LSPERF15-BP02 Deploy synthetic transaction monitoring and real user monitoring with automated performance optimization

Implement synthetic monitoring methods that continuously simulate critical clinical workflows such as record retrieval, patient monitoring data transmission, and medication order processing to measure end-to-end latency and automatically trigger optimization actions when thresholds are exceeded. Use real user monitoring (RUM) techniques to capture actual network performance experienced by clinicians and implement adaptive optimization that adjusts network configurations based on real-time performance data, such as switching to alternate network paths or increasing bandwidth allocation for degraded connections.

Desired outcome: You have an integrated monitoring system combining synthetic testing and real user monitoring that automatically detects and responds to performance issues in clinical workflows. This enables proactive optimization of network performance and provides reliable operation of critical healthcare applications.

Level of risk exposed if this best practice is not established: Medium

Implementation guidance

Establish comprehensive synthetic monitoring for critical clinical workflows, including automated tests for record retrieval and patient data transmission. Configure monitoring scenarios that simulate real clinical activities with defined performance thresholds. Implement automated response mechanisms that trigger optimization actions when performance degrades below acceptable levels.

Deploy RUM solutions to capture actual performance metrics experienced by clinical users across different locations and devices. Set up data collection for key performance indicators including page load times, API response times, and network latency. Create performance baselines that reflect real-world usage patterns in clinical environments.

Design automated optimization systems that respond to both synthetic and RUM data. Implement intelligent routing algorithms that can automatically adjust network paths based on performance metrics. Establish bandwidth allocation rules that dynamically adapt to changing network conditions and clinical priorities.

Create comprehensive alerting mechanisms that identify performance issues before they impact clinical operations. Implement automated remediation procedures for common performance issues. Establish escalation paths for situations requiring manual intervention.

Implementation steps