Sharing of MOHH Approach to EA - OMG · 2011-09-19 · Integrated Connected Adopted Optimized...

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 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…


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



Palliative Care

RH

CH

NHPolyclinics

FPs Home Care



Palliative Care

RH

CH

NHPolyclinics

FPs Home Care



Palliative Care

RH

CH

NHPolyclinics

FPs Home Care



Palliative Care

RH

CH

NHPolyclinics

FPs Home Care



Palliative Care

Fun & Challenges For EA


Chain of 9 polyclinics

Chain of 9 polyclinics

Organization Structure


Health Eco System

Driving An Ambitious National IT Strategy


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


biomedical science

Health Information

Exchange - e-Enable

seamless and secured

information exchange in

the healthcare value

chain

Health Information

Exchange - e-Enable




chain

Integrated Healthcare

Continuum - e-Enable

processes and linkages

across the healthcare

value chain





value chain

Translating Biomedical

Research to Healthcare

Delivery - integrate

clinical and biomedical

research data





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




Enable integrated healthcare servicesEnable integration between


biomedical science

Health Information

Exchange - e-Enable




chain





value chain





research data

Well-Integrated

Quality

Healthcare

Cost-effective

Healthcare

Services

Greater ability of

public to manage

their health

Strong clinical

and health

services research




At MOHH, The Alternative paths for Architecture


?

Reflecting back…


Gartner Research, 10 Feb, 2010Case Study: Understanding the Impact of Emergent Strategy on Enterprise Architecture

Enterprise Architecture – Value Approach


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

NEHR

CIC & PHM

And Some of The Architecture Work


& 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


Extending The Architecture Framework


Updating The Information Exchange Requirements

Updating The Info Exchanges Access Patterns


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

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

NEHR

CIC & PHM

EA Ops &

Gov

“Operationalise” the EA practice




Tooling: EA Repository

Gov & OperationContent

population

Implementing operation & governance only when

needed.

NHISA

NEHRA

ESB

Service Catalog

IIA




ValueValue

ValueValue

NEHR POC NEHR RFP

NHIS Scoping


Repository

Data/Doc

Interop Specs

Design Assurance

Collaborative EA Governance


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


Demand LogArch Repository

Arch Position LogArtefact Master File

1

2

3

4

EA Repository Meta Model


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

’09

2Q

’09

3Q

’09

4Q

’09

1Q

’10

2Q

‘10

3Q

‘10

4Q

’10

1Q

’11

2Q

’11

3Q

’11

4Q

’11

NEHR

CIC & PHM

EA Ops &

Gov

What’s Cooking…




Tooling: EA Repository

Gov & OperationContent

population

Implementing operation & governance only when

needed.

NHISA

NEHRA

ESB

Service Catalog

IIA




ValueValue

ValueValue

NEHR POC NEHR RFP

NHIS Scoping


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 system



current systems



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 system



current systems



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 system



current systems



Options analysis


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


Demand LogArch Repository

Arch Position LogArtefact Master File

1

2

3

4

Health and Medical

Practice Insurance Pte Ltd

Thank you

Sharing of MOHH Approach to EA - OMG · 2011-09-19 · Integrated Connected Adopted Optimized...

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