Digital Bridge Governance Principles • • Transparency: Stakeholders will have Utility: The governance body will prioritize visibility into the governance body’s work use of existing information technology and opportunities to provide input. standards and infrastructure as it pursues shared and realistic goals that benefit all • Respect for Process: Governance body parties. members will adhere to an agreed upon • decision-making process. Members will Representativeness: Governance body observe delineated and agreed upon roles members will represent their broader field and responsibilities. and be responsive to the goals of the Digital Bridge partnership. • Outreach: The governance body can solicit • opinions and presentations from Trust: Governance body members will stakeholders to inform its decision-making. honor commitments made to the Digital Bridge effort. FOR DISCUSSION USE ONLY – November 7, 2019
Governance Body Meeting Thursday, November 7, 2019 12:00 P.M. – 1:00 P.M. ET This meeting will be recorded for note-taking purposes only 2 FOR DISCUSSION USE ONLY – November 7, 2019
3 FOR DISCUSSION USE ONLY – November 7, 2019
Meeting Agenda Time (ET) Agenda Item Purpose 12:00 PM Call to order – John Lumpkin The purpose of this meeting is to work toward a common vision for exchanging actionable information between health care and public health. 12:03 PM Agenda review and approval – John Lumpkin 12:05 PM Consent agenda – John Lumpkin Consent Agenda • Workgroup updates 12:07 PM Grants Management Update 12:10 PM Action: Charge Charter and Bylaws Workgroup For Action • Charge: Charter and Bylaws Workgroup 12:15 PM Discussion: Public Health Projects Engaging EHRs: A Preliminary Assessment – Michael Iademarco For Discussion 12:55 PM Announcements – Charlie Ishikawa • Public Health Projects Engaging EHRs: A Preliminary Assessment 1:00 PM Adjournment – John Lumpkin 4 FOR DISCUSSION USE ONLY – November 7, 2019
Consent Agenda | November 2019 FOR DISCUSSION USE ONLY – November 7, 2019
Governance Meeting Consent Agenda Protocol November Consent Agenda Items 1. Pre-meeting: 1. Workgroup updates a. Chair places items that are believed to be a. Pilot Participation non-controversial or routine b. Evaluation Committee c. Transition Workgroup b. Items should be received with sufficient review time 2. Governance body meeting schedule 2. Start of meeting: a. Chair asks if any member wishes to move an item into regular discussion b. All items left on the consent agenda are documented as approved by the governance body c. Any item removed will be discussed during the meeting 6 FOR DISCUSSION USE ONLY – November 7, 2019
Workgroup Updates | November 2019 Workgroup Name Charge Summary Progress - November 2019 • Make recommendations eCR transition recommendations - COMPLETED Transition Workgroup • to the GB regarding (1) Next steps: • eCR demonstration to CDC is working with MITRE to gather assessment data • scale-up transition, and Results will be reviewed and interpreted with Transition Workgroup • (2) next use case Findings will be used to structure in-person governance conversation re: ”new use case” • eCR demonstration Anticipate sharing fully edited and formatted report with Evaluation Evaluation Committee evaluation oversight Committee on November 18, 2019. • Anticipate sharing the complete report with governance body by November 22, 2019 • Oversight, facilitation and APHL now manages agreements directly with site representatives, eHealth Pilot Participation Workgroup support those who Exchange, etc. • transmit eICRs for the DB The previous pilot participation agreement is being replaced with new demonstration agreement options. The workgroup will sunset as eCR implementers move to one of two new agreement options. DIGITAL BRIDGE GOVERNANCE | CONSENT AGENDA | NOVEMBER 2019 FOR DISCUSSION USE ONLY – November 7, 2019
Schedule | Digital Bridge Governance Meetings Date Event and Objectives Nov 7, 2019 November Governance Call • Update on EHR – Public Health Landscape Analysis (Transition Workgroup activity) • Discussion: Initial collection of data on several CDC-based systems and initiatives, and framing approach to look at next use case(s) Dec 5, 2019 December Governance Call • Decision on EHR – Public Health Landscape Analysis (Transition Workgroup activity) • Discussion / Action: Further findings on landscape analysis • Consent Agenda: Approve dissemination plan of eCR evaluation report Jan 2, 2020 January Governance Call (tentatively scheduled) Jan 21-22, 2020 January Governance In-person Meeting (two-day in-person meeting, Decatur, GA) • New DB charter • Determine next use case(s): i.e., standards, tools, partners, consensus-based development approach, pilots • Determine DB structural changes; e.g., new members, PMO changes [if any] • Determine near term next steps Feb 6, 2020 February Governance Call • Progress on next steps from January in-person meeting Mar 5, 2020 March Governance Call • Progress on next steps from January in-person meeting DIGITAL BRIDGE GOVERNANCE | CONSENT AGENDA | NOVEMBER 2019 FOR DISCUSSION USE ONLY – November 7, 2019
Grants Management Update FOR DISCUSSION USE ONLY – November 7, 2019
Grants Management Update | November 2019 • RWJF Grant • Supports Digital Bridge governance • Ends March 2020 • Will enable strategic planning activities • CDC Foundation Grant • Supports eCR scale-up and governance; Parkinson’s • Details forthcoming FOR DISCUSSION USE ONLY – November 7, 2019
Action | Workgroup Charge: Charter and Bylaws Workgroup FOR DISCUSSION USE ONLY – November 7, 2019
Charter and Bylaws Workgroup Charge & Objectives Members The purpose of the Charter and Bylaws Workgroup is to propose governing documents that Organization Name Designation Representing optimize the Digital Bridge's organizational structure, procedures and rules to achieve current and future member priorities and interests. Cerner Bob Harmon Workgroup Chair Vendors Objectives Kaiser- Walter Suarez Member Health care By Wednesday, January 8, 2020, the workgroup shall deliver to the governance body proposed Permanente governing documents (e.g., organizational charter, bylaws, standing rules and procedures) that address several key topics (see Scope). ASTHO Mary Ann Cooney Member Public health BCBS Foundation Governance The focus of the Workgroup will be to … John Lumpkin Member of NC leadership 1. Articulate the Digital Bridge's purpose (mission, vision and purview) based on governance body discussions CDC [pending] Observer Federal agencies 2. Propose a structure to optimize the Digital Bridge's organization and operations, including • Membership classes, rights and privileges Hillary Heishman Sponsor Member Sponsors • Organizational roles, such as officers, governing body/board, duties, selection • Meetings PHII Vivian Singletary Member PMO • Committees and workgroups • Financing • Terms of office, elections, quorum; etc. 3. Document current and recommend new standing rules, policies and procedures. 4. Consider whether the Digital Bridge should continue as an unincorporated temporary entity or progress to a permanent incorporated organization FOR DISCUSSION USE ONLY – November 7, 2019
Discussion | Public Health Projects Engaging EHRs: A Preliminary Assessment Michael Iademarco FOR DISCUSSION USE ONLY – November 7, 2019
Announcements Charlie Ishikawa FOR DISCUSSION USE ONLY – November 7, 2019
UPCOMING MEETINGS December 5, 2019, 12:00 – 1:00 PM ET January 2, 2020, 12:00 – 1:00 PM ET (TENTATIVE) IN-PERSON MEETING January 21 - 22, 2020 Action Items RSVP for in-person meeting 15 FOR DISCUSSION USE ONLY – November 7, 2019
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