Agenda - Florida Department of Children and Families...Oracle Policy Automation (BusinessRules...

Copyright © 2012 Accenture All rights reserved.

Agenda

1

Functional Requirements

(Information Verification and Eligibility Determination)

Functional

Requirements (Program Management,

Infrastructure and

Support Functions)

Cost

Discussion

Question and

Answer

Functional

Requirements (Financial

Management,

Reporting and

Analytics)

Functional

Requirements (Case

Management and Case

Work, Provider and

Business Partner

Management)

Functional

Requirements (Information

Verification and

Eligibility

Determination)


ACCESS FLORIDA The Next Wave

2

d:/Day 2 Wave of Innovation Video


Functional Requirements Information Verification and Eligibility Determination

3

After Gloria submitted her online application,

the following events occurred:

1. A case worker completed data collection in the Worker Portal

2. Most information has been verified (Identity, Citizenship)

3. Income verification remains pending

Gloria Carter Shawn, age 4



4

Gloria received a message in her Secure Mailbox:

Verification Needed.



5

Gloria viewed her missing verifications through the “Access my Benefits” portlet on the Self-Service Portal.



6

Gloria viewed her missing verifications through the “Access my Benefits” portlet on the Self-Service Portal.



7

Gloria uploaded her pay stub electronically through the Self-Service Portal.



8

We are now ready to view the case in the Worker Portal, review data collection, verify income, and run an Eligibility Determination.


Functional Requirements Complex Family Household

9

• Jill Richards is pregnant with her husband’s child

• Robert Richards is Jill’s husband (Step-father)

• Robert’s 20 year old child, Nancy Richards, goes to school out of state

• Robert’s 16 year old child, Sally Richards, has income from working of $250 per month

• Jill’s 5-year-old child, Sarah Hunter, has child support of $250 per month.

• Jill has no income, Robert earns $2,500 a month in gross wages

Robert Jill Sarah Sally Nancy



10

Information Collection:

Simplified data collection for a faster and

easier application process

Information only collected once

Information Verification:

Pre-built interfaces to other Federal

applications for verification

Automatic, rules-driven verification increases

accuracy and efficiency

Eligibility Determination and Benefits

Calculation:

One click initiation of the process

Quickly and easily implement policy

changes

Automated and customized Notice of Action

generation

Enrollment:

Adaptable for policy changes or to support

other programs

Streamlined enrollment process

Authorization:

One click authorization of benefits

Client Management:

Built-in client management capabilities

Cross-program dependencies applied as

needed


Agenda

11

Break


Agenda

12


(Case Management and Case Work, Provider and Business Partner Management)

Functional


Infrastructure and

Support Functions)

Cost

Discussion

Question and

Answer

Functional


Management,

Reporting and

Analytics)

Functional

Requirements (Case

Management and Case

Work, Provider and

Business Partner

Management)

Functional


Verification and

Eligibility

Determination)


Technical Services

Presentation Services

Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services

Application & Rules Engine

Service Layers

Services & Frameworks

Adapters

Integration & Workflow

Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers

Services & Frameworks Knowledge

…

ACSSP ABMS Future Applications

Oracle Policy Automation

(Business Rules Engine)

• Adobe LiveCycle(Forms Engine)

• ImageAPIiCenter (ECM)

• Oracle BusinessIntelligence

• Oracle BI Publisher

Oracle BPM Suite(Business Process

Engine)

Oracle Identity & Access

Management(Security)

• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Functional Requirements Case Management and Case Work /

Provider and Business Partner Management

13

BPM Provides a Flexible, Efficient, Low-Cost Way to Implement

Ongoing Application Improvements

• Enables workflow flexibility

• Improves worker efficiency

• Facilitates process transparency


Service Layers

Adapters


Engine)• Oracle DB




14

The Special Units tab in ABMS focuses on integrated functionality:

• Special Investigations

• State Hearings

• Quality Review




15

Special

Investigations Bob Cobb – SNAP Trafficking

State Hearings Missy McGee – Pending Hearing

Quality Review Mary Doe – High Risk Error




16

Provider Management

North Community Resource Center

Family Counseling November Family Counseling Session


Functional Requirements Case Management and Case Work

17

Caseworker Management:

Increased caseworker efficiency

through role-specific access

Management alerts of potential case

backlogs

Workflow Management:

Out-of-the-box pre-configured

workflows for 14 key business

processes expedites the design

process

User friendly workflow tool to design

and simulate process changes

Service Plans:

Intelligent rules engine drives State

specific Service Plans

Waitlist Management:

Flexible and adaptable solution

accommodates waitlist requirements

Supervisory Review:

Pre-built rules based on latest Federal

requirements from ACA

Secure, user-id based workflows

Program Integrity:

Evaluating programs and program

metrics are part of the core solution

Legal and Appeals Management:

Support Appeals Management and

continuation of benefits following an

appeal


Functional Requirements Provider and Business Partner Management

18

Provider/Partner Recruitment:

Recruitment functionality bolstered

through experience with other Florida

agencies

Provider/Partner Eligibility:

Resource Databank in ABMS to

maintain providers and employers

Agreement Management:

Pre-built edits and controls prevent

payments where there is not

approved agreements

Automated correspondence for

agreement information is configurable

for the Department

Resource Directory:

Security controlled search access to

Provider Information

Compliance and Audits:

Built-in capability to capture program

data in one place and then shared for

service delivery

Out-of-the-box provider and partner

notifications and site visit

documentation

Licensing:

Pre-configured functionality for the

capture, display and maintenance of

provider license information


Agenda

19

Lunch


Agenda

20

Functional


Infrastructure and

Support Functions)

Cost

Discussion

Question and

Answer

Functional


Management,

Reporting and

Analytics)

Functional

Requirements (Case

Management and Case

Work, Provider and

Business Partner

Management)

Functional


Verification and

Eligibility

Determination)


(Financial Management, Reporting and Analytics)


Functional Requirements Financial Management

21

Linda and Ava Garcia

Linda misreported her income as $200 instead

of $1200 starting on October 1st, 2012

$350 in October

Capture

Overpayment

+

Automated

Recoupment


Functional Requirements Financial Management

22

Benefit Issuance:

Automation and rules-driven benefits determination

Individual program evaluation without losing cross program dependencies

Recovery and Recoupment:

Automatically requires workers to create overpayment accounts

Workers guided through account creation process

Provider Payments, Billing and Collections, Settlement and

Reconciliation, and Recovery and Recoupment:

Experience with Florida financial management and controls


Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


…









Engine)



• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Functional Requirements Reporting and Analytics

23

Real-time dashboards provide improved visibility into program outcomes

• Tracks key performance indicators to deliver better outcomes

• Single view of “The Truth” – reduction in data inconsistency across

multiple systems

• Tools are intuitive to provide more meaningful outputs

Data Services

OLTP

Rules

Reporting

Knowledge



• Oracle DB


Functional Requirements Reporting and Analytics

24

Outcome, Evaluation and Performance

Analysis:

Real-time ad-hoc access and sophisticated

dashboard capabilities

Pre-built Quality Assurance and Quality

Control reports for performance analysis and

external reviews

Forecasting and Trends:

Tools for faster and more reliable reporting

Rapid and efficient data access and analysis

Program Integrity Reporting:

Real-time access to case records to review

and assess the quality of the case

On-line capability to select cases randomly

mandated for quality control reviews

Solution allows for identification of error rate

trends

Federal and State Compliance

Reporting:

More than 30 Federal reports included in the

next release of APSP

Maintains all data sets required by CMS and

meets the CMS Federal reporting guidelines

Program Analytics:

Real-time access to reports, charts, key

performance indicators and data

Copyright © 2012 Accenture All rights reserved. 25

Agenda

Break


Agenda

26


(Program Management, Infrastructure and Support Functions)

Functional


Infrastructure and

Support Functions)

Cost

Discussion

Question and

Answer

Functional


Management,

Reporting and

Analytics)

Functional

Requirements (Case

Management and Case

Work, Provider and

Business Partner

Management)

Functional


Verification and

Eligibility

Determination)


Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


…









Engine)



• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Data Services

OLTP

Rules

Reporting

Knowledge



• Oracle DB

Functional Requirements Business Rules Management

27

• Model system logic according to policy

• Update system logic through configuration, not code

• Manage system logic in one place

Business Rules Provide Flexible System Logic for the ACCESS

Replacement Solution


Service Layers


Adapters




Functional Requirements Program Management

28

Policy and Planning:

Flexibility to evolve and adapt as

business needs change or Federal

mandates happen

More accurate policy change impact

analysis

Outreach:

Automation to identify prospective

and current beneficiary populations

quickly and accurately

Outreach efforts become part of case

file

Staff Management:

Case worker supervisors and

program management can identify,

record, and report on a series of staff

performance metrics

Integration between operations and

staff management that seamlessly

presents oversight and early warning

Training:

Robust training approach leads to self-

sufficiency

User support resources includes

system documentation and on-line help


Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


…









Engine)



• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Functional Requirements Correspondence Management

29

• System-generated correspondence

• Delivered to the customer’s ACSSP Secure Message box

• Fragment architecture to support complex, rule-driven notices

• Correspondence is created and maintained in Adobe LiveCycle

Correspondence Framework Improves Communications with Customers

Presentation

Service Layers


Adapters



• Oracle DB


Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


…









Engine)



• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Functional Requirements Data Management

30

• APSP allows a comprehensive integration platform for third party and

legacy integrations

• Supports batch and real-time interfaces

• APSP ships with several Federal Interfaces

• Oracle Service bus manages real-time interfaces

APSP Provides a Common SOA Platform for Integration and Data Exchange

Se

rvicesS

erv

ice

s

Legacy Applica

tions

Enterprise Service Bus

Ext

ern

al A

pp

lica

tions


Functional Requirements Records Management

31

• Upload capabilities for providers and customers

• Captured images linked to Case and Person data through metadata

• Document and image handling using BPM

• Improved communication between customers and workers

The Solution gives Users Control of Images and Documents

Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


…









Engine)



• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Presentation

Service Layers


Adapters



• Oracle DB


Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


…









Engine)



• Oracle DB

Kid

Care, F

FF

, IBR

S, …

Fe

de

ral D

ata

Hu

b, …

Functional Requirements Security Management

32

• Provides centralized security administration

• Fine-grained and coarse-grained control of resources

• Agile security processes for user provisioning, account, authorization and

entitlement management

• Security is managed and enforced by the Oracle Identity and Access

Management Suite

Reduced Risk by Centralizing Administration of Rights, Roles and Entitlements

Security

Service Layers


Adapters




Functional Requirements APSP Products and Security Management

33

• Centralized Security

Policy Administration

• Built-in Single Sign-on

• Centralized Approach

Minimizes Risk

• Delegated

Administration

Provides Maintenance

Flexibility

Oracle Access

and Identity Manager

AB

MS

AC

SS

P

OB

IEE

BP

M

Oth

er/

Fu

ture

Central Provisioning

Local Provisioning

Reduced Risk by Centralizing Administration of Rights, Roles and Entitlements


FL FIES 12.0005

• Rules• Forms• Reporting• ECM

• Address Normalization

• Identity Resolution

• IDM• Access Mgmt• Audit

• BPM• EAI

Technical Services


Business Services

Se

rvicesS

erv

ice

s

Le

ga

cy Ap

plica

tions

Data Services

OLTP

Rules

Reporting

FoundationServices

Enterprise Service Bus

Pre-built Services

Ext

ern

al A

pp

lica

tions

Database


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


Accenture Benefits

Management System

Accenture Citizen Self-

Service Portal

Future Composite

Applications:HBE, Others

Knowledge

Functional Requirements General

34

• Spell-check is provided by WinterTree

• Help is delivered in both ABMS and ACSSP using FAQs, video tutorials

and contextual page help

• APSP provides a platform for mobile delivery

The Solution’s Products are Integrated Using APSP

Technical Services


Business Services

Se

rvicesS

erv

ice

s

Data Services

OLTP

Rules

Reporting

Oracle Service Bus

Pre-built Services


Service Layers


Adapters


Service Layers

Adapters

Presentation

Service Layers


Adapters

Security

Service Layers


Adapters

Common

Service Layers


Kid

Care

, FF

F, IB

RS

, …

Fe

de

ral D

ata

Hu

b, …


Functional Requirements Infrastructure and Support Functions

35

Correspondence:

Includes hundreds of pre-configured and pre-

defined correspondences, Notice of Actions (NOA)

and forms that are being used for eligibility programs

today

Message Center provides your clients with the

direct, secure, and always-available

communications channel to their case worker

Records Management:

Integrated records management solution that

supports client and Partner-initiated document

uploads and connection with online cases

Allows future integration with scanning kiosks

Security Management:

Role and profile maintenance portal supports a

flexible business model

Solution based on Health Insurance Portability and

Accountability Act (HIPAA), Health Information

Technology for Economic and Clinical Health

(HITECH), Centers for Medicare and Medicaid

Services (CMS), International Organization for

Standardization (ISO) 27002 and other preferred

practice standards

Data Management:

Real-time access to case and individual records

Existing data exchange connections to partner

organizations and Federal data hubs

General:

Context-sensitive guides and on-line job aids

Generation of notices in multiple formats and

distribution through multiple channels

Automated backup routines


Wrap-Up

36

Florida and Accenture: A Team for Results

We are Focused on DCF's End Results


Wrap-Up

37

Why Accenture?

The right solution, team, approach, value and collaboration with Florida

True SOA

Enabled

Business

Flexibility

On-Time

On-Budget

Every Time for

State of Florida

Most

Experienced

Delivery Team

Accenture is the

Best Value for

Universal

Eligibility

APSP

Enables

Low O&M

Cost

Eligibility Solutions Delivered On-Time

On-Budget

Universal

Eligibility


Agenda

38

Agenda

Break


Agenda

39

Cost Discussion

Functional


Infrastructure and

Support Functions)

Cost

Discussion

Question and

Answer

Functional


Management,

Reporting and

Analytics)

Functional

Requirements (Case

Management and Case

Work, Provider and

Business Partner

Management)

Functional


Verification and

Eligibility

Determination)


Agenda

40

Question and Answer

Functional


Infrastructure and

Support Functions)

Cost

Discussion

Question and

Answer

Functional


Management,

Reporting and

Analytics)

Functional

Requirements (Case

Management and Case

Work, Provider and

Business Partner

Management)

Functional


Verification and

Eligibility

Determination)

Date post:	07-Mar-2021
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