Guide to BerryDunn Deliverables€¦ · A. = DDS B. = DMH C. = DPH ... action and a reimbursem y...

Guide to Massachusetts BerryDunn MITA 2.0 Deliverables

1

Key:

BCM – Business Capability Matrix

TCM – Technical Capability Matrix

SSP – State Specific Process

As Is – Current state of business and technology operations

To Be – Desired future state of business and technology operations

The deliverables have a consistent numbering convention in that deliverable letters correspond to a

specific agency

A. = DDS

B. = DMH

C. = DPH

Description of Deliverables

Deliverable Number Deliverable Description

1A – DDS Goals Strategic, Organizational, Programmatic/Service Delivery, Quality and Next Generation System Goals as defined by DDS

1B – DMH Goals Strategic, Organizational, Programmatic/Service Delivery, Quality and Next Generation System Goals as defined by DMH

1C – DPH Goals Strategic, Organizational, Programmatic/Service Delivery, Quality and Next Generation System Goals as defined by DPH

1D – Consolidated Consolidated Goals across all three agencies

3A – DDS SSP MM MITA Maturity Model for state specific processes performed at DDS

3B – DMH SSP MM MITA Maturity Model for state specific processes performed at DMH

3C – DPH SSP MM MITA Maturity Model for state specific processes performed at DPH

4 3A – DDS BCM To Be Matrix of DDS Business Processes To Be matured over a 2‐5 year horizon

4 3B – DDS BCM To Be Matrix of DMH Business Processes To Be matured over a 2‐5 year horizon

4 3C – DDS BCM To Be Matrix of DPH Business Processes To Be matured over a 2‐5 year horizon

4 4A – DDS TCM To Be Matrix of DDS Solutions To Be matured over a 2‐5 year horizon to support the business processes

4 4B – DDS TCM To Be Matrix of DMH Solutions To Be matured over a 2‐5 year horizon to support the business processes

4 4C – DDS TCM To Be Matrix of DPH Solutions To Be matured over a 2‐5 year horizon to support the business processes

6A – DDS BCM Current/As Is MITA maturity level of business processes performed at DDS

6B – DMH BCM Current/As Is MITA maturity level of business processes performed at DMH

6C – DPH BCM Current/As Is MITA maturity level of business processes performed at DPH

7A – DDS TCM Current/As Is MITA maturity level of technical solutions in use at DDS

7B – DMH TCM Current/As Is MITA maturity level of technical solutions in use at DMH

7C – DPH TCM Current/As Is MITA maturity level of technical solutions in use at DMH

Commonwealth of Massachusetts Executive Office of Health and Human Services

Next Generation System Planning Project

Deliverable 1A

Goals Document for DDS

Version 1.0

June 30, 2011

Stephen Buchner, Project Manager The Commonwealth of Massachusetts

Executive Office of Health and Human Services One Ashburton Place, 11th Floor

Boston, MA 02108 [email protected]

Tim Masse, Project Principal Charlie Leadbetter, Project Manager

BerryDunn 100 Middle Street, PO Box 1100

Portland, ME 04104-1100 [email protected]

[email protected]

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Deliverable 1B

Goals Document for DMH

Version 2.0

July 14, 2011







[email protected]

DeliverabGoals Doc

Section

1. D

2. D

3. D

4. C

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Deliverable 1C

Goals Document for DPH

Version 1.0

June 30, 2011







[email protected]

DeliverabGoals Doc

Section

1.

2.

3.

4.

Revision

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v1.0

le 1C cument for D

Description

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Departmen

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DeliverabGoals Doc

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19

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21

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22

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23

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24

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26

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29

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_________

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_________

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________

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_____________

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________

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_____________

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________

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_____________

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___________Page 6

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_____________Page

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_____________ebruary 14, 2012

capabilities acrohnical architectany of the SolutS infrastructure

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_____________ebruary 14, 2012

etts ject

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___________Page 9

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___________February 14,

on Sets thane TCM To-nical attribut

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_____ , 2012

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Append

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#

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2

3

4

5

6

7

8

9

10

11

12

13

_____________DDS): Final To-B

dix A: Enterpris

Enterprise Tech

Solution

Service Determ

Eligibility

Enrollment/RegIntake, and Dis

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se Technology

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n Set Name

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_____________Page 1

Definitions

s

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_____________10

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admission, suspen

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_____________

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all eligibility comm

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_____________

mary

ded and if they are a

munications, mana

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regulations. Securauthorization. Ensu

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_____________ Fe

available.

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_____________ebruary 14, 2012

ievances and app

ensuses, and man

services and follows and service budg

scheduling.

nd state criteria, runt outcomes, deverting of all patient c

sent decrees, manon electronic. Revi

to meet confidentirmation is protected

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of patient informa

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ation

_______D.4.4A (D

#

14

15

16

17

18

19

20

21

22

23

24

_____________DDS): Final To-B

Solution

Legal, ForensicGuardianship

Incident Manag

Accreditation a

Quality Manage

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Provider and CManagement a

Program Mana

Manage Policy

Establish and MBusiness Relat

Infrastructure a

Executive Supp

_____________Be TCM

n Set Name

c, and lc

gement o

and Licensing

ement

nCcpA

rmance ospc

Contractor nd Procurement

ppap

gement a

and Goals

Manage tionships

Ccr

and IT t

port m

_____________

Document patient/clegal cases/actionscontracts. Manage

Initiate and manageon all incident type

Manage program/pMonitor performanc

Manage waiver pronational core indicConduct routine fiscase or event and preventive activitieAllow for quality rep

Establish mechaniother data for provservice histories aplans; identify signclient survey.

Manage provider/provider/contractorprocess, provide tra provider listing oparticipant driven b

Manage all prograassurances, managPerform population

Develop and maint

Create and manacoordinate efforts relationships.

Manage informatiotopology, software,

Reporting capabilitmanagement, reso

_____________Page 1

client legal status, s. Document and client information p

e case and event rs (including medica

providers surveys ce utilizing measure

ograms provider quators and performascal and clinical mosubsequent incide

es can be conducteporting.

sms and requiremviders/ contractorsnd trends, costs, aificant measurable

/contractor procur information, and raining and performof available providebudget. Manage bu

am individual waivge individual progr

n and individual out

tain program policy

age business relatand programs betw

n with respect to in and other hardwar

ty to support execuurce management,

_____________11

duty to warn, Rogtrack risk evalua

policy. Respond to

reporting. Manage iation, restraint and

and certification. Mes for accreditation

ualifications, ensurance measures, monitoring of patientnt reporting. Manaed. Perform contra

ments for developin to comply with ag

and expenditures; activities and outc

rement, awardingclose out contract

m audits. Address reers to deliver servicdget billing and reim

ver communicationram budgets, and mreach.

, agency goals and

tionships, facilitateween agencies. D

nfrastructure and infre/physical assets.

utive decisions and, financial, quality, i

_____________

Functional Summ

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incident reporting. other types).

Manage accreditatin and credentialing.

re program compliamanage/monitor pro

t outcomes and exge grievance and a

actor/provider outre

ng, managing, andgency, state, and assess external fa

comes, and create a

g contracts, devts. Manage providequests for contracces in support of pambursement for pro

s. Track waiver pmanage program in

d initiatives. Maintai

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formation technolog

d monitor all busineincident reporting, c

The CoNext Gen

_____________

mary

nsic and guardiansand liaise with in

Manage patient grie

Manage medicatio

ion and credential. Manage licensing

ance as agreed upovider quality perfoxpenditures from aappeals process. Heach and training t

d reporting performfederal reporting

actors affecting theand/or revise perfo

velop contracts, der/contractor commctor/provider informarticipant directionovider contracts.

program capacitiesnformation. Mainta

in state plan.

with business relaain program policy

gy including but no

ess process areascontract managem


_____________ Fe

hip data. Manage nvestigating agencevance and appeal

n occurrence repor

ing necessary for of contracted prov

pon with Medicaid, ormance and compa quality standpointHelp to identify areto ensure quality s

mance measures, qrequirements. Ana

e program; assess ormance measures

register providersmunications and g

mation. Monitor pati. Manage transpor

s, provision and main accurate trackin

ationships. Engagey and agency goals

ot limited to comput

s including but not ent, productivity etc


_____________ebruary 14, 2012

ongoing and potecies. Manage provls process.

rting. Provide repor

program participatviders.

manage monitorinpliance with standat. Initiate, and manas for improvemenstandards are defin

quality, outcomes, alyze patient/client

agency initiatives . Conduct and ana

s/contractor, mangrievance and appent outcomes. Pro

rtation providers. T

management of wang of housing capa

e in joint plannings. Terminate busin

ter devices, network

limited too; populac.

etts ject

___

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tion.

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nage eals vide rack

aiver city.

g to ness

k

ation

_______D.4.4A (D

Append

ApplicatApp TypX = TranX = InforX = End-X = BrowOperatinDatabasLanguagData (PeAccess VScope (BCommoYear InsNumber Total Re

_____________DDS): Final To-B

dix B: Applicat

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stalled r of IT Staff Assigegistered Users

_____________Be TCM

ion System Inv

lumn Name

om, Hybrid) sing

roductivity

atform

VPN) gency, Secretari

gned

_____________

ventories

Appl

at,

_____________Page 1

ication System

The full nameThe applicatiAn X indicateAn X indicateAn X indicateAn X indicateThe OS and The databaseThe implemeThe system mAccess to the

The applicati

The year the The number The total num

_____________12

m Inventory - Fi

e of the applicatioon is primarily CO

es the system is ues the system is ues the system is ues the system useplatform for opere technology use

entation languagemanages Persone system is via th

on's scope of use

system went liveof IT staff assign

mber of end-users

_____________

ield Definitions

Description oon with descriptioOTS, custom codused to record traused to communiused as a collaboes web browsers ating the system.

ed by the system.e used by the systal, Health or Fina

he Internet, Intran

e.

e. ed, using fractions, indicating publi

The CoNext Gen

_____________

s

of Column Conon as appropriateded, or a hybrid.ansactional informcate information,

oration or group cas the primary u

.

stem. ancial informationnet or externally v

nal FTEs for part-ic access if appro


_____________ Fe

ntents .

mation. for example usin

coordination tool.ser interface.

n. via VPN.

-time support. opriate.


_____________ebruary 14, 2012

ng lists or maps.

etts ject

___

_______D.4.4A (D

Application Short Name

MEDITECH

HCSIS

PAM

ICMS

IPS

Autism

Application Security

HL7 (WaiverBillin

g)

QE5

Client Funds

Waiver Sorting

MTReporting

FFP-Time

_____________DDS): Final To-B

Application Full Name

App Typ(COTSCustomHybrid

COTSCustom

COTSCustom

COTSCustom

Custom

Custom

Custom

Custom

Custom

Custom

Custom

Custom

g Custom

Custom

_____________Be TCM

pe S, m, )

X = Transacti

on Processi

ng

X =Informa

Acce

S, m

x x

S, m

x x

S, m

X X

m x x

m x x

m x x

m x x

m x x

m x x

m x x

m x

m x

m x x

_____________

= ation ss

X = End-User / Group

productivity

XBroDe

_____________Page 1

X = owser livery

System Architecture = 2 Tier or 3

Tier

OSP

2 W

x 3 W

X 3 W

3 W

3 W

2 W

2 W

2 W

x 3 W

2 W

2 W

2 W

x 3 W

_____________13

Operating ystem &

Platform

Database

La

Win 2k SQL 2k

Win 2003 Oracle 11 g / Linux

Win 2003 Oracle 11 g / Linux

Win 2003 SQL 2005

Win 2003 SQL 2005

Win XP SQL 2k A

Win XP SQL 2k

Win XP SQL 2k V

Win 2003 SQL 2005

Win XP SQL 2k A

Win XP SQL 2k A

Win XP SQL 2k A

Win 2003 SQL 2k

_____________

anguage

Data (Pers /PHI/ FIN)

Ac

(IIV

Magic Pers/ePH

I V

.NET, Java, COM

Pers/ePHI

V

NET, Java, COM

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.Net Fin V

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I V

Access, VBA

Pers/ePHI

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SQL Pers V

VB.NET Pers/ePH

I V

.NET Pers/ePH

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Access, VBA

Pers/ePHI

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Access, VBA

Pers/ePHI

V

Access, VBA

Pers/ePHI

V

ASP, COM

Pers V

The CoNext Gen

_____________

ccess Via Inter/ ntra/

VPN)

Scope (Bureau, Dept/Agency, Secretariat,

Commonwealth)

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept

VPN Dept


_____________ Fe

Year Installed

Number of IT Staff

Assigned

2003 6

2006 8

2011 12

2008 2

2006 2

2008 1

2006 1

2005 1

2011 2

1999 1

2008 1

2005 1

2004 1


_____________ebruary 14, 2012

Total Registered

Users

SystemInterface

2,100 NewMM

2,100 Meditec

EIM / PP

30 Meditech/M

S

50 Meditech/ H

10

450

6 Meditech/E

L

65 Meditech/H

25 Meditec

10

450 Meditec

35 MMAR

etts ject

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ms d to

MIS

ch

PL

MMAR

HCSIS

IM/PP

HCSIS

ch

ch

S

_______D.4.4A (D

Append

Key: The applic

A = PrimaB = SeconN = None

Application SName

MEDITEC

HCSIS

PAM

ICMS

IPS

IMPACT

Autism

ApplicatioSecurity

HL7 (WaiverBill

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Client Fun

MTReport

FFP-Tim

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m

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n n

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_____________

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ution Set:

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rdin

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rack

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mun

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and

Com

mun

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and

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atm

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a n a

a n b

b n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

_____________Page 1

Med

ical

Rec

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Man

agem

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Info

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Cla

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b b n

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n b n

n n b

n n n

n n n

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n n b

_____________14

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Support, e.g. Reporting

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ution Sets

for

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age

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n n n

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n n n

n n n

a n n

g and Interfaces

n n n

The CoNext Gen

_____________

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n n n

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n n n

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_____________ebruary 14, 2012

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The Commonwealth of MassachusettsNext Generation Systems Planning Project

____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 2 February 22, 2012

Deliverable 4.4B (DMH): Final To-Be Technical Capability Matrix (TCM)

Table of Contents

Section Page

1.0 Project Methodology/Results 3

1.1 Background .................................................................................................................... 3

1.2 Project Approach ............................................................................................................ 3

1.3 TCM To-Be Results ........................................................................................................ 6

2.0 Recommendations 8

Appendix A: Enterprise Solution Set Definitions 9

Appendix B: Application System Inventories 11

Appendix C: Weighted Solution Sets 15



1.0 Project Methodology/Results

1.1 Background This “To-Be” Technical Capability Matrix (TCM) report builds upon the Activity 3 work that resulted in the production of the “As-Is” TCM report. The intent of this report is to address how the future or To-Be state of technology will mature in order to address the identified Business Capability Matrix (BCM) To-Be state. Approximately 56% of the Department of Mental Health’s (DMH) BCM As-Is business processes have been selected to mature by the BCM team. This report addresses the impact of that trajectory from a technical perspective and will assist DMH as it strives to improve the technical environment. Analogous to the As-Is report, this is a source document, that will become a key artifact in the planning, procurement and implementation of a next generation, MITA-compliant solution.

1.2 Project Approach Consistent with the guiding principles of the project where “business drives technology”, the BCM business processes are used as the catalysts to derive the future TCM maturity levels. This approach preserves the concept that the technical capabilities are enablers of business processes. With these principles in mind, the BerryDunn TCM team conducted the initial To-Be activity in collaboration with the BCM To-Be activity. The TCM team participated in the BCM meetings that were held during the week of January 23, 2012. Based on the resulting BCM To-Be business processes, the TCM team derived the TCM To-Be matrix. The TCM team held meetings with DMH during the week of February 6, 2012 to review the outcome of these business process drivers and the resulting technology implications and maturity concepts. During the BCM As-Is activity, 34 unique business processes, comprised of 6 MITA-specific business processes and 28 Agency-Specific Processes (ASPs), were identified for DMH. Subsequently, the BCM To-Be activity consolidated these into 25 unique business processes that define the To-Be state. The remainder of the report will reference this set of 25 business processes. Of the 25 business processes, 14 have been identified as targets for increases in maturity within the To-Be state. The BCM team used a combination of the MITA 2.0 goals/objectives, agency goals/needs, and recommendations to inform the selection of business processes to be systematically matured. These are the business processes that will be targeted for increases in automation, interoperability, and efficiency for the Next Generation Solution. Specifically, the BCM team used the following six criteria in selecting the business processes to be matured:

1. Meets one or more MITA 2.0 Goals; 2. Meets one or more DMH Agency Goals; 3. Maturing the process improves a critical business function or functions; 4. Maturing the process will occur as a result of maturing another related or dependent

process; 5. Maturing the process will allow other processes to mature as well; and 6. Can be matured over a two to five year horizon.



Consistent with the TCM As-Is model, this report utilizes Solution Sets as the “centerpiece” of the TCM To-Be model. Solution Sets are logical groupings of systems, applications, and tools that support specific business functions. 24 Solution Sets have been identified across EOHHS through the Next Generation Systems Planning Project. 18 of the 24 Solution Sets are applicable to DMH as identified through the cross-walk to DMH BCM business processes (Table 1). This alignment provides a direct correlation between the underlying technologies and the business processes they support.

The TCM team cross-walked the 14 business processes to be matured against the 24 EOHHS Solution Sets to determine which Solution Sets will be directly impacted by the BCM To-Be state. This exercise, as expected, revealed that some Solution Sets were supporting one or more of the business processes identified as needing to mature and depicted that nine unique Solution Sets are used in support of these 14 business processes.

Figure 1: Maturing BCM business processes require enhancements to their Solution Sets.



The below table, Table 1, depicts all of the Solution Sets that support DMH’s day-to-day business processes and efforts. Those BCM business processes that have been positioned to be matured are seen in bold. Business processes not in bold may still be enhanced and matured in the future, however, not selected as targets for the BCM To-Be activity. Please see Appendix A for the full list of Solution Set definitions.

*Items in bold are the 14 BCM processes that have been selected to be matured. # Solution sets Related Business Processes 1 Service Determination 1/3

2 Eligibility n/a

3 Enrollment/Registration, Intake, and Discharge 2, 9, 18

4 Service Coordination/Tracking 4/6

5 Scheduling 5

6 Care Planning and Treatment 7, 8

7 Medical Record Management 9, 10, 11, 13

8 Information Privacy and Security 12,13

9 Order Entry, Laboratory, and Pharmacy 14, 15

10 Claims, Billing and Financial Processing 16, 27

11 Service Delivery Data from Contracted Providers 17

12 Interagency Coordination for Shared Client Services 19

13 Manage Consumer Funds 20

14 Legal, Forensic, and Guardianship 21

15 Incident Management 22

16 Accreditation and Licensing 24, 28

17 Quality Management n/a

18 Provider Performance Management 23

19 Provider and Contractor Management and Procurement 25, 26

20 Program Management n/a

21 Manage Policy and Goals M56, M58

22 Establish and Manage Business Relationships M67, M68, M69, M70

23 Infrastructure and IT n/a 24 Executive Support n/a

Table 1: DMH Business Processes to TCM Solution Set Cross-walk.

The BCM and TCM cross-walking effort showcases that in some instances Solution Sets support more than one of the 14 identified business processes. Most notably, these include the Solution Sets, Medical Record Management, and Enrollment/Registration, Intake, and Discharge that both support three of the maturing business processes. Similarly, as seen below, four other Solution Sets support two business processes selected for maturation. In this way, these Solution Sets can be systematically organized by way of the business needs they support and overall DMH business process impact.



Figure 2: DMH Solution Sets impacted by Maturing Business Processes.

The TCM team’s effort to assess the impact and identify the target TCM To-Be state considered the As-Is scores of the nine Solution Sets impacted by the To-Be business processes as well as their eight respective TCM sub-scores. Within the BCM context, the To-Be global and specific business process selection criteria were examined. Rationale for the business process selection as identified by the BCM team included the need for data integration capabilities, improved efficiencies, HIPAA standards compliance, enhanced reporting, increases in federal reimbursements and improved clinical data among others. In addition, each To-Be business process was examined at the BCM matrix level for respective technical details, e.g. interoperability, timeliness of process, data access and accuracy, effort to perform; efficiency and quality and accuracy of process results.

1.3 TCM To-Be Results Based on the aforementioned approach, the TCM team has rationalized the TCM To-Be state that is depicted on the following page. As discussed above, the BCM To-Be rationale and matrix informed this impact assessment in order to derive the TCM To-Be state. Each TCM Solution Set impacted is targeted to advance to its correlating BCM To-Be state. While, the BCM and TCM matrices are not in comparison “apples to apples”, their underlying attributes do suggest that in order to support each of the To-Be business processes at a 2.0 level, DMH will need the supporting Solution Sets to be at a 2.0 score as well.

It should also be mentioned, that the TCM team previously noted in the As-Is report that there were several under-served capabilities across Solution Sets that included: Access Channels, Interoperability, Flexibility/Adaptability and Extensibility. Based upon the technical architecture

0.0 1.0 2.0 3.0

Scheduling

Claims, Billing and Financial Processing

Service Delivery Data from Contracted Providers

Order Entry, Laboratory, and Pharmacy

Service Coordination/Tracking

Care Planning and Treatment

Provider and Contractor Management and Procurement

Medical Record Management

Enrollment/Registration, Intake, and Discharge

Number of Maturing Business Processes By Solution Set

Solution Sets



prevalent in the DMH environment, these scores were expectedly low. By addressing these core areas in the To-Be state, many of the Solution Sets, including those not specified to mature, will inherently advance above a 2.0 score as technologies that span across the DMH infrastructure are enhanced. Therefore, the 2.0 designation is a minimum expression of the To-Be state.

9 S

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Ord

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Ent

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Labo

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nd

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rmac

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Sch

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Technical Capability Matrix

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

As-Is

To-Be

B.0 Business Enabling Services

1.7 2.0 1.7 2.0 1.8 2.0 1.7 2.0 1.7 2.0 1.8 2.0 1.5 2.0 1.0 2.0 1.1 2.0

B.6 Decision Support 1.3 2.0 1.3 2.0 1.7 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.4 2.0 1.0 2.0 1.0 2.0

A.0 Access Channels 1.0 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.1 2.0 1.0 2.0 1.0 2.0 1.0 2.0

I.0 Interoperability 1.1 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.2 2.0 1.2 2.0 1.0 2.0 1.0 2.0

D.0 Data Management and Sharing

1.0 2.0 1.1 2.0 1.0 2.0 1.1 2.0 1.0 2.0 1.6 2.0 1.6 2.0 1.0 2.0 1.0 2.0

P.0 Performance Measurement

1.4 2.0 1.5 2.0 1.0 2.0 1.5 2.0 1.0 2.0 1.0 2.0 1.1 2.0 1.0 2.0 1.0 2.0

S.0 Security and Privacy

1.8 2.0 1.8 2.0 1.5 2.0 1.8 2.0 1.8 2.0 1.7 2.0 1.7 2.0 1.4 2.0 1.6 2.0

F.0 Flexibility – Adaptability and Extensibility

1.3 2.0 1.3 2.0 1.0 2.0 1.3 2.0 1.3 2.0 1.0 2.0 1.3 2.0 1.0 2.0 1.0 2.0

Solution Set Average 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.1 2.0 1.1 2.0

Table 2: As-Is and To-Be of the Solution Sets that support the To-Be BCM.

Below are Solution Sets not impacted by the BCM To-Be that will remain at their current levels as defined in the As-Is report.

Sol

utio

n S

ets

Ser

vice

Det

erm

inat

ion

Info

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ion

Priv

acy

an

d S

ecur

ity

Inte

rage

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Coo

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r S

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age

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sum

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l, F

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Technical Capability Matrix

As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is

B.0 Business Enabling Services 1.7 1.3 1.2 1.1 1.7 1.5 1.2 1.9 1.0 1.0 1.0 B.6 Decision Support 1.3 1.0 1.1 1.0 1.3 1.6 1.0 1.0 1.0 1.0 1.4 A.0 Access Channels 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 I.0 Interoperability 1.0 1.0 1.2 1.0 1.0 1.0 1.1 1.2 1.0 1.0 1.0

D.0 Data Management and Sharing 1.0 1.0 1.6 1.0 1.0 1.0 1.2 1.0 1.0 1.0 1.1

P.0 Performance Measurement 1.4 1.0 1.1 1.0 1.2 1.0 1.0 1.7 1.0 1.0 1.1

S.0 Security and Privacy 1.8 1.3 1.5 1.7 1.7 1.3 1.7 1.5 1.0 1.0 1.6

F.0 Flexibility – Adaptability and Extensibility

1.3 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0

Solution Set Average 1.3 1.1 1.2 1.1 1.2 1.2 1.1 1.3 1.0 1.0 1.2

Table 3: Solution Sets not impacted by the BCM To-Be remain at their Current Maturity Levels.



2.0 Recommendations

Although the view into the DMH TCM is focused upon the relevant Solution Sets that are impacted by the maturing business processes, this report serves as the baseline TCM To-Be of the Next Generation Systems Planning Project. Review of the low scoring technical attributes in the As-Is TCM report should continue to be addressed going forward. Furthermore, replacing and/or improving technical areas in the targeted To-Be Solution Sets will inherently advance other Solution Sets in many cases.

As the targeted To-Be Solution Sets are reviewed, Appendix C, “Weighted Solution Sets”, will provide the complete picture of DMH impact as it depicts all the applications, systems, tools, and other technology that comprise the entire 24 EOHHS Solution Sets. Then, at the most granular level, Appendix B, “Application System Inventories” identifies all the supporting sub-technologies such as databases, operating systems, and application languages within the DMH technology platform including their specific support for the Solution Set.

With these detailed technology maps available, the DMH technology environment can be comprehensively understood, communicated, and scaled in order to support these maturing business processes and technologies in the future. This level of precision enforces the BCM business processes to be correlated to the underlying technologies that directly support them. This approach promotes maintenance of the established alignment so that any gaps between the current state and future state can be objectively addressed.

This understanding of the DMH technology environment is a key artifact to consider as future requirements are gathered and the vendor community is informed of both the technology environment in place at DMH today and the desired To-Be state.

Lastly, the DMH members of the TCM team have been extremely capable, collaborative, experienced and knowledgeable of both the business and technical environments. From an enterprise perspective, the other participating departments, BoPHF and DDS, while unique, do share similar characteristics including their technical environments. This continues to appear promising as it may be valuable to share planning and technology assets, services and resources on this path to the future.

The Commonwealth of Massachusetts Next Generation Systems Planning Project

_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 9 February 22, 2012

Appendix A: Enterprise Solution Set Definitions

The 24 Enterprise Solution set Definitions

# Solution Set Name Functional Summary

1 Service Determination Determine appropriateness for services; determine what services are needed and if they are available.

2 Eligibility Determine eligibility, manage disallowances, manage all eligibility communications, manage all waivers, grievances and appeals related to eligibility. Manage program wait lists.

3 Enrollment/Registration, Intake, and Discharge

Intake screening, registration and admission, suspend/dis-enroll/discharge, track program capacity and censuses, and manage demographic data.

4 Service, Coordination/Tracking, and Communication

Coordination of care delivery, communication protocols, patient/client communication, coordination of discharge services and follow up care, referral authorization management, manage individual service prioritization, manage individual allocations and service budgets, manage waitlists for programs, and manage individual transportation information.

5 Scheduling Manage staff scheduling, manage timekeeping and payroll, patient scheduling, resource scheduling, and group scheduling.

6 Care Planning and Treatment

Initial screening and assessment, treatment planning. Complete documentation of patient care using federal and state criteria, rules, best practices and professional judgment. Coordination of care delivery, discharge planning, managing patient outcomes, develops and manages individual service plans. Evaluate and document patient risk, restraint documentation and reporting of all patient care data as needed.

7 Medical Record Management Management of all patient data in the health care record, collection and storage of client data, respond to consent decrees, manage patient/client grievances and appeals, manage request for protected health information both electronic and non electronic. Reviews and ensures data quality and completeness.

8 Information Privacy and Security

Manage compliance to privacy, security and confidentiality standards and regulations. Secure communications to meet confidentiality and legal requirements, security audits. Access based on role and level of authorization. Ensures all health information is protected.

9 Order Entry, Laboratory, and Pharmacy

Manage order entry, manage laboratory, and manage pharmacy services.

10 Claims, Billing and Financial Processing

Fiscal monitoring of patient/client, contractor services, program financial management, management position control, recruitment, accounting, 1099’s, payroll, purchasing, accounts payable, revenue cycle, reimbursement, budget management and formulation, claims generation, auditing, mass adjustment, inquire payment status, manage recoupment, collections and recovery, authorize referrals and service, manage state fund, manage client specific service funds, generate financial and program analysis.

11 Service Delivery Data from Contracted Providers

Track patient data from contracted providers about quantity, type of service, delivered to individuals or groups storage of health care information.

12 Interagency Coordination for Shared Client Services

Create and manage business relationships, and engage in joint planning. Cross agency communication of patient information including sharing of aggregate data for the purpose of utilization management and performance monitoring.

13 Manage Consumer Funds Manage individual patient funds not related to treatment.



# Solution Set Name Functional Summary

14 Legal, Forensic, and Guardianship

Document patient/client legal status, duty to warn, Roger’s orders, forensic and guardianship data. Manage ongoing and potential legal cases/actions. Document and track risk evaluations. Coordinate and liaise with investigating agencies. Manage provider contracts. Manage client information policy. Respond to consent decrees. Manage patient grievance and appeals process.

15 Incident Management Initiate and manage case and event reporting. Manage incident reporting. Manage medication occurrence reporting. Provide reporting on all incident types (including medication, restraint and other types).

16 Accreditation and Licensing Manage program/providers surveys and certification. Manage accreditation and credentialing necessary for program participation. Monitor performance utilizing measures for accreditation and credentialing. Manage licensing of contracted providers.

17 Quality Management

Manage waiver programs provider qualifications, ensure program compliance as agreed upon with Medicaid, manage monitoring of national core indicators and performance measures, manage/monitor provider quality performance and compliance with standards. Conduct routine fiscal and clinical monitoring of patient outcomes and expenditures from a quality standpoint. Initiate, and manage case or event and subsequent incident reporting. Manage grievance and appeals process. Help to identify areas for improvement so preventive activities can be conducted. Perform contractor/provider outreach and training to ensure quality standards are defined. Allow for quality reporting.

18 Provider Performance Management

Establish mechanisms and requirements for developing, managing, and reporting performance measures, quality, outcomes, and other data for providers/ contractors to comply with agency, state, and federal reporting requirements. Analyze patient/client and service histories and trends, costs, and expenditures; assess external factors affecting the program; assess agency initiatives and plans; identify significant measurable activities and outcomes, and create and/or revise performance measures. Conduct and analyze client survey.

19 Provider and Contractor Management and Procurement

Manage provider/contractor procurement, awarding contracts, develop contracts, register providers/contractor, manage provider/contractor information, and close out contracts. Manage provider/contractor communications and grievance and appeals process, provide training and perform audits. Address requests for contractor/provider information. Monitor patient outcomes. Provide a provider listing of available providers to deliver services in support of participant direction. Manage transportation providers. Track participant driven budget. Manage budget billing and reimbursement for provider contracts.

20 Program Management Manage all program individual waiver communications. Track waiver program capacities, provision and management of waiver assurances, manage individual program budgets, and manage program information. Maintain accurate tracking of housing capacity. Perform population and individual outreach.

21 Manage Policy and Goals Develop and maintain program policy, agency goals and initiatives. Maintain state plan.

22 Establish and Manage Business Relationships

Create and manage business relationships, facilitate communication with business relationships. Engage in joint planning to coordinate efforts and programs between agencies. Develop and maintain program policy and agency goals. Terminate business relationships.

23 Infrastructure and IT Manage information with respect to infrastructure and information technology including but not limited to computer devices, network topology, software, and other hardware/physical assets.

24 Executive Support Reporting capability to support executive decisions and monitor all business process areas including but not limited too; population management, resource management, financial, quality, incident reporting, contract management, productivity etc.



Appendix B: Application System Inventories

Application System Inventory - Field Definitions

Column Name Description of Column Contents Application Short Name The common or abbreviated application name. Application Full Name The full name of the application with description as appropriate. App Type (COTS, Custom, Hybrid) The application is primarily COTS, custom coded, or a hybrid. X = Transaction Processing An X indicates the system is used to record transactional information. X = Information Access An X indicates the system is used to communicate information, for example using lists or maps. X = End-User / Group Productivity An X indicates the system is used as a collaboration or group coordination tool. X = Browser Delivery An X indicates the system uses web browsers as the primary user interface. Operating System & Platform The OS and platform for operating the system. Database The database technology used by the system. Language The implementation language used by the system. Data (Pers/PHI/FIN) The system manages Personal, Health or Financial information. Access Via (Inter/Intra/VPN) Access to the system is via the Internet, Intranet or externally via VPN. Scope (Bureau, Dept/Agency, Secretariat, Commonwealth)

The application's scope of use.

Year Installed The year the system went live. Number of IT Staff Assigned The number of IT staff assigned, using fractional FTEs for part-time support. Total Registered Users The total number of end-users, indicating public access if appropriate.

(See next page for Inventory)





App Type (COTS, Custom, Hybrid)

X = Transacti

on Processin

g

X = Informati

on Access


productivity

X = Brows

er Deliver

y

System Architectu

re = 2 Tier or 3 Tier

Operating

System &

Platform

Database Language


Access Via (Inter/ Intra/ VPN)

Scope: Bureau, Dept/Agency, Secretariat,

Commonwealth

Year Installed

Number of IT Staff

Assigned

Total Registered

Users

Systems Interfaced

to

MHIS Mental Health

Information System

COTS/ Customiz

ed X X X

Windows Server

2003

Meditech C/S 5.5.5 - Proprietary

Proprietary Pers/PHI/ FIN

Agency 2000 20 ~4000

MHIS DR, DMH Data Warehous

e

CMS

Dept. of Mental Health Contract

Management System

Custom X X X 3 TIER Windows 2003

SQL 2005 ASP Pers/FI

N Intra Agency 1999 1 50

IA Real Internal Affairs Case

Management System

Custom X X 2 TIER Windows 2003

SQL 2005 Visual Basic PHI Intra Agency 1997 2 71

CARE Clinical Automated Record System for

Southeast Area Custom X X X 2 TIER

Windows 2003

SQL 2005 MS Access PHI Intra Agency 1995 2 400

Licensing Licensing Custom X X X 2 TIER Windows 2003

SQL 2005 MS Access/SQL Pers/P

HI Intra Agency 2009 1 16

Contract Monitoring/Performa

nce Review

Contract Monitoring/Performa

nce Review Custom X X X 2 TIER

Windows 2003


Legal BASE Legal BASE Custom X X X 2 TIER Windows 2003

Access 2003

MS Access Pers/P

HI Intra Agency 2011 1 24

CUBP CUBP/Rehab

Tracking Custom X X X 2 TIER

Windows 2003


Firearms Firearms Custom X X 2 TIER Windows 2003

SQL 2005 MS Access PHI Intra Agency 1 4

HOT Homeless Outreach

Team WebApp Custom X X X X 3 TIER

Windows 2003

SQL 2005 VB.NET PHI Intra Agency 2010 1 15

Housing Housing Inventory Custom X X X 2 TIER Windows 2003

SQL 2005 MS Access Intra Agency 1 19

Medication Occurrence/MAP



SQL 2005 Classic .ASP PHI Intra Agency 1 4

Campus Police Log Campus Police Log Custom X X X X 3 TIER Windows 2003

SQL 2005 .NET PHI Intra Agency 2010 1 31

Replacement Units DB/Parkview

Replacement Units Database

Custom X X X 2 Tier Windows 2003

Access 2003

MS Access PHI Agency 1993 1 2 DMH Data Warehous

e

DART Referral Tracking

System

Restraints Restraints &

Seclusions Tracking

DMH Outcomes DMH Outcomes

Inpatient Indicators Inpatient Indicators






X = Transacti

on Processin

g

X = Informati

on Access


productivity

X = Brows

er Deliver

y

System Architectu


Operating

System &

Platform

Database Language




Commonwealth

Year Installed

Number of IT Staff

Assigned

Total Registered

Users

Systems Interfaced

to

Psychopharm Indicators

Psychopharm Indicators

DMH Outcome Reporting

DMH Outcome Reporting

Consumer & Family Satisfaction Survey


DIG Grant Reporting

DIG Grant Reporting

Solution Set Support, e.g. Reporting and Interfaces

NewMMIS Interfaces

NewMMIS Interfaces

Custom X Windows Server

2004 SQL 2005 .NET, C#

Pers/PHI

Agency/Secreta

riat 2009 1 N/A

DMH Data Warehous

e, NewMMIS

MHIS Downtime Application

MHIS Downtime Application

Custom X Windows Server

2005 SQL 2005 VB6

Pers/PHI

Agency ~2004 1 ~250 MHIS

MRS

Management Reporting System

based on the Commonwealth

Warehouse


SQL 2005 XML/XSLT/Java

Script PHI/FIN Intra Agency 2004 2 130

Meditech Data Repository

MHIS data in accessible form (available only through AIT)

Custom X X 2 Tier Windows 2003

SQL 2005 Meditech Magic

/ C/S 5.54 (proprietary)

PHI Agency 2001 3 5 Meditech

DMH Data Warehouse

MHIS and BoPHF Meditech and other data in accessible

form


SQL 2005 Transact SQL PHI/FIN Agency 2003 4 560

DMH & BoPHF MHIS,

CIW,Park view

INFORM Prepared reports

using data from the DMH Warehouse


Access 2003

MS Access PHI Agency 2004 3 420 DMH Data Warehous

e

Discharge Planning & Placement


CBFS Provider Data Submission

CBFS Provider Data Submission


SQL 2005 Transact SQL PHI Agency 2009 4

DMH Data Warehous

e & Meditech

CBFS Outcomes CBFS Outcomes Custom X X X 2 Tier Windows 2003

SQL 2005 Transact SQL PHI Agency 2010 4 DMH Data Warehous

e

ORYX Reporting ORYX Reporting






X = Transacti

on Processin

g

X = Informati

on Access


productivity

X = Brows

er Deliver

y

System Architectu


Operating

System &

Platform

Database Language




Commonwealth

Year Installed

Number of IT Staff

Assigned

Total Registered

Users

Systems Interfaced

to

PDI Provider Data

Interface

Forensic DBs Forensic DBs

Non-DMH Systems

CIW Commonwealth

Information Warehouse

BoPHF Meditech BoPHF Meditech

BoPHF DR BoPHF Meditech Data Repository

EIM Enterprise Invoice

Management

New MMARS New MMARS COTS /

Customized

X X X X 3 Tier Netezza Pers / FIN

intra Commonwealth n/a n/a EIM / CIW



Appendix C: Weighted Solution Sets

Key: The application is a ______ support of the Solution Set:

A = Primary B = Secondary N = None Applicable

Solution Sets

Application Short Name Application Full Name S

ervi

ce D

eter

min

atio

n

Re

gis

trat

ion,

Int

ake,

an

d D

isch

arge

Ser

vice

C

oord

inat

ion/

Tra

ckin

g

Sch

edul

ing

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

Bill

ing

and

Fin

anci

al P

roce

ssin

g

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

S

ervi

ces

Man

age

Con

sum

er

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

Pro

vide

r Q

ualit

y M

anag

emen

t

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Exe

cutiv

e S

uppo

rt

MHIS Mental Health Information

System a a a n a a b n a a b n a n b n a n n a

CMS Dept. of Mental Health Contract Management

System n n b n n n n n b n n n n n n n a n n a

IA Real Internal Affairs Case Management System

n n n n n n n n n n n n n a n n n n n a

CARE Clinical Automated Record System for Southeast Area

a a a a a a b n n n b n n n n n n n n a

Licensing Licensing n n n n n n n n n n n n n n a n n n n n

Contract Monitoring/Performance

Review

Contract Monitoring/Performance

Review n n b n b n n n n n a n n n n a n n n a

Legal BASE Legal BASE n n n n n n n n n n n n a n n n n n n n

CUBP CUBP/Rehab Tracking n a a b n n n n n n n n n n n n n n b

Firearms Firearms n n n n n n n n n n b n n n n n n n n n



Solution Sets

Application Short Name Application Full Name

Ser

vice

Det

erm

inat

ion

Re

gis

trat

ion,

Int

ake,

an

d D

isch

arge

Ser

vice

C

oord

inat

ion/

Tra

ckin

g

Sch

edul

ing

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

Bill

ing

and

Fin

anci

al P

roce

ssin

g

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

S

ervi

ces

Man

age

Con

sum

er

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

Pro

vide

r Q

ualit

y M

anag

emen

t

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Exe

cutiv

e S

uppo

rt

HOT Homeless Outreach Team

WebApp n n a n n n n n n n n n n n n n n n n n

Housing Housing Inventory n n b n b n n n n n n n n n n n n n n n



n n n n n n n n n n n n n a n a n n n b

Campus Police Log Campus Police Log n n b n n n n n n n n n n a n n n n n n

Replacement Units DB/Parkview

Replacement Units Database

n a n n n n n n n n n n b n n n n n n 0

DART DMH Admissions and

Referral Tracking System a b b n b n n n n n b n b n n n n n n a

Restraints Restraints & Seclusions

Tracking n n n n b n n n n n n n n n n n n n n a

DMH Outcomes DMH Outcomes n n n n n n n n n n n n n n n a n n n a

Inpatient Indicators Inpatient Indicators n n n n b n n n n n n n n n n n n n n a

Psychopharm Indicators Psychopharm Indicators n n n n a n n n n n n n n n n n n n n a



n b n n n n n n n n n n n n n n n n n b



n n n n n n n n n n n n n n n b n n n a



Solution Sets


Ser

vice

Det

erm

inat

ion

Re

gis

trat

ion,

Int

ake,

an

d D

isch

arge

Ser

vice

C

oord

inat

ion/

Tra

ckin

g

Sch

edul

ing

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

Bill

ing

and

Fin

anci

al P

roce

ssin

g

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

S

ervi

ces

Man

age

Con

sum

er

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

Pro

vide

r Q

ualit

y M

anag

emen

t

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Exe

cutiv

e S

uppo

rt

DIG Grant Reporting Data Infrastructure Grant

(DIG) Reporting n n n n n n n n n n n n n n n n n n n a

PDI Provider Data Interface a a a n b n n n a a n n n n n b n n n b

Forensic DBs Forensic DBs n n n n n n n n n a a n a n n n n n n a

User Maintained Spreadsheets

User Maintained Spreadsheets

b a a a a b b b b a b a a a b a a n n b

User Maintained Access Apps.

User Maintained Access Apps.

b a n a a n b n n n n a n b n b a n n b

Solution Set Support, e.g. Reporting and Interfaces

NewMMIS Interfaces NewMMIS Interfaces b n n n n n n n n n a n n n n n n n n n

MHIS Downtime Application MHIS Downtime Application n b n n b n n n n n n n n n n n n n n n

MRS Management Reporting System based on the

Commonwealth Warehouse n n n n n n n n n n n n n n n n b n n a

Meditech Data Repository MHIS data in accessible

form (available only through AIT)

b b b n b b n n b b n n b n n n n n n b

DMH Data Warehouse MHIS and BoPHF Meditech

and other data in accessible form

b b b n b b b n a b a n b b b b b n n b

INFORM Prepared reports using data from the DMH Warehouse

a a a

n

a a a n a a a n a n n a b n n a



Solution Sets


Ser

vice

Det

erm

inat

ion

Re

gis

trat

ion,

Int

ake,

an

d D

isch

arge

Ser

vice

C

oord

inat

ion/

Tra

ckin

g

Sch

edul

ing

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

Bill

ing

and

Fin

anci

al P

roce

ssin

g

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

S

ervi

ces

Man

age

Con

sum

er

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

Pro

vide

r Q

ualit

y M

anag

emen

t

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Exe

cutiv

e S

uppo

rt

CBFS Provider Data CBFS Provider Data n n a n b n n n n n n n n n n a n n n n

CBFS Outcomes DMH Outcomes n n n n n n n n n n n n n n n a n n n a

ORYX Reporting ORYX Reporting n n n n n b n n n n n n n n a n n n n n

DMH Outcome Reporting DMH Outcomes n n n n n n n n n n n n n n n a n n n a

Non-DMH Systems

CIW Commonwealth Information

Warehouse n n n n n n n n b n n n n n n n a n n a

BoPHF Meditech BoPHF Meditech n a a n a a b b n n a n a n n n n n n a

BoPHF DR BoPHF Meditech Data

Repository b b b n b b n n b b n n b n n n n n n b

EIM Enterprise Invoice

Management n n b n n n n n a a n n n n n n n n n n

New MMARS New MMARS n n n n n n n n a n n n n n n n a n n a

Ex

Delivera

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Section

1.0

1.1

1.2

1.3

2.0

Append

Append

Append

___________oPHF): Final

Project Me

Background

Project App

TCM To-Be

Recomme

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The belobusinessbe matumatured Appendix

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#

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

The BCMsupport mSolution Processithat eachbe systebusiness

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___________February 14,

oPHF’ day-toeen positione enhancedtivity. Please

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___________February 14,

state considcesses as weobal and spprocess selebilities, imprases in fe

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_____________ February 14, 20

capabilities acrohnical architectany of the SolutoPHF infrastruct

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_____________ February 14, 20

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___________Page 9

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___________February 14,

on Sets thane TCM To-nical attribut

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dix A: Enterpris

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Solution

Service Determ

Eligibility

Enrollment/RegIntake, and Dis

Service, Coordination/TCommunicatio

Scheduling

Care Planning

Medical Record

Information PriSecurity Order Entry, LaPharmacy

Claims, Billing Processing

Service DeliverContracted Pro

Interagency CoShared Client S

Manage Consu

_____________-Be TCM

se Technology

hnology Solution

n Set Name

mination

r

gistration, scharge d

Tracking, and n

Ccm

and Treatment bad

d Management pa

ivacy and a

aboratory, and

and Financial acr

ry Data from oviders

Ti

oordination for Services

Ci

umer Funds

_____________

y Solution Set D

n Set Definitions

Determine appropr

Determine eligibilitrelated to eligibility.

Intake screening, demographic data.

Coordination of carcare, referral authomanage waitlists fo

Manage staff sched

Initial screening anbest practices andand manages indivdata as needed.

Management of allpatient/client grievaand ensures data q

Manage compliancand legal requirem

Manage order entry

Fiscal monitoring oaccounting, 1099’sclaims generation,referrals and servicTrack patient data information.

Create and managincluding sharing o

Manage individual

_____________Page 1

Definitions

s

riateness for service

ty, manage disallo. Manage program

registration and a

re delivery, commuorization managemor programs, and m

duling, manage tim

nd assessment, tre professional judgmvidual service plans

patient data in theances and appealsquality and complet

ce to privacy, securents, security audit

y, manage laborato

of patient/client, cos, payroll, purchas auditing, mass a

ce, manage state fufrom contracted pr

ge business relatif aggregate data fo

patient funds not re

_____________10

es; determine what

owances, manage wait lists.

admission, suspen

nication protocols, ent, manage indivi

manage individual tr

mekeeping and payr

atment planning. Cment. Coordinations. Evaluate and do

e health care recors, manage request teness.

rity and confidentiats. Access based o

ory, and manage ph

ontractor services,sing, accounts payadjustment, inquire und, manage client roviders about qua

onships, and engor the purpose of ut

elated to treatment

_____________

Functional Summ

t services are need

all eligibility comm

d/dis-enroll/dischar

patient/client commdual service priorit

ransportation inform

roll, patient schedul

Complete documenn of care delivery, ocument patient ris

rd, collection and sfor protected heal

ality standards and n role and level of a

harmacy services.

program financialyable, revenue cyc

payment status, specific service funntity, type of servic

age in joint planntilization manageme

.

The CoNext Gen

_____________

mary

ded and if they are a

munications, mana

rge, track program

munication, coordintization, manage inmation.

ling, resource sche

ntation of patient cadischarge planning

sk, restraint docum

storage of client dalth information both

regulations. Securauthorization. Ensu

l management, macle, reimbursementmanage recoupmnds, generate finance, delivered to ind

ning. Cross agencent and performanc


_____________

available.

ge all waivers, gr

m capacity and ce

nation of discharge ndividual allocations

eduling, and group s

are using federal ag, managing patien

mentation and repor

ata, respond to conh electronic and no

re communications ures all health infor

anagement positiot, budget manageent, collections anncial and program adividuals or groups

cy communication ce monitoring.


_____________ February 14, 20

ievances and app

ensuses, and man

services and follows and service budg

scheduling.

nd state criteria, runt outcomes, deverting of all patient c

sent decrees, manon electronic. Revi

to meet confidentirmation is protected

n control, recruitmment and formulatnd recovery, authoanalysis. storage of health c

of patient informa

etts ject

___ 012

eals

nage

w up gets,

ules, lops care

nage ews

ality d.

ment, tion, orize

care

ation

_______D4.4C (B

#

14

15

16

17

18

19

20

21

22

23

24


Solution

Legal, ForensicGuardianship

Incident Manag

Accreditation a

Quality Manage

Provider PerfoManagement

Provider and CManagement a

Program Mana

Manage Policy

Establish and MBusiness Relat

Infrastructure a

Executive Supp

_____________-Be TCM

n Set Name

c, and lc

gement o

and Licensing

ement

nCcpA

rmance ospc

Contractor nd Procurement

ppap

gement a

and Goals

Manage tionships

Ccr

and IT t

port m

_____________

Document patient/clegal cases/actionscontracts. Manage

Initiate and manageon all incident type

Manage program/pMonitor performanc

Manage waiver pronational core indicConduct routine fiscase or event and preventive activitieAllow for quality rep

Establish mechaniother data for provservice histories aplans; identify signclient survey.

Manage provider/provider/contractorprocess, provide tra provider listing oparticipant driven b

Manage all prograassurances, managPerform population

Develop and maint

Create and manacoordinate efforts relationships.

Manage informatiotopology, software,

Reporting capabilitmanagement, reso

_____________Page 1

client legal status, s. Document and client information p

e case and event rs (including medica

providers surveys ce utilizing measure

ograms provider quators and performascal and clinical mosubsequent incide

es can be conducteporting.

sms and requiremviders/ contractorsnd trends, costs, aificant measurable

/contractor procur information, and raining and performof available providebudget. Manage bu

am individual waivge individual progr

n and individual out

tain program policy

age business relatand programs betw

n with respect to in and other hardwar

ty to support execuurce management,

_____________11

duty to warn, Rogtrack risk evalua

policy. Respond to

reporting. Manage iation, restraint and

and certification. Mes for accreditation

ualifications, ensurance measures, monitoring of patientnt reporting. Manaed. Perform contra

ments for developin to comply with ag

and expenditures; activities and outc

rement, awardingclose out contract

m audits. Address reers to deliver servicdget billing and reim

ver communicationram budgets, and mreach.

, agency goals and

tionships, facilitateween agencies. D

nfrastructure and infre/physical assets.

utive decisions and, financial, quality, i

_____________

Functional Summ

ger’s orders, forentions. Coordinate consent decrees. M

incident reporting. other types).

Manage accreditatin and credentialing.

re program compliamanage/monitor pro

t outcomes and exge grievance and a

actor/provider outre

ng, managing, andgency, state, and assess external fa

comes, and create a

g contracts, devts. Manage providequests for contracces in support of pambursement for pro

s. Track waiver pmanage program in

d initiatives. Maintai

e communication wevelop and mainta

formation technolog

d monitor all busineincident reporting, c

The CoNext Gen

_____________

mary

nsic and guardiansand liaise with in

Manage patient grie

Manage medicatio

ion and credential. Manage licensing

ance as agreed upovider quality perfoxpenditures from aappeals process. Heach and training t

d reporting performfederal reporting

actors affecting theand/or revise perfo

velop contracts, der/contractor commctor/provider informarticipant directionovider contracts.

program capacitiesnformation. Mainta

in state plan.

with business relaain program policy

gy including but no

ess process areascontract managem


_____________

hip data. Manage nvestigating agencevance and appeal

n occurrence repor

ing necessary for of contracted prov

pon with Medicaid, ormance and compa quality standpointHelp to identify areto ensure quality s

mance measures, qrequirements. Ana

e program; assess ormance measures

register providersmunications and g

mation. Monitor pati. Manage transpor

s, provision and main accurate trackin

ationships. Engagey and agency goals

ot limited to comput

s including but not ent, productivity etc


_____________ February 14, 20

ongoing and potecies. Manage provls process.

rting. Provide repor

program participatviders.

manage monitorinpliance with standat. Initiate, and manas for improvemenstandards are defin

quality, outcomes, alyze patient/client

agency initiatives . Conduct and ana

s/contractor, mangrievance and appent outcomes. Pro

rtation providers. T

management of wang of housing capa

e in joint plannings. Terminate busin

ter devices, network

limited too; populac.

etts ject

___ 012

ntial vider

rting

tion.

g of ards. nage nt so ned.

and and and lyze

nage eals vide rack

aiver city.

g to ness

k

ation

_______D4.4C (B

Append

ApplicatApp TypX = TranX = InforX = End-X = BrowOperatinDatabasLanguagData (PeAccess VScope (BCommoYear InsNumber Total Re


dix B: Applicat

Columntion Full Name pe (COTS, Custonsaction Processrmation Access -User / Group Prwser Delivery ng System & Plase ge ers/PHI/FIN) Via (Inter/Intra/VBureau, Dept/Agnwealth)

stalled r of IT Staff Assigegistered Users

_____________-Be TCM

ion System Inv

n Header Name

om, Hybrid) sing

roductivity

atform

VPN) gency, Secretari

gned

_____________

ventories

Appl

e

at,

_____________Page 1

ication System

The full nameThe applicatiAn X indicateAn X indicateAn X indicateAn X indicateThe OS and The databaseThe implemeThe system mAccess to the

The applicati

The year the The number The total num

_____________12

m Inventory - Fi

e of the applicatioon is primarily CO

es the system is ues the system is ues the system is ues the system useplatform for opere technology use

entation languagemanages Persone system is via th

on's scope of use

system went liveof IT staff assign

mber of end-users

_____________

ield Definitions

Description oon with descriptioOTS, custom codused to record traused to communiused as a collaboes web browsers ating the system.

ed by the system.e used by the systal, Health or Fina

he Internet, Intran

e.

e. ed, using fractions, indicating publi

The CoNext Gen

_____________

s

of Column Conon as appropriateded, or a hybrid.ansactional informcate information,

oration or group cas the primary u

.

stem. ancial informationnet or externally v

nal FTEs for part-ic access if appro


_____________

ntents .

mation. for example usin

coordination tool.ser interface.

n. via VPN.

-time support. opriate.


_____________ February 14, 20

ng lists or maps.

etts ject

___ 012

_______D4.4C (B


Summit Software

Interbit (Auto Fax ) - Active

Fax

Meditech

Policy Tech

Carestream Health Infinitt

PhotographicArchiving Computer System

Abbott Blood Glucose System Stellate

Harmonie EEGSystem

Phillips TraceMaster VUE

(EKG)

Intranet / Web

Occurrence Databases - Misc. Access

DB

Misc. Spreadsheets



AT

(CCu

Hy

Scheduling software

enabling the scheduling of

printed Meditech reports.

Software used exclusively for the Meditech

System.

C

Softare enabling the

faxing of Meditech

reports and results via PC. Software used exclusively with

Meditech.

C

Electronic medical record

and billing system

C

Policy & Procedure

Management Software

C

PACS TKH C

c PACS LSH C

Glucose Monitoring

System C

G Stellate

Harmonie EEG System

C

e Phillips Trace Master VUE

(EKG) C

b Intranet / Web

Cu

s Cu

_____________-Be TCM

App Type COTS, ustom

, ybrid)

X = Transactio

n Processing

Inn

COTS

COTS

COTS X

COTS

COTS X

COTS X

COTS X

COTS X

COTS X

ustom X

ustom X

_____________

X = formatioAccess


productivity

X

X

X X

X X

X X

X X

X

X X

x X

X X

X X

X X

_____________Page 1

X = Browse

r Deliver

y

System Architecture = 2 Tier

or 3 Tier

1

1

X 3

X 1

X 1

X 1

1

1

1

X 1

1

1

_____________13

Operating System & Platform

Database

Windows XP

Professional

Access 2003

Windows 2003

SQL

Windows 2003

Magic

Windows ?

Windows Oracle

Windows ?

Windows ?

?

Windows

Windows

Windows

_____________

Language

Data (Per

s /PHI/ FIN)

Acs (InInVP

Access

SQL

Magic X

X

X

X

X

X

The CoNext Gen

_____________

ccesVia

nter/ ntra/ PN)

Scope: Bureau,

Dept/Agency, Secretariat,

Commonwealth

Bureau

Bureau

X Bureau

X Hospitals

X Hospitals

X Hospitals

X Hospitals

Hospitals

Hospitals

X Bureau

Hospitals

Hospitals


_____________

Year Installe

d

Number of IT Staff Assigned

R

2007 3

2007 3 u

2002 12

2010 1 AW

2010 2

2010 2

2009 1

Desktop Engineers at each

Site

N


Site


Site


_____________ February 14, 20

Total Registered Users

Systems Interfto

3 Meditech

unlimited Network/Med

2,500 SFED/PACS/U

S

All staff at WMH and

LSH

50 Meditech

200 Meditech

?? Meditech

??

??

All Network Uses at

Sites

??

??

etts ject

___ 012

faced

h

itech

UMAS

h

h

h

_______D4.4C (B


Shared files/folders onnetworks being

used for various patien

related documentation

Nurse call System

Intranet to access word

documents forMenu Tracking

Geri Menu

All Write Transcription

Services - WMH

Medquist Transcription

Services - LSH

In-house Transcription

FormFast

Business Intelligence DB

Pyxis

SOPS - PIS

Citrix

IVANS

NewMMIS

MMARS/BAR

HRCMS

CAMIS



AT

(CCu

Hy

n g

nt

n

Cu

Nurse Call System

C

r g

?? Cu

Dietary Management

Software C

Vendor C

H Vendor C

?? C

Form Management

Software C

B SQL C

Medication Distribution

System C

Pharmacy C

Citrix C

CMS Communication

s Protocol C

Medicaid Management Information

System

Cu

R State

Accounting Applications

Cu

State Payroll System

C

Facility Management

Software C

_____________-Be TCM


, ybrid)

X = Transactio

n Processing

Inn

ustom X

COTS

ustom

COTS X

COTS X

COTS X

COTS X

COTS

COTS X

COTS X

COTS X

COTS

COTS X

ustom X

ustom X

COTS X

COTS X

_____________

X = formatioAccess


productivity

X X

X

X

X X

X X

X X

X X

X

X X

X

X X

X

X

X X

X X

X X

X X

_____________Page 1

X = Browse

r Deliver

y


or 3 Tier

1

1

X 1

1

1

1

1

1

2

1

1

X 2

1

X 2

X 2

X 2

X 1

_____________14


Database

Windows

Windows

Windows

Windows

Windows

Windows

Windows

Windows

Windows

Windows

Windows

Windows 2003

Windows

Windows

Windows

Windows

Windows

_____________

Language

Data (Per

s /PHI/ FIN)

Acs (InInVP

X

X

X

X

X

X

X

X

X

X

X

X

The CoNext Gen

_____________

ccesVia

nter/ ntra/ PN)

Scope: Bureau,


Commonwealth

Hospitals

Hospitals

X Hospitals

Hospitals

X Hospitals

X Hospitals

Hospitals

Hospitals

Bureau

X Hospitals

Agency

X Hospitals

X Agency

X Commonwealt

h

X Commonwealt

h

X Commonwealt

h

X Commonwealt

h


_____________

Year Installe

d


R


Site


Site


Site

2009 2

2004 2


Site

2003 2

2009 3

2011

2008 2

2009


Site


_____________ February 14, 20


Systems Interfto

??

??

??

??

6 Meditech/SF

Clinical Staff at

LSH Meditech/SF

??

2 Meditech

25 Meditech

??

??

2500 Meditech

25

??

??

??

??

etts ject

___ 012

faced

FED

FED

h

h

h

_______D4.4C (B


BoPHF Datawarehous

e

Quest Labs



AT

(CCu

Hy

s SQL Cu

Reference Lab (for MHS)

C

_____________-Be TCM


, ybrid)

X = Transactio

n Processing

Inn

ustom

COTS X

_____________

X = formatioAccess


productivity

X X

X X

_____________Page 1

X = Browse

r Deliver

y


or 3 Tier

1

X 2

_____________15


Database

Windows

Windows

_____________

Language

Data (Per

s /PHI/ FIN)

Acs (InInVP

X

X

The CoNext Gen

_____________

ccesVia

nter/ ntra/ PN)

Scope: Bureau,


Commonwealth

X Commonwealt

h

X Hospitals


_____________

Year Installe

d


R

2011 2


_____________ February 14, 20


Systems Interfto

??

15

etts ject

___ 012

faced

_______D4.4C (B

Append

Key: The applic

A = PrimaB = SeconN = None

Ap

plic

atio

nS

ho

rt

MED

Polic

Carestre

Infinitt PhArchiving

Sy

Abbott BloSy

Stellate HaSy

Phillips Trac(E

Intran


dix C: Weighted

cation is a ______

ary ndary

e Applicable

Ap

plic

atio

n S

ho

rt

Nam

e

DITECH TKWM

cy Tech WM

eam Health PACS

hotographic g Computer ystem

PACS

ood Glucose ystem

LS

armonie EEG ystem

ce Master VUE EKG)

LS

et / Web MH

_____________-Be TCM

d Solution Sets

support of the Solu

Ap

plic

atio

n F

ull

Nam

e

Elig

ibili

ty

Enr

ollm

ent/R

egis

trat

io

H, LSH, MH, MHS

n

MH, LSH n

S for TKH n

S for LSH n

H, TKH n

LSH n

H, TKH n

HS, MHS n

_____________

s

ution Set:

n, In

take

, and

D

isch

arg

e

Se

rvic

e C

oord

inat

ion/

Tra

ckin

g an

d C

omm

unic

atio

n

Sch

edul

ing

a a a

n n n

n n n

n n n

n n n

n n n

n n n

n n b

_____________Page 1

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

a a a

n n n

b n n

b n n

b n n

b n n

b n n

n n n

_____________16

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

B

illin

g an

d F

inan

cial

Pro

cess

ing

Se

rvic

eD

eliv

ery

Da

ta

a a

n n

b n

b n

b n

n n

n n

n n

_____________

Solution Sets

Se

rvic

e D

eliv

ery

Dat

a fr

om C

ontr

acte

d P

rovi

ders

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

Ser

vice

s

Man

age

Con

sum

er

Fun

ds

a b a

n n n

n n n

n n n

n n n

n n n

n n n

n n n

The CoNext Gen

_____________

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

a n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n


_____________

g

Qua

lity

Man

agem

ent

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

n n n

n n a

n n n

n n n

n n n

n n n

n n n

n n a


_____________ February 14, 20

gy

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Infr

astr

uctu

re S

uppo

rt

and

IT

n n n

a n n

n n n

n n n

n n n

n n n

n n n

a n n

etts ject

___ 012

Exe

cutiv

e S

uppo

rt

b

n

n

n

n

n

n

n

_______D4.4C (B

Ap

plic

atio

nS

ho

rt

OccurrenceMisc. A

Misc. Sp

Shared filenetworks bvarious pa

docum

Nurse c

Intranet to documen

Tra

Gerry

All Write TService

Medquist TServic


Ap

plic

atio

n S

ho

rt

Nam

e

e Databases - Access DB

TKWM

readsheets TKWM

es/folders on being used for atient related mentation

TKWM

all System TKWM

access word nts for Menu acking

W

y Menu MH

Transcription es - WMH

W

Transcription ces - LSH

_____________-Be TCM

Ap

plic

atio

n F

ull

Nam

e

Elig

ibili

ty

Enr

ollm

ent/R

egis

trat

io

H, LSH, MH, MHS

n

H, LSH, MH, MHS

n

H, LSH, MH, MHS

b

H, LSH, MH, MHS

n

WHM n

HS, TKH n

WMH n

LSH n

_____________

n, In

take

, and

D

isch

arg

e

Ser

vice

C

oord

inat

ion/

Tra

ckin

g an

d C

omm

unic

atio

n

Sch

edul

ing

n n n

n n n

b b b

n n n

n b b

n b b

n n n

n n n

_____________Page 1

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

n n n

n n

b b b

n n n

b n n

b n n

b b n

b b n

_____________17

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

B

illin

g an

d F

inan

cial

Pro

cess

ing

Ser

vice

Del

iver

yD

ata

b n

n b

b b

n n

n n

b n

b n

b n

_____________

Solution Sets

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

Ser

vice

s

Man

age

Con

sum

er

Fun

ds

n b n

n n b

b b b

n n n

n n n

b n n

n n n

n n n

The CoNext Gen

_____________

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

b a b

b b n

b b b

n n n

n n n

n n n

n n n

n n n


_____________

g

Qua

lity

Man

agem

ent

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

b n b

a n n

b b b

b n n

b n n

b n n

b n n

b n n


_____________ February 14, 20

gy

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Infr

astr

uctu

re S

uppo

rt

and

IT

b n n

n n b

b b b

n n n

n n n

n n n

n n n

n n n

etts ject

___ 012

Exe

cutiv

e S

uppo

rt

b

b

b

n

n

n

n

n

_______D4.4C (B

Ap

plic

atio

nS

ho

rt

In-house T

In-house T

Form

Falls, PCA,of

Business In

Summit

AutoFax

P

SOP

C

Sidexis


Ap

plic

atio

n S

ho

rt

Nam

e

Transcription

Transcription

mFast LSHWM

, Environment care

Wdat

ntelligence DB TKWM

t Software TKWM

x/ActiveFax LSH

Pyxis TKH

PS - PIS

Phinte

ho(In

D

Citrix C

XG Dental WMH

exc

_____________-Be TCM

Ap

plic

atio

n F

ull

Nam

e

Elig

ibili

ty

Enr

ollm

ent/R

egis

trat

io

MHS n

TKH n

H, TKH, MH, MHS

n

WMH tabases

n

H, LSH, MH, MHS

n

H, LSH, MH, MHS

n

and MHS n

and LSH n

armacy rface for

ospitals cluding

DMH)

n

Citrix n

H and NO data

changed n

_____________

n, In

take

, and

D

isch

arg

e

Ser

vice

C

oord

inat

ion/

Tra

ckin

g an

d C

omm

unic

atio

n

Sch

edul

ing

n n n

n n n

b n n

n n n

n n n

n b b

n b b

n n n

n n n

n n n

n n n

_____________Page 1

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

b b n

b b n

n n n

b n n

Solution Set Supp

b a a

b n n

b n n

b n n

b n n

n n a

No

b n n

_____________18

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

B

illin

g an

d F

inan

cial

Pro

cess

ing

Ser

vice

Del

iver

yD

ata

b n

b n

b n

b b

port, e.g. Reporting and

b b

n n

b n

b n

b n

n n

n-BoPHF Systems

b n

_____________

Solution Sets

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

Ser

vice

s

Man

age

Con

sum

er

Fun

ds

n n n

n n n

n n n

n n n

d Interfaces

n n n

n n n

n n n

n n n

n n n

n n n

n n n

The CoNext Gen

_____________

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

n n n

n n n

n n n

n b n

b n n

n n n

n n n

n n n

n b n

n n n

n n n


_____________

g

Qua

lity

Man

agem

ent

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

b n n

b n n

n n n

b n n

b n n

n n n

n n n

n n n

n n n

n n n

n n n


_____________ February 14, 20

gy

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Infr

astr

uctu

re S

uppo

rt

and

IT

n n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

n n n

etts ject

___ 012

Exe

cutiv

e S

uppo

rt

n

n

n

n

b

n

n

n

n

n

n

_______D4.4C (B

Ap

plic

atio

nS

ho

rt

IV

New

MMAR

HR

CA

BoPHF Dat

Ques


Ap

plic

atio

n S

ho

rt

Nam

e

VANS

VPN usMe

cpro(TK

W

wMMIS TKWM

RS/BAR TKWM

RCMS TKWM

AMIS TKWM

ta warehouse TKWM

st Labs Refer

_____________-Be TCM

Ap

plic

atio

n F

ull

Nam

e

Elig

ibili

ty

Enr

ollm

ent/R

egis

trat

io

Interface sed for edicare claims ocesses KH, LSH, WMH)

n

H, LSH, MH, MHS

b

H, LSH, MH, MHS

n

H, LSH, MH, MHS

n

H, LSH, MH, MHS

n

H, LSH, MH, MHS

n

MHS rence Lab

n

_____________

n, In

take

, and

D

isch

arg

e

Ser

vice

C

oord

inat

ion/

Tra

ckin

g an

d C

omm

unic

atio

n

Sch

edul

ing

n n n

n b n

n n n

n n n

n n n

n n n

n n n

_____________Page 1

Car

e P

lann

ing

and

Tre

atm

ent

Med

ical

Rec

ord

Man

agem

ent

Info

rmat

ion

Priv

acy

and

Sec

urity

n n n

n n n

n n n

n n n

n n n

n n n

b n n

_____________19

Ord

er E

ntry

, La

bora

tory

, and

P

harm

acy

Cla

ims,

B

illin

g an

d F

inan

cial

Pro

cess

ing

Ser

vice

Del

iver

yD

ata

n b

n b

n b

n b

n b

n b

b n

_____________

Solution Sets

Ser

vice

Del

iver

y D

ata

from

Con

trac

ted

Pro

vide

rs

Inte

rage

ncy

Coo

rdin

atio

n fo

r S

hare

d C

lient

Ser

vice

s

Man

age

Con

sum

er

Fun

ds

n n n

n b n

n b n

n n n

n n n

n b n

b n n

The CoNext Gen

_____________

Fun

ds

Lega

l, F

oren

sic,

and

G

uard

ians

hip

Inci

dent

Man

agem

ent

Acc

redi

tatio

n an

d Li

cens

ing

n n n

b n n

n n n

n n n

n n n

n n n

n n n


_____________

g

Qua

lity

Man

agem

ent

Pro

vide

r an

d C

ontr

acto

r M

anag

emen

t an

d P

rocu

rem

ent

Man

age

Pol

icy

and

n n n

n n n

n a n

n n n

n n n

n a n

n n n


_____________ February 14, 20

gy

Goa

ls

Est

ablis

h an

d M

anag

e B

usin

ess

Rel

atio

nshi

ps

Infr

astr

uctu

re S

uppo

rt

and

IT

n n n

n n n

n b b

n n n

n n n

n b b

n n n

etts ject

___ 012

Exe

cutiv

e S

uppo

rt

n

n

b

b

b

b

n

Guide to BerryDunn Deliverables€¦ · A. = DDS B. = DMH C. = DPH ... action and a reimbursem y...

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Transcript of Guide to BerryDunn Deliverables€¦ · A. = DDS B. = DMH C. = DPH ... action and a reimbursem y...