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?