Governance - HIE Workgroup

1.  HIE Initiative

Posted 12-20-2016 10:25
Edited by David Nixdorf 12-20-2016 10:26

I was able to attend the initial meetings and the call this week. I wasn’t aware of this initiative until I received a MTHIMSS email the week prior to the Helena meetings. Not really understanding what was going to be discussed, I felt it was good for me to be there. But after attending, I felt others from FMDH (and other organizations) needed to be involved as well. While I appreciate all the effort that so many have went through to get these workgroups established, I am fearful that we moved from concept to task too quickly. It could be a lack of understanding combined with assumptions on my part, but I feel we are trying to run parallel projects which is adding confusion, concern, and difficulty to what we are trying to accomplish. Based on that, I have the following thoughts/questions:

  • It seems there is a valid concern that getting buy-in from the appropriate people at the beginning will help this move forward in a timely fashion (which was a stated concern). To that end, should we have an established mechanism to promote this initiative? I am wondering if some sort of summarization could be put together and presented to the decision makers at the facilities/organizations/vendors/groups that currently have little or no knowledge of this initiative. Hopefully we could then partner with some of the associations, such as MHA for hospitals, to distribute this information appropriately.
  • Have we decided what the efforts in Billings will mean to this initiative? To me, I am very interested in their work now that I am aware of it. Is there anything we could be doing to help support them in hopes that its success can evolve into our success? To clarify, I am not asking this to replace the statewide HIE from being developed, but rather to use it as a "proving ground" for the battle ahead. This would allow us to continue a scaled back development while focusing on a promotion of the initiative to develop the HIE (as stated above).
  • It seems there needs to be defined structure for membership and processes within the workgroups. For example, how does the voting process work if organization A has 1 representative and organization B has 5 representatives? Is there 2 or 6 votes cast? Do voting members have to have a true financial interest in the HIE to vote? I am concerned that simply having an open membership to these workgroups will create capacious committees that will struggle to accomplish objectives or make decisions.

These are only my thoughts and suggestions. I appreciate everyone that will take the time to read, consider, and respond to them. Regardless of the result, I am very interested in seeing this be a success and will try to support it in any way I can, including promotion of it at my organization.

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Dave Nixdorf
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2.  RE: HIE Initiative

Posted 01-28-2017 15:26
David,

Thanks for your suggestions--we'll be discussing these in the upcoming governance meeting.

Regarding point #1, several others have suggested, and I believe there's consensus that preparation of a one-page overview and a deliberate 30-minute in-person visit with key leadership members of key stakeholders has been proposed to help this process get off the ground.

Regarding point #2, in the meetings where the Billings initiative has been discussed so far, it was discussed as you have described, as somewhat of a proving ground that the state HIE effort can benefit from. Further developing what this means is a topic for additional discussion.

Regarding point #3, the workgroups can certainly choose to organize their voting however they decide, however the intent of these workgroups is to gather input and seek consensus, if at all possible. By keeping the voting rudimentary and counting everyone's votes, it promotes discussion and hopefully minimizes politicking. If politicking is observed it can certainly be addressed. However the idea here is for a formal governance structure to emerge from this planning process. That structure is where voting rules are likely to be more important and effective, as concepts start to evolve from ideas to reality.

Cheers! 

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Joe Walker
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