Congratulation to the justified statement on VistA and federal HIT successes
in VA, DoD and IHS on page 11 of the Final Report. What a success, what
a change since the days of the underground railroad!
Wolfgang Giere
Joseph Dal Molin wrote:
A copy of the â€Health Information Technology
Leadershi
Do you run the VPN over TCP or UDP? I know that TCP based RPC protocols
(like the one used by the Broker) are still problematic over a WAN,
but this would at least take window size at the VPN level out of the
equation. You can also monitor window size using a tool like tcpdump.
Gregory Wo
Perhaps more to the point, how best to run an application like CPRS in
a WAN environment is an interesting problem. Unfortunately, you can't
have everything for free, and a simple request/reply paradigm may not
be the best way to go over a WAN. There are other alternatives, though.
Keep in mind
Thanks for picking this up WolfgangI haven't had time to read the
report yet.
What I think is absolutely brilliant about the US's "leadership by
example" strategy for EHR adoption is using the VA and the CMS
initiatives to stimulate competition and set some "reference targets"
for the rest
Kevin --
This post is in the spirit of Greg's suggestion to brainstorm
alternative approaches.
One alternative is just to ask a local telecom company to provide an
end-to-end VPN. I know that you can get decent (or at least acceptable)
performance this way. For example, the GT.M development s
I think that Donald nailed the issue. CPRS indeed keeps its messages short,
but there may be quite a few of them. It works rather well over a 28K modem
(without a VPN or router in the way), but will indeed be slow with a VPN
over a WAN that has other traffic to compete with ... even though the
ov
Bhaskar's suggestion will solve the problem nicely. Moves all of the time
critical traffic to the lan and uses the wan for replication of the data to
another site. It does involve the costs associated with another server, but
that is really low these days.
Using UDP for a VPN does not really solv
Bhaskar's suggestion would be a nice solution if that is what BCMA does.
The BCMA backup program does not relay all relevant information for the EHR
for that patient. It only backups up that data that is relevant for the
function of giving medication to inpatients only, not all patients. So it
ha
These are interesting observations. Even more interesting is a story slowly
rising to the top of the news, having been upstaged by run-away-bride, that
the U.S. over the past four years has slipped from the leader in bandwidth
to #15 in the world market. Some authorities now describe us as driving
Well, not the basic TCP stack but the VPN. My thought was that there
could be window size issue afflicting the connection upon which the VPN
is layered, not the "normal" traffic running over the VPN.
I know people talk about doing things like disabling Nagle to optimize
web servers, but I agree th
Can you elaborate? Are you talking about backbone capabilities or
end-user services like DSL?
--- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> These are interesting observations. Even more interesting is a story
> slowly
> rising to the top of the news, having been upstaged by
> run-away-bride, th
Perhaps the glass is half fulllcouldn't BCMA functionality be
extended to address the rest of the data and patient popn'??
smcphelan wrote:
Bhaskar's suggestion would be a nice solution if that is what BCMA does.
The BCMA backup program does not relay all relevant information for the EHR
for
I have been advocating a "write through" approach to data replication.
It works well when data is only read but not updated. Distributed
updates are harder, probably requiring a 2- or 3-phase commit, even
with just two systems.
Of course, an interesting question is: Where does this kind of
functio
http://www.affs.org.uk/grants/
It's the Association for Free Software. They're taking applications for grants. It looks like it would $1000 max and they claim to "prefer projects that have a UK focus or would benefit UK Free Software users/developers", but I'm always of a mind that it can't hurt
Does anyone in the UK use VistA?
--- chuck5566 <[EMAIL PROTECTED]> wrote:
> http://www.affs.org.uk/grants/
>
> It's the Association for Free Software. They're taking applications
> for grants. It looks like it would $1000 max and they claim to
> "prefer
> projects that have a UK focus or woul
The VA is planning such a mechanism, it is called the HDR.
If you moved all the patient's data to another system the amount of data to
move could be tremendous using up what bandwidth you have remaining. Then
the "backup" system will not be an inexpensive solution either. It will
have to have th
On Entrepreneurial Seizures in Health Care
'...So many in the past have had a health IT entrepreneurial seizure.
A health IT entrepreneurial seizure can summed up with the following
phrase: 'We'll get a bunch of money and some great programmers, go to
work, and after a few years, show these dumb
My recall (heard it on NPR) is it was likened to the interstate system.
President Eisenhour created the interstate system to support a massive
transport system to move goods around the country. The guy I heard
interviewed has a book due out in a few months. My sense is we are not doing
as well as w
We just this week completed the build out/physical plant for the Alaska
Clinic -i.e. now we can actually sit inside and see the magnificent view
of the Alaska range. And just yesterday did we got a static IP address
into the switch room. (BTW, we have 96 Ethernet ports to support the
2200 sq ft
I just got an ad in the mail for a fiberoptic connection with 2Mbs up and 5
Mbs down for the same price as my 386/1.5 DLS line. I will check into the
fine print soon, but it sounds pretty good. I would love to have more upload
speed for people picking up big files over 100+ megabytes. Having
VistA Community Call Friday at NOON EDT.
TOPICS:
- What's coming in OpenVistA 4.0
- Open discussion on any relevant topic
DATE: Friday, May 13
TIME: 12:00 Noon EDT
DURATION: 1 hour.
CONFERENCE CALL DIAL IN NUMBERS
USA 866-483-4159
Outside USA 706-634-0093
SPECIAL INSTRUCTIONS
Dia
ce based on
package defaults
# 20050305 0.31 K.S. BhaskarDefault base install directory to $PWD
# 20050512 0.31z J.L. Zimmer Converted from Xdialog to dialog with
addition of Rundown and cosmetic tweaks
# See Xdialog documentation for
Compatability Mode
22 matches
Mail list logo
