What is the Framework?

Transcription

1 What is the Framework? I N T E G R A T I N G I L L I N O I S H E A L T H & H U M A N S E R V I C E S I N T H E C L O U D Sean Vinck, CIO, State of Illinois Kathleen Monahan, Director, Ivan Handler, CTO, Illinois Health Information Exchange

2 The Framework is a seven-agency collaborative What is the Framework? 2 Human Services Healthcare and Family Services Aging Children and Family Services Public Health Commerce and Economic Opportunity Employment Security (data sharing) Goals: Provide governance for the creation of an enterprise approach to healthcare and human services. Promote a culture of interoperability among Illinois HHS agencies, identify and provide resources and insights toward interoperability Leverage the federal/state investments in the Health Information Exchange (HIE), the implementation of the Affordable Care Act (ACA IES & HIM), and the Medicaid Management Information System (MMIS) upgrade. Framework Mission: Building bridges to share information Framework Vision: A modern healthcare and human services system in IL

3 P-APD CMS/ACF/FNS State capital funds Agency contributions IGA defines Framework Funding 3 S2I2 ACF grant for Governance, $1.25 million Fall 2013 Enterprise APD submission to request enhanced match

4 Framework Planning 4 Creation of IL HHS Enterprise approach Review of Illinois Medicaid / Healthcare Projects (ACA, MMIS, HIE) Initial Scan review all 60+ Framework programs As-Is assessment, followed by To-Be vision sessions Recommendations for state implementation opportunities to leverage the Medicaid / Healthcare Projects 6/5/2013

5 Framework Governance 5 Governance structure partially defined by IGA Executive Steering Committee Chaired by State CIO Agency Directors serve with representatives of GOMB, Directors of IES, HIE, MMIS, and Framework to make financial and policy decisions in the development of an enterprise approach Operational Committee / subcommittees/ workgroups S2I2 ACF grant to design and develop a sustainable governance model for IL enterprise approach to healthcare and human services Share research, best practices, toolkit with other states 6/5/2013

6 Governance Structure Illinois Frame work 6

7 Enterprise APD 7 Making a business case for enhanced 90% FFP for a wider scope of Framework programs Developing revised cost allocation methodology Collecting and analyzing information contained in APDs that fall within the scope of the Framework Project Working with Framework Planning project information from initial scan of Framework programs is an essential part of finding links with the Medicaid system Creating graphic representation of Enterprise System Architecture EAPD will serve as a unifier of shared systems and process State sharing is key: KY, VT, CA

8 Relationship to ILHIE ILHIE Services MPI 8 Framework Services MMIS RLS TANF IES HPD SNAP Other

9 Staffing challenges Why the cloud? High skill to maintain state of the art Labor costs are prohibitive Cost effectiveness Pay for use, not capacity Costs are shared by all cloud users No downstroke Easy scalability Monitor use and expand as needed Scalability is part of the vendor contract 9

10 Service Model Infrastructure is primary Shared services repositories Minimize state built services Enable 3 rd party services Certification and revenue sharing 10

11 Infrastructure is Primary Security including login and authentication Privacy controls Fundamental services supported including MMIS SNAP TANF Allow for unlimited growth and scaling ILHIE is a fundamental component 11

12 Shared services repositories Eliminate silos with multi-use repositories Master Person (Patient) Index Master Provider Directory Integrated Eligibility Partition control of repositories among controlling agencies Flexibility as agencies are reorganized or responsibilities are revised 12

13 Minimize state built services Requirements can change quickly Procurements are very slow State does best at the backend Mandated functions Mandated state and federal reporting 13 Commercial sector can respond to new requirements more quickly

14 Enable 3 rd party services Analogous with istore or Google Play Move away from one size fits all applications Different clients can use different solutions State does not need to be everything to everyone Commercial sector is focused on fulfilling market needs Competition will spur innovation, reduce costs and increase quality 14

15 Certification and revenue sharing 3 rd party apps will need APIs and certification Work with NYeHC 3 rd party revenue should be shared with State State clients get better solutions faster State gets an added revenue stream Conformance to infrastructure & certification process is a dynamic form of regulation 15

16 Current Efforts MMIS upgrade Michigan hosts IES ILHIE ACA starts in October Enterprise APD HITECH IAPD ACF TANF SNAP MU 2+ 16

17 Standards Vocabularies (LOINC, SNOMED, etc.) NIEM ATNA (audits) Need for tighter standards 17

18 Recommendations Federal Eligibility Rules Service Educate Congress Specific Senators & Reps Congressional Staff 18