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© COPYRIGHT 2016 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Bringing it Home: Tools, Knowledge and Approaches You Can Use
Cheryl MilesJanuary 24, 2017
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The Smith Family
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Situation§ Grandmother/mother§ Lives in a rural community§ Fixed income on disability for mental health
issues
Services Need:§ Child Protective Services§ Health Care Needs:
§ Primary/Specialty Care§ Depression & Counseling
§ Transportation§ Child Care§ Adult Service
Mrs. Smith, 56, Spouse Incarcerated
SLIDE: 4 © COPYRIGHT 2016 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Situation§ Separated from mother§ At risk of removal§ Development issues due to chemical
exposure at birth
Services Need:§ Permanent Mom§ Immunization Screening§ Lead Screening§ Developmental Screening§ B2H for Medically Fragile children§ Parenting Education§ Well Child Visits
Mark Smith, 5, Disabled
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Situation§ Teen mother and pregnant with 2nd child§ Known to the Child Welfare§ Transient living situation§ Drug addiction and exploitation
Services Need:§ Health Insurance§ Prenatal Care§ Housing§ Transportation§ Medical referral for substance abuse
Crystal Smith, 19, Pregnant with Drug Use History
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Current System
Mrs. Smith, 56 Mark, 5 Crystal, 19
Needs:• Medical referral – Primary care• Medical referral – Specialty care• Medical referral – depression &
counseling• Transportation
Health Plan Child Protective Services
Early Childhood Medicaid Managed Care
HHS
Needs:• Immunization screening• Lead screening• Developmental screening• B2H for Medically Fragile children• Parenting education• Well child visits
Needs:• Health insurance• Prenatal care• Medical Home• Medical Referral for substance abuse• Transportation
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Care Coordination Through Interoperability
Mrs. Smith, 56 Mark, 5 Crystal, 19
• Medical referral – Primary care• Medical referral – Specialty care• Medical referral – depression &
counseling• Transportation
• Immunization screening• Lead screening• Developmental screening• B2H for Medically Fragile children• Parenting education• Well child visits• Bridges to Health
• Health insurance• Prenatal care• Medical Home• Medical Referral for substance abuse• Transportation
Hub / Search
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Interoperability Problem
Ms. Smith
HealthPlan
Child Protective Services
EarlyChildhood
Medicaid Managed Care
HHS
MarkMs. Smith CrystalMs. SmithMarkMs. Smith MarkMs. Smith
§ Duplicate data§ Inconsistent data§ No 360º view of beneficiary
SLIDE: 9 © COPYRIGHT 2016 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Care Coordination Through Interoperability
MarkLogic Data Hub
MarkMs. Smith Crystal
§ Consistent data§ Higher quality data§ 360º view of beneficiary
SLIDE: 10 © COPYRIGHT 2016 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Your Data Is In Silos§ Data is spread across disconnected systems
§ Different formats and structures for similar information
§ Data needs to be delivered in real time
§ Data comes from external sources
§ Data formats are continuously changing
§ Unstructured data is everywhere – PDF, Excel, Word…
THE REALITY
SLIDE: 11 © COPYRIGHT 2016 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
The Challenge With the Relational Approach
The Business Changes, The Requirements Change,The Source Data Changes
1Take a Current State Snapshot
Design the New Data Model
Perform ETL
Create the Indexes
23
4
Build the Application
5
Restart Process6
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Traditional Data Integration Is Complex and Fractured§ RDBMS for highly structured data§ Specialized databases for other data types§ ETL and integration software to connect silos§ …and, what about unstructured data?§ …and, what about search?§ …maybe a data lake will help?
UNFORTUNATE REALITY
ETL
OLTP
ARCHIVES
ETL
ETLETL
DATA MARTS
ETL
WAREHOUSE
REFERENCE DATA
ETL
UNSTRUCTURED DATA
ETL
SEARCH
ETL
HADOOP
MAINFRAME
ETL
SLIDE: 13 © COPYRIGHT 2016 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
MARKLOGIC APPROACH TO DATA INTEGRATION
2
3
1
4
1Ingest Data As-Is
2Access the Data
3Harmonize & Enrich the Data
4Operationalize
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A complete 360 degree view of program and agency data§ Interoperability Across Programs
§ Better Investigation Capabilities§ Ability to Respond to New Regulatory Situations
§ Real-time Actionable Data§ Ability to include unstructured data: PDF, Excel, social
media, email, +
WHAT GOVERNMENTS WANT
What Might Interoperability Look Like?
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Incremental Addition of Data SourcesHHS Agile Modernization
OPERATIONAL APPLICATIONS
SUPPLEMENTAL APPS
&CROSS-
FUNCTIONAL APPS
BIDIRECTIONAL ANALYSISShared APIs and Micro Services
JSON
XMLCW – Foster/Adopt
CW – Parent Support
Juvenile Justice – Detention
JJ – Close to Home
Early Care & Education
Child Welfare & Safety
MDM
Data Lake
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Mobile Finder on Map
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Mobile Finder on Map
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Mobile
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Link Analysis with Semantics
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Human Services Fraud Example
Land Development Information web applicationhttp://ldip.fairfaxcounty.gov
Fairfax County
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Incremental Approach - ABAWD
§ Able Bodied Adults Without Dependents (ABAWD)§ Eligible for benefits such as food, home heating, refugee support§ Must participate in work program to maintain benefits § Disparate systems required monthly spreadsheet scramble § Eliminated spreadsheets, teams process cases faster, security established
(ransom incident) • Built in months, not years• Build upon data framework
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Harnessing Data & Reimagining Services
Create New Value from Data
Interoperability
Reduce Risk
Optimize Operations
Lower TCO / Better IT Economics
Better Decision-making
HHS CMS Healthcare.gov
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The MarkLogic Solution
RELATIONAL DATABASES
MAINFRAMES
FILE SYSTEMS
ANY OTHER SOURCE
TRANSACTIONAL APPLICATIONS
ANALYTICAL APPLICATIONS
DOWNSTREAM SYSTEMS
FLEXIBLE DATA MODELASK ANYTHING UNIVERSAL INDEX
ENTERPRISE RELIABILITY
An Operational and Transactional Enterprise NoSQL DatabaseThat Integrates Data Better, Faster, With Less Cost
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