STAR Discharging all patients – End of Month

This topic has 4 replies, 4 voices, and was last updated 15 years, 2 months ago by Craig Weldy.

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October 5, 2009 at 7:56 pm #51224
Tim Wanner
Participant
Has anyone else encountered issues with the month end process STAR initiates on the last day of the month? One of our facilies sends out ~10,000 A08’s and A03’s from 12:00 to 00:45. We send those to roughly 25 other downstream apps. Ultimatley Cloverleaf is flooded causing around 1.5 to 2 hour delays to some critical apps.

The obvious solution is for STAR to batch the output, but I was wondering if any Clovertechers had developed a way to “throttle” the month end process.

Tim
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- October 5, 2009 at 10:52 pm #69270
  David Barr
  Participant
  Yes, we have this problem as well, and we’re trying to figure out how to handle it.
- October 6, 2009 at 2:28 pm #69271
  Alice Kazin
  Participant
  Some Star users have a separate interface line for the flood. We do not have the separate line. We have our line from Star in one site and we send the messages to 3 other sites via local host connections in order to spread out the work among 4 sites. We get approximately 15,000 additional messages on flood night and we have 31 outbound ADT interfaces.
- October 6, 2009 at 2:55 pm #69272
  Tim Wanner
  Participant
  The STAR team is pursuing this method. Thanks for your responses.
  
  Tim
  
  From: hisnet@googlegroups.com [mailto:hisnet@googlegroups.com] On Behalf
  
  Of Beall, Jim
  
  Sent: Tuesday, September 22, 2009 07:41
  
  To: hisnet@googlegroups.com
  
  Subject: RE: Series Patient Auto Discharge/Readmit at End of Month
  
  Question
  
  There’s a fairly common customization to the series discharge/re-reg
  
  process you can request that pauses the process every so often for a few
  
  seconds to let other transactions (such as orders and new registrations)
  
  go through. We have it here.
  
  I don’t remember the specifics (how often the process pauses or how long
  
  it waits) but its impact on the issue you describe was significant. It
  
  will cost you – at least it cost us when we requested it in 2005 – but
  
  it’s worth it.
  
  Jim Beall, Sr. Programmer Analyst
  
  Columbus Regional Hospital
  
  Columbus, Indiana
  
  (812) 376-5018
  
  P Please consider the environment before printing this email
  
  Original Message
  
  From: hisnet@googlegroups.com [mailto:hisnet@googlegroups.com] On Behalf
  
  Of Tina Carroll
  
  Sent: Monday, September 21, 2009 6:22 PM
  
  To: hisnet
  
  Subject: Series Patient Auto Discharge/Readmit at End of Month Question
- October 7, 2009 at 5:46 pm #69273
  Craig Weldy
  Participant
  Tim,
  
  We too requested and paid for this enhancement. While we where at it however, we had them give us a screen that allows us to modify the number of messages to pass before it pauses to let live data through as well as how many seconds to pause before continuing with the month end discharge/readmits. This way we could tweek it so that it was the most efficient for our system.
  
  Since putting it in, we have not had a single complaint of delayed live data.
  
  It was well worth the cost.
  
  Craig Weldy
  Senior Interface Analyst
  Beacon Health System
  South Bend, In, 46615
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