Agfa PACS Project Status Update – 07/18/2017

Timeline Overview

7/1/2017 10/1/2017

8/1/2017 9/1/2017

7/11/2017-7/21/2017AgfaUserAcceptanceTesting

7/31/2017-8/4/2017ReadingWorkstationTesting

8/15/2017-9/21/2017Training

7/24/2017-10/1/2017ModalityTestingandCutover

7/18/2017MigrationStatusCheckpoint1

8/15/2017MigrationStatusCheckpoint2

9/15/2017MigrationStatusCheckpoint3

7/31/2017RegistrationforTrainingOpens

9/15/2017FinalSign-OffForGo-Live

Current State of Project - Off Track Overview

WorkStream Detail Status

Build,Workflows&Infrastructure On-Track:Feedbacktes=nggoingon.

ModalityWorklists&Cutover Off-Track:Strategyandbuildincomplete,noscheduleforvisi=ngeachdefined.

IntegratedWorksta=ons Off-Track:Finalplansforintegra=onandbuildincomplete,noworksta=onsfortes=ng/training.

Data&ImageMigra=on Off-Track:Imagemigra=onshavealmostallfinallybegunthislastweek,butwe’rebehindandhavenometrictoensurewe’reontrackfor2yrs.

Training Off-Track:Classes,students,curriculum,loca=onsarenotwelldefinedandtrainingstarts8/15.

Tes=ng Watch:Timeexistsfortes=ng,butplansareilldefinedandsystemsarenotquiteready.

Cutover&Go-Live Watch:Mee=ngsarebeingheldanddiscussionsareongoing,butwearefarbehindtherestoftheEpicproject.

Backup/Down=mePlanning On-Track:Mee=ngsarebeingheld/scheduledanddiscussionsareongoing

Current State of Project - Off Track Overview

•  Generalmethodologyforge7ngbackontrack•  Workdividedinto8workstreams,eachwithaleader

(parallelizingefforts).•  Dailyhuddleforroadblocksandescla=ons•  Addingmorestaff.•  Removingitemsfromscope.•  Riskregisterandmi=ga=onscreated.

Build, Workflows & Infrastructure - On Track Work Streams

•  UpcomingMilestone(s):o  7/21Userfeedbacktes=ngcompleted;Changecontrolo  7/28Loadbalancinginforma=onreceivedfromStanfordo  7/28Loadbalancetes=ngplandefined.o  TBD-Agfacompletessystemarchitectureaudito  8/1–Storageconcernsresolvedo  8/1-XeroEncryp=onResolvedo  8/11–Buildnecessaryfortrainingcompleted

•  Roadblocks/EscalaConso  XeroEncryp=on-ForresttofollowupwithEpic,Chrislambsent

technicalspecs.o  Storage-Ernietoschedulemee=ngwithRickWallace&PhilBaldyga&

Pat,ChrisLamb,AndrewfrickrickBollinger.o  Thursday,Erik/Ernietoscheduleachangecontrolcallforbuild.

KeyMetrics

Modality Worklists & Cutover - Off-Track Work Streams

•  UpcomingMilestone(s):o  7/19–FacilitymappinginAgfadetermined.MarkDesrochesby

Wednesdayo  7/19–Modali=estotestiden=fied.TedMingollatodobyWednesday.o  7/19–ModalitybuildinAgfacompleteo  7/21–SchedulesharedwithOps.Leaderstodeterminewhentes=ng

canbegin.o  7/21–Finalplanfortes=ngdefined.o  7/24–Modalityworklisttes=ngandcutoverac=vi=esbegin.

•  Roadblocks/EscalaConso  NetworkingVIPneededforpre-cutover.Currentstateisnotwell

known;tes=ngisneeded.o  Don’thaveallports/ae=tles;wecanlookatthisaswegoaroundand

testintheworstcasescenario

KeyMetrics

Modali=estested 0Modali=esuntested ?

Modali=escutover 0Modali=esnotcutover ?

Integrated Workstations - Off-Track Work Streams

•  UpcomingMilestone(s):o  7/14–Developscheduleforintegratedworksta=ontes=ng7/31.o  7/21–Finalizelistofworksta=onsneededo  7/21–Finalizedeploymentplanforremaininghardwareo  7/21–IntegratedWorksta=onsforTes=ng/Trainingdeliveredo  7/28–IntegratedWorksta=onsreadyfortes=ng.o  7/28–Begincrea=ngpackages/images;finalizesoiwaredeployment

strategies.o  7/31–Tes=ngofintegratedworksta=onsbegins.

•  Roadblocks/EscalaConso  Forrestneedsplatecleared–othershavepitchedin.o  6Worksta=onsneededfortes=ng(3inlibrary,2forH&V,1atHA)o  Integra=onofworksta=ons–o  PeerVueisamust(needsupgradeinPRD).ScoltotalktoPat.o  Willvascularprovidersusexerotoread

KeyMetrics

190,74%

68,26%

HardwaretoDeploy

HardwareDeployed

45%

55%

SoRwareBuilt-Out

SoRwareNotBuilt-Out

Integrated Workstations - Off-Track Work Streams

•  Scopingupdate:Forrest

System Version Status CommentsEpicRadiant 2015 InScope,Tes=ng EpicCupid 2015 InScope,Tes=ng Powerscribe360 InScope,Tes=ng

TeraRecon 4.4.12.196 OutofScope

VersionupgradetoTeraReconrequiredforcer=fiedversionto8.1EI.Reques=ngtomove30dayspost-liveforLDAPintegra=on.Currently,isastand-aloneapplica=on.Reques=ngsameforgo-live.Specialtyappscannotmoveto.UpgradedversionofTeraReconinTESTandhasbeenvalidated.

PeerVue PTF-CWI20-8010 InScope,Tes=ngUpgradedinTEST.Upgraderequiredtodeliversameservicesastoday.RemaininginscopeandPeerVueupgradetooccuron10/1.

Radimetrics InScope,Tes=ng Dicomforward.AddingnewportstoRadimetrics.

CadStream OutofScope

Integra=ondoesnotexistwithpresentenvironment.WouldratherstabilizeEpic-Shieldsworkflowsbeforeintroducinganychanges.3+Monthspost-LIVE.DicomforwardfromShieldsmodali=estomatchpresentday.

SyngoVia VA30B InScope,Tes=ng ChristofollowupatAgfaandreviewdocumenta=on.Willhaveupdate6/30.

Data & Image Migration - Off-Track Work Streams

•  UpcomingMilestone(s):o  7/14Metricsfinalizedo  7/14–FinalORM/ORUloadscomplete;DICOMimagemigra=onbegins

•  StatusUpdate

System StatusNumberofStudies Converted

ExpectedyearsatGo-LIVE Comments

ImageCast StartedHL7Livefeedrunning7pm–5am.BackloadalreadycompleteImagesre-startedon7/17.

GEDMS/EA(includesHA)Heart&Vascular Started

ReportswillbeinHylandOnBasewlinkviaEpicduetoformanngissues.Imagesre-startedon7/17.NeedmilestoneplanforgapJuly-Sept.

SiemensRadiology(HA) Started

Reportsstartedon7/14.2010complete.WorkingwithSiemensonexpectedcomple=on.Askedfor2016nextsowecanbeginimagemigra=on.NeedmilestoneplanforgapJan-Sept.

VascuPro StartedBackloadofreportscompletethroughMar2017.Imagesre-startedon7/17.NeedmilestoneplanforgapApr-Sept.

Viewpoint(OB-GYN)Notstarted

Roughly60%ofallrecordshavingMRNissues.Atriskfor10/1.Currentlyit’sastandaloneserverwithimages.Noaccessforstafftoday.CindyNelsonworkingonissuesandwillcommunicatetoDr.Cain.Imagesonly.

Data & Image Migration - Off-Track Work Streams

•  UpcomingMilestone(s):o  7/14Metricsfinalizedo  7/14–FinalORM/ORUloadscomplete;DICOMimagemigra=onbegins

•  KeyMetrics

6,400,000,100%

4500,0%

GEUMMHCRadiology

970,000,100%

Siemens-HA

158000,99%

1,468,1%

VascuPro GEUMMHCCardiology

Training - Off-Track Work Streams

•  UpcomingMilestone(s):o  7/14–Coursecatalogdefinedo  7/14–Countoftraineesobtainedo  7/14–Countoftrainersdeterminedo  7/14–Test/trainingpa=entsdeterminedo  7/28–Registra=onopens.o  8/15–Trainingbegins(sometechtrainingtobeginprior

•  Roadblocks/EscalaConso  H&VTechtrainingoccursontwodates,aMandaF.Erniewai=ngto

hearbackfromLarry.o  Resources–WelcomeJenniferSandvick.Needsoutlookaccess.o  WhoatHAisresponsibleforTechsJ.Tallman@healthalliance.com.Or

GrantBacon

KeyMetrics

ClassesPlanned ?ClassesCompleted 0

StudentstoRegister ?StudentsRegistered 0

StudentstoTrain ?StudentsTrained 0

Testing - Watch Work Streams

•  UpcomingMilestone(s):o  7/10Agfa-onlyuseracceptancetes=ngbeginso  7/24Modalityworklisttes=ngbeginso  7/31Integratedworksta=ontes=ngbeginso  8/3Loadtes=ngbegins

•  Roadblocks/EscalaConso  Loadtes=ngplannotdefined.o  Timetakentopullupimagesnotdefined.o  Imageinges=onnotdefined.o  Modalityworklisttes=ngstrategynotdefined.

KeyMetrics

Cutover & Go-Live - Watch Work Streams

•  UpcomingMilestone(s):o  7/21–Ini=almee=nghasbeenheldtocheckstatus.o  7/24–Minute-by-minuteplanningbeginso  8/11–Finalizestaffing,report-in-andreport-out=mes

•  Roadblocks/EscalaCons

Backup & Downtime Planning - On-Track Work Streams

•  UpcomingMilestone(s):o  7/21–Stanfordlessonslearnedlistcomposed.Ernietoreachoutto

KevinandDave.Erikwillreachouttohisfolks.o  7/28–internalandexternalpre-mortemsheld.Eriktogetthese

scheduled.Itmayhavetobeconsideredmoreadown=methanabackupplan.

o  8/11–Backupplansfinalized.

•  Roadblocks/EscalaCons