#HealthShare

During the Unconfernce and Sessions during the Global Summit several folks had questions and wanted to see how Ohio State setup our Managed Alerts.  Attached is an export I did along with Documentation I had given to our group here at OSU for Managed Alerts.

Getting around to wrapping up a short tour in Professional Playtime, I wanted to share my experience at the HIMSS FHIR Connectathon I participated in out in Indy in April.

A quick note about the venue, aside from the sponsors, and those who put this thing on... great job.  The venue was amazing, hosted by/at the beautiful campus of Eskenazi Health and in a city that really gave a damn about innovations in our space.  The food was great, the caffeine was continual, and was even rescued by the great host Brian Norris (Ryan Seacrest of Connectathons anybody?) with a saving throw for Starbucks on

Learn how to start troubleshooting productions.

Presenter: Boris Mamkin
Task: Understand and use CDA in HealthShare
Approach: Provide a real-world example of how the Clinical Document Architecture standard is being used in a clinical integration
 

In this session, we will discuss the basics of using CDA in HealthShare, as well as a real world example of how CDA is being used in a clinical integration.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

Presenter: Alex MacLeod
Task: Understand and use IHE in HealthShare
Approach: Provide a real-world example of a successful IHE implementation
 

In this session, we will discuss the basics of IHE in HealthShare, as well as share a real world example of a successful IHE implementation.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

Presenter: Matt Spielman
Task: Use the FHIR standard with HealthShare-based solutions
Approach: Provide an overview of how HealthShare will support the evolving FHIR

The next major release of HealthShare will be the first version to support the emerging HL7 FHIR standard. This presentation will discuss InterSystems’ involvement with the FHIR standard, detail the new FHIR functionality, and review our long term plans for FHIR in the HealthShare platform.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

Presenters: Pete Greskoff, Sebastian Musielak
Task: Ensure high availability of your HealthShare deployments
Approach: Discuss high-availability options and focus on HealthShare’s new support for database mirroring
 

With the new release of HealthShare, Mirroring is now support for high availability. This session will describe high availability options and focus on mirroring your HealthShare deployments.

Content related to this session, including slides, video and additional learning content can be found here.

Presenter: Tom Spencer
Task: Add extra data to HealthShare’s data model and make it available to all HealthShare components
Approach: Use new extensions within HealthShare to add custom data
 

When deploying a HealthShare solution, you may need to add extra data to our SDA data model. In this session, we will present the new extension mechanism for adding data to HealthShare and to ensuring that data is available in Health Insight and Patient Index.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

Presenter: Randy Pallotta
Task: Automatically create cohorts of high-risk patients. Send them critical action alerts
Approach: Use the new HealthShare features: “Smart Programs” and “Advanced Clinical Notifications”
 

In this session, we will cover HealthShare "Smart Programs" and "Advanced Clinical Notifications" which allow you to automatically create cohorts of high risk patients in Health Insight and Information Exchange and to send critical actionable alerts. After this session, you should understand this new feature and how to configure a new program or alert.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

Presenter: Alex MacLeod
Task: Use Personal Community to build fully responsive and mobile-compatible portals
Approach: Demonstrate the new release of Personal Community. Provide a behind-the-scenes look at the new application development framework used to build it.
 

The new release of Personal Community v11 is now fully responsive and mobile compatible. It uses a new framework for development. In this session, we will give a functional overview of Personal Community, demo the new release and give a look behind the scenes into the application development framework used.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

Presenter: Russell Leftwich
Task: Understand the concepts of the Fast Healthcare Interoperability Resources (FHIR) standard
Approach: Discuss what FHIR is, and what it’s for
 

This session will introduce the concepts of FHIR - Fast Healthcare Interoperability Resources.

Content related to this session, including slides, video and additional learning content can be found here.

This will be a stretch to be useful, but it was sorta fun.  If you just so happen to have a use case to make your HealthShare productions talk to a Slack channel, this is the Business Operation for you.

In Slack, it is a dead simple process to enable an incoming web hook:

• Name It
• Give it an Icon or Emoji
• Declare a Channel to Interact With

One you supplies those, it spits out a URL that you can go to town posting to your channel using that endpoint.

To demonstrate this, I whooped up a small Production that accepted HL7 via a Business Service, and routed the message to the Slack Business

Have you ever needed to find a record for a particular person in your inbound data stream?  

Searching messages will enable you to find messages using an array of search capabilities.

We have a situation where we want to detect and ignore documents/records at the earliest possible point based on certain criteria.  We have an existing "CDA Preprocessor" in the workflow which is an XSL transform.  This is what our contractors are planning to utilize to "filter" these documents.  This doesn't really make sense to me.  I see XSLT as a way to manipulate the contents of a document and filter certain peices of data.  In my brain, I would use an Ensemble business rule to detect the criteria and route the document as necessary.

Does anyone have any input on this?

Hi all,

I was wondering, what is your favourite public cloud provider?

What is your level of engagement with the cloud provider? Are you testing their infrastructure? In which case I'd expect you being progressing a parallel test with at least a second provider ;-) Or, are you already running a production environment?

--

OK, so, let me be the first one to share my experience with one specific cloud provider.

If I'm in a quick development POC project where I need to prove something very quickly, let's say I want to test a particular architecture or infrastructure with a firewalls or web servers or

Are you going to be building an integration with Ensemble or HealthShare? Take the following course to learn about the core architecture in building an integration, the parts and pieces involved and the most common ways that data flows through that architecture.

Introduction

Australia's recent launch of the Personally Controlled Electronic Health Record (PCEHR) - a significant step towards establishing a national e-Health infrastructure - has simultaneously provided a boost to shared Electronic Patient Record (EPR) projects and delivered a wake-up call to healthcare providers about their readiness for connected care initiatives. In countries around the world, the era of connected care is here.

The PCEHR has increased both the push and pull factors that will lead to widespread shared EPR adoption.

Changes in reimbursement approaches in healthcare are unleashing unprecedented business forces in the industry. As a result, providers are consolidating into larger integrated delivery networks, hoping to achieve economies of scale and operating efficiency.

But it’s difficult to truly integrate organizations, and that’s particularly true when it comes to getting disparate information systems to work together.Overall, consolidation has become more difficult because providers now have a variety of IT systems in place.

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.

Introduction

This document is intended to provide a survey of various High Availability (HA) strategies that can be used in conjunction with InterSystems Caché, Ensemble, and HealthShare Foundation. This document also provides an overview of the various types of system outages that can occur, as well as how each strategy would handle a given outage, with the goal of helping you choose the right strategy for your specific deployment.

The strategies surveyed in this document are based on three different HA technologies:

• Operating System Failover Clusters
• Virtualization-Based HA
• Caché Database

Goals of the project

North Shore-LIJ is a health system serving the needs of over seven million people through 17 hospitals, 400 ambulatory practices, and three skilled nursing facilities as well as home and hospice care. Our healthcare system, including its CareConnect insurance company, is at the forefront of payment reform and population health management.

With our rapid and ongoing growth, the operational complexity of being so large and diverse, and the changes driven by accountable care reforms such as bundled payment, we’ve had to overcome several challenges.

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.

Featuring the results of the HIMSS Analytics Interoperability Study

Introduction

Interoperability - the ability of health information systems to exchange, transform and interpret shared data across multiple systems and devices, and across organizational boundaries, in order to advance the health status of, and the effective delivery of healthcare for, individuals and communities - gained widespread attention in the United States when President Bush called for interoperable electronic health records (EHRs) in his 2004 State of the Union Address.

Executive Summary

An accountable care organization (ACO) is a group of providers that are collectively responsible for the total cost and quality of care provided to a specific population of patients. Together, the group assumes risk and shares rewards. As with high-performing organizations in other industries, the hallmarks of ACOs are quality measurement and continuous improvement.

Like other care models that are experiencing changing reimbursement structures, ACOs require new competencies to coordinate the delivery of care, and to manage populations, finances and risk.

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.

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.

• New data sharing and interoperability standards and protocols arise and evolve continuously
• The volume, variety, and velocity of data —

The CIO Perspective

Executive Summary

Addressing the challenge of reducing hospital readmissions using manual processes is not a viable long-term solution.With other IT mandates demanding time and attention, your readmissions initiatives may suffer.However, with the right health information technology (HIT) platform, you can sustain efforts to reduce readmission rates and make processes more efficient and effective.Enabling interoperability and access to real-time data is key.

Strategic Interoperability

Executive Overview

This white paper discusses the critical requirements for the U.S. Departments of Defense (DoD) and Veterans Affairs (VA) to share Service members’ medical records – including real-time access to a complete composite health record – and it proposes an immediate solution via implementation of a health informatics platform. This approach will provide significant and clearly visible results in a matter of months, while positioning the Departments for strategic improvements in the years ahead.

Whereas in the past the frontier of healthcare it was

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.

To foster this collaboration and engagement, payer organizations must make critical