Re: [Hardhats-members] We DO Care

2005-09-07 Thread Mike Lieman
On 9/6/05, Larry Andreassen [EMAIL PROTECTED] wrote: I'd beware of using Google as part of a backup system. If you send too many messages (files embedded in a message) to your account in a 24 hour period, Google locks you out for a day, and may elect to pull the plug on your account I assume.

Re: [Hardhats-members] We DO Care

2005-09-07 Thread Mike Lieman
On 9/7/05, Suchi Pande [EMAIL PROTECTED] wrote: Larry Andreassen wrote: I'd beware of using Google as part of a backup system. If you send too many messages (files embedded in a message) to your account in a 24 hour period, Google locks you out for a day, and may elect to pull the plug on

Re: [Hardhats-members] We DO Care

2005-09-06 Thread K.S. Bhaskar
I agree entirely. We are used to thinking of and planning for emergencies that may be severe, but are local. But there have been many cases (e.g., the Asian tsunami, the big northeast power grid failure, an ice storm in Quebec) in which there have been severe geographically widesperead

Re: [Hardhats-members] We DO Care

2005-09-06 Thread Larry Andreassen
I'd beware of using Google as part of a backup system. If you send too many messages (files embedded in a message) to your account in a 24 hour period, Google locks you out for a day, and may elect to pull the plug on your account I assume. On 9/6/05, K.S. Bhaskar [EMAIL PROTECTED] wrote: I agree

Re: [Hardhats-members] We DO Care

2005-09-06 Thread Suchi Pande
Larry Andreassen wrote: I'd beware of using Google as part of a backup system. If you send too many messages (files embedded in a message) to your account in a 24 hour period, Google locks you out for a day, and may elect to pull the plug on your account I assume. My suggestion for using

Re: [Hardhats-members] We DO Care

2005-09-04 Thread Mike Lieman
Given enough google invites you could even store it on a google filesystem (a GNU/Linux file system that uses google's mailspace for storing files). ;-) regards PJ When Google starts selling space on GFilesystem, life as we know it will end.

Re: [Hardhats-members] We DO Care

2005-09-03 Thread Suchi Pande
steven mcphelan wrote: local backup to individual clients. Local backups is also an option. Imagine the scenario where the ASP was in New Orleans and the backup in Biloxi. In this case whether you had backups done locally or the first case I mentioned, both would have failed. This whole issue

Re: [Hardhats-members] We DO Care

2005-09-02 Thread Nancy Anthracite
I think you are confusing my concern about having national databases that store records of patients from all of their physicians, no matter what system they are in, and those that are for a system, be it a doctors office, or in this case, the VA system. I would not expect Kaiser, for example,

Re: [Hardhats-members] We DO Care

2005-09-02 Thread K.S. Bhaskar
Greg -- Yes, and no. For protection against disasters, one can actually take an application running on GT.M at Site A that has no design for redundancy, and create a redundant backup Site B for it virtually overnight (the longest step is probably shipping the backup, either over the wires or

RE: [Hardhats-members] We DO Care

2005-09-02 Thread Renee Cannon
contact me. Have a great weekend, Renee [EMAIL PROTECTED] -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of K.S. Bhaskar Sent: Friday, September 02, 2005 9:36 AM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] We DO Care Greg -- Yes

Re: [Hardhats-members] We DO Care

2005-09-02 Thread A. Forrey
Nancy and All: This issue of the role of architecture in the issue of Privacy Confidentiality is just one aspect of Enterprise View, LIfe Cycle Principles. I'll just mention two items Zachman Framework and Capability Maturity Model. The VA has been aware of both but VistA export requires that

RE: [Hardhats-members] We DO Care - or - how do we keep records secure yet available

2005-09-02 Thread Cameron Schlehuber
Of A. Forrey Sent: Friday, September 02, 2005 8:36 AM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] We DO Care Nancy and All: This issue of the role of architecture in the issue of Privacy Confidentiality is just one aspect of Enterprise View, LIfe Cycle Principles. I'll

Re: [Hardhats-members] We DO Care

2005-09-02 Thread steven mcphelan
manner that really works. - Original Message - From: Nancy Anthracite [EMAIL PROTECTED] To: hardhats-members@lists.sourceforge.net Sent: Thursday, September 01, 2005 5:55 PM Subject: Re: [Hardhats-members] We DO Care I hope I did not make people think I am supporting one or the other. I am

Re: [Hardhats-members] We DO Care

2005-09-01 Thread Nancy Anthracite
I think this will serve as an excellent test for the local contingency plans for catastrophic failrues. As an example, as the VA moves more and more toward centralizing their databases, this sort of thing becomes more and more of serious an issue. This is one of the reasons that I am not in

RE: [Hardhats-members] We DO Care - YES we care about Katrina

2005-09-01 Thread ELSIE CASUGAY
: RE: [Hardhats-members] We DO Care - YES we care about Katrina Wednesday, August 31, 2005 8:57 PM Gregory Woodhouse Said: What happened is so horrible that almost anything we can say seems inappropriate, or at least inadequate. Agree with George. There are numerous ways to contribute - AMA, AAFP

Re: [Hardhats-members] We DO Care

2005-09-01 Thread Greg Woodhouse
This is certainly a good point, but it's really not a matter of either/or. It is quite possible to use a distributed storage model (and remain reasonably efficient as well), without losing the ability to tolerate network failures and even operate off-line for extended periods of time. I've long

RE: [Hardhats-members] We DO Care

2005-09-01 Thread Alberto Odor
I guess she means Application Server Provider. Alberto -Mensaje original- De: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] En nombre de Greg Woodhouse Enviado el: Jueves, 01 de Septiembre de 2005 09:45 a.m. Para: hardhats-members@lists.sourceforge.net Asunto: Re: [Hardhats-members] We DO

Re: [Hardhats-members] We DO Care

2005-09-01 Thread Greg Woodhouse
I guess I don't understand your point here. It's not that local maintenance of data is a great burden, bur rather that if you ever need access to it from another facility it's not available. I know many people here feel like that's the way things should be, but that's a different issue. My point

Re: [Hardhats-members] We DO Care

2005-09-01 Thread jae kim
Got it. National Health Insurance model suggests a few regional management centers that handle ALL citizen's health care records. (accomplishment of this model is remote but at least it's an idea.) And if a californian moves to Florida, their data are to be 'transferred' to Florida's regional

Re: [Hardhats-members] We DO Care

2005-09-01 Thread jae kim
That being said, maintaining all data locally (without any synchronization or sharing) is, in my opinion, unnecessarily extreme. Not to be a smart A**, but we are living in the extreme. and local maintenance of data is not big a deal. Regular sync should be done. J.

Re: [Hardhats-members] We DO Care

2005-09-01 Thread Nancy Anthracite
I hope I did not make people think I am supporting one or the other. I am in favor of both. I feel that if it is a small clinic, it should have remote backup perhaps with the primary server local. If it is an ASP sort of situation, then I think the ASP might provide the primary server but

Re: [Hardhats-members] We DO Care

2005-09-01 Thread Greg Woodhouse
It is technically feasible to do so, but of course, the redundancy you describe would have to be incorporated into the design. --- jae kim [EMAIL PROTECTED] wrote: Got it. National Health Insurance model suggests a few regional management centers that handle ALL citizen's health care

Re: [Hardhats-members] We DO Care

2005-08-31 Thread jae kim
Except donating money, what else I can do? At an emergency like this, without power, no computer would be usable. Paper chart would be the only option. Physicians in this list might know the procedure. If they had backed up the database into a portable hard drive, and satellite link it from

RE: [Hardhats-members] We DO Care - YES we care about Katrina

2005-08-31 Thread Thurman Pedigo
Subject: Re: [Hardhats-members] We DO Care I've noticed very little discussion of Katrina on VA mail systems, too. Surely, that is not because VA employees do not care! Rather, I think everyone is simply at a loss for words. What happened is so horrible that almost anything we can say seems