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Healthcare Organizations Utilize Enterprise Services to Fast-Track Health IT Purchases

By MedImaging International staff writers
Posted on 02 Oct 2012

New enterprise services help healthcare providers predict operational and information technology (IT) costs and control ongoing costs while deploying enterprise-wide health IT systems.

Siemens Healthcare (Erlangen, Germany) announced several recent Soarian health IT sales that were strengthened by Siemens ability to deliver a range of cloud computing and managed services. More healthcare organizations are now shifting to electronic health records (EHRs) that provide a platform for an enterprise-wide approach to health IT. In today’s reimbursement environment, it is increasingly important for those organizations to challenge conventional ideas of enterprise IT as a cost center, and Siemens is helping customers create a more sustainable approach to health IT implementations with a range of options from operations to system management to infrastructure and application support.

Helping customers deploy health IT solutions amid an unstable financial climate is a mandate of Agenda 2013, a two-year global initiative of Siemens Healthcare to increase its competitiveness and innovative capacity. “The concept of sustainability has never been more important to healthcare organizations than in today’s environment, where many of our customers do business in highly competitive markets and contend with an oftentimes challenging payor mix,” said David Hamilton, senior vice president, enterprise services, Siemens Healthcare. “Our aim is to assist customers in finding ways to more predictably budget for health IT, while helping them ensure that key operational goals are met in a timely manner.”

Katherine Shaw Bethea (KSB) Hospital (Dixon, IL, USA) is an 80-bed community hospital that signed a 10-year agreement to implement a full range of Soarian Clinicals including Soarian Critical Care and Soarian Emergency Department (ED), along with Siemens medication management solutions, Soarian Device Connect, Soarian electronic document management (EDM), Decision Support Solutions, Soarian Quality Measures, and ePrescribing.

KSB Hospital initially was operating in a best of breed IT environment and had chosen Siemens to provide only the solutions that filled the functional gaps to address the requirements to attest to Meaningful Use (MU) of a certified electronic health record. However, the cost-effective cloud computing option available for the Soarian system helped minimize capital costs and Siemens presented a roadmap to help KSB Hospital administration begin planning an enterprise-wide clinical health IT implementation. Moreover, Siemens was able to help KSB Hospital staff expedite the implementation timeline. KSB Hospital was looking for strong clinical functionality, significant computerized physician order entry (CPOE) adoption, cost-effective price, and ability to adapt the system as their needs change.

“As we evaluated solutions, we began to realize that Siemens had a road map and a commitment to helping move us beyond thinking about best-of-breed solutions and to start thinking about an enterprise clinical IT solution that could be extended all the way out to our ambulatory practice community,” said Tim Broos, vice president and chief information officer, Katherine Shaw Bethea Hospital. “In particular, Soarian’s workflow engine hard-wires efficiency across the organization to support quality of care improvement and cost reduction.”

At 342 licensed beds Woman’s Christian Association (WCA) Hospital (Jamestown, NY, USA), recently signed a four-year term extension that also included the addition of the Soarian enterprise health IT suite including Soarian Clinicals and Soarian Financials, as well as EDM, and Siemens medication management solutions. Located in a small, New York town, WCA Hospital also contends with a challenging payor mix. Soarian across the WCA Hospital enterprise will provide a smooth flow of data, while decreasing the need to use bolt-on third-party applications.

“It was readily apparent that we could realize significant efficiency gains from expanding the breadth of our Siemens health IT portfolio across clinical departments,” said Keith Robison, CIO, WCA Hospital. “Soarian will allow us to collect data in new ways and present a more complete view of the patient to our clinicians so information entered about a patient in the ED will be seamlessly presented to all acute care providers.”

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62 (727.89192199707): SELECT fid FROM jos_deeppockets WHERE id=294742761 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742761 AND published='1' LIMIT 1

63 (286.10229492188): 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 (496.14906311035): select jos_twitters.link from jos_twitters where cat=10

65 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

66 (185.96649169922): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

68 (149.01161193848): SELECT fid FROM jos_deeppockets WHERE id=294742761 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742761 AND published='1' LIMIT 1

69 (46.014785766602): 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 (719.07043457031): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (327.11029052734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (376.93977355957): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (26.941299438477): 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 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.809112548828): 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 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

105 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

106 (58.174133300781): 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=294742761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (55.074691772461): 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=294742761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

109 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

110 (48.160552978516): 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=294742761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (576.97296142578): 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=294742761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (550.0316619873): 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 (385.99967956543): 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 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

115 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

116 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

117 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

118 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

120 (307.08312988281): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 18228.054046631): 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

122 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

123 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

124 (412.94097900391): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742761 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742761 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 521148.9200592): ( 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 (154.97207641602): ( 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 (68.902969360352): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (77.962875366211): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (77.962875366211): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (76.055526733398): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (561.95259094238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (491.14227294922): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (308.03680419922): SELECT name FROM jos_deeppockets WHERE id=216

136 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=216

137 (761.98577880859): 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

138 (649.92904663086): 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

139 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

140 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

141 (!!!!! 9771.1086273193): TRUNCATE TABLE jos_trademed_module

142 (164.03198242188): 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=294742761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (92.029571533203): 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=294742761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (619.17304992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

147 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

148 (!!!!! 1409.0538024902): 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

149 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

150 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

151 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742761 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742761 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (38.862228393555): 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)

153 (41.007995605469): 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)

154 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

156 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742761 AND published='1' LIMIT 1

157 (61.03515625): select jos_twitters.link from jos_twitters where cat=10

158 (38.14697265625): select jos_facebook.link from jos_facebook where cat=10

159 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

160 (34.809112548828): select jos_linkedin.link from jos_linkedin where cat=10

161 (286.10229492188): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1243.8297271729): insert into jos_banners_delta values (14615,'2025-06-18 22:19:32','216.73.216.120','view'),(14202,'2025-06-18 22:19:32','216.73.216.120','view'),(14203,'2025-06-18 22:19:32','216.73.216.120','view')

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