INTEGRATED VISION OF CONNECTICUT’S HEALTH SYSTEM DRAFT December 22, 2011
HEALTH INFORMATION TECHNOLOGY WORKGROUP Purchasers State Employees & Retirees Individual Consumers
Delivery Physicians/Provid School-base Hospitals PharmaciesClinics System ers ClinicsLabs State Agencies & Other Entities CT-DoI OHA DFC
Insurance Private Insurance Organizations Companies Health Insurance Hospitals VNA Exchange Gov. VA Uninsured Programs Sustinet TRICARE DDS Unions Open Health OPM Pharmacies Insurance Market
Clinics Facilities MEDICARE MEDICAID VNA
DMHAS Facilities DPH DSS
Health Support Labs Ambulance Services School-based clinic Ambulance ServicesOrganizations Non-Profit Organizations Municipalities Employers- S-M-L Health Insurance Exchange Gov. Uninsured Programs
Open Health Insurance Market Insurance Organizations Private Insurance Companies
Private Private Sub-hub Sub-hub VA HITE-CT TRICARE Sustinet HUB Private Private Sub-hub Sub-hub
MEDICARE MEDICAID State Agencies & Other Entities CT-DoI OHA DFC
OPM
DDS
DPH DSS DMHAS State Agencies & Other Entities CT-DoI OHA DFC Exchange information systems – CMS perspective and guidance Exchange reference architecture (cont’d) • Key tenets: – Business capability requirements drive IT requirements – IT capabilities as “modules/components” for assembly, integration and reuse
OPM Electronic Vital Records System (EVRS) Task 9 – Assess existing Medicaid eligibility system and identify interface issues and necessary requirements for integration with the Exchange information technology (IT) infrastructure (cont’d) • Analytical framework – from CMS (1 of 2) DDS MERCER November 17, 2011 96
MERCER November 17, 2011 100
DMHAS DPH DSS State Agencies & Other Entities CT-DoI OHA DFC
OPM
DDS
DMHAS DPH DSS Delivery System HospitalsPhysicians/Providers ClinicsPharmacies School-base Clinics Labs Health Systems Infrastructure - Vision HIE in another state State Agencies
Public Health Research Orgs Hospitals Surveillance PHIN VNA and Monitoring Vital Statistics Payer/Providers Pharmacies Medicaid Eligibility and VNA Claims
Medicaid Labs ePrescribing
Health-Related Clinics Facilities Program Admin Pharmacies Analytics and Reporting In State Patients Facilities HIE
Health Support Labs Ambulance Services School-based clinic Ambulance ServicesOrganizations Purchasers State Employees & Retirees Individual Consumers
Behavioral Segmentation Helps to design a user experience that is responsive to people’s different needs, desires and expectations
Unions
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Non-Profit Organizations Municipalities Employers- S-M-L Purchasers State Employees & Retirees Individual Consumers
INITIAL DESIGN Preliminary Visual Design
Explores the look and feel, including explorations in color, typography, spacing, texture, gradients and Unions usability guidance through visual focus.
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Non-Profit Organizations Municipalities Employers- S-M-L Business Needs COMPOSITE VIEWOFHEALTHSYSTEM Information Exchange Privacy eHR Ownership quality Data Data XDS Permissions Releases N HIN Software - D Portals Appeals MU Audits XML, XML, etc. HL7 Certificates V.x Training REC Health Information Exchange Health Insurance Exchange