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 – August 9, 2019
Governance Body Meeting Thursday, October 3, 2019 1:00 P.M. – 2:00 P.M. ET This meeting will be recorded for note-taking purposes only 2
3 FOR DISCUSSION USE ONLY – August 9, 2019
Meeting Agenda Time Agenda Item Purpose: The purpose of this meeting is to work toward a common vision for exchanging actionable information between health care and public health. Consent Agenda Risk Log For Action For Discussion 4
Consent Agenda | October 2019 John Lumpkin (Chair)
Governance Meeting Consent Agenda Protocol October 2019 Consent Agenda Items 1. Pre-meeting: 1. Grants Management a. Chair places items that are believed to be a. RWJF Grant non-controversial or routine a. Supports Digital Bridge governance b. Items should be received with sufficient b. Ends March 2020 review time c. Will enable strategic planning activities (next 2. Start of meeting: agenda item) a. Chair asks if any member wishes to move an b. CDC Foundation Grant item into regular discussion a. Supports eCR scale up and governance b. All items left on the consent agenda are b. Details forthcoming documented as approved by the governance body c. Any item removed will be discussed during the meeting 6 FOR DISCUSSION USE ONLY – August 9, 2019
Digital Bridge: Future Vision | Preliminary Survey Results Nosipho Beaufort (Digital Bridge PMO)
Survey Overview • The Digital Bridge Future Vision survey was developed to give an opportunity for organizations across all sectors to provide input into the future direction of Digital Bridge. • Charlie Ishikawa and the Digital Bridge governance body co-chairs developed the questions. • The survey was administered via Survey Monkey September 9-27. • Thirteen organizations completed the survey. Ex officio Health Care Delivery Networks Health IT vendors Public health 3 1 5 4
Question 1 Please select the response that best expresses the manner in which you, and the organization you represent, believe Digital Bridge should promote bi-directional data exchange. Response choices Total responses • Responses were fairly evenly Identifying a selection of technical architectures to 4 acquire healthcare data for public health use and distributed overall. deliver public health information to providers, patients, and citizens to improve health. • Health IT and ex-officio members Promoting the eCR technical architecture, including 3 favored a focus on technical informative responses from public health to healthcare providers. architecture, while public health and Serving as a forum for Digital Bridge members and 4 health care favored serving as a stakeholders to share ideas and collaborate on scalable solutions for data and information exchange. forum. Other 2
Question 2 What is your biggest hope for Digital Bridge moving forward? • Respondents across all sectors hope that the collaboration and engagement across sectors continues. • Health IT respondents hope for continued development of unified, standard nationwide approaches. • Public health respondents hope that Digital Bridge continues to provide a forum to engage leaders, sustain partnerships and develop national strategies for data exchange.
Question 3 What is your biggest fear for Digital Bridge moving forward? • Respondents across all sectors expressed concerns about competing priorities and that Digital Bridge will lose momentum. • Several respondents shared concerns that a single focus on eCR or on the needs of one sector could overshadow efforts to develop broader bi-directional data exchange solutions. • Health care and health IT respondents expressed concerns about competing and/or duplicative standards when existing standards meet the need.
Question 4 Please share your questions, comments or concerns with regard to this strategic issue, including any elaboration of your response to question 3. • Health care and public health respondents emphasized the importance of setting Digital Bridge priorities and taking advantage of opportunities to promote Digital Bridge for other use cases. • Health care and health IT respondents felt that eCR should be a foundation for future use cases.
Key Takeaways • All sectors support continued collaboration through Digital Bridge. • Health IT and health care value continued support for standardized approaches and the use of existing technical architecture as appropriate. • Although all sectors hope eCR is successful, there is concern about focusing solely on eCR to the exclusion of other use cases.
Group Discussion
Governance Updates and Next Steps Jim Jellison (Digital Bridge PMO)
Upcoming Governance Meetings Date Event/Objectives Nov 7, 2019 November Governance Body Call • Update on EHR – Public Health Landscape Analysis (Transition Workgroup activity) • Discussion & Action: Narrow selection of use cases/projects for potential collaboration • Consent Agenda: Approve dissemination of eCR evaluation report Dec 5, 2019 December Governance Body Call • Decision on EHR – Public Health Landscape Analysis (Transition Workgroup activity) • Discussion & Action: Select use case/project for collaboration or partnership Jan TBD, 2020 January Governance Body Meeting (2 day in-person meeting, Decatur GA) Feb 6, 2020 Mar 5, 2020
Announcements Charlie Ishikawa
[Announcements PLACEHOLDER] • Walter’s article • CSTE white paper • Jeff’s retirement
UPCOMING MEETINGS Action Items 19
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