Governance Body Meeting Thursday, January 10, 2019 12:00 P.M. 1:00 - - PowerPoint PPT Presentation
Governance Body Meeting Thursday, January 10, 2019 12:00 P.M. 1:00 P.M. ET This meeting will be recorded for note-taking purposes only FOR DISCUSSION USE ONLY January 10 th , 2019 UPDATE PENDING FOR DISCUSSION USE ONLY January 10 th
Thursday, January 10, 2019 12:00 P.M.– 1:00 P.M. ET This meeting will be recorded for note-taking purposes only
FOR DISCUSSION USE ONLY – January 10th, 2019
FOR DISCUSSION USE ONLY – January 10th, 2019
UPDATE PENDING
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
12:30 PM Action – John Lumpkin
12:35 PM Discussions – Bob Harmon and Michael Iademarco
12:50 PM In-person meeting expectations and preparation – Charlie Ishikawa 12:57 PM Announcements – Jelisa Lowe and 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
Risk Log
For Action
For Discussion
FOR DISCUSSION USE ONLY – January 10th, 2019
FOR DISCUSSION USE ONLY – January 10th, 2019
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
1. Workgroup updates: a. eCR Implementation Workgroup b. Evaluation Committee
c. Pilot Participation Workgroup d. Transition Workgroup
FOR DISCUSSION USE ONLY – January 10th, 2019
FOR DISCUSSION USE ONLY – January 10th, 2019
Methodist for all eICRs
diagnosis trigger codes are being triggered out of problem list
provided support for mapping local codes to LOINC codes
to Intermountain have been resolved
between 12/26/2018 – 1/4/2019
resource intensive than originally anticipated
minimize duplicate eICRs is being revisited
been up and down preventing from testing and creation
FOR DISCUSSION USE ONLY – January 10th, 2019
Implementation WG:
Jan 2019 Feb 2019 Mar 2019 Apr 2019 May 2019 June 2019 July 2019 Aug 2019 Sept 2019 Oct 2019 Nov 2019 Dec 2019
New York State Site Production New York State Site Connectivity/Onboarding/Testing Potential Interested Implementation Sites:
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
FOR DISCUSSION USE ONLY – January 10th , 2019 Today
FOR DISCUSSION USE ONLY – January 10th, 2019
Digital Bridge Workgroup Charge
Legal Workgroup
FOR GOVERNANCE BODY REVIEW AND APPROVAL Tuesday, January 8, 2019Charge Advise, identify and define the best available legal frameworks to achieve national scale-up for eCR and recommending alternative technical approaches to make eCR more feasible from legal and regulatory perspectives. Where indicated by the Digital Bridge governance body, the Legal Workgroup may also advise on data exchange related to other use cases. Objectives
governance body, for public
Office of Civil Rights’ Request for Information on Modifying HIPAA Rules to Improve Coordinated Care) that may impact data exchange between the healthcare and public health sectors.
to support national eCR scale-up and steady states, taking into consideration legal and policy requirements of public health agencies.
Agreement (TEFCA) and other trust networks may be leveraged to support national eCR scale-up and steady states.
FOR DISCUSSION USE ONLY – January 10th, 2019
Leadership: Walter Suarez, Kaiser-Permanente
FOR DISCUSSION USE ONLY – January 10th, 2019
Question charged to answer
what will Digital Bridge do for general eCR adoption and to assure eCR sustainability?” Purpose
governance body and receive feedback to finalize recommendations for endorsement and implementation. Governance Action Schedule
person meeting)
Organization Name Designation Representing RWJF John Lumpkin – primary Hilary Heishman – alternate Member Sponsor CDC Michael Iademarco - Co-chair Bill Mac Kenzie – primary Laura Conn – alternate Member Sponsor Cerner/Epic Bob Harmon – Co-chair James Doyle – alternate Member Vendors Kaiser Permanente HealthPartners Walter Suarez – primary Richard Paskach–alternate Member Healthcare delivery ASTHO Mary Ann Cooney – primary Mylynn Tufte – alternate Member Public health APHL Scott Becker – primary Patina Zarcone – alternate Member eCR operators and public health CSTE Kathy Tuner – primary Jeff Engel – alternate Meredith Lichtenstein – tertiary Member eCR operator and public health PHII/Deloitte (PMO) Vivian Singletary – primary Andy Wiesenthal – alternate John Stinn–alternate Observer PMO FOR DISCUSSION USE ONLY – January 10th, 2019
By October 2019, Digital Bridge should transition its eCR demonstration work to supporting efforts led by U.S. Centers for Disease Control and Prevention to scale up the eCR approach for general adoption, working with partners. For this goal, our recommendations are intended to advance two strategic objectives: (1) increase the implementation and use of eCR nationwide, and (2) set an initial technical framework for further bidirectional information exchange beyond notifiable conditions
System Layer Recommendation Use Case During scale-up, the focus will be to fully support electronic reporting of all Nationally Notifiable Conditions. Architecture A legal approach for DSI services other than a business associate framework with healthcare is desirable. Operations An enhancement to the current approach for RCTC distribution will be crucial for the scale-up phase. Enablers The Digital Bridge partnership that includes all three stakeholder sectors to govern eCR must continue through the scale-up phase
Area Recommendation Legal Conversations with trust networks should proceed with haste to assess the feasibility and the extent to which such partnerships would ease legal barriers. Opening-up On- boarding No later than mid-February 2019, a responsive strategy-based communications process must be put in place to satisfy sites with interest in being early eCR adopters. eCR Governance and eCR PMO activities Digital Bridge must prepare to transfer eCR PMO activities to other partners Advocacy For able organizations, we strongly urge them to join a CSTE and APHL initiative to educate partners for Congressional and state appropriations that will fund eCR scale-up
that must be planned, organized and carried
body
FOR DISCUSSION USE ONLY – January 10th, 2019
FOR DISCUSSION USE ONLY – January 10th, 2019
1. Identify and document lessons learned from the eCR pilot sites 2. Determine what the Digital Bridge will do to further promote eCR adoption post-pilot work 3. Determine what sponsors and stakeholder groups to engage for the next Digital Bridge use case 4. Identify issues to consider in redesigning governance given transitional eCR and use case decisions
FOR DISCUSSION USE ONLY – January 10th, 2019
TIME AGENDA TOPIC 8:30 AM Breakfast 9:00 AM Meeting start 9:15 AM Welcome and meeting overview 9:30 AM Digital Bridge eCR Pilot implementations
During this session, the governance body will review implementation progress and identify barriers and facilitators to implementation
12:30 PM Working lunch 1:30 PM BREAK (30 MINUTES) 2:00 PM Applying lessons learned from pilots
During this session, the governance body will identify lessons learned and determine how to ensure completion of pilot work
4:00 PM Digital Bridge eCR transition
During this session, the governance body will have an opportunity to approve transition workgroup recommendations for post-pilot work
5:00 PM Day 1 wrap-up, and preview Day 2 5:30 PM End Meeting Day 1 6:15 PM DINNER RECEPTION| Location: TBD
TIME AGENDA TOPIC 9:00 AM Breakfast 9:30 AM Reconvene 9:45 AM Use case transition discussion
During this session, the governance body will discuss and provide feedback on the transition workgroup's recommendations for future use cases
12:00 PM LUNCH 1:00 PM Organizational discussion
During this session, the governance body will provide input for the transition workgroup's work to recommend an organizational structure that supports the transition decisions for eCR and use case
2:00 PM Summary and next steps 2:30 PM Closing remarks 3:00 PM Meeting concludes
1. Your expectations? 2. Use case prioritization criteria?
1. share lessons learned from the initial use case, and 2. what your organization will do for scale-up
FOR DISCUSSION USE ONLY – January 10th, 2019
FOR DISCUSSION USE ONLY – January 10th, 2019