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 – July 9, 2019
Governance Body Meeting Tuesday, July 9 th , 2019 4:00 P.M. – 5:00 P.M. ET This meeting will be recorded for note-taking purposes only 2 FOR DISCUSSION USE ONLY – July 9, 2019
3 FOR DISCUSSION USE ONLY – July 9, 2019
Meeting Agenda Time Agenda Item Purpose: 4:00 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. 4:03 PM Agenda review and approval – John Lumpkin 4:05 PM Consent agenda – John Lumpkin Consent Agenda Workgroup updates • 4:10 PM Risk log Risk Log eCR implementation progress – Rob Brown, Kirsten Hagemann • Implementation progress update • Transition management – Jim Jellison • Transition management • 4:20 PM Sponsorship news – Bill Mac Kenzie For Action Transition workgroup charge amendment • 4:25 PM Action For Discussion Transition workgroup charge – Bob Harmon, Michael Iademarco • • Strategic connections and synergies with similar 4:30 PM Discussions – John Lumpkin efforts Strategic issues • 4:55 PM Announcements – Charlie Ishikawa 5:00 PM Adjournment – John Lumpkin 4 FOR DISCUSSION USE ONLY – July 9, 2019
Consent Agenda | July 2019 John Lumpkin (Chair) FOR DISCUSSION USE ONLY – July 9, 2019
Governance Meeting Consent Agenda Protocol July 2019 Consent Agenda Items 1. Pre-meeting: 1. Workgroup updates a. Chair places items that are believed to be a. eCR Implementation Workgroup non-controversial or routine b. Evaluation Committee b. Items should be received with sufficient c. Pilot Participation Workgroup review time d. Transition Workgroup 2. Start of meeting: e. Legal, Policy and Regulatory Workgroup a. Chair asks if any member wishes to move an (Thank you) 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 – July 9, 2019
Thank you, LPR Workgroup! The legal, policy and regulatory workgroup responded to a number of proposed policies from OCR and ONC this year. These comments, and those from across the health IT community, will help shape health data exchange in the future. The workgroup is now on hiatus until recharged by the governance body. We commend Walter and the entire workgroup on this tremendous policy effort and look forward to seeing OCR and ONC's final rules in the months ahead. 7 FOR DISCUSSION USE ONLY – July 9, 2019
Risk Log: eCR Implementation Laura Conn and Kirsten Hagemann (Taskforce Co-Chairs), Rob Brown (Digital Bridge PMO) FOR DISCUSSION USE ONLY – July 9, 2019
Update: eCR Implementation Workgroup Implementation Activities • Houston site went live on November 14, 2018 Currently in parallel production • • Utah site went live on December 20, 2018 Currently in parallel production • • The Institute for Family Health (IFH) has completed End to End testing with New York City & New York State 9 test cases completed, 4 defects identified and resolved • • IFH has signed legal agreement • Target production date – July 10, 2019 • California preparing for End to End testing and AIMS connectivity Legal agreement has been shared with UC Davis • • AIMS connectivity with UC Davis in progress Up Next Digital Bridge Technical Specifications update in process • Michigan, Kansas are actively working on their vendor/ provider development activities • • New release of RCTC effective November 1, 2019 New codes for Parkinson’s, medications (for Parkinson's only), enteric conditions, and routine code • set updates for 6 conditions 9 FOR DISCUSSION USE ONLY – July 9, 2019
DRAFT Digital Bridge eCR Implementation Timeline Estimate- 2019 Jan 2019 Feb 2019 Mar 2019 Apr 2019 May 2019 June 2019 July 2019 Aug 2019 Sept 2019 Oct 2019 Nov 2019 Dec 2019 Michigan Site Michigan Site Production Connectivity/Onboarding/Testing California Site California Site Connectivity/Onboarding/Testing Production Kansas Site Kansas Site Connectivity/Onboarding/Testing Production Potential Interested Implementation Sites: New York City Site New York City Site Allscripts • Connectivity/Onboarding/Testing Production Delaware • Health & Hospitals • Illinois • New York State New York State - PHA Iowa • Connectivity/Onboarding/Testing Anticipate discussion of Production Kentucky • Maryland • how eCR onboarding will MDLand • be opened up as part of Minnesota • North Carolina • eCR transition North Dakota • Ohio • Note: Massachusetts site currently searching for provider to participate Pennsylvania • Houston in production – 11/14/18 South Dakota • Utah in production 12/20/18 Tennessee • Wisconsin • Today FOR DISCUSSION USE ONLY – July 9, 2019
All Site Progress Summary Activities MI UT CA KS NYC MA NYS HOU Site Development Activities Onboarding End to End Testing Legal Readiness Completed In Progress Not Started FOR DISCUSSION USE ONLY – July 9, 2019
Brief Update | eCR Transition Management Jim Jellison (Digital Bridge PMO) 12 FOR DISCUSSION USE ONLY – July 9, 2019
Summary of grants/funding streams 1. RWJF Digital Bridge Governance a) Incubation phase for eCR is ending, eCR work is transitioning to eCR scale-up operations; b) Governance Body (including Transition Workgroup) will take up strategic issues beyond eCR (e.g., operational model, charter revisions, potential relationships with other data exchange initiatives); 2. eCR Scale-Up a) Federal funding is anticipated to support eCR scale up activities beginning this summer; 3. New Use Case a) Stakeholders are in discussions with potential funders for a new use case (or equivalent project) for Digital Bridge. FOR DISCUSSION USE ONLY – July 9, 2019
Status of Workgroups Workgroup Status Next Steps eCR Implementation Initial eCR demonstrations are continuing (see PMO is transitioning eCR support to CDC & slides below). Decision Support Intermediary for eCR scale up. Updated onboarding guidance and new eCR website coming soon. Evaluation Committee Finishing evaluation of initial eCR Committee will sunset Aug 2019 and be demonstrations. Findings to be reported at Aug instantiated when there are plans and funding Governance Body call. for future work. Transition Completed recommendations for eCR scale up. Currently addressing strategic issues beyond eCR. Legal Policy Regulatory Submitted comments on TEFCA and other Will reconvene when charged by Governance policies. Body. Pilot Participation Current pilot participation agreement is New agreement options enabling eCR scale-up phasing out by Aug 2019; will be replaced with are in development. Current workgroup will new agreement options supporting eCR. sunset as eCR implementers move to one of two new agreement options. FOR DISCUSSION USE ONLY – July 9, 2019
Sponsorship News Bill Mac Kenzie FOR DISCUSSION USE ONLY – July 9, 2019
Action: Transition Workgroup Charge Amendment Bob Harmon and Michael Iademarco (Workgroup Co-chairs) FOR DISCUSSION USE ONLY – July 3, 2019
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