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 Primary Care Acute & Intermediate Care Long-Term Care Screening & Preventation Polyclinics Community Hospital Restructured Hospital Nursing Home Palliative Care General Practitioners Rehab & Support Services Home Care Public sector Private sector People sector Confidential to MOH Holdings Pte Ltd. 3
At The 30,000 Feet Polyclinics Screening & Prevention FPs CH RH Rehab & support services NH Home Care Palliative Care Polyclinics Screening & Prevention FPs CH NH RH Palliative Care Home Care Rehab & support services Polyclinics Screening & Prevention CH RH FPs Rehab & support services Polyclinics CH NH RH Screening & Palliative Prevention Care Home FPs Care Rehab & support services Polyclinics Screening & Palliative Prevention Care Home FPs Care Rehab & support services NH CH RH Polyclinics Screening & Prevention FPs NH Home Care CH RH Rehab & support services Palliative Care NH Home Care Palliative Care Polyclinics General Practitioners Community Hospital Nursing Home Confidential to MOH Holdings Pte Ltd. 4
Fun & Challenges For EA Chain of 9 polyclinics Chain of 9 polyclinics Confidential to MOH Holdings Pte Ltd. 5
Organization Structure Health Eco System Confidential to MOH Holdings Pte Ltd. 6
Driving An Ambitious National IT Strategy Goal 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 Outcomes Well-Integrated Quality Healthcare Cost-effective Healthcare Services Greater ability of public to manage their health Strong clinical and health services research Strategic Thrusts Strategies Enable integration between Enable integrated healthcare services healthcare and advances in biomedical science Health Information Integrated Healthcare Translating Biomedical Exchange - e-enable Continuum - e-enable Research to Healthcare seamless and secured processes and linkages Delivery - integrate information exchange in across the healthcare clinical and biomedical the healthcare value value chain research data chain Confidential to MOH Holdings Pte Ltd. 7
At MOHH, The Alternative paths for Architecture? Confidential to MOH Holdings Pte Ltd. 8
Reflecting back Gartner Research, 10 Feb, 2010 Case Study: Understanding the Impact of Emergent Strategy on Enterprise Architecture Confidential to MOH Holdings Pte Ltd. 9
Enterprise Architecture Value Approach Confidential to MOH Holdings Pte Ltd. 10
And Some of The Architecture Work 3Q 08 4Q 08 1Q 09 2Q 09 3Q 09 4Q 09 1Q 10 2Q 10 3Q 10 4Q 10 1Q 11 2Q 11 3Q 11 4Q 11 NEHRA NEHR POC Value NEHR RFP Value NEHR detailed design NEHR From Strategy to Program focus NHISA Value From problem to innovation: Deep dive into a tricky problem space & take opportunity to innovate. NHIS Scoping ESB Repository Data/Doc Service Catalog Value Design Assurance IIA Interop Specs CIC & PHM Extending to new Business Areas CIC & PHM Architecturee Confidential to MOH Holdings Pte Ltd. 11
Developing The Maturity Model to Assess The current state of CIC / PHM in2015 Strategic Framework From in2015 Healthcare and Biomedical Sciences Report suggests a journey summarised by Integrated and Self Managed Care Maturity Model Goal 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 Optimized Visibility of supply, demand, costs and care pathways Well populated clinical database Patients have visibility of their health journey and available options Outcomes Strategic Thrusts Strategies Well- Integrated Quality Healthcare Enable integrated healthcare services Health Information Exchange - e- Enable seamless and secured information exchange in the healthcare value chain Costeffective Healthcare Services Greater ability of public to manage their health Integrated Healthcare Continuum - e- Enable processes and linkages across the healthcare value chain Strong clinical and health services research Enable integration between healthcare and advances in biomedical science Translating Biomedical Research to Healthcare Delivery - integrate clinical and biomedical research data Integrated Connected Adopted 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 Booz & Company DATE 12
A current State Assessment Assessment on the functionality provided and coverage within and across care settings Integrated and Self Managed Care Maturity Model Promotion Prevention & Protection Family Physician Personal Health Management Polyclinics Community Hospitals Rehab & Support Services Nursing Homes Palliative Care Home Care Optimized Integrated AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC Web / AIC 2.0 AIC 2.0 plan to be agreed and fleshed out Limited data available today Connectivity & integration are key NEHR prerequisites P1 omits Referrals and Care Plans No Common Services Connected PHR Plan NEHR I/F, PHR CLEO NEHR I/F,PHR NEHR I/F,PHR CHIC NEHR I/F Limited Connectivity today esp. in ILTC Significant dependency on NEHR, but not all interfaces planned in P1 Adopted PHR Established Screening systems CLEO platform Existing base CHIC Platform Local IngoT roll out starting IngoT IngoT CLEO scope only 50 GPs in P1 Gaps in Nursing Homes and Rehab & Support Fully mature capabilities Well developed capabilities with minor gaps Developed capabilities with some gaps Limited capabilities, substantial gaps Undeveloped capabilities Committed Projects Current State includes the committed projects CLEO, CHIC, NEHR Booz & Company DATE 13
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
Benefits From Earlier Works. e.g. Interoperability Specifications Administration Integration Services Infrastructure Security 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
Our Building Blocks Through Opportunities
Operationalise the EA practice 3Q 08 4Q 08 1Q 09 2Q 09 3Q 09 4Q 09 1Q 10 2Q 10 3Q 10 4Q 10 1Q 11 2Q 11 3Q 11 4Q 11 NEHRA NEHR POC Value NEHR RFP Value NEHR detailed design NEHR From Strategy to Program focus NHISA Value From problem to innovation: Deep dive into a tricky problem space & take opportunity to innovate. NHIS Scoping ESB Repository Data/Doc Service Catalog Value Design Assurance IIA Interop Specs CIC & PHM Extending to new Business Areas CIC & PHM Architecturee EA Ops & Gov Implementing operation & governance only when needed. Tooling: EA Repository Content population Gov & Operation Confidential to MOH Holdings Pte Ltd. 20
Collaborative EA Governance Architecture & Solution Governace Architecture Office Principal Enterprise Architect Guidance ARB Senior Management Stewardship 3 5 Architecture Change Management EA Project Engagement (Interaction Points) Simplified Interaction 2 1 Implementation Projects Inception Elaboration Realization 4 Architects (Enterprise & Domain) 7 An Accessible Reference Library EA Repository & Content Mgmt System Processes Architecture & Solutions Blocks Architecture Decisions Current state of application IT Roadmap 6 Confidential to MOH Holdings Pte Ltd. 21
Processes, Tool & Repository 1 4 Demand Log Arch Repository Arch Position Log Artefact Master File 2 3 Confidential to MOH Holdings Pte Ltd. 22
EA Repository Meta Model D D Architecture Principles D Architecture Requirements Repository Requirements Constraints Assumptions Gaps Business Architecture A A Architecture Principles, Vision & Requirements Application Architecture D Architecture Vision Business strategy Business Principles Objectives & Drivers Stakeholders Technology Strategy Alfabet Content Meta Model Data Architecture Technology Architecture Enterprise s Architecture landscape (Baseline and to-be) supported Business Domains/Organizations (Business Support) - which IT systems provides which Capabilities to which Organizations. A Organization A Capability A Process* (Attachment) Program/Project s Architecture landscape (Implementation Programs/projects ) View of affected Architecture components and/or architecture Components dependencies/overlap A Application A A Application Releases A A Component Module Services Information Flow A Business Object (LIM) A Business Data (Physical) A Components / Standard Components A Standard Platform A Glossary D Processes Other References D Architecture Decision Log D Architecture Position Statement D Staff Contact list D Deliverable's PARCI D Toolkits D Specifications? A Adapted from TOGAF 9 A Managed in Alfabet repository D Managed in a Directory repository Confidential to MOH Holdings Pte Ltd. 23
Overview of EA Repository s Meta Model
What s Cooking 3Q 08 4Q 08 1Q 09 2Q 09 3Q 09 4Q 09 1Q 10 2Q 10 3Q 10 4Q 10 1Q 11 2Q 11 3Q 11 4Q 11 NEHRA NEHR POC Value NEHR RFP Value NEHR detailed design NEHR From Strategy to Program focus NHISA Value From problem to innovation: Deep dive into a tricky problem space & take opportunity to innovate. NHIS Scoping ESB Repository Data/Doc Service Catalog Value Design Assurance NEHRA next iteration IIA Interop Specs CIC & PHM Extending to new Business Areas CIC & PHM Architecturee EA Ops & Gov Implementing operation & governance only when needed. Tooling: EA Repository Content population Gov & Operation Confidential to MOH Holdings Pte Ltd. 25
NEHR Architecture Refresh Approach Gap analysis of current NEHR system Items from current target architecture Gap analysis of current NEHR system List all application architecture components from original requirements (baseline business architecture) Integration analysis of current systems New business services and applications Options analysis 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 nonfunctional issues to address that could affect technology architecture Goal state architecture
NEHR Architecture Refresh Approach Gap analysis of current NEHR system Items from current target architecture Gap analysis of current NEHR system Assess each artefact from the goal state Integration analysis of current systems New business services and applications Are there any artefact types / views missing? Are there any redundant views? Can the presentation approach be improved? What would be the next level of detail? Options analysis What else does TOGAF suggest? Goal state architecture
NEHR Architecture Refresh Approach Gap analysis of current NEHR system Items from current target architecture Integration analysis of current systems List all current systems and interfaces Integration analysis of current systems New business services and applications Assess success of any phase 1 integration Review current interface list from MOHH Any inputs from business architecture work? Options analysis Goal state architecture 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 New business services and applications List all potential new services and applications (from workshops and consultations) Integration analysis of current systems New business services and applications Are there any new requirements from clinical community? What new technologies are achievable now that were not in 2009? Input from phase 1 results Options analysis Select any appropriate next phase improvements Do these align to MOHH business drivers? Any missing services now recognised as required? Goal state architecture
Solidifying EA Process 1 4 Demand Log Arch Repository Arch Position Log Artefact Master File 2 3 Confidential to MOH Holdings Pte Ltd. 30
Health and Medical Practice Insurance Pte Ltd Thank you