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Agenda

Agenda. NIEM Impact on Pharmaceutical Drug Monitoring 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?

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Agenda

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  1. Agenda NIEM 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?

  2. NIEM ImPACT ON pharmaceuticaldrug monitoring The Standard Prescription Monitoring Information Exchange

  3. NIEM ImPACT ON pharmaceuticaldrug monitoring Prescription Drugs (15.1 million) Cocaine (5.9 mil.) From 1992-2003, 15.1 million Americans abused prescription drugs. That’s more than cocaine, hallucinogens, inhalants, and heroin COMBINED. Hallucinogens (4 mil.) NATIONWIDE DRUG ABUSE Inhalants (2.1 mil.) Heroin (.3 mil.) 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.

  4. NIEM Impact ON pharmaceuticaldrug monitoring 40% of teens believe that prescription drugsare safer than illegal drugs. 29% of teens believe 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 1 in 5 teens are abusing prescription drugs to get high.

  5. NIEM ImPACT ON pharmaceuticaldrug monitoring 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. Where CA Prescriptions Really Go > 0 – .9% 1 – 2.9% 3 – 3.9% 4 – 7% > 19% • There are three facets to the problem—misuse, abuse, and diversion—and three players—prescribers, dispensers, and patients. Prescription drug monitoring is the coming together of pharmacy boards, health agencies, and law enforcement to monitor drug diversion.

  6. NIEM ImPACT ON pharmaceuticaldrug monitoring As 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?

  7. NIEM ImPACT ON pharmaceuticaldrug monitoring Before NIEM, there was large gap in interstate reporting. As abuse and diversion escalate, law enforcement and health practitionersneed 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.

  8. NIEM Impact ON pharmaceuticaldrug monitoring This map identifies the status of Prescription Drug Monitoring Programs (PDMPs) The Prescription Monitoring Program uses NIEM to empower connections: 1,600,000 Prescribers 284,000Pharmacists 73,000 Pharmacies54Boards of Pharmacy 18,000Law Enforcement Agencies11,000Substance Addiction Treatment Programs 140Consumer Protection Agencies This is a solution that the 50 states, Canada, and Mexico can leverage.

  9. The NIEMFRAMEWORK AND PROCESS What common services, governance models, processes and tools are provided by NIEM?

  10. The NIEM framework NIEM 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. Community Technical Framework Support Framework Tools for Development and Discovery Formal Governance Processes Data Model Established Training Program Online Repositories XML Design Rules Mission-Oriented Domains Development Methodology Implementation Support Help Desk & Knowledge Center Self-Managing Domain Stewards Predefined Deliverables (IEPD)

  11. Standardizing Data Moving Across Systems Scope-of-NIEM COMMONLY FORMATTED DATA INTERFACE INTERFACE LEGACY DATABASES LEGACY DATABASES Translation • NIEM intentionally does not address standardizing data inside legacy systems. NIEM serves as a translation layer (providing a common understanding) between and across disparate systems.

  12. The NIEM LIFECYCLES Common Language(Data Model Lifecycle) Repeatable, Reusable Process (Exchange Specification Lifecycle) Built and governed by the business users at Federal, State, Local, Tribal and Private Sectors

  13. NIEM Governance How is NIEM governed? How does the federated domain governance function? What are the different NIEM committees?

  14. NIEM Governing Structure NIEM’s governing structure is comprised of Federal, State, Local, Tribal and private organizations NIEM 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) ESC Executive Steering Council NIEM PMO Executive Director Deputy Director NC&OC NTAC NBAC NIEM Communications & Outreach Committee NIEM Technical Architecture Committee NIEM Business Architecture Committee

  15. Who steers NIEM currently? Voting Members • Dept of Justice • Dept of Homeland Security • Dept of Health and Human Services Ex-Officio Members • Global Justice Information Sharing Initiative • Office of Management and Budget • Program Manager, Information Sharing Environment • NASCIO Partners • Terrorist Screening Center • Dept of Defense / Dept of Navy • Dept of State, Consular Affairs (invited)

  16. Who governs NIEM Domains? • Justice • Screening • Immigration • Intelligence • Chem/Bio/Rad/Nuc • Maritime • Cyber • Family Services • Emergency Management • Infrastructure Protection • International Trade • Biometrics • Government Resource Management

  17. NIEM DOMAINS What is a NIEM Domain?

  18. Background: NIEM Domain Components 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. NIEM domains are mission-based and organized to facilitate governance. An agreed-to business exchange or mission need will drive the future phases of domain establishment and providing initial model scope. A set of data elements and definitions specific to a NIEM mission area that are used to build information exchanges. People aligned to a specific mission area by virtue of affiliation, responsibilities, or interest who support the domain data model.

  19. Who governs NIEM Domains? • Justice • Screening • Immigration • Intelligence • Chem/Bio/Rad/Nuc • Maritime • Cyber • Family Services • Emergency Management • Infrastructure Protection • International Trade • Biometrics • Government Resource Management 20

  20. NIEM’s Newest Domains • NEWEST DOMAINSNIEM Government ResourceManagement Domain • NIEM Health Domain • NIEM Human Services Domain • DOMAINS IN PLANNINGNIEM Agriculture • NIEM Education • NIEM Transportation 21

  21. NIEM IEPDs NIEM Information Exchange Package Documentation

  22. The IEPD Lifecycle Scenario Planning Plan the project, establish the process, and identify information exchange business requirements Analyze Requirements Selected information exchange is further elaborated to understand and document the business context and data requirements Map & Model Associate local objects with types and elements in NIEM. This process is called mapping an exchange content model to NIEM Build & Validate Create a set of exchange-specific NIEM conformant XML schemas that implement the data model created for the exchange Assemble & Document Prepare and package all related files for this IEPD into a single self‐contained, self-documented, portable archive file Publish & Implement Publish IEPD for search, discovery, and reuse

  23. The IEPD Artifacts Scenario Planning • Business Processes • Use Cases • Sequence Diagrams IEPDs contain both required and recommended artifacts Required : Bold Recommended : Italic Note: Best practices for most organizations include many of the optional artifacts listed here Analyze Requirements • Business Rules • Business Requirements Map & Model • Exchange Content Model • Mapping Document Build & Validate • Subset Schema • Exchange Schema • XML Wantlist • Constraint Schema • Extension Schema • Main Document • IEPD Catalog • IEPD Metadata • Sample XML Instances • XML Stylesheets Assemble & Document No required artifacts. Publish the IEPD to a repository and implement the exchange Publish & Implement

  24. GML Components IN NIEM

  25. GML Components IN NIEM (cont.)

  26. Example: EMBEDDING GML IN IEPDs

  27. Next Steps with OGC • NIEM community representatives participated in two Open Geospatial Consortium technical conferences: • March 2012 -- Austin, TX conference • June 2012 – Exeter England conference • Continued to co-development of OGC and NIEM architecture and interoperability guidance is planned for FY13

  28. NIEM Program Updates What are next steps for the program? Updates on NIEM international adoption?

  29. NASCIO NIEM Policy Issuance In 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.

  30. Success of NIEM within the Departments’ of Justice, Homeland Security, and Health and Human Services propelled growth of NIEM across the Federal Government Progress ON Federal NIEM Adoption

  31. Taking action Help Us Define the Next NIEM Challenge A large-scale need to connect people and organizations around a common mission, where information is critical Participate in NIEM Domains 12 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 Tools Apply For/Leverage Federal Grant DollarsDHS and DOJ grant dollars can be applied for NIEM activities

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