Leveraging Advanced Web Technology to Unleash the

Use of Open Health Tools (OHT)Prepared for

OHT Board Meeting, February 25, 2011

William D. Bajusz, PhDVice President, Business Development

Goldbelt Wolf, LLC, an 8a Alaska Native Corporation (ANC)703-505-1505

William.Bajusz@goldbeltwolf.comwww.LinkedIn.com/in/williambajusz

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Purpose

• To provide a brief overview of how Open Health Tools (OHT) can leverage advanced web technologies (as embodied in Metasoft™ platform)

Key Points• Metasoft™ platform is available today• Our focus to date has been on DoD and

Veterans Affairs Behavioral Health Care but platform extensible to other health domains

• This is not “wish list” technology – US is at least 5 years behind European Union, Japan and Australia

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• “As Is” State of Behavioral Health Care in DoD/VA (Army example)

• Metasoft™ Platform: A Snapshot• Details of Platform• Building the Value Chain• An Architecture for Behavioral Health Care

(Army example)

Army “As-Is” State

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Fact: the Army continues to invest aggressively in physical, mental & spiritual programsFact: Disparity between resources have and what are needed: hiring 900 care providers, but need additional 700-800 which are not availableFact: Persistent global commitments increase distance between care provider and Soldier and frequency of contactFact: Stigma is a major barrierFact: Voluminous resources on web that are stove piped, not readily accessibleFact: Military families are a core concernFact: Web resources generally unavailable for deployed soldierFact: Many family program activities do not fit into families’ schedulesFact: Generational differences affect receptivity to programsFact: Suicidal ideation rooted in many factors

There are real resource gapsThere are virtual resource gaps• Resources on web not always easily accessible• Not optimizing connectivity among Army web platforms – e.g.,

Psychological Health & Family Programs• Not leveraging all resources available in DoD & emerging research

Snapshot: Metasoft™

• Developed by Nexxus Systems using open source components and built to international standards– ISO/IEC 15938 (MPEG 7) – Multimedia Content Description Interface– ISO/IEC 21000 (MPEG 21) – defines technology for Manipulation of

Digital Items– International TV Anytime Forum – founded 1999, >60 members,

personalization of TV experience• Systematic approach to the management and mediation of

rich metadata associated with distributed content, users and technical systems to deliver a new form of personalized and intelligent multimedia programs

• The right information at the right time in the right format

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Metasoft™’s Impact

Full integration withLiferay Portal means1. Gateway to existingportals, web sites2. Entry for new functionalportals (e.g., telehealth)3. Personalized services

• Organization• Individual

4. Full capability for processingdata, text5. Extensive suite of Collaborative tools6. Integrated withMS Office7. Industry standard

Simple API (Application Programming Interface)

Metasoft™ Overview

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Metasoft™ Platform

Virtual Federated Databases

Industry standard free portal used by Cisco and others fullyintegrated in Metasoft™ platform

Stand-alone databases with proprietary schema

Full integration withLiferay Portal means1. Gateway to existingportals, web sites2. Entry for new functionalportals (e.g., telehealth)3. Personalized services

• Organization• Individual

4. Full capability for processingdata, text5. Extensive suite of Collaborative tools6. Integrated withMS Office7. Industry standard

Simple API (Application Programming Interface)

Metasoft™ Enables Easy Use of Non-Linear Content from Other Web Sites

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Metasoft™ Platform

NGB JSSMilitaryOneSourceVA Sites (e.g., VISN 19)

Comprehensive SoldierFitness

OtherDCoEs

Community Covenant

Service Oriented Architecture

Incorporating Comm

on Protocols for .Net, Java, Flash, Flex, O

ther

Web services allow bi-directional content management

Non-programmatic interface for content managers

Customization of content based on usage tracking, preference settings

Metasoft uses content from other sites; other sites use Metasoft content

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Administrator

• Enterprise Console

• API Workbench

• Publishing Console

• Content Catalog

• Rules Engine• Import XML• Forums• Issue Tracker

Manager

• API Workbench

• Publishing Console

• Content Catalog

• Quality Control

• Media Guide• Issue Tracker• Forums

Publisher

• Publishing Console

• Media Guide• Forums• Issue Tracker

Members

• Media Guide• Forums• Issue Tracker

Enterprise

• Enterprise Service Bus

• Transformation Services

• Business Process Engine

Metasoft contains an extensive suite of cutting edge tools and technologies that are designed to facilitate non-programmatic XML publishing, business process automation, application programming interfaces (API's) and advanced Web Service communications.

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Aggregate and index existing resources

Organize and integrate assets into specific treatment programs

Define target specific audiences for content, advertising and outreach

campaigns

Define intervention and treatment profiles

Organize treatment specific programs into playlists

Create topic specific channels

Enable a marketplace

Phased plan with milestones and metrics for reaching particular audience

Embed media guide and player for distribution in social media sites like

Facebook and YouTube

Analyze media consumption and usage history

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The embeddable media guide is a personalized media player that displays recommended programs, play lists, channels, advertising, marketplace content and relays user feedback and input.

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Building the Value Chain

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New or Existing

User

Login

AC

PH

P H

oli

stic

He

alth

Gat

ew

ay

Medical Informatics• Text

analysis• Voice

Stress Analysis

• Question-naire

Responses• Affective Computing• Other

“TRIAGE”• PTSD• TBI

• Suicidal Ideation

• Depression• OCD

• Generalized Anxiety Disorder

• Substance Abuse

• Bi-polar disorder

• Other

Treatment Pathways

• Store-And- Forward

• Remote Monitoring

• Interactive• Modality Combinations

PersonalizedTreatment

Plans • Military

Treatment Facility (MTF)

• VA Medical Centers

• VA Outpatient

Centers• CP

• Deployed Soldier

Compliance Monitoring tailored to individual

patient

Continuous Follow-Up tailored to individual

patient

Record Storage and Retrieval: EMR, HER, HIE, HIO

Cloud Computing

Metasoft™ Platform

Integrated Systems & Content Engineering & Medical Expertise

Motivational ModelFor Patient & Physician Compliance

Virtually Federated Databases

DoDAF Operational View 2 (OV-2): Psychological Health, Education & Outreach“The primary purpose of the OV-2 is to defined capability requirements within an operational context. The OV-2 may be also used to express a capability boundary.”

PHI

On-Line

Virtual Treatment

Facility

Crisis Intervention

TelephonyIn-PersonVTC

Early Intervention

TelephonyIn-PersonVTC

Illustration Using Army Behavioral Health Care

Value Proposition: Who’s Impacted?

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Improved quality of care through evidence-based practices along continuum of care

Improved breadth of care coverage for patients through use of multiple formats

Metasoft™ & other OHT reduce infrastructure costs & services management

Platform for Continuous Quality Improvement and innovation through

productivity growth

Infrastructure, Tools,

Management of

Services

Insurance Providers

Primary Care

ProvidersResearchers

Employers

Patients & Families

Leading HealthCare Transformation Through OHT and Technology That Is Changing the Web

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Q & A