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.
Governance Body Meeting Thursday, May 2 nd 2019 12:00 P.M.– 1:00 P.M. ET This meeting will be recorded for note-taking purposes only 2
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Meeting Agenda Time 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 12:10 PM Risk log Risk Log • eCR implementation progress – Laura Conn • Implementation progress update • Transition management – Jim Jellison • Transition management 12:25 PM Action For Action • ONC NPRM Commentary • ONC NPRM Commentary For Discussion 12:35 PM Discussions – John Lumpkin • Strategic connections and synergies with similar • Strategic connections and synergies with similar efforts efforts 12:55 PM Announcements – Charlie Ishikawa 1:00 PM Adjournment – John Lumpkin 4
Consent Agenda | May 2019 John Lumpkin (Chair)
Governance Meeting Consent Agenda Protocol May 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 item into regular discussion b. All items left on the consent agenda are documented as approved by governance body c. Any item removed will be discussed during the meeting 6 For discussion only: April 4, 2019
Risk Log: eCR Implementation Laura Conn and Kirsten Hagemann (eCR Implementation Taskforce Co-Chairs), Rob Brown (Digital Bridge PMO) For discussion only: April 4, 2019
Digital Bridge eCR Implementation Timeline Estimate- 2019 DRAFT 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 – May 2, 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 Not Currently Applicable FOR DISCUSSION USE ONLY – May 2, 2019
Brief Update | eCR Transition Management Jim Jellison (Digital Bridge PMO) 10 For discussion only: April 4, 2019
eCR Transition Milestones The current Digital Bridge PMO has been incubating the eCR use case to prepare it for national scale-up. As that incubation stage comes to a close, activities the PMO oversees are transitioning to partners at CDC and the DSI team. Below are key points: • The PMO is currently transitioning eCR responsibilities to the DSI team • The transition will be complete by August 14, 2019. • Broader Digital Bridge governance activities are anticipated after August 14, 2019. Details are forthcoming. FOR DISCUSSION USE ONLY
Transition Management Timeline Trans/Scale-up Start End Product / Event Owner Status Transition Dec-19 Dec-19RCTC release with 6 conditions CSTE/RCKMS Complete Scale Up Feb-19 Jun-19APHL identifies and joins a trust network APHL eHealth Exchange identified; Membership and Contract with APHL Underway Scale Up Mar-19 Jun-19All PHAs are able to author 6 conditions in RCKMS CSTE/RCKMS Authoring on-going Scale Up Jun-19 Jun-19AIMS FISMA audit is conducted APHL On-going Transition Mar-19 Jun-19eCR "source of truth" website up with basic resources is published CDC/APHL/CSTE Website design complete; Content development on-going Scale Up Apr-19 Apr-19Non-network agreement available to initial implementation sites DWT/APHL On-going Scale Up Jun-19 Jun-19Alternative approaches ready for existing pilot sites to move off the pilot agreement (non-network agreement, DWT/APHL On-going eHealth Exchange, etc) Transition Apr-19 Apr-19Complete draft of an eCR operationalization plan available for transition team use DB PMO On-going Scale Up Apr-19 Jun-19PHAs connection to DSI is validated APHL On-going Scale Up Apr-19 Communication & outreach for PHA readiness & provider onboarding CSTE/APHL TBD Scale Up Summer- TB Open registration with APHL for provider on-boarding APHL Pending 19 D Transition May-19 May-19Resolve Digital Bridge branding on eCR communications products (i.e., need to co-brand). DB PMO Pending Transition Jun-19 May-19Resolve use of eCR logo. DB PMO Pending Scale Up Jun-19 Jun-19Operationalize AIMS/DSI help desk (SLA and other resources) APHL Pending Scale Up Jun-19 Jun-19Release a schedule for how RCTC will roll out for all 74 nationally notifiable conditions CSTE Under development Transition Jun-19 Jul-19Publish adapted onboarding guide for (1) healthcare/vendors and (2) public health agencies APHL/CDC Content will be on website Scale Up Aug-19 Aug-19AIMS HISP accreditation APHL In discovery Transition Sep-19 Sep-19eCR demonstration phase's enabling functions are operationalized for the scale-up phase Digital Bridge Pending FOR DISCUSSION USE ONLY
Health IT Policy Developments and ONC NPRM Comment Letter (Action Item) Walter Suarez (Legal, Policy and Regulatory Workgroup Chair) For discussion only: May 2, 2019
Health IT Policy Developments • CMS Proposed Rule on Interoperability in Medicare and Medicaid Health Plans • Comment period extended from May 3 to June 3 • Digital Bridge not commenting • ONC Proposed Rule on Health IT Certification and Information Blocking Policy • Comments period extended from May 3 to June 3 • Action item (see next slide) • ONC Trusted Exchange Framework and Common Agreement (TEFCA) Version 2.0 • Comment period through June 17 • LPR WG will review and prepare comments during May/early June • Release of TEFCA allows LPR WG to now address the ONC NPRM question, “ Should compliance with TEFCA be required?” For discussion only: May 2, 2019
ONC NPRM Comment Letter (Action Item) • LPR WG, with input from the eCR implementation WG, has prepared comments on behalf of the governance body for: 1. Updates to the 2015 Edition Certification Criteria 2. Health IT for the Care Continuum 3. Conditions and Maintenance of Certification 4. Information Blocking 5. Registries Request for Information 6. Patient Matching Request for Information • WG seeks approval of comment letter, with the nuance that one final section is forthcoming • During May WG will share comments with other industry groups (DB member associations) and review their comments, for improved comment alignment For discussion only: May 2, 2019
Action: ONC NPRM Comment Approval For discussion only: May 2, 2019
Discussion: Strategic connections and synergies with similar efforts
Strategic Connections with Digital Bridge Advocacy Groups Standards Drivers Data Owners/Initiatives Tools The Carin Alliance The Argonaut Project CHORDS PopMedNet eHealth Initiative The DaVinci Project PCORnet Immunization Gateway Immunization Fast Healthcare ESP MENDS Integration Program Interoperability Resources (FHIR) Healthcare Service Platform MDPHnet PULSE Consortium Sentinel Initiative
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