Governance Body Meeting Thursday, May 4 th , 2017 12:00 PM – 1:30 PM EDT SPECIAL NOTICE This meeting will be recorded for note taking purposes only FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Governance Principles Transparency: Stakeholders will have Utility: The Governance Body will visibility into the Governance Body’s prioritize use of existing information work and opportunities to provide input. technology standards and infrastructure as it pursues shared and realistic goals Respect for Process: Governance Body that benefit all parties. members will adhere to an agreed upon decision-making process. Members will Representativeness: Governance Body observe delineated and agreed upon members will represent their broader roles and responsibilities. field 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- honor commitments made to the Digital making. Bridge effort. FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Time Agenda Item Agenda 12:00 PM Call to Order – John Lumpkin Purpose 12:03 PM Agenda Review and Approval – John Lumpkin 1. Describe project phase 3 progress 12:05 PM Digital Bridge Initiative Progress (10 min) 2. Describe eCR implementation progress and 1. Project timeline – Jim Jellison discuss emerging risks and issues 2. Workgroup progress – Jeff Engel and Richard Paskach 3. Communications – Jessica Cook 3. Discuss project plans for legal and regulatory work and charge for legal 12:15 PM Digital Bridge eCR Implementation workgroup 1. Implementation update – Rob Brown 2. Task Force progress report – Rob Brown 4. Describe plans for Greenhouse Meeting 3. Emerging risks and issues with implementation – Benson Chang Discussion – John Lumpkin 4. Materials and Preparation 12:45 PM Phase 3 Legal and Regulatory Work and Workgroup Charge Governance body decision-making • 1. Plan for addressing Phase 3 legal and regulatory issues – Jim Jellison procedure 2. Presentation of Legal and Regulatory Workgroup Charge – Charlie • For approval: Ishikawa 3. Approvals of Workgroup Charges – John Lumpkin A. Charge: Legal and regulatory workgroup 1:15 PM May Greenhouse Meeting – Alana Cheeks-Lomax 1:25 PM Announcements – Charlie Ishikawa 1:25 PM Adjournment – John Lumpkin FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Digital Bridge Initiative Progress FOR MEETING DISCUSSION USE ONLY – May 4, 2017
eCR Project Timeline 2018 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 and beyond Evolve, Extend Information Governance Coordinate Workgroups (WGs) and Engage Stakeholders Exchange Capabilities Charter Communications Plan Identify New Use Cases Refine Charter Develop Project Plan Requirements WG Ongoing Curation of Functional Requirements Functional Bus. Process Matrix Task Flow Diagram & Requirements Statements Requirements Refined Technical Arch WG Implementation Task Force Document Lessons Narrative Description & Trigger Technical Arch Diagram Learned Sequence Diagram Sustainability WG Strategy Working Group Site Application/Criteria Defined Preliminary Sustainability Plan Measure Success Sustainability Plan Legal WG Legal and Regulatory Workgroup Assessment of eCR Implementation Model BAAs, DUAs Recommendations Evaluation Committee Evaluation Report Ongoing Submission eCR Implementations of ECRs Sites Selected Declare MU eCR Readiness Onboard eCRs MU ongoing production REV 3/6/17 FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Workgroup Progress Jeff Engel | Richard Paskach FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Update: Evaluation Committee Charge Roster The Digital Bridge evaluation committee is charged Role Name Role Name with overseeing, coordinating and advising Chair Alternates John Beltrami, CDC evaluations of the Digital Bridge eCR approach Jeff Engel, CSTE Primary (evaluation activities) to be implemented during Dan Chaput, ONC Michelle Meigs, APHL project phase 3 (March 2017 – February 2018). Christopher Alban, EPIC James Doyle, EPIC Donald Kauerauf, ASTHO Sherri Davidson, CSTE Observers Meredith Lichtenstein, CSTE Goldie MacDonald, CDC Deliverables Indu Ramachandran, Kaiser Permanente Joe Hartsell, Cerner • Evaluation plan Shan He, Cerner Janet Hui, CSTE • Evaluation tools Patina Zarcone, APHL Lilly Kan, NACCHO SME • Interim evaluation results Catherine States, University of Utah Kathy Turner, CSTE Meredith Lichtenstein, CSTE • Final evaluation report Joe Hartsell, Cerner Janet Hui, CSTE Lilly Kan, NACCHO Kathy Turner, CSTE FOR MEETING DISCUSSION USE ONLY – May 4, 2017
eCR Evaluation Planning Four sub-groups will divide the evaluation planning effort into the following areas: 1. Set-up and maintenance resources: Necessary implementation and maintenance costs and resources 2. Infrastructure and process: Overall technical infrastructure’s usability and efficacy 3. Surveillance metrics: Timeliness, completeness and accuracy of eCR compared to manual case reporting 4. Business case: Return on investment and business case for eCR FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Update: Strategy Workgroup Charge Roster The Digital Bridge strategy workgroup is charged with identifying and defining strategic goals and objectives for Digital Bridge, as well Role Name Role Name as devising and recommending strategies for long-term sustainability. Co-Chairs Mary Ann Cooney, ASTHO Alternates Geoff Caplea, Allscripts Richard Paskach, HealthPatners Deliverables Troy Willitt, APHL Primaries Richard Hornaday, Allscripts • Digital Bridge Roadmap Susan Mosier, ASTHO • Will showcase the “big picture” plan for Digital Bridge Patina Zarcone, APHL Jason Bonander, CDC moving beyond eCR to communicate strategy for achieving Charles Shepard, CDC Kirsten Hagemann, Cerner the partnership’s mission and vision. Bob Harmon, Cerner Meredith Lichtenstein, CSTE • Digital Bridge Sustainability Plan Kathy Turner, CSTE Christopher Alban, EPIC • Will address the Digital Bridge 2-5 year operating model, governance structure and funding model to form a basis for James Doyle, EPIC Art Davidson, NACCHO a formalized and more permanent partnership. Observers Julie Cox Kain, ASTHO Walter Suarez, Kaiser Permanente Oscar Alleyne, NACCHO Joe Hartsell, Cerner • eCR Sustainability Plan • Will address the future sustainability of eCR to inform public Mike Klompas, Partners Healthcare Shan He, Cerner and private decisions regarding policy, strategic planning, Vivian Singletary, PHII Jeff Engel, CSTE and infrastructure and technology investments. Eileen McLaughlin, MITRE Dawn Heisey Grove, MITRE Lilly Kan, NACCHO FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Update: Strategy Workgroup Co-Chairs • Mary Ann Cooney of ASTHO • Richard Paskach of HealthPartners Recent Activity • Charge approved at the last governance body meeting • Introductory call held this week • Membership was finalized last week. Primary membership consists of three vendors, three providers and five public health representatives • Work done during the Greenhouse on May 24-25 will act as inputs to the strategy workgroup going forward FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Strategy Workgroup Membership Workgroup Co-Chairs: Mary Ann Cooney (ASTHO) & Richard Paskach (HealthPartners) Vendors Public Health CSTE Allscripts APHL • Kathy Turner (Primary) • Richard Hornaday (Primary) • Patina Zarcone (Primary) • Meredith Lichtenstein • Geoff Caplea (Alternate) • Troy Willit (Alternate) (Alternate) Cerner ASTHO • Jeff Engel (Observer) • Bob Harmon (Primary) • Mary Ann Cooney (Co- NACCHO Kirsten Hagemann (Alternate) • Chair) • Oscar Alleyne (Primary) Epic • Bryant Karras (Alternate) • Art Davidson (Alternate) • James Doyle (Primary) • Susan Mosier (Alternate) • Lilly Kan (Observer) • Christopher Alban (Alternate) • Julie Cox Kain (Observer) CDC • Charles Shepard (Primary) • Jason Bonander (Alternate) Other Care Delivery Networks Public Health Informatics Institute HealthPartners Vivian Singletary (Primary) Richard Paskach (Co-Chair) • • Kaiser Permanente • Walter Suarez (Primary) Partners Healthcare • Michael Klompas (Primary) Project Management Office FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Digital Bridge Communications Jessica Cook FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Upcoming Events • Medical Informatics World, May 22-23, Boston • Practical Playbook National Meeting, May 31-June 2, Washington DC • CSTE Annual Conference, June 4-8, Boise • NACCHO Annual Conference, July 11-13, Pittsburgh • Updated fact sheet, talking points and presentation slides are in BaseCamp . Contact Jessica Cook (jcook@phii.org) if you have questions. FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Digital Bridge eCR Implementation Rob Brown | Benson Chang FOR MEETING DISCUSSION USE ONLY – May 4, 2017
Session Objectives 1. Describe and discuss eCR implementation taskforce activities and membership 2. eCR implementation taskforce: issues and risks FOR MEETING DISCUSSION USE ONLY – May 4, 2017
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