Information Sharing Enables Health Plans to Leverage Data and Analytical Assets to Deliver Sustained Value

Executive Summary

The shared-risk payment models that are central to health reform all require tight coordination among payers, providers, and patients if they are to succeed. As payers and providers enter into more and more such agreements, they need to enhance success by communicating and collaborating more effectively with their partners and actively engaging, supporting, and empowering their members.

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We start this new article refreshing what we did in the previous EMPI configuration articles:

  • Installation in Standalone mode the Patient Index on a HealthShare instance.
  • Configuration of basic parameters to start working with the EMPI.
  • Definition of indexes and weights for NICE process.

Very well, we are practically ready to start rolling our EMPI. We only have one detail left, to start the production created by the installation to be able to start working.

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Introduction

In healthcare, information accessibility can impact the outcome of a medical decision, or the success of a bundled payment initiative. To ensure that the right information is available at the right place and time, healthcare organizations typically have used HL7® interface engines to share data among clinical applications. But the demands on healthcare information technology are changing so rapidly that these simple engines are no longer sufficient.

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I needed to pass through a file with Ensemble but the operation wasn't writing some filenames as given because the EnsLib.File.PassthroughOperation 'sanitizes' filenames removing characters that are not valid on some operating
systems;
09000655_AEDC_C3344059_A/E_Martin Browne_09000655_201706221018.pdf
09000655_AEDC_C3344059_A#47E_Martin_Browne_09000655_201706221018.pdf

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InterSystems FAQ rubric

You can use the system routine ^DBSIZE to estimate the backup file size (see also Note 1).

^DBSIZE estimates the file size of full, cumulative, and differential backups of the databases selected in the database backup list.

The database backup list is created from [System Administration] > [Configuration] > [Database Backup] > [Database Backup List] in the Management Portal.

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InterSystems FAQ rubric

To remove InterSystems products installed on your Windows system, use Add or Remove Programs in Control Panel (in Windows 10, select Apps from Windows Settings).

Since we will be making changes to the system, you will need to log in as a user with administrator privileges.

1) Log in to the system as an administrator.

2) From the system tray, exit the launcher of the InterSystems product instance you want to uninstall (click launcher → exit).

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Introduction

As healthcare providers face increasing pressures to lower costs and reduce readmissions, they're rapidly shifting towards accountable?care organizations (ACOs) and other coordinated, quality-based reimbursement systems. However, most providers have historically?organized their data and workflows in ways that best fi t the fee-for-service payment model. Now that so many providers are sharing?risks and rewards, they must also share and coordinate information by adopting more streamlined health information technology?solutions.

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You may have already heard that, starting with IRIS and HealthShare HealthConnect 2023.2 versions, the internal Apache Server will be removed from the default installation, so it will be necessary to have an external application server such as Apache Server or NGINX.


In this article I am going to proceed to install a HealthShare HealthConnect 2023.1 so that it works with a pre-installed Apache Server. For this I will use a virtual machine on which I have installed an Ubuntu 22.04.

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Article
· Dec 15, 2016 1m read
Version history for the production class

Last week I was onsite with a new customer of ours, implementing Deltanji to give them control of their development and deployment cycle. One particularly satisfying part of the visit was seeing their pleasure at how their production class now records its changes over time, allowing them to quickly diff the versions and see what configuration items have been added or what settings altered. ​

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My team is working on redesigning an Interoperability solution that currently runs on a HealthShare server that is part of a mirror. Most of the messages are delimited records processed using Complex Record Mapping. We were told to utilize cloud services available in AWS, use containers, autoscaling…

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As we said yesterday... our EMPI can receive data from multiple sources, REST, HL7 messaging, etc. But it is possible that the standard fields are not enough and we want to expand the patient information to help discriminate and uniquely identify them. How could we customize patient data? Modifying the standard classes to our liking? NOOOOO!!!! Well, a little yes, but not like crazy, because if we modify standard classes carelessly we may find that in a future update we lose all these modifications.

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