Medical Strategic Planning

The Triad™ Binary Data Representation Breakthrough

Licensable Triad Dataspace™ solves e-Data interoperability, aggregation, and privacy issues. Triad™ enhances query speed by creating one, universal binary representation for cloud-SAN repositories. Triad™ solutions meet HIPAA and GDPR privacy requirements. MSP offers clients a sustainable competitive advantage in cloud SAN storage and other healthcare markets!

Figure 1: Isolation and separate stored-encryption of identity information

Medical Strategic Planning, Inc. (MSP) was founded in 1992, and has worked with Triadics, LLC. since 2013 to implement Mr. Einstein’s famous advice – “We cannot solve our problems with the same thinking we used when we created them.

” Now text, integer, floating point, waveforms, and image data types can all be expressed in a single, double-blind encrypted, analytics-ready, universal, binary representation, called a Triad Dataspace™.

Triad™ supports a record of transactions that can be associated with a peer-to-peer network of depositors, each of whose submitted e-Data is owned and separately controlled by its depositor(s).

Figure 2 is an actual Triad™ encryption of multiple records submitted. Try to decrypt it! If the original information used to create the Triad™ representation can’t be decrypted, that original information remains protected and unexposed. Triad™ can be configured to be part of a Trusted Exchange Framework (TEF), exchanging CCD and FHIR compatible healthcare information.

Figure 2: One, universal, binary, double-blind encrypted, queryable e-Data format

Triad™ encryption is storage footprint efficient compared to conventional representations (see Figure 3). Triad™ has other novel features described below, which any company can leverage and utilize through a royalty or leasing B2B arrangement with MSP.

Near-Real Time Query, Search, Record Location

Triad™ makes even complex query processing consistently fast regardless of data mass size; so fast that near-real time alerts can be generated as new information is being assimilated into the data mass. With Triad™, queries are always a matter of calculation rather than mass storage examination.

Near-real time encrypted query-by-calculation is a major Triad™ advance; one not dependent upon faster processors, but only upon improved information representation. Triad™ can invoke predetermined alerts or launch applications based upon desired outcomes.

Instances of desired outcomes are clustered, and the combinations of attributes that created them are catalogued. Since Triad™ updates its own “schema” (Figure 1) as new data is encountered, Triad™ representation is always analytics-ready.

Now advanced analytics and pattern detection can be performed in a single repository; no need to decrypt, duplicate and transfer e-Data to a separate analytics repository. Triad™ is one, hyper-secure, integrated solution for storage and analytics. The larger the data mass, the more powerful the analytics become.

Information Privacy

Personal identifiers can appear in incoming data streams. These may include genomic markers, fingerprints, DOB, birthplace, address, age, SS numbers, Medicare number, patient ID number, driver license number, passport number, phone numbers, and credit card data. When they do, they are excluded from third-party queries, thus enhancing data privacy protection.

Storage Efficiency/Cost Reduction Advance

The larger the data mass, the more cost-effective storing it as a Triad™ e-Data representation becomes. Triad™ makes reducing storage footprints in commercially-available, cloud SANs practical for the first time, since no inflation or empty storage space is required in the SAN to perform analytics.

Figure 3 reveals that expressing information in a Triad™ representation can achieve from 2.5 to 369 times smaller footprint than if it were compressed by 7Z. Triad™ representation is a resolution pyramid, in which low-resolution artifacts are reduced in a manner that is more efficient than any of today’s commercially-used methods.

The comparison of Triad™ to 7Z validates that reported results were not manipulated to optimize e-Data size reduction and occur across a wide range of file sizes.

Triad™ by its nature, is a bit-lossless reversible representation. Restoration of the originally-submitted data structure is only performed when stored eData is being returned to its depositor (or their authorized designee) as a report (or as a restoration of backup data originally submitted).

Upon request, within a Triad™ SAN only, Triad™ eData can be transformed back into its original content, or alternately output in a different metric system and unit of measure (if requested). Triad™ thus supports computer-to-computer interoperability—becoming a computer information “Rosetta Stone” of sorts.As shown in Figure 5, one bay of 10 Triad™ racks can contain up to 600 10-Terabyte hard drives.

This storage would cost around $200,000 for hard drives, but occupy only 15 square feet of data-center floor space! Using conventional data types, each bay could host up to 6 Pedabytes of information, but using Triad™ universal, binary format, the storage capacity is extended to at least 24 Pedabytes, up to 12 Exabytes, depending on the mix of data types stored (refer to Figure 3).

Hosting 12 Exabytes of incoming numeric and textual information requires only a couple of storage bays that could be housed in one, 10’-by-40’ (400 SF) data center. Total build cost could be less than $3 million using “Commercially-available, Off-the-Shelf” (COTS) components. Heating, A/C (backup) power, and other operating costs are greatly reduced.

Triad HDB™ implemented with BackBlaze cabinets and racks in SAN datacenter

How Could MSP Achieve This?

Breakthroughs don’t always come from big companies. Sometimes they come from individuals working in homes or garages (for example, Bill Hewlett and David Packard, Nikola Tesla, Thomas Edison, Einstein, Henry Ford, Elon Musk, Hedy Lamarr, Howard Hughes, and others).

By partnering with Triadics, LLC, (Las Vegas, NV), a pioneer in Triad™ for non-commercial applications, MSP now brings the Triad™ advance to healthcare and cloud SAN repository markets; empowering savvy companies and the average American to take control of their personal information and protect it from continued breach, malware and ransomware cyberattacks.Triad™ fits many business models; a couple of which are discussed below.

1. Precision Medicine (Lifetime Health Record) Storage and Analytics

Is Triad Dataspace™ the long-sought Interoperability “Exit Ramp” for Precision Medicine’s Lifetime Medical Record, public health, population health, RHIOs, epidemiological studies, and EHR/PHR data aggregation?

Triad Hyper-Secure Data Bank™ (HDB) can accept, aggregate, and analyze information from computers that use a mix of different (textual, numerical, and image) datatypes, including vital signs waveforms and medical images submitted as (CCD XML-tagged data, CSV, JSON, DICOM, ODBC/JDBC) formats and various metric systems. Triad™ is incoming-data metric agnostic—supporting databases output in Imperial or MLKS systems)!

Backblaze Server Racks shown above hold up to 60 Western Digital 10-Terabyte drives, providing a storage capacity of 600 Terabytes per rack. Each bay can hold up to 10 racks or 6 Petabytes per bay. Applying Triad™ universal binary representation (depending on information type) extends storage capacity from 4 to 2000 times, extending each bay’s storage capacity from 24 Petabytes up to 8 Exabytes at a storage cost of $225,000 per bay.

Enhanced Image Recognition Possibilities

Triad™ bit-lossless image storage is only 2-3 times smaller than storage in Jpeg 2000 format; however, Triad™ can detect and catalog image sub-content. That allows Triad™ to support “query by image-patch.” A user picks an “image patch” (say a “coin lesion” in a chest X-ray) from one image and Triad™ analytics locates all similar patches in all other images across an entire image repository.

Image-patch query augments conventional meta-data query, based upon human-assigned tags or keywords. This Triad feature is applicable to radiography, nuclear, SPECT, PET, MRI, pathology, and hematology imaging, and is useful for finding anomalies in medical vital signs and repetitive waveforms, such as ectopic beats/arrhythmias in ECG strips.

Triad™ Roll-Out And Implementation

Companies that currently market information technology products or services for healthcare, and are seeking a sustainable competitive advantage that they can offer to their clients—have found it. Companies can license use of Triad™ as part of their own products. Angels or VCs can also utilize Triad™ to enhance new ventures.

A Triad Hyper-Secure Data Bank™ (HDB) could initially be used as an inexpensive, off-site, backup repository; but once fully populated, could add an analytics GUI to leverage Triad’s™ advanced analytics capabilities. To explore such opportunities, contact MSP today.

How prepared are Individuals, Hospitals, Skilled Nursing Facilities, Churches, and Adult Communities to sustain operations during an extended “Incident of Regional (or National) Significance” lasting from 3 months to a year, or more? MSP identifies hazards and cascade failures from newer threats and helps improve HVA so clients can enhance resilience.

To be licensed, all healthcare facilities must have a state-reviewed Emergency Preparedness Plan (EPP) that explains how to shelter in place and continue to care for patients/residents during emergencies. But how well does that EPP cover the newest cyber-threats or extended-duration crisis events that are becoming more frequent today?

Great Kobe Earthquake

The FBI reports that the greatest risk that America now faces is from cyberattacks; yet in some EPP Hazard Vulnerability Assessments (HVAs), cyberattacks are not mentioned or are rated as an “unlikely risk.” Risks of disrupting operations are often scored in EPP as “Minimum (1), Moderate (2) or Maximum (3),” and considered static; however, their impact can change as crisis duration extends.

Was the EPP built on the assumption that an emergency will last for … a week, a month? Will the EPP still work if the emergency lasts 3 months, 6 months, or a even year? In spite of emergency power circuits and healthcare backup generators, most hospitals don’t consider long-term power losses (of three months to a year) in their EPP, nor how they can mitigate dependencies on third parties during extended crisis situations.

Power failure can cause water, light, heat, and transportation failures, yet these vulnerabilities are rated independently. Because a failure of one system can cause a cascade failure of dependent systems, these interdependencies must also be accounted for in the HVA calculation, including their event horizons (the catastrophic failure threshold).

Chemical & Biological Attacks Are Growing

A full-scale cyberattack that disrupts the regional electrical power grid will in time cause transportation and communication failures, which in turn will cascade to food and water shortages. The event horizon at which catastrophic failure is reached should be calculated and known in advance, as well as a task list to mitigate or delay it if possible.

An HVA needs to show hazards as a “Risk Surface” of shelter, access and resources, and not just as a simple 2-dimensional table of independent vulnerabilities. Power was disrupted for up to one year after Category-5 Hurricane Maria devastated Puerto Rico.

Fifty percent of the island’s population did not have power after six months. Does the EPP have contingencies for when the EPP initial assumptions fail or expire?

How actionable is the EPP really? Many EPPs are reviewed with staff only once a year, and table tops may also be sparse, but if the switchboard gets a call today threatening a bomb or shooting event, is there a Crisis Application that pops up on an operator’s screen that guides the operator through the conversation? What happens if a threat comes in during times when outside calls are diverted to the answering service?

School and Mass Shooting Attacks Are Growing

Creating an EPP framework (without detailed tasks and limited dry runs), won’t work well during an actual emergency. In a real crisis, there’s lots of adrenaline and unless responses are “practiced and second nature,” decisions will be less than optimal.

Does your EPP team have a mental health coordinator? How many are on the mental health team?Natural events are increasing in intensity and duration. Category-5 storms (173 MPH winds and 10-40-inch rainfalls) are becoming more frequent; as are man-made and terrorist events.

Does the EPP plan adequately cover cyber, chemical, biological/Hasmat, nuclear events, and terrorist attacks?

Staff Family Crisis Training Reduces Staff Absenteeism

Experience shows that staff absenteeism is higher when families of staff aren’t adequately prepared for a crisis. Does the EPP include actions to prepare staff families to survive crisis situations? MSP’s Crisis Planning Guides can help healthcare provider’s get staff families prepared.

MSP publishes four different Crisis/EPP Guides; one for Individuals, a second for Hospitals, a third for Churches, and a fourth for 55-Plus Adult Communities. These Guides are available as 8-1/2” by 11” shrink-wrapped, 3-hole drilled inserts to standard 3-ring binders.

The format allows customization of the Guides and insertion of additional, reader-specific information. Each edition is customized for its target audience. Quantity discounts are available.

Authors’ Perspective

The MSP team approaches crisis planning from a combined administrative, nursing management, healthcare technology and mental health perspective; offering practical information to healthcare providers, SNFs, churches and 55+ senior communities.

MSP can assess current EPPs, provide training for staff families, rework HVAs to incorporate a matrix of cascade dependency failures—including newer risks, and help improve “dry run” scenarios and table tops.

Located in Ocean County, NJ, MSP serves hospitals, churches and Adult (55+) Senior communities within a 100 mile radius, and provides on-site training and hosts Internet-based training webinars that enhance preparedness, resilience, and evolve a more actionable and effective plan.

MSP resources and services emerged from the authors’ experiences during actual crises including Super-storm Sandy, the 9/11/2001 World Trade Center attack, from experience planning hospital relocations and from participating in “Top Off” simulations conducted by FEMA, NJ state and county officials.

Super-storm Sandy (2012) disrupted travel, communications, electrical power distribution, access to fuel and food, transportation and caused extensive flooding and wind damage, leaving some New Jersey residents without electrical power for up to a month. New Jersey wasn’t prepared. MSP’s family of Crisis Planning Guides embody much that was learned, so clients can be better prepared next time.

Arthur Gasch

Arthur’s previous experience in hospital relocation involved planning patient moves from existing to new hospital facilities, thirty years of medical device and information technology expertise, and knowledge of healthcare IT approaches to mitigate direct cyber and ransomeware attacks. Arthur was a volunteer on the Monmouth County Mental Health team.

Betty Gasch, RN, BSN

As a University of Michigan graduate, Betty worked in their surgical intensive and cardiac care units. She subsequently worked in the CCU at Glenbrook Hospital, now part of North Shore University Hospitals and was a Continuing Education instructor at Northwest Hospital near Chicago.

In New Jersey, Betty was a home care VNA nurse and then worked at Erickson Living-Seabrook Village where she was Home Care Clinical Manager. Betty was a volunteer on the Monmouth County Mental Health Team.

Medical Strategic Planning

www.medsp.com
+1-732-250-0788
info@medsp.com
PO Box 453, Brick, NJ 08723

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