HIMSS GSA e-Authentication whitepaper June 2007Richard Moore
HIMSS and the GSA, developed a pilot project to demonstrate the adoption of the GSA's secure and interoperable technical architecture for sharing medical information across multiple healthcare providers. The pilot utilized the GSA's E-Authentication Service Component program to provide digital certificates, technical architecture development support, and certificate validation services.
Seven RHIOs/Health Information Exchanges initially volunteered to participate in the project. One participant the Nevada Single Portal Medical Record HIE had to withdraw from the project due to a lack of resources.
Central Ohio HIE - Initiated by eHealth Ohio, and in conjunction with the Ohio Supercomputer Center, this project has focused on evaluating the viability of using the proposed national level user authentication process as a means of authenticating individual researchers, system developers and system administrators who will be both utilizing, creating and maintaining future health care research systems. An emerging area of software development focus, this pilot will also identify key issues faced by resource constrained development efforts.
Standards of dental informatics, security issuesEbtissam Al-Madi
The document discusses standards, security, privacy, and costs related to dental informatics. It notes that standards promote consistent naming, allow better use of data, and enhance system integration. Benefits include interoperability, while limitations can include stifling innovation. Security issues include ownership of information, informed consent, and conflicts between privacy and business interests. Costs of informatics include health IT costs and return on investment, with payback periods averaging 2.5 years when systems are fully used and have supportive cultures.
Matt Woodhill of Resilient Network Systems, and Brian Ahier of Gorge Health Connect, both long time CHC members, introduce these pilots and what the pilots will make possible in the near future. The webinar includes a discussion of pilots related to the National Strategy for Trusted Identities in Cyberspace, or NISTIC.
Shaping the Future of Trusted Digital IdentityNoreen Whysel
May 2019 presentation by Noreen Whysel to the CARIN Technology Committee. Discusses the Identity Ecosystem Framework Registry (idefregistry.org) and proposed health data use cases for potential trusted identity API for healthcare.
iHT2 Health IT Summit in Phoenix 2013 – Ken Maddock, VP Facility Support Services, Baylor Health Care System Case Study, “Maximizing the Value of your Healthcare Technology Management Program”
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
An ACO aims to improve healthcare delivery and population health outcomes while lowering costs. It coordinates patient care across providers to share financial risk and responsibility for a given population. Key components include primary care physicians, specialists, hospitals, and mechanisms for care coordination. Success is defined by achieving the triple aim of better patient experience of care, improved population health outcomes, and lower per capita costs.
Federal Health Architecture HIT Policy Committee UpdateBrian Ahier
The document provides an overview and update on health IT standards and the Federal Health Architecture program. It discusses the Structured Data Capture initiative to develop standards for capturing structured data in EHRs. It also describes the Federal Health Architecture program's vision of an interoperable health IT environment between the public and private sectors. The presentation outlines FHA's strategic goals of establishing a unified federal voice on interoperability and achieving adoption of interoperability specifications to enable active data exchange.
This document provides an overview of the Information Exchange Framework (IEF) specification. The IEF aims to enable policy-driven, data-centric information sharing and safeguarding through an architecture of core elements including a Policy Decision Point, Policy Administration Point, Policy Enforcement Points, and Policy-based Packaging and Processing Services. The specification defines the interfaces and interactions between these elements to maximize availability of information to authorized users while protecting sensitive data according to policy.
HIMSS GSA e-Authentication whitepaper June 2007Richard Moore
HIMSS and the GSA, developed a pilot project to demonstrate the adoption of the GSA's secure and interoperable technical architecture for sharing medical information across multiple healthcare providers. The pilot utilized the GSA's E-Authentication Service Component program to provide digital certificates, technical architecture development support, and certificate validation services.
Seven RHIOs/Health Information Exchanges initially volunteered to participate in the project. One participant the Nevada Single Portal Medical Record HIE had to withdraw from the project due to a lack of resources.
Central Ohio HIE - Initiated by eHealth Ohio, and in conjunction with the Ohio Supercomputer Center, this project has focused on evaluating the viability of using the proposed national level user authentication process as a means of authenticating individual researchers, system developers and system administrators who will be both utilizing, creating and maintaining future health care research systems. An emerging area of software development focus, this pilot will also identify key issues faced by resource constrained development efforts.
Standards of dental informatics, security issuesEbtissam Al-Madi
The document discusses standards, security, privacy, and costs related to dental informatics. It notes that standards promote consistent naming, allow better use of data, and enhance system integration. Benefits include interoperability, while limitations can include stifling innovation. Security issues include ownership of information, informed consent, and conflicts between privacy and business interests. Costs of informatics include health IT costs and return on investment, with payback periods averaging 2.5 years when systems are fully used and have supportive cultures.
Matt Woodhill of Resilient Network Systems, and Brian Ahier of Gorge Health Connect, both long time CHC members, introduce these pilots and what the pilots will make possible in the near future. The webinar includes a discussion of pilots related to the National Strategy for Trusted Identities in Cyberspace, or NISTIC.
Shaping the Future of Trusted Digital IdentityNoreen Whysel
May 2019 presentation by Noreen Whysel to the CARIN Technology Committee. Discusses the Identity Ecosystem Framework Registry (idefregistry.org) and proposed health data use cases for potential trusted identity API for healthcare.
iHT2 Health IT Summit in Phoenix 2013 – Ken Maddock, VP Facility Support Services, Baylor Health Care System Case Study, “Maximizing the Value of your Healthcare Technology Management Program”
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
An ACO aims to improve healthcare delivery and population health outcomes while lowering costs. It coordinates patient care across providers to share financial risk and responsibility for a given population. Key components include primary care physicians, specialists, hospitals, and mechanisms for care coordination. Success is defined by achieving the triple aim of better patient experience of care, improved population health outcomes, and lower per capita costs.
Federal Health Architecture HIT Policy Committee UpdateBrian Ahier
The document provides an overview and update on health IT standards and the Federal Health Architecture program. It discusses the Structured Data Capture initiative to develop standards for capturing structured data in EHRs. It also describes the Federal Health Architecture program's vision of an interoperable health IT environment between the public and private sectors. The presentation outlines FHA's strategic goals of establishing a unified federal voice on interoperability and achieving adoption of interoperability specifications to enable active data exchange.
This document provides an overview of the Information Exchange Framework (IEF) specification. The IEF aims to enable policy-driven, data-centric information sharing and safeguarding through an architecture of core elements including a Policy Decision Point, Policy Administration Point, Policy Enforcement Points, and Policy-based Packaging and Processing Services. The specification defines the interfaces and interactions between these elements to maximize availability of information to authorized users while protecting sensitive data according to policy.
Regulatory intelligence plays an important role in the pharmaceutical industry by helping companies stay compliant, influence regulations, and make strategic decisions. Key responsibilities of regulatory intelligence functions are to identify regulatory changes, conduct analyses to facilitate decision making, and serve as internal consultants. Having access to sources like regulatory authorities and trade associations helps with identifying opportunities, reducing costs and time to market, and increasing compliance. However, challenges include the large volume of information, regional differences, and unclear agency expectations that require regulatory professionals to "read between the lines".
Data Management - a top Priority for Healthcare PracticesData Dynamics Inc
The healthcare industry has become increasingly data-driven and poised to take a leap into the future, thanks to an increasingly tech-savvy and demanding patient-consumer base. While the Healthcare Data Ecosystem is presently fragmented and often, insufficient, pioneering firms see vast opportunities to be a part of the Healthcare revolution through proper management of their massive amount of Data.
Healthcare has unique data management challenges that other industries do not face, so the solutions that worked in those fields cannot simply be replicated. Challenges in healthcare data management include -
1. Data environment consolidation in acquisitions and mergers
2. Managing the rapid growth of unstructured healthcare data
3. Adhering to the strict healthcare regulations and reforms
On top of this, Healthcare organizations have to ensure that their data management solution must have a dependable & active security protocol to safeguard sensitive information of patients as per HIPAA norms. With the exponential increase in data, risk is only going to amplify.
In case of mergers & acquisitions, a sizable challenge for large healthcare corporates is the Amalgamation and Streamlining Data with the parent company’s processes. This becomes tedious and cost intensive as merging two data environments that are often radically different from each other into a single system, is difficult and tedious.
Healthcare companies need consumer-driven data strategies with patients at the forefront of their planning. How? To know, read on.
Data Dynamics is a leader in intelligent file management solutions that empower enterprises to seamlessly analyze, move, manage and modernize critical data across hybrid, cloud and object-based storage infrastructures for true business transformation.
The document discusses regulatory intelligence and its importance. It defines regulatory intelligence as gathering and analyzing publicly available regulatory information, communicating implications, and monitoring regulations for opportunities. Sources of information discussed include regulatory authority websites, agency meeting minutes, previous drug approvals, and social media. Regulatory intelligence is used by pharmaceutical companies for product planning, regulatory agencies to consider precedents, and lawyers to interpret laws. The document encourages sharing knowledge and regulatory intelligence methods.
Regulatory intelligence involves acquiring knowledge through analyzing various internal and external information sources to enable timely, data-driven decision making in the complex and evolving global regulatory landscape. A regulatory intelligence platform can integrate internal quality and compliance data with external sources like FDA reports, clinical studies, and regulations. This provides a holistic view to identify risks, prioritize improvements, and help maintain market advantage. However, many organizations still struggle with data access, analysis, and using analytics to impact business outcomes. Assessing internal audit and complaint data alongside external benchmarks can help evaluate inspection readiness and prioritize compliance issues.
A presentation about the role of informatics standards in facilitating electronic data interchange, and a framework for service-oriented semantic interoperability among data systems.
SOA enabled next generation EMR/EHR systems provide a solution to the challenges and complexities of healthcare IT by adopting a service-oriented architecture. This allows for standardized information exchange, shared master data, and a unified information access layer. This foundational approach supports rapid application development by decoupling information consumers from providers and minimizing changes across systems.
This document summarizes a presentation on how the User Managed Access (UMA) standard addresses challenges in health information interoperability and user control. It discusses how current health systems have data silos and lack of user access to their own health records. UMA allows for interoperability across services/data sources through a centralized authorization server. It enables user-directed delegation so others can access data on a user's behalf. Case studies demonstrate implementations like Trustee that use UMA to create a self-sovereign universal health record. Another case study discusses Ontario's FPX which uses UMA and standards for identity, authentication, and access in health care.
Addressing the Healthcare Connectivity ChallengeTodd Winey
In healthcare, information accessibility can impact the outcome of a medical decision, or the success of a bundled payment initiative. To ensure that the right information is available at the right place and time, healthcare organizations typically have used HL7® interface engines to share data among clinical applications. But the demands on healthcare information technology are changing so rapidly that these simple engines are no longer sufficient.
U.S. Healthcare - Converting Vision to RealityCognizant
The document discusses the ongoing transformation of the U.S. healthcare industry as it works to address rising costs and improve quality of care. It describes several key areas of change: 1) the development of a national healthcare IT infrastructure to share patient data electronically, 2) integrated health management through coordinated care models like patient-centered medical homes and accountable care organizations, and 3) personalized medical care enabled by new diagnostic technologies. Realizing this vision will require overcoming challenges around standards, costs, and adapting to disruptive trends in technology and demographics.
Vertical standards in healthcare aim to address business problems unique to the healthcare industry. Such standards focus on data structures, document formats, and business processes to promote communication between disparate legacy systems. Examples include standards for electronic patient health records and medical messaging. The development of healthcare vertical standards has been slow but is gaining urgency as more data moves from paper to electronic records and the population ages. These standards are important to fully realize the benefits of health information technology (HIT) in improving care quality and reducing costs.
My presentation on Healthcare Information Exchange technical infrastructure given as a skills building session at the eHealth Conference in Kenya (http://www.e-healthconference.or.ke/)
Uber Operations is a data integration company founded in 2004 and headquartered in Tallahassee, Florida. They focus on data integration and information exchange to solve challenges around disparate data sources and secure data transport. Their mission is to strategically apply resources to guarantee client success by integrating the world's data. They have expertise in various integration technologies and provide services to both public and private sector healthcare organizations.
Health Delivery Information Systems (HDIS) provide applications and software to record and manage healthcare data for every patient encounter. The document discusses designing a scalable and standards-based HDIS, including implementing it using a microservices architecture approach adhering to design principles from the National Digital Health Blueprint. Key elements include using interoperability standards, a mobile-first design, and building modules focused on core functionality for initial implementation.
The document discusses the risks associated with big data, including increased data production leading to higher costs of replication and storage, evolving privacy and security regulations, and growing litigation and discovery obligations. It notes that most of the significant risks and costs of big data are not clearly visible and addresses challenges in areas like existing infrastructure, regulatory compliance, contracting, data retention, and eDiscovery.
Understanding the criminal court process as a victim Amanda Schmidt
The criminal court process involves several phases: (1) an investigation phase where witnesses are interviewed but the perpetrator is still at large, (2) an intake phase once charges are laid where disclosure and procedural decisions are made, and (3) a trial phase where evidence is presented and the perpetrator's guilt is determined. Victims can access information about the process, are expected to provide testimony if needed, and can use victim services for support.
Ashish Bahl is a serial entrepreneur who has founded several successful payment companies. He currently serves as CEO of Acculynk, which provides PIN debit payments on the internet, and Twitpay, the largest payment service built on Twitter. Some key lessons he has learned include sticking to areas you have expertise in like payments, having an analytic screen for opportunities, balancing the desire for perfect technology with time to market, finding strategic partners, clearly defining an economic model, financing creatively, being decisive while managing change, and focusing on efficiency.
Norm Geddes- TAG Entrepreneurs "Rock Star" PresentationMelanie Brandt
This document discusses human-computer interaction and cognitive systems. It advocates for joint cognitive systems where humans are in charge and computers help by perceiving the situation, deciding on a plan, and executing actions. It presents Applied Systems Intelligence as a company that provides expert knowledge, software, and services to create intelligent systems through a combination of symbolic reasoning, domain knowledge, and message-based application programming interfaces. These intelligent systems are aimed at applications like pilot associates, supply chain collaboration, medical practice assistants, and risk assessment to enhance situational awareness, decision making, and overall effectiveness through a human-centered approach.
Social Business May 4 Presentation - Proximity Marketing GeoLocationMelanie Brandt
Mobile marketing using proximity marketing and geo-location allows businesses to target customers based on their physical location. Proximity marketing uses Bluetooth to detect when customers are nearby and send them offers, but has a low engagement rate due to most phones having Bluetooth turned off. Geo-location determines a user's location using their IP address, MAC address, or GPS coordinates and allows businesses to send targeted messages and offers to customers within a specified area via their mobile phones. While this type of mobile marketing enables personalized outreach, businesses must respect user privacy and obtain clear consent to avoid potential backlash from unwanted messages.
Regulatory intelligence plays an important role in the pharmaceutical industry by helping companies stay compliant, influence regulations, and make strategic decisions. Key responsibilities of regulatory intelligence functions are to identify regulatory changes, conduct analyses to facilitate decision making, and serve as internal consultants. Having access to sources like regulatory authorities and trade associations helps with identifying opportunities, reducing costs and time to market, and increasing compliance. However, challenges include the large volume of information, regional differences, and unclear agency expectations that require regulatory professionals to "read between the lines".
Data Management - a top Priority for Healthcare PracticesData Dynamics Inc
The healthcare industry has become increasingly data-driven and poised to take a leap into the future, thanks to an increasingly tech-savvy and demanding patient-consumer base. While the Healthcare Data Ecosystem is presently fragmented and often, insufficient, pioneering firms see vast opportunities to be a part of the Healthcare revolution through proper management of their massive amount of Data.
Healthcare has unique data management challenges that other industries do not face, so the solutions that worked in those fields cannot simply be replicated. Challenges in healthcare data management include -
1. Data environment consolidation in acquisitions and mergers
2. Managing the rapid growth of unstructured healthcare data
3. Adhering to the strict healthcare regulations and reforms
On top of this, Healthcare organizations have to ensure that their data management solution must have a dependable & active security protocol to safeguard sensitive information of patients as per HIPAA norms. With the exponential increase in data, risk is only going to amplify.
In case of mergers & acquisitions, a sizable challenge for large healthcare corporates is the Amalgamation and Streamlining Data with the parent company’s processes. This becomes tedious and cost intensive as merging two data environments that are often radically different from each other into a single system, is difficult and tedious.
Healthcare companies need consumer-driven data strategies with patients at the forefront of their planning. How? To know, read on.
Data Dynamics is a leader in intelligent file management solutions that empower enterprises to seamlessly analyze, move, manage and modernize critical data across hybrid, cloud and object-based storage infrastructures for true business transformation.
The document discusses regulatory intelligence and its importance. It defines regulatory intelligence as gathering and analyzing publicly available regulatory information, communicating implications, and monitoring regulations for opportunities. Sources of information discussed include regulatory authority websites, agency meeting minutes, previous drug approvals, and social media. Regulatory intelligence is used by pharmaceutical companies for product planning, regulatory agencies to consider precedents, and lawyers to interpret laws. The document encourages sharing knowledge and regulatory intelligence methods.
Regulatory intelligence involves acquiring knowledge through analyzing various internal and external information sources to enable timely, data-driven decision making in the complex and evolving global regulatory landscape. A regulatory intelligence platform can integrate internal quality and compliance data with external sources like FDA reports, clinical studies, and regulations. This provides a holistic view to identify risks, prioritize improvements, and help maintain market advantage. However, many organizations still struggle with data access, analysis, and using analytics to impact business outcomes. Assessing internal audit and complaint data alongside external benchmarks can help evaluate inspection readiness and prioritize compliance issues.
A presentation about the role of informatics standards in facilitating electronic data interchange, and a framework for service-oriented semantic interoperability among data systems.
SOA enabled next generation EMR/EHR systems provide a solution to the challenges and complexities of healthcare IT by adopting a service-oriented architecture. This allows for standardized information exchange, shared master data, and a unified information access layer. This foundational approach supports rapid application development by decoupling information consumers from providers and minimizing changes across systems.
This document summarizes a presentation on how the User Managed Access (UMA) standard addresses challenges in health information interoperability and user control. It discusses how current health systems have data silos and lack of user access to their own health records. UMA allows for interoperability across services/data sources through a centralized authorization server. It enables user-directed delegation so others can access data on a user's behalf. Case studies demonstrate implementations like Trustee that use UMA to create a self-sovereign universal health record. Another case study discusses Ontario's FPX which uses UMA and standards for identity, authentication, and access in health care.
Addressing the Healthcare Connectivity ChallengeTodd Winey
In healthcare, information accessibility can impact the outcome of a medical decision, or the success of a bundled payment initiative. To ensure that the right information is available at the right place and time, healthcare organizations typically have used HL7® interface engines to share data among clinical applications. But the demands on healthcare information technology are changing so rapidly that these simple engines are no longer sufficient.
U.S. Healthcare - Converting Vision to RealityCognizant
The document discusses the ongoing transformation of the U.S. healthcare industry as it works to address rising costs and improve quality of care. It describes several key areas of change: 1) the development of a national healthcare IT infrastructure to share patient data electronically, 2) integrated health management through coordinated care models like patient-centered medical homes and accountable care organizations, and 3) personalized medical care enabled by new diagnostic technologies. Realizing this vision will require overcoming challenges around standards, costs, and adapting to disruptive trends in technology and demographics.
Vertical standards in healthcare aim to address business problems unique to the healthcare industry. Such standards focus on data structures, document formats, and business processes to promote communication between disparate legacy systems. Examples include standards for electronic patient health records and medical messaging. The development of healthcare vertical standards has been slow but is gaining urgency as more data moves from paper to electronic records and the population ages. These standards are important to fully realize the benefits of health information technology (HIT) in improving care quality and reducing costs.
My presentation on Healthcare Information Exchange technical infrastructure given as a skills building session at the eHealth Conference in Kenya (http://www.e-healthconference.or.ke/)
Uber Operations is a data integration company founded in 2004 and headquartered in Tallahassee, Florida. They focus on data integration and information exchange to solve challenges around disparate data sources and secure data transport. Their mission is to strategically apply resources to guarantee client success by integrating the world's data. They have expertise in various integration technologies and provide services to both public and private sector healthcare organizations.
Health Delivery Information Systems (HDIS) provide applications and software to record and manage healthcare data for every patient encounter. The document discusses designing a scalable and standards-based HDIS, including implementing it using a microservices architecture approach adhering to design principles from the National Digital Health Blueprint. Key elements include using interoperability standards, a mobile-first design, and building modules focused on core functionality for initial implementation.
The document discusses the risks associated with big data, including increased data production leading to higher costs of replication and storage, evolving privacy and security regulations, and growing litigation and discovery obligations. It notes that most of the significant risks and costs of big data are not clearly visible and addresses challenges in areas like existing infrastructure, regulatory compliance, contracting, data retention, and eDiscovery.
Understanding the criminal court process as a victim Amanda Schmidt
The criminal court process involves several phases: (1) an investigation phase where witnesses are interviewed but the perpetrator is still at large, (2) an intake phase once charges are laid where disclosure and procedural decisions are made, and (3) a trial phase where evidence is presented and the perpetrator's guilt is determined. Victims can access information about the process, are expected to provide testimony if needed, and can use victim services for support.
Ashish Bahl is a serial entrepreneur who has founded several successful payment companies. He currently serves as CEO of Acculynk, which provides PIN debit payments on the internet, and Twitpay, the largest payment service built on Twitter. Some key lessons he has learned include sticking to areas you have expertise in like payments, having an analytic screen for opportunities, balancing the desire for perfect technology with time to market, finding strategic partners, clearly defining an economic model, financing creatively, being decisive while managing change, and focusing on efficiency.
Norm Geddes- TAG Entrepreneurs "Rock Star" PresentationMelanie Brandt
This document discusses human-computer interaction and cognitive systems. It advocates for joint cognitive systems where humans are in charge and computers help by perceiving the situation, deciding on a plan, and executing actions. It presents Applied Systems Intelligence as a company that provides expert knowledge, software, and services to create intelligent systems through a combination of symbolic reasoning, domain knowledge, and message-based application programming interfaces. These intelligent systems are aimed at applications like pilot associates, supply chain collaboration, medical practice assistants, and risk assessment to enhance situational awareness, decision making, and overall effectiveness through a human-centered approach.
Social Business May 4 Presentation - Proximity Marketing GeoLocationMelanie Brandt
Mobile marketing using proximity marketing and geo-location allows businesses to target customers based on their physical location. Proximity marketing uses Bluetooth to detect when customers are nearby and send them offers, but has a low engagement rate due to most phones having Bluetooth turned off. Geo-location determines a user's location using their IP address, MAC address, or GPS coordinates and allows businesses to send targeted messages and offers to customers within a specified area via their mobile phones. While this type of mobile marketing enables personalized outreach, businesses must respect user privacy and obtain clear consent to avoid potential backlash from unwanted messages.
This case examines issues of workplace incivility at an automotive supplier company. The new HR executive, Holley P., notices inappropriate behaviors among employees such as avoiding interaction and rude communication from managers. As time passes, the CEO's stress increases his volatile behavior which spreads negatively to other managers. Holley must determine strategies to remedy the uncivil conduct and improve the organizational culture and employee morale.
El documento describe los elementos clave del trabajo en equipo, incluyendo: 1) Un conjunto de personas que se organizan para lograr un objetivo común, 2) La construcción de confianza, el establecimiento de objetivos comunes y la creación de un sentido de pertenencia, y 3) La cooperación, el compromiso y la comunicación como factores para que un equipo funcione efectivamente.
The document discusses new requirements for fraud prevention across multiple channels as attacks are expanding due to increased mobile and online banking usage. It summarizes a presentation about an omni-channel fraud prevention solution from Guardian Analytics that provides a 360 degree view of customers and activities across channels through integrated data and advanced behavioral analytics. The solution aims to improve fraud detection and reduce customer friction by consolidating risk scoring and providing real-time visibility of customer behaviors and risks across all channels in a single system.
This document summarizes a presentation on regulating water and air impacts from shale gas operations. It discusses the drilling, fracturing, and production processes. It then covers current federal law and regulations regarding water impacts, including EPA studies on water usage and disposal. It also discusses proposed and existing state regulations on water usage, discharge, and disposal. For air impacts, it outlines the EPA's proposed standards and regulations regarding emissions from equipment and activities at well sites.
Prophet of doom_appendix_islams_dark_pastArabBibles
This document summarizes the origins and compilation of the Quran based on Islamic sources like the Hadith collections of Bukhari, Muslim, and Tabari. It notes that according to these sources:
1) There were differing versions of the Quran during Muhammad's life, with parts being altered or abrogated.
2) Muhammad did not make preparations to gather the revelations before his death, leaving it to followers to compile scattered versions from memory.
3) Large portions of memorized Quran were lost when many of the most knowledgeable reciters died in a battle, forcing Abu Bakr to have Zaid bin Thabit collect what fragments he could find.
4) Zaid struggled
El documento discute por qué debemos cuidar la naturaleza, ya que nos ofrece muchos beneficios que son importantes para nuestro desarrollo, y también proporciona ejemplos de cómo una persona puede cuidar la naturaleza a través de actividades como reciclaje, no tirar basura en la calle, cumplir con las reglas de limpieza y ayudar a promover campañas para el cuidado del medio ambiente.
The book, And You Welcomed Me, is a product of the Theology of Migration Project at Woodstock Theological Center at Georgetown University in Washington, DC that includes contributions from Catholic theologians, lawyers, social scientists, and a variety of experts in the field of migration. It is intended to provide a foundation and framework not only for seeing and detecting important data, but also for judging and acting. These reflection questions are aimed at a Catholic audience but will also be helpful in stimulating discussion among groups thinking about this critical issue from other perspectives.
El documento describe la aplicación del método Seis Sigma para mejorar el proceso de manufactura de cadenas transportadoras en una empresa metalmecánica. El proceso presentaba defectos relacionados a la dureza y resistencia a la tracción de los componentes. Mediante el análisis de Ishikawa y pruebas estadísticas, se identificó que la causa raíz era la falta de control de calidad. Luego de optimizar el proceso con controles en la fuente, las pruebas mostraron que los defectos fueron eliminados y el proceso alcanz
This document is the April 2016 edition of the World Economic Outlook published by the International Monetary Fund. It finds that the global economic recovery remains too slow and uneven. Growth is projected to increase modestly in 2016-17 for both advanced and emerging market economies. Downside risks to the global economic outlook have increased due to concerns around China's economic rebalancing, lower commodity prices, and uneven economic recovery among advanced economies. The report examines factors driving the recent slowdown in capital flows to emerging markets and assesses the macroeconomic impact of structural reforms in advanced economies.
This document summarizes evidence of persecution of Hizb ut-Tahrir members in Uzbekistan by the authoritarian government of President Islam Karimov. It includes testimonies from victims' families describing unlawful arrests, torture, deaths in custody, and harsh prison conditions faced by the political group's members. The report argues that Karimov's "war on terror" is being used to target non-violent domestic political opposition and justify human rights abuses with foreign backing, especially from the United States.
Recycled water contains higher salt levels than town water which can lead to salt accumulation in soils with long-term irrigation. A column study was conducted over 330 days irrigating silty loam and loamy sand soils with recycled and town water. For both soil types, recycled water caused significantly more salt accumulation. For silty loam, recycled water led to 5.4 times more salt storage compared to town water based on salt mass balance. Spatial analysis also showed 2.5 times more salt in the top 0-20cm of silty loam irrigated with recycled water. Overall, continued recycled water irrigation poses a higher risk of salinization for the silty loam soil type studied.
The document summarizes the ongoing Tri-State Water Wars between Georgia, Florida, and Alabama over water rights in the Apalachicola-Chattahoochee-Flint river basin. It provides an overview of the legal history of the litigation and discusses future legal options for resolving disputes through Supreme Court litigation. It also reviews Georgia's water management policies and regulations regarding interbasin water transfers. The conclusion emphasizes that Georgia must evaluate growth patterns and connections between water resources, population centers, and energy to ensure long-term sustainable water management.
This document discusses principles of ethical leadership in public schools. It summarizes theories from philosophers like Rawls, Greenleaf, Heifetz, and Burns on topics like justice, service, respect, and ethical decision-making. The document also presents a hypothetical case study involving a new principal, Mary Richards, and a letter from the PTO president.
The document summarizes a presentation given by Jeff Miller on the North Carolina Health Information Exchange (NC HIE). The NC HIE is a nonprofit organization established in 2010 to facilitate the secure exchange of health information across the state. It has a 25-member board of directors and four workgroups focused on clinical operations, governance, finance, and legal/policy issues. The goals of the NC HIE are to improve medical decision making, care coordination, health outcomes, and reduce costs. It plans to provide a range of services through multiple phases, including a clinical portal, provider directory, secure messaging, and analytics. Benefits include better care integration, communication, insight, agility and customization for the North Carolina health ecosystem.
The document summarizes a presentation given by Jeff Miller about the North Carolina Health Information Exchange (NC HIE). The NC HIE is a nonprofit organization established in 2010 to facilitate the secure exchange of health information across the state. It has a 25-member board of directors and four workgroups focused on clinical operations, governance, finance, and legal/policy issues. The goals of the NC HIE are to improve medical decision making, care coordination, health outcomes, and reduce costs by enabling the access and exchange of health data. The NC HIE provides various services like connectivity with participating systems, a clinical portal, secure messaging, and will expand offerings over time. Benefits of the NC HIE include better, safer, more
The document summarizes a presentation given by Jeff Miller on the North Carolina Health Information Exchange (NC HIE). The NC HIE is a nonprofit organization established in 2010 to facilitate the secure exchange of health information across the state. It has a 25-member board of directors and four workgroups focused on clinical operations, governance, finance, and legal/policy issues. The goals of the NC HIE are to improve medical decision making, care coordination, health outcomes, and reduce costs by enabling the access, exchange and analysis of health data. The NC HIE provides various services like connectivity with participating systems, a clinical portal, secure messaging, and will expand offerings over time. Benefits include better integrated and coordinated care, improved communication
Presentation slides for Dave Whitlinger, Executive Director of the NY eHealth Collaborative, from the HIMSS'12 eCollaborationForum, February 23rd, 2012
Panel: Achieving Interoperability Dr. John Loonsk & Janet Kingmihinpr
The document discusses achieving interoperability in health IT systems. It describes the current state of interoperability as poor. It outlines key aspects of interoperability including data exchange, system portability, supporting infrastructure, shared functions, and coordinated care information. The document also discusses the process for inducing interoperability, including using incentives, documenting requirements, identifying standards, implementation guidance, and testing. It notes there is still significant work remaining to expand interoperability in terms of breadth across organizations and depth of clinical data elements.
Since the HITECH Act was passed in 2009, healthcare executives have felt the pressure to implement the electronic health record and achieve Meaningful Use status resulting in the flow of incentive dollars over the next five years.
Healthcare Data Integrity and Interoperability Standards Podcast SummaryM2SYS Technology
As the healthcare industry moves closer to full scale implementation of health information exchanges and integrated delivery networks, the call for data integrity and interoperability standards has grown increasingly louder to help ensure that data quality isn’t compromised so physicians and patients can have complete confidence in the information reflected by their electronic health records.
We interviewed John Donnelly, President of IntePro Solutions in Colonia NJ and an expert in healthcare technology standards, interoperability and innovation about data integrity and data standardization protocols in the context of the shift to electronic medical records and the subsequent data sharing across health information exchanges.
Big data is more than just a buzzword in healthcare. It's the promise of being able to extract, cull, and interpret medical data to directly benefit population and individual health. learn more about the benefits of big data, roadblocks to leveraging it's potential, how Meaningful Use enablesbig data, what types of cross-country collaboration projects are advancing the use of big data on an international scale, big data's impact on patient privacy and much more! Special thanks to Mandi Bishop for her time on the podcast.
The document discusses using intelligent data and connectivity in healthcare. It outlines several use cases for real-time data integration like clinical decision support, remote patient monitoring, and medical device interoperability. The needs of intelligent healthcare systems include reliable and secure communication between devices, location abstraction, and scalability. The RTI Connext DataBus is presented as a solution to distribute data across these complex healthcare systems in real-time. A deep dive on DocBox, a clinical decision support system, shows how it can improve patient safety by integrating data from various sources and devices like PCA pumps. The Internet of Things is transforming healthcare by enabling smart devices and analytics to share data to deliver better care.
The Internet of Healthy Things (IoHT) for Healthcare Organizations WebinarTodd Winey
The Internet of Things will impact many industries and healthcare can benefit by the potential of IoT to deliver real time information to providers. However, IoT technologies applied to healthcare data require a thoughtful approach to managing data that is not present in other IoT applications. Nearly all IoT data in healthcare can be associated with a patient, and healthcare organizations looking to leverage the potential of IoT data should establish thoughtful data plans. This webinar provides an introduction to the state of IoT technologies in healthcare and provides an outline of things healthcare organizations must consider as they plan to integrate IoT technologies into their care processes. From patient generated data to remote medical device management IoT can extend the visibility of organizations far beyond the institutional walls to improve provider understanding of patient status, but managing IoT data will require many of the same expectations we have today for any PHI.
> Definition of RWD
> RWD - Big Data Characteristics
> Sources of RWD
> Important Stakeholders
> Benefits of RWD
> Why Data Sharing is Important?
> Benefits of Data Sharing
> Who Benefits?
> Ultimate Goals
> Case Studies
> Challenges
> Data Privacy Scenario
> Data Security in India
> Regulatory Perspectives Around RWD
> How to Encourage Data Sharing?
The document discusses the role of data lakes in healthcare. It defines a data lake as a system that holds large amounts of raw data from various sources in its original format to enable analysis. Data lakes allow healthcare organizations to gain insights from patient outcomes, fraud detection, clinical trials, and more. Examples of potential use cases in healthcare include genomic analytics, improving clinical trials, predictive healthcare costs, creating a 360-degree view of patients, identifying billing opportunities from unstructured text, and psychographic prescriptive modeling. The document outlines best practices for assessing the need for a data lake, planning, implementing, and governing a data lake project in a healthcare organization.
Podcast Summary - Patient Identity and the Role of Today's Modern CIOM2SYS Technology
M2SYS Healthcare Solutions offers this slide show summary of our podcast with Sharon Canner from the College of Healthcare Information Management Executives (CHIME) on topics including: patient identity, CIOs, the advantages and disadvantages of a national patient identifier (NPI), how healthcare IT has succeeded and fallen short to implement electronic health records, the impact of health IT on the economy, and more.
Clinical Data Standards and Data Portability Nrip Nihalani
The document discusses clinical data standards and data portability in healthcare. It notes that healthcare needs to better utilize information technologies to improve quality of care, reduce costs, and empower patients. Establishing interoperability between different healthcare systems requires agreed upon data standards to ensure consistent and uniform sharing of information. Examples of data standards that help fulfill interoperability include HL7 for data exchange and SNOMED CT for clinical terminology. Adopting common data standards is key to enabling reliable movement of health information between systems and organizations.
The document discusses PAREXEL's acquisition of Liquent Technologies and Services. Some key points include:
1) PAREXEL acquired Liquent on December 27th and will operate it as a stand-alone services line to offer a more complete suite of offerings.
2) The acquisition allows both companies to leverage a global footprint and regulatory expertise to provide holistic development and commercialization services.
3) Liquent will enhance PAREXEL's regulatory services and enable it to provide a full platform for product development and commercialization.
Creating a target architecture for a learning healthWessex AHSN
1) The document recommends creating a target architecture for a learning health and care system that supports information sharing, population health management, and innovation at a local/regional level.
2) It proposes establishing local health and care learning systems and enabling a regional approach to information sharing and population health management while ensuring data is controlled close to its source.
3) The target architecture would include establishing "STP platforms" to operate shared services and APIs at a regional level, allowing for information sharing and care planning while interoperating with national services.
HL7
Health level 7
What is HL7?
What does it stand for
HL7 Mission
HL7 contains message standards
HL7 in HealthcareManagement System
Standards
Limitations of HL7
Accelerating breakthrough business technologies in atlanta, tag featured spea...Melanie Brandt
The document discusses emerging technologies including the internet of things, augmented reality, bitcoin, and autonomous systems. It presents examples of applications in transportation like traffic analytics from video cameras, healthcare like non-contact patient monitoring, and payments through accepting bitcoin. The document argues we are entering a fifth wave of technology driven by intelligent systems and autonomous agents that can plan, observe, and execute actions through continuous monitoring and updating of plans.
This document discusses the process of courting an angel investor to provide funding for a startup business. It outlines both the entrepreneur's view of the courtship process, which involves pickup lines, meetings, and moving in together, as well as the angel investor's criteria for evaluating potential investments, which includes interest in the concept, the entrepreneur's likelihood of success, agreement on strategy and terms. It concludes by suggesting a "marriage agreement" between the entrepreneur and lead angel investor that commits them to the business relationship as long as the company survives or there is a change in control.
This document discusses the process of courting an angel investor to provide funding for a startup business. It outlines both the entrepreneur's view of the courtship process, which involves pickup lines, meetings, and moving in together, as well as the angel investor's criteria for evaluating potential investments, which includes interest in the concept, the entrepreneur's likelihood of success, agreement on strategy and terms. It concludes by suggesting a "marriage agreement" between the entrepreneur and lead angel investor that commits them to the business for better or worse until it succeeds or changes control.
Patent introduction and overview atlanta january 2014Melanie Brandt
The document provides an overview of patents and the patent process in the United States. It discusses what a patent is, the different types of patents, how to file for a patent, the patent examination process, current patent initiatives and resources available, and information on patent fees. The overview was presented by the Technology Association of Georgia and aimed to educate attendees on patent basics, examination, and news.
Patent introduction and overview atlanta january 2014Melanie Brandt
The document provides an overview of patents and the patent process. It discusses what patents are, the types of patents, how to file for a patent, the patent examination process, current patent initiatives and resources available. Key points include that a patent provides exclusive rights to an invention for a limited time, there are three main types of patents (utility, design, and plant), and the patent process involves filing an application and undergoing examination by the patent office. It also reviews current programs and resources to help expedite examination and support inventors.
The document summarizes Wain Kellum's presentation about Vocalocity, a cloud communications company that provides voice, unified communications, and contact center solutions. Some key points:
- Vocalocity has experienced strong growth and was named the fastest growing tech company in Georgia in 2011 and 2012.
- Kellum outlines Vocalocity's approach to building a successful company, including identifying a large market, developing a distinct offering, building the right team, and having reliable financial projections.
- Vocalocity provides cloud-based phone systems, contact center solutions, and other communications tools to over 20,000 SMB customers through a proprietary cloud platform.
TAG infrastructure society logistics presentation by Page SiplonMelanie Brandt
Page Siplon is the Executive Director of the Georgia Center of Innovation for Logistics. The document discusses logistics in Georgia, including:
1) Georgia has over 11,000 logistics providers and over 1 million logistics jobs.
2) The Port of Savannah is one of the fastest growing ports in the U.S. and handles over 2.9 million containers annually.
3) Future growth projections estimate a doubling of freight demand in Georgia by 2050 due to population growth and increased e-commerce/online shopping. This will require significant infrastructure investments.
This document summarizes water usage statistics for Georgia in 2005 and discusses water usage terminology. It shows that in 2005, 50% of water withdrawals in Georgia were for thermoelectric power generation, while 57% of total water consumption was for irrigation. It also discusses that virtually all water consumption for thermoelectric power is from evaporation from cooling towers, and provides estimates of typical water consumption rates for different types of power plants. Finally, it briefly outlines Georgia Power's future generation water usage projections and the role of the State Water Research Center.
Water is essential for life but is often lost in distribution systems, fueling economic growth but requiring conservation. A new water conversation is needed to build intelligent water systems that can help address these issues.
This document discusses building a strong business case for process improvement initiatives. It begins by noting how being a vendor and employee both require justifying problems to evaluate opportunities. The presentation then covers agenda topics like real world examples and an interactive experience to start building a business case. It emphasizes digging into process details to understand costs, inefficiencies, and justify the need for changes to secure necessary funding.
This document discusses sustainable trends for increasing energy efficiency and reducing resource use in data center facilities. Some of the key trends mentioned include:
1) Increasing operating temperatures of equipment to eliminate compressor-based cooling and allow for more efficient heat rejection.
2) Using software like DCIM, BIM, and CFD to monitor, control, and simulate data centers to improve efficiency.
3) Adopting techniques like variable speed equipment, high voltage transformers, harvested water, and free cooling to reduce energy usage.
This document discusses sustainable trends for increasing energy efficiency and reducing resource use in data center facilities. Some of the key trends mentioned include:
1) Increasing operating temperatures of equipment to eliminate compressor-based cooling and allow for more efficient heat rejection.
2) Using software like DCIM, BIM, and CFD to monitor, control, and simulate data centers to improve efficiency.
3) Adopting techniques like variable speed equipment, high voltage systems, harvested water, and free cooling to reduce energy usage.
This document discusses power delivery challenges in modern data centers and potential solutions. It notes that IT loads are greatly exceeding the rated capacity of data centers. It also discusses the need for supporting higher densities, improved efficiency, green solutions, and rapid deployment. Specific solutions proposed include higher voltage distribution to reduce losses, modular UPS systems to right-size capacity, and implementing high-density zones with localized cooling.
The document discusses air flow measurements and thermal responses in data centers to help sustainability. It describes experiments conducted in the CEETHERM data center using a 3D PIV system and server simulator to measure air flows under different rack configurations and thermal loads. High perforated tile flow rates were found to cause issues like adverse pressure gradients and hot pockets forming in racks. Temperature mapping showed the impact of tile flow on cold and hot aisle temperatures. The research aims to better understand air flows to help optimize data center design and efficiency.
The document describes a project to implement aisle pressure management at a client's data center site in Rocklin, CA. Sensors and active fan tiles were used to control cold aisle pressure to be slightly positive, addressing underfloor distribution issues. This allowed the site to run at N+1 redundancy instead of N+2, raised CRAC setpoints, and reduced top-of-rack temperatures by an average of 5 degrees F. Further study of moving temperature control to the underfloor and testing lower redundancy configurations was suggested.
The document discusses the National Renewable Energy Laboratory's (NREL) approach to building energy efficient data centers and facilities. It highlights NREL's Research Support Facility, a LEED Platinum building that uses 40% less energy than typical offices. It also describes the Energy Systems Integration Facility (ESIF) data center, which has a Power Usage Effectiveness of 1.06, making it one of the most energy efficient data centers in the world. The ESIF utilizes warm water cooling, high power distribution, and captures waste heat to help heat other buildings on campus.
This document discusses integrating energy efficiency and sustainability into high-performance computing (HPC) initiatives. It outlines HP's services for HPC data center consulting, design, implementation, and management. Direct air and indirect air cooling are currently common, but facilities are moving toward liquid cooling. Modular, scalable designs allow flexibility between air and liquid cooling. Co-locating HPC data centers with other building types improves opportunities for heat reclamation. Future HPC data center designs must prepare for multiple mechanical systems and large piping infrastructures to support high-density liquid cooling.
The document discusses the need for optimizing data centers in a holistic, systems approach. It describes how a data center functions similarly to a computer chip with multiple optimized components. It proposes the development of a research data center facility that would contain the best current capabilities across cooling, power, networking, and software optimization. This facility would have extensive monitoring sensors to directly control and optimize operations based on real-time data.
This document outlines over 10 considerations for building a new data center, including availability requirements, power needs, location impacts, design and construction teams, life cycle costs, efficiency metrics, modular approaches, staffing needs, budgets, and regulatory compliance. It emphasizes carefully evaluating availability, growth plans, energy rates, location qualities, and selecting experienced design partners. It also notes the costs of high availability, green initiatives, and regulatory certifications must be considered in planning and budgeting.
This document discusses sustainable trends for increasing energy efficiency and reducing resource use in data center facilities. Some of the key trends mentioned include:
1) Increasing operating temperatures of equipment to eliminate compressor-based cooling and allow for more efficient heat rejection.
2) Using software like DCIM, BIM, and CFD to monitor, control, and simulate data centers to improve efficiency.
3) Adopting techniques like variable speed equipment, high-voltage transformers, harvested water, and free cooling to reduce energy usage.
1. TAG Health
Opportunities in HITECH and Next Steps
for the National HIT Infrastructure
John W. Loonsk, MD FACMI
Chief Medical Officer
_experience the commitment TM
2. Opportunities in Health Information Technology
Clinical Care Payment
/ Public Health / Claims
Electronic Health
Health Insurance
Records Reform
3. Network Effects and IT Adoption
• Critical mass of participation
• Common platform
• Secondary, sometimes
unintended, value
HTTP://
PC Cards
Email
3
5. Mature Data and IT Environments Can Support Value
Environment Attributes: Need:
• Stable and coherent
• Sustainable infrastructure
policies for data access
• Software and services and management
market
• Business alignment
• Well defined software
• Shared standards/
environment
transaction specifications
• Multiple products working for transacting and storing
together
• Data and services
• Many participants – value architecture
in others
• Value in data exchange
5
6. Information Sharing in Health – Market Driven Chaos
Type Attributes
Community Hospitals
Academic medical centers
Affiliated physicians
Independent physician practices
Integrated Delivery Systems
Payers
Preferred Provider Organizations
Health plans that provide care Best alignment?
Labs, pharmacies and other ancillary health
organizations
Public health and government (state, local and federal) Differences between states
New permutations
EMR companies EMR “Hub”, organizational, community
Personal Health Records Personally controlled and views on EMRs, claims
Health Information Organizations / Exchanges Opt-in and opt-out, federated and centralized and hybrid
7. Some Desirable Health Data and IT Environments
1. Inside of hospitals
2. Around regional health transactions
3. Population health data stores
4. Around a “managed”, longitudinal patient record
• Community record, medical home, PHR
5. The collective - network of networks
• RHIOS / HIEs, IDNs, government, ancillary
networks, etc.
7
8. Architecting Data and Technical Solutions in a
Market Driven Health System
• Increase value of participation
• Payment reform
• Pay for some services
• Clinical information management
• Summary record
• Reconciled medication list
• Health information exchange
• Infrastructure
• Directories, Identity proofing, etc.
• Public health
• Incent data exchange
8
9. HITECH
• Federal
• EMR adoption through Medicare
• Meaningful use, standards, certification
• Nationwide Health Information Network
• National Institute for Standards and Technology
• State-level
• EMR adoption through Medicaid
• Health Information Exchange
• Regional
• Extension centers
• Beacon communities
• Workforce development
9
10. Health Insurance Reform
• Quality reporting
• Enrolment standards
• From HIT standards and policy committees
• Care coordination
• Demonstration projects
• Data Collection in Federal Programs
• Race, ethnicity, sex, primary language, etc
• Administrative simplification
• Determination of individual’s eligibility and financial responsibility
• Community-Based Collaborative Care Network Program
• “Comprehensive coordinated and integrated health care services”
grants to support low-income populations
10
11. Its not about the technology?
• Computerize what is
• Example: Implement EMR
• Technology building blocks
• Example: Network look-up and routing
• Example: Implementation guides for
network transactions
• Example: Rigorous test harnesses and
one to many testing
• Electronic process outcomes
• Example: Computerized Patient Order Entry
• Example: Maintain active problem list
• IT Enabled health outcomes
• Patient and population
• Example: Improve quality of care
• Example: Reduce costs
• Example: Prevent spread of disease
11
12. It’s Also About the Data...
The data are central to technology considerations,
outcomes and value, but many issues:
• Business value of not sharing data
• Confidentially concerns for inappropriate data access
• Challenge of having well recorded data
• Challenges of transacting data between systems
• Ambiguities and complexities of selective data access
• Confusing “ownership” and “stewardship”
• Concerns about commercialization of data
12
13. Architecting Data and Technical Solutions
in a Market Driven Health System
• Standards and interoperability
Harmonize
• Harmonize down
• Complex information space
• Many standards and SDOs
• Specify up
• Specified transactions
Engineer
• Detailed implementation guidance
• Test harnesses
• Many to many testing
13
14. Some Further Needs - Interoperability and Standards
• HITECH Helps
• Advances for structured recording of data inside
organizations
• Still optionality
• Need for engineered transactional specifications
• Incentives for use
• Strategic, but detailed and rigorous
• HIPAA provides for claims
• Nationwide Health Information Network specifications
• Required transaction testing
14
15. Some Further Needs - Interoperability and Standards
• Process for parallel work in ancillary areas
• Public Health, behavioral health, long term care etc.
• Include shared services
• Operate on date environment for external
customer
• Standard versions and “legislative lock”
• One to many testing
• Testing infrastructure
• Test Harnesses
• Data sets
15
16. Tools for Trusted Mobilization of Data
• Legislation
• HIPAA, HITEC, state
• Certification of software
• Standards and capabilities
• Accreditation of organizations?
• Assurance of on site policies and procedures
• DURSA
• A common operating agreement
• Governance
• Both dynamic and legislated roles
• Consumer preferences
17. Some Further Needs - Policy Environment
HITECH helps
• Raises HIPAA floor
• State HIPAA variability documented
Enable secure, “network sharing” of health data
• Past point to point data use agreements
• Governance
Clarify data stewardship / management roles
• Managed longitudinal record
• Population health data reporting
Further ensure exchange of data
• Incentives and penalties to providers for EMR use – not
always in their control
17
18. Into the States
• Medicaid HIT plans
• HIE
• Intraand inter – state
• State responsibility / no authority
• NHIN - organizational vs. direct
• Public health
• Outbreak / case management
18