Day 2 | Wednesday March 29

• 07:30 a.m. « » 08:30 a.m.

  Breakfast & Networking in the Connect Exhibit Hall

• 08:00 a.m. « » 08:45 a.m.

  States of Implementation Roundtables

  To view all roundtable presentations and presenters click to download the States of Implementation Roundtable Guide here

  State HIT representatives will lead discussion/thought leadership roundtables around their State's/Organization's HIT implementation Strategy and how this is underpinning the broader health and human services transformation process. This is a unique opportunity to share their experiences and problem solve in a collaborative setting with state and vendor represenatives.

  Roundtable 01:
  FHIR and Cloud-based Modular Enterprise Framework

  Roundtable 02:
  Developing A National Standard For An Electronic Long-term Services And Supports Record (E-ltss)

  Roundtable 03:
  Collaborating to Expand Interoperability Across State Lines: The Patient-Centered Data Home

  Roundtable 04:
  Using Technology To Transform Care In Cb-ltss Settings; Initial Findings From The Teft Grant’s Phr And Eltss Components

  Roundtable 05:
  Exploring Applications for H&HS Services Integration: The Illinois Person 360 Data Model

  Roundtable 06:
  Second Generation HIEs: What is Different This Time Around and How to Enable Success

  Roundtable 07:
  Systems Standardizations Lessons Learned

  Roundtable 08:
  Electronic Visit Verification: A State & Federal Perspective

• 08:45 a.m. « » 08:50 a.m.

  Opening Remarks: Stephen Smith, Senior Director, General Dynamics Health SolutionsGeneral Dynamics Health Solutions

• 08:50 a.m. « » 9:45 a.m.

  Keynote Panel: Accelerating Insights Across H&HS with Integration and Actionable Analytics

  Moderator: Jeremy Racine, Healthcare Director, SAS
  Ellen Marie Whelan, Senior Advisor, CMMI, CMS
  Meghan Vanderstelt, Policy Director, Michigan Department of Health and Human Services
  Eugene Sayan, Founder and Chief Executive Officer, Softheon
  Bradley J. Long, Cluster CIO HHS, Illinois Department of Innovation & Technology

  In collaboration with Federal innovation/modernization initiatives State H&HS agencies have often made investments in analytics to support quality and performance outcomes for individual programs. With so much of what makes people healthy taking place outside of the healthcare delivery system, the ability to look across various non-health data systems (such as social services and other non-health social determinants) is critical to supporting a 360 degree view of citizen’s wellness and improve decision support for patients, providers and policy makers. Join our panel of experts who will share from the Federal, state implementation and private sector innovation perspectives their efforts to accelerate insights through actionable analytics as we move towards a future where people are increasingly incentivized and empowered in supporting improved health outcomes.

• 9:45 a.m. « » 10:00 a.m.

  Short Break in the Connect Exhibit Hall

• 10:00 a.m. « » 11:00 a.m.

  Breakouts - Industry

  Track 1
  Assessing the State of Eligibility and Enrollment

  Stephen A. Smith, MBA, Senior Director, General Dynamics Health Solutions

  Evolving public programs, such as Medicaid, require processes and technologies that not only keep up with the changes and legislation, but provide comprehensive communications to inform and engage citizens. With the anticipated repeal and/or modification of the Affordable Care Act, many state health organizations question how new legislation will affect eligibility and enrollment processes and requirements. During this session, we will examine potential impacts to state Medicaid enrollment programs, to include limited resources, fixed reimbursement, and asset and income verification.
  
  

  Track 2
  Medicaid HIT Infrastructure Needed to Support Payment and Healthcare Reform

  Tom Novak, Medicaid Interoperability Lead, Office of the National Coordinator
  Jason McNamara, Director, Health Information Systems, Audacious Inquiry
  Paul Messino, Chief of Health Information Technology Policy with the Maryland Department of Health and Mental Hygiene
  Chris Smith, Clinical Data Interoperability Program Manager, Mississippi Division of Medicaid

  With various reform efforts underway (DSRIP, Managed Care Modernization, Shared Risk, Value Based, and Global Budgets), Health IT infrastructure is needed to achieve maximum success. With various Health IT efforts supported across governments and communities, large gaps of data mobility and utilization still exist across providers and governments alike. This session will highlight several key areas:
  - Pursue a whole new level of data sharing by building patient ecosystems that connect disparate but complementary agencies and providers in a network of care that can improve outcomes and reduce costs.
  • Identify current gaps and lessons learned through implementing payment reform
  • Recommend a Health IT Framework needed to support future reform efforts in Medicaid
  • State of Maryland's ADT Project through the Encounter Notification Service (ENS)
  • State of Mississippi's Modernization of Medicaid Infrastructure to Support Clinical Data Project
  
  

  Track 3
  How Will You Connect? A HealthCare 2020 Perspective

  Brian Erdahl, Principal and the Chief Solution Architect, Deloitte
  Thomas Beck, Public Sector Chief Technology Officer, Deloitte

  Modularization, interoperability, and analytics are the current hot topics for health care technologies. What’s next? Will use of cloud-based and Software-as-a-Service (SaaS) technologies continue to increase? Is there a role for more mobile applications? Can sensors, devices, and “smart” things bring benefits to your state health care programs? And in the midst of it all, how can you leverage your integration platform to support bold new approaches to manage data and support evolving business models? Join in as we explore evolving technological trends, how they may impact your longer-term business models, and what you can do today to prepare.
  
  

  Track 4
  Enterprise Identity Management in Health Care for Today and Tomorrow: the Evolution of Identity Management Solutions

  Justin Hyde, Director of Market Planning, Health and Human Services, LexisNexis Risk Solutions</em

  The government health care ecosystem is under attack. Fraudsters, increasingly organized criminal groups are infiltrating and robbing health care programs using stolen identities. State health insurance exchanges, Medicaid programs, public health plans are all at risk. Simply put if health care benefits or services are being provided, criminals are using stolen identities, likely at scale, to steal them. This presentation will discuss how government health and human services customers are using these tactics in a multi-layered approach to detect fraud, stop fraud and – most importantly – prevent it before the agency allows the fraudster to receive the benefit or service.

• 11.00 a.m. « » 11.30 a.m.

  Networking Break in Exhibit Hall

• 11.30 a.m. « » 12.30 p.m

  Breakouts

  Track 1
  What Does your Future Look Like? Taking the Mystery Out of a Services-based Approach

  Kay Hallawell, Senior Solution Architect, Optum Government Solutions
  Julie Boughn, Audacious Inquiry, LLC; former Deputy Director, Center for Medicaid and CHIP, CMS
  Ravila Helen White, Deputy Director of Strategic Program, UHG’s Enterprise Information Security Team

  The Medicaid Enterprise of the future will improve how we manage, measure, transform and evolve our Medicaid programs to support healthier citizens and communities while conserving costs. This vision provides the opportunity to think differently. Join us to learn more about a powerful alternative - a services-based approach – to comprehensively manage Fee-For-Service (FFS) populations. We’ll discuss the benefits of this approach, where it’s being used successfully today, how it supports modularity and Medicaid modernization, and how it can be certified under MMIS procedures.
  
  

  Track 2
  Analytics Make My Head Hurt! A Prescription for Actionable Insights

  Joseph Fiorentino, Managing Director, Health and Human Services, Accenture
  Martin Baker, MSc, Senior Director, Strategic Growth and Business Development, UMass Medical School

  Analytics has been a challenge in Health and Human Services (HHS), and it’s no wonder. The amount and types of data, data privacy challenges, and the number of technology options can make your head hurt. However, actionable data insight can make the patient care system more person-centered, coordinated and collaborative. • Agencies need a new data mindset if they are going to use data to improve decision-making, align finite resources, measure performance and improve outcomes. This interactive session will challenge attendees to: - Move beyond compliance and operational approaches to creatively use data that reinvents service delivery and builds a stronger network of care.
  
  • Avoid investing in infrastructure as a first step to their analytics strategy and pivot to advanced techniques that solve pressing business problems fast
  • Pursue a whole new level of data sharing by building patient ecosystems that connect disparate but complementary agencies and providers in a network of care that can improve outcomes and reduce costs.
  
  The University of Massachusetts Medical School will present on their partnership with a state agency to develop an analytics platform that addresses demands on publicly funded long-term services and places meaningful information in the hands of policy-makers. Even with data residing in multiple systems, in multiple formats, their solution did not require a large data warehouse.
  Accenture will introduce an end-to-end analytics solution designed specifically for Publicly Funded Health Services to simplify analytics and deliver actionable insights from across the patient ecosystem to drive better outcomes and person centered care. We will discuss how analytics solutions can be implemented quickly and deliver results fast.
  
  

  Track 3
  Achieving Health Information Exchange Interoperability

  Bonnie Harris, IT Project Manager, Public Consulting Group
  Tom Cooper, Project Manager, State of Tennessee Department of Health Care and Finance Administration's TennCare program
  Jackie Phan, Senior Project Manager, Public Consulting Group

  Health Information Exchange (HIE) brings together information about a patient to the clinician and the care team to enable them to make well-informed, coordinated, patient-centered care. In order to achieve electronic information sharing, electronic health records (EHRs) and other clinical software must be "interoperable" or have the capability to exchange information using agreed upon standards and the willingness of those providing care and services to share information. Interoperability is the extent to which systems and devices can exchange data, and interpret that shared data. Achieving one of the three levels of interoperability (foundational, structural, and semantic), requires three critical pathways:
  

  • Standards
  • Motivating the use of those standards
  • Creating a trusted environment for collecting, sharing, and using electronic health information.
  
  

  Track 4
  Embracing Patient Trust in HIEs

  Tim Burris, Patient Privacy Product Solutions, Iatric Systems

  HIEs hold the crown jewels of personal patient information because of the number of organizations they represent. Thus, HIEs are a target for criminals who steal patient information in order to commit medical or financial fraud. This presentation will discuss why active risk assessments are important, and will describe how using a proactive approach to find inappropriate behavior will reduce the overall risk of a privacy breach. This approach is based on an underlying vision: to build an environment of patient trust, and make that trust a strategic asset.
  
  

• 12.30 p.m « » 1.30 p.m

  Networking Lunch in the Connect Exhibit Hall

• 1.30 p.m « » 2.30 p.m

  Breakouts - Industry

  Track 1
  Next Generation Stakeholder Engagement: Modularity and Agility Redefined

  Faiyaz Shikari, Senior Vice President of Innovation, EngagePoint

  Join EngagePoint for a discussion and demonstration on the next generation of Health and Human Services solutions changing the face of modularity and agility in the marketplace.
  
  

  Track 2
  Data Analytics Required to Be Successful in Managed Care

  David J. Pierce, Director of Operations, PRM Analytics®, Milliman
  Jeremy A. Cunningham, FSA, MAAA, Actuary, Milliman

  With the advent of the managed care mega regulation, states, managed care entities, and other stakeholders are having to update their analytics infrastructure. Milliman’s health consulting practices and PRM Analytics have developed innovative analytic techniques and content to address the challenges in managed care.

  This session focuses on a brief overview of the managed care regulations, the importance of health plan reporting and data reconciliation, and how to use population health analytics to drive managed care efficiency. We will also walk through success stories from our clients.
  
  

  Track 3
  ONC Health IT-Enabled Quality Measurement Strategy Implementation Guide

  Kate Kiefert, ONC Resource Center Consultant
  John Rancourt, Deputy Director, Office of Care Transformation, ONC/DHHS

  ONC SIM Health IT Resource Center will walk through the recently released Health IT-Enabled Quality Measurement Strategic Implementation Guide. The panel will discuss implementing a multi-stakeholder quality measurement system for collecting, measuring, and reporting clinical quality measures. ONC will be joined by a state HIT representative discussing their state-specific journey.
  
  

  Track 4
  Preparing Encounter Data to be Fit For Purpose

  Herbert H. Fillmore, Sr. Dir. Strategic Innovations and Population Health, 3M Health Information Systems

  Nearly all Medicaid programs have moved or will move soon to managed care products for their population and are receiving encounter data rather than fee for service data. Encounter data can have numerous problems. These problems will undermine quality metrics reporting for the State, MCO's and providers; management of special populations and assuring their access to quality care; and with new CMS regulations, threaten Federal share of Medicaid dollars in 2018.

  This presentation will present a decade of experience in monitoring, analyzing, and improving source data including but not limited to encounter data in all payer and Medicaid programs, and describe what States should be reviewing as they assess options for ensuring data integrity. Items discussed will include: source data integrity check processes frequency and depth; reporting and analytics; and services for MCO processes, persons and technologies.

  Examples of successes and difficult engagements will be discussed along with best practices for successful resolution. The point will be emphasized that these ideas apply to more than just claims. Patient experience surveys, non claims based quality metric data, and social determinant data all will need source data checks.

• 2.30 p.m « » 2.45 p.m

  Short Break in the Connect Exhibit Hall

• 2.45 p.m « » 3.45 p.m

  Breakouts

  Track 1
  MMIS Certification in a Modular Environment

  Dawn Boland, Client Executive, Healthcare and Human Services, CSG Government Solutions
  Robin Dufresne, Director, Healthcare and Human Services Practice, CSG Government Solutions
  Joe Liscinsky, Vermont Health Access Health Enterprise Director and MMIS Program Lead
  Lisa Alger, Client Executive, Healthcare and Human Services, CSG Government Solutions

  With the concerted move to modular MMIS implementations and system certifications it's increasingly important for states to plan, strategize, and execute modernization projects in alignment with CMS' Final Rule for Mechanized Claims Systems, Medicaid Enterprise Certification Toolkit 2.1, and sub-regulatory guidance. This roundtable discusses applying a modular mindset to your SDLC from strategy and planning through final system certification, recognizing many states are (or will be) going through the milestone review process and are making strides towards modular certifications. We will discuss how to successfully incorporate the Medicaid Enterprise Certification Life Cycle processes and artifacts, including when and how to engage your systems vendors, systems integrator, and IV&V partner, as well as lessons learned from other state's approaches to modularity.
  
  

  Track 2
  A Population Health Informatics Framework; Chronic Disease Prevention and Management Needs

  Jason Bonander, Director of the Office of Informatics and Information Resource Management, Centers for Disease Control and Prevention – National Center for Chronic Disease Prevention and Health Promotion
  John Loonsk, Consultant to CDC, CMIO CGI Federal

  The $34 billion dollar HITECH investment and Meaningful Use requirements have focused considerable attention on Electronic Health Record (EHR) adoption and related system needs. The incentives, standards, and testing and wide-spread adoption of EHRs, critical tools that have begun to deliver on the promises of health information technology.
  
  However, the Affordable Care Act has added new layers to healthcare delivery, layers effecting clinical quality, payment, and public health programs with an increased focus on population health. Indeed, population health IT systems are now emerging in clinical care. These systems and the involved EHRs also have specific needs for requirements, standards, and testing to achieve population health outcomes.

  The CDC’s Center for Chronic Disease Prevention and Health Promotion seeks to insure that electronic chronic disease prevention and management capabilities are broadly available to support the health of the public. Under the rubric of a Population Health Informatics Framework, we propose design elements that have the potential to work together with other elements to advance population health functionality and further promote population health outcomes.
  
  

  Track 3
  Mining C-CDA to Populate Clostridium difficile Case Report Form KP Sethi, Senior Software Architect, Lantana Consulting Group

  Rebecca Perlmutter Maryland DHMH
  Marc Falcone, Senior Manager HIT Policy, Audacious Inquiry

  Maryland is participating in C. difficile surveillance as part of the Centers for Disease Control and Prevention’s Emerging Infections Program (EIP). This is a population based form of laboratory surveillance that covers a specific catchment area in Maryland, for which all cases of C. difficile Infection (CDI) are reported. New cases of CDI require a chart review to complete a standard case report form. Currently, providers must fax or mail records, which is a manual process, requiring effort by providers and health department surveillance staff. As required by the Office of the National Coordinator for Health IT’s (ONC) 2014&2015 Edition Certification criteria, certified health IT modules must be able to export a patient’s chart in a structured XML format known as C-CDA. The C-CDA XML files contain many of the data elements necessary to populate the Case Report Form for CDI. Our team mapped data elements required for the case report form to data elements found in the C-CDA XML. Once a patient is found using the trigger codes, their data is transformed to the appropriate format required for the Case Report Form. The goal is to populate the Case Report Form automatically, using the C-CDA XML data elements or other HIE-derived data elements.
  
  

  Track 4
  Tackling prescription drug misuse: Evolving from decentralized management to an interoperable interstate model

  Joshua Moore, Executive Account Manager, Conduent
  Janelle Sheen, Pharmacy Solutions Director, Clinical Pharmacy Services, Conduent,
  Nicole Russell, Manager Government Affairs, NCPDP
  Charlie Oltman, Sr Consultant, President NCPDP Foundation

  Many programs seek a “magic bullet” to manage prescription opioids, but it takes a coordinated effort. Missouri’s MO HealthNet program uses a multi-pronged strategy of leveraging medical and pharmacy claims data to uncover opioid management opportunities. MO HealthNet’s automated clinical prior authorization criteria prospectively edit opioid prescriptions at the point of sale, while retrospective provider-focused interventions target drugs of abuse.
  
  NCPDP will present an interoperable, interstate model that leverages industry standards and fortifies state PDMPs. NCPDP’s model also meets the Comprehensive Addiction & Recovery Act (CARA) requirements of interoperability, real-time controlled substance risk alerts, use of a common data sharing platform, and integration within provider workflows using existing, industry standards. NCPDP will present an interoperable, interstate model that leverages industry standards and fortifies state PDMPs. NCPDP’s model also meets the Comprehensive Addiction & Recovery Act (CARA) requirements of interoperability, real-time controlled substance risk alerts, use of a common data sharing platform, and integration within provider workflows using existing, industry standards.

• 3.45 p.m « » 4.15 p.m

  Closing Remarks and Farewell Networking