National Emergency Management Summit: March 5, 2007
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National Emergency Management Summit: March 5, 2007. Building a Statewide Emergency Services Information Exchange Network. Enablement through SOMA: Moving from Strategy to Implementation. Donald George, CEO PRISM Communication Systems, Inc. Emergency Response Challenges Today.

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Enablement through soma moving from strategy to implementation

National Emergency Management Summit: March 5, 2007

Building a Statewide Emergency Services

Information Exchange Network

Enablement through SOMA: Moving from Strategy to Implementation

Donald George, CEO PRISM Communication Systems, Inc.


Emergency response challenges today

Emergency Response Challenges Today

Why does Emergency Response need transformation?

-Fragmented infrastructure

-Insufficient planning

-Insufficient policy

-Fragmented operational linkages

Disasters


Emergency response challenges today1

Emergency Response Challenges Today

Why does Emergency Response need transformation?

-Fragmented infrastructure

-Insufficient planning

-Insufficient policy

-Fragmented operational linkages

Diseases


Emergency response challenges today2

Emergency Response Challenges Today

Why does Emergency Response need transformation?

-Fragmented infrastructure

-Insufficient planning

-Insufficient policy

-Fragmented operational linkages

Terrorism


Emergency response challenges today3

Emergency Response Challenges Today

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


How do we transform emergency response

How do we transform Emergency Response?

Why does Emergency Response need transformation?

Business Needs

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


How do we transform emergency response1

How do we transform Emergency Response?

Connect the Information Systems

  • Build an Integrated Health and Emergency Services Framework

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

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


How do we transform emergency response2

How do we transform Emergency Response?

Service-oriented Modeling and Architecture (SOMA)

CBM

Business Vision

SOMA combines Business Vision with Modern and Legacy assetsto achieve an enterprise services architecture.

Model driven development is key.

Top-down: business-driven

Process, event and

variation analysis

1

Specify IT Components,

their services and flow

Business Services linked

To Business Goals

Map components &

Services to best technology,

3

4

5

Service-oriented Architecture

Bottom-up:

Leverage Legacy thru

understanding and transformation

2

Legacy


How do we transform emergency response3

Process integration

Emergency Operations Center

Dispatch

Public Health

First Responders

Federal Agency

How do we transform Emergency Response?

Integrated Business Services

Connect the Information Systems

Reusable, integrated services


How do we transform emergency response4

HL7

ICD-9-CM

CPT-4

SNOMED CT

LOINC

NDC

DSM IV

HL7

IEEE

NCPDP

DICOM

ANSI ASC X12N

SOA

CAP

EDXL

NIMS

How do we transform Emergency Response?

Integrated Health Framework

Connect the Information Systems

Intro to Health and Emergency Standards

Standardized

Data Structures

Standardized

Architecture

Standardized

Emergency Services

Standardized collaboration processes help bring about interoperability.


Enablement through soma moving from strategy to implementation

Public Health

Directory

  • Standards-based communications

  • Open Architecture

  • Web services enabled

Public Health Information Network

Preparedness & Emergency Response

Emergency

Management

Fire, Rescue

EMS

Transportation

Law

Enforcement

911

Federal,

State, Local,

Tribal Govt.

NGOs

Industry

Utilities

Schools,

Education

EPAD

Public Health and PHIN Alignment


How do we transform emergency response5

How do we transform Emergency Response?

Integrated Health Framework

Connect the Information Systems

Intro 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.


How do we transform emergency response6

Service Oriented Analysis

How do you understand the business as services?

How do you enable business agility?

Service Oriented Design

What is the precise behavior of services?

How do you ensure scalability, reliability, etc?

How do you enable technical agility?

Service Oriented Provisioning

How do you determine which Services to use?

How do you choose Service Providers?

Service Oriented Programming

How do you reduce effort to code Web Services?

How do we transform Emergency Response?

Intro to Service Oriented Architecture Modeling

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 Requirements

Service Design

Service

Build

Service Development


How do we transform emergency response7

Atomic Service

Composite Service

Registry

How do we transform Emergency Response?

SOMA Processes

Integrated Services Architecture

First

Responders

Health

Workers

Consumers

Service Consumer

Business Process

Composition; choreography;

business state machines

Data Architecture (meta-data) &

Business Intelligence

QoS Layer (Security, Management &

Monitoring Infrastructure Services)

Governance

Integration (Enterprise Service Bus)

Services

atomic and composite

Service Components

Service Provider

OO

Application

Custom

Application

Packaged

Application

Operational Systems


Roadmaps enable alignment

Roadmaps Enable Alignment


How do we transform emergency response8

Get DI Report

Get OutbreakCase Data

List CD ReportEvents

List DI Results

Get Client IDResolution

List LaboratoryResults

List EncounterEvents

Stream DI Image

Get ProviderInformation

List Laboratory Orders

Get Laboratory Result

List ServiceDeliveryLocations

List Medications

Get EncounterSummary

Get ClinicalDashboard

Get ClientDemographic

Get Prescription

How do we transform Emergency Response?

Longitudinal Record Services

Common Services

Integrated Health Framework

Connect the Information Systems

Communication Bus

Case Study: Public Health Information Network

Health Services

Ancillary Data& Services

EHR Data& Services

DataWarehouse

Registries Data& Services

OutbreakManagement

PHSReporting

SharedHealth Record

DrugInformation

DiagnosticImaging

Laboratory

HealthInformation

ClientRegistry

ProviderRegistry

BusinessRules

EHRIndex

MessageStructures

NormalizationRules

LocationRegistry

TerminologyRegistry

Security MgmtData

Privacy Data

Configuration

HIAL

Public HealthServices

PharmacySystem

EMS Systems

Lab System(LIS)

Hospital, LTC,CCC, EPR

PhysicianOffice EMR

Public Health Provider

Pharmacist

Radiologist

Lab Clinician

Physician/Provider

Physician/Provider

POINT OF SERVICE


Major components of phin

Major Components of PHIN

Early detection, alerting, and counter measures


How do we transform emergency response9

  • Start with a “hot” component area – product identification

How do we transform Emergency Response?

Move from Strategy to Implementation

PHIN and Emergency Services Model

Building an Emergency Services Information Exchange Network

  • Define a model (e.g. with WBI Modeler) of the component to be transformed

  • Understand the underlying applications infrastructure and how it needs to change

  • Identify and design the required supporting infrastructure


Enablement through soma moving from strategy to implementation

Government Line of Business to Citizens (G2C): Health

Illness

Prevention

Consumer Health

& Safety

Immunization

Management

PH

Monitoring

Health Care

Services

Services

Mode of Delivery

-Physicians’ Alert

-Women, Infant,

Children services

-Web based interface to

allow entry of environmental

data (Environmental Health)

Georgia Immunization

Registry (GRITS)

Vital Records, Vital

Events, NSTS

Supporting Applications

Technology

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

Data Reference Model (DRM), and

Technical Reference Model (TRM) for each line of business

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

Support Functions

-WIC Branch

-Family Health Br.

-Bioterrorism/

Emergency Rsp.

-Laboratory Br.

-Epidemiology Br.

-V. Records Br.

Family Health Br.

-Prevention Services

Branch

-Chronic Disease Prv.

& Health Promotin. Br.

Resources

-Environmental Health and

Injury Prevention Branch

-Prevention Services

Branch

-Director, Deputy, CFO

-Grants Development Division

-Legal Services and Policy Division

-Governmental Relations Division

-PH Districts

-Advisory Boards & Councils

-State Pharmacy

-Office of Nursing

-Office of Health Information & Policy

-IT Liaison

Policy/Planning

Procedure

Administration

Resource Mgt.

  • 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. 

Mission

Completing the Framework: Public Health Sample

Analysis Phase: Sample Result


Functional architecture

Tier

2

Tier

3

Tier 1

Resource Functions

Existing Systems

Presentation Functions

Service Control Functions

Persistence

&

Connectivity

Devices

External Services

Web Services

P

P

P

7

A

T

T

L

WEB EOC

T

T

O

H

Clinical

H

H

S

Manage OID

LOINC

Systems

Track

Lab

Lab

Pharmacy

HL

7

v

2

.

x

NCPDP

P

P

Sample

Result

Order

Order

I

A

A

HL

7

v

3

.

0

X

12

N

M

O

O

HL

7

CDA

Other

R

GEO Mapping

S

S

SNOMED

PHINMS

CAP

1

.

0

CAP

NEDSS

Patient

Diagnosis

Investigation

Complaint

Alert

Encounter

P

O

Validate

I

I

Vocabulary

Exposure

Treatment

Reporter

Application

Info

7

Q

Internal Services

P

Countermeasure

L

M

T

H

Response

GHIN XML

M

S

Adverse

CMR

CMR

Substance

Environmental

Event

Admin

Referral

Follow Up

Health Information

L

M

System

X

Outbreak Management System

.

V

Notifiable

Outbreak

Org

Specimen

Case Management

Condition

Notification

System

GIS

Incident Command System

Web

/

Gateways

Integration Server

Message Service

Directory Server

Server

Choreography

CICS

Connection

Multi-device

UDDI

Management

Transformation

UNIX

IVR

Adaptor ToolKit

Multi-device

RDBMS

Windows

Custom Adaptors

GIS Server

Fax

IMS

Vocabulary Server

Infrastructure

DBMS

Application Server

Portal Server

Transaction

Business Rules

SAS

Application Mgt

Manager

State Persistence

Analysis

&

Search

System Monitor

Visualization

PHIN Portal

Application

Enterprise Application Server

SSO

Supply Chain

Business Intelligence

Enterprise ResourcePlanning

Management

Demand Planning

Service

Enterprise Asset Management

Utilities

Functional Architecture


Enablement through soma moving from strategy to implementation

VAN

Homeland

Security

Governor

Wireless/

Radio

Network

Virtual

Private

Network

Authent.

Reverse

Proxy

Incident

Management

Command

Control

System

Alert

Communication

System

EMA

ENOC

FEMA

MMRS

Law

Enforcement

Hospitals

Wireless/

Internet

VPN Network

Secure

Connection

EMS

Offices

Enterprise

Service

Bus

Intranet

Firewall

Wireless

Secure

Gateway

Public

Health

Labs

Authentication

Services

Intranet/

Internet

VITAL

RECORDS

NEDSS

SNS

Fire/

Rescue

Enterprise

Directory

CDC

Public

Health

Offices

GIS

Voice

Gateway

Text-Voice

Gateway

IMMUNIZATION

Public

Health

Offices

Multi Partner Complex:

Bioterrorism Preparedness Supported by Appropriate Public Health Infrastructure


Benefits of integrated services

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


Summary

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


More information

More Information

http://www.prismsolution.com

Donald George

Chief Executive Officer

PRISM Communications System, Inc.

1701 Barrett Parkway - Marietta, Georgia 30061

[email protected]


Enablement through soma moving from strategy to implementation

National Emergency Management Summit: March 5, 2007

Building a Statewide Emergency Services

Information Exchange Network

Enablement through SOMA: Moving from Strategy to Implementation

Donald George, CEO PRISM Communications Systems, Inc.


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