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Oracle Solaris 11 Advanced System Administration
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When it comes to managing computer systems, whether in an office environment, on a campus or in an enterprise data center, there’s a long list of tools and technologies SysAdmins need to master. There are numerous certifications can help validate knowledge and skills in those areas.

In addition to server and client configuration and maintenance, many system administrators must understand access controls, network services and resource requirements for applications. They often find themselves working with directory and name services as well as network addressing, database services, web and desktop applications, email, and more.

Making sense of all these different system administrator roles and accompanying certifications is no easy task. After examining various credentials, we came up with a list of our five favorite system administrator certifications for 2019.

The following chart shows the results of an informal job search we conducted that gives you an idea of the relative frequency with which our top five certifications appear in actual job postings. While all the certifications are popular, the CompTIA Server+ stands out as the clear favorite.

Job Board Search Results (in alphabetical order, by certification)*

Certification SimplyHired Indeed LinkedIn Jobs Linkup Total
MCSE: Cloud Platform and Infrastructure (Microsoft) 112 247 253 151 773
Oracle Linux System Administrator (Oracle) 311 377 124 304 1,116
RHCE (Red Hat) 507 625 864 286 2,282
Server+ (CompTIA) 98 111 165 25 399
VCP6.5-DCV (VMware)* 219 275 169 192 855

*When searching for VCP – Data Center credentials, we found most job descriptions didn’t indicate a specific version.

Although employers tend to pay SysAdmins less than some of their IT peers, such as network engineers and data architects, a career in system administration is still worth pursuing. SimplyHired reports $77,296 as the national average salary for SysAdmins, in a range from $49,746 to $120,102. Indeed.com pegs averages at $75,967 for plain-vanilla, and $88,032 for senior systems administrators.

MCSE: Microsoft Certified Solutions Expert

The Microsoft Certified Solutions Expert (MCSE) certification has long ruled the hearts and minds of those who work on Microsoft-based systems, servers and clouds. MCSE certifications focus on the latest technologies for business applications, cloud infrastructures, data management and analytics, mobility, and productivity.

But when it comes to system administration certifications in general, the brightest lights are those that address Windows Server at the enterprise and server administrator levels. While these credentials don’t all specifically use “system administrator” in their descriptions, they all fall well inside the roles and responsibilities of system administration jobs. They’re also in high demand in job postings and classified job advertisements.

The MCSE: Cloud Platform and Infrastructure targets IT professionals seeking to promote careers such as information security analysts or computer support specialists. Those obtaining the certification will find that the MCSE: Cloud Platform and Infrastructure credential is designed to validate the skills necessary to effectively run a data center, including networking, storage, systems management, virtualization and identity management.

Note: The Microsoft Certified Solutions Associate (MCSA) is Microsoft’s prevailing mid-range IT certification. It covers most administrative job roles, including system administration at both the desktop and server levels, as well as more specialized job roles that include SQL Server and Office 365. MCSA: Cloud Platform is a gateway certification that feeds into these MCSE certifications.

System administration candidates might also want to take a close look at the MCSE: Productivity credential, which garners nearly as many hits on job boards as the MCSE: Cloud Platform and Infrastructure cert. The MCSE: Productivity focuses on Microsoft Exchange, SharePoint or Skype For Business. Because communications systems and services of all kinds are so important to business, these are good areas for aspiring and practicing system administrators to specialize in.

The Microsoft Certification Program underwent extensive changes in September 2016. Once you earn one of the latest MCSE credentials, you do not have to recertify within three years as used to be the case. However, by passing an elective test each calendar year, you add an entry to your transcript that indicates your commitment to staying current on technologies and expanding your skillset.

MCSE: Cloud Platform and Infrastructure Facts and Figures

Certification Name Microsoft Certified Solutions Expert (MCSE): Cloud Platform and Infrastructure
Prerequisites & Required Courses Any one of the following MCSAs is required:

MCSA: Windows Server 2016

MCSA: Cloud Platform

MCSA: Linux on Azure

MCSA: Windows Server 2012

Number of Exams One additional elective test is required to earn this MCSE. Valid electives include:

70-532 Developing Microsoft Azure Solutions

70-533 Implementing Microsoft Azure Infrastructure Solutions (exam retires December 31, 2018)

70-473 Designing and Implementing Cloud Data Platform Solutions

70-475 Designing and Implementing Big Data Analytics Solutions

70-744 Securing Windows Server 2016

70-745 Implementing a Software-Defined Datacenter

70-413 Designing and Implementing a Server Infrastructure

70-414 Implementing an Advanced Server Infrastructure

70-537 Configuring and Operating a Hybrid Cloud with Microsoft Azure Stack (coming soon)

Candidates are encouraged to check the certification web page for the most current list of qualifying exams.

Cost per Exam $165 per test in the USA
URL https://www.microsoft.com/en-us/learning/mcse-cloud-platform-infrastructure.aspx
Self-Study Materials Visit the certification web page and Microsoft Learning for practice tests, free online training, Microsoft Official Curriculum in-classroom and on-demand course offerings, books, online resources and more.  Candidates will find links to training resources including practice exams, books, video, and formal training on the test web page.

Oracle Linux System Administrator

Although known for its database products and solutions, Oracle also has its own distribution of Linux, geared for the enterprise and designed to support cloud environments. In fact, Oracle Linux is optimized for various Oracle products and platforms, such as Oracle Exadata Database Machine, Oracle Exalytics In-Memory Machine, Oracle Exalogic Elastic Cloud and Oracle Database Appliance.

To support Oracle Linux, the company offers the Oracle Linux System Administrator certification at Associate and Professional levels. A single Oracle Linux Certified Implementation Specialist credential is also offered. We focus on the Oracle Certified Professional (OCP) version in this section.

The OCP Oracle Linux System Administrator certification, currently at version 6 (although version 7 should be coming soon), covers a lot of details. Candidates must be well-versed on the Btrfs file system, control groups, Linux containers, advanced storage administration techniques, Oracle cluster management and package management. The certification also tests for knowledge of dump analysis, dynamic tracing, network and security configuration and more.

The OCP Oracle Linux System Administrator certification requires that candidates first obtain the Oracle Certified Associate (OCA) Oracle Linux 5 and 6 System Administrator certification and pass one exam.

SysAdmins who support Oracle Solaris might be interested in the Oracle Solaris System Administrator certification, which Oracle offers at the Associate and Professional levels. Oracle also offers several server-related certifications for SPARC and Fujitsu servers.

Oracle Linux System Administrator Facts and Figures

RHCE: Red Hat Certified Engineer

In the realm of Linux system administrator certifications, Red Hat certs really stand out. Red Hat’s more senior-level certifications are especially popular among IT professionals as well as the employers who hire them. Those holding the Red Hat Certified Engineer (RHCE) credential qualify for job roles such as senior Linux administrator, senior UNIX administrator, senior systems engineer, infrastructure systems engineer, IT analyst and the like.

The RHCE is regarded as a high-level credential that’s not easy to obtain. Candidates must first obtain the Red Hat Certified System Administrator (RHCSA) credential and then pass a three and a half hour, hands-on, performance-based test that’s intense and demanding. Those who earn the RHCE can go on to earn the Red Hat Certified Architect (RHCA) in Infrastructure credential.

The current RHCE test is based on Red Hat Enterprise Linux (RHEL) 7. RHCE certification is valid for three years from the date the certification was achieved. To maintain the certification, a credential holder must pass any RHCA test or pass the RHCE certification test again before the end of the three-year period.

Note: In October 2018, IBM announced that it was acquiring Red Hat for the princely sum of $34 billion. It’s too early to tell what impact this may have on Red Hat certification offerings, if any.

RHCE Facts and Figures

Certification Name Red Hat Certified Engineer (RHCE)
Prerequisites & Required Courses Red Hat Certified System Administrator (RHCSA) certification (does not have be on the same Red Hat Enterprise Linux version). RHCSA requires one exam: EX200 — Red Hat Certified System Administrator (RHCSA).

Note: Courses recommended but not required

Number of Exams One exams:

EX300 – Red Hat Certified Engineer (RHCE) exam, 3.5 hours

Cost per Exam $400 (RHCE test fee only)
URL https://www.redhat.com/en/services/certification/rhce
Self-Study Materials Red Hat Training offers multiple training options, including classroom, virtual, online, video and private onsite. The Red Hat Learning Subscription offers online and video courses, including cloud-based labs, in Basic and Standard subscriptions. Prices vary by geography. Candidates in the U.S. can expect to pay $5,500 (or 19 training units) for the Basic tier and $7,000 (or 24 training units) for the Standard tier.

CompTIA Server+

CompTIA offers a long list of entry-level certifications, such as the A+ for hardware technicians, Network+ for network admins and Security+ for security specialists, all of which are highly regarded in the computing industry. The CompTIA Server+ certification is no exception. Companies such as Intel, HP, Dell, Lenovo, Xerox and Microsoft, as well as the U.S. Department of Defense, recommend or require that their server technicians earn CompTIA Server+.

The Server+ certification test focuses on foundational server-related courses that are vendor-neutral in nature, including server hardware, operating systems, storage systems, networking, the IT environment (documentation, diagrams and best practices), security and disaster recovery, virtualization and troubleshooting.

The Server+ credential, along with sufficient experience, is a great asset for individuals seeking a position as a server or network administrator, systems engineer or website administrator. You can also consider it as a stepping stone to a more focused certification, such as the Microsoft Certified Solutions Associate (MCSA) or the Red Hat Certified System Administrator (RHCSA).

Server+ certification requires one exam, SK0-004. CompTIA recommends that candidates have at least 18 months of experience and A+ certification before sitting for the exam.

CompTIA Server+ Facts and Figures

Certification Name CompTIA Server+
Prerequisites & Required Courses Required: None

Recommended: CompTIA A+ certification plus 18 to 24 months of IT experience

Number of Exams One exam: SK0-004 (90 minutes, 100 multiple-choice questions, 750 on a scale of 100-900 required to pass)
Cost per Exam $319. Purchase vouchers through CompTIA Marketplace. test administered by Pearson VUE.
URL https://certification.comptia.org/certifications/server
Self-study Materials Links to practice questions, test objectives, eBooks, and other training resources are available on the certification web page. test study bundles including eBooks and CertMaster practice are available from the CompTIA Marketplace.

VCP6-DCV: VMware Certified Professional 6 – Data Center Virtualization

The VMware family of certifications are must-have credentials for IT professionals interested in the field of virtualization. Offering a comprehensive certification program that encompasses all skills levels, VMware credentials are recognized globally as best in class.

The latest incarnation of the VMware vSphere product is Version 6.5. VMware currently offers two credentials which target vSphere V6.5 users: the VMware Certified Professional 6.5 – Data Center Virtualization and the VMware Certified Advanced Professional 6.5 – Data Center Virtualization (Design and Deploy). It’s anticipated that the VMware Certified Design Expert (VCDX-DCV) will be available soon.

Although Version 6.5 is the existing version of the vSphere product, interested candidates can still certify on vSphere V. 6. The VMware Certified Professional 6 – Data Center Virtualization (VCP6-DCV) is one of VMware’s most popular credentials with more than 100,000 certified credential holders. The VCP6-DCV prepares credential holders for more advanced certifications, including the VMware Certified Advanced Professional (VCAP6-DCV) and the pinnacle cert, VMware Certified Design Expert (VCDX-DCV). For this article, we chose to concentrate on the requirements for the VCP6.5 – DCV since it’s based on the existing version of vSphere.

Training is required for non-credential holders seeking to obtain the VCP6-DCV. VMware offers a variety of training options to meet the training prerequisite: self-paced (on demand), live online and live classroom, some of which include virtual labs. Those possessing a valid VCP5-DCV or VCP6-DCV credential need only pass a delta exam to obtain the credential.

VCP6.5-DCV Facts and Figures

Certification Name VMware Certified Professional 6.5 – Data Center Virtualization (VCP6.5-DCV)
Prerequisites & Required Courses Path 1 (non-VCP credential holders):  Gain vSphere 6.5 experience, attend a required training course, pass either the vSphere 6 or 6.5 Foundations exam, and pass the current VCP6.5–DCV exam

Path 2 (active VCP5-DCV or VCP6-DCV credential holders): Gain vSphere 6.5 experience, pass the VCP6.5–DCV or VCP6.5–DCV Delta exam. Training is recommended but not required.

Path 3 (expired VCP-DCV): Gain vSphere 6.5 experience, attend a required training course, pass either the vSphere 6 or 6.5 Foundations exam, and pass the current VCP6.5–DCV exam

Path 4 (active VCP 6, 6.5 or 7 in a different track): Gain vSphere 6.5 experience and pass the VCP6.5–DCV exam. Training is recommended but not required.

See the VCP6.5-DCV web page for list of current approved training courses.

Number of Exams One or two exams depending on certification path.

Foundation exams:

vSphere 6 Foundations Exam, 2V0-620, 115 minutes, 65 questions

vSphere 6.5 Foundations Exam, 2V0-602, 105 minutes, 70 questions

VMware Certified Professional 6.5 – Data Center Virtualization exams:

VMware Certified Professional 6.5 – Data Center Virtualization, 2V0-622, 105 minutes, 70 questions

VMware Certified Professional 6.5 – Data Center Virtualization Delta, 2V0-622D, 106 minutes, 70 questions

Cost per Exam vSphere Foundations test (V6 or V6.5), $125

VMware Certified Professional 6.5 – Data Center Virtualization exam, $250

VMware Certified Professional 6.5 – Data Center Virtualization Delta exam, $250

URL VCP6.5-DCV:   https://www.vmware.com/education-services/certification/vcp6-5-dcv.html
Self-Study Materials A link to an test guide, training and a practice test (if available) appear on each test page (see the How to Prepare tab). VMware Learning Zone offers test prep subscriptions. Numerous VCP6-DCV study materials are available through Amazon.com. MeasureUp offers a VCP6-DCV practice tests and a practice labs.

Beyond the Top 5: More SysAdmin Certifications

Beyond the five system administrator certifications featured in this article, there are many other certification programs that can help to further the careers and professional development of IT professionals who work in system administration.

It makes sense to investigate the plethora of vendor-specific programs available for those who work with systems from companies such as Brocade, Dell EMC, HPE, IBM, NetApp, Symantec and so forth. Many of them play into key system specialty areas, such as storage, security or virtualization, while others offer a broad range of platforms for these and other technology areas. Here are some examples:

  • IBM Certified System Administrator (and Advanced Administrator), for WebSphere Application Server Network Deployment, AIX, DB2, Connections, Sametime, Lotus Notes, Informix, IBM i and more
  • NetApp Certified Data Administrator (NCDA), geared toward professionals who manage NetApp data storage controllers running the ONTAP operating system
  • ServiceNow Certified System Administrator, aimed at professionals who are adept at configuring, implementing and managing ServiceNow systems

Likewise, vendor-neutral certification programs also offer a variety of interesting and potentially valuable credentials. For example, the LPI LPIC certifications, which had been in our top five list for several years, are well known and widely recognized in IT shops and operations that depend on Linux servers to handle their workloads. It’s best to think of our top five certifications as a good place to start, while also realizing that there are many other options to consider as well.

Tue, 11 Oct 2022 12:00:00 -0500 en text/html https://www.businessnewsdaily.com/10752-best-system-administrator-certifications.html
Killexams : VA postpones rollout of computer system tested in Spokane until mid-2023, warns 41,500 veterans it may have delayed care

WASHINGTON – The Department of Veterans Affairs announced Thursday it will postpone the rollout of a troubled computer system it has been testing in Spokane for the past two years and will notify more than 40,000 veterans in the Inland Northwest, Oregon and Ohio that their treatment may have been delayed by problems with the system.

The new electronic health record system, developed by Oracle Cerner under a $10 billion contract to replace the VA’s existing system, had been scheduled to launch in the first quarter of 2023 at hospitals in Western Washington, Michigan and Ohio, but those and all other deployments have been pushed back to at least June , the department said in a news release.

“Right now, the Oracle Cerner electronic health record system is not delivering for Veterans or VA health care providers – and we are holding Oracle Cerner and ourselves accountable to get this right,” VA Deputy Secretary Donald Remy said in the release, adding that the system’s rollout would be delayed “while we fully assess performance and address every concern.”

The system, which VA employees rely on to track patient information and coordinate care, was first launched at Mann-Grandstaff VA Medical Center and its associated clinics across the Inland Northwest in October 2020. After multiple delays prompted by patient safety risks caused by the system, the department deployed it in March in Walla Walla; in April in Columbus, Ohio; and in June in Roseburg and White City, Oregon.

The Department of Veterans Affairs on Thursday announced it would delay all upcoming deployments of the Oracle Cerner electronic health record system, which has been tested in the Inland Northwest for the past two yeasr, until at least June 2023. (Molly Quinn/The Spokesman-Review)
The Department of Veterans Affairs on Thursday announced it would delay all upcoming deployments of the Oracle Cerner electronic health record system, which has been tested in the Inland Northwest for the past two yeasr, until at least June 2023. (Molly Quinn/The Spokesman-Review)

On Tuesday, in response to questions from The Spokesman-Review, the VA confirmed it was aware of the death in late September of a patient at the VA clinic in Columbus, Ohio. That incident is being treated as a potential “sentinel event,” a designation that prompts an investigation to prevent a similar occurrence in the future.

“Patient safety is VA’s top priority, and we are currently investigating to determine the root cause of this incident and get to the bottom of it,” VA spokesman John Santos said in a statement. “Our sincerest condolences go to the family and friends of this Veteran.”

In an email sent to all clinicians at Mann-Grandstaff on Oct. 7 and obtained by The Spokesman-Review, the hospital’s assistant chief of pharmacy, Sharon Oakland, attributed the sentinel event in Columbus to a patient not receiving a medication due to incorrect information in the Oracle Cerner system. “This is one more example,” she wrote in the email, of how the VA facilities using the new system are relying on “hypervigilance on everyone’s part to work within Cerner.”

After a leaked report by the VA Office of Inspector General in June revealed nearly 150 cases of harm linked to the Oracle Cerner system, VA Secretary Denis McDonough hit the brakes on deployments planned for last summer in Seattle, Tacoma and Boise while the department investigated safety risks reported by health care providers.

Shereef Elnahal, the VA’s under secretary for health, said in an interview with The Spokesman-Review on Wednesday that the department’s findings prompted it to send letters to veterans whose medications, appointments, referrals or test results may have been delayed due to problems with the new system.

“Unfortunately, we discovered that safety concerns were voluminous enough and prevalent enough throughout the system that we had to disclose to 41,500 veterans that their care may have been impacted as a result of the system’s deployment as it is currently configured,” Elnahal said.

The affected veterans were identified through a review by VA patient safety experts and data provided by Oracle Cerner on all patients enrolled at the hospitals and clinics where the system has been deployed in Washington, Idaho, Oregon, Montana and Ohio, Elnahal said. That group of roughly 41,500 patients represents a minority of the veterans enrolled for care at the facilities using the new system.

The VA began mailing the letters Wednesday and all of the affected veterans should receive them within about two weeks.

Soon after Elnahal started his job in July, becoming the first Senate-confirmed head of the Veterans Health Administration since 2017, he met with employees on Sept. 9 at the VA clinic in Columbus, Ohio, where the Oracle Cerner system was launched in April. The most concerning pattern he saw there, Elnahal said, was the highly complex system making it hard for clinicians to perform routine tasks, such as ordering a test or a follow-up appointment. The veterans who will receive letters were identified as potentially being affected by those problems.

“This is actually a list of veterans who at some point, we have evidence, got caught up in this phenomenon of commands not getting where they need to go,” Elnahal said. “That definitely went above the threshold for us to proactively contact those veterans, because that is far and away our first priority, the safety and quality of the care we provide to veterans.”

Shereef Elnahal, undersecretary for health at the Department of Veterans Affairs, speaks to reporters at a news conference on Sept. 28 at VA headquarters in Washington, D.C. (Orion Donovan-Smith/The Spokesman-Review)
Shereef Elnahal, undersecretary for health at the Department of Veterans Affairs, speaks to reporters at a news conference on Sept. 28 at VA headquarters in Washington, D.C. (Orion Donovan-Smith/The Spokesman-Review)

Delayed follow-ups due to orders in the system not reaching their intended recipient was the main cause of 149 cases of harm identified in a VA Office of Inspector General report released in July. Similar errors led to a roughly yearlong delay in treatment for a veteran in Chewelah, Washington, who was eventually diagnosed with terminal cancer.

The text of the letter, which the VA provided to The Spokesman-Review, explains that the department is transitioning to the new system “to ensure that you have the modernized, integrated, and world-class care that you deserve” and encourages the affected veterans to make sure their prescriptions are correct, appointments are scheduled and test results are delivered to them. Veterans who believe their care may have been impacted are directed to call a dedicated call center at (800) 319-9446.

“We purposefully made a separate call center so that our clinicians in the field, seeing veterans, don’t take a huge volume of calls that forces them to disrupt veteran care that’s happening over the next couple of weeks,” Elnahal said.

Staff at the call center, he said, will take information from veterans who believe their care has been affected by the Oracle Cerner system and a VA health care team will follow up within five days.

The letters, which will be signed by Elnahal and local VA leaders in each region, conclude by saying, “We apologize for any inconvenience or concern this may cause you and your family. Our staff care deeply about your health, and we want to continue to partner with you for your health and wellbeing. Thank you for your understanding as we work quickly to ensure that you receive the best possible medical care.”

The system’s launch in Spokane was delayed twice by the Trump administration before going ahead just days before the 2020 election, during a local surge in COVID-19 cases and despite warnings that it was not ready to safely use. Thursday’s announcement marks the third time the rollout has been delayed under the Biden administration, but Elnahal’s focus on the system’s poor design represents a notable departure from VA leaders’ past remarks, which have often downplayed problems and pointed blame at health care workers themselves.

Elnahal said that while the VA is sending more technical assistance and additional clinicians to support the sites already using the Oracle Cerner system – which has decreased the number of patients each provider can see in a day – the biggest need is simply to make the system work better.

“The most definitive thing that will help us address clinicians’ stress as they interface with Cerner is reconfiguring the systems to solve what they worry about the most, which is any safety issue that could befall veterans,” he said. “We’re trying to be proactive and get ahead of that issue with the letter, but at the same time we are starting now in solving that piece of the system’s configuration, which is what I worry about the most, because our clinicians on the front line worry about that the most.”

Elnahal is the first permanent leader of the Veterans Health Administration – the nation’s largest health care system, serving more than 9 million veterans – since former President Donald Trump named Elnahal’s predecessor, David Shulkin, as VA secretary in early 2017. As under secretary for health, Elnahal said his role in the Oracle Cerner rollout is “to be the voice of our clinicians” and to make tough decisions about how the system should be configured.

While the VA estimates that delaying the system’s rollout until mid-2023 will provide enough time to work with Oracle Cerner to fix the problems, Elnahal emphasized that the department won’t bring the system to new facilities until the “top-level safety issues are resolved,” even if that means further delays.

“Those specific patient safety risks have a lot to do with the way the system is configured right now,” he said. “It’s not as intuitive as it should be and there’s a lot of room for improvement.”

Problems related to transitioning between electronic health record systems have been widely documented and are not unique to the VA, but the rest of the U.S. health care system doesn’t have the same level of transparency as the VA, which is subject to oversight by Congress and the Office of Inspector General, an internal watchdog agency. The VA also has a confidential reporting system that encourages clinicians to report patient safety risks and incidents of harm, which improves safety but can deliver the impression that the VA has a poor safety record in comparison to private hospitals, which often don’t have similar reporting mechanisms.

“Not many other health systems would have been able to surface, so swiftly and effectively, these safety concerns,” Elnahal said, crediting VA clinicians and patient safety experts. Because the VA had “robust systems in place” to detect safety threats, he said, the department raised the problems quicker than any other health care system would have.

The system being replaced by Oracle Cerner, known as VistA, is still used in nearly all VA facilities and has been credited with pioneering the electronic health record field. Elnahal, who used VistA during his medical training, said the existing system “represents a really amazing part of VA history, but it is just too old and simply cannot meet the future needs of veteran health care.”

While Elnahal said all commercial electronic health record systems are “not optimal,” he called the Oracle Cerner system “a workable product” that can be configured to meet the VA’s needs.

Asked whether the sites currently using the Oracle Cerner system could revert to VistA until problems with the new system are fixed, he said doing that “would actually introduce more risk than benefit at this point in the process.”

“Sometimes, you’re not presented with options to immediately resolve the safety concerns that are in front of you,” he said. “It is simply the case that the best option in front of us to resolve these patient safety concerns is to work with Oracle Cerner over the next several months to resolve the Cerner system issues at the sites where it exists. We know that this is possible, because other health systems have gone through this journey before, and I think we can do it.”

Fri, 14 Oct 2022 14:37:00 -0500 en text/html https://www.spokesman.com/stories/2022/oct/13/va-postpones-rollout-of-computer-system-being-test/
Killexams : VA extends EHR delay to June 2023 after review finds more system problems

The Department of Veterans Affairs is further delaying the rollout of its new Electronic Health Record to additional sites, as it troubleshoots problems that have led to patient harm and frustrated its health care workforce.

The VA announced Thursday the agency will push back upcoming deployments of its Oracle-Cerner EHR to June 2023 to address previously known and emerging problems with the system and to “make sure it is functioning optimally for veterans and for...

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The Department of Veterans Affairs is further delaying the rollout of its new Electronic Health Record to additional sites, as it troubleshoots problems that have led to patient harm and frustrated its health care workforce.

The VA announced Thursday the agency will push back upcoming deployments of its Oracle-Cerner EHR to June 2023 to address previously known and emerging problems with the system and to “make sure it is functioning optimally for veterans and for VA health care personnel.”

VA Secretary Denis McDonough, this summer, scrapped plans for EHR deployments for the rest of calendar year 2022, after the agency’s inspector general office reported instances of the EHR contributing to patient harm and decreased quality of care.

The VA is also sending letters to every veteran who may have been impacted by problems with the EHR currently running at five VA locations across the U.S.

The letter tells veterans to reach out to the VA over the phone or online if they “experienced a delay in medications, appointments, referrals, or test results” at a facility using the Oracle-Cerner EHR.

The VA said veterans can expect to hear back from the agency within five business days to resolve their issue.

Deputy VA Secretary Donald Remy said in a statement that the agency will delay all future deployments of the new EHR to fully address concerns with the system’s performance and reliability.

“Right now, the Oracle Cerner electronic health record system is not delivering for Veterans or VA health care providers — and we are holding Oracle Cerner and ourselves accountable to get this right,” Remy said.

Remy told members of the Senate Appropriations Committee in September that the EHR was “not even close” to meeting the needs of patients, and said the VA won’t proceed with future EHR go-lives if the system doesn’t pass a checklist that includes training for VA employees and patient safety criteria.

The VA said in its announcement that additional EHR problems have emerged during its review, and will need more time to address them before go-lives can resume.

“During VA’s subsequent investigation at our current sites, several additional technical and system issues were identified – including challenges with performance, such as latency and slowness, problems with patient scheduling, referrals, medication management, and other types of medical orders,” the agency said in a statement.

The VA has scheduled the EHR to go live at 25 VA medical centers in fiscal 2023, but the schedule is still subject to changes.

Oracle, the parent company of the VA EHR contractor Cerner, notified the Senate VA Committee in September that it provided a fix to an “unknown queue” problem with the VA system on Aug. 1.

The problem, as documented by the VA inspector general’s office, has led to thousands of clinical orders disappearing in an unmonitored inbox, causing patients to miss follow-up care.

VA Secretary Denis McDonough told reporters on Sept. 28 that it remains unclear whether a single fix to the unknown queue is enough to fully address the concerns of VA employees and patients, adding that the VA is still looking to determine the scope of its EHR challenges.

However, VA Undersecretary for Health Shereef Elnahal stopped short of saying the issue has been completely resolved.

“I am not confident that we’ve completely solved that set of issues,” Elnahal said.

Elnahal said that, following a site visit in Columbus, Ohio, the EHR contributed to VA employee burnout, and in some cases, led to employees quitting their jobs.

“There’s literally a systemwide focus now on clinician burnout, employee burnout, leading by example, and respecting what makes our employees whole and supporting our employees as much as we can. And so that’s going to be a huge priority for me to further those efforts, and get them to even more employees,” Elnahal told reporters last month.

Elnahal said the agency is continuing to work with Oracle-Cerner to definitively understand the basis of its EHR challenges, and troubleshooting the EHR rollout “rises to the top, in my mind, for patient safety risks.”

McDonough added that the VHA, through its REBOOT task force, is also taking steps to address burnout and working conditions among its health care workforce.

“This issue of burnout is front and center for us. And it’s an issue in the workforce generally at VA and the labor force generally in the United States. I’m really proud of the work we’re doing to get ahead of it,” McDonough said.

Thu, 13 Oct 2022 08:13:00 -0500 en-US text/html https://federalnewsnetwork.com/veterans-affairs/2022/10/va-extends-ehr-delay-to-june-2023-after-review-finds-more-system-problems/
Killexams : Oracle, fear and loathing

With Oracle CloudWorld in Las Vegas kicking off, the on-going battle with third party support provider Rimini Street is once again making the news. On October 10th Oracle said it had informed the court that it is prepared to proceed with a bench trial “because it is the most efficient path to ending Rimini’s illegal conduct, including its longstanding and continuing violations of Oracle’s copyrights.”

Oracle offers three support stages for its enterprise software, tools and databases: Premier Support, Extended Support, and Sustaining Support. In Oracle’s words, these “deliver maximum value by providing you with rights to major product releases so you can take full advantage of technology and product enhancements.”

Premier Support provides a standard five-year support policy for Oracle Technology products; Extended Support provides for an additional three years, and Sustaining Support is indefinite technical support.

In its Magic Quadrant report for cloud database management products, Gartner warned that Oracle’s on-premises products are often perceived to be expensive and difficult to manage, and customers continue to raise concerns about contract negotiations. In fact, Oracle recently increased maintenance charge from 5% to 8% of the original contract value.

Fixes, updates, and critical patch updates created during Premier Support and Extended Support are the only fixes available when the product reaches Sustaining Support. One needs to question why people continue to buy support, if the only patches they are entitled to are the ones that have already been published.

The challenge for many IT leaders is that while they may wish to continue running Oracle, especially if it is part of a core system of record, such as the Oracle relational database, they are being encouraged, or worse, coerced, into upgrading. One of the big benefits of third-party support contracts is that they separate software from maintenance and support.

But Oracle contracts stipulate that technical support may not be discontinued for a single program module within a custom application bundle. In effect, buying the best Oracle deal bundle will mean the customer remains tied in to paying full maintenance fees on all products in that bundle, even if some are replaced with non-Oracle products or third party support is used.

Rimini Street originally ended up on the wrong side of Oracle IP (intellectual Property) in 2010 and in October 2015, a jury found that Rimini Street infringed 93 copyrights.

While Oracle claims Rimini downloaded its IP illegally, customers paying Oracle for maintenance have every right to download fixes, patches and documentation, so long as these things remain on their own systems. What Oracle’s latest actions show is that it remains deadly serious about putting the knife into third party maintenance and support.

Wed, 12 Oct 2022 23:23:00 -0500 en text/html https://www.computerweekly.com/blog/Cliff-Sarans-Enterprise-blog/Oracle-fear-and-loathing
Killexams : VA warns 41,500 veterans that EHR deployment issues may have affected care — report Written by

The Department of Veterans Affairs has warned 41,500 veterans that their care may have been affected by delays in the rollout of the Oracle Cerner electronic health records system.

In an interview with The Spokesman-Review newspaper, VA Under Secretary for Health Shereef Elnahal on Oct. 12 said the department’s findings from a exact review led it to send letters to veterans whose medications, appointments, referrals or test results may have been delayed due to problems with the system.

“Unfortunately, we discovered that safety concerns were voluminous enough and prevalent enough throughout the system that we had to disclose to 41,500 veterans that their care may have been impacted as a result of the system’s deployment as it is currently configured,” Elnahal told the newspaper.

Veterans who may have been affected were identified through a review by VA patient safety experts and through data provided by Oracle Cerner on all patients enrolled at hospitals and clinics where the system has been deployed.

According to the report, the VA began mailing letters on Oct. 12 and all affected veterans are expected to receive them within about two weeks.

The group of about 41,500 patients represents a minority of the veterans enrolled for care at facilities using the new system.

News of the letters comes as the VA Thursday announced that it would delay all future deployments of the electronic health record system until June next year.

In a statement, the department said it was pushing back the rollout to “address challenges with the system and make sure it is functioning optimally for veterans and for VA health care personnel.”

Earlier this year, a leaked draft report by the VA Office of Inspector General revealed nearly 150 cases of harm linked to the Oracle Cerner system, and shortly after VA Secretary Denis McDonough hit pause on deployments planned for the summer of 2022 in Seattle, Tacoma and Boise.

Thu, 13 Oct 2022 08:47:00 -0500 John Hewitt Jones en text/html https://www.fedscoop.com/va-warns-41500-veterans-that-ehr-deployment-issues-may-have-affected-care-report/
Killexams : VA warns 41,500 patients that Oracle Cerner EHR issues may have affected care

The Department of Veterans Affairs is notifying 41,500 patients that their care may have been affected due to the delays in the rollout of its Oracle Cerner EHR system, FedScoop reported Oct. 13. 

"Unfortunately, we discovered that safety concerns were voluminous enough and prevalent enough throughout the system that we had to disclose to 41,500 veterans that their care may have been impacted as a result of the system's deployment as it is currently configured,"  Shereef Elnahal, secretary for health at the VA said. 

Patients may have had medications, appointments, referrals or test results delayed due to the postponed deployment of the new EHR system. 

The VA began mailing letters to the affected patients on Oct. 12. 

This comes as the VA said on Oct. 13 that it would delay the rollout of the Oracle Cerner EHR system until June 2023. 

The VA had previously delayed future EHR deployments until January, but said it has discovered several additional technical and system issues that need to be resolved, including latency, slowness and problems with scheduling, referrals and medication management.

The department is working with Oracle Cerner to correct those issues.

Fri, 14 Oct 2022 02:28:00 -0500 en-gb text/html https://www.beckershospitalreview.com/ehrs/va-warns-41-500-patients-that-oracle-cerner-ehr-issues-may-have-affected-care.html
Killexams : Oracle Lays Off 201 Employees In California

Cloud News

David Harris

The cuts affected workers at Oracle offices in Redwood City, Calif., home to the tech giant’s former headquarters. The jobs that were affected included data scientists, application developers, marketing certified and software developers.

 ARTICLE TITLE HERE

Oracle has laid off more than 200 of its workers in California months after reports surfaced that the tech giant was considering “thousands” of job cuts on the heels of its $28 billion Cerner acquisition.

The Austin, Texas company cut 201 jobs in total on Oct. 3 from its Redwood City, Calif. office, according to its Worker Adjustment and Retraining Notification (WARN) filed in California. The job cuts took effect Oct. 3 and was received by the California Employment Development Department Sept. 30, according to the WARN.

In a letter to the state obtained by CRN, Oracle said the layoffs would be permanent and said that its Redwood Shores campus would not be closing as a result of the job cuts. Oracle formerly housed its headquarters in Redwood City, but moved it to Austin at the end of 2020.

Among the jobs cut in this round, according to the Aug. 4 letter to the state from Anje Dodson, senior vice president of human resources at Oracle: data scientists, application developers, marketing certified and software developers.

CRN has reached out to Oracle for comment.

As of this past May, Oracle employed approximately 143,000 full-time employees, of which about 48,000 are based in the U.S. and the rest internationally, according to a regulatory filing.

Oracle closed its acquisition of healthcare digital information system provider Cerner in June. The company began to notify employees of layoffs in early August, according to a report in The Information at the time. That matches with the date on the WARN notice, which states that this crop of employees received notification about the layoffs on August 4.

The company is the No. 1 employer in Redwood City, Calif. with over 6,500 workers there, according to the city.

Wed, 12 Oct 2022 10:45:00 -0500 en text/html https://www.crn.com/news/cloud/oracle-lays-off-201-employees-in-california
Killexams : VA extends delay of electronic health record launch to June 2023
The Department of Veterans Affairs has suspended the rollout of its new multibillion-dollar electronic health records system until June 2023 to allow more time to overcome recurring problems with the computer program at several hospitals across the country, agency officials announced Thursday, Oct. 13, 2022.

The Department of Veterans Affairs has suspended the rollout of its new multibillion-dollar electronic health records system until June 2023 to allow more time to overcome recurring problems with the computer program at several hospitals across the country, agency officials announced Thursday, Oct. 13, 2022. (U.S. Air Force)

WASHINGTON – The Department of Veterans Affairs has suspended the rollout of its new multibillion-dollar electronic health records system until June 2023 to allow more time to overcome recurring problems with the computer program at several hospitals across the country, agency officials announced Thursday.

“Right now, the Oracle Cerner electronic health record system is not delivering for veterans or VA health care providers – and we are holding Oracle Cerner and ourselves accountable to get this right,” Deputy Secretary of Veterans Affairs Donald Remy said in a prepared statement. “We are delaying all future deployments of the new EHR while we fully assess performance and address every concern. Veterans and clinicians deserve a seamless, modernized health record system, and we will not rest until they get it.”

The announcement followed the death of a veteran in September at the Chalmers P. Wylie Veterans Outpatient Clinic in Columbus, Ohio, which was reported by The Spokesman-Review, a newspaper in Spokane, Wash.

“Patient safety is VA’s top priority, and we are investigating the patient’s death, which occurred at a community hospital,” according to a VA statement issued Friday. “Currently, this investigation is ongoing and there has not been any determination made on the root cause of this incident.”

There was also another records system outage that affected pharmacy services on Oct. 7 for almost 10 hours, according to Fed Scoop, a federal technology website.

The VA said the outage impacted all Defense Department, Coast Guard and VA sites that now use the new records system from the company Oracle Cerner. The agency said Oracle Cerner engineers are working on fixing the problem, but this outage was not the reason for extending the delay on the records system rollout.

The VA had originally scheduled to launch the new records system in July at the Boise VA Medical Center but moved it to 2023 after the VA inspector general released a report that revealed the system caused harm to 149 VA patients.

So far, the new records system has been launched at five of the VA’s 166 health care facilities. In some cases, additional launches at some facilities have been postponed because of ongoing problems with records system, along with delays caused by the impact of the coronavirus pandemic.

At the Mann-Grandstaff VA Medical Center in Spokane, Wash., where the system was launched first in October 2020, issues included unauthorized and inaccurate medication orders, patients' name and gender errors, issues in scheduling primary care appointments, misdirected links to video medical appointments and lost referrals.

In the meantime, the VA said it will continue to focus on the five facilities where the new records system has been launched. The agency said it also will send letters to veterans who had been impacted by the system’s issues, inquiring whether they had experienced delays in medications, appointments, referrals, or test results. If they have experienced any issues, the VA said the veteran should reach out to the agency and expect someone to follow up with them within five business days to resolve the issue.

“When it comes to delivering the quality health care our nation’s veterans have earned, we have to hit the mark the first time around,” Sen. Jon Tester, D-Mont., chairman of the Senate Committee on Veterans’ Affairs, said in a prepared statement. “That’s why I’ll continue holding VA and Oracle Cerner’s feet to the fire in fixing system-wide issues so existing facilities and any future rollouts ensure VA health care staff have the tools to provide veterans safe, timely care.”

The VA originally signed a $10 billion contract with Cerner in May 2018 to overhaul the agency's health records system and make it compatible with the Defense Department’s system. However, the cost of the project later increased to about $16 billion.

Last October, Paul Brubaker, acting principal deputy assistant secretary and deputy chief information officer at VA's Office of Information Technology, told House lawmakers that the agency contracted with the nonprofit Institute for Defense Analysis to calculate an estimate of costs of the Cerner electronic health record system. A review issued in July by the institute estimated the implementation of the electronic health record system would cost nearly $39 billion in 13 years. The estimate also included more than $17 billion to sustain the system.

Rep. Mike Bost of Illinois, the top Republican on the House Committee on Veterans’ Affairs, said the new electronic health record should not be rolled out anywhere else until Oracle Cerner fixes its problems.

“When I visited [VA facilities in] Walla Walla [Wash.] in July and Columbus [Ohio] in September, the staff made it clear that this flawed system is making their jobs more difficult and crippling the delivery of care to veterans, and I have heard the same thing from the other sites,” Bost said in a prepared statement. “Unfortunately, these delays are nothing new. VA and Oracle must prove that this time is different, and I won’t allow them to continue throwing good money after bad.”

Mike Sicilia, executive vice president for industries at Oracle, which purchased Cerner in June, told the Senate Committee on Veterans' Affairs in July that he reviewed the system's problems. Oracle took over Cerner's electronic health record contract with the VA, Defense Department and the Coast Guard and established a command center led by Oracle's senior engineers.

Sicilia said at last month’s Senate Appropriations Committee that Oracle hosted a summit with the VA, Defense Department, Federal Electronic Health Record Modernization Office, and Leidos Holdings Inc. to discuss the federal electronic health record system's performance and its problems. Sicilia said the meeting led to plans for the system and that Oracle sent a letter to the VA detailing the plans and a roadmap.

Sicilia also said Oracle is working with the VA to revamp training for employees to learn to use the electronic health records system. He also said he still thinks the company can still launch a safe rollout at the rest of the VA’s facilities in 10 years as it was originally contemplated.

Thu, 13 Oct 2022 09:51:00 -0500 en text/html https://www.stripes.com/veterans/2022-10-13/veterans-affairs-health-records-7682551.html
Killexams : Microsoft attempts to eat Oracle's database lunch with Azure migration service © Provided by The Register

Redmond hopes move will lure more to its PostgreSQL managed service

Microsoft is launching a database migration tool to help Oracle users shift to a PostgreSQL managed service on Azure.…

Coinciding with Redmond's Ignite bash, the vendor is offering Azure Data Studio, a cross-platform database assessment tool, to help switch from Big Red to a Microsoft PostgreSQL-compatible managed service.

Available in preview, the Database Migration Assessment for Oracle "includes database migration recommendations and an evaluation of database code complexity. With these changes, migration planning is simplified for Oracle customers looking to modernize their data estate to Azure managed databases," Microsoft claimed in a statement.

It said Oracle customers could get sizing recommendations for Oracle Database migration to Azure Database for PostgreSQL and Azure SQL, including Azure SQL Database Hyperscale, which it says works for large workloads up to 100TB.

"Azure Database for PostgreSQL and Azure SQL Database offer excellent value for Oracle customers looking to reduce administration overhead and optimize database license costs while maintaining performance," it said.

Earlier this year, Oracle and Microsoft announced Oracle Database Service for Microsoft Azure, an Oracle-managed service for Azure customers to help them provision, access, and operate Oracle Database services in Oracle Cloud Infrastructure (OCI) with a familiar Azure-like experience.

Carl Olofson, IDC research vice president, said: "Microsoft has offered basic Oracle to SQL Server/Azure SQL Database migration capability for a while now. Many enterprise Oracle database deployments are very complex, and so migration is difficult and fraught with risk. This service is meant as an expert service to provide a safer and more reliable form of migration."

For some time, PostgreSQL backer EDB has offered an Oracle migration service for users looking for a future outside their traditional home.

Elsewhere at Ignite, Microsoft said it was adding distributed PostgreSQL support for Azure Cosmos DB, its distributed database service, built upon the Hyperscale (Citus) engine. It is also previewing support for statistical language R in its Synapse data warehouse. ®

Wed, 12 Oct 2022 06:57:02 -0500 en-US text/html https://www.msn.com/en-us/news/technology/microsoft-attempts-to-eat-oracles-database-lunch-with-azure-migration-service/ar-AA12SLSs
Killexams : Senior Principal Consultant: Database Administration (Oracle) (KZN) at Datafin Recruitment

ENVIRONMENT:

ENSURE the optimal provisioning of ICS services while providing functional & process leadership and expert technical expertise as the next Senior Principal Consultant: Database Administration (Oracle) sought by a dynamic Tertiary Institution. You will provide critical input relating to your stream of expertise, identify existing and potential system performance issues and conduct the necessary system configuration to optimize system performance. The role will also entail the assessment and analysis of future system requirements and forecasting system capacity needs to then recommend solutions that would best meet those needs. The ideal candidate must have Matric / Grade 12 National Senior Certificate, a 3-year ICT-related tertiary qualification OR Information Management OR Information Systems qualification at least NQF Level 7 with 8 years relevant and proven work experience in systems, server, and application provisioning in large and complex ICT environment of which 5 years must be in Oracle DBA.

DUTIES:

Strategic alignment of technology, Installation, and customization –

  • Analyse the ICT strategy, determine systems implications, and align to the future direction of technology.
  • Ensure the efficiency, robustness, fit-for-purpose, and integration of the systems solutions against the business requirements of the Institution.
  • Propose a plan of action, obtain approval and buy-in, design and/or source solutions and facilitate implementation and follow-up on results.
  • Research, design, consult with industry experts, and provide industry leadership in the innovative design of leading-edge technologies, implementing this in a large, heterogeneous ICT environment at a world-class standard.
  • Analyse user requirements and participate in capacity forecasting, asset optimization, efficient utilization, and defining the technology specifications underpinning the provision of ICS services.

Maintenance, Troubleshooting, Optimization, and Integration of specialized systems –

  • Assess the impact of critical system downtime and derive and implement plans to mitigate the impact on business.
  • Proactively ensure that potential system availability problems or performance bottlenecks are identified and corrected before the Institution is impacted.
  • Take ownership of complex problems and ensure that all such problems are speedily resolved.
  • Ensure that systems and services are operating at optimal performance levels.
  • Liaise with vendors in ensuring maintenance contracts and SLAs are adhered to.
  • Ensure systems integrate around a single directory service.
  • Installation and configuration of ITS (ERP) applications.
  • Installation and configuration of Databases (Oracle, MS-SQL, MySQL).
  • Installation and configuration of Printing systems.
  • All installations and configurations will be achieved using documented best practice system architectures.
  • Provide consolidated systems view to ensure efficient management systems.
  • Ensure proactive incident identification using early warning systems.

Consulting –

  • Consult with Client base and expert partners on various aspects of operating systems, application provisioning, and systems facilities.
  • Attend meetings to evaluate user requirements and recommend solutions to users.
  • Contribute to sectional and divisional Operational and Capital Budget requirements.
  • Have a good working knowledge of financial protocols.
  • Participate in procurement and tendering processes.
  • Provide technical consulting services in IT and related topics, for such areas as software purchases and installation, and the resolution of any resulting problems.
  • Attend and make presentations or exhibitions at national conferences or other similar events.

Leadership, Project Management & Research –

  • Provide leadership, guidance, and mentorship to team members.
  • Take overall responsibility for the Technology stream in which you are the leading expert.
  • Interact with other certified in different domains to ensure a coherent and comprehensive approach to complex problems.
  • Assist and guide ICS staff and the User community in problem-solving techniques.
  • Design and provide in-house training to departmental staff when necessary.
  • Be able to facilitate effective mentorship training programs to team members and user base.
  • Initiate project proposals for approval.
  • Provide technical lead in projects to ensure that work packages are delivered on time, on budget, and at an acceptable quality standard. Projects can be complex and can have an Institution wide impact.
  • Keep abreast of industry developments and trends and provide a business value proposition for the adoption of technologies.

REQUIREMENTS:

  • Matric Certificate / Grade 12.
  • 3-Year ICT-related tertiary qualification OR Information Management OR Information Systems qualification at least NQF Level 7.
  • 8 Years of relevant and proven working experience in systems, server, and application provisioning in large and complex ICT environment of which 5 years must be in Oracle DBA.

Advantageous –

  • Experience working with Integrated Tertiary Software (ITS).
  • Relevant industry-recognized professional IT Certification (e.g., Oracle Database Administration, Certified Linux Administrator, Microsoft Certified Technology Specialist (MCTS), Microsoft Certified Systems Engineer (MCSE).)

While we would really like to respond to every application, should you not be contacted for this position within 10 working days please consider your application unsuccessful.

COMMENTS:

When applying for jobs, ensure that you have the minimum job requirements. OnlySA Citizens will be considered for this role. If you are not in the mentioned location of any of the jobs, please note your relocation plans in all applications for jobs and correspondence. Please e-mail a word copy of your CV to [Email Address Removed] and mention the reference numbers of the jobs. We have a list of jobs on [URL Removed] Datafin IT Recruitment – Cape Town Jobs.

Desired Skills:

  • Senior
  • Principal
  • Consultant

Learn more/Apply for this position

Tue, 04 Oct 2022 12:00:00 -0500 en-US text/html https://it-online.co.za/2022/10/05/senior-principal-consultant-database-administration-oracle-kzn-at-datafin-recruitment/
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