Quarterly IPR Meeting Contract Number: VA C May 2016, 11:00 am SLIN0001AD - Quarterly IPR Brief hrameetings/onstage/g.php?MTID=e5e4 a82ec042b7f1b4c86c0725db735f2

1.Welcome / Introductions 2.Report of Contract Progress Against PWS Task Requirements 3.Introduction of Open Source Product Candidates and Capability Based Assessment (CBA) Results 4.Assessment of Priority Candidates 5.Discussion of KPIs 6.Opportunities for Improvement Agenda 2

Introductions NameRole Drew, AaronOI&T (VA Project Manager) Emery, RodneyOI&T Ferris, JessicaOSEHRA / BITS Team Foster, RogerOSEHRA / BITS Team Gonzalez, RobOI&T (Contracting Officer’s Representative) Harvey, JulieOI&T Hewitt, DonOSEHRA Junda, MarkTAC (Contracting Officer) Mingo, FredVHA Mun, Seong KiOSEHRA Rhodes, ChrisVHA Sachs, IraOSEHRA / BITS Team Short, JohnOI&T Spence, GraceOI&T (Contracting Officer’s Representative) Toy, RaminaOSEHRA (Program Manager) Triebwasser, BradOSEHRA / BITS Team Young, MeganOSEHRA 3

Report of Contract Progress Against PWS Task Requirements

Progress to Date TaskDue DateSubmit DateStatus Award Date02/04/16 Roster Submission02/07/16 Accepted Kickoff Meeting Agenda02/08/16 Accepted Kickoff Meeting02/12/16 Completed Kickoff Meeting Minutes02/16/16 Accepted Technical Working Group Charter Draft02/19/16 In progress Contractor Project Management Plan - Initial03/07/16 Accepted Monthly Progress Report - Initial03/07/1603/06/16Accepted Contractor Project Management Plan - March04/07/1604/06/16Accepted Monthly Progress Report - March04/07/1604/06/16Accepted Monthly Progress Report - April05/06/1605/04/16Delivered – Acceptance Pending Contractor Project Management Plan - April05/09/1605/04/16Delivered – Acceptance Pending SWOT Analysis 103/07/16 Accepted Gap Analysis 104/13/16 Accepted Open Source Software and Product Selection Criteria 1 04/21/16 Accepted Prioritization Description Document 105/06/1605/05/16Delivered – Acceptance Pending CBA Package for Quarterly Review 105/11/16 Delivered – Acceptance Pending Quarterly In Progress Review Brief 105/18/1605/16/16In Progress 5

VistA Security ‒ Terry Luedtke and Mike Henderson designated as Co-Chairs ‒ Draft Charter approved by Dan Galik, signature expected today by Terry Luedtke as initiating Co- Chair Human-Centered EHR Design ‒ Sarah Brooks to discuss with VHA Cloud-Based Healthcare Delivery ‒ Initial sent to identified names for VA co-chair position, awaiting response Technical Working Groups 6

Introduction of Open Source Product Candidates and CBA Results

Appointment Postcard Notification Letter v4.0 OpenInfobutton XU Digital Signature Q1 Recommended Candidates 8

Goal –Speed VA time-to-value by identifying and recommending Open Source Software (OSS) candidates for VA intake Accomplishments –Gathered GFI, met with VA stakeholders –Recommended three candidates for intake –Started with identified candidates to “prime the pump” –Determined initial high level baseline, gaps –Initiated “funnel workflow” - Identify OSS candidates, triage, score with prioritization criteria, SWOT top scoring candidates, provide additional candidate information with PDD –Developed Q1 deliverables Key Q1 CBA Accomplishments 9

Identify new OSS candidates Continue to meet with VA and industry continue to stakeholders and gain their perspective Establish regular VA / OSEHRA updates to stay current on VA VistA-related decisions, priorities, and roadmap updates Continue to recommend candidates based on business case, describe value from business perspective Work with VA and the community to reduce OSS adoption barriers Develop next level of detail on gaps, mature deliverable content Plans for Q2 10

Frequent touch points needed to stay current with changes to roadmap and direction Information on VA VistA Evolution scope changes, unfilled requirements, budget decisions needed to identify items falling “below the cut line”, to enhance gap analysis and focus analysis of OSS candidates How to best showcase Immunizations OSS success? Discussion Items 11

Assessment of Recommended Candidates

Overview - Enhances automatic notification functionality for upcoming scheduled patient visits Recommendation - proceed for further analysis and potential intake Rationale - This function supports a key gap area, maps to a Feature Set 3 requirement, and architecturally fits with VistA. This code is already along the road to deployment and is the least cost, lowest risk way to provide the postcard notification function. Appointment Postcard Notification Letter v4.0 13

Overview - Implements context-aware knowledge retrieval on demand from more than 30 online resources to aid in clinical decision support Recommendation - proceed for further analysis and potential intake (if code is not already implemented within eHMP) Rationale - Code would provide a common mechanism for incorporating current peer-reviewed medical research and evidence into clinical decision-making. This code can be implemented with minimal risk and cost. OpenInfobutton was recently put before the Configuration Control Board (CCB), but the documentation was deemed insufficient for action and the item was sent back for more work. OpenInfoButton 14

Overview - Consists of three files providing the interface between Delphi executables and the built-in Windows security functions released under the Apache 2.0 license Recommendation - Consider the trade-off of eliminating the potentially minimal copyright risk with the VA resources required to implement these files which provide no new functionality Rationale - Code would replace incompatible licensed source codes within CPRS with the Apache 2.0 licensed version. Purpose of adoption would be to eliminate (potentially minimal) copyright risk. No functional gain. XU Digital Signature 15

Discussion of KPIs

Identifying Candidates for VA Intake Open Source Search Open Source Software Repositories Technical Working Groups CBA Package for Quarterly Review Intake Recommendations VA Class III Code Analysis QUARTERLY IPR VA EPIP OIT PD VHA Designated Items Certification KPI-1 KPI-2 KPI-3 KPI-4 17

1.Identified Candidates The number of EHR products, code sets, and toolsets identified as relevant to project goals. 2.SWOT Analyses Conducted The number of SWOT analyses conducted on selected identified candidates. 3.Certifications The number of identified candidates certified or recertified. 4.Recommended Candidates The number of EHR products, code sets, and toolsets recommended for VA intake in the CBA Package following completion of analysis, certification, and prioritization. Defined KPIs 18

KPI 1: Identified Candidates 19

KPI 2: SWOT Analyses Conducted 20

KPI 3: Certifications Note: No certifications have been conducted because all current candidates were previously certified. 21

KPI 4: Recommended Candidates 22

Opportunities for Improvement

Questions?