Arizona Health Information Exchange (HIE) Project Management Plan - ASET

Transcription

Arizona Health Information Exchange (HIE)Project Management PlanCFDA #: 93.719Opportunity #: EP-HIT-09-001Updated: 06/01/2012Prepared By:The Arizona Strategic Enterprise Technology Office

Table of ContentsUpdate on Major Activities . 3E-prescribing Outreach and Technical Assistance Initiative . 3Project Schedule and Milestones: . 3Arizona Health-e Connections (AzHeC) HIE Marketplace. 4Project Schedule and Milestones: . 4Contract for Health Information Exchange “Core Services” . 7Project Schedule and Milestones: . 8Direct Immunization Pilot Project with Arizona Department of Health Services . 10Project Schedule and Milestones: . 10Direct Immunization Production Project with Arizona Department of Health Services . 11Project Schedule and Milestones: . 11Syndromic Surveillance Project with Arizona Department of Health Services . 12Project Schedule and Milestones: . 12State Laboratory Interoperability Project with Arizona Department of Health Services . 14Project Schedule and Milestones: . 14Unconnected Providers Sub-Grant Program . 15Project Schedule and Milestones: . 15Updated ASET Staffing Plan . 16Risks and Mitigation Strategies . 17ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 2 of 27

Update on Major ActivitiesE-prescribing Outreach and Technical Assistance InitiativeASET has contracted with Arizona Health-e Connection (AzHeC) to coordinate an educationand technical assistance campaign focused on Arizona health care providers and pharmacies toassist in achieving the State of Arizona’s e-prescribing goals.We will utilize the following key tactics to reach our e-prescribing goals in Arizona: Provide umbrella coordination organization (Steering Committee) with key stakeholders Provide information and statistics to providers and pharmacies in easy-to-access format Recognize top e-prescribers and pharmacies in Arizona Coordinate and publish Arizona case studies to educate the community Identify and provide incentives for independent pharmacies to participate in e-prescribing Encourage patient involvement in the e-prescribing processProject Schedule and Milestones:AzHeC will deliver a detailed project work plan as one of the deliverables of the contract.AzHeC is charged to work with ASET to define all project milestones, tasks, timelines, andproject deliverables.The high-level milestones and goals are detailed below:Target DateMilestone/PerformanceMeasureStatusContract Signed by all Parties5/18/2012MilestoneCompletedDefine Project work plan including milestones, tasks, andtimelines6/30/2012Milestone40% of all Arizona prescriptions electronically routed topharmacies12/31/2013PerformanceMeasure60% of Arizona prescribers routing easure100% of Arizona pharmacies with e-prescribing estone and GoalsARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 3 of 27

Arizona Health-e Connections (AzHeC) HIE MarketplaceASET is working with Arizona Health-e Connection (AzHeC) to establish the Arizona HealthInformation Exchange (HIE) Marketplace. The purpose of the HIE marketplace is to be atrusted source where health care providers can review viable health information exchangeoptions. Health information service providers (HISPs) will be invited to submit an application tobe a participant in the marketplace and will be evaluated and selected based on establishedcriteria. This will create a single point where consumers and stakeholders can go for neutralinformation regarding HIE options. The contract with AzHeC is to both develop and maintain theHIE marketplace as well as for AzHec to be the public-facing entity for the marketplace.This concept is widely supported by our health care stakeholder community. The Marketplacewill be used to match health care providers with health information exchange options. The HIEmarketplace will be a trusted source where health care providers can review viable healthinformation exchange options. Initially, the HIE Marketplace will support “Direct” exchange.Later, it will also include other types of more robust exchange options.Specific technical and operational policies have been developed as part of this Contract. Allhealth information exchange technology applicants must adhere to these policies to become –and remain – participants in the marketplace. The State of Arizona has an active role in thedevelopment and oversight of the marketplace as defined within the Contract. Therefore, thisengagement has shared responsibilities between the State of Arizona and Arizona Health-eConnection (AzHeC) to ensure collaboration and success.In addition to developing the HIE Marketplace as a source of HIE solutions, the Contract alsocharges AzHeC with developing and implementing marketing and outreach activities to healthcare providers and laboratories to better inform them of health information exchange optionsand benefits. As one part of these outreach activities, AzHeC will identify communities of “whitespace” - or unconnected providers - throughout the State. This will enable targetedcommunications to health care providers in the identified communities.Project Schedule and Milestones:The following timeline has been completed as part of initial push to encourage HISP providersto join the marketplace:ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 4 of 27

Develop the Exchange MarketplaceEstimated DueDate (BusinessDays After ContractExecution)StatusDevelop a steering committee to support developing theMarketplace requirements and evaluation process10 daysCompleteDevelop requirements for vendors/entities in the Marketplace15 daysCompleteDevelop application process and forms25 daysCompleteDefine application evaluation process25 daysCompleteRelease applications/requirements and solicit responses toparticipate Marketplace30 daysCompleteReview applications and invite vendors/entities to demonstrate theirproducts50 daysCompleteSelect vendors/entities for the Marketplace60 daysCompleteSign agreements with selected vendors/entities80 daysCompleteContinue to add additional HISP vendors to Arizona HIEMarketplace on a “rolling” basisOngoingOngoingDevelop Exchange MarketplaceMarketing and Outreach ActivitiesThe following is the initial marketing and outreach plan (April 2012 – July 2012). Updates to thisplan will be made as the project progresses.Completed ByApril /124/27/124/27/124/27/124/27/124/27/12Marketing and Outreach ActivitiesAzHeC Update articleREC Bulletin articleAzHeC Alert: Program launch REC & AzHeC distr.Discuss AOMA joint letterDiscuss AZAAP joint letterDiscuss US Rural Health joint letterDTAPs cont. outreach to provider networksDTAPS cont. outreach to independent providersDTAPS cont. outreach to white space providersDTAPS cont. outreach to CAH targetsSchedule HIE presentation at physician meetingsBegin GSI WebinarsARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 5 of 27

Completed By4/25/124/25/12May20125/8/125/22/12June 20126/12/126/26/12July 20127/9/127/23/12Marketing and Outreach ActivitiesBegin HIE presentation at physician meetingsBegin outreach to labs interested in Direct messaging (identified through survey)AzHeC Update articleREC Bulletin articleSchedule additional HIE Direct webinarsDevelop flyer to promote HIE Direct webinarsSend & follow-up AOMA joint letterSend & follow-up AZAAP joint letterSend & follow-up US Rural Health joint letterSurvey EHR vendors for Direct capabilityIdentify EHR versions with Direct capabilityPlan EHR/Direct outreach with EHR VendorsCreate webpage for EHR/Direct informationDevelop PIF for EHR/Direct education/assistanceConduct additional HIE Direct webinarsID/outreach to regional physician championsAzHeC Update articleREC Bulletin articleSchedule additional HIE Direct webinarsEHR/Direct outreach campaign announcementSchedule physician champion presentationsDevelop EHR/Direct flyer for EHR vendorsDevelop EHR/Direct webinarBegin follow-up on EHR/Direct PIFsConduct additional HIE Direct webinarsIdentify early adopters & successesAzHeC Update articleREC Bulletin articleRegional physician champion presentationsDevelop articles on early adoption successConduct physician champion presentationsDirect Adoption ScheduleThe following milestones represent the projected Direct adoption schedule for Arizona based onour HIE Marketplace activities.MilestoneTarget Date250 Healthcare Providers with Direct Address6/30/2012450 Healthcare Providers with Direct Address9/30/2012587 Healthcare Providers with Direct Address andUtilizing12/31/2012ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012StatusPage 6 of 27

Contract for Health Information Exchange “Core Services”The Arizona Strategic Enterprise Technology Office awarded its “Health Information ExchangeCore Services” RFP to the Health Information Network of Arizona (HINAz). This was a partnerbid with their technology vendor Axolotl. HINAz has been charged with multiple requirements.A high-level summary of the primary requirements is listed below: Governance Entity: The Health Information Network of Arizona (HINAz) Board currentlyrepresents hospitals, community health centers, commercial, and Medicaid health plans,health care providers, the largest laboratory provider, and other stakeholders, who serveunderserved, rural, and urban parts of Arizona. This HIO currently represents over 60% ofthe covered lives in Arizona and 60% of all of the acute hospital beds. This Board grew outof the Medicaid Transformation grant work that was done by AHCCCS from 2007 – 2009and represents the merger in 2010 of two different HIOs to form a statewide entity.HINAz brings ASET the leading hospitals and health plans in Arizona already committed tosupporting and paying for the exchange of health information, and through this project thestate can become a full partner along with them. Directory Services (Provider Directory): HINAz shall design, develop, and implementEntity and Provider Level Directory Services with a technical architecture that is flexible andscalable enough to provide a variety of exchange services, which is capable of uniquelyidentifying a provider and/or entity, match data from multiple sources to that provider/entityand resolve duplicates or mismatches. HINAz’s technical infrastructure also will support themovement of information to support key Meaningful Use requirements, such as theexchange of laboratory results and care summaries as well as public health reporting and eprescribing. Master Patient Index (MPI) and Record Locator Services (RLS): HINAz shall provide aRecord Locator Service (RLS) and Master Patient Index (MPI), whereby the RLS receivesincoming queries from authorized users, formats the contents of the message, and makes aquery to the MPI. The MPI matching algorithm then determines which records in thedatabase match the requested patient’s demographics. These records will then be retrievedfrom the source by the RLS and presented in an aggregated view to the requesting user.The RLS and MPI infrastructure will be capable of supporting the movement of informationto support key Meaningful Use requirements, such as the exchange of laboratory resultsand care summaries as well as public health reporting and e-prescribing as applicable.All contractual documents and additional details can be found on the Arizona State ProcurementSite.Link to idDetail.sdo?docId ADSPO1200001276&external true&parentUrl bidLink to aseorder/poSummary.sdo?docId ADSPO12020307&releaseNbr 0&parentUrl bidARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 7 of 27

Project Schedule and Milestones:Directory Services (Phase 1 Activity):The official project schedule is a deliverable that is part of the contract award. This deliverableis not yet complete but the following is a draft project schedule for the implementation of the“Directory Services” component of the overall contract.MilestonesTarget DateStatusContract Signed by all Parties3/22/2012CompleteProject Management Plan Acceptance4/30/2012CompleteData Storage, Hosting, Administration and Support EnvironmentSetup6/15/2012CompleteMarketing and Communications Plan6/29/2012Test Environment Implementation6/29/2012Interfaces with all currently active Marketplace participants7/19/2012System Testing and User Acceptance8/8/2012Production System Go-Live8/29/2012Sustainability Plan Acceptance11/1/20128500 Providers in the ILPD2/1/2013Record Locator Services and Master Patient Index (Phase 2 Activity):This work was awarded as part of the overall contract. However, this work is considered to be a“Phase 2” activity and will not be funded until Arizona has met its “Phase 1” goal of having 587providers actively using Direct Point to Point exchange, and updated SOP approved.The targets dates will be determined once the “Phase 1” goals have been met. The officialproject schedule is a deliverable as part of the contract award.MilestonesTarget DateStatus3/22/2012CompleteContract Signed by all PartiesProject Management Plan AcceptanceTBDData Storage, Hosting, Administration and Support EnvironmentSetupTBDARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 8 of 27

Test Environment ImplementationTBDSystem Testing and User AcceptanceTBDProduction System Go-LiveTBDCompleted Interfaces with appropriate data sourcesTBDARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 9 of 27

Direct Immunization Pilot Project with Arizona Department of HealthServicesThis project is to demonstrate – on a pilot basis – the feasibility of using a Direct-based interfaceinto the Arizona State Immunization Information System (ASIIS). This system, if successful,could provide an additional path for a provider or staff to submit immunizations to ArizonaDepartment of Health Services (ADHS). More information can be found about the project Project Schedule and Milestones:MilestoneTarget DateStatusProject Initiation9/23/2011CompleteRequirements Complete12/16/2011CompleteDesign Complete1/24/2012CompleteInfrastructure Setup Complete3/16/2012CompleteDevelopment Complete4/2/2012CompleteTest Scripts Completed4/2/2012CompleteASET Internal Integration Testing Complete5/25/2012CompleteHSAG / Health care Provider Testing Complete6/22/2012Project Complete (Lessons Learned Documented)6/29/2012A detailed project schedule can be found here: ONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 10 of 27

Direct Immunization Production Project with Arizona Department of HealthServicesThis project will build upon the Direct pilot project, described previously, and take the test pilot toproduction.The Direct Gateway is responsible for receiving and sending messages from HISPs. Thisproject will develop a production Direct Gateway that will be hosted at the ADHS data center. Allthe security and audit log features implemented by the Gateway are based on the Direct Projectspecifications. Immunization messages received by the Gateway will be published to ASIIS viaweb services. The web services will be accessible only via the Direct Gateway and will have atrusted connection to ASIIS.Project Schedule and Milestones:MilestoneTarget DateProject Initiation7/2/2012Requirements Complete7/16/2012Design Complete7/30/2012Infrastructure Setup Complete8/13/2012Development Complete8/27/2012Test Scripts Completed8/27/2012ASET Internal Integration Testing Complete9/10/2012HSAG / Health care Provider Testing Complete9/24/2012Project Complete (Lessons Learned Documented)9/30/2012ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012StatusPage 11 of 27

Syndromic Surveillance Project with Arizona Department of HealthServicesASET is in the process of completing a project with the Arizona Department of Health Services(ADHS) to enhance its capabilities to support the anticipated public health requirements forStage 2 Meaningful Use. To enable health care facilities to attest to the Meaningful Usesyndromic surveillance requirement, ADHS needs additional support to onboard facilities, attestMeaningful Use requirements, and utilize syndromic surveillance data. ADHS will use theBioSense 2.0 application to meet these objectives. BioSense 2.0, hosted by the Association ofState and Territorial Health Officers (ASTHO) without fees, will afford ADHS and local healthdepartments the capability to obtain situational awareness for health related events as well assyndromic surveillance of infectious and chronic disease, injury, environmental incidents, andother health hazards.ADHS will investigate how best to utilize the system in programmatic areas across the agencyincluding environmental health, injury, and infectious and chronic diseases. As a newimplementation, BioSense 2.0 will require new user training and user administration coordinatedat the state level to optimize its use and availability. Additionally, ADHS will leverage interest inattesting to syndromic surveillance data provisioning under Meaningful Use, to add facilitiesreporting to BioSense 2.0 and increase statewide representation. At this time, there is no staffwithin the agency to: work across functional areas, evaluate the utility of BioSense 2.0 formultiple programs, facilitate adding data from new facilities, or provide training to state and localusers.An electronic surveillance team, devoted to enhancing ADHS capacity to receive datasubmissions required by Meaningful Use is needed. In addition to supporting theimplementation of electronic lab reporting for Meaningful Use, the team will conduct a pilot studyto evaluate the utility and integration of BioSense 2.0 into multiple surveillance programs,provide new user training, develop state-specific educational materials, and coordinate withlocal health departments to increase the number of participating hospitals. Dependent upon thenumber of hospitals using BioSense 2.0 and the availability of inpatient and ambulatory caresyndromic data standards, the electronic surveillance team will begin addressing attestation forinpatient and ambulatory care facilities.Project Schedule and Milestones:MilestoneTarget DateProject Initiation7/2/2012Hire (2) Epidemiologists and (1) Project Specialist8/31/2012User agreement and policy manual for public health10/31/2012Data dictionary for public health12/31/2012Implementation Guide for Facilities12/31/2012Database for technology specifications3/31/2013ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012StatusPage 12 of 27

MilestoneTarget DatePublic health user manual and training manual7/31/2013Protocol for routine use of BioSense 2.0 at ADHS10/31/2013BioSense 2.0 evaluation report11/30/2013(10) new hospitals, including (2) rural or critical accesshospitals12/31/2013ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012StatusPage 13 of 27

State Laboratory Interoperability Project with Arizona Department of HealthServicesThe current Arizona State Laboratory Information Management System (STARLIMS) needs tobe enhanced to accept electronic laboratory orders from hospital laboratories using the HL7standard message formats.The goal of this project is to enhance the system to accept the orders, generate anacknowledgement back to the ordering system, and generate a final laboratory test resultmessage in standard HL7 formats. The activities listed below are part of the pilot aimed at fillingthe gaps in current laboratory order exchange requirements.Several hospitals in Arizona, including Banner Health (with a total of 22 hospitals in Arizona)and Catholic Healthcare West (with 3 hospitals in Arizona), are in the process of implementinginpatient electronic health record (EHR) systems as well as private health informationexchanges (HIE) to fulfill ARRA/HITECH Meaningful Use requirements. The Community DataExchange Outreach Team will visit and initiate discussions with the hospitals that are in theprocess of implementing such systems. Data sharing and business association agreements willbe signed between ADHS and each of the hospitals.The project objective is to enhance STARLIMS to receive lab orders and send results to clinicallaboratories and hospitals by September, 2013.Project Schedule and Milestones:MilestoneProject InitiationTarget DateStatus8/1/2012Sign agreements with hospitals to exchange laboratoryorders and results with ADHS.TBDComplete a catalog of state public health laboratory testorders using standard codes (LOINC).TBD5 Laboratories exchanging lab orders and results withthe state public health lab for Pilot stage.TBD10% of lab orders and results exchanged with the statepublic health lab for the Pilot stage.TBDARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 14 of 27

Unconnected Providers Sub-Grant ProgramThe Arizona Strategic Enterprise Technology Office (ASET) is planning an UnconnectedHealthcare Providers Sub-Grant program focused on connecting specific eligible health careorganizations to health information exchange (HIE) services.The goal of the program is to stimulate the adoption of health information exchange in Arizonaamong specific segments of health care providers who are generally considered to be lowutilizers of health information exchange services.Program objectives include understanding the reasons for low adoption and expanding HIEcapacity to providers in the “white space.” ASET is currently in the process of defining thisprogram.Project Schedule and Milestones:MilestoneTarget DateForm Public-Private Workgroup to Finalize ProgramRequirements6/8/2012Finalize Program Requirements and Guidance7/15/2012Publicly Launch Sub-Grant Opportunity8/1/2012Applications Due9/1/2012Award Sub-Grants to Organizations9/30/2012Program Ends9/30/2013ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012StatusPage 15 of 27

Updated ASET Staffing PlanThe following resources are currently active participants working primarily on the programmaticimplementation of the State HIE Cooperative Agreement. State HIT Coordinator – Lorie Mayer (FTE)Senior IT Project Manager – Ryan Sommers, PMP (FTE)Health Information Exchange Analyst – Pat Rennert (FTE)Grants Analyst – Jason Mistlebauer (FTE)Direct Exchange Consultant – Sri Koka (Contractor)Arizona may bring on additional contractual resources to assist on various activities in thefuture. We do not anticipate adding any additional FTE’s to the Project effort.After Arizona’s Strategic and Operational Plans were approved in March 2011, the State ofArizona went out to RFP to request technical consulting assistance in various programmaticareas. As a result, the State of Arizona has the ability to make task order awards to thefollowing organizations. These task order awards are valid for 1 year with a State option torenew for two additional years. Advances in Management - Engaged in Summer 2011 through Spring 2012 to assist inadditional strategy development, draft RFP for HIE Core Services, assist in vendorselection for HIE Core Services.Mosaica Partners – Engaged in Spring 2012 to assist ASET in updating SOP plans forresubmission to ONC by June 8, 2012.Jimenez Consulting – Has not been actively engaged for any work at this time.ARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012Page 16 of 27

Risks and Mitigation Strategies1. BASIC RISK INFORMATIONRiskNumberRiskDescription /Risk . RISK ASSESSMENT INFORMATIONLastUpdatedaymonthyearProvide auniqueidentifierfor riskA risk eventstatementstates (i) whatmight happenin the futureand (ii) itspossibleimpact on theproject."Weather" isnot a riskeventstatement."Bad weathermay delay theproject" is arisk eventstatement.Name or titleof teammemberresponsible forriskEnter thedate therisk wasfirstreportedEnter thedate therisk (notthe entirelog) wasupdatedR1Improperexposure ofpersonalhealthinformation.State HIECore ServicesSub-RecipientOrganization /LTimelineN/M/FEnter hereH (High); M(Medium);or L (Low)accordingto impactdefinitionsEnter hereH (High)M (Medium)or L (Low)accordingtoprobabilitydefinitionsEnter hereN (Nearterm); M(Mediumterm); or F(Far-term)accordingto timelinedefinitionsHMARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012 (Updated 05-29-2012)MStatus ofResponseN / P / PE/ EE3. RISK RESPONSE INFORMATIONRisk StatusOpen /Closed /Moved toIssueCompletedActions /NotesPlannedFutureActionsEnter hereN (NoPlan); P(Plan butnotenacted);PE (Planenactedbuteffectiveness not yetknown);EE (Planenactedandeffective)List, by date,all actionstaken torespond tothe risk. Thisdoes notincludeassessingthe riskList, by date,what will bedone in thefuture torespond tothe riskState if therisk is open(still mighthappen andstill has tobemanaged);closed (haspassed orhas beensuccessfullymitigated);moved toissue (riskhashappened)P5/15/2012:House Bill2369enforcementto bedetermined.Reviewingoperationalpolicies ofHINAz asrecentlyawarded subrecipient.OpenPage 17 of 27

RiskNumberR2RiskDescription /Risk EventStatementThe approachto consent inthe State ofArizona isoutstanding.In 2008,legislationwas proposedfavoring an“opt-out”approach toelectronichealthinformationconsent.However, thelegislationwas notpassed due toinconclusivestatewidestrategy forhealthinformationexchange atthat tus ofResponseN / P / PE/ EEMMMPARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012 (Updated 05-29-2012)CompletedActions /Notes5/15/2012:Risk ClosedPlannedFutureActionsContinue tomonitorconsent andfocuseducationtargeted toconsumers.Risk StatusOpen /Closed /Moved toIssueClosedPage 18 of 27

RiskNumberRiskDescription /Risk melineN/M/FStatus ofResponseN / P / PE/ EECompletedActions /NotesPlannedFutureActionsRisk StatusOpen /Closed /Moved toIssueR3A participantagreementmust bedeveloped fordistributionandstakeholderbuy-in. Theparticipantagreementshouldaddress alllegalitiesassociatedwithimplementation of astatewide HIEto minimizethe liability toall Arizonastakeholders.State HIECore ServicesSub-RecipientOrganization HINAz31-Aug201015-May2012MMMP5/15/2012:Risk ClosedContinue tomonitoroperationalimplementation and sharewith otherproviders.ClosedR4Implementingan HIEplatform thatis notfinanciallyviable for longtermsustainability.State HIECore ServicesSub-RecipientOrganization lityplan part ofsubmissionfor HIE CoreServicescontractRFP.Working ainabilityplan.OpenARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012 (Updated 05-29-2012)Page 19 of 27

RiskNumberRiskDescription /Risk melineN/M/FStatus ofResponseN / P / PE/ EECompletedActions /NotesPlannedFutureActionsRisk StatusOpen /Closed /Moved toIssueR5The proposedoverall projectcosts greatlyexceed thefundingavailablewithin theONC HIEgrant.Improperpricing ofservices incomparison ofvalue and thecost of theservices osts to thosethat areparticipating.State osedRiskCoreServicesRFP costmetexpectedbudget costs.Continue tomonitor toensureimplementation success.ClosedR6Acute carehospitals maychoose toimplementcommunitysharinginitiatives intheir serviceState ustainabilityplan fromHINAzaddressedlong-termsustainabilityand did notContinue tomonitorhospitalparticipationwithin HINAzor alternativeexchangeOpenARIZONA Response - PIN 002 - Project Management Plan - Submitted 06-01-2012 (Updated 05-29-2012)Page 20 of 27

RiskNumberRiskDescription /Risk me

Plan EHR/Direct outreach with EHR Vendors Create webpage for EHR/Direct information Develop PIF for EHR/Direct education/assistance Conduct additional HIE Direct webinars ID/outreach to regional physician champions June 2012 6/12/12 AzHeC Update article 6/26/12 REC Bulletin article Schedule additional HIE Direct webinars EHR/Direct outreach .