TM1

Countermeasure and Response Administration Working Group

Webinar

Webinar Presented September 18, 2008

Jeanne Tropper, MS, MPH jwu0@cdc.gov&

CRA Development TeamDivision of Emergency Preparedness and

ResponseNational Center for Public Health

Informatics

TM2

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)

TM3

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

TM4

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

TM5

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

TM6

Priority Area RankingsPriority Area Description Comments Ran

kLOE

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

1 H

Population Health Management

Import of registries; track denominator data; merge/ de-duplication

Evolve to import staff, organizations, and other populations; what data elements required

1 H

AVR GIS capability, query functions, better data access, more canned reports

Data elements needed for GIS? Definition of fields and formats for canned reports

2 H

Alternate Data Entry

Barcode scanners; form scanning; use of handheld devices

Concern about data entry lag; which alternate methods most critical?

3 H

Jurisdiction Deployment

Export data from offline installations to CDC; automated updates of offline installs; enhance security

What enhancements needed for security and deployment?

4 H

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?

5 L

TM7

Priority Area Description

Data Elementsfor PatientIntake/

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

TM8

• 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/UserCollaboration

Contract Negotiation

Responding to Change

Following a Plan

Agile Development

TM9

MarchApril

MayJune

JulyAugust

September

2008 Development Sprints

Register Patient

Adverse Events

Patient Import

Patient Search

Sub-jurisdiction

Data Exchange

PatientFollow-up

Aggregate Reporting

Data Security

User-Defined Fields

Offline Aggregate Reporting

Confirm Aggregates

Products

Reports & Extracts

Release of CRA 1.8.0

Agile Development

TM10

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

TM11

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

TM12

Next Steps

• Determine Focus Group(s) of interest

• Identify representative from project area to participate

• E-mail contact information to CRAHelp@cdc.gov

• Focus Group meeting schedule to be sent along with webinar links

TM13

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.gov

 

TM14

Questions?