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

2. 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

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 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

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
Organizational workforce analysis

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 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,
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?