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The assigned APHL Technical Assistance (TA) Team will be supported by a centralized team that includes architects, terminologists and engineers. The centralized team will be responsible for the intermediary configuration, while the public health laboratory focused team will be responsible for addressing public health laboratory (PHL) and healthcare organization (HCO) unique local requirements, and supporting the design, documentation and updates of local systems and processes. The below includes a description of the roles that will be a part of the public health laboratory focused team.

Role

FTE for each Implementation

Responsibilities

Recommended Skillset

Project Sponsor - remote (this would be our “TA Lead”)

Overall - 0.1

  • Planning & Analysis - 0.1

  • Configuration - 0.1

  • Validation - 0.1

  • Production - 0.1

  • Commits to participating in implementation project as outlined in implementation project charter

  • Provides oversight to all APHL ETOR technical assistance teams

  • Responsible for the staffing and scheduling of ETOR implementations

  • Serves as escalation and support for team

  • Knowledge of management principles and practices

  • Previous management experience

  • Knowledge of public health laboratories and healthcare organizations

  • System implementation experience preferred

Project Manager - on-site as needed

Overall - 0.5

  • Planning & Analysis - 0.5

  • Configuration - 0.3

  • Validation - 0.3

  • Production - 0.3

  • Acts as APHL primary contact for public health laboratory and healthcare organization PHL and HCO involved in the implementation project

  • Manages implementation project(s) and TA engagement(s) including: scheduling and project planning, stakeholder management, risk identification and mitigation, issue tracking and solutioning, communication, and associated documentation per APHL standards

  • Coordinates with APHL TA team, public health laboratoryPHL, and healthcare organization HCO to ensure tasks are completed and progress made

  • Provides review, quality control, and assurance on TA processes and deliverables

  • Provides project management updates following APHL and PMO policies

  • Collates feedback from APHL TA Team, public health laboratoryPHL, and healthcare organization HCO on implementation process opportunities for improvement

  • Coordinates project meetings (and agendas) between APHL technical assistance TAS teams and various stakeholders, documents meeting minutes/decisions/action items/next steps, and performs follow-up

  • Leads knowledge management activities to organize, track and communicate project activities in Smartsheet or Confluence

  • Utilizes APHL processes, communications, tracking systems or other logistical solutions to help ensure project success

  • Knowledge of project management principles and practices

  • Previous project management experience

  • System implementation experience

  • Knowledge of public health laboratories and healthcare organizationsPHLs and HCOs

  • Ability to grasp technical information

  • Ability to work cooperatively with other organizational entities and engage 3rd parties as necessary

  • Excellent communication and organizational skills

  • Team player

Lab Workflow SME - on-site as needed (primarily during Planning & Analysis)

Overall - 0.5

  • Planning & Analysis - 0.75

  • Configuration - 0.25

  • Lab Validation - 0.25

  • CLIA Validation - 0.25

  • Production - 1.0

  • Observes, documents, and assesses current public health laboratory and healthcare organization PHL and HCO workflows and processes around ordering and result reporting

  • Documents future state workflows for the lab which encompass ETOR processes

  • Documents future state workflows for the healthcare organization for the new encompass ETOR processes

  • Leads and analyzes gap analyses for 1) current workflow(s) vs future workflow(s) and 2) required and desired elements

  • Documents functions that differ future-state PHL workflows, encompassing ETOR processes

  • Documents future-state HCO workflows, encompassing ETOR processes

  • Documents functions that differ from current processes and how to handle if/then situations

  • Documents requirements for selected test(s) (e.g., how many/which LOINC codes)Provides review, quality control, and assurance on TA processes and deliverables

  • Primarily supports the Planning & Analysis and Production portion of the Implementation

  • Provides insight to Terminologist should questions arise during Configuration , and/or later steps of the approachExperience with ETOR such as HL7 orders and results

  • Experience working in laboratories, within public health laboratories is PHLs preferred

  • Knowledge of common lab processes, workflows, and data elements (specifically NBS)

  • Experience with ETOR, such as HL7 orders and results

  • Ability to comprehend, review, improve, and design workflow processes

  • Understanding of LIMS applications

  • Familiarity with healthcare organization HCO test data

  • Experience writing workflow procedures for business use

  • Proven capability to perform and document successful gap analyses

  • Excellent written/oral communication and organizational skills

  • Ability to work cooperatively with other organizational entities

  • Team player

Terminologist - on-site as needed (primarily during Configuration & Validation)

Overall - 0.5

  • Planning & Analysis - 0.25

  • Configuration - 0.50

  • Validation - 0.50

  • Limited Production - 0.1Assists with mapping local-to-standardized values across different vocabulary domains

  • Collecting information from the PHL and HCO

  • Identifies data element gaps, working closely with the Terminologist

  • Map local codes to middle ground (intermediary) for both PHL and HCO

  • Assists with mapping local-to-standardized values across different vocabulary domains

  • Provides test case scenarios

  • Performs validation on HL7 messages and provides feedback

  • Assists in implementation of public health integration use cases using national messaging standards (HL7), implementation guides, and encoding guidelines

  • Provides test case scenarios

  • Performs validation on HL7 messages and provides feedback

  • Helps develop and maintain message implementation guides, business rules, and message specifications as needed for APHL member and partner organization support (e.g., result reporting to CDC, ETOR for Public Health Laboratories PHLs and their business partners, etc.)

  • Supports nearly the entire Implementation Approach, starting at the end of the Planning & Analysis phase

  • Seeks insight from the Lab Workflow SME should questions arise

  • Identifies data element gaps, working closely with the Terminologist

  • Collecting information from the healthcare organization and laboratory

  • Map local codes to middle ground for both HCO and PHLregarding workflow documentation

  • Experience working in laboratories, within PHLs preferred

  • Knowledge of laboratory standards (HL7, IHE, LOINC, SNOMED CT, UCUM, ICD)

  • Knowledge of Symedical mapping toolBackground in laboratory sciences (experience in any lab type)

  • Familiarity with healthcare organization HCO test data

  • Experience developing and maintaining implementation guides, business rules, and message specificationsExcellent communication and organizational skills

  • LIS/LIMS administrator experience a plus

  • Knowledge of integration engine a plus

  • Team Excellent communication and organizational skills

  • Team player

Tech Architect - on-site* as needed (primarily during Kick Off)

*Note: Primarily supports the Centralized ETOR Team

Overall - 0.25

  • Planning & Analysis - 0.25

  • Configuration - 0.25

  • Validation - 0.25

  • Production - 0.25

  • Analyzes client IT environments and messaging capabilities

  • Helps to identify technical solutions to meet messaging requirements

  • Provides TA consulting to healthcare organization and public health laboratory to advise on implementation of IT messaging solutions (e.g., reviewing for structural errors, writing queries to pick up messages outside of the S3 receiving bucket)

  • Coordinates with centralized technical team for specific technical tasks

  • Strong IT experience, specifically laboratory IT

  • Data exchange experience

  • Familiarity with standard public health lab and healthcare organization PHL and HCO IT environments/messaging capabilities

  • Experience developing, implementing, testing, and remedying technical solutions for messaging requirementsExcellent communication and organizational skills

  • Knowledge of Rhapsody and HL7 preferred

  • Knowledge of S3, VPN, and other forms of transport knowledgedata transport

  • Excellent communication and organizational skills

  • Team player

Data Integration Engineer*

*Note: Primarily supports the Centralized ETOR Team

Overall - 0.50

  • Planning & Analysis - 0.50

  • Configuration - 0.25

  • Validation - 0.25

  • Production - 0.25

  • Establishes connection between PHL and middle ground

  • Establishes connection between HCO and middle ground

  • Determines extraction process from the LIMS (what can it import, export)

  • Works closely with terminologists

  • Collects information on data workflow, primarily with LIMS and integration engine

  • Works with LIMS vendor , as necessary

  • Experience with one or more integration engines (e.g., Rhapsody, Mirth, Cloverleaf, Pilotfish, etc.)

  • HL7 experience

  • Knowledge of database management including SQL

  • LIMS experience

...

Role

FTE Implementation

FTE Sustaining

Responsibility

Recommended Skillset

Project Sponsor

Overall - 0.2

  • Planning & Analysis - 0.3

  • Configuration - 0.2

  • Validation - 0.2

  • Limited Production - 0.1

0.1

Implementation and Sustainability

  • Commits to participating in implementation project as outlined in implementation project charter

  • Approves milestones for progress (Provides leadership representation for discussions between PHL and HCO

  • Coordinates appropriate discussions to get approval for milestones for progress (e.g., CLIA approval in Validation, approval to move from Limited Production to Full Production)

  • Approves milestones for progress (e.g., CLIA approval in Validation, approval to move into Production)

  • Advocate for ETOR with public health laboratory PHL stakeholders

  • Identifies resources and allocates their time appropriately to the implementation project and as well as long-term maintenance needs

  • Work closely with healthcare organization and APHL team during the implementationProvides leadership representation for discussions between public health laboratory and healthcare organizationHCO and APHL team during the implementation project

  • Removes obstacles for the project team and negotiates escalated issues and risks related to the project and/or solutionCoordinates appropriate discussions to get approval for milestones for progress (e.g., CLIA approval in Validation, approval to move from Limited Production to Full Production)

Often a Lab Director

  • Organizational knowledge of the public health laboratoryPHL

  • Has access to and influence with leadership

  • Authority to make project decisions

  • Ability to access and allocate resources to the project

  • Understands the value and benefits of ETOR

  • Understands the laboratory workflow involved in receiving a test and providing a resultUnderstand and providing a result

  • Authority to make commitments and decisions related the ETOR effort

  • Understands competing priorities and impacts to the ETOR implementation project

  • Excellent communication and interpersonal skillsAuthority to make commitments and decisions related the ETOR effort

Project Manager

Lab SME

Overall - 0.5

  • Planning & Analysis - 0.25

  • Configuration - 0.25

  • Validation - 0.50

  • Limited Production - 1.0

Implementation

  • Acts as point person for the APHL TA Team, healthcare organizationHCO, and any visit(s)

  • Provides insight into lab processes and workflow

  • Implement the Implements non-technical workflow changes

  • Create Creates lab process documentation that reflects updated workflows

  • Collaborates with healthcare organization HCO during Validation

  • In coordination with the Integration resource, creates formal document for CLIA approval that analyzes the integration, documents additional processes, and outlines any issues with mapping/vocabulary

Often a LIMS Administrator, Laboratory Business Analyst

  • Knowledge of lab processes and workflows (specifically NBS)

  • Access to and experience with LIMS applications

  • Experience writing workflow procedures for business use

  • Knowledge how of to implement workflowsworkflow implementation

  • Excellent written/oral communication and organizational skills

  • Team player

Informatics/Technical Analyst

Overall - 0.5

  • Planning & Analysis - 0.3

  • Configuration - 0.2

  • Validation - 0.50

  • Limited Production - 0.25

Overall - 0.2

Implementation

  • Collaborates with HCO to send/receive necessary artifacts and/or tests

  • Works with APHL Terminologist to create test messages

  • Acts as the LIMS end user

  • Pulls reports/other artifacts or coordinates between PHL IT to do so

Sustaining

  • Monitors ETOR feed

  • Coordinates required updates and/or changes with test(s)

  • Troubleshoot issues and escalate as necessary with HCO and APHL counterparts

Often a ???

  • Knowledge of laboratory standards (HL7, IHE, LOINC, SNOMED CT, UCUM, ICD)

  • Knowledge of Symedical mapping tool

  • Familiarity with healthcare organization HCO test data

  • Access to and experience with LIMS applications

  • Excellent communication and organizational skills

  • Understanding of how to monitor data feeds (e.g., quality of data, quantity of data)

  • Ability to maintain knowledge of NBS test updates and/or changes

  • Knowledge of integration engine a plus

  • Excellent communication and organizational skills

  • Team player

LIMS Vendor Representative - 3rd party

Implementation

  • Addresses changes needed in LIMS ( as needed)

  • Authority to execute requested changes in LIMS applications

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