public health data standards consortium
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
AT&T Government Solutions Integrated solutions from a trusted sourcesm
Public Health Data Standards Consortium
March, 2004
Maureen T. Kitchelt
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AT&T Government Solutions Integrated solutions from a trusted sourcesm
AT&T Labs – Research: Technologies for Anomaly Detection
AT&T / QuestStatisticalAnalysis
Environment
PortalB
EA
, Plumtree, O
racle, BR
IO
AT&T / QuestAlert
ManagementCenter
CO
NT
RO
LD
AT
A
CustomerData
Loading
DataWarehouse
PartnerStatisticalAnalysis
Environment
FIR
EW
AL
L
“Streaming”AnomalyDetection
“Forensic”AnomalyDetection
AnomalyWarehouse
PartnerAlert
ManagementCenter
PortalB
EA
, Plumtree, O
racle, BR
IOP
artners Portal
FIREWALL
KnowledgeManagement
Center
PortalB
EA
, Plumtree, O
racle, BR
IOPortal
BE
A, Plum
tree, Oracle, B
RIO
Alert D
istribution
ProprietaryPartners
Data
QuestDiagnostic
DataWarehouse
PartnerData
E.g. HospitalDischarge /Lab Data
AT&T / Quest DiagnosticsBioSurveillance Engine: Database, Analytics, Visualization, Case Management
Labs TechnologyBuilding 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.
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AT&T Government Solutions Integrated solutions from a trusted sourcesm
CDC orpublic health office
Hospital
Labs
Partners
Partners
Detection and reporting of
anomalous patterns and trends in both tests and results
Roll-up of data at county state and
national levels: Filters and transforms data,
manages security access
Alerts on conditions of concern and early warning
alerts – syndromic surveillance based on unusual
patterns of ordered tests
CDC/StatePublic Health Office
Integrate and process massive amounts of data
HealthServicesNetwork
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)
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
Standards-based:SOAP, XML, WSDL,
UDDIHL7
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Alert Distribution
KnowledgeManagement
SurveillanceReporting
KnowledgeRepository
FAX
E-mail toFax Provider
Cellphonephone#@provider.comE-mail
Addressprovided by
user
Pager
pager#@provider.com
InternetDelivery
via SMTP
MSN/Yahoo/JabberMessenger
PocketPC
Cell Phone
Pager
E-Mail GW
Instant Message GW SMS GWHTTP GWWAP GW
Voice/FAX GW Telnet GW SIP GW
AT&T Mobile Network AAA
Profiles
Location services
FirstResponders
HealthDepartment(CDC, State,
Local)
VariousInformation
Systems
(CDC, Stateand Local
HealthDept's,
Hospitals,Universities)
InformationSystem Egress
andVPN Server
InternetVia HTTP,
HTTPS,SOAP
InternetExplorer
6.0(send and
viewalerts)
Users
Universities
Physicians
Hospitals
.NETCHAINWebApp
Server
.NETAlert
ReceiverWeb
Service
InvizeonCHAINWeb
Services
VPN Server
Knowledge DrivenDelivery AgentDocuments
Database
Alerts andTrackingDatabase
Research /KnowledgeDatabase
AuthenticationServices
ActiveDirectoryDatabase
Firewall
SurveillanceDatabase
User andParticipantDatabase
Knowledge basedSurveillance Agent
KMKM EngineEngine
KMKM EngineEngine
Users
AT&T Bio-Surveillance Solution Overview
AT&T Research - LabsQuest Diagnostics ATT
WebService Connect™
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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
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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
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Partners: Quovadx
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
Solutions Architected for Change
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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)
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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
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AT&T Government Solutions Integrated solutions from a trusted sourcesm
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)
AT&T Government Solutions Integrated solutions from a trusted sourcesm
Back-Up Slides
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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
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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
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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
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AT&T Government Solutions Integrated solutions from a trusted sourcesm
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
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AT&T Government Solutions Integrated solutions from a trusted sourcesm
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
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AT&T Government Solutions Integrated solutions from a trusted sourcesm
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)
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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
AT&T Government Solutions Integrated solutions from a trusted sourcesm
Thank you.
Maureen T. KitcheltDirector, Strategic SalesHealthcareAT&T Government [email protected]