NewWave is an IT services provider that uses MongoDB for various healthcare projects. It stores electronic health records and other structured/unstructured data in MongoDB to take advantage of its scalability. NewWave integrates MongoDB with other technologies like Hadoop, ElasticSearch and OpenGeo to enable analytics, spatial search and data exchange between systems. Rules engines and BPM are used to automate workflows using MongoDB as the rules and data repository. NewWave aims to expand MongoDB use to social media integration and multi-cloud environments.

2. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Agenda
• Who is NewWave?
• Why Mongo?
• How NewWave Uses Mongo
• NewWave’s Road Map
• Questions?

3. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Who is NewWave?
— Established provider of innovative IT services,
solutions and support since 2004.
— SEI CMMI Maturity Level II Company
— 8(a) Small Business, MBE Certified
— GSA IT Schedule 70 & 8(a) STARS II
— Outstanding history in supporting Federal
Healthcare Programs for years
— Reputation for providing commercial and
federal government clients reliable, cost
effective technical solutions

4. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
NewWave Customers
Federal Emergency Management Agency (FEMA)
• Workman Compensation Claims Management
Department of Health and Human Services
• Center of Medicaid and Medicare Services (CMS)
• Quality Net Identity Management (QIMS)
• Data Management (DM) IDIQ
• Electronic Health Records
• Research, Data and Information System
(RDIS) IDIQ
• Data Collection Task
• MCSIS – Information Sharing System

5. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Current Projects
Provider Screening Challenge (Crowdsourcing)
“To develop a multi-state, multi-program provider screening
application capable of risk scoring, credential validation,
identity authentication, and sanction checks, while lowering
burden on providers and reducing administrative and
infrastructure expenses for States and federal programs”
• To operate in a cloud-based environment
• Federal Healthcare is looking for “reliable, scalable, and
cost-effective” software to improve screening of
providers across state and program lines

6. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Innovation Lab

7. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Current Projects
Transformed Medicaid Statistical Information
System
“Evaluate the final multi-state, multi-program provider
screening application capable of risk scoring, credential
validation, identity authentication, and sanction checks
technical solution and provide information technology (IT)
technical assistance for States implementing and piloting this
solution”
• To provide IT technical assistance (TA) including
working with states as it relates to their state system
requirements, IT system builds, and associated
interfaces

8. Pre-Mongo Physical Architecture –
Electronic Health Records
Load
Balancer
IBM
IBM
HTTP
Server
HTTP
Server
• Traditional Architecture
• Not easily scalable
WebSphere
WebSphere
Oracle
DB2
Oracle
Oracle
DB2
DB2

9. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Health Information Technology and the Big Data
The need and the trends
“If US healthcare were to use big data creatively and effectively to drive
efficiency and quality, the sector could create more than $300 billion in
value every year. Two-thirds of that would be in the form of reducing US
healthcare expenditure by about 8 percent.” - McKinsey
— Making data available in real or near-real time
— Processing data without much moving around
— No need to replace with bigger and powerful servers; just add nodes to the
existing infrastructure
…and so MongoDB

10. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Why Mongo?
File Storage:
• GridFS Cost
ETL Data:
• Built-in aggregation framework for
simple applications
• Integrates with Hadoop for complex
data aggregation using Map/Reduce
Versatility:
Compa5bility
• Cloud-friendly
• Java-friendly Performance
Schema-free:
• Agile Availability

11. Why Mongo Over RDBMS?
ü Design-as-you-go
{
“_id”
:
ObjectId("4efa8d2b7d284dad101e4bc9"), ü Agile Methodology
“providerName”
:
“Dave
Dawson”,
“specialty”
:
“
Internal
Medicine”
}
{
“_id”
:
ObjectId("4efa8d2b7d284dad101e4bc9”),
“providerName”
:
“Steve
Towson”,
“specialty”
:
“
Physical
Therapy”,
“fileName”
:
“
xray.jpg”
}

12. Why Mongo Over RDBMS?
ü For Applications requiring high performance and
scalability without compromising on functionality

13. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
How We Use Mongo?
• Storing Electronic Health Records
• Mongo provides a convenient, powerful and NETEZZA
TERADATA
robust way to store structured/unstructured Oracle
data IBM
• Leverage the use of GridFS to store large
files, that are stored as chunks.
• Integrate with Hadoop and “BI tool” to Hadoop
analyze data from local and external stores
using Map/Reduce framework in Mongo.
Electronic
Health
Data
MongoDB
MongoDB
ApplicaWon
MongoDB

14. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Architecture HTTP
Diagram
FTP
Spring
Security
HTML
5
File
JQuery
Camel
Spring
Spring
Framework
Ac5vi5-­‐BPM/
Security
JMS
Drools
Open
Geo
Spring
Data
Elas5c
Search
SMTP
Ac5ve
MongoDB
GridFS
MQ
Hadoop

15. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
EHR Requirement:
Efficient Data Exchange
The Need
FTP
• Exchange data smoothly and securely among
different actors
File
• Guaranteed interoperability
Camel
The Solution : Apache Camel
• Patterns to implement routing and mediation rules
JMS
in Java via Spring based XML
Spring
Data
• Uses URIs to work directly with any kind of
SMTP
Transport or messaging model ( FTP, File, JMS
etc.)
Ac5ve
• Provides Business Activity Monitoring (BAM)
MQ MongoDB
• Convenient storage of ETL data to Mongo
• Parallel processing and ordering of messages for
throughput and load balancing

16. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
EHR Requirement:
Spatial Data and Search
The Need:
• Data Integration and spatial visualization
• View epidemiological region
• Demographic analysis
• Allow users to search health records efficiently
The Solution:
HTTP
• OpenGeo Suite
• MongoDB – WMS and WFS data
• “Object Embedding” in OpenLayers
Spring
Security
• HTML5, JQuery and OpenLayers for desired map
HTML
5
view
• Google’s geocoder for locating addresses
JQuery
• Elastic Search
Elas5cSearch
OpenGeo
• Modeled with document oriented DBs
• Distributed based search support
• Elastic search engine on top of Apache Lucene
MongoDB

17. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
EHR Requirement:
Rules Engine
HTTP
The need:
• Automate workflows of administrative processes
Spring
Security
• Increase business agility
HTML
5
• Automate activities
JQuery
• Lower modification expenses on business logic
ActivitiBPM/
Drools The solution:
Spring
Data
• ActivitiBPM/Drools and Spring-data-mongo
• Capable of processing large volumes of data
• Mongo for rule repository and storing user
Ac5ve
documents (e.g. prescriptions)
MQ MongoDB
• Rule 1: rule based services (e.g. calculating
premiums and refunds)
ü New Diseases
ü New or modified laws on the • Rule 2 : complex decision activities and content
health insurance market based routing decision (automated or manual or
ü New insurance products both)
ü New business model • Rule 3: Work item allocation for manual
processing steps (e.g. fraud detection)

18. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Physical Architecture
• Expect high volumes of users and patient Load
Balancer
information
• Sharding, an efficient and inexpensive
option
• Store metadata in Config Servers Nginx
Nginx
JeYy
JeYy
MongoS
Mongod
Mongod
Mongod

19. NewWave Road Map
NewWave Telecom & Technologies, Inc. www.newwave-technologies.com

20. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Multi-Cloud SaaS
Environment
PaaS
Hybrid
IaaS
Public
Private

21. NewWave Telecom & Technologies, Inc. www.newwave-technologies.com
Mongo for Social Media
“Sixty Percent of surveyed physicians and 65 percent of surveyed
nurses are interested in using social networks for professional
purposes” - Manhattan research Taking the Pulse, v9.0.
Use Case:
• EHR application relies on social media for
trend detection and intelligence gathering –
natural disaster detection or flu outbreak
tracking Twitter caught the
2010 cholera outbreak
Why Mongo?? in Haiti
• Integration with Spring Social
• Mongo 2.2’s powerful aggregation framework
• Built-in Map/Reduce framework
• Sharding and replication capability

22. QUESTIONS??
Linkedin.com/company/newwave_technologies @NewWave_Tech