Tribal Self-Governance Advisory Committee CIO Update

1. Tribal Self-Governance Advisory CommitteeCIO Update CAPT Mark Rives, DSc, CHCIO, Chief Information Officer Indian Health Service March 2018

2. Update on HIT Modernization RFI • RFI • Opened around Christmas • Set to close at the first of February but, after questions from potential respondents, we left it open until February. • Goal: “Augment, Modernize, or replace” • Received over 40 responses • All the big names responded • Current IHS Contractors • Tribal business organizations • Working with IHS Acquisitions • Holidays and other schedule priorities have slowed the review but it’s on going. • Responses are very dissimilar but can be grouped into four buckets

3. RFI Response Groupings • Responses • Traditional “big box” EHR platforms (16) • New platform, rip & replace the old one • Those responses have components that are a challenge to crosswalk and align • Variations (Product, Services, Support) • Platforms • Capabilities • Outpatient only, Inpatient and Outpatient, etc. • Modules • E.g. in-house pharmacy, lab, optometry, ED, etc. • Support Services • Implementation • Support • Modernize RPMS (2) • Including commercial versions of RPMS • Bolt-On reporting & Integration solutions (18) • Scoping and requirements development proposals (6) • Plus two others

4. RFI evaluation and Next Steps • RFI could’ve been more general • Tended to ask questions very specific to the issues we are facing • Some of it would’ve been better to ask in a second request but still go info • Responses can be too obscure (e.g. HealthMe) • Open question to respondents, • “What information would have made it easier to respond?” • “What information will make an RFP clearer for response?” • Next Step • Refinement of “inventory” of locations, services (including speciality), staffing, patient visits, etc. • Refinement of questions for respondents • Conduct “Vendor Day” • Include a subset of vendors for presentation • Conduct Crosswalk

5. Other ongoing efforts • Continuing close conversations with VA • Contract Award still pending • Continuing conversations with DoD/MHS • Increased engagement with HHS ASFR and CTO

6. Notional Timeline

7. Phase 1 • Engagement of stakeholders • Acquisition workgroup created • Market Survey • Requirements Development • Organizational Goals • Identify Key success factors • Use Case Development • Exploration of Alternatives • RFI • Infrastructure readiness • Identification and evaluation • Organizational change readiness • Identification and evaluation • Organizational workforce analysis • Identification and evaluation

8. Phase 2 • Stakeholder engagement • Vendor Selection(s) • Acquisition(s) • RFP • Capability Gap Analysis • RPMS System development • Acquisition workgroup sunsets • RPMS Data interoperability prep • Data sharing agreements • Security & Privacy approvals • Support staff needs identified and begin fill • Governance structure • Standardization of processes, nomenclature, workflows • Workgroup established • Infrastructure • Purchase and Implementation • Organizational Staffing change • NDW Prep • External Reporting Prep • User and staff training

9. Phases 3-7 • Budget support arrives / Acquisition occurs • Stakeholder engagement • Implementation workgroup created • User and staff training • Rolling implementation of new systems • Implement Data Query capabilities • New system access to legacy RPMS data • Rolling upgrades for infrastructure • RPMS support continues • Monitor new system and evaluate against agency goals and key success factors • RPMS and NDW evolution activities

10. Strategic Initiatives • IHS IT Strategic Plan revision and update – On-going • Previous was the OIT Strategic Plan • Alignment with Quality Initiatives • Alignment with IHS Strategic Plan, HHS Strategic Plan, and HHS IT Strategic plan • Federal IT Acquisitions Reform Act (FITARA) • Significant change for Areas

11. Additional initiatives • Planview implementation • Ongoing support for RPMS • Qlik Implementation • Integrated Data Collection System (IDCS) • EPCS • ECQM • New Medicare Card • Credentialing System implementation • Service Catalog Implementation • Enterprise-wide purchasing • IT Service Management (ITSM) • ITAC replacement • Data Center Optimization Initiative • Continuous Diagnostics and Mitigation (CDM) • Bandwidth Modernization • EIS Contract transition • Cybersecurity system implementations • Security ticketing system • Audits

12. ISAC Update • Last meeting – Phoenix, March 14-15 • Recommendations: • The ISAC recommended the IHS 2018-2022 Strategic Plan specifically include the following in the next iteration of the IHS Strategic Plan: • Ensure inclusion of information technology (IT) staffing in the IHS Strategic Plan, Goal 1, Objective 1, and Goal 3, Objective 3, to modernize appropriate IT and clinical informatics staffing models. • Additionally, the ISAC recommended that the Office of Information Technology (OIT), IHS Headquarters, lead the planning effort for modernization of IT and clinical informatics staffing through the development of a multi-year strategic staffing plan • The ISAC recommended the IHS Chief Information Officer (CIO) provide a briefing to them on the Request for Information for IHS Health IT Modernization by March 29, 2018. • The ISAC recommended the IT Service Catalog approval and implementation timelines be established no later than April 15, 2018. • Actions • The ISAC requested that the OIT Tribal Liaison provide training to ISAC on the revised IT Service Catalog. • ISAC Charter Update • The ISAC will create a listserv for ISAC announcements and information sharing with interested parties outside of ISAC. • ISAC IT Priorities • The ISAC will add Health IT Modernization as the ISAC’s number one priority. • The ISAC proposed the next semi-annual meeting in September. Interim teleconference to be scheduled.

13. Questions? Mark.Rives@ihs.gov