GLIDES PROJECTPROJECT STATUSMARCH2008

Project Summary:
Transform guideline knowledge into a computable format, to implement it as decision support within our ambulatory systems at Yale and Nemours, and to evaluate its effects on health and health care. / Status Report For The Time Period:
March, 2008
Project Objective and Goals: development, implementation and evaluation of demonstration sub-projects that advance understanding of how best to incorporate clinical decision support (CDS) into the delivery of healthcare:
Goal 1: Translation of Decision Support Guidelines Into Machine Readable Documents
Goal 2: Identification of Methods and Processes For Incorporating CDS Tools Into EMRs
Goal 3: Optimization Of CDS Tools For Measuring and Improving Quality of Care
Goal 4: Demonstrate and Evaluate Methods Of Using CDS Elements Across Multiple Clinical Sites
Goal 5: Evaluation and Dissemination Of Project Findings and Results
# / Status Item / Y / N
1 / Quality: Are there any significant challenges or barriers to the project, which will prevent the project from delivering the anticipated objectives and goals the Project Plan? / X
2 / Pace: Are there any significant challenges or barriers to the project, which will prevent the project from delivering to the agreed timetable in the Project Plan? / X
3 / Cost: Are there any significant challenges or barriers to the project, which will prevent the project from delivering the agreed project cost in the project budget? / X
4 / Issues: Are there any other significant issues, which cannot be resolved by the project team that must be escalated for resolution? / X
5 / Other Project Impact: Are there any issues or concerns associated with the project, which could adversely impact the progress of other projects? / X
There are no areas of significant risk or concern at this point. We are making good progress against plan.
Active Project Milestones / Planned
Start/End / Actual
Start/End / Quality / Pace / Cost
Draft Project Management Methodology / 2/7/08 – 2/18/08 / 2/7/08 - 2/18/08 / Complete
Draft Project Plan / 2/7/08 – 2/18/08 / 2/7/08 – 2/18/08 / Complete
Finalize Project Plan / 2/19/08 – 4/3/08 / 2/19/08 – 4/3/08 / Complete
Project Team Orientation / 3/3/08 – 3/28/08 / 3/3/08 - 3/28/08 / Complete
Guideline Transformation – Asthma / 3/3/08 – 4/25/08 / 3/3/08
Guideline Transformation – Obesity / 4/28/08 – 5/1/08 / 3/24/08
Evaluation Planning and Preparation / 2/19/08 – 6/19/08 / 2/19/08
Accomplishments
  • Completed Project Plan and submitted to AHRQ. Completed AHRQ Project Plan review on March 17th
  • Recorded Project Officer’s comments from the plan review. It is our belief that the Project Plan documentation submitted to AHRQ does not need to be changed at this time. Additional detail, for example on resource staffing, will be added to the Project Plan during the course of the project as we approach the start of each implementation phase.
  • Commenced Asthma Guideline Transformation work. We have performed a preliminary markup of both the Asthma and Obesity Guidelines and are running ahead of schedule overall, since we had originally planned to work on Obesity in May. We are on schedule to complete the Asthma Guideline transformation work by April 25, as planned.
  • We completed kick-off sessions for both the Nemours and Yale Implementation Groups, including clinical, IT and evaluation staff. This accomplished project team orientation to the project and also provided valuable input to scoping and framing of the clinical guidelines. This input will be factored into our Guideline Transformation work in April.
  • We commenced the Evaluation Planning/Preparation work, including literature review, definition of ascertainable pre and post-implementation variables, and preparation of the HIC paperwork.
  • We have created a project web-site, with both public and private sections, that will be used for project communications and posting of project deliverables and publications:

Plans for Next Period (April)
  • Complete Asthma Guideline Transformation work – target completion April 25th
  • Continue Obesity Guideline Transformation work – target completion May 23rd
  • Continue Evaluation Planning/Preparation – June 19th
  • Continue to engage steering group and implementation teams through project communications and promotion

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