By Matt Cline, Senior Systems Administrator at Optim Healthcare, a network of hospitals and orthopedic medical practices based in Savannah, Georgia.
The ultimate goal for our business – IT included – is to deliver the best care and experience for every patient and community we serve. And this all depends on two key IT resources:
- The electronic health record (EHR) system that our 1,400 internal users access to track and update patient records. When this system is unavailable, the staff must revert back to paper records and update the EHR system later. If that happens, patient information could get lost in transition.
- Our website and patient portals are also a critical component of our success – much like any company’s websites. Current and prospective patients expect 24/7 access to our portals, whether they want to pay a bill or research our services, and it’s our job to ensure that need is met.
The quicker we can diagnose an application performance monitoring problem – before it impacts our staff or patients – the better.
I use WhatsUp Gold Application Performance Monitor from Ipswitch. In this post I will cover some highlights from the first phase of its implementation. At that time I created and then began using profiles for:
- 2003 and 2008 Microsoft Active Directory
- 2005 and 2008 SQL Server (where we archive our pictures)
- Our communication system (PACs)
- GE Interface
- Medical record applications including SRS and Allscripts EHR system
We first tested the Ipswitch IIS profile on a production server and immediately discovered the unknown: 3-4 major deficiencies were the root causes of slowdowns in our database. We found a similar problem in our Microsoft SQL server. If we hadn’t run the test, we wouldn’t have found these deficiencies issues until a significant slowdown or, even worse, downtime.
The unified dashboard is the best interface I’ve used for these types of tasks. I get a single view at a highly granular level and am getting the data I need to proactively fix problems and eliminate downtime.
I’d be glad to hear about your experiences managing application performance. Feel free to post a comment.