SysTest Labs is providing Quality Assurance Services to the Oregon Department of Human Services (DHS) with its implementation of the Health Record Bank of Oregon (HRBO). In 2008, the State of Oregon received a Medicaid Transformation Grant from the Centers for Medicare and Medicaid Services. Upon receipt of the grant, the HRBO was established to provide a secure electronic repository for a consumer’s lifetime personal health record (PHR) from multiple sources and assure that the consumer has complete control over who has access to the record. The PHR is owned by the individual, used by authorized providers, and receives its input from sources such as electronic interface and personal data entry.

Oregon expects that the HRBO will increase the amount of health-related information available to consumers and caregivers in order to improve the quality of care, health outcomes, and consumer and provider satisfaction while reducing the cost of health care delivery. Using the grant, the HRBO expects to serve Oregon Medicaid consumers with the goal of eventually supporting other Oregonians.

As the QA contractor, SysTest Labs’ primary services include:

• Quality Management Planning. Development of the quality standards, checklists, report templates and processes that will add value and reduce risk on the project. Key work products include the:
  • Quality Standards/Operational Definitions which define the standards and metrics used to determine compliance with requirements
  • Quality Checklists which provide the minimum requirements that must be met for the Implementation Contractor’s deliverables
  • Quality Management Plan which provides a detailed description of the activities, processes and procedures that will be conducted to help ensure quality standards are met
  • Risk Assessment which identifies potential risks the project faces and strategies for reducing risk and mitigating risks on the project

• Quality Control. Review and assessment of project artifacts and outcomes. Key activities include:
  • Review of specified project planning and implementation deliverables, including an assessment of completeness and adequacy
  • Security code reviews of software developed
  • Status Reporting and Tracking to provide assessment of project progress and tracking of recommendations made through QA Status Reports to the agency and the State CIO

• Quality Assurance. Conducting periodic quality reviews of project processes that manage change requests, project performance, and other project procedures
  • Quarterly QA Status and Improvement Reports that identify among other elements, overall risk rank for the project, a summary of project progress, and an evaluation of the project’s ability to deliver the benefits/results stated in its business case

• Risk Assessment. Assessment of project risk including schedule, quality, and cost with a focus on information security risks
  • Initial Risk Assessment – Identification of initial risks, avoidance plans and plans to mitigate risks
  • Ongoing Risk Assessment – Immediate notification of threats to the project’s success followed by a formal report of the specific risk and strategies to mitigate the risk