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ENTERPRISEINTEGRATIONENGINE
FOR LARGE SCALE
INTEROPERABILITY
FEATURING MIKE WALLACE,
Director CORE Clinical Platforms/Enterprise Application Integration,
Catholic Health Initiatives
Page 2 • 2016 © Orion Health™ group of companies
What We Will Cover In This Webinar
▸ Introduction by Harish Panchal
▸ Drivers by Mike Wallace
▸ Large Scale Implementation by Mike Wallace
▸ Monitoring and Management of Instances by Mike Wallace
▸ Reliability by Mike Wallace
▸ Intelligent Integration Engine by Harish Panchal
▸ Q&A all
Page 3 • 2016 © Orion Health™ group of companies
Mike Wallace
Director CORE Clinical
Platforms/Enterprise
Application Integration
Harish Panchal
Vice President
Intelligent Integration
Our Experts
Page 4 • 2016 © Orion Health™ group of companies
Enterprise Implementation of Rhapsody | HL7
Front Desk
Register new patient (ADT)
Schedule procedure (SIU)
Order Medication (ORM)
Billing
Departmental system
(Lab, PACS, ICU, etc.)
Register pharmacy given (RGV)
Storediagnosticreport(ORU)
Paramedic
HIS / EMR
Page 5 • 2016 © Orion Health™ group of companies
Welcome to the new realities!
We need to deliver FASTER,
BETTER, CHEAPER…
Drivers | The New Realities
Page 6 • 2016 © Orion Health™ group of companies
Drivers | The New Realities
• Leverage existinginterfaces
• Retention ofknowledge
• Leverageknowledge
• Eliminate Multiple Platforms
• DisasterRecovery
• Experience through Migration
• SDLC – Rhapsody changes
• Security ofenvironment
• Accessrestrictions
• Length of time todevelop
• Contractors vs FTEs
• 4,000 existing interfaces
• 1000’s acquisition interfaces
• PRD, UAT, TST andDEV
• Standardizedtesting
• Redundancy
• LeverageStaff
• Real-Time Data
• MeaningfulUse
• Storage to DataLake
• FHIR
Future Planning
FA S T E R , B E T T E R , C H E A P E R
ConsistencyDevelopment
Page 7 • 2016 © Orion Health™ group of companies
Drivers | Unavoidable Migration
• Leverage investment
• Leverage staff
• Leverage Disaster Recovery
• Leverage data
Page 8 • 2016 © Orion Health™ group of companies
Drivers | Migration of Legacy Engines | eGate
• 4,000 interfaces rationalized to 2500
• 9 eGate engines
• Logical grouping of interfaces
• Pseudo-code / Rhapsody coding
• Partnering
• INBOUND first, OUTBOUND later
• Move by application vs by engine
• Migration SDLC
• Importance of project manager
Page 9 • 2016 © Orion Health™ group of companies
Drivers | Migration of Legacy Engines | Engines from Acquisitions
• OpenLink
• CloverLeaf
• Ensemble
• Mirth
• Iguana
• Summit
• Others
• Migration plans in place using lessons
learned
• 30-day data - benchmarking
Page 10 • 2016 © Orion Health™ group of companies
Large Scale Implementation | Environment
19
P
R
D
U
A
T
D
E
V
T
S
T
Page 11 • 2016 © Orion Health™ group of companies
fxc
Large Scale Implementation | Environment
Common
Services
Page 12 • 2016 © Orion Health™ group of companies
Large Scale Implementation | Disaster Recovery
EMC VNX SAN Array EMC VNX SAN Array
1001101001011010...
Brocade DCX
SAN Switch A
Brocade DCX
SAN Switch A
Brocade DCX
SAN Switch A
Brocade DCX
SAN Switch A
Cisco Nexus
Network Switch A
Cisco Nexus
Network Switch A
Cisco Nexus
Network Switch B
Cisco Nexus
Network Switch B
Cisco Fabric Inter. A Cisco Fabric Inter. B Cisco Fabric Inter. A Cisco Fabric Inter. B
Disaster
Recovery
Power SupplyPower Supply Power Supply
B200 M3 A B200 M3 C
B200 M3 B B200 M3 D
B200 M3 C
B200 M3 B
B200 M3 D
B200 M3 A
UCS Chassis A UCS Chassis B
STRETCHED
NETWORK VLAN
Page 13 • 2016 © Orion Health™ group of companies
▸ Acquisitions – culture
▸ SDLC
▸ TCoE
▸ ApplicationTeams
▸ EPMO
▸ ChangeRequests
▸ DemandManagement
▸ AMS
▸ Wipro
Large Scale Implementation | Environment
Page 14 • 2016 © Orion Health™ group of companies
Monitoring and Management of Instances
• ENIGMA - Enterprise Network Integration
Global Management Application
• Enterprise Wide Monitoring tool
• Provides single panel view of all CHI
Integration engines
• Used with Rhapsody WMC
Page 15 • 2016 © Orion Health™ group of companies
Reliability | Failover
PRODUCTION FAILOVER
Page 16 • 2016 © Orion Health™ group of companies
Reliability | Uptime
ENGINE LAST 365 DAYS LAST 30 DAYS 1/09/17 1/10/17 1/11/17 1/12/17 1/13/17 1/14/17 1/15/17
AR 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
CO 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
CS 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
fxc 99.9931% 99.9498% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
IA 99.9992% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
IN 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
KY 99.9984% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
KY2 99.9980% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
MN 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
ND 99.9981% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
NE 99.9992% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
NE2 99.7274% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
NJ 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
OR 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
PA 99.9981% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
TN 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
TX 99.9993% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
WA 99.9979% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Intelligent Enterprise Integration
Page 18 • 2016 © Orion Health™ group of companies
Point
to
Point
Message
Driven
Networks
Service
Oriented
Architecture
API
IoT
Microservices
Pre 1990 1990s 2000s Today
Traditional
Healthcare
Integration
WE LIVE IN A CONNECTED SOCIETY
Page 19 • 2016 © Orion Health™ group of companies
Scalable Reliable Secure Fast Tools
Page 20 • 2016 © Orion Health™ group of companies
Social Data
Environment
Device Data
Transcriptome
Proteome
Epigenetic
Metabolome
Microbiome
Genome
Imaging
Clinical Data
Rhapsody | Intelligent Enterprise Integration
▸ Intelligent Mapper helps manage change in integration
architecture, adapt to new models of care, and control
quality
▸ Advance Filter speeds up the migration process
▸ Cloud Hosting complements large EMRs for more BI
2Tb of Data
Page 21 • 2016 © Orion Health™ group of companies
Rhapsody | Intelligent Mapper
▸ Change is the one constant
▸ Dealing with change can be
complex, you don’t know
what you don’t know
▸ Intelligent Mapper analyzes
sample set of source and
target messages
▸ Developers can visualize
changes in mapping logic
with a use of comparison
reports
Work smarter
Page 22 • 2016 © Orion Health™ group of companies
Rhapsody | Intelligent Filter Speeds Up your Migration Process
▸ Intelligent Filter provides tight
integration between a Intelligent
Mapper project and Rhapsody
route
▸ Code generated can be cut an
pasted into any JavaScript
component
Work smarter
Page 23 • 2016 © Orion Health™ group of companies
SaaS Operation | Integration in the Cloud
• Service Manager owns the
service
• Service Manager is the single
point of contact for customers
• Service Manager coordinates
monthly service reviews
• Service Manager is the authority
over production changes
• Service Manager serves up to
5 customers
Service
Management
Page 24 • 2016 © Orion Health™ group of companies
?
? ?
Question & Answer

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Enterprise Integration Engine for Large Scale Interoperability

  • 1. ENTERPRISEINTEGRATIONENGINE FOR LARGE SCALE INTEROPERABILITY FEATURING MIKE WALLACE, Director CORE Clinical Platforms/Enterprise Application Integration, Catholic Health Initiatives
  • 2. Page 2 • 2016 © Orion Health™ group of companies What We Will Cover In This Webinar ▸ Introduction by Harish Panchal ▸ Drivers by Mike Wallace ▸ Large Scale Implementation by Mike Wallace ▸ Monitoring and Management of Instances by Mike Wallace ▸ Reliability by Mike Wallace ▸ Intelligent Integration Engine by Harish Panchal ▸ Q&A all
  • 3. Page 3 • 2016 © Orion Health™ group of companies Mike Wallace Director CORE Clinical Platforms/Enterprise Application Integration Harish Panchal Vice President Intelligent Integration Our Experts
  • 4. Page 4 • 2016 © Orion Health™ group of companies Enterprise Implementation of Rhapsody | HL7 Front Desk Register new patient (ADT) Schedule procedure (SIU) Order Medication (ORM) Billing Departmental system (Lab, PACS, ICU, etc.) Register pharmacy given (RGV) Storediagnosticreport(ORU) Paramedic HIS / EMR
  • 5. Page 5 • 2016 © Orion Health™ group of companies Welcome to the new realities! We need to deliver FASTER, BETTER, CHEAPER… Drivers | The New Realities
  • 6. Page 6 • 2016 © Orion Health™ group of companies Drivers | The New Realities • Leverage existinginterfaces • Retention ofknowledge • Leverageknowledge • Eliminate Multiple Platforms • DisasterRecovery • Experience through Migration • SDLC – Rhapsody changes • Security ofenvironment • Accessrestrictions • Length of time todevelop • Contractors vs FTEs • 4,000 existing interfaces • 1000’s acquisition interfaces • PRD, UAT, TST andDEV • Standardizedtesting • Redundancy • LeverageStaff • Real-Time Data • MeaningfulUse • Storage to DataLake • FHIR Future Planning FA S T E R , B E T T E R , C H E A P E R ConsistencyDevelopment
  • 7. Page 7 • 2016 © Orion Health™ group of companies Drivers | Unavoidable Migration • Leverage investment • Leverage staff • Leverage Disaster Recovery • Leverage data
  • 8. Page 8 • 2016 © Orion Health™ group of companies Drivers | Migration of Legacy Engines | eGate • 4,000 interfaces rationalized to 2500 • 9 eGate engines • Logical grouping of interfaces • Pseudo-code / Rhapsody coding • Partnering • INBOUND first, OUTBOUND later • Move by application vs by engine • Migration SDLC • Importance of project manager
  • 9. Page 9 • 2016 © Orion Health™ group of companies Drivers | Migration of Legacy Engines | Engines from Acquisitions • OpenLink • CloverLeaf • Ensemble • Mirth • Iguana • Summit • Others • Migration plans in place using lessons learned • 30-day data - benchmarking
  • 10. Page 10 • 2016 © Orion Health™ group of companies Large Scale Implementation | Environment 19 P R D U A T D E V T S T
  • 11. Page 11 • 2016 © Orion Health™ group of companies fxc Large Scale Implementation | Environment Common Services
  • 12. Page 12 • 2016 © Orion Health™ group of companies Large Scale Implementation | Disaster Recovery EMC VNX SAN Array EMC VNX SAN Array 1001101001011010... Brocade DCX SAN Switch A Brocade DCX SAN Switch A Brocade DCX SAN Switch A Brocade DCX SAN Switch A Cisco Nexus Network Switch A Cisco Nexus Network Switch A Cisco Nexus Network Switch B Cisco Nexus Network Switch B Cisco Fabric Inter. A Cisco Fabric Inter. B Cisco Fabric Inter. A Cisco Fabric Inter. B Disaster Recovery Power SupplyPower Supply Power Supply B200 M3 A B200 M3 C B200 M3 B B200 M3 D B200 M3 C B200 M3 B B200 M3 D B200 M3 A UCS Chassis A UCS Chassis B STRETCHED NETWORK VLAN
  • 13. Page 13 • 2016 © Orion Health™ group of companies ▸ Acquisitions – culture ▸ SDLC ▸ TCoE ▸ ApplicationTeams ▸ EPMO ▸ ChangeRequests ▸ DemandManagement ▸ AMS ▸ Wipro Large Scale Implementation | Environment
  • 14. Page 14 • 2016 © Orion Health™ group of companies Monitoring and Management of Instances • ENIGMA - Enterprise Network Integration Global Management Application • Enterprise Wide Monitoring tool • Provides single panel view of all CHI Integration engines • Used with Rhapsody WMC
  • 15. Page 15 • 2016 © Orion Health™ group of companies Reliability | Failover PRODUCTION FAILOVER
  • 16. Page 16 • 2016 © Orion Health™ group of companies Reliability | Uptime ENGINE LAST 365 DAYS LAST 30 DAYS 1/09/17 1/10/17 1/11/17 1/12/17 1/13/17 1/14/17 1/15/17 AR 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% CO 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% CS 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% fxc 99.9931% 99.9498% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% IA 99.9992% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% IN 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% KY 99.9984% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% KY2 99.9980% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% MN 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% ND 99.9981% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% NE 99.9992% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% NE2 99.7274% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% NJ 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% OR 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% PA 99.9981% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% TN 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% TX 99.9993% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% WA 99.9979% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
  • 18. Page 18 • 2016 © Orion Health™ group of companies Point to Point Message Driven Networks Service Oriented Architecture API IoT Microservices Pre 1990 1990s 2000s Today Traditional Healthcare Integration WE LIVE IN A CONNECTED SOCIETY
  • 19. Page 19 • 2016 © Orion Health™ group of companies Scalable Reliable Secure Fast Tools
  • 20. Page 20 • 2016 © Orion Health™ group of companies Social Data Environment Device Data Transcriptome Proteome Epigenetic Metabolome Microbiome Genome Imaging Clinical Data Rhapsody | Intelligent Enterprise Integration ▸ Intelligent Mapper helps manage change in integration architecture, adapt to new models of care, and control quality ▸ Advance Filter speeds up the migration process ▸ Cloud Hosting complements large EMRs for more BI 2Tb of Data
  • 21. Page 21 • 2016 © Orion Health™ group of companies Rhapsody | Intelligent Mapper ▸ Change is the one constant ▸ Dealing with change can be complex, you don’t know what you don’t know ▸ Intelligent Mapper analyzes sample set of source and target messages ▸ Developers can visualize changes in mapping logic with a use of comparison reports Work smarter
  • 22. Page 22 • 2016 © Orion Health™ group of companies Rhapsody | Intelligent Filter Speeds Up your Migration Process ▸ Intelligent Filter provides tight integration between a Intelligent Mapper project and Rhapsody route ▸ Code generated can be cut an pasted into any JavaScript component Work smarter
  • 23. Page 23 • 2016 © Orion Health™ group of companies SaaS Operation | Integration in the Cloud • Service Manager owns the service • Service Manager is the single point of contact for customers • Service Manager coordinates monthly service reviews • Service Manager is the authority over production changes • Service Manager serves up to 5 customers Service Management
  • 24. Page 24 • 2016 © Orion Health™ group of companies ? ? ? Question & Answer

Editor's Notes

  • #22: Intelligent Mapper generates the mapping rules for the proposed changes Developers can validate and analyze the rules generated Custom rules can be created