NewWave Telecom & Technologies, Inc.            www.newwave-technologies.com                                       Agenda ...
NewWave Telecom & Technologies, Inc.                                      www.newwave-technologies.com                    ...
NewWave Telecom & Technologies, Inc.                                   www.newwave-technologies.com                       ...
NewWave Telecom & Technologies, Inc.                   www.newwave-technologies.com                               Current ...
NewWave Telecom & Technologies, Inc.               www.newwave-technologies.com                                  Innovatio...
NewWave Telecom & Technologies, Inc.                    www.newwave-technologies.com                               Current...
Pre-Mongo Physical Architecture –         Electronic Health Records                     Load	  Balancer	     IBM	  	      ...
NewWave Telecom & Technologies, Inc.                               www.newwave-technologies.comHealth Information Technolo...
NewWave Telecom & Technologies, Inc.                      www.newwave-technologies.com                                    ...
Why Mongo Over RDBMS?	  	        ü  Design-as-you-go	  {	          	  “_id”	  :	  ObjectId("4efa8d2b7d284dad101e4bc9"),  ...
Why Mongo Over RDBMS?	  ü  For Applications requiring high performance and    scalability without compromising on functio...
NewWave Telecom & Technologies, Inc.                        www.newwave-technologies.com                       How We Use ...
NewWave Telecom & Technologies, Inc.                                                                  www.newwave-technolo...
NewWave Telecom & Technologies, Inc.                                www.newwave-technologies.com                          ...
NewWave Telecom & Technologies, Inc.                                             www.newwave-technologies.com             ...
NewWave Telecom & Technologies, Inc.                                        www.newwave-technologies.com                  ...
NewWave Telecom & Technologies, Inc.                            www.newwave-technologies.com                       Physica...
NewWave Road MapNewWave Telecom & Technologies, Inc.   www.newwave-technologies.com
NewWave Telecom & Technologies, Inc.                                            www.newwave-technologies.comMulti-Cloud   ...
NewWave Telecom & Technologies, Inc.                                    www.newwave-technologies.com                      ...
QUESTIONS??	                    Linkedin.com/company/newwave_technologies   @NewWave_Tech
Webinar: Electronic Health Records (EHRs) and MongoDB - Advancing the Data Platform for the Future
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Webinar: Electronic Health Records (EHRs) and MongoDB - Advancing the Data Platform for the Future

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This webinar will focus on how NewWave Telecom & Technologies, Inc incorporates MongoDB into your medical/healthcare records. There was demand for NewWave to produce a scalable, clinical data acquisition product that allowed healthcare providers to collect patient information from multiple systems. They needed a database solution that could handle big and small data without turning to expensive enterprise solutions. MongoDB proved to have the capability of creating a flexible repository that both read and solved sundry system formats. This webinar will cover the initial issues with data collection of one’s electronic health records and how MongoDB delivers a new perspective on data modeling.

Published in: Technology

Webinar: Electronic Health Records (EHRs) and MongoDB - Advancing the Data Platform for the Future

  1. 1. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Agenda •  Who is NewWave? •  Why Mongo? •  How NewWave Uses Mongo •  NewWave’s Road Map •  Questions?
  2. 2. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Who is NewWave? —  Established provider of innovative IT services, solutions and support since 2004. —  SEI CMMI Maturity Level II Company —  8(a) Small Business, MBE Certified —  GSA IT Schedule 70 & 8(a) STARS II —  Outstanding history in supporting Federal Healthcare Programs for years —  Reputation for providing commercial and federal government clients reliable, cost effective technical solutions
  3. 3. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com NewWave Customers Federal Emergency Management Agency (FEMA) •  Workman Compensation Claims Management Department of Health and Human Services •  Center of Medicaid and Medicare Services (CMS) •  Quality Net Identity Management (QIMS) •  Data Management (DM) IDIQ •  Electronic Health Records •  Research, Data and Information System (RDIS) IDIQ •  Data Collection Task •  MCSIS – Information Sharing System
  4. 4. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Current Projects Provider Screening Challenge (Crowdsourcing) “To develop a multi-state, multi-program provider screening application capable of risk scoring, credential validation, identity authentication, and sanction checks, while lowering burden on providers and reducing administrative and infrastructure expenses for States and federal programs” •  To operate in a cloud-based environment •  Federal Healthcare is looking for “reliable, scalable, and cost-effective” software to improve screening of providers across state and program lines
  5. 5. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Innovation Lab
  6. 6. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Current Projects Transformed Medicaid Statistical Information System “Evaluate the final multi-state, multi-program provider screening application capable of risk scoring, credential validation, identity authentication, and sanction checks technical solution and provide information technology (IT) technical assistance for States implementing and piloting this solution” •  To provide IT technical assistance (TA) including working with states as it relates to their state system requirements, IT system builds, and associated interfaces
  7. 7. Pre-Mongo Physical Architecture – Electronic Health Records Load  Balancer   IBM     IBM  HTTP  Server   HTTP  Server   •  Traditional Architecture •  Not easily scalable  WebSphere   WebSphere   Oracle  DB2   Oracle   Oracle  DB2   DB2  
  8. 8. NewWave Telecom & Technologies, Inc. www.newwave-technologies.comHealth Information Technology and the Big Data The need and the trends “If US healthcare were to use big data creatively and effectively to drive efficiency and quality, the sector could create more than $300 billion in value every year. Two-thirds of that would be in the form of reducing US healthcare expenditure by about 8 percent.” - McKinsey —  Making data available in real or near-real time —  Processing data without much moving around —  No need to replace with bigger and powerful servers; just add nodes to the existing infrastructure …and so MongoDB
  9. 9. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Why Mongo? File Storage: •  GridFS Cost   ETL Data: •  Built-in aggregation framework for simple applications •  Integrates with Hadoop for complex data aggregation using Map/Reduce Versatility: Compa5bility   •  Cloud-friendly •  Java-friendly Performance   Schema-free: •  Agile Availability  
  10. 10. Why Mongo Over RDBMS?     ü  Design-as-you-go  {    “_id”  :  ObjectId("4efa8d2b7d284dad101e4bc9"), ü  Agile Methodology  “providerName”  :    “Dave  Dawson”,      “specialty”  :  “  Internal  Medicine”  }  {    “_id”  :  ObjectId("4efa8d2b7d284dad101e4bc9”),    “providerName”  :    “Steve  Towson”,      “specialty”  :  “  Physical  Therapy”,    “fileName”  :  “  xray.jpg”  }          
  11. 11. Why Mongo Over RDBMS?  ü  For Applications requiring high performance and scalability without compromising on functionality
  12. 12. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com How We Use Mongo? •  Storing Electronic Health Records •  Mongo provides a convenient, powerful and NETEZZA TERADATA robust way to store structured/unstructured Oracle data IBM •  Leverage the use of GridFS to store large files, that are stored as chunks. •  Integrate with Hadoop and “BI tool” to Hadoop analyze data from local and external stores using Map/Reduce framework in Mongo. Electronic   Health  Data   MongoDB MongoDB ApplicaWon   MongoDB
  13. 13. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Architecture HTTP   Diagram FTP   Spring  Security   HTML  5   File   JQuery   Camel   Spring   Spring   Framework   Ac5vi5-­‐BPM/   Security   JMS   Drools   Open  Geo     Spring  Data     Elas5c  Search   SMTP       Ac5ve   MongoDB   GridFS   MQ   Hadoop  
  14. 14. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com EHR Requirement: Efficient Data Exchange The Need FTP   •  Exchange data smoothly and securely among different actors File   •  Guaranteed interoperability Camel   The Solution : Apache Camel •  Patterns to implement routing and mediation rules JMS   in Java via Spring based XML Spring  Data   •  Uses URIs to work directly with any kind ofSMTP   Transport or messaging model ( FTP, File, JMS   etc.) Ac5ve   •  Provides Business Activity Monitoring (BAM) MQ MongoDB   •  Convenient storage of ETL data to Mongo   •  Parallel processing and ordering of messages for throughput and load balancing
  15. 15. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com EHR Requirement: Spatial Data and Search The Need: •  Data Integration and spatial visualization •  View epidemiological region •  Demographic analysis •  Allow users to search health records efficiently The Solution: HTTP   •  OpenGeo Suite •  MongoDB – WMS and WFS data •  “Object Embedding” in OpenLayers Spring  Security   •  HTML5, JQuery and OpenLayers for desired map HTML  5   view •  Google’s geocoder for locating addresses JQuery   •  Elastic SearchElas5cSearch   OpenGeo   •  Modeled with document oriented DBs •  Distributed based search support •  Elastic search engine on top of Apache Lucene MongoDB  
  16. 16. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com EHR Requirement: Rules Engine HTTP   The need: •  Automate workflows of administrative processes Spring  Security   •  Increase business agility HTML  5   •  Automate activities JQuery   •  Lower modification expenses on business logic ActivitiBPM/ Drools The solution: Spring  Data   •  ActivitiBPM/Drools and Spring-data-mongo •  Capable of processing large volumes of data   •  Mongo for rule repository and storing user Ac5ve   documents (e.g. prescriptions) MQ MongoDB   •  Rule 1: rule based services (e.g. calculating   premiums and refunds) ü  New Diseases ü  New or modified laws on the •  Rule 2 : complex decision activities and content health insurance market based routing decision (automated or manual or ü  New insurance products both) ü  New business model •  Rule 3: Work item allocation for manual processing steps (e.g. fraud detection)
  17. 17. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Physical Architecture •  Expect high volumes of users and patient Load  Balancer   information •  Sharding, an efficient and inexpensive option •  Store metadata in Config Servers Nginx   Nginx   JeYy   JeYy   MongoS   Mongod   Mongod   Mongod  
  18. 18. NewWave Road MapNewWave Telecom & Technologies, Inc. www.newwave-technologies.com
  19. 19. NewWave Telecom & Technologies, Inc. www.newwave-technologies.comMulti-Cloud SaaSEnvironment PaaS Hybrid   IaaS Public   Private  
  20. 20. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com Mongo for Social Media     “Sixty Percent of surveyed physicians and 65 percent of surveyed nurses are interested in using social networks for professional purposes” - Manhattan research Taking the Pulse, v9.0. Use Case: •  EHR application relies on social media for trend detection and intelligence gathering – natural disaster detection or flu outbreak tracking Twitter caught the 2010 cholera outbreak Why Mongo?? in Haiti • Integration with Spring Social • Mongo 2.2’s powerful aggregation framework • Built-in Map/Reduce framework • Sharding and replication capability
  21. 21. QUESTIONS??   Linkedin.com/company/newwave_technologies @NewWave_Tech

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