panel discussion: ca ppm in healthcare

Panel Discussion: CA PPM in Healthcare

Valerie Cerra

Agile Management

TMG Health

Executive Director, EPMO

AMX12S

Henry Fuller

Carefirst

Director, PMO, Portfolio Tools

Kyle Foreman

Cambia Health

IT Staff Consultant, Office of CIO

@CAPPM

#CAWorld

2 © 2015 CA. ALL RIGHTS RESERVED.@CAWORLD #CAWORLD

© 2015 CA. All rights reserved. All trademarks referenced herein belong to their respective companies.

The content provided in this CA World 2015 presentation is intended for informational purposes only and does not form any type

of warranty. The information provided by a CA partner and/or CA customer has not been reviewed for accuracy by CA.

For Informational Purposes Only

Terms of this Presentation


Agenda

INTRODUCTIONS TO TMG HEALTH, CAMBIA HEALTH AND CAREFIRST

GROWTH

GOVERNANCE AND REGULATORY COMPLIANCE

CHANGE AND THE NEED FOR INNOVATION

1

2

3

4


Introduction: TMG Health

TMG Health is the leading national provider of Business Process Outsourcing solutions for Medicare Advantage, Medicare Part D and Managed Medicaid plans.

TMG Health’s Solution Includes: Enrollment & Eligibility

Processing Client Financial Services Premium Billing Print & Mail Fulfillment Member and Provider Call

Services Claims Administration Professional Services Medical Management Options


Cambia Health Solutions

Today, Cambia comprises more than 20 companies:

As an IT organization, our challenge is to quickly develop new capabilities while

continuing to deliver valuable, high quality products and services, on-time and on

budget

Our Cause: To serve as a catalyst to transform health care, creating a person-focused and economically sustainable system.


CareFirst Implementation

Service date: July 2008 – present Current Version: CA PPM 13.3 - upgrading to 14.3 December Users: 1500+ Implemented Modules

Time CollectionPortfolio Management (limited)Program ManagementProject ManagementFinancial Management Resource Management Incidents Custom Objects

AutomationResource loading Financial feedsTime Collection process and notifications Tasks onto projects

Integration Footprint MS Access MSP 2010Beeline (External Labor)COMPASS (Axis Group)Serna SBM SuiteHP ALMPeopleSoftOracle (Financials)Common Work Request (CWR) CIAM

CareFirst is a not-for-profit health plan and the largest organization of this type, servicing customers across Maryland, Northern Virginia and the District of Columbia.


TMG Health Cambia Health

Growth

Carefirst

Regional health plans and 20+ health service startups

Must mature portfolio and project management capabilities

Must stay focused on the Cause!

15 years continuous growth

Core systems replacements

Healthcare reform

Expanded security programs

Advanced Reporting

Explosive Growth Driving Rapid Client On-boarding Requires

Templates to Support Schedule and Cost Plan Development

Standardized Quantitative Status Reporting

Mature Communication & Governance Plans

-

-



Governance and Regulatory Compliance

CareFirst

Get comfortable with transparency and accountability!

Focus on the MVP

Develop a culture of quality

Currently exploring bimodal IT

Annual Planning‒ Tactical‒ Strategic

Governance Boards

Reporting

Transparency

Integration

PPM Supports Financial and Regulatory Processes

Governance is Key to maintaining data integrity

Financial statements, client invoicing and proposal development utilize PPM data

Projects often include Regulatory reporting needs



Change and the Need for Innovation

Carefirst

Develop a framework for change (focus on the people!)

Alignment of people to the strategy‒ Capacity Planning‒ Talent Development

Integrating with Rally in 2016

Build incrementally upon a solid foundation. Driven by unique business and organizational needs.

Foundational Services

Expanded Services

Optimized services

Strategic services

Integrated EPMO / SMO

Moving From Standardization to High Performance

Planning integration with enterprise HR & procurement systems

Launching formal program management discipline

Evaluating agile opportunities & integration with development & test tools


Q & A


Recommended Sessions

SESSION # TITLE DATE/TIME

AMX25S Removing the Friction Between Project and Portfolio

Management and AgileWednesday at 3:00 pm (Theater)

AMT01S CA PPM Strategy and Roadmap Wednesday at 4:30 pm (Theater)

AMT09S Using CA PPM to Align Projects with Strategy Thursday at 12:15 pm (Theater)


Must-See Demos

Simplify your Application PortfolioCA PPM

Theater - Agile Management

Identify the Right InvestmentsCA PPM

Theater – Agile Management

Align Resources to Meet DemandCA PPM


Business Transformation

CA PPM



For More Information

To learn more, please visit:

http://cainc.to/Nv2VOe

CA World ’15

http://cainc.to/Nv2VOe

http://bit.ly/1wbjjqX

panel discussion: ca ppm in healthcare

Technology