ENTERPRISE INTEGRATION ENGINE
FOR LARGE SCALE
INTEROPERABILITY
FEATURING MIKE WALLACE,Director CORE Clinical Platforms/Enterprise Application Integration,
Catholic Health Initiatives
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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
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Mike Wallace
Director CORE Clinical
Platforms/Enterprise
Application Integration
Harish Panchal
Vice President
Intelligent Integration
Our Experts
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Enterprise Implementation of Rhapsody | HL7
Front Desk
Register new patient (ADT)
Schedule procedure (SIU)
Order Medication (ORM)
BillingDepartmental system
(Lab, PACS, ICU, etc.)
Register pharmacy given (RGV)
Sto
re d
iagnostic r
eport
(O
RU
)
Paramedic
HIS / EMR
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Welcome to the new realities!
We need to deliver FASTER,
BETTER, CHEAPER…
Drivers | The New Realities
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Drivers | The New Realities
• Leverage existing interfaces
• Retention ofknowledge
• Leverageknowledge
• Eliminate Multiple Platforms
• DisasterRecovery
• Experience through Migration
• SDLC – Rhapsody changes
• Security ofenvironment
• Access restrictions
• Length of time to develop
• Contractors vs FTEs
• 4,000 existing interfaces
• 1000’s acquisition interfaces
• PRD, UAT, TST andDEV
• Standardized testing
• Redundancy
• LeverageStaff
• Real-Time Data
• MeaningfulUse
• Storage to Data Lake
• FHIR
Future Planning
FA S T E R , B E T T E R , C H E A P E R
ConsistencyDevelopment
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Drivers | Unavoidable Migration
• Leverage investment
• Leverage staff
• Leverage Disaster Recovery
• Leverage data
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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
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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
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Large Scale Implementation | Environment
19
P
R
D
U
A
T
D
E
V
T
S
T
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fxc
Large Scale Implementation | Environment
Common Services
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Large Scale Implementation | Disaster Recovery
EMC VNX SAN Array EMC VNX SAN Array1001101001011010...
Brocade DCX
SAN Switch A
Brocade DCX
SAN Switch A
Brocade DCX
SAN Switch ABrocade DCX
SAN Switch A
Cisco Nexus
Network Switch A
Cisco Nexus
Network Switch ACisco 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
RecoveryPower 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
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▸ Acquisitions – culture
▸ SDLC
▸ TCoE
▸ ApplicationTeams
▸ EPMO
▸ ChangeRequests
▸ DemandManagement
▸ AMS
▸ Wipro
Large Scale Implementation | Environment
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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
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Reliability | Failover
PRODUCTION FAILOVER
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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
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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
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Scalable Reliable Secure Fast Tools
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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
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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
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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
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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
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Question & Answer