A cyberespionage group believed to be from Russia is once again striking political targets, and this time, PowerShell scripts have been weaponized to increase the power of their attacks.
Turla, also known as Snake or Uroburos, has been active since at least 2008. The advanced persistent threat (APT) group was previously linked to a backdoor implanted in Germany’s Federal Foreign Office for the purposes of data exfiltration in 2017, alongside attacks against the US military, a defense contractor, and a variety of European government entities.
The Russian hacking group is rarely quiet for long, and now, the APT has returned with a fresh wave of attacks against diplomatic entities in Eastern Europe.
According to researchers from ESET, Turla has recently employed PowerShell scripts. The scripts allow “direct, in-memory loading and execution of malware executables and libraries,” the team says, which can also help them circumvent discovery on victim machines when a malicious executable is dropped on to a disk.
The use of PowerShell is not completely foreign to Turla. Last year, Kaspersky Labs said the APT was experimenting with PowerShell in-memory loads to bypass security protections, in the form of a customized open-source PoshSec-Mod system.
Turla’s loader was based on the legitimate PoshSec-Mod software, but in 2018, the custom code was considered flawed and would often crash due to bugs.
ESET says that now, a year later, it seems most of the cracks in the system have been smoothed over.
Turla has now improved its use of PowerShell and is using scripts to load an array of malware. However, the scripts in question are not considered simple droppers as they are able to “persist on the system as they regularly load into memory only the embedded executables,” according to ESET.
The PowerShell loader uses both a Windows Management Instrumentation (WMI) event subscription and alters the PowerShell profile (profile.ps1 file) to maintain persistence on an infected system.
In total, two WMI event filters and two WMI event consumers are created, of which the consumers are simple command lines to load PowerShell into the Windows registry.
See also: Cybersecurity 101: Protect your privacy from hackers, spies, and the government
When it comes to decrypting payloads stored in the registry, the 3DES algorithm is used. Once decrypted, a PowerShell reflective loader then comes into play.
“The executable is hardcoded in the script and is loaded directly into the memory of a randomly chosen process that is already running on the system,” the researchers say.
However, the selection process is not completely random as some processes, including avp.exe, avpsus.exe, klnagent.exe and vapm.exe, are excluded. These processes specifically refer to legitimate Kaspersky anti-virus protection software, which may indicate exclusion to avoid detection.
In some samples, ESET also found that Turla’s PowerShell script had been modified to bypass the Antimalware Scan Interface (AMSI), a Windows feature which permits the OS to integrate with antivirus products. Ithe script is also able to patch the AmsiScanBuffer process, which prevents the antivirus product from being able to perform any malware scans.
TechRepublic: How WannaCry is still launching 3,500 successful attacks per hour
The PowerShell loader is used to launch malware including a backdoor based on the RPC protocol which is able to exfiltrate data, facilitates the execution of commands, and support plugins for additional malware modules.
“Many variants of this RPC backdoor are used in the wild,” ESET says. “Among some of them, we have seen local proxies (using upnprpc as the endpoint and ncalrpc as the protocol sequence) and newer versions embedding PowerShellRunner to run scripts directly without using powershell.exe.”
A PowerShell backdoor is also available for download. Known as PowerStallion, the lightweight backdoor uses cloud storage — such as Microsoft OneDrive — as a form of command-and-control (C2) server. The researchers believe the backdoor is included as a recovery access tool for the major Turla backdoor.
CNET: Amazon’s new Alexa features put more emphasis on privacy
Earlier this month, the company discovered the existence of another major backdoor used by Turla. Dubbed LightNeuron, the malware has been specifically designed for Microsoft Exchange email servers and works as a mail transfer agent (MTA).
ESET says that while the PowerShell scripts have been used against political targets in Eastern Europe, the cybersecurity firm believes “the same scripts are used more globally against many traditional Turla targets in Western Europe and the Middle East.”
Previous and related coverage
Have a tip? Get in touch securely via WhatsApp | Signal at +447713 025 499, or over at Keybase: charlie0
Time Is Running Out For The “Journey To The Cloud”
Cloud is all, correct? Just as all roads lead to Rome, so all information technology journeys inevitably result in everything being, in some shape or form, “in the cloud.” So we are informed, at least: this journey started back in the mid 2000s, as application service providers (ASPs) gave way to various as-a-service offerings, and Amazon launched its game-changing Elastic Compute Cloud service, EC2.
A decade and a half later, and we’re still on the road – nonetheless, the belief system that we’re en-route to some technologically superior nirvana pervades. Perhaps we will arrive one day at that mythical place where everything just works at ultra scale, and we can all get on with our digitally enabled existences. Perhaps not. We can have that debate, and in parallel, we need to take a cold, hard look at ourselves and our technology strategies.
This aspirational-yet-vague approach to technological transformation is not doing enterprises (large or small) any favors. To put it simply, our dreams are proving expensive. First, let’s consider what is a writ (in large letters) in front of our eyes.
Cloud costs are out of control
For sure, it is possible to spin up a server with a handful of virtual coppers, but this is part of the problem. “Cloud cost complexity is real,” wrote Paula Rooney for CIO.com earlier this year, in five words summarising the challenges with cloud cost management strategies – that it’s too easy to do more and more with the cloud, creating costs without necessarily realizing the benefits.
We know from our FinOps research the breadth of cost management tools and services arriving on the scene to deal with this rapidly emerging challenge to manage cloud cost.
(As an aside, we are informed by vendors, analysts, and pundits alike that the size of the cloud market is growing – but given the runaway train that cloud economics has become, perhaps it shouldn’t be. One to ponder.)
Cloud cost optimization models of many cloud computing services, SaaS, PaaS, and IaaS, are still often based around pay-per-use, which isn’t necessarily compatible with many organizations’ budgeting mechanisms. These models can be attractive for short-term needs but are inevitably more expensive for the longer term. I could caveat this with “unless accompanied by stringent cost control mechanisms,” but evidence across the past 15 years makes this point moot.
One option is to move systems back in-house. As per a discussion I was having with CTO Andi Mann on LinkedIn, this is nothing new; what’s weird is that the journey to the cloud is always presented as one-way, with such events as the exception. Which brings to a second point that we are still wed to the notion that the cloud is a virtual place to which we shall arrive at some point.
Spoiler alert: it isn’t. Instead, technology options will continue to burst forth, new ways of doing things requiring new architectures and approaches. Right now, we’re talking about multi-cloud and hybrid cloud models. But, let’s face it, the world isn’t “moving to multi-cloud” or hybrid cloud: instead, these are consequences of reality.
“Multi-cloud architecture” does not exist in a coherent form; rather, organizations find themselves having taken up cloud services from multiple providers—Amazon Web Services, Microsoft Azure, Google Cloud Platform, and so on—and are living with the consequences.
Similarly, what can we say about hybrid cloud? The term has been applied to either cloud services needing to integrate with legacy applications and data stores; or the use of public cloud services together with on-premise, ‘private’ versions of the same. In either case, it’s a fudge and an expensive one at that.
Why expensive? Because we are, once again, fooling ourselves that the different pieces will “just work” together. At the risk of another spoiler alert, you only have to look at the surge in demand for glue services such as integration platforms as a service (iPaaS). These are not cheap, particularly when used at scale.
Meanwhile, we are still faced with that age-old folly that whatever we are doing now might in some way replace what has gone before. I have had this conversation so many times over the decades that the task is to build something new, then migrate and decommission older systems and applications. I wouldn’t want to put a number on it, but my rule of thumb is that it happens less often than it doesn’t. More to manage, not less, and more to integrate and interface.
Enterprise reality is a long way from cloud nirvana
Reality is, despite cloud spend starting to grow beyond traditional IT spend (see above on maybe it shouldn’t, but anyway), cloud services will live alongside existing IT systems for the foreseeable future, further adding to the hybrid mash.
As I wrote back in 2009, “…choosing cloud services [is] no different from choosing any other kind of service. As a result, you will inevitably continue to have some systems running in-house… the result is inevitably going to be a hybrid architecture, in which new mixes with old, and internal with external.”
It’s still true, with the additional factor of the law of diminishing returns. The hyperscalers have monetized what they can easily, amounting to billions of dollars in terms of IT real estate. But the rest isn’t going to be so simple.
As cloud providers look to harvest more internal applications and run them on their own servers, they move from easier wins to the more challenging territory. The fact that, as of 2022, AWS has a worldwide director of mainframe sales is a significant indicator of where the buck stops, but mainframes are not going to give up their data and applications that easily.
And why should they if the costs of migration increase beyond the benefits of doing so, particularly if other options exist to innovate? One example is captured by the potentially oxymoronic phrase ‘Mainframe DevOps’. For finance organizations, being able to run a CI/CD pipeline within a VM inside a mainframe opens the door to real-time anti-fraud analytics. That sounds like innovation to me.
Adding to all this is the new wave of “Edge”. Local devices, from mobile phones to video cameras and radiology machines, are increasingly intelligent and able to process data. See above on technology options bursting forth, requiring new architectures: cloud providers and telcos are still tussling with how this will look, even as they watch it happen in front of their eyes.
Don’t get me wrong, there’s lots to like about the cloud. But it isn’t the ring to rule them all. Cloud is part of the answer, not the whole answer. But seeing cloud – or cloud-plus – as the core is having a skewing effect on the way we think about it.
The fundamentals of hosted service provision
There are three truths in technology – first, it’s about the abstraction of physical resources; second, it’s about right-sizing the figurative architecture; and third, that it’s about a dynamic market of provisioning. The rest is supply chain management and outsourcing, plus marketing and sales.
The hyperscalers know this, and have done a great job of convincing everyone that the singular vision of cloud is the only show in town. At one point, they were even saying that it was cheaper: AWS’ CEO, in 2015, Andy Jassy, said*: “AWS has such large scale, that we pass on to our customers in the form of lower prices.”
By 2018, AWS was stating, “We never said it was about saving money.” – read into that what you will, but note that many factors are outside the control even of AWS.
“Lower prices” may be true for small hits of variable spending, but it certainly isn’t for major systems or large-scale innovation. Recognizing that pay-per-use couldn’t fly for enterprise spending, AWS, GCP, and Azure have introduced (varyingly named) notions of reserved instances—in which virtual servers can be paid for in advance over a one- or three-year term.
In major part, they’re a recognition that corporate accounting models can’t cope with cloud financing models; also in major part, they’re a rejection of the elasticity principle upon which it was originally sold.
My point is not to rub any provider’s nose in its historical marketing but to return to my opener – that we’re still buying into the notional vision, even as it continues to fragment, and by doing so, the prevarication is costing end-user enterprises money. Certain aspects, painted as different or cheaper, are nothing of the sort – they’re just managed by someone else, and the costs are dictated by what organizations do with what is provided, not its list price.
Shifting the focus from cloud-centricity
So, what to do? We need a view that reflects current reality, not historical rhetoric or a nirvanic future. The present and forward vision of massively distributed, highly abstracted and multi-sourced infrastructure is not what vendor marketing says it is. If you want proof, show me a single picture from a hyperscaler that shows the provider living within some multi-cloud ecosystem.
So, it’s up to us to define it for them. If enterprises can’t do this, they will constantly be pulled off track by those whose answers suit their own goals.
So, what does it look like? In the major part, we already have the answer – a multi-hosted, highly fragmented architecture is, and will remain the norm, even for firms that major on a single cloud provider. But there isn’t currently an easy way to describe it.
I hate to say it, but we’re going to need a new term. I know, I know, industry analysts and their terms, eh? But when Gandalf the Grey became Gandalf the White, it meant something. Labels matter. The current terminology is wrong and driving this skewing effect.
Having played with various ideas, I’m currently majoring in multi-platform architecture – it’s not perfect, I’m happy to change it, but it makes the point.
A journey towards a more optimized, orchestrated multi-platform architecture is a thousand times more achievable and valuable than some figurative journey to the cloud. It embraces and encompasses migration and modernization, core and edge, hybrid and multi-hosting, orchestration and management, security and governance, cost control, and innovation.
But it does so seeing the architecture holistically, rather than (say) seeing cloud security as somehow separate to non-cloud security or cloud cost management any different to outsourcing cost optimization.
Of course, we may build things in a cloud-native manner (with containers, Kubernetes and the like), but we can do so without seeing resulting applications as (say, again) needing to run on a hyperscaler, rather than a mainframe. In the multi-platform architecture, all elements being first class citizens even if some are older than others.
That embraces the breadth of the problem space and isn’t skewed towards an “everything will ultimately be cloud,” nor a “cloud is good, the rest is bad,” nor a “cloud is the norm, edge is the exception” line. It also puts paid to any idea of the distorted size of the cloud market. Cloud economics should not exist as a philosophy, or at the very least, it should be one element of FinOps.
There’s still a huge place for the hyperscalers, whose businesses run on three axes – functionality, engineering, and the aforementioned cost. AWS has always sought to out-function the competition, famous for the number of announcements it would make at re:Invent each year (and this year’s data-driven announcements are no exception). Engineering is another definitive metric of strength for a cloud provider, wrapping scalability, performance and robustness into the thought of: is it built right?
And finally, we have the aforementioned cost. There’s also a place for spending on cloud providers, but cost management should be part of the Enterprise IT strategy, not locking the stable door after the rather expensive and hungry stallion has bolted.
Putting multi-platform IT strategy into the driving seat
Which brings to the conclusion – that such a strategy should be built on the notion of a multi-platform architecture, not a figurative cloud. With the former, technology becomes a means to an end, with the business in control. With the latter, organizations are essentially handing the keys to their digital kingdoms to a third party (and help yourself to the contents of the fridge while you are there).
If “every company is a software company,” they need to recognize that software decisions can only be made with a firm grip on infrastructure. This boils down to the most fundamental rule of business – which is to add value to stakeholders. Entire volumes have been written about how leaders need to decide where this value is coming from and dispense with the rest (cf Nike and manufacturing vs branding, and so on and so on).
But this model only works if “the rest” can be delivered cost-effectively. Enterprises do not have a tight grip on their infrastructure providers, a fact that hyperscalers are content to leverage and will continue to do so as long as end-user businesses let them.
Ultimately, I don’t care what term is adopted. But we need to be able to draw a coherent picture that is centred on enterprise needs, not cloud provider capabilities, and it’ll really help everybody if we all agree on what it’s called. To stick with current philosophies is helping one set of organizations alone. However, many times, they reel out Blockbuster or Kodak as worst-case examples (see also: we’re all still reading books).
Perhaps, we are in the middle of a revolution in service provision. But don’t believe for a minute that providers only offering one part of the answer have either the will or ability to see beyond their own solutions or profit margins. That’s the nature of competition, which is fine. But it means that enterprises need to be more savvy about the models they’re moving towards, as cloud providers aren’t going to do it for them.
To finish on one other analyst trick, yes, we need a paradigm shift. But one which maps onto how things are and will be, with end-user organizations in the driving seat. Otherwise, their destinies will be dictated by others, even as they pick up the check.
*The full quote, from Jassy’s 2015 keynote, is: “There’s 6 reasons that we usually tell people, that we hear most frequently. The first is, if you can turn capital expense to a variable expense, it’s usually very attractive to companies. And then, that variable expense is less than what companies pay on their own – AWS has such large scale, that we pass on to our customers in the form of lower prices.”
The post Time Is Running Out For The “Journey To The Cloud” appeared first on GigaOm.
How APM, Observability and AIOps drive Operational Awareness
Ron Williams explains all to Jon Collins
Jon Collins: Hi Ron, thanks for joining me! I have two questions, if I may. One’s the general question of observability versus what’s been called application performance monitoring, APM – there’s been some debate about this in the industry, I know. Also, how do they both fit in with operational awareness, which I know is a hot topic for you.
Ron Williams: I’ll wax lyrical, and we can see where this goes – I’ll want to bring in AIOps as well, as another buzzword. Basically, we all started out with monitoring, which is, you know: Is it on? Is it off? Just monitoring performance, that’s the basis of APM.
Observability came about when we tried to say, well, this one’s performing this way, that one’s performing that way, is there a relationship? So, it is trying to take the monitoring that you have and say, how are these things connected? Observability tools are looking at the data that you have, and trying to make sure that things are working to some degree.
But that still doesn’t tell you whether or not the company is okay, which is where operational awareness comes in. Awareness is like, hey, are all the things necessary to run the company included? And are they running okay? That’s what I call full operational awareness. This requires information that is not in it to be combined with information that obviously IT operations has, and AIOps tends to be the tool that can do that.
So, Observability solutions serve an important function; it allows you to see the technical connections between objects and services, and why and how they may work. Awareness includes that and adds functional analysis, prediction, and prevention. But I’m not just talking about operational awareness as a technical thing, but in terms of the business. Let’s look at HR – this has an IT component, but nobody looks at that as a separate thing. If HR’s IT isn’t working, and if I’m the CEO, as far as I am concerned, HR is not working, and so the company is not working, even if other parts still function.
So, how do I gain awareness of all the pieces being brought together? AIOps is a solution that can do that, because it is an intelligent piece that pulls data in from everywhere, whereas observability is taking the monitoring data that you have, and understanding how those data relate to each other. APM gives information and insights, observability helps solve technical problems, whereas AIOps tools helps solve for business problems.
AIOps platforms are one tool that can combine both data sources real time IT operational awareness and Business operations awareness. Together, these constitute Organizational Awareness, that is, awareness across the company as a whole.
Jon: For my take on the benefits of observability platforms, bear with me as I haven’t actually used these tools! I came out of the ITIL, ITSM world of the 1990s, which (to me) was about providing measures of success. Back in the day, you got a dashboard saying things aren’t performing – that gave us performance management, anomaly detection, IT service management and so on. Then it went into business service management, dashboards to say, yeah, your current accounts aren’t working as they should. But it was always about presentation of information to give you a feel of success, and kick off a diagnostic process.
Whereas, observability,… I remember I was at a CloudBees user event, and someone said this, so I’m going to borrow from them: essentially, that solving where things are going wrong has become a kind of whodunnit. Observability, to me, is one of those words that describes itself. It’s not a solution, it’s actually an anti-word, it describes the problem in a way that makes it sound like a solution, actionable insights. It’s the lack of ability to know where the problems are happening in distributed architectures. That’s what is causing so much difficulty.
Ron: That’s a valid statement. Operational awareness comes from situational awareness, which was originally from the military. It’s a great term, because it says you’re sitting in the middle of the field of battle. Where’s the danger? You’re doing this, your head’s on a swivel, and you don’t know where anything is.
So operational awareness is a big deal, and it feeds the operation of not just IT, but the whole company. You can have IT operating at a hundred percent, but the company can be not making a dime, because something IT is not responsible directly for, but supports, is not working correctly.
Jon: I spoke to the mayor of the city of Chicago about situational awareness, specifically about snow ploughs: when there’s snow, you want to turn into a street and know the cars are out of the way, because once a snowplough is in a street, it can’t get out. I guess, from the point of view that you’re looking at here, operational awareness is not the awareness that IT operations requires. It’s awareness of business operations and being able to run the business better based on information about IT systems. Is that fair?
Ron: Yes. For the monitoring, are my systems OK, and is the company? Observability is, how are systems and the company behaving, why are they behaving that way, and what’s their relationship? Can I fix things without anything happening, and causing incidents? Awareness is a whole company thing – are all parts performing the way they should? Will something break, and if so, when? And can I prevent that from breaking?
That’s why operational awareness is more than situational awareness, which we can see as helping individuals – it’s aimed at the whole company, working with business awareness to drive organizational awareness. I’m not trying to invent concepts, but I am trying to be frank about what’s needed and how the different groups of tools apply. Operational awareness includes observability, monitoring, reporting and prediction, which is where AIOps comes in. You get all the pieces that we all know about, but when you put them together you get awareness of the operation of the company, not just IT. Observability and monitoring doesn’t include anything about business operations.
Jon: Is there another element? For the record, I hate maturity models because they never happen. But this is a kind of developmental model, isn’t it? From monitoring, to observability, and from this ability you want to improve to awareness. What you can also do is think upwards, from basic systems management, to IT service management to business service management.
Business service management was great, because it said (for example) people can’t access the current accounts. That’s really important, but what it wasn’t telling you was whether or not that’s doing you any damage as a company, so you can work across monitoring, through observability to operational awareness.
Another question, then, where can you get this operational awareness thing? I don’t suppose you can go down to Woolworths, pick up some operational awareness, stick it on a pallet, and wheel it home, so what do you do?
Ron: For a start, you must have all the pieces – if you don’t have monitoring, observability and all that you can’t get there, right? But then, one of the biggest pieces that’s missing is business awareness. The business, generally speaking, doesn’t communicate its operational state. This makes it hard – if my database isn’t running, what’s the impact of that? What does it mean to be fully aware? We can see this as a Venn diagram – if I draw another circle, it’s the whole circle, it’s the company.
Jon: Hang on, this is super important. If we go back to the origins of DevOps (we can argue whether or not it’s been successful since two thousand and seven, but bear with me on this), the origins of it were things like, “Black Friday’s coming up. How can we have the systems in place that we need to deliver on that?” It was very much from left to right – we need to deploy new features, so that we can maximize benefits, we need to set priorities and so on.
But the way that you said it was the business is not closing the loop. It’s up to the business to say, “I’m not able to perform. I’m not able to sell as much as I should be at the moment. Let’s look into why that is, and let’s feed that back to IT, so that I can be doing that better.” You’ve got the marketing department., the sales department, upper management, all the different parts of the organization. Then all need to take responsibility for their part in telling everyone else how well they are doing.
Ron: Absolutely. I almost put a fourth circle on my Venn diagram, which was the business side. But I decided to leave this, as it was about awareness as an intersection. It’s odd to me that many companies are not aware of all the things that are necessary to make them function as a company. They know that IT is a big deal, but they don’t know why or how or what IT’s impact is.
Jon: Yes, so bringing in elements of employee, experience and customer experience, and all those sorts of thing which then feeds the value stream management, strategic portfolio management aspects, knowing where to make a difference, shifting our needle according to the stakeholders that we have.
Ron: Yes, and all of that’s in awareness, you know!
Jon: That’s a great point to leave this, that the business needs to recognize it has a role in this. It can’t be a passive consumer of IT. The business needs to be a supplier of information. I know we’ve said similar things before, but the context is different – cloud-native and so on, so it’s about aligning business information with a different architecture and set of variables. Thank you so much, Ron. It’s been great speaking to you.
Ron: Thank you for letting me share!
The post <strong>How APM, Observability and AIOps drive Operational Awareness</strong> appeared first on GigaOm.
Can low code process automation platforms fix healthcare?
I was lucky enough to sit down with Appian’s healthcare industry lead, Fritz Haimberger. Fritz is someone who practices what he preaches — outside of his day job, he still spare-times as a medic and a firefighter in his hometown of Franklin, Tennessee (just outside Nashville). I’ve been lucky enough to work with various healthcare clients over the years, from hospitals to pharmaceutical firms and equipment manufacturers; I’ve also been involved in GigaOm’s low code tools and automation platforms reports. So, I was interested in getting his take on how this space has evolved since I last had my sleeves rolled up back in 2016.
While we talked about a wide range of areas, what really caught my attention was the recognized, still huge, challenge being faced by healthcare organizations across the globe. “If you look at healthcare over 15 years, starting with electronic medical record systems — for so long, we’ve had a continued expectation that those implementations might cost 500 million dollars and might be implemented in 14-16 months. Reality has never been like that: repeatedly, it’s been three years down the road, a billion dollars plus in expense, sometimes with no end in sight,” said Fritz. “The notion of implementation time to value was blown away, and organizations resigned themselves to think that it’s just not possible to deliver in a timely manner.”
In part, this comes from legacy tech, but equally, it is down to underestimating the scale of the challenge. When I was working on clinical pathways for Deep Vein Thrombosis (DVT), what started as a simple series of steps inevitably grew in complexity — what about if the patient was already being treated on other drugs? What if blood tests returned certain, conflicting information? So many of these questions rely on information stored in the heads of clinicians, doctors, nurses, pharmacists, and so on.
The resulting impact is not only on data models and systems functionality but also the way in which information needs to be gathered. Keeping in mind that healthcare scenarios must, by their nature, be risk averse, it’s not possible to build a prototype via “fail fast” or “test and learn” — real patient lives may be involved. So, how can healthcare organizations square the circle between addressing unachievable expectations without having the “do it quick and cheap” option?
Enter low code app development, integration, process, and other forms of automation development platforms. Let’s work back from the clichéd trick in the tale and agree that it won’t be a magic digital transformation bullet. You only have to look at a technical architecture map of the NHS to realize that you’d need an entire squadron of magic rockets to even dent the surface. But several elements of the low code process automation platform approach (okay, a bit of a mouthful, so I’ll stick with automation platforms from here) map onto the challenges faced by healthcare organizations in a way that might actually make a difference.
First off, the low code development platforms are not looking to either directly replace or just integrate between existing systems. Rather, and given their heritage, they are aimed at accessing existing data to respond to new or changing needs. There’s an industry term – “land and expand” – which is largely about marketing but also helps from a technical perspective: unlike historical enterprise applications, which required organizations to adopt and adapt their processes (at vast cost), the automation platform approach is more about solving specific challenges first, then broadening use — without imposing external constraints on related development processes.
Second, the nature of software development with automation platforms plays specifically to the healthcare context. Whilst the environment is absolutely safety critical, it’s also very complex, with a lot of knowledge in the heads of health care professionals… This plays to a collaborative approach, one way or another — clinicians need to be consulted at the beginning of a project but also along the way as clinical needs emerge. “The tribal knowledge breakdown is huge,” said Fritz. “With platforms such as Appian, professional developers, clinicians, and business owners can better collaborate on custom applications, so it’s bespoke to what they’re trying to achieve, in a quick iterative process.” Not only does this cut initial time to value down considerably – Fritz suggested 12-14 weeks – but also, it’s along the process that complexity emerges, and hence can be treated.
Automation platforms align with the way it is possible to do things, but at the same time, they are, inherently platforms. This brings to a third pillar that they can bake in the capabilities healthcare organizations need without having to be bespoke — security hardening, mobile deployment, healthcare compliance, API-based integration, and so on. From experience, I know how complex these elements can be if either relying on other parts of the healthcare architecture or having to build bespoke or buy separately — the goal is to reduce the complexity of custom apps and dependencies rather than creating them.
Perhaps automation platforms can, at the very least, unlock and unblock opportunities to make technology work for key healthcare stakeholders, from upper management to nursing staff and everyone in between. Of course, they can’t work miracles; you will also need to keep on top of your application governance — thinking generally, automation platforms aren’t always the best at version controls, configuration and test management, and other ancillary activity.
Above all, when the platforms do what they do best, they are solving problems for people by creating new interfaces onto existing data and delivering new processes. “Honestly— if I’m looking at the individual, whether it’s a patient in clinical treatment, a life sciences trial participant or an insured member – if we’re improving their health outcomes, and easing the unnecessary burden on clinicians, scientists and others, that’s what makes it worthwhile putting two feet on the floor in the morning and coming to work for Appian!”
Yes, platforms can help, but most of all, this is about recognizing that solving for business users is the answer: with this mindset, perhaps healthcare organizations really can start moving towards dealing with their legacy technical challenges to the benefit of all.
The post <strong>Can low code process automation platforms fix healthcare?</strong> appeared first on GigaOm.
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