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Healthcare IT Blog

Sustaining Healthcare IT

84 articles in total.

Best Practices

Published on 03/19/2013 by Clay Sides
Category: Healthcare IT

Groucho Marx once said, “Does it hurt when you do that? Then don’t do that.” Little did he know he would become the Godfather of what we now describe as “best practices”.What is a best practice?  Whose best practice is it?  Who owns the upkeep of the best practice?  How is it being monitored and adapted?  All are questions you should ask anyone in your organization when they throw up ...

HIMSS, Symbol Tables, and Societal ADD

Published on 03/14/2013 by Jim Fitzgerald
Category: Healthcare IT

In the credit crisis that shook the US Economy from late 2007 well through 2011, we heard this phrase oft-repeated as a shallow excuse for government to intervene in our allegedly free-market economy: “too big to fail.” The real truth is in a more directed transposition of the phrase, to wit, “too big to succeed.” Texts analyzing the rise and fall of businesses, governments, and even venerable educational institutions often lead to a simple insight: ...

Remembering the '90s

Published on 03/12/2013 by Ashini Surati
Category: Compliance, Security

Remember the 90’s?  Yes, I am talking about the decade of grunge music, flannel shirts and the coming out of the Internet (World Wide Web).   It was in that decade when HTML and Java were created; the digital answering machine, DVD and Web TV were invented; and the dot com boom took the world by storm.  It was also the era when the Health Insurance Portability and Accountability Act (HIPAA) was enacted by congress ...

Upgrading to vSphere 5? Tips and Tricks Before You Begin Your Adventure – Part 1 of 3

Published on 02/19/2013 by Jayson Stokes
Category: Virtualization

If you’re running vSphere 4.0 or 4.1 and are interested in updating your environment to 5.0, this article might help point you in the right direction. First, upgrading to vSphere 5 requires careful planning and specific ordering of steps in order to achieve a successful upgrade. In the first of this three part series, we’ll focus on the preplanning steps.First, the vSphere licensing has changed from version 4.x to 5.x, so ...

Unified Computing: “A Game Changer’

Published on 02/15/2013 by Brian Nelson
Category: Systems Monitoring and Management, Servers

The term “game-changer” is often thrown around our industry carelessly, in a haphazard attempt by the product’s owner to market it. Any minor advancement is hyped by its owner as a “game-changer”. When, in reality, true “game-changers” are few and far between. My boss is fond of the term “strategic enabler”.  A strategic enabler is a product that does not simply improve upon the status quo, but rather shifts the status quo in ...

The MAGIC Synchronization Data Migration Method

Published on 02/12/2013 by Mike Wheeler
Category: MEDITECH MAGIC

Once a decision has been made to refresh all or part of a MEDITECH MAGIC environment, replacing either the servers or the storage, possibly both, the next question that arises is how to get the data from the current storage to the newer storage.With previous hardware platforms, a MAGIC migration often could only be done with a tape backup and restore.  From a technical point of view, this can be challenging due to tape drive compatibility issues....

“D’ stands for “Documentation’....Darn it!!

Published on 02/08/2013 by Ashini Surati
Category: Healthcare IT

Have you ever had to write something and then get writer’s block?  Until you have the time to actually write something, your mind is going 100 miles an hour, but the minute you get in front of a screen to start typing, your mind goes blank?  Or you get distracted?  Happens to me quite a bit! So, anyway, why was I writing this blog?  Oh, that’s right, the importance of documentation…..Documentation is ...

Change Management – Simple Record Keeping or Invaluable IT Tool?

Published on 01/31/2013 by Thom Daley
Category: Change Management

During my lengthy IT career (sudden shoulder pain) I’ve seen just about every type of problem you could imagine, problems ranging from the usual “fat finger” moments to glitches that brought down an entire network and required developers to recode software on the fly to fix.  I’ve also seen problem remediation from both sides of the coin, working on the customer side in the past, and now as a proud member of the Technical Consulting ...

Architecture vs. Marketecture

Published on 01/29/2013 by Jim Fitzgerald
Category: Healthcare IT

One of the most common problems our consultants and engineers face when remediating a troubled technology infrastructure is DRG code 666.7890 Koolaidius Vendoratum Overdosensis.  It’s a fairly common diagnosis.  Hardware Vendor has cool new system.  Customer staff member likes cool new system. Customer staff member wants QZX-15 certification on cool new system to improve their negotiating position at the next review.  Customer staff member attends “lunch and learn.” Customer staff member ...

For Want of a Nail the Shoe Was Lost, or Sometimes It’s the Simple Answer

Published on 01/22/2013 by Joe Kelly
Category: Healthcare IT

Sometimes it’s the simple things that cause the most heartache.  Especially in the technology world in which we live.   We roll out sophisticated technology solutions using a myriad of virtualized tools to consolidate servers and storage and even networking.  We implement monitoring mechanisms with all kinds of bells, whistles, and alarms to manage said virtual systems, just to make our lives just a little more sane.  We learn to rely on these tools ...

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