LEADERS Project Overview

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Feb 22, 2014 (3 years and 4 months ago)

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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