During Discovery. Before approval by the Steering Committee to move to Planning.
Quality Measures Member Comments
Status: Complete; In-progress; Not started
|Web||Create public and Member-only UC Web areas on Confluence. PM/Coordinator will help set these up using standard templates. Add content as noted below.|
Partially complete because the Confluence pages are set-up, however, the content within these pages not yet finalized
Action: CodeX QM team to review home page content and update, as needed
|Telligen: We discussed some updates to diagrams in the terminology call. Once the full team is able to review and we have consensus, we do not have additional updates based on currently defined scope. As we proceed into phase 0.5 and phase 1, etc. we should be able to update a bit more on target measures, if there are specific issues/problems we can demonstrate solving in those measures, etc.|
On public page, provide a nearly complete description. References to studies regarding the quantitative and/or qualitative extent of the Problem would be helpful.
|Solution / workflow||On public page, provide, preferably, a single, proposed solution and workflow diagram (PM/Coordinator can help with graphics) around which Discovery UC Members (and those committed to join) are aligned. Should be a novel solution, but doable.|
Solution – Complete
Workflow – in-progress
|Telligen - See note above re: discussion of diagram on terminology call. As we get further along into technical solutions, we can provide additional high-level technical architecture diagrams.|
|Potential impact||On public page, provide an estimate of quantitative and/or qualitative improvements that might be realized if the solution proves successful. Categories of improvements could include better quality, less expensive/burdensome, more equitable care, research, surveillance.||Complete|
|Scope (in addition to above and below)|
Concept and solution are consistent with the vision, principles of CodeX:
Discovery stage → scope in terms of high-level objectives for the broader project work
Planning stage → dedicate more time to defining tasks/goals/owners of tasks/resourcing for Phase 0
While we're in Phase 0 - follow similar approach to defining tasks/goals/owners of tasks/resourcing for Phase 0.5
QM use case focus is oncology
Meetings with individual, potential Members is the best way to discuss specific interests.
Schedule, as early as possible, weekly or bi-weekly public calls to build broader interest and gather ideas that help to form the Concept, Team and Plan. PM/Coordinator will help target participants and schedule.
Schedule CodeX Leadership (Paying, Gov't and Sponsored Members or those who commit) calls to consider all input and make decisions.
See meeting and messaging recommendations - Communication Rhythm
|Member leadership||At least 1 "Member Champion", who commits to lead concept and planning alignment, engagement of stakeholders, etc. Add names to public CodeX Confluence page.|
|Member representatives of necessary stakeholders and actors||Additional CodeX Members at any level or those who commit, such that there is at least 1 organization to fill each stakeholder/actor role in the UC.|
|Resources requested from the CodeX Member-fee budget (in addition to the in-kind resources to be provided from UC participants)|
Estimate of full-time equivalent (FTE) resources (and skills) being requested to be funded from the CodeX Member-fee-based budget (e.g., funding from CodeX Membership fees paid to HL7). These are resources that are not likely to be provided through in-kind support from UC participants.
Note: Experience suggests that a minimum of 0.25- 0.5 FTE for a UC Coordinator plus 0.1-0.2 FTE for overarching PM support (engagement, governance, communications, education) is important to moving fast and in an organized fashion. If additional expertise is required for terminology, FHIR, architecture, software development, pilot planning/execution, etc., another 0.5 - 2.0 FTE could be needed.
|Sufficient Member-fee and/or grant funding and/or Member in-kind resources (to meet the request in the previous row)|
List of specific, potential UC participants who are not yet Members or not committed to join.
Note: For resources that are needed, but not provided as in-kind support, assume that $150K or more of funding could be need through new paying Membership, grant funding and/or through freeing up of resources from existing and/or ending UCs.
|Note re: Health Systems: While health systems are most welcome to join CodeX at any level, we are not requiring health systems to formally join CodeX in order to participate in implementations, pilots and other non-decision-making, but important work.|
|Outside initiatives||Consortia or other organizations outside of CodeX with which the UC may want to interface, coordinate or partner, or at least remain aware of. Could be competitive.|
|Agile, short Phases and success metrics for each Phase||On the public page, list draft, high-level time-frames for Planning work and initial Phases during Execution.|
|HL7 FHIR IGs|
Roughly, how existing FHIR IG might be used or updated.
Initial thoughts on the need to develop new IGs as stand-alone artifacts and/or supplementary to existing specific IGs, working with existing HL7 WGs and/or outside organizations, complex terminology work, balloting in HL7, etc.
|Implementation in health information systems|
Existing IT systems that might be candidates to be updated to support existing/new FHIR IGs and functionality during pilots.
New systems that might need to be developed.
|Piloting in real-world settings||Initial thoughts on the location and nature of pilots, preferable sharing data across real-world settings.|
|Risks||The most important, potential challenges to success. For example, divergent views in the community, competing efforts, insufficient resources, technical or clinical barriers, legal work, etc.|
|Adoption and scaling||Assuming successful pilots, the 3-5 most important challenges to be addressed to gain adoption and scale for impact.|
|Aligning and Decision-Making|
|Meetings within the UC||Experience has shown that a combination of some public and separate Member-only meetings is a good way to build broad interest, receive broad input, gain engagement and commitment, and still leverage Member meetings to make decisions.|
|Decisions within the UC||Decision makers (approval of all of the above) must be CodeX paying, Gov't and/or Sponsored Members or must submit written commitment to join at one of these levels if/when the UC transitions to Executing.|
|Decision regarding move to the next Stage|