Friday, March 13, 2015

Sys admin recherché : Joignez vous a une équipe de passionnées ...



Gestion quotidienne :
·     Installation et configuration de serveurs Linux;
·     Configuration du materiel virtuel via VMWare ESX could;
·     Sassurer les communications avec notre partenaire d’hébergement virtuel cloud
·     S'assurer de la disponibilité et des performances des différents serveurs sous sa responsabilité;
·     Administrer les différents services s’exécutant sous une distribution LINUX (Apache, etc.);
·     Créer des outils internes d’automatisation des tâches, de développement et de déploiement des systèmes sous sa responsabilité;
·     Programmer et corriger des scripts administratifs : Shell, Perl, PHP, Python, bash, etc.
·     Rédiger des procédures et de la documentation sur les systèmes;
·     Assurer le soutien de niveau 2 et 3 aux équipes de développement;
·     Développer ses connaissances dans son domaine afin de devenir expert Linux;
·     Toutes autres tâches connexes.
Scolarité et expérience recherchée :
·     DEC en informatique ou Baccalauréat en informatique;
·     Français et anglais, aussi bien parlés qu’écrits, sont des requis importants.
·     Deux à cinq ans d'expérience dans un poste similaire;
·     Expérience en gestion d’environnements informatiques complexes répartis sur plusieurs sites;
·     Expérience en gestion d’environnements de production 24h/24, 7j/7, 365 jours par an.
La connaissance de ces technologies sera considérée un atout :
·     Distributions Linux (RedHat, CentOS, Ubuntu, AIX);
·     Logiciels de sauvegarde tels que : Veeam, DRaaS, etc.;
·     LDAP et PAM;
·     Logiciels de contrôle de sources : CVS, Subversion, P4, etc.;
·     Produits de virtualisation VMWare, etc.;
·     Connaissance de base des équipements de stockage (NAS, SAN);
·     Gestion paquetages des systèmes (.deb, .rpm);
·     Équipement de balancement de charge sur les serveurs (Server load balancing – SLB) et balance de charge globale sur les serveurs (Global server load balancing – GSLB);
·     Sécurité Unix/réseautique : TCP/IP, Firewall, IPTables, etc.;
·     Débogage de systèmes de bas niveau et de réseau (strace, sar, netstat, tcpdump);
·     Connaissances des protocoles et utilitaires de serveurs Internet (DNS, SMTP, POP, IMAP, HTTP/S, TLS, S/FTP, TCP/IP, SNMP, SSH, iptables);
·     Dépannage réseautique et applicatif et utilisation d’outils : JIRA, wireshark, Nagios;
·     Familier avec les routeurs et les commutateurs Cisco, un atout.
Profil :
·     Passionné de Linux;
·     Bon communicateur et capable de soutenir à la fois clients et collègues;
·     Aptitude en gestion de projet et en organisation et bonne méthodologie d’analyse;
·     Proposer des améliorations;
·     Volonté d'apprendre;
·     Disponible pour le soutien en dehors des heures de travail sur rotation.
Conditions:
·     Salaire en fonction de l’expérience.

Envoyer CV :

info@readycomputing.com



Thursday, September 18, 2014

TN HIMSS Summit of the Southeast Report Out



The TN HIMSS Summit of the Southeast was held this week in Nashville, TN. If you are not familiar with this event it occurs annually in Nashville, TN and brings together organizations and ideas from all across the United States. Topics covered in this years summit included population health management, disruption, patient engagement, big data, and others. The main theme for this year's conference was engagement, and this is a great as it means we are moving in the right direction for improving health care in the US.

Kent Bottles, MD presented a session entitled Population Health Management, which focused heavily on the patient needing to be the "true north" in every healthcare situation in order to improve the current state of the health system. This aligns well with moving from a healthcare system that focuses on the sick patient to one that focuses on the well patient. This concept is certainly one we are all familiar with by now, yet somehow we as an industry are not moving toward that quickly enough. More specifically this means keeping healthcare facilities empty rather than full should be the goal but this directly contradicts the underlying business models of most, if not all of such facilities. While there are no concrete solutions at this point many are being tried, one such example being having a weekly farmers' market in a hospital offering fruits and vegetables to promote healthy eating. While the fiscal numbers may not entirely balance out with this idea it is a start to begin thinking differently about healthcare facilities as being "well" centers rather than "sick" centers.

There was a session entitled Personalized Medicine, by Paul Rein, COO and CFO of Sarah Cannon Research Institute, most of which I missed, but the gist I got from it was that personalized medicine can and is happening, but it is often times challenging and cost prohibitive to successfully implement. One big factor in this is the engagement of the patient in the process.

Another interesting session I attended was Disruption | Healthcare's New Business Models by Michael Burcham, President and CEO of Nashville Entrepreneur Center. The focus of this presentation was that we need to start thinking about the business strategy differently than we have in the past. One concept that stuck out to me was ensuring the right culture is present in an organization in order that the organization's mission, vision and values can be achieved. If the right culture does not exist then it needs to be changed, and while difficult it is definitely doable if the leadership thinks outside of the box.

We were very privileged to hear Dave "e-Patient Dave" de Bronkart speak as well! He talked on patient engagement, of course. He told his health story, explaining how through being involved in his care, a bit of good fortune, good doctors, and good medicine he was healed of his stage IV kidney cancer. Although there is not a clear map or set of instructions to guide each of us as individuals through our own health stories, we must begin by asking questions and becoming engaged, and we must do this whether we are healthy or sick! The greatest tool to impact change in our health system lies within ourselves, we just need to be intentional and get engaged. Dave accidentally fell into celebrity status from a Boston Globe story on a blog post of his covering the many issues with importing his medical data into Google Health (read more here: http://en.wikipedia.org/wiki/Dave_deBronkart).

The last session I attended was one covering Game-ification by Raj Ramachandran. The gaming industry is collecting one terabyte of data per day! While the majority of the gaming demographic is under 50 years old, there are older gamers as well. Gaming is a form of entertainment, it's fun. By combining with health IT patients can get excited about improving their health. As time marches on the number of gamers is likely to increase, and so the opportunity to positively impact health is strong. Raj also discussed some of the approaches used by companies when developing games such as "reach" (bringing on new gamers) and "retention" (keeping existing gamers).

The major theme at the summit this year was engagement, on both the patient and community levels. We have to break down the walls between patients and providers, allowing more frequent and meaningful communication, providing opportunities for patient's to have access to their data in a digestible format. We have to do this on a community level as well, by providing opportunities for patients to be engaged in a less direct fashion, as we know that not all patients will be activists, so we need to meet them where they are.

Tuesday, September 16, 2014

2015 IHE Connectathon Resources Available


The 2015 IHE North America Connectathon, scheduled for January 26-30 at its new location in Cleveland, OH, is open for registration through October 3, 2014.  This year IHE is providing extensive resources to educate participants about the Connectathon process and IHE profiles.  To support participants during Connectathon registration, IHE is providing the following resources:

IHE has identified several recent profiles to spotlight for those considering what to test in the coming year.  These include Retrieve Process for Execution, Reconciliation of Clinical Content and Care Providers, Patient Demographic Query for Mobile and Healthcare Provider Directory with Federation Option. 

Reminder: Now is the time to submit your problem to IHE

There remain two more weeks to submit critical interoperability problems for consideration by IHE for its next development season.  Ready Computing has significant experienced creating and submitting IHE proposals and can help present your idea in the most effective way.  Proposals are due September 26, so contact us today for expert guidance in submitting your problem to IHE.

Friday, August 22, 2014

IHE turns the crank; 2014 cycle completing, 2015 gets started

As summer comes to an end, IHE is completing its cycle of work and beginning preparation for the next cycle.  During the past year several new work items have been under development and August is the time those are published, for the first time, for Trial Implementation.  As this happens, the connectathon testing event kicks off its registration and preparations for demonstrations begin.  Along with all these endings and beginnings, IHE starts its next cycle of development with a call for proposals.


New work being published for Trial Implementation


The IT Infrastructure domain has been actively adopting the HL7 FHIR standard and has completed the first profile using this standard.  The Patient Demographic Query for Mobile (PDQm) Trial Implementation profile supports the ability for mobile devices to use FHIR to send a demographics query and receive a list of matching patients and identifiers.  It will be released in August 2014 and available for testing at the 2015 IHE connectathons.  The ITI domain is also updating its other mobile profile, Mobile access to Health Documents (MHD) to adopt FHIR as the base standard. 

The ITI domain has also moved forward on many other projects. Several United States initiatives were adopted which expand upon existing security, privacy and provider directories capabilities.  Working in cooperation with IHE Japan, ITI will released the Patient Location Tracking (PLT) profile which supports HL7 commands to find the physical location of a patient.

The Patient Care Coordination (PCC) domain is publishing two profiles and one white paper this cycle. Multiple Content Views (MCV) is a new profile this year that focuses how text in CDA documents may be tagged to achieve different rendering behaviors depending on requirements of end users. Reconciliation of Clinical Content and Care Providers (RECON) is a profile that was originally published in 2011 but has been re-written to include additional content for reconciliation as well as provide an easier implementation path for vendors already supporting reconciliation of data in their products. The white paper that PCC is publishing is A Data Access Framework using IHE Profiles (DAF), which describes a framework by which IHE profiles can support multiple means of access through substitutable modules.

PCC also has spent time revising its roadmap. This effort resulted in newly created vision and mission statements for the domain as well as strategic goals. More information about this can be found on the PCC Roadmap wiki page.


Registration for 2015 events opening soon


Now is the time to plan for participation in 2015 IHE events.  The North American events will be opening for registration very soon.  The IHE North American Connectathon will be held in Cleveland Ohio from January 26 to 30, 2015 and registration opens August 25, 2014.  This is the first time the connectathon will be held in Cleveland and we are looking forward to a new and expansive setting for this yearly event.  The HIMSS Interoperability Showcase will be held during HIMSS in Chicago, April 13-15, 2015.  These events support the testing and demonstration of interoperability profiles developed by IHE.


Now is the time to submit your use case to IHE


IHE has announced a call for proposals to gather critical interoperability use cases for consideration as work items for the next development season.  The IT Infrastructure (ITI), Patient Care Coordination (PCC) and Quality, Research, Public Health (QRPH) domains are all seeking healthcare interoperability challenges that need a standard solution approach.  Submitting a problem is easy, just fill out the  IHE_Profile_Proposal_Template-Brief.docx template and send to the email address listed in the  call for proposals.  Proposals are due September 26, 2014


Wednesday, February 19, 2014

IHE Patient Care Coordination (PCC) Face to Face Meeting Update

  

  
  Last week, Feb 10th - 15th, the IHE ITI, QRPH, and PCC committee meetings were in beautiful historic Vienna, Austria. One aspect of these meetings on international soil that really excites me is that they attract experts from different parts of the world that do not normally attend the meetings based in the US. This brings new ideas to light based on how other countries are working to solve their own healthcare IT related problems. While we certainly have differing healthcare systems, local policies and challenges among our respective countries we do share the common goal to improve patient care. The Patient Care Coordination(PCC) domain has one new profile, re-work to one existing profile, and one white paper on its plate this cycle.

  The new profile, Multiple Clinical Views (MCV) focuses on providing the capability of systems to appropriately render CDA documents to clinicians and patients based on any given clinical situation. It does so without altering the original CDA source of narratives and structured entries by utilizing tagging constructs in conjunction with XSL stylesheets. This meets a critical need in the market of being able to present data based on one’s perspective. For example, a clinician may need to see certain data, or data in a certain way to be able to most efficiently and effectively accomplish her goal, whereas a patient needs to see a different rendering of that same data, or perhaps more or less depending on the data section. The MCV profile will provide guidance on how to accomplish that, but will not enforce exactly what data should/should not or shall/shall not be shown as this would ultimately be determined by local policy and/or specific use cases within a medical discipline.

  The profile being reworked is Reconciliation of Diagnoses, Allergies, and Medications (RECON). The scope of this effort includes revisiting how reconciliation applies to more than just the elements included in the title of the current profile, namely care providers and care goals. We are also considering converting some of the requirements into named options so that adoption will increase. We know that systems are doing reconciliation today, but the approach the current RECON profile takes has potentially negatively affected implementation numbers. By structuring the requirements into a more modular approach systems will have an easier implementation path, and thus higher adoption levels will result. This will benefit not only US specific implementations that today must align with Meaningful Use but also many international HIT products that are working toward reconciliation of data as well.
The Data Access Framework (DAF) white paper is another exciting effort that is identifying the alignments and gaps between IHE profiles and the US Office of the National Coordinator (ONC) efforts around advancing interoperability through the Standards and Interoperability (S&I) Framework. This is an opportunity for IHE and the US federal government to collaborate to share ideas and work together to achieve the common goal of bettering patient care. This work could result in new IHE profile proposals in future cycles.


  Overall there is not a great deal of work on the plate of PCC for the 2014-2015 cycle. This is ok though as we also have several change proposals to work through this year which will help to solidify our specifications. The next IHE meeting for these domains is in May in Chicago. Stay tuned for an update from that meeting as well and be sure to check out my blog as well for more details of ongoing IHE work.

Friday, February 7, 2014

HIMSS – the next big event









The next big healthcare technology event in the United States is the HIMSS Annual Conference and Exhibition held this year on February 23-27 in Orlando, Florida. This is an enormous event enabling opportunities for education, exhibition and networking. This year several people from Ready Computing will be attending to meet with our customers and learn the newest developments in healthcare technology. Founder and CEO Michael LaRocca, Director of Operations Daniel Berezeanu and Standards and Interoperability Architect Tone Southerland are attending HIMSS 2014 and look forward to talking with our existing customers as well as potential future customers.

A highlight of HIMSS is the Interoperability Showcase which holds 36,000 square feet of live interoperability demonstrations. This event showcases systems that successfully tested at the Connectathon in January. Clinical Use Case Scenarios are used to demonstrate how Connectathon proven interoperability solves real healthcare problems. Tone Southerland will be working with Ready Computing customers to enable their successful participation in this event and educating everyone on the value of IHE at the IHE help desk.

 The Interoperability Showcase is demonstrating the result of many years of technical work and domain analysis happening within IHE. In fact, next week many hard-working members of several IHE domain committees are meeting in Vienna, Austria to build the next set of specifications which, along with those that were created in prior years, will be tested at Connectathon 2015 and showcased at HIMSS 2015. Interoperability is truly a collaborative effort and IHE is the community backbone upon which the Connectathon and Interoperability Showcase are built.

Be sure to follow @tonesoutherland and @ready_computing on twitter to track our activities at HIMSS!