AGENDA

1. NIEM Impact on Pharmaceutical Drug Monitoring How do we enable prescription drug monitors to see across state lines?

2. The NIEM Framework and ProcessWhat common services, governance models, processes and tools are

provided by NIEM?

3. NIEM GovernanceHow is NIEM governed? How does the federated domain governance

function? What are the different NIEM committees?

4. NIEM Program UpdatesWhat are next steps for the program? Updates on NIEM international

adoption?

NIEM IMPACT ON PHARMACEUTICALDRUG MONITORING

The Standard Prescription

Monitoring Information Exchange

0 2 4 6 8 10 12 14 16

Prescription Drugs (15.1 million)

Cocaine (5.9 mil.)

Hallucinogens (4 mil.)

Inhalants (2.1 mil.)

Heroin (.3 mil.)

NIEM IMPACT ON PHARMACEUTICALDRUG MONITORING

NATIO

NW

IDE D

RU

G A

BU

SE

From 1992-2003, 15.1 million Americans

abused prescription drugs. That’s more than cocaine, hallucinogens, inhalants, and heroin COMBINED.

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.

1 in 5 teens are abusing prescription drugs to get high.

40% of teensbelieve that prescription drugsare safer than illegal drugs.

29% of teensbelieve 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

NIEM IMPACT ON PHARMACEUTICALDRUG MONITORING

> 0 – .9%1 – 2.9%3 – 3.9%4 – 7%> 19%

Where CA Prescriptions Really Go

Prescription drug monitoring is the coming together of pharmacy boards, health agencies, and law enforcement to monitor drug diversion.

There are three facets to the problem—

misuse, abuse, and diversion—and three

players—prescribers, dispensers, and patients.

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.

NIEM IMPACT ON PHARMACEUTICALDRUG MONITORING

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?

Before NIEM, there was large gap in interstate reporting.

As abuse and diversion escalate, law enforcement and health practitioners need 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.

NIEM IMPACT ON PHARMACEUTICALDRUG MONITORING

NIEM IMPACT ON PHARMACEUTICALDRUG MONITORING

The Prescription Monitoring Program uses NIEM to empower connections:

1,600,000 Prescribers 284,000 Pharmacists73,000 Pharmacies54 Boards of Pharmacy 18,000 Law Enforcement

Agencies11,000 Substance Addiction

Treatment Programs140 Consumer Protection

Agencies

This is a solution that the 50 states, Canada, and Mexico can leverage.

This map identifies the status of Prescription Drug Monitoring Programs (PDMPs)

10

THE NIEMFRAMEWORK AND

PROCESSWhat common services, governance models, processes and tools are provided by NIEM?

Support FrameworkTechnical FrameworkCommunity

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.

Formal Governance Processes

Online Repositories

Mission-Oriented Domains

Self-Managing Domain Stewards

Data Model

XML Design Rules

Development Methodology

Predefined Deliverables (IEPD)

Tools for Development and Discovery

Established Training Program

Implementation Support

Help Desk & Knowledge Center

THE NIEM FRAMEWORK

Translation

Scope-of-NIEM

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.

STANDARDIZING DATA MOVING ACROSS SYSTEMS

IN

TE

RF

AC

E

LEGACYDATABASES

LEGACYDATABASES

COMMONLY FORMATTED

DATA

IN

TE

RF

AC

E

Repeatable, Reusable Process(Exchange Specification Lifecycle)

Common Language(Data Model Lifecycle)

Built and governed by the business users at Federal, State, Local, Tribal and Private Sectors

THE NIEM LIFECYCLES

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NIEM GOVERNANCE

How is NIEM governed? How does the federated domain governance function? What are the different

NIEM committees?

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)

Executive Steering Council

ESC

Executive DirectorDeputy Director

NIEM PMO

NIEM Technical Architecture Committee

NTACNIEM Business

Architecture Committee

NBACNIEM Communications &

Outreach Committee

NC&OC

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)

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

Domain Executive Steward

Justice Global Justice (State & Local)

Screening DHS Screening Coordination Office

Immigration DHS/ICE & USCIS

Chem/Bio/Rad/Nuc DHS/DNDO

Maritime DOD/DON/MDA

Cyber DHS/NPPD/CS&C

Family Services HHS/ACFS & DOJ

Emergency Management DHS/FEMA, DHS/S&T (state & local)

Infrastructure Protection DHS/NPPD

International Trade DHS/CBP

Biometrics DHS/NPPD, DOJ/FBI, DOD, NIST

Health HHS/ONC & HHS/OCIO

Human Services HHS/ACFS & HHS/ONC

Government Resource Management

GSA

18

NIEM DOMAINS

What is a NIEM Domain?

People aligned to a specific mission area by virtue of affiliation, responsibilities, or interest who support the domain data model.

NIEM Domain

Governance

Data Model

Community of Interest

Business Exchange

BACKGROUND: NIEM DOMAIN COMPONENTS

A set of data elements and definitions

specific to a NIEM mission area that

are used to build information

exchanges.

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.

An agreed-to business exchange or mission need will drive the future phases of domain establishment and providing initial model scope.

NIEM domains are mission-based and organized to facilitate governance.

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

Domain Executive Steward

Justice Global Justice (State & Local)

Screening DHS Screening Coordination Office

Immigration DHS/ICE & USCIS

Chem/Bio/Rad/Nuc DHS/DNDO

Maritime DOD/DON/MDA

Cyber DHS/NPPD/CS&C

Family Services HHS/ACFS & DOJ

Emergency Management DHS/FEMA, DHS/S&T (state & local)

Infrastructure Protection DHS/NPPD

International Trade DHS/CBP

Biometrics DHS/NPPD, DOJ/FBI, DOD, NIST

Health HHS/ONC & HHS/OCIO

Human Services HHS/ACFS & HHS/ONC

Government Resource Management

GSA

20

NIEM’S NEWEST DOMAINS

NEWEST DOMAINS

NIEM Government Resource

Management Domain

NIEM Health Domain

NIEM Human Services Domain

DOMAINS IN PLANNING

NIEM Agriculture

NIEM Education

NIEM Transportation

21

22

NIEM IEPDSNIEM Information Exchange Package Documentation

THE IEPD LIFECYCLEPlan the project, establish the process, and identify information exchange business requirements

Selected information exchange is further elaborated to understand and document the business context and data requirements

Associate local objects with types and elements in NIEM. This process is called mapping an exchange content model to NIEM

Create a set of exchange-specific NIEM conformant XML schemas that implement the data model created for the exchange

Prepare and package all related files for this IEPD into a single self‐contained, self-documented, portable archive file

Publish IEPD for search, discovery, and reuse

Scenario Planning

Analyze Requirements

Map & Model

Build & Validate

Assemble & Document

Publish & Implement

THE IEPD ARTIFACTS

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

• Business Processes

• Use Cases

• Sequence Diagrams

• Business Rules • Business Requirements

• Exchange Content Model

• Mapping Document

• Subset Schema• Exchange

Schema

• XML Wantlist•Constraint Schema•Extension Schema

•Main Document• IEPD Catalog• IEPD Metadata

•Sample XML Instances

•XML Stylesheets

Scenario Planning

Analyze Requirements

Map & Model

Build & Validate

Assemble & Document

Publish & Implement

No required artifacts. Publish the IEPD to a repository and implement the

exchange

GML COMPONENTS IN NIEMElement Definition

geo:Arc An arc string with only one arc unit (3 control points including the start and end point)

geo:ArcByCenterPoint A 2D arc defined by its center point, radius, and bearings at start and end.

geo:Circle A Circle is an arc whose ends coincide to form a simple closed loop.

geo:CircleByCenterPoint

A 2D ArcByCenterPoint with identical start and end angles that forms a full circle.

geo:Curve A curve is a 1-dimensional primitive. Curves are continuous, connected, and have a measurable length in terms of the coordinate system.

geo:Ellipse An ellipse specified by a point, major axis, minor axis and rotation.

geo:Envelope Envelope defines an extent using a pair of positions defining opposite corners in arbitrary dimensions.

geo:LineString A geometric curve that consists of a single segment with linear interpolation.

GML COMPONENTS IN NIEM (CONT.)

Element Definition

geo:MultiCurve A geometry collection that includes one or more curves or line strings.

geo:MultiGeometry A geometry collection that includes one or more geometries, potentially of different types.

geo:MultiPoint A geometry collection that includes one or more points.

geo:MultiSurface A geometry collection that includes one or more polygons or surfaces.

geo:Point A 2D or 3D geometric point.

geo:Polygon A polygon; a geometric surface defined by a single surface patch whose boundary is coplanar.

geo:Surface A surface is a 2-dimensional primitive and is composed of one or more surface patches. The surface patches are connected to one another.

EXAMPLE: EMBEDDING GML IN IEPDS

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

29

NIEM PROGRAM UPDATES

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

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.

PROGRESS ON FEDERAL NIEM ADOPTIONSuccess of NIEM within the Departments’ of Justice, Homeland Security,

and Health and Human Services propelled growth of NIEM across the Federal Government

Agency Use of NIEM

Department of Agriculture Committed to UseDepartment of Defense Committed to UseDepartment of Education Committed to UseDepartment of Energy Committed to UseDepartment of Health and Human Services Committed to UseDepartment of Homeland Security Committed to UseDepartment of Housing and Urban Development Committed to UseDepartment of Justice Committed to UseDepartment of Labor Committed to UseDepartment of State Committed to UseDepartment of the Interior Committed to UseDepartment of the Treasury Committed to UseDepartment of Transportation Committed to UseDepartment of Veterans Affairs Committed to UseEnvironmental Protection Agency Further Evaluation RequiredGeneral Services Administration Committed to UseNational Aeronautics and Space Administration Further Evaluation RequiredNational Archives and Records Administration Committed UseNational Science Foundation Committed to UseNuclear Regulatory Commission Will Not UseOffice of the Director of National Intelligence Committed Use Social Security Administration Further Evaluation RequiredGeospatial Line of Business Will Not UseGrants Management Line of Business Further Evaluation RequiredFinancial Management Line of Business Will Not UseHuman Resources Line of Business Will Not Use

Committed

to Use

Further

Evaluation

Required -

Will Not

Use

TAKING ACTIONHelp Us Define the Next NIEM ChallengeA large-scale need to connect people and organizations around a common mission, where information is critical

Participate in NIEM Domains12 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