Governance Body In-Person Meeting Thursday, January 19, 2017 Task Force for Global Health Phone: 1-866-516-9291
Part III: Workshop for the Future
Seat of your choice Governance Body Reps and ex officios
Reconvene, agenda, and reflections Charlie Ishikawa
Digital Bridge Governance Body In-person Meeting Purpose The purpose of this meeting is to complete and approve products for Digital Bridge eCR implementation and strengthen the Digital Bridge partnership by framing sustainability issues and plans and prioritizing bidirectional use cases for Digital Bridge work. Objectives By the end of the meeting, the Digital Bridge governance body will have: 1. Concluded work on eCR Digital Bridge Phase 2 objectives with approval on all products critical to eCR implementation (project Phase 3), specifically: A.eCR technical architecture and requirements B.Legal and regulatory guidance C.Implementation site schema and evaluation plans 2. Identified, documented and discussed critical sustainability issues for eCR infrastructure and Digital Bridge governance 3. Described and validated a path to determining the future Digital Bridge focus for bidirectional health or public health data exchange 4. Documented and affirmed next steps and governance body commitments to advancing the Digital Bridge initiative
TODAY - Digital Bridge Governance Body In-person Meeting Purpose The purpose of this meeting is to complete and approve products for Digital Bridge eCR implementation and strengthen the Digital Bridge partnership by framing sustainability issues and plans and prioritizing bidirectional use cases for Digital Bridge work. Objectives By the end of the meeting, the Digital Bridge governance body will have: 1. Concluded work on eCR Digital Bridge Phase 2 objectives with approval on all products critical to eCR implementation (project Phase 3), specifically: A.eCR technical architecture and requirements B.Legal and regulatory guidance C.Implementation site schema and evaluation plans 2. Identified, documented and discussed critical sustainability issues for eCR infrastructure and Digital Bridge governance 3. Described and validated a path to determining the future Digital Bridge focus for bidirectional health or public health data exchange 4. Documented and affirmed next steps and governance body commitments to advancing the Digital Bridge initiative
Meeting Schedule—Thursday, January 19 08:00 AM – Breakfast 08:30 – Reconvene 09:00 – Sustainability discussions: Session A – Nationwide eCR sustainability 10:30 – Break (20 minutes) 10:50 – Sustainability discussions: Session B – Digital Bridge sustainability 12:00 PM – Lunch Break (30 minutes) 12:30 – Digital Bridge future focus for bi-directional exchange 01:50 – Meeting wrap-up and closing remarks 02:30 – Meeting concludes
Reflections/Thoughts Given today’s agenda, what do you want or believe we need to discuss today?
Sustainability WG Update January 19, 2017
Session A: Nationwide eCR Sustainability
What is a Business Model Canvas? • A strategic tool used to describe, design, and challenge business thinking around a particular topic • Exercise focuses on the following topics: • Partners • Activities • Resources • Value Proposition • Customer Relationships • Customer Segments • Communication Channels • Cost Structure • Revenue Streams
eCR Business Model Components What factors needs to be considered when choosing the appropriate business model for eCR Sustainability? Partners Resources • Digital Bridge PMO • 90/10 Medicaid Match • Public Health Agencies AIMS, RCKMS, CSTE) • Integration Platform (i.e. • Epidemiology and • Surveillance Coordinators • Digital Bridge PMO AIMS/RCKMS) Laboratory Capacity (ELC) • Labs • Funder • Data Standards Grants • HIT Vendors • Elected Officials • Funding • Capacity Building • HIEs • Patients & the Public • Non-Profit Associations Assistance • Providers • Non-Profit Organizations • Legal Agreements & Trust • Federally Funded • Standards Stewards (i.e. (i.e. ASTHO, NACCHO, Networks Cooperative Agreements CDC, HL7, National Library, Network for Public Health What are the • Skilled Workforce • Internet Connectivity etc.) Law, etc.) key • Federal Regulations & Requirements • Trust Networks components Policy • Communication & • Integration Provider (i.e. • Community Benefit Marketing of eCR Sustainability? Activities Customers • Providers • Funding • Technical Assistance & • Public Health • Data Provision, Receipt, & Onboarding • Vendors Quality • Training, Technology, & • The Public • Trust & Legal Agreements Adoption • Patients • Program Management • Systems Hosting • Funders Support (i.e. risk • Systems Maintenance, • Elected Officials management, knowledge Enhancement, management, change Development management) • Data Security • Integration • Surveillance Science • Standards management • Regulatory & Policy
Customer Interaction What do we anticipate will be the level of interaction between eCR actors and their respective customers? Health Integration Care Vendor Provider Provider Public The Public HIE Health
Value Proposition How is eCR delivering value to its primary customers? Providers Vendors Public Health Funders • Clear and consistent public • Data consistency • Advances their mission • Quality, timeliness, and health reporting requirements completeness of data • Better forecast and planning across the nation for software development • Detect public health threats with • Better clinical decision support great sensitivity and PPV • Better customer service to meet legal obligations • Trace, characterize, and protect • Increase care quality contracts and vulnerable populations with greater • Better awareness of emerging effectiveness threats • Manage and investigate cases and • Reduce reporting burden outbreaks with greater speed and timeliness
Exercise 1 Objective: Validate draft value eCR propositions from Sustaianbilty WG 1. Small group 1. Write name of sector 2. Select recorder 3. Review value propositions for developed by SWG 4. Discuss, refine, add on large sheet 2. Report out 1. Take turns 2. Discuss and refine as large group
Session B: Digital Bridge Sustainability
Governance Body Members Governance Body Interim Governance Chair – J. Lumpkin (H. Heishman) Public Health Vendor Care Delivery Networks APHL – S. Becker (S. Hinrichs) Allscripts – G. Caplea (J. Brule) HealthPartners – R. Paskach (C. Boehm) ASTHO – M.A. Cooney (L. Wolk, S. Moffatt) Cerner – B. Harmon (K. Hagemann) Kaiser Permanente – W. Suarez (K. Isbell) CDC – B. Mac Kenzie (M. Iademarco, B. Edlin) eClinical Works - T. Malhotra (J. Vaithiling) Partners Healthcare – A. Karson (Vacant) CSTE – K. Turner (M. Lichtenstein, J. Engel) Epic – J. Doyle (C. Alban) UNMC – M. Rupp (Vacant) NACCHO – O. Alleyne (A. Davidson, J. Gibson, L. McKeown) Meditech – J. Wall (Vacant) Program Management Ex Officio Members Project Director – Co-Principal Investigators – Project Manager – J. Jellison V. Singletary, A Wiesenthal T. Miller Communications ONC Rep – J. Daniel Analyst – N. Viator Director – J. Cook (D. Chaput) Technical Strategy Communications CDC – C. Richards Specialist – J. Lowe SME – J. Stinn Technical Project Analyst – B. Stratton Manager – B. Chang Proposed Content - 9/8/2016 3
Confusion Convergence Continuous Phases of eCR By: Dr. John Lumpkin January 19, 2017 ~ 9:40 AM, @PHII
Working Lunch Lunch will be provided by PHII at the Task Force
Exercise 2 Objective: Capture perspectives on value propositions for Digital Bridge as a partnership. 1. Small group a. Select recorder b. Record customer segment c. Brainstorm value propositions (option: related activities) d. Record on large sheet 2. Report out a. Take turns presenting b. Discuss and refine as large group
Next Steps • Update eCR Business Model Canvas with Governance Body input gather today, return to sustainability work group • Utilize feedback and comments from the Governance Board to inform draft business models canvas Digital Bridge sustainability • Continue Sustainability Workgroup efforts with new inputs from Governance Body, and devise specifications for the charged deliverables; i.e., ü Recommendations on site selection criteria for the eCR implementation phase of Digital Bridge and accompanying application process description • Preliminary sustainability plan for delivering electronic case reports that 1) outlines value propositions; 2) outline potential business models for the eCR infrastructure, and 3) describes additional sustainability analysis • Assumptions and issues for any sustainability requirements [eCR and Digital Bridge]
Digital Bridge Future Focus for Bidirectional Exchange David Friedman
Wrap-Up: Closing Remarks Dr. John Lumpkin, Vivian Singletary and Governance Body
Thank you!
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