Highlights

of Change

Highlights

of Change

CountiesState AgenciesFederal Agencies MembersHealth Information

Organizations (HIOs)Public

Health Care Delivery

DELIVERY TRANSFORMATION

Payment Reform, Coordinated Care

Initiative

ExpandingMedi-Cal

to more individuals,Affordable Care Act

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

Alignment withSeven Conditions

& Standards,MITA SS-A & Roadmap

Enhanced Federal Funding,

HIPAA ICD-10, 5010,

35C to 837

PAVE

“One Stop Shop”

Provider Enrollment Process

CA-MMIS,Claims Processing

Improvements

PROVIDERS

Fee-For-Service

to Managed Care,

CAPMAN

Health Benefit Exchange“Covered California”,Health Care Options

MEMBERS

Promote

Health Information

Technology

Agency Enterprise Architecture,

InteroperabilityProject

CALIFORNIA HEALTH &HUMAN SERVICES AGENCY

Enhanced

Program

Integrity

Consolidated Business

Processes,

Shared Services

BUSINESS

Agile IT Systems

Aligned with

Business Strategy

Common

IT Services

TECHNOLOGY

Health InformationExchanges,

Electronic Health Records

Paid Claims Encounters System,

Data Warehouse(MIS/DSS)

INFORMATION

Social & HumanServices DeliveryProvidersPartners Health Plan Carriers

Improved Quality

of Health Data for California

Enhanced Public Facing

Delivery Channels for

Easier Health Information Access

Efficient and Secure

Health Information Exchanges

Standards used to ensure

Safe and Effective Interoperability

of Health Information Organizations

Shared, Reusable

Technical Capabilities

Collaboration and Reuse

of Existing Assets

Dynamic Allocation

of Resources

Infrastructure as a Service (IaaS) thru

Virtualization and Cloud Enablement

Compliance and Security

Risk Reduction

Protection of Data Assets while having

the Right Data at the Right Time

for Service Delivery

Compliance and Security

Risk Reduction

Integration and Protection

of Information and Systems

DHCS TRANSFORMING AND INNOVATING TO ACHIEVE ITS COMMITMENTSTO OUR EMPLOYEES . . .

· Foster a healthy, positive and respectful work environment· Focus on communication, teamwork and effective decisions· Recognize and appreciate dedication, innovation and excellence· Provide opportunities for professional learning and growth

· Ensure a viable health care safety net· Effectively engage the public and our partners· Hold ourselves accountable for performance · Be prudent, responsible fiscal stewards of public resources

TO THE PUBLIC . . . TO THE PEOPLE WE SERVE . . .

· Improve the consumer experience with high quality health care· Treat the whole person by coordinating and integrating care· Improve health through effective prevention and early intervention· Develop effective, efficient and sustainable health care delivery systems

Employers

Effective, Efficient

and Sustainable

Health Care Delivery Systems

Delivery Systems

and Payment Strategies Designed

to Improve Quality and Outcomes,

Responsible Fiscal Stewardship

Improve and Maintain

Health and Well-Being

Address Quality, Population Health,

and Outcomes across Systems of

Care, Identify and Eliminate

Disparities in Health Outcomes

Communication,

Collaboration,

Teamwork and Effective

Decision-Making

Collaboration Strengthened across

DHCS, Trust Built by Empowering

People with Responsibility,

Improved Performance Management

ReducingHealth Care Costs

EnhancingHealth Care Programs

Improving the Healthof All Californians

DriveHealth Care Quality

Release 1.0 (5-17-2013)

Secured Infrastructure ArchitectureEncryption Security Policies & StandardsHealth Insurance Portability and Accountability Act (HIPAA)Risk-Based Security & Privacy FrameworkSECURITY & PRIVACY

Centralized Management & Monitoring Rapid Cycle Quality Improvement Analytics & ReportingMAINTENANCE & OPERATIONS Centralized Deployment, Configuration & Versioning

PORTFOLIO MANAGEMENT Project Management Program Management MITA AlignmentAgile Methodology

SOA Governance Information GovernanceGOVERNANCE Enterprise Governance IT Governance

Change Management

DYNAMIC WORKFORCE Integrity Service Accountability Innovation

Medicaid Information Technology Architecture (MITA) Maturity Levels 3-5