Greg,
Thank you so much for your post. This is exactly what I wanted to get started. I agree with all of your questions and concerns and I think GE needs to be transparent with us and give us these answers if they have them. I am not convinced that they know the answers to many of these questions yet and that is concerning. We also developed our own list of questions and sent to GE, some may be very similar to yours. We are hoping to have a call with them soon to discuss these as well.
1. We have many custom and third-party solutions integrated with CPS that requires the creation of custom stored procedures, views, directly editing data and extraction of data. Will all of these functions remain possible with northstar and will we be able to utilize our current database monitoring management tools including SQL Server Management Studio?
2. Will we be able to do performance tuning on our database?
3. Will we have our own instance of SQL? How will GE ensure poor performance and security vulnerabilities in one database does not impact our performance and PHI?
4. We take frequent transaction log backups and utilize lob shipping to replicate data to a DR site, test and reporting servers. We store the transaction log backups for 1 year and keep a monthly backup permanently. There have been a number of times we restored our test system to a point in time just prior to a crash in CPS to recover vital clinical data from a document damaged in the crash. Will we still have this level of granularity with northstar? How will disaster recovery be performed?
5. Utilizing a test copy of the CPS database we test new versions of the application for performance, workflow changes and new features. On most upgrades our physicians and staff will login to the test system to evaluate those workflows prior to implementing them into production. Will we have the same capabilities with northstar?
6. Will we have complete control on the scheduling of when upgrades to the online services take place? When we perform an upgrade we bring our DR site online to enable doctors access to clinical data in the event of an emergency. Although changes are not saved during the upgrade, the physicians always have access to clinical data (24 x 7). Will a emergency copy of the data be available during the upgrade?
7. We have many interfaces (through VPN connections) with external sources of documents (both in bound and out bound) utilizing QIE and the DTS server and other third party interface engines. Will we be able to continue to utilize these interfaces? Currently there is no cost to create an interface in DTS (we perform the work ourselves). In northstar will we be required to contract with GE every time we have interface needs rather than being able do the work on our own? If QIE (or other product) will provide the interface channel will be required to purchase a new channel for each interface?
8. Will externally attached documents to a patient chart remain in our facility or will they need to be pushed to the northstar cloud as well?
9. If the orders module is going to be released in Q1 2017 we need more information on how the orders interfaces will be changed in this cloud version. We need to contact our vendors now and begin the discussion of the interfaces changing. How will this new orders module affect billing going back into the PM system.
10. We realize that MEL is going away but will there be a need for form developing in northstar or will the form development in northstar be more rule creating that does not require a coding/programming background to complete?
11. Will we be able to continue to use Crystal reports via an ODBC connection in order to pull data into our own custom reports.
12. We have several forms that place or change orders based on criteria selected/entered into the encounter form. Will our current forms interact with orders without modification when the new module is released?
My hope is that GE will look at this thread and possibly see something that they have not thought about yet. Like you mentioned we all have been doing things the same but different. (IE: using different observation terms for different reasons. I know we have requested hundreds of custom observation terms for some of our forms, before they had observation terms for self management goals we requested some) How will that data get captured/migrated and integrated into their rules engine?
Thanks again for everyone's input! This is great.
Posted : July 15, 2016 5:01 am