Pennsylvania Department of Health
Enterprise Services
PA Department of Health
Enterprise Reporting Gateway Services and
Enterprise Data Warehouse Initiative
PA-NEDSS/ELR History
• PA-NEDSS live in 2003
• PA-ELR Web Service designed as a tool for PA-NEDSS in
2005
• ELR was built tightly coupled to PA-NEDSS
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Shared Database
ELR utilizes the PA-NEDSS Security Model
Shared Web and Application Servers
ELR functionalities Embedded in PA-NEDSS
• Batch Status Page
• Manual Upload Page
Emerging HIE in Pennsylvania
• The emergence of HIE technology in Pennsylvania is a
driving factor in the de-coupling of PA-ELR and PANEDSS
– Pennsylvania has a network of networks HIE model
– The P3N is a thin layer at the Commonwealth level that allows
regional HIOs to connect to each other.
– P3N also allows for providers and hospitals to report to the
Commonwealth including meeting public health reporting
requirements for Meaningful Use
• ELR/NEDSS was identified as the pilot for reporting to the Commonwealth
• Current NEDSS/ELR functionality would not support reporting through the HIE
Network
PA-ELR to Enterprise Reporting
Gateway Service (ERS)
• “De-coupling” of PA-ELR and PA-NEDSS
– Migrate all ELR related components to ERS specific servers.
– Migrate all NEDSS related components to NEDSS Specific
servers
– Create a new SQL Server Database for the ERS
– Creation of a new Enterprise Web Service
– Creation of an Authentication Web Service
– Modification of old ELR web service (now NEDSS web service)
– Completion of PAWS 2.0
– Creation of Enterprise Reporting Service Portal
ERS Key Components
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PAWS 2.0
Enterprise Authentication Service
New Enterprise Reporting Web Service
Orion Health’s Rhapsody Integration Engine
New Web Portal
Message Testing and Validation Service
Work Flow
Rhapsody
• Replaced existing directory communication points with
web services
• Generation and return of HL7 formatted
acknowledgements
• Provides routing services
• Non NEDSS public health systems that integrate into ERS
will determine what if any business logic is maintained in
Rhapsody
• Existing NEDSS Business Logic remains in Rhapsody
PAWS 2.0 and Enterprise Web Services
• PA-ELR Automated Upload Windows Service (PAWS 2.0)
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Improved GUI; menus and data fields
Client side application
Supports multiple environments
Supports transport to multiple destination applications
• Enterprise Authentication Service
– Authenticates user against destination systems AD.
– Allows user to change password via PAWS
• Enterprise Web Service
– Built using Microsoft Windows Communication Foundation (WCF)
– Separate Endpoints configured for each client system
Web Portal
• Centralized location for Public Health Reporting
information
– Links to Implementation Guides
– Links to external resources
– Frequently Asked Questions
• Provides manual file upload functionality
– Replaces current PA-NEDSS functionality
– Functionality can be extended to other client applications
• Provides a self service test tool
Web Portal – Home Page
Web Portal – Submit Production Files
Web Portal – Submit Production Files
Web Portal – Change Password
Web Portal – Test File submission Page
Testing Tool
• Currently only supports ELR
• Can be extended to Other Public Health Programs.
• Test tool is customized to meet your State’s exact
implementation guide.
• Utilizes the Rhapsody Integration Engine
– Exposes Rhapsody as a web service
– Utilizes customized message definition file
• Create custom validation tables
• Utilize advanced validations
– Utilizes a mapper to customize the final message displayed
• Provides custom error language utilizing look-up tables.
• Allows you to only display the errors that you desire to display.
Testing Tool Rhapsody Route
Testing Tool - Customize Message
Definition
Testing Tool - Custom Validation Table
Testing Tool – Advanced Validations
Testing Tool – Mapper exclude errors
Testing Tool – Mapper Look-Up Tables
Testing Tool Rhapsody Route
Web Portal – Test File Validation Tool
Testing Tool Rhapsody Route
Next Steps
• Develop a Security Token Service (STS)
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Utilize Microsoft Windows Identity Foundation (WIF)
Claims Based security model
Replaces the current Enterprise Authentication Service
Allows for Single Sign On to DOH applications
• Develop Dashboard Functionality on the ERS web portal
Contact Information
Mark Dittman – PA-ELR Project Manager
mdittman@pa.gov
Bill Pugh – NEDSS Project Manager
wpugh@pa.gov
“Architecture exists to serve people.
…design is firmly rooted in the interpretation of basic human needs
...design solutions as an integrated expression of function, purpose
and sensory experience conceived in a holistic fashion to make perfect sense.
How can this design best serve the people who will use it?
How will it improve their lives, enhance the lives of their neighbors,
serve their community and generations to come?
…the focus remains, always, on people.”
John C. Portman Architectural Firm - Atlanta1
• Informatics Architecture – Outside and Inside
• What you build will be used in ways that you did not intend
Hollerith Card3
Atlanta Marriot Marquis4
Atlanta Marriot Marquis2
Informatics Architecture – Making a Star5 in the Test Kitchen6
• Template 1 - Know your Ingredients
– Eliminate the ‘white powder’ confusion in the kitchen
– Example of what we found with a ‘contact’
– Data is an asset – treat it as such
Some day, on the corporate balance sheet, there will be an entry which reads, 'Information';
for in most cases, the information is more valuable than the hardware which processes it.
~ Grace Hopper
Informatics Architecture – Making a Star5 in the Test Kitchen6
• Template 2 – Mise en place7
– Prepare all of your ingredients ahead of time
– Data conformance
– A place for everything and everything in its place
Informatics Architecture – Making a Star5 in the Test Kitchen6
• Template 3 – Plan the recipe
– Apply the attributes and facts of your ingredients
– Conceptual Data modeling
Informatics Architecture – Making a Star5 in the test Kitchen6
• Template 4 – Implement the recipe
–
1.
2.
3.
Use the outputs of the first 3 templates to build the architecture
Ingredients – Data Identification and Definition
Preparation – Data Conformance
Data
Identification
Recipe development – Data Modeling
Physical Data
Realization
Data
Definition
Data Modeling
Data
Conformance
Next Steps
• Build menus around the recipes
– Similar process, but working from the prepared information not raw data
– Work with stakeholders for their expectations and requirements
• Stage the menus
– How should the information look and perform
• Implement the menus
– Develop, test and make the information available as required
The future is already here — it's just not very evenly distributed.
~ William Gibson
But how can we make a meal when there are sharing issues in the village?
• Ad hoc teams
• Train both IT and Program Staff
• Bring in targeted resources
– To teach theory
– To review infrastructure
– To augment staff on known and owned tasks
• Initiate with a ‘stone’ from a benefactor.
Opportunities multiply as they are seized.
~ Sun Tzu
Stone Soup by Marcia Brown8
Meta Architecture – Executive/Strategic Support
• Culture Change to One Vision
• Triad of Assets – Human, Data, Budget
• Enterprise Governance of Assets
Public
Health
Outcomes
Data
Human
Resources
The future is already here — it's just not very evenly distributed.
~ William Gibson
Budget
Thank you
• Pennsylvania Department of Health Staff
• Environmental Public Health
Tracking Grant (CDC)
• Epidemiological and Laboratory
Capacity Grant (CDC)
• Public Health Emergency
Preparedness Grant (CDC)
• National Program of Cancer Registries (CDC)
Spark
Imagine
Questions?
When you cut into the present the future leaks out.
~ William S. Burroughs
References
1. http://www.portmanusa.com/designphilosophy.php
2. http://en.wikipedia.org/wiki/File:Marriott-marquis-atlanta-2008.jpg
3. http://en.wikipedia.org/wiki/File:Punch-card-5081.jpg
4. http://www.portmanusa.com/project.php?name=Atlanta Marriott Marquis
Hotel&projectid=5617&country=USA
5. http://www.kimballgroup.com/data-warehouse-business-intelligenceresources/kimball-techniques/dimensional-modeling-techniques/star-schemaolap-cube/
6. http://www.kimballgroup.com/2004/01/01/data-warehouse-dining-experience/
7. http://www.pbs.org/food/features/mis-en-place-the-start-to-an-easy-meal/
8. ISBN 9780689878367 –Stone Soup by Marcia Brown- picture from
http://www.amazon.com/Stone-Soup-Aladdin-Picture-Books/dp/0689711034