AIMS Overview for the Quest ELR Project

Analysis. Answers. Action. www.aphl.org
APHL Informatics Messaging Services
(AIMS) Overview | January 2017

A secure, cloud based environment that
accelerates the implementation of
health messaging by providing shared
services to aid in the transport,
validation, translation and routing of
electronic data.
APHL Informatics Messaging
Services

Foundation
Since 2008, APHL has maintained a message transport hub service that has
the ability to receive, hold, and transmit electronic messages sent from one
organization to another. The RnR Hub(original AIMS Platform) service routes
electronic messages between the CDC, partner laboratories, and public health
agencies.

50
states
Influenza
NREVSS
NMI
VPD
LRN
Animal
Rabies
AMD
Today: A National Resource for Interoperability

Priorities

Amazon Web Services (AWS)
• Migrated to AWS on March 1, 2014
• Located in the AWS East and West US Regions
• Robust Continuity of Operations and Disaster Recovery
• Approved for GovCloud

AIMS Functional Architecture

Compliance
 HIPAA-compliant, HITRUST-certified environment on
the AWS Cloud.
 FedRAMP and NIST 800-53
 Business Associate Agreements
 Shared Responsibility Model
 System Security Plan (SSP) in place
 Security Assessment (ST&E) and Audit conducted in
2013 and 2016.
 FISMA Moderate Compliance ATO granted
 AWS is a FedRAMP certified environment

Cybersecurity
Automated continuous configuration
and monitoring provides cybersecurity
and information assurance capabilities
to information technology environments
on AIMS.

Pain Free On-boarding & Tech Support

Our Team

AIMS Advantages
1. Open Source architecture
2. Centralized processing and message
routing
3. Real-time monitoring and audit
systems
4. Reduced message transport
complexity
5. Reduced data translation and
transformation complexity
6. Reduced development and support
costs
7. Flexible capacity infrastructure
8. 5 year authentication certificates
9. Vocabulary and HL7 Message
Support
10.Experienced and dedicated tech
support
11.FISMA Moderate compliant
applications
12.FedRAMP compliant environment
13. Commitment to innovation and the
future
Once on AIMS, you can exchange data with AIMS
trading partners within minutes!
State Data Administrator

Results: True Interoperability

Interoperability of Influenza
Messaging

Empowering States:
Cross-Jurisdictional Data Exchange

Traction
>4M >13M 80Messages and
Counting
Securely Monitored
Log files
AIMS Trading
Partners

Programs Using AIMS
PHLs involved in the Public Health Laboratory Interoperability Project (PHLIP) use the AIMS
Hub to transport Electronic Laboratory Surveillance Messages (ELSM) for Influenza and
Vaccine Preventable Diseases to CDC.
The AIMS Platform is used by PHLs to maintain Pandemic Influenza surge capacity to
securely exchange Electronic Test Orders and Results (ETOR).
The AIMS Platform supports Meaningful Use secure message transport for Syndromic
Surveillance, Immunizations, and Electronic Laboratory Results (ELR).
The Laboratory Response Network (LRN) uses the AIMS Platform to securely transport
messages of possible bioterrorism threats.
LRN
Meaningful Use
Pandemic Influenza
PHLIP

Programs Using AIMS
The Vaccine Preventable Disease (VPD) program uses four Reference Centers to provide
specimen testing for labs that either do not currently provide testing for VPD diseases or want
the surge capacity provided by Reference Centers. VPD diseases currently consist of: Measles
(Rubeola), mumps, rubella, Varicella Zoster Virus (VZV), pertussis, S. pneumoniae, and H.
influenzae.
The Nationally Notifiable Disease Surveillance System (NNDSS) Modernization Initiative (NMI)
is an effort to improve the systems and processes used to receive nationally notifiable disease
data to provide more comprehensive, timely, and higher quality data than ever before.
Proof of Concept between CDC, Wisconsin, CLC bio, Clarity LIMS to test the secure transport
and analysis of WGS data on AIMS.
WGS/AMD
NMI
VPD

Programs Using AIMS
NMI
Rabies Animal ELR securely sent from laboratories across the US to the CDC via AIMS.
Interactive web portal hosted on AIMS to allow CDC Rabies Program Area to access data.
The State and Territorial Exchange of Vital Events (STEVE) project is an update to an existing software
application that enables electronic data exchange of vital events. Using a new cloud based
infrastructure, hosted in conjunction with the Public Health Community Platform on APHL's AIMS
Platform, states and territories will have bi-directional core messaging capabilities. The new solution
will offer flexibility and the ability to scale quickly, while significantly reducing the technical footprint
within each jurisdiction.
Initial Electronic Case Reporting (eICR) Pilot and RCKMS hosting and integration with eICR
Rabies ELR
NAPHSIS - STEVE 2.0
Public Health Community Platform

Private Sector Adoption
20+ States receiving ELR via AIMS

AIMSPlatform.com

Living in the Future
Integration as a Service
Outsource the jurisdictions
Data Integration layer and team
to AIMS
Billing Engine
“Tagging” AIMS services for
automated billing and
Accounting.
Will support Fee for Service.
AIMS Web Portal
ETOR
Business Intelligence
Analytics
Branding Refresh Continued Public-
Private Collaboration
AIMS Marketplace

Living in the Future
Customer Support
Portal
Software Development
Kit (SDK)
Intelligent Message
Processing (IMP)
AIMS University
Case
Reporting

Contact Information
PATINA ZARCONE-GAGNE, MPH | Director, Informatics
Association of Public Health Laboratories | Analysis.
Answers. Action.
P +1 240.485.2788 | patina.zarcone@aphl.org
M +1 978.559.1462

AIMS Overview for the Quest ELR Project

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