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 – September 7 th , 2017
Governance Body Meeting Thursday, September 7 th , 2017 12:00 – 1:30 PM EDT This meeting will be recorded for note taking purposes only FOR DISCUSSION USE ONLY – September 7 th , 2017
FOR DISCUSSION USE ONLY – September 7 th , 2017
Time Agenda Item Meeting Agenda 12:00 PM Call to Order – John Lumpkin Purpose 1. Describe overall initiative plans, progress and 12:03 PM Agenda Review and Approval – John Lumpkin timeline 12:05 PM Overall Status Report: Initiative Roadmap and eCR Timeline – 2. Identify and discuss eCR implementation progress from technical and legal Jim Jellison perspectives 12:10 PM Digital Bridge eCR Implementations 3. Discuss possible ways to address alternative 1. Progress: Wave 1 and 2 implementations - Rob Brown and Benson Chang eCR approaches 2. Update: Legal and Regulatory - Walter Suarez 4. Provide insights to improve the development 3. Discussion: Issue Brief - Alternative eCR Approaches - Jim Jellison of strategic plans for the Digital Bridge 12:50 PM Digital Bridge Strategy 5. Discuss and identify ways that the 1. Presentation: Digital Bridge funding model analysis - Ben Stratton and governance body has and may continue to Benson Chang support communication goals. 2. Comments and Discussion: Feedback on business model skeleton and Material funding analysis - John Lumpkin 1. Issue Brief: Alternative eCR Approaches 1:15 PM Digital Bridge Communications – Jessica Cook 2. Proposed Digital Bridge Organizational 1:28 PM Review decision and major actions – Charlie Ishikawa Structure 1:30 PM Adjournment – John Lumpkin 3. Digital Bridge Funding Model Analysis 4. Digital Bridge Communications Plan ver. 2.0 FOR DISCUSSION USE ONLY – September 7 th , 2017
Overall Status Report Initiative Roadmap and eCR Timeline Jim Jellison FOR DISCUSSION USE ONLY – September 7 th , 2017
Digital Bridge Strategic Roadmap Milestones & Critical Activities PHASE III (2017) PHASE IV (2018-2019) PHASE V (2020-2021) PHASE VI (2022-2023) Jun Aug Nov Jan Aug Apr Dec Jan Nov Dec Jan Jan High Use case 2 Wave 1 – Wave 2 – Test launched Wave 1 – Test Production Operating implementation implementation model Wave 1 legal complete complete implemented agreements signed Wave 2 legal Use case 3 agreements signed launched Governance Wave 2 - Implement long by-laws Production term technical drafted architecture eCR legal agreement Operating model Governance templates developed self- sustaining Develop and Recommend Body changes Reportability long-term recommend long implemented Response (RR) term technical funding modal By-laws approved Published Develop long architecture by Governance term legal Digital Bridge Body strategy Implement Funding Model communications new funding 100% in effect plan-V2 Template for model Infrastructure for Complexity Legal agreement eCR legal new use cases Use case templates developed agreements criteria agreed for new use cases Digital Bridge upon recruitment strategies & Begin Technical marketing Evaluate Architecture funding model Stand-up Evaluation technical Legal agreement Concept of Legend operations Operations templates developed for workgroup Establish Digital subsequent use cases Operations developed Bridge success Funding Establish stories communications Technical Infrastructure Governance Body 7 sites up advisory group approves long term Legal and running Governance technical architecture Users & Use Cases Body approves Marketing Reporting on use case 3 Governance Communications materials for five conditions Body approves funders use case 2 Critical Path Low Identify Other Milestones Operating model funders approved by Governance Body *** General Notes: (1) Complexity is used as a rough proxy for the needed resources and effort to complete a milestone, (2) Overall timeline and milestones are subject to change depending on project dependencies. FOR DISCUSSION USE ONLY – September 7 th , 2017
eCR Project Timeline 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 Governance Coordinate Workgroups (WGs) and Engage Stakeholders Evolve, Extend Information Exchange Capabilities 2 nd Use Case Transition 1. In-Person Mtg. Ideas Plan 2. Approve 2 nd Use Case Sustainability WG Strategy Working Group Submit Digital Bridge and eCR Digital Bridge Sustainability Plans to Gov. Body Roadmap Legal WG Legal and Regulatory Workgroup eCR Legal Template Sites Execute Framework Agreements Agreements Technical Arch WG Implementation Task Force Document Lessons Wave 1 AIMS Wave 1 eCR Learned Onboarding Exchange Evaluation Committee Preliminary Wave 1 Evaluation Evaluation Plan Requirements WG Ongoing Curation of Functional Requirements Functional Requirements Refined REV 8/31/17 FOR DISCUSSION USE ONLY – September 7 th , 2017
Digital Bridge eCR Implementation 1. Progress | Wave 1 and 2 implementations - Rob Brown and Benson Chang 2. Update | Legal and Regulatory – Walter Suarez (Workgroup Chair) 3. Discussion | Issue: Alternative eCR Approaches – Jim Jellison FOR DISCUSSION USE ONLY – September 7 th , 2017
Digital Bridge eCR Implementation 1. Progress | Wave 1 and 2 implementations - Rob Brown and Benson Chang 2. Update | Legal and Regulatory – Walter Suarez (Workgroup Chair) 3. Discussion | Issue: Alternative eCR Approaches – Jim Jellison FOR DISCUSSION USE ONLY – September 7 th , 2017
eCR Implementation – Risks & Issues # Issue Impact Mitigation Cerner and Intermountain are working on an approach for eICR 1.1. The Cerner implementation for eICR 1.1 support is delayed 1 Medium Implementation Taskforce and Digital Bridge PMO are assessing and monitoring due to competing priorities the approach An increase in the complexity and thoroughness of the The set of 9 test scenarios are being finalized. Test scenario narratives may be 2 test scenarios will cause a delay in the creation of the test Medium provided to sites earlier than the full test scenario package. Complete test data eICRs is expected by the end of September # Risk Impact Mitigation Epic implementation for eICR 1.1 support (minus travel 1 Medium Epic’s software updates for eICR are released history) is delayed Third party security assessment will not occur before 2 Medium On eCR roadmap for March 2018 initial implementations are in production Legal agreements and data use agreements beyond initial The Legal Workgroup is working on the creation of legal and data use 3 implementation (risk for both Implementation and High agreements for the short term of the implementations and longer term Strategy WG) Reportability Response (RR) standards changing between 4 Medium Technical team will be involved in HL7 RR ballot reconciliation process balloting and November publication Technical Partners CSTE & APHL may have funding and 5 High Identify gaps in resources/ funding and work to address them sustainability shortfalls for FY18 FOR DISCUSSION USE ONLY – September 7 th , 2017
Site Status in Preparation for Onboarding and Testing Implementation Provider/Vendor, Public Health Site Connectivity Additional Notes Sites HIE Activities Activities with AIMS The Cerner & Intermountain development work for Utah can be leveraged for Kansas . For Public Health (PH), the activity remaining is Kansas the ability to receive Reportability Response (RR). Completed PH connectivity with AIMS; will begin testing. For PH, the activities remaining are the ability to receive eICR 1.1 and Michigan ability to receive RR. Technical kick off occurred with Michigan site; AIMS to complete VPN connectivity documentation. Cerner & Intermountain are working on an approach for eICR. PH is Utah ready; their activities are complete. Completed PH connectivity with AIMS; will begin testing. Epic’s software updates are released. Working through Provider concerns. PH is making progress. California Epic’s software updates are released. Provider and PH are making Houston progress. AIMS is working with Provider and PH on Direct transport. Epic’s software updates are released. Provider and PH are making progress. For PH, the activities remaining are test and production Massachusetts environment setup and the ability to receive RR. Epic’s software updates are released. Working through Provider New York concerns. PH is making progress. Not Started Complete In Progress FOR DISCUSSION USE ONLY – September 7 th , 2017
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