Digital Bridge Governance Principles Transparency: Stakeholders will - - PowerPoint PPT Presentation

• Transparency: Stakeholders will have

visibility into the governance body’s work and opportunities to provide input.

• Respect for Process: Governance body

members will adhere to an agreed upon decision-making process. Members will

• bserve delineated and agreed upon roles

and responsibilities.

• Outreach: The governance body can solicit
• pinions and presentations from

stakeholders to inform its decision-making.

• Utility: The governance body will prioritize

use of existing information technology standards and infrastructure as it pursues shared and realistic goals that benefit all parties.

• Representativeness: Governance body

members will represent their broader field and be responsive to the goals of the Digital Bridge partnership.

• Trust: Governance body members will

honor commitments made to the Digital Bridge effort.

Digital Bridge Governance Principles

FOR DISCUSSION USE ONLY – July 9, 2019

Governance Body Meeting

Tuesday, July 9th, 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 4:00 PM Call to order – John Lumpkin 4:03 PM Agenda review and approval – John Lumpkin 4:05 PM Consent agenda – John Lumpkin 4:10 PM Risk log

• eCR implementation progress – Rob Brown, Kirsten Hagemann
• Transition management – Jim Jellison

4:20 PM Sponsorship news – Bill Mac Kenzie 4:25 PM Action

• Transition workgroup charge – Bob Harmon, Michael Iademarco

4:30 PM Discussions – John Lumpkin

• Strategic issues

4:55 PM Announcements – Charlie Ishikawa 5:00 PM Adjournment – John Lumpkin

Purpose:

The purpose of this meeting is to work toward a common vision for exchanging actionable information between health care and public health.

Consent Agenda

• Workgroup updates

Risk Log

• Implementation progress update
• Transition management

For Action

• Transition workgroup charge amendment

For Discussion

• Strategic connections and synergies with similar

efforts

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

1. Pre-meeting:

a. Chair places items that are believed to be non-controversial or routine b. Items should be received with sufficient review time

2. Start of meeting:

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 the governance body c. Any item removed will be discussed during the meeting

July 2019 Consent Agenda Items

1. Workgroup updates a. eCR Implementation Workgroup b. Evaluation Committee c. Pilot Participation Workgroup d. Transition Workgroup e. Legal, Policy and Regulatory Workgroup (Thank you)

6 FOR DISCUSSION USE ONLY – July 9, 2019

7

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.

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

9

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

FOR DISCUSSION USE ONLY – July 9, 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

Digital Bridge eCR Implementation Timeline Estimate- 2019 DRAFT

New York State - PHA Production New York State Connectivity/Onboarding/Testing Potential Interested Implementation Sites:

• Allscripts
• Delaware
• Health & Hospitals
• Illinois
• Iowa
• Kentucky
• Maryland
• MDLand
• Minnesota
• North Carolina
• North Dakota
• Ohio
• Pennsylvania
• South Dakota
• Tennessee
• Wisconsin

Anticipate discussion of how eCR onboarding will be opened up as part of eCR transition

New York City Site Production Kansas Site Production New York City Site Connectivity/Onboarding/Testing Kansas Site Connectivity/Onboarding/Testing California Site Production Michigan Site Production California Site Connectivity/Onboarding/Testing Michigan Site Connectivity/Onboarding/Testing Note: Massachusetts site currently searching for provider to participate Houston in production – 11/14/18 Utah in production 12/20/18

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

12

Jim Jellison (Digital Bridge PMO)

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

• perations;

b) Governance Body (including Transition Workgroup) will take up strategic issues beyond eCR (e.g., operational model, charter revisions, potential relationships with

• ther 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

Workgroup Status Next Steps eCR Implementation Initial eCR demonstrations are continuing (see slides below). PMO is transitioning eCR support to CDC & Decision Support Intermediary for eCR scale up. Updated onboarding guidance and new eCR website coming soon. Evaluation Committee Finishing evaluation of initial eCR

• demonstrations. Findings to be reported at Aug

Governance Body call. Committee will sunset Aug 2019 and be instantiated when there are plans and funding 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 policies. Will reconvene when charged by Governance Body. Pilot Participation Current pilot participation agreement is phasing out by Aug 2019; will be replaced with new agreement options supporting eCR. New agreement options enabling eCR scale-up are in development. Current workgroup will sunset as eCR implementers move to one of two new agreement options.

Status of Workgroups

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

Transition Workgroup Charge

Charged Objectives (9/2018)

Objective Description Deliverables

Recommendation for eCR Demonstration Transition A brief report (5 - 10 pages max, not including attachments) that recommends what the Digital Bridge should do to further nationwide eCR adoption and to assure eCR sustainability. 1. Preliminary report by 11/1/2018 2. Final report for governance body endorsement by 1/2019 Recommendation for next use case A brief report (3 - 5 pages max, not including attachments) that recommends what the Digital Bridge initiatives should do to further bi-directional exchange in the health IT ecosystem. 3. Preliminary report by 1/11/2018 4. Final report for governance body endorsement by 1/24/2019 Recommended

• rganization

A description of the most effective and efficient way to structure and support the Digital Bridge partnership for member priorities and interests (per decisions made about eCR and the next use case) in 2019 - 2020 and longer term recommendations for 2021-2024. 5. Preliminary by 3/7/2019 6. Final by 5/2/2019

Proposed Amendment (7/2019)

Objective Description Deliverables

Recommendation for eCR Demonstration Transition A brief report (5 - 10 pages max, not including attachments) that recommends what the Digital Bridge should do to further nationwide eCR adoption and to assure eCR sustainability. 1. Preliminary report by 11/1/2018 2. Final report for governance body endorsement by 1/2019 Recommendation for next use case An initial framework to assess existing and potential initiatives that utilize EHR data for public health purposes. This framework will be used to determine if each initiative improves bi-directional exchange, reduces provider burden or improves population and public health. This assessment will be utilized to identify options or next steps to promote cross-sector projects, leverage standards to promote bi-directional information exchange, and move towards common approaches to EHR projects, while building and strengthening partnerships. 3. Preliminary framework and listing of initiatives for the assessment report by 9/30/2019 4. Presentation and discussion of select initiatives during the next in-person governance body meeting (tentative, Fall 2019)

[Move organizational work into a revision of the Digital Bridge Governing Charter, and have small subgroup recommend the revisions to governance body.]

FOR DISCUSSION USE ONLY – July 9, 2019

Assessment Framework (draft/under development)

Attributes Examples

1. Purpose of the system, project, or program 2. Type of data collection 3. Data architecture 4. IT architecture 5. Sharing framework 6. Jurisdictional scope 7. Ownership 8. Completeness 9. Bi-directionality

• 10. Interoperability
• 11. Feasibility of scaling

with DB support

• 12. Cost and effort
• 13. Financing
• 14. Relative importance to

public health

• 15. Legal and regulatory
• 16. Date of inception,

history a. Electronic Case Reporting by Digital Bridge b. MENDS by CDC Chronic c. Syndromic surveillance by CDC CSELS d. Electronic laboratory reporting by CDC NCEZID e. M-CODE by MITRE and NI/NIH f. IZ information systems g. Autism database h. Electronic Test Order Result by APHL i. Nat’l health care safety network j. CDC DDPHSS PCOR k. NC Care 360 l. Falls Registry m. Opioid overdose reporting system n. AK Center for Health Improvement

• .

(get real name) NHIS by CDC NCHS

FOR DISCUSSION USE ONLY – July 9, 2019

Discussion: Strategic Issues

John Lumpkin (Governance Body Chair)

FOR DISCUSSION USE ONLY – July 9, 2019

Announcements

Charlie Ishikawa

FOR DISCUSSION USE ONLY – July 9, 2019

UPCOMMING MEETINGS Virtual Meeting: Friday, August 9th, 2019 @ 1:00 – 2:00 PM ET Action Items

• SurveyMonkey

21 FOR DISCUSSION USE ONLY – July 9, 2019