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Pre-Discovery: Complete Call for Participation Discovery (Phase I): In Progress Finalize Project Charter Construct Use Cases & Functional Requirements Analyze Standards Gaps Engage Appropriate SDOs Implementation (Phase II): Summer / Fall 2012 Create Harmonized Specifications Conduct Technology Evaluations Generate Reference Implementations Design Pilot Plan Pilot (Phase III): Winter / Spring 2013 Create Pilot Technology Validate / Revise Specifications and Implementations Evaluation (Phase IV): Spring 2013 Assess Outcomes Present Final Recommendations

Image ModifiedHeD_Timeline_ProjChart_Final.gif

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Expected Deliverables

Updated version of the deliverables and timeline can be found on the Health eDecisions Homepage

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• Risk 1: Including implementation of clinical/treatment guidelines may increase scope.
  • Mitigation/Response: Identify and manage scope by aligning to Meaningful Use Stage 3 target timelines.
• Risk 2: Insufficient “end-user” input (e.g. physicians, clinicians, technology vendors).
  • Mitigation/Response: Evaluate role and type of initiative participants; invite additional participants early in the initiative process to balance representation.
• Risk 3: Data reconciliation process may be negatively impacted due to a lack of value sets and terminology standards.
  • Mitigation/Response: Keep abreast and adopt developments and alignment strategies from the HIT Standards Committee and from the HIT Policy Committee. Such information may be part of an implementation guide.
• Risk 4: Services integration may be negatively impacted due to a lack of standards.
  • Mitigation/Response: Identify gaps and partner with appropriate organizations to close them.
• Risk 5: EHR vendors may resist opening their architectures to services integration.
  • Mitigation/Response: Identify and communicate the benefits early in the process; ensure EHR vendors are represented in the initiative participants (see Risk 2). As this initiative matures with deliverables, incorporation into MU3 would likely be an incentive for vendors to come aboard.
• Risk 6: Standards and solutions may not scale to small vendors and small practices.
  • Mitigation/Response: Ensure that proposed standards and solutions are modular/scalable.
• Risk 7: Proposed project timeline does not reflect actual deadlines in relevant SDO Balloting.
  • Mitigation/Response: Identify support to help mitigate this issue including inviting SDO members to participate in our work group and working with SDOs on out-of-cycle balloting. Change expectations in the HeD timeline. Begin working with the SDOs ASAP.
• Risk 8: Proposed project timeline is significantly faster than what has traditionally been possible through participant effort alone.
  • Mitigation/Response: Monitor and communicate timeline, deliverables and progress frequently to all stakeholders; identify and request increased or reallocated resources (as needed).

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Initiative Contacts