dropping the “m” from mita reference model (ihhs-brm) presenter: randy canoy, project manager,...

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H O W S T A T E S A R E E X T E N D I N G T H E M I T A F R A M E W O R K T O T H E H H S E N T E R P R I S E

DROPPING THE “M” FROM MITA

NMEH MITA Sub Workgroup Presents:

Patti Garofalo, NMEH MITA SWG Co-Chair

SESSION AGENDA

• Extending MITA beyond Medicaid

• How are States doing this?

• What are the Benefits?

• State of Illinois

• Illinois Framework

• State of Oregon

• Healthcare Information Technology Architecture

• Questions

EXTENDING MITA BEYOND MEDICAID

• Increase in state activity to extend

the MITA principles and guidelines

beyond the Medicaid Enterprise

• Program Areas beyond the

boundaries include:

• Human Services

• Health Information Exchange

• Behavioral Health

• Child Support

• Child Welfare

• Long Term Care

• Public Health

HOW ARE STATES DOING THIS?

• Multi-agency collaboration

• Defined and dedicated teams

• Planning, Planning, Planning

• Harmonization of MITA and the

National Human Services

Interoperability Architecture

(NHSIA)

• Development of a Framework to Integrate Health and Human

Services

WHAT ARE THE BENEFITS?

• Increased collaboration among intrastate agencies

• Streamlined business reference model

• Increased exchange of data

• Improved and shared services

• Promotes Seven Conditions and Standards

• Leverages and maximizes federal dollars

D R O P P I N G T H E “ M ” F R O M M I T A

H O W S T A T E S A R E E X T E N D I N G T H E M I T A F R A M E W O R K T O T H E H H S E N T E R P R I S E

Illinois Framework

Presenters: Kathleen Monahan, Director, Illinois Framework Deneen Omer, CSG Government Solutions

S e s s i o n : N M E H 0 2 T u e s d a y 9 / 1 0 8 a m

9/10/2013

6

Agenda

9/10/2013

7

Framework Overview

Discuss NHSIA / MITA

APHSA Maturity Model

To Be Vision

Framework Overview

9/10/2013

8

• The Framework is a seven-agency collaborative • Human Services • Healthcare and Family Services • Aging Children and Family Services Public Health Commerce and Economic Opportunity Employment Security (data sharing)

Goals: Create enterprise approach to healthcare and human services Promote a culture of interoperability among Illinois HHS agencies Identify and provide resources and insights toward interoperability Maximize federal investments through these Medicaid/Healthcare

projects in Illinois (ACA, HIE and MMIS upgrade)

Framework Overview

9/10/2013

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Framework Overview

9/10/2013

10

Mission: Building bridges to share information

Vision: A modern healthcare and human services system in IL

Strategic platform for Illinois’ HHS activities

Maintain client focus throughout planning process

How the Framework creates value: Increase data-sharing across agencies and providers

Return staff to casework

Streamline reporting and simplify agency/provider relations

Facilitate access to services for clients

Reduce waste and fraud

MITA / NHSIA

9/10/2013

11

MITA

Medicaid Information Technology Architecture

NHSIA

National Human Services Interoperability Architecture

MITA / NHSIA

Business, Information and System Architectures

Organizing principles for identifying commonalities across the Framework

12 9/10/2013

IL core business functions mapped to MITA / NHSIA

12

APHSA Maturity Model

9/10/2013

13

Illinois self-assessment

Allows for level-setting at the agency/program level

Establishes vision for program and line staff

Uses concepts and goals common to their practice

Allows for input into process

Introduces notion of Feds – and others - helping states to think about strategies and high-level vision

APHSA Maturity Model

14 9/10/2013 http://nwi.aphsa.org/

?

14

APHSA Maturity Model

Maturity matters

15 9/10/2013 http://nwi.aphsa.org/

The Framework Objectives!

15

16 9/10/2013 http://nwi.aphsa.org/

Contact Information

9/10/2013

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Contact Information for additional follow-up

Kathleen Monahan – Framework Project Director

Kathleen.Monahan@Illinios.gov

773-383-6946

Deneen Omer – Framework Planning Vendor

Domer@csgdelivers.com

217-891-6629

Dropping the “M” from MITA Introduction to the Integrated Health and Human Services Business Reference Model (IHHS-BRM)

Presenter: Randy Canoy, Project Manager, Oregon Health Authority

Oregon’s Work

• Mapping MITA to National Human Services Interoperability Architecture (NHSIA)

• Identified supportive business processes within our organization

Integrated Health and Human Services Business Reference Model (IHHS-BRM)

Four New Functional Areas:

• Technical

• Training

• Workforce &

• Facility Mgmt.

116 Business Processes

Business Process Templates

Each Business Process Template includes:

• Definition

• Triggers

• Steps

• Systems Used

• Data/Information

• Capabilities

• Maturity Level

Mapping the IHHS-BRM to Oregon’s Strategic Technology Plan

Mapping Oregon’s Modernization Project to the IHHS-BRM

Examples of Impacted Business Processes:

Foundation of the Enterprise Architecture Practice

Incorporated the IHHS-BRM into our Enterprise Architecture & determining how we can look at functionality across departments.

Operationalizing IHHS-BRM

• Supports the seven conditions and standards which become ingrained in our architecture processes.

• As new business needs are identified we begin the discussion with the business using a collaborative model.

• The BRM provides a business service to our business partners.

Contact Information

Randy Canoy, Project Manager

Healthcare Information Technology Architecture (HITA)

Oregon Health Authority

randy.canoy@state.or.us

QUESTIONS

CONTACT NMEH MITA SWG CO-CHAIRS

Patti Garofalo Director

Project Assurance Services

CSG Government Solutions

pgarofalo@csgdelivers.com

Randy Canoy Project Manager

Healthcare Information

Technology Architecture (HITA)

Oregon Health Authority

randy.canoy@state.or.us

Rick Howard Research Director

Industry Research | Public Sector

Gartner

rick.howard@gartner.com

THANK YOU!

JOIN US WEDNESDAY, 9:15 -10:15

STATE OF THE NATION – MITA 3.0 (2013 ANNUAL SURVEY RESULTS)

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