Digital Bridge Governance Principles Transparency: Stakeholders - - 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

Governance Body Meeting

Thursday, May 2nd 2019 12:00 P.M.– 1:00 P.M. ET This meeting will be recorded for note-taking purposes only

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Meeting Agenda

Time Agenda Item 12:00 PM Call to order – John Lumpkin 12:03 PM Agenda review and approval – John Lumpkin 12:05 PM Consent agenda – John Lumpkin 12:10 PM Risk log

• eCR implementation progress – Laura Conn
• Transition management – Jim Jellison

12:25 PM Action

• ONC NPRM Commentary

12:35 PM Discussions – John Lumpkin

• Strategic connections and synergies with similar efforts

12:55 PM Announcements – Charlie Ishikawa 1:00 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

• ONC NPRM Commentary

For Discussion

• Strategic connections and synergies with similar

efforts

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Consent Agenda | May 2019

John Lumpkin (Chair)

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

May 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

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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

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 – 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

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For discussion only: April 4, 2019

Jim Jellison (Digital Bridge PMO)

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

• versees 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

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, eHealth Exchange, etc) DWT/APHL On-going 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 TBD Communication & outreach for PHA readiness & provider onboarding CSTE/APHL Scale Up Summer- 19 TB D Open registration with APHL for provider on-boarding APHL Pending 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

Transition Management Timeline

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
• n 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 Integration Program Fast Healthcare Interoperability Resources (FHIR) ESP MENDS Healthcare Service Platform Consortium MDPHnet PULSE Sentinel Initiative

What stands out as important or highly relevant to the vision?

• The need to identify a focus area and then focus on pursue collaborations/liaisons to

support that focus

• MENDS
• Connections between clinical, EMS, and public health response systems during disasters
• What is important
• A national solution that uses data standards
• Perfecting the information exchange from EHR to public health
• Identification of a platform that allows the public and private partnership to facilitate

information exchange

Suggested Action items for Digital Bridge

• Suggested areas of next strategic focus after eCR
• Enter the distributed network space
• Continue working with transactional near real time work, like eCR
• Work towards full national implementation of eCR (for all reportable conditions) post-haste.
• Develop business requirements for a CDC platform to facilitate data exchange from EHRs to

public health

• Review if MENDS initiative on chronic disease reporting and surveillance can be the next use

case for Digital Bridge

Announcements

Charlie Ishikawa

UPCOMMING MEETINGS In-person Meeting: Will be scheduled for Fall 2019 Virtual Meetings: Two during the summer, look for rescheduling Action Items

• TBD

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