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

Update on HIT Modernization 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

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

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

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

Notional Timeline Exploration, Engagement, Requirements Development Period 1 System Selection and Acquisition Period 2 Begin Implementation Period 3 Rolling Implementation Period 4 Period 5 Period 6 Period 7 Operations & Maintenance Period 8

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 Organizational workforce analysis

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

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

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

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

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.

Questions? Mark.Rives@ihs.gov