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Article
· Oct 21, 2015 1m read

Active Analytics: Driving Informed Decisions Leading to Better Clinical and Financial Outcomes

Overview

Integrated Delivery networks (IDNs) face complex challenges in getting the right data into the right hands, at the right time, with the goal of more informed decision-making and improved clinical and financial performance.

In many cases today, even with the use of traditional business intelligence tools and an enterprise data warehouse, important data often remains hard to access and difficult to aggregate and present to healthcare providers in a useful, unified format. It executives and their staffs currently devote extensive resources to plugging together multiple disparate systems in use across their network, and still much of the data is inaccessible.

Making these challenges more pressing - and a higher priority to overcome - is the rise of progressive accountable care models such as Patient-Centered Medical Homes and Accountable Care Organizations. These models of care and reimbursement require the sharing of comprehensive patient data among care teams, health plans, and government entities. The operating environment may consist of various EMR systems, a regional health information exchange, and multiple hospital information systems and departmental applications all deployed within the same IDN. Responsibility for providing data and making clinical decisions is shared among acute care providers, long-term care providers, primary care providers, and specialists. Yet these teams may not have the data-sharing and communication tools they need.

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Article
· Oct 21, 2015 1m read

Performance Comparison of InterSystems Caché and Oracle in a Data Mart Application

Abstract

A global provider of mobile telecommunications software tested the performance of InterSystems Caché and Oracle as the database in a simulated data mart application. They found Caché to be 41% faster than Oracle at building a data mart. When testing the response time to SQL queries of the data mart, Caché's performance ranged from 1.8 times to 513 times faster than Oracle.

Introduction

Telecommunications companies, because they generate and must analyze enormous amounts of information, are among the most demanding database users in the world. In order to make practicable business intelligence solutions, telecommunications firms typically select key pieces of raw data to be loaded into a "data mart", where it is indexed and aggregated in various ways before being made available for analysis. Even so, the data marts in question may be hundreds of gigabytes in size. Database performance, both in the creation of the data mart, and in the query response time of the data mart, is critical to the timely analysis of information, and ultimately to the ability of the enterprise to identify and act upon changes in their business environment.

This paper presents the results of comparative performance tests between InterSystems Caché and Oracle. They were performed by a global provider of mobile telecommunications software, as they evaluated database technology for incorporation into a new business intelligence applications relating to mobile phone usage.

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Article
· Oct 21, 2015 2m read

Ensemble and HealthShare HL7v2 Message Throughput

Executive Summary

InterSystems HealthShareÆ and InterSystems EnsembleÆ both provide a rapid integration and development platform with built-in capabilities for the high-speed processing of HL7 messages. For the purposes of HL7 v2 message routing the two products are equivalent in performance. For brevity, this document will just say Ensemble in many places but it should be taken to apply equally to both products.

We have recently completed a performance and scalability benchmark of Ensemble version 2015.1, focusing on HL7 version 2 messaging. This document describes the observed characteristics, and also provides general configuration and sizing guidelines for systems where Ensemble is used as an interface engine for HL7 v2 messaging.

The benchmark simulates workloads that have been designed to closely match live environments. The details of the simulation are described in the Workload Description and Methodology section. The tested workloads comprised HL7 v2 Patient Administration (ADT) and Observation Result (ORU) payloads and included transformations and re-routing.

Ensemble was demonstrated to sustain a throughput of over 200 million (total inbound plus outbound) messages per 10-hour day on the tested 28-core system with adequate headroom for further scaling.?Throughout these tests, Ensemble was configured to preserve first-in/first-out order, and to fully persist messages and queues for each inbound and outbound message. By persisting the queues and messages, Ensemble provides data protection in the event of a system crash, and full search and resend capabilities for historic messages.

Further, configuration guidelines are discussed in the sections below, which will assist you in choosing an appropriate configuration and deployment to adequately meet your workload's performance and scalability requirements.

The results demonstrate that Ensemble is capable of satisfying extreme messaging needs on commodity hardware, potentially allowing a single small server to provide HL7 messaging support for an entire organization.

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Article
· Oct 21, 2015 1m read

From Vision to Implementation: The Building Blocks of Accountable Care

Introduction

Tying quality of care to reimbursements has been proposed in the last few years as a solution to increase the efficiency and quality of care and replace the costly and ineffective fee-for-service model. Provisions within the Affordable Care Act of 2010 have given accountable care organizations (ACOs) the foundation upon which to build real-world, value based care models. As a result, healthcare organizations across the country are exploring what they must do in terms of restructuring and realigning their operations in order to manage costs efficiently, and to improve outcomes and optimize care. Many are discovering that current information management systems and processes are too fragmented to support accountable care. Furthermore, they are realizing that care coordination managing risk, and financial and population management demand new competencies and technologies.

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Article
· Oct 21, 2015 2m read

HealthShare: A Strategic Platform for Breakthrough Healthcare Solutions

Executive Overview

The healthcare software market offers exciting and significant growth opportunities. Yet, while some healthcare software companies enjoy incredible growth, others under-perform, languish, or even fail. There are many criteria for success in this market, but two are particularly critical:

  • Breakthrough solutions: In every part of the world, healthcare buyers are demanding broad and deep new capabilities that eliminate cumbersome processes, deliver breakthrough results, and advance the missions of their rganizations.
  • Connected care capabilities: the future of healthcare depends on seamless interoperability, both within the organization and with the broader healthcare community. Buyers are increasingly demanding connected care solutions across a multitude of evolving industry standards.

InterSystems HealthShare provides the perfect platform to build new healthcare applications or to add breakthrough capabilities, services, and connected care solutions to existing applications. Using HealthShare, developers can quickly achieve high-impact benefits:

  • Streamline development and accelerate time to market: Bundled standards and profiles help dramatically reduce the effort required to build and maintain a multitude of connected care interfaces, and free you to focus on developing high-value-add capabilities in your solution.
  • Quickly add breakthrough value and compelling differentiation: rapidly add the breakthrough capabilities most sought-after by today's healthcare organizations, including embedded real-time analytics; advanced processing of unstructured data such as text and signals; and connectivity among clinical, operational, and financial applications.
  • Appeal to the broadest markets: InterSystems technology powers more than 50% of U.S. healthcare, including nearly all of the largest and most prestigious providers. our partners offer a wide array of solutions that help customers organize, deliver, and pay for healthcare across the globe. Solutions based on InterSystems technology are widely deployed and easily connect to other applications already in your customers' organizations. A distinguishing characteristic of InterSystems technology is unmatched scalability, ranging from cost-effective solutions at smaller organizations to the most massive and complex healthcare solutions in the world.

Becoming a HealthShare Application Partner is an investment not only for today, but also for the future and the unanticipated challenges you will inevitably face as an application provider.

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