Public health data standards consortium
This presentation is the property of its rightful owner.
Sponsored Links
1 / 19

Public Health Data Standards Consortium PowerPoint PPT Presentation


  • 73 Views
  • Uploaded on
  • Presentation posted in: General

Public Health Data Standards Consortium. Maureen T. Kitchelt. March, 2004. AT&T Labs – Research: Technologies for Anomaly Detection. Partner Data E.g. Hospital Discharge / Lab Data. Proprietary Partners Data. Knowledge Management Center. Quest Diagnostic Data Warehouse. CONTROL.

Download Presentation

Public Health Data Standards Consortium

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Public health data standards consortium

Public Health Data Standards Consortium

Maureen T. Kitchelt

March, 2004


Public health data standards consortium

AT&T Labs – Research: Technologies for Anomaly Detection

Partner

Data

E.g. Hospital

Discharge /

Lab Data

Proprietary

Partners

Data

Knowledge

Management

Center

Quest

Diagnostic

Data

Warehouse

CONTROL

Portal

BEA, Plumtree, Oracle, BRIO

Partners Portal

Portal

BEA, Plumtree, Oracle, BRIO

DATA

Customer

Data

Loading

“Streaming”

Anomaly

Detection

Anomaly

Warehouse

Data

Warehouse

“Forensic”

Anomaly

Detection

FIREWALL

AT&T / Quest

Alert

Management

Center

Portal

BEA, Plumtree, Oracle, BRIO

Portal

BEA, Plumtree, Oracle, BRIO

Alert Distribution

AT&T / Quest

Statistical

Analysis

Environment

Partner

Statistical

Analysis

Environment

FIREWALL

Partner

Alert

Management

Center

Labs Technology

Building Blocks:

Rapid deployment,

tested in critical applications

  • Daytona: Massively-scalable open-architecture data management system; e.g. 350M records/day, 500B records online, 92TB data warehouse.

  • Signature Analytics:

    • Signatures: Continuously-updated historical profile, physician, geography, test combinations, for real-time anomaly detection

    • Hancock: Match data streams to pattern templates at very large scale

    • Community of Interest: Relationship graphs, massively updated, e.g. 500M keys, 63B comparisons daily.

  • Global Case Management: 1,000’s of alerts daily, managed as cases, rule-based handling by experts; YOIX, a development environment for distributed applications.

  • SWIFT Dynamic Visualization: US and global mapping to ZIP level and better, comprehensive boundary files, multiple variables and graph types, drill down, pixelmap (terrain) overlay.

AT&T / Quest Diagnostics

BioSurveillance Engine: Database, Analytics, Visualization, Case Management


Public health data standards consortium

Business Objectives

  • Surveillance: Detect outbreaks—bio-terrorist, foodborne, etc

  • Effective interventions to prevent disease and promote health

  • Investigation of causes and transmission pattern, MRSA pattern

AT&T Solution

  • Provide Public Health Services directory

  • Connect securely and reliably with hospitals, labs and public health offices

Client Benefits

  • False Positives Reduced

  • Serve multiple levels of public health data needs

  • Limited IT investment

  • Roll-up of Data at county, State and National levels

  • Single source elect policy and control access

ATT WebService Connect™: CDC/Public HealthReal time interoperable network needed for data and communicationexchange with myriad partners -- Public Health Information NetworkProvide Real-Time Access to Data for bio-surveillanceand health care data needs (treatment, policy, outcomes)

CDC/State

Public Health Office

Integrate and process massive amounts of data

Roll-up of data at county state and national levels: Filters and transforms data,

manages security access

Hospital

Health

ServicesNetwork

Labs

CDC or

public health office

Partners

Detection and reporting of anomalous patterns and trends in both tests and results

Alerts on conditions of concern and early warning alerts – syndromic surveillance based on unusual patterns of ordered tests

Partners

Standards-based:

SOAP, XML, WSDL, UDDI

HL7


Public health data standards consortium

Knowledge

Repository

AT&T Bio-Surveillance Solution Overview

Users

Users

Knowledge

Management

Location

services

MSN/Yahoo/Jabber

Surveillance

Knowledge based

Surveillance Agent

Physicians

Surveillance

Reporting

Messenger

Database

Pocket

PC

E-mail

KM

Engine

Universities

Hospitals

Research /

.NET

Knowledge

CHAIN

Database

Web

App

Internet

Server

Explorer

6.0

Cell Phone

First

Alerts and

(send and

Firewall

Responders

Tracking

view

Database

Pager

alerts)

Invizeon

CHAIN

Alert Distribution

.NET

Web

Internet

Alert

Knowledge Driven

Delivery Agent

Health

Services

WAP GW

HTTP GW

Instant Message GW

SMS GW

Via HTTP,

Receiver

Documents

AAA

Department

HTTPS,

Web

Database

(CDC, State,

AT&T Mobile Network

Service

SOAP

Local)

Profiles

E-Mail GW

Voice/FAX GW

Telnet GW

SIP GW

User and

Participant

Various

Database

Information

Internet

VPN Server

Systems

Delivery

via SMTP

(CDC, State

and Local

Health

Active

Dept's,

Directory

Information

Hospitals,

Database

System Egress

Universities)

and

E-mail to

VPN Server

Fax Provider

[email protected]

AT&T Research - Labs

Quest Diagnostics

ATT WebService Connect™

Pager

Authentication

Services

Cellphone

E-mail

[email protected]

Address

provided by

FAX

user


Public health data standards consortium

Partner: Quest Diagnostics

Leading provider of diagnostic testing, information and services. Clients are consumers, physicians, hospitals, insurers, employers, and government agencies.

ANNUAL TESTING PERFORMED

  • Personal health testing on over 100 million patient encounters

  • Over 375 million diagnostic laboratory tests

  • 6.5 Million Genetic tests

WORLD’S LARGEST PRIVATE DATABASE OF CLINICAL TEST RESULTS

  • To provide surveillance of disease trend data

    across broad populations of patients


Public health data standards consortium

Partner: Health Language, Inc.

  • World's leading provider of terminology software, services, and language engines

  • Dramatically enhances bio-surveillance pattern recognition in

  • aggregate data with concept-indexing

  • Enables use of worldwide health data code sets, standards and

  • terminologies

  • In use worldwide by major vendors and health ministries


Public health data standards consortium

Partners: Quovadx

Quovadx is a global software company that helps organizations redevelop, extend and integrate customizable applications with the flexibility of open standards.

Solutions Architected for Change

Integrate Disparate Applications and Automate Information Flow

…Rated Number 1 by KLAS for Integration Engine, 2003

  • Integrate incompatible applications to effectively share or distribute information

  • Automate the flow of associated information and processes to create operational efficiencies

  • Rapidly develop applications, via reusable components, to effectively manage and securely share information via the Web

  • Built on QDX™ Platform V, the QUOVADX™ Government Adaptive Framework gives local, state and federal agencies the ability to implement integrated, automated business processes that span agencies, geographies and partners. QDX™ Platform V delivers complete business process management and integration on an industry-leading XML Web services platform to help government


Use of data

Use of Data

  • Standards facilitate collaboration

  • Collect it once, use it repeatedly

  • Treatment vs. Policy

  • Data Analytics

  • Future policy perspective

  • Real time data vs. standards-based repository

  • Just in time data (as needed for application)


The at t solution

The AT&T Solution

Key Components

  • AT&T Global Intelligent Network

  • AT&T WebServices Connect

  • AT&T Labs Technologies: DB, Signature Analytics, Visualization

  • Quest Diagnostics’ Syndromic Surveillance; >> 8M tests daily

  • Health Language Data Transformation tools

  • Quovadx Hospital Information Integration Systems

    Key Benefits

  • Rule-based expert anomaly management before alerts are issued

  • Unlimited data – No logical limit on data warehouse size

  • Unlimited analytics – Local surveillance at a national scale

  • Incorporates multiple levels of health data, local and national

  • Serve multiple levels of public health surveillance needs

  • Managed service implementation available

  • Frees funds for solving identified problems


Syndromic surveillance

Syndromic Surveillance

Standards facilitate collaboration

  • Analyze once, apply repeatedly

  • Treatment vs. Policy

  • Analytics & Visualization

  • Future policy perspective

    Real time alerting vs. standards-based repository

  • Just in time informatics (as needed for application)


Back up slides

Back-Up Slides


Scenario today s presentation focus syndromic surveillance challenges

Scenario:Today’s Presentation FocusSyndromic Surveillance Challenges

  • Signal to Noise Ratio

    • Excessive False Positives

    • Inadequate ability to detect signal

  • Roll Up to National Level Takes Weeks/Months

  • Extremely Limited Ability to Detect an Unidentified Organism or Bio-agent, or other Unanticipated Event

  • Volume and Variability of Available Data

  • Local Efforts Do Not Detect Cross-Jurisdictional Findings

  • Lack of Data Standards


The solution syndromic surveillance with re purposing

The Solution:Syndromic SurveillanceWith Re-Purposing

  • Expedite Re-Use of Data Already Being Analyzed

  • Deep Visibility of Out-patient/physician Office Testing Segment

  • Roll-up of Data at County, State, and National Levels

  • Single Source Electronic Reporting of National Surveillance Data for Bio-Terrorism and Emerging Infectious Disease Detection as well as for enhanced surveillance for other issues of public health concern

  • Properly de-identified for HIPAA Compliance

  • Availability of Denominator Data


The solution quest diagnostics syndromic surveillance

The Solution: Quest Diagnostics’Syndromic Surveillance

  • Complete Nation-wide Coverage

  • Data Distribution Representative of Population Distribution Based on Comparisons to Census Data

  • Routine and Esoteric Test Orders and Results

  • Large Normative Data Pool for Many Routine Tests


The solution integration of other sources and compliance to standards

The Solution:Integration of Other Sourcesand Compliance to Standards

  • Other Sources

    • Hospitals

    • Pharmacies

    • Others

  • Standards

    • Integration with products such as Health Language products

      • LOINC

      • SNOMED

    • HL7


The solution syndromic surveillance algorithms

The Solution:Syndromic SurveillanceAlgorithms

  • Detection and Reporting of Anomalous Patterns and Trends in Both Tests and Results

  • Detectable Bio-terrorist Attack or Disease Outbreak on the Basis of Sudden Spikes in Orders, Even If Results All Negative

  • Identification of Cross-jurisdictional Outbreaks


The solution syndromic surveillance alerts

The Solution:Syndromic Surveillance Alerts

  • Targeted Alert Messages

  • Alerts on Conditions of Concern That May Not Currently Be Reportable

  • Early Warning Alerts – Syndromic Surveillance Based on Unusual Patterns of Ordered Tests

  • Interface to AT&T’s CHAIN-EMN™ Service

    • Update and acknowledgement to Public Health Officials (State and Local, roles-based response)


Our value proposition

Our Value Proposition

  • Streaming Analysis

  • Forensic Analysis

  • Results Presented Using Visualization and Other

    Reporting Tools

  • Reduce Investment and Risk

  • Web-Based Access and Collaboration

    • Customized Portal

  • Applying specific funds for public health

    • Surveillance

    • Investigation of causes and transmission pattern

    • Effective interventions to prevent disease and promote health

    • Real time interoperable network for data and communication exchange with myriad partners


Thank you

Thank you.

Maureen T. Kitchelt

Director, Strategic Sales

Healthcare

AT&T Government Solutions

703.506.5870

[email protected]


  • Login