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  • Number of Pharmacists ( 269,9002009 274,4902010 279,0802011 283,6702012 288,2602013 292,8502014 297,4402015 302,0302016 306,6202017 311,2102018 315,800Number of Boards of Pharmacy ( of Pharmacies the 73,398 pharmacies included in the NCPDP file, 58,768 were classified as retail.Number of Prescribers of Consumer Protection Agencies (sum of S&L and Fed programs) of HHS Substance Addition Treatment Programs
  • Niem icjia final

    1. 1. AGENDA1. NIEM Impact on Pharmaceutical Drug Monitoring How do we enable prescription drug monitors to see across state lines?2. The NIEM Framework and Process What common services, governance models, processes and tools are provided by NIEM? What is NIEM-UML?3. NIEM Governance How is NIEM governed? How does the federated domain governance function? What are the different NIEM committees?4. NIEM Program Updates What are next steps for the program; NIEM-UML and NIEM 3.0? Updates on NIEM international adoption? How can NIEM State & Local practitioners get involved? 2
    2. 2. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORING The Standard Prescription Monitoring Information Exchange 3
    3. 3. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORINGNATIONWIDE DRUG ABUSE Prescription Drugs (15.1 million) Cocaine (5.9 mil.) From 1992-2003, Hallucinogens (4 mil.) 15.1 million Americans abused prescription drugs. That’s more than Inhalants (2.1 mil.) cocaine, hallucinogens, inhala nts, and heroin COMBINED. Heroin (.3 mil.) 0 2 4 6 8 10 12 14 16 During the same period, there was a 150% INCREASE in prescriptions written for controlled substances. The brand cost of 4 mg of Dilaudid is $88.94 per 100. The street value for the same amount is $10,000. The demand is REAL. 4
    4. 4. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORING 1 in 5 teens are abusing prescription drugs to get high. 40% of teens 29% of teens believe that prescription drugs believe that prescription pain are safer than illegal drugs. relievers are not addictive. ―You have young people getting pills for free from the homes of family members and friends.‖ - John Walters, former White House drug czar 5
    5. 5. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORING Pharmaceutical drug abuse is crossing state lines as offenders realize the gap in interstate reporting. Where CA Prescriptions Really Go As this map shows, less than 20% > 0 – .9% of prescriptions 1 – 2.9% written in California 3 – 3.9% were written for 4 – 7% > 19% California residents.There are three facets to the problem— Prescription drug monitoring is the coming together ofmisuse, abuse, and diversion—and three pharmacy boards, health agencies, and law enforcementplayers—prescribers, dispensers, and patients. to monitor drug diversion. 6
    6. 6. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORING As diversion of prescription controlled substances and theabuse involving these drugs continues to escalate, how can we improve interstate monitoring of drug use? How do we enable prescription drug monitors to see across state lines? 7
    7. 7. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORINGBefore NIEM, there was large gap in interstate reporting.As abuse and diversion escalate, lawenforcement and health practitionersneed a standardized, scalable solutionto share patient drug history.The Standard NIEM PrescriptionMonitoring Program InformationExchange assists prescribers,health agencies, and lawenforcement in identifyingpotential abuse and diversion. 8
    8. 8. NIEM IMPACT ON PHARMACEUTICAL DRUG MONITORINGThe Prescription Monitoring Program This map identifies the status of Prescription Druguses NIEM to empower connections: Monitoring Programs (PDMPs)1,600,000 Prescribers284,000 Pharmacists73,000 Pharmacies54 Boards of Pharmacy18,000 Law Enforcement Agencies11,000 Substance Addiction Treatment Programs140 Consumer Protection AgenciesThis is a solution that the50 states, Canada, andMexico can leverage. 9
    9. 9. THE NIEMFRAMEWORK AND PROCESS What common services, governancemodels, processes and tools are provided by NIEM? 10
    10. 10. THE NIEM FRAMEWORKNIEM connects communities of people who share a common need to exchange information in order to advance their missions, and provides a foundation for seamless informationexchange between federal, state, local, and tribal agencies. Much more than a data model, NIEM offers an active user community as well as a technical and support framework. Community Technical Framework Support Framework Formal Governance Tools for Development Data Model Processes and Discovery Established Online Repositories XML Design Rules Training ProgramMission-Oriented Domains Development Methodology Implementation Support Self-Managing Predefined Help Desk & Domain Stewards Deliverables (IEPD) Knowledge Center 11
    11. 11. STANDARDIZING DATA MOVING ACROSS SYSTEMS Scope-of-NIEM I N T E R FA C E I N T E R FA C E COMMONLY LEGACY FORMATTED LEGACYDATABASES DATA DATABASES Translation NIEM intentionally does not address standardizing data inside legacy systems. NIEM serves as a translation layer (providing a common understanding) between and across disparate systems. 12
    12. 12. THE NIEM LIFECYCLES Common Language Repeatable, Reusable Process (Data Model Lifecycle) (Exchange Specification Lifecycle) Built and governed by the business users atFederal, State, Local, Tribal and Private Sectors 13
    13. 13. NIEM GOVERNANCE How is NIEM governed? How does the federateddomain governance function? What are the different NIEM committees? 14
    14. 14. NIEM GOVERNING STRUCTURE NIEM’s governing structure is comprised of Federal, State, Local, Tribal and private organizations NIEM is jointly managed at an executive level by the Department of Homeland Security (DHS), Department of Justice (DOJ), and Department of Health and Human Services (HHS) ESC Executive Steering Council NIEM PMO Executive Director Deputy Director NC&OC NTAC NBACNIEM Communications & NIEM Technical NIEM Business Outreach Committee Architecture Committee Architecture Committee 15
    15. 15. WHO STEERS NIEM CURRENTLY?Voting Members• Dept of Justice• Dept of Homeland Security• Dept of Health and Human ServicesEx-Officio Members• Global Justice Information Sharing Initiative• Office of Management and Budget• Program Manager, Information Sharing Environment• NASCIOPartners• Terrorist Screening Center• Dept of Defense / Dept of Navy• Dept of State, Consular Affairs (invited) 16
    16. 16. WHO GOVERNS NIEM DOMAINS?Domain Executive StewardJustice Global Justice (State & Local)Screening DHS/Screening Coordination OfficeImmigration DHS/Immigration & Customs Enforcement (ICE), US Citizenship and Immigration Services (USCIS)Chem/Bio/Rad/Nuc DHS/Domestic Nuclear Detection Office (DNDO)Maritime DOD/Maritime Domain Awareness (MDA)Cyber DHS/National Protection and Programs Directorate (NPPD)/Cyber Security & Communications (CS&C)Children, Youth & Family Services HHS/Administration for Children and Families (ACF) & DOJ (State & Local)Emergency Management DHS/FEMA, DHS/Science & Technology (S&T)Infrastructure Protection DHS/NPPDInternational Trade DHS/Customs and Border Protection (CBP)Biometrics DHS/NPPD, National Institute of Standards & Technology (NIST)Health HHS/Office of the National Coordinator (ONC) & HHS/Office of the Chief Information Officer (OCIO)Human Services HHS/ACF & HHS/ONCGovernment Resource Management General Services Administration (GSA) 17
    17. 17. NIEM PROGRAM UPDATESWhat are next steps for the program; NIEM-UML andNIEM 3.0? Updates on NIEM international adoption? How can NIEM State & Local practitioners get involved? 18
    18. 18. UML PROFILE FOR NIEM (V2.1 ALIGNMENT) Objective of the NIEM-UML ProfileTo allow modelers and developers to apply NIEM-UML with minimal effort in order to create new models or change existing models and ultimately to produce NIEM MPD artifacts. NIEM-UML Implementations • MagicDraw NIEM-UML Plug-in • Open Source Implementation (Under Development) 19
    19. 19. NIEM-UML WHAT IS NIEM-UML? LEARNING REQUIREMENTS?• Subset of the Unified Modeling • NIEM Logical Concepts Not Language (UML) the XSD and NIEM Naming &• Set of UML constructs & Design Rules Details Stereotypes – Platform Independent Model (PIM) – Extends UML to represent NIEM Profile concepts – Common Profile ` – NIEM concepts are augmented ` with NIEM-Platform mapping – Model Package Description Profile information • UML Tooling/Development – NIEM Naming & Design Rules Environment enforced by leveraging the Object Constraint Language• A valid NIEM-UML model will produce a valid MPD 20
    20. 20. NIEM 3.0 TIMELINE (13 MONTHS)REQUIREMENTS & PREPARATION PHASE DEVELOPMENT & EXECUTION PHASE Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep PRE-ALPHA (19 weeks) ALPHA 1 ALPHA 2 BETA RC 1 3.0 (5 weeks) (10 weeks) (8.5 weeks) (9 weeks) (4 weeks)Domain Update Requirements & Harmonization (3 months) KICKOFF RELEASE MEETING ALPHA 1 RELEASE ALPHA 2 RELEASE 90-DAY BETA DEADLINE RELEASE Today RC 1 RELEASERELEASE AUDIENCE NIEM 3.0 PMO NBAC NTAC GTRI Community Alpha 1 Alpha 2 Beta RC 1 21
    21. 21. NIEM 3.0 HIGH-LEVEL BASELINE SCOPE * TECHNICAL ARCHITECTURE HARMONIZED CONTENT, & DOMAIN1 ENHANCEMENTS AND BUG FIXES 2 CONTENT CHANGE REQUESTS• Code List Decoupling & Updates • Domain Content Change Requests• Optional Code List Complexity Solution • NCCT Content Harmonization• New Augmentation Solution Solutions• Integrate Latest Version of IC-ISM • Newly Identified NCCT Content• Unify Reference & Content-Bearing Issues Elements• Ability to Subset structures.xsd and appinfo.xsd• Conformance Target Declaration Attributes in appinfo.xsd 3 NIEM.GOV TOOLS UPDATES• Local Terminology and Acronym Capability in appinfo.xsd • SSGT (Updates & NIEM-UML Alignment)• Resolved Architectural NIEM • ConTesA Configuration Control Tool (NCCT) • Code List Generator Issues• Newly Identified Architectural NCCT * Scope is subject to change Issues 22
    22. 22. NASCIO NIEM POLICY ISSUANCE In April 2011, the National Association of State CIOs (NASCIO) issued a policy statement of support recommendingparticipation and adoption of the NIEM and provided state CIOs with background, guidance and recommendations in support of state government adoption of NIEM to achieve effectiveness in government through collaborative information sharing. 23
    23. 23. PROGRESS ON FEDERAL NIEM ADOPTIONSuccess of NIEM within the Departments’ of Justice, HomelandSecurity, and Health and Human Services propelled growth of NIEMacross the Federal GovernmentAgency Use of NIEMDepartment of Agriculture Committed to UseDepartment of Defense Committed to UseDepartment of Education Committed to UseDepartment of Energy Committed to UseDepartment of Health and Human Services Committed to UseDepartment of Homeland Security Committed to UseDepartment of Housing and Urban Development Committed to UseDepartment of Justice Committed to UseDepartment of Labor Committed to UseDepartment of State Committed to UseDepartment of the Interior Committed to UseDepartment of the Treasury Committed to UseDepartment of Transportation Committed to UseDepartment of Veterans Affairs Committed to UseEnvironmental Protection Agency Further Evaluation RequiredGeneral Services Administration Committed to UseNational Aeronautics and Space Administration Further Evaluation RequiredNational Archives and Records Administration Committed UseNational Science Foundation Committed to UseNuclear Regulatory Commission Will Not UseOffice of the Director of National Intelligence Committed UseSocial Security Administration Further Evaluation RequiredGeospatial Line of Business Will Not Use Committed Further Will NotGrants Management Line of Business Further Evaluation Required to Use Evaluation UseFinancial Management Line of Business Will Not Use Required -Human Resources Line of Business Will Not Use 24
    24. 24. MARCH 20 TESTIMONY TO HOUSE WAYS AND MEANS"Although I am not testifying on behalf of NIEM today, I amtestifying in support of NIEM as it relates to any standardscontemplated by this legislation. The NIEM model is nowbeing used in many aspects of government around thecountry and not just within the Justice domain …Becausewe in the courts deal with matters that come before us froma range of other governmental disciplines, we would hopethat any standards developed in the child supportenforcement area would be developed using the NIEMframework and dictionaries.“ Craig Burlingame, CIO Trial Court InformationServices, Massachusetts Court System 25
    25. 25. INTERNATIONAL ACTIVITIES• Beyond the Border• North America Day• NIEM in Europe 26
    26. 26. VIRTUAL TOWN HALL FEBRUARY 14TH 2 – 3 P.M. ESTAgenda – Preview of 2013 NIEM highlights Donna Roy – Progress on 3.0 Andrew Owen We’re kicking off the new year with a Town Hall, and you’re invited! – Community engagement & growth of the Human Services domain Joe Bodmer and David Tabler – Overview of formal NIEM adoption efforts across states & Great initiative. Count on my territories Doug Robinson active participation. – Achieving interoperability across I’m registered! the Commonwealth of Virginia through the use of NIEM Joseph Grubbs – Community Q&A 27
    27. 27. WE ARE NIEM-IFIEDDedicated Map on Campaign plannedfor rollout in Q2FY13 NIEM users are the most credible source for attesting to “the power of NIEM!” 28
    28. 28. TAKING ACTIONHelp Us Define the Next NIEM ChallengeA large-scale need to connect people and organizations around a common mission, whereinformation is criticalParticipate in NIEM Domains12 NIEM Domains: Cyber, Biometrics, Maritime, CBRN, Screening, Intel, Immigration,International Trade, Justice, Infrastructure Protection, Emergency Management, and Children,Youth, & Family ServicesGet Involved – Share Your ExpertiseNIEM Committees, NIEM LinkedIn & Twitter Community, Discussion Forms on—contact NIEM at to discuss opportunitie.Empower Your TeamGive your team the resources to adopt and use NIEM: Training and ToolsApply For/Leverage Federal Grant DollarsDHS and DOJ grant dollars can be applied for NIEM activities 29
    29. 29. Information Sharing Environment: Delivering Trust in Sharing
    30. 30. Building Trust with Privacy PrinciplesPrivacy Act of 1974, Fair Information Principles, InternationalPrivacy Guidelines, and increased social awareness are drivers forbuilding IT systems with trust… 1. Citizens, by U.S. law, have rights related to how the government uses their information 2. Federated democracy compounds this at State and Local level 3. Government entities are expected to practice fair information principles in their systems and processes 4. Trusted Partners have expectations beyond basic protections provided to citizens such as protection of law enforcement case data, proprietary information, etc 5. International protections and expectations may differ and are driven by cultural variety 6. Google and FaceBooks changing privacy policies are driving increased consumer awareness 7. Public at large has a higher expectation for lower risk and increased protection from government....Much more than what they accept with social media and consumer transactions
    31. 31. Building a Network of Trust forSharing1. How do I know who I am sharing with?2. Is the environment secure?3. Is my personal information safe?4. When I share, how do I know it wont be accessed beyond my expectations?5. How and when can I share outside of my COI or group of associates? 7
    32. 32. Homeland Security Information Network (HSIN) HSIN is a web-based knowledge management tool designed to increase collaboration between: Federal, State, Local, Tribal, Territorial, Private sector, International • 300+ Million People • 18,000 Organizations• 750,000+ Law Enforcement Officers • 250,000 911 Operators • 1.2 Million Firefighters • 2.2 Million Security Officers • 100,000 Probation/ Parole Officers * Numbers are estimates UNCLASSIFIED FOUO 2
    33. 33. Homeland Security Information Network (HSIN) Sharing: Strong identity information… know who is on the platform, what their role or purpose for sharing, and ensure a safe entry into the system each time… Safeguarding: Large network of stakeholders with expectations of trust in appropriate use of UNCLASSIFIED FOUO data, and identity of 4 other users.
    34. 34. HSIN Identity Principles Account Management Single account for trusted partners Identity Proofing Strong Authentication Verified at account provisioning, Two factor authentication for through automated or manual getting in.... methods Credential Store FederationAbility to use non HSIN credentials Ability to federate across trustedas well as offer HSIN credentials for partners with similar capabilities reuse 5
    35. 35. HSIN Information Principles Access Management Access decision determined by originator Tagging Stewardship Minimum tagging required for Community of interest governed safeguarding Shared Value Ratings Share Risk Allow comments and ratings on Safeguarding against inappropriate value of information use is everyones responsibility 5
    36. 36. Homeland Security Information Network (HSIN) UNCLASSIFIED FOUO 6
    37. 37. HSIN Interoperability Standards The combination of several XML based standards present a recipe for interoperability that support the goals for sharing and safeguardingSAML GFIPM XACML NIEMSecurity Assertion Markup Global Federated Identity and eXtensible Access Control National InformationLanguage (SAML) is an XML - Privilege Management Markup Language (XACML) Exchange Model is an XML -based open standard for (GFIPM) framework is an XML defines access control policy based open standard forexchanging authentication and –based suite of technical language implemented in XML providing a commonlyauthorization data standards, which are built on and a processing model understood way to describe the Security Assertion Markup describing how to evaluate data across law enforcement Language (SAML) to create authorization requests and public safety communities common understanding of according to the rules defined user attributes across law in policies enforcement and public safety communities