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INSIGHTS

NVISIA Presents Adopt, Build and Enable for API Management and Docker

on 10/7/17 11:56 AM By | NVISIA Marketing | 0 Comments | Executive Insights Docker Events
On October 26th at the TEC's Emerging Technology & Digital Transformation Summit 2017, NVISIA shares their proven framework for the successful introduction of emerging technologies into commercial enterprises. Demonstrating their ADOPT, BUILD & ENABLE framework to share practical insights into the adoption of API Management and containers (Docker). 
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How to talk to my boss about Docker

on 9/21/17 9:59 AM By | Mark Panthofer | 0 Comments | Executive Insights DevOps Docker
Since my last blog post on enterprise containers, I have been getting requests to help answer "the why Docker" question, where technologist are trying to educate their executive management.  While there is no shortage of information available, I ran across this eBook from Docker that frames up the Docker business case very well. It also uses a real case study to back it up. 
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Need disruptive software innovation...? Put your team on an island!

on 11/29/16 6:02 PM By | Mark Panthofer | 0 Comments | Software Development Agile Executive Insights Tech Center
Mark Panthofer, Vice President - NVISIA Technology Center 
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Chess and Project Management (Part 3)

While my two previous blog posts focused on the similarities between playing chess and managing a project, it’s also important to note a big difference. Those pieces on the chess board aren’t human, but your team members are…. In chess, the knight moves in an “L-type manner, e.g., ‘up one square and over two’. When you choose to move it, it doesn’t ask why, it doesn’t suggest alternatives, nor does it provide reasons as to why it can’t or shouldn’t (even though I’m sure a talking knight would have saved my skin in one of my most recent games).
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Chess and Project Management (Part 2)

This is the second blog post pertaining to my observations related to Project Management, and similarities with the game of chess. Blog 1 discussed the concept of experience and some lessons I’ve learned over the years through post-project analysis. This post will cover the importance of knowing your team and putting them in positions for growth as well as advancement of the project…. “My problem with chess was that all my pieces wanted to end the game as soon as possible.” - Dave Barry
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Top 5 tips for deploying DevOps

We started the journey down the DevOps path with our clients back in 2010, and we have learned some important things along the way. We learned that success with DevOps has a lot to do with transforming team culture, process and architecture across the traditional silos of business requirements, software development, QA and technical operations.
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Chess and Project Management (Part 1)

I found a box of old chess books that I hadn’t touched in 15 years.  After flipping thru some dog-eared pages of classic games, I realized I missed playing and decided to get back into it.  I started by downloading a chess “tactics” application on my phone to use during my train ride to and from the office.  Chess tactics are move sequences in which your opponent is not able to respond to all threats – thereby giving you the advantage.  These move sequences reinforce core chess fundamentals such as “discovered attack”, “pins”, “skewers” and “forks” to name just a few.  The tactics app starts by presenting a board position and asks for the next “best move.”  The better you are at recognizing and applying core fundamentals, the more successful you will be in determining the next best move.  In chess, (and most anything these days) there are helpful guidelines to start you off on the right foot.  For example, “play to control the center of the board”, “don’t sacrifice without a clear and adequate reason”, “develop your knights and bishops first & don’t bring your queen out too early” are just a few to keep in mind. 
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What is DevOps?

on 5/20/16 1:37 PM By | Mark Panthofer | 0 Comments | Software Development Executive Insights DevOps
In today's connected world, software development's relationship with the business is both complex and critical. In order to create breakthrough applications for business and consumer use, organizations need a strategy in place that brings business and IT teams together around a shared, common goal of delivering better software and doing it faster. This need to build better products more quickly is driving the adoption of both Agile and DevOps methodologies within software development organizations.
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Final definition of “meaningful use”?

on 10/14/14 11:07 AM By | Erik Gfesser | 0 Comments | Software Development Executive Insights
On December 30, 2009, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) at the Department of Health and Human Services issued proposed regulations on the definition of “meaningful use” and the initial set of standards, implementation specifications, and certification criteria for EHR technology. This announcement was made in conjunction with the publishing of two separate documents and a request for public comments: Health Information Technology Initial Set of Standards, Implementation Medicare and Medicaid Programs; Electronic Health Record Incentive Program
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Single Page Applications (SPAs) in Large Enterprises

There is significant momentum in our client’s adoption of JavaScript technology for SPAs, Single Page (web) Applications. This growth spans all of our client industries including health care, manufacturing, financial services and public utilities. Some of these applications support 10,000 plus users and have proven to be an interesting way to leverage RESTful services across Mobile and Web applications. Checkout the percentage growth from Indeed's job trends. The graph below shows the increasing demand for these key technologies in job postings. With support from industry giants like Google (committed to AngularJS), these frameworks have matured quickly to support almost any sort of application.
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Patient-Centered Research

on 10/14/14 11:06 AM By | Erik Gfesser | 0 Comments | Healthcare Tech Executive Insights
Continuing our review of the recent special report on healthcare and technology in the April 18, 2009 issue of The Economist magazine, the writers further their discussion of patient empowerment and the bottom-up approach to tackling healthcare by looking at patient-centered research, which according to Gregory Simon of Faster Cures, an advocacy group in Washington, is “the key” to bigger things beyond the movement of patients to the center of the medical system, now just in its infancy.
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HIT or Miss

on 10/14/14 11:06 AM By | Erik Gfesser | 0 Comments | Architecture & Design Healthcare Tech Executive Insights
In its recent April 18, 2009 special report on health care and technology, The Economist magazine offers a nice high-level summary of both the progress and struggles that have taken place in this space, and concludes that the digitization of medical records is getting closer through health information technologies (HIT) such as electronic health records (EHRS). While the terminology in this space is still evolving, the article entitled  “Hit or Miss” in this report defines EHRS as “digitized versions of all the bits of paper usually kept in files by all the doctors a patient sees regularly”, and EHRS as “all the hardware, software, and other kit needed to make sense of the data and to give remote access to them”.
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IE6 Just Crossed the Downward Tipping Point

on 10/14/14 11:06 AM By | Jim LoVerde | 0 Comments | Modernization Executive Insights
Internet Explorer 6 usage has been in a steady decline for more than two years now.  Given the gradual adoption of Vista combined with XP user upgrades from IE6 to IE7, this isn’t really all that surprising, and it will most likely drop below the 10% threshold by the end of this year.  
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Patient Search Cycle Time

on 10/14/14 11:05 AM By | Erik Gfesser | 0 Comments | Healthcare Tech Executive Insights
During a recent project engagement, my client stressed his observation that physicians often have unique expectations associated with process flow.  Of the examples shared, one worth noting was associated with a frequent physician need to minimize the time needed to search for patient records.  While practitioners of the five steps of the Six Sigma process, DMAIC, might view this as a typical cycle time problem, the situation here has a bit of a twist in the sense that total cycle time of the process flow for patient record search was not the concern.  The concern that my client communicated was solely focused on the time needed by the physician themselves to perform this particular process activity.
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Examinations and Usability

on 10/14/14 11:05 AM By | Erik Gfesser | 0 Comments | Healthcare Tech Executive Insights
A study not yet submitted for publication that was conducted by resident physician Yehonatan N. Turner, concluded that the inclusion of patient photographs alongside digital radiographic examinations should be routine due to the apparent positive effect this practice had on the performance of radiologists.  This study was presented earlier this week at the Radiological Society of North America conference along with 4,000 other studies.  Much attention is being given to this particular study, however, because it focuses on the radiologist-patient relationship rather than traditional radiology training.
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ICD-10 - The future of the Medical Coding System

on 10/14/14 10:49 AM By | Erik Gfesser | 0 Comments | Healthcare Tech Executive Insights
This past week, The Wall Street Journal reported on the plan of U.S. government regulators to overhaul the aging coding system, the International Classification of Diseases (ICD), that physicians and hospitals currently use to bill insurers. The new system, called ICD-10, to which most of the world’s developed countries have already adopted, is expected to result in a 10-fold increase in the number of codes for ailments and procedures. One extreme example from the current system is the single billing code for angioplasty, which will grow to 1,170 billing codes to provide more detailed descriptions as to the locations and devices involved. The new system of 155,000 codes consists of both diagnosis and medical procedures codes, and while hospitals use both types of codes, physicians use only diagnostic codes from the current system. Use of 9,200 codes from the American Medical Association (AMA) that were created in the 1960s are still being relied upon for procedure codes. The current coding system is simply no longer expandable. From a business perspective, several potential pros and cons are associated with a move to the new ICD-10 medical-coding system: Pro: Increase in patient detail. Pro: Increase in payments. Con: Increase in cost. Con: Increase in errors. Con: Existing hospital systems must be upgraded to to handle ICD-10
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