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How Continuous Delivery Helped McKesson Create Award-Winning Applications Teresa KosinskiSenior Configuration Manager McKesson Specialty Health
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A very brief history . . .
1996: KnowMed Systems (iKnowMed) founded 2004: US Oncology purchases iKnowMed 2011: McKesson purchases US Oncology
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New Legislation 1993 – Health Insurance Portability and Accountability Act (HIPAA)
• Health Insurance coverage for workers and families when they change or lose their jobs
• Establishment of national standards for electronic health care transactions, and unique identifier rules
2009 – American Recovery and Reinvestment Act (ARRA)• HITECH Act: Privacy and Security Provision• Significant incentives for adoption of EHRs
2010 – Affordable Care Act (ACA, aka ‘Obamacare’)• Increases number of insured patients• Requires technological support to drive reporting and better health outcomes
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EHR Adoption Growth
Sources: CDC/NCHS National Ambulatory Medical Care Survey; JAMIA
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What is a KnowMed?
A "KnowMed" is a term used to describe a medical knowbot. A "knowbot" is a "knowledge robot" or software agent which can be "trained" or configured to filter large amounts of available data and present only data considered relevant to an individual user.
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What is a KnowMed?
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What is a KnowMed?
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Growth 1997-99
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First Lesson Learned
Make changes quickly, make customers happy.
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Versioning Everything
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In the beginning . . .
Manual Weekly Build
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In the beginning . . .
Manual Weekly Build
Automated Weekly Build
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Growing up . . .
Manual Weekly Build
Automated Weekly Build
Nightly Build
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Development
Nightly Build Automatically Deployed
Non-Java Changes
Deployed Hourly
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Continuous Integration
Hourly CI Build
• Latest• Failure
Notifications
Build Each Submitted Changelist
• Failure & Success Notifications
Add “Nagging” Notification
• CC: me
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Continuous Integration
Add Automated Testing
• Failure Notifications on Failed Test
Last Successful Changelist
• Easily Accessible
Add Custom Build Testing
• Developer can test shelved changelist
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Development
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Product Management
First group within iKnowMed to use continuous deployment Since 2001 has released documentation and release notes
as soon as they are ready
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Development - Custom Reports (Letterhead, Rx, etc)
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Client Services
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Lessons Learned
Keep it simple Buy-in from all stakeholders will speed progress Continuously improve – easier to deploy and lessen/eliminate
downtime Look for opportunities to grow/improve – you might find
inspiration in the most surprising places
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Yabba Dabba Doo!
