With each new project, every organization has the potential to improve itself, to make itself better.  An organization does not invest hundreds of thousands or millions of dollars every year to be the same or be worse.  At the beginning of each project, a cost/benefit analysis is always done, but how many organizations go back and prove that those benefits were actualized?

                                                                                                               FOR IMMEDIATE RELEASE
                                                                                                                    Contact: Kevin Frederick
                                                                                                     kfrederick@d288itsolutions.com
 
 
D288 IT Solutions is now an InterSystems Implementation Partner
 
Syracuse, NY – June 11, 2019 – D288 IT Solutions is now an official Implementation Partner for InterSystems headquartered in Cambridge, MA.  “We are very excited about this partnership and being able to offer more robust services for the InterSystems product line to our customers.” Says Kevin Frederick, CEO of D288 IT Solutions.  He goes onto say, “I have personally worked with Ensemble for several years and have experienced firsthand the robust integration features it offers healthcare organizations.  InterSystem is a company with a pulse on healthcare interoperability which is now proven in their IRIS product. “

"It's a compliment, I think?" I remember telling myself the first time I ever heard it. I was sitting across the desk from my first consulting client when I heard, "You know, you are not the typical consultant!". At the time, I passed over the statement because I didn't understand it. I was just being me, so why isn't that the typical consultant.

I have been working with integration for almost 25 years and I have always tried to maintain vendor neutrality with EMRs and integration engines.  However, I often get asked my opinion on what’s my favorite.  Each EMR and integration engine has their strong points and weaknesses. 

I admit, I have been doing this for a long time.  I have enjoyed my career and I have encountered so many talented and incredible people along the way.  However, can I say that I have found that there is some misconception about integration.  This article is not meant to be divisive or “point the finger” at anyone, but to help bring about understanding about some of the misconceptions of integration.

• Integration is not just the responsibility of the Interface Analyst.  Each sending and receiving application is responsible for the entire stream of data.
  

I recently finished two very large Epic implementations.  Both implementations were very much alike – large multiple hospital networks.  Both in the Northeast.   Both implementing the same technology.  However, I finished both projects with very different emotions.  One I absolutely love doing and the other I couldn’t wait for it to be done.   So what was the primary difference that would cause me to have such an extreme emotional difference?  Click below to download the rest of the article.

7 Centers of Excellence of Maintaining Your Interface Engine
When it comes to interface engines there are 7 Centers of Excellence that will tell you quickly if you have a nightmare on your hands. These 7 items can make a world of difference and yet, they are so simple that they are easily missed.

1. Naming conventions of interfaces
2. Standardize programming structure of your engine
3. Required documentation of programming and modifications
4. Testing environments including the interface engine and applications
5. Testing requirements including documentation and sign offs
6. Synchronization between the test engines and productions
   • This can go either way. Most likely you have test to production covered. However, admit it, you made a change quickly in production. Did it get put back into the test environment?
7. Change control
   

Putting together a Go Live Plan can be a daunting task especially if you have never done it before.  A Go Live Plan should provide structure not micro manage the individuals.  Striking this balance can be more of an art form than a science! 

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