1. TM 1 Countermeasure and Response Administration Working Group Webinar Webinar Presented September 18, 2008 Jeanne Tropper, MS, MPH jwu0@cdc.govjwu0@cdc.gov & CRA Development Team Division of Emergency Preparedness and Response National Center for Public Health Informatics

2. TM 2 Agenda Introductions and purpose Activities of CRA Working Group to date and planned Priority area rankings Agile Development Organization of Focus Groups CRA Working Group and OM Community of Practice (CoP)

3. TM 3 Purpose Foundation for All Hazards support near completion V1.9 and V1.10 likely last releases before migrating to open source (OS) environment and closer alignment with OMS and Epi Info ™ Formalize process for prioritizing features, gathering requirements and development of final releases Position CRA to work with the Outbreak Management (OM) Community of Practice (CoP) governance structure

4. TM 4 Activities of CRA Working Group, to date July 30 - CRA Working Group Webinar Background and Purpose Demonstration of selected features of CRA 1.8 Introduction of CRA high priority areas August 13 - CRA Working Group Webinar Demonstration of additional features of CRA 1.8 Discussion of high priority areas and requirements August 26 - CRA Working Group Meeting at PHIN conference Establish rankings for highest priority areas Demonstration of CRA 1.8

5. TM 5 Activities of CRA Working Group, planned Establish CRA Focus Groups to gather requirements for each high priority area and report back to the CRA Working Group CRA Working Group reviews Focus Group requirements and suggests refinements CRA Development Team assesses impact and level of effort; suggests scope adjustments as necessary; begins development CRA Working Group participates in Sprint Reviews and provides input to finalize new features CRA V1.9 estimated to be released February 2009

6. TM 6 Priority Area Rankings Priority AreaDescriptionCommentsRankLOE Ability to Exchange Data with other PH Systems Bi-directional aggregate and line listed in multiple formats Define data elements and file formats for exchange 1H Population Health Management Import of registries; track denominator data; merge/ de- duplication Evolve to import staff, organizations, and other populations; what data elements required 1H AVRGIS capability, query functions, better data access, more canned reports Data elements needed for GIS? Definition of fields and formats for canned reports 2H Alternate Data EntryBarcode scanners; form scanning; use of handheld devices Concern about data entry lag; which alternate methods most critical? 3H Jurisdiction Deployment Export data from offline installations to CDC; automated updates of offline installs; enhance security What enhancements needed for security and deployment? 4H Head of Household Dispensing Look at all alternate dispensing options – group patients by family or institution Ranking for this area is event dependent – what data elements required? 5L

7. TM 7 Priority AreaDescription Data Elements for Patient Intake/Screening Risk factors; prior and current medical conditions; contraindications specific to countermeasures of interest Support Linkages with Strategic National Stockpile and Other Inventory Tracking Systems Support linkages with inventory systems; deployment of CRA with SNS Push packs preloaded with countermeasure information Provide a Patient Consent Form Document permission for countermeasure administration, follow-up, tracking and epidemiological research Epi Info™, OMS, CRA Integration – what form should it take Bi-directional data exchange among applications; use standard architecture; same look and feel of applications; developing user-defined variables, questionnaires/forms Topics Not Ranked for CRA Version 1.9

8. TM 8 Custom Development Need to mitigate risk Need Rapid Development Process Agile Methodology New Mindset Based on sprints Fixed Work/Fixed Time Work Fits Timeline Agile Methodology Traditional Methodology Individuals and Interactions Processes and Tools Working Software Comprehensive Documentation Customer/User Collaboration Contract Negotiation Responding to Change Following a Plan Agile Development

9. TM 9 March April May June July August September 2008 Development Sprints Register Patient Adverse Events Patient Import Patient Search Sub- jurisdiction Data Exchange Patient Follow-up Aggregate Reporting Data Security User- Defined Fields Offline Aggregate Reporting Confirm Aggregates Products Reports & Extracts Release of CRA 1.8.0 Agile Development

10. TM 10 Organization of Focus Groups Each Focus Group concentrates on one priority topic area Each Focus Group works with a Facilitator and Business Analyst to gather requirements, define data elements and formats As needed, CRA V1.8 is demonstrated to facilitate discussion of features Each Focus Group works iteratively and meets roughly once every three weeks beginning Wednesday, October 8, 2008; example meeting iterations Meeting 1 – define scope; begin requirements gathering Meeting 2 – confirm/continue requirements gathering Meeting 3 – confirm/continue/finalize requirements

11. TM 11 CRA Working Group and OM Community of Practice The OM Community of Practice is still under development At this point, it appears the CoP will focus on policies, protocols, data sharing agreements, best and shared practices It appears there is a role for both an OM CoP and a Working Group for CRA As the CoP continues to develop, we will keep each other informed as to how, if and/or when it will affect the CRA Working Group Comments on the OM CoP and CRA Working Group are welcome

12. TM 12 Next Steps Determine Focus Group(s) of interest Identify representative from project area to participate E-mail contact information to CRAHelp@cdc.gov CRAHelp@cdc.gov Focus Group meeting schedule to be sent along with webinar links

13. TM 13 Getting Started with CRA V1.8 CRA 1.8 is now available Consider using during an exercise Demonstration version will be available for partner “try outs” – no later than 10/01/2008 CRA training available PHIN Help Desk first line of contact for accessing CRA Telephone 1-800-532-9929: 8 AM to 8 PM EST Email: Phintech@cdc.govPhintech@cdc.gov

14. TM 14 Questions?