Transcript Open - AeHIN HingX

eHealth Capacity
Building
“Architecture”
Webinar 3 in capacity building to
support the development and
delivery of National eHealth
Strategies
Peter Drury, PhD.
.
[email protected]
Capacity building to support eHealth Strategies
.
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Purpose
• This webinar is third of an 8-part series commissioned by the
Asia eHealth Information Network and designed to increase
awareness of participants on how you can support their
ministries achieve their country's national eHealth strategy.
• To help understand how eHealth strategy, planning, an
architectural approach, standards and quality, frame the
requirements for capacity development and
• To identify how appropriate skills and training from different
sources can support the projects and programmes needed to
deliver different aspects of eHealth strategies and action plans.
• Part of the AeHIN Academy “eHealth Capacity Building
Roadmap”.
Capacity building to support eHealth Strategies
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Themes
1. Leadership that delivers an eHealth action plan
2. Institutional readiness
3. Architecting the interoperable enterprise
(scalability)
4. Standards and Interoperability
5. Health Information Exchange
6. Delivery
7. Monitoring and Evaluation
8. Review, refine, refresh, retrain
Capacity building to support eHealth Strategies
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Webinar 3: architecting the
interoperable enterprise (scalability)
• Architecture as a process, and one that enables the
continuum of an enterprise to interoperate.
• Toolkit:
– Part 1 Capabilities required to deliver the Vision
– Part 2 Generic & specific architectures and solutions
to deliver Action Plan
– Part 3 M&E improving EAs
• Different architectural frameworks
Capacity building to support eHealth Strategies
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Architecture
• Enterprise Architecture (EA) is a well-defined practice
for conducting enterprise analysis, design, planning,
and implementation, using a holistic approach at all
times, for development and execution of strategy.
• EA applies architecture principles and practices to
guide organizations through the business,
information, process, and technology changes
necessary to execute their strategies.
• EA can apply its methods at different organizational
levels from departments to complex organisations
Source: A Common Perspective on Enterprise Architecture Developed and Endorsed
by The Federation of Enterprise Architecture Professional Organizations
Capacity building to support eHealth Strategies
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The general process of
Enterprise Architecture
Execute on
those plans
Reflect on
where you are
at
Create plans
to get there
Source: A Common Perspective on
Enterprise Architecture . The Federation of
Enterprise Architecture Professional
Organizations. Architecture & Governance
Capacity building to support eHealth Strategies
vol 9 issue 4 p 11-17
Determine
where you
need to go
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Domains and Models
Four architecture domains are commonly accepted as
subsets of an overall enterprise architecture:
• Business
• Data
• Applications
• Technology
The individual models produced in the EA process generally
include (but are not limited to):
• Goals and objectives
• Capabilities, values streams, and information (enablers)
• Portfolio of business solutions (services and applications)
• Technologies and
resources (infrastructure)
Capacity building to support eHealth Strategies
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WHO/ITU National eHealth Strategy Toolkit
6. Establish the strategic context
Establish the strategic context
Provides the foundation for planning and informed
decisions on how to harness ICT for the health system.
Outputs
• The strategic health goals, challenges and priorities
• The potential role for eHealth in addressing them
Capacity building to support eHealth Strategies
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WHO/ITU National eHealth Strategy Toolkit
Understanding the strategic context is critical
•
•
•
•
•
Research population health and demographics
Describe the health system
Review health strategy, goals and priorities
Identify development goals related to health
Review existing strategies for eHealth, ICT or health
information systems
• Select goals and challenges where eHealth will have
the most impact
• Describe how eHealth will support selected goals
Capacity building to support eHealth Strategies
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WHO/ITU National eHealth Strategy Toolkit
6.6 Select goals and challenges where eHealth
will have the most impact
Approach
• The information collected should be consolidated, to
form a manageable number of goals and challenges.
• Between 5-8 strategic goals and challenges are
recommended- more than this increases complexity.
• A large number of goals/challenges can be grouped
into themes, and the vision can be drafted to respond
to these themes.
• The strategic goals/challenges should be reviewed with
stakeholders and refined: consensus is important since
the eHealth vision will address these goals.
Capacity building to support eHealth Strategies
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WHO/ITU National eHealth Strategy Toolkit
eHealth components: Enablers
Standards and
interoperability
• Data structure
• Clinical coding
• Data
presentation
• Security
• Messaging
• Software
accreditation
Legislation,
policy and
compliance
Workforce
• Privacy
• Care provider
regulations
workforce
• Consent
development
management • Health IT
policy
workforce
• Compliance
development
services
• Professional
• Electronic
networks
record
licensing
Adoption
• Awareness
campaigns
• Professional
accreditation
• Engagement
forums
• Procurement
standards
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WHO/ITU National eHealth Strategy Toolkit
eHealth components: Services and Applications
Health
information
Electronic
health record
Health service
delivery
Health care
management
• Consumer
health
knowledge
sources
• Care
provider
knowledge
portal
• Distance
learning
and
electronic
resources
• Patient
demographics
• Allergies
• Current
health profile
• Medications
• Health diary
• Test results
• Event
summaries
• Access
control
• Referrals
• Event
summaries
• Care plans
• Appointments
• Alerts
• Decision
support
• Prescriptions
• Lab results
• Chronic disease
• Telemedicine
and mHealth
• Adverse
events
• Risk analysis
• Compliance
monitoring
• Operations
management
• Clinical
practice
improvement
• Health care
research
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WHO/ITU National eHealth Strategy Toolkit
eHealth components: Infrastructure
This is the foundation for electronic information exchange,
comprising physical infrastructure (e.g. networks), core services
and applications that underpin a national eHealth environment.
Examples of common infrastructure
components
• Broadband connectivity
• Computer systems
• Practice, patient and clinical management
systems
• Universal health identifier
• National authentication service
• Provider and service directories
• National product catalogue
• Prescription transfer service
• Health information data sets
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WHO/ITU National eHealth Strategy Toolkit
5.1 Define main action lines
Action Line Example characteristics
Foundations • eHealth components that secure national
information exchange and/or are more costeffective if done once at a national level.
Solutions
• eHealth components that access, interact with and
use national foundations and infrastructure to
access and share information.
Change and • Motivate and support the health system, establish
adoption
incentives, and needed changes in work practices.
Governance • Coordination, visibility, structures, mechanisms for
accountability and effective leadership.
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WHO/ITU National eHealth Strategy Toolkit
5.2 Define a process for national monitoring and
evaluation
Describes the process for monitoring and evaluation during the
implementation of the action plan, including the governance.
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Q&A AND SHARING SESSION
Capacity building to support eHealth Strategies
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Different EA Methodologies
• Business Technology
Management (BTM)
• COBIT - Part 1 | Part 2
• CORBA
• C4ISR Architecture
Framework
• DODAF
• Enterprise Architecture
Planning (EAP)
• Federal Enterprise
Architecture: Practical
Guide
• FEAF
• Gartner
• ISO RM-ODP
• ISO/IEC TR 14252 (IEEE Std
1003.0)
• NCR Enterprise Architecture
Framework
• SABSA
• SPIRIT Platform Blueprint
Issue 3.0
• TEAF
• TOGAF
• Zachman
http://www.mikethearchitect.com/togaf/#sthash.YZ00kOQJ.dpuf
http://www.opengroup.org/public/arch/p4/others/others.htm
Capacity building to support eHealth
Strategies
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Comparing EA methodologies
Criteria
Meaning
Taxonomy completeness
Usefulness in classifying architectural artifacts
Process Completeness
Guidance on process for creating an EA
Reference Model Guidance
Usefulness in building relevant reference models
Practice Guidance
Ease of developing an organisational culture for EA use
Maturity model
Effectiveness of maturity assessments of organisations
Business focus
Usefulness in driving down expenses or increase income
Governance Guidance
Usefulness in creating effective governance models for
EA
Partitioning Guidance
Effectiveness of autonomous partitioning of enterprise
Prescriptive Catalogue
Setting up catalogue of reusable architectural assets
Vendor Neutrality
Risk of lock-in to specific consulting organisation
Information Availability
Quantity and quality of inexpensive information about it
Time
to Valueof the Top Four Enterprise
Time before being able to build high value solutions
Source:
Comparison
Architecture Methodologies. Roger Sessions 2007
Capacity building to support eHealth
http://msdn.microsoft.com/enStrategies
us/library/bb466232.aspx
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The Zachman EA (Taxonomy)
When all the cells are filled an overview of the complete enterprise architecture is created.
But it is really of use only for architects. Infrastructure architects could use the Zachman
framework to create documents to describe the infrastructure, and the relevant fields for
infrastructure architecture are grayed in the picture below.
Capacity building to support eHealth Strategies
Source: http://www.sjaaklaan.com/?e=133
/
http://www.zachman.com
FEAF – The EA for Federal Government (USA)
The FEA is built
using common
framework of
reference models
designed to
facilitate crossagency
analysis and the
identification of
gaps, overlaps etc.
There are models
for:
• Performance
• Business
• Service
component
• Data
• Technical.
http://www.whitehouse.gov/sites/default/files/om
b/assets/fea_docs/FEA_CRM_v23_Final_Oct_2007
Capacity building to support eHealth Strategies
_Revised.pdf
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Gartner EA Practice
Gartner's Enterprise
Architecture Framework
(Formerly Meta) is more
appropriately described
as a "Practice" that
encompasses the
Zachman Taxonomy with
the TOGAF process and
provides it as a service to
large Enterprises.
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TOGAF 9.1 – The Enterprise Continuum
Architecture and Solutions
The Enterprise Continuum provides an overall context for
architectures and solutions and classifies assets that apply across the
entire scope of the enterprise.
TOGAF assists
in generating or
maintaining any
type of
architecture
within the
Continuum
while leveraging
assets already
defined,
internal or
external to the
organization.
http://pubs.opengroup.org/architec
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ture/togaf9-doc/arch/chap39.html
Capacity building to support eHealth Strategies
Ratings of 4 EA Methodologies
Criteria
Zachman
TOGAF
FEA
Gartner
Taxonomy completeness
4
2
2
1
Process Completeness
1
4
2
3
Reference Model Guidance
1
3
4
1
Practice Guidance
1
2
2
4
Maturity model
1
1
3
2
Business focus
1
2
1
4
Governance Guidance
1
2
3
3
Partitioning Guidance
1
2
4
3
Prescriptive Catalogue
1
2
4
2
Vendor Neutrality
2
4
3
1
Information Availability
2
4
2
1
Time to Value
1
3
1
4
Taxonomy
Process
Methodology
Practice
Suggested focus
Source: Comparison of the Top Four Enterprise
Architecture Methodologies. Roger Sessions 2007
Capacity building to support eHealth
http://msdn.microsoft.com/enStrategies
us/library/bb466232.aspx
Key: 1= very poor; 2=
inadequate; 3=acceptable;
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4=very good
Q&A AND SHARING SESSION
Capacity building to support eHealth Strategies
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Archimate
The ArchiMate® modelling language is an
open and independent EA standard
supporting the description, analysis and
visualisation of architecture within and
across business domains. This helps
architects to better communicate and
collaborate with stakeholders from diverse
functional areas. As a result, the alignment of
business and IT can be increased. Free
ArchiMate ModellingTools are available
ttp://www.archimatetool.com/
http://www.bizzdesign.com/blog/case-experiences-and-bestpractices-using-archimate-and-togaf/ Capacity building to support eHealth Strategies
http://blog.opengroup.org/2012/
08/08/archimate-2-0-ready-forthe-future-of-enterprise- 27
architecture/
Enterprise Architecture Skills (TOGAF)
TOGAF provides definitions of the architecting skills and
proficiency levels required of personnel, internal or external,
to perform architecting roles.
http://pubs.opengroup.org/architectu
Capacity building to support eHealth Strategies
re/togaf9-doc/arch/
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Open Group: Certified training – ArchiMate and
Certified Architect
There are two levels of certification:
ArchiMate Foundation: Knowledge of the
notation, terminology, structure, and
concepts of the ArchiMate modeling
language. ArchiMate Certified: + the
ability to analyze and apply the
ArchiMate modeling language.
18 Accredited Training Courses
The Open Group supports two different
routes to certification: The first route is direct
certification by The Open Group. The second
is indirect, through third-party Accredited
Certification Programs (ACPs).
http://www.opengroup.org/openca/cert/
Certification Fee: (per Candidate for a 3-year
certification period) $1,250
http://blog.opengroup.org/2014/01/24/thehttp://www.opengroup.org/openca/cert/docs/Ope
archimate-certification-for-people-program-2014nCA_Fee_Schedule.html
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Capacity
building
to
support
eHealth Strategies
updates/
Other sources of training
USA, Canada, UK C$1600 for Framework Foundations
http://www.zachmaninternational.com/index.php/zachman-certified/57
Zachman International and FEAC Institute e-learning portal
http://feacvirtualuniversity.org/
Zachman/FEAF /DODAF
http://feacvirtualuniversity.org/course/category.php?id=89
FEAC Commercial Black Belt Certified Enterprise Architect
$11,000.00 inclusive of classroom training and exams, both
written and practicum.
Live online Workshops provide the opportunity to become a
Certified Enterprise Architect from the comfort of their desktop.
The cost of the Workshop for an individual is $3,195.00. Team
discounts are available for three or more Workshop attendees.
http://www.eacoe.org/distance-learning-faq.php
Institute for Enterprise Architecture Developments – provides an
overview of certification initiatives
http://www.enterprise-architecture.info/EA_Certification.htm
Capacity building to support eHealth Strategies
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QUIZTIME!
1.
2.
3.
Does your national health system use an EA?
Is EA a project or a process-oriented activity?
In EA frameworks, are “technologies and resources” usually considered as
enablers, services and applications, or infrastructure?
4. How many strategic goals for eHealth are recommended? 1-3; 4-7; 5-8; 6-10?
5. Is consumer health knowledge part of an eHealth component?
6. Is governance an input to monitoring and evaluation?
7. Which of the following EAs offers least vendor neutrality: Zachman, TOGAF, FEA
or Gartner?
8. What is the prime focus of the Zachman Framework? Taxonomy; Process;
Methodology; Practice?
9. Is Archimate concerned with modelling within domains, between domains, or
both?
10. In TOGAF, do Members or sponsors need to have “expert” skills in any aspect if
it?
Capacity building to support eHealth Strategies
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Trailer for Webinar 4
• Topic: Standards and Interoperability
• Date: Monday May 16th
• Time: 15:00 UTC/GMT+8
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Final feedback
• Any further questions?
• Any suggestions?
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