Project Team Workgroup Facilitation and Coordination

2. Project TeamWorkgroup Facilitation and Coordination Project Management Bernstein Dutton Pawlak Garcimonde Finance Governance Legal & Policy Clinical & Tech Operations Ray Bernstein Kwan Belfort Olberg Apodaca Pawlak du Pont Discussion Document – Not for Distribution

3. Planning Approach Project Deliverables Key Work Product... • Statewide HIE Operational Plan Coordinating with... • Medicaid Meaningful Use Plan • Regional Extension Center Leveraging Other Assets... • Beacon Community (Southern Piedmont Community Care Plan) • CHIPRA Quality Demonstration Grant • NHIN activities • Operational and planned HIEs • Regional and local quality efforts Discussion Document – Not for Distribution

4. Planning ApproachThree Steps...Assess, Engage, and Guide 1. Assess HIE and HIT Resources • Review inventories of existing resources • Identify needs, requirements, planning horizons • Conduct informational interviews with key stakeholders 2. Engage Stakeholders • Facilitate an inclusive, collaborative process • Provide structured, thorough analysis of all options • Update stakeholders on meaningful use incentives, standards and technology trends, federal policies and regulations, and leading practices in other states • Support public review and participation 3. Guide Stakeholders to Clear, Actionable Recommendations • Guide participants through threshold questions to drive recommendations and development of detailed plans Discussion Document – Not for Distribution

5. Planning ApproachStakeholder Engagement and Workflow Governance Board/Steering Committee Manatt facilitates analysis and track & document decisions Governance Work Group Finance Work Group Clinical & Tech Operations Work Group Legal & Policy Work Group Draft and Final Plans Components of Strategic and Operational Plan Compile Drafts, Feedback, and Public Input Engagement is transparent & inclusive...“stakeholders support what they create” Discussion Document – Not for Distribution

6. Planning ApproachGuide Stakeholders...Sample Threshold Question • What financing mechanisms should be used to sustain statewide HIE services? Identify Threshold Questions Options • Exchange fees (transaction, subscription) • Assessments • Gain sharing Assess Options, Pros, Cons, Risks Resolution • Key consideration...Fed funding insufficient to build/operate statewide HIE • Reaching a decision...Authority to execute, practical considerations Resolve Methodology based on planning and operational experiences in nine (9) states Discussion Document – Not for Distribution

7. Work Group MethodologyIntegration of Key Deliverables Governance Work Group Legal & Policy Work Group Clinical & Tech Operations Work Group Finance Work Group • Identify privacy issues • Define options • Identify policy/tech requirements • Identify clinical/business objectives • Define architecture • Identify services • Detail functions, options • Develop high-level costs • Collect relevant environment data • Define revenue sources • Identify funding constraints and timing considerations • Define roles, decision making authority • Identify goals • Define measures ImplementationRequirements • Technical specifications • Implementation sequencing • Detailed cost estimates • Detailed, 4 yr budget • Evaluation strategy Discussion Document – Not for Distribution

8. Planning ApproachWorkgroup Facilitation July May June Aug Identify Key Issues Assess Options Refine Plan Finalize Plan Work Group Activities • Completed Operational Plan Work Group Deliverables • Membership • Charters • Clinical/business priorities • Use cases • Technical architecture • Implementation req’ments • Sustainability model • Budget • Operational Plan 1st Draft • Clinical/business priorities • Use cases • Tech architecture Discussion Document – Not for Distribution

9. Work Group Charters/DeliverablesSample Discussion Document – Not for Distribution

10. Example: Strategic Plan Workgroup Deliverables 10 Discussion Document – Not for Distribution

11. Example: Operational Plan Workgroup Deliverables 11 Discussion Document – Not for Distribution

12. Progress in North CarolinaGovernance Discussion Document – Not for Distribution

13. Progress in North CarolinaGovernance Discussion Document – Not for Distribution

14. Progress in North CarolinaTechnical Architecture Discussion Document – Not for Distribution

15. Progress in North CarolinaTechnical Architecture Discussion Document – Not for Distribution

16. Progress in North CarolinaPrivacy and Security Discussion Document – Not for Distribution

17. Progress in North CarolinaPrivacy and Security Discussion Document – Not for Distribution

18. Progress in North CarolinaFinancing Discussion Document – Not for Distribution

19. Progress in North CarolinaBusiness and Technical Operations Discussion Document – Not for Distribution

20. ATTACHMENTS Discussion Document – Not for Distribution

21. Project ImplementationHigh Level Milestones & Activities * Mid-May... Kick-off Meeting - Review Operational Plan requirements - Present timeline, key issues, models, and information needs - Identify Steering Committee * May 24 – June 4..... Work Group Launch - Finalize Work Group charters, membership, launch kick off meetings * June 4 – July 9.... Develop Recommendations - Work Groups meet bi-weekly - June 25...Steering Committee review high-level draft * July 9 - July 30.... Develop Draft Plan for Comment - Jul ??... Transmit First Draft Ops Plan to Steering Committee for review - Jul ??... Release Ops Plan for Comment (7 business days) * July 30 – Aug 23.... Finalize Operational Plan - Jul ??... Transmit Final Draft Ops Plan to Steering Committee for review - Jul ??... Transmit Final Version Ops Plan to Steering Committee for review Discussion Document – Not for Distribution