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 – June 7 th , 2018
Governance Body Meeting Thursday, June 7 th , 2018 12:00 – 1:30 PM ET This meeting will be recorded for note-taking purposes only FOR DISCUSSION USE ONLY – June 7 th , 2018
FOR DISCUSSION USE ONLY – June 7 th , 2018
Meeting Agenda Time Agenda Item Purpose: The purpose of this meeting is to work toward a common 12:00 PM Call to Order vision for exchanging actionable information between public health and health care. 12:04 PM Agenda Review and Approval Objectives: By the end of this meeting, the governance body will: 12:05 PM Consent Agenda 1. Charge and form the following workgroups • Workgroup Charge: eCR Implementation Workgroup 1. Evaluation Committee • Workgroup Charge: Evaluation Committee 2. eCR Implementation Workgroup • Digital Bridge Charter, version 2.3 - revised 2. Update and revise the Digital Bridge charter 12:10 PM eCR Implementation Update 3. Discuss progress of eCR implementation work and identify related governance body actions • Progress overall, risks, and mitigations • 4. Discuss purpose and charge for Pilot Participation Houston site Workgroup • Funding risks and mitigations Materials: 12:40 PM New Workgroup: Pilot Participation Workgroup 1. Consent Agenda 1. Charge | Evaluation Committee remaining Announcements – Charlie Ishikawa 2. Charge | eCR Implementation Workgroup 3. Charter | Digital Bridge Governance, ver. 2.3 1:30 PM Adjournment – Vivian Singletary 2. Meeting slides FOR DISCUSSION USE ONLY – June 7 th , 2018
Consent Agenda | June 2018 John Lumpkin (Chair) FOR DISCUSSION USE ONLY – June 7 th , 2018
Governance Meeting Consent Agenda Protocol June 2018 Consent Agenda Items 1. Pre-meeting: 1. Charge: Evaluation Committee a. Chair places items that are believed to be 2. Charge: eCR Implementation non-controversial or routine Workgroup b. Items should be received with sufficient review time 3. Charter revisions: Digital Bridge 2. Start of meeting: Governance, ver. 2.3 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 FOR DISCUSSION USE ONLY – June 7 th , 2018
eCR Implementation Update Laura Conn (eCR Implementation Taskforce Co-Chair), Rob Brown (Digital Bridge PMO) FOR DISCUSSION USE ONLY – June 7 th , 2018
Digital Bridge Critical Path for Utah Site in Production DRAFT Apr 2018 May 2018 June 2018 July 2018 Execute Help Desk Support Agreement Execute Legal Agreements (Signed) IMH RCTC Standards Team eICR Review IMH eICR RR Development & Testing - APHL Potential Gap for DSI Funding Beyond 6/30 Set up Onboarding Environment - APHL Set up Production Environment - APHL IMH Onboarding - APHL UDOH Onboarding – CSTE/APHL End-to-End Testing – APHL/CSTE Utah Site Post-Production Support Go-Live APHL CSTE Confer Confer -ence -ence Digital Bridge & Digital Bridge Utah Site Utah Site Today 6/7 FOR DISCUSSION USE ONLY – June 7 th , 2018
Utah Site Progress • Intermountain • Utah Department of Health • UDOH has completed two RCKMS training/ • Intermountain has completed trigger code mapping but is unable to pull all the required onboarding sessions data for an eICR; as a result, hardcoding • AIMS connectivity has been established with ServiceDeliveryLocationRoleType with a generic additional tests occurring during end-to-end SNOMED code testing • NwHIN XDR connectivity has been established • Ready to begin end-to-end testing • There will be difficulty triggering off lab orders due to the limited ability to map local codes; ✔ analysis forthcoming • Intermountain has submitted edits on the draft pilot participation and business associate agreements
Digital Bridge eCR Implementation Timeline - 2018 DRAFT Jan 2018 Feb 2018 Mar 2018 Apr 2018 May 2018 June 2018 July 2018 Aug 2018 Sept 2018 Oct 2018 Nov 2018 Dec 2018 RR Production Onboarding AIMS & Potential funding gap for DSI beginning July 1, 2018. Earliest potential new federal Development & Environment Environment RCKMS funding for RCKMS is October 1, 2018. Assumption of full funding for APHL during this Testing Milestones time. Complete Utah Site Utah Site Connectivity/Onboarding/Testing Production Michigan Site Michigan Site Connectivity/Onboarding/Testing Production California Site California Site Connectivity/Onboarding/Testing Production Kansas Site Cerner corporate eICR Kansas Site Connectivity/Onboarding/Testing product complete Production New York New York City Site City Site Connectivity/Onboarding/Testing Production Today 6/7 FOR DISCUSSION USE ONLY – June 7 th , 2018
Digital Bridge eCR Implementation Timeline - 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 Potential funding gap for DSI beginning July 1, 2018. Earliest potential new federal funding for RCKMS is October 1, 2018. Assumption of full funding for APHL during this time. Massachusetts Site Massachusetts Site Connectivity/Onboarding/Testing Production New York State Site New York State Site Connectivity/Onboarding/Testing Production Timeline to be Determined: Potential Interested Implementation Sites: Houston • Delaware • Illinois • Iowa • Kentucky • Maryland • Minnesota • North Carolina • North Dakota • Pennsylvania • Tennessee • Wisconsin •
Key Site Considerations • Utah • Kansas • Intermountain has completed trigger code mapping but • Lawrence Memorial Hospital is planning to wait for is unable to pull all the required data for an eICR; as a Cerner corporate eICR product (August 2018). result, hardcoding ServiceDeliveryLocationRoleType with • New York City a generic SNOMED code • Public health is completing Rhapsody • There will be difficulty triggering off lab orders due to the implementation; expects to be ready for a December limited ability to map local codes; analysis forthcoming. 2018 implementation. • Public health is ready to begin onboarding and testing. • Analysis on potential HIE approach with Bronx RHIO. • Intermountain has submitted edits on the draft pilot • IFH provider timeline is uncertain. participation and business associate agreements. • Massachusetts • Michigan • Considering partners to participate in early 2019, • Local health department selection still in progress for pending project approval. implementation of NetSmart’s MyInsight vendor • New York State software; • Public health is waiting on NYC to complete • MiHIN has submitted edits on the draft pilot development for reuse. participation and business associate agreements. • Upstate provider may benefit from waiting (second • California half of 2018 or 2019). • Public health completing Rhapsody implementation and • Houston expect to be ready by August/September. • Timeline pending. FOR DISCUSSION USE ONLY – June 7 th , 2018
Digital Bridge Dependencies Legal/Process Development • Funding beyond July 2018 • Onboarding environment - • Potential funding gap for DSI Complete beginning July 1, 2018 (i.e., funding is uncertain for AIMS and RCKMS). • Production environment - Earliest potential new federal funding Complete for RCKMS is October 1, 2018. • Signed legal agreements for DSI and sites • Reportability Response (RR) • Agreements for DSI post-production help Development – mid-June 2018 desk • APHL Annual Conference: June 2 – June 5 • CSTE Annual Conference: June 10 – June 15 FOR DISCUSSION USE ONLY – June 7 th , 2018
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