STATE CIO LEADERSHIP IN HEALTHCARE TRANSFORMATIONHealthcare IT Connect SummitMarch 23rd, 2015
Ron Baldwin, CIO, State of MontanaMike Wirth, Special Advisor on eHHR Integration, Virginia Department of Health and Human ResourcesSean Pearson, Deputy Cabinet Secretary, New Mexico Human Services DepartmentChris Clark, Executive Director of the Office of Administrative and Technology Services (OATS), State of Kentucky
Shifting the focus from the building…• Architect – someone who plans, designs, and oversees the construction of buildings.
…to the city • Urban planner – someone who focuses on optimizing the effectiveness of a community’s land use and infrastructure.
The next generation of healthcare systems must leverage…
• Interoperability• Modularity • Security and Privacy• Big Data Analytics • Frameworks• Enterprise Architecture• Shared Services• Components
It’s in the architecture, enterprise architecture that is.
· SOA· Web Client· Cloud where advantageous
Feds DOJ
DLI
OPI
CORMontanaCourts System
DOROther
DPHHS·HFSL·VocRehab
Self Service Portal (SSP)For DPHHS
Mobile Apps(Int & Ext)
MMIS(New)
DPHHSEHR
Systems
BigSky HX
CHIMESMA/HMK
(Case Management)
Data Warehouse
Tibco NetricsCommon
Client Index
CSESEARCHS
(Case Management)
CWCAPS
(Case Management)
DMS
CHIMESSFSL
CHIMESEA/SNAP/TANF
(Case Management)
MuleSoft ESBNIEM Compliant data exchange with CMS overlay where possible/necessary. HL7 for health records.
IBM iLog Rules
Tivoli Access Manager (ESB Security)Adobe
LifeCycleOutput
Denotes Existing Enterprise Components
BPM
PentahoData Analytics
FinalistAddress
Validation/Verification
GeoTag/Location
Denotes Planned Enterprise Components
Internal DPHHS ApplicationsState agency partnersFederal agency partnersThird party partners
Cloud based
systems
The next generation of healthcare system projects will be done with…
• Agile development• Agile project management• Less customization• More configuration• Less time• Less Cost• Less Risk
Agile = iterative and incremental = demonstrated results early and often
Initial Requirements Gathering Sessions
Design Development/Unit Testing System Testing Iteration Review
Iterative
User Acceptance Testing (UAT)
Any Missed Requirements
Our healthcare IT mission as HIT leaders, should we choose to accept it:• Help increase…
• access to healthcare• quality of healthcare• overall health of citizens• self-service for patients and providers• coordination of healthcare
• While decreasing…• cost of healthcare• cost of healthcare systems• fraud, waste and abuse• incidence of chronic conditions• number of un/under-insured
Question #1 for our panelistsAs new integrated eligibility systems have been completed in your state, do you see opportunities to leverage their components and architecture for healthcare systems?
Question #2 for our panelistsMMIS replacement is underway or planned in many states. How do you think the next generation of MMIS should to be procured and built in order to meet expectations for the next generation of health care?
Question #3 for our panelistsInitiatives like Medicaid expansion, while increasing coverage, can be seen as costly and risky to already strained state budgets. What can IT do to reduce these risks and contain costs?
Question #4 for our panelistsHas the integration of human service and healthcare systems been used in your state to align health care coordination with public assistance? If so, what level of integration have you seen yield results?
Question #5 for our panelistsHow has governance and project management been used to ensure success of integrated HIT projects?