Results from a one day, invitation only non-attribution session to discuss DHA current information technology and related issues and brainstorm to generate a list of potential priorities
and focus areas for a new incoming CIO.
List of participating organizations:
AFCEA International
Booz Allen Hamilton
Deloitte
DLT Solutions
Hewlett Packard Enterprise
Microsoft
Mitre
Noblis
Price Waterhouse Coopers
Wells Analytics
Reference Manager Software for managing your review references and collaboration (with an introduction to Mendeley)
Presenter: Dr. Amy Price, MA, MSc, Ph.D. – DPhil student, Department of Primary Health Care Sciences and Department of Continuing Education, The University of Oxford
Amy Price is a Trustee of the ThinkWell charity where she leads the PLOT-IT (Public Led Online Trials-Infrastructure and Tools) project. Her goal is to build clear channels to propel evidence into practice by supplying the public, and those in low resource areas, with tools to make evidence-based healthcare choices. Responsible shared decision-making requires access to standardized and accurate shared knowledge. Her desire is to mentor others to reach their full potential. Amy’s experience has shown her that shared knowledge, interdisciplinary collaboration and evidence-based research is the voice that will shape and develop the future. Her background in international relief work, clinical neurocognitive rehabilitation, service on the boards of multiple patient and medical organizations, and as a trauma survivor has equipped her with the flexible mindset to relate to all stakeholders and cultures and to adapt quickly to new technology and help others bridge this gap.
Reference Manager Software for managing your review references and collaboration
Summary: Sharing, editing and managing review references with multiple authors who use different operating systems and software can be a rewarding but daunting task. This hands-on workshop will share tips and tricks for simple ways of organizing, sharing, importing and exporting references and full PDFs across multiple software packages.
Methods: You will be introduced to the use of bibliographic tools, with a specific emphasis on Mendeley (a free cross-platform, multi-device reference manager program) and Google Scholar. The workshop includes an introduction to the basic functions: importing pdf's, web importer, reading and annotating, Word plugin and literature search. Easily develop a research network to manage your papers online, discover research trends and statistics, and to connect with like-minded researchers.
Purpose: This workshop is useful for those who are starting your first review as well as for those of us who have done multiple research projects but find it easier to search on Google than find the resources already saved on the computer. The tools demonstrated can be used on a computer, tablet or even a smartphone.
Reference Manager Software for managing your review references and collaboration (with an introduction to Mendeley)
Presenter: Dr. Amy Price, MA, MSc, Ph.D. – DPhil student, Department of Primary Health Care Sciences and Department of Continuing Education, The University of Oxford
Amy Price is a Trustee of the ThinkWell charity where she leads the PLOT-IT (Public Led Online Trials-Infrastructure and Tools) project. Her goal is to build clear channels to propel evidence into practice by supplying the public, and those in low resource areas, with tools to make evidence-based healthcare choices. Responsible shared decision-making requires access to standardized and accurate shared knowledge. Her desire is to mentor others to reach their full potential. Amy’s experience has shown her that shared knowledge, interdisciplinary collaboration and evidence-based research is the voice that will shape and develop the future. Her background in international relief work, clinical neurocognitive rehabilitation, service on the boards of multiple patient and medical organizations, and as a trauma survivor has equipped her with the flexible mindset to relate to all stakeholders and cultures and to adapt quickly to new technology and help others bridge this gap.
Reference Manager Software for managing your review references and collaboration
Summary: Sharing, editing and managing review references with multiple authors who use different operating systems and software can be a rewarding but daunting task. This hands-on workshop will share tips and tricks for simple ways of organizing, sharing, importing and exporting references and full PDFs across multiple software packages.
Methods: You will be introduced to the use of bibliographic tools, with a specific emphasis on Mendeley (a free cross-platform, multi-device reference manager program) and Google Scholar. The workshop includes an introduction to the basic functions: importing pdf's, web importer, reading and annotating, Word plugin and literature search. Easily develop a research network to manage your papers online, discover research trends and statistics, and to connect with like-minded researchers.
Purpose: This workshop is useful for those who are starting your first review as well as for those of us who have done multiple research projects but find it easier to search on Google than find the resources already saved on the computer. The tools demonstrated can be used on a computer, tablet or even a smartphone.
For the second of the two seminars on Systematic Literature Review, here the tools useful for SLR are presented. The seminar is meant for PhD students and was given at the Computer Science PhD Program at the University of Salerno, Italy
Research students find it difficult to edit Word Documents since they would have not explored all avenues of systematic editing features in this desk top publishing. The slides showed herein describe systematic methodology to create a thesis template for presenting Project thesis, research thesis etc., The contents include, page setup, setting up headings, sub headings, sub-sub headings, creating tables and hyperlinking table labels, creating labels for figures and hyperlinking, automatic generation of listing of Contents, list of Figures, Tables, and more interestingly creating reference listing (bibliography) and hyperlinking with citation in the text, and overall reference management. The merging of smaller documents to create a master document in Word is another useful hint for managing Word documents with large number of pages. Students who may not like to edit thesis using Latex can comfortably make use of this slide share.
Overview of Presentation:
-Introduction – What is a literature Review?
-Why is it necessary?
-Types of literature review
-The Steps and literature review cycle
-Purpose of the Literature Review
-Four main reasons for reviewing the literature
-Organizing Your Literature Review
-Common Errors Made in Lit Reviews
..........................................
قدم هذا العرض يوم الخميس,25 ربيع الثاني/ 4 فبراير
أنشــأ بواسطة ياسر الشريف و اياد كمال
جامعة ام القرى
A citation is a reference to a published or unpublished source that you consulted and obtained information from while writing your research paper. The way in which you document your sources depends on the writing style manual your professor wants you to use for the class [e.g., APA, MLA, Chicago, Turabian, etc.
Study: The Future of VR, AR and Self-Driving CarsLinkedIn
We asked LinkedIn members worldwide about their levels of interest in the latest wave of technology: whether they’re using wearables, and whether they intend to buy self-driving cars and VR headsets as they become available. We asked them too about their attitudes to technology and to the growing role of Artificial Intelligence (AI) in the devices that they use. The answers were fascinating – and in many cases, surprising.
This SlideShare explores the full results of this study, including detailed market-by-market breakdowns of intention levels for each technology – and how attitudes change with age, location and seniority level. If you’re marketing a tech brand – or planning to use VR and wearables to reach a professional audience – then these are insights you won’t want to miss.
Artificial intelligence (AI) is everywhere, promising self-driving cars, medical breakthroughs, and new ways of working. But how do you separate hype from reality? How can your company apply AI to solve real business problems?
Here’s what AI learnings your business should keep in mind for 2017.
For the second of the two seminars on Systematic Literature Review, here the tools useful for SLR are presented. The seminar is meant for PhD students and was given at the Computer Science PhD Program at the University of Salerno, Italy
Research students find it difficult to edit Word Documents since they would have not explored all avenues of systematic editing features in this desk top publishing. The slides showed herein describe systematic methodology to create a thesis template for presenting Project thesis, research thesis etc., The contents include, page setup, setting up headings, sub headings, sub-sub headings, creating tables and hyperlinking table labels, creating labels for figures and hyperlinking, automatic generation of listing of Contents, list of Figures, Tables, and more interestingly creating reference listing (bibliography) and hyperlinking with citation in the text, and overall reference management. The merging of smaller documents to create a master document in Word is another useful hint for managing Word documents with large number of pages. Students who may not like to edit thesis using Latex can comfortably make use of this slide share.
Overview of Presentation:
-Introduction – What is a literature Review?
-Why is it necessary?
-Types of literature review
-The Steps and literature review cycle
-Purpose of the Literature Review
-Four main reasons for reviewing the literature
-Organizing Your Literature Review
-Common Errors Made in Lit Reviews
..........................................
قدم هذا العرض يوم الخميس,25 ربيع الثاني/ 4 فبراير
أنشــأ بواسطة ياسر الشريف و اياد كمال
جامعة ام القرى
A citation is a reference to a published or unpublished source that you consulted and obtained information from while writing your research paper. The way in which you document your sources depends on the writing style manual your professor wants you to use for the class [e.g., APA, MLA, Chicago, Turabian, etc.
Study: The Future of VR, AR and Self-Driving CarsLinkedIn
We asked LinkedIn members worldwide about their levels of interest in the latest wave of technology: whether they’re using wearables, and whether they intend to buy self-driving cars and VR headsets as they become available. We asked them too about their attitudes to technology and to the growing role of Artificial Intelligence (AI) in the devices that they use. The answers were fascinating – and in many cases, surprising.
This SlideShare explores the full results of this study, including detailed market-by-market breakdowns of intention levels for each technology – and how attitudes change with age, location and seniority level. If you’re marketing a tech brand – or planning to use VR and wearables to reach a professional audience – then these are insights you won’t want to miss.
Artificial intelligence (AI) is everywhere, promising self-driving cars, medical breakthroughs, and new ways of working. But how do you separate hype from reality? How can your company apply AI to solve real business problems?
Here’s what AI learnings your business should keep in mind for 2017.
An immersive workshop at General Assembly, SF. I typically teach this workshop at General Assembly, San Francisco. To see a list of my upcoming classes, visit https://generalassemb.ly/instructors/seth-familian/4813
I also teach this workshop as a private lunch-and-learn or half-day immersive session for corporate clients. To learn more about pricing and availability, please contact me at http://familian1.com
3 Things Every Sales Team Needs to Be Thinking About in 2017Drift
Thinking about your sales team's goals for 2017? Drift's VP of Sales shares 3 things you can do to improve conversion rates and drive more revenue.
Read the full story on the Drift blog here: http://blog.drift.com/sales-team-tips
TEDx Manchester: AI & The Future of WorkVolker Hirsch
TEDx Manchester talk on artificial intelligence (AI) and how the ascent of AI and robotics impacts our future work environments.
The video of the talk is now also available here: https://youtu.be/dRw4d2Si8LA
Objective: to assess existing health information systems (HIS) tools, their scope, and performance to explore opportunities to integrate/link the tools and improve efficiency and reduce wastage of resources.
Heath care projects need high level of investment, diverse set of stakeholders, and comply with rigorous federal and state regulations, and standards. In addition, project outcomes have direct impact on safety and well-being of patients. This speech focuses on challenges and opportunities in implementing Health care IT projects. Also discusses strategies to adopt agile methodologies in health care industry. Finally, highlights critical success factors in implementing Healthcare Projects successfully.
Learning Outcomes:
Understand characteristics of Healthcare projects
Learn challenges and opportunities in implementing Healthcare projects
Learn agile adoption strategies in Health IT
Learn and apply Critical Success Factors to improve project success
MeHI Privacy & Security Webinar 3.18.15MassEHealth
Top Reason Why Providers Fail Meaningful Use Audits: Inadequate Security Risk Analysis
Providers are losing incentive dollars by not meeting the Meaningful Use Privacy & Security Measure.
Get on track with your Security Risk Assessment and attest to Meaningful Use with MeHI’s support & solutions:
• Assess your practice’s privacy and security status
• Develop remediation plans to resolve gaps
• Communicate resolution steps to the providers involved
• Track progress in addressing outstanding issues
Let us help you conduct a security risk analysis and address deficiencies and potential threats and ensure that your practice is compliant and that patient data is safe-guarded.
۱۵ سال از انتشار «گزارش «انسان خطاکار است» میگذرد و با وجود تاکید این گزارش بر تمرکز بر بهبود ایمنی بیمار هنوز موضوع ایمنی جزو نگرانیهای جدی نظامهای سلامت است. با وجود پیشرفتهایی که حاصل شده مثلا در زمینه عفونتهای بیمارستانی هنوز پیشرفت اندکی در ایمنی بیمار شاهد بوده ایم. پیشرفت در ایمنی بیمار نیازمند تغییر رویکرد از واکنشی به مولد و تبدیل مداخلات تدریجی به برنامههای یکپارچه سیستمیاست.
بنیاد ملی ایمنی بیمار که در سال ۱۹۹۷ در آمریکا تشکیل شده است و در زمینه بهبود ایمنی بیمار فعالیت مینماید اخیرا با همکاری نهادهای معتبر بین المللی از جمله انستیتو بهبود کیفیت سندی با عنوان «عاری از آسیب: تسریع بهبود ایمنی بیمار ۱۵ سال پس از گزارش انسان خطاکار است» منتشر نموده است که توصیههای مشخصی برای تسریع بهبود ایمنی بیمار در مراکز درمانی ارائه میکند. این توصیهها بر مبنای رویکرد سیستمیو فرهنگ ایمنی تدوین شده اند که عبارتند از:
اطمینان از استقرار و حفظ فرهنگ ایمنی توسط رهبران و مدیران
ایجاد نظارت مرکزی و هماهنگ بر ایمنی بیمار
تعین شاخصهای معنای داری که نتایج را بهبود دهند
افزایش سرمایه گذاری روی پژوهشهای حوزه ایمنی بیمار و پیاده سازی آنها
توجه به ایمنی در تمام فرایند ارائه خدمت
حمایت از کارکنان مراکز درمانی
مشارکت با بیماران و خانواده ایشان برای ارائه خدمات ایمن
اطمینان از ایمن و بهینه بودن فناوریها برای بهبود ایمنی بیمار
SURVEY OF OPEN SOURCE HEALTH INFORMATION SYSTEMS hiij
Due to the Health Information Technology for Economic and Clinical Health Act (HITECH), the US
medical industry has been given a directive to transition to electronic health records. Electronic Health
Records will enhance efficiency and quality of patient care. In this paper, open-source health information
systems are surveyed.These systems include electronic medical records, electronic health records and
personal health record systems. Their functionality, implementation technologies used, and security
features are discussed.
Survey of open source health information systemshiij
Due to the Health Information Technology for Economic and Clinical Health Act (HITECH), the US
medical industry has been given a directive to transition to electronic health records. Electronic Health
Records will enhance efficiency and quality of patient care. In this paper, open-source health information
systems are surveyed.These systems include electronic medical records, electronic health records and
personal health record systems. Their functionality, implementation technologies used, and security
features are discussed.
The Healthcare Cybersecurity Framework: A Top Defense Against Data Breaches a...Health Catalyst
Between 2017 and 2020, more than 93 percent of healthcare organizations experienced a data breach. While digital technology and connectivity is increasingly critical in meeting operational and clinical challenges, such as COVID-19, more integration also enables increased exposure to cyberattacks that can impact care delivery, safety, and privacy.
In response to healthcare’s significant and growing cybersecurity threats, vendor organizations and their health system partners need a security framework. A defensible protocol holds vendors accountable to routine audits and compliance measures at a regular cadence, ensuring both parties keep cybersecurity programs active and optimized.
CHIME LEAD Fourm Houston - "Case Studies from the Field: Putting Cyber Security Strategies into Action" - Hitchhikers Guide to IT Security
"Case Studies from the Field: Putting Cyber Security Strategies into Action"
Learn from those in the trenches who have deployed effective cyber strategies in their organizations, foiled attacks and managed breach situations. Learn approaches for success and pitfalls to avoid by exploring the experience of others with deployment and management of cyber security strategies and plans.
Learning Objectives:
Identify successes, challenges and lessons learned with implementation of cyber strategies
Identify success strategies for gaining the C Suite support and ways cyber security can be integrated into the organization's culture and work processes.
Identify best practices with anticipating new and emerging threats and ways to maintain a proactive position instead of reactive
Identify approaches for breach preparation and breach management
Data and Network Security: What You Need to KnowPYA, P.C.
PYA Principal Barry Mathis served on a panel discussion at the American Medical Informatics Association iHealth 2017 Clinical Informatics Conference.
The panel explored the state of cybersecurity in healthcare organizations and related legal considerations, including the HIPAA privacy and security rules. It considered institutional preparedness, provided examples, and offered preventive measures. The panel also discussed ransomware attacks, including tactics for negotiating with hackers, and provided best practices for organizations to avoid such attacks.
Mike Novak
Tellabs
This session will focus on the underlying GPON (Gigabit Passive Optical Network) and All-Secure PON infrastructure, the implications to the Layer-1 design, using Armored Interlocking Fiber to deploy NIPR/SIPR data and voice requirements.
Office Chief of Cyber Personnel Presentation: TechNet Augusta 2015AFCEA International
LTC Chris Wade, USA
The Office Chief of Cyber will provide a Cyber Personnel Overview focusing on the military occupational specialties (MOS) and areas of concentration (AOC) that enable Cyber Defensive and Offensive Operations.
LTC Jonathan Long, USA
Assistant TRADOC Capability Manager for Network & Services (TCM N&S)
Capability Development Integration Directorate, U.S. Army Cyber Center of Excellence
Expeditionary Network Communications (Engagement Theater Session 3): TechNet ...AFCEA International
COL James P. Ross, USA
Military Deputy to the Armaments Research, Development and Engineering Center
Project Manager Tactical Radios
COL Michael J. Thurston, USA
Project Manager Mission Command
Office Chief of Signal Personnel Presentation: TechNet Augusta 2015AFCEA International
Dale Manion and Phil Sines.
The Office Chief of Signal (OCOS) provides the strategic human resources planning and career programs management for approximately 60,000 Signal Enlisted, Warrant Officer and Officer’s that are critical to mission success of the Department of Defense Information Network (DoDIN) Operations worldwide.
Preliminary findings _OECD field visits to ten regions in the TSI EU mining r...OECDregions
Preliminary findings from OECD field visits for the project: Enhancing EU Mining Regional Ecosystems to Support the Green Transition and Secure Mineral Raw Materials Supply.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Monitoring Health for the SDGs - Global Health Statistics 2024 - WHOChristina Parmionova
The 2024 World Health Statistics edition reviews more than 50 health-related indicators from the Sustainable Development Goals and WHO’s Thirteenth General Programme of Work. It also highlights the findings from the Global health estimates 2021, notably the impact of the COVID-19 pandemic on life expectancy and healthy life expectancy.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
Donate to charity during this holiday seasonSERUDS INDIA
For people who have money and are philanthropic, there are infinite opportunities to gift a needy person or child a Merry Christmas. Even if you are living on a shoestring budget, you will be surprised at how much you can do.
Donate Us
https://serudsindia.org/how-to-donate-to-charity-during-this-holiday-season/
#charityforchildren, #donateforchildren, #donateclothesforchildren, #donatebooksforchildren, #donatetoysforchildren, #sponsorforchildren, #sponsorclothesforchildren, #sponsorbooksforchildren, #sponsortoysforchildren, #seruds, #kurnool
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
7. ● Optimize DHA operations.
○ Invest in greater internal communications efforts.
○ Ensure information is readily accessible internally.
○ Synchronize strategies and tactics across the agency.
List of Key Stakeholders (Unprioritized)
● Department of Defense (DoD) CIO
● Joint Staff, especially the J6
● Services
● Office of the Under Secretary of Defense for Acquisition, Technology and
Logistics (AT&L)
● DHMS(M)–Defense Health Management Systems (Modernization) Electronic
Health Record (EHR)
● Office of the Under Secretary of Defense for Personnel and Readiness (USD
P&R)
● Department of Veterans Affairs (VA)
● Defense Information Systems Agency (DISA)
● Congress
7
9.
Priorities
● Support the warfighters and their families
● Promote innovation
● Adopt business process solution in concert with a technical solution
● Ensure information integrity and security
● Establish a consistent, integrated, aligned, agile and interoperable enterprise
architecture
● Reduce complexity for the endusers
● Reduce time to implement functional capabilities
● Use industry standards and best practices
To support these priorities, the DHA’s Health IT Directorate has established an
organization structure that encompasses:
● Portfolio Management and Customer Relations Division
● Information Delivery Division
● Cyber Security Division
● Infrastructure and Operations Division
● Innovation and Advanced Technology Development Division
● Solution Delivery Division
9
10. Section II: General Discussion Points and Inputs
To open the session attendees were asked for their initial thoughts on the DHA mission,
in particular what makes it unique and different than other medical/health organizations,
as well as what distinct challenges it faces.
What Makes DHA Different from Other Agencies in DoD
● A “joint” blend of service cultures
● Somewhat dispersed funding sources with limited control
● Highly dynamic information communications technology (ICT) environment
● Need to collaborate with and influence a wide audience to succeed
How DHA Interacts/Relates to the Services
● All of the services have strong incentive to continue their mission as it was before
and avoid any transitional issues related to the new DHA structure.
● It’s not a traditional military chain of command.
● Surgeons general and services can and do push back.
● DHA depends on services for delivery/execution.
○ Navy (BUMED) and Army (MEDCOM) have their own command structure
and control over IT assets.
Air Force (AMED) links are less clear—they have a strong infrastructure
and security management in place, with the A6 as the manager.
These different approaches will compound problems for the DHA CIO
since there is no integrated cost basis of what will be needed to manage
the new combined network. AF “block 30” is considered to be advanced
and efficient, but AF facilities aren’t used to managing it since it’s been
done by the A6. Separating this system that’s perceived to be effective
will be hard. Moreover, although DHA has this mission, but not the budget
to buy the AF into DHA, there will be a cost, but the precise numbers
haven’t been worked out because the A6 doesn’t separate out the
medical infrastructure costs.
Why is the DHA Mission Different Than Commercial Health Organizations?
● Operates in the field with combat and humanitarian assistance/disaster relief
missions in addition to the continental United States
● Deploys to austere environments with global logistical concerns
10
11. ● Additional training concerns around highly mobile force
● More decentralized funding sources
● Some IT budget spending is embedded in fees to providers
● Coordinating multiple delivery services as one team
● Stakeholders have more competing interests than private sector
● Different focus for R&D investments such as battlefield injuries like traumatic
brain injuries (TBI) and prosthetics
○ Most R&D under services
○ Also more focus on biological/chemical concerns
● Less need to tie IT investment to direct profitability/business value
● Traditionally less focus on patient experience vs commercial (mostly cost
related).
The New EHR Transition
Early on in the discussion process the pending move to a new electronic health records
(EHR) system came up and became a recurring theme throughout the day. It’s clear
that the EHR rollout has tentacles that reach into just about every corner of the DHA IT
operation.
Today visibility of downstream legacy systems is problematic but may be helped with an
EHR rollout that will no doubt shine a light on problem areas both known and unknown.
Do they know what’s waiting at all the facilities (applications, systems, hardware, etc)?
The Navy found extraordinary amounts of legacy apps, systems, hardware, etc. at
camps, posts and stations when they implemented NavyMarine Corps Internet (NMCI).
Something similar could become apparent as the EHR is deployed.
One of the expected outcomes is millions in cost savings, mostly through streamlining
and eliminating redundancies. The real question is how quickly and safely can the
savings be realized? The EHR system will be the biggest line item in the budget long
term, estimated as high as 60 percent of the IT budget even after deployment. It will be
critical that legacy applications that it can replace are stood down to free up long term
budget slack.
Another issue is that with so many architectures and security stacks, doing a global root
cause analysis is/will be virtually impossible. If something falters, knowing where to
point the finger (application, network, architecture, etc.) will be very difficult.
11
13. ● DoD CIO sets core security policies for DoD medical networks, not DHA CIO.
DHA CIO implements HIPAA rules set in place by DHA and implements a risk
management system (RMS).
● How much responsibility will incoming DHA CIO have for successes/failures
outside of HIT Directorate?
● The Program Executive Office DHMS reports directly to AT&L. DHMS contracts
can be done very quickly, but most of the analysis is based on pointtopoint
issues, not networked.
● Is this a JRSS model with a medical enclave, segregated with border control
points?
● It’s not clear if DHA in charge of health cybersecurity policy and standards across
all military health commands.
DHA implements policy set by the DoD CIO
They may “add” elements that relate to policy compliance given the
somewhat unique health environment (Records Management, HIPAA)
FDA approvals for devices and instruments can be unique
● Data Security
○ Meeting standards
○ Highly variable by location and type of data
○ Enterprise security visibility and tools problematic
○ No continuous monitoring
○ Challenge of securing data across five different environments
● Approval To Operate Authority?
○ Transitioning to one designated approval authority (DAA), but there are
five main organizations to be merged—three services, DHA and iEHR. As
was pointed out, the M&A has been done, but the postmerger
implementing rules haven’t been worked out.
○ Reciprocity across the services
○ DHA will accept a lot of risk during transition.
○ DoD JRSS applies
■ Funding issue here. Only partially funded this year
■ Not fully deployed until 2018. No agreements signed yet
13
19. ○ Research industry? Genomics?
○ Find ways to integrate private options to offload/improve capacity
concerns.
○ Engage with private sector in development of RFPs
○ Apply Better Buying Power (BBP) initiatives
○ Need to better engage with industry to help them move forward. Industry
is currently reactive and not proactively engaged.
○ Staff that are working acquisitions do not have enough experience.
■ Afraid to engage before RFP process
■ Requirements analysis is lacking
● Treat data/information as the number one strategic asset.
● Work to elevate CIO posture to key stakeholder/decision maker not just wires
and switches person.
● Chance to change the culture to move to continuous process improvement.
● Set up and participate in joint exercises to demonstrate/work on deployable
health IT progress.
● Improve business intelligence and data analytics.
● Create management dashboards to identify successful/failing initiatives.
● Change (Mis)Perceptions:
○ PEO/AT&L Leadership: “We did it because you couldn’t”
○ DoD CIO: “DHA is living in its own world”
○ Industry: Perceived lack of transparency and maturity of the strategy, still
working internal issues: “difficult to get same answer twice”
○ Within DHA: “CIO organization not effective”
○ Medical Services: “This is still business as usual”
● Move toward AGILE development methodologies
● Leverage civilian best practices or perhaps service best practices (Air Force?).
● Leverage the benefits of IoT/personal technology inputs in health care
environment.
○ Sensors
○ Patient health measurements
19
21. ○ Failure to develop and implement an actionable strategy
○ Budget remains mostly tied up in locked in spending line items.
○ Inability to measure success and/or define metrics
● Staff Retention, Recruiting and Training Concerns
○ Too many “acting” titles among leaders
○ Hiring freeze prevents influx of new talent.
○ Delayering of the organizational structure is not ideal.
○ Staff motivation incentivizing/promotions problem
○ Managing mix of uniformed and civilian staff—career tracking
○ Service assigned staff have a dual command/reporting chain
● Potential Leadership Failures
○ An unsuccessful CIO selection leads to an extended leadership vacuum.
○ Could hurt brand with other organizations
○ Failure to identify and gain control of “Shadow IT Spend”
○ Fragmented collaboration among agency components
○ Failing to manage the transition to an execution/operational agency.
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22. Section VII: Summarized Top 3 SWOT Analysis Chart
Strengths:
DHA has a good story to tell and
enjoys political support
Adequate funding streams when
compared to other organizations
New EHR system can be
leveraged to improve data
analytics and outcomes
Weaknesses:
Staffing/human capital is a growing
concern. Need to retain and train
Lack of enterprise control and
visibility of entire IT spend
Contract management being done
is silos and by novice acquisition
managers
Opportunities:
Maximize the benefits of EHR
rollout, including access to data
and retirement of legacy systems
Reinvest savings from
consolidation into new projects
with clear objectives
Opportunity for creative use of
public/private partnerships to offset
issues with staffing/human capital
Threats:
Cybersecurity/data breach could
undermine patient and stakeholder
confidence
Slow transition off of legacy
systems ties up budget resulting in
lack of forward investments
Loss of trust from related orgs due
to EHR rollout problems or other
highvisibility failures
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24.
Unvetted Items
● Establish/consolidate/improve collaborative mechanisms
● Increase focus on continuing education and training for staff
● Streamline the IT certification processes (not a unique problem)
● Embrace more rapid move to a cloudfirst approach (hybrid model best?)
● Examine how to use big data analytics effectively
● Engage with support organizations like College of Healthcare Information
Management Executives (CHIME) to garner best practices
● Facilitate move to operational model from oversight model
● Work with functional community to use IT to transform health care
● Consider embracing outsourcing model more aggressively
● Shift quickly from legacy systems sustainment to new integrated models of care
● Look to apply IoT in health environment (connected sensors driving action and
cost savings).
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