Governance Body Meeting Thursday, March 9th, 2017 12:00 PM – 1:30 PM EDT
Governance Principles Transparency: Stakeholders will have Utility: The Governance Body will visibility into the Governance Body’s prioritize use of existing information work and opportunities to provide input. technology standards and infrastructure as it pursues shared and realistic goals Respect for Process: Governance Body that benefit all parties. members will adhere to an agreed upon decision-making process. Members will Representativeness: Governance Body observe delineated and agreed upon members will represent their broader roles and responsibilities. field 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 honor commitments made to the Digital making. Bridge effort. FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Time Agenda Item Agenda 12:00 PM Call to Order & Roll-call – John Lumpkin & Charlie Ishikawa Purpose 12:03 PM Agenda Review and Approval – John Lumpkin, Chairman 1. Describe project phase 3 progress 12:05 PM Digital Bridge Initiative Progress (10 min) 2. Discuss and approve the plan for phased 1. Project timeline – Jim Jellison eCR implementation 2. Communications – Jessica Cook 3. Discuss and approve an initial plan for 12:15 PM Digital Bridge eCR Implementation Plan (20 – 30 min) organizing governance work during phase 3 1. Presentation of the eCR implementation site cohort – Jim Jellison 4. Discuss objectives or success criteria for eCR implementation 2. Discussion and approval – John Lumpkin Materials and Preparation 12:45 PM Objectives or success criteria for eCR implementation (15 – 20 min) 1. Presentation – Jim Jellison • Governance Body Decision Making 2. Discussion – John Lumpkin Procedure 3. Next Steps • For discussion and approval: Draft: eCR site implementation plan 1:15 PM Governance Body Organizational Plan for Phase 3 (10 - 15min) Proposed organization for Digital Bridge 1. Organizational plan for Phase 3 Governance work – Charlie Ishikawa governance work during Project Phase 3 2. Discussion and Decisions – John Lumpkin • For discussion: Remaining Announcements – Charlie Ishikawa Draft objectives and success criteria for eCR implementation 1:30 PM Adjournment – John Lumpkin Version - March 9, 2017 FOR MEETING DISCUSSION USE ONLY – 3/9/2017
Digital Bridge Initiative Progress FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Communications Update • eCR webinar on March 24, 1:30-3:00 p.m. EST • Communicating to a broad public health audience about Digital Bridge and eCR • Health Datapalooza Panel Presentation, April 28, Washington D.C. • “ Seeing Health from the Outside In: Multi-Sector Data Sharing” (10:30 a.m. EST) • Updated fact sheet and talking points in BaseCamp. Updated presentation slides coming soon. • Contact Jessica Cook (jcook@phii.org) if you have specific needs for an event or meeting. FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Draft : eCR Implementation Plan and Approach Jim Jellison and Benson Chang FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Session Objectives 1. Describe work to date in planning and preparing for implementation 2. Summarize initial findings of site readiness for implementation 3. Propose phased implementation approach 4. Discuss findings and proposal 5. Receive Governance Body approval on draft implementation plan FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Initial Preparation and Logistics for Sites PMO Integration Lead: Rob Brown (Deloitte) 1. Site Readiness Calls • Conducted initial calls with sites to introduce Digital Bridge / PMO and provide sites an opportunity to ask any questions • Sites calls completed a developed questionnaire about site readiness in preparation for site implementation 2. Basecamp • Maintain Basecamp for the use of standard activities with sites (agenda, meeting minutes, document collaboration and storage, etc.) 3. SharePoint • Track and document progress of implementation sites • Store de-identified test data 4. Additional Preparation in the Coming Weeks • Site Kickoff Calls, Onboarding Guide, and APHL & CSTE Coordination Calls FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 9, 2017
Initial Site Coordination Calls The PMO held initial coordination calls 3/2 – 3/6 with each of the sites: Public Health Agency Health Care Provider EHR Vendor California UC Davis Epic Houston Houston Methodist Epic Kansas Lawrence Memorial Hospital Cerner Massachusetts Partners HealthCare Epic Michigan McLaren Health Center NetSmart (HIE-MiHIN) New York City Institute of Family Health Epic Utah Intermountain Healthcare Cerner FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Agenda: Initial Site Implementation Calls The PMO had 30 minute calls with each site to review the following: 1. Reviewing an abbreviated site readiness form from APHL/CSTE with each site 2. Reviewing new “phased” approach being proposed to the Digital Bridge Governance Body on March 9 3. Outlining the basic timeline for implementation being tentatively April – September 2017) and asking if there were any schedule blockers during that timeframe for each site 4. Providing preliminary information on the Technical Implementation Workgroup plans for coordinating implementation activities as well as operational collaboration tools (i.e. Basecamp for document repository/meeting collaboration, SharePoint for de-identified test data repository) 5. Answering any questions the sites may have FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Findings: Initial Site Implementation Calls Findings 1. The PMO gathered the following overall findings from calls: A. Vendor support for payload of eICR (either 1.0 or 1.1) during the proposed Digital Bridge implementation timeframe (April – September 2017) varies • Michigan has plans to implement eICR fully during the Digital Bridge implementation • Other sites plan to use another CDA document (i.e. Transitions of Care) in place of an eICR until eICR support is fully built into their products B. Limited commitment to to implement optional Reportability Response requirements • Michigan plans to implement the requirements • Houston has interest but working through vendor support FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Findings (cont’d): Initial Site Implementation Calls 2. Several sites asked for clarification of plans from test to production case report exchange 3. Several sites asked for more specific legal and policy guidance on data sharing agreements 4. One site (New York City) asked about the possibility of testing reportable conditions beyond the 5 specific for the Digital Bridge test implementations 5. Several sites have calendar and operational considerations they would like taken into account in phasing assignments: A. Kansas and Utah suggested they be assigned to the same phase due to sharing a vendor (Cerner) and collaborating on many other surveillance projects B. Kansas requested they finish their implementation by July 1 C. Massachusetts requested they be scheduled for July-August due to other system go-lives earlier in the summer FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Proposed Phasing: eCR Implementation Sites • Phase 1 (tentatively April - May 2017) • Michigan, California • Phase 2 (tentatively June – July 2017) • Kansas, Utah • Phase 3 (tentatively August – September 2017) • Houston, Massachusetts, New York City FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Rationale for Proposed Phasing of eCR Implementation Sites • Phase 1 • Michigan is currently prepared and willing to implement all requirements for the Digital Bridge, including eICR and Reportability Response • California is the site least familiar with Digital Bridge and can help test the completeness and accuracy of the implementation plan • Phase 2 • Considers Kansas and Utah requests that they be phased together and Kansas request to be done by July 2017 • Synergies from sites having common vendor (Cerner) • Phase 3 • Considers Massachusetts request to be phased in July/August 2017 • Synergies from sites having common vendor (Epic) FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Proposed Implementation Timeline | Initial Draft Activity Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Identify data sharing and business associate agreements Setup AIMS & RCKMS Infrastructure at individual sites Test planning activities Create test data evaluation plan Configure site specific technical/ staging environments Testing phase Evaluation Defect tracking and resolution Production data cutover Activities for All Sites Activities for Phase 1 Sites Activities for Phase 2 Sites Activities for Phase 3 Sites FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 9, 2017
Discussion: Objectives for eCR implementation Jim Jellison FOR MEETING DISCUSSION USE ONLY – 3/9/2017 Version - March 8, 2017
Recommend
More recommend
