noting that a cloud-based LIS solution provides convenience for users by enabling remote access and aggregation of data from multiple locations into one unified source, plus seamless scalability.
When asked about the disadvantages one might experience with the cloud option, Winsten listed:
- Potential loss of connectivity
- Server downtime
- Security
- Lack of control.
“The advice I give my clients largely depends on the lab’s size and what’s most important for them,” he adds .
Winsten says he usually recommends cloud computing as the best option for smaller labs.
“A cloud-based solution for a smaller lab operation means it won’t have to build an internal IT infrastructure and staff to support an on-prem server,” he says.
On the other hand, Winsten suggests larger labs with an already established infrastructure may choose to remain with the status quo.
“That might ultimately be the best choice for them because they’ve already invested in the infrastructure and staff,” he says.
Winsten also notes that he occasionally comes across lab management teams that feel strongly about having control of the data and frankly don’t trust the cloud. He said those types are still out there but becoming extremely rare.
Data Security Cannot Be Overstated
Laboratory information systems are the nerve center of medical labs, providing robust data management for highly sensitive patient information while ensuring compliance with all industry standards. The security of this information remains a top concern, no matter the lab, and Winsten advises his clients to factor in security when choosing their servers.
“I stress the importance of working with laboratory information system vendors offering the highest security possible,” he says. “Advanced LIS systems now offer enhanced data governance and control, encryption, audit trails, and monitoring; all essential for identifying and addressing potential threats.”
According to Winsten, modern LIS solutions can also integrate with cloud-based security tools (such as firewalls, intrusion detection systems, and anomaly detection tools) to proactively defend against a cyberattack.
Cloud-Based LIS Solutions Offer Many Advantages
As noted by Winsten, LIS systems that support cloud-based solutions are the way of the future because they provide the flexibility, scalability, and accessibility needed to meet the modern demands of high-volume laboratory medicine.
Now let’s take a closer look at the advantages that come with the deployment of a modern LIS system integrated with a cloud-based server:
- Flexible Scaling: With cloud servers medical labs can quickly scale resources up or down based on current demand. This is much more flexible when compared to on-prem servers, where scaling often requires purchasing additional hardware, and scaling down leaves unused and wasted resources.
- Recovery and Continuity: Cloud providers typically offer robust disaster recovery solutions that on-site servers can’t match. Data can be backed up automatically and geo-replicated across multiple locations, ensuring data integrity and availability even if a major disaster hits.
- Lower Overall Cost: Cloud servers usually operate with a pay-as-you-go pricing model, meaning you pay only for the resources you use. Compare that to the significant up-front cost of purchasing an on-prem server plus the ongoing expense of maintaining hardware and an IT department, and the cloud computing model has the edge even before considering other on-prem costs like power, cooling, and physical space.
- Accessibility: Cloud servers can be accessed from anywhere and at all times with a simple internet connection. This facilitates remote work and widespread collaboration that can span the globe.
- Security: While concern over server security—regardless of its placement-—is an ongoing issue for the entire industry, it should be noted that reputable cloud providers can invest more heavily in sophisticated security measures that are often more expensive than an individual organization might be able to afford. This includes physical security, cybersecurity, and compliance with regulatory standards.
- Innovation: Cloud providers can continuously integrate the latest technologies and innovations into their services, such as artificial intelligence, machine learning, and advanced analytics. This is very advantageous for users, giving them the power to leverage these new technologies without first purchasing expensive, specialized hardware or software.
Winsten reiterates that, while cloud-based servers offer many benefits, this may not be the right solution for every clinical lab or pathology practice. Labs with highly sensitive data or strict regulatory requirements may prefer on-prem servers for greater control and security, and large established labs with in-house IT infrastructure might also opt to keep their data close.
On the other hand, newer or smaller labs without large IT teams and smaller budgets may find cloud solutions much more suitable.
About the Author
Michael Kalinowski is a healthcare and technology writer who leads all communications efforts for LigoLab, a laboratory information system provider.
