National Interoperability Efforts

1. California State Systems Interoperability and Integration Project National Interoperability Efforts May 2013

2. Reminder: What California’s Information Sharing and Interoperability Project Is About • Improve client service delivery; • Reduce errors / improve integrity; and • Improve administrative efficiency Resulting in better outcomes for clients

3. National Initiatives • US Department of Health and Human Services • National Institute of Standards and Technology (NIST) • HL7 • National Information Exchange Model (NIEM) • American Public Human Services Association (APHSA) • National Association of State Chief Information Officers (NASCIO)

4. MITA Goals and Objectives MITA Goals • “Develop seamless and integrated systems that communicate effectively to achieve common Medicaid goals through interoperability and common standards. • Promote an environment that supports flexibility, adaptability, and rapid response to changes in programs and technology. • Promote an enterprise view that supports enabling technologies that align with Medicaid business processes and technologies. • Provide data that is timely, accurate, usable, and easily accessible in order to support analysis and decision making for health care management and program administration. • Provide performance measurement for accountability and planning. • Coordinate with public health and other partners, and integrate health outcomes within the Medicaid community.” MITA Objectives • “Adopt industry standards for data exchange. • Promote reusable components through standard interfaces and modularity. • Promote efficient and effective data sharing to meet stakeholder needs. • Provide a beneficiary-centric focus. • Support interoperability, integration, and an open architecture. • Promote secure data exchange. • Promote good practices (e.g., the Capability Maturity Model (CMM) and data warehouse). • Support integration of clinical and administrative data to enable better decision making. • Break down artificial boundaries between systems, geography, and funding (within the Title XIX Program).” • from MITA 3.0 FM-5 Overview of MITA Initiative

5. NHSIA Provides a Framework andRoadmap To Achieve Common Goals To-Be As-Is NHSIA Goals NHSIA Results • Improved processes • Accessible information • Improved efficiency and effectiveness • Fraud detection and prevention • Improved decisions • Better outcomes • Common business processes • Standard informationexchanges (NIEM) • Shared information technology (IT) services & infrastructure • Comprehensive performance management • Unique business processes • Fragmented information • Duplicate systems, infrastructure, & development • Limited performance information Improved Human Services Delivery

6. Common Processes, Shared Capabilities, Shared Information Benefit Everyone Identity and Access Management Benefit across programs Confidentiality and Privacy Agreement Master Person Index Case Portfolio Provider Registry Eligibility Determination Performance Management Benefit across states, counties,... ... and more! Child Support Enforcement Child Support Enforcement Child Support Enforcement Food Nutrition Food Nutrition Financial Assistance Financial Assistance Financial Assistance Food Nutrition Home Energy Assistance Adoption/ Foster Care Child Protection Child Protection Child Protection Substance Abuse Substance Abuse Home Energy Assistance Home Energy Assistance Substance Abuse Adoption/ Foster Care Adoption/ Foster Care Mental Health Mental Health Mental Health Child Care Child Care Child Care Medicaid Medicaid Medicaid

7. Identity Management and Access Control Will Ensure Privacy and Confidentiality • Trusted partners • Single sign-on • Attributes for access and privileges • Client information release authorization http://it.ojp.gov/gfipm, Global Federated Identity and Privilege Management

8. NHSIA Core Provides a Solid Foundationfor Better Programs and Integrated Services $ Program Performance Information Person Provider Case Program $ Hubs Core IT Services Repositories Establishing the NHSIA core enables subsequent Incremental improvements in human services systems Service-Oriented Infrastructure Key Concepts Example improvements

9. CaliforniaHealth and Human Services Agency Draft To-Be Architecture Vision Our “to be” architecture will improve the delivery and outcome of health and human services in California. It will be consistent with MITA, NHSIA, and related information sharing standards. Key features of this improvement include: • “No Wrong Door” for clients • Client-oriented systems • Improved program integrity • Systems that are easy for case workers to use Interoperability of business processes and systems across the agency • Sharing and reuse of processes, applications, services, data, and infrastructure across domains and programs • Use of standards for data exchange • Secure, efficient, and effective data sharing to meet stakeholder needs Approaches for human services that leverage and build on health-related projects and initiatives and vice versa

10. Table Discussion • Discuss key success factors needed to achieve interoperability with at least one other organization. • Identify best practices at the county, state, etc., level to optimize services.

11. Sign Up for Technology Committee! • What you’ll be doing… • Identify and prioritize • Common business processes • Core IT services and related information to be shared • Projects to make it happen • How to leverage ongoing/upcoming projects