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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

E-Health Initiative Survey Links Health IT to Lower Costs and Improved Outcomes

By MedImaging International staff writers
Posted on 14 Oct 2008

The exchange of health information electronically between physicians, hospitals, health plans, and patients is decreasing the cost of care and improving outcomes in the United States, according to a new survey released by the non-profit eHealth initiative in September 2008.

The 2008 Fifth Annual Survey of Health Information Exchange at the State and Local Levels, which included responses from 130 community-based initiatives in 48 U.S. states, shows the significant impact operational initiatives are having on improving health care delivery and efficiency.

The key findings from the 2008 survey are: (1) a majority (69%) of the operational exchange efforts (29/42) report reductions in healthcare costs. These respondents stated that health information exchange allows them to decrease dollars spent on redundant tests; reduce the number of patient admissions to hospitals for medication errors, allergies, or interactions; decrease the cost of care for chronically ill patients; and reduce staff time spent on administration.

2. About half (52%) of fully operational exchange efforts (22/42) report positive impacts on healthcare delivery, including a decrease in prescribing errors; improved access to test results; improved compliance with chronic care and prevention guidelines; better care outcomes for patients; increased recognition of disease outbreaks; improved quality of practice life; and reductions in malpractice insurance costs

3. In addition to improving care delivery, tackling population health challenges continues to be a goal of many operational health information exchange efforts with 10 offering disease or chronic care management services, eight offering quality improvement reporting for clinicians, six offering public health reporting, and five offering quality improvement reporting for purchasers or payers.

4. For the first time, a majority (69%) of the fully operational respondents (29/42), report a positive financial return on their investment (ROI) for their participating stakeholders, including health plans, hospitals, laboratories, and physician practices. In 2007, just 10 (31%) reported a positive ROI.

"The 2008 survey shows a direct link between the exchange of health information electronically and improved efficiency, reduced costs, and better patient outcomes. These are exciting results and demonstrate that the significant potential impact predicted for electronic medical records is now being realized all across the nation,” said Janet Marchibroda, chief executive officer, eHealth Initiative.

Additional findings in the current survey are: (1) forty-two health information-exchange efforts are now in the advanced stage of development and fully operational-a 31% increase over the 32 operational initiatives in 2007.

(2) As in previous years, health information-exchange initiatives are continuing to focus their efforts on supporting direct care delivery. The 2008 survey results show that 26 of the 42 operational initiatives are offering clinical messaging, results delivery, or clinical documentation as one of their services. Sixteen are providing alerts either to providers, consultation/referral services or enrollment or eligibility checking.

(3) The variety and volume of data being exchanged increased significantly from 2007 to 2008. In 2008, 26 operational initiatives reported that they are exchanging laboratory results, up from 19 in 2007, and 23 are exchanging outpatient episodes, up from 21 in 2007. In addition, the number of operational initiatives exchanging radiology results (23), inpatient episodes (22), dictation/transcription data (20), and emergency department episodes (20) all increased from 2007.

(4) The most significant challenge for all 130 initiatives continues to be the development of a sustainable business model, with 50% of respondents citing this as a very difficult challenge, followed by securing upfront funding, with 47% citing this as a very difficult challenge. Both challenges are related to the current reimbursement system in health care, which provides disincentives for the sharing of health information to support improvements in health care.

"Clearly, securing upfront funding and achieving a sustainable business model are among the most difficult challenges that state and local initiatives focused on health information exchange are facing,” said Rachel Block, executive director of the New York eHealth Collaborative and president of the eHealth Initiative Foundation. "The good news is that we are now making progress--efforts across the U.S. are now able to demonstrate value through collaboration among and sharing of the costs of the exchange across all participating healthcare stakeholders, which ultimately provides benefits to everyone-particularly patients.”

The report is available on the eHI website given below.

Related Links:
eHealth Initiative

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57 (!!!!! 1302.0038604736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

58 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

59 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

60 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

61 (105.14259338379): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (496.14906311035): SELECT fid FROM jos_deeppockets WHERE id=294720653 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720653 AND published='1' LIMIT 1

63 (283.95652770996): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

64 (60.796737670898): select jos_twitters.link from jos_twitters where cat=10

65 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (33.855438232422): SELECT fid FROM jos_deeppockets WHERE id=294720653 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720653 AND published='1' LIMIT 1

69 (36.954879760742): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (258.9225769043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (354.05158996582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (53.167343139648): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (31.948089599609): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (134.94491577148): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

105 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

106 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720653 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720653 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

109 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

110 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294720653 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (507.11631774902): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294720653 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (608.92105102539): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (332.11708068848): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

115 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

116 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

117 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

118 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

119 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

120 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

121 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

122 (272.98927307129): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19949.913024902): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (599.14588928223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720653 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720653 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8047.1038818359): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (117.77877807617): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (70.095062255859): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (90.122222900391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (49.829483032227): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (443.93539428711): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (59.127807617188): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (61.03515625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (60.081481933594): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (452.99530029297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (366.9261932373): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (255.10787963867): SELECT name FROM jos_deeppockets WHERE id=216

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=216

139 (!!!!! 6438.0168914795): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (715.97099304199): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

142 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

143 (!!!!! 16991.138458252): TRUNCATE TABLE jos_trademed_module

144 (637.05444335938): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720653 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (72.002410888672): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720653 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (358.10470581055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

149 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

150 (!!!!! 1299.8580932617): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

152 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

153 (37.193298339844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720653 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720653 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (35.04753112793): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

155 (32.901763916016): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

156 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2953.052520752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

158 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720653 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720653 AND published='1' LIMIT 1

159 (39.815902709961): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 1324.8920440674): select jos_facebook.link from jos_facebook where cat=10

161 (62.942504882812): select jos_google_plus.link from jos_google_plus where cat=10

162 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

163 (257.96890258789): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1026.8688201904): insert into jos_banners_delta values (14202,'2025-06-22 19:27:44','216.73.216.120','view'),(14203,'2025-06-22 19:27:44','216.73.216.120','view')

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