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000-106 - Power Systems with POWER7 Common Technical Sales Skills (R) v1 - BrainDump Information

Vendor Name : IBM
Exam Code : 000-106
Exam Name : Power Systems with POWER7 Common Technical Sales Skills (R) v1
Questions and Answers : 115 Q & A
Updated On : October 23, 2018
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000-106 exam Dumps Source : Power Systems with POWER7 Common Technical Sales Skills (R) v1

Test Code : 000-106
Test Name : Power Systems with POWER7 Common Technical Sales Skills (R) v1
Vendor Name : IBM
Q&A : 115 Real Questions

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H2O.ai companions with IBM to convey enterprise AI to IBM energy methods | killexams.com Real Questions and Pass4sure dumps

MOUNTAIN VIEW, Calif.--(business WIRE)--H2O.ai, the business bringing AI to firms, these days announced that it has partnered with IBM to offer its next-era AI platform, GPU-powered machine studying, and top-quality-of-breed Deep discovering on IBM’s vigor® techniques platform.

IBM has collaborated with fellow expertise trade leaders through the OpenPOWER basis to radically redecorate the platform at the chip and device ranges by using incorporating using a wide range of accelerators to obtain greater levels of efficiency than attainable on natural commodity servers. IBM’s vigour architecture with the new NVLink™ interface provides an advanced and within your means platform for top performance analytics. the brand new NVLink™ interconnects viewed in IBM vigour techniques S822LC (codename: ‘Minsky’) machines open a a great deal wider path between the CPU and GPU, enabling H2O’s subsequent era AI platform to get highest efficiency beneficial properties feasible.

H2O.ai next technology AI software – most desirable-of-breed desktop getting to know and Deep learning it's optimized for GPUs – can now take capabilities of IBM’s vigour structure to deliver corporations with fastest performance viable and the most efficient cost-efficiency potential for AI computing. IBM purchasers can also run H2O algorithms throughout the IBM statistics Science journey platform to manipulate and collaborate on records science projects. moreover, H2O is also attainable on the IBM’s Biginsights and IOP platform for companies.

“H2O’s interpretable, accurate and quickly algorithms democratize the monetization of facts with AI. IBM vigor methods offers a resilient and totally accessible computing platform for H2O.AI customers,” noted Sri Ambati, CEO and co-founding father of H2O.ai. “we are excited to accomplice with the IBM team to make bigger the transformation of the business with AI.”

H2O is the usual open-supply AI platform of alternative for enterprise organizations. more than 9,000 companies and a 3rd of the Fortune 500 companies are the usage of H2O.ai’s open supply platform to derive cost from records with laptop discovering and deep studying and get hold of actual-time insights and make actionable choices.

“In 5 years, A.I. can be in the back of your each resolution. We are looking to put the most powerful AI application within the hands of our purchasers and H2O is a complementary addition to the IBM PowerAI deep studying application distribution,” spoke of Sumit Gupta, VP, HPC, AI and Analytic at IBM. “H2O operating on IBM vigour methods makes it possible for firms to leverage the best of breed application on IBM’s potent hardware to get extra value of their records.”

H2O.ai has enjoyed a banner yr to date. some of H2O’s mission critical applications include predictive maintenance, operational intelligence, protection, fraud, auditing, churn, credit scoring, user based mostly coverage, predicting sepsis, ICU monitoring and greater. The enterprise turned into named a robust Performer within the Forrester Wave™: Predictive Analytics & computer discovering (PAML) solutions, Q1 2017 report by way of Forrester analysis in March, a Visionary in Gartner’s February Magic Quadrant and one in every of CB Insights’ AI one hundred in January.

For more tips about H2O.ai, please seek advice from www.h2o.ai.

About H2O.ai

H2O.ai is concentrated on bringing AI to organizations via software. Its flagship product is H2O, the main open supply platform that makes it handy for financial functions, coverage and healthcare organizations to installation AI and deep gaining knowledge of to remedy complicated issues. more than 9,000 organizations and eighty,000+ information scientists rely upon H2O for essential applications like predictive upkeep and operational intelligence. The business -- which was lately named to the CB Insights AI 100 -- is used by 169 Fortune 500 enterprises, including eight of the realm’s 10 largest banks, 7 of the ten biggest coverage organizations and four of the desirable 10 healthcare corporations. exquisite consumers encompass Capital One, revolutionary coverage, Transamerica, Comcast, Nielsen Catalina solutions, Macy's, Walgreens and Kaiser Permanente.

follow us on Twitter @h2oai. To learn extra about H2O client use cases, please consult with http://www.h2o.ai/valued clientele/ join the circulate.


IBM’s Blockchain Patents: From meals-monitoring and shipping to IoT and safety solutions | killexams.com Real Questions and Pass4sure dumps

The adoption of blockchain technology is slowly taking shape across a large number of industries. at the forefront of the amalgamation of charge programs and logistics is US tech colossal international enterprise Machines organization (IBM), which has dependent itself as a leader in terms of blockchain-based mostly items and choices.

The latest traits goal at the logistics sector – but IBM has been enthusiastic about blockchain for over 5 years that displays a gradual and regular method to the adoption of business-scale blockchain solutions.

Exploring the internet of issues

Their beginnings within the house had been concentrated on research on the capabilities of blockchain. again in 2014, IBM begun a study into the cyber web of issues (IoT) which led to a collaboration with Samsung in order to overhaul early developments with the IoT. The tech giants agreed to increase the ADEPT challenge, which stands for self reliant Decentralized Peer-to-Peer Telemetry.

In essence, the ADEPT Proof-of-conception explored the chances of appliances interacting autonomously with its environment. This became proved via a Samsung washer reordering detergent and repair elements as well as calibrating its personal energy utilization.

The challenge identified three crucial functions of a decentralized device for the IoT – peer-to-peer messaging, allotted file sharing and independent machine coordination.

The ADEPT PoC used Telehash for messaging, BitTorrent for file sharing and the Ethereum blockchain to coordinate more advanced functions requiring contract capabilities. This early PoC provided a magnificent perception into the capabilities of IoT and became an enormous milestone for both IBM and Samsung.

With the apparent success of the project and the realisation of the purposes of blockchain, IBM announced that it will invest $three billion in March 2015 into a brand new enterprise unit that would totally center of attention on IoT.

inserting the blockchain in IBM

With working event using blockchain expertise in their IoT project, IBM immediately went to work on creating a blockchain solution aimed at colossal-scale firms.

The realisation of usable blockchain-primarily based purposes got here to the fore from 2015 onwards. Rumours that IBM become developing its own blockchain-based fee equipment have been eventually validated, although it changed into at the beginning dubbed an experimental challenge with the aid of senior vice chairman of IBM research Arvind Krishna.

at the time, Krishna talked about the business turned into intrigued by means of the promise of the expertise:

“Blockchain, as a technology, is extremely entertaining and exciting. I wish to lengthen banking to the 3.2 billion individuals who're going to return into the center category over the next 15 years. So i would like a plenty lower can charge of conserving a ledger. Blockchain offers some exciting possibilities there.”

The task uses wise contracts to log transactions between diverse parties to facilitate massive transactions internationally. dollars held in escrow are then transferred as soon as contractual responsibilities have been met.

This fee equipment finally grew to become half and parcel of its leading blockchain platform, which become launched in April 2015. The IBM Blockchain platform permits the operation of blockchain networks on the IBM cloud. The carrier changed into touted to meet extremely good security requisites together with Federal information Processing necessities (FIPS a hundred and forty-2) and contrast Assurance ranges (EAL).

The IBM Blockchain platform is thoroughly useful today, utilising the Linux groundwork’s Hyperledger textile which IBM contributed to developing.

Overhauling IBM world Financing

As part of its global offerings, IBM also provides a method for groups to access finance through its IBM world Financing platform, mainly for IT hardware, software and functions.

As IBM’s focal point on blockchain grew, there was a realisation that the the expertise might speedy-song their financing system in a large method, notably when it involves dispute decision.

Jerry Cuomo, IBM’s vp of Blockchain applied sciences, told Cointelegraph in August 2016 that the task might help ease the time taken to resolve hundreds of disputes every year.

“The incontrovertible fact that in any given 12 months we see about 25,000 disputes within the lending community and this ties up money, in some instances it will also be enormous money, $a hundred million at any given time which could be held up in disputes. it's going to be made more effective so a dispute didn't take 40 days on ordinary to unravel.”

The proof-of-concept for the challenge allowed two years value of transactions on their lending network to be processed in below 10 days.

Partnerships abound

With its own blockchain platform absolutely operational, IBM has been able to give a large choice of industries with a blockchain-primarily based answer for their particular wants. This in flip has ended in a few noteworthy partnerships around the globe.

In June 2016 IBM agreed to work with a Finnish development company to implement a smart contract utility that might track and supply facts on shipping containers.

The three year pilot project began in September 2016, aiming to reduce cargo transit times Baltic states of Finland, Sweden, Estonia and Latvia, and continues to be ongoing.

IBM additionally opened an Innovation Centre in Singapore in July 2016 to aid power the building of blockchain-based applications within the metropolis. The collaboration with the deepest sector and govt agencies promised to bring a couple of pilot initiatives for alternate, finance and logistics industries.

As a part of its dealings in Singapore, the enterprise announced a partnership with a local startup that could increase be aware of Your consumer (KYC) initiatives using blockchain know-how in November 2016.

a different foremost reason for constructing a base of operations in Singapore is the proximity of the Port of Singapore Authority (PSA) Terminal, which is the realm’s largest container transhipment port. In August 2017, IBM signed a take care of PSA foreign to test a new blockchain-based give chain network.

IBM partnered with with financial institution of Tokyo-Mitsubishi in September 2016 to explore the possibility of the use of blockchain-based sensible contracts between its company partners. The goal changed into to automate transactions the use of the Hyperledger undertaking.

A month later, a $200 million investment into China’s UnionPay bank’s IoT assignment additionally made headlines, as IBM extended its help of blockchain-primarily based developments into the a ways East.

Land and sea – partnering with Walmart and Maersk

Blockchain expertise is making waves in the logistics and supply chain industries and IBM’s enterprise solutions have attracted some world business leaders in this particular area.

at first, IBM and American retail significant Walmart announced they had been working together in October 2016. The retailer changed into trying to enhance a blockchain platform that might permit it to significantly expedite the tracking of any products in its retailers, from starting place to cargo as smartly as the existing fame of the product.

at the time, Walmart’s IT department had to manually search via its database, which could take days to tackle complaints or issues with products which had been purchased by means of patrons.

The project turned into steadily developed and in December 2016, Walmart began a trial to song the distribution of goods in China with the assist of the Tsinghua institution.

The number of partners grew to incorporate Unilever and Nestle by using August 2017, as IBM laid the basis for its meals-monitoring blockchain platform. The food have confidence blockchain turned into formally introduced in June 2018, as Walmart and IBM persisted their collaboration with a couple of different firms to begin tracking food supply within their give chains.

on the same time, Walmart carried out a blockchain-primarily based platform that its suppliers of leafy veggies should use to tune produce from farms to its shops in September 2018. These suppliers will have a 12 months to implement the software, which makes use of IBM’s blockchain service. The technology has allowed the company to hint the supply of goods in seconds, where established strategies would have a few days.

Frank Yiannas, Walmart's vp of meals safeguard, informed Cointelegraph that decentralised programs would advantage all events worried in their use:

“We never had the intention of creating a product, all this all started with the concept that we wish to create a transparent food device. the style forward is decentralised as adverse to a organization entering into a centralised database and inserting information in there and the important authority owning the records. during this blockchain ecosystem, if you get into it and give information, it's your facts, you personal it.

“No single entity, nor IBM because the tech carrier provider can monetise or improvement from that information on my own.”

while IBM’s solution is the spine of Walmart’s blockchain equipment, Yiannas made it clear that they had been moving against a extra decentralised community:

“a extremely vital theory is self-governance. we have an advisory committee fabricated from participants within the system at the moment which are establishing the guidelines on how it operates. we have permissioning of information, and then in terms of the nodes themselves, here is a work in progress.

“The nodes are inside the IBM answer, however there's already work underway to create nodes which are unbiased of IBM. We’re in the early days of this, those nodes might be decentralised and that they received’t be all IBM nodes.”

while all of this changed into going on, IBM turned into also busy working on a collaboration with world freight company Maersk to launch a blockchain challenge to overhaul the logistics and shipping industry in March 2017. This came to fruition in January 2018 when both groups announced that they might be launching a blockchain-primarily based shipping and provide chain management business.

eventually IBM and Maersk launch their shipping solution, TradeLens, in August 2018. Upon its launch, ninety four enterprises and 154 million delivery activities had already been recorded on the platform.

Blockchain hardware

while most of its work in the blockchain sector has been focused on application, IBM has a protracted history of producing hardware. With that abilities, they've additionally dabbled in developing hardware concentrated on blockchain usability.

In July 2017, IBM launched IBM Z, a blockchain-powered mainframe server that become touted to procedure more than 12 billion encrypted cloud-primarily based or database transactions in a big movement for data encryption technology. The server turned into stated to be able to encrypt information 18 instances sooner than familiar structures purchasable at the time.

less than a yr later, IBM mentioned in its annual 5 in 5 document that devices known as cryptographic anchors could be usual in accepted objects.

The company has been developing these devices, which may serve distinct applications. The strongest can be a microchip ‘smaller than a grain of salt’ which should be capable of display screen, acquire, communicate and act on facts.

criminal frameworks

IBM’s work with blockchain has additionally been implemented in numerous prison spheres everywhere.

In Switzerland, IBM and blockchain startup Proxeus have been in a position to register a enterprise in the country in listing time, proving the capabilities of the technology to overtake regularly occurring tactics in digital workflows in April 2018.

during the same month, IBM turned into also a part of a ‘world-first’ as global assurance brokerage and possibility management firm Marsh announced a blockchain solution for proof of coverage.

The on-line advertising space is additionally in state of flux, because the industry appears to cut out fraud and provide greater transparency to advertisers on cyber web platforms. To this end, IBM begun working with Salon Media in April 2018 to increase a proof-of-conception for the digital promoting space so that you can are trying handle advertising fraud in the house.‘The campaign Reconciliation mission’ is a blockchain-primarily based platform that hopes to eradicate the need for intermediaries between advertisers, publishers and patrons. The project will use wise contracts to music quite a lot of particulars of advert campaigns that might be immutable and clear.

IBM’s international solutions leader of promoting Chad Andrews advised about possible influence to the advertising sector:

“With a Blockchain backed peer-to-peer community, attaining transparency within the digital advertising give chain is possible. however, making certain its success would require the total business, together with advertisers, advert tech suppliers, publishers and companies to coalesce around a shared, auditable edition of truth. any such pact would facilitate a groundbreaking degree of transparency across auditing, reconciliation, fraud detection, discrepancy management and funds.”

Following that, IBM all started working with utility developer Mediaocean to launch a blockchain-based mostly tracking equipment for digital media transactions in June 2018. The mission goals to reduce promoting fraud within the sector.

The potential uses of blockchain expertise might also benefit the valuable metals and jewelry exchange. To this end, IBM is once once more working with a number of industry avid gamers to increase a platform to tune and authenticate the origins of diamonds and jewellery.

Governmental and banking improvements

IBM’s work in the space has now not gone disregarded by way of governmental companies both. as a consequence Australia entered into a $740 million take care of the business in July 2018 in trade for blockchain-primarily based statistics protection functions. The leading focus of this assignment should be presenting blockchain, automation and AI application to Australian govt departments.

The enterprise is also working with the Riyadh Municipality in Saudi Arabia to support strengthen a blockchain approach as a way to streamline governmental processes within the enviornment.

There are also contemporary reviews of a collaboration between IBM and the principal financial institution of Azerbaijan. It is thought that a 5-12 months software has been agreed upon to digitally seriously change the country’s financial system, with a spotlight on blockchain know-how.

IBM additionally launched two stories on blockchain towards the end of 2016 that advised a boom within the amount of banks, economic associations and company the usage of blockchain in 2017.

The stories, labelled “main the Pack in Blockchain Banking: Trailblazers Set the pace” and “Blockchain Rewires economic Markets: Trailblazers Take the Lead,” suggested that blockchain adoption can be led with the aid of a necessity to include capabilities and systems into one single channel.

As such, it became talked about that 15% of banks that took part in the analyze spoke of they would have deployed commercial blockchain options right through the 12 months.

newest developments

Having embraced and pushed blockchain construction over the last 5 years, IBM is laying the foundations to additional its efforts in the space. The company’s CEO, Virginia Rometty, announced in can also 2018 that IBM planned to create 1800 new jobs within the blockchain, AI and IoT area.

To additional that cause, IBM moved its Blockchain World Wire (BWW) payment network out of beta checking out in September. The mission aims to be a rival to Ripple’s overseas fee options, using Stellar’s blockchain to method transactions between banks in near real-time.

IBM has additionally put power on the American congress to start funding blockchain solutions in a collection of discussions with MIT and members of congress in September.

The company additionally filed a patent for a blockchain configuration proof-of-work algorithm in April focused on IoT, that would handle security concerns in these kinds of networks.

The newest massive announcement popping out of IBM is the launch of its very-personal meals tracking blockchain platform in October. food believe underwent 18 months of extensive testing earlier than its launch in collaboration with Nestle SA, Dole meals Co., Driscoll’s Inc., Golden State foods, Kroger Co., McCormick and Co., McLane Co., Tyson foods Inc. and UnileverNV.

over the past 12 months and a half, hundreds of thousands of food items had been tracked using the blockchain gadget.

IBM’s work in the blockchain sector become also regarded against the conclusion of 2017, as a file from market research company Juniper analysis rated the company as the most a success in deploying blockchain options. The record become in response to a survey that factored in four hundred proper-level executives everywhere.

In September 2018, IBM turned into ranked 2d on earth behind chinese language tech tremendous Alibaba because the company with probably the most patents filed for blockchain-connected projects.

in line with this document, IBM has created 89 blockchain patents, a awesome number for in a space that has handiest been in existence for 9 years for the reason that the inception of Bitcoin.

whereas other tech giants like Microsoft and Amazon are also making moves in the area, IBM has set an miraculous tempo to catch. All of this bodes smartly for the adoption and building of blockchain technology in the years to return.


IBM takes cybersecurity on the street with rolling command middle for training, response | killexams.com Real Questions and Pass4sure dumps

IBM is taking a protection Operations center (SOC) on the highway within the sort of a cellular command middle within the lower back on a semi truck. The IBM X-drive Command Cyber Tactical Operations core (C-TOC), introduced in a Monday press free up, should be traveling around the US and Europe to deliver numerous types of security support, the release observed.

C-TOC will work on schooling through response drills, deliver on-site aid, and be used to behavior training, in line with the unencumber. whereas geared towards professionals, it'll also be used with consumers and students.

The tractor trailer-housed SOC is in line with cell command facilities viewed in the militia, the free up observed. The IBM X-drive C-TOC elements a safety watch ground it really is controlled by gestures, along with conference core and data middle amenities. right here's a glance on the command core in action:

ctocinterior.jpg

picture: IBM

SEE: suggestions protection coverage (Tech pro analysis)

Up to two dozen people will also be hosted in the amenities, including operators, group of workers, and analysts, the release referred to. It elements self-sustaining energy, along with satellite and mobile communications—so it will also be deployed in a bunch of environments.

As referred to in IBM's 2018 can charge of an information Breach examine, agencies that reply to a data breach inside 30 days or much less can retailer more than $1 million in total damages. despite the fact, more than a quarter of respondents to that survey failed to have an incident response plan.

As such, the C-TOC can have a heavy focal point on boosting incident response for victims of most important cyberattacks, by using helping them simulate future assaults and be trained superior defense suggestions. The rolling SOC will additionally deliver on-web site help.

"One capabilities use-case being explored is supporting carrying events or other huge gatherings the place supplemental cybersecurity elements can be necessary," the liberate pointed out.

moreover, the C-TOC can be used for trade hobbies and at universities to support americans bear in mind what a true cyber incident is like.

"Experiencing a major cyberattack is one of the worst crisis an organization can face, and the leadership, capabilities and coordination required is not whatever you wish to check out for the first time in case you're dealing with a real assault," Caleb Barlow, vice chairman of hazard Intelligence at IBM security, stated within the free up. "Having a cell facility that allows us to deliver sensible cyberattack guidance and rehearsal to a larger, world audience should be a online game changer in our mission to improve incident response efforts for agencies world wide."

The large takeaways for tech leaders:
  • The IBM X-drive C-TOC is a totally-operation, security center on wheels, housed in a tractor trailer on the back of a semi truck.
  • The The IBM X-drive C-TOC will provide on-web page safety assist, practicing, and attack simulation for gurus, college students, and consumers.
  • additionally see ctocexterior.jpg

    ctocexterior.jpg

    the exterior of the C-TOC.

    picture: IBM




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    The Costs and Implications of EHR System Downtime on Physician Practices | killexams.com real questions and Pass4sure dumps

    Executive SummaryGovernment funding incentives (ARRA HITECH Act) to implement electronic health record systems (EHR) are driving most physicians towards the selection and implementation of EHR applications that are appropriate to their practice. However, even though the average practice takes more than 120 days to select their EHR solution, 87% of practices spend no time evaluating the service levels and uptime associated with these installations, instead leaving this important criterion in the hands of the software provider. Even when asked, some vendors avoid this growing need and offer no solution at all, leaving it as a point of exposure for the practice. Neglecting the amount of system downtime that a practice might experience could cost the average 5-physician practice nearly $25,000 if the product is down just ten hours during the course of a year. Therefore before selecting an EHR product, the practice should not only consider price, functionality, usability, support, and training. It must also determine the practice’s exposure to the potential effect of system downtime. This will impact the overall practice efficiencies, staff and client satisfaction, and the ability to provide care.

    Why Is Controlling Downtime Costs ImportantAs seen in the AC Group 2010 Healthcare Technology Survey, four of the top five healthcare applications deemed most important over the next four years relate to mission critical clinical applications. These applications include Electronic Health Records (EHR), patient portals, Clinical Information Systems, Clinical Data Repository, and Point-of-care clinical decision support.

    Why are clinical applications so important now? A few years ago a group of leading Fortune 500 companies and other large healthcare group purchasers worked with the federal Office of National Coordinator (ONC) to established three standards that healthcare organizations must meet to get group members’ business; number one on the list is implementing an EHR system. Since then, numerous organizations have pressured physicians to start adopting EHR applications. These organizations estimate that clinical applications can improve the quality of patient health and can reduce serious prescribing errors by more than 50 percent. They believe that overall better healthcare monitoring and clinical reasoning can improve patient safety, which in turn equals improved financial value - not just for employers, but also for providers, consumers, and payers of care as well.

    The downtime issue escalates when a healthcare organization deploys applications that are used primarily by Physicians. For example, at this year’s MGMA conference, a panel of physicians agreed that system speed and availability was critical in their decision to use an ambulatory EHR application. The panel agreed that, if the system was NOT available a minimum of 99% of the time, then they would not consider the application reliable enough to use in the future.

    What this panel failed to consider or realize is that 99% uptime translates into an average of more than 87 hours of solution downtime annually. The cost associated with that amount of downtime is tens of thousands to hundreds of thousands of dollars, depending on practice size.

    Cost of DowntimeTo help understand the cost of downtime associated with Electronic Health Record (EHR) systems, AC Group conducted a study during 2010 designed to shed more light on this important issue. It was determined that, in the rush to adopt Electronic Health Record (EHR) applications, system availability requirements associated with the underlying IT systems are often overlooked. This can result in significant costs – both financial and operational – based on the probable downtime per year associated with different systems and configurations. As the practice becomes increasingly reliant on electronic records, the software application should have little-to-no downtime, as any downtime can adversely affect the care of a patient and increase operating costs.

    To effectively implement critical applications, whether EHR or PMS, the clinical community must be assured that the application will be available and reliable when they need it. To accomplish this, physicians and administrators MUST insure that their EHR vendor’s software and the hardware platform it runs on will operate at a committed level of uptime acceptable to the practice. Software providers may or may not recommend or provide a high-availability platform solution (either hardware or software) for their applications. But, that does not mean practices and clinicians should not make this a requirement for the critical applications that they depend on to run their practices and care for patients. Having said that, physicians should expect that the responsibility to require service levels and obtain availability SLAs will fall to them.

    An EHR vendor who cannot provide an availability solution that meets today’s industry definition of high availability –less than one hour of unplanned downtime per year – can easily cost the practice more than $488 per hour of downtime for each physician in the practice. For the average server deployed in most practices to support an EHR application, the expected downtime averages 87 hours per year. Even traditional server cluster options which promise high availability statistically average over four hours per year, with complex operating requirements which add significant additional costs in equipment, maintenance and administration. On a per physician basis these costs, as well as the disruption to operations and patient care, can be staggering.

    Healthcare executives’ concept of acceptable downtime, and conversely uptime, for critical applications has historically lagged virtually all other industries. A review of 37 vendor contracts indicated that vendors are only providing an uptime guarantee of 96%. What does 96% availability mean, and is that sufficient? Is 99.99% uptime even attainable at reasonable cost, and what cost is reasonable? What amount of downtime are you willing to accept? What does a vendor’s uptime guarantee really mean to a healthcare organization and patient care? The differences between uptime levels in terms of financial impact and practice disruption will amaze even the most experienced healthcare provider and healthcare IT executive, alike.

    Value of UptimeTime is money. A practice committed to an EHR solution will suffer both financial and care-giving consequences if that system is unavailable to them. How much impact depends on these factors:

  • Level of technology in use by a physicians practice: Practice Management (PM) only, PM and EHR, Clinical Outcomes and Decision Support
  • Size of the physician’s practice
  • The level of uptime (i.e. ability to use the system) delivered by the total solution
  • Obviously, the greater a practice’s reliance on technology, the greater the impact when the application goes down in terms of the average cost of the outage itself. That is, a practice that still relies on manual data entry and practice management will not suffer the same pain as a full-blown EHR-based practice because they rely on technology less to conduct their routine business. (Conversely, the paper-based practice does not realize the many benefits of a smooth-running EHR solution.) It is not only the time required to manually conduct business during the outage that contributes to cost. It’s also the time required to bring the automated systems up to date post- recovery. We refer to this as the multiplier effect - the average cost per employee for a minute of downtime, plus the cost of time needed to return to normal operation after system recovery.

    The 2010 Downtime StudyAC Group conducted time/motion studies of various size practices, in varying stages of EMR deployments, to determine the average cost per minute of downtime for small, mid-size and large physician practices. The three-month study was completed on November 1, 2010 and was based on actual healthcare organization man-hours, salaries, and workload numbers by individual enterprise department. The study evaluated the amount of time each practice spends (1) collecting, (2) reporting, (3) organizing, and (4) disseminating information. Note: throughout this paper we use the overall term “Information” to describe these four functional areas. Some of the detailed findings included:

  • Nursing spends 57.4% of its annual man-hours on automated “information”, (collecting, reporting, organizing, and disseminating information).
  • Non-nursing departments (registration, scheduling, billing, etc) spend 87.4% of their man-hours on automated “information”.
  • The typical EHR-enabled practice spends 71.45% of all man-hours on automated “information”. This is compared to the average non-EHR enabled practice that only spends 28% of its annual man-hours on automated “information”, but spends an additional 48% of man-hours on manual “information”.
  • Using this information, the AC Group was able to identify and validate that for every minute an EHR application is down the average physician practice spends 2.15 minutes to perform the required tasks manually plus the time required to update the computer systems once the system is back up and operating. Using the average practice’s actual financial, man-hour, and workload statistics, the AC Group determined that the average cost of downtime was $8.13 per minute per provider, which equates to a median across all practice sizes and specialties of almost $488 per hour.

    Calculating the cost of downtime

    SummaryBased on the findings from this study, compromising on software and/or hardware uptime assurance can be financially punishing in the long-run, not to mention operationally disruptive with increased susceptibility to data-entry errors during recovery. This discovery renders even more apparent the extreme importance of evaluating system uptime specifications when measuring and rating the performance of a vendor’s product.

    Again it is important to note here that the overwhelming majority of EHR software vendors will not include uptime SLAs in their contracts without specifically being required to do so. If required by the healthcare organization, almost every vendor indicated that the cost of the system would increase from 5% to 20% for each 1% increase in uptime guarantee over and above the standard 96% uptime level. Considering the uptime assurance solutions on the market today, there is little justification, if any, to attach such a 5-20% premium for ensuring such mission-critical applications remain available without exception. The best availability products will be industry-standard (i.e. Windows, Linux, x86 processors), require no special skills to operate and manage, will monitor, self manage and automatically remediate system issues, reduce opportunity for human-induced system failures, and deliver an excellent return on investment when evaluated on Total Cost of Ownership (TCO) basis.

    The healthcare industry must continue to align its IT expenditures with business initiatives by adapting a comprehensive system for determining IT strategies, expenditures, and staffing requirements based on best practices. Healthcare organizations must drive enterprise-wide systems that sustain a constant innovation cycle in the new competitive environment. To accomplish this, they must learn to match their healthcare organization skills and requirements with their current business environment, or face extinction.

    Although software vendors rarely provide uptime commitments, a physician’s practice should require written documentation that the proposed EHR application meets today’s generally accepted standards for high availability (i.e. less than one hour of unplanned downtime per year on average) in actual installations, or that its software is certified to run on high-availability products from other vendors with no performance impact.

    The challenge ahead for healthcare organizations is enormous. We all know that operational and cost barriers exist when selecting a system; nevertheless, the potential benefits of clinical applications and EHR, in terms of patient safety and quality of care, operational efficiency and cost reduction, competitive advantage, and market share gain are tremendous. We believe that every healthcare organization is in a great position to help enhance recording, reporting, and dissemination of clinical data. To accomplish this, the healthcare organization MUST insure that the vendor can guarantee an adequate system uptime, especially with EHR applications. Those who succeed will receive industry-wide recognition and ultimately reward for their organizations. Key to evaluating clinical systems must be the healthcare organization’s recognition that downtime costs are an important factor for every

    healthcare organization. Healthcare organizations must ensure that downtime is minimized through close system management and by working closely with each technology provider.

    Availability OptionsRegardless of whether the physicians’ office maintains its own IT staff, or has consultants come onsite to manage IT operations, or relies entirely on a third-party to oversee its EHR applications offsite sight unseen, system downtime still levies the same cost on the practice. Any choice made to provide uptime still possesses levels of complexity in operations and ongoing management, and requires a base level of professional skills to operate reliably. It is vitally important, as we have demonstrated, that those who make the purchasing decisions and/or take responsibility for IT system health know the level of uptime they should expect from offerings provided by their software provider, value-added reseller, or managed service provider.

    Following is a description of common platform, software and hardware offerings deployed in conjunction with EMR applications. Each has its own characteristics and ability to provide uptime assurance.

    Robust standalone server: The current generation of x86 servers includes features like redundant fans and power supplies, hot-plug PCI card, and mirrored memory, offering improved reliability over unadorned commodity servers. They can be expected to run at 99.0% uptime reliability, with complementary average downtime of more than 7 hours per month. The issue with standalone servers is not so much reliability of the individual server, but rather the time it takes to affect repair or replacement, and return EMR applications to full production.

    Cold standby: Keeping a second server on hand to provide back-up is an option, but undesirable for mission-critical such as EMR applications. Connecting a replacement server to a shared disk array, or moving disks from the primary server to the back-up generally requires a skilled administrator. It also scarcely improves protection against downtime, although it could provide some benefit to getting online a bit more quickly (assuming the back-up server works when called upon).

    Data replication: This off-the-shelf software option replicates data files synchronously or asynchronously from one or more servers to a target server. Should a source server fail, the target server takes over either automatically or through manual intervention. Depending on the product chosen and overall system configuration complexity, this option may push uptime reliability to as high as 99.9%, or three-quarters of an hour of downtime per month.

    High availability clusters: Two or more ordinary servers connected by software into a single network are the basis of an HA cluster. The cluster configuration is difficult to build, operate and manage. Although Microsoft has made recent improvements to Windows Cluster Service, this approach to availability remains fundamentally complex. Clustering is re failure-recovery technology. When one node in cluster fails, the application fails over to a survivor node – not as easy or as quickly as it sounds. Invariably, there will be failover delay, and data that had not been committed to memory (in-flight data) will be lost. This custom-built option can achieve 99.9% uptime and, if meticulously designed, configured, administered, and maintained by skilled staff, may achieve 99.95%. Clusters are frequently cited as offering the highest availability, but that is only because it is the best uptime major server vendors can offer.

    Virtualization software: Many view virtualization software as an availability solution unto itself. It is not. It does have such attributes, but they come at a cost, both in licensing, additional equipment, stringent configuration requirements, and management tools, not to mention the complexity of, and skills required to use virtualization software in the first place. Availability will be no better than a cluster, but virtualization does provide other benefits such as reducing the number of physical servers needed to support a greater number of applications, and all the cost savings associated with reducing server count.

    High availability software: Software products have come to market in the past few years that provide better availability on commodity servers than clusters, are significantly less expensive, as well as simpler to use and maintain. The software essentially creates a high-availability computing platform upon which to run EMR applications. The best of these products proactively manages and monitors its own operation, prevents downtime and data loss from occurring (unlike clusters), supports multiple operating systems, and has virtualization software built in. Regardless of whether the physician installs the software or the value-added reseller delivers it as part of a total solution, it is easily accomplished and produces a high-availability computing platform exceeding 99.99%, i.e. less than five minutes of downtime per month on average.

    Continuous availability servers: Designed specifically to prevent downtime and data loss from occurring in the first place, “fault-tolerant” servers include complete component redundancy and error detection circuitry. Automatic fault detection and correction is engineered into the design so that most errors are resolved without the user or the application being impacted at all. You can expect better than 99.999% uptime from this platform, or just seconds of downtime per month. While the cost may be higher at the outset, the uptime performance and operational simplicity of fault tolerant server is very cost effective from the perspective of total cost of ownership (i.e. advantages in software licensing, maintenance, staffing, software patching and updating, etc.).


    IronFall Invasion Studio Is Bringing RISE: Race The Future To Wii U, 3DS And Nintendo NX | killexams.com real questions and Pass4sure dumps

    IronFall Invasion developer VD-Dev has lifted the lid on its next project, a racing game under the title RISE: Race The Future.

    An arcade-style racer which draws on Sega Rally for inspiration, RISE is coming to a wide range of systems, including the Wii U, 3DS and (eventually) Nintendo NX. The developer is working with automotive designer Anthony Jannarelly, who is contributing some of his futuristic concept car designs to the game.

    RISE is set in the near future where a new kind of "air lifting" wheel technology allows cars to race on all type of surfaces, including water. An arcade mode is included, as is a history mode which allows you to unlock a wide range of futuristic cars. There's even a plot behind the wheel-to-wheel action which will apparently reveal the real purpose behind RISE's "air lifting tech" vehicles.

    RISE: Race The Future launches this winter, with the NX release coming in 2017.


    On the Origin of Science Writers | killexams.com real questions and Pass4sure dumps

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