LEADERS
ScenPro, Inc.
LEADERS Project Overview
LEADERS
The Goal of LEADERS
“By applying state
-
of
-
the
-
art technologies,
design a system to enhance the current
medical surveillance process and provide
the earliest possible detection of covert
biological warfare incidents or significant
outbreaks of disease.”
-
BGEN Klaus Schafer
LEADERS
Agenda
•
Problem Description
•
The LEADERS Solution
•
Technical Approach
•
Project History
•
Medical Surveillance Modules Description
•
Command and Control Modules Description
•
Schedule
LEADERS
Where We Are Today...
•
There is
NO
comprehensive approach to
supporting
joint
Military and Civilian medical
surveillance initiatives
•
There is a limited ability to identify and
confirm covert biological warfare incidents or
significant outbreaks of natural disease
•
Existing surveillance systems operate in a
vacuum with minimal ability to share data
across organizations
LEADERS
What is LEADERS...
•
A suite of services and applications that provide a
comprehensive, user
-
driven approach to medical
surveillance and outbreak management.
•
A National
-
level solution designed to support
Military, Civilian, State, and Federal Healthcare
Professionals.
•
A state
-
of
-
the
-
art surveillance concept based on
enhanced capabilities provided by an Application
Services Provider (ASP) .
LEADERS
Technical Approach
•
Iterative Approach
–
Requirements are not
assumed
on day one
–
Technology is accessed based on
current
user
needs
–
Requirements
are
categorized
-
then implemented
–
Functionality is prioritized and then delivered based on
criticality
–
Needs are
reprioritized
after each iteration
•
Extensive User Involvement
–
Requirements are gathered and validated with the end
user community
–
On
-
going consultation during development and testing
LEADERS
Technical Approach (cont.)
•
Application Service Provider (ASP) Model
–
Participating organizations do not require any
infrastructure to deploy LEADERS
–
All hardware, databases, and application software reside
at ASP site
–
Users access LEADERS via a browser over the Internet
•
Flexible Use Model
–
Subscription based
–
Participating organizations choose which components
they would like to subscribe to
LEADERS
The LEADERS Success Story
•
Nov ‘99
-
World Trade Organization Summit
–
8 Hospitals in Seattle Metro Area
•
April ‘00 Israeli Defense Forces Exercise
–
2 Hospitals in Downtown Tel Aviv
–
Israeli CDC
•
July ‘00 Republican National Convention
–
ASP Solution
-
74 Hospitals in PA, DE, NJ
•
August ‘00 Democratic National Convention
–
ASP Solution
-
21 Hospitals in LA County
•
Jan ’01 Presidential Inaugural
–
ASP Solution
-
16 DoD Hospitals/Clinics
–
Commercial Hospitals in DC/MD/VA
•
Jan ’01 Super Bowl
–
Tampa Florida
–
ASP Solution
–
Five Hospitals in Two Counties
–
Plus Reach back to CDC
LEADERS
“Organizational” Architecture
LEADERS
Functional Architecture
Covert
Attack
Overt
Attack
Outbreak
Disaster
Hi Profile
Event
Data
Collection
Event
Analysis
Map-Based
Analyis
Incident
Mgmt.
Pathogen
Ident.
PEMS
KDD
MedView
IEP/ViewPort
RAPID
LEADERS
National/Global View of LEADERS
Public
Health
Dept.
Emergency
Management
Agencies
Hospital
Networks
Gov.
Agencies
Military
Support
Organizations
Covert Biological Warfare Scenario
Major Disease Outbreak
LEADERS
SERVICES AND APPLICATIONS
•
State PHO
•
CDC
•
Local PHO
•
Fire
•
Police
•
EMS
•
DoD
•
Civilian
•
VA
•
Community
Centers
•
FEMA
•
CDC
•
Red Cross
•
JFC
•
CBIRF
•
Special Ops
LEADERS
Medical Surveillance Modules
•
User
-
driven surveillance applications
•
Monitoring and visualization capability
based on a defined geographic area
•
Knowledge discovery tools provide
rapid ID of health anomalies
•
Agent identification/confirmation
capability
•
Incident management and resource
allocation tools
LEADERS
Data Collection
•
Continuous Data Feeds
–
LEADERS will publish an XML Document Type
Definition (DTD)
–
Plans support for HL7 data via XML feed
–
Participating organizations EXTRACT data based on
XML DTD
•
Web
-
based Manual Data Collection
–
Data entry based on individual patient encounters
–
Minimal data entry tasking
–
Focus on ease
-
of
-
use
LEADERS
Medical Surveillance Application
LEADERS
Map
-
Based Temporal Analysis
-
MedView
•
MedView provides a
geographical view of
medical surveillance
network
•
Users have the ability
to view defined
syndromic data over
time
Sepsis or non-traumatic
shock:
TOTAL: 0
TOTAL LAST 24 eh: 0
Unexplained bilateral
paralysis or stroke-like
symptoms
TOTAL: 0
TOTAL LAST 24 eh: 0
Unexplained death with
history of fever
TOTAL: 0
TOTAL LAST 24 eh: 0
Upper/lower respiratory with
fever
TOTAL: 0
TOTAL LAST 24 eh: 0
Diarrhea/vomiting/abdominal
pain, other GI distress
TOTAL: 0
TOTAL LAST 24 eh: 0
Mental status change,
delirium
TOTAL: 0
TOTAL LAST 24 eh: 0
None of the above
TOTAL: 0
TOTAL LAST 24 eh: 0
Rash and fever
TOTAL: 0
TOTAL LAST 24 eh: 0
Diarrhea/vomiting/abdominal
pain, other GI distress
TOTAL: 9
TOTAL LAST 24 eh: 9
LEADERS
Investigate Detected Patterns
Alerts are automatically
assigned to specific analysts
for investigation and are
tracked through to resolution.
LEADERS
Incident and Event Portal
•
Supports Command and Control activities for
incident and event planning and management
•
Based on DARPA research and technology
–
Deployed at multiple sites and exercises
•
IEP Development Approach
–
Review existing components with USAF and
Civilian surveillance communities
–
Identify and prioritize new requirements
–
Develop new modules, refine existing capabilities
–
Migrate existing modules to LEADERS
LEADERS
IEP Functionality
Incident Management
•
Incident data entry
•
Incident report generation
•
Emergency contact mgmt.
•
Emergency contact alerts
Casualty Tracking
•
Data collection
•
Location and triage history
•
Count reporting
IEP Dashboard
•
Multiple views of IEP data
•
User customizable
•
Search engine
•
Content management
ViewPort
•
Geographic display of data
•
Locate assets and resources
•
Spatial analysis of data
Checklist Management
•
Create checklists
•
Manage checklists
•
Activate checklists
Medical Facility Tracking
•
DEPT Status Tracking
•
Bed Count Tracking
•
Historical Reporting
•
Alarms and Alerts
LEADERS
IEP Modules
•
IEP Dashboard
•
ViewPort
•
Incident Management
Module
•
Emergency Contacts
Module
•
Checklist Manager Module
•
Casualty Tracking Module
•
Critical Care Tracking
System
LEADERS
Conceptual IEP Dashboard
•
‘Desktop’
View of
Available
Applications
•
Content
Management
Support
•
Easily
Customized
by the User
LEADERS
Incident Management
-
ViewPort
•
Incident/Event Management
and Resource Visualization
Tool
•
Provides real
-
time situational
awareness for Commanders
and responders within a
geographic context
•
Supports incident/event pre
-
planning, training, and after
-
action review in a visual
environment
LEADERS
IEP
-
Emergency Contacts Module
•
Real
-
Time Paging
•
Real
-
Time
Messaging
•
Easy To Update
LEADERS
IEP
-
Checklist2000 Module
•
Manages
Checklists
Using
Playbook
Approach
•
Checklists
“Pushed” to
Users
•
Role
-
Based
LEADERS
IEP
-
Casualty Tracking
•
Palm CaTT
–
Wireless Application
–
Bar Code
–
Captures Minimal Data
Set at Incident Site
–
Store/Forward Capability
–
Route Ambulances
•
Web CaTT
–
Synchronizes Field Data
to Hospital
–
Allows for More Defined
Data Capture at Hospital
Site
Palm CaTT
Startup
Status
Counts
LEADERS
IEP
-
Casualty Tracking
Example
Web
CaTT
Screen
Shot
LEADERS
IEP Critical Care Tracking System
•
Tracks Critical
Bed Care
Availability
•
Multiple
Jurisdictions
•
Multiple Stations
•
Network
Alarming
•
Built
-
In
Reporting
Capability
LEADERS
Pathogen ID with R.A.P.I.D.
•
Idaho Technology’s
R.A.P.I.D.
(Ruggedized
Advanced Pathogen
Identification
Device)
requires
minimal operator
experience
•
Designed for
transport and
operation under
extreme conditions
LEADERS
Security Overview
•
Primary Security Concerns
–
Authentication
to verify the identity of the
communicating parties
–
Access Control
to determine who may have access to
information within a system
–
Privacy
to protect sensitive information from being
viewed indiscriminately
•
Security focuses
–
Network communications
–
Application Server components
–
Database Access
LEADERS
Security Options
-
Phase 1
•
Secure Sockets Layer (SSL)
–
Network encryption (
privacy
)
–
Application Server authentication
•
LEADERS User Accounts
–
Username/password required for
authentication
–
Does NOT provide database access
•
LEADERS System Roles
–
Access Control
to LEADERS modules
•
Oracle8i Data Encryption
LEADERS
Security Options
-
Phase 2
•
Public Key Infrastructure (PKI)
–
X.509v3 Digital Certificates for authentication
–
Lightweight Directory Access Protocol (LDAP) for
access control
•
Alternative Authentication Mechanisms
–
SmartCards
–
Biometric authentication
LEADERS
System Administration
•
System Administration functions
integrated
into the
IEP
•
Central management of access to all LEADERS
components
•
Restricted
access to System Administration
functions
•
Managed
over the Web
•
Delegation
of responsibilities to customer
organizations
•
Creation and management of user accounts
•
Management of roles and user/role assignments
LEADERS
ASP Network Infrastructure
•
High Availability
Design
–
Fully Redundant
Components
–
Redundant Connections
–
Full Mesh Configuration
–
Complete failover
systems
–
QoS Bandwidth
Management
–
Separate Web/Application
and Data Networks
LEADERS
Schedule Overview
•
Months 1
-
4
–
Develop LEADERS V1.0 pilot
–
Deploy an initial operating capability at the ATIC
•
Months 5
-
12
–
Additional software releases
•
Revised functionality for existing components
•
New modules
–
Staggered deployment to 5 additional sites
•
Air Force will identify tiger teams for each site
•
Consortium and Air Force will define schedule and
dependencies
LEADERS
LEADERS Summary
ASP
-
Based service model
Integrated medical surveillance/command
and control toolset
System available 24 x 7
Large scale data collection
Enhanced ability to identify potential covert
attacks and significant outbreaks of disease
Agent identification and confirmation device
Incident and event management and
advanced visualization tools
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