minnesota department of human services 1 10/29/2015
TRANSCRIPT
Minnesota Department of Human Services
1
10/29/2015
Agenda
Introduction
Goal of PilotTier PilotingActivity to PilotRole of MN Department of Human Services in the pilot
Standards and Technologies Under Consideration
Logistics
Ecosystem
Defining Success
Resources/References
Introduction: Pilot Team
Name Role Email
Rolf Hage Project Executive [email protected]
Tom Gossett Project Manager [email protected]
Rick Bagley DHS Technical Architect [email protected]
Greg Linden Contractor Resource [email protected]
PHR Community Collaborative
Provider/Payer/Beneficiary stakeholders
Others as appropriate
Introduction: Organization
• Who we are: MN Department of Human Services, TEFT Grantee• What we do: Serve as payer for Medical Assistance (Medicaid) funded services in
MN• How involved in services and support: We oversee County and Managed Care
Organizations who provide certified assessment and case management services to beneficiaries of MA and MA Waiver services
• Current process: Certified Assessors conduct MnCHOICES assessment, Counties work with the state to determine financial eligibility. Registered providers bill the state for services covered under MA.
• Collaborative: MN DHS is in final negotiations with a Collaborative made up of County Public Health and Human Services, primary, acute, post-acute and long term service and support providers. We’re unable to provide further details about the Collaborative until the contract is finalized. The Collaborative has agreed to participate in piloting the eLTSS plan.
Pilot Introduction: Business Drivers
• Business Drivers:– Comprehensive assessment and re-assessment of beneficiaries– Person-centered services provided to beneficiaries
• Business Use Case:– Create and prototype new means of sharing LTSS data
electronically with Beneficiaries and an array of LTSS Service Providers and stakeholders, and evaluate the value of the data and methods of exchange.
5
Goal of the Pilot
Our pilot will be using User Story 2: Sharing a Person-Centered eLTSS Plan
Pilot Workflow
7
Case Manager Community
Collaborative
Services Provider
Services Provider
Services Provider
LTSS Data
eLTSS Pilot
Which Tier are you piloting?
• We will be piloting Tier 1 - Basic non-Electronic Information Exchange in Round One
• We will be piloting Tier 2 in Round 2
What are you intending to pilot
• Pick which one(s) apply– Access, View, Review Plan– Update Plan
• Have you identified a Service provider with which to work, if so who? – Yes, or PHR Collaborative Grantee – we cannot disclose until we have a finalized contract in place
• Do you know if they have an electronic system?– We cannot disclose until we have a finalized contract in place
• Do you know which sub-domains from the FR document will you pilot: – This will be determined with the members of the Collaborative
once the contract is in place
What role do you play in the pilot
• MN DHS Role - Payer:• Our role will be to work with the PHR Community
Collaborative to:• Identify and recruit providers in the CB-LTSS continuum• Train/educate providers on the pilot and objectives• Inventory existing Provider technology• Assess readiness of Provider to work with eLTSS data• Map data elements in plan to the eLTSS dataset• Share data elements among partners• Develop Use cases of mutual interest• Document and implement changes to provider workflow• Test secure exchange of data
Standards Under Consideration:
• Tier 1– Non-Electronic – paper documents– Electronic – .pdf or export files such as CCDs
• Tier 2– eHealth secure exchange methods (HISPs, HIEs, etc.)
Pilot Logistics:
• Timeline –– Tentative – actual dates will be determined with the Collaborative after Pilot
Kick off in November• Kick off: November 2015• Identification of Partners/Providers- December 2016• Completion of Partner Data Use/Sharing Agreements – January 2016• Inventory and Characterize participating Provider technology and readiness –
January 2016• Develop methods to produce eLTSS data appropriate for sharing – February 2016• Exchange eLTSS data via paper, fax or other secure method – March 2016• Completion of Pilots: April 2016
• Challenges:– Identification of common data elements across providers
Pilot Ecosystem
• Partners:– MN DHS is in final negotiations with a Collaborative made up of County
Public Health and Human Services, primary, acute, post-acute and long term service and support providers. We’re unable to provide further details about the Collaborative until the contract is finalized.
• Systems:– Partner systems cannot be disclosed until our contract is in place– DHS systems include MMIS and MAXIS (financial eligibility
determination), as well as the MnCHOICES comprehensive assessment system and Social Services Information System (SSIS) for Case Management
.
How do you define success
• We will develop specific success criteria linked to the Goals and objectives outlined on previous slides
• These success criteria will be developed in collaboration with the Community, early in the Pilot
Helpful References
•PHR for LTSS Demo Web Site:http://www.dhs.state.mn.us/main/dhs16_184574