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Open Source’s Role in CONNECTing the Public and Private Sector Healthcare Communities David Riley, CONNECT Lead FHA, Contractor OSCON, July 21
A Nation’s Call to Action ,[object Object],[object Object]
The Current State of Affairs: A Disjointed, Expensive Healthcare System ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The National Health IT Agenda
Federal Health Architecture Advancing the Agenda ,[object Object],[object Object],c
CONNECT Meeting Multiple Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],Reform Objectives Meaningful Use Objectives Transparent Government Objectives
NHIN Exchange and CONNECT  ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONNECT and Open Source ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHIN/CONNECT Implementation Status Test/Demo Production Federal Adopters Centers for Disease Control & Prevention  Centers for Medicare & Medicaid Services OFM (esMD) OCSQ (PQRI)   OCSQ (C-HIEP)   CMSO (MITA Claims Submission) Department of Defense Department of Homeland Security Department of Veterans Affairs Food and Drug Administration Federal Communications Commission Indian Health Service National Cancer Institute National Disaster Medical System Social Security Administration 2010* 2010* 2010* 2010* 2010* 2010* 2010* 2010-2011* 2010-2011* 2010* 2010 2009 2010* 2010* 2009 CONNECT and NHIN * Planned
NHIN/CONNECT Implementation Status Test/Demo Production Non-Federal Adopters Center for Healthy Communities, Wright State University, Healthlink Central Virginia Health Network/MedVirginia Community Health Information Collaborative (CHIC) Emdeon EPIC HealthBridge Indiana State Department of Health Iowa Department of Public Health Iowa Health Systems Kaiser Permanente MedVirginia MEDNET in Partnerships Community Health Information Collaborative (aka HIE-Bridge) LACIE –Lewis and Clark Information Exchange Emdeon Hielix – Phase 1 Contract for the State of North Dakota Statewide HIE New York State Department of Health Orange County ER Connect Redwood MedNet Regenstrief Institute, Inc. Southeastern Michigan Health Association Thayer County Health Services Washington State Department of Health  2010* 2010* 2009 2010* 2010* 2010-2011* 2009 2010-2011* 2010* 2010-2011* 2010-2011* 2010* 2009 2009 2010* 2010* 2010* 2010 2010-2011* 2010-2011* 2009 2010* CONNECT CONNECT and NHIN * Planned
Vendors Solutions with CONNECT Reflection Technologies
NHIN Exchange Specifications and Operational Infrastructure Transaction Profiles Utilize exchange patterns for specific transactions CMS CARE Doc Submission CDC GIPSE HIEM Discovery and Information Exchange Services Rely on foundations to enable exchange patterns Messaging, Security, & Privacy Foundations Enable private, secure, and interoperable communication of health information Messaging Platform Authorization Framework MITA  Eligibility Verification Discovery Pull Push Pub/Sub Patient Discovery HIEM Doc Submission Services Registry Query & Retrieve Docs Eligibility Verification Operational Infrastructure Runtime systems that support the NHIN Limited Production Exchange Security Infrastructure (managed PKI) Web Services Registry Access Control Policy
CONNECT Development Environment  Version 3.0 Item Version Java JRE/JDK 1.6 Update 16  (32-bit version) GlassFish 2.1.1 NetBeans 6.7.1 Metro 1.5 MySQL 5.1.41 SoapUI 3.0.1
CONNECT Architecture Message from NHIN
CONNECT Architecture Message to NHIN
CONNECT Adapter: Organizational SOA Starter Kit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What’s cooking for CONNECT 3.1? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What’s cooking for CONNECT 3.1? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Work anticipated in CONNECT 3.2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upcoming Events ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONNECT Community Portal connectopensource.org

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Open source’s role in CONNECTing the public and private sector healthcare communities

  • 1. Open Source’s Role in CONNECTing the Public and Private Sector Healthcare Communities David Riley, CONNECT Lead FHA, Contractor OSCON, July 21
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  • 9. NHIN/CONNECT Implementation Status Test/Demo Production Federal Adopters Centers for Disease Control & Prevention Centers for Medicare & Medicaid Services OFM (esMD) OCSQ (PQRI) OCSQ (C-HIEP) CMSO (MITA Claims Submission) Department of Defense Department of Homeland Security Department of Veterans Affairs Food and Drug Administration Federal Communications Commission Indian Health Service National Cancer Institute National Disaster Medical System Social Security Administration 2010* 2010* 2010* 2010* 2010* 2010* 2010* 2010-2011* 2010-2011* 2010* 2010 2009 2010* 2010* 2009 CONNECT and NHIN * Planned
  • 10. NHIN/CONNECT Implementation Status Test/Demo Production Non-Federal Adopters Center for Healthy Communities, Wright State University, Healthlink Central Virginia Health Network/MedVirginia Community Health Information Collaborative (CHIC) Emdeon EPIC HealthBridge Indiana State Department of Health Iowa Department of Public Health Iowa Health Systems Kaiser Permanente MedVirginia MEDNET in Partnerships Community Health Information Collaborative (aka HIE-Bridge) LACIE –Lewis and Clark Information Exchange Emdeon Hielix – Phase 1 Contract for the State of North Dakota Statewide HIE New York State Department of Health Orange County ER Connect Redwood MedNet Regenstrief Institute, Inc. Southeastern Michigan Health Association Thayer County Health Services Washington State Department of Health 2010* 2010* 2009 2010* 2010* 2010-2011* 2009 2010-2011* 2010* 2010-2011* 2010-2011* 2010* 2009 2009 2010* 2010* 2010* 2010 2010-2011* 2010-2011* 2009 2010* CONNECT CONNECT and NHIN * Planned
  • 11. Vendors Solutions with CONNECT Reflection Technologies
  • 12. NHIN Exchange Specifications and Operational Infrastructure Transaction Profiles Utilize exchange patterns for specific transactions CMS CARE Doc Submission CDC GIPSE HIEM Discovery and Information Exchange Services Rely on foundations to enable exchange patterns Messaging, Security, & Privacy Foundations Enable private, secure, and interoperable communication of health information Messaging Platform Authorization Framework MITA Eligibility Verification Discovery Pull Push Pub/Sub Patient Discovery HIEM Doc Submission Services Registry Query & Retrieve Docs Eligibility Verification Operational Infrastructure Runtime systems that support the NHIN Limited Production Exchange Security Infrastructure (managed PKI) Web Services Registry Access Control Policy
  • 13. CONNECT Development Environment Version 3.0 Item Version Java JRE/JDK 1.6 Update 16 (32-bit version) GlassFish 2.1.1 NetBeans 6.7.1 Metro 1.5 MySQL 5.1.41 SoapUI 3.0.1
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  • 21. CONNECT Community Portal connectopensource.org

Notas do Editor

  1. Verify all logos are current
  2. CGI - Providing integration and implementation support. Cisco - Offering “CONNECT in a box” packaged with Cisco router Google - Incorporating CONNECT into its open source PHR offering Harris - Providing integration, support services and adaptor development Initiate - Integrating with Initiate’s master patient index by developing the customized adapter Internet2 - Evaluating ways CONNECT can enable data exchange between rural health care providers within a region and across the country Jericho - Developed a cross enterprise security and privacy authorization component and made it open source for the CONNECT community. The component was included in the CONNECT release 2.1 Mirth - Creating an open source healthcare integration engine for CONNECT to fast track the last mile of integration between CONNECT and edge systems SAIC - Offering implementation support for CONNECT Sun - Providing product support for the Sun components in CONNECT and offering integration support from CONNECT to their open source MPI. Vangent - Created an open source XDS.b to support federated document repositories and a document registry that will be incorporated into CONNECT 2.2. The company is also offering implementation services
  3. Patient Discovery – provides a means for a NHIN node to query another to determine if it is a source of information for a specific patient Query & Retrieve Docs – an exchange pattern that allows NHIN nodes to locate and retrieve patient-specific clinical documents held by other NHIN nodes Health Information Event Messaging (HIEM) – a publish/subscribe exchange pattern that allows a NHIN node to establish a subscription to information available from another for periodic exchange Document Submission – a push mechanism that allows an initiating NHIN node to send one or more documents for a given patient to a receiving node Services Registry Interface – provides a means for NHIN nodes to obtain information on other nodes and service endpoints
  4. Need a new pix to reflect patient discovery instead of subject discovery
  5. Subject discovery replacement pix needed