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“Architecture” Webinar 3 in capacity building to support the development and delivery of National eHealth Strategies Peter Drury, PhD. 1Capacity building.

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Presentation on theme: "“Architecture” Webinar 3 in capacity building to support the development and delivery of National eHealth Strategies Peter Drury, PhD. 1Capacity building."— Presentation transcript:

1 “Architecture” Webinar 3 in capacity building to support the development and delivery of National eHealth Strategies Peter Drury, PhD. 1Capacity building to support eHealth Strategies. eHealth Capacity Building

2 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 Strategies2

3 3

4 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 Strategies4

5 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 Strategies5

6 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 Capacity building to support eHealth Strategies6 Source: A Common Perspective on Enterprise Architecture Developed and Endorsed by The Federation of Enterprise Architecture Professional Organizations

7 Capacity building to support eHealth Strategies7 Source: A Common Perspective on Enterprise Architecture. The Federation of Enterprise Architecture Professional Organizations. Architecture & Governance vol 9 issue 4 p Execute on those plans Reflect on where you are at Determine where you need to go Create plans to get there The general process of Enterprise Architecture

8 Domains and Models Capacity building to support eHealth Strategies8 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)

9 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 9 WHO/ITU National eHealth Strategy Toolkit Capacity building to support eHealth Strategies

10 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 10 WHO/ITU National eHealth Strategy Toolkit Capacity building to support eHealth Strategies

11 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. 11 WHO/ITU National eHealth Strategy Toolkit Capacity building to support eHealth Strategies

12 12 eHealth components: Enablers WHO/ITU National eHealth Strategy Toolkit Standards and interoperability Legislation, policy and compliance WorkforceAdoption Data structure Clinical coding Data presentation Security Messaging Software accreditation Privacy regulations Consent management policy Compliance services Electronic record licensing Care provider workforce development Health IT workforce development Professional networks Awareness campaigns Professional accreditation Engagement forums Procurement standards

13 eHealth components: Services and Applications 13 WHO/ITU National eHealth Strategy Toolkit 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 13

14 14 eHealth components: Infrastructure WHO/ITU National eHealth Strategy Toolkit 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 This is the foundation for electronic information exchange, comprising physical infrastructure (e.g. networks), core services and applications that underpin a national eHealth environment.

15 Define main action lines Action LineExample characteristics Foundations eHealth components that secure national information exchange and/or are more cost- effective 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 adoption Motivate and support the health system, establish incentives, and needed changes in work practices. Governance Coordination, visibility, structures, mechanisms for accountability and effective leadership. WHO/ITU National eHealth Strategy Toolkit

16 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. 16 WHO/ITU National eHealth Strategy Toolkit

17 Q&A AND SHARING SESSION Capacity building to support eHealth Strategies 17

18 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 (IEEE Std ) NCR Enterprise Architecture Framework SABSA SPIRIT Platform Blueprint Issue 3.0 TEAF TOGAF Zachman Capacity building to support eHealth Strategies 18

19 Comparing EA methodologies Capacity building to support eHealth Strategies 19 CriteriaMeaning Taxonomy completenessUsefulness in classifying architectural artifacts Process CompletenessGuidance on process for creating an EA Reference Model GuidanceUsefulness in building relevant reference models Practice GuidanceEase of developing an organisational culture for EA use Maturity modelEffectiveness of maturity assessments of organisations Business focusUsefulness in driving down expenses or increase income Governance GuidanceUsefulness in creating effective governance models for EA Partitioning GuidanceEffectiveness of autonomous partitioning of enterprise Prescriptive CatalogueSetting up catalogue of reusable architectural assets Vendor NeutralityRisk of lock-in to specific consulting organisation Information AvailabilityQuantity and quality of inexpensive information about it Time to ValueTime before being able to build high value solutions Source: Comparison of the Top Four Enterprise Architecture Methodologies. Roger Sessions us/library/bb aspx

20 The Zachman EA (Taxonomy) Capacity building to support eHealth Strategies / Source: 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.

21 FEAF – The EA for Federal Government (USA) Capacity building to support eHealth Strategies21 The FEA is built using common framework of reference models designed to facilitate cross- agency analysis and the identification of gaps, overlaps etc. There are models for: Performance Business Service component Data Technical. b/assets/fea_docs/FEA_CRM_v23_Final_Oct_2007 _Revised.pdf

22 Gartner EA Practice Capacity building to support eHealth Strategies22 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.

23 TOGAF 9.1 – The Enterprise Continuum

24 Architecture and Solutions Capacity building to support eHealth Strategies 24 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. ture/togaf9-doc/arch/chap39.html

25 Ratings of 4 EA Methodologies Capacity building to support eHealth Strategies 25 CriteriaZachmanTOGAFFEAGartner Taxonomy completeness4221 Process Completeness1423 Reference Model Guidance1341 Practice Guidance1224 Maturity model1132 Business focus1214 Governance Guidance1233 Partitioning Guidance1243 Prescriptive Catalogue1242 Vendor Neutrality2431 Information Availability2421 Time to Value1314 Suggested focusTaxonomyProcessMethodologyPractice Key: 1= very poor; 2= inadequate; 3=acceptable; 4=very good Source: Comparison of the Top Four Enterprise Architecture Methodologies. Roger Sessions us/library/bb aspx

26 Q&A AND SHARING SESSION Capacity building to support eHealth Strategies 26

27 Archimate Capacity building to support eHealth Strategies 27 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/ArchiMate ® ttp://www.archimatetool.com/ 08/08/archimate-2-0-ready-for- the-future-of-enterprise- architecture/ practices-using-archimate-and-togaf/

28 Enterprise Architecture Skills (TOGAF) Capacity building to support eHealth Strategies 28 e/togaf9-doc/arch/ TOGAF provides definitions of the architecting skills and proficiency levels required of personnel, internal or external, to perform architecting roles.

29 Capacity building to support eHealth Strategies 29 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). Certification Fee: (per Candidate for a 3-year certification period) $1,250 nCA_Fee_Schedule.html 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 archimate-certification-for-people-program updates/

30 Other sources of training Capacity building to support eHealth Strategies 30 USA, Canada, UK C$1600 for Framework Foundations Zachman/FEAF /DODAF FEAC Commercial Black Belt Certified Enterprise Architect $11, inclusive of classroom training and exams, both written and practicum. Zachman International and FEAC Institute e-learning portal 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, Team discounts are available for three or more Workshop attendees. Institute for Enterprise Architecture Developments – provides an overview of certification initiatives

31 QUIZTIME! 1.Does your national health system use an EA? 2.Is EA a project or a process-oriented activity? 3.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 Strategies31

32 Trailer for Webinar 4 Topic: Standards and Interoperability Date: Monday May 16 th Time: 15:00 UTC/GMT+8 Capacity building to support eHealth Strategies32

33 Final feedback Any further questions? Any suggestions? Capacity building to support eHealth Strategies33


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