Post on 17-Sep-2020
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Vermont Information Technology Leaders, Inc.
FY2018 Budget Review
March 30, 2017
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Agenda
• FY18 Scope of Work - Steady State
• FY18 Out of Scope
• FY18 Budget Methodology
• FY18 Assumptions
• FY18 Budget
• Next Steps
• Request for Approval of FY18 Activities & Budget
FY208 Budget Presentation - March 30, 2017
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FY18 Scope of Work -Steady State
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FY18 Work Scope – Steady State
• VT Health Information Exchange (VHIE) Components
o Infrastructure
o Message processing and delivery
o Services (VITLAccess, VITLDirect, etc.)
• Connectivity
o Inbound and outbound interfaces
o Gateways
• Health Data Management (HDM)
o Infrastructure
o Data quality ▪ Limited data quality report
▪ Data quality dashboards
▪ Terminology Services
▪ Natural Language Processing
o Specialized interfaces (Immunizations)
o ACO data marts
FY208 Budget Presentation - March 30, 2017
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FY18 Work Scope – Steady State
• VITLAccess Implementation Projections
o 3 Hospitals
o 2 Large multi-site practices
o 2-3 Small multi-site practices
o 20 Independent provider (nursing homes, mental health, etc.)
• Security
o Network protection and monitoring
o Annual National Institute of Standards and Technology (NIST) security assessment
o Audits
• Blueprint for Health Data Quality Sprints – Awaiting Scope of Work
• Technical Support
o Connectivity maintenance
o Client support for VITL services
FY208 Budget Presentation - March 30, 2017
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FY18 Work Scope – Steady State
• VT Department of Health – Awaiting Scope of Work
o Immunization validation
• Network to Network
o One VHIE connection to external network
• Corporate Administration
FY208 Budget Presentation - March 30, 2017
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FY18 Out of Scope
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Out of FY18 Scope• Data aggregation – limited increase beyond 62%
o Interface acceleration
o Limited results delivery
o Limited remediation
• VITLAccess
oLimited expansion
• Health Data Management (HDM) Infrastructure Improvements
oAll-Payer ACO Model Technology Infrastructure
• Data Quality
o Dashboard expansion
o Terminology expansion
o Data extraction tools
FY208 Budget Presentation - March 30, 2017
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Out of FY18 Scope
• Network to network connections (limited to 1)
• VT Department of Health
• No automation improvements
• Outreach
o Summit
o No provider education
o No patient awareness
o Limited stakeholder engagement/feedback
• 42 CFR Part 2 (Substance Abuse Programs data)
FY208 Budget Presentation - March 30, 2017
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FY18 Budget Methodology
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VITL FY18 Budget Methodology
FY208 Budget Presentation - March 30, 2017
SOV Steady State Functions
Technology Infrastructure
Labor by Hours and FTEs
HDMVHIE Connectivity Security Services
Non Labor
Technical Support
Costed Work Packages
Defined Scope of Work
Price
GMCB
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FY18 Assumptions
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FY18 Assumptions
• SIM/VHCIP concluded
• Steady state funded by State of Vermont and APD contract
• Effective date: 7/1/2017
• Two contracts
• Performance based
• VITL at – risk
• No retroactive payments
FY208 Budget Presentation - March 30, 2017
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FY18 Budget
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FY18 Ongoing Cost Drivers
Funding Source Use
DVHA VHIE and HDM Steady State plus 20% - 40% ongoing maintenance and support
VHCIP / SIM(one-timeprojects)
• Interface Acceleration• Home Health• Telehealth• ACO Gap Analysis & Remediation• ACO Gateways• Terminology Services• Event Notification Services
APD(one-time projects)
Project-specific development• VITLAccess Onboarding• Data Quality• Provider Health IT Survey• Interface Acceleration
20-40%
20-40%
FY208 Budget Presentation - March 30, 2017
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Year to Year Expense Comparison
FY208 Budget Presentation - March 30, 2017
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
FY15 Actual FY16 Actual FY17 Projected FY18 Projected
Expenses (000)
Total Salaries Benefits Occupancy
Technology Ed+Outreach (3rd Party) HIE Vendor
Telecomm Consult, legal, acctg Insurance
Travel Other
$7,292$6,766
$6,999 $7,139
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FY18 Expense by Funding Source
FY208 Budget Presentation - March 30, 2017
Non-Public, $1,106
DVHA-VHIE, $4,602
DVHA-HDM, $1,431
DVHA, $6,033
Non-Public DVHA-VHIE DVHA-HDM
DVHA Expense
Total Expense
Expense Breakdown (000)
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FY18 Total Expense and Personnel Expense
FY208 Budget Presentation - March 30, 2017
Non-personnel Expense, $3,145
Salary, $2,980
Benefits, $796
Payroll Taxes, $218
Personnel, $3,994
Expense Breakdown (000)
Non-personnel Expense Salary Benefits Payroll Taxes
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FY18 Total and Non-Personnel Expense
FY208 Budget Presentation - March 30, 2017
Personnel Expense, $3,994
Occupancy, $211
Technology, $1,349
Ed+Outreach (3rd Party), $25
HIE Vendor, $1,061
Telecomm, $74
Consult, legal, acctg, $211
Insurance, $105
Travel , $37Other, $72
Non-Personnel, $3,145
Expense Breakdown (000)
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Year to Year FTE Comparison
FY208 Budget Presentation - March 30, 2017
$1,889
$2,121
$2,834
$3,044$2,964
$2,880$2,980
$88.2 $93.6 $90.9 $95.3 $95.3 $91.1 $94.3
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
FY12 FY13 FY14 FY15 FY16 FY17 FY18
Y-T-Y FTE Comparison ($ in 000)
Base Salaries $ / FTE Full Time Equivalent (FTE)
SalaryCAGR
FY12 – FY181.12%
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Next Steps
• Incorporate the Blueprint for Health scope of work
• Incorporate VDH scope of work
• Adjust budget as necessary to reflect additional scope
• GMCB approval of VITL FY18 publicly funded Budget and Activities
• Negotiate final price with DVHA
• Finalize contract drafts for submission to CMS by April 10, 2017
• DVHA to receive CMS approval by June 10, 2017
• Parties to execute two contracts by June 30, 2017
FY208 Budget Presentation - March 30, 2017
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Budget Request
VITL requests that the GMCB approve its FY2018 publicly funded core activities and $6.0M budget
FY208 Budget Presentation - March 30, 2017
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Questions?
FY208 Budget Presentation - March 30, 2017