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Track Owners: Zinc InstructionsPlease update the chart to the right before submitting the presentation into Active• Following review and approval in Active,

each presentation given by GE employees or customers at Centricity LIVE must be approved through Zinc

• Jessica Diniz will be uploading each presentation into Zinc following Active review

• Before submitting this presentation in Active for review, Track Owners must select the appropriate answer to each Legal and Regulatory question

• ALL QUESTIONS MUST BE ANSWERED

• If further substantiation is required, please email the appropriate permissions, sources, or citations to jessicadiniz@ge.com so she can upload to the Zinc Gallery

• Once the presentation is approved in Zinc, please delete this slide from the final deck before presenting at Centricity LIVE

Individual Page Use?: Yes

Are all Uses and Applications Discussed or Referenced in the Proposed Material on Label for the Product?: N/A

Relates to a Major new Product/Services Launch?: No

Includes Product or Service Claims, Features, Benefits or similar information?: Yes

Contains Competitive or Comparative Claims?: NoIncludes Return on investment (ROI), quantifiable cost of ownership, reimbursement, or meaningful use claim or reference?: Yes

Include References to Market / Segment Share or Market / Segment Leadership?: No

Include identifiable Patient Information / Data?: Yes

If Customer Names are Used, are Necessary and Appropriate Permissions in Writing and on File?:

NoYes – Permission to use on File (in Gallery)Orlando Health is the only customer referenced. Customer is co-presenter and created presentation with GE. Is additional permission needed?

Include Customer Testimonials?: No

If any non-GE Stock Images are Used, are Necessary and Appropriate Permissions in Writing and on File?:

N/ANoYes – Permission to use on File (in Gallery)Orlando health images used on slide 13 provided by Orlando Health

Do the Proposed Materials Contain Images of GE Products?: Yes – software screen shots

Do all Product Images Depict the Device(s) Being Promoted in the Piece?: Yes

This is a Translation of a Previously Approved Piece in Which no Changes Have Been Made?: No

This is a Revision of a Document Previously Approved for Ad / Promo Use?: No

Centricity™ Business Proactive Monitoring

Veronica Brugueras – Orlando Health, PMBS ConsultantKathleen O’Connell - GE Healthcare, Lead AnalystPauline Troiano - GE Healthcare, National Product Release Team

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©2015 General Electric Company – All rights reserved.

The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE.

DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE.

GE, the GE Monogram, Centricity, and imagination at work are trademarks of General Electric Company.

All other product names and logos are trademarks or registered trademarks of their respective companies.

General Electric Company, by and through its GE Healthcare division.

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ROI DisclaimerHYPOTHETICAL EXAMPLE . Information presented in this example is hypothetical and for illustrative purposes only. Any analysis or information derived from this example is for general information purposes only and is being furnished free of charge without representation or warranty of any kind whatsoever, including with respect to the calculations, inputs, outputs, and/or information provided in such analysis. While this example allows several variables to be entered by you and is based on your unaudited inputs, it also contains certain assumptions that may not be valid for your specific facts and circumstances. Actual expenses will vary depending on many factors including, without limitation, your specific operating costs, savings, actual numbers and types of procedures performed. This example and any analysis are provided for your use only and may not be transferred to any third party.

THIS example IS BASED UPON CERTAIN PUBLIC INFORMATION AND ASSUMPTIONS WHICH MAY NOT APPLY TO YOU Certain values provided in this example were obtained from available third party sources and are being furnished by way of example only. No representations or warranties are given regarding the accuracy of any such values.

YOU MUST INDEPENDENTLY VERIFY THIS INFORMATION AND SEEK EXPERT ADVICE. You should not rely on any analysis, calculation, output or information provided by this example. Any reliance shall be at your sole risk, and we shall have no liability to you or any third party for any reason. Nothing in this example and no analysis derived therefrom should be construed as constituting tax, accounting, legal or financial advice. You should consult your own professional advisors for such advice. Nothing herein constitutes a proposal or commitment for any particular transaction. Any such transaction would be subject to execution of documentation in form and substance satisfactory to GE.

HEALTHCARE PROFESSIONALS ARE RESPONSIBLE FOR MAKING INDEPENDENT CLINICAL DECISIONS AND APPROPRIATELY BILLING, CODING AND DOCUMENTATION THEIR SERVICES. This example is not intended to interfere with a health care professional’s independent clinical decision making. Other important considerations should be taken into account when making purchasing decisions, including clinical value. The health care provider has the responsibility, when billing to government and other payers (including patients), to submit claims or invoices for payment only for procedures which are appropriate and medically necessary and in accordance with applicable laws. You should consult with your reimbursement manager or healthcare consultant, as well as experienced legal counsel, prior to any expansion of service.

© 2015 General Electric Company – All rights reserved

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Proactive Monitoring Overview

Proactive Monitoring

• Eliminate the need to manually monitor automation in many different areas of the product suite.

• Set rules around what constitutes an alert• Provide automatic notification via email/pager if an issue is detected.

Key Centricity Business value direction: Automation

•Proactive alerts sent for potential issues before they have significant impact•Pre-configured rules are customizable to allow you to set alert guidelines•30+ monitors delivered with standard product – more can be added•Monitor automation across the CB product suite (including BAR, eCommerce, EDI, EWS, EPMS, Enterprise Index, HPA, Informatics, EDMS, ETM, MCA, VM and all SIU interfaces) all from a centralized view

v5.1: Proactive monitoring of Centricity Business application suite

• No license fee• Standard delivery with 5.1 and higher• Implementable within Upgrade project

Realize the benefits of this module ASAP

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Proactive Monitoring: v5.3 Standard Monitors

How does it work

Monitor Daemon/Alert Engine

There is a background process that:

• Executes queries tied to active job monitors as set up in the Job Monitor dictionary (#35260).

• Evaluates the results of the job monitor queries against SQL rules that have been established.

• Sends alerts or notifications if rules are met.

• Logs the most current data returned by each job monitor query and alerts that were raised

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Proactive Monitoring at Orlando Health

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The content of this presentation represents the views of the author and presenters.

GE, the GE Monogram, Centricity and Imagination at Work are trademarks of General Electric Company.

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Orlando Health

5th Largest Employer in Central Florida

3.5M Central Florida Residents Annually

7K International Patients Annually

14,310 Team Members

1,780 Beds

2,206 Physicians: 739 Employed

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Orlando Health - Monitors

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Orlando Health Proactive Monitoring Dashboard

Live on 16 monitors

Using Proactive Monitoring in Live and Test environments

Implemented during v5.1 upgrade

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Error Trap Daily Summary Monitor

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

User notifies helpdesk that errors were received

Alerted when more than 5 errors occur

Use Error Trap Daily Summary to investigate error

Confirm routine and source of error – user or system

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BAR Batch Status Monitor

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Month end manually seeking in-use batches and recovering .

Monitor Daily

Search for in-use batches that need to be recovered.

Show phantom batches not appearing in Batch Manager

Crucial for month end close.

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EDM Form Merge Queue Monitor

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Form in a hold status and not printing Instantaneously know forms are held and enable printing

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VM HPA Periodic Jobs Monitor

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

User notifies helpdesk that visit did not create Incapable of logging into Visit Management due to bedfile not running

Promptly notified that bedfile or EPMS jobs not running

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SIU Interfaces and EDI Interfaces Monitors

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

User signals to us that the interface is not sending charges.

Warned when interface crashes Interfaces are cleared and rebooted

EDI Eligibility 270/271, know if interface crashes

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Custom Monitor – Daily File Run

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Night Job Queries do not run Built script that runs during Night Jobs Rule to see reports ran during Night Jobs

Alert if script did not run

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Orlando Health Processes

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Old Process vs. New Process

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Depend on Maintenance Manual

Daily System MaintenanceReview 13 page manualDaily 45 minute process

Weekend System Maintenance Employee work weekend

Document problems on spreadsheet

No Manual needed Notified by email or text Steps to fix alert

2 minutes to verify alerts

Alerts history stored in system

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Workflow Changes / Improvements

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Documentation

Work weekends

Alert on Dashboard

Email or text will notify team

Realtime event notification

Steps to fix alert

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Orlando Health Recommended Modules/Monitors

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Daily System Maintenance Manual Use all monitors

Management of your system

Instantaneous alerts

Use in Test systems

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Orlando Health Setup Recommendations

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORING

Manual process

Spreadsheet to track findings

Analyze each delivered monitor

Rules based on criteria Department Daily System Manual

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Maintenance (since initial setup)

BEFORE PROACTIVE MONITORING

AFTER PROACTIVE MONITORINGMinimal

Revise rules Example: Change time TES extraction runs

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Proactive Monitoring Set Up

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Setting up Proactive Monitoring

Access Proactive Monitoring in DBMS

SMTP Mail Server specified in Security Plus

Set up Proactive Monitoring System Options

Select and Setup Monitors and Rules

Deactivate unused Monitors

Start Monitor Daemon

Test

Go Live

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Centricity Business Proactive Monitoring Dashboard

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Proactive Monitoring: Class Query

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Proactive Monitoring: Rules

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Proactive Monitoring: Rule Detail

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Proactive Monitoring: Rule Detail

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Proactive Monitoring: Alert

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Proactive Monitoring: Email / Text Notification

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Proactive Monitoring: Email / Text Notification

Alert: 02/11/2015 03:15PM Interface backup during business week

The number of queue events left to process has exceeded 30 for these interfaces.1. Please verify using F36/A3. 2. If hung, identify the record and check for long-held locks. 3. Notify the Interface Team immediately at iTeam@email.com. 4. If unsuccessful, call GE for assistance.

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Proactive Monitoring Summary

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Recommendations/Lessons Learned

Turn on all monitors associated with your product mix

Work with application/module experts at your site to:

Define rules

Create useful alert messages

Identify alert recipients

Test

Use existing Daily System Maintenance manuals/processes as a guide

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Benefits

Save Time

Proactively monitor automated processes across Centricity Business

Manage all monitors from a single workstation

Receive alerts and notifications via email and/or text

Assists in resolve issues in a timely manner, reducing the consequences of adverse events

View alert history to identify trends

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GE Healthcare Offerings

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GE Healthcare Offerings

Customer Support

Enter an SR to request assistance with Proactive Monitoring

National Product Release Team (NPRT)

Implement during your upgrade

Participate in the New Feature Consultative Services “Rewards Program”

• Orientation and guidance on select new features, through points-based system

• Points included in Upgrade Service Packages

Basic: 20 points Extended: 40 points Plus: 75 points

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For more Information

National Product Release Team (NPRT)

Centricity Business Service Portal NPRT Community

Proactive Monitoring Page

Schedule an upgrade: NPRTUpgradeScheduler@ge.com or 617-519-2506

Contact: Patsy O’Neill, NPRT Scheduling Coordinator

Enhancements

Centricity Business eEnhancements Community

Documentation

GE Centricity Business v5.1+ Proactive Monitoring User and Setup Guide

Questions?

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