Java IoT Authors: Liz McMillan, Pat Romanski, Yeshim Deniz, Roger Strukhoff, Elizabeth White

Related Topics: @DevOpsSummit, Java IoT, Microservices Expo

@DevOpsSummit: Blog Feed Post

End-to-End Monitoring of Critical Apps By @AppDynamics | @DevOps [#DevOps]

A Health Care Example

End-to-End Monitoring of Critical Applications

By Pedro Pacheco

Thanks to an early season skiing accident, I found myself sitting in the Emergency Department of a small hospital in a Colorado ski town. The hospital had recently gone through a major renovation and was proud of its investment in HIT (Health care IT). Most patient workflows are now automated.

Check-in and registration were a breeze. Within a few minutes, my patient record was updated and my case was well documented. With an electronic signature of consent and a scan of my insurance card, all I needed to do was wait for my turn.  A large monitor displayed my name as well as the names of others waiting to be seen, as well as the likely waiting time.

Screen Shot 2015-01-19 at 2.04.32 PM

Being a software person with a passion for HIT, I was beside myself. A small hospital in a mostly rural area embraced technology to facilitate patient care and expedite service. This is awesome!

I was eventually taken into an ED bay, where I became even more excited when I noticed the attending physician was carrying a tablet (as opposed to a clunky computer-on-wheels or a clipboard). She scans my wristband, and nothing comes up.

After a few more attempts and some not so pleasant comments about technology, the physician gives up on using the tablet as a well-intentioned IT person is running around telling everyone the “system” is down.

Screen Shot 2015-01-19 at 2.04.16 PMMy shoulder, assumed dislocated, is now really painful, and the drugs I was given to manage the pain are slowly taking effect. I am hard to understand on a good day; add the shoulder pain and the effects of medicine; the physician is now struggling to get her head around my case. Especially since all documentation about my accident and me as a patient are now lost.

More and more patients are coming in (mostly from Texas ☺), some with severe and life-threatening conditions. Health care professionals and resources are backing up.  Quality of care and patient safety are now been affected. Lives are now on the line. And, in the middle of it all, there is a very-sophisticated-yet–non-functional integrated EHR solution.

“Things have gone downhill quickly,” I think to myself. Chances are the problem is simple to fix. If only the poor IT person had the right tool, this whole mess would be quickly solved.

Eventually, with a great deal of professionalism and great bedside manners, my case is processed. As I am discharged from the emergency department with a separated shoulder, rather than pay my copay and receive discharge instructions, I am given a hand-written prescription and a note saying the billing department will be in touch to collect the service fees.Patients In Doctors Waiting Room

Did I mention that the ER was now full of waiting patients?

In a highly integrated patient care environment, one simple failure can lead to an end-to-end collapse; hence the need for an end-to-end monitoring tool.

In other words, when patient safety is involved and critical applications work in unity to support patient care, a robust, end-to-end monitoring solution is paramount.

It's likely that the otherwise well-done mobile patient registration application had some level of monitoring. But this is not nearly enough.

Mobile applications are about end-user engagement. As such, only a portion of the application lives on the mobile device. While mobile applications are difficult to develop and maintain, they represent only the tip of the iceberg.

Behind the scenes, in the dark corners of a datacenter somewhere, live tens, if not hundreds, of back-end system responsible for handling requests coming from the mobile devices as well as other crucial business processes.

With that in mind, a more robust monitoring pattern for a highly sensitive and complex application environment, such as an Emergency Department, is to monitor not only the app as it executes on a customer’s (or patient’s) mobile device, but also the back-end application infrastructure; arguably, more complex tasks.

Needless to say, it is also fundamental to correlate the end-user experience from the mobile device, across the network or internet and into such back-end services.

This is the only way to understand the true end-to-end application performance and ensure a good end-user experience. It also gives the administrators a full end-to-end picture of the application, allowing them to quickly and precisely identify and address faulty components. The end result is quick restoration of service.

There are many monitoring solutions in the market that only provide visibility on the mobile application (aka the tip of the iceberg). The 80-20 rule is applicable here: by monitoring only the mobile application only 20% (if that) of the entire application ecosystem is visible. Conversely, monitoring only the back-end services excludes an al-too-important component of any business process – “the user.” Last, monitoring both sides separately with independent solutions misses the correlation and continuity between user, device, network and back-end services.

AppDynamics is a solution that can monitor these business transactions beginning in the mobile device, into the services tier to the application, through message queues, into legacy systems, databases and eventually, into the termination point while maintaining the continuity of the business context of each transaction.

Anything else is purely superficial.

See how AppDynamics can help your HIT department, download a FREE trial today!

The post End-to-End Monitoring of Critical Applications: A Health Care Example appeared first on Application Performance Monitoring Blog from AppDynamics.

Read the original blog entry...

More Stories By AppDynamics Blog

In high-production environments where release cycles are measured in hours or minutes — not days or weeks — there's little room for mistakes and no room for confusion. Everyone has to understand what's happening, in real time, and have the means to do whatever is necessary to keep applications up and running optimally.

DevOps is a high-stakes world, but done well, it delivers the agility and performance to significantly impact business competitiveness.

@ThingsExpo Stories
SYS-CON Events announced today that Evatronix will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Evatronix SA offers comprehensive solutions in the design and implementation of electronic systems, in CAD / CAM deployment, and also is a designer and manufacturer of advanced 3D scanners for professional applications.
SYS-CON Events announced today that Synametrics Technologies will exhibit at SYS-CON's 22nd International Cloud Expo®, which will take place on June 5-7, 2018, at the Javits Center in New York, NY. Synametrics Technologies is a privately held company based in Plainsboro, New Jersey that has been providing solutions for the developer community since 1997. Based on the success of its initial product offerings such as WinSQL, Xeams, SynaMan and Syncrify, Synametrics continues to create and hone inn...
To get the most out of their data, successful companies are not focusing on queries and data lakes, they are actively integrating analytics into their operations with a data-first application development approach. Real-time adjustments to improve revenues, reduce costs, or mitigate risk rely on applications that minimize latency on a variety of data sources. In his session at @BigDataExpo, Jack Norris, Senior Vice President, Data and Applications at MapR Technologies, reviewed best practices to ...
"Digital transformation - what we knew about it in the past has been redefined. Automation is going to play such a huge role in that because the culture, the technology, and the business operations are being shifted now," stated Brian Boeggeman, VP of Alliances & Partnerships at Ayehu, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
"Evatronix provides design services to companies that need to integrate the IoT technology in their products but they don't necessarily have the expertise, knowledge and design team to do so," explained Adam Morawiec, VP of Business Development at Evatronix, in this SYS-CON.tv interview at @ThingsExpo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
Smart cities have the potential to change our lives at so many levels for citizens: less pollution, reduced parking obstacles, better health, education and more energy savings. Real-time data streaming and the Internet of Things (IoT) possess the power to turn this vision into a reality. However, most organizations today are building their data infrastructure to focus solely on addressing immediate business needs vs. a platform capable of quickly adapting emerging technologies to address future ...
In his Opening Keynote at 21st Cloud Expo, John Considine, General Manager of IBM Cloud Infrastructure, led attendees through the exciting evolution of the cloud. He looked at this major disruption from the perspective of technology, business models, and what this means for enterprises of all sizes. John Considine is General Manager of Cloud Infrastructure Services at IBM. In that role he is responsible for leading IBM’s public cloud infrastructure including strategy, development, and offering m...
Product connectivity goes hand and hand these days with increased use of personal data. New IoT devices are becoming more personalized than ever before. In his session at 22nd Cloud Expo | DXWorld Expo, Nicolas Fierro, CEO of MIMIR Blockchain Solutions, will discuss how in order to protect your data and privacy, IoT applications need to embrace Blockchain technology for a new level of product security never before seen - or needed.
The 22nd International Cloud Expo | 1st DXWorld Expo has announced that its Call for Papers is open. Cloud Expo | DXWorld Expo, to be held June 5-7, 2018, at the Javits Center in New York, NY, brings together Cloud Computing, Digital Transformation, Big Data, Internet of Things, DevOps, Machine Learning and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding busin...
Digital Transformation (DX) is not a "one-size-fits all" strategy. Each organization needs to develop its own unique, long-term DX plan. It must do so by realizing that we now live in a data-driven age, and that technologies such as Cloud Computing, Big Data, the IoT, Cognitive Computing, and Blockchain are only tools. In her general session at 21st Cloud Expo, Rebecca Wanta explained how the strategy must focus on DX and include a commitment from top management to create great IT jobs, monitor ...
Cloud Expo | DXWorld Expo have announced the conference tracks for Cloud Expo 2018. Cloud Expo will be held June 5-7, 2018, at the Javits Center in New York City, and November 6-8, 2018, at the Santa Clara Convention Center, Santa Clara, CA. Digital Transformation (DX) is a major focus with the introduction of DX Expo within the program. Successful transformation requires a laser focus on being data-driven and on using all the tools available that enable transformation if they plan to survive ov...
A strange thing is happening along the way to the Internet of Things, namely far too many devices to work with and manage. It has become clear that we'll need much higher efficiency user experiences that can allow us to more easily and scalably work with the thousands of devices that will soon be in each of our lives. Enter the conversational interface revolution, combining bots we can literally talk with, gesture to, and even direct with our thoughts, with embedded artificial intelligence, whic...
Recently, REAN Cloud built a digital concierge for a North Carolina hospital that had observed that most patient call button questions were repetitive. In addition, the paper-based process used to measure patient health metrics was laborious, not in real-time and sometimes error-prone. In their session at 21st Cloud Expo, Sean Finnerty, Executive Director, Practice Lead, Health Care & Life Science at REAN Cloud, and Dr. S.P.T. Krishnan, Principal Architect at REAN Cloud, discussed how they built...
Recently, WebRTC has a lot of eyes from market. The use cases of WebRTC are expanding - video chat, online education, online health care etc. Not only for human-to-human communication, but also IoT use cases such as machine to human use cases can be seen recently. One of the typical use-case is remote camera monitoring. With WebRTC, people can have interoperability and flexibility for deploying monitoring service. However, the benefit of WebRTC for IoT is not only its convenience and interopera...
With tough new regulations coming to Europe on data privacy in May 2018, Calligo will explain why in reality the effect is global and transforms how you consider critical data. EU GDPR fundamentally rewrites the rules for cloud, Big Data and IoT. In his session at 21st Cloud Expo, Adam Ryan, Vice President and General Manager EMEA at Calligo, examined the regulations and provided insight on how it affects technology, challenges the established rules and will usher in new levels of diligence arou...
No hype cycles or predictions of a gazillion things here. IoT is here. You get it. You know your business and have great ideas for a business transformation strategy. What comes next? Time to make it happen. In his session at @ThingsExpo, Jay Mason, an Associate Partner of Analytics, IoT & Cybersecurity at M&S Consulting, presented a step-by-step plan to develop your technology implementation strategy. He also discussed the evaluation of communication standards and IoT messaging protocols, data...
In his session at 21st Cloud Expo, Raju Shreewastava, founder of Big Data Trunk, provided a fun and simple way to introduce Machine Leaning to anyone and everyone. He solved a machine learning problem and demonstrated an easy way to be able to do machine learning without even coding. Raju Shreewastava is the founder of Big Data Trunk (www.BigDataTrunk.com), a Big Data Training and consulting firm with offices in the United States. He previously led the data warehouse/business intelligence and B...
Nordstrom is transforming the way that they do business and the cloud is the key to enabling speed and hyper personalized customer experiences. In his session at 21st Cloud Expo, Ken Schow, VP of Engineering at Nordstrom, discussed some of the key learnings and common pitfalls of large enterprises moving to the cloud. This includes strategies around choosing a cloud provider(s), architecture, and lessons learned. In addition, he covered some of the best practices for structured team migration an...
22nd International Cloud Expo, taking place June 5-7, 2018, at the Javits Center in New York City, NY, and co-located with the 1st DXWorld Expo will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud ...
22nd International Cloud Expo, taking place June 5-7, 2018, at the Javits Center in New York City, NY, and co-located with the 1st DXWorld Expo will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud ...