Business Agenda - Alaska eHealth Network · PDF fileP Merriman, Nancy (Vice President) - APCA ... Raymond, Deedee – Div. of Behavioral Health - SOA (P) Baldwin, Michael – AK Mental

Mailing: 2440 East Tudor Road PMB 1143 Anchorage, AK 99507

Physical: 4000 Old Seward Hwy, Suite 203 (907) 770-2626

AeHN BOARD OF DIRECTORS

Nancy Merriman Acting President, AeHN Executive Director, Alaska Primary Care Association

Chris Emond Treasurer, AeHN Director of Finance & Operations Mat-Su Health Foundation

Jennifer Dahline Secretary, AeHN Premera Blue Cross Blue Shield

Timothy Ballard, M.D. M.S. Director Alaska VA Healthcare System

Valerie Davidson Commissioner State of AK, DHSS

Stewart Ferguson, PhD CTO, Alaska Native Tribal Health Consortium

Jan Harris Vice Provost for Health Programs University of Alaska

Becky Hultberg President/CEO, Alaska State Hospital and Nursing Home Association

Jerry Jenkins CEO, Anchorage & Fairbanks Community Mental Health Services

Erin McArthur, M.D. LaTouche Pediatrics

Jessica Oswald Director of IS Customer Service and Relationship Management Providence Health & Services, Alaska

Sam Shirk, M.D. Valdez Medical Clinic

AeHN Board of Directors Meeting February 13, 2017

9:00 am to 9:40 am

Location: Alaska Mental Health Trust Authority 3745 Community Park Loop, Anchorage

Dial in: 1-269-220-0254

Business Agenda

1. Call to Order/Nancy Merrimana. Declaration of Conflictb. Approval of Agendac. Approval of Minutes (09/21/2016, 11/02/2016

Annual Mtg & 11/02/2016 Regular Mtg,01/13/2017 and 01/17/2017)

2. ASHNHA Nomination/Nancy Merriman3. Officer Nominations/Nancy Merriman4. Interim ED Options/Nancy Merriman5. Next Regular Board Meeting – March 15, 20176. Adjournment

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AeHN Board of Directors Meeting AeHN Conference Room, 4000 Old Seward Hwy., Suite 203, Anchorage

Wednesday, September 21, 2016 11:30 a.m.- 1:00 p.m.

Alaska eHealth Network – Board of Directors Meeting Minutes September 21, 2016

Board Members Present A Kegley, Carl (President) - Banner Health X Hultberg, Becky - ASHNHA Ad Hoc: T Merriman, Nancy (Vice President) - APCA (Proxy-Connie Beemer) P Rebecca Madison, Executive Director P Emond, Chris (Treasurer) –Mat-Su Health P Jenkins, Jerry – Comm. Mental Health Svcs. P Claudette Yesmant, Recorder T Dahline, Jennifer – Premera BCBS T McArthur, Erin, MD – LaTouche Pediatrics T Carolyn Heyman-Layne, AeHN (P-NV) A Ballard, Timothy – VA Healthcare System A Rathkopf, Melinda, MD – AAI Center of AK P Davidson, Val - DHSS P Williams, Mark - Providence P Ferguson, Stewart, PhD - ANTHC T Harris, Jan – University of AK (NV) P=Present / T=Teleconference / A=Absent / X=Proxy / NV=Non-voting Member (Quorum = 7 Voting Members or Member Proxies) Guests Present (T) Carney, Darcy – Carney Consulting (T) Chad Jensen – LaTouche Pediatrics (P) Beth Davidson - DHSS (T) Christiann Staph - DHSS (P) Denise Anderson - DHSS (P) Connie Beemer - ASHNHA (P) Heidi Wailand – AK Mental Trust Board Supporting Documents: TIME AGENDA ITEM – Presenter/Discussion Consensus/Action

11:34 AM

CALL TO ORDER a. Welcome and Introductions

Connie Beemer offered to chair the meeting in the absence of President Kegley and welcomed all attendees. Having determined that a quorum was present the meeting was called to order at 11:34 am.

b. Approval of Agenda Ms. Beemer presents a brief overview of the agenda and requests approval. She also asks if any attendee has a conflict of interest to please come forward; none identified. There was a motion by Jerry Jenkins to approve the agenda, seconded by Mark Williams. Motion approved.

c. Approval of Minutes Ms. Beemer gave an overview of the meeting minutes from 07/20/2016 and requested approval.

Motion to approve agenda passed

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There was a motion by Mark Williams to approve the meeting minutes, seconded by Erin McArthur. Motion approved.

1. President’s Report In the absence of President Kegley there was no report.

2. Standing Reports Treasurer’s Report (Chris Emond)

Chris Emond gives the Treasurer’s Report. He references the Statement of Financial Position report as of July 31, 2016. Cash and money market accounts total $404,343.77. A review of the Statement of Activities ending July 31, 2016 shows a net income of $31,594.70. There are no significant changes or deviations from the previous month. A/R and A/P reflects business as usual. Chris suggests that participant fee increases for 2017/18 be considered.

Executive Director’s Report (Rebecca Madison)

Rebecca Madison presented the Executive Director’s report as of 08/31/2016. 1. Financial: Final contract with SOA is complete; invoice submitted, awaiting payment. $350K loss in FY2016; will deplete surplus but with fee increases will maintain positive cash flow. 2. DSM: There are 342 organizations live, 9 organizations in process and 4,219 users at this time. 3. HIE: A complete list of all facilities and their status can be found on pages 27-28 of the board packet. 4. REC: REC grant closed as of 6/5/2016. 5. Privacy and Security: HiTrust Certification completion will be in conjunction with Orion Health; they expect to complete their process by December 2017. 6. Resources: No outstanding issues. Rebecca references new additional HIE data reports. Data includes production uptime, unscheduled outages, production interfaces by data type, rhapsody transactions and enterprise master patient index (EMPI). Other key data points are captured as well and can be found on page 18. AeHN staff outreach statistics can be found on page 19. AeHN potential risk and mitigation strategies dashboard is included on page 21.

State Report (Val Davidson) Commissioner Davidson gives the State report. She reports that there has been a significant budget gap with approximately $200M in cuts. She relates that this is a serious concern and has widespread effects. For instance, programs supporting low income heating will no longer be available, senior benefits will be reduced, privatization of the Pioneer Homes will begin and the projection for FY2018 will be another 25% overall cut in the budget. She suggests planning ahead. She reminds everyone that there is a new slate of legislators next year that will likely need to be made aware of the value of the HIE and also the State Medicaid reform initiatives which involve the HIE.

Privacy and Security (Carolyn Heyman-Layne)

Carolyn Heyman-Layne states the Privacy, Security and Compliance Workgroup met August 11th. The main topic for discussion was access to the HIE and drop down menu selections. Minutes are posted on the AeHN website and included as part of this packet; page 24.

Motion to approve meeting minutes from 07/20/2016 passed

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There was a motion by Stewart Ferguson to approve the standing reports as presented, seconded by Chris Emond. Motion approved.

3. ED Project (Connie Beemer) Connie brings attendees current on the activities of ASHNHA and the ED project. She states that SB74 outlines the specifics of the project but essentially the goal is to reduce unnecessary ED utilization and help patient’s main stream to case management/primary care. ASHNHA, along with Dr. Zink (Emergency Physician-Matsu and President, American College of Emergency Physicians-AK Chapter), are heading up the project; collecting data from ED clinical staff and software vendors. At this point two vendors have been identified to provide interface expertise. AeHN has been part of the workgroup and will be integral in providing data to the ED system. Connie announced a time constraint needing to relinquish obligation to chair the meeting and asks for an alternate. Nancy Merriman states she will pick up as facilitator.

4. HIE Strategy Research (Heidi Wailand) The Mental Health Trust has provided resources to AeHN to assist in the development of a strategic plan to include both current activities and future activities such as the addition of behavioral health data exchange. Heidi Wailand joined the Mental Health Trust in February 2016 and will be working with the AeHN board to broaden the awareness and scope of potential services of the HIE. Heidi will be assisting with the strategic planning process by surveying board members and key stakeholders for perspectives about the HIE. The fundamental goal is to identify sustainable HIE services improving interoperability of health systems.

5. Business Plan-Sustainability Plan(Rebecca Madison) Rebecca reports these documents were included for review and to enable future discussion. Feedback should be sent to [email protected].

6. Vision/Mission Statement Review(Carl Kegley/Rebecca Madison) Rebecca states that review of the Vision and Mission Statements is a component of the strategic planning process and has included both the current version and a recommendation for change. Attendees were asked to review the documents and send feedback as willing.

7. Planning for Annual Meeting – November 2, 2016 5-7PM BP Energy Center Rebecca states she is securing a key note speaker for the event. The agenda will also include the preliminary results of the research Heidi Wailand from the Mental Health Trust obtained.

8. Adjournment There being no further business to discuss Vice President Merriman asks for the meeting to adjourn.

Motion to approve standing reports passed Motion to adjourn passed

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mailto:[email protected]


1:26 PM

There was a motion by Jerry Jenkins to adjourn, seconded by Chris Emond. Motion approved.

Respectfully submitted by: C. Yesmant

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AeHN Annual Stakeholder Meeting BP Energy Center, Anchorage

Wednesday, November 02, 2016 5:00 p.m.- 7:00 p.m.

Alaska eHealth Network – Board of Directors Meeting Minutes November 02 2016

Board Members Present A Kegley, Carl (President) - Banner Health X Hultberg, Becky - ASHNHA Ad Hoc: P Merriman, Nancy (Vice President) - APCA (Proxy-Connie Beemer) P Madison, Rebecca-Executive Director P Emond, Chris (Treasurer) –Mat-Su Health P Jenkins, Jerry – Comm. Mental Health Svcs. P Yesmant, Claudette-Recorder A Dahline, Jennifer – Premera BCBS P McArthur, Erin, MD – LaTouche Pediatrics p Heyman-Layne, Carolyn-AeHN (P-NV) A Ballard, Timothy – VA Healthcare System T Rathkopf, Melinda, MD – AAI Center of AK X Davidson, Val – DHSS (Proxy-Beth Davidson) P Williams, Mark - Providence T Ferguson, Stewart, PhD - ANTHC A Harris, Jan – University of AK (NV) P=Present / T=Teleconference / A=Absent / X=Proxy / NV=Non-voting Member (Quorum = 7 Voting Members or Member Proxies) Guests Present (P) Carney, Darcy – Carney Consulting (P) Burns, Randall – Div. of Behavioral Health - SOA (P) Wailand, Heidi – AK Mental Trust Board (P) Jensen, Chad – LaTouche Pediatrics (P) Raymond, Deedee – Div. of Behavioral Health - SOA (P) Baldwin, Michael – AK Mental Trust Board (P) Staph, Christiann - DHSS (P) Oswald, Jessica - Providence (P) Erickson, Deborah - DHSS (P) Mullen, Tim – Orthopedic Physicians Anchorage (P) Widen, Eric – HBI Solutions (P) Bailey, Tammy – HCA - ARH (P) Federenk, Garvin - ANTHC (P) Conley, Tara – HCA - ARH (T) Schmeising, Debra - Premera (T) Bishop, Brita - SOA (T) Gross, Cathy – Wrangell Medical Center (T) Landry, Gerry – SOA DHSS (T) Girod, George – SOA BH (T) Leiber, Rachel - Providence (T) Alfreds, Shaun - HealthInfoNet (T) Taylor, Tom - APCA (T) Jensen, Brandy – Banner Health (T) Allen, Carly - ICS (T) Eikenberry, Stephen - FMH (T) Cruze, Sandra - ANTHC (T) Darrough, Johanna - BBAHC (T) Darrel, Natasha (T) Halterman, Anita - SOA (T) Onders, Robert - ANTHC (T) Bragg, Chris - SCF (P) Tucker, Wendy - AeHN (P) Landon, Jim - AeHN (P) Akelstad, Erin - AeHN Supporting Documents: TIME AGENDA ITEM – Presenter/Discussion Consensus/Action

5:00 PM

Welcome and Introductions Rebecca Madison welcomed all attendees and roundtable introductions were made.

A National Perspective for Predictive Analysis Shaun Alfreds, COO of HealthInfoNet gave the presentation on predictive analytics. He points out that HealthInfoNet is the only health information exchange in the state of Maine, and like AeHN, contracts with Orion Health. He states that HealthInfoNet was established in 2006 and has become nationally recognized as one of the leading health information exchanges in the country. He explains that their partnership with HBI Solutions has made it possible for clinicians to use real-time data and predictive analytics to improve care coordination and decrease unnecessary

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Alaska eHealth Network – Board of Directors Meeting Minutes November 02, 2016

utilization. Eric Widen, President of HBI Solutions was present for questions/comments. AeHN will host Eric Thursday November 3rd when he will address precision health and analytics in detail; an invitation to join was extended. (Presentation materials from HealthInfoNet and HBI Solutions are available at www.ak-ehealth.org).

AeHN Update: Operations/Rebecca Madison

Rebecca reviews the timeline of key milestones and setbacks of the Alaska Health Information Exchange (HIE). She highlights several stages; 2007 through 2010 development and growth phases, where policy and funding were established; 2010 when Alaska becomes the first state to implement Direct Secure Messaging; 2011 ONC issues a corrective action plan; 2012 first participant contract is signed for HIE with Fairbanks Memorial Hospital (FMH); August 2013 FMH goes live. From 2013 to date the HIE has been working toward full production and continues to onboard hospitals and providers. Rebecca compares the sophistication of HealthInfoNet to the goals AeHN desires. She shows the AeHN Maturity Model as the visual path to value pointing out the many successes achieved as well as future accomplishments to be attained. The robust projection for FY17/18 and beyond includes increasing participation of 140 organizations (behavioral health, tribal partners, tribal referrals), securing CMS funding (FY17) and onboarding other diverse disciplines to the HIE such as, pharmacies, dental , long term care, Department of Corrections, etc. She states that with strong support and engagement of the board, stakeholders and community a solid strategic plan will be designed to achieve said desired state.

Strategic Planning Update/Heidi Wailand

Heidi states that over the last two month time period she led the strategic planning initiative; convening interviews with AeHN board members and AeHN staff, the Department of Health and Social Services and others to gain an understanding of the current opportunities and challenges facing the organization. The interviews along with a greater understanding of AeHN’s current position regarding onboarding, current resources and desired state revealed a clear vision of what resources were required to achieve a pathway to a solid strategic plan. She states that AeHN must develop a plan to assess and build its organizational capacity, rebuild confidence among participants and move toward increased value. She states AeHN is at a critical juncture. One which requires greater resources and planning to keep pace with participant outcome expectations. Heidi suggests AeHN secure the assistance of a contractor with deep expertise in health information exchange to (1) further define the role of the HIE, (2) analyze ways to increase value and sustainability, (3) assess and build organizational capacity, (4) develop a strategic road map and (5) maximize and expedite receipt of federal funding. Heidi states that AeHN’s existing budget is not sufficient to support this level of work, outreach and technology. She offers to engage the Mental Health Trust Authority and ask for their endorsement in funding the cost of a consultant to assist with the project.

Finance/Chris Emond

Chris Emond reviews the financial overview stating the FY16 Audit completed by Thomas, Head and Greisen was found to be in compliance in all areas and clear of any errors or omissions. Form 990 for 2015 was completed and filed. FY16 assets equaled $650,078 and expenses were as expected.

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6:40 PM

State of Alaska/Beth Davidson Beth gives the update from the Department of Health and Social Services. Fiscal Update: HIE participation fee will be reduced by 25% for FY2018. There is an anticipated contract amendment for additional design, development and implementation work; including onboarding support for providers. Centers for Medicare & Medicaid Services (CMS) HITECH Funding: Alaska received funding from CMS for several projects:

• Modifications to the State Level Registry (SLR) to support Medicaid EHR Incentive Payment Program • EHR Incentive Program Onboarding Initiative • HITECH MITA 3.0 • Environmental Scan & Health Information Technology Roadmap Development • Medicaid Claims Data Feed to the HIE • Medicaid Personal Health Record (PHR) within the HIE • Clinical Quality Measure Reporting via the HIE • Behavioral Health HIE Onboarding • Prescription Drug Monitoring Program Onboarding to the HIE • Division of Public Health PRISM/Lab System Development • Division of Public Health System Modernization • Medicaid Redesign Support • Master Client Index Enhancement • myAlaska Authenication

Medicaid Redesign Initiatives: As related to components of SB74; Delivery system reforms, delivery system infrastructure, internal system improvements and options for future improvement.

Adjournment

The meeting was adjourned at 6:40 PM


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AeHN Board of Directors Meeting BP Energy Center, Anchorage

Wednesday, November 02, 2016 6:45 p.m.- 7:15 p.m.


Board Members Present A Kegley, Carl (President) - Banner Health X Hultberg, Becky - ASHNHA Ad Hoc: P Merriman, Nancy (Vice President) - APCA (Proxy-Connie Beemer) P Madison, Rebecca -Executive Director P Emond, Chris (Treasurer) –Mat-Su Health P Jenkins, Jerry – Comm. Mental Health Svcs. P Yesmant, Claudette – AeHN Recorder A Dahline, Jennifer – Premera BCBS P McArthur, Erin, MD – LaTouche Pediatrics P Heyman-Layne, Carolyn - AeHN (P-NV) A Ballard, Timothy – VA Healthcare System T Rathkopf, Melinda, MD – AAI Center of AK A Butler, Jay, MD - DHSS P Williams, Mark - Providence T Ferguson, Stewart, PhD - ANTHC X Davidson, Val – DHSS (Proxy-Beth Davidson) A Harris, Jan – University of AK (NV) P=Present / T=Teleconference / A=Absent / X=Proxy / NV=Non-voting Member (Quorum = 7 Voting Members or Member Proxies) Guests Present (P) Carney, Darcy – Carney Consulting (P) Jensen, Chad – LaTouche Pediatrics (P) Davidson, Beth - DHSS (P) Staph, Christiann - DHSS (P) Beemer, Connie - ASHNHA (P) Wailand, Heidi – AK Mental Trust Board (P) Akelstad, Erin - AeHN (P) Baldwin, Michael – AK Mental Trust Board (P) Widen, Eric – HBI Solutions (P) Oswald, Jessica - Providence Supporting Documents: TIME AGENDA ITEM – Presenter/Discussion Consensus/Action

6:45 PM

CALL TO ORDER

1. Welcome and Introductions Vice President Merriman welcomed all attendees. Having determined that a quorum was present the meeting was called to order at 6:45 pm.

a. Approval of Agenda Vice President Merriman presents a brief overview of the agenda and requests approval. Vice President Merriman also asks if any attendee has a conflict of interest to please come forward; none identified. There was a motion by Chris Emond to approve the agenda, seconded by Mark Williams. Motion approved.

2. Board Member Elections Vice President Merriman states there are two seats up for re-election and two open seats. Becky Hultburg, Hospital


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7:06 PM

and Nursing Home Representative and Timothy Ballard, MD, Federal Healthcare Representative have both agreed to serve another two year term; January 2017 to December 2018. There was a motion by Jerry Jenkins to approve the re-election of Becky Hultburg and Timothy Ballard, MD for another 2 year term, seconded by Chris Emond. Motion approved.

3. Officer Nominating Committee (Nancy Merriman) Vice President Merriman asks for volunteers for the Officer Nominating Committee to assist in electing new officers as well as fill the two open seats of Private Medical Provider and Hospital and Nursing Home Representative. Stewart Ferguson and Connie Beemer have volunteered.

4. FY16 Audit Report (Thomas, Head & Greisen) Audrey Lance, CPA from Thomas, Head & Greisen states the FY16 Audit was completed and in compliance. There was a motion by Mark Williams to approve and accept the audit, seconded by Jerry Jenkins. Motion approved.

5. Strategy Planning Retreat & Next Regular Board Meeting (Nancy Merriman) After discussion it was determined that the following meeting schedule is acceptable to attendees:

• November 18, 2016: Strategy Planning Meeting from 11:30am-1:30pm at AeHN • January 18, 2017: Regular board meeting and officer elections, AeHN

6. Adjournment

There being no further business to discuss Vice President Merriman asks for the meeting to adjourn. There was a motion by Mark Williams to adjourn, seconded by Chris Emond. Motion approved.


Motion to approve re-election of Becky Hultburg and Timothy Ballard, MD for another 2 year term; Jan. 2017-Dec. 2018 passed Motion to approve and accept the FY16 Audit passed

Motion to adjourn passed

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AeHN Board of Directors Special Meeting AeHN Offices, Anchorage Friday, January 13, 2017

9:00 a.m.- 11:00 a.m.

Alaska eHealth Network – Board of Directors Special Meeting Minutes January 13, 2017

Board Members Present P Merriman, Nancy (Vice Pres, Acting Pres) - APCA P Jenkins, Jerry – Comm. Mental Health Svcs. Ad Hoc: T Emond, Chris (Treasurer) –Mat-Su Health A McArthur, Erin, MD – LaTouche Pediatrics P Madison, Rebecca -Executive Director T Dahline, Jennifer – Premera BCBS P Yesmant, Claudette – AeHN Recorder P Ballard, Timothy – VA Healthcare System A Davidson, Val – DHSS (Proxy-Beth Davidson) P Ferguson, Stewart, PhD - ANTHC T Harris, Jan – University of AK (NV) X Hultberg, Becky – ASHNHA (Proxy-Connie Beemer)

P=Present / T=Teleconference / A=Absent / X=Proxy / NV=Non-voting Member (Quorum = 7 Voting Members or Member Proxies)

Guests Present (P) Oswald, Jessica - Providence

Supporting Documents:

TIME AGENDA ITEM – Presenter/Discussion Consensus/Action

9:05 AM

CALL TO ORDER

1. Welcome and Introductions Acting President Merriman welcomed all attendees. Having determined that a quorum was present the meeting was called to order at 9:05 AM.

a. Approval of Agenda Acting President Merriman presents a brief overview of the agenda and requests approval. Acting President Merriman also asks if any attendee has a conflict of interest to please come forward; none identified. There was a motion by Stewart Ferguson to approve the agenda, seconded by Connie Beemer. Motion approved.

2. Review Draft Cedarbridge Report


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Alaska eHealth Network – Board of Directors Special Meeting Minutes January 13, 2017

11:00 AM

Acting President Merriman starts by reminding everyone that the Cedarbridge Report is a working draft document and expects changes to be made. She reviews the Introduction/Overview and Present State sections. She notes that the Present State section was based on stakeholder interviews and the SWOT analysis and highlights some key themes as:

• Appropriateness of current budget • Board engagement concerns • Adequacy of staffing resources for project scope • Long term trust and commitment of stakeholders • Need for the HIE as related to AK SB 74 • Widespread HIE awareness and interoperability • HIE value to stakeholders

All agreed these concerns must be addressed for the long-term sustainability and viability of AeHN. Turning to page 6; Options. Ms. Merriman suggests the bullet points are not ordered by priority and feels the bullet referencing the reply to the SOA Notice to Cure letter as the most critical and recommends moving it to the first item to address. All attendees agreed. Further discussion and board input of the Cedarbridge Group initial assessment is scheduled to occur during the upcoming strategic planning session on January 17, 2017.

3. Review Notice to Cure Acting President Merriman reviews the Notice to Cure stating first that the due date of a response is within 10 days of the dated letter; letter was dated January 12th, 2017 with response due by January 19th, 2017 which is 7 days. Rebecca states she will send a letter to the State asking to adjust the date. Several areas of the letter were reviewed and it was determined that Nancy Merriman and Rebecca Madison will draft a response letter and circulate to the board for review and comment.

4. Adjournment There being no further business to discuss Acting President Merriman asks for the meeting to adjourn. There was a motion by Stewart Ferguson to adjourn, seconded by Chris Emond. Motion approved.


Motion to adjourn passed

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AeHN Board of Directors Meeting AK Trust Authority, 3745 Community Park Loop, Anchorage

Tuesday, January 17, 2017 9:00 a.m.- 10:00 a.m.

Alaska eHealth Network – Board of Directors Meeting Minutes January 17, 2017

Board Members Present P Merriman, Nancy (Vice Pres, Acting Pres) - APCA P Jenkins, Jerry – Comm. Mental Health Svcs. Ad Hoc: A Emond, Chris (Treasurer) –Mat-Su Health A McArthur, Erin, MD – LaTouche Pediatrics P Madison, Rebecca -Executive Director T Dahline, Jennifer – Premera BCBS P Yesmant, Claudette – AeHN Recorder A Ballard, Timothy – VA Healthcare System P Davidson, Val – DHSS (Proxy-Beth Davidson) P Ferguson, Stewart, PhD - ANTHC A Harris, Jan – University of AK (NV) X Hultberg, Becky – ASHNHA (Connie Beemer Proxy) P=Present / T=Teleconference / A=Absent / X=Proxy / NV=Non-voting Member (Quorum = 7 Voting Members or Member Proxies) Guests Present (P) Oswald, Jessica - Providence (P) Wailand, Heidi – AK Trust Authority (P) Beckett, George – Cedarbridge Group (P) Coughlin, Christina – Cedarbridge Group Supporting Documents: TIME AGENDA ITEM – Presenter/Discussion Consensus/Action

9:04AM

CALL TO ORDER a. Welcome and Introductions

Nancy Merriman (Acting President) welcomed all attendees. Having determined that a quorum was present the meeting was called to order at 9:04 am.

b. Approval of Agenda Nancy Merriman (Acting President) presents a brief overview of the agenda and requests approval. She also asks if any attendee has a conflict of interest to please come forward; none identified. Stewart Ferguson requested that item #4 Board Nominees/Resignations be moved before the Treasurer’s Report. There was a motion by Jennifer Dahline to approve the agenda with suggested change of moving the Board Nominees/Resignation item, seconded by Stewart Ferguson. Motion approved.

c. Approval of Minutes

Motion to approve agenda with change of item order passed

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Ms. Merriman presented the meeting minutes from 09/21/2016, 11/02/2016 Regular Meeting and 11/02/2016 Annual Meeting and requested approval. Board members present requested more time to review the minutes. Motion to approve minutes was tabled as attendees required more time to review.

Board Nominees/Resignations (Nancy Merriman) Nancy Merriman states that AeHN received a resignation letter from Carl Kegley effective January 1, 2017. Mr. Kegley has been a member of the board since November 2012 and served as President from January 2016 to December 2016. She further states that AeHN received a letter from the Alaska State Medical Association (ASMA) nominating Sam Shirk, MD to be seated on the board of directors for the term January 2017 to December 2019. A letter was also received from the Alaska State Hospital and Nursing Home Association (ASHNHA) nominating Jessica Oswald to be seated on the board of directors for the term January 2017 to December 2019. Bios on each nominee is included in the materials for this meeting. Rebecca Madison states that Commissioner Val Davidson sent a letter appointing Beth Davidson as her official proxy. Nancy Merriman asked for volunteers to work on the Nominating Committee for the review of officer candidates. Stewart Ferguson, Connie Beemer and Jessica Oswald agreed to work on this committee. Stewart suggests that the committee contact current officers as to their interest in continuing and then offer a slate of officers at the next regularly scheduled board meeting. There was a motion by Jerry Jenkins to seat both Sam Shirk, MD and Jessica Oswald to the board for the term January 2017 to December 2019; seconded by Connie Beemer.

Treasurer’s Report (Chris Emond) Rebecca Madison gives a Financial Report in the absence of Chris Emond. She references the Statement of Financial Position report as of November 30, 2016. Cash and money market accounts total $225,182.39. A review of the Statement of Activities ending November 30, 2016 shows a net income of $-173,797.59. There are no significant changes or deviations from the previous month. A/R and A/P reflects business as usual. To be noted; the State of Alaska has paid all outstanding invoices to date. The payment was received on January 5, 2017.

Policy Review (Rebecca Madison)

Rebecca Madison states that the following policies have been reviewed by Carolyn Heyman-Layne. There are no recommended changes for any of these policies at this time with the caveat that some will need to be changed once substance abuse information is added to the system. The policies reviewed are as follows: 2.000, 2.100, 2.200, 2.300, 2.400 and 2.600 (All can be found on the AeHN

Motion to seat Sam Shirk, MD and Jessica Oswald to the board of directors for the term January 2017 to December 2019 passed

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9:41 AM

website – http://www.ak-ehealth.org). There was a motion by Connie Beemer to approve policies 2.000, 2.100, 2.200, 2.300 2.400 and 2.600 as presented, seconded by Jerry Jenkins. Motion approved.

Special Planning Meeting – February 13 and 14, 2017 (Nancy Merriman) Ms. Merriman states that both February 13 and 14th have been blocked as full day planning sessions. She recommends keeping the timing as such as these days are the last 2 days of the scope of the Cedarbridge engagement and the plan at the end of this visit was to have a Strategic Plan and Roadmap completed. It was agreed to keep the times as scheduled with the opportunity to end early on the 14th if all work has been completed. Nancy would like to have a brief regular board meeting at the beginning of the day on February 13th to bring forth the slate of officers for approval.

Additional Business Beth Davidson suggests that a committee be formed for the purpose of review of the AeHN by-laws. Beth Davidson, Connie Beemer and Stewart Ferguson came forward to volunteer for the By-Lay Review Committee. There was a motion by Jerry Jenkins to approve the formation of the By-Law Review Committee; seconded by Jessica Oswald. Motion approved. Next Regular Board Meeting – February 13th, 2017; 9:00 am – 9:30am

Adjournment There being no further business to discuss Ms. Merriman asks for the meeting to adjourn. There was a motion by Connie Beemer to adjourn, seconded by Jerry Jenkins. Motion approved.


Motion to approve policies 2.000, 2.100, 2.200, 2.300, 2.400 and 2.600 passed Motion to approve forming a By-Law Review Committee passed Motion to adjourn passed

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http://www.ak-ehealth.org/

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From: Connie BeemerTo: Nancy MerrimanCc: Ferguson, Stewart; Oswald, Jessica; Rebecca Madison; Claudette YesmantSubject: Slate of officersDate: Wednesday, February 01, 2017 1:45:13 PM

The nominating committee comprised of Jessica, Stewart, and myself would like to recommend thefollowing slate of candidates for officer positions with a term ending the immediate board meetingafter the 2017 annual meeting. All candidates have expressed their willingness to serve in thesepositions:

Nancy Merriman (APCA) / PresidentJerry Jenkins (ACMHS) / Vice PresidentChris Emond (Mat-Su Health Foundation) / TreasurerJennifer Dahline (BC/BS) / Secretary

Thank you, -----Connie Beemer, MBA, PMPDirector, Member Services & Operations

Alaska State Hospital and Nursing Home Association1049 W 5th Ave. Suite 100Anchorage, Alaska 99501Office: 907.270.6448Cell: 907.738.8251

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AeHN Interim Executive Director Brief February 2017

Page 1 of 2

AeHN Brief: Interim Executive Director February 2017

Background: In September 2016, the Alaska eHealth Network (AeHN) launched a strategic planning initiative to assess the organization’s situation, identify opportunities for increasing the value provided to participants, and develop a vision for statewide health information exchange. In addition, the board hoped to identify core activities and components that needed attention in the next one to three years to increase value to existing participants, improve the financial stability of the organization, and build the capacity necessary to complete the deliverables included in the Alaska Department of Health and Social Services (DHSS) 2016 HITECH funding request to the Centers for Medicare and Medicaid Services (CMS).

The Alaska Mental Health Trust Authority (The Trust) contracted with CedarBridge Group, a national health informatics consulting group, to guide the strategic planning process and provide recommendations about how to develop the Alaska Health Information Exchange and make it sustainable into the future.

Within its Initial Assessment report of January 2017, CedarBridge noted the following:

Rebecca Madison has provided admirable leadership in the early developing years of the HIE with the limited resources and start-‐up challenges the organization has encountered. She has a strong working knowledge of the organization’s operational and functional needs. In short, she is a vital resource to the organization. Additionally, she may indeed be the only readily available resource of HIE-‐specific technical knowledge currently available in Alaska. …It is currently the opinion of CedarBridge that Rebecca Madison is the most qualified person available to develop a stronger technical team to ensure the success of the contract and of theHIE over the long-term. …Rebecca is currently not able to focus enough time on refining and expanding the technology capabilities of the organization, given her other responsibilities.

AeHN also needs to ensure that it has strong leadership at its helm to oversee the other management and engagement needs of the organization during this critical time. … One possible solution the AeHN Board may wish to consider is recruiting an Interim Executive Director to immediately allow Rebecca to take on the technology delivery and skills development leadership needed to ensure the successful deployment of the state contract.

The Foraker Group Interim Executive Director Service The Foraker Group serves as the state association and nonprofit capacity building organization for nonprofits and tribes across Alaska. We are dedicated to increasing the leadership and management skills of professionals and volunteers working in Alaska’s nonprofit and tribal organizations through an innovative approach focused on our nonprofit sustainability model.

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AeHN Interim Executive Director Brief February 2017

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Through The Foraker Group’s Shared Services, they can offer non-profit organizations Interim Executive Director services during times of change and transition.

For AeHN to avail itself of the Interim Executive Director service through Foraker:

⋅ AeHN must be a Foraker Partner (cost for AeHN is $1,500/year) ⋅ AeHN must be in an active search for a permanent Executive Director ⋅ AeHN will enter into a contract with Foraker when a suitable match has been made between

AeHN and an Interim. The fee of $130/hour is charged for this service through Foraker. If the Interim is not from Anchorage, housing and/or transportation costs may need to be paid as well.

Interim ED’s typically work less than full-time (20 hours/week is common) and concentrate on urgent, time-sensitive issues of the non-profit. Terms are usually around three months – but no longer than six months.

A 3-month engagement of an Interim working 20 hours/week will cost approximately $31,000

The Foraker Group Executive Search Services The Foraker Group, recognizing the significant and critical work of searching for a non-profit Executive Director, has assembled a portfolio of services to assist Boards in completing that scope.

(The attached Scope of Services describes the types of support Foraker provides to Boards.)

Services can be utilized as a whole package or a la cart. Services are billed at $110 per hour plus actual costs incurred. A complete hiring process can range in costs from $2,500-12,000 depending on several factors. Organizations are welcome to state a set price and the Foraker human resources consultant will stay within the set budget.

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