building a statewide emergency services information ... · adaptor toolkit phin portal application...

Version 1.2 12-15-2007

Enablement through SOMA: Moving from Strategy to Implementation

Building a Statewide Emergency Services Information Exchange Network

Donald George, CEO PRISM Communication Systems, Inc.

National Emergency Management Summit: March 5, 2007

Version 1.2 22-15-2007

Why does Emergency Response need transformation?

Disasters

Emergency Response Challenges Today

-Fragmented infrastructure-Insufficient planning-Insufficient policy-Fragmented operational linkages

Version 1.2 32-15-2007



Diseases


Version 1.2 42-15-2007


Terrorism



Version 1.2 52-15-2007

• How can our healthcare system respond most effectively to a major health emergency that could overwhelm the system’s routine capacity and resources?


Version 1.2 62-15-2007


Emergency Preparedness: California's Administration of Federal Grants for Homeland Security and Bioterrorism Preparedness Is Hampered by Inefficiencies and Ambiguity

California State Auditor/Bureau of State Audits September 2006

Emergency Preparedness: California's Administration of Federal Grants for Homeland Security and Bioterrorism Preparedness Is Hampered by Inefficiencies and Ambiguity

California State Auditor/Bureau of State Audits September 2006

• Integrated communication

• Decision support• Alerting systems• Surveillance• Countermeasures• Geospatial

services

Business Needs

How do we transform Emergency Response?

Version 1.2 72-15-2007

• Build an Integrated Health and Emergency Services Framework

• Transform the public health business model across multiple functional health and emergency systems

Connect the Information Systems

The business needs will be met by using the Service Oriented Modeling and Architecture (SOMA) to:


Version 1.2 82-15-2007

Service-oriented Modeling and Architecture (SOMA)

CBM

Top-down: business-driven Process, event and

variation analysis

Bottom-up:Leverage Legacy thru

understanding and transformation

Business Services linkedTo Business Goals

Model driven developm

ent is key.

Specify IT Components, their services and flow

Legacy

Business Vision

Map components & Services to best technology,

Service-oriented Architecture

1

2

3 4 5

SOMA combines Business Vision with Modern and

Legacy assetsto achieve an enterprise

services architecture.


Version 1.2 92-15-2007

Connect the Information Systems Integrated Business ServicesReusable, integrated services

Emergency Operations Center

Dispatch

Public Health

Federal Agency

First Responders

Process integrationProcess integration


Version 1.2 102-15-2007

Connect the Information Systems Integrated Health FrameworkIntro to Health and Emergency Standards

SOA

HL7IEEE

NCPDPDICOM

ANSI ASC X12N

HL7ICD-9-CM

CPT-4SNOMED CT

LOINCNDC

DSM IV

CAPEDXLNIMSStandardized collaboration

processes help bring about interoperability.


Version 1.2 112-15-2007

Public Health and PHIN Alignment

Public HealthLabs

Hospitals/HealthPlans

AmbulatoryCare

VaccinationCenters

CDC/Other Agencies

PharmaceuticalStockpile

AlertMessaging

Systems

HL7 V3Data model

HL7 CDA_RXData model

Public Health Information NetworkPublic Health Information Network

Preparedness & Emergency ResponsePreparedness & Emergency Response

• Standards-based communications

• Open Architecture

• Web services enabled

EmergencyManagement

Fire, RescueEMS Transportation

LawEnforcement

911

Federal,State, Local,Tribal Govt.

NGOsIndustry Utilities

Schools,Education

Public HealthDirectory

EPAD

Version 1.2 122-15-2007

Connect the Information Systems Integrated Health FrameworkIntro to Service Oriented Architecture Modeling

• Business Decomposition• Identification of Services and Classification

• Subsystem Analysis and Interface

• Software Service Realization

Service-architecture modeling is a method for developing software components as services using a service-oriented analysis and design process for modeling, analyzing, designing, and producing an SOA alignment with the business analysis. It allows development of an integrated business service model.


Version 1.2 132-15-2007

Service Requirements

Service Design Service

Build

The best practices of service orientation which is the process and practices that guide the delivery of a SOA is in the early stages of adoption for many organizations

Service Oriented AnalysisHow do you understand the business as services?How do you enable business agility?

Service Oriented DesignWhat is the precise behavior of services?How do you ensure scalability, reliability, etc?How do you enable technical agility?

Service Oriented ProvisioningHow do you determine which Services to use?How do you choose Service Providers?

Service Oriented ProgrammingHow do you reduce effort to code Web Services?

Service Development

Intro to Service Oriented Architecture Modeling


Version 1.2 142-15-2007

Atomic Service Composite Service Registry

Servicesatomic and composite

Operational Systems

Service Components

Consumers

Business ProcessComposition; choreography; business state machines

Service ProviderService C

onsumer

Integration (Enterprise Service Bus)

QoS Layer (Security, M

anagement &

Monitoring Infrastructure Services)

Data A

rchitecture (meta-data) &

Business Intelligence

Governance

First Responders

Health Workers

PackagedApplication

CustomApplication

OOApplication

Integrated Services ArchitectureSOMA Processes


Version 1.2 152-15-2007

Roadmaps Enable Alignment

Version 1.2 162-15-2007

Connect the Information Systems Integrated Health FrameworkCase Study: Public Health Information Network

Ancillary Data& Services

Registries Data& Services

EHR Data& Services

DataWarehouse

OutbreakManagement

PHSReporting

SharedHealth Record

DrugInformation

DiagnosticImaging Laboratory Health

Information

POINT OF SERVICE

Hospital, LTC,CCC, EPR

PhysicianOffice EMR

BusinessRules

EHRIndex

MessageStructures

NormalizationRules

Security MgmtData Privacy Data Configuration

Physician/Provider

Physician/Provider

Lab System(LIS)

Lab Clinician

EMS Systems

Radiologist

PharmacySystem

Pharmacist

Public HealthServices

Public Health Provider

Longitudinal Record Services

HIAL Communication Bus

Common Services

ClientRegistry

ProviderRegistry

LocationRegistry

TerminologyRegistry

Get Client IDResolution

List Laboratory Orders Get Laboratory Result

List LaboratoryResults

Get Prescription

List Medications

Stream DI Image

List DI Results Get DI ReportGet OutbreakCase Data

List CD ReportEvents

Get ProviderInformation

List ServiceDelivery

Locations

List EncounterEvents

Get EncounterSummary

Get ClinicalDashboard

Get ClientDemographic

Health Services


Version 1.2 172-15-2007

Major Components of PHIN

OIDManager<<subsystem>>

(from Common)

PatientDemographics<<subsystem>>

(from Common)

PatientEncounter<<subsystem>>

(from Countermeasure & Response) CaseReporting<<subsystem>>

(from Early Event Detection)

Jurisdiction<<subsystem>>


Reporter<<subsystem>>


EventIdentification<<subsystem>>


EventSpreadDetermination<<subsystem>>


SampleTracking<<subsystem>>

(from Connecting Laboratory Systems)

SpecimenTesting<<subsystem>>


ChainOfCustody<<subsystem>>


Accession

(from ChainOfC...)

Custody

(from SampleTracking)

CaseInvestigation<<subsystem>>

(from Outbreak Management)

ReporterDemographics

(from Reporter)

Survey

(from CaseInvestigation)

FollowUp<<subsystem>>

(from Common)

HealthEvent<<subsystem>>

(from Outbreak Management)

ExposureSource

(from HealthEvent)

TravelHistory

(from HealthEvent)

DirectAlert<<subsystem>>

(from Messaging)

AcknowledgeReceipt

(from DirectAlert)

CascadeAlert<<subsystem>>

(from Messaging)

Directory<<subsystem>>

(from Partner Communication)

Location


Tracking Details


Specimen

(from SpecimenTesting)

SpecimenCollection


InventoryManagement<<subsystem>>

(from Logistics)

TransportationManagement<<subsystem>>

(from Logistics)

GeoSpatial<<subsystem>>

(from Common)

area

(from GeoSpatial)

CascadeAlert

(from CascadeAlert)

PODManagement<<subsystem>>

(from Countermeasure & Response) SNSActivation<<subsystem>>

(from Countermeasure & Response)

Transfe Asset

(from InventoryManagement)

ReceiveAsset


DeactivateAsset


CounterMeasure<<subsystem>>


CampaignManagement<<subsystem>>


Patient_VitalStatistics

(from PatientDemographics)

HL7NCRNNotification

(from CaseReporting)

Consent

(from PatientEncounter)

Triage


TrackAsset


ProjectedSpread

(from EventSpreadDetermination)

SendAlert

(from DirectAlert)

FindHealthEvent(from EventIdentification)

FIPSJurisdiction

(from Jurisdiction)

PopulationGroup

(from CampaignManagement)

Apportionment


Command & Control(from Strategic National Stockpile)

OrderAsset


SNS Request

(from SNSActivation)

CampaignHistory


CampaignManagement


OrganizationUnit

(from CommandControl)

UnifiedCommand


Notification

(from PODManagement)

Communication


Strategic National Stockpile

(from External Systems)

VAERS


State C&C


LIMS


HIS (Hospital Information System)


RODS


EARS


Bio-Watch


National Broker


ProjectedSpread

(from EventSpreadDetermination)

ManageOID

(from OIDManager)

Subject

(from SpecimenTesting)

AdverseEvent

(from FollowUp)

FollowupManager

(from FollowUp)

Patient_ClinicalHistory

(from PatientDemographics) Patient_ID

(from PatientDemograph...

ManageOID

(from OIDManager)

Patient_Address

(from PatientDemographics)

HL7OutbreakNotification

(from CaseReporting)

CaseHistory


HealthEventManager

(from HealthEvent)

CaseIdentifier


Diagnosis


Patient


ManageOID

(from OIDManager)

PODManagement

(from PODManagement)

Isolate

(from CounterMeasure)

Quarantine


ResponseMonitoring


Dispense


Treatment


Countermeasure


SendAlert

(from DirectAlert)

location

(from GeoSpatial)

ManageOID

(from OIDManager)

EntityExposure

(from HealthEvent)

Address

(from Directory)

Resource

(from TransportationManagement)

Route


Replenishment


IssueAsset


Transport Resource Managment


Dispatch


EnterpriseMessaging<<subsystem>>

(from Common)

subject id

WarehouseManagement<<subsystem>>

(from Logistics)

Early detection, alerting, and counter measures

Version 1.2 182-15-2007

Move from Strategy to Implementation PHIN and Emergency Services Model

Building an Emergency Services Information Exchange Network

USER

BUSINESS

Resource Virtualization Services

Utility Business Services

Business FunctionServices

Business Process Choreography Services

Common Services

User AccessServices

Service Level Automation and Orchestration Services

User Interaction Services

InformationManagement

Services

Component BusinessServices

Enterprise Service Bus

Choreography

Personalization

Reporting

Custom Applications

Packaged Applications

Adaptation

Business Rules

Interaction Acquired ServicesCollaboration

PresentationConnectivity

Information Access

Information Integration

Analytics

Metadata

… … … …… …

Business Connections

Mediation, Messaging, EventsBusiness

Performance Management

BusinessService

BusinessService

BusinessService

BusinessService

BillingRatingMetering Services Peering Settlement

Application Services

Infrastructure Services

Availability Services

Security Services

Workload Services

Configuration Services

Problem Management

Data Placement

Server Storage Resource MappingNetwork Information …

…

…

USER

BUSINESS

Resource Virtualization Services

Utility Business Services

Business FunctionServices

Business Process Choreography Services

Common Services

User AccessServices

Service Level Automation and Orchestration Services

User Interaction Services

InformationManagement

Services

Component BusinessServices

Enterprise Service Bus

Choreography

Personalization

Reporting

Custom Applications

Packaged Applications

Adaptation

Business Rules

Interaction Acquired ServicesCollaboration

PresentationConnectivity

Information Access

Information Integration

Analytics

Metadata

… … … …… …

Business Connections

Mediation, Messaging, EventsBusiness

Performance Management

BusinessService

BusinessService

BusinessService

BusinessService

BillingRatingMetering Services Peering Settlement

Application Services

Infrastructure Services

Availability Services

Security Services

Workload Services

Configuration Services

Problem Management

Data Placement

Server Storage Resource MappingNetwork Information …

…

…

Start with a “hot” component area –product identificationDefine a model (e.g. with WBI Modeler) of the component to be transformed

Identify and design the required supporting infrastructure

Understand the underlying applications infrastructure and how it needs to change


Version 1.2 192-15-2007

Technology

Policy/PlanningProcedureAdministration

Services

Resources

Mission

Mod

e of

Del

iver

ySu

ppor

t Fun

ctio

nsR

esou

rce

Mgt

.

Supporting Applications

-Director, Deputy, CFO-Grants Development Division-Legal Services and Policy Division-Governmental Relations Division-PH Districts-Advisory Boards & Councils

Core: e-mail, network availability, IT maintenance, enterprise architecture & strategy

OIT will develop/align Service Reference Model (SRM),Data Reference Model (DRM), and

Technical Reference Model (TRM) for each line of business

Health CareServices

Consumer Health& Safety

ImmunizationManagement

IllnessPrevention

-Physicians’ Alert-Women, Infant,

Children services

-Web based interface toallow entry of environmentaldata (Environmental Health)

Georgia ImmunizationRegistry (GRITS)

Government Line of Business to Citizens (G2C): Health

PH Monitoring

Vital Records, VitalEvents, NSTS

-WIC Branch-Family Health Br.

-Bioterrorism/Emergency Rsp.

-Environmental Health andInjury Prevention Branch

-Prevention ServicesBranch

-Laboratory Br.-Epidemiology Br.-V. Records Br.

Family Health Br.

-Prevention ServicesBranch

-Chronic Disease Prv.& Health Promotin. Br.

-State Pharmacy-Office of Nursing-Office of Health Information & Policy-IT Liaison

The Division of Public Health (DPH) is responsible for disease control and prevention, the reduction

of avoidable injury-related deaths and disabilities, and the promotion of healthy lifestyles.

Completing the Framework: Public Health Sample

Analysis Phase: Sample Result

Version 1.2 202-15-2007

Functional ArchitectureTier 3

Existing Systems

Tier 2

Service Control Functions Resource FunctionsPresentation Functions Persistence & Connectivity

Web / Gateways Server

Portal Server

Integration Server

Application Server

Directory Server

UDDI

RDBMS

GIS Server

Vocabulary Server

HTTP

SOAP

SMTP

V .XM

L

Web Services

SOAP

RM

I

Business Rules

IIOP

MQ

System Monitor

Choreography

Transformation

State Persistence

Message Service

Connection Management

Clinical Systems

Analysis & Visualization

Case Management System

Adaptor ToolKit

PHIN Portal Application

Custom Adaptors

Search

Transaction ManagerApplication Mgt

SSO

Multi-device

Multi-device

IVR

Fax

CICS

UNIX

Windows

IMS

DBMS

External Services

HTT

PSO

AP

Manage OIDLab Result

Track Sample

Lab Order

CAP Alert Patient

EncounterDiagnosis Complaint

Pharmacy Order

Adverse Event

Specimen

CMR Referral

CMR Follow Up

Investigation NEDSS

LOINC

SNOMED

Enterprise Application ServerSupply Chain Management

Service Utilities

Enterprise Resource PlanningBusiness Intelligence

Enterprise Asset ManagementDemand Planning

Exposure Treatment Reporter Info

GEO Mapping

Org OutbreakNotification

Substance Admin

Notifiable Condition

ValidateVocabulary

HL7

HL7 v2.xHL7 v3.0HL7 CDAPHINMS

NCPDPX12 NOtherCAP 1.0

Internal ServicesGHIN XML HL

7

WEB EOC

SAS

Incident Command System

Outbreak Management System

Countermeasure Response Environmental

Health Information System

App

licat

ion

Infra

stru

ctur

e

Tier 1

Devices

GIS

Version 1.2 212-15-2007

Wireless/Internet

VPN Network Intranet

Intranet/Internet

Multi Partner Complex:Bioterrorism Preparedness Supported by Appropriate Public Health Infrastructure

WirelessSecureGateway

VoiceGateway

EnterpriseServiceBus

LawEnforcement

Hospitals

EMSOffices

PublicHealthLabs

Fire/Rescue

SNS

Virtual Private

Network

FEMA

CDC

HomelandSecurity

PublicHealthOffices

IncidentManagement

CommandControlSystem

ENOC

PublicHealthOffices

Wireless/Radio

Network

MMRS

EMA

IMMUNIZATIONText-VoiceGateway

NEDSS

GIS

VITALRECORDS

Alert Communication

System

Authent.ReverseProxy

VAN

Governor

Firewall

SecureConnection

AuthenticationServices

EnterpriseDirectory

Version 1.2 222-15-2007

Benefits of Integrated Services

• Integrated services improve emergency response and reduces costs

• Provides an integrated view across the continuum of responses

• Creates an integrated process framework that connects health and emergency services to improve operational response efficiency

• Builds common, reusable services

Version 1.2 232-15-2007

Summary

• Without an Enterprise Services Vision and Roadmap for emergency response, today’s response services will remain siloed

• An Enterprise Services Vision and Roadmap is essential to move toward an SOA enabled emergency preparedness

• Make SOA real by tackling cross-enterprise processes

• Service oriented modeling is essential to effective architecture design

Version 1.2 242-15-2007

More Information

http://www.prismsolution.com

Donald GeorgeChief Executive Officer

PRISM Communications System, Inc.1701 Barrett Parkway - Marietta, Georgia 30061

[email protected]

Version 1.2 252-15-2007

Enablement through SOMA: Moving from Strategy to Implementation

Building a Statewide Emergency Services Information Exchange Network

Donald George, CEO PRISM Communications Systems, Inc.

National Emergency Management Summit: March 5, 2007

building a statewide emergency services information ... · adaptor toolkit phin portal application...

Documents