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Arielle Mir October 18, 2017 Vendor’s View Data in an accountable health system

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Page 1: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Arielle Mir

October 18, 2017

Vendor’s ViewData in an accountable health system

Page 2: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Table of Contents

3 Introduction to Nuna

5 Medicaid Data Platform Case Study

16 Looking Beyond a Claims/Encounter Data Warehouse

Page 3: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

3

Page 4: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

ENGINEERING

DATA SCIENCE

POLICY

UX / DESIGN

4

Core Competencies

Page 5: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

5

Towards a global data

perspective

Page 6: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Before Medicaid Data Platform

Outdated Technology Unanswerable Questions

In 2012, if you wanted to know the top ten

diagnoses among Medicaid beneficiaries by

frequency and expenditure...

...you could, but for 2007 and fee-for-service

only.

6

Page 7: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

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Page 8: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Security, to protect beneficiary privacy

Power and flexibility, to accommodate data user needs

Sustainable costs, at inception and for ongoing operations

Sensitivity to stakeholder processes

8

What we look for in a strong data platform

Page 9: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Flexibility

Cost

Security

9

Data Warehousing in the Cloud

Page 10: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Real-time feedback

Automated troubleshooting

Collaborative tools

10

Accommodating User Needs by Design

Page 11: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Real-time status for data operations

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Page 12: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Quickly debug data quality problems

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Page 13: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Workflow and collaboration tools

13

Automated workflow tool - real time project status

Collaboration wiki - consolidated and robust repositories for all requirements/user

stories, design documentation, development tasks, testing tasks, change requests, and

bugs/defects

Integrations - features that have passed quality control can merge dynamically into

code migration efforts

Reports and dashboards - configurable for project health reviews

Page 14: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Making data visible, actionable

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Page 15: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Caveats - what’s unique about Medicaid

15

Governance - CMS could impose compliance with the data dictionary on state

Medicaid programs - essential for standardizing data

Incentives - States risked losing federal Medicaid funds if data not submitted

appropriately

Page 16: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

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Moving from vault to

value

Page 17: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

Looking beyond the claims data warehouse

17

Reimagine stakeholders as data consumers, not just data producers

Consider the costs of participation

Invest in technologies that create value for stakeholders

Page 18: PowerPoint Presentation · Title: PowerPoint Presentation Author: Reilly, Kelly (DHSS) Created Date: 10/31/2017 7:51:40 AM

1818

Thank You!

Driven by Data,

Guided by Compassion.

nuna.com

[email protected]

@nunainc: