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

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HOW STATES ARE EXTENDING THE MITA FRAMEWORK TO THE HHS ENTERPRISE DROPPING THE “M” FROM MITA NMEH MITA Sub Workgroup Presents: Patti Garofalo, NMEH MITA SWG Co-Chair

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Page 1: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 2: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 3: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 4: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 5: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National 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

Page 6: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

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Page 7: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Agenda

9/10/2013

7

Framework Overview

Discuss NHSIA / MITA

APHSA Maturity Model

To Be Vision

Page 8: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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)

Page 9: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Framework Overview

9/10/2013

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Page 10: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Framework Overview

9/10/2013

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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

Page 11: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 12: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

12 9/10/2013

IL core business functions mapped to MITA / NHSIA

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Page 13: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

APHSA Maturity Model

9/10/2013

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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

Page 14: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

APHSA Maturity Model

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

?

14

Page 15: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

APHSA Maturity Model

Maturity matters

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

The Framework Objectives!

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Page 16: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 17: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Contact Information

9/10/2013

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Contact Information for additional follow-up

Kathleen Monahan – Framework Project Director

[email protected]

773-383-6946

Deneen Omer – Framework Planning Vendor

[email protected]

217-891-6629

Page 18: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Page 19: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Oregon’s Work

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

• Identified supportive business processes within our organization

Page 20: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Four New Functional Areas:

• Technical

• Training

• Workforce &

• Facility Mgmt.

116 Business Processes

Page 21: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Business Process Templates

Each Business Process Template includes:

• Definition

• Triggers

• Steps

• Systems Used

• Data/Information

• Capabilities

• Maturity Level

Page 22: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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

Mapping Oregon’s Modernization Project to the IHHS-BRM

Examples of Impacted Business Processes:

Page 23: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Foundation of the Enterprise Architecture Practice

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

Page 24: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

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.

Page 25: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

Contact Information

Randy Canoy, Project Manager

Healthcare Information Technology Architecture (HITA)

Oregon Health Authority

[email protected]

Page 26: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

QUESTIONS

Page 27: Dropping the “m” from MITA Reference Model (IHHS-BRM) Presenter: Randy Canoy, Project Manager, Oregon Health Authority . Oregon’s Work •Mapping MITA to National Human Services

CONTACT NMEH MITA SWG CO-CHAIRS

Patti Garofalo Director

Project Assurance Services

CSG Government Solutions

[email protected]

Randy Canoy Project Manager

Healthcare Information

Technology Architecture (HITA)

Oregon Health Authority

[email protected]

Rick Howard Research Director

Industry Research | Public Sector

Gartner

[email protected]

THANK YOU!

JOIN US WEDNESDAY, 9:15 -10:15

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