Advanced Allscripts Enterprise EHR Message Server - Galen Healthcare

Transcription

Allscripts Enterprise EHR MessageServersAdvanced EditionJuly 24, 20131

Agenda Message Server Functions Core Connectivity Characteristics Monitoring Message Servers Changes in 11.4 AHS CSS Configuration ManagerJuly 24, 20132

Agenda FaxTester Tray Sync Utility TWAdmin Workspace Location-Aware Printing Delta ApplicationJuly 24, 20133

Message Server Functions Print Jobs Fax Jobs Script Jobs Eligibility Jobs CED Processing Event Bus Message Jobs Delta ProcessJuly 24, 20134

Core Connectivity Characteristics Print Spoolers point at web servers– Load balancer ability Web Server provides databaseconnectivityJuly 24, 20135

Core Connectivity Characteristics Multiple servers can be configured forindividual functions One server can handle multiple clients(MSO configuration) Uses TWCSS Spooler service– Service accountJuly 24, 20136

Print Job WorkflowDiagramJuly 24, 20137

Monitoring Message Servers Is my server compliant?– SES document– System certification document– Windows updatesJuly 24, 20138

Monitoring Message Servers Does my server have problems?– Perfmons (used in ICP) Memory\Pages/Sec 40 Processor( Total)\% Processor Time 40% average System\Processor Queue Length 1,with no sustained spikesJuly 24, 20139

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Monitoring Message Servers Does my server have problems?– Drive space utilization– Event log monitoring– Message queue– Printer errors 2008 won’t show the “Status” column bydefault – View - Choose Details July 24, 201311

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Changes to Message Server in 11.4 SES Hardware requirements unchanged OS requirements:11.2.311.42003 SP2 x86 with KB2641690 2003 SP2 x86 with KB26416902008 SP2 x862008 SP2 x86 or x642008 R2 x64July 24, 201313

Changes to Message Server in 11.4 SES Software prerequisites:11.2.311.4IIS.NET 2.0 SP2 and 3.5 SP1MDAC 2.8Crystal 2008 RedistributableSQL Server Client ToolsIIS.NET 4.0Visual C 2010 Redistributable PackageJuly 24, 201314

New CCD/CED Processing Server Introduced in 11.2.3 (later HFs) Used for auto-submission feature(dbMotion) Metric – one server per 1600 patientencounters per hour VM support - yesJuly 24, 201315

New CCD/CED Processing Server 2 cores, 2 GB RAM 2003 SP2 x86 with KB2641690 or 2008 SP2x86 (requires 5.02 framework) IIS, IE 6.0 SP2, 7.0, or 8.0 (requires 5.02framework), MDAC 2.8 .NET 2.0 SP2, .NET 3.5 SP1 Crystal 2008 redistributable, Silverlight,Windows Identity FoundationJuly 24, 201316

AHS CSS Configuration Manager CSS - Communication SubSystem Control Panel RightFax integration possible Run as service account– Used when printing scanned imagesJuly 24, 201317

AHS CSS Configuration Manager Options Compression– Reduces size of messages Optimistic Printer Installation– Assumes every printer is connected to server Force local printing– Used when multiple print servers in use– Not used when printers spanning multipleservers not identicalJuly 24, 201318

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Validating Web ServerJuly 24, 201321

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FaxTester Acquired from Galen or Allscripts Used to test fax line connectivity Also used to set the “modem type”– Stores this information in the registryJuly 24, 201325

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Viewing FaxTester Registry InformationJuly 24, 201327

Tray Sync Utility Used to sync tray usage between theprinter and what is stored in the EHR Part of the standard Message ServerinstallationJuly 24, 201328

Tray Sync Utility Usage Instructions1. Log onto print server.2. Open the CSSPrinterTrays.exe utility (C:\ProgramFiles\Allscripts Healthcare Solutions\TouchWorksWeb\Touchworks Print Center\)3. Ensure a valid Web Server is listed and that TouchWorksis listed as the AppGroup, and then click “Connect.”4. Select the desired Print Server, and click “Edit.”5. Select the desired printer, and click Synch.July 24, 201329

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TWAdmin Printing Workspaces Print Queue– Shows all jobs: previewed, printed, faxed,etc.– Filter display Personalize vs. Search– Tailored for each loginJuly 24, 201331

TWAdmin Printing Workspaces Print Queue– Jobs archive daily at 7 am SQL job CH Printing Queue Purge WorksJuly 24, 201332

TWAdmin - Print QueueJuly 24, 201333

TWAdmin Printing Workspaces (cont.) Print Servers– Configure print/fax servers– Set up “virtual” print server listings AutoPrint Defaults– Defines actions for distribution and printingJuly 24, 201334

TWAdmin - Print Servers by LocationJuly 24, 201335

TWAdmin - Print Servers by LocationJuly 24, 201336

TWAdmin - Print ServersJuly 24, 201337

TWAdmin - Print ServersJuly 24, 201338

TWAdmin - Print ServersJuly 24, 201339

TWAdmin - AutoPrint DefaultsJuly 24, 201340

Location-Aware Printing Printing – user-based versus locationbased Prevents printing sensitive patient data towrong location Excellent for patient-centric workflowsJuly 24, 201341

LAP ExampleJuly 24, 201342

Delta Application Handles transfer of information betweenclient and Allscripts– SSL One Delta process per environment New Delta released in version 11.2.2– Doesn’t require SQL Client ToolsJuly 24, 201343

Delta Application Verify PASS daily– Day Close– Export (production only)– Transfer– Import Manage log files– Move them to a new drive– Auto-archiveJuly 24, 201344

Delta Update ManagerJuly 24, 201345

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Thank you for joining us today. For additionalassistance:You can contact us through our website atwww.galenhealthcare.com

Allscripts Enterprise EHR Message Servers Advanced Edition July 24, 2013 1 . Agenda