Key Findings and Areas of Concern Sample Clauses

Key Findings and Areas of Concern. DHSS and the Alaska eHealth Network (AeHN) have made substantial progress in establishing the Alaska HIE program under the direction of the ONC and the AeHN BOD in the first year of the Cooperative Agreement.  Cognosante finds that the governance model is appropriate in size and representation, and in particular is in agreement with the design identified in Senate Bill 133, now AS 18.23.310, where the Alaska Legislature affirmed the program organization.  Cognosante finds that the technical solution is well supported by Orion Health, in addition to the Software as a Service (SaaS) model proving to be appropriate for the state’s needs and technical capabilities. The assessment finds the technical infrastructure, architecture and standards are in alignment with the contractual and grant agreements and support the state’s identified requirements. Cognosante identified several significant areas of concern. Cognosante finds that there are areas that will require significant focused attention such as risk management, transparent decision making, financial sustainability and developing a defined privacy and security program; in order to successfully carry out the Strategic and Operational plans outlined in the grant application and subsequent plan updates. Cognosante specifically identified the following significant areas of concern:  The existing governance decision-making and communication elements of the program lack the required level of transparency. Information regarding decisions, including both financial and programmatic decisions, is not readily available outside of the AeHN BOD members. This deficiency has and may continue to lead to diminished participation by key stakeholders that perceive a lack of influence over this process.  The program has not formalized a communication management plan. The result appears to be a disproportionate focus on presentations regarding membership activities, coupled with diminished focus on the value, services and requirements of the HIE. Potential HIE participants may benefit from additional understanding of program operations from multiple communication delivery methods.  The program has not been able to identify a financial sustainability plan. Both the State leadership and the ONC have been very clear that HIE operations will need to be self- supporting. Participants in the HIE must understand the ongoing costs of the service as well as the economic value available in order to maintain sufficient membership lev...
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