Post on 25-Dec-2015
Leveraging Advanced Web Technology to Unleash the
Use of Open Health Tools (OHT)Prepared for
OHT Board Meeting, February 25, 2011
William D. Bajusz, PhDVice President, Business Development
Goldbelt Wolf, LLC, an 8a Alaska Native Corporation (ANC)703-505-1505
William.Bajusz@goldbeltwolf.comwww.LinkedIn.com/in/williambajusz
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Purpose
• To provide a brief overview of how Open Health Tools (OHT) can leverage advanced web technologies (as embodied in Metasoft™ platform)
Key Points• Metasoft™ platform is available today• Our focus to date has been on DoD and
Veterans Affairs Behavioral Health Care but platform extensible to other health domains
• This is not “wish list” technology – US is at least 5 years behind European Union, Japan and Australia
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• “As Is” State of Behavioral Health Care in DoD/VA (Army example)
• Metasoft™ Platform: A Snapshot• Details of Platform• Building the Value Chain• An Architecture for Behavioral Health Care
(Army example)
Army “As-Is” State
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Fact: the Army continues to invest aggressively in physical, mental & spiritual programsFact: Disparity between resources have and what are needed: hiring 900 care providers, but need additional 700-800 which are not availableFact: Persistent global commitments increase distance between care provider and Soldier and frequency of contactFact: Stigma is a major barrierFact: Voluminous resources on web that are stove piped, not readily accessibleFact: Military families are a core concernFact: Web resources generally unavailable for deployed soldierFact: Many family program activities do not fit into families’ schedulesFact: Generational differences affect receptivity to programsFact: Suicidal ideation rooted in many factors
There are real resource gapsThere are virtual resource gaps• Resources on web not always easily accessible• Not optimizing connectivity among Army web platforms – e.g.,
Psychological Health & Family Programs• Not leveraging all resources available in DoD & emerging research
Snapshot: Metasoft™
• Developed by Nexxus Systems using open source components and built to international standards– ISO/IEC 15938 (MPEG 7) – Multimedia Content Description Interface– ISO/IEC 21000 (MPEG 21) – defines technology for Manipulation of
Digital Items– International TV Anytime Forum – founded 1999, >60 members,
personalization of TV experience• Systematic approach to the management and mediation of
rich metadata associated with distributed content, users and technical systems to deliver a new form of personalized and intelligent multimedia programs
• The right information at the right time in the right format
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Metasoft™’s Impact
Full integration withLiferay Portal means1. Gateway to existingportals, web sites2. Entry for new functionalportals (e.g., telehealth)3. Personalized services
• Organization• Individual
4. Full capability for processingdata, text5. Extensive suite of Collaborative tools6. Integrated withMS Office7. Industry standard
Simple API (Application Programming Interface)
Metasoft™ Overview
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Metasoft™ Platform
Virtual Federated Databases
Industry standard free portal used by Cisco and others fullyintegrated in Metasoft™ platform
Stand-alone databases with proprietary schema
Full integration withLiferay Portal means1. Gateway to existingportals, web sites2. Entry for new functionalportals (e.g., telehealth)3. Personalized services
• Organization• Individual
4. Full capability for processingdata, text5. Extensive suite of Collaborative tools6. Integrated withMS Office7. Industry standard
Simple API (Application Programming Interface)
Metasoft™ Enables Easy Use of Non-Linear Content from Other Web Sites
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Metasoft™ Platform
NGB JSSMilitaryOneSourceVA Sites (e.g., VISN 19)
Comprehensive SoldierFitness
OtherDCoEs
Community Covenant
Service Oriented Architecture
Incorporating Comm
on Protocols for .Net, Java, Flash, Flex, O
ther
Web services allow bi-directional content management
Non-programmatic interface for content managers
Customization of content based on usage tracking, preference settings
Metasoft uses content from other sites; other sites use Metasoft content
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Administrator
• Enterprise Console
• API Workbench
• Publishing Console
• Content Catalog
• Rules Engine• Import XML• Forums• Issue Tracker
Manager
• API Workbench
• Publishing Console
• Content Catalog
• Quality Control
• Media Guide• Issue Tracker• Forums
Publisher
• Publishing Console
• Media Guide• Forums• Issue Tracker
Members
• Media Guide• Forums• Issue Tracker
Enterprise
• Enterprise Service Bus
• Transformation Services
• Business Process Engine
Metasoft contains an extensive suite of cutting edge tools and technologies that are designed to facilitate non-programmatic XML publishing, business process automation, application programming interfaces (API's) and advanced Web Service communications.
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Aggregate and index existing resources
Organize and integrate assets into specific treatment programs
Define target specific audiences for content, advertising and outreach
campaigns
Define intervention and treatment profiles
Organize treatment specific programs into playlists
Create topic specific channels
Enable a marketplace
Phased plan with milestones and metrics for reaching particular audience
Embed media guide and player for distribution in social media sites like
Facebook and YouTube
Analyze media consumption and usage history
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The embeddable media guide is a personalized media player that displays recommended programs, play lists, channels, advertising, marketplace content and relays user feedback and input.
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Building the Value Chain
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New or Existing
User
Login
AC
PH
P H
oli
stic
He
alth
Gat
ew
ay
Medical Informatics• Text
analysis• Voice
Stress Analysis
• Question-naire
Responses• Affective Computing• Other
“TRIAGE”• PTSD• TBI
• Suicidal Ideation
• Depression• OCD
• Generalized Anxiety Disorder
• Substance Abuse
• Bi-polar disorder
• Other
Treatment Pathways
• Store-And- Forward
• Remote Monitoring
• Interactive• Modality Combinations
PersonalizedTreatment
Plans • Military
Treatment Facility (MTF)
• VA Medical Centers
• VA Outpatient
Centers• CP
• Deployed Soldier
Compliance Monitoring tailored to individual
patient
Continuous Follow-Up tailored to individual
patient
Record Storage and Retrieval: EMR, HER, HIE, HIO
Cloud Computing
Metasoft™ Platform
Integrated Systems & Content Engineering & Medical Expertise
Motivational ModelFor Patient & Physician Compliance
Virtually Federated Databases
DoDAF Operational View 2 (OV-2): Psychological Health, Education & Outreach“The primary purpose of the OV-2 is to defined capability requirements within an operational context. The OV-2 may be also used to express a capability boundary.”
PHI
On-Line
Virtual Treatment
Facility
Crisis Intervention
TelephonyIn-PersonVTC
Early Intervention
TelephonyIn-PersonVTC
Illustration Using Army Behavioral Health Care
Value Proposition: Who’s Impacted?
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Improved quality of care through evidence-based practices along continuum of care
Improved breadth of care coverage for patients through use of multiple formats
Metasoft™ & other OHT reduce infrastructure costs & services management
Platform for Continuous Quality Improvement and innovation through
productivity growth
Infrastructure, Tools,
Management of
Services
Insurance Providers
Primary Care
ProvidersResearchers
Employers
Patients & Families
Leading HealthCare Transformation Through OHT and Technology That Is Changing the Web
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Q & A