1 / 36

AEGIS, Inc. - Powerful Results. Delivered. SM

Powerful Results. Delivered. OSEHRA Summit Topic: “Why Interoperability Is So Damn Hard” Presenter: Mario Hyland Senior Vice President, AEGIS @ Interopguy. September 5, 2014. 1. AEGIS.net, Inc. - Powerful Results. Delivered. SM. How Important is Patient Safety?. 2.

remedios-graves
Télécharger la présentation

AEGIS, Inc. - Powerful Results. Delivered. SM

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Powerful Results. Delivered. OSEHRA Summit Topic: “Why Interoperability Is So Damn Hard” Presenter: Mario Hyland Senior Vice President, AEGIS @Interopguy September 5, 2014 1 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  2. How Important is Patient Safety? 2 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  3. Introduction • AEGIS has been supporting Interoperability Testing within the HealthIT space with VA/HHS (ONC). • HHS/ONC Nationwide Health Information Exchange (NwHIN) (IHE/HL7/OASIS-SAML) • Healtheway Compliance Testing Body (CTB) Certification process for the eHealth Exchange • OSEHRA Open Source Interoperability Work Group with a focus project of the DIL. • NIST HITECH Award HITTI • HL7 Conformance Testing Platform 3 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  4. Challenges facing Standards Adoption Definition of Interoperability (let’s agree to use IEEE). • Participants and Systems Not Ready for Certification or Accreditation • Dependence on Self-Attestation • Understanding the Standards and Specifications • Common (or Consensus based) Interpretation. • Conformance vs Interoperability • Syntactic vs Semantic Interoperability • Interoperability vs Continuous Interoperability 4 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  5. State of Maturity HealthIT Standards Topic: Open Source Development Objective: Adherence to a Standard can be demonstrated thru implementation & testing 5 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  6. Why Interoperability is Challenging • Systems Interoperability Challenges • Organizational exchange of information • Interruption thru Implementation • Common Testing Approach (Happy Path) • Limited Exception Negative Testing (due to dependence on Peer-to-Peer testing) • Change (yes, there will be change) • Standards will be put under new intense pressure. 6 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  7. Robustness Principle • "Be conservative in what you send, be • liberal in what you accept" • http://en.wikipedia.org/wiki/Robustness_principle • Conservative – Happy Path • Liberal – Negative and Exception Path 7 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  8. How to Mitigate Interoperability Risk • We offer a way to Mitigate Interoperability Risk • Because – you will face Interoperability Issues • Interoperability Strategies • Standards based Testing (feedback loop) • Test Early and Test Often • Infuse Interoperability into the Development Cycles thru TDD (Test Driven Development) • Embrace the goal of Continuous Interoperability thru process 8 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  9. How to Integrate TDD into Agile Process 9 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  10. Developers Integration Lab • Developers Integration Lab (DIL) • Self Service Bi-Direction message based test lab • Global accessibility 24x7/365 days • End-to-End Systems Testing • Beyond Happy Path • 70% Negative testing • Cloud Shared Service • Conformance & • Interoperability 10 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  11. DIL Architecture 11 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  12. Standards view thru Statistics • 2013 - 1,387 Implemented Test Cases*: • 522 Conformance Rules applying over 36,000 checkpoints. • Over 77,391 Test Case Executions starting in April 2013 • By Healtheway's CTB candidate participants and vendors. 1,113 Test Cases for NwHIN specifications • The DIL is Actively Exercising Health IT Standards. *ONC S&I Framework ARRA project 12 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  13. DIL Statistics • More than 200+ Organizations Registered on the DIL to test • 45 active Healtheway 2014 onboarding candidates (through Sept.) • Key Findings: • Neither vendors or participants are ready when they started certification testing. • 2-4+ month learning curve to demonstrate compliance to baseline specifications and required message conformance/interoperability expectations. 13 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  14. DIL Statistics • The DIL provides objective analysis of health information standards implementation and exchange problem areas: • DIL execution data record the root cause(s) of conformance/interoperability failures: • System/product failures • Test case definition defect • Specification lacks sufficient implementation guidance 14 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  15. Industry Approach to Interoperability • ONC Roadmap to Interoperability (10 Years) • Patient Privacy (Consent Policy & DS4P) • Unstructured vs Structured Data • Granularity • Data Providence • Leverage Existing HIT Infrastructure • FDASIA Report (Risk Management) • Jason Report (API Architecture) 15 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  16. OSEHRA Interoperability Work Group • goals: • Publish thought leadership pieces • Participate in speaking engagements • Contribute content to the OSEHRA public comment platform • Captures User Experiences and Technical Challenges • Support Rapid Integration of Standards • Influence technology, public policy, laws and regulations • Develop resources, tools and test labs 16 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  17. Contact Us - AEGIS.net, Inc. 2275 Research Boulevard, Suite 500 Rockville, MD 20850 www.aegis.net Mario Hyland Senior Vice President mario.hyland@aegis.net (703) 893-6020 x707 (301) 529-5466 (c) DUNS: 152858358 CAGE Code: 3YHD9 17 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  18. DIL Statistics • HIE participant learning curves vary widely. One example: • Early failures -> Learning - > Refinement -> Success 18 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  19. DIL Statistics • HIE participant learning curves vary widely. BEST CASE: • 2 calendar months from DIL registration to CTB test case results submission for CCHIT review/Healtheway CC onboarding approval. 19 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  20. DIL Statistics • Once past the system configuration learning curve, DIL Test Execution is FAST: • 12 MINUTES to actually execute the test cases required for Healtheway’s 2013 onboarding program. 20 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  21. DIL Statistics • Product Vendor learning curve example: • Early failures -> Learning - > Refinement -> Success • Vendors should take more time—and make use of the DIL more extensively—than individual participants. 21 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  22. State HIE - SUT 22 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  23. DIL Test Account 23 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  24. DIL Test Scenario/Case 24 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  25. State HIE Patient Info (SUT) 25 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  26. DIL Test Results 26 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  27. DIL Exception Reporting 27 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  28. DIL Message Debugging 28 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  29. DIL Message Analyzer 29 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  30. DIL Test History 30 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  31. DIL Role Based Features • Developers Integration Lab (DIL) • Test Users / Participants • Test Case Developers • Test Rules Engine • Community Representatives • Certification / Test Validation • DIL Administrator 31 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  32. DIL Test Case Developer 32 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  33. DIL Test Rules Engine 33 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  34. DIL Community Rep 34 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  35. DIL Certification / Validation 35 AEGIS.net, Inc. - Powerful Results. Delivered.SM

  36. DIL Administration 36 AEGIS.net, Inc. - Powerful Results. Delivered.SM

More Related