2019 Phase 2 - Pilots
Phase 2 Deliverables
- Collaboration network and infrastructure for accelerating progress toward shared future vision for evidence-based, health IT-enabled care transformation toward the Quintuple Aim
- Includes enhancement of the Coordinating Center and launching the PPP to drive Roadmap execution
- Pilot version of Production AHRQ DKP (including incorporating the AHRQ Digital Knowledge Portal developed and tested during Phase 1) that covers all AHRQ resources but focuses evidence/guidance computability components on the four Phase 1 clinical targets
- Pilot version of tooling that makes information processing in the knowledge ecosystem cycle more computable and usable and information transfer between these steps more seamlessly interoperable
- Includes a pilot Production version for a reference architecture that supports interoperable DKPs from AHRQ and other sources and a pilot Production version of an open public-sector marketplace (Figure Digital Healthcare Knowledge Ecosystem) for distributing (at least) tools related to the initial four Phase 1 clinical targets
- Living evidence, guidance, and CDS interventions/eCQMs for the four Phase 1 clinical targets and four additional targets prioritized by the Roadmap Execution Steering Committee/PPP, produced and maintained in a manner that demonstrates more seamless flow from around the ecosystem cycle—leveraging tooling deliverables
- Enhanced playbook for creating and maintaining living computable evidence, guidance, and CDS/eCQMs that is coordinated with investments from other stakeholder organizations to generate supporting educational materials (e.g., courses, learning communities)
- Results from developing and clinically implementing the living CDS interventions and eCQMs (and AHRQ DKP) for the four Phase 1 clinical targets in at least 20 CDOs, affecting care for at least 2 million patients across all CDOs, including assessing and documenting the implications of these results for more broadly leveraging the AHRQ DKP and other knowledge ecosystem components during Phase 3 Scaling
- Enhanced playbook for successfully implementing CDS interventions and eCQMs that covers in detail at least the four Phase 1 clinical targets and four new Phase 2 targets (applicable to other targets as well) and is coordinated with investments from other stakeholder organizations to generate supporting educational materials (e.g., courses, learning communities)
- Requirements and project plans for broadly scaling AHRQ DKP and other knowledge ecosystem components to support the ecosystem cycle for many more clinical targets and setting than addressed in Phase 2
Phase 2 Tasks, Timeline
Table 8. ACTS Phase 2 Create/Use Governance & Collaboration Tasks, Timeline
Task | Start | End |
2 Phase 2. Pilots | 10/2024 | 9/2027 |
2.1 Enhance Roadmap Execution Steering Committee for Phase 2 Pilots | Month 1 | Month 4 |
2.2 Modify collaboration infrastructure to support Roadmap Execution Steering Committee/PPP work and stakeholder engagement | Month 1 | Month 4 |
2.3 Support Roadmap Execution Steering Committee/Form PPP | Month 1 | Month 36 |
2.3.1 Form formal PPP | Month 1 | Month 36 |
2.3.2 Develop data sharing agreements for AHRQ DKP/marketplace | Month 5 | Month 9 |
2.3.3 Identify at least four additional clinical targets beyond initial four Phase 1 targets | Month 5 | Month 9 |
2.3.4 Establish criteria to select tools/resources for AHRQ DKP and other pilots | Month 5 | Month 7 |
2.3.5 Establish criteria to select clinical sites for pilots | Month 5 | Month 7 |
2.3.6 Ensure broad stakeholder engagement in requirements development for pilots | Month 5 | Month 11 |
2.3.7 Ensure broad stakeholder engagement in Agile development of pilots | Month 10 | Month 30 |
2.3.8 Ensure broad stakeholder engagement in pilot feedback evaluation and Phase 3 project plan development | Month 29 | Month 36 |
2.4 Enhance the Coordinating Center | Month 1 | Month 36 |
2.4.1 Institute project management for AHRQ DKP pilot phase | Month 1 | Month 36 |
2.4.2 Coordinate pilot requirements gathering, development, evaluation, and Phase 3 pilot planning with other pertinent initiatives | Month 3 | Month 36 |
2.4.3 Cultivate opportunities for public and private organizations to contribute to and benefit from Phase 2 | Month 1 | Month 36 |
2.4.4 Hold an annual meeting | Month 1 | Month 36 |
Table 9. ACTS Phase 2 Enhance/Leverage Infrastructure Tasks, Timeline
Task | Start | End |
2.5 Develop the AHRQ DKP pilot | Month 1 | Month 36 |
2.5.1 Build AHRQ DKP technology and processes | Month 1 | Month 18 |
2.5.2 Populate AHRQ DKP alpha/beta versions with content for four Phase 1 clinical targets | Month 6 | Month 18 |
2.5.3 Test and stage the AHRQ DKP, gather feedback and modify the development environment | Month 19 | Month 24 |
2.5.4 Produce a Production AHRQ DKP pilot | Month 25 | Month 36 |
2.6 Develop pilots for integrated tools that support the knowledge ecosystem cycle | Month 5 | Month 28 |
2.6.1 Determine requirements for pilot tooling | Month 5 | Month 11 |
2.6.2 Produce/adapt a computable literature management tool pilot | Month 12 | Month 28 |
2.6.3 Produce/adapt a systematic reviews tool pilot | Month 12 | Month 28 |
2.6.4 Produce/adapt a living guideline tool pilot | Month 12 | Month 28 |
2.6.5 Produce a CDS/eCQMs authoring tool pilot | Month 12 | Month 28 |
2.6.6 Produce a Federal CDS/eCQMs marketplace pilot | Month 12 | Month 28 |
2.6.7 Produce/adapt a pilot registry of CDO care process and results data | Month 12 | Month 28 |
Table 10. ACTS Phase 2 Enhance/Develop Living, Computable Guidance Tasks, Timeline
Task | Start | End |
2.7 Use and enhance the Living Guidance Development Playbook | Month 3 | Month 36 |
2.8 Enhance the directory of current/emerging high-impact studies for eight clinical targets | Month 3 | Month 36 |
2.9 Produce/leverage living systematic reviews for eight clinical targets | Month 3 | Month 36 |
2.10 Produce/leverage living clinical guidelines for eight clinical targets | Month 3 | Month 36 |
2.11 Produce/adapt at least one high-impact, living CDS intervention and corresponding eCQM for eight clinical targets | Month 3 | Month 36 |
2.11.1 Produce living CDS/eCQMs for implementation at CDOs | Month 3 | Month 14 |
Table 11. ACTS Phase 2 Enhance Guidance Implementation & Assessment Tasks, Timeline
Task | Start | End |
2.12 Integrate the living CDS/eCQM into information systems and clinical workflows for 4–8 clinical targets in at least 20 CDOs affecting care for at least 2 million patients | Month 8 | Month 28 |
2.12.1 Select CDO sites, providers, and patients for guidance implementation and assessment | Month 8 | Month 14 |
2.12.2 Integrate interventions into systems, reengineer workflows, and train staff | Month 15 | Month 21 |
2.12.3 Deploy tools and workflow into care delivery activities | Month 22 | Month 28 |
2.13 Use and Enhance CDS Implementation Playbook | Month 3 | Month 34 |
Table 12. ACTS Phase 2 Evaluate/Plan Roadmap Execution Tasks, Timeline
Task | Start | End |
2.14 Gather and analyze feedback on pilots | Month 18 | Month 36 |
2.14.1 Develop a plan to gather and evaluate Phase 2 feedback to drive Phase 3 | Month 18 | Month 28 |
2.14.2 Implement evaluation plan | Month 19 | Month 36 |
2.14.2.1 Evaluate Phase 2 pilot processes and outcomes | Month 19 | Month 32 |
2.14.2.2 Provide requirements and a Phase 3 project plan to enhance the AHRQ DKP | Month 29 | Month 36 |
2.14.2.3 Provide requirements and a Phase 3 project plan to build the literature surveillance pilot into a Production-grade literature surveillance tool | Month 29 | Month 36 |
2.14.2.4 Provide requirements and a Phase 3 project plan to build the pilot evidence synthesis tool into a Production-grade, living systematic review management tool | Month 29 | Month 36 |
2.14.2.5 Provide requirements and a Phase 3 project plan to build the living computable guidance pilot into a Production-grade, living guidance management tool | Month 29 | Month 36 |
2.14.2.6 Provide requirements and a Phase 3 project plan to pilot the authoring tool and scale CDS/eCQM development | Month 29 | Month 36 |
2.14.2.7 Provide requirements and a Phase 3 project plan to build the public marketplace pilot into a Production-grade, open/free marketplace | Month 29 | Month 36 |
2.14.2.8 Provide requirements and a Phase 3 project plan to scale the CDS/eCQM implementation | Month 29 | Month 36 |
2.14.2.9 Provide requirements and a Phase 3 project plan to build the care process/results registry pilot into Production-grade tool | Month 29 | Month 36 |
2.14.3 Produce Phase 2 report | Month 29 | Month 36 |
2.15 Develop and execute the research plan | Month 3 | Month 36 |
2.15.1 Define strategies to incorporate AHRQ's DHRSP into Phase 2 and apply Roadmap results to the DHRSP | Month 3 | Month 9 |
2.15.2 Ensure bidirectional support between DHRSP strategic pillars and ACTS Phase 2 AHRQ DKP and knowledge ecosystem enhancement pilots and resource enhancement/development tasks | Month 10 | Month 36 |