How do we enable prescription drug monitors to see across state lines The NIEM Framework and Process What common services governance models processes and tools are provided by NIEM ID: 1044083
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2. AgendaNIEM Impact on Pharmaceutical Drug Monitoring How do we enable prescription drug monitors to see across state lines? The NIEM Framework and ProcessWhat common services, governance models, processes and tools are provided by NIEM? NIEM GovernanceHow is NIEM governed? How does the federated domain governance function? What are the different NIEM committees?NIEM Program UpdatesWhat are next steps for the program? Updates on NIEM international adoption?
3. NIEM ImPACT ON pharmaceuticaldrug monitoringThe Standard PrescriptionMonitoring Information Exchange
4. Prescription Drugs (15.1 million)Cocaine (5.9 mil.)Hallucinogens (4 mil.)Inhalants (2.1 mil.)Heroin (.3 mil.)NIEM ImPACT ON pharmaceuticaldrug monitoringNATIONWIDE DRUG ABUSEFrom 1992-2003, 15.1 million Americans abused prescription drugs. That’s more than cocaine, hallucinogens, inhalants, and heroin COMBINED.During the same period, there was a 150% INCREASE in prescriptions written for controlled substances.The brand cost of 4 mg of Dilaudid is $88.94 per 100. The street value for the same amount is $10,000. The demand is REAL.
5. 1 in 5 teens are abusing prescription drugs to get high.40% of teensbelieve that prescription drugsare safer than illegal drugs. 29% of teensbelieve that prescription pain relievers are not addictive.“You have young people getting pills for free from the homes of family members and friends.” - John Walters, former White House drug czar NIEM Impact ON pharmaceuticaldrug monitoring
6. > 0 – .9%1 – 2.9%3 – 3.9%4 – 7%> 19%Where CA Prescriptions Really GoPrescription drug monitoring is the coming together of pharmacy boards, health agencies, and law enforcement to monitor drug diversion. There are three facets to the problem—misuse, abuse, and diversion—and three players—prescribers, dispensers, and patients.Pharmaceutical drug abuse is crossing state lines as offenders realize the gap in interstate reporting. As this map shows, less than 20% of prescriptions written in California were written for California residents.NIEM ImPACT ON pharmaceuticaldrug monitoring
7. NIEM ImPACT ON pharmaceuticaldrug monitoringAs diversion of prescription controlled substances and the abuse involving these drugs continues to escalate, how can we improve interstate monitoring of drug use?How do we enable prescription drug monitors to see across state lines?
8. Before NIEM, there was large gap in interstate reporting. As abuse and diversion escalate, law enforcement and health practitioners need a standardized, scalable solution to share patient drug history. The Standard NIEM Prescription Monitoring Program Information Exchange assists prescribers, health agencies, and law enforcement in identifying potential abuse and diversion. NIEM ImPACT ON pharmaceuticaldrug monitoring
9. NIEM Impact ON pharmaceuticaldrug monitoringThe Prescription Monitoring Program uses NIEM to empower connections:1,600,000 Prescribers 284,000 Pharmacists73,000 Pharmacies54 Boards of Pharmacy 18,000 Law Enforcement Agencies11,000 Substance Addiction Treatment Programs140 Consumer Protection AgenciesThis is a solution that the 50 states, Canada, and Mexico can leverage.This map identifies the status of Prescription Drug Monitoring Programs (PDMPs)
10. The NIEMFRAMEWORK AND PROCESSWhat common services, governance models, processes and tools are provided by NIEM?10
11. Support FrameworkTechnical FrameworkCommunityNIEM connects communities of people who share a common need to exchange information in order to advance their missions, and provides a foundation for seamless information exchange between federal, state, local, and tribal agencies. Much more than a data model, NIEM offers an active user community as well as a technical and support framework.Formal Governance ProcessesOnline RepositoriesMission-Oriented DomainsSelf-Managing Domain StewardsData ModelXML Design RulesDevelopment MethodologyPredefined Deliverables (IEPD)Tools for Development and DiscoveryEstablished Training ProgramImplementation SupportHelp Desk & Knowledge CenterThe NIEM framework
12. TranslationScope-of-NIEMNIEM intentionally does not address standardizing data inside legacy systems. NIEM serves as a translation layer (providing a common understanding) between and across disparate systems.Standardizing Data Moving Across SystemsINTERFACELEGACYDATABASESLEGACYDATABASESCOMMONLY FORMATTED DATA INTERFACE
13. Repeatable, Reusable Process(Exchange Specification Lifecycle)Common Language(Data Model Lifecycle)Built and governed by the business users at Federal, State, Local, Tribal and Private SectorsThe NIEM LIFECYCLES
14. NIEM GovernanceHow is NIEM governed? How does the federated domain governance function? What are the different NIEM committees?14
15. NIEM Governing StructureNIEM’s governing structure is comprised of Federal, State, Local, Tribal and private organizationsNIEM is jointly managed at an executive level by the Department of Homeland Security (DHS), Department of Justice (DOJ), and Department of Health and Human Services (HHS)Executive Steering CouncilESCExecutive DirectorDeputy DirectorNIEM PMONIEM Technical Architecture CommitteeNTACNIEM Business Architecture CommitteeNBACNIEM Communications & Outreach CommitteeNC&OC
16. Who steers NIEM currently?Voting MembersDept of JusticeDept of Homeland SecurityDept of Health and Human ServicesEx-Officio MembersGlobal Justice Information Sharing InitiativeOffice of Management and BudgetProgram Manager, Information Sharing EnvironmentNASCIOPartnersTerrorist Screening CenterDept of Defense / Dept of NavyDept of State, Consular Affairs (invited)
17. Who governs NIEM Domains?JusticeScreeningImmigrationIntelligenceChem/Bio/Rad/NucMaritimeCyberFamily ServicesEmergency ManagementInfrastructure ProtectionInternational TradeBiometricsGovernment Resource ManagementDomainExecutive StewardJusticeGlobal Justice (State & Local)ScreeningDHS Screening Coordination OfficeImmigrationDHS/ICE & USCISChem/Bio/Rad/NucDHS/DNDOMaritimeDOD/DON/MDACyberDHS/NPPD/CS&CFamily ServicesHHS/ACFS & DOJEmergency ManagementDHS/FEMA, DHS/S&T (state & local)Infrastructure ProtectionDHS/NPPDInternational TradeDHS/CBPBiometricsDHS/NPPD, DOJ/FBI, DOD, NISTHealthHHS/ONC & HHS/OCIOHuman ServicesHHS/ACFS & HHS/ONCGovernment Resource ManagementGSA
18. NIEM DOMAINSWhat is a NIEM Domain?18
19. People aligned to a specific mission area by virtue of affiliation, responsibilities, or interest who support the domain data model.Background: NIEM Domain ComponentsA set of data elements and definitions specific to a NIEM mission area that are used to build information exchanges.NIEM Domain refers to a business enterprise broadly reflecting the agencies, units of government, operational functions, services, and information systems that are organized or affiliated to meet common objectives. An agreed-to business exchange or mission need will drive the future phases of domain establishment and providing initial model scope. NIEM domains are mission-based and organized to facilitate governance.
20. Who governs NIEM Domains?JusticeScreeningImmigrationIntelligenceChem/Bio/Rad/NucMaritimeCyberFamily ServicesEmergency ManagementInfrastructure ProtectionInternational TradeBiometricsGovernment Resource ManagementDomainExecutive StewardJusticeGlobal Justice (State & Local)ScreeningDHS Screening Coordination OfficeImmigrationDHS/ICE & USCISChem/Bio/Rad/NucDHS/DNDOMaritimeDOD/DON/MDACyberDHS/NPPD/CS&CFamily ServicesHHS/ACFS & DOJEmergency ManagementDHS/FEMA, DHS/S&T (state & local)Infrastructure ProtectionDHS/NPPDInternational TradeDHS/CBPBiometricsDHS/NPPD, DOJ/FBI, DOD, NISTHealthHHS/ONC & HHS/OCIOHuman ServicesHHS/ACFS & HHS/ONCGovernment Resource ManagementGSA20
21. NIEM’s Newest DomainsNEWEST DOMAINSNIEM Government ResourceManagement DomainNIEM Health DomainNIEM Human Services DomainDOMAINS IN PLANNINGNIEM AgricultureNIEM EducationNIEM Transportation21
22. NIEM IEPDsNIEM Information Exchange Package Documentation22
23. The IEPD LifecyclePlan the project, establish the process, and identify information exchange business requirements Selected information exchange is further elaborated to understand and document the business context and data requirements Associate local objects with types and elements in NIEM. This process is called mapping an exchange content model to NIEMCreate a set of exchange-specific NIEM conformant XML schemas that implement the data model created for the exchangePrepare and package all related files for this IEPD into a single self‐contained, self-documented, portable archive filePublish IEPD for search, discovery, and reuseScenario Planning Analyze Requirements Map & ModelBuild & Validate Assemble & Document Publish & Implement
24. The IEPD ArtifactsIEPDs contain both required and recommended artifactsRequired : BoldRecommended : ItalicNote: Best practices for most organizations include many of the optional artifacts listed hereBusiness ProcessesUse CasesSequence DiagramsBusiness RulesBusiness RequirementsExchange Content ModelMapping DocumentSubset SchemaExchange SchemaXML WantlistConstraint SchemaExtension SchemaMain DocumentIEPD CatalogIEPD MetadataSample XML InstancesXML StylesheetsScenario Planning Analyze Requirements Map & ModelBuild & Validate Assemble & Document Publish & ImplementNo required artifacts. Publish the IEPD to a repository and implement the exchange
25. GML Components IN NIEMElementDefinitiongeo:ArcAn arc string with only one arc unit (3 control points including the start and end point)geo:ArcByCenterPointA 2D arc defined by its center point, radius, and bearings at start and end.geo:CircleA Circle is an arc whose ends coincide to form a simple closed loop.geo:CircleByCenterPointA 2D ArcByCenterPoint with identical start and end angles that forms a full circle.geo:CurveA curve is a 1-dimensional primitive. Curves are continuous, connected, and have a measurable length in terms of the coordinate system.geo:EllipseAn ellipse specified by a point, major axis, minor axis and rotation.geo:EnvelopeEnvelope defines an extent using a pair of positions defining opposite corners in arbitrary dimensions.geo:LineStringA geometric curve that consists of a single segment with linear interpolation.
26. GML Components IN NIEM (cont.)ElementDefinitiongeo:MultiCurveA geometry collection that includes one or more curves or line strings.geo:MultiGeometryA geometry collection that includes one or more geometries, potentially of different types.geo:MultiPointA geometry collection that includes one or more points.geo:MultiSurfaceA geometry collection that includes one or more polygons or surfaces.geo:PointA 2D or 3D geometric point.geo:PolygonA polygon; a geometric surface defined by a single surface patch whose boundary is coplanar.geo:SurfaceA surface is a 2-dimensional primitive and is composed of one or more surface patches. The surface patches are connected to one another.
27. Example: EMBEDDING GML IN IEPDs
28. Next Steps with OGCNIEM community representatives participated in two Open Geospatial Consortium technical conferences:March 2012 -- Austin, TX conferenceJune 2012 – Exeter England conferenceContinued to co-development of OGC and NIEM architecture and interoperability guidance is planned for FY13
29. NIEM Program UpdatesWhat are next steps for the program? Updates on NIEM international adoption?29
30. NASCIO NIEM Policy IssuanceIn April 2011, the National Association of State CIOs (NASCIO) issued a policy statement of support recommending participation and adoption of the NIEM and provided state CIOs with background, guidance and recommendations in support of state government adoption of NIEM to achieve effectiveness in government through collaborative information sharing.
31. Progress ON Federal NIEM AdoptionSuccess of NIEM within the Departments’ of Justice, Homeland Security, and Health and Human Services propelled growth of NIEM across the Federal GovernmentAgencyUse of NIEMDepartment of AgricultureCommitted to UseDepartment of Defense Committed to UseDepartment of EducationCommitted to UseDepartment of EnergyCommitted to UseDepartment of Health and Human ServicesCommitted to UseDepartment of Homeland SecurityCommitted to UseDepartment of Housing and Urban DevelopmentCommitted to UseDepartment of Justice Committed to UseDepartment of Labor Committed to UseDepartment of StateCommitted to UseDepartment of the Interior Committed to UseDepartment of the TreasuryCommitted to UseDepartment of TransportationCommitted to UseDepartment of Veterans AffairsCommitted to UseEnvironmental Protection AgencyFurther Evaluation RequiredGeneral Services Administration Committed to UseNational Aeronautics and Space Administration Further Evaluation RequiredNational Archives and Records Administration Committed UseNational Science Foundation Committed to UseNuclear Regulatory Commission Will Not UseOffice of the Director of National Intelligence Committed Use Social Security Administration Further Evaluation RequiredGeospatial Line of Business Will Not UseGrants Management Line of Business Further Evaluation RequiredFinancial Management Line of Business Will Not UseHuman Resources Line of Business Will Not UseCommitted to UseFurther Evaluation Required -Will Not Use
32. Taking actionHelp Us Define the Next NIEM ChallengeA large-scale need to connect people and organizations around a common mission, where information is criticalParticipate in NIEM Domains12 NIEM Domains: Cyber, Biometrics, Maritime, CBRN, Screening, Intel, Immigration, International Trade, Justice, Infrastructure Protection, Emergency Management, and Children, Youth, & Family Services Get Involved – Share Your ExpertiseNIEM Committees, NIEM LinkedIn & Twitter Community, Discussion Forms on NIEM.gov—contact NIEM at information@niem.gov to discuss opportunitie.Empower Your TeamGive your team the resources to adopt and use NIEM: Training and ToolsApply For/Leverage Federal Grant DollarsDHS and DOJ grant dollars can be applied for NIEM activities