sharing of mohh approach to ea - omg · 2011-09-19 · integrated connected adopted optimized...
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Health and Medical
Practice Insurance Pte Ltd
Sharing of MOHH Approach to EA
Dang Minh Duc
First Up, Organization Context - Singapore …
Confidential to MOH Holdings Pte Ltd. 2
The Healthcare Services
Confidential to MOH Holdings Pte Ltd. 3
Primary Care Long-Term CareAcute &
Intermediate Care
Restructured
Hospital
Rehab &
Support
Services
Community
Hospital
Polyclinics
General
Practitioners
Screening &
Preventation
Nursing Home
Home Care
Palliative
Care
Public sector Private sector People sector
At The 30,000 Feet…
Confidential to MOH Holdings Pte Ltd. 4
Community Hospital
General Practitioners
NursingHome
Polyclinics
RH
CH
NHPolyclinics
FPs Home Care
Rehab & support services
Screening & Prevention
Palliative Care
RH
CH
NHPolyclinics
FPs Home Care
Rehab & support services
Screening & Prevention
Palliative Care
RH
CH
NHPolyclinics
FPs Home Care
Rehab & support services
Screening & Prevention
Palliative Care
RH
CH
NHPolyclinics
FPs Home Care
Rehab & support services
Screening & Prevention
Palliative Care
RH
CH
NHPolyclinics
FPs Home Care
Rehab & support services
Screening & Prevention
Palliative Care
RH
CH
NHPolyclinics
FPs Home Care
Rehab & support services
Screening & Prevention
Palliative Care
Fun & Challenges For EA
Confidential to MOH Holdings Pte Ltd. 5
Chain of 9 polyclinics
Chain of 9 polyclinics
Organization Structure
Confidential to MOH Holdings Pte Ltd. 6
Health Eco System
Driving An Ambitious National IT Strategy
Confidential to MOH Holdings Pte Ltd. 7
Strategic
Thrusts
Strategic
Thrusts
OutcomesOutcomes
GoalGoal
StrategiesStrategies
Strategic
Thrusts
Outcomes
Goal
Strategies
Enable integrated healthcare servicesEnable integrated healthcare servicesEnable integration between
healthcare and advances in
biomedical science
Enable integration between
healthcare and advances in
biomedical science
Health Information
Exchange - e-Enable
seamless and secured
information exchange in
the healthcare value
chain
Health Information
Exchange - e-Enable
seamless and secured
information exchange in
the healthcare value
chain
Integrated Healthcare
Continuum - e-Enable
processes and linkages
across the healthcare
value chain
Integrated Healthcare
Continuum - e-Enable
processes and linkages
across the healthcare
value chain
Translating Biomedical
Research to Healthcare
Delivery - integrate
clinical and biomedical
research data
Translating Biomedical
Research to Healthcare
Delivery - integrate
clinical and biomedical
research data
Well-Integrated
Quality
Healthcare
Well-Integrated
Quality
Healthcare
Cost-effective
Healthcare
Services
Cost-effective
Healthcare
Services
Greater ability of
public to manage
their health
Greater ability of
public to manage
their health
Strong clinical
and health
services research
Strong clinical
and health
services research
To accelerate sectoral transformation through an Infocomm-enabled
personalised healthcare delivery system to achieve high quality clinical care,
service excellence, cost-effectiveness and strong clinical research
To accelerate sectoral transformation through an Infocomm-enabled
personalised healthcare delivery system to achieve high quality clinical care,
service excellence, cost-effectiveness and strong clinical research
Enable integrated healthcare servicesEnable integration between
healthcare and advances in
biomedical science
Health Information
Exchange - e-Enable
seamless and secured
information exchange in
the healthcare value
chain
Integrated Healthcare
Continuum - e-Enable
processes and linkages
across the healthcare
value chain
Translating Biomedical
Research to Healthcare
Delivery - integrate
clinical and biomedical
research data
Well-Integrated
Quality
Healthcare
Cost-effective
Healthcare
Services
Greater ability of
public to manage
their health
Strong clinical
and health
services research
To accelerate sectoral transformation through an Infocomm-enabled
personalised healthcare delivery system to achieve high quality clinical care,
service excellence, cost-effectiveness and strong clinical research
At MOHH, The Alternative paths for Architecture
Confidential to MOH Holdings Pte Ltd. 8
?
Reflecting back…
Confidential to MOH Holdings Pte Ltd. 9
Gartner Research, 10 Feb, 2010Case Study: Understanding the Impact of Emergent Strategy on Enterprise Architecture
Enterprise Architecture – Value Approach
Confidential to MOH Holdings Pte Ltd. 10
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NEHR
CIC & PHM
And Some of The Architecture Work
Confidential to MOH Holdings Pte Ltd. 11
& PHMArchitectureCIC & PHMArchitecture
Extending to new Business Areas
NHISA
NEHRA
ESB
Service Catalog
IIA
From Strategy to Program
focus From problem to innovation:Deep dive into a tricky problem space & take opportunity to innovate.
ValueValueValueValue
ValueValue
ValueValue
NEHR POC NEHR RFP
NHIS Scoping
NEHR detailed design
Repository
Data/Doc
Interop Specs
Design Assurance
Booz & Company
DATE 12
Developing The Maturity Model to Assess The current state of CIC /
PHM
Enable integrated
healthcare services
Enable integration
between healthcare and
advances in biomedical
science
Health
Information
Exchange - e-
Enable seamless
and secured
information
exchange in the
healthcare value
chain
Integrated
Healthcare
Continuum - e-
Enable
processes and
linkages across
the healthcare
value chain
Translating
Biomedical
Research to
Healthcare
Delivery -
integrate clinical
and biomedical
research data
Well-
Integrated
Quality
Healthcare
Cost-
effective
Healthcare
Services
Greater
ability of
public to
manage
their health
Strong
clinical and
health
services
research
To accelerate sectoral transformation through an
Infocomm-enabled personalised healthcare delivery
system to achieve high quality clinical care, service
excellence, cost-effectiveness and strong clinical
research
Strategic
Thrusts
Outcomes
Goal
Strategies
iN2015 Strategic FrameworkFrom iN2015 Healthcare and Biomedical Sciences Report
• Visibility of supply, demand, costs and care pathways
• Well populated clinical database• Patients have visibility of their health
journey and available options
• Manage ‘cases’ across care settings using defined care pathways
• Enable interconnection of clinicians, carers and patients in support of integrated care
• Shared use of common services and effective right-siting
• Connection of core health systems to support electronic transactions initiated across settings
• For example - PHR / NEHR for access to an individuals common health record, eReferrals, or e-Prescriptions
• Adoption of Health Infocomm technologies across all care settings
• System adopted are core health systems such as EMR, NEHR, PAS, RADT, PHR
Integrated
Connected
Adopted
Optimized
Integrated and Self Managed Care Maturity Model
… suggests a journey summarised by …
Booz & Company
DATE 13
A current State Assessment
• AIC 2.0 plan to be agreed and fleshed out
• Limited data available today
• Connectivity & integration are key prerequisites• NEHR P1 omits Referrals and Care Plans
• No Common Services
• Limited Connectivity today esp. in ILTC
• Significant dependency on NEHR, but not all interfaces planned in P1
• CLEO scope only 50 GPs in P1
• Gaps in Nursing Homes and Rehab & Support
Current State includes the committed projects CLEO, CHIC, NEHR
Integrated
Connected
Adopted
Optimized
Integrated and Self Managed Care Maturity
Model
Personal Health
Manage-ment
PromotionPrevention
& Protection
Family Physician
Poly-clinics
Comm-unity
Hospitals
Rehab & Support Services
Nursing Homes
Palliative Care
Home Care
PHR Plan
PHR Established
NEHR I/F,PHR
Screening systems
CLEO NEHR I/F,PHR
CLEO platform
NEHR I/F,PHR
Existing base
AIC Web / AIC 2.0
AIC Web / AIC 2.0
CHIC NEHR I/F
CHIC Platform
AIC Web / AIC 2.0
AIC Web / AIC 2.0
Local
AIC Web / AIC 2.0
AIC Web / AIC 2.0
IngoT roll out starting IngoT
AIC Web / AIC 2.0
AIC Web / AIC 2.0
IngoT
AIC Web / AIC 2.0
AIC Web / AIC 2.0
Assessment on the functionality provided and covera ge within and across care settings
Committed Projects
Fully mature capabilities Well developed capabilities with minor gaps Developed capabilities with some gaps
Undeveloped capabilities
Fully mature capabilities Well developed capabilities with minor gaps Developed capabilities with some gaps
Limited capabilities, substantial gaps Undeveloped capabilities
Extending The Business Capability Map
Confidential to MOH Holdings Pte Ltd. 14
Extending The Architecture Framework
Confidential to MOH Holdings Pte Ltd. 15
Updating The Information Exchange Requirements
Updating The Info Exchanges Access Patterns
Confidential to MOH Holdings Pte Ltd. 17
e.g.
� Interoperability Specifications– Understand EHR information in a
consistent manner.� Integration Services
– Reuses & Refine capabilities EHR needs to provide
� Security
– Apply information classification and ensure and conformance
� Administration– Adapts/adopts administration and
operations
Interoperability Specifications
Infrastructure
Adm
inis
trat
ion S
ecurity
Integration Services
Benefits From Earlier Works.
Our Building Blocks Through Opportunities
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‘08
4Q
’08
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2Q
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NEHR
CIC & PHM
EA Ops &
Gov
“Operationalise” the EA practice
Confidential to MOH Holdings Pte Ltd. 20
& PHMArchitectureCIC & PHMArchitecture
Extending to new Business Areas
Tooling: EA Repository
Gov & OperationContent
population
Implementing operation & governance only when
needed.
NHISA
NEHRA
ESB
Service Catalog
IIA
From Strategy to Program
focus From problem to innovation:Deep dive into a tricky problem space & take opportunity to innovate.
ValueValueValueValue
ValueValue
ValueValue
NEHR POC NEHR RFP
NHIS Scoping
NEHR detailed design
Repository
Data/Doc
Interop Specs
Design Assurance
Collaborative EA Governance
Confidential to MOH Holdings Pte Ltd. 21
Architecture & Solution Governace
EA –Project Engagement
(Interaction Points)
EA Repository & Content Mgmt System
Architecture Office
Implementation Projects
PrincipalPrincipalEnterprise Architect
Architecture
Management
ArchitectureChange
Management
Architects (Enterprise & Domain)
Guidance
Architecture &Solutions Blocks
Processes IT RoadmapArchitecture
Decisions
Inception
Elaboration
Realization
ARB
SimplifiedInteraction
An Accessible Reference Library
Senior Management Stewardship
1
6
3
4
2
5
7
Current state of application
Processes, Tool & Repository
Confidential to MOH Holdings Pte Ltd. 22
Demand LogArch Repository
Arch Position LogArtefact Master File
1
2
3
4
EA Repository Meta Model
Confidential to MOH Holdings Pte Ltd. 23
Data Architecture Technology ArchitectureBusiness Architecture Application Architecture
Alfabet Content Meta ModelD
Architecture Principles, Vision & Requirements
Other References
Adapted from TOGAF 9
Architecture Principles
D
Architecture Requirements RepositoryRequirements | Constraints | Assumptions | Gaps
D Architecture VisionBusiness strategy | Business Principles Objectives & Drivers | Stakeholders | Technology Strategy
D
Deliverable's PARCI
D
ProcessesD
Architecture Decision Log
D Staff Contact list
DToolkits
DSpecifications?
DArchitecture Position Statement
D
Enterprise’s Architecture landscape (Baseline and to-be)supported Business Domains/Organizations (Business Support) - which IT systems provides which Capabilities to which Organizations.
A
Program/Project’s Architecture landscape (Implementation Programs/projects )View of affected Architecture components and/or architecture Components dependencies/overlap
A
OrganizationA
CapabilityA
Process*(Attachment)
A
ApplicationA
ApplicationReleases
AServices
A
Information FlowA
Business Object (LIM)
A
Business Data (Physical)
A
Components / Standard
Components
A
A
Standard Platform
A
GlossaryA
ComponentModule
A
Managed in a Directory repository
DManaged in Alfabet repository
A
Overview of EA Repository’s Meta Model
3Q
‘08
4Q
’08
1Q
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2Q
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3Q
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4Q
’09
1Q
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NEHR
CIC & PHM
EA Ops &
Gov
What’s Cooking…
Confidential to MOH Holdings Pte Ltd. 25
& PHMArchitectureCIC & PHMArchitecture
Extending to new Business Areas
Tooling: EA Repository
Gov & OperationContent
population
Implementing operation & governance only when
needed.
NHISA
NEHRA
ESB
Service Catalog
IIA
From Strategy to Program
focus From problem to innovation:Deep dive into a tricky problem space & take opportunity to innovate.
ValueValueValueValue
ValueValue
ValueValue
NEHR POC NEHR RFP
NHIS Scoping
NEHR detailed design
Repository
Data/Doc
Interop Specs
Design Assurance
NEHRA next
iteration
NEHR Architecture Refresh Approach
Gap analysis of current
NEHR system
Items from current target architecture
Integration analysis of
current systems
New business services and applications
Goal state architecture
Options analysis
Gap analysis of current NEHR system
List all application architecture components
from original requirements (baseline business
architecture)
Are there any
components that
were not delivered
as planned?
What does feedback
from early use say
about success of any
services?
Are there any non-
functional issues to
address that could
affect technology
architecture
NEHR Architecture Refresh Approach
Gap analysis of current
NEHR system
Items from current target architecture
Integration analysis of
current systems
New business services and applications
Goal state architecture
Options analysis
Gap analysis of current NEHR system
Assess each artefact from the goal state
Are there any
artefact types
/ views
missing?
Are there any
redundant
views?
Can the
presentation
approach be
improved?
What else
does TOGAF
suggest?
What would
be the next
level of
detail?
NEHR Architecture Refresh Approach
Gap analysis of current
NEHR system
Items from current target architecture
Integration analysis of
current systems
New business services and applications
Goal state architecture
Options analysis
Integration analysis of current systems
List all current systems and interfaces
Assess success
of any phase 1
integration
Review current
interface list
from MOHH
Any inputs from
business
architecture
work?
Select any
appropriate
next phase
improvements
Are there any
potential
improvements
to the way data
is shared?
Select best
integration
technology.
NEHR Architecture Refresh Approach
Gap analysis of current
NEHR system
Items from current target architecture
Integration analysis of
current systems
New business services and applications
Goal state architecture
Options analysis
New business services and applications
List all potential new services and applications
(from workshops and consultations)
Are there any
new
requirements
from clinical
community?
What new
technologies are
achievable now
that were not in
2009?
Input from phase
1 results
Select any
appropriate next
phase
improvements
Do these align to
MOHH business
drivers?
Any missing
‘services’ now
recognised as
required?
Solidifying EA Process
Confidential to MOH Holdings Pte Ltd. 30
Demand LogArch Repository
Arch Position LogArtefact Master File
1
2
3
4
Health and Medical
Practice Insurance Pte Ltd
Thank you