Governance Body In-Person Meeting Thursday, January 19, 2017 Task - - PowerPoint PPT Presentation

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
• r 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?

Activities Partners Resources Customers

• Funding
• Data Provision, Receipt, &

Quality

• Trust & Legal Agreements
• Program Management

Support (i.e. risk management, knowledge management, change management)

• Integration
• Standards management
• Technical Assistance &

Onboarding

• Training, Technology, &

Adoption

• Systems Hosting
• Systems Maintenance,

Enhancement, Development

• Data Security
• Surveillance Science
• Regulatory & Policy
• Digital Bridge PMO
• Integration Platform (i.e.

AIMS/RCKMS)

• Data Standards
• Funding
• Non-Profit Associations
• Legal Agreements & Trust

Networks

• Skilled Workforce
• Federal Regulations &

Policy

• Community Benefit
• 90/10 Medicaid Match
• Epidemiology and

Laboratory Capacity (ELC) Grants

• Capacity Building

Assistance

• Federally Funded

Cooperative Agreements

• Internet Connectivity

Requirements

• Communication &

Marketing

• Public Health Agencies
• Surveillance Coordinators
• Labs
• HIT Vendors
• HIEs
• Providers
• Standards Stewards (i.e.

CDC, HL7, National Library, etc.)

• Trust Networks
• Integration Provider (i.e.

AIMS, RCKMS, CSTE)

• Digital Bridge PMO
• Funder
• Elected Officials
• Patients & the Public
• Non-Profit Organizations

(i.e. ASTHO, NACCHO, Network for Public Health Law, etc.)

What are the key components

• f eCR

Sustainability?

• Providers
• Public Health
• Vendors
• The Public
• Patients
• Funders
• Elected Officials

Customer Interaction

What do we anticipate will be the level of interaction between eCR actors and their respective customers?

Health Care Provider Vendor

Integration Provider

HIE Public Health The Public

Providers

• Clear and consistent public

health reporting requirements across the nation

• Better clinical decision support

to meet legal obligations

• Increase care quality
• Better awareness of emerging

threats

• Reduce reporting burden

Vendors

• Data consistency
• Better forecast and planning

for software development

• Better customer service

Public Health

• Quality, timeliness, and

completeness of data

• Detect public health threats with

great sensitivity and PPV

• Trace, characterize, and protect

contracts and vulnerable populations with greater effectiveness

• Manage and investigate cases and
• utbreaks with greater speed and

timeliness

Funders

• Advances their mission

Value Proposition

How is eCR delivering value to its primary customers?

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

Project Director –

• J. Jellison

Project Manager –

• T. Miller

Communications Director – J. Cook Communications Specialist – J. Lowe ONC Rep – J. Daniel (D. Chaput) Co-Principal Investigators –

• V. Singletary, A Wiesenthal

Program Management Ex Officio Members

Interim Governance Chair – J. Lumpkin (H. Heishman) Vendor

Allscripts – G. Caplea (J. Brule) Cerner – B. Harmon (K. Hagemann) eClinical Works - T. Malhotra (J. Vaithiling) Epic – J. Doyle (C. Alban) Meditech – J. Wall (Vacant)

Care Delivery Networks

HealthPartners – R. Paskach (C. Boehm) Kaiser Permanente – W. Suarez (K. Isbell) Partners Healthcare – A. Karson (Vacant) UNMC – M. Rupp (Vacant)

Public Health

APHL – S. Becker (S. Hinrichs) ASTHO – M.A. Cooney (L. Wolk, S. Moffatt) CDC – B. Mac Kenzie (M. Iademarco, B. Edlin) CSTE – K. Turner (M. Lichtenstein, J. Engel) NACCHO – O. Alleyne (A. Davidson, J. Gibson, L. McKeown)

CDC– C. Richards Analyst – N. Viator Analyst – B. Stratton Technical Strategy SME – J. Stinn Technical Project Manager – B. Chang

Proposed Content - 9/8/2016 3

Phases of eCR

Confusion Convergence Continuous

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

• 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.,

üRecommendations 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]

Next Steps

Digital Bridge Future Focus for Bidirectional Exchange

David Friedman

Wrap-Up: Closing Remarks

• Dr. John Lumpkin, Vivian Singletary and Governance Body

Thank you!