aphl informatics messaging services (aims) · source: gartner (august 2016) completeness of vision...

Analysis. Answers. Action. www.aphl.org

APHL Informatics Messaging Services (AIMS) Overview | March 2017

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

APHL Informatics Messaging Services


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


50 states

Influenza NREVSS NMI VPD LRN Animal Rabies AMD

Today: A National Resource for Interoperability


Priorities

Speed and Agility

Elasticity

Low Cost of Experimentation

Easily Deployable Solutions

Legal Continuity Security Compliance Technical Support


2017 Gartner Cloud Computing Magic Quadrant“AWS is the overwhelming market share leader, with more than 10 times the compute capacity in use than the aggregate total of the other fourteen providers.”

Challengers Leaders

Niche Players

Abili

ty to

Exe

cute

Visionaries

Completeness of Vision As of August 2016Source: Gartner (August 2016)

Amazon Web Services

Microsoft

GoogleRackspace

Virtustream

Fujitsu

Century Link

NTT CommunicationsIBM (SoftLayer)

VMware


Amazon Web Services (AWS)• Migrated to AWS on March 1, 2014

• Located in the AWS East and West US Regions

• Robust Continuity of Operations and Disaster Recovery

• Approved for GovCloud


AIMS Functional Architecture


Compliance✓ HIPAA-compliant, HITRUST-certified environment on the

AWS Cloud.

✓ FedRAMP and NIST 800-53

✓ Business Associate Agreements

✓ Shared Responsibility Model

✓ System Security Plan (SSP) in place

✓ Security Assessment (ST&E) and Audit conducted in 2013 and 2016.

✓ FISMA Moderate Compliance ATO granted

✓ AWS is FedRAMP certified


Cybersecurity

Automated continuous configuration and monitoring provides cybersecurity and information assurance capabilities to information technology environments

on AIMS.


Cybersecurity


Cybersecurity: Access• Access via applications and services

• AWS Identity Access Management (IAM)

• Virtual Desktops

• Access via VPN

• Dashboard – Audit Portal

✓ System Access Authorization Request

✓ FIPS 140-2


Storage, Backup, Archiving


Pain Free On-boarding & Tech Support


Our Team

Hospital Health Public Health


AIMS Advantages1. Open Source architecture 2. Centralized processing and message routing 3. Real-time monitoring and audit systems 4. Reduced message transport complexity 5. Reduced data translation and transformation complexity 6. Reduced development and support costs 7. Flexible capacity infrastructure 8. 5 year authentication certificates 9. Vocabulary and HL7 Message Support 10. Experienced and dedicated tech support 11. FISMA Moderate compliant applications 12. FedRAMP compliant environment 13. Commitment to innovation and the future

Once on AIMS, you can exchange data with AIMS trading partners within minutes!

State Data Administrator


Results: True Interoperability


Interoperability of Influenza Messaging


Empowering States:

Cross-Jurisdictional Data Exchange

Organic ELR Data ExchangeBi-directional Data FlowLEGEND


Empowering StatesState and Territorial Exchange of Vital Events (STEVE)


Traction

9.4M+ 21.5+ 81Messages and

CountingDaily Securely

Monitored Log filesAIMS Trading

Partners


PHLs involved in the Public Health Laboratory Interoperability Project (PHLIP) use the AIMS Platform to transport Electronic Laboratory Surveillance Messages (ELSM) for Influenza to CDC.

The AIMS Platform is used by PHLs to maintain Pandemic Influenza surge capacity to securely exchange Electronic Test Orders and Results (ETOR).

The AIMS Platform supports Meaningful Use secure message transport for Syndromic Surveillance, Immunizations, and Electronic Laboratory Results (ELR).

The Laboratory Response Network (LRN) uses the AIMS Platform to securely transport messages of possible bioterrorism threats.

LRN

Meaningful Use

Pandemic Influenza

PHLIP

Programs Using AIMS


Programs Using AIMS

The Vaccine Preventable Disease (VPD) program uses four Reference Centers to provide specimen testing for labs that either do not currently provide testing for VPD diseases or want the surge capacity provided by Reference Centers. VPD diseases currently consist of: Measles (Rubeola), mumps, rubella, Varicella Zoster Virus (VZV), pertussis, S. pneumoniae, and H. influenzae.

VPD

The Nationally Notifiable Disease Surveillance System (NNDSS) Modernization Initiative (NMI) is an effort to improve the systems and processes used to receive nationally notifiable disease data to provide more comprehensive, timely, and higher quality data than ever before.

Proof of concept between CDC, Wisconsin, CLC bio, Clarity LIMS to test the secure transport and analysis of WGS data on AIMS.

WGS/AMD

NMI

Rabies Animal ELR securely sent from laboratories across the US to the CDC via AIMS Platform. Interactive web portal hosted on AIMS to allow CDC Rabies Program Area to access data.

Rabies ELR


Programs Using AIMS

Rabies Animal ELR securely sent from laboratories across the US to the CDC via AIMS Platform. Interactive web portal hosted on AIMS to allow CDC Rabies Program Area to access data.

The State and Territorial Exchange of Vital Events (STEVE) project is an update to an existing software application that enables electronic data exchange of vital events. Using a new cloud based infrastructure, hosted in conjunction with the Public Health Community Platform on the AIMS Platform, states and territories will have bi-directional core messaging capabilities. The new solution will offer flexibility and the ability to scale quickly, while significantly reducing the technical footprint within each jurisdiction.

Initial Electronic Case Reporting (eICR) Pilot and RCKMS hosting and integration with eICR

Rabies ELR

NAPHSIS - STEVE 2.0

Public Health Community Platform

The Anti-Microbial Resistance Lab Network is a portal that has upload, validation, and download capability.

ARLN


Programs Using AIMS

The Foodborne Illness lab network is hosted and secured on the AIMS Platform.

This network of private laboratories sending data to Public Health Agencies is being used by the largest private laboratory in the country, transmitting 2.5 million messages per month.

A centralized hub for Immunization Information Systems interoperability

EIP Foodnet

Quest Diagnostics

PHIZ

The environment for Food and Drug Administration Laboratories AMD FDA

Identifies the informatics capabilities and needs of the public health community. Laboratory professionals can use the results of the self-assessment to gauge informatics capabilities and gaps, prioritize the use of existing resources, and to document and communicate informatics priorities to policy makers.

SA Tool:

Pilot: Electronic Case Reporting


Private Sector Adoption

10 States receiving ELR via AIMS


AIMSPlatform.com


Living in the Future

Integration as a ServiceOutsource the jurisdictions

Data Integration layer and team to AIMS

Billing Engine“Tagging” AIMS services for

automated billing and Accounting.

Will support Fee for Service.

AIMS Web PortalETOR

Business Intelligence Analytics

Branding Refresh Continued Public- Private Collaboration

AIMS Marketplace


Living in the Future

Customer Support Portal

Software Development Kit (SDK)

Intelligent Message Processing (IMP)

AIMS University

Case Reporting


Contact Information

PATINA ZARCONE-GAGNE, MPH | Director, Informatics Association of Public Health Laboratories | Analysis. Answers. Action. P +1 240.485.2788 | [email protected] M +1 978.559.1462

tel:+1%20240.485.2788

mailto:[email protected]

tel:+1%20978.559.1462

aphl informatics messaging services (aims) · source: gartner (august 2016) completeness of vision...

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