2016 State Healthcare IT Connect Summit Agenda
Pre Conference | Sunday March 20th (Baltimore Marriott Waterfront)
Monday March 21st | Day 01
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07.30 a.m.
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08.30 a.m.
Registration | Breakfast | Networking
Registration & Breakfast will be held in the Harborside Foyer
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08.40 a.m.
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08.45 a.m.
Opening Remarks
Rob Waters, VP Development, Healthcare IT Connect
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08.45 a.m.
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09.45 a.m.
Opening Keynote: Health Care Payment Reform: New Policies Framing the Opportunities for HIT
Rob Anthony, Acting Group Director of the Quality Measurement, Value-Based Incentives Group, CMS
Kelly Cronin, Health Reform Coordinator, ONC/HHS
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9.45 a.m.
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10.15 a.m.
Break in the Exhibit Hall
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10.15 a.m.
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11.45 a.m.
Keynote Panel: Delivering Integrated H&HS: Interoperability, Data & the Enterprise Approach
Moderator:Scott Dunn, Director of H&HS Solutions, Optum
Jessica Kahn, Director Data & Systems Group, CMCS, CMS
Chris Underwood, Director, Health Information Office, Colorado DHCPF
Tracey Wareing Evans, Executive Director, APHSA
Adam Dondro, Assistant Director – Horizontal Integration, California DSS
David Whitham, Assistant ACIO, Health & Eligibility, Massachusetts EOHHS
States are increasing efforts towards realizing the vision of creating an enterprise view of Health and Human Services, where interoperability frameworks and an enterprise data model can be applied to present a 360 degree view of the client experience and population health based information can be leveraged to not only deliver transparency on quality but made actionable to improve the coordination of services for improved outcomes.
Join this keynote panel to understand federal efforts to support interoperability and improved funding stream towards these goals, how states are leveraging the opportunity towards interoperability and building analytical capacity and how the vendor community is aligned to deliver on this promise in an increasing modular application environment.
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11.45 a.m.
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12.15 p.m.
Buffet Served for Meet the Innovators Lunch
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12.15 p.m.
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1.00 p.m.
Meet the Innovators Keynote and Introduction: Connect the Unconnected Through Person-Centered Service Delivery
Nick Macchione, Director and Deputy Chief Administrative Officer, H&HS Agency County of San Diego
As part of the County of San Diego’s population health strategy, Live Well San Diego, its Health and Human Services Agency embarked on implementing an electronic information hub, ConnectWellSD, to enhance the lives of its one million clients. It provides for a secure platform for multi-disciplinary teams that are provided a more detailed view of each individual served. Data is pulled from programs crossing public health, Medicaid, mental health, alcohol and drug, benefits eligibility, child welfare, aging, housing, and probation. Collaborative e-service delivery across disciplines helps optimize whole person wellness through positive customer outcomes and improved cost efficiency.
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1.00 p.m.
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2.00 p.m.
Meet the Innovators Working Lunch Roundtables
View All Roundtable Abstracts Here
Roundtable 01 | Using Integrated Health Intelligence Technology to Improve Participant Outcomes and Lower CostsAlexandra MacDonald, SVP Population Health Management, Finity
During this presentation, Finity will share the results of two Medicaid incentive programs powered by our Health Intelligence Platform:
Healthcare Innovation Award results for a Medicaid incentive program; Results of one of the first portable, closed-loop state Medicaid incentive programs. The presentation will focus on how to use health intelligence technology to achieve lower costs and improve participant outcomes. Finity will share program results to date, incentive and engagement plan design strategies, and closed-loop tracking plan design methodologies.
Roundtable 02 | Managing 90/10 and Modularity: Achieving Positive Outcomes through Short-and Long-Term Strategies
Julie Boughn, Chief Innovation Officer, Cognosante
With the issuance in December 2015 of the Mechanized Claims Processing and Information Retrieval Systems (90/10) Final Regulation, the Centers for Medicare and Medicaid Services (CMS) ushered in sweeping changes to the rules governing the funding of Medicaid Enterprise Systems. The new rule makes permanent the availability of enhanced funding for eligibility and enrollment systems, but it goes much further, making enhanced funding available to COTS and SaaS products, instituting a modular certification process, and refining the penalties CMS can impose on states for not delivering on their IT projects. By supporting COTS and SaaS products, the rule offers states the opportunity to more quickly implement solutions to discrete needs which, over time, can link to form a truly modern, flexible, Medicaid Enterprise system.
In this roundtable, we will discuss short- and long-term approaches to help states navigate this radical shift to the Medicaid Enterprise System. We will outline strategies and processes to help states achieve positive business outcomes quickly through modularity, while developing a long term strategy for phased-in retirement of legacy systems. We will also offer practical guidance for RFP development, with a focus on shifting RFPs from a series of technical requirements to a clear definition of how the state plans to use technology to achieve the states’ Medicaid goals and objectives over the coming years.
Roundtable 03 | Managing Modularity for Desired Outcomes
Pradeep Goel, CEO, EngagePoint
A modular approach to system modernization is a paradigm shift that offers multiple opportunities to improve outcomes of Enterprise IT Projects; reduced risk of system failure, increased flexibility, shared innovation and faster compliance with changing enterprise requirements, with the real prospect of reducing the cost of ownership. This new approach also presents new challenges and risks. The challenge stems from this being a new approach that will assign fundamentally different responsibilities to familiar roles (such as system integrator, software vendor, M&O vendor, PMO, IV&V etc.)
The roundtable panel will discuss and analyze how modularity will fundamentally alter, the way key aspects of solution delivery are managed. The roundtable will also discuss the ways in which we can improve the chances of successful outcomes by defining appropriate success criteria, by identifying all the risk dimensions, by clearly defining the new roles and their responsibilities and relationships, and by focusing on organizational readiness, as measured through a defined set of metrics.
Roundtable 04 | Integrated Eligibility: Turning the Concept into Reality
Vijay Ravichandran, Principal Consultant, Infosys Public Services
What does Integrated Eligibility (IE) mean to Health and Human Services organizations, to system integrators, and to CMS and FNS? It is safe to assume that the response will have some commonality, but will also have a lot of variations based on who we talk to. Let us consider the key aspects of IE, vision, funding, timeline, operations, collaboration, and systems integration. Each state is at a different level of maturity when it comes to their IE implementation. Some have defined their vision and have gone a long way toward achieving their goals, some have had limited success and some have had no success and were forced to re-think their strategy. So, for the states that are still in the process of formulating their strategy, there is no need to re-invent the wheel as there are lessons to be learned from other implementations, successful and otherwise. The vision and strategy needs to be balanced with the practicality of funding as the states need to consider the benefits of A-87 cost allocation waiver and 90:10 funding. Join the roundtable for real-world examples and insights on how state HHS agencies can formulate the strategy to define core vs. peripheral programs and associated timelines, integrating the stakeholders, implementing change management, and managing the technology to successfully implement integrated eligibility and deliver their business vision.
Roundtable 05 | Healthcare Security: Improving Network Defenses While Serving Patients
Mark Sanders, Director of Systems Engineering, Cisco
Join this roundtable to discuss network security in healthcare and the findings of recent research that indicates:
• Healthcare security executives appear to have less understanding of the threats facing their organizations than executives in other industries.
• Healthcare organizations do not implement as many strong security defenses as organizations in other industries.
• Chief information security officers in healthcare are more likely than security operations managers to believe that their security processes are optimal.
• When healthcare organizations experience a breach, they may be more likely to implement a wider array of security defenses.
Participants will receive a White Paper on Healthcare Security, and the Cisco 2015 Annual Security Report.
Roundtable 06 | Self Service HHS Analytics: New Approaches for Empowering Data Driven Decision Making
Mike Maxwell, National Manager of U.S. State and Local Government, Tableau Software
Heidi Fox, AHCA Administrator, Florida
Business Intelligence and health analytics solutions have historically been complex software stacks that required sophisticated IT support, expensive ongoing vendor services, and could be operated only by an elite few. Self-service analytics is changing that and it’s resulting in dramatic improvements in how organizations make data-driven decisions. With self-service analytics, any knowledge worker can now perform analytics and generate meaningful visualizations. Self-service tools allow knowledge workers to collaborate in new ways to make data-driven decisions more quickly and effectively. Join us to learn about how these new solutions are changing the way government health organizations like the State of Florida Agency for Health Care Administration ask questions of big data and make data-driven decisions.
Roundtable 07 | Understanding and Managing Medicaid Managed Care Spend: How Data Analytics Can Help States and Plans
Lydie Quebe, VP & Chief Innovation Officer, Xerox Government Healthcare Solutions
Steve Reynolds, Vice President, VP Market Management Xerox GHS
Anthony Rodgers, Principal, Health Management Associates
As Medicaid managed care enrollment rapidly increases across the country, and spending along with it, CMS is developing new requirements and rules for reporting effectiveness of care, experience of care and management of costs. And states are looking to better understand plan performance, while the managed care plans are charged with managing the significant risk that comes with these new Medicaid populations. During this roundtable discussion, we will discuss how states and plans can use analytics to improve transparency, align incentives, see and share information so that – ultimately – the cost of care is reduced and population health is improved.
Roundtable 08 | Transitioning to a Cloud Based MMIS
John Hardy, Senior Operations and Infrastructure Director, CNSI
Karen Parker, Deputy Director DHHS, State of Michigan
With states under tremendous pressure to modernize and develop more effective Medicaid IT systems that align with CMS, agencies are looking to streamline their infrastructure while reducing implementation cost, time, and risk. Enter the Michigan Cloud-based MMIS solution, the first in the nation. Attend this roundtable to learn how this innovative system is revolutionizing how states can build, maintain and continuously improve their Medicaid IT system.
• Understand the Michigan cloud offering
• Examine the benefits of implementing a Cloud-based MMIS
• Understand the alignment between CMS’ modularity approach and the Michigan Cloud
• Hear important lessons learned from the Michigan/Illinois Cloud implementation
Roundtable 09 | Achieving Triple Aim Initiatives through Data Analytics
Nestor V. Figueroa, Principal and Co-Founder, Nagnoi, LLC
Karen Hale, MPH, Senior VP of Strategic Development Nagnoi, LLC
Achieving higher quality of care that leads to improved outcomes at a lower cost with increased patient satisfaction has long been the desired state. With its latest regulations 2390P and 2392F, CMS continues to focus on quality of care, from prevention monitored through the “closing” of gaps in care, to better chronic disease management that leads into improved outcomes of patients. With States increasingly implementing value-based purchasing agreements the need for action-driven analytics and advanced reporting technologies can give these organizations and its providers a comprehensive unbiased view of quality across the entire continuum of care. This demands the extraction of data from virtually any source, EMRs, APCDs, MMIS, DW, Exchanges, among others, at any level of granularity and as frequent as needed.
In this roundtable, we will discuss various analytic approaches and show examples of actionable analytics that can impact Federal and State quality outcomes, cost of care, and patient satisfaction.
Roundtable 10 | The Right Fit: How to Use the Data to Tailor Your Medicaid Transformation
Dr. Marc Berg, Principal, KPMG
Kevin Mehta, Director, KPMG
Most states can agree that bending the Medicaid cost curve and improving health outcomes are important goals. But where to begin, or how to measure the effectiveness of a plan already underway, is a daunting decision. During this roundtable, Marc Berg, KPMG’s Global Lead for Value Based Payment, will lead discussion around how states are leveraging data to plan for, benchmark, and assess the outcomes of Medicaid transformation strategies. The opportunity to learn from the New York State DSRIP project will be a jumping-off point for discussion, and will encompass the full ecosystem of healthcare reform, including public and commercial challenges and opportunities.
Roundtable 11 | Addressing the Dual Eligible Population Concerns Using Analytics
Catharine Evans, Senior Healthcare Industry Consultant, US Government, Teradata
This discussion will use the complex topic of Medicaid/Medicare dual eligibility as a focal point to review a broad range of analytics in order to improve patient coordination, long term care, mental health concerns, billing and incentive payment, etc. Recognizing that there is rarely one right answer, we will discuss the impact of infrastructure decisions, multi-genre analytics (structured, unstructured, etc.), the challenges of accessing and normalizing different data sources, exploring when advanced analytics could drive actionable insight and when visual dashboards and reports are better options, as well as several other topics. The intent is to focus on the dual eligible population as a specific example of how analytic technology can provide value to Medicaid organizations.
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2:00 p.m.
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3:00 p.m.
Breakout Sessions
Track 1
Illinois HHS Framework, Connecticut Enterprise-wide HIT Strategic and Operational Plan
Andrea Danes, Vice President & Director, HHS Modernization practice, CSG Government Solutions
Dale Posont, Senior Principal, Enterprise HHS Architecture Center of Excellence, CSG Government Solutions
Gopal Khanna, Director Illinois Healthcare & Human Services Innovation Incubator
Minakshi Tikoo, State HIT Coordinator, Connecticut
We serve a vulnerable population. These children, adults, and families are counting on us to find ways to make the policies, processes, and systems more efficient. It is imperative that we continue to explore ways to break down program silos and connect services to better serve our populations, and improve the efficiency of our government. Join a distinguished panel of state and industry representatives to learn more about how an established governance structure with the authority to drive decision-making and the HHS enterprise direction provides the foundation states need to be successful working across program and agency boundaries. In our experience, this structure opens communication channels while centralizing overall focus to streamline operations and reduce costs, all with a citizen-centric focus. Join us as we look at how Illinois and Connecticut approached defining the enterprise and how they established an effective governance structure that crosses both program and agency boundaries. This discussion focuses on the attributes of good governance and the realities of establishing governance in the complex world of state-level HHS agencies and programs. The presenters provide insight regarding the establishment of a governance framework founded on the attributes of good governance, share details regarding increased communication, and provide updates on expectations for efficiencies across the agencies in support of the Leverage and Interoperability Conditions.
Track 2
Advancing Health IT Beyond Organizational EHR’s
Moderator: Jessica Kahn, Director Data & Systems Group, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services
Thomas Novak, Director of Delivery System Reform, ONC/DHHS
Ginnie Eliason, Health IT Stakeholder Engagement & Communications Manager, Enterprise Technology Services, Washington Health Care Authority
Dylan Oxford, Health IT Technical Manager, Washington Healthcare Authority
Rick Rubin, CEO, OneHealthPort
In direct response to the interoperability challenges identify by the health care community, the Washington State Health Care Authority is leveraging its purchasing efforts and existing authorities to connect disparate EHR platforms and aggregate clinical information in one easily accessible location.
New key partnerships, shared funding models and leveraging MMIS funding will bring clinical data from practices, hospitals, labs and other healthcare organizations to create a longitudinal patient record that supplements enterprise EHR’s. Good for Medicaid and available to the broader community, the WA Link4Health initiative fills a number of gaps intended to address some of the interoperability challenges while helping provider organizations meet meaningful use. Join this panel of state representatives who will share their approach and progress and federal representatives who will provide insights regarding how federal programs can leveraged to support such endeavors.
Track 3
Data Security Implications of Shared Data & Modular MMIS Implementation
Moderator: Lewis Etheridge, National Practice Manager, Provider & Public Health, Symantec
Ethan Owen, CIO (IT Director), Your Health Idaho (YHI)
David Chen, Principal Systems Engineer, MITRE
Sean Mahoney, Principal Systems Engineer, MITRE
Emery Csulak, CISO/Senior Privacy Officer, CMS
States are facing enormous changes to the way MMIS system are architected, acquired and operated. Modularization efforts bring a need to re-evaluate how information is shared in a secure fashion between different modules, systems and agencies. This session will explore new requirements and best practices for ensuring the security and privacy of this data, tools and policies that are being provided for the states to assist in their planning, and the process one state has used to successfully implement similar guidelines.
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3:00 p.m.
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3:30 p.m.
Break in the Exhibit Hall
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3:30 p.m.
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4:30 p.m.
Breakout Sessions
Track 1
Modular Modernization of your MMIS
Charles Sutton, Managing Director, Accenture
Todd Marker, Senior Manager, Accenture
David Whitham, ACIO Health and Eligibility, Massachusetts EOHHS
Martin (Marty) Rice, MS, RN-BC, CPHIMS, Director, Division of State Systems, CMCS/CMMI
There is an opportunity for states to leverage components of the existing MMIS while modernizing with a modular approach – consistent with MITA 3.0 and CMS direction and newly published funding rules. States need not completely abandon their current MMIS investments in order to begin modernizing and modularizing their capabilities:
Attend this session to explore topics including:
- Realities of old monolithic MMISs
- Looking ahead with a modular approach to modernization
- Challenges of going from monolithic to modular
- Use of a Framework to overcome challenges
- SaaS, PaaS, Cloud and everything in between are real options
- Summary - Q&A
Track 2
Watson Health Cognitive: Going Beyond Data and Analytics to Knowledge
Martin Duggan Director, Social Programs Strategy and Market Development, IBM Watson Health
Cognitive computing refers to systems that learn at scale, reason with purpose and interact with humans naturally. These systems aren’t programmed; they’re trained to sense, predict, infer and, in some ways, think. Watson Health Cognitive Solutions change the way caseworkers and other professionals work in Healthcare Exchanges, MMIS systems and all type of HHS programs by allowing organizations to go beyond data and analytics. Watson Health Cognitive Solutions enable the acceleration and utilization of knowledge. State MMIS leaders can take on projects of previously insoluble size and complexity. Massive data sets from multiple programs and organizations can be appropriately combined with sophisticated analytics, natural language processing, and machine learning to help human experts synthesize findings and improve their decision-making. For example, Watson Health Cognitive Solutions can combine data from member eligibility records, healthcare systems, and providers to identify the best programmatic and services options for individuals or families in a manner that would otherwise be impossible.
Join IBM for this presentation to learn how State MMIS programs and Healthcare Exchanges can use cognitive capabilities to rethink their operating models and change the way they collaborate and partner across the public and private sectors. Explore the ways in which structured and unstructured data are helping Health and Human Services agencies deliver better outcomes at lower cost.
Track 3
Protecting the State of Your Program Integrity Initiatives
Jala Attia, Sr. Program Director, Program Integrity Solutions, General Dynamics Health Solutions
Stephen A. Smith, MBA, Senior Director, General Dynamics Health Solutions
Many state payers believe program integrity initiatives are supported primarily through the use of technology. However, there is a distinct human element to fighting fraudulent activity that augments the technology solution and ultimately validates behavior that is indicative of fraud, waste and abuse. During this session, attendees will learn why the optimal detection of potential fraud schemes is a synergy between technology and human interaction. In addition, attendees will gain a better understanding about healthcare fraud schemes that target state beneficiaries and what steps can be taken to improve detection efforts.
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4.30 p.m.
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5.45 p.m.
Networking Cocktail Reception in Exhibit Hall
Day 02 Tuesday March 22nd
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07:30 a.m.
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08:30 a.m.
Breakfast will be held in the Harborside Foyer | States of HIT Implementation Roundtables held in the Harborside Ballroom
View All Roundtable Abstracts Here
Roundtable 01 | Evolution to Modular MMIS Procurement: An IV&V Perspective
Parrish Steinbrecher, Division Director, Colrado Department of Health Care Policy and Financing
Lindsay Espenship, PMP CPHIMS, Public Knowledge, LLC.
Modularity is more than just a buzzword! Modularity is one of the seven standards and conditions that states must meet in order for Medicaid technology investments to be eligible for enhanced match funding. Colorado is in the final stages of launching a new modular MMIS system, and has been partnering with Public Knowledge, LLC from the beginning. The partnership includes Colorado’s MITA self-assessment, RFP requirements development, procurement assistance, and IV&V oversight. This roundtable will discuss the evolution to a modular MMIS procurement from an IV&V Perspective. The focus will be on lessons learned, partnership strategies, and how to work together to reduce risk and hold vendors accountable to deliver on time and on budget.
MMIS implementation is a lengthy and costly endeavor. From procurement through development and implementation, successful projects catch project risks and issues early through regular oversight and reviews. Historically, MMIS certification review is not performed until the system has been fully operational for at least six months. To facilitate project success, the Certification Pilot is transforming the certification process by introducing milestone reviews throughout MMIS development. Milestone reviews will give states early understanding of CMS expectations for certification and allow state and federal communication at every stage of system development. This will result in more efficient use of CMS and state resources and will allow for an easier path to final certification. MITA alignment and 7 Standards & Conditions compliance are another important aspect of the Certification Pilot. In this session, CMS a will provide the latest updates to the MMIS Certification Pilot and how piloting is nearing completion with the expected release of the new MECT Toolkit.
Roundtable 02 | Optimizing Procurement Methodologies: RFP Development for Modular MMIS Development
Glen Yancey, CIO, Kansas Department of Health & Environment (introduction and organizational setting on this topic - 5 mins)
Calder Lynch, Medicaid Director for the State of Nebraska (introduction and organizational setting on this topic - 5 mins)
Gay Munyon, Chief of Medicaid Contract Management, Florida Agency for Health Care Administration (introduction and organizational setting on this topic - 5 mins
The transition to a more modular approach to MMIS implementation has placed significant focus on state procurement strategies and how business, operational, IT and procurement leaders will need to collaborate to evolve procurement methodologies and RFP development.
Join this roundtable group to learn from three different state leaders and join the discussion around some of the key questions raised on this topic including:
• What are the options to manage your modular MMIS build out?
• If the State takes on the integrator role, how do you manage risk and deliverable dependancies between the different vendors?
• If the State hires a system integrator, how do you ensure you attract the best of breed point vendors to participate in the modular procurement process?
• How do you represent shared ownership of outcomes between different vendors?
• How do you represent re-useability of components from a governance/change control perspective and how should this be represented in an RFP?
• If the state is acting as your own SI, what are some of the skills and resources you may need to augment yuour own internal project management team?
• How does the shift towards Managed Care impact your requirements and how can this business change be represented in your procurement/RFP?
• Hhow do you define existing functional modules as part of your existing MMIS infrastructure?
Roundtable 03 | CMS Feedback on CMS 2392-F and the Certification Process
Jim Gorman, Senior Technical Advisor, Data and Systems Group (DSG), Center for Medicaid and CHIP Services (CMCS)
Eugene Gabriyelov, Technical Director, Division of State Systems (DSS), CMCS, CMS)
Ed Dolly, CIO, WVDHHR)
Jon Cain, Director of Integrated Systems Management, WVDHHR
MMIS implementation is a lengthy and costly endeavor. From procurement through development and implementation, successful projects catch project risks and issues early through regular oversight and reviews. Historically, MMIS certification review is not performed until the system has been fully operational for at least six months. To facilitate project success, the Certification Pilot is transforming the certification process by introducing milestone reviews throughout MMIS development. Milestone reviews will give states early understanding of CMS expectations for certification and allow state and federal communication at every stage of system development. This will result in more efficient use of CMS and state resources and will allow for an easier path to final certification. MITA alignment and 7 Standards & Conditions compliance are another important aspect of the Certification Pilot. In this session, CMS a will provide the latest updates to the MMIS Certification Pilot and how piloting is nearing completion with the expected release of the new MECT Toolkit.
Roundtable 04 | Open Data, Crowdsourcing and H&HS Transformation
Gregory Myer, Chief of Staff, Department of Health, State of New Jersey
The New Jersey Department of Health (DOH) had an antiquated Internet presence dating back almost 20 years. The DOH redesigned a new website and then worked to ensure adherence to State standards, move capability online, and make offerings easily accessible via desktop and mobile devices. The project moved more than 173 functions generating $12 million in annual revenue to the new online offering. Creating a new design centered on how the consumer interacts with DOH. The modernized website succeeded in:
• Offering an innovative and intuitive graphic interface that allows users to maneuver rapidly to the information and services they need.
• Allowing users to file applications and pay fees online
• Greatly expanding the number and availability of information about public health, health systems, and health quality.
• Offering open data that included dynamic visualizations and the ability to use analytics.
• Creating a system that allows access to DOH systems and registries from a single location.
This open data initiative encouraged increased citizen and provider participation by increasing convenience and the speed of obtaining information and services. It also eliminated huge volumes of paperwork, saving the State money.
Roundtable 05 | Predictive Analytics, Community Transformation and Population Health Management
Dorthy Young, Deputy Administrator for Health Services, Office of the Governor, Division of Medicaid, Mississippi
The Mississippi Division of Medicaid is utilizing population health analytics to identify, intervene and improve quality outcomes for the medically complex, vulnerable population it serves. Through a collaborative partnership with Delta Health Alliance and Cerner, the Mississippi Division of Medicaid established the Mississippi Delta Population Health Demonstration Project. Clinically led by Delta Health Alliance, the project outcome goals are to reduce the incidence of Type II diabetes by five percent (5%) and to reduce pre-term birth rates by five percent (5%). Through the use of Cerner population health solutions, Delta Health Alliance is able to aggregate, transform and reconcile in near real-time clinical data from the Delta Health Alliance Electronic Medical Record and claims data from the Mississippi Medicaid Management Information System. The integrated data analytics enables Delta Health Alliance and the Division of Medicaid to identify, score and predict the risks of individual patients and drive actionable and appropriate care programs for the Medicaid population.
Roundtable 06 | Modular MMIS Implementation by a DHS Information Technology PMO
Tim Taylor, Assistant Director for IT Services, Arkansas Medicaid
Debra Herrli, Arkansas Deputy Director, Cognosante
The project management office (PMO) is becoming instrumental for effectively delivering new state Health and Human Services IT projects – even more so when conducting modular implementations. Yet to be effective, state DHS PMOs must have the right experience, mix, and number of staff with the broad set of skills needed to conduct a complex project, and they must reflect the organizational culture, context, and strategy. To meet these requirements, ensure project management proficiency, and provide contractor oversight, the Arkansas Department of Human Services established a PMO to take a complex modular MMIS implementation from initiation through successful implementation.
Roundtable 07 | Meeting Consumer Demand for High Quality Provider Directories
Ron Urwongse, Senior Product Manager, CAQH
Krista Lehm, Director Contracting, HealthSpring, Cigna-HealthSpring
Concerns with provider directory inaccuracies are increasing among consumers – many base their choice of plan or healthcare provider on this information. Accordingly, regulatory agencies have imposed new requirements on health plans to regularly update their provider directories. Several health plans collaborated to develop an innovative, multi-stakeholder approach to meet the requirements and improve the availability of high-quality provider information. This roundtable shares varied approaches to address the requirements; discusses the need for a robust, accurate, and low-cost source of provider data; and summarizes the impact to industry initiatives including provider enrollment optimization, consumer engagement, value-based reimbursement and clinical data exchange.
Roundtable 08 | Implementing a Multi-State HIE: Navigating the Complex Challenges
Kevin L. DeWald, Executive Director, SD Health Link, DOH
When South Dakota Health Link implemented a multi-state Health Information Exchange (HIE), it learned that success isn’t only dependent on the technology. To satisfy users, a HIE must be tailored to the way each health system and member operates. This session will offer insights into solving the technical challenges of implementation and navigating the complex challenge of working across multiple states.
Roundtable 09 | DHIN's Role in Enabling Delaware's SIM/Health Delivery System Transformation Efforts
Jan Lee, CEO, DHIN (Delaware Health Information Network)
DHIN plays a central role in delivery of shared HIT resources identified in Delaware’s innovation plan. Such services include ADT-based alerts and notifications, and both basic and advanced analytics tools. The major payors in Delaware have agreed that a significant portion of provider payment under their value-based contracts will be based on a common set of clinical quality metrics, utilization and cost metrics, and patient satisfaction metrics. DHIN is currently developing version 2 of the scorecard. DHIN will also provide a state-wide patient portal to support consumer engagement efforts.
Roundtable 10 |Impact Assessment: What States will need to consider when assessing the impact of CMS certification for current ‘in flight’ MMIS projects
Helen Winchester, NYMMIS Project Certification Lead, New York State Department of Health
In 2014, New York State Department of Health agreed to participate in a Medicaid Enterprise MITA and MMIS Certification pilot. This roundtable will discuss the State’s ongoing experience with the currently evolving certifica- tion process and the impact on its own MMIS implementation. We will identify the specific challenges and describe mitigating strategies. Additional focus will be given to vendor maturity and its vital role in Module Certification.
Roundtable 11 |Managed Care Optimization
Ramdas Menon, Director, Medicaid Health Information Technology, Texas Health and Human Services Commission
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08:25 a.m.
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08:30 a.m.
Opening Remarks:Stephen Smith, Senior Director, General Dynamics Health Solutions
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08:30 a.m.
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9:45 a.m.
Keynote Panel: State Innovation, Data Analytics and Population Health Management
Moderator: Jeremy Racine, Director, SAS Government Healthcare
Arvinder Singh, Chief Health Innovation Officer, CNSI
Kate Kiefert, Special Advisor, ONC
Jason Buckner, SVP Informatics, The Health Collaborative
Eric Olofson, COO & CIO, Citra Health
Patrick Roohan, Director, Office of Quality and Patient Safety at NY State Department of Health
States continue to innovate towards value based care and advanced population health initiatives . From an HIT perspective much of state’s focus has been on the integration of care through enhanced quality analytics/reporting, cost effectiveness, and provider performance through converging clinical, claim and even social services data. At the same time, commercial healthcare innovations have been moving at near light speed with mobile apps, wearable devices and numerous digital applications to support care coordination and consumer engagement which promise to add significant value to healthcare transformation efforts.
As state or public healthcare innovation looks to move beyond secure information exchange and to explore collaborative opportunities to drive actionable insights for care coordination and population health, a robust data analytics strategy will be the cornerstone which enables stakeholders to improve efficiencies in care access, quality and cost.
Join our panelists across both the federal, state and private sector to discuss state healthcare innovation, the role of public/private partnership and the critical role of analytics in enabling healthcare transformation and innovation.
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9:45 a.m.
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10:00 a.m.
Short Break
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10:00 a.m.
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11:00 a.m.
Breakout Sessions
Track 1
HHS Technology Interoperability – The Key to a Better FutureBrian Erdahl, Principal, Deloitte State Health Information technology Practice
Gerry Yantis, Director, Deloitte
States are looking for ways to integrate technology systems across HHS leveraging existing assets to better serve program needs, but face challenges on where to begin. This session will summarize the primary components of interoperability and modularity, including key benefits; outline the process for building a roadmap for HHS integration; describe the organizational and technical foundation needed to implement, evolve, maintain, and test the interoperability platform; discuss reuse of existing assets and use of external sources; and identify the potential benefits a state may achieve through an integrated approach.
Track 2
Overcoming Incrementalism in Healthcare Transformation
Moderator: David Wetherelt, Director, Business Development, 3M Health Information Systems
Heather Peterman, Manager, Health Care Delivery & Payment Reform, Minnesota Department of Human Services
Herb Filmore, Senior Director, Strategic Innovation, 3M Health Information Systems
Dylan Oxford, Link4Health Technical Manager at Washington State Health Care Authority
There are many obstacles to providing effective, efficient, evidence-based healthcare—regulatory restrictions, organizational boundaries, financing limits, technological disconnects, and anxiety over disrupting care delivery. As a result, many attempts at state-level transformation battle an incremental pace or a single focus.
Following short presentations by the panelists, audience members will discuss in small groups how to overcome incrementalism, identifying and reporting out on best practices to:
· Anticipate and avoid unintended consequences of system change
· Promote quality and transparency in payment redesign
· Use data to improve efficiency and equity
· Integrate social and community aspects of health into the transformation model
Participants will explore basic principles for balancing the complexity of healthcare transformation and share experiences of successful multi-faceted approaches.
Track 3
Data Integration, Management & Analytics for Behavioral Health: A Nebraska DHHS Model
Heather Wood, Quality Improvement and Data Performance Administrator, Division of Behavioral Health, NE Department of Health and Human Services
Christopher M. Henkenius, President, H4 Technology, LLC
In 2014, the Division of Behavioral Health in Nebraska initiated a project to refresh the data management platform utilized by the State and its providers to improve the quality of mental health & substance use disorder services. The result is a solution that utilizes recognized standards to create greater efficiency in provider-state collaboration and communication.
This presentation will discuss the collaboration needed from state, region, provider, and technical stakeholders to achieve consensus on value. This value construct needed to balance usability with workflow and cost impacts to providers. The speakers will also discuss project and technical considerations, including how the project will utilize advanced interoperability strategies combined with care management and real time dashboards to deliver value to the users.
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11.00 a.m.
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11.30 a.m.
Networking Break in Exhibit Hall
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11.30 a.m.
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12.30 p.m
Breakout Sessions
Track 1
'The Force Awakens’: Accelerating Industry Participation in the Modular MMIS, H&HS Ecosystem
Moderator: Robin Chacon, Healthcare & Human Services Practice Director, CSG Government Solutions
Ron Baldwin, CIO, State of Montana
Jessica Kahn, Director Data & Systems Group, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services
Kay Hallawell, Sr. Solution Director, Optum Government Solutions
Chris Lunt, VP Engineering, GetInsured
Pradeep Goel, CEO, EngagePoint
Chris Greene, Associate Vice President, Business Architecture, Molina Medicaid Solutions, Molina
Following the finalization of rulemaking (CMS 2392-F) that advances Medicaid IT modernization towards modularity, and with sub-regulatory guidance on the horizon, engage in dialogue with a panel comprised of CMS, State, and industry leaders. Topics include the vision of how we move forward to realize modular MMIS solutions, the modular certification process, and what this means for vendors to develop and for state readiness to procure and implement products and services as part of the modular MMIS, H&HS ecosystem.
Track 2
Aligning Analytics and Community Wide Transformation Efforts
Moderator: Angelica Balthazar, Health and Human Services Industry Specialist, Esri
Art Davidson, Director Public Health Informatics, Denver Health
Cathleen Bennett, Acting Commissioner, Department of Health, State of New Jersey
Susan Otter, Oregon State HIT Coordinator
Both state and local agencies are engaged in a drive towards improved transparency on healthcare disparities and population health to identify opportunities for care coordination and resource allocation to improve healthcare outcomes as states drive towards health delivery system transformation and value based care models.
Join this panel to learn from two states and one local agency to learn how they are utilizing innovative public health informatics programs and state level HIT/HIE and analytics infrastructure to present actionable data to to inform policy makers, providers and consumers - all of whom are critical stakeholders in the path towards improving quality and reducing cost.
Track 3
Promoting the use of health information technology (HIT) in CB- LTSS systems
Moderator: Marj Hatzmann, Senior Director, Client Services, Truven Health Analytics
Elizabeth Palena Hall, LTPAC Coordinator, Office of Policy ONC/DHHS
David Wertheimer, Health Policy Analyst, Office of Health Services - Health IT Policy, Maryland Department of Health & Mental Hygiene
Kale Sweeney, Health Policy Analyst, Office of Health Services - Health IT Policy, Maryland Department of Health & Mental Hygiene
Allison Lynn Weaver, Division of Community Systems Transformation (DCST), CMCS, CMS
Evelyn Gallego-Haag, MBA, CPHIMS, Advisor to the Office of the National Coordinator for Health IT
CMS, through the TEFT Demonstration Grant is promoting the use of HIT in CB- LTSS systems. The PHR and eLTSS components of TEFT are leading edge health IT transformation for the CB-LTSS beneficiaries, care givers, as well as non-clinical service providers. Through TEFT our goal is to support the electronic exchange of data to all those involved in the day-to-day care of this beneficiary population.
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12.30 p.m
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1.30 p.m
Solution Provider Networking and Lunch in Exhibit Hall
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1.30 p.m
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2.30 p.m
Breakout Sessions
Track 1
HIX 2.0 – Is there a private option? A structured approach to evaluating sustainable Marketplace IT Models
Eugene Sayan, Chairman, CEO, & President at Softheon
Now that federal grants authorized by the Affordable Care Act (ACA) no longer subsidize states for Marketplace operations & information technology (IT), states that run their own health insurance exchanges are feeling budgetary & political pressure to find the most efficient ways to do so. The development of Exchange Operators enables states to take advantage of more efficient ways to organize & divide responsibilities for operating their public Marketplaces &– potentially – to achieve significant cost savings.
Track 2
Session cancelled
Track 3
The Next Generation of Health Care Program Integrity: Where Identity Data, Linking Technology and Clearinghouses Intersect
Richard K. Grape, Market PlannerGovernment Healthcare, LexisNexis
Traditional methods of analyzing health care data to identify program fraud, waste and abuse are no longer sufficient to combat increasingly inventive fraudsters who seek to exploit system weaknesses. Agencies need the ability to see how providers, claims and beneficiaries are connected to each other and how they are connected across health and human service programs.
Participating attendees will:
· Learn how a cross functional approach can aid agencies drive the greatest value for their agency: looking at individuals who are known to be risky suspicious; by leveraging data mining tools to place effective roadblocks in place prior to program participation; by utilizing predictive modeling to identify likely future offenders.
· Identify key ways to combine and analyze data to provide unparalleled insight into the complex web of relationships and potential schemes that put your program at risk.
· Explore the value of clearinghouses solutions and identify how their use within health and human service agencies can revolutionize your health care program integrity efforts.
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2.30 p.m
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2.45 p.m
Short Break
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2.45 p.m
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3.45 p.m
Breakout Sessions
Track 1
Modernizing agencies’ healthcare services in the Application Economy
Brad Kramer, Senior Business Technical Architect, CA Technologies
We live in an Application Economy. To thrive in this economy, government health agencies must provide superior user experiences, building solutions that power innovation and fuel transformation. To accomplish these goals Health and Human Services ices agencies are striving to modernize their application portfolios. But modernization is not just about replacing old servers and out of date code. Customers who seek State sponsored health services want secure applications, delivered in a timely fashion that can be accessed anytime and anywhere. We will provide some key strategies some key strategies that government can adopt to succeed in the Application Economy?
Track 2
Provider Directories – Path Toward Optimizing their Value in Support of Value-Based Payment
Moderator: Steven Weiss, Managing Director, DirectTrust
John Rancourt, Deputy Director, Office of Care Transformation, ONC/HHS
Jeff Livesay, Associate Director, MiHIN
Krista Lehm, Director Contracting, HealthSpring, Cigna-HealthSpring
Provider directories are critical tools for executing value-based payment. They do this by facilitating quality measurement and care coordination use cases. However, there are several key problems that face provider directories, including issues with accuracy/currency, high cost, and lack of interoperability with other directories. This session will cover the latest federal and private sector efforts to advance solutions to these problems.
Track 3
State of the Art Analytics technology for APCD/Multi Payer Claims Database
Moderator:Josephine Porter, Interim Director for the NH Institute for Health Policy and Practice
Srinivas Sridhara, Chief, Cost and Quality Analysis, Maryland Health Care Commission
Jonathan Mathieu, Vice President for Research & Compliance and Chief Economist, CIVHC (Center for Improving Value in Health Care)
David Arcilesi, All Payer Claims Database Administrator, Utah Department of Health
A great deal of health care transformation activities are happening at the state level. To support this change, states need reliable and actionable data and analytics to make informed decision. This panel will provide examples and insights from several states, highlighting how states have used public and private claims analyses to support health improvement initiatives.
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3.45 p.m
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4.00 p.m
Closing Remarks & Farewell Networking
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