Open source’s role in CONNECTing the public and private sector healthcare com...Brian Ahier
David Riley is the CONNECT initiative lead for the Federal Health Architecture (FHA) Program in the Office of the National Coordinator for Health Information Technology (ONCHIT). This is his presentation from OSCON.
The Kentucky Health Information Exchange (KHIE) was established to advance health information technology and support healthcare providers in sharing patient records across the state. The KHIE coordinates more efficient care through health information exchange to improve patient health outcomes and population health. It also assists providers in achieving meaningful use standards for electronic health records. The KHIE provides a secure infrastructure for electronic health information exchange across Kentucky to support providers in achieving meaningful use requirements. It maintains a master patient index and other services to enable exchange of health information statewide.
The document discusses the US government's efforts to promote the adoption of electronic health records (EHRs) in the 2000s. It notes that in 2004, the president issued an order calling for most Americans to have EHRs within 10 years. It then outlines initiatives by various federal agencies like the VA, DOD, IHS to implement EHR systems. It also discusses public-private partnerships and grants provided by agencies like AHRQ and CMS to support EHR adoption and health information exchange, especially in small and rural settings.
Web Services Integration Middleware-Interoperability in HealthcareSanjoy Sanyal
This document summarizes how web services integration middleware can enable interoperability in healthcare. It provides examples of how web services can integrate legacy systems, link physician offices to emergency departments, and connect medical manufacturers to hospital information systems. The document also discusses how semantic web services may further improve worldwide interoperability by enabling systems to understand language. Ultimately, web services could help solve interoperability challenges and enable a nationwide healthcare information network.
National Health Care Systems: A Research Program on Globalization and Virtual...Ann Séror
This document provides an overview of national health care systems and virtual infrastructures. It discusses frameworks for studying virtual infrastructures within health care systems. Key points include: ranking various countries' health care systems on quality and access; defining virtual infrastructures as overlapping online networks and systems; examining how global health markets influence institutional ecologies; and proposing a research program involving comparative case analyses of specific countries' health care networks and systems.
Scotland samaritan putnam rural health network information technology present...learfield
This document discusses the implementation of health information technology through the Samaritan Scotland Putnam Rural Health Network (SSPRHN). It describes how SSPRHN received planning and development grants to establish a formalized network between three critical access hospitals. A key focus was developing the SSPRHN Information Technologies Committee to explore strategies for sharing health information electronically between members, such as through a potential health information exchange. The committee investigated different health IT approaches and continues to advocate for network members to leverage resources and exchange data.
eRX Webinar - State Health Information Exchange Leadership ForumBrian Ahier
The document discusses various potential roles that states or state-designated entities (SDEs) can play in supporting electronic prescribing (ePrescribing) to help meet meaningful use requirements. It outlines conducting a gap analysis of ePrescribing capabilities; tracking adoption; developing education campaigns; examining regulations; coordinating stakeholder strategies; engaging pharmacies; updating Medicaid; increasing provider awareness; facilitating electronic prescribing of controlled substances; and monitoring emerging issues. Examples from Minnesota, Rhode Island, Florida and Tennessee are provided.
National Identification Number for Healthcare Facilities of India PaperPankaj Gupta
This document discusses India's efforts to build a master health facility list (MFL) to facilitate data sharing across different health information systems. It describes how facility data from two existing national health reporting systems were mapped and verified to initially populate an online MFL portal. Currently the portal contains over 200,000 verified public health facilities. However, limitations from the original systems like inconsistent facility naming and lack of standardized facility hierarchies were carried over. Sustaining and evolving the MFL over time will require integrating other data sources, establishing governance mechanisms, conducting data quality audits, and addressing issues related to institutional adoption. The MFL is an important step for India but further innovations are still needed for it to reach its full potential.
Open source’s role in CONNECTing the public and private sector healthcare com...Brian Ahier
David Riley is the CONNECT initiative lead for the Federal Health Architecture (FHA) Program in the Office of the National Coordinator for Health Information Technology (ONCHIT). This is his presentation from OSCON.
The Kentucky Health Information Exchange (KHIE) was established to advance health information technology and support healthcare providers in sharing patient records across the state. The KHIE coordinates more efficient care through health information exchange to improve patient health outcomes and population health. It also assists providers in achieving meaningful use standards for electronic health records. The KHIE provides a secure infrastructure for electronic health information exchange across Kentucky to support providers in achieving meaningful use requirements. It maintains a master patient index and other services to enable exchange of health information statewide.
The document discusses the US government's efforts to promote the adoption of electronic health records (EHRs) in the 2000s. It notes that in 2004, the president issued an order calling for most Americans to have EHRs within 10 years. It then outlines initiatives by various federal agencies like the VA, DOD, IHS to implement EHR systems. It also discusses public-private partnerships and grants provided by agencies like AHRQ and CMS to support EHR adoption and health information exchange, especially in small and rural settings.
Web Services Integration Middleware-Interoperability in HealthcareSanjoy Sanyal
This document summarizes how web services integration middleware can enable interoperability in healthcare. It provides examples of how web services can integrate legacy systems, link physician offices to emergency departments, and connect medical manufacturers to hospital information systems. The document also discusses how semantic web services may further improve worldwide interoperability by enabling systems to understand language. Ultimately, web services could help solve interoperability challenges and enable a nationwide healthcare information network.
National Health Care Systems: A Research Program on Globalization and Virtual...Ann Séror
This document provides an overview of national health care systems and virtual infrastructures. It discusses frameworks for studying virtual infrastructures within health care systems. Key points include: ranking various countries' health care systems on quality and access; defining virtual infrastructures as overlapping online networks and systems; examining how global health markets influence institutional ecologies; and proposing a research program involving comparative case analyses of specific countries' health care networks and systems.
Scotland samaritan putnam rural health network information technology present...learfield
This document discusses the implementation of health information technology through the Samaritan Scotland Putnam Rural Health Network (SSPRHN). It describes how SSPRHN received planning and development grants to establish a formalized network between three critical access hospitals. A key focus was developing the SSPRHN Information Technologies Committee to explore strategies for sharing health information electronically between members, such as through a potential health information exchange. The committee investigated different health IT approaches and continues to advocate for network members to leverage resources and exchange data.
eRX Webinar - State Health Information Exchange Leadership ForumBrian Ahier
The document discusses various potential roles that states or state-designated entities (SDEs) can play in supporting electronic prescribing (ePrescribing) to help meet meaningful use requirements. It outlines conducting a gap analysis of ePrescribing capabilities; tracking adoption; developing education campaigns; examining regulations; coordinating stakeholder strategies; engaging pharmacies; updating Medicaid; increasing provider awareness; facilitating electronic prescribing of controlled substances; and monitoring emerging issues. Examples from Minnesota, Rhode Island, Florida and Tennessee are provided.
National Identification Number for Healthcare Facilities of India PaperPankaj Gupta
This document discusses India's efforts to build a master health facility list (MFL) to facilitate data sharing across different health information systems. It describes how facility data from two existing national health reporting systems were mapped and verified to initially populate an online MFL portal. Currently the portal contains over 200,000 verified public health facilities. However, limitations from the original systems like inconsistent facility naming and lack of standardized facility hierarchies were carried over. Sustaining and evolving the MFL over time will require integrating other data sources, establishing governance mechanisms, conducting data quality audits, and addressing issues related to institutional adoption. The MFL is an important step for India but further innovations are still needed for it to reach its full potential.
The document discusses the establishment of electronic health records (EHRs) in the US. It summarizes the HITECH Act which provides $19 billion in incentives for healthcare providers to adopt health IT systems like EHRs. It allocates $17 billion for physician incentives and $2 billion for HHS to develop standards, infrastructure grants, and strengthen privacy laws regarding health information. The funding is frontloaded and providers must demonstrate "meaningful use" of EHRs to receive incentives which maximize in 2011 but decrease thereafter.
This document discusses Bulgaria's strategy for developing e-administrative services and e-healthcare. It outlines the mission and principles of e-government, including providing higher quality services, improving efficiency, and increasing transparency. The strategic goal of e-healthcare is to improve citizens' health and quality of life through equal access to modern healthcare services using new technologies. Key measures include developing integrated healthcare information systems, standardizing and securing information, providing information and training to citizens, and passing legislation to support these initiatives. Useful links for additional information are also provided.
Healthcare Identity Management and Role-Based Access in a Federated NHIN - Th...Richard Moore
The Nationwide Health Information Network (NHIN) requires the secure connection of health organizations within and across state borders. The goal of Phase 4 of the e-Authentication Pilot Study is to investigate a specific solution to this issue. In 2006 HIMSS sponsored Phase 1 of the e-Authentication Pilot Study which modeled the use of the General Services Administration (GSA) electronic authentication certificates using PKI and SAML in a healthcare information exchange (HIE) environment by 6 Regional Health Information Organizations (RHIOs) located in 5 different states. Phase 2 extended the work of Phase 1 to model federated single sign-on into a distributed multi-state HIE using PKI certificates for secure identity management, open source Internet2 middleware (Shibboleth and Shibboleth tools) for the authorization architecture and OASIS Security Assertion Markup Language (SAML) for single sign-on and access control. Phase 2 concluded in the development of a healthcare specific configuration of the Shibboleth network architecture and the development of healthcare related directory objects for role-based authorization. The Phase 2 technology was successfully demonstrated in the 2008 IHE Showcase. Phase 3 of the e-Authentication Pilot Study extended the network to include NHIN connectivity as a participant in the NHIN2 project. Advancements included; Record Location Services (RLS), proprietary Electronic Health Records (EHR), Personal Health Record Service (PHR), Public Health Immunization Record Service, VMWare virtual server technology. Phase 4 extends the use of NHIN Connector for Clinical and Administrative transactions, connection to OpenVISTA, work with the Voluntary Universal Healthcare Identifier (VUHID) and the growth of the network to 18 hospitals. Liberty Alliance/Kantara Workgroup for Health Identity and Assurance continues to participate to define Health Identity Management best practices and Role-based Authentication. Presented at HIMSS2010 by Richard Moore and John Fraser
Driving Health Care Change Through Telehealth: Understanding Strategic and Co...Polsinelli PC
This document discusses regulatory considerations for telemedicine. It outlines emerging trends driving telemedicine growth and how telemedicine is being used. It then discusses key barriers to telemedicine like reimbursement, licensure, and interoperability. The rest of the document provides a detailed checklist of relevant federal and state regulations and laws. It also gives examples of state telemedicine law developments in New York, Texas, and regarding licensure and standards of care.
The document discusses several provisions in the Affordable Care Act that aim to improve coordination of benefits and care for "dual eligibles" - the nine million individuals who qualify for both Medicare and Medicaid. It outlines changes to Medicare Special Needs Plans, reducing Medicare Part D cost-sharing for some dual eligibles, extending Medicaid waivers, establishing an Office on Coordination of Benefits, and assessing adult services for dual eligibles. The overall goal is to address problems dual eligibles face and reduce confusion caused by the different rules of Medicare and Medicaid.
This document provides an overview of open health data resources available from the Department of Health and Human Services (HHS) to help entrepreneurs, researchers, and policymakers develop innovative products and services. It lists various data sets covering topics like healthcare provider quality, clinical trials, disease incidence, food nutrition, and more. The document aims to help users understand which data sets may be useful for different types of applications and provide consumers, healthcare providers, or communities. It also provides examples of how open data has already been used.
The Rural Health Care (RHC) Program provides reduced rates to eligible rural health care providers for telecommunications and internet services used for health care. The program is administered by the Universal Service Administrative Company on behalf of the Federal Communications Commission. It has two components: the Primary Program provides discounts for monthly connectivity costs and 25% off internet access, while the Pilot Program previously supported up to 85% of costs for building broadband networks. Eligible providers include rural hospitals, clinics, health departments, and mental health centers. The application process involves requesting services, selecting service providers, and notifying the program once services are received to receive discounts.
Aneesh Chopra - HealthCa.mp/dev Keynote. 2016: the Year to participate in the...Mark Scrimshire
On Saturday May7th, Aneesh Chopra gave a Keynote Address at HealthCa.mp/dev. This is the year to engage in the FHIR API and the FHIR Community to push HealthCare interoperability forward.
DHS Analysis of healthcsare sector cyber interdependeciesDavid Sweigert
The document discusses cyber threats facing the healthcare and public health sector. It notes that stolen health data is highly valuable on black markets, selling for 10-20 times more than stolen credit card data. As medical devices become more connected, cyber incidents targeting devices are expected to increase because manufacturers do not prioritize security. The sector faces risks of ransomware, distributed denial of service attacks, and theft of personally identifiable data that could enable medical identity theft.
CMS BlueButton On FHIR for Researchers - Presentation to NIH and PCORI Resear...Mark Scrimshire
This is a presentation given to researchers from PCORI and NIH (Precision Medicine Initiative) about the potential benefits to researchers that comes from letting CMS Medicare Beneficiaries share their Claims information with a research study using the Proposed CMS BlueButton data formats built on the HL7 Fast Health Interoperability Resources Specification.
Exploration of open health data at the federal, state, and local levels—including syndicated web content, downloadable datasets, and API-accessible information.
This document provides an overview of innovation trends in healthcare in the US and India, focusing on how enabling technologies are addressing major pain points. It notes that wireless internet, declining costs of computing/devices, data analytics, AI, and social media have created an infrastructure to solve high costs, low quality/availability of care. Top trends highlighted are connected health technologies, telehealth, social media-aided care, data/AI, frugal innovation, and prevention rewards. The document predicts these trends will cause a tectonic industry shift, with AI providing "first opinions" by 2020 and personalized bionic tools-aided medicine becoming the norm.
The US Department of Labor is making $6 million available in grants to state workforce agencies to expand longitudinal workforce data systems. The goal is to help states develop or enhance systems that track individuals' participation in workforce programs over time and can be linked to education data. States without systems must develop them within three years, while those with partial or comprehensive systems should expand data collection and improve linkages and analysis. Key requirements for applicants include demonstrating partnerships across agencies, ensuring privacy protections, and developing agreements to share and integrate workforce and education data for research and reporting purposes.
Slides from my presentation at HxRefactored 2015 in Boston. This is an overview of the work I am doing as HHS Entrepreneur-in-Residence to Improve Beneficiaries' access to their health information at CMS (MyMedicare.gov). How we plan to use the HL7 FHIR protocol to build a data service that enables beneficiaries to connect their CMS health information to the applications and services that they trust.
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Gregory R. Mitchell - Substance Use Disorders Crash Course Webinar Series - June 20, 2017.
Discussion Points:
* To whom, and what, does 42 CFR Part 2 (Confidentiality of SUD Patient Records) apply?
* How do the recent changes to 42 CFR Part 2 affect patient consent forms?
* How do the recent changes to audit and evaluation access rights and the definition of “qualified service organizations” affect access to protected records?
* When do you need to think about state laws relating to substance use records?
Take a coffee break every Tuesday in June at 2 p.m. ET to join us for a 15-minute webinar covering substance use disorder (SUD) issues!
http://www.ebglaw.com/events/whats-new-about-privacy-and-consent-for-substance-use-records-substance-use-disorders-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
The American Health Care System - Long PaperDivya Kothari
The document discusses the evolution of the American healthcare system from a state-run Medicaid program to the current system established under the Affordable Care Act (ACA). It outlines some of the key stakeholders in the new system, including healthcare providers, insurance companies, the government, and recipients. It also analyzes some of the risks and challenges that each of these stakeholders face, such as high costs, eligibility determination issues, security risks with sensitive health data, and rising insurance premiums and deductibles. The implementation of the ACA website in particular faced major technical issues that highlighted systemic risks when large-scale technology projects are not properly planned and coordinated.
This document discusses the development of health information exchange (HIE) in California to support meaningful use requirements. It provides background on federal initiatives like HITECH that established standards for electronic health records (EHRs) and required their use. It describes California's efforts to build HIE infrastructure and increase public health's capacity to accept immunization data electronically from providers. This includes developing a registration portal, validation service, and gateway to route immunization data from EHRs to local registries in compliance with meaningful use and support providers in meeting these requirements.
The document discusses privacy and security challenges with the Nationwide Health Information Network (NwHIN), which aims to make patient health data available electronically to providers across the US through standards, services and policies that enable secure health information exchange. It notes that while data protection exists through laws like HIPAA, the large amount of sensitive patient data that would be accessible through NwHIN raises privacy and security concerns, as current regulations may not adequately address sophisticated modern attacks. The document provides background on NwHIN and related concepts like health information exchange.
P17 fhir chain- applying blockchain to securely and scalably sharedevid8
This document proposes a blockchain-based architecture called FHIRChain to securely and scalably share clinical data. It addresses barriers to data sharing like security, lack of trust between healthcare entities, scalability issues, and lack of interoperable standards. FHIRChain meets ONC requirements for an interoperable health system by encapsulating HL7's FHIR standard and using a decentralized token-based design. It demonstrates FHIRChain for a case study on remote cancer care clinical data sharing using digital identities to authenticate participants and manage authorizations. The paper analyzes ONC requirements, presents the FHIRChain architecture, and highlights lessons from the case study.
This document discusses the role of open source software in connecting the public and private healthcare sectors through health information exchange. It provides background on the current fragmented US healthcare system and goals of increased electronic health record adoption and interoperability. The document describes how the American Recovery and Reinvestment Act is investing in health IT and focuses on the CONNECT open source software project, which allows different organizations to securely exchange health data through a common standards-based platform. It provides examples of early adopters from both public and private sectors and outlines planning considerations for new implementations.
Health Identity Management & Role-Based Access Control in a Federated NHIN - ...Richard Moore
Healthcare Identity Management and Role-based Access in a Federated NHIN - Session 170
Tuesday, April 7, 2:15 PM - 3:15 PM
Convention Center, Room:N 427 c
Richard Moore
John Frazer
Description:
The National Health Information Network requires secure connection of health organizations within and across state borders. Phase Three of the e-Authentication Pilot Project investigates open source and virtual server solutions to address this issue. Learn about the successes and challenges to this pilot project.
The document discusses the establishment of electronic health records (EHRs) in the US. It summarizes the HITECH Act which provides $19 billion in incentives for healthcare providers to adopt health IT systems like EHRs. It allocates $17 billion for physician incentives and $2 billion for HHS to develop standards, infrastructure grants, and strengthen privacy laws regarding health information. The funding is frontloaded and providers must demonstrate "meaningful use" of EHRs to receive incentives which maximize in 2011 but decrease thereafter.
This document discusses Bulgaria's strategy for developing e-administrative services and e-healthcare. It outlines the mission and principles of e-government, including providing higher quality services, improving efficiency, and increasing transparency. The strategic goal of e-healthcare is to improve citizens' health and quality of life through equal access to modern healthcare services using new technologies. Key measures include developing integrated healthcare information systems, standardizing and securing information, providing information and training to citizens, and passing legislation to support these initiatives. Useful links for additional information are also provided.
Healthcare Identity Management and Role-Based Access in a Federated NHIN - Th...Richard Moore
The Nationwide Health Information Network (NHIN) requires the secure connection of health organizations within and across state borders. The goal of Phase 4 of the e-Authentication Pilot Study is to investigate a specific solution to this issue. In 2006 HIMSS sponsored Phase 1 of the e-Authentication Pilot Study which modeled the use of the General Services Administration (GSA) electronic authentication certificates using PKI and SAML in a healthcare information exchange (HIE) environment by 6 Regional Health Information Organizations (RHIOs) located in 5 different states. Phase 2 extended the work of Phase 1 to model federated single sign-on into a distributed multi-state HIE using PKI certificates for secure identity management, open source Internet2 middleware (Shibboleth and Shibboleth tools) for the authorization architecture and OASIS Security Assertion Markup Language (SAML) for single sign-on and access control. Phase 2 concluded in the development of a healthcare specific configuration of the Shibboleth network architecture and the development of healthcare related directory objects for role-based authorization. The Phase 2 technology was successfully demonstrated in the 2008 IHE Showcase. Phase 3 of the e-Authentication Pilot Study extended the network to include NHIN connectivity as a participant in the NHIN2 project. Advancements included; Record Location Services (RLS), proprietary Electronic Health Records (EHR), Personal Health Record Service (PHR), Public Health Immunization Record Service, VMWare virtual server technology. Phase 4 extends the use of NHIN Connector for Clinical and Administrative transactions, connection to OpenVISTA, work with the Voluntary Universal Healthcare Identifier (VUHID) and the growth of the network to 18 hospitals. Liberty Alliance/Kantara Workgroup for Health Identity and Assurance continues to participate to define Health Identity Management best practices and Role-based Authentication. Presented at HIMSS2010 by Richard Moore and John Fraser
Driving Health Care Change Through Telehealth: Understanding Strategic and Co...Polsinelli PC
This document discusses regulatory considerations for telemedicine. It outlines emerging trends driving telemedicine growth and how telemedicine is being used. It then discusses key barriers to telemedicine like reimbursement, licensure, and interoperability. The rest of the document provides a detailed checklist of relevant federal and state regulations and laws. It also gives examples of state telemedicine law developments in New York, Texas, and regarding licensure and standards of care.
The document discusses several provisions in the Affordable Care Act that aim to improve coordination of benefits and care for "dual eligibles" - the nine million individuals who qualify for both Medicare and Medicaid. It outlines changes to Medicare Special Needs Plans, reducing Medicare Part D cost-sharing for some dual eligibles, extending Medicaid waivers, establishing an Office on Coordination of Benefits, and assessing adult services for dual eligibles. The overall goal is to address problems dual eligibles face and reduce confusion caused by the different rules of Medicare and Medicaid.
This document provides an overview of open health data resources available from the Department of Health and Human Services (HHS) to help entrepreneurs, researchers, and policymakers develop innovative products and services. It lists various data sets covering topics like healthcare provider quality, clinical trials, disease incidence, food nutrition, and more. The document aims to help users understand which data sets may be useful for different types of applications and provide consumers, healthcare providers, or communities. It also provides examples of how open data has already been used.
The Rural Health Care (RHC) Program provides reduced rates to eligible rural health care providers for telecommunications and internet services used for health care. The program is administered by the Universal Service Administrative Company on behalf of the Federal Communications Commission. It has two components: the Primary Program provides discounts for monthly connectivity costs and 25% off internet access, while the Pilot Program previously supported up to 85% of costs for building broadband networks. Eligible providers include rural hospitals, clinics, health departments, and mental health centers. The application process involves requesting services, selecting service providers, and notifying the program once services are received to receive discounts.
Aneesh Chopra - HealthCa.mp/dev Keynote. 2016: the Year to participate in the...Mark Scrimshire
On Saturday May7th, Aneesh Chopra gave a Keynote Address at HealthCa.mp/dev. This is the year to engage in the FHIR API and the FHIR Community to push HealthCare interoperability forward.
DHS Analysis of healthcsare sector cyber interdependeciesDavid Sweigert
The document discusses cyber threats facing the healthcare and public health sector. It notes that stolen health data is highly valuable on black markets, selling for 10-20 times more than stolen credit card data. As medical devices become more connected, cyber incidents targeting devices are expected to increase because manufacturers do not prioritize security. The sector faces risks of ransomware, distributed denial of service attacks, and theft of personally identifiable data that could enable medical identity theft.
CMS BlueButton On FHIR for Researchers - Presentation to NIH and PCORI Resear...Mark Scrimshire
This is a presentation given to researchers from PCORI and NIH (Precision Medicine Initiative) about the potential benefits to researchers that comes from letting CMS Medicare Beneficiaries share their Claims information with a research study using the Proposed CMS BlueButton data formats built on the HL7 Fast Health Interoperability Resources Specification.
Exploration of open health data at the federal, state, and local levels—including syndicated web content, downloadable datasets, and API-accessible information.
This document provides an overview of innovation trends in healthcare in the US and India, focusing on how enabling technologies are addressing major pain points. It notes that wireless internet, declining costs of computing/devices, data analytics, AI, and social media have created an infrastructure to solve high costs, low quality/availability of care. Top trends highlighted are connected health technologies, telehealth, social media-aided care, data/AI, frugal innovation, and prevention rewards. The document predicts these trends will cause a tectonic industry shift, with AI providing "first opinions" by 2020 and personalized bionic tools-aided medicine becoming the norm.
The US Department of Labor is making $6 million available in grants to state workforce agencies to expand longitudinal workforce data systems. The goal is to help states develop or enhance systems that track individuals' participation in workforce programs over time and can be linked to education data. States without systems must develop them within three years, while those with partial or comprehensive systems should expand data collection and improve linkages and analysis. Key requirements for applicants include demonstrating partnerships across agencies, ensuring privacy protections, and developing agreements to share and integrate workforce and education data for research and reporting purposes.
Slides from my presentation at HxRefactored 2015 in Boston. This is an overview of the work I am doing as HHS Entrepreneur-in-Residence to Improve Beneficiaries' access to their health information at CMS (MyMedicare.gov). How we plan to use the HL7 FHIR protocol to build a data service that enables beneficiaries to connect their CMS health information to the applications and services that they trust.
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Gregory R. Mitchell - Substance Use Disorders Crash Course Webinar Series - June 20, 2017.
Discussion Points:
* To whom, and what, does 42 CFR Part 2 (Confidentiality of SUD Patient Records) apply?
* How do the recent changes to 42 CFR Part 2 affect patient consent forms?
* How do the recent changes to audit and evaluation access rights and the definition of “qualified service organizations” affect access to protected records?
* When do you need to think about state laws relating to substance use records?
Take a coffee break every Tuesday in June at 2 p.m. ET to join us for a 15-minute webinar covering substance use disorder (SUD) issues!
http://www.ebglaw.com/events/whats-new-about-privacy-and-consent-for-substance-use-records-substance-use-disorders-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
The American Health Care System - Long PaperDivya Kothari
The document discusses the evolution of the American healthcare system from a state-run Medicaid program to the current system established under the Affordable Care Act (ACA). It outlines some of the key stakeholders in the new system, including healthcare providers, insurance companies, the government, and recipients. It also analyzes some of the risks and challenges that each of these stakeholders face, such as high costs, eligibility determination issues, security risks with sensitive health data, and rising insurance premiums and deductibles. The implementation of the ACA website in particular faced major technical issues that highlighted systemic risks when large-scale technology projects are not properly planned and coordinated.
This document discusses the development of health information exchange (HIE) in California to support meaningful use requirements. It provides background on federal initiatives like HITECH that established standards for electronic health records (EHRs) and required their use. It describes California's efforts to build HIE infrastructure and increase public health's capacity to accept immunization data electronically from providers. This includes developing a registration portal, validation service, and gateway to route immunization data from EHRs to local registries in compliance with meaningful use and support providers in meeting these requirements.
The document discusses privacy and security challenges with the Nationwide Health Information Network (NwHIN), which aims to make patient health data available electronically to providers across the US through standards, services and policies that enable secure health information exchange. It notes that while data protection exists through laws like HIPAA, the large amount of sensitive patient data that would be accessible through NwHIN raises privacy and security concerns, as current regulations may not adequately address sophisticated modern attacks. The document provides background on NwHIN and related concepts like health information exchange.
P17 fhir chain- applying blockchain to securely and scalably sharedevid8
This document proposes a blockchain-based architecture called FHIRChain to securely and scalably share clinical data. It addresses barriers to data sharing like security, lack of trust between healthcare entities, scalability issues, and lack of interoperable standards. FHIRChain meets ONC requirements for an interoperable health system by encapsulating HL7's FHIR standard and using a decentralized token-based design. It demonstrates FHIRChain for a case study on remote cancer care clinical data sharing using digital identities to authenticate participants and manage authorizations. The paper analyzes ONC requirements, presents the FHIRChain architecture, and highlights lessons from the case study.
This document discusses the role of open source software in connecting the public and private healthcare sectors through health information exchange. It provides background on the current fragmented US healthcare system and goals of increased electronic health record adoption and interoperability. The document describes how the American Recovery and Reinvestment Act is investing in health IT and focuses on the CONNECT open source software project, which allows different organizations to securely exchange health data through a common standards-based platform. It provides examples of early adopters from both public and private sectors and outlines planning considerations for new implementations.
Health Identity Management & Role-Based Access Control in a Federated NHIN - ...Richard Moore
Healthcare Identity Management and Role-based Access in a Federated NHIN - Session 170
Tuesday, April 7, 2:15 PM - 3:15 PM
Convention Center, Room:N 427 c
Richard Moore
John Frazer
Description:
The National Health Information Network requires secure connection of health organizations within and across state borders. Phase Three of the e-Authentication Pilot Project investigates open source and virtual server solutions to address this issue. Learn about the successes and challenges to this pilot project.
HI300 Unit 5 Standards for Electronic Data and Data Interchange -.docxAbramMartino96
HI300 Unit 5: Standards for Electronic Data and Data Interchange - Discussion
Standard Development Organizations
Identify and research standard development organizations listed in the text on pp. 165–166
.
Select one of the organization’s websites and identify at least 3-4 facts about this organization and explain what it does.
Do not duplicate your classmates’ information. Note: You may explore the internet for recent articles about the organization and include this information as well.
When responding to your classmates describe similarities and differences between the organizations you researched.
Discussion responses should be strictly on topic, original with scholar references, and contribute to the quality of the discussion by making frequent informed references to lesson material.
NO PHARGIARISM!!
Below is the Chapter 4 reading for this assignment.
Standards for Electronic Data and Electronic Data Interchange
The original uniform data sets such as the UHDDS and the UACDS were created for use in paper-based (manual) health record systems. They were not designed to accommodate the data needs of the current healthcare delivery system or the demands of EHRs and clinical information systems.
Standards are needed in order for data to be easily, accurately, and securely communicated and exchanged electronically among various computer systems. This is referred to as interoperability. Without standards for interoperability, EHRs and the NHIN will not realize their full benefits (Thompson and Brailer 2004).
Many types of standards are being developed to support the EHR and health information exchange. Some involve defining record structure and content, others specify technical approaches for transmitting data, and still others provide rules for protecting the privacy and security of data.
Public and private organizations have been actively engaged in the process of developing healthcare informatics standards to support EHR development, interoperability, and information exchange. The federal government supports this work in a variety of ways. One example is the S&I Framework. According to Fridsma (2010 slide 4), the Framework “is the mechanism by which ONC will manage the implementation of specifications and the harmonization of existing health IT standards to promote interoperability nationwide.”
Definition of Data Standard for Electronic Data Exchange
Data standards provide the ability to record a certain data item in accordance with the agreed upon standard (Giannangelo 2007). Data content standards are “clear guidelines for the acceptable values for specified data fields” (Fenton et al. 2007). Data exchange standards are protocols that help ensure that data transmitted from one system to another remain comparable.
One of the purposes of HIPAA’s Administrative Simplification rules was to standardize information exchange and in August 2000, the Department of Health and Human Services (HHS) published regulations for electronic trans.
eHealth BC guides electronic health initiatives in British Columbia. It was established in response to pressures to increase healthcare system efficiency and enable electronic services. The strategic framework outlines pillars like primary care, hospitals, labs, and telehealth. It also identifies foundational components and stakeholders. The service oriented architecture uses loosely coupled interoperable services and standards to allow information sharing and improve quality, safety, and access to healthcare in BC.
This document is a request for proposals from New York eHealth Collaborative (NYeC) seeking a vendor to implement a statewide two-factor authentication solution. The solution must comply with NIST SP 800-63-1 Level 3 requirements and balance security, usability, and adoption. It will enable secure access to patient health information across the Statewide Health Information Network for New York (SHIN-NY) by users accessing via regional health information organizations (RHIOs), electronic health records (EHRs), and other systems. The statewide solution will provide identity and access management services including identity proofing, credential issuance, and token management to authenticate users before granting access to SHIN-NY data and related uses
The document discusses proposals for developing healthcare information sharing infrastructure and solutions across multiple healthcare providers in New Jersey. It proposes a partnership between Newark Beth Israel Medical Center and other hospitals, clinics, nursing homes and healthcare organizations to create a healthcare information exchange. It describes two potential models for this exchange and the key components, including physician and patient portals, clinical data repositories, standards-based integration, and a universal patient transfer form. The goal is to improve care coordination, access to patient information, and health outcomes across the healthcare system.
Public health information technology standards overviewSundak Ganesan
The document summarizes the history and initiatives around establishing standards for health information technology and exchange in the US federal government from 2003-2010. It describes the Consolidated Health Informatics initiative which adopted messaging and vocabulary standards to allow federal agencies to share health information. It also discusses the Health Information Technology Standards Panel which worked to harmonize standards to enable information sharing and the certification criteria established in 2010 to ensure electronic health records can meet standards and achieve meaningful use.
The document discusses the NIC's initiative to develop semantic web capabilities to improve access to health innovation information. It outlines the NIC's progress in building an ontology, populating a triplestore with curated data, and developing demonstration applications. The next steps include further developing applications and widgets, deploying an NLP crawler, and semantically tagging sections of the NIC website.
Direct Boot Camp 2 0 Federal Agency requirements for exchange via directBrian Ahier
The FHA Directed Exchange Workgroup provides updates on efforts to increase the adoption of Direct for health information exchange between federal agencies and non-federal entities. They are educating federal partners on Direct technology and policies, developing common understanding of use cases and security requirements, and identifying baseline documents and FAQs. Establishing a common federal Direct policy would greatly increase its adoption for information exchange. Focused workgroups address Directed exchange, security, and interoperability issues. Risks to Directed exchange between agencies are being identified and recommendations will be provided to ONC.
1. The document discusses the advantages and disadvantages of implementing an electronic health record (EHR) system to replace a paper-based system.
2. A key disadvantage is the high cost of implementation, with the cost of Alberta's new clinical information system estimated at $1.6 billion over 10 years.
3. Another disadvantage is a lack of interoperability between existing EHR systems, which prevents patient information from being shared and understood across health settings.
The document discusses public health informatics standards and the Public Health Information Network (PHIN) framework. It outlines how PHIN aims to advance interoperability between public health organizations through selecting relevant data standards, describing minimum IT capabilities, and developing standardized software applications. It then summarizes Houston Department of Health and Human Services' (HDHHS) data systems integration project, which will develop a web portal integrating various applications using PHIN recommendations to facilitate data sharing.
This document discusses how cloud computing technologies can be applied to electronic health records (EHRs). It provides background on government programs and regulations driving healthcare organizations to adopt digital health records, such as the HITECH Act and its "meaningful use" incentives. Both opportunities and challenges of cloud-based EHR systems are examined, including concerns around data privacy, security, and vendor lock-in. Examples of EHR vendors offering cloud-based solutions are also presented. The summary concludes that healthcare organizations should carefully consider how cloud technologies can help meet regulatory requirements while addressing the unique security and other needs of digital health information.
HEALTHCHAIN: A Patient Centric Blockchain Based Web Application For Maintaini...IRJET Journal
This document describes a blockchain-based web application called Healthchain that aims to securely store and share electronic healthcare records (EHRs) in a decentralized manner. It discusses how blockchain technology can address privacy and security issues with centralized EHR systems by allowing patients to control access to their records. The application was developed using blockchain, BigchainDB, IPFS, Express.js, and MongoDB to provide a trustworthy, transparent system for producing, managing and sharing EHRs between doctors and patients.
iUZ has organised last 3rd July a talk about Cross-Border Interoperability and we've broadcasted live on Youtube.
This is the presentation document.
You can watch the event through our Youtube channel: http://youtu.be/k1KLgD8GF3Q
A presentation about the role of informatics standards in facilitating electronic data interchange, and a framework for service-oriented semantic interoperability among data systems.
The VA's electronic health record system, VistA, is cited as a potential model for a national health information network. VistA uses open-source software that allows easy sharing of medical data and applications between hospitals and providers. Some groups have already implemented lower-cost versions of VistA successfully. Experts argue that VistA or its offspring RPMS could be adapted for broader use as an affordable national platform.
This document discusses the Vietnam Health Information Technology Program (VHITP) and its goals of creating an integrated health information network called Healthnet (Healthnet.vn) to distribute health information to communities in Vietnam. The network aims to securely collect health data to provide better healthcare services and support the doctor-patient relationship. It also aims to aggregate data in real-time for managers and decision makers. Key objectives of Healthnet.vn include collecting secure clinical data to provide authorized professionals with up-to-date patient information and using combined data to provide health authorities a real-time view of community health and services usage.
Mapping CDA Documents for Health Information Exchange from Multiple Hospitals...IRJET Journal
The document discusses a cloud-based system for generating and integrating Clinical Document Architecture (CDA) documents to improve health information exchange between hospitals. It describes:
1) A CDA document generation system that uses cloud computing to allow hospitals using different platforms/systems to generate standard CDA documents without additional software.
2) A CDA document integration system that combines multiple CDA documents for a patient scattered across different hospitals into a single document.
3) The benefits of this system include easy access through an open API, no need for hospitals to generate/integrate CDA documents themselves, and potential increased adoption of CDA standards due to low cost of the cloud-based system.
The document provides an overview and update on the Direct Project including:
- Background on what Direct is and why it is needed to provide secure electronic health information exchange.
- Examples of live Direct implementations across several states that are demonstrating use cases related to Meaningful Use criteria.
- Technology providers involved in the various pilot implementations, including health information service providers (HISPs) and electronic health record (EHR) vendors.
- Major findings from the pilot implementations including positive feedback on Direct's ability to facilitate health information exchange and support Meaningful Use goals.
Similar to CONNECT: An Open Source Platform for Promoting Military Health (20)
Innovation Through “Trusted” Open Source SolutionsJoshua L. Davis
This document discusses open source software and its benefits. It defines open source software as software where the source code is freely available to use, modify, and distribute. The document notes that open source software can provide benefits like increased agility, faster delivery, more innovation, better security, and lower costs compared to proprietary software. It also clarifies that open source software is a form of commercial off-the-shelf software.
This document discusses open source software and its benefits. It defines open source software as software where the human-readable source code is available to use, study, modify, and redistribute. Open source software provides benefits like increased agility and flexibility, faster delivery, more innovation, better information assurance and security, and lower costs compared to proprietary software. It also notes that open source software can be considered a form of commercial off-the-shelf software.
This document provides an overview of open source software concepts, how open source applies to the Department of Defense, and the Mil-OSS community. It defines key open source terms and concepts, discusses the differences between open source, freeware, and shareware. It also introduces the mil-oss.org website as a resource for the military open source software community.
The document discusses the potential for "smart radios" and open source software to improve tactical awareness and information sharing for military operations. It argues that current systems focus too much on hardware and security, and do not effectively share position location information or a common operational picture. Open source software integrated across a tactical data network could provide a shared awareness of who is doing what where and why, extending the range of operations through cyberspace. This would require modeling the operational architecture and moving beyond individual connectivity to true information sharing, drawing on open source's success with the World Wide Web.
Ignite: Improving Performance on Federal Contracts Using Scrum & AgileJoshua L. Davis
This document discusses how adopting Scrum and Agile methodologies can improve IT project success rates within the military. Traditional "waterfall" project approaches have a high failure rate of 62% due to budget overruns and features not providing value. However, using Agile approaches like Scrum increases success rates to 82% by having daily customer interactions, focusing delivery in short sprints, and emphasizing automated testing and continuous integration. The Scrum framework utilizes product owners, a self-organizing delivery team, and a Scrum master to collaborate closely with customers and adapt quickly to changes.
Devops is a cultural and professional movement that aims to break down the traditional silos between development and operations teams. It promotes automation, collaboration, and continuous delivery to help organizations be more agile. Devops advocates for infrastructure being defined as code so environments can be provisioned and managed programmatically. This allows companies to quickly update applications and restore services following outages.
Using the Joomla CMI in the Army Hosting EnvironmentJoshua L. Davis
The document discusses using the content management system (CMS) Joomla in the Army hosting environment. It argues that Joomla is well-suited for Army use because it is popular, has a strong community, is easy to deploy and use, and is cost-efficient. It considers other CMS options like Drupal, WordPress, Movable Type, and SharePoint but concludes they are not as appropriate. The document provides details on what Joomla is and considerations for using it in the Army, such as security, staffing and training needs. It outlines steps to roll out an Army Joomla site, including getting started, security best practices, and templating guidelines.
Senior Leaders Adapting to Social TechnologiesJoshua L. Davis
This document discusses adapting senior military leaders to social technologies. It notes that while social tools can improve collaboration and situational awareness, leaders may perceive them as unsecure or too casual. The document recommends focusing on the user experience and providing a way forward that incorporates both legacy systems leaders currently use like email as well as emerging social platforms. It suggests targeting "entrepreneur" type leaders who are most likely to adapt and focusing on the next generation of leaders. Current military social platforms are mentioned but the document stresses making any system compatible with how leaders currently work.
This was the five minute pitch that David and group pulled together at the WG2 barcamp. This will be a start for a community developed document to help field questions about oss and security within the military.
Open Source Software (OSS/FLOSS) and SecurityJoshua L. Davis
This document discusses open source software (OSS) and security. It defines OSS and outlines some of its typical development models and security advantages compared to proprietary software, such as mass peer review improving quality and security. It notes that neither OSS nor proprietary software is always more secure and that each case needs to be evaluated individually. The document provides statistics showing OSS has scored better than proprietary software on some security metrics. It discusses how to evaluate OSS for security and considers both unintentional and intentional vulnerabilities.
MilSuite is a suite of secure, military-focused social media and collaboration tools including milWiki, milBlog, and milBook. It provides a way for the military community to share knowledge, connect professionals, and access information resources through a centralized online platform. MilSuite usage has expanded rapidly, and plans are underway to further develop its capabilities and integrate it more fully as an enterprise solution across the Department of Defense.
Importance of WS-Addressing and WS-Reliability in DoD EnterprisesJoshua L. Davis
This document discusses the importance of web services reliability and addressing standards in Department of Defense networks. It notes that service orientation plays a major role in the DoD's goal of network-centric warfare and a global information grid. The document outlines how WS-Reliability and WS-Addressing help provide transport neutrality, identify endpoints, and support message transmission through processing nodes, meeting key DoD needs around security, predictability, and information sharing. Examples and demos are provided to illustrate best practices for web services in DoD environments.
The document discusses Space and Naval Warfare Systems Center Atlantic's (SSC Atlantic) approach to service-oriented architecture (SOA). SSC Atlantic has been a leader in SOA development for the Department of Defense, with early work on initiatives like Horizontal Fusion. SSC Atlantic focuses on rapid development, reuse, open standards, and collaboration across programs to deliver capabilities. Key aspects of SSC Atlantic's approach include governance, collaboration, and evolving SOA processes and technical standards through shared development experiences.
LF Energy Webinar: Carbon Data Specifications: Mechanisms to Improve Data Acc...DanBrown980551
This LF Energy webinar took place June 20, 2024. It featured:
-Alex Thornton, LF Energy
-Hallie Cramer, Google
-Daniel Roesler, UtilityAPI
-Henry Richardson, WattTime
In response to the urgency and scale required to effectively address climate change, open source solutions offer significant potential for driving innovation and progress. Currently, there is a growing demand for standardization and interoperability in energy data and modeling. Open source standards and specifications within the energy sector can also alleviate challenges associated with data fragmentation, transparency, and accessibility. At the same time, it is crucial to consider privacy and security concerns throughout the development of open source platforms.
This webinar will delve into the motivations behind establishing LF Energy’s Carbon Data Specification Consortium. It will provide an overview of the draft specifications and the ongoing progress made by the respective working groups.
Three primary specifications will be discussed:
-Discovery and client registration, emphasizing transparent processes and secure and private access
-Customer data, centering around customer tariffs, bills, energy usage, and full consumption disclosure
-Power systems data, focusing on grid data, inclusive of transmission and distribution networks, generation, intergrid power flows, and market settlement data
[OReilly Superstream] Occupy the Space: A grassroots guide to engineering (an...Jason Yip
The typical problem in product engineering is not bad strategy, so much as “no strategy”. This leads to confusion, lack of motivation, and incoherent action. The next time you look for a strategy and find an empty space, instead of waiting for it to be filled, I will show you how to fill it in yourself. If you’re wrong, it forces a correction. If you’re right, it helps create focus. I’ll share how I’ve approached this in the past, both what works and lessons for what didn’t work so well.
What is an RPA CoE? Session 1 – CoE VisionDianaGray10
In the first session, we will review the organization's vision and how this has an impact on the COE Structure.
Topics covered:
• The role of a steering committee
• How do the organization’s priorities determine CoE Structure?
Speaker:
Chris Bolin, Senior Intelligent Automation Architect Anika Systems
QR Secure: A Hybrid Approach Using Machine Learning and Security Validation F...AlexanderRichford
QR Secure: A Hybrid Approach Using Machine Learning and Security Validation Functions to Prevent Interaction with Malicious QR Codes.
Aim of the Study: The goal of this research was to develop a robust hybrid approach for identifying malicious and insecure URLs derived from QR codes, ensuring safe interactions.
This is achieved through:
Machine Learning Model: Predicts the likelihood of a URL being malicious.
Security Validation Functions: Ensures the derived URL has a valid certificate and proper URL format.
This innovative blend of technology aims to enhance cybersecurity measures and protect users from potential threats hidden within QR codes 🖥 🔒
This study was my first introduction to using ML which has shown me the immense potential of ML in creating more secure digital environments!
What is an RPA CoE? Session 2 – CoE RolesDianaGray10
In this session, we will review the players involved in the CoE and how each role impacts opportunities.
Topics covered:
• What roles are essential?
• What place in the automation journey does each role play?
Speaker:
Chris Bolin, Senior Intelligent Automation Architect Anika Systems
From Natural Language to Structured Solr Queries using LLMsSease
This talk draws on experimentation to enable AI applications with Solr. One important use case is to use AI for better accessibility and discoverability of the data: while User eXperience techniques, lexical search improvements, and data harmonization can take organizations to a good level of accessibility, a structural (or “cognitive” gap) remains between the data user needs and the data producer constraints.
That is where AI – and most importantly, Natural Language Processing and Large Language Model techniques – could make a difference. This natural language, conversational engine could facilitate access and usage of the data leveraging the semantics of any data source.
The objective of the presentation is to propose a technical approach and a way forward to achieve this goal.
The key concept is to enable users to express their search queries in natural language, which the LLM then enriches, interprets, and translates into structured queries based on the Solr index’s metadata.
This approach leverages the LLM’s ability to understand the nuances of natural language and the structure of documents within Apache Solr.
The LLM acts as an intermediary agent, offering a transparent experience to users automatically and potentially uncovering relevant documents that conventional search methods might overlook. The presentation will include the results of this experimental work, lessons learned, best practices, and the scope of future work that should improve the approach and make it production-ready.
Connector Corner: Seamlessly power UiPath Apps, GenAI with prebuilt connectorsDianaGray10
Join us to learn how UiPath Apps can directly and easily interact with prebuilt connectors via Integration Service--including Salesforce, ServiceNow, Open GenAI, and more.
The best part is you can achieve this without building a custom workflow! Say goodbye to the hassle of using separate automations to call APIs. By seamlessly integrating within App Studio, you can now easily streamline your workflow, while gaining direct access to our Connector Catalog of popular applications.
We’ll discuss and demo the benefits of UiPath Apps and connectors including:
Creating a compelling user experience for any software, without the limitations of APIs.
Accelerating the app creation process, saving time and effort
Enjoying high-performance CRUD (create, read, update, delete) operations, for
seamless data management.
Speakers:
Russell Alfeche, Technology Leader, RPA at qBotic and UiPath MVP
Charlie Greenberg, host
Northern Engraving | Modern Metal Trim, Nameplates and Appliance PanelsNorthern Engraving
What began over 115 years ago as a supplier of precision gauges to the automotive industry has evolved into being an industry leader in the manufacture of product branding, automotive cockpit trim and decorative appliance trim. Value-added services include in-house Design, Engineering, Program Management, Test Lab and Tool Shops.
Northern Engraving | Nameplate Manufacturing Process - 2024Northern Engraving
Manufacturing custom quality metal nameplates and badges involves several standard operations. Processes include sheet prep, lithography, screening, coating, punch press and inspection. All decoration is completed in the flat sheet with adhesive and tooling operations following. The possibilities for creating unique durable nameplates are endless. How will you create your brand identity? We can help!
In the realm of cybersecurity, offensive security practices act as a critical shield. By simulating real-world attacks in a controlled environment, these techniques expose vulnerabilities before malicious actors can exploit them. This proactive approach allows manufacturers to identify and fix weaknesses, significantly enhancing system security.
This presentation delves into the development of a system designed to mimic Galileo's Open Service signal using software-defined radio (SDR) technology. We'll begin with a foundational overview of both Global Navigation Satellite Systems (GNSS) and the intricacies of digital signal processing.
The presentation culminates in a live demonstration. We'll showcase the manipulation of Galileo's Open Service pilot signal, simulating an attack on various software and hardware systems. This practical demonstration serves to highlight the potential consequences of unaddressed vulnerabilities, emphasizing the importance of offensive security practices in safeguarding critical infrastructure.
Conversational agents, or chatbots, are increasingly used to access all sorts of services using natural language. While open-domain chatbots - like ChatGPT - can converse on any topic, task-oriented chatbots - the focus of this paper - are designed for specific tasks, like booking a flight, obtaining customer support, or setting an appointment. Like any other software, task-oriented chatbots need to be properly tested, usually by defining and executing test scenarios (i.e., sequences of user-chatbot interactions). However, there is currently a lack of methods to quantify the completeness and strength of such test scenarios, which can lead to low-quality tests, and hence to buggy chatbots.
To fill this gap, we propose adapting mutation testing (MuT) for task-oriented chatbots. To this end, we introduce a set of mutation operators that emulate faults in chatbot designs, an architecture that enables MuT on chatbots built using heterogeneous technologies, and a practical realisation as an Eclipse plugin. Moreover, we evaluate the applicability, effectiveness and efficiency of our approach on open-source chatbots, with promising results.
"Choosing proper type of scaling", Olena SyrotaFwdays
Imagine an IoT processing system that is already quite mature and production-ready and for which client coverage is growing and scaling and performance aspects are life and death questions. The system has Redis, MongoDB, and stream processing based on ksqldb. In this talk, firstly, we will analyze scaling approaches and then select the proper ones for our system.
Lee Barnes - Path to Becoming an Effective Test Automation Engineer.pdfleebarnesutopia
So… you want to become a Test Automation Engineer (or hire and develop one)? While there’s quite a bit of information available about important technical and tool skills to master, there’s not enough discussion around the path to becoming an effective Test Automation Engineer that knows how to add VALUE. In my experience this had led to a proliferation of engineers who are proficient with tools and building frameworks but have skill and knowledge gaps, especially in software testing, that reduce the value they deliver with test automation.
In this talk, Lee will share his lessons learned from over 30 years of working with, and mentoring, hundreds of Test Automation Engineers. Whether you’re looking to get started in test automation or just want to improve your trade, this talk will give you a solid foundation and roadmap for ensuring your test automation efforts continuously add value. This talk is equally valuable for both aspiring Test Automation Engineers and those managing them! All attendees will take away a set of key foundational knowledge and a high-level learning path for leveling up test automation skills and ensuring they add value to their organizations.
In our second session, we shall learn all about the main features and fundamentals of UiPath Studio that enable us to use the building blocks for any automation project.
📕 Detailed agenda:
Variables and Datatypes
Workflow Layouts
Arguments
Control Flows and Loops
Conditional Statements
💻 Extra training through UiPath Academy:
Variables, Constants, and Arguments in Studio
Control Flow in Studio
AI in the Workplace Reskilling, Upskilling, and Future Work.pptxSunil Jagani
Discover how AI is transforming the workplace and learn strategies for reskilling and upskilling employees to stay ahead. This comprehensive guide covers the impact of AI on jobs, essential skills for the future, and successful case studies from industry leaders. Embrace AI-driven changes, foster continuous learning, and build a future-ready workforce.
Read More - https://bit.ly/3VKly70
Harnessing the Power of NLP and Knowledge Graphs for Opioid Research
CONNECT: An Open Source Platform for Promoting Military Health
1. CONNECT: An Open Source Platform for Promoting Military Health David Riley (Contractor) CONNECT Lead Mil-OSS, August 3, 2010
2.
3.
4.
5.
6.
7.
8. Vision for VLER – The Whole Picture Hampton Roads San Diego TBD
9.
10. NHIN/CONNECT Implementation Status Test/Demo Production Federal Adopters Centers for Disease Control & Prevention Centers for Medicare & Medicaid Services OFM (esMD) OCSQ (PQRI) OCSQ (C-HIEP) CMSO (MITA Claims Submission) Department of Defense Department of Homeland Security Department of Veterans Affairs Food and Drug Administration Federal Communications Commission Indian Health Service National Cancer Institute National Disaster Medical System Social Security Administration 2010* 2010* 2010* 2010* 2010* 2010* 2010* 2010-2011* 2010-2011* 2010* 2010 2009 2010* 2010* 2009 CONNECT and NHIN * Planned
11. NHIN/CONNECT Implementation Status Test/Demo Production Non-Federal Adopters Center for Healthy Communities, Wright State University, Healthlink Central Virginia Health Network/MedVirginia Community Health Information Collaborative (CHIC) Emdeon EPIC HealthBridge Indiana State Department of Health Iowa Department of Public Health Iowa Health Systems Kaiser Permanente MedVirginia MEDNET in Partnerships Community Health Information Collaborative (aka HIE-Bridge) LACIE –Lewis and Clark Information Exchange Emdeon Hielix – Phase 1 Contract for the State of North Dakota Statewide HIE New York State Department of Health Orange County ER Connect Redwood MedNet Regenstrief Institute, Inc. Southeastern Michigan Health Association Thayer County Health Services Washington State Department of Health 2010* 2010* 2009 2010* 2010* 2010-2011* 2009 2010-2011* 2010* 2010-2011* 2010-2011* 2010* 2009 2009 2010* 2010* 2010* 2010 2010-2011* 2010-2011* 2009 2010* CONNECT CONNECT and NHIN * Planned
13. NHIN Exchange Specifications and Operational Infrastructure Transaction Profiles Utilize exchange patterns for specific transactions CMS CARE Doc Submission CDC GIPSE HIEM Discovery and Information Exchange Services Rely on foundations to enable exchange patterns Messaging, Security, & Privacy Foundations Enable private, secure, and interoperable communication of health information Messaging Platform Authorization Framework MITA Eligibility Verification Discovery Pull Push Pub/Sub Patient Discovery HIEM Doc Submission Services Registry Query & Retrieve Docs Eligibility Verification Operational Infrastructure Runtime systems that support the NHIN Limited Production Exchange Security Infrastructure (managed PKI) Web Services Registry Access Control Policy
CGI - Providing integration and implementation support. Cisco - Offering “CONNECT in a box” packaged with Cisco router Google - Incorporating CONNECT into its open source PHR offering Harris - Providing integration, support services and adaptor development Initiate - Integrating with Initiate’s master patient index by developing the customized adapter Internet2 - Evaluating ways CONNECT can enable data exchange between rural health care providers within a region and across the country Jericho - Developed a cross enterprise security and privacy authorization component and made it open source for the CONNECT community. The component was included in the CONNECT release 2.1 Mirth - Creating an open source healthcare integration engine for CONNECT to fast track the last mile of integration between CONNECT and edge systems SAIC - Offering implementation support for CONNECT Sun - Providing product support for the Sun components in CONNECT and offering integration support from CONNECT to their open source MPI. Vangent - Created an open source XDS.b to support federated document repositories and a document registry that will be incorporated into CONNECT 2.2. The company is also offering implementation services
Patient Discovery – provides a means for a NHIN node to query another to determine if it is a source of information for a specific patient Query & Retrieve Docs – an exchange pattern that allows NHIN nodes to locate and retrieve patient-specific clinical documents held by other NHIN nodes Health Information Event Messaging (HIEM) – a publish/subscribe exchange pattern that allows a NHIN node to establish a subscription to information available from another for periodic exchange Document Submission – a push mechanism that allows an initiating NHIN node to send one or more documents for a given patient to a receiving node Services Registry Interface – provides a means for NHIN nodes to obtain information on other nodes and service endpoints
Need a new pix to reflect patient discovery instead of subject discovery