Guide to BerryDunn Deliverables€¦ · A. = DDS B. = DMH C. = DPH ... action and a reimbursem y...
Transcript of Guide to BerryDunn Deliverables€¦ · A. = DDS B. = DMH C. = DPH ... action and a reimbursem y...
Guide to Massachusetts BerryDunn MITA 2.0 Deliverables
1
Key:
BCM – Business Capability Matrix
TCM – Technical Capability Matrix
SSP – State Specific Process
As Is – Current state of business and technology operations
To Be – Desired future state of business and technology operations
The deliverables have a consistent numbering convention in that deliverable letters correspond to a
specific agency
A. = DDS
B. = DMH
C. = DPH
Description of Deliverables
Deliverable Number Deliverable Description
1A – DDS Goals Strategic, Organizational, Programmatic/Service Delivery, Quality and Next Generation System Goals as defined by DDS
1B – DMH Goals Strategic, Organizational, Programmatic/Service Delivery, Quality and Next Generation System Goals as defined by DMH
1C – DPH Goals Strategic, Organizational, Programmatic/Service Delivery, Quality and Next Generation System Goals as defined by DPH
1D – Consolidated Consolidated Goals across all three agencies
3A – DDS SSP MM MITA Maturity Model for state specific processes performed at DDS
3B – DMH SSP MM MITA Maturity Model for state specific processes performed at DMH
3C – DPH SSP MM MITA Maturity Model for state specific processes performed at DPH
4 3A – DDS BCM To Be Matrix of DDS Business Processes To Be matured over a 2‐5 year horizon
4 3B – DDS BCM To Be Matrix of DMH Business Processes To Be matured over a 2‐5 year horizon
4 3C – DDS BCM To Be Matrix of DPH Business Processes To Be matured over a 2‐5 year horizon
4 4A – DDS TCM To Be Matrix of DDS Solutions To Be matured over a 2‐5 year horizon to support the business processes
4 4B – DDS TCM To Be Matrix of DMH Solutions To Be matured over a 2‐5 year horizon to support the business processes
4 4C – DDS TCM To Be Matrix of DPH Solutions To Be matured over a 2‐5 year horizon to support the business processes
6A – DDS BCM Current/As Is MITA maturity level of business processes performed at DDS
6B – DMH BCM Current/As Is MITA maturity level of business processes performed at DMH
6C – DPH BCM Current/As Is MITA maturity level of business processes performed at DPH
7A – DDS TCM Current/As Is MITA maturity level of technical solutions in use at DDS
7B – DMH TCM Current/As Is MITA maturity level of technical solutions in use at DMH
7C – DPH TCM Current/As Is MITA maturity level of technical solutions in use at DMH
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 1A
Goals Document for DDS
Version 1.0
June 30, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Tim Masse, Project Principal Charlie Leadbetter, Project Manager
BerryDunn 100 Middle Street, PO Box 1100
Portland, ME 04104-1100 [email protected]
DeliverabGoals Doc
Section
1. D
2. D
3. D
4. C
Revision
Version
v1.0
le 1A cument for D
Description o
Department o
Department o
Conclusion ..
History:
n Deliver
June 3
DS
Go
of the Goal S
of Developm
of Developm
...................
red Date
30, 2011
Deliv
als Doc
Table
Setting Proce
ment Services
mental Servic
...................
Initial subm
Page ii
verable
cument
of Conte
ess .............
s Mission St
ces Goals ...
...................
Up
ission to the
The ComNext Gener
1A
for DDS
nts
...................
tatement .....
...................
...................
pdate Reas
e State.
mmonwealth oration System
S
...................
...................
...................
...................
on
of Massachums Planning P
June 30,
P
...................
...................
...................
...................
usettsProject
2011
Page
....... 1
....... 1
....... 2
....... 5
DeliverabGoals Doc
1. Desc
BerryDunDevelopmintent of and Inforvision aquestionagency’sadditiona Once Dreviewedcategory similaritietransformDDS for At in-persof the drstaff, cendiscuss aGoals Do 2. Depa The Miss
“The Depopportunand contintellectuopportunsupport.”
3. Depa Below arorganizeThe cateGenerati
le 1A cument for D
ription of th
nn conductmental Servcapturing thrmation Technd IT goanaire, Berry
s website, anal goals for M
DS submittd both the
related to fes, differencm the universreview prior
son work seraft Goals Dntral office aand evaluatocument dra
rtment of D
sion Stateme
partment is nities for indribute to, the
ual disabilitienities for the ”
rtment of D
re the goalsd by categoegories are:on System a
DS
he Goal Sett
ted a threeices (DDS) ge primary Shnology Goals for the
yDunn took nd the teamMassachuse
ed feedbacquestionnaiunding. Beces and gese of goals to the first G
essions on JuDocument wand field mae the goals.
aft.
Developmen
ent of the De
dedicated tividuals witheir communies in the leas
highest leve
Developmen
s that DDS ory and som: Strategic, and Funding
ting Proces
e step progoals. Firsttrategic, Orgals. AdditionNext Geneon a paral
m’s prior expetts DDS’s co
ck on the Gre and the rryDunn theeneral theminto a comb
Goals Review
une 14, 201with DDS staanagers, and. BerryDunn
ntal Services
epartment of
to creating, h intellectuaties as valuest restrictiveel of choice
ntal Services
approved dme goals ma
Organizatiog.
Page 1
ss
ocess to d, DDS was pganizational,ally BerryDu
eration Sysllel processerience woronsideration
Goals QuesBerryDunn
n comparedmes among bined draft Gw work sess
1 and June aff. DDS brod Regional an has incorp
s Mission S
f Developme
in partnershl disabilities ed members
e environmenand self-dir
s Goals
during the Gay cross catonal, Progra
The ComNext Gener
ocument thprovided a G, Programmaunn requestestem. While, and throu
rking with sta.
stionnaire, tn suggestedd the two go
both docuGoals Documsion on June
23, 2011, Brought togetand Area D
porated the
Statement
ental Service
hip with oth to participas. DDS strivent while provrection to the
Goals worktegories but
ammatic/Serv
mmonwealth oration System
he primary Goals Questatic/Service ed feedback
e DDS wasugh researcate DD age
the BerryDud goals, anoal documenuments. Thement, which e 14, 2011.
BerryDunn father cross fu
Directors fromDDS feedba
es is as follo
ers, innovatate fully andes to supporviding flexibe individuals
sessions. Tt they are ovice Deliver
of Massachums Planning P
June 30,
Departmentionnaire witDelivery, Q
k on the ages reviewingh, review oncies, devel
unn DDS Td added a
nts, and idene result wawas deliver
acilitated a reunctional agm each regiack into this
ows:
tive and gend meaningfurt individuals
ble and expas and familie
These goalsonly shown ory, Quality,
usettsProject
2011
nt of th the uality
ency’s this
of the loped
Team new
ntified as to red to
eview gency on to
s final
nuine lly in, s with anded es we
s are once. Next
DeliverabGoals Doc
GOAL C
Source
DDS-ST
DDS-ST
DDS-ST
DDS-ST
GOAL C
Sourc
DDS-OR
DDS-OR
DDS-OR
DDS-OR
le 1A cument for D
ATEGORY:
e ID
TR01 Suppenvirhighesupp
TR02 Enhatheir
TR03 EnhaMRC
TR04 PromDDS
ATEGORY:
ce ID
RG01 Impfromresipopothe
RG02 Ensdelivdire
RG03 Ensprog
RG04 Stresatis
DS
STRATEG
port individuronment whiest level of c
port.
ance collabofamilies.
ance collaboC, DMH and
mote ease ofS services.
ORGANIZA
plement the Cm nursing facdential infras
pulations incler special po
sure that indivery, provide
ection service
sure effectivegrams, provi
engthen DDSsfaction with
IC
als with inteile providingchoice and s
oration betwe
oration with oDCF.
f access to t
ATIONAL
Community cilities and sstructure to luding individopulations.
ividuals super and reside delivery m
e managemeiders, fundin
S processesh DDS and it
Page 2
Goal
llectual disa flexible and
self-direction
een DDS, D
other State a
he agency’s
Goal
First programstate residenmanage all duals turning
ported by DDential settingodel.
ent structureng, human re
s for measurts programs
The ComNext Gener
abilities in thed expanded on to the indiv
DDS provider
agencies, su
s intake and
l
m, de-instituntial facilitiesresidential ng 22 prioritiz
DS have chog. And, build
e and procesesources, an
ring and impand service
mmonwealth oration System
e least restriopportunities
viduals and f
rs and consu
uch as Mass
eligibility pro
utionalizing ins and buildinneeds for all zed for reside
oice of serviding a stron
sses to suppnd service ca
roving indivies.
of Massachums Planning P
June 30,
ictive s for the families we
umers and
sHealth,
ocess for
ndividuals g a strong
ential and
ice g self-
port DDS apacity.
iduals’
usettsProject
2011
DeliverabGoals Doc
GOAL C
Source
DDS-PG
DDS-PG
DDS-PG
DDS-PG
DDS-PG
DDS-PG
GOAL C
Source
DDS-Q0
DDS-Q0
le 1A cument for D
ATEGORY:
e ID
G01 Build individaccom
G02 Build wheeto live
G03 Ensur(cons
G04 Enhanindivid
G05 Continacros
G06 Effectand inincludHabili
ATEGORY:
e ID
01 Ensuresurvey(Office
02 Implem
DS
PROGRAM
and implemduals suppomplishment.
a stronger Alchairs and o
e more indep
re quality houmer-directe
nce sustainaduals’ needs
nue to succes the Comm
tively managndividuals wding maximizitation and A
QUALITY
e survey andyed by OQE e of Quality E
ment revised
MMATIC/SE
ent employmrted and pro
Assistive Tecother technopendently.
omes, qualityed opportun
able and affos, such as sh
essfully provmonwealth.
ge needs of ith changingzing MassHeAdult Foster
d certificationare in subst
Enhancemen
d ISP proces
Page 3
RVICE DEL
Goal
ment programovide a great
chnology proology that en
y employmenities within s
ordable residhared living.
vide and enh
people turnig needs in ligealth State PCare.
Goal
n process detantial compnt).
ss that is mo
The ComNext Gener
LIVERY
ms that will ter sense of
ogram, e.g. nables indivi
nt programsservice deliv
dential optio
hance all fam
ng 22, consght of limitedPlan services
etermines alliance with O
re person-ce
mmonwealth oration System
meet the nef empowerm
customized duals with d
s, and self-divery).
ons that mee
mily support
sumers newlyd new resous such as Da
ll homes andOQE regulat
entered.
of Massachums Planning P
June 30,
eeds of ment and
disabilities
irection
et the
services
y eligible rces, ay
d programs tions
usettsProject
2011
DeliverabGoals Doc
GOAL CSource
DDS-NXG01
DDS-NXG02
DDS-NXG03
DDS-NXG04
DDS-NXG05
DDS-NXG06
GOAL C
Source
DDS-F0
DDS-F0
DDS-F0
le 1A cument for D
ATEGORY:e ID
Continthe usrecov
Systeworkf
Enhanreport
DDS slegacy
Utilizeworkf
Impro
ATEGORY:
e ID
01 Maximwaive
in m
th en en
02 Imple
03 MaximCMS
DS
NEXT GEN
nue to meet se of techno
very.
em will ensurlows.
nce reportinting.
system of rey systems.
e technologyorce, wherev
ove data extr
FUNDING
mize federal er, communit
creasing theaintaining eat meet indi
nsuring comnsuring com
ment Chapt
mize Targeterequired doc
NERATION S
all federal alogy, such a
re data quali
g infrastruct
ecord needs
y to enhancever they wor
raction and a
reimbursemty living waiv
e number of ligibility, enrviduals’ asspliance withpliance with
er 257 rates
ed Case Macumentation
Page 4
SYSTEM Goal
and state staas HIPAA, pr
ity and integ
ure and cap
to be intero
e the efficienrk.
analytics for
Goal
ment under aver, and the
individuals rollment and essed needs waiver assu waiver claim
s for services
nagement (Tn is complete
The ComNext Gener
andards andrivacy, secu
grity based o
pabilities for
operable with
ncy and effec
r decision-ma
autism waiveadult suppo
receiving wadelivery of s
s; urances as rm checks.
s.
TCM) revenue.
mmonwealth oration System
requiremenrity and disa
on business
internal and
h all partners
ctiveness of
aking purpos
er, adult resiort waiver by
aiver servicesupports and
required by C
ue by ensur
of Massachums Planning P
June 30,
nts around aster
logic and
external
s and
f the DDS
ses.
dential y:
es; d services
CMS; and
ing all
usettsProject
2011
DeliverabGoals Doc
4. Conc DDS conrestrictiveof choiceleveraginproviders Both DDfeedback
le 1A cument for D
clusion
ntinues to fe environmee and self-dirng its effecs, funding, h
S and Berryk, and have w
DS
focus on suent while prorection to the
ctive managuman resou
yDunn have worked mutu
upporting inoviding flexibe individuals
gement struurces, and se
had time to ually toward
Page 5
ndividuals wble and expas and familiecture and ervice capac
review one the final de
The ComNext Gener
with intellectanded oppo
es they suppprocesses city.
anothers’ idefinition of ea
mmonwealth oration System
tual disabilitortunities for port. DDS is to support
deas, have sach of these
of Massachums Planning P
June 30,
ties in the the highest also interestDDS progr
shared respegoals.
usettsProject
2011
least level
ted in rams,
ective
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 1B
Goals Document for DMH
Version 2.0
July 14, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Tim Masse, Project Principal Charlie Leadbetter, Project Manager
BerryDunn 100 Middle Street, PO Box 1100
Portland, ME 04104-1100 [email protected]
DeliverabGoals Doc
Section
1. D
2. D
3. D
4. C
Revision
Version
v1.0
v2.0
le 1B cument for D
Description o
Department o
Department o
Conclusion ..
History:
n Deliver
June 3
July 1
MH
Goa
of the Goal S
of Mental He
of Mental He
...................
red Date
30, 2011
4, 2011
Deliv
als Doc
Table
Setting Proce
ealth Mission
ealth Goals ..
...................
Initial subm
Revised bas
Page ii
verable
cument f
of Conte
ess .............
n Statement
...................
...................
Up
ission to the
sed on feed
The ComNext Gener
1B
for DMH
nts
...................
...................
...................
...................
pdate Reas
e State.
back from th
mmonwealth oration System
H
...................
...................
...................
...................
on
he State.
of Massachums Planning P
July 14,
P
...................
...................
...................
...................
usettsProject
2011
Page
....... 1
....... 1
....... 1
....... 4
DeliverabGoals Doc
1. Desc
BerryDunof captuFunding through rstate MHDMH’s cto a goal At the JuDMH stadiscuss aDocumen 2. Depa The Miss
“The Depaccess tenabling standardDepartmmental hpartnersh
3. Goals
Below arThese goshown onNext Gejust sequ
le 1B cument for D
ription of th
nn sent the ring the prand Next G
research, reH agencies, onsiderationsetting work
une 14th woraff. DMH brand evaluatent draft.
rtment of M
sion Stateme
partment of o services athem to liv
s to ensurent sets pohealth trainihip with othe
s
re the goalsoals are organce. The catneration Sys
uence.
MH
he Goal Sett
Departmentimary Strate
Generation Sview of the the BerryD
n. A combinek session on
rk session Brought togete the goals.
Mental Healt
ent of the De
Mental Heaand supporte, work andre effective olicy, promoing and reser state agen
s that DMH anized by categories arestem. The n
ting Proces
t of Mental Hegic, OrganSystem Goaagency’s weunn DMH teed draft Goan June 14, 2
BerryDunn father a teamBerryDunn
th Mission S
epartment of
lth, as the Sts to meet td participate
and cultuotes self-desearch. Thisncies, individ
and BerryDategory and
e: Strategic, numbering o
Page 1
ss
Health (DMHnizational, Pals. Starting ebsite, and team develoals Documen011.
acilitated a r of agency has incorpo
Statement
f Mental Hea
State Mentalthe mental in their comrally compe
etermination,s critical mduals, familie
Dunn identifsome goals
Organizationof goals with
The ComNext Gener
H) a Goals QProgrammati
with documthe team’s pped additionnt was delive
review of thestaff repres
orated the D
alth is as foll
l Health Authealth needmmunities. Tetent care , protects h
mission is aes, providers
fied during ts may cross nal, Programhin a catego
mmonwealth oration System
Questionnaiic/Service D
ments providprior experienal goals foered to DMH
e draft Goalsenting variMH feedbac
lows:
thority, assuds of individThe Departmto promote
human righccomplisheds and comm
the facilitate categories
mmatic, Quaory is not to
of Massachums Planning P
July 14,
re with the iDelivery, Quded by DMHence workingor MassachuH for review
s Documentious functiock into this G
res and produals of all ament estable recovery. ts and supd by workin
munities.”
ed work sesbut they are
ality, Funding indicate pr
usettsProject
2011
intent uality, H and g with usetts
w prior
t with ns to Goals
vides ages, ishes
The pports ng in
ssion. e only g and iority;
DeliverabGoals Doc
GOAL C
Source
DMH-ST
DMH-ST
DMH-ST
DMH-ST
DMH-ST
DMH-ST
DMH-ST
DMH-ST
DMH-ST
GOAL C
Source
DMH-OR
le 1B cument for D
ATEGORY:
e ID
TR01 Procenstepcon
TR02 Streandandand
TR03 Ensproimp
TR04 Supcult
TR05 Supphy
TR06 ProMen
TR07 Effepro
TR08 Ensprog
TR9 Staacroman
ATEGORY:
e ID
RG01 Enhcom
MH
STRATEG
ovide/supporntered and sups to hold ou
nsumers and
engthen DMd monitor serd supporting d safety.
sure access mising pract
prove utilizat
pport staff byturally compe
pport an envysical health
omote researntal Health A
ectively carrymoting resea
sure effectivegrams, prov
ndardize buoss DMH to nagement p
ORGANIZA
hance collabmmunity.
IC
rt a system oupports consur contractord families in p
H oversight rvice deliverof consume
to quality setices that suion of State
y promotingetent staff, a
vironment in and wellbei
rch and bestAuthority.
y out role of arch and be
e managemiders, fundin
siness, perfoensure efferactices thro
ATIONAL
boration and
Page 2
Goa
of care that issumer choicrs and oursepolicy develo
process as ry that is recoer choice as
ervices that upport recovehospital bed
learning, deand expandi
the DMH seng in partne
t practice to
State Mentast practices.
ent structureng, human re
ormance mactive fiscal,
oughout the
Goa
partnership
The ComNext Gener
al
s recovery-oce and commelves accounopment.
a purchaserovery-orientwell as ensu
utilize evideery and comds by decrea
eveloping a hng the peer
ervice systemership.
help DMH f
al Health Au.
e and procesesources, an
anagement aprogrammatDepartment
al
with other a
mmonwealth oration System
oriented, permunity living ntable and to
r of servicested, person-curing consum
nce based ammunity tenuasing length
highly qualifiworkforce.
m that promo
fulfill its role
uthority beyo
sses to suppnd service c
and clinical ptic and qualit.
agencies and
of Massachums Planning P
July 14,
rson-by taking
o include
s to promote centered mer health
and ure and
of stay.
ied and
otes
as the State
ond
port DMH apacity.
processes ty
d the
usettsProject
2011
e
DeliverabGoals Doc
GOAL C
Source
DMH-PG
DMH-PG
DMH-PG
DMH-PG
DMH-PG
GOAL C
Source
DMH-FN
DMH-FN
le 1B cument for D
ATEGORY:
e ID
G01 Assare appapp
G02 Sup
G03 Devandcom
G04 Impperf
G05 Utiliprom
ATEGORY:
e ID
ND01 Maxand
ND02 Meeincluclaim
MH
PROGRAM
sure that servindividualize
propriate envpropriate and
pport and im
velop workin natural sup
mmunity with
plement a sysformance ind
ze decision mote continu
FUNDING
ximize feder other syste
et all HIPAA uding: Eligibms status.
MMATIC / SE
vices are proed, and are dvironment. Sd based on e
prove harm
g relationshpports to helph the support
stem that prdicators.
support sysuous quality
al reimbursems.
standards fbility, authori
Page 3
ERVICE DE
Goa
ovided and pdelivered in ervices shou
evidence bas
reduction an
ips with othep facilitate clt networks o
rovides for d
tems to infoimproveme
Goa
ement by cre
for proper Rezations, billi
The ComNext Gener
ELIVERY
al
planned in cthe least resuld be age ased practice
nd risk mana
er relevant clients leadin
of their choos
ata to be co
orm policy annt.
al
eating intero
evenue Cycngs, electro
mmonwealth oration System
collaborationstrictive, clinand developes/best pract
agement pra
community og full lives insing.
ollected to su
nd planning a
operability be
le Managemnic payment
of Massachums Planning P
July 14,
n with clientsnically mentally tices.
actices.
organizationsn the
upport key
and to
etween DMH
ment ts and
usettsProject
2011
s,
s
H
DeliverabGoals Doc
GOAL C
Source
DMH-NX
DMH-NX
DMH-NX
DMH-NX
4. Concl
DMH coperson/faneeds anin a usabstructureservice c
le 1B cument for D
ATEGORY:
e ID
XG01 Estasolucomadmoperegu
XG02 Useimp
XG03 AchInfoothe
XG04 Devutiliz
usion
ontinues toamily centern integrated ble and time
e and procescapacity.
MH
NEXT GEN
ablish a comution that admmunity- basministrative/perate and be ulatory envir
e technologyrove patient
hieve clinicalormation Excer means.
velop reportization mana
focus onred and supinformation ely format. Dsses to supp
NERATION S
mprehensivedresses all osed service apayor aspect
maintained ronment.
y to make wot outcomes.
and prograchange (HIE
ng and dataagement/revi
delivering portive of cosystem thatDMH is alsoport DMH pr
Page 4
SYSTEM
Goa
, integrated operational aareas (and its for DMH ain the Comm
ork more effi
mmatic data), DMH Elec
analytics caiew and qua
services onsumer cht supports clo interested rograms, pro
The ComNext Gener
al
healthcare iaspects for tncludes an Eand a requiremonwealth o
icient, reduc
a integration ctronic Healt
apabilities toality manage
that are ehoice and coient care by in leveragin
oviders, fun
mmonwealth oration System
nformation sthe facility aEHR), as weement for thof Massachu
ce staff work
through Heth Record (E
o support billement.
effective, reommunity livproviding q
ng its effectding, human
of Massachums Planning P
July 14,
system nd ell as the e solution to
usetts
k load and
alth EHR), and
ling, service
ecovery-orieving. The aguality informtive managen resources
usettsProject
2011
o
ented, gency
mation ement , and
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 1C
Goals Document for DPH
Version 1.0
June 30, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Tim Masse, Project Principal Charlie Leadbetter, Project Manager
BerryDunn 100 Middle Street, PO Box 1100
Portland, ME 04104-1100 [email protected]
DeliverabGoals Doc
Section
1.
2.
3.
4.
Revision
Version
v1.0
le 1C cument for D
Description
Departmen
Departmen
Conclusion
History:
n Deliver
June 3
PH
Go
of the Goal
t of Public H
t of Public H
..................
red Date
30, 2011
Deliv
als Doc
Table
Setting Pro
Health and P
Health Goals
...................
Initial subm
Page ii
verable
cument
of Conte
cess ..........
ublic Health
..................
...................
Up
ission to the
The ComNext Gener
1C
for DPH
nts
...................
h Hospitals’ M
...................
...................
pdate Reas
e State.
mmonwealth oration System
H
...................
Mission Stat
...................
...................
on
of Massachums Planning P
June 30,
P
...................
tements ......
...................
...................
usettsProject
2011
Page
....... 1
....... 1
....... 2
....... 5
DeliverabGoals Doc
1. Descr
BerryDuncapturingNext Gewebsite, team devconsideragoal sett At each staff. DPevaluate Documenof this do 2. Depar Departm“Helping Tewksbu“To provmental ill Western “To be aenable p Lemuel S“To delivtreatmen The Mas“To provito childrelevel of in
le 1C cument for D
ription of th
nn sent theg the primaeneration Sy
and the teaveloped a dation. The ding work ses
work sessioH brought to
the goals.nt draft. Furtocument.
rtment of Pu
ent of Publicpeople lead
ury Hospital vide comprelnesses.”
Massachusa caring hospatients to re
Shattuck Hosver compassnt and suppo
sachusetts Hide medical,en and younndependenc
PH
e Goal Sett
e Departmenry Strategicystem Goalsam’s prior edraft Goals draft Goals Dssions which
on, BerryDuogether team BerryDunnther updates
ublic Health
c Health Misd healthy live
Mission Stathensive trea
etts Hospitapital commuach and ma
spital Missiosionate medort which pro
Hospital Sch habilitative,
ng adults witce in all aspe
ing Process
nt of Publicc, Organizats. Through
experience wDocument
Document wh were held o
nn facilitatems of agencyn has incors or feedbac
h and Public
ssion Statemes in healthy
tement: atment, care
al Mission Stunity which pintain their h
on Statemenical and psy
omotes their
hool Mission, rehabilitativth multiple dects of life.”
Page 1
s
c Health a Gtional, Progr
research, working withfor Massach
was deliveredon June 7, 8
d a review y staff reprerporated theck received f
c Health Ho
ment y communitie
e, and com
atement: provides affohighest phys
nt: ychiatric carhealth, well-
n Statement:ve, recreatioisabilities, a
The ComNext Gener
Goals Quesrammatic/Sereview of t
h Public Hohusetts DPHd to DPH an8, 9, 13 and
of the draft esenting varie DPH feedfrom DPH w
ospitals’ Mis
es.”
fort to adult
ordable, quasical, mental
re to patient-being, reha
onal, educatiassisting the
mmonwealth oration System
stionnaire wervice Delivthe agency’spitals, the H for each nd each facil15, 2011.
Goals Docious functiondback into
will be reflect
ssion State
ts with chro
ality healthc and spiritua
ts requiring abilitation and
ional and vom to achiev
of Massachums Planning P
June 30,
with the intevery, Qualitys and hospBerryDunn of the hosplity in advan
cument with ns to discussthis final G
ted in a final
ments
onic medica
care servicesal well-being
multi-discipd recovery.”
ocational serve their maxi
usettsProject
2011
ent of y and pitals’ DPH
pitals’ nce of
DPH s and Goals draft
l and
s that g.”
linary
rvices imum
DeliverabGoals Doc
3. Goals
Below argoals areonce. ThNext Gen
GOAL C
Sourc
DPH-ST
DPH-ST
GOAL C
Sourc
DPH-OR
DPH-OR
DPH-OR
DPH-OR
DPH-OR
DPH-OR
DPH-OR
DPH-OR
DPH-OR
DPH-OR
le 1C cument for D
re the goals e organized he categorieneration Sys
ATEGORY:
ce ID
TR01 Incrprovexpspe
TR02 Inteof th
ATEGORY:
ce ID
RG01 Sus
RG02 Incr
RG03 Provouts
RG04 Enhfaci
RG05 Incr
RG06 Inteado
RG07 Supand
RG08 Pro
RG09 Red
RG10 Stre
PH
that DPH anby category
es are: Strastem and Fu
STRATEG
rease inpatieviding a contanded nichecialties.
egrate and coheir clients a
ORGANIZA
stain retentio
rease efficien
vide innovatstanding qua
hanced stateng all facilitie
rease produc
egrated facilitopting equipm
pport the suc reducing he
mote wellne
duce health d
engthen loca
nd BerryDuny and some gategic, Organding.
IC
ent capacity tinuum of ac
e services/ou
ollaborate wand the Com
ATIONAL
on and recru
ncy and redu
tive, evidencality.
ewide underses and orga
ctivity.
ty maintenament manag
ccess of heaealth care co
ess and redu
disparities b
al and State
Page 2
nn identifiedgoals may cnizational, P
Go
to meet demcute, behavioutpatient cap
with public agmmonwealth’
Go
itment gains
uce redunda
ce-based ser
standing of Inizations tha
nce and progement RFID
alth care refoosts.
uce chronic d
by promoting
public health
The ComNext Gener
d through thecross categoProgrammat
oal
monstrated noral health apacity, and e
gencies to ms residents.
oal
s for all staff.
ancy.
rvice and de
IT needs oppat deliver se
operty managD technology
orm by maxim
disease.
g health equi
h capacity.
mmonwealth oration System
e Goals worories but theytic/Service D
needs of theand long termenhanced nu
meet the hea
.
eliver patient
portunities aervices.
gement systy to manage
mizing healt
ity.
of Massachums Planning P
June 30,
k session. Ty are only sDelivery, Qu
e community m care, ursing
lth care nee
t care of
and demand
tems includine clinical ass
th care quali
usettsProject
2011
These hown uality,
by
ds
s
ng ets.
ty
DeliverabGoals Doc
GOAL C
Sourc
DPH-PG
DPH-PG
DPH-PG
DPH-PG
DPH-PG
le 1C cument for D
ATEGORY:
ce ID
G01 Enhinclusuccthe
G02 BedRighadm
G03 Maxto apati
G04 Exppall
G05 Inte
PH
PROGRAM
hance continuding follow-cessful dischappropriate
dside medicaht time and f
ministration 5
ximize opporachieve publient wellness
plore correctiiative and sk
egrated, clini
MMATIC/SE
nuity of care -through witharges for pcare setting
ation adminisfrequency of5. Right drug
rtunities in Aic health goas.
ional systemkilled nursing
cal focused
Page 3
RVICE DEL
Go
between inph outpatientatients and
g.
stration to suf administratg).
Ambulatory Cals of reduci
m needs withg care for ag
pharmacy d
The ComNext Gener
LIVERY
oal
patient and ct care, in ordsupport com
upport the “5tion 3. Right
Care Clinics,ng health di
h public safeging or termi
distribution a
mmonwealth oration System
community sder to achievmmunity first
5 R’s” (1. Rigt dose 4. Rig
, especially sparities and
ty agencies inally ill inma
and administ
of Massachums Planning P
June 30,
services, ve more t placements
ght patient 2ght route of
Primary Card promoting
to provide ates.
tration system
usettsProject
2011
s in
2.
re,
m.
DeliverabGoals Doc
GOAL C
Sourc
DPH-NX
DPH-NX
DPH-NX
DPH-NX
DPH-NX
DPH-NX
DPH-NX
DPH-NX
DPH-NX
DPH-NX
le 1C cument for D
ATEGORY:
ce ID
XG01 InteSupconSysauto
XG02 Maxpatitrenstan
XG03 Impservprod
XG04 IncrRessyst
XG05 Maxeffic
XG06 Devbas
XG07 Inteopeprodabilcostserv
XG08 Sysprofand24/7
XG09 Archstantime
XG10 Impand
PH
NEXT GEN
egrate Comppport systemcurrent with
stem that inteomated disp
ximize electrent flow effic
nding and sundards comp
plement EMRvices and caduct.
rease interopsource Divisitems).
ximize the seciencies, car
velop metricsis.
egrate systemerations dataduce real-timity to develots/revenues vice/departm
stem must sufessional dev attendance
7 operation),
hive clinical ndards of thee business a
prove access achieve dat
NERATION S
puterized Phyms into clinica
SOPS instaerfaces with ensing syste
ronic accessciencies, car
upports evidepliance, (e.g
R modules thase managem
perability anion Systems
ecure use ofre process im
s and system
m into the spa (e.g., MMAme managemop departmen
by cost cenments.
upport traininvelopment c
e scheduling , financial da
documentate National Canalysis.
s to data, impta integratio
Page 4
SYSTEM
Go
ysician Ordeal practice (iallation of a r
the electronems (Pyxis).
s to current pre plan manaence based ., medication
hat fully suppment functio
d transparens, Pharmacy
f wireless tecmprovement
m(s) to meas
pectrum of cARS financiament informantal and servters, such a
ng, educatiocredentials a(responsive
ata, utilizatio
tion, meet inCoordinator fo
prove data qn.
The ComNext Gener
oal
er Entry (CPncluding Lareplacementnic medical r.
paper-basedagement, dareal-time clin reconciliat
port outpatieons not avail
ncy within aly, and other h
chnology to ts and intern
sure clinical
clinical care dls, HRCMS ation, such arvice budgetss nursing un
on, clinical coand interfacee to bargainion managem
nteroperabilitfor HIT and f
quality, timel
mmonwealth oration System
POE) and Cliboratory andt Pharmacy record (Med
d processes ata retrieval nical decisiotion, consen
ent services,able in curre
ll systems (ehospital info
promote benet informatio
productivity
data with bupayroll and
as daily dashs, and measnits or clinica
ompetency, e with benefing unit agre
ment and ope
ty and meanfacilitate que
liness and tr
of Massachums Planning P
June 30,
nical Decisiod x-ray) Information itech) and
that facilitatand data
on support, at forms).
, surgical ent Meditech
e.g. Human ormation
edside on access.
y on a real-tim
usiness labor activityhboard metrsure al
licensing anits, payroll, t
eements anderational dat
ningful use erying for rea
ransparency
usettsProject
2011
on
es
and
h
me
y) to ics,
nd ime
d a ta.
al-
y
DeliverabGoals Doc
Sourc
DPH-NX
DPH-NX
DPH-NX
GOAL C
Source
DPH-Q0
DPH-Q0
4. Concl
DPH hospromote informaticontrols t Both DPfeedback
le 1C cument for D
ce ID
XG11 Impprod
XG12 Rec(inc
XG13 Straelecensand
ATEGORY:
ID
01 Mai
02 Devdocreco
usion
spitals operpatient/clienon system to help the a
PH and Bek, and have w
PH
prove the useductivity, sup
ceive and traluding telem
ategize with ctronic medicures multi-a UR data.
QUALITY
ntain patient
velop compliumentation ord documen
ate unique nt care by prmust suppo
agency/facilit
rryDunn haworked mutu
e of technolopport data a
ansmit referrmedicine cap
correctional cal records agency intero
t safety.
ance measufrequency antation is ne
programs aroviding quaort patient cty to manag
ave revieweually toward
Page 5
Go
ogy to betternalytics, and
rals and relepabilities).
health systeand data excoperability w
Go
urement algond issues aucessary.
and they neality informatcare quality,e scarce res
ed and colla the final de
The ComNext Gener
oal
r manage prd track patie
evant patient
ems the deschanges at p
with LSH lab,
oal
orithms that uto-reminde
eed integratetion in a usa provide feesources.
aborated onefinition of ea
mmonwealth oration System
rograms, incent outcomes
t data electro
sign and impprison and ja, radiology, o
track approers when add
ed informatiable and timedback and
n ideas, shach of these
of Massachums Planning P
June 30,
crease/track s.
onically
plementationail sites that other clinical
priate ditional med
ion systemsely manner.
d include int
hared respegoals.
usettsProject
2011
n of
l
ical
s that . This ternal
ective
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 1D
Consolidated Goals Document
Version 2.0
July 14, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Tim Masse, Project Principal Charlie Leadbetter, Project Manager
BerryDunn 100 Middle Street, PO Box 1100
Portland, ME 04104-1100 [email protected]
________
Deliverab
Section
1. D
2. A
3. G
4. C
Revision
Version
v1.0
V2.0
____________
le 1 D – Cons
escription of
gency Missi
Goals ...........
onclusion ...
History:
n Deliver
June 3
July 1
___________
solidated Goa
Conso
f the Goal S
on Statemen
...................
...................
red Date
30, 2011
4, 2011
____________
als
Deliv
olidated
Table
etting Proce
nts ..............
...................
...................
Initial subm
Revised bas
___________
Page ii
TNe
verable
d Goals
of Conte
ess ..............
...................
...................
...................
Up
ission to the
sed on feed
___________
The Commoext Generati
1D
Docum
nts
...................
...................
...................
...................
pdate Reas
e State.
back from th
____________
onwealth ofon Systems
ment
...................
...................
...................
...................
on
he State.
___________
July 14,
f Massachus Planning P
P
...................
...................
...................
...................
_____
2011
usetts roject
Page
....... 1
....... 2
....... 2
..... 12
________
Deliverab
1. Descr BerryDunHealth (DcapturingNext Gen Using feresearchagenciesvarious aadvance June 7, 8Health an The Goagoals wh
MITA Go
Deveand s
Proviin pro
Prombusin
Provimakin
Provi Coord
MITA Ob
Adop Prom Prom Prom Provi Supp Prom Supp Break
XIX p At each with agefunctions
____________
le 1 D – Cons
ription of th
nn sent the DMH) and Dg the primaneration Sys
eedback rec, review of t
s the BerryDagencies’ coof agency-s
8, 9, 13, 14nd Human S
als Questionhich aligned w
oals
elop seamlesstandards. de an enviro
ograms and mote an entness processde informatng for healthde performadinate with p
bjectives
pt data and inmote secure dmote reusablemote efficient
de a beneficport interopemote good prport the integk down artifprogram).
goal setting ency staff. Es to discuss
___________
solidated Goa
e Goal Sett
DepartmenDepartment o
ry Strategicstem Goals f
eived from the agency’s
Dunn DDS, Donsiderationspecific and
4 and 15, 20Services (EO
nnaire and gwith MITA g
ss integrated
onment that technology.erprise viewses and techtion that is h care manaance managpublic Health
ndustry standata exchane component and effectivciary-centric rability and i
rogrammaticgration of clinficial bounda
work sessioEach state and evalua
____________
als
ing Process
nt of Develoof Public Hec, Organizatfor each Age
the agencies websites, aDMH and DP. The draft facility-spec
011. A sepaOHHS) on Ju
goal setting oals and obj
d systems t
supports fle
w that supphnologies. timely, acc
agement andement meash and integra
ndards. nge. nts through mve data sharfocus.
integration uc practices. nical and adaries betwee
on, BerryDuagency broate the goa
___________
Page 1
TNe
s
opmental Dialth (DPH), tional, Progrency.
es in respoand the teamPH teams dGoals docucific goal serate meeting
une 16, 2011
work sessiojectives:
hat effective
exibility, ada
ports enablin
urate, usabd program adsurement forate health ou
modularity. ring to meet
using open a
ministrative en systems,
nn facilitateught togethls. BerryDun
___________
The Commoext Generati
sabilities (Da Goals Qurammatic/Se
onse to the m’s prior expeveloped dr
ument was detting work sg was held 1.
ons were foc
ely commun
aptability, an
ng technolo
ble, and accdministrationr accountabiutcomes wit
stakeholder
architecture s
data to ena, geography
d a review oher teams onn has inco
____________
onwealth ofon Systems
DDS), Deparuestionnaire ervice Deliv
Questionnaperience woraft Goals dodelivered tosessions wh
with the Ex
cused on id
icate throug
d rapid resp
ogies aligne
cessible to n. ility and planth the Medic
rs’ needs.
standards.
ble better dey, and fundin
of the draft of staff reprorporated fe
___________
July 14,
f Massachus Planning P
rtment of Mwith the inte
very, Quality
aire and throrking with socuments fo
o each agenich were he
xecutive Offi
dentifying Ag
gh interopera
ponse to cha
ed with Med
support dec
nning. caid commun
ecision making (with the
Goals Docuresenting vaedback from
_____
2011
usetts roject
Mental ent of y and
rough imilar or the ncy in eld on ce of
gency
ability
anges
dicaid
cision
nity.
ing e Title
ument arious m the
________
Deliverab
DDS, DMfeedbackdocumen
2. Agenc
The Miss “The Depopportunand contwith inteexpandefamilies w The Miss “The Depaccess tenabling standardDepartmmental hpartnersh
The Miss “Helping 3. Goals
Below arwork sesthey are Delivery,of goals as a guideach parproviders
____________
le 1 D – Cons
MH, DPH ank received fnt.
cy Mission S
sion Stateme
partment is nities for indtribute to, th
ellectual disad opportunitwe support.”
sion Stateme
partment of o services athem to liv
s to ensurent sets pohealth trainihip with othe
sion Stateme
People Lea
re the goals ssion. Theseonly shown Quality, Nedo not indicde for underrticipating as, are listed
___________
solidated Goa
d EOHHS wrom any of
Statements
ent of the De
dedicated tividuals with
heir communabilities in tties for the ”
ent of the De
Mental Heaand supporte, work andre effective olicy, promoing and reser state agen
ent of the De
d Healthy Li
that DDS, De goals are o
once. The cext Generatiocate specificrstanding thegency. Finalast.
____________
als
work sessionthe agencie
s
epartment of
to creating, h intellectuanities as valthe least rehighest leve
epartment of
lth, as the Sts to meet td participate
and cultuotes self-desearch. Thisncies, individ
epartment of
ives In Healt
DMH, DPH, Eorganized bycategories aon System a priority ande improved
ally, goals d
___________
Page 2
TNe
s into this Ges will be re
f Developme
in partnershl disabilities lued membeestrictive enel of choice
f Mental Hea
State Mentalthe mental in their comrally compe
etermination,s critical mduals, familie
f Public Hea
thy Commun
EOHHS andy category anare: Strategicand Fundingd like goals abusiness anealing with
___________
The Commoext Generati
Goals Documeflected in t
ental Service
hip with oth to participaers. DDS snvironment wand self-dire
alth is as foll
l Health Authealth needmmunities. Tetent care , protects h
mission is aes, providers
alth is as follo
nities”
d BerryDunnnd some goc, Organizatg. Within eaare groupednd organizatemployees,
____________
onwealth ofon Systems
ment draft. Futhe June 30
es is as follo
ers, innovatate fully andstrives to suwhile providection to the
lows:
thority, assuds of individThe Departmto promote
human righccomplisheds and comm
ows:
n identified thals may crostional, Progrch category
d together. Etional capab, as oppose
___________
July 14,
f Massachus Planning P
urther updat0 iteration o
ows:
tive and gend meaningfuupport individding flexiblee individuals
res and produals of all ament estable recovery. ts and supd by workin
munities.”
hrough the Gss categorierammatic/Sey, the sequeEach goal sebilities desireed to clients
_____
2011
usetts roject
tes or of this
nuine lly in, duals
e and s and
vides ages, ishes
The pports ng in
Goals es but ervice ncing erves ed by s and
________
Deliverab
GOAL C
SourceID STR01
STR02
STR03
STR04
STR05
STR06
STR07
STR08
STR09
STR10
____________
le 1 D – Cons
ATEGORY:
Goal
Integrate be responCommonw
Use technreduce stoutcomes
Enhance and cons
Promote eligibility
Standardand cliniceffective fmanagemIncrease communicare, behexpand nenhance
Provide/soriented, choice anour contrainclude codevelopm
Strengtheof servicethat is recsupportinconsume
Ensure acevidence recovery utilizationlength of
Support ileast restand expa
___________
solidated Goa
STRATEG
and collabonsive and mwealth resid
nology to mataff work loads.
collaboratioumers and t
ease of acceprocess for
ize businesscal processefiscal, progra
ment practicecapacity to mty and provid
havioral healiche servicenursing spe
support a sysperson-cent
nd communitactors and oonsumers an
ment.
en DMH ovees to promotcovery-orieng of consumr health and
ccess to quabased and and commu
n of State hostay.
ndividuals wrictive environded opport
____________
als
IC
orate with diffeet health c
dents.
ake work mod and impro
on between atheir families
ess to the agservices.
s, performans across DMammatic andes throughoumeet the nede continuumth and long
es and outpacialties.
stem of caretered and suty living by taourselves acnd families i
ersight procee and monitted, person-
mer choice a safety.
ality servicespromising prnity tenure aspital beds b
with intellectuonment whiltunities for th
___________
Page 3
TNe
fferent agencare needs o
ore efficient ve patient
agency, provs.
gency’s inta
nce manageMH to ensured quality ut the Depareds of the m of care toterm care pa
atient capaci
e that is recoupports consaking steps
ccountable an policy
ess as a purctor service d-centered ans well as en
s that utilize ractices thatand improveby decreasin
ual disabilitiee providing fhe highest le
___________
The Commoext Generati
D
cies to of
and
viders
ke and
ment e
rtment.
acute atients, ty and
overy-sumer to hold nd to
chaser elivery
nd suring
t support e ng
es in the flexible evel of
____________
onwealth ofon Systems
DDS DMH
X X
X X
X X
X
X
X
X
X
X
X
___________
July 14,
f Massachus Planning P
DPH EO
X
X
X
X
_____
2011
usetts roject
OHHS
X
X
X
________
Deliverab
SourceID
STR11
STR12
STR13
STR14
GOAL C
SourceID ORG01
ORG02
ORG03
ORG04
ORG05
ORG06
ORG07
ORG08
____________
le 1 D – Cons
Goal
choice anfamilies w
Promote fulfill its roEffectivelAuthority practicesSupport shighly quaexpandinSupport athat prompartnersh
ATEGORY:
Goal
Increase e
Provide inbased serresidents
Ensure efprocesseshuman re
Create aninvolveme
Create a c
Improve chospitals informatiocare.
Enhance opportuniorganizat
Increase
___________
solidated Goa
nd self-directwe support.
research anole as the Sty carry out rbeyond pro. staff by promalified and cg the peer w
an environmmotes physicahip.
ORGANIZA
efficiency an
nnovative, hirvice and ouof Massach
ffective mans to support sources, an
n organizatioent of agenc
culture of op
collaborationthrough mon
on sharing a
statewide unties and demions that del
productivity.
____________
als
tion to the in
d best practtate Mental role of State moting rese
moting learniculturally comworkforce. ent in the Dal health and
ATIONAL
nd reduce re
igh-quality, autcome focususetts.
agement strprograms, pd service ca
onal structurecies surround
penness and
n and communthly meetinnd improve v
nderstandingmands facingliver services
___________
Page 4
TNe
ndividuals an
tice to help DHealth AuthoMental Heaarch and be
ng, developmpetent staff
MH service d wellbeing
edundancy.
affordable evsed patient c
ructure and providers, fuapacity.
e to enable ading wellnes
d transparen
unication witgs to enablevalue and qu
g of the IT ng all facilitiess.
___________
The Commoext Generati
D
nd
DMH ority.
alth est
ing a ff, and
system in
D
vidence-care to
nding,
active ss.
ncy.
th e uality of
needs s and
____________
onwealth ofon Systems
DDS DMH
X
X
X
X
DDS DMH
X X
X X
X X
X X
___________
July 14,
f Massachus Planning P
DPH EO
H DPH EO
X
X
X
X
X
X
X
X
_____
2011
usetts roject
OHHS
OHHS
X
X
X
X
X
________
Deliverab
SourceID ORG09
ORG10
ORG11
ORG12
ORG13
ORG14
ORG15
ORG16
ORG17
____________
le 1 D – Cons
Goal
Support thmaximizincare costs
Ensure thservice deAnd, buildmodel.
Reduce h
Strengthe
Implemeninstitutionstate residresidentianeeds for 22 prioritizpopulation
Strengtheimprovingprograms
Integratedmanagemmanagemassets.
Sustain re
Promote w
___________
solidated Goa
he success ong health cas.
hat supportedelivery, provd a strong se
health dispar
en local and
nt the Commalizing indivdential facilit
al infrastructuall populatio
zed for residns.
en DDS procg individuals’ and service
d facility maiment system ment RFID te
etention and
wellness and
____________
als
of health carre quality an
d individualsider and reself-direction
rities by prom
state public
munity First piduals from ties and builure to managons includingdential and o
cesses for m’ satisfactiones.
ntenance anincluding ad
echnology to
recruitment
d reduce chr
___________
Page 5
TNe
re reform bynd reducing
s have choicsidential settservice deliv
moting healt
health capa
program, de-nursing facilding a stronge all resideg individuals
other special
measuring ann with DDS a
nd property dopting equio manage cli
t gains for al
ronic diseas
___________
The Commoext Generati
D
y health
ce of ing. very
h equity.
acity.
-lities and
ng ential s turning l
nd and its
pment nical
ll staff.
se.
____________
onwealth ofon Systems
DDS DMH
X X
X
X
X X
___________
July 14,
f Massachus Planning P
H DPH EO
X
X
X
X
X
X
_____
2011
usetts roject
OHHS
X
X
________
Deliverab
GOAL C
SourceID PG01
PG02
PG03
PG04
PG05
PG06
PG07
PG08
PG09
PG10
____________
le 1 D – Cons
ATEGORY:
Goal
Enhance communitoutpatientdischargeplacemenDevelop wcommunithelp facilicommunitchoosing.Continue family sup
Assure thcollaboratdelivered environmedevelopmbased pra
Utilize decplanning aimprovem
Build and meet the a greater accomplisBuild a strcustomizeenables inindependeEnsure quand self-dwithin ser
Enhance options thshared liv
Effectivelyconsumerchanging including such as D
___________
solidated Goa
PROGRAM
continuity ofty services, t care, in ord
es for patientnts in the appworking relatty organizatitate clients lty with the s. to successfu
pport service
at services ation with cliein the least ent. Service
mentally appractices/best
cision suppoand to prom
ment.
implement eneeds of indsense of em
shment. ronger Assised wheelchandividuals wently. uality homesdirection (conrvice delivery
sustainable hat meet the ving.
y manage ners newly eligneeds in ligmaximizing
Day Habilitat
____________
als
MMATIC/SE
f care betweincluding folder to achievts and suppopropriate cartionships witons and nateading full liupport netwo
ully provide es across the
are providedents, are indirestrictive, cs should beropriate and practices.
ort systems tote continuo
employmentdividuals supmpowerment
stive Technoairs and othe
with disabilitie
s, quality emnsumer-direy).
and affordaindividuals’
eeds of peopgible and indht of limited MassHealthion and Adu
___________
Page 6
TNe
RVICE DEL
een inpatientlow-through
ve more sucort communire setting. th other reletural supportives in the orks of their
and enhance Commonw
d and planneividualized, aclinically appage and based on ev
to inform poous quality
t programs tpported and t and
ology prograer technologyes to live mo
mployment prcted opportu
ble residentneeds, such
ple turning 2dividuals with
new resourch State Plan ult Foster Ca
___________
The Commoext Generati
LIVERY
D
t and h with ccessful ity first
evant ts to
r
ce all wealth.
ed in and are
propriate
vidence
licy and
that will provide
am, e.g. y that
ore
rograms, unities
tial h as
22, h ces, services
are.
____________
onwealth ofon Systems
DDS DMH
X X
X X
X X
X X
X
X
X
X
X
X
___________
July 14,
f Massachus Planning P
H DPH EO
X
X
_____
2011
usetts roject
OHHS
________
Deliverab
SourceID PG11
PG12
PG13
PG14
PG15
PG16
GOAL C SourceID
NXG01
NXG02
NXG03
NXG04
____________
le 1 D – Cons
Goal
Support amanagem
Implemencollected
ImplemenSupport thFrequencRoute of AIntegratedadministra
Maximizeespeciallygoals of repatient weExplore cagencies for aging
ATEGORY:
Goal
Consolidenvironm1 contra
IncreasesystemsPharma
Improveprogramanalytic
Maximizprocesscare platrendingclinical d
___________
solidated Goa
and improve ment practice
nt a system tto support k
nt bedside mhe “5 R’s” (1
cy of AdminisAdministratiod clinical focation system
opportunitiey Primary Caeducing heaellness. orrectional sto provide por terminally
NEXT GEN
dated and stment (all samact for all of E
e interoperas (e.g. Humaacy, and Oth
e the use of tms, increase/s, and track
ze electronicses that facilan managemg and suppodecision Sup
____________
als
harm reduces.
that provideskey performa
medication ad. Right patie
stration 3. Ron 5. Right Dused pharm
m.
es in Ambulaare, to achiealth disparitie
system needpalliative andy ill inmates.
NERATION S
Common S
tandardizatiome hardwareEOHHS).
bility and traan Resourceer Hospital I
technology t/track produpatient outc
c access to citates patien
ment, data rerts evidencepport, standa
___________
Page 7
TNe
ction and risk
s for data to ance indicato
dministrationent 2. Right tight Dose 4.Drug).
macy distribut
atory Care Cve public hees and prom
ds with publicd skilled nurs
SYSTEM
Standardiza
on of systeme, software,
ansparency we Division SyInformation S
to better mactivity, supp
comes.
current papent flow efficieetrieval and de based real-ards complia
___________
The Commoext Generati
D
k
be ors.
n to time and . Right
tion and
Clinics, ealth
moting
c safety sing care
ation Goals
m 1 license,
within all ystems, Systems).
nage port data
er-based encies, data -time ance, e.g.,
____________
onwealth ofon Systems
DDS DMH
X
X
DDS DM
s
X X
X X
X X
___________
July 14,
f Massachus Planning P
H DPH EO
X
X
X
X
MH DPH
X X
X X
X X
X
_____
2011
usetts roject
OHHS
EOHHS
X
X
X
X
________
Deliverab
SourceID
NXG05
NXG06
NXG07
NXG08
NXG09
NXG10
NXG11
NXG12
NXG13
____________
le 1 D – Cons
Goal
medicat
Point-ofinformataccess care.
Developagenciebased pand pro
Improvequantitydata intecliniciandecision
Developsupport and qua
Integratdata witfinanciaproducedaily dadepartmcosts/reor clinic
System busines
Developproduct
Achievethrough Electron
Archive and mea
___________
solidated Goa
tion reconcil
Commo
f-care technotion and servto real-time
p an easily qes with real tpractice, enhvide data fo
e access to dy, timeliness egration to p
ns to supportns.
p reporting abilling, serv
ality manage
e system intth business ols, HRCMS
e real-time mshboard me
mental and seevenues by cal service/de
will ensure s logic and w
p metrics andivity on a rea
e clinical andHealth Infor
nic Health Re
clinical docuaningful use
____________
als
iation, conse
on Analytic/
ology that suves as documaterial to m
queryable daime data for
hancing popur managing
data, improvand transpa
provide real-t strategic an
and data anaice utilizatio
ement.
to the spectroperations dpayroll and
managementetrics, ability ervice budgecost centers,epartment.
data quality workflows.
d system(s) al-time basis
Common
d programmarmation Excecord (EHR
umentation, e standards o
___________
Page 8
TNe
ent forms.
/Data Repos
upports patieument reposimeet standa
atabase acror developing ulation manapatient care
ve data qualiarency and atime informand operation
alytics capabn managem
rum of clinicadata (e.g., Mlabor activityt informationto develop ets, and mea, such as nu
and integrity
to measure s.
Interoperab
atic data intehange (HIE)), and other
meet interoof the Nation
___________
The Commoext Generati
sitory/Acce
ent itory with
ards of
oss all evidenced
agement e.
ity, achieve ation to nal
bilities to ment/review
al care MMARS
y) to n, such as
asure ursing unit
y based on
clinical
bility Goals
egration ), DMH means.
perability nal
____________
onwealth ofon Systems
DDS DM
ss Goals
X X
X X
X X
X X
X X
X
___________
July 14,
f Massachus Planning P
MH DPH
X X
X X
X X
X
X
X X
X
X
X
_____
2011
usetts roject
EOHHS
X
X
X
X
________
Deliverab
SourceID
NXG14
NXG15
NXG16
NXG17
NXG18
NXG19
NXG20
____________
le 1 D – Cons
Goal
Coordintime bus
ContinurequiremHIPAA,
Developrecord aservicesfunctioncommun
Establisinformatoperatiobased sas the aand a remaintainregulatoReceivedata elecapabili
IntegratClinical practicewith SOInformamedicalsystems
Maximizpromoteimprove
System competecredentand atteunit agreand utili
___________
solidated Goa
nator for HIT siness analy
e to meet alments arounprivacy, sec
p a common across agencs, surgical sens and promonication.
sh a comprehtion system onal aspectsservice areasadministrativequirement fned in the Cory environme and transmectronically (ties).
e ComputerDecision Su
e (including LOPS installati
tion System record (Med
s (Pyxis)
ze the secure bedside effements and i
must suppoency, licensiials and inte
endance scheements andzation mana
____________
als
and facilitatysis.
l federal andd the use of
curity and dis
and single ecies that fullervices and otes data sh
hensive, intesolution that
s for the facils (and include/payor aspfor the solutiommonwea
ment. mit referrals a
including tel
Common
rized Physiciupport systemLaboratory aion of a replathat interfac
ditech) and
re use of wireficiencies, cainternet infor
S
ort training, eing and prof
erface with bheduling (resd a 24/7 opeagement and
___________
Page 9
TNe
te querying f
d state standf technologysaster recov
electronic my supports ocase manag
haring and ag
egrated healt addresses ity and com
des an EHR)ects for eacon to operatlth of Massa
and relevantlemedicine
n CPOE-rela
ian Order Enms into clinic
and x-ray) coacement Phces with the automated d
eless technoare process rmation acce
Specific Goa
education, clessional devenefits, payr
sponsive to beration), finad operationa
___________
The Commoext Generati
for real-
dards and y, such as very.
medical outpatient gement gency
lthcare all
munity ), as well
ch agency te and be
achusetts
t patient
ated Goals
ntry and cal
oncurrent harmacy
electronic dispensing
ology to
ess.
als
linical velopment roll, time bargaining ancial data, al data.
____________
onwealth ofon Systems
DDS DM
X X
X
___________
July 14,
f Massachus Planning P
MH DPH
X X
X
X
X
X
X
X
_____
2011
usetts roject
EOHHS
X
X
X
________
Deliverab
SourceID NXG21
NXG22
NXG23
GOAL CSourceID Q01
Q02
Q03
Q04
Q05
____________
le 1 D – Cons
Goal
Developaccuratequality a
Strategiand impdata excmulti-agand othe
Use teceffectiveand imp
ATEGORY: Goal
Maintain p
Ensure thprograms
Ensure suall homessubstantiaof Quality
Implemencentered.
Develop ctrack apprissues aurecord do
___________
solidated Goa
p a populatioely manage and outcome
ze with correplementationchanges at p
gency interoper clinical an
hnology to eeness of theprove patient
QUALITY
patient safet
he highest le.
urvey and ces and prograal complianc
y Enhanceme
nt revised IS
compliance mropriate docto-reminderscumentation
____________
als
on based syscare and se
e measures.
ectional hean of electroniprison and japerability witnd UR data.
enhance the workforce, wt outcomes.
ty.
vel of quality
ertification prms surveyed
ce with OQEent).
P process th
measuremeumentation s when addin is necessa
___________
Page 10
TNe
stem that woervices and t
alth systems ic medical reail sites that th LSH lab, r
efficiency awherever th
y across all
rocess deterd by OQE ar
E regulations
hat is more p
nt algorithmfrequency aitional medic
ary.
___________
The Commoext Generati
ould tie cost to
the design ecords and ensures
radiology,
and ey work,
D
rmines re in
s (Office
person-
s that and cal
____________
onwealth ofon Systems
DDS DM
X X
DDS DMH
X X
X X
X
X
___________
July 14,
f Massachus Planning P
MH DPH
X
X X
H DPH EO
X
X
X
_____
2011
usetts roject
EOHHS
X
OHHS
X
________
Deliverab
GOAL CSourceID FND01
FND02
FND03
FND04
FND05
FND06
____________
le 1 D – Cons
ATEGORY: Goal
Maximizinterope Meet all Managebillings, Maximiz
Maximizwaiver, awaiver, a
increwaiv
mainsuppasse
ensurequ
ensu
Impleme
Maximizrevenue documen
___________
solidated Goa
FUNDING
e federal reirability amon
HIPAA stanment includielectronic pa
e resources
e federal reiadult residenand the adul
easing the nuer services;
ntaining eligiports and seressed needsuring compliaired by CMS
uring complia
ent Chapter 2
e Targeted Cby ensuring
ntation is co
____________
als
imbursemenng agency a
ndards for pring: Eligibilityayments and
under state
imbursemenntial waiver, lt support wa
umber of ind bility, enrollmrvices that m; ance with waS; and ance with wa
257 rates fo
Case Managg all CMS reqmplete.
___________
Page 11
TNe
nt by creatingand other sys
roper Reveny, authorizatd claims stat
e plan servic
nt under autiscommunity
aiver by:
dividuals rec
ment and demeet individu
aiver assura
aiver claim c
r services.
gement (TCMquired
___________
The Commoext Generati
D
g stems.
ue Cycle tions, tus.
es.
sm living
ceiving
elivery of uals’
ances as
checks.
M)
____________
onwealth ofon Systems
DS DMH
X X
X X
X X
X
X
X
___________
July 14,
f Massachus Planning P
DPH EO
X
X
_____
2011
usetts roject
OHHS
________
Deliverab
4. Conc
Each agaffordablEach agedeliver sorganizaall three inpatient support c In order articulateGeneratiSystemsagreemesupport databasetime infoanalytics The Nextransformparticipatof activiti
____________
le 1 D – Cons
clusion
ency maintae evidence-ency also hservices in tional goals agencies agand comm
community f
to achieve ted a goal toon System, ) to fully su
ent with eachtheir workfo
e with betterormation to s and track p
xt Generatiomative and sting agenciees and func
___________
solidated Goa
ains strateg-based servas a goal tothe least rediffer in how
gree on a gomunity servic
irst placeme
their goals oo increase iHuman Res
upport their h agency exorce wherevr quality data
clinicians tpatient outco
on System strategic Ages in meetingtions and su
____________
als
ic and orgaice and outo increase eestrictive sew best to incoal to betterces, to achients in the ap
of deliveringnteroperabilsource Diviswork. The pressing go
ver they woa, more timeto support mes were s
will addresency Goals.g their goals
upport overa
___________
Page 12
TNe
anizational gcome focusefficiency, reetting. Withinrease their cr collaborateieve more sppropriate ca
the best poity and tran
sion SystemsNext Generals related trk. Goals re
ely data and strategic anhared acros
ss MITA Go. When fullys to better ull agency an
___________
The Commoext Generati
goals to delsed care to educe redunn DDS, DMcapacity to se in providinsuccessful dare setting.
ossible carensparency ws, Pharmacyration systeto developinelated to bufull data inte
nd operationss all three a
oals and My implementuse technolond service m
____________
onwealth ofon Systems
iver innovatresidents of
ndancy, maiMH and DPserve clientsg continuity discharges
, DDS, DMHwithin all sysy, Other Hosm is anotheg point of cauilding an eegration whinal decisiongencies.
MITA Objected it, will asogy to suppomanagement
___________
July 14,
f Massachus Planning P
tive, high-quf Massachusntain safety
PH, their sps and patient
of care betwfor patients
H and DPH stems (e.g. spital Informer area of bare technoloeasily accesich providesns, support
tives along ssist each oort a broad r.
_____
2011
usetts roject
uality, setts.
y, and pecific ts but ween
s and
each Next
mation broad ogy to ssible s real-
data
with of the range
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 3 A: SSP Maturity Model
Version 1.0
September 26, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Charlie Leadbetter, Project Principal/Project Manager BerryDunn
100 Middle Street, PO Box 1100 Portland, ME 04104-1100
DeliverabSSP Matu
Section
Backgr
Work P
SSP M
Revision
Version
v1.0
le 3A urity Model
D
round ..........
Performed ...
aturity Mode
History:
n Deliver
Septem20
Delivera
...................
...................
el ................
red Date
mber 26, 011
ble 3 A
Table
...................
...................
...................
Initial subm
Page ii
SSP M
of Conte
...................
...................
...................
Up
ission to the
The ComNext Gener
Maturity
nts
...................
...................
...................
pdate Reas
e Commonw
mmonwealth oration System
Se
Model
...................
...................
...................
on
wealth
of Massachums Planning P
eptember 26,
P
...................
...................
...................
usettsProject
2011
Page
...... 1
...... 1
...... 2
DeliverabSSP Matu
BackgroThis delithe ‘As IModel (Tassess tState Spagency iCapabilit
The Berassign a
Work PeTo create
1. A2Bthsule
2. Rmre
3. InCCS
4. AMDfo
SSP MatThe SSP
les 3A urity Model
ound verable is ps’ SS-A and
TCM) for Eatheir currentpecific Procedentified asty Matrix form
ryDunn andmaturity lev
erformed e the SSP M
A Draft SSP 011 and wa
BerryDunn rehree agencieupported thi
evel measure
Revised the meeting with eview and co
ncorporated CommonweaCommonweaSSP meeting
Adopted the Model has beDDS Project or Activity 3 a
turity ModeP Maturity Mo
part of Next d Creating tch Agency”.t business cess (SSP). Ts performingms.
d Commonwvel to the SS
Maturity Mode
Maturity Mos reviewed w
ecommendedes for all Ss approach.es needed to
Draft SSP DMH, and
omment.
BerryDunn alth’s Projecalth were recs beginning
DMH-approeen in use aManager anat DDS.
l odel is prese
Generation he Business. The SSP Mcapabilities The maturity will be ass
wealth agencP under disc
el, BerryDun
del methodowith Departmd one set of
SSPs. The D. The Commo be develop
Maturity Mocirculated th
team commct Managerceived. DMHon July 19,
oved SSP Mat DDS sincend Project S
ented on the
Page 1
Systems Ps Capability Maturity Modand determ
y levels for tsigned using
cy leads wicussion imm
nn undertook
ology and tement of Menf SSP MaturiDMH team monwealth’s ped for Leve
odel based he revised d
ments and r on July H began usi2011.
Maturity Mode the beginnponsor (Ken
e following pa
The ComNext Gener
Planning ProModel (BC
del is the tomine the curthe MITA bug the MITA
ill review thmediately foll
k the followi
emplate was ntal Health (ity Measuresand CommoProject Man
els 1, 2 and
on the outdraft to the
presented 13, 2011.
ing the SSP
del for use ning of Activn Smith) has
ages.
mmonwealth oration System
Se
oject Activity M) and Tecol each agerrent maturitusiness procPart I Appe
he SSP Matlowing each
ng tasks:
developed DMH) leadss be developonwealth’s nager indica3 only.
tcomes of tBerryDunn
final draft t No comm
P Maturity M
by DDS. Thity 3 on Augs approved u
of Massachums Planning P
eptember 26,
3 – “Perforchnical Capaency will utility level for cesses that
endix D Bus
turity ModelSSP meetin
in June and s on July 8, 2ped for use Project Man
ated that ma
the July 8, agency lead
to DMH andments from
Model during
he SSP Magust 3, 2011use of this m
usettsProject
2011
rming ability ize to each each iness
l and ng.
July, 2011. by all nager aturity
2011 ds for
d the m the
their
aturity . The
model
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 3 B SSP Maturity Model
Version 2.0
July 25, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Charlie Leadbetter, Project Principal/Project Manager BerryDunn
100 Middle Street, PO Box 1100 Portland, ME 04104-1100
DeliverabSSP Matu
Section
Backgr
Work P
SSP M
Revision
Version
v1.0
v2.0
le 3B urity Model
D
round ..........
Performed ...
aturity Mode
History:
n Deliver
July 2
July 2
Delivera
...................
...................
el ................
red Date
0, 2011
5, 2011
ble 3 B
Table
...................
...................
...................
Initial subm
Revised and
Page ii
SSP M
of Conte
...................
...................
...................
Up
ission to the
d re-submitt
The ComNext Gener
Maturity
nts
...................
...................
...................
pdate Reas
e Commonw
ted to the Co
mmonwealth oration System
Model
...................
...................
...................
on
wealth.
ommonwealt
of Massachums Planning P
July 25,
P
...................
...................
...................
th.
usettsProject
2011
Page
...... 1
...... 1
...... 2
DeliverabSSP Matu
BackgroThis delithe ‘As IModel (Tassess tState Spagency iCapabilit
The Berassign a
Work PeTo create
1. R
2. R
3. CDoSTb
4. Rmre
5. InCCS
SSP MatThe SSP
les 3A, B, C aurity Model
ound verable is ps’ SS-A and
TCM) for Eatheir currentpecific Procedentified asty Matrix form
ryDunn andmaturity lev
erformed e the SSP M
Reviewed rel
Reviewed rel
Created a DDepartment o
ne set of SSSPs. The DThe Common
e developed
Revised the meeting with eview and co
ncorporated CommonweaCommonweaSSP meeting
turity ModeP Maturity Mo
and D
part of Next d Creating tch Agency”.t business cess (SSP). Ts performingms.
d Commonwvel to the SS
Maturity Mode
evant MITA
evant Behav
raft SSP Mof Mental HSP Maturity
DMH team anwealth’s Prd for Levels
Draft SSP DMH, and
omment.
BerryDunn alth’s Projecalth were recs beginning
l odel is prese
Generation he Business. The SSP Mcapabilities The maturity will be ass
wealth agencP under disc
el, BerryDun
Framework
vioral Health
aturity Modeealth (DMH
y Measures nd Commonroject Manag1, 2 and 3 o
Maturity Mocirculated th
team commct Managerceived. DMHon July 19,
ented on the
Page 1
Systems Ps Capability Maturity Modand determ
y levels for tsigned using
cy leads wicussion imm
nn undertook
2.0 chapter
h MITA Fram
el methodol) leads on Jbe develop
nwealth’s Prger indicatednly.
odel based he revised d
ments and r on July H began usi2011.
e following pa
The ComNext Gener
Planning ProModel (BC
del is the tomine the curthe MITA bug the MITA
ill review thmediately foll
k the followi
rs and appen
mework chap
logy and temJuly 8, 2011
ped for use roject Managd that maturi
on the outdraft to the
presented 13, 2011.
ing the SSP
ages.
mmonwealth oration System
oject Activity M) and Tecol each agerrent maturitusiness procPart I Appe
he SSP Matlowing each
ng tasks:
ndices.
pters and ap
mplate and 1. BerryDunby all threeger supporteity level mea
tcomes of tBerryDunn
final draft t No comm
P Maturity M
of Massachums Planning P
July 20,
3 – “Perforchnical Capaency will utility level for cesses that
endix D Bus
turity ModelSSP meetin
ppendices.
reviewed itnn recommee agencies fed this approasures need
the July 8, agency lead
to DMH andments from
Model during
usettsProject
2011
rming ability ize to each each iness
l and ng.
t with ended for all oach.
ded to
2011 ds for
d the m the
their
Commonwealth of Massachusetts Executive Office of Health and Human Services
Next Generation System Planning Project
Deliverable 3 C SSP Maturity Model
Version 1.0
September 26, 2011
Stephen Buchner, Project Manager The Commonwealth of Massachusetts
Executive Office of Health and Human Services One Ashburton Place, 11th Floor
Boston, MA 02108 [email protected]
Charlie Leadbetter, Project Principal/Project Manager BerryDunn
100 Middle Street, PO Box 1100 Portland, ME 04104-1100
DeliverabSSP Matu
Section
Backgr
Work P
SSP M
Revision
Version
v1.0
le 3C urity Model
D
round ..........
Performed ...
aturity Mode
History:
n Deliver
Septem20
Delivera
...................
...................
el ................
red Date
mber 26, 011
ble 3 C
Table
...................
...................
...................
Initial subm
Page ii
SSP M
of Conte
...................
...................
...................
Up
ission to the
The ComNext Gener
Maturity
nts
...................
...................
...................
pdate Reas
e Commonw
mmonwealth oration System
Se
Model
...................
...................
...................
on
wealth
of Massachums Planning P
eptember 26,
P
...................
...................
...................
usettsProject
2011
Page
...... 1
...... 1
...... 2
DeliverabSSP Matu
BackgroThis delithe ‘As IModel (Tassess tState Spagency iCapabilit
The Berassign a
Work PeTo create
1. A2Bthsule
2. Rmre
3. InCCS
4. AMTO
SSP MatThe SSP
les 3C urity Model
ound verable is ps’ SS-A and
TCM) for Eatheir currentpecific Procedentified asty Matrix form
ryDunn andmaturity lev
erformed e the SSP M
A Draft SSP 011 and wa
BerryDunn rehree agencieupported thi
evel measure
Revised the meeting with eview and co
ncorporated CommonweaCommonweaSSP meeting
Adopted the Model has beThe DPH PrOlverson) has
turity ModeP Maturity Mo
part of Next d Creating tch Agency”.t business cess (SSP). Ts performingms.
d Commonwvel to the SS
Maturity Mode
Maturity Mos reviewed w
ecommendedes for all Ss approach.es needed to
Draft SSP DMH, and
omment.
BerryDunn alth’s Projecalth were recs beginning
DMH-approeen in use aroject Manas approved
l odel is prese
Generation he Business. The SSP Mcapabilities The maturity will be ass
wealth agencP under disc
el, BerryDun
del methodowith Departmd one set of
SSPs. The D. The Commo be develop
Maturity Mocirculated th
team commct Managerceived. DMHon July 19,
oved SSP Mt DPH since
ager (Parthause of this m
ented on the
Page 1
Systems Ps Capability Maturity Modand determ
y levels for tsigned using
cy leads wicussion imm
nn undertook
ology and tement of Menf SSP MaturiDMH team monwealth’s ped for Leve
odel based he revised d
ments and r on July H began usi2011.
Maturity Mode the beginna Gajula) amodel for Ac
e following pa
The ComNext Gener
Planning ProModel (BC
del is the tomine the curthe MITA bug the MITA
ill review thmediately foll
k the followi
emplate was ntal Health (ity Measuresand CommoProject Man
els 1, 2 and
on the outdraft to the
presented 13, 2011.
ing the SSP
del for use ing of Activitnd Technic
ctivity 3 at DP
ages.
mmonwealth oration System
Se
oject Activity M) and Tecol each agerrent maturitusiness procPart I Appe
he SSP Matlowing each
ng tasks:
developed DMH) leadss be developonwealth’s nager indica3 only.
tcomes of tBerryDunn
final draft t No comm
P Maturity M
by DPH. Thty 3 on Sept
cal Area CoPH.
of Massachums Planning P
eptember 26,
3 – “Perforchnical Capaency will utility level for cesses that
endix D Bus
turity ModelSSP meetin
in June and s on July 8, 2ped for use Project Man
ated that ma
the July 8, agency lead
to DMH andments from
Model during
he SSP Matember 14, 2
oordinator (D
usettsProject
2011
rming ability ize to each each iness
l and ng.
July, 2011. by all nager aturity
2011 ds for
d the m the
their
aturity 2011. David
Ex
D
C
Commxecutive O
Next
Deliverable 4(Ba
TheExecutiv
O
Charlie Lead
1
monwealtOffice of H
Generation
.3A (DDS): Tased on MIT
Mar
Erin Ferrare Commonwve Office of HOne Ashbur
Bostoerin.ferra
dbetter, ProB
100 Middle SPortland,
cleadbette
th of Mas
Health andSystem Pla
To Be BusinTA SS-A – V
rch 30, 2012
ri, Project M
wealth of MasHealth and Hrton Place, 1on, MA [email protected]
oject PrincipBerryDunn Street, PO B, ME 04104-
er@berrydun
ssachusd Human nning Projec
ness CapabiVersion 2.0)
2
Manager ssachusettsHuman Serv1th Floor
08 ma.us
pal/Project
Box 1100 -1100 nn.com
etts Services ct
lity Matrix
vices
Manager
____D. 4.3Busin
Secti
Meth
1.1
1.2
1.3
1.4
MITA
Appe
Appe
Draft
Versio
Versio
___________3A (DDS): To ness Capabilit
Del
on
hodology..
To Be A
MITA Bu
MITA O
MITA Te
A Business
endices:
endix A; Matu
Version
on 1
on 2
__________Be
ty Matrix
liverable 4.3
.................
Analysis Met
usiness Goa
bjectives ....
echnical Goa
s Capabilit
urity Matrix (
Delivered
February
March 30
___________
3A (DDS): T
TABLE
.................
hodology ....
als ...............
...................
als ..............
ty Findings
(Definition)
d Date U
10, 2012 D
, 2012 D
T
Ne
__________
2
To Be Busin
OF CONTE
.................
...................
...................
...................
...................
s ...............
Update Reas
Deliverable Is
Deliverable R
The Commoext Generatio
__________
ness Capab
NTS
.................
...................
...................
...................
...................
.................
son
ssued
Re-issued to c
onwealth ofon Systems
___________
M
bility Matrix
.................
...................
...................
...................
...................
.................
correct incons
f MassachusPlanning Pr
___________
March 30, 201
Page
.............. 3
................ 3
................ 4
................ 4
................ 4
.............. 6
sistencies
settsroject
_
12
____D. 4.3Busin
Met 1.1
The Das deagenBe MTo Bthe fration The matu
A meconsematusuppenhaimproservicmeetaccurboun Note:becoupgratargeenviro
___________3A (DDS): To ness Capabilit
hodology
To Be A
DDS team uefined duringcy needs an
Matured. A me Business inal draft. nale for sele
BerryDunn red: Meets on Meets on Maturing Maturing
depende Maturing Can be m
eeting was hensus on thred, which orting the ncing collab
oving interoce utilization the MITA rate and easdaries be
: The selectme more auades or a N
eted for incronment.
__________Be
ty Matrix
y
nalysis Me
sed a combg the first phnd recomme
meeting wasCapability MA subset octing them is
team used
ne or more Mne or more D
the processg the processnt process
g the processmatured ove
held at DDShose proces
are presendevelopme
boration betwperability, ren manageme
goals and sily accessibetween sy
tion of a Proutomated wiNext Generareased auto
___________
ethodology
ination of thase of the M
endations to held on JaMatrix (BCMf processess provided in
the followi
MITA 2.0 GoDDS Agencys improves as will occur a
s will allow oer a 2 to 5 ye
S on Januarsses "To Bented in thent of an ween DDS, eporting andent and qua
objectives ble data, redystems a
ocess To Bethin 2 to 5 y
ation Systemomation, int
T
Ne
__________
3
y
e MITA 2.0 MITA project inform the nuary 26, 2
M) and recoms (31 out ofn the accom
ing criteria
als y Goals identa critical busas a result o
other procesear horizon
ry 26, 2012e" matured. e accompanintegrated its providersd data anaality manage
surroundinducing duplicand promo
e Matured dyears; rathe
m is put intoteroperability
The Commoext Generatio
__________
Goals and Ot (May and Jselection of012, with Dmmendationf 72 or 43%
mpanying To
in selecting
tified in Activiness functio
of maturing a
sses to matu
, to review The 31 p
nying matrixHealth Infos, consumerlytics capabement. Theng interopercation costsoting ove
oes not imper it implies o place, they or efficien
onwealth ofon Systems
___________
M
Objectives, Aune 2011), af Business PDS to review
ns were inco%) were ide
Be Matrix.
g the Proce
vity 1 on or functioanother relat
ure as well
all processerocesses chx, meet DD
ormation Syrs and their bilities to sue chosen prrability, provs, breaking derall best
ply that the pthat if and w
ese processency in the
f MassachusPlanning Pr
___________
March 30, 201
Agency Goaand identifieProcesses Tw the drafte
orporated intntified and
esses To B
ons ted or
es and reachosen To BDS goals oystem (HISfamilies, an
upport billingrocesses alsviding timelydown artificia
practices
process muswhen systemes should bnew system
settsroject
_
12
ls ed To ed to a
Be
ch Be of
S), nd g, so y, al s.
st m
be m
____D. 4.3Busin
1.2
1.3
1.4
___________3A (DDS): To ness Capabilit
MITA Bu
Promote awith StateProvide pDevelop sgoals throSupport porganizatbarriers. Provide ato changeImprove iand easilyhealthcarReduce delsewhereCoordinatcommunit
MITA Ob
Promote rAdapt datPromote sPromote eBeneficiaPromote pIntegratioBreakdowTitle XIX p
MITA TeBusinessor objectiv Implemetheir own Platformshould beAdaptabl
__________Be
ty Matrix
usiness Go
an enterprise business pperformance systems thatough interopprocess imprions and a b
an environmees in programnformation sy accessiblee managem
duplication oe and using te with Publity.
bjectives
reusable comta and indussecure data efficient datary-centric foprogrammatn of clinical
wn artificial bprogram
echnical Gos driven. Teve; technolo
entation neuimplementa
m independee developed le, extensib
___________
oals
e view that sprocesses an
measuremet can effectiv
perability androvement, inbeneficiary-c
ent that suppms and techsharing and e in order to sent and progf costs by cothat data to ic Health and
mponents thstry standard
exchange a sharing cus tic practices and adminis
barriers betw
oals echnology wiogy will not butral. Statesation technolent. Applicatfor reusabili
ble, and sca
T
Ne
__________
4
supports enand technologent for accouvely commud common stncluding achcentric focus
ports flexibilinology. provide datasupport anagram adminollecting/reuadminister td integrate h
hrough moduds
strative data
ween system
ill only be usbe used for tes will continuogy (e.g., J2tion softwareity and platfolable.
The Commoext Generatio
__________
abling techngies. untability andnicate to achtandards. ieving intero
s not constra
ity, adaptabi
a that is timealysis and deistration. sing data alrthe programhealth outco
ularity
to enable bms, geograph
sed when it sechnology’s
ue to be resp2EE, .Net, ee and infrastorm indepen
onwealth ofon Systems
___________
M
nologies that
d planning. hieve comm
operability beained by orga
ility, and rap
ely, accurateecision makin
ready availam more effectomes with the
better decisiohy, and fund
supports a bs sake aloneponsible for setc.). tructure comndence.
f MassachusPlanning Pr
___________
March 30, 201
t are aligned
mon program
etween Stateanizational
pid response
e, usable, ng for
able. tively. e Medicaid
on making ing within th
business goa. selecting
mponents
settsroject
_
12
d
m
e
e
e
al
____D. 4.3Busin
___________3A (DDS): To ness Capabilit
Open tec(e.g., dataSecurity InteroperQuality dCurrent aService-o
__________Be
ty Matrix
chnology ana sharing anand privacyrability stan
data is enaband proven oriented Arc
___________
nd standardnd interoperay must be in
ndards are ebled to suppo
technologychitecture (
T
Ne
__________
5
ds based. Thability) shoulntegrated thestablished aort good decy is selected(SOA) Based
The Commoext Generatio
__________
he advantagd be leveraghroughout Mand followedcision makind. d.
onwealth ofon Systems
___________
M
ges of standaged.
MITA. d. ng.
f MassachusPlanning Pr
___________
March 30, 201
ardization
settsroject
_
12
_** DC
M
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
ITA Busine
DS egacy#
BusProc
DS - 001 DeteEligi
DS - 002 ManComon E
_____________ation of State Dir
ers starting with “M
o Be Business
ss Capabilit
iness cess Title Bermine DDS bility
Dared
age DDS mmunication Eligibility
Datip
_____________rectors of DevelopM” are MITA-spec
ty Findings
Business ProceDDS processes applicant's disabegulations and r
determination.
DDS communicaaccording to the meline and dete
processes/outco
_____________pmental Disabiliticific processes sp
ess Descriptionintake applicatio
bility according trenders an eligi
ates with applicaDDS eligibility r
ermination omes.
_____________es Services (NASpecifically perform
6
n L
on, verifies to DDS bility
A
ant/family regulation
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meegoaleligicollaand achitechmor
Meegoaleligicollaand achitechmor
wealth of MassSystems Plann
_____________
Mar
ionale ets multiple DDSls related to intability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient. ets multiple DDSls related to intability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient.
achusettsing Project
_________
rch 30, 2012
S strategic ake and ing more families
is also als of using e workflows
S strategic ake and ing more families
is also als of using e workflows
_** DC
DDLeDD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 003 ManDDSWaivApplFamGrievAppeto AlAppeEven
DS - 004 ManDDSWaivIndivFamInforincluAsseDocuand
DS - 005 ManIndivServPrior
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage All
S and ver licant (and
mily) vance and eal relative ll Types of ealable nts
Dmin
age All S and HCBS ver vidual (and
mily) rmation uding essments, umentation Reports
Dpsfa
age DDS vidual vice ritization
Dpina
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS Eligibility Tmanages the apneligibility determ
DDS collects andpertaining to an tatus, evaluatioamily's strength
DDS administersprioritization of sndividual's and fareas of need.
_____________pmental Disabiliticific processes sp
ess Descriptioneam and/or Legpeal process whminations are a
d maintains all iindividual's elign of individual'ss and areas of n
s and manages services accordifamily's strength
_____________es Services (NASpecifically perform
7
n L
gal Unit hen ppealed.
A
information ibility
s and need.
A
ng to the hs and
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Funman
Meegoalcomand
Meegoaland servoutcand imprprog
wealth of MassSystems Plann
_____________
Mar
ionale ctionality to trac
nage appeals w
ets multiple DDSls related to wa
mmunications wiindividuals.
ets multiple DDSls including collaplanning on ch
vice delivery andcomes for DDS
MITA goal of urove data analygram administra
achusettsing Project
_________
rch 30, 2012
ck and ithin DDS.
S strategic ivers and th families
S strategic aboration oice of d improving individuals, sing data to sis and
ation
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 006 ManDDSWaivindivFamComsuchand Notif
DS - 007 DeveManDDSHCBindivServand
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage All
S and HCBS ver vidual (and
mily) mmunication h as Letters
fications
Dinenfa
elop and age All
S, ICF and BS vidual vice Plans Delivery
DInre
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS manages andividuals and felectronic note enotifications maiamilies.
DDS develops andividual Suppoequired by regu
_____________pmental Disabiliticific processes sp
ess Descriptionall communicatiofamilies includinentries, and letteled to individual
nd implements ort Plan for adultulation.
_____________es Services (NASpecifically perform
8
n L
ons with g
ers and ls and
A
an ts as
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meegoaleligicollaand achitechmoran ewas
Thistheyfuncgoaltimeworkmorindiv
wealth of MassSystems Plann
_____________
Mar
ionale ets multiple DDSls related to wability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient. This extension of DDs selected for ims is related to DDy share commonctionality. This mls related to red
e, improving inefkflows, and collare closely with aviduals and fam
achusettsing Project
_________
rch 30, 2012
S strategic iver ing more families
is also als of using e workflows process is
DS002 which mprovement.
DS 119 and n meets DDS ducing staff fficient aborating
agencies, milies.
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 008 ManStateOnlyEnro
DS - 010 DeteHCBEligi
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS e-Funded y Delivery ollment
Din(ip
ermine BS Waivers bility
DHinspa
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS manages pndividuals in staindividuals not e
program).
DDS determinesHCBS waiver prondividual's clinictatus. DDS eva
participants' cliniadequate and ap
_____________pmental Disabiliticific processes sp
ess Descriptionprogram enrollmate-funded only enrolled in a wa
s individual eligibograms relativecal needs and Mluates waiver pical eligibility thrppropriate asses
_____________es Services (NASpecifically perform
9
n L
ment for services iver
A
bility for all to
Medicaid rogram rough ssments.
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meeincluprocefficmaxstatefurthof usanaladmintakmatumatu
Meegoaleligicollaand achitechmor
wealth of MassSystems Plann
_____________
Mar
ionale ets multiple DDSuding reducing rcesses, improvinciency in operatiximizing revenuee-funded prograher supports thesing data to implysis and progra
ministration. Depke/enrollment aure as a result ouration of DDS
ets multiple DDSls related to intability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient.
achusettsing Project
_________
rch 30, 2012
S goals redundant ng ions and e from ams. It e MITA goal prove data am pendent on nd will of the 001.
S strategic ake and ing more families
is also als of using e workflows
_** DC
DDLeDD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 011 ManProgHCBEnro
DS - 012 MonWaivEligi
DS - 013 ManWaivProgIndivServPlanEval
DS - 014 ManHCBWaivotheProgIndivAllocBudg
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS
grams and BS Waivers ollment
Aa
itor HCBS vers bility
Inrea
age HCBS ver grams’ vidual vice nning uation
SeaS
age DDS BS Adult ver and r Adult
grams - vidual cations and gets
Apms
_____________rectors of DevelopM” are MITA-spec
Business ProceAll DDS and Waare tracked.
nterface with Maeports, monitor
and assist familie
Service Coordinaevaluations of ISare tracked in thSupervisor Tool
Adult HCBS waivprogram budgetsmanaged accordupport plan.
_____________pmental Disabiliticific processes sp
ess Descriptioniver programs' e
assHealth for asre-determinatioes with related p
ator Supervisor SP planning prepe Service Coordmodule in HCS
ver and other ads and individualding to the indiv
_____________es Services (NASpecifically perform
10
n L
enrollments A
sset on timelines, processes.
A
paredness dinator
SIS.
A
dult allocations idual
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is
As Is To Be
As Is
The Commonwext Generation
_____________
Level 3 Rati
Meegoaleligicollaand achitechmor
Theautoa Newill procassuwaiv
wealth of MassSystems Plann
_____________
Mar
ionale ets multiple DDSls related to intability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient.
re is a process omate this proceext Generation Smature the proccess supports thurances related ver.
achusettsing Project
_________
rch 30, 2012
S strategic ake and ing more families
is also als of using e workflows
in place to ess prior to System that cess. The he basis for
to the
_** DC
DDLeDD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 016 ManListsEnro
DS - 018 Suspoll InfromProg
DS - 021 ManTurnProgIndivBudg
DS - 023 ManDESProgAppl
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage Wait
s for Waiver ollment
Dcaa
pend/Disenrndividuals
m All DDS grams
Dp
age DDS ning 22 gram vidual gets
Dbb
age SE/DDS gram lication
DsDg
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS programs acapacities and waccording to DDapproved waiver
DDS disenrolls inprograms.
DDS manages Tbudget as approbudgets as plann
DESE/DDS progcreened for elig
DESE/DDS progguidelines and a
_____________pmental Disabiliticific processes sp
ess Descriptionand waiver progwait lists are monS guidelines anrs.
ndividual from a
Turning 22 progrpriated and indined.
gram applicants gibility for enrollmgram according appropriations.
_____________es Services (NASpecifically perform
11
n L
gram nitored
nd CMS
A
all DDS A
rammatic ividual
A
are ment in the to program
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
As Is
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
ConProgGoa
Imprdata
Meegoaleligicollaand achitechmorto improg
wealth of MassSystems Plann
_____________
Mar
ionale nsistent with DDgrammatic and als.
roved interoperaa integrity.
ets multiple DDSls related to intability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient and umprove data anagram administra
achusettsing Project
_________
rch 30, 2012
S Quality
ability and
S strategic ake and ing more families
is also als of using e workflows using data alysis and ation.
_** DC
DDLeDD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 029 ManIndivare Aare aBeinto NuFaci
DS - 032 ManICF/IndivAsse
DS - 036 MainManDDSby C
DS - 039 ManProvProc
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS
viduals who Admitted or at Risk of
ng Admitted ursing lities
FnmPapSretorebadRa
age DDS MR vidual essments
ICato
ntain and age Lists of
S Individuals Class
Din
age DDS vider curement
DapW
_____________rectors of DevelopM” are MITA-spec
Business ProceFor an individualnursing facility, pmust complete aPer results of PAapproved for NFprovisional approSpecialized servecommended foo stay. When apemain in the NF
becomes a Rollaapplicable commdocumentation, eRISP must now taggregated and CF/MR individua
and documentato Title XIX regu
DDS tracks classndividuals and t
DDS manages paccording to the procurement polWith Choice mod
_____________pmental Disabiliticific processes sp
ess Descriptionl at risk of admisper federal regua Level 2 PASSRASSR individual stay or denied oval for 30-90 dvices are also or those who arepproved to stay F over 90 days, and Class Membmunication and especially surrotake place and managed. als' clinical asseion are tracked lations.
s membership oheir services.
provider procureCommonwealthicies and includdel.
_____________es Services (NASpecifically perform
12
n L
ssion to a lation, DDS R screen. ls are either and give a
days.
e approved and individual ber, and all
ounding the be
essments according
A
of DDS
ement h's des Agency
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 041 ManContInfor(TypServCodeFreqContCapaServUtilizLocaPrimContetc.)
DS - 042 ManProvCom
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS tract rmation pe of vice, Activity e,
quency, tract acity and
vice zation, ations,
mary tract Owner
DaInp
age DDS vider
mmunication
Dp
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS provider coand service utiliznformation is us
processes, e.g.,
DDS tracks comproviders.
_____________pmental Disabiliticific processes sp
ess Descriptionontracting documzation is trackedsed in other SSPDDS-014.
munications wit
_____________es Services (NASpecifically perform
13
n L
mentation d. P business
A
th A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meeenhabetwageand techsuppimprprogadvathe
Meeenhabetwageand techadvathe
wealth of MassSystems Plann
_____________
Mar
ionale ets DDS goals oancing collabora
ween DDS, provncies, and achieNext Generatio
hnology goals anport goals of usrove data analygram administraances interoperprovider ICMS.
ets DDS goals oancing collabora
ween DDS, provncies, and achieNext Generatio
hnology goals. Aances interoperprovider ICMS.
achusettsing Project
_________
rch 30, 2012
of ation viders and eves MITA on System nd decision ing data to sis and
ation. Also rability with
of ation viders and eves MITA on System Also rability with
_** DC
DDLeDD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 044 ManQuaAgenoppoIndivProvDelivServ
DS - 046 Provof AvProvDelivServ
DS - 049 ManTranBrokCostInfor
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage lification of ncy (as osed to vidual) viders to ver DDS vices
DAas“Tth“TcPAPincea
vider Listing vailable viders to ver vices
DSW
age DDS nsportation kers t/Utilization rmation
Dtr
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS qualifies AgAgency with Choapproved to provervices. This buTraditional Provhrough EOHHSTraditional Serv
contracted slots;Providers, an arrAgency hires (coProvider at a ratendividual receivicredentialed likeeven though it haas opposed to a
DDS manages sServices includinWaiver Program
DDS Regional aransportation re
_____________pmental Disabiliticific processes sp
ess Descriptiongency Providersoice Providers, tvide specific DDusiness processviders,” who are and DDS to pro
vices” and usual and Agency wirangement wheo-employs) an Ine negotiated bying services and a Traditional Pas a variable racontract.
service directoryng those in the Hs.
nd Area Officeselated funds.
_____________es Services (NASpecifically perform
14
n L
s, including to be
DS s applies to qualified ovide lly have ith Choice re an ndividual
y the d is rovider te structure
A
y for DDS HCBS
A
s manage A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
Meeenhabetwageand tech
wealth of MassSystems Plann
_____________
Mar
ionale ets DDS goals oancing collabora
ween DDS, provncies, and achieNext Generatio
hnology goals.
achusettsing Project
_________
rch 30, 2012
of ation viders and eves MITA on System
_** DC
DDLeDD05
DD05
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 50A
ManHCBPartiDriveIndivAgenProvEligi
DS - 50B
ManPartiDirecProgIndivAgenProvEligi
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS
BS Autism icipant en Program vidual and ncy vider bility
AcbeqA
age Adult icipant cted
gram vidual and ncy vider bility
APcbinPD
_____________rectors of DevelopM” are MITA-spec
Business ProceAutism providerscontractors/empby the individualensure the Indiviqualifications comAutism waiver pr
Adult ParticipantProviders are indcontractors/empby the individualndividual and PPProviders' qualifiDDS program re
_____________pmental Disabiliticific processes sp
ess Descriptions are independeloyees/agencies. DDS works wiidual Providers' mply with the Hrograms' regula
t Directed Progrdependent loyees/agencies. DDS works wiPL to ensure theications comply
equirements.
_____________es Services (NASpecifically perform
15
n L
ent s retained th PPL to
CBS ations.
A
ram
s retained th the e Individual with the
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meegoaleligicollaand achitechmor44).
Meeenhabetwageand techadvathe
wealth of MassSystems Plann
_____________
Mar
ionale ets multiple DDSls related to intability, and work
aboratively with individuals. Thi
ieves MITA goahnology to makere efficient (relat
ets DDS goals oancing collabora
ween DDS, provncies, and achieNext Generatio
hnology goals. Aances interoperprovider ICMS.
achusettsing Project
_________
rch 30, 2012
S strategic ake and ing more families
is also als of using e workflows ted to DDS
of ation viders and eves MITA on System Also rability with
_** DC
DDLeDD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 052 AutisAdulManHCBPartiDriveAdulPartiDirecProvAgreBillinPaymclaim
DS - 056 TracHCBProgCapa
DS - 057 SubmHCBProgClaim
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bsm and lt PDP: age DDS
BS Autism icipant en and lt Programs icipant cted
vider eements, ng and ment (non-ming)
DAo
ck DDS BS Waiver gram’s acities
Dp
mit DDS BS Waiver gram’s ms
Dc
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS tracks AutisAdult Participantoverall contractu
DDS tracks eachprogram's capac
DDS ensures thaclaims submitted
_____________pmental Disabiliticific processes sp
ess Descriptionsm Participant Dt Directed providual terms.
h DDS HCBS wcity.
at HCBS waiverd are accurate.
_____________es Services (NASpecifically perform
16
n L
Driven and ders’
waiver A
r programs' A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meegoaleligiand Genimprand
Meedataintersuppgoal(depand
wealth of MassSystems Plann
_____________
Mar
ionale
ets multiple DDSls related to intability, improved meets MITA an
neration Systemroved data aggrreporting
ets MITA goals ra exchange androperability, whiporting DDS finals. Improved timpendent on MasITD infrastructu
achusettsing Project
_________
rch 30, 2012
S strategic ake and efficiency,
nd Next m goals of
regation
related to system ile also ancial
meliness ssHealth ure).
_** DC
DDLeDD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 058 TracServCoorCaseMakAdjuNece
DS - 061 TracICF/CapaCens
DS - 062 ManSubmTargMan(TCM
DS - 063 ManAccoAppr
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bck DDS vice rdination eload and e
ustments as essary
Dforesp(tcv
ck DDS MR acity and sus
D
age and mit DDS
geted Case agement
M) Claims
Dafep
age DDS ounts and ropriations
Tea(I
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS needs to traor overall EOHHequirements, thervice coordina
per area office ptransition coord
coordinator versversus SC2).
DDS tracks ICF/
DDS manages thand ensures accederal Medicaid
programs contra
Tracking and moexpenditures relaappropriated funIMPACT).
_____________pmental Disabiliticific processes sp
ess Descriptionack for fairness
HS data submisse number of ca
ator and averageer region and binator versus chus adult coordin
/MR Capacity an
he life cycle of Tcurate claiming od reimbursemenacted with Medic
onitoring DDS ative to legislati
nds in DDS's bud
_____________es Services (NASpecifically perform
17
n L
issues and sion ses per e amount y discipline hildren’s nator
A
nd Census. A
TCM claims of all
nt for all caid.
ve dget
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
Supproggoal
wealth of MassSystems Plann
_____________
Mar
ionale pports both DDSgrammatic and qls and initiatives
achusettsing Project
_________
rch 30, 2012
S quality s.
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 070 ProvManWaivAssu
DS - 071 ManDDSProgRepoAnalRequ
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bvision and agement of ver urances
PaM
age All S and HCBS grams orting and lysis uirements
Ewc
_____________rectors of DevelopM” are MITA-spec
Business ProceProvision and massurances as aMedicaid..
Ensure adequatewaiver programscapabilities.
_____________pmental Disabiliticific processes sp
ess Descriptionanagement of w
agreed upon with
e reporting on as through HCSIS
_____________es Services (NASpecifically perform
18
n L
waiver h
A
all HCBS S reporting
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
SupRepand guidstatereimsystdevestanimpreffic
Supallowmeerepomaxreimmeedataand Integdrawand to imeffic
wealth of MassSystems Plann
_____________
Mar
ionale pports DDS Quaporting goals, me
federal reportindelines and maxe and federal
mbursement. Intetems that draw delopment and ndardization of qrove timeliness ciency. pports Reportingws DDS and EOet state and fedeorting guidelinesximizes state anmbursement. Thets the MITA goa to improve dat
program admingration of systew data for the destandardization
mprove timelinesciency.
achusettsing Project
_________
rch 30, 2012
ality and eets state
ng ximizes
egration of data for the
queries to and
g goals, and OHHS to eral s and nd federal is also al of using ta analysis nistration. ms that evelopment n of queries ss and
_** DC
DDLeDD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 078 ManDESProgIndivBudg
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage
SE/DDS gram vidual get
Ep
_____________rectors of DevelopM” are MITA-spec
Business ProceEnsure accurateprogram particip
_____________pmental Disabiliticific processes sp
ess Descriptione tracking of DESants' budgets.
_____________es Services (NASpecifically perform
19
n L
SE/DDS A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeDD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 079 ManDESProgInfor
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage
SE/DDS gram rmation
TpoEED2ppopethawsFsbgpuooainlopo_____________rectors of DevelopM” are MITA-spec
Business ProceTrack informatioparticipating in thoperates with funEducation (chanElementary and DESE) and serv22nd birthday. It program to avoidprograms. It provoutside of schoopublic school. Aleligible as childrehrough the DDS
are about 300 kiwith about 200 werve about 100
FY12. Providers ervices (one-on
based programmgoods and servicprogram. DDS isupdating the proof covered servicof developing a nand waitlist procnto account for eocation, holdingprioritization); theon the applicatio_____________
pmental Disabiliticific processes sp
ess Descriptionn specific to indhe DESE Progranding from Deptged to DepartmSecondary Edues children ageis essentially a
d placing kids invides additional
ol to help keep kl participants aren or adults and
S eligibility proceds in the progra
waiting. DDS exfrom the waitinare qualified to
n-one supports, ming, plus “otherces”) through ths in the process gram to clarify pces. DDS is in tnew applicationess (to take othexample geogra/shedding applie current proces
on date.
_____________es Services (NASpecifically perform
20
n L
dividuals am. DDS t of
ment of ucation, s 6 through diversion
n residential supports
kids in re DDS d enter ess. There am now, pects to g list in
o provide behavioral-r related
his of
parameters he process evaluation
her factors aphic cations, ss is based
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meeenhaimprstaffdeliv
wealth of MassSystems Plann
_____________
Mar
ionale ets DDS goals oancing productiroving workflowf time and suppvery to DDS ind
achusettsing Project
_________
rch 30, 2012
of vity,
ws, reducing orts service
dividuals.
_** DC
DDLeDD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 082 ManRollaProgInforMan
DS - 085 DeveManHousCapa
DS - 090 EvalTracof DIndiv
DS - 094 EstaHCSRoleand Staff
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS and/NF gram rmation agement
Tin
elop and age sing acity
Ec
uate and ck the Risk DS viduals
RppDa
ablish SIS Access es for DDS Provider f
Hble
_____________rectors of DevelopM” are MITA-spec
Business ProceTrack informationdividuals.
Ensure accuratecapacity and fisc
Risk reviews arepresenting high rplans are develoDDS eligible indiat risk. HCSIS users arebased on their bevel of authoriza
_____________pmental Disabiliticific processes sp
ess Descriptionn specific to Ro
e tracking of houcal planning.
e conducted for risk behaviors a
oped and trackeividuals determi
e assigned acceusiness functionation.
_____________es Services (NASpecifically perform
21
n L
olland/NF A
using stock, A
individuals and risk d for adult ined to be
A
ess roles ns and
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeDD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 096 DDSConsInveincluIntakcoorwith InveInveDDSConsAbusmenComManDDSConsInveDocuRepoAnalCom
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title BS Manages sumer stigations
uding: ke and rdination DPPC on stigations, stigation of
S sumers se/Mistreatt/ Neglect
mplaints and agement of
S sumers stigations umentation, orting, lysis and
mmunication
DDoreInfoDInHdcIninma
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS InvestigatioDPPC about anyon DDS consumegarding investinvestigations unollowing receipt
DPPC in HCSISnvestigations un
HCSIS) and papdocumentation, rcommunicationsnvestigations Prnterfaces with Hmodule and prodaffected parties.
_____________pmental Disabiliticific processes sp
ess Descriptionons unit is notifiey abuse/neglect
mers and liaises igation findings.nit conducts inveof abuse allega
. nit maintains eleper files of all reports and on each case. rocessing Syste
HCSIS Investigaduces correspon
_____________es Services (NASpecifically perform
22
n L
ed by t allegations with DPPC . estigations ations from
ectronic (in
The em (IPS) ations ndence to
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeDD
DD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 099 ManIncidRepoAnal
DS - 101 ManMedOccuRepo
DS - 102 PerfoConsMedOccuRepoAnal
DS - 103 ManConsHealReco
DS - 104 ManConsRestRepo
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS
dent orting and lysis
InthSintyTD
age DDS ication urrence orts
Drem
orm DDS sumers ication urrence orts lyses
SmH
age DDS sumers’ lth Care ords
Cisebm
age DDS sumers’ traints orts
AreR
_____________rectors of DevelopM” are MITA-spec
Business Procencident reports he Incident Rep
Statistical reportncident reports fypes, prevalenc
This process appDDS eligible. Details of medicaeported in the M
module in HCSIS
Statistical reportmedication occuHCSIS on incide
Consumer core ds fed from Meditessential healthcby providers intomodule in HCSIS
All restraints pereported (capture
Restraint module
_____________pmental Disabiliticific processes sp
ess Descriptionare filed and co
porting module ins are generatedfiled in HCSIS o
ce, etc. plies to adults w
ation errors/omiMedication OccuS.
s are generatedrrence reports f
ent types, preva
demographic intech and summcare informationo the Health CarS.
rformed on consed/entered) in the in HCSIS.
_____________es Services (NASpecifically perform
23
n L
ompleted in n HCSIS. d on all on incident
who are
issions are urrence
d on all filed in lence, etc.
formation ary
n is entered re Record
A
sumers are he
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
As Is
As Is To Be
As Is
The Commonwext Generation
_____________
Level 3 Rati
Thisobjecentrecoprofserv
wealth of MassSystems Plann
_____________
Mar
ionale
s supports MITAectives includingtralized electronords, and sharedfiles across ageve the individual
achusettsing Project
_________
rch 30, 2012
A goals and g nic health d clinical ncies who l.
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 105 PerfoConsRestRepoAnal
DS - 106 ManConsDeatRepoInforAnal
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Borm DDS sumers’ traints orts lyses
Srein
age DDS sumers’ th orting rmation and lysis
CDSda
_____________rectors of DevelopM” are MITA-spec
Business ProceStatistical reportestraints reportsncident types, p
Consumer deathDeath ReportingStatistical reportdeath reports fileand nature of de
_____________pmental Disabiliticific processes sp
ess Descriptions are generateds filed in HCSISrevalence, etc.
h reports are fileg module in HCSs are generateded in HCSIS on eath, etc.
_____________es Services (NASpecifically perform
24
n L
d on all S on
A
ed in the SIS. d on all causes
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Meeredurepoalsousinanaladmperfthe d
Meeredurepoalsousinanaladmperfthe dIntegrecorepoIntersyst
wealth of MassSystems Plann
_____________
Mar
ionale ets DDS goals reuced staff time, orting, individuao meets the MITng data to improlysis and progra
ministration. Abilform trend analydata for program
ets DDS goals reuced staff time, orting, individuao meets the MITng data to improlysis and progra
ministration. Abilform trend analydata for programgration with the
ord specifically oorting informatioroperability withtems for vital rec
achusettsing Project
_________
rch 30, 2012
elated to improved l safety. It
TA goal of ove data am ity to
ysis and use m planning. elated to improved l safety. It
TA goal of ove data am ity to
ysis and use m planning. system of
on death on. h other cords.
_** DC
DDLeDD
DD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 110 ManCoreProje
DS - 112 ManIndivFund
DS - 113 ManIndivCharCare
DS - 114 ManIndivTranInfor
DS - 115 ManIndivInfor(Gua
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage DDS
e Indicators ect
DIntrm
age DDS vidual ds
DfuIC
age DDS viduals' rges for e
Dinm
age DDS vidual nsportation rmation
Dinc
age DDS vidual Legal rmation ardian)
Dinre
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS's participatndicator Projectracked in the Na
module in HCSIS
DDS establishesund accounts foCF/MR and stat
DDS establishesndividual's assemonitors the latte
DDS tracks indivnformation relatcost.
DDS's Legal depndividuals' legalelated to guardi
_____________pmental Disabiliticific processes sp
ess Descriptionion in the nationt is reported on ational Core IndS.
s and manages or individuals livite operated homs level of chargeets and income, er as charges a
viduals' transporive to mode, rou
partment tracks information andanship of an ind
_____________es Services (NASpecifically perform
25
n L
nal Core and
dicator
individual ing in
mes.
A
es per and
are levied.
A
rtation utes and
A
all d matters dividual.
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
As Is
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
Noteinforstanaddrmatu
wealth of MassSystems Plann
_____________
Mar
ionale
e: Improved legrmation sharing
ndardization muressed before auration can be c
achusettsing Project
_________
rch 30, 2012
al but st be
any considered.
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 116 MainAccr
DS - 117 PerfoPopuidua
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bntain reditation
Tpacp
orm ulation/Indivl Outreach
TOinnacceInaaapInppmtoc
_____________rectors of DevelopM” are MITA-spec
Business ProceThe Maintain Acprovides assistaand maintaining credentialing necparticipation.
The Perform PopOutreach businenternally within tnotify prospectivabout Agency prcreate and proviculturally appropeducational matendividuals; and
and effectivenesanalyzed to deveand materials anpopulations. Thendividual Outrea
prospective and populations. DDSmaintain their Meo ensure Waive
covered in MITA
_____________pmental Disabiliticific processes sp
ess Descriptionccreditation procnce to ICFs in athe accreditatio
cessary for prog
pulation and Indess process origthe Agency to id
ve and current Inrograms and sede linguistically
priate informatioerials to those smonitor outreac
ss. Individual daelop outreach mnd to target spece Perform Populach process targcurrent IndividuS works with indedicaid eligibilityr Eligibility. This
A-007.
_____________es Services (NASpecifically perform
26
n L
cess achieving on and gram
A
dividual ginates dentify and ndividuals rvices; and n and
same ch efforts ta is
methods cific lation and gets both ual dividuals to y in order s process is
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
ThisleveDDSfurth
wealth of MassSystems Plann
_____________
Mar
ionale
s process will reel 1 due to barrieS control that prher automation.
achusettsing Project
_________
rch 30, 2012
emain at a ers out of revent
_** DC
DDLeDD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 118 DeveDiscPlanTranfromInstitSetti
DS - 119 DeveManFamPlan
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Belop
charge nning and nsition Plan
m tutional ings
TTbspdthininddoeas
elop and age DDS
mily Support ns
TSac
_____________rectors of DevelopM” are MITA-spec
Business ProceThe Develop DisTransition Plan fbusiness procespecific criteria,
professional judgdischarge plannihat optimize sucncludes activitiendividual and hiduring the episoddischarge, evaluongoing care anestablish a long and/or sustainingervices.
The Develop andSupport Plans buand implements children and adu
_____________pmental Disabiliticific processes sp
ess Descriptionscharge Planninfrom Institutionas uses Federal rules, best pracgment to develoing and transitioccessful outcom
es to track and as/her treatment de of care and s
uate individuals' d support servicterm plan for cog community su
d Manage DDS usiness processfamily support p
ults.
_____________es Services (NASpecifically perform
27
n L
ng and al Settings and State-
ctices and op on plans mes. It assess the
progress status at needs for
ces, and ontinuing upports and
A
Family s creates plans for
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is To Be
The Commonwext Generation
_____________
Level 3 Rati
Thisto reimprworkmorindiv
wealth of MassSystems Plann
_____________
Mar
ionale
s meets DDS goeducing staff timroving inefficienkflows, and collare closely with aviduals and fam
achusettsing Project
_________
rch 30, 2012
oals related me, nt aborating
agencies, milies.
_** DC
DDLeDD
DD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 120 ManProvAgenAssu
DS - 121 SuppServMan
DS - 122 SuppInfraMan
DS - 123 AdmInstitSetti
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage
vider ncy Quality urance
DCpeH(Q
port vices agement
Saincpinlath
port Facility astructure agement
SMreing
mission to tutional ings
TpDc
_____________rectors of DevelopM” are MITA-spec
Business ProceDDS Quality MaCertifications sysprogram provideensures individuHCSIS - Quality QE5).
Support Servicesarea includes prondividuals in an contains a broadprocesses relatendividuals (e.g.,aundry), and cohese activities.
Support Facility Management incelated to the opncluding enginegrounds, plumbin
The Admission tprocess includesDDS individual mcommunity to a n
_____________pmental Disabiliticific processes sp
ess Descriptionnagement/Survstem oversees D
ers' performanceal safety complEnhancement S
s Management ocesses that suinstitutional set
d set of businessed to supporting dietary, housekllects informatio
Infrastructure cludes processeeration of the faering, maintenang, etc.
o Institutional Ss activities relatemoving from thenursing facility,
_____________es Services (NASpecifically perform
28
n L
veys and DDS e and iance in System
A
business upport tting. It s care of keeping, on about
A
es that are acility, ance,
A
Settings ed to a
e ICF.
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
NoteQE5inter
wealth of MassSystems Plann
_____________
Mar
ionale e: DDS intends 5 system will evrface with PDM
achusettsing Project
_________
rch 30, 2012
that the entually .
_** DC
DDLeDD
DD
DD
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
DS - 125 CrosComand SharIndivInfor
DS - 126 DeteEligiAutis
DS - 127 AutisBudg
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bss-agency
mmunication Record ring of vidual rmation
Tino
ermine DDS bility for sm Waiver
Dvfo
sm Waiver get
Dbfo
_____________rectors of DevelopM” are MITA-spec
Business ProceThis process shandividual who neof the other three
DDS reviews Auverify their financor the program.
DDS creates andbudget to suppoor individuals.
_____________pmental Disabiliticific processes sp
ess Descriptionares a record foeeds to be serve agencies.
utism Waiver apcial and clinical
d manages indivrt Autism Waive
_____________es Services (NASpecifically perform
29
n L
or any ved by one
A
plicants to eligibility
A
vidual’s er program
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is To Be
As Is To Be
As Is
The Commonwext Generation
_____________
Level 3 Rati
ThisDDSgoalof clacroservcriticand
Meegoaleligiand comdepeform
wealth of MassSystems Plann
_____________
Mar
ionale s process is conS Goals, MITA Gls of the EOHHSlient/individual ioss agencies thave a client/indivical to efficient hprogram/servic
ets multiple DDSls related to intability, and suppfederal reportin
mpliance. Procesendent on Mass
ms/requirements
achusettsing Project
_________
rch 30, 2012
nsistent with Goals, and S. Sharing nformation at may dual is ealthcare
ces delivery.
S strategic ake and orts state
ng ss is sHealth s.
_** DC
DDLeM7
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
7** ManApplMemCom
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bage licant and
mber mmunication
TCreaminreprereCdv
_____________rectors of DevelopM” are MITA-spec
Business ProceThe Manage AppCommunication equests for info
assistance from members’ commnquiries related edetermination,
plans and prograequested assistesponses and in
Communicationsdeveloped and pvia Send Outbou
_____________pmental Disabiliticific processes sp
ess Descriptionplicant and Membusiness procermation, appoinprospective and
munications suchto eligibility, benefits, provid
ams, and providtance and appronformation packs are researcheproduced for disund Transaction
_____________es Services (NASpecifically perform
30
n L
mber ss receives
ntments and d current h as
ders; health des opriate kages. d,
stribution n process.
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeM3
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
37** ApplAdju
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bly Mass
ustment TpncaCmpaidHmdpthcam
_____________rectors of DevelopM” are MITA-spec
Business ProceThe Apply Mass process begins wnotification of retchanges may coassociated with HCodes, or programodifications/copayment or repoadjustment busindentifying the clHCPCS, CPT, Rmember ID that wduring a specifiepredetermined shat will reverse
correctly. This buaffects multiple pmultiple claims.
_____________pmental Disabiliticific processes sp
ess DescriptionAdjustment bus
with the receipt troactive change
onsist of changeHCPCS, CPT, Ram nversions that a
orting. This massness process inaims by claim/b
Revenue Code(swere paid incor
ed date range, aet or sets of parthe paid claims usiness processproviders as we
_____________es Services (NASpecifically perform
31
n L
siness or es. These
ed rates Revenue
affect s cludes
bill type or s), or rrectly applying a rameters and repay
s often ll as
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeM5
M5
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
56** DeveMainProg
59** Manfor M
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Belop And ntain gram Policy
TBninruacfea
age FFP MMIS
TthaMPrePdmTbb
_____________rectors of DevelopM” are MITA-spec
Business ProceThe Develop andBusiness Procesneeds for changn the agency’s pules, based on f
and regulations; commission direederal or state a
agency decision
The Federal govhe design, deve
and operation ofMMIS. The ManaParticipation buseporting and mo
Planning Documdocuments necemaintain federal These are the tybusiness area bube a stand-alone
_____________pmental Disabiliticific processes sp
ess Descriptiond Maintain Progss responds to re programs, benefederal or state governing boarctives; QIO find
audits; s; and consume
vernment allowselopment, maintf a federally certage Federal Finsiness process oonitoring of Adv
ments and other essary to secure
financial particiypes of functionsut this does not e process.
_____________es Services (NASpecifically perform
32
n L
gram Policy requests or
fits, or statutes
rd or dings;
er pressure.
A
s funding for enance tified nancial oversees
vanced program
e and ipation. s within this appear to
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
_** DC
DDLeM6
_____________* National Associ**Process numbe
D.4.3A (DDS): ToCapability Matrix
DS egacy#
BusProc
60** FormBudg
_____________ation of State Dir
ers starting with “M
o Be Business
iness cess Title Bmulate get
Tesappa
_____________rectors of DevelopM” are MITA-spec
Business ProceThe Formulate Bexamines the cutream and trend
assesses externprogram, assessplans, models diand periodically
_____________pmental Disabiliticific processes sp
ess DescriptionBudget businessurrent budget, reds, and expendial factors affect
ses agency initiafferent budget sproduces a new
_____________es Services (NASpecifically perform
33
n L
s process evenue itures, ting the atives and scenarios, w budget.
A
TNe
_____________SDDDS) med for Medicaid
Level 1
Level 2
As Is
The Commonwext Generation
_____________
Level 3 Rati
wealth of MassSystems Plann
_____________
Mar
ionale
achusettsing Project
_________
rch 30, 2012
Ex
Deliv
C
Commxecutive O
Next
verable 4.3B(Ba
TheExecutiv
O
Charlie Lead
1
monwealtOffice of H
Generation
B (DMH): Finased on MIT
Febru
Erin Ferrare Commonwve Office of HOne Ashbur
Bostoerin.ferra
dbetter, ProB
100 Middle SPortland,
cleadbette
th of Mas
Health andSystem Pla
nal To Be BuTA SS-A – V
uary 17, 201
ri, Project M
wealth of MasHealth and Hrton Place, 1on, MA [email protected]
oject PrincipBerryDunn Street, PO B, ME 04104-
er@berrydun
ssachusd Human nning Projec
usiness CapVersion 2.0)
2
Manager ssachusettsHuman Serv1th Floor
08 ma.us
pal/Project
Box 1100 -1100 nn.com
etts Services ct
ability Matrix
vices
Manager
x
____D. 4.3Busin
Secti
Meth
1.1
1.2
1.3
1.4
MITA
Appe
Appe
___________3B (DMH): Finness Capabilit
Delive
on
hodology..
To Be A
MITA Bu
MITA O
MITA Te
A Business
endices:
endix A; Matu
__________nal To Be ty Matrix
erable 4.3B
.................
Analysis Met
usiness Goa
bjectives ....
echnical Goa
s Capabilit
urity Matrix (
___________
(DMH): Fina
TABLE
.................
hodology ....
als ...............
...................
als ..............
ty Findings
(Definition)
T
Ne
__________
2
al To Be Bu
OF CONTE
.................
...................
...................
...................
...................
s ...............
The Commoext Generatio
__________
usiness Cap
NTS
.................
...................
...................
...................
...................
.................
onwealth ofon Systems
___________
Feb
pability Mat
.................
...................
...................
...................
...................
.................
f MassachusPlanning Pr
___________
bruary 10, 201
trix
Page
.............. 3
................ 3
................ 3
................ 4
................ 4
.............. 5
settsroject
_
12
____D. 4.3Busin
Met 1.1
The GoalsidentProceration Berrymatu
A meconsematusuppHIE/Esuppproceprovidreducprom Note:becoupgratargeenviro 1.2
___________3B (DMH): Finness Capabilit
hodology
To Be A
DMH team s as definedified agencyesses To Bnale for sele
yDunn’s DMred: Meets on Meets on Maturing
Can be m
eeting was hensus on thred, which orting the dEHR and imort billing, sesses also ding timely,cing duplicaoting overal
: The selectme more auades or a N
eted for incronment.
MITA Bu
Promote awith StateProvide pDevelop sgoals thro
__________nal To Be ty Matrix
y
nalysis Me
used a comd during they needs an
Be Maturedcting them is
MH team use
ne or more Mne or more c
the processmatured over
held at DMHhose proces
are presendevelopmenmproving intservice utiliz
meet the , accurate
ation costs, l good pract
tion of a Proutomated wiNext Generareased auto
usiness Go
an enterprise business pperformance systems thatough interop
___________
ethodology
mbination ofirst phase
nd recomme. A subset s provided in
ed the follow
MITA 2.0 Goritical Agenc
s improves ar a 2 to 5 yea
H on Januarsses “To Bented in thet of an inteteroperabilityation managMITA goalsand easily breaking do
tices.
ocess To Bethin 2 to 5 y
ation Systemomation, int
oals
e view that sprocesses an
measuremet can effectiv
perability and
T
Ne
__________
3
y
f the MITA of the MITA
endations toof process
n the accom
wing criteria
als cy Goals a critical busar horizon
ry 24, 2012e” matured.
e accompanegrated Heay, reportinggement ands and objeaccessible
own artificia
e Matured dyears; rathe
m is put intoteroperability
supports enand technologent for accouvely commud common st
The Commoext Generatio
__________
2.0 Goals A project (Mo guide theses (45%)
mpanying To
a in selectin
iness functio
, to review The 14 pr
nying matrixalth Informa
g and data d quality maectives surr
data, suppal boundarie
oes not imper it implies o place, they or efficien
abling techngies. untability andnicate to achtandards.
onwealth ofon Systems
___________
Feb
and ObjectMay and June selection were identiBe Matrix.
ng the Proce
on or functio
all processerocesses chx, meet DMation Systemanalytics c
anagement. rounding intporting clinics between
ply that the pthat if and w
ese processency in the
nologies that
d planning. hieve comm
f MassachusPlanning Pr
___________
bruary 10, 201
tives, Agencne 2011), an
of Businesfied and th
esses To B
ons
es and reachosen To BMH goals om (HIS) an
capabilities t The choseteroperabilitycal practicessystems an
process muswhen systemes should bnew system
t are aligned
mon program
settsroject
_
12
cy nd ss he
Be
ch Be of nd to
en y, s,
nd
st m
be m
d
m
____D. 4.3Busin
1.3
1.4
___________3B (DMH): Finness Capabilit
Support porganizatbarriers. Provide ato changeImprove iand easilyhealthcarReduce delsewhereCoordinatcommunit
MITA Ob
Promote rAdapt datPromote sPromote eBeneficiaPromote pIntegratioBreakdowTitle XIX p
MITA TeBusinessor objectiv Implemetheir own Platformshould be
AdaptablOpen tec(e.g., dataSecurity InteroperQuality dCurrent aService-o
__________nal To Be ty Matrix
process imprions and a b
an environmees in programnformation sy accessiblee managem
duplication oe and using te with Publity.
bjectives
reusable comta and indussecure data efficient datary centric focprogrammatn of clinical
wn artificial bprogram
echnical Gos driven. Teve; technolo
entation neuimplementa
m independee developed
le, extensibchnology ana sharing anand privacyrability stan
data is enaband proven oriented Arc
___________
rovement, inbeneficiary-c
ent that suppms and techsharing and e in order to sent and progf costs by cothat data to ic Health and
mponents thstry standard
exchange a sharing cus tic practices and adminis
barriers betw
oals echnology wiogy will not butral. Statesation technolent. Applicatfor reusabili
ble, and scand standardnd interoperay must be in
ndards are ebled to suppo
technologychitecture (
T
Ne
__________
4
ncluding achcentric focus
ports flexibilinology. provide datasupport anagram adminollecting/reuadminister td integrate h
hrough moduds
strative data
ween system
ill only be usbe used for tes will continuogy (e.g., J2tion softwareity and platfo
lable. ds based. Thability) shoulntegrated thestablished aort good decy is selected(SOA) Based
The Commoext Generatio
__________
ieving interos not constra
ity, adaptabi
a that is timealysis and deistration. sing data alrthe programhealth outco
ularity
to enable bms, geograph
sed when it sechnology’s
ue to be resp2EE, .Net, ee and infrastorm indepen
he advantagd be leveraghroughout Mand followedcision makind. d.
onwealth ofon Systems
___________
Feb
operability beained by orga
ility, and rap
ely, accurateecision makin
ready availam more effectomes with the
better decisiohy, and fund
supports a bs sake aloneponsible for setc.). tructure comndence.
ges of standaged.
MITA. d. ng.
f MassachusPlanning Pr
___________
bruary 10, 201
etween Stateanizational
pid response
e, usable, ng for
able tively. e Medicaid
on making ing within th
business goa. selecting
mponents
ardization
settsroject
_
12
e
e
e
al
_* DC
M
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
MITA Busin
Agency DMLogOrd#
DMH 1
DMH
DMH 4
DMH
DMH
_____________ers starting with “M
nal To Be Busine
ness Capabi
H gical der
Busines
, 3 Determinand Dete
2 Register
, 6 Coordina
5 Scheduli
7 Develop
_____________M” are MITA-spec
ss
lity Finding
ss Process Title
ne Appropriatenermine Approprior Intake Patie
ate and Track S
ing
Plan Goals, Me
_____________cific processes sp
gs
e
ness for DMH Seiate DMH Servicnt/Client
Service Delivery
ethods and Outc
_____________pecifically perform
5
Leve1
ervices ces
AS IS
AS IS
AS IS
AS IS
comes AS IS
TNe
_____________med for Medicaid
el Level 2
L
S -
S TO BE
S TO BE
S TO BE
S TO BE
The Commonwext Generation
_____________
Level 3
Ration
-
- Meets relatedIntegraclinicalwell as
- Meets relatedstandaIntegrareportin
- Meets relatedIntegraimprov
- Meets relatedIntegraclinicalwell as
wealth of MassSystems Plann
_____________
Februa
nale
multiple DMH gd to establishingated HIS and ac and data integ
s improving efficmultiple DMH g
d to meeting HIPards, establishinated HIS, and imng capabilities.multiple DMH g
d to establishingated HIS and asving efficiency. multiple DMH g
d to establishingated HIS and ac and data integ
s improving effic
achusettsing Project
_________
ary 10, 2012
goals g an chieving ration as
ciency. goals PAA g an
mproving
goals g an s well as
goals g an chieving ration as
ciency.
_* DC
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
Agency DMLogOrd#
DMH
DMH
DMH 1
DMH 1
DMH 1
DMH 1
_____________ers starting with “M
nal To Be Busine
H gical der
Busines
8 Develop
9 Manage
10 Manage Medical
11 Manage Patient M
12 Manage security,
13 Manage Informati
_____________M” are MITA-spec
ss
ss Process Title
ISP / IAP, Goa
Patient/Client In
data quality assRecords
data completenMedical Records
compliance of cand confidentia
Release of Medion
_____________cific processes sp
e
ls and Outcome
nformation
sociated with Pa
ness associateds
client privacy, ality regulations
dical Record
_____________pecifically perform
6
Leve1
es AS IS
AS IS
atient AS IS
d with AS IS
AS IS
AS IS
TNe
_____________med for Medicaid
el Level 2
L
S TO BE
S TO BE
S TO BE
S TO BE
S -
S -
The Commonwext Generation
_____________
Level 3
Ration
- Meets relatedIntegraclinicalwell as
- Meets establis
- Meets relatedIntegraand da
- Meets relatedIntegraand daimprov
- Enhancand morecord enhancmanagprivacy
-
wealth of MassSystems Plann
_____________
Februa
nale
multiple DMH gd to establishingated HIS and ac and data integ
s improving efficthe DMH goals shing an Integra
multiple DMH gd to establishingated HIS, achievata integration. multiple DMH g
d to establishingated HIS, achievata integration aving reporting caced auditing caore flexible job-baccess restricti
ce DMH’s abilityge compliance oy and confidenti
achusettsing Project
_________
ary 10, 2012
goals g an chieving ration as
ciency. related to
ated HIS.
goals g an ving clinical
goals g an ving clinical nd
apabilities. pabilities based ons will
y to of client ality.
_* DC
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
Agency DMLogOrd#
DMH 14
DMH 1
DMH 1
DMH 1
_____________ers starting with “M
nal To Be Busine
H gical der
Busines
4,15 Manage Services
16 ManageClaiming
17 Receive,Informati
18 Discharg
_____________M” are MITA-spec
ss
ss Process Title
Order Entry/Mas
e Insurance Infog, and A/R Main
, Process Servicion from Contra
ge Patient/Client
_____________cific processes sp
e
anage Pharmac
rmation, Billing,tenance
ce Delivery act Provider
t
_____________pecifically perform
7
Leve1
cy AS IS
, AS IS
AS IS
AS IS
TNe
_____________med for Medicaid
el Level 2
L
S TO BE
S TO BE
S TO BE
S TO BE
The Commonwext Generation
_____________
Level 3
Ration
- Meets relatedIntegraand dameanin
- Meets relatedReimbucompliaregulat
- Meets relatedIntegraefficienReimbucompliaregulat
- Meets relatedIntegraand daimprov
wealth of MassSystems Plann
_____________
Februa
nale
multiple DMH gd to establishingated HIS, achievata integration angful use criteriamultiple DMH g
d to maximizing ursement and aance with HIPAtions. multiple DMH g
d to establishingated HIS, improvncy, maximizingursement and aance with HIPAtions. multiple DMH g
d to establishingated HIS, achievata integration aving reporting ca
achusettsing Project
_________
ary 10, 2012
goals g an ving clinical s well as a. goals Federal
assuring AA
goals g an ving Federal
assuring AA
goals g an ving clinical nd
apabilities.
_* DC
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
Agency DMLogOrd#
DMH 1
DMH 2
DMH 2
DMH 2
_____________ers starting with “M
nal To Be Busine
H gical der
Busines
19 CollaborClients w
20 Manage
21 CoordinaGuardian
22 Incident
_____________M” are MITA-spec
ss
ss Process Title
ate and Coordinwith other State
Consumer Fun
ation of Legal, Fnship
Management
_____________cific processes sp
e
nate Care of ShAgencies
ds
Forensic,
_____________pecifically perform
8
Leve1
hared AS IS
AS IS
AS IS
AS IS
TNe
_____________med for Medicaid
el Level 2
L
S -
S -
S -
S -
The Commonwext Generation
_____________
Level 3
Ration
- Depenpolicy icoordin(e.g. Das wellsuch ashould shareddata co
-
- Compowould not thefunctionew sytrackinlegal stavailabuser acand tradocum
- Compowould not the
wealth of MassSystems Plann
_____________
Februa
nale
dent on resolutiissues, as well anation with othe
DCF) at the EOHl as external ages DOC and DO also be on DM
d facilities for imollaboration.
onents of this Prbe moved to a l
e entire Processns to be enhanc
ystem would incg/communicatiotatus with syste
bility of data accccess and manaacking of court dentation, due da
onents of this Prbe moved to a l
e entire Process
achusettsing Project
_________
ary 10, 2012
ion of as
er Agencies HHS level, encies E. Focus H/DPH proved
rocess evel 2, but
s. Critical ced in a
clude on about em-wide cording to agement, dates, ates, etc. rocess evel 2, but
s.
_* DC
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
Agency DMLogOrd#
DMH 2
DMH 2
DMH 2
DMH 2
_____________ers starting with “M
nal To Be Busine
H gical der
Busines
23 DevelopMeasure
24 Accredita
25 Manage
26 Manage
_____________M” are MITA-spec
ss
ss Process Title
, Monitor and Mes and Reporting
ation Process
Provider/Contra
DMH Contracts
_____________cific processes sp
e
Manage Performg
actor Procureme
s
_____________pecifically perform
9
Leve1
ance AS IS
AS IS
ent AS IS
AS IS
TNe
_____________med for Medicaid
el Level 2
L
S -
S -
S TO BE
S TO BE
The Commonwext Generation
_____________
Level 3
Ration
- With thnew DMshould 2 due tcapabiintegrainformaprofiles
-
- Meets relatedIntegraefficienReimbucompliaregulat
- Meets relatedIntegraefficienReimbucompliaregulat
wealth of MassSystems Plann
_____________
Februa
nale
he implementatioMH system, this naturally moveto improved replities and tighte
ation of contract ation and provids.
multiple DMH gd to establishingated HIS, improvncy, maximizingursement and aance with HIPAtions. multiple DMH g
d to establishingated HIS, improvncy, maximizingursement and aance with HIPAtions.
achusettsing Project
_________
ary 10, 2012
on of a s Process
e to a level porting r
der
goals g an ving Federal
assuring AA
goals g an ving Federal
assuring AA
_* DC
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
Agency DMLogOrd#
DMH 2
DMH 2
DMH M5
DMH M5
DMH M6
DMH M6
DMH M6
_____________ers starting with “M
nal To Be Busine
H gical der
Busines
27 Manage
28 Manage
56** Develop
58** Develop
67** Establish
68** BR Mana
69** Manage Commun
_____________M” are MITA-spec
ss
ss Process Title
General Ledge
Licensing Proc
And Maintain P
Agency Goals
h Business Rela
age Business R
Business Relatnications
_____________cific processes sp
e
r
ess
Program Policy
ationship
Relationship
tionship
_____________pecifically perform
10
Leve1
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
TNe
_____________med for Medicaid
el Level 2
L
S -
S -
S -
S -
S -
S -
S -
The Commonwext Generation
_____________
Level 3
Ration
-
-
-
-
-
-
-
wealth of MassSystems Plann
_____________
Februa
nale
achusettsing Project
_________
ary 10, 2012
_* DC
A
_____________**Process numbe
D.4.3B (DMH) FinCapability Matrix
Agency DMLogOrd#
DMH M7
_____________ers starting with “M
nal To Be Busine
H gical der
Busines
70** Terminat
_____________M” are MITA-spec
ss
ss Process Title
te Business Rel
_____________cific processes sp
e
lationship
_____________pecifically perform
11
Leve1
AS IS
TNe
_____________med for Medicaid
el Level 2
L
S -
The Commonwext Generation
_____________
Level 3
Ration
-
wealth of MassSystems Plann
_____________
Februa
nale
achusettsing Project
_________
ary 10, 2012
Ex
Deliverab
C
Commxecutive O
Next
ble 4.3C (DP(Ba
TheExecutiv
O
Charlie Lead
1
monwealtOffice of H
Generation
PH- BoPHF)ased on MIT
Febru
Erin Ferrare Commonwve Office of HOne Ashbur
Bostoerin.ferra
dbetter, ProB
100 Middle SPortland,
cleadbette
th of Mas
Health andSystem Pla
): Final To BTA SS-A – V
uary 10, 201
ri, Project M
wealth of MasHealth and Hrton Place, 1on, MA [email protected]
oject PrincipBerryDunn Street, PO B, ME 04104-
er@berrydun
ssachusd Human nning Projec
Be Business Version 2.0)
2
Manager ssachusettsHuman Serv1th Floor
08 ma.us
pal/Project
Box 1100 -1100 nn.com
etts Services ct
Capability M
vices
Manager
Matrix
____D.4.3Busin
Secti
Meth
1.1
1.2
1.3
1.4
MITA
Appe
Appe
___________C (DPH-BoPH
ness Capabilit
Deliverabl
on
hodology..
To Be A
MITA Bu
MITA O
MITA Te
A Business
endices:
endix A; Matu
__________HF): Final Toty Matrix
e 4.3C (DPH
.................
Analysis Met
usiness Goa
bjectives ....
echnical Goa
s Capabilit
urity Matrix (
___________ Be
H - BoPHF):
TABLE
.................
hodology ....
als ...............
...................
als ..............
ty Findings
(Definition)
T
Ne
__________
2
: Final To B
OF CONTE
.................
...................
...................
...................
...................
s ...............
The Commoext Generatio
__________
Be Business
NTS
.................
...................
...................
...................
...................
.................
onwealth ofon Systems
___________
Feb
s Capability
.................
...................
...................
...................
...................
.................
f MassachusPlanning Pr
___________
bruary 10, 201
y Matrix
Page
.................
...................
...................
...................
...................
.................
settsroject
_
12
....... 3
....... 3
....... 4
....... 4
....... 5
....... 6
____D.4.3Busin
Met 1.1
The Agen2011Businthe raBOPHand dfact t BerryTo Be
A mCommand rTo BBOPHrelateThe interopractgood Note:becoupgratargeenviro
___________C (DPH-BoPH
ness Capabilit
hodology
To Be A
DPH - BoPncy Goals a), and iden
ness Procesationale for sHF, particuladiscussed inhat these pr
yDunn’s DPHe matured: Meets on Meets on Maturing
Can be mImpacted
eeting was mittee (IM Greach conse
Be matured, HF goals ofed to automa
chosen properability, ptices, breaki practices.
: The selectme more auades or a N
eted for incronment.
__________HF): Final Toty Matrix
y
nalysis Me
HF team usas defined dtified agenc
sses To Be Mselecting thear attention n detail at alrocesses we
H - BOPHF
ne or more Mne or more A
the processmatured over
direct patie
held with Governance ensus on tho
which are f integratingated reportinrocesses alproviding timng down ar
tion of a Proutomated wiNext Generareased auto
___________ Be
ethodology
sed a combduring the ficy needs anMatured. A sem is providewas paid toll four DPH
ere selected
team used
MITA 2.0 GoAgency Goals improves ar a 2 to 5 yeant care at al
the DPH-BCommittee
ose processpresented
g HIS, suppng, timelineslso meet t
mely, accuratrtificial boun
ocess To Bethin 2 to 5 y
ation Systemomation, int
T
Ne
__________
3
y
bination of thrst phase ond recommesubset of proed in the acc
o the 10 bus- BOPHF hoby the agen
the followin
als s
a critical busar horizon l four hospita
BoPHF Info) on Januar
ses “To Be”in the accoorting the d
ss, reducing the MITA te and easilydaries betw
e Matured dyears, rathe
m is put intoteroperability
The Commoext Generatio
__________
he MITA 2.0of the MITAendations toocesses, (43companyingsiness proceospitals dur
ncy for their u
ng criteria in
iness functio
als
ormation Mary 25, 2012,matured. Th
ompanying mdevelopmentexpenses agoals and y accessible
ween system
oes not imper it implies o place, they or efficien
onwealth ofon Systems
___________
Feb
0 Goals andA project (Mo guide the3.5%) were ig To Be Matresses that wring Activity uniqueness.
selecting th
on or functio
anagement , to review ahe 20 procematrix, meet of HIE/EH
and improvedobjectives
e data, suppms and prom
ply that the pthat if and w
ese processency in the
f MassachusPlanning Pr
___________
bruary 10, 201
d Objectivesay and Jun
e selection oidentified anrix. For DPH
were reviewe3, due to th
he Processe
ons
Governancall processeesses choseet the DPH HR and goad efficiencies
surroundinporting clinicamoting overa
process muswhen systemes should bnew system
settsroject
_
12
s, ne of
nd H - ed he
es
ce es en
- ls s.
ng al all
st m
be m
____D.4.3Busin
1.2
1.3
___________C (DPH-BoPH
ness Capabilit
MITA Bu
Promote awith StateProvide pDevelop sgoals throSupport porganizatbarriers. Provide ato changeImprove iand easilyhealthcarReduce delsewhereCoordinatcommunit
MITA Ob
Promote rAdapt datPromote sPromote eBeneficiaPromote pIntegratioBreakdowTitle XIX p
__________HF): Final Toty Matrix
usiness Go
an enterprise business pperformance systems thatough interopprocess imprions and a b
an environmees in programnformation sy accessiblee managem
duplication oe and using te with Publity.
bjectives
reusable comta and indussecure data efficient datary centric focprogrammatn of clinical
wn artificial bprogram.
___________ Be
oals
e view that sprocesses an
measuremet can effectiv
perability androvement, inbeneficiary-c
ent that suppms and techsharing and e in order to sent and progf costs by cothat data to ic Health and
mponents thstry standard
exchange.a sharing. cus. tic practices.and adminis
barriers betw
T
Ne
__________
4
supports enand technologent for accouvely commud common stncluding achcentric focus
ports flexibilinology. provide datasupport anagram adminollecting/reuadminister td integrate h
hrough moduds.
. strative data
ween system
The Commoext Generatio
__________
abling techngies. untability andnicate to achtandards. ieving intero
s not constra
ity, adaptabi
a that is timealysis and deistration. sing data alrthe programhealth outco
ularity.
to enable bms, geograph
onwealth ofon Systems
___________
Feb
nologies that
d planning. hieve comm
operability beained by orga
ility, and rap
ely, accurateecision makin
ready availam more effectomes with the
better decisiohy, and fund
f MassachusPlanning Pr
___________
bruary 10, 201
t are aligned
mon program
etween Stateanizational
pid response
e, usable, ng for
able tively. e Medicaid
on making. ing within th
settsroject
_
12
d
m
e
e
e
____D.4.3Busin
1.4
___________C (DPH-BoPH
ness Capabilit
MITA TeBusinessor objectiv Implemetheir own Platformshould be
AdaptablOpen tec(e.g., dataSecurity InteroperQuality dCurrent aService-o
__________HF): Final Toty Matrix
echnical Gos driven. Teve; technolo
entation neuimplementa
m independee developed
le, extensibchnology ana sharing anand privacyrability stan
data is enaband proven oriented Arc
___________ Be
oals echnology wiogy will not butral. Statesation technolent. Applicatfor reusabili
ble, and scand standardnd interoperay must be in
ndards are ebled to suppo
technologychitecture (
T
Ne
__________
5
ill only be usbe used for tes will continuogy (e.g., J2tion softwareity and platfo
lable. ds based. Thability) shoulntegrated thestablished aort good decy is selected(SOA) Based
The Commoext Generatio
__________
sed when it sechnology’s
ue to be resp2EE, .Net, ee and infrastorm indepen
he advantagd be leveraghroughout Mand followedcision makind. d.
onwealth ofon Systems
___________
Feb
supports a bs sake aloneponsible for setc.). tructure comndence.
ges of standaged.
MITA. d. ng.
f MassachusPlanning Pr
___________
bruary 10, 201
business goa. selecting
mponents
ardization
settsroject
_
12
al
_* DB
M
D
_____________**Process numbe
D. 4.3C (DPH-BoBusiness Capabil
ITA Busine
DPH # Busin
15 Mana
16/41 InquirManaRecor
20 ManaAppea
43 ManaProcu
44 Award
45 Mana
46 Close
47 Regis
51 Manaand A
M1** Deter
_____________ers starting with “M
oPHF): Final To Blity Matrix
ss Capabilit
ness Process T
age Patient/Clien
re Patient/Clientage Reproductiords
age Patient/Clienal
age Provider/Courement
d Provider/Cont
age Provider/Co
e out Provider/C
ster Providers/C
age Provider/CoAppeal
rmine Eligibility
_____________M” are MITA-spec
Be
ty Findings
Title
nt Information (H
t Information anon of Medical
nt Grievance an
ntractor
tractor Contract
ntractor Contra
Contractor Contr
Contractors
ntractor Grievan
_____________cific processes sp
Level 1
HIM) AS IS
nd AS IS
nd AS IS
AS IS
AS IS
cts AS IS
racts AS IS
AS IS
nce AS IS
AS IS
_____________pecifically perform
6
Level 2 Ra
TO BE AuElequeand
TO BE AbSu
TO BE ImordIm
_____________med for Medicaid
ationale
tomate to makeectronic Health eryable in orderd external intero
bility to reproducpport archiving
prove timelinessder to reduce deprove internal a
The CommonNext Generatio
_____________
e access to comRecords (EHR)r to improve patoperability.
ce Electronic Heand transmissio
s and accuracy enials, paymentand external inte
nwealth of Masn Systems Plan
_____________
Februa
mprehensive, int) more easily actient care. Impro
ealth Records eon of medical re
of eligibility infot and/or service eroperability.
ssachusettsnning Project
________
ary 10, 2012
egrated ccessible and ove internal
lectronically. ecords.
ormation in delays.
_* DB
D
M
_____________**Process numbe
D. 4.3C (DPH-BoBusiness Capabil
DPH # Busin
M2** Enroll
29 Mana
30 Mana
31 Mana
32 Mana
34 Mana
37 Mana
38 Mana
39 Formu
40 ManaHealt
M51** Autho
9 Creat
10 Mana
11 Engag
_____________ers starting with “M
oPHF): Final To Blity Matrix
ness Process T
l Member
age Position Con
age Recruitment
age Staff Schedu
age Accounting
age Time-keepin
age Revenue Cy
age Reimbursem
ulate Budget
age Collection ah Information
orize Referral
te Business Rel
age Business Re
ge in Joint Plan
_____________M” are MITA-spec
Be
Title
ntrol
t
uling
ng and Payroll
ycle
ment and Budge
nd Storage of
ationship
elationship
ning
_____________cific processes sp
Level 1
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
et AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
_____________pecifically perform
7
Level 2 Ra
TO BE Enrea
TO BE Enrea
TO BE Dedevnec
TO BE AuElequeand
TO BE Stamoobj
_____________med for Medicaid
ationale
able Human Readily used in sch
able Human Readily used in sch
etermine and auvelop standardicessary for com
tomate to makeectronic Health eryable in orderd external intero
andardize and aonitoring procesjectives. Stream
The CommonNext Generatio
_____________
esources' and Pheduling of staff
esources' and Pheduling of staff
utomate key inpuzed manageme
mprehensive rev
e access to comRecords more er to improve patoperability.
automate referrasses to support mline internal an
nwealth of Masn Systems Plan
_____________
Februa
Payroll Data to bf.
Payroll Data to bf.
ut/interface poinent reporting (Davenue managem
mprehensive, inteasily accessibltient care. Impro
al authorization revenue retentio
nd external inter
ssachusettsnning Project
________
ary 10, 2012
be more
be more
nts and ashboards)
ment.
egrated e and ove internal
and on goals and roperability.
_* DB
D
_____________**Process numbe
D. 4.3C (DPH-BoBusiness Capabil
DPH # Busin
14 Creat
17 Respo
55 Devel
5 DevelMeas
6 MonitActivi
21 CondProce
22 Regis
23 CondAsses
24 Devel
_____________ers starting with “M
oPHF): Final To Blity Matrix
ness Process T
te Communicati
ond to Consent
lop Goals and O
lop and Manageures and Repor
tor Performancety
uct Patient Pre-ess/Manage Wa
ster/Admit Patie
uct Initial Screessment
lop Treatment P
_____________M” are MITA-spec
Be
Title
ons Protocols
Decrees
Objectives
e Performance rting
e and Business
-admission ait List
nt/Client
ening and
Plan Goals,
_____________cific processes sp
Level 1
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
_____________pecifically perform
8
Level 2 Ra
TO BE ReenAc
TO BE Inteothrepdis
TO BE Strprofrointefou
TO BE Readby shaandsig
TO BE Syincsig
TO BE Re
_____________med for Medicaid
ationale
educe paper, inthance connectivcountable Care
egrate data betwher support inforporting. Minimizstribution.
reamline existinocesses using vm paper to scanerchange. Pursundation for Hea
educe existing hmission modulepatient type. Maring and data id lay foundation
gnature.
stematize the scluding electronignatures and elig
efine clinical indi
The CommonNext Generatio
_____________
tegrate data, imvity. Support Me
e Organization g
ween the Systermation system
ze manual effort
g phone, fax, scvalue stream manned electronic ue electronic scalth Information
heavy dependene. Provide functiove from paperinterchange. Pun for HIE. Elimin
screening procesic document magibility determin
icators by patie
nwealth of Masn Systems Plan
_____________
Februa
plement automaeaningful Use a
goals and activit
em of Record (Ss including occu by automating
creening and scapping methodo sharing and da
cheduling and laExchange (HIE
nce on the SORionality to refiner to scanned eleursue electronic nate barriers to
ss where approanagement, elecnation.
nt population. M
ssachusettsnning Project
________
ary 10, 2012
ation and and ties.
SOR) and urrence analysis and
cheduling ology. Move ata ay E).
R registration e data needs ectronic
scheduling electronic
opriate; ctronic
Move from
_* DB
D
_____________**Process numbe
D. 4.3C (DPH-BoBusiness Capabil
DPH # Busin
MethoDisch
25 ProvisDelive
26 Disch
27 ManaOutco
28 Cond
61 CreatPhysi
62 ManaCare
64 MaintEnviro
1 Initiat
2 Mana
3 Mana
4 CondMonit
_____________ers starting with “M
oPHF): Final To Blity Matrix
ness Process T
ods, and Outcomharge Plan)
sion and Coordiery
harge Patient/Cl
age and Monitoromes
uct Prevention A
te Environment cal Plant Plan
age and Monitorand Physical Pl
tain Physical Plaonment of Care
e Case or Even
age Case or Eve
age Incident Rep
uct Routine Fisctoring
_____________M” are MITA-spec
Be
Title
mes (including
ination of Care
ient
r Patient/Client
Activities
of Care and
r Environment olant Plan
ant and
nt
ent
porting
cal and Clinical
_____________cific processes sp
Level 1
AS IS
AS IS
AS IS
AS IS
AS IS
f AS IS
AS IS
AS IS
AS IS
AS IS
AS IS
_____________pecifically perform
9
Level 2 Ra
pawir
TO BE ReutilSu
TO BE Mointeele
TO BE Mode
TO BE EssevdatDe
TO BE Eninfo
_____________med for Medicaid
ationale
per to electronicreless and Point
efine and enhanlization managepport medicatio
ove from paper terchange. Lay f
ectronic signatur
ove from manuapartment interfa
tablish and stanverity scale. Cotabase. Web-en
evelop/distribute
hance measuraormation system
The CommonNext Generatio
_____________
c medication mat of Care (POC)
ce performanceement and occuon management
to scanned elecfoundation for Hre. Support med
al monitoring to aces.
ndardize occurreonsolidate four hnable incident ree dashboards. U
able standards ims and continue
nwealth of Masn Systems Plan
_____________
Februa
anagement. Imp) where appropr
e improvement mrrence reportingt.
ctronic sharing aHIE. Eliminate badication manage
electronic supp
ence types andhospitals to comeporting form.
Use/automate re
n SOR and Stae to leverage Ex
ssachusettsnning Project
________
ary 10, 2012
plement riate.
monitoring, g tools.
and data arriers to ement.
ported clinical
establish mmon SQL
eport writer.
ate used xtraction
_* DB
D
_____________**Process numbe
D. 4.3C (DPH-BoBusiness Capabil
DPH # Busin
7 ManaReimb
8 MaintAccre
_____________ers starting with “M
oPHF): Final To Blity Matrix
ness Process T
age Disallowancbursement
tain Continuous editation
_____________M” are MITA-spec
Be
Title
ces and Eligibilit
Readiness for
_____________cific processes sp
Level 1
ty for AS IS
AS IS
_____________pecifically perform
10
Level 2 Ra
Traneewri
TO BE Aubeton and
_____________med for Medicaid
ationale
ansfer Load (ETed. Develop/disiter.
tomate and statter support the appropriate ide
d co-morbidities
The CommonNext Generatio
_____________
TL) to warehousstribute dashboa
ndardize documeducation of pr
entification and ds in the health re
nwealth of Masn Systems Plan
_____________
Februa
se data based oards. Use/autom
mentation procerofessional and documentation ecord.
ssachusettsnning Project
________
ary 10, 2012
on timely mate report
dures to other staff of conditions
Ex
Deliver
C
Commxecutive O
Next
rable 4.4A ((Ba
TheExecutiv
O
Charlie Lead
1
monwealtOffice of H
Generation
(DDS): Finaased on MIT
Febru
Erin Ferrare Commonwve Office of HOne Ashbur
Bostoerin.ferra
dbetter, ProB
100 Middle SPortland,
cleadbette
th of Mas
Health andSystem Pla
al To-Be TeTA SS-A – V
uary 14, 201
ri, Project M
wealth of MasHealth and Hrton Place, 1on, MA [email protected]
oject PrincipBerryDunn Street, PO B, ME 04104-
er@berrydun
ssachusd Human nning Projec
echnical CaVersion 2.0)
2
Manager ssachusettsHuman Serv1th Floor
08 ma.us
pal/Project
Box 1100 -1100 nn.com
etts Services ct
apability Ma
vices
Manager
atrix
_______D.4.4A (D
Section
1.0
1.1
1.2
1.3
2.0
Append
Append
Append
___________DDS): Final To
Project Me
Background
Project App
TCM To-Be
Recomme
dix A: Ente
dix B: Appl
dix C: Weig
__________o-Be TCM
DeliveTechn
ethodology
d .................
proach .........
e Results .....
endations .
rprise Tec
lication Sy
ghted Solu
__________
rable 4.4nical Cap
Table
y/Results .
...................
...................
...................
.................
chnology S
ystem Inven
tion Sets .
T
Ne
___________Page 2
A (DDS):pability M
e of Content
.................
...................
...................
...................
.................
Solution Se
ntories .....
.................
The Commoext Generatio
__________
Final ToMatrix (TC
ts
.................
...................
...................
...................
.................
et Definitio
.................
.................
onwealth ofon Systems
__________
o-Be CM)
.................
...................
...................
...................
.................
ons ............
.................
.................
f MassachuPlanning Pr
___________February 14,
Pa
.................
...................
...................
...................
.................
.................
.................
.................
settsroject
_____ , 2012
age
..... 3
...... 3
...... 3
...... 6
..... 9
... 10
... 12
... 14
_______D.4.4A (D
1.0 Proje
1.1 B This “Toresulted the futureCapabilitServicesteam. Thassist DDis a souimpleme
1.2 P ConsisteBCM busThis appprocesseactivity inmeetingsBe businmeetingsbusiness During tidentifiedincreasesgoals/objprocessefor increaSpecificabe matur 1. Meet2. Meet3. Matu4. Matu
proce5. Matu6. Can b
Consistethe TCMthat suppthrough
___________DDS): Final To
ect Methodo
Background
o-Be” Technin the produe or To-Be ty Matrix (BC’ (DDS) BC
his report adDS as it strivurce documntation of a
Project App
ent with the siness proce
proach presees. With thesn collaborats that were hness process with DDS s process dri
he BCM Asd for DDS. Os in maturityjectives, age
es to be systases in auto
ally, the BCMred:
s one or mos one or moring the procring the proess; ring the procbe matured
ent with the TM To-Be modport specificthe Next G
__________o-Be TCM
ology/Resu
d
ical Capabiuction of thestate of techCM) To-Be s
CM As-Is buddresses theves to improvent, that wnext genera
proach
guiding prinesses are uerves the cose principlesion with theheld during tses, the TCduring the
vers and the
s-Is activity,Of the 72 buy within the Tency goals/ntematically momation, int
M team used
ore MITA 2.0ore DDS Agecess improvocess will o
cess will alloover a two t
TCM As-Is del. Solution business fu
Generation
__________
lts
lity Matrix (e “As-Is” TCMhnology will state. Approsiness proc
e impact of tve the techn
will become tion, MITA-c
nciples of thused as the oncept that s in mind, the BCM To-Bthe week of
CM team deweek of F
e resulting te
, a consolidsiness proc
To-Be state. needs, and rmatured. Theteroperabilityd the followin
0 Goals; ency Goals;es a critical occur as a
ow other proo five year h
model, this n Sets are lounctions. 24Systems P
T
Ne
___________Page 3
(TCM) reporM report. Thmature in o
oximately 44cesses havethat trajecto
nical environa key artif
compliant so
he project wcatalysts tothe technicae BerryDun
Be activity. TJanuary 23
erived the TCFebruary 6, echnology im
dated list ofesses, 32 (4The BCM teecommendaese are the y, and efficing six criteri
business funresult of m
cesses to mhorizon.
report utilizeogical group Solution Selanning Pro
The Commoext Generatio
__________
rt builds uphe intent of torder to add4% of the Dee been selecory from a tement. Analofact in the olution.
where “busino derive the al capabilitien TCM team
The TCM te, 2012. BasCM To-Be m2012 to re
mplications a
f 72 unique44%) have beam used a ations to infobusiness priency for thea in selectin
nction or funmaturing an
mature as we
es Solution pings of systets have beoject. 20 of
onwealth ofon Systems
__________
pon the Actthis report isdress the ideepartment octed to matechnical perogous to the planning, p
ness drives future TCM
es are enabm conductedeam participaed on the rematrix. The
eview the ouand maturity
e business been identificombination
orm the selerocesses thae Next Genng the busin
nctions; other relate
ell; and
Sets as thetems, applicen identifiedf the 24 So
f MassachuPlanning Pr
___________February 14,
ivity 3 works to addressentified Busof Developmture by the rspective anAs-Is report
procurement
technology”M maturity leblers of busd the initial Tated in the esulting BCM
TCM team utcome of t
y concepts.
processes ied as targen of the MIT
ection of busat will be targneration Soluess process
ed or depen
e “centerpieccations, and d across EOolution Sets
settsroject
_____ , 2012
k that s how iness
mental BCM d will t, this t and
”, the evels. iness
To-Be BCM
M To- held these
were ets for A 2.0 iness geted ution. ses to
ndent
ce” of tools
OHHS s are
_______D.4.4A (D
applicabl1). This business The TCMSolution state. Thmore of Solution
___________DDS): Final To
le to DDS asalignment p
s processes
M team crossSets to det
his exercise,the businesSets are use
Figure 1: M
__________o-Be TCM
s identified tprovides a dthey suppor
s-walked thetermine whic, as expecte
ss processesed in suppor
Maturing BCM b
__________
through the direct correlart.
e 32 businesch Solution ed, revealeds identified rt of these 32
business proce
T
Ne
___________Page 4
cross-walk tation betwee
ss processeSets will b
d that someas needing 2 business p
esses require e
The Commoext Generatio
__________
to DDS BCMen the unde
es to be mate directly im
e Solution Sto mature a
processes.
enhancements
onwealth ofon Systems
__________
M business perlying techn
tured againsmpacted by Sets were suand depicte
to their Solutio
f MassachuPlanning Pr
___________February 14,
processes (Tnologies and
st the 24 EOthe BCM T
upporting ond that 13 un
on Sets.
settsroject
_____ , 2012
Table d the
OHHS To-Be ne or nique
_______D.4.4A (D
The beloprocessematured the futuresee Appe
*Items in b
#
1
2
3
4 Se
5
6
7
8
9
10
11 S
12 Int
13
14
15
16
17
18
19 Prov
20
21
22
23
24
The BCMsupport mSolution EligibilitySets canDDS bus
___________DDS): Final To
ow table, Tabes and effoare seen in e, however, endix A for t
bold are the 32
S
Enrollment/Re
ervice Coordina
Care
Medic
Informa
Order Entr
Claims, Bil
Service Deliver
teragency Coo
Man
Legal, F
In
Accr
Q
Provider
vider and Cont
P
Ma
Establish and
Infras
T
M and TCMmore than oSets; Exec
y, that each sn be systemsiness proce
__________o-Be TCM
ble 1, depictrts. Those bold. Businebut have no
he full list of
BCM processe
Solution Se
ervice Determi
Eligibility
egistration, Inta
ation, Tracking
Scheduling
Planning and T
cal Record Ma
ation Privacy a
ry, Laboratory,
lling and Finan
ry Data from C
ordination for S
nage Consume
Forensic, and G
ncident Manage
reditation and L
Quality Manage
r Performance
ractor Manage
rogram Manag
nage Policy an
Manage Busin
structure Supp
Executive Sup
Table 1: DDS B
M cross-walne of the 32
cutive Supposupport six oatically orga
ess impact.
__________
s all of the SBCM business processot been selef Solution Se
es that have be
ets
ination
ake, and Discha
, and Commun
g
Treatment
nagement
and Security
and Pharmacy
cial Processing
ontracted Prov
hared Client Se
er Funds
Guardianship
ement
Licensing
ement
Management
ement and Proc
gement
nd Goals
ness Relations
ort and IT
pport
Business Proce
king effort 2 identified bort, and Seof the maturanized by w
T
Ne
___________Page 5
Solution Setsness processes not in boected as target definitions
een selected to
arge
nication
y
g
viders
ervices
curement
hips
esses to TCM
showcases business proervice Coordring busines
way of the bu
The Commoext Generatio
__________
s that supposses that hold may still bgets for the
s.
o be matured.
Relate
1
11
5, 6, 13, 14
14, 21,
90, 99
5
39, 41, 4
56,
36, 61, 70, 71
Solution Set C
that in somocesses. Modination, Trass processesusiness nee
onwealth ofon Systems
__________
ort DDS’ dayave been pbe enhanceBCM To-Be
ed Business P
n/a
, 2, 3, 4, 10, 12
1, 18, 23, 29,11
4, 16, 56, 58, 6
n/a
7, 8, 32, 90, 1
103
94
n/a
57, 62, 63, M3
82
125
21, 112
90, 96, 115
9, 101, 102, 104
50A, 50B, 116
44, 110, 12
n/a
42, 44, 46, 49,
70, 78, 79, 82
M56
n/a
94, 121, 12
1, 79, 82, 85, 1
Cross-walk.
me instanceost notably, tacking, Coms. In this waeds they sup
f MassachuPlanning Pr
___________February 14,
y-to-day buspositioned td and mature activity. Pl
Processes
2, 126
18, 123
1, 113, 114, M
119
7, M59, M60
5
4, 105, 106
6, 120
20
50A,50B, 52
, 85,117
22
105, 106, 110,
es Solution these includmmunicationay, these Sopport and ov
settsroject
_____ , 2012
iness to be red in lease
M7
127
Sets de the n and lution verall
_______D.4.4A (D
The TCMthe As-Istheir eighbusinessas identiefficiencireimbursprocess interoperand qual
1.3 T Based onthat is deinformedSet impaTCM mathat in orsupportin
Intera
En
Provider an
Service
___________DDS): Final To
Fig
M team’s effos scores of tht respectives process seified by the es, HIPAAements andwas exam
rability, timeity and accu
TCM To-Be
n the aforemepicted on th this impact
acted is targatrices are nrder to suppng Solution S
Claims, B
gency Coordinat
nrollment/Regis
nd Contractor M
e Coordination,
NuSolution Set
__________o-Be TCM
gure 2: DDS S
ort to assessthe 13 Solute TCM sub-lection criterBCM team
A standardsd improved
mined at thliness of pr
uracy of proc
Results
mentioned ahe following t assessmengeted to advot in compaort each of tSets to be at
Medical Record
Billing and Financ
tion for Shared C
Accreditation
Incident
Quality
stration, Intake,
Care Planning a
Program
Management and
Tracking, and Co
Exec
umber of Ms
__________
olution Sets im
s the impact ion Sets impscores. Withria were exa included ths complianclinical data
he BCM mocess, data
cess results.
approach, thpage. As disnt in order tovance to its arison “applethe To-Be bt a 2.0 score
Management
cial Processing
Client Services
and Licensing
t Management
y Management
and Discharge
and Treatment
Management
d Procurement
Eligibility
ommunication
cutive Support
Maturing B
T
Ne
___________Page 6
mpacted by Mat
and identifypacted by thhin the BCMamined. Ratihe need fornce, enhana among othatrix level access and
e TCM teamscussed aboo derive thecorrelating
es to applesusiness pro
e as well.
0 1
Business P
The Commoext Generatio
__________
turing Business
y the target The To-Be buM context, thonale for the
r data integrced reporthers. In addfor respec
d accuracy,
m has rationove, the BCMe TCM To-BBCM To-Be
s”, their undecesses at a
2
Processes b
onwealth ofon Systems
__________
s Processes.
TCM To-Be usiness proche To-Be gloe business pration capabting, increadition, each ctive technic effort to pe
nalized the TM To-Be rati
Be state. Eace state. Whierlying attrib2.0 level, D
3 4
by Solution
f MassachuPlanning Pr
___________February 14,
state considcesses as weobal and spprocess selebilities, imprases in fe
To-Be buscal details, erform; effic
TCM To-Be ionale and mch TCM Sole, the BCMbutes do sugDDS will nee
5
n Set
settsroject
_____ , 2012
dered ell as
pecific ection roved
ederal iness
e.g. iency
state matrix lution
M and ggest
ed the
6
_______D.4.4A (D
It shouldSolutionprevalenSets, incenhance
13S
olut
ion
Set
s
B.0 BusineServices
B.6 Decisio
A.0 Access
I.0 Interope
D.0 Data Mand Sharin
P.0 PerformMeasurem
S.0 Securit
F.0 FlexibilAdaptabilityExtensibilit
Solution S
_____________DDS): Final To-B
d also be menn Sets that incnt in the DDS ecluding those noed. Therefore, t
13 S
olut
ion
Set
s
Sup
por
ting
Mat
urin
g B
CM
Pro
cess
es
AsIs
ess Enabling 1.0
on Support 1.0
s Channels 1.0
erability 1.2
Management ng
1.0
mance ent
1.0
ty and Privacy 1.5
lity – y and ty
1.0
Set Average 1.1
_____________Be TCM
tioned, that theluded: Access environment, thot specified to mhe 2.0 designat
Elig
ibili
ty
Enr
ollm
ent/R
egi
stra
tion,
In
take
, an
d D
isch
arg
e
s-s
To-be
As-Is
To-be
0 2.0 1.9 2.0
0 2.0 1.3 2.0
0 2.0 1.3 2.0
2 2.0 1.0 2.0
0 2.0 1.0 2.0
0 2.0 1.1 2.0
5 2.0 1.9 2.0
0 2.0 1.2 2.0
1 2.0 1.3 2.0
_____________
e TCM team prChannels, Inteese scores we
mature, will inhetion is a minimu
Ser
vice
C
oord
inat
ion/
Tra
ckin
g an
d C
omm
unic
atio
n
Car
eP
lann
ing
and
- As-Is
To-be
As-Is
0 1.9 2.0 1.9
0 1.3 2.0 1.3
0 1.3 2.0 1.0
0 1.4 2.0 1.0
0 1.0 2.0 1.0
0 1.1 2.0 1.0
0 1.9 2.0 1.9
0 1.2 2.0 1.2
0 1.4 2.0 1.3
Table 2: As-
_____________Page
reviously noted eroperability, Flere expectedly lo
erently advance m expression o
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
age
me
nt
TechnicTo-be
As-Is
To-be
2.0 1.2 2.0
2.0 1.3 2.0
2.0 1.3 2.0
2.0 1.0 2.0
2.0 1.0 2.0
2.0 1.0 2.0
2.0 1.9 2.0
2.0 1.2 2.0
2.0 1.2 2.0
Is and To-Be of the
_____________7
in the As-Is reexibility/Adaptabow. By addressabove a 2.0 sc
of the To-Be stat
Cla
ims,
B
illin
g a
nd
Fin
anci
al P
roce
ssin
g
Inte
rage
ncy
Coo
rdin
atio
nfo
rS
hare
d
cal Capability MatriAs-Is
To-be
As-Is
1.9 2.0 1.0
1.3 2.0 1.0
1.3 2.0 1.0
1.4 2.0 1.0
1.0 2.0 1.0
1.5 2.0 1.0
1.9 2.0 1.0
1.2 2.0 1.0
1.4 2.0 1.0
e Solution Sets that
_____________
eport that therebility and Extensing these core core as technolote.
Coo
rdin
atio
n fo
r S
hare
d C
lient
Ser
vice
s
Inci
dent
Man
age
me
nt
ix To-be
As-Is
To-be
2.0 2.0 2.0
2.0 1.3 2.0
2.0 1.5 2.0
2.0 1.2 2.0
2.0 1.0 2.0
2.0 1.1 2.0
2.0 1.8 2.0
2.0 1.0 2.0
2.0 1.4 2.0
t support the To-Be
The CoNext Gen
_____________
e were several nsibility. Based
e areas in the Togies that span
Acc
redi
tatio
n a
nd
Lice
nsin
g
Pro
vid
er Q
ualit
y
As-Is
To-be
As-Is
1.8 2.0 1.8
1.3 2.0 1.3
1.0 2.0 1.2
1.2 2.0 1.2
1.0 2.0 1.0
2.0 2.0 2.0
1.7 2.0 1.7
1.0 2.0 1.1
1.4 2.0 1.4
e BCM.
ommonwealth oneration System
_____________ Fe
under-served cd upon the techTo-Be state, maacross the DDS
Man
age
me
nt
Pro
vid
er a
nd C
ontr
acto
r M
ana
gem
ent
and
P
rocu
rem
ent
To-be
As-Is
To-be
2.0 1.1 2.0
2.0 1.3 2.0
2.0 1.0 2.0
2.0 1.2 2.0
2.0 1.0 2.0
2.0 1.6 2.0
2.0 1.7 2.0
2.0 1.0 2.0
2.0 1.2 2.0
of Massachusems Planning Proj
_____________ebruary 14, 2012
capabilities acrohnical architectany of the SolutS infrastructure
Pro
gram
Ma
nage
me
nt
Exe
cutiv
eS
up
port
As-Is
To-be
As-Is
1.4 2.0 1.0
1.1 2.0 1.3
1.1 2.0 1.0
1.0 2.0 1.0
1.0 2.0 1.0
1.4 2.0 1.0
1.5 2.0 1.5
1.2 2.0 1.0
1.2 2.0 1.1
etts ject
___
oss ture tion are
pp
To-be
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
_______D.4.4A (D
Below a
_____________DDS): Final To-B
are Solution Sets
_____________Be TCM
s not impacted
Sol
utio
n S
ets
B.0 BusinesEnabling Se
B.6 DecisioSupport
A.0 AccessChannels
I.0 Interope
D.0 Data ManagemeSharing
P.0 PerformMeasureme
S.0 SecuritPrivacy
F.0 FlexibilAdaptabilityExtensibilitySolution SAverage
Tab
_____________
by the BCM To-
Sch
edul
ing
As-Is
ss ervices
1.0
on 1.0
s 1.0
erability 1.0
ent and 1.0
mance ent
1.0
y and 1.0
ity – y and y
1.0
et 1.0
ble 3: Solution Sets
_____________Page
-Be that will rem
Info
rmat
ion
Priv
acy
and
Sec
urity
Ser
vice
Del
iver
y D
ata
from
TechnicAs-Is As
1.1 2.
1.0 1.
1.0 1.
1.0 1.
1.0 1.
1.0 1.
1.3 1.
1.0 1.
1.1 1.
not impacted by th
_____________8
main at their cur
Con
trac
ted
Pro
vid
ers
Man
age
Co
nsu
mer
F
unds
cal Capability Matris-Is As-Is
.1 1.4
.3 1.3
.5 1.0
.4 1.0
.1 1.0
.8 1.0
.8 1.5
.1 1.0
.5 1.2
he BCM To-Be rem
_____________
rent levels as d
Leg
al,
For
ensi
c,
and
Gua
rdia
nshi
p
Man
age
Po
licy
and
Goa
ls
ix As-Is As-Is
2.0 1.0
1.3 1.0
1.5 1.0
1.2 1.0
1.0 1.0
1.1 1.0
1.8 1.0
1.0 1.0
1.4 1.0
main at their Current
The CoNext Gen
_____________
efined in the As
Est
ablis
h an
d M
ana
ge B
usin
ess
Rel
atio
nshi
ps
Infr
astr
uctu
re
As-Is As
1.0 1
1.0 1
1.0 1
1.0 1
1.0 1
1.0 1
1.0 1
1.0 1
1.0 1
t Maturity Levels.
ommonwealth oneration System
_____________ Fe
s-Is report.
Sup
por
t an
d IT
s-Is
.0
.0
.0
.0
.0
.0
.0
.0
.0
of Massachusems Planning Proj
_____________ebruary 14, 2012
etts ject
___
_______D.4.4A (D
2.0 Reco
Althoughimpactedthe Next the As-Isand/or imother So
As the taprovide tother teclevel, Aptechnologtechnolog
With thecomprehbusinessbusinessThis appthe curre
This undrequiremenvironm
Lastly, thexperienenterprisshare simpromisingresource
___________DDS): Final To
ommendatio
h the view id by the matGeneration
s TCM repomproving teclution Sets in
argeted To-Bhe complete
chnology thappendix B,gies such asgy platform
ese detailedensively un
s processes s processes proach proment state and
derstanding ments are gament in place
he DDS meced and kn
se perspectivmilar characg as it may
es on this pat
__________o-Be TCM
ons
nto the DDturing busineSystems Plrt should cochnical arean many case
Be Solution e picture of Dat comprise t “Applicatios databasesincluding the
d technologyderstood, cand technoto be correotes mainte
d future state
of the DDS athered and
e at DDS tod
embers of nowledgeableve, the othercteristics incy be valuabth to the futu
__________
DS TCM is ess processeanning Proje
ontinue to beas in the tares.
Sets are reDDS impact the entire 24on System s, operating eir specific s
y maps avaommunicate
ologies in thlated to the
enance of the can be obje
technology d the vendoday and the d
the TCM tee of both thr participatincluding theirble to sharure.
T
Ne
___________Page 9
focused upes, this repoect. Review e addressedrgeted To-B
eviewed, Appas it depicts
4 EOHHS SInventories
systems ansupport for th
ailable, the ed, and scae future. Thunderlying
he establisheectively add
environmenor communidesired To-B
eam have bhe businessng departmer technical ee planning
The Commoext Generatio
__________
on the releort serves as
of the low sd going forwe Solution S
pendix C, “Ws all the app
Solution Setss” identifies
nd applicatiohe Solution S
DDS technaled in ordehis level of technologie
ed alignmenressed.
nt is a key aity is informBe state.
been extrems and technents, BoPHFenvironment
and techno
onwealth ofon Systems
__________
vant Solutios the baselinscoring techward. FurtheSets will inh
Weighted Solications, sys
s. Then, at ts all the
on languagesSet.
nology envir to supportprecision en
es that directnt so that an
artifact to comed of both
mely capabnical environF and DMH, ts. This conology asset
f MassachuPlanning Pr
___________February 14,
on Sets thane TCM To-nical attribut
ermore, replaherently adv
olution Setsstems, toolshe most grasupporting s within the
ronment cat these matnforces the tly support tny gaps betw
onsider as fh the techno
le, collaboranments. From
while uniqutinues to aps, services,
settsroject
_____ , 2012
at are Be of tes in acing
vance
”, will s, and anular
sub-DDS
an be turing BCM
them. ween
future ology
ative, m an
ue, do ppear , and
_______D.4.4A (D
Append
The 24
#
1
2
3
4
5
6
7
8
9
10
11
12
13
_____________DDS): Final To-B
dix A: Enterpris
Enterprise Tech
Solution
Service Determ
Eligibility
Enrollment/RegIntake, and Dis
Service, Coordination/TCommunicatio
Scheduling
Care Planning
Medical Record
Information PriSecurity Order Entry, LaPharmacy
Claims, Billing Processing
Service DeliverContracted Pro
Interagency CoShared Client S
Manage Consu
_____________Be TCM
se Technology
hnology Solution
n Set Name
mination
r
gistration, scharge d
Tracking, and n
Ccm
and Treatment bad
d Management pa
ivacy and a
aboratory, and
and Financial acr
ry Data from oviders
Ti
oordination for Services
Ci
umer Funds
_____________
y Solution Set D
n Set Definitions
Determine appropr
Determine eligibilitrelated to eligibility.
Intake screening, demographic data.
Coordination of carcare, referral authomanage waitlists fo
Manage staff sched
Initial screening anbest practices andand manages indivdata as needed.
Management of allpatient/client grievaand ensures data q
Manage compliancand legal requirem
Manage order entry
Fiscal monitoring oaccounting, 1099’sclaims generation,referrals and servicTrack patient data information.
Create and managincluding sharing o
Manage individual
_____________Page 1
Definitions
s
riateness for service
ty, manage disallo. Manage program
registration and a
re delivery, commuorization managemor programs, and m
duling, manage tim
nd assessment, tre professional judgmvidual service plans
patient data in theances and appealsquality and complet
ce to privacy, securents, security audit
y, manage laborato
of patient/client, cos, payroll, purchas auditing, mass a
ce, manage state fufrom contracted pr
ge business relatif aggregate data fo
patient funds not re
_____________10
es; determine what
owances, manage wait lists.
admission, suspen
nication protocols, ent, manage indivi
manage individual tr
mekeeping and payr
atment planning. Cment. Coordinations. Evaluate and do
e health care recors, manage request teness.
rity and confidentiats. Access based o
ory, and manage ph
ontractor services,sing, accounts payadjustment, inquire und, manage client roviders about qua
onships, and engor the purpose of ut
elated to treatment
_____________
Functional Summ
t services are need
all eligibility comm
d/dis-enroll/dischar
patient/client commdual service priorit
ransportation inform
roll, patient schedul
Complete documenn of care delivery, ocument patient ris
rd, collection and sfor protected heal
ality standards and n role and level of a
harmacy services.
program financialyable, revenue cyc
payment status, specific service funntity, type of servic
age in joint planntilization manageme
.
The CoNext Gen
_____________
mary
ded and if they are a
munications, mana
rge, track program
munication, coordintization, manage inmation.
ling, resource sche
ntation of patient cadischarge planning
sk, restraint docum
storage of client dalth information both
regulations. Securauthorization. Ensu
l management, macle, reimbursementmanage recoupmnds, generate finance, delivered to ind
ning. Cross agencent and performanc
ommonwealth oneration System
_____________ Fe
available.
ge all waivers, gr
m capacity and ce
nation of discharge ndividual allocations
eduling, and group s
are using federal ag, managing patien
mentation and repor
ata, respond to conh electronic and no
re communications ures all health infor
anagement positiot, budget manageent, collections anncial and program adividuals or groups
cy communication ce monitoring.
of Massachusems Planning Proj
_____________ebruary 14, 2012
ievances and app
ensuses, and man
services and follows and service budg
scheduling.
nd state criteria, runt outcomes, deverting of all patient c
sent decrees, manon electronic. Revi
to meet confidentirmation is protected
n control, recruitmment and formulatnd recovery, authoanalysis. storage of health c
of patient informa
etts ject
___
eals
nage
w up gets,
ules, lops care
nage ews
ality d.
ment, tion, orize
care
ation
_______D.4.4A (D
#
14
15
16
17
18
19
20
21
22
23
24
_____________DDS): Final To-B
Solution
Legal, ForensicGuardianship
Incident Manag
Accreditation a
Quality Manage
Provider PerfoManagement
Provider and CManagement a
Program Mana
Manage Policy
Establish and MBusiness Relat
Infrastructure a
Executive Supp
_____________Be TCM
n Set Name
c, and lc
gement o
and Licensing
ement
nCcpA
rmance ospc
Contractor nd Procurement
ppap
gement a
and Goals
Manage tionships
Ccr
and IT t
port m
_____________
Document patient/clegal cases/actionscontracts. Manage
Initiate and manageon all incident type
Manage program/pMonitor performanc
Manage waiver pronational core indicConduct routine fiscase or event and preventive activitieAllow for quality rep
Establish mechaniother data for provservice histories aplans; identify signclient survey.
Manage provider/provider/contractorprocess, provide tra provider listing oparticipant driven b
Manage all prograassurances, managPerform population
Develop and maint
Create and manacoordinate efforts relationships.
Manage informatiotopology, software,
Reporting capabilitmanagement, reso
_____________Page 1
client legal status, s. Document and client information p
e case and event rs (including medica
providers surveys ce utilizing measure
ograms provider quators and performascal and clinical mosubsequent incide
es can be conducteporting.
sms and requiremviders/ contractorsnd trends, costs, aificant measurable
/contractor procur information, and raining and performof available providebudget. Manage bu
am individual waivge individual progr
n and individual out
tain program policy
age business relatand programs betw
n with respect to in and other hardwar
ty to support execuurce management,
_____________11
duty to warn, Rogtrack risk evalua
policy. Respond to
reporting. Manage iation, restraint and
and certification. Mes for accreditation
ualifications, ensurance measures, monitoring of patientnt reporting. Manaed. Perform contra
ments for developin to comply with ag
and expenditures; activities and outc
rement, awardingclose out contract
m audits. Address reers to deliver servicdget billing and reim
ver communicationram budgets, and mreach.
, agency goals and
tionships, facilitateween agencies. D
nfrastructure and infre/physical assets.
utive decisions and, financial, quality, i
_____________
Functional Summ
ger’s orders, forentions. Coordinate consent decrees. M
incident reporting. other types).
Manage accreditatin and credentialing.
re program compliamanage/monitor pro
t outcomes and exge grievance and a
actor/provider outre
ng, managing, andgency, state, and assess external fa
comes, and create a
g contracts, devts. Manage providequests for contracces in support of pambursement for pro
s. Track waiver pmanage program in
d initiatives. Maintai
e communication wevelop and mainta
formation technolog
d monitor all busineincident reporting, c
The CoNext Gen
_____________
mary
nsic and guardiansand liaise with in
Manage patient grie
Manage medicatio
ion and credential. Manage licensing
ance as agreed upovider quality perfoxpenditures from aappeals process. Heach and training t
d reporting performfederal reporting
actors affecting theand/or revise perfo
velop contracts, der/contractor commctor/provider informarticipant directionovider contracts.
program capacitiesnformation. Mainta
in state plan.
with business relaain program policy
gy including but no
ess process areascontract managem
ommonwealth oneration System
_____________ Fe
hip data. Manage nvestigating agencevance and appeal
n occurrence repor
ing necessary for of contracted prov
pon with Medicaid, ormance and compa quality standpointHelp to identify areto ensure quality s
mance measures, qrequirements. Ana
e program; assess ormance measures
register providersmunications and g
mation. Monitor pati. Manage transpor
s, provision and main accurate trackin
ationships. Engagey and agency goals
ot limited to comput
s including but not ent, productivity etc
of Massachusems Planning Proj
_____________ebruary 14, 2012
ongoing and potecies. Manage provls process.
rting. Provide repor
program participatviders.
manage monitorinpliance with standat. Initiate, and manas for improvemenstandards are defin
quality, outcomes, alyze patient/client
agency initiatives . Conduct and ana
s/contractor, mangrievance and appent outcomes. Pro
rtation providers. T
management of wang of housing capa
e in joint plannings. Terminate busin
ter devices, network
limited too; populac.
etts ject
___
ntial vider
rting
tion.
g of ards. nage nt so ned.
and and and lyze
nage eals vide rack
aiver city.
g to ness
k
ation
_______D.4.4A (D
Append
ApplicatApp TypX = TranX = InforX = End-X = BrowOperatinDatabasLanguagData (PeAccess VScope (BCommoYear InsNumber Total Re
_____________DDS): Final To-B
dix B: Applicat
Cotion Full Name pe (COTS, Custonsaction Processrmation Access -User / Group Prwser Delivery ng System & Plase ge ers/PHI/FIN) Via (Inter/Intra/VBureau, Dept/Agnwealth)
stalled r of IT Staff Assigegistered Users
_____________Be TCM
ion System Inv
lumn Name
om, Hybrid) sing
roductivity
atform
VPN) gency, Secretari
gned
_____________
ventories
Appl
at,
_____________Page 1
ication System
The full nameThe applicatiAn X indicateAn X indicateAn X indicateAn X indicateThe OS and The databaseThe implemeThe system mAccess to the
The applicati
The year the The number The total num
_____________12
m Inventory - Fi
e of the applicatioon is primarily CO
es the system is ues the system is ues the system is ues the system useplatform for opere technology use
entation languagemanages Persone system is via th
on's scope of use
system went liveof IT staff assign
mber of end-users
_____________
ield Definitions
Description oon with descriptioOTS, custom codused to record traused to communiused as a collaboes web browsers ating the system.
ed by the system.e used by the systal, Health or Fina
he Internet, Intran
e.
e. ed, using fractions, indicating publi
The CoNext Gen
_____________
s
of Column Conon as appropriateded, or a hybrid.ansactional informcate information,
oration or group cas the primary u
.
stem. ancial informationnet or externally v
nal FTEs for part-ic access if appro
ommonwealth oneration System
_____________ Fe
ntents .
mation. for example usin
coordination tool.ser interface.
n. via VPN.
-time support. opriate.
of Massachusems Planning Proj
_____________ebruary 14, 2012
ng lists or maps.
etts ject
___
_______D.4.4A (D
Application Short Name
MEDITECH
HCSIS
PAM
ICMS
IPS
Autism
Application Security
HL7 (WaiverBillin
g)
QE5
Client Funds
Waiver Sorting
MTReporting
FFP-Time
_____________DDS): Final To-B
Application Full Name
App Typ(COTSCustomHybrid
COTSCustom
COTSCustom
COTSCustom
Custom
Custom
Custom
Custom
Custom
Custom
Custom
Custom
g Custom
Custom
_____________Be TCM
pe S, m, )
X = Transacti
on Processi
ng
X =Informa
Acce
S, m
x x
S, m
x x
S, m
X X
m x x
m x x
m x x
m x x
m x x
m x x
m x x
m x
m x
m x x
_____________
= ation ss
X = End-User / Group
productivity
XBroDe
_____________Page 1
X = owser livery
System Architecture = 2 Tier or 3
Tier
OSP
2 W
x 3 W
X 3 W
3 W
3 W
2 W
2 W
2 W
x 3 W
2 W
2 W
2 W
x 3 W
_____________13
Operating ystem &
Platform
Database
La
Win 2k SQL 2k
Win 2003 Oracle 11 g / Linux
Win 2003 Oracle 11 g / Linux
Win 2003 SQL 2005
Win 2003 SQL 2005
Win XP SQL 2k A
Win XP SQL 2k
Win XP SQL 2k V
Win 2003 SQL 2005
Win XP SQL 2k A
Win XP SQL 2k A
Win XP SQL 2k A
Win 2003 SQL 2k
_____________
anguage
Data (Pers /PHI/ FIN)
Ac
(IIV
Magic Pers/ePH
I V
.NET, Java, COM
Pers/ePHI
V
NET, Java, COM
FIN V
.Net Fin V
.Net Pers/ePH
I V
Access, VBA
Pers/ePHI
V
SQL Pers V
VB.NET Pers/ePH
I V
.NET Pers/ePH
I V
Access, VBA
Pers/ePHI
V
Access, VBA
Pers/ePHI
V
Access, VBA
Pers/ePHI
V
ASP, COM
Pers V
The CoNext Gen
_____________
ccess Via Inter/ ntra/
VPN)
Scope (Bureau, Dept/Agency, Secretariat,
Commonwealth)
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
VPN Dept
ommonwealth oneration System
_____________ Fe
Year Installed
Number of IT Staff
Assigned
2003 6
2006 8
2011 12
2008 2
2006 2
2008 1
2006 1
2005 1
2011 2
1999 1
2008 1
2005 1
2004 1
of Massachusems Planning Proj
_____________ebruary 14, 2012
Total Registered
Users
SystemInterface
2,100 NewMM
2,100 Meditec
EIM / PP
30 Meditech/M
S
50 Meditech/ H
10
450
6 Meditech/E
L
65 Meditech/H
25 Meditec
10
450 Meditec
35 MMAR
etts ject
___
ms d to
MIS
ch
PL
MMAR
HCSIS
IM/PP
HCSIS
ch
ch
S
_______D.4.4A (D
Append
Key: The applic
A = PrimaB = SeconN = None
Application SName
MEDITEC
HCSIS
PAM
ICMS
IPS
IMPACT
Autism
ApplicatioSecurity
HL7 (WaiverBill
QE5
Client Fun
MTReport
FFP-Tim
EIM
_____________DDS): Final To-B
dix C: Weighted
cation is a ______
ary ndary
e Applicable
Short Application Full Name
CH
S
T
m
on y
ling)
nds
ting
me
_____________Be TCM
d Solution Sets
support of the Solu
Elig
ibili
ty
Enr
ollm
ent/R
egis
trat
ion,
In
take
, an
d D
isch
arge
Se
rvic
e C
diti
/Tki
d
n a
n b
n n
n n
n n
n n
n n
n n
n n
n n
n n
n n
_____________
s
ution Set:
Coo
rdin
atio
n/T
rack
ing
and
Com
mun
icat
ion
and
Com
mun
icat
ion
Sch
edul
ing
Car
e P
lann
ing
and
Tre
atm
ent
a n a
a n b
b n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
_____________Page 1
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
Cla
ims,
B
illin
g an
d F
inan
cial
Pro
cess
ing
a b a
b b n
n n a
n n n
n n n
n n b
n n n
n b n
n n b
n n n
n n n
Solution Set S
n n b
_____________14
Sol
Fin
anci
al P
roce
ssin
g
Ser
vice
Del
iver
y D
ata
from
C
ontr
acte
d P
rovi
ders
Inte
rage
ncy
Coo
rdin
atio
n f
Sh
dC
lit
Si
n n
n n
a n
n n
n n
n n
n n
n n
n n
n n
n n
Support, e.g. Reporting
Non-DDS Systems
a n
_____________
ution Sets
for
Sha
red
Clie
nt S
ervi
ces
Man
age
Con
sum
er F
unds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
n a n
n a a
n n n
n n n
n a b
n n n
n n n
n n n
n n n
n n n
a n n
g and Interfaces
n n n
The CoNext Gen
_____________
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
Qua
lity
Man
agem
ent
Pro
vide
ran
dC
ontr
acto
r
n b b
a n b
n n n
n n n
b n n
n n n
n n n
n n n
n n n
n a a
n n n
n n n
ommonwealth oneration System
_____________ Fe
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Pro
gram
Man
agem
ent
Man
age
Pol
icy
and
Goa
ls
n a n
n b n
b b n
a n n
n n n
b n n
n n n
n n n
n n n
a n n
n n n
n
n
a n n
of Massachusems Planning Proj
_____________ebruary 14, 2012
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
with
Med
icai
d
Infr
astr
uctu
re S
uppo
rt a
nd
IT
n n
n n
n n
n n
n n
n n
n n
n n
n n
n n
n n
n n
etts ject
___
Exe
cutiv
e S
uppo
rt
b
b
n
a
b
a
a
n
n
a
b
b
b
Ex
Deliver
C
Commxecutive O
Next
rable 4.4B ((Ba
TheExecutiv
O
Charlie Lead
1
monwealtOffice of H
Generation
(DMH): Finaased on MIT
Febru
Erin Ferrare Commonwve Office of HOne Ashbur
Bostoerin.ferra
dbetter, ProB
100 Middle SPortland,
cleadbette
th of Mas
Health andSystem Pla
al To-Be TeTA SS-A – V
uary 22, 201
ri, Project M
wealth of MasHealth and Hrton Place, 1on, MA [email protected]
oject PrincipBerryDunn Street, PO B, ME 04104-
er@berrydun
ssachusd Human nning Projec
echnical CaVersion 2.0)
2
Manager ssachusettsHuman Serv1th Floor
08 ma.us
pal/Project
Box 1100 -1100 nn.com
etts Services ct
apability Ma
vices
Manager
atrix
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 2 February 22, 2012
Deliverable 4.4B (DMH): Final To-Be Technical Capability Matrix (TCM)
Table of Contents
Section Page
1.0 Project Methodology/Results 3
1.1 Background .................................................................................................................... 3
1.2 Project Approach ............................................................................................................ 3
1.3 TCM To-Be Results ........................................................................................................ 6
2.0 Recommendations 8
Appendix A: Enterprise Solution Set Definitions 9
Appendix B: Application System Inventories 11
Appendix C: Weighted Solution Sets 15
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 3 February 22, 2012
1.0 Project Methodology/Results
1.1 Background This “To-Be” Technical Capability Matrix (TCM) report builds upon the Activity 3 work that resulted in the production of the “As-Is” TCM report. The intent of this report is to address how the future or To-Be state of technology will mature in order to address the identified Business Capability Matrix (BCM) To-Be state. Approximately 56% of the Department of Mental Health’s (DMH) BCM As-Is business processes have been selected to mature by the BCM team. This report addresses the impact of that trajectory from a technical perspective and will assist DMH as it strives to improve the technical environment. Analogous to the As-Is report, this is a source document, that will become a key artifact in the planning, procurement and implementation of a next generation, MITA-compliant solution.
1.2 Project Approach Consistent with the guiding principles of the project where “business drives technology”, the BCM business processes are used as the catalysts to derive the future TCM maturity levels. This approach preserves the concept that the technical capabilities are enablers of business processes. With these principles in mind, the BerryDunn TCM team conducted the initial To-Be activity in collaboration with the BCM To-Be activity. The TCM team participated in the BCM meetings that were held during the week of January 23, 2012. Based on the resulting BCM To-Be business processes, the TCM team derived the TCM To-Be matrix. The TCM team held meetings with DMH during the week of February 6, 2012 to review the outcome of these business process drivers and the resulting technology implications and maturity concepts. During the BCM As-Is activity, 34 unique business processes, comprised of 6 MITA-specific business processes and 28 Agency-Specific Processes (ASPs), were identified for DMH. Subsequently, the BCM To-Be activity consolidated these into 25 unique business processes that define the To-Be state. The remainder of the report will reference this set of 25 business processes. Of the 25 business processes, 14 have been identified as targets for increases in maturity within the To-Be state. The BCM team used a combination of the MITA 2.0 goals/objectives, agency goals/needs, and recommendations to inform the selection of business processes to be systematically matured. These are the business processes that will be targeted for increases in automation, interoperability, and efficiency for the Next Generation Solution. Specifically, the BCM team used the following six criteria in selecting the business processes to be matured:
1. Meets one or more MITA 2.0 Goals; 2. Meets one or more DMH Agency Goals; 3. Maturing the process improves a critical business function or functions; 4. Maturing the process will occur as a result of maturing another related or dependent
process; 5. Maturing the process will allow other processes to mature as well; and 6. Can be matured over a two to five year horizon.
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 4 February 22, 2012
Consistent with the TCM As-Is model, this report utilizes Solution Sets as the “centerpiece” of the TCM To-Be model. Solution Sets are logical groupings of systems, applications, and tools that support specific business functions. 24 Solution Sets have been identified across EOHHS through the Next Generation Systems Planning Project. 18 of the 24 Solution Sets are applicable to DMH as identified through the cross-walk to DMH BCM business processes (Table 1). This alignment provides a direct correlation between the underlying technologies and the business processes they support.
The TCM team cross-walked the 14 business processes to be matured against the 24 EOHHS Solution Sets to determine which Solution Sets will be directly impacted by the BCM To-Be state. This exercise, as expected, revealed that some Solution Sets were supporting one or more of the business processes identified as needing to mature and depicted that nine unique Solution Sets are used in support of these 14 business processes.
Figure 1: Maturing BCM business processes require enhancements to their Solution Sets.
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 5 February 22, 2012
The below table, Table 1, depicts all of the Solution Sets that support DMH’s day-to-day business processes and efforts. Those BCM business processes that have been positioned to be matured are seen in bold. Business processes not in bold may still be enhanced and matured in the future, however, not selected as targets for the BCM To-Be activity. Please see Appendix A for the full list of Solution Set definitions.
*Items in bold are the 14 BCM processes that have been selected to be matured. # Solution sets Related Business Processes 1 Service Determination 1/3
2 Eligibility n/a
3 Enrollment/Registration, Intake, and Discharge 2, 9, 18
4 Service Coordination/Tracking 4/6
5 Scheduling 5
6 Care Planning and Treatment 7, 8
7 Medical Record Management 9, 10, 11, 13
8 Information Privacy and Security 12,13
9 Order Entry, Laboratory, and Pharmacy 14, 15
10 Claims, Billing and Financial Processing 16, 27
11 Service Delivery Data from Contracted Providers 17
12 Interagency Coordination for Shared Client Services 19
13 Manage Consumer Funds 20
14 Legal, Forensic, and Guardianship 21
15 Incident Management 22
16 Accreditation and Licensing 24, 28
17 Quality Management n/a
18 Provider Performance Management 23
19 Provider and Contractor Management and Procurement 25, 26
20 Program Management n/a
21 Manage Policy and Goals M56, M58
22 Establish and Manage Business Relationships M67, M68, M69, M70
23 Infrastructure and IT n/a 24 Executive Support n/a
Table 1: DMH Business Processes to TCM Solution Set Cross-walk.
The BCM and TCM cross-walking effort showcases that in some instances Solution Sets support more than one of the 14 identified business processes. Most notably, these include the Solution Sets, Medical Record Management, and Enrollment/Registration, Intake, and Discharge that both support three of the maturing business processes. Similarly, as seen below, four other Solution Sets support two business processes selected for maturation. In this way, these Solution Sets can be systematically organized by way of the business needs they support and overall DMH business process impact.
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 6 February 22, 2012
Figure 2: DMH Solution Sets impacted by Maturing Business Processes.
The TCM team’s effort to assess the impact and identify the target TCM To-Be state considered the As-Is scores of the nine Solution Sets impacted by the To-Be business processes as well as their eight respective TCM sub-scores. Within the BCM context, the To-Be global and specific business process selection criteria were examined. Rationale for the business process selection as identified by the BCM team included the need for data integration capabilities, improved efficiencies, HIPAA standards compliance, enhanced reporting, increases in federal reimbursements and improved clinical data among others. In addition, each To-Be business process was examined at the BCM matrix level for respective technical details, e.g. interoperability, timeliness of process, data access and accuracy, effort to perform; efficiency and quality and accuracy of process results.
1.3 TCM To-Be Results Based on the aforementioned approach, the TCM team has rationalized the TCM To-Be state that is depicted on the following page. As discussed above, the BCM To-Be rationale and matrix informed this impact assessment in order to derive the TCM To-Be state. Each TCM Solution Set impacted is targeted to advance to its correlating BCM To-Be state. While, the BCM and TCM matrices are not in comparison “apples to apples”, their underlying attributes do suggest that in order to support each of the To-Be business processes at a 2.0 level, DMH will need the supporting Solution Sets to be at a 2.0 score as well.
It should also be mentioned, that the TCM team previously noted in the As-Is report that there were several under-served capabilities across Solution Sets that included: Access Channels, Interoperability, Flexibility/Adaptability and Extensibility. Based upon the technical architecture
0.0 1.0 2.0 3.0
Scheduling
Claims, Billing and Financial Processing
Service Delivery Data from Contracted Providers
Order Entry, Laboratory, and Pharmacy
Service Coordination/Tracking
Care Planning and Treatment
Provider and Contractor Management and Procurement
Medical Record Management
Enrollment/Registration, Intake, and Discharge
Number of Maturing Business Processes By Solution Set
Solution Sets
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 7 February 22, 2012
prevalent in the DMH environment, these scores were expectedly low. By addressing these core areas in the To-Be state, many of the Solution Sets, including those not specified to mature, will inherently advance above a 2.0 score as technologies that span across the DMH infrastructure are enhanced. Therefore, the 2.0 designation is a minimum expression of the To-Be state.
9 S
olut
ion
Set
s S
uppo
rtin
g M
atu
ring
B
CM
Pro
cess
es
Enr
ollm
ent/R
egis
trat
ion,
In
take
, and
Dis
char
ge
Med
ical
Rec
ord
Man
agem
ent
Pro
vide
r an
d C
ont
ract
or
Man
agem
ent a
nd
Pro
cure
men
t
Car
e P
lann
ing
and
T
reat
me
nt
Ser
vice
C
oord
inat
ion/
Tra
ckin
g
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Cla
ims,
Bill
ing
and
Fin
anci
al P
roce
ssin
g
Ord
er
Ent
ry,
Labo
rato
ry, a
nd
Pha
rmac
y
Sch
edul
ing
Technical Capability Matrix
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
As-Is
To-Be
B.0 Business Enabling Services
1.7 2.0 1.7 2.0 1.8 2.0 1.7 2.0 1.7 2.0 1.8 2.0 1.5 2.0 1.0 2.0 1.1 2.0
B.6 Decision Support 1.3 2.0 1.3 2.0 1.7 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.4 2.0 1.0 2.0 1.0 2.0
A.0 Access Channels 1.0 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.1 2.0 1.0 2.0 1.0 2.0 1.0 2.0
I.0 Interoperability 1.1 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.0 2.0 1.2 2.0 1.2 2.0 1.0 2.0 1.0 2.0
D.0 Data Management and Sharing
1.0 2.0 1.1 2.0 1.0 2.0 1.1 2.0 1.0 2.0 1.6 2.0 1.6 2.0 1.0 2.0 1.0 2.0
P.0 Performance Measurement
1.4 2.0 1.5 2.0 1.0 2.0 1.5 2.0 1.0 2.0 1.0 2.0 1.1 2.0 1.0 2.0 1.0 2.0
S.0 Security and Privacy
1.8 2.0 1.8 2.0 1.5 2.0 1.8 2.0 1.8 2.0 1.7 2.0 1.7 2.0 1.4 2.0 1.6 2.0
F.0 Flexibility – Adaptability and Extensibility
1.3 2.0 1.3 2.0 1.0 2.0 1.3 2.0 1.3 2.0 1.0 2.0 1.3 2.0 1.0 2.0 1.0 2.0
Solution Set Average 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.3 2.0 1.1 2.0 1.1 2.0
Table 2: As-Is and To-Be of the Solution Sets that support the To-Be BCM.
Below are Solution Sets not impacted by the BCM To-Be that will remain at their current levels as defined in the As-Is report.
Sol
utio
n S
ets
Ser
vice
Det
erm
inat
ion
Info
rmat
ion
Priv
acy
an
d S
ecur
ity
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
Se
rvic
es
Man
age
Con
sum
er
Fun
ds
Lega
l, F
ore
nsic
, and
G
uard
ians
hip
Inci
dent
Man
age
men
t
Acc
redi
tatio
n an
d Li
cens
ing
Qua
lity
Man
age
men
t
Man
age
Pol
icy
and
Goa
ls
Est
ablis
h an
d M
anag
e B
usi
ne
ss R
ela
tions
hip
s
Exe
cutiv
e S
uppo
rt
Technical Capability Matrix
As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is As-Is
B.0 Business Enabling Services 1.7 1.3 1.2 1.1 1.7 1.5 1.2 1.9 1.0 1.0 1.0 B.6 Decision Support 1.3 1.0 1.1 1.0 1.3 1.6 1.0 1.0 1.0 1.0 1.4 A.0 Access Channels 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 I.0 Interoperability 1.0 1.0 1.2 1.0 1.0 1.0 1.1 1.2 1.0 1.0 1.0
D.0 Data Management and Sharing 1.0 1.0 1.6 1.0 1.0 1.0 1.2 1.0 1.0 1.0 1.1
P.0 Performance Measurement 1.4 1.0 1.1 1.0 1.2 1.0 1.0 1.7 1.0 1.0 1.1
S.0 Security and Privacy 1.8 1.3 1.5 1.7 1.7 1.3 1.7 1.5 1.0 1.0 1.6
F.0 Flexibility – Adaptability and Extensibility
1.3 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
Solution Set Average 1.3 1.1 1.2 1.1 1.2 1.2 1.1 1.3 1.0 1.0 1.2
Table 3: Solution Sets not impacted by the BCM To-Be remain at their Current Maturity Levels.
The Commonwealth of MassachusettsNext Generation Systems Planning Project
____________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 8 February 22, 2012
2.0 Recommendations
Although the view into the DMH TCM is focused upon the relevant Solution Sets that are impacted by the maturing business processes, this report serves as the baseline TCM To-Be of the Next Generation Systems Planning Project. Review of the low scoring technical attributes in the As-Is TCM report should continue to be addressed going forward. Furthermore, replacing and/or improving technical areas in the targeted To-Be Solution Sets will inherently advance other Solution Sets in many cases.
As the targeted To-Be Solution Sets are reviewed, Appendix C, “Weighted Solution Sets”, will provide the complete picture of DMH impact as it depicts all the applications, systems, tools, and other technology that comprise the entire 24 EOHHS Solution Sets. Then, at the most granular level, Appendix B, “Application System Inventories” identifies all the supporting sub-technologies such as databases, operating systems, and application languages within the DMH technology platform including their specific support for the Solution Set.
With these detailed technology maps available, the DMH technology environment can be comprehensively understood, communicated, and scaled in order to support these maturing business processes and technologies in the future. This level of precision enforces the BCM business processes to be correlated to the underlying technologies that directly support them. This approach promotes maintenance of the established alignment so that any gaps between the current state and future state can be objectively addressed.
This understanding of the DMH technology environment is a key artifact to consider as future requirements are gathered and the vendor community is informed of both the technology environment in place at DMH today and the desired To-Be state.
Lastly, the DMH members of the TCM team have been extremely capable, collaborative, experienced and knowledgeable of both the business and technical environments. From an enterprise perspective, the other participating departments, BoPHF and DDS, while unique, do share similar characteristics including their technical environments. This continues to appear promising as it may be valuable to share planning and technology assets, services and resources on this path to the future.
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 9 February 22, 2012
Appendix A: Enterprise Solution Set Definitions
The 24 Enterprise Solution set Definitions
# Solution Set Name Functional Summary
1 Service Determination Determine appropriateness for services; determine what services are needed and if they are available.
2 Eligibility Determine eligibility, manage disallowances, manage all eligibility communications, manage all waivers, grievances and appeals related to eligibility. Manage program wait lists.
3 Enrollment/Registration, Intake, and Discharge
Intake screening, registration and admission, suspend/dis-enroll/discharge, track program capacity and censuses, and manage demographic data.
4 Service, Coordination/Tracking, and Communication
Coordination of care delivery, communication protocols, patient/client communication, coordination of discharge services and follow up care, referral authorization management, manage individual service prioritization, manage individual allocations and service budgets, manage waitlists for programs, and manage individual transportation information.
5 Scheduling Manage staff scheduling, manage timekeeping and payroll, patient scheduling, resource scheduling, and group scheduling.
6 Care Planning and Treatment
Initial screening and assessment, treatment planning. Complete documentation of patient care using federal and state criteria, rules, best practices and professional judgment. Coordination of care delivery, discharge planning, managing patient outcomes, develops and manages individual service plans. Evaluate and document patient risk, restraint documentation and reporting of all patient care data as needed.
7 Medical Record Management Management of all patient data in the health care record, collection and storage of client data, respond to consent decrees, manage patient/client grievances and appeals, manage request for protected health information both electronic and non electronic. Reviews and ensures data quality and completeness.
8 Information Privacy and Security
Manage compliance to privacy, security and confidentiality standards and regulations. Secure communications to meet confidentiality and legal requirements, security audits. Access based on role and level of authorization. Ensures all health information is protected.
9 Order Entry, Laboratory, and Pharmacy
Manage order entry, manage laboratory, and manage pharmacy services.
10 Claims, Billing and Financial Processing
Fiscal monitoring of patient/client, contractor services, program financial management, management position control, recruitment, accounting, 1099’s, payroll, purchasing, accounts payable, revenue cycle, reimbursement, budget management and formulation, claims generation, auditing, mass adjustment, inquire payment status, manage recoupment, collections and recovery, authorize referrals and service, manage state fund, manage client specific service funds, generate financial and program analysis.
11 Service Delivery Data from Contracted Providers
Track patient data from contracted providers about quantity, type of service, delivered to individuals or groups storage of health care information.
12 Interagency Coordination for Shared Client Services
Create and manage business relationships, and engage in joint planning. Cross agency communication of patient information including sharing of aggregate data for the purpose of utilization management and performance monitoring.
13 Manage Consumer Funds Manage individual patient funds not related to treatment.
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 10 February 22, 2012
# Solution Set Name Functional Summary
14 Legal, Forensic, and Guardianship
Document patient/client legal status, duty to warn, Roger’s orders, forensic and guardianship data. Manage ongoing and potential legal cases/actions. Document and track risk evaluations. Coordinate and liaise with investigating agencies. Manage provider contracts. Manage client information policy. Respond to consent decrees. Manage patient grievance and appeals process.
15 Incident Management Initiate and manage case and event reporting. Manage incident reporting. Manage medication occurrence reporting. Provide reporting on all incident types (including medication, restraint and other types).
16 Accreditation and Licensing Manage program/providers surveys and certification. Manage accreditation and credentialing necessary for program participation. Monitor performance utilizing measures for accreditation and credentialing. Manage licensing of contracted providers.
17 Quality Management
Manage waiver programs provider qualifications, ensure program compliance as agreed upon with Medicaid, manage monitoring of national core indicators and performance measures, manage/monitor provider quality performance and compliance with standards. Conduct routine fiscal and clinical monitoring of patient outcomes and expenditures from a quality standpoint. Initiate, and manage case or event and subsequent incident reporting. Manage grievance and appeals process. Help to identify areas for improvement so preventive activities can be conducted. Perform contractor/provider outreach and training to ensure quality standards are defined. Allow for quality reporting.
18 Provider Performance Management
Establish mechanisms and requirements for developing, managing, and reporting performance measures, quality, outcomes, and other data for providers/ contractors to comply with agency, state, and federal reporting requirements. Analyze patient/client and service histories and trends, costs, and expenditures; assess external factors affecting the program; assess agency initiatives and plans; identify significant measurable activities and outcomes, and create and/or revise performance measures. Conduct and analyze client survey.
19 Provider and Contractor Management and Procurement
Manage provider/contractor procurement, awarding contracts, develop contracts, register providers/contractor, manage provider/contractor information, and close out contracts. Manage provider/contractor communications and grievance and appeals process, provide training and perform audits. Address requests for contractor/provider information. Monitor patient outcomes. Provide a provider listing of available providers to deliver services in support of participant direction. Manage transportation providers. Track participant driven budget. Manage budget billing and reimbursement for provider contracts.
20 Program Management Manage all program individual waiver communications. Track waiver program capacities, provision and management of waiver assurances, manage individual program budgets, and manage program information. Maintain accurate tracking of housing capacity. Perform population and individual outreach.
21 Manage Policy and Goals Develop and maintain program policy, agency goals and initiatives. Maintain state plan.
22 Establish and Manage Business Relationships
Create and manage business relationships, facilitate communication with business relationships. Engage in joint planning to coordinate efforts and programs between agencies. Develop and maintain program policy and agency goals. Terminate business relationships.
23 Infrastructure and IT Manage information with respect to infrastructure and information technology including but not limited to computer devices, network topology, software, and other hardware/physical assets.
24 Executive Support Reporting capability to support executive decisions and monitor all business process areas including but not limited too; population management, resource management, financial, quality, incident reporting, contract management, productivity etc.
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 11 February 22, 2012
Appendix B: Application System Inventories
Application System Inventory - Field Definitions
Column Name Description of Column Contents Application Short Name The common or abbreviated application name. Application Full Name The full name of the application with description as appropriate. App Type (COTS, Custom, Hybrid) The application is primarily COTS, custom coded, or a hybrid. X = Transaction Processing An X indicates the system is used to record transactional information. X = Information Access An X indicates the system is used to communicate information, for example using lists or maps. X = End-User / Group Productivity An X indicates the system is used as a collaboration or group coordination tool. X = Browser Delivery An X indicates the system uses web browsers as the primary user interface. Operating System & Platform The OS and platform for operating the system. Database The database technology used by the system. Language The implementation language used by the system. Data (Pers/PHI/FIN) The system manages Personal, Health or Financial information. Access Via (Inter/Intra/VPN) Access to the system is via the Internet, Intranet or externally via VPN. Scope (Bureau, Dept/Agency, Secretariat, Commonwealth)
The application's scope of use.
Year Installed The year the system went live. Number of IT Staff Assigned The number of IT staff assigned, using fractional FTEs for part-time support. Total Registered Users The total number of end-users, indicating public access if appropriate.
(See next page for Inventory)
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 12 February 22, 2012
Application Short Name
Application Full Name
App Type (COTS, Custom, Hybrid)
X = Transacti
on Processin
g
X = Informati
on Access
X = End-User / Group
productivity
X = Brows
er Deliver
y
System Architectu
re = 2 Tier or 3 Tier
Operating
System &
Platform
Database Language
Data (Pers /PHI/ FIN)
Access Via (Inter/ Intra/ VPN)
Scope: Bureau, Dept/Agency, Secretariat,
Commonwealth
Year Installed
Number of IT Staff
Assigned
Total Registered
Users
Systems Interfaced
to
MHIS Mental Health
Information System
COTS/ Customiz
ed X X X
Windows Server
2003
Meditech C/S 5.5.5 - Proprietary
Proprietary Pers/PHI/ FIN
Agency 2000 20 ~4000
MHIS DR, DMH Data Warehous
e
CMS
Dept. of Mental Health Contract
Management System
Custom X X X 3 TIER Windows 2003
SQL 2005 ASP Pers/FI
N Intra Agency 1999 1 50
IA Real Internal Affairs Case
Management System
Custom X X 2 TIER Windows 2003
SQL 2005 Visual Basic PHI Intra Agency 1997 2 71
CARE Clinical Automated Record System for
Southeast Area Custom X X X 2 TIER
Windows 2003
SQL 2005 MS Access PHI Intra Agency 1995 2 400
Licensing Licensing Custom X X X 2 TIER Windows 2003
SQL 2005 MS Access/SQL Pers/P
HI Intra Agency 2009 1 16
Contract Monitoring/Performa
nce Review
Contract Monitoring/Performa
nce Review Custom X X X 2 TIER
Windows 2003
SQL 2005 MS Access PHI Intra Agency 2010 1 100
Legal BASE Legal BASE Custom X X X 2 TIER Windows 2003
Access 2003
MS Access Pers/P
HI Intra Agency 2011 1 24
CUBP CUBP/Rehab
Tracking Custom X X X 2 TIER
Windows 2003
SQL 2005 MS Access PHI Intra Agency 2002 1 45
Firearms Firearms Custom X X 2 TIER Windows 2003
SQL 2005 MS Access PHI Intra Agency 1 4
HOT Homeless Outreach
Team WebApp Custom X X X X 3 TIER
Windows 2003
SQL 2005 VB.NET PHI Intra Agency 2010 1 15
Housing Housing Inventory Custom X X X 2 TIER Windows 2003
SQL 2005 MS Access Intra Agency 1 19
Medication Occurrence/MAP
Medication Occurrence/MAP
Custom X X 2 TIER Windows 2003
SQL 2005 Classic .ASP PHI Intra Agency 1 4
Campus Police Log Campus Police Log Custom X X X X 3 TIER Windows 2003
SQL 2005 .NET PHI Intra Agency 2010 1 31
Replacement Units DB/Parkview
Replacement Units Database
Custom X X X 2 Tier Windows 2003
Access 2003
MS Access PHI Agency 1993 1 2 DMH Data Warehous
e
DART Referral Tracking
System
Restraints Restraints &
Seclusions Tracking
DMH Outcomes DMH Outcomes
Inpatient Indicators Inpatient Indicators
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 13 February 22, 2012
Application Short Name
Application Full Name
App Type (COTS, Custom, Hybrid)
X = Transacti
on Processin
g
X = Informati
on Access
X = End-User / Group
productivity
X = Brows
er Deliver
y
System Architectu
re = 2 Tier or 3 Tier
Operating
System &
Platform
Database Language
Data (Pers /PHI/ FIN)
Access Via (Inter/ Intra/ VPN)
Scope: Bureau, Dept/Agency, Secretariat,
Commonwealth
Year Installed
Number of IT Staff
Assigned
Total Registered
Users
Systems Interfaced
to
Psychopharm Indicators
Psychopharm Indicators
DMH Outcome Reporting
DMH Outcome Reporting
Consumer & Family Satisfaction Survey
Consumer & Family Satisfaction Survey
DIG Grant Reporting
DIG Grant Reporting
Solution Set Support, e.g. Reporting and Interfaces
NewMMIS Interfaces
NewMMIS Interfaces
Custom X Windows Server
2004 SQL 2005 .NET, C#
Pers/PHI
Agency/Secreta
riat 2009 1 N/A
DMH Data Warehous
e, NewMMIS
MHIS Downtime Application
MHIS Downtime Application
Custom X Windows Server
2005 SQL 2005 VB6
Pers/PHI
Agency ~2004 1 ~250 MHIS
MRS
Management Reporting System
based on the Commonwealth
Warehouse
Custom X X 3 TIER Windows 2003
SQL 2005 XML/XSLT/Java
Script PHI/FIN Intra Agency 2004 2 130
Meditech Data Repository
MHIS data in accessible form (available only through AIT)
Custom X X 2 Tier Windows 2003
SQL 2005 Meditech Magic
/ C/S 5.54 (proprietary)
PHI Agency 2001 3 5 Meditech
DMH Data Warehouse
MHIS and BoPHF Meditech and other data in accessible
form
Custom X X X 3 Tier Windows 2003
SQL 2005 Transact SQL PHI/FIN Agency 2003 4 560
DMH & BoPHF MHIS,
CIW,Park view
INFORM Prepared reports
using data from the DMH Warehouse
Custom X X X 2 Tier Windows 2003
Access 2003
MS Access PHI Agency 2004 3 420 DMH Data Warehous
e
Discharge Planning & Placement
Discharge Planning & Placement
CBFS Provider Data Submission
CBFS Provider Data Submission
Custom X X X 2 Tier Windows 2003
SQL 2005 Transact SQL PHI Agency 2009 4
DMH Data Warehous
e & Meditech
CBFS Outcomes CBFS Outcomes Custom X X X 2 Tier Windows 2003
SQL 2005 Transact SQL PHI Agency 2010 4 DMH Data Warehous
e
ORYX Reporting ORYX Reporting
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 14 February 22, 2012
Application Short Name
Application Full Name
App Type (COTS, Custom, Hybrid)
X = Transacti
on Processin
g
X = Informati
on Access
X = End-User / Group
productivity
X = Brows
er Deliver
y
System Architectu
re = 2 Tier or 3 Tier
Operating
System &
Platform
Database Language
Data (Pers /PHI/ FIN)
Access Via (Inter/ Intra/ VPN)
Scope: Bureau, Dept/Agency, Secretariat,
Commonwealth
Year Installed
Number of IT Staff
Assigned
Total Registered
Users
Systems Interfaced
to
PDI Provider Data
Interface
Forensic DBs Forensic DBs
Non-DMH Systems
CIW Commonwealth
Information Warehouse
BoPHF Meditech BoPHF Meditech
BoPHF DR BoPHF Meditech Data Repository
EIM Enterprise Invoice
Management
New MMARS New MMARS COTS /
Customized
X X X X 3 Tier Netezza Pers / FIN
intra Commonwealth n/a n/a EIM / CIW
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 15 February 22, 2012
Appendix C: Weighted Solution Sets
Key: The application is a ______ support of the Solution Set:
A = Primary B = Secondary N = None Applicable
Solution Sets
Application Short Name Application Full Name S
ervi
ce D
eter
min
atio
n
Re
gis
trat
ion,
Int
ake,
an
d D
isch
arge
Ser
vice
C
oord
inat
ion/
Tra
ckin
g
Sch
edul
ing
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
Bill
ing
and
Fin
anci
al P
roce
ssin
g
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
S
ervi
ces
Man
age
Con
sum
er
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
Pro
vide
r Q
ualit
y M
anag
emen
t
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Exe
cutiv
e S
uppo
rt
MHIS Mental Health Information
System a a a n a a b n a a b n a n b n a n n a
CMS Dept. of Mental Health Contract Management
System n n b n n n n n b n n n n n n n a n n a
IA Real Internal Affairs Case Management System
n n n n n n n n n n n n n a n n n n n a
CARE Clinical Automated Record System for Southeast Area
a a a a a a b n n n b n n n n n n n n a
Licensing Licensing n n n n n n n n n n n n n n a n n n n n
Contract Monitoring/Performance
Review
Contract Monitoring/Performance
Review n n b n b n n n n n a n n n n a n n n a
Legal BASE Legal BASE n n n n n n n n n n n n a n n n n n n n
CUBP CUBP/Rehab Tracking n a a b n n n n n n n n n n n n n n b
Firearms Firearms n n n n n n n n n n b n n n n n n n n n
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 16 February 22, 2012
Solution Sets
Application Short Name Application Full Name
Ser
vice
Det
erm
inat
ion
Re
gis
trat
ion,
Int
ake,
an
d D
isch
arge
Ser
vice
C
oord
inat
ion/
Tra
ckin
g
Sch
edul
ing
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
Bill
ing
and
Fin
anci
al P
roce
ssin
g
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
S
ervi
ces
Man
age
Con
sum
er
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
Pro
vide
r Q
ualit
y M
anag
emen
t
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Exe
cutiv
e S
uppo
rt
HOT Homeless Outreach Team
WebApp n n a n n n n n n n n n n n n n n n n n
Housing Housing Inventory n n b n b n n n n n n n n n n n n n n n
Medication Occurrence/MAP
Medication Occurrence/MAP
n n n n n n n n n n n n n a n a n n n b
Campus Police Log Campus Police Log n n b n n n n n n n n n n a n n n n n n
Replacement Units DB/Parkview
Replacement Units Database
n a n n n n n n n n n n b n n n n n n 0
DART DMH Admissions and
Referral Tracking System a b b n b n n n n n b n b n n n n n n a
Restraints Restraints & Seclusions
Tracking n n n n b n n n n n n n n n n n n n n a
DMH Outcomes DMH Outcomes n n n n n n n n n n n n n n n a n n n a
Inpatient Indicators Inpatient Indicators n n n n b n n n n n n n n n n n n n n a
Psychopharm Indicators Psychopharm Indicators n n n n a n n n n n n n n n n n n n n a
Discharge Planning & Placement
Discharge Planning & Placement
n b n n n n n n n n n n n n n n n n n b
Consumer & Family Satisfaction Survey
Consumer & Family Satisfaction Survey
n n n n n n n n n n n n n n n b n n n a
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 17 February 22, 2012
Solution Sets
Application Short Name Application Full Name
Ser
vice
Det
erm
inat
ion
Re
gis
trat
ion,
Int
ake,
an
d D
isch
arge
Ser
vice
C
oord
inat
ion/
Tra
ckin
g
Sch
edul
ing
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
Bill
ing
and
Fin
anci
al P
roce
ssin
g
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
S
ervi
ces
Man
age
Con
sum
er
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
Pro
vide
r Q
ualit
y M
anag
emen
t
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Exe
cutiv
e S
uppo
rt
DIG Grant Reporting Data Infrastructure Grant
(DIG) Reporting n n n n n n n n n n n n n n n n n n n a
PDI Provider Data Interface a a a n b n n n a a n n n n n b n n n b
Forensic DBs Forensic DBs n n n n n n n n n a a n a n n n n n n a
User Maintained Spreadsheets
User Maintained Spreadsheets
b a a a a b b b b a b a a a b a a n n b
User Maintained Access Apps.
User Maintained Access Apps.
b a n a a n b n n n n a n b n b a n n b
Solution Set Support, e.g. Reporting and Interfaces
NewMMIS Interfaces NewMMIS Interfaces b n n n n n n n n n a n n n n n n n n n
MHIS Downtime Application MHIS Downtime Application n b n n b n n n n n n n n n n n n n n n
MRS Management Reporting System based on the
Commonwealth Warehouse n n n n n n n n n n n n n n n n b n n a
Meditech Data Repository MHIS data in accessible
form (available only through AIT)
b b b n b b n n b b n n b n n n n n n b
DMH Data Warehouse MHIS and BoPHF Meditech
and other data in accessible form
b b b n b b b n a b a n b b b b b n n b
INFORM Prepared reports using data from the DMH Warehouse
a a a
n
a a a n a a a n a n n a b n n a
The Commonwealth of Massachusetts Next Generation Systems Planning Project
_____________________________________________________________________________________________________________________ D4.4B (DMH): Final To-Be TCM Page 18 February 22, 2012
Solution Sets
Application Short Name Application Full Name
Ser
vice
Det
erm
inat
ion
Re
gis
trat
ion,
Int
ake,
an
d D
isch
arge
Ser
vice
C
oord
inat
ion/
Tra
ckin
g
Sch
edul
ing
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
Bill
ing
and
Fin
anci
al P
roce
ssin
g
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
S
ervi
ces
Man
age
Con
sum
er
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
Pro
vide
r Q
ualit
y M
anag
emen
t
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Exe
cutiv
e S
uppo
rt
CBFS Provider Data CBFS Provider Data n n a n b n n n n n n n n n n a n n n n
CBFS Outcomes DMH Outcomes n n n n n n n n n n n n n n n a n n n a
ORYX Reporting ORYX Reporting n n n n n b n n n n n n n n a n n n n n
DMH Outcome Reporting DMH Outcomes n n n n n n n n n n n n n n n a n n n a
Non-DMH Systems
CIW Commonwealth Information
Warehouse n n n n n n n n b n n n n n n n a n n a
BoPHF Meditech BoPHF Meditech n a a n a a b b n n a n a n n n n n n a
BoPHF DR BoPHF Meditech Data
Repository b b b n b b n n b b n n b n n n n n n b
EIM Enterprise Invoice
Management n n b n n n n n a a n n n n n n n n n n
New MMARS New MMARS n n n n n n n n a n n n n n n n a n n a
Ex
Delivera
C
Commxecutive O
Next
able 4.4C (B(Ba
TheExecutiv
O
Charlie Lead
1
monwealtOffice of H
Generation
BoPHF): Finased on MIT
Febru
Erin Ferrare Commonwve Office of HOne Ashbur
Bostoerin.ferra
dbetter, ProB
100 Middle SPortland,
cleadbette
th of Mas
Health andSystem Pla
nal To-Be TTA SS-A – V
uary 14, 201
ri, Project Mwealth of MasHealth and Hrton Place, 1on, MA [email protected]
oject PrincipBerryDunn Street, PO B, ME 04104-
er@berrydun
ssachusd Human nning Projec
Technical CVersion 2.0)
2
Manager ssachusettsHuman Serv1th Floor
08 ma.us
pal/Project
Box 1100 -1100 nn.com
etts Services ct
Capability M
vices
Manager
Matrix
________D4.4C (Bo
Section
1.0
1.1
1.2
1.3
2.0
Append
Append
Append
___________oPHF): Final
Project Me
Background
Project App
TCM To-Be
Recomme
dix A: Ente
dix B: Appl
dix C: Weig
____________To-Be TCM
DeliveraTechn
ethodology
d .................
proach .........
e Results .....
endations .
rprise Tec
lication Sy
ghted Solu
___________
able 4.4Cnical Cap
Table
y/Results .
...................
...................
...................
.................
chnology S
ystem Inven
tion Sets .
T
Ne
___________2
C (BoPHFpability M
e of Content
.................
...................
...................
...................
.................
Solution Se
ntories .....
.................
The Commoext Generatio
___________
): Final TMatrix (TC
ts
.................
...................
...................
...................
.................
et Definitio
.................
.................
onwealth ofon Systems
____________
To-Be CM)
.................
...................
...................
...................
.................
ons ............
.................
.................
f MassachuPlanning Pr
___________February 14,
Pa
.................
...................
...................
...................
.................
.................
.................
.................
settsroject
_____ , 2012
age
..... 3
...... 3
...... 3
...... 6
..... 9
... 10
... 12
... 16
________D4.4C (Bo
1.0 Proje
1.1 B This “Toresulted the futureCapabilitFacilitiesteam. Thassist Bothis is a impleme
1.2 P ConsisteBCM busThis appprocesseactivity inmeetingsBe businmeetingsbusiness During tidentifiedfor increa2.0 goalsof businebe targetsolution. processe 1. Meet2. Meet3. Matu4. Matu
proce5. Matu6. Can b
Consistethe TCMthat suppthrough
___________oPHF): Final
ect Methodo
Background
o-Be” Technin the produe or To-Be ty Matrix (Bs’ (BoPHF) Bhis report adoPHF as it s
source docntation of a
Project App
ent with the siness proce
proach presees. With thesn collaborats that were hness process with BoPHs process dri
he BCM Asd for BoPHFases in matus/objectives,ess processeted for increSpecifically
es to be mat
s one or mos one or moring the procring the proess; ring the procbe matured
ent with the TM To-Be modport specificthe Next G
____________To-Be TCM
ology/Resu
d
ical Capabiuction of thestate of tech
BCM) To-BeBCM As-Is bddresses thestrives to impcument, thatnext genera
proach
guiding prinesses are uerves the cose principlesion with theheld during tses, the TC
HF during thvers and the
s-Is activity,F. Of the 46 urity within th agency goaes to be syseases in auty, the BCM ured:
ore MITA 2.0ore BoPHF Acess improvocess will o
cess will alloover a two t
TCM As-Is del. Solution business fu
Generation
___________
lts
lity Matrix (e “As-Is” TCMhnology will e state. Appbusiness proe impact of tprove the tet will becomtion, MITA-c
nciples of thused as the oncept that s in mind, the BCM To-Bthe week of
CM team dehe week of e resulting te
, a consolidbusiness pr
he To-Be staals/needs, atematically m
tomation, intteam used
0 Goals; Agency Goales a critical occur as a
ow other proo five year h
model, this n Sets are lounctions. 24Systems P
T
Ne
___________3
(TCM) reporM report. Thmature in o
proximately ocesses havthat trajecto
echnical envime a key arcompliant so
he project wcatalysts tothe technicae BerryDun
Be activity. TJanuary 23
erived the TCFebruary 6
echnology im
dated list ofrocesses, 20ate. The BCnd agency rmatured. Thteroperabilitythe followin
s; business funresult of m
cesses to mhorizon.
report utilizeogical group Solution Selanning Pro
The Commoext Generatio
___________
rt builds uphe intent of torder to add
43% of thve been seleory from a teironment. Anrtifact in theolution.
where “busino derive the al capabilitien TCM team
The TCM te, 2012. BasCM To-Be m, 2012 to re
mplications a
f 46 unique0 (43%) havM team userecommendahese are the y, and efficieng six criter
nction or funmaturing an
mature as we
es Solution pings of systets have beoject. 20 of
onwealth ofon Systems
____________
pon the Actthis report isdress the idehe Bureau oected to maechnical pernalogous to planning, p
ness drives future TCM
es are enabm conductedeam participaed on the rematrix. The eview the oand maturity
e business ve been ideed a combinaations to infobusiness pr
ency for theria in select
nctions; other relate
ell; and
Sets as thetems, applicen identifiedf the 24 So
f MassachuPlanning Pr
___________February 14,
ivity 3 works to addressentified Busof Public Hture by the
rspective anthe As-Is re
procurement
technology”M maturity leblers of busd the initial Tated in the esulting BCM
TCM team outcome of ty concepts.
processes ntified as taation of the orm the selerocesses thae next genering the bus
ed or depen
e “centerpieccations, and d across EOolution Sets
settsroject
_____ , 2012
k that s how iness
Health BCM d will eport, t and
”, the evels. iness
To-Be BCM
M To- held these
were argets MITA ection at will ration iness
ndent
ce” of tools
OHHS s are
________D4.4C (Bo
applicabl(Table 1)the busin The TCMSolution state. Thmore of Solution
___________oPHF): Final
le to BoPHF). This alignmness process
M team crossSets to det
his exercise,the businesSets are use
Figure 1: M
____________To-Be TCM
F as identifiement provideses they sup
s-walked thetermine whic, as expecte
ss processesed in suppor
Maturing BCM b
___________
ed through tes a direct cpport.
e 20 businesch Solution ed, revealeds identified rt of these 20
business proce
T
Ne
___________4
the cross-wacorrelation b
ss processeSets will b
d that someas needing 0 business p
esses require e
The Commoext Generatio
___________
alk to BoPHbetween the
es to be mate directly im
e Solution Sto mature a
processes.
enhancements
onwealth ofon Systems
____________
HF BCM busunderlying t
tured againsmpacted by Sets were suand depicte
to their Solutio
f MassachuPlanning Pr
___________February 14,
siness procetechnologies
st the 24 EOthe BCM T
upporting ond that 16 un
on Sets.
settsroject
_____ , 2012
esses s and
OHHS To-Be ne or nique
________D4.4C (Bo
The belobusinessbe matumatured Appendix
*Items in b
#
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
The BCMsupport mSolution Processithat eachbe systebusiness
___________oPHF): Final
ow table, Tas processes red are seein the future
x A for the fu
bold are the 20
Enrollmen
Service Coor
C
M
Info
Order
Claims
Service De
Interagency C
Lega
A
Prov
Provider and C
Establish
In
Ta
M and TCMmore than o
Sets Exeng; Care Plh support fivematically ors process im
____________To-Be TCM
able 1, depand efforts.
en in bold. e, however, ull list of Solu
BCM processe
Solution
Service Dete
Eligib
nt/Registration,
rdination, Track
Schedu
Care Planning a
Medical Record
ormation Privac
Entry, Laborato
s, Billing and Fi
livery Data from
Coordination fo
Manage Cons
al, Forensic, an
Incident Man
Accreditation a
Quality Man
vider Performan
Contractor Man
Program Ma
Manage Policy
and Manage B
nfrastructure S
Executive able 1: BoPHF
M cross-walne of the 20cutive Supanning and
ve of the marganized by pact.
___________
picts all of t Those BCMBusiness pnot selected
ution Set de
es that have be
n Sets
ermination
bility
Intake, and Di
king, and Comm
uling
and Treatment
Management
cy and Security
ory, and Pharm
nancial Proces
m Contracted P
or Shared Clien
umer Funds
nd Guardiansh
nagement
and Licensing
nagement
nce Manageme
agement and P
anagement
y and Goals
Business Relati
upport and IT
Support F Business Pro
king effort 0 identified bpport; Quali
Treatment; turing businway of the
T
Ne
___________5
the SolutionM business processes nd as targetsfinitions.
een selected to
scharge
munication
y
macy
ssing
Providers
nt Services
ip
ent
Procurement
onships
cesses to TCM
showcases business proity Manageand Enrollmess process
e business n
The Commoext Generatio
___________
n Sets that processes t
not in bold for the BCM
o be matured.
Re
4, 7, 29
9
3, 4, M Solution Set C
that in somocesses. Moement; Claiment/Registrses. In this wneeds they
onwealth ofon Systems
____________
support Bothat have bemay still beM To-Be act
elated Busines
n/a
7, 21,
15, 21, 22, 24
14, 25, 26
31, 3
23, 24, 25,
7, 15, 16/41,
14, 15, 16/4
25, 26,
9, 30, 32, 34, 3
40
9, 10,
n/a
9, 14, 15, 16/41
1, 2,
6, 8
1, 2, 3, 4, 5, 6,
n/a
27, 43, 44, 45,
n/a
55
9, 10,
61, 62,
5, 6, 20, 25, 29Cross-walk.
me instanceost notably, tims, Billingration, Intakway, these Ssupport and
f MassachuPlanning Pr
___________February 14,
oPHF’ day-toeen positione enhancedtivity. Please
ss Processes
M1
4, 26, M2
6, M51
34
, 26, 27
17, 20, 40
1, 17, 40
, 27
7, 38, 39, 40, M
11
1, 17, 20, 51
3
8
, 20, 27, 28
, 46, 47, 51
11
, 64
9, 30, 38, 39, 5
es Solution these includ
g and Finake and DischSolution Setsd overall Bo
settsroject
_____ , 2012
o-day ed to
d and e see
M51
55
Sets de the ancial harge s can oPHF
________D4.4C (Bo
The TCMthe As-Istheir eighbusinessas identiefficiencireimbursprocess interoperand qual
1.3 T Based onthat is deinformedSet impaTCM mathat in orthe supp
Provide
Ser
___________oPHF): Final
Figu
M team’s effos scores of tht respectives process seified by the es, HIPAAements andwas exam
rability, timeity and accu
TCM To-Be
n the aforemepicted on th this impact
acted is targatrices are nrder to supporting Soluti
Service Delivery
er and Contracto
L
rvice Coordinatio
Order
Enrollment/Re
Claim
N
Solution Sets
____________To-Be TCM
ure 2: BoPHF S
ort to assessthe 16 Solute TCM sub-lection criterBCM team
A standardsd improved
mined at thliness of pr
uracy of proc
Results
mentioned ahe following t assessmengeted to advot in compa
port each of on Sets to b
y Data from Con
Incid
Accreditat
or Management
Legal, Forensic, a
Medical Rec
on, Tracking, and
Information Pri
Entry, Laborato
egistration, Inta
Care Plannin
s, Billing and Fin
Qua
E
Number of
___________
Solution Sets im
s the impact ion Sets impscores. Withria were exa included ths complianclinical data
he BCM mocess, data
cess results.
approach, thpage. As disnt in order tovance to its arison “apple
the To-Be bbe at a 2.0 sc
ntracted Provide
ent Managemen
tion and Licensin
and Procuremen
Schedulin
and Guardiansh
ord Managemen
Eligibilit
d Communicatio
vacy and Securit
ory, and Pharmac
ke, and Discharg
ng and Treatmen
nancial Processin
ality Managemen
Executive Suppo
Maturing B
T
Ne
___________6
mpacted by Ma
and identifypacted by thhin the BCMamined. Ratihe need fornce, enhana among othatrix level access and
e TCM teamscussed aboo derive thecorrelating
es to applesbusiness procore as well
0
rs
nt
ng
nt
ng
ip
nt
ty
on
ty
cy
ge
nt
ng
nt
ort
Business Pro
The Commoext Generatio
___________
aturing Busines
y the target The To-Be buM context, thonale for the
r data integrced reporthers. In addfor respec
d accuracy,
m has rationove, the BCMe TCM To-BBCM To-Be
s”, their undeocesses at a.
1 2
ocesses By
onwealth ofon Systems
____________
ss Processes.
TCM To-Be usiness proche To-Be gloe business pration capabting, increadition, each ctive technic effort to pe
nalized the TM To-Be rati
Be state. Eace state. Whierlying attriba 2.0 level,
3
Solution Se
f MassachuPlanning Pr
___________February 14,
state considcesses as weobal and spprocess selebilities, imprases in fe
To-Be buscal details, erform; effic
TCM To-Be ionale and mch TCM Sole, the BCMbutes do sugBoPHF will
4
et
settsroject
_____ , 2012
dered ell as
pecific ection roved
ederal iness
e.g. iency
state matrix lution
M and ggest need
5
_______D4.4C: F
It shouldSolutionprevalenSets, incare enha
16 S
olut
ion
Set
s S
uppo
rtin
g M
atu
ring
B
CM
Pro
cess
es
B.0 BusineEnabling Services B.6 DecisioSupport A.0 AccessChannels I.0 Inter-operability D.0 Data Managemeand SharinP.0 PerformancMeasuremt S.0 Securitand PrivacF.0 Flexibil–Adaptabiland Extensibilit
Solution SAverage
_____________Final To-Be BoPH
d also be menn Sets that incnt in the BoPHFcluding those nanced. Therefo
Elig
ibili
ty
Enr
ollm
ent/R
egis
trat
ion
As-Is
To-
Be
As-Is
ess 1.1 2.0 2.1
on 1.2 2.0 1.8
s 1.4 2.0 1.0
1.0 2.0 1.0
ent ng
1.0 2.0 1.0
ce en
1.0 2.0 1.5
ty y
2.1 2.1 1.9
lity ity
ty
1.1 2.0 1.1
Set 1.2 2.0 1.4
_____________HF TCM
tioned, that theluded: Access F environment, ot specified to mre, the 2.0 desig
Enr
ollm
ent/R
egis
trat
ion
, In
take
, and
Dis
char
ge
Ser
vice
C
oord
inat
ion/
Tra
ckin
g an
d C
omm
unic
atio
n
To-
Be
As-Is
To-
Be
A
2.1 2.0 2.0 1
2.0 1.8 2.0 1
2.0 1.0 2.0 1
2.0 1.0 2.0 1
2.0 1.0 2.0 1
2.0 1.4 2.0 1
2.0 1.9 2.0 1
2.0 1.1 2.0 1
2.0 1.4 2.0 1
_____________
e TCM team prChannels, Intethese scores wmature, will inhegnation is a min
Sch
edul
ing
Car
e P
lann
ing
and
T
reat
me
nt
As-Is
To-
Be
As-Is
To-
Be
1.8 2.0 1.2 2.0
1.8 2.0 1.3 2.0
1.0 2.0 1.0 2.0
1.0 2.0 1.0 2.0
1.0 2.0 1.0 2.0
1.4 2.0 1.2 2.0
1.7 2.0 1.6 2.0
1.1 2.0 1.1 2.0
1.4 2.0 1.2 2.0
Table 2: As-
_____________Page
reviously noted eroperability, Flewere expectedly erently advance
nimum expressio
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
S
ecur
ity
Techni
As-Is
To-
Be
As-Is
T
B
2.1 2.1 1.2 2
1.8 2.0 1.3 2
1.0 2.0 1.0 2
1.0 2.0 1.0 2
1.1 2.0 1.0 2
1.5 2.0 1.0 2
1.9 2.0 1.8 2
1.1 2.0 1.0 2
1.4 2.0 1.2 2
Is and To-Be of the
_____________7
in the As-Is reexibility/Adaptablow. By addres
e above a 2.0 scon of the To-Be
y
Ord
er
Ent
ry,
Labo
rato
ry, a
nd
Pha
rmac
y
Cla
ims,
Bill
ing
and
cal Capability MatrixTo-
Be
As-Is
To-
Be
As-Is
2.0 1.2 2.0 1.6
2.0 1.3 2.0 1.8
2.0 1.0 2.0 1.0
2.0 1.0 2.0 1.2
2.0 1.2 2.0 1.5
2.0 1.2 2.0 1.5
2.0 1.6 2.0 1.7
2.0 1.1 2.0 1.1
2.0 1.2 2.0 1.4
e Solution Sets that
_____________
eport that therebility and Extenssing these corecore as technolstate.
Cla
ims,
Bill
ing
and
Fin
anci
al P
roce
ssin
g
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
x To-
Be
As-Is
To-
Be
A-
2.0 1.2 2.0 1
2.0 1.3 2.0 1
2.0 1.0 2.0 1
2.0 1.0 2.0 1
2.0 1.0 2.0 1
2.0 1.2 2.0 1
2.0 1.6 2.0 1
2.0 1.1 2.0 1
2.0 1.2 2.0 1
t support the To-Be
The CoNext Gen
_____________
e were several nsibility. Basede areas in the Tlogies that span
Lega
l, F
ore
nsic
, and
G
uard
ians
hip
Inci
dent
Man
age
men
t
As-Is
To-
Be
As-Is
To-
Be
1.4 2.0 1.4 2.0
1.1 2.0 1.1 2.0
1.0 2.0 1.0 2.0
1.0 2.0 1.0 2.0
1.0 2.0 1.0 2.0
1.0 2.0 1.5 2.0
1.4 2.0 1.4 2.0
1.0 2.0 1.0 2.0
1.1 2.0 1.2 2.0
e BCM.
ommonwealth oneration System
_____________
under-served cd upon the techTo-Be state, man across the Bo
Acc
redi
tatio
n an
d L
ice
nsi
ng
Qua
lity
Man
age
men
t
As-Is
To-
Be
As-Is
T
B
1.1 2.0 1.1 2
1.0 2.0 1.1 2
1.0 2.0 1.0 2
1.0 2.0 1.0 2
1.0 2.0 1.3 2
1.0 2.0 1.5 2
1.4 2.0 1.4 2
1.0 2.0 1.0 2
1.1 2.0 1.2 2
of Massachusems Planning Proj
_____________ February 14, 20
capabilities acrohnical architectany of the SolutoPHF infrastruct
Pro
vide
r an
d C
ont
ract
or
Man
agem
ent a
nd
Pro
cure
men
t
Exe
cutiv
eS
uppo
rt
To-
Be
As-Is
To-
Be
As-Is
2.0 1.4 2.0 1.0
2.0 1.5 2.0 1.4
2.0 1.0 2.0 1.0
2.0 1.0 2.0 1.0
2.0 1.3 2.0 1.0
2.0 1.0 2.0 1.3
2.0 1.7 2.0 1.4
2.0 1.0 2.0 1.0
2.0 1.2 2.0 1.1
etts ject
___ 012
oss ture tion ture
Exe
cutiv
e S
uppo
rt
To-
Be
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
_______D4.4C: F
Below a
_____________Final To-Be BoPH
are Solution Sets
_____________HF TCM
s not impacted
Tab
_____________
by the BCM To-
Sol
utio
n S
ets
B.0 BusinessEnabling Services
B.6 Decision Support
A.0 Access Channels
I.0 Interoperabili
D.0 Data Managementand Sharing
P.0 Performance Measuremen
S.0 Security and Privacy
F.0 Flexibility– Adaptabilityand ExtensibilitySolution SetAverage
ble 3: Solution Sets
_____________Page
-Be that will rem
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
S
ervi
ces
TechniAs-Is
s 1.2
1.3
1.0
ty 1.0
t 1.2
nt 1.2
1.6
y y
1.1
t 1.2
not impacted by th
_____________8
main at their cur
Man
age
Co
nsu
mer
F
unds
Man
age
Po
licy
and
Goa
ls
cal Capability MatrixAs-Is As-Is
1.4 1.4
1.1 1.0
1.0 1.0
1.0 1.0
1.0 1.5
1.0 1.0
1.4 1.5
1.1 1.1
1.1 1.2
he BCM To-Be rem
_____________
rent levels as d
Est
ablis
h an
d M
ana
ge B
usin
ess
Rel
atio
nshi
ps
x As-Is A
1.4
1.5
1.0
1.0
1.3
1.0
1.7
1.0
1.2
main at their Current
The CoNext Gen
_____________
efined in the As
Infr
astr
uctu
re
Sup
por
t an
d IT
As-Is
1.0
1.0
1.0
1.0
1.0
1.0
1.4
1.0
1.1
t Maturity Levels.
ommonwealth oneration System
_____________
s-Is report.
of Massachusems Planning Proj
_____________ February 14, 20
etts ject
___ 012
_______D4.4C: Fi
2.0 Reco
Althoughimpactedthe Next the As-Isand/or imother So
As the taprovide tand othegranular technologBoPHF te
With thecomprehbusinessbusinessThis appthe curre
This undrequiremenvironm
Lastly, thexperienenterprisshare simpromisingresource
___________nal To-Be Bo
ommendatio
h the view ind by the matGeneration
s TCM repomproving teclution Sets in
argeted To-Bhe complete
er technologlevel, Appe
gies such aechnology p
se detailed ensively un
s processes s processes proach proment state and
erstanding oments are gament in place
he BoPHF mced and kn
se perspectivmilar characg as it ma
es on this pat
__________oPHF TCM
ons
nto the BoPturing busineSystems Plrt should cochnical arean many case
Be Solution e picture of Bgy that comendix B, “Apas database
platform inclu
technologyderstood, cand technoto be correotes mainte
d future state
of the BoPHathered and
e at BoPHF t
members ofnowledgeableve, the othecteristics incy be valuath to the futu
__________
PHF TCM isess processeanning Proje
ontinue to beas in the tares.
Sets are reBoPHF impaprise the en
pplication Syes, operatinuding their s
maps avaiommunicate
ologies in thlated to the
enance of the can be obje
F technologd the vendotoday and th
f the TCM e of both ther participaticluding theirble to sharure.
T
Ne
___________Page 9
s focused upes, this repoect. Review e addressedrgeted To-B
eviewed, Appact as it depntire 24 EOystem Invenng systems pecific supp
lable, the Bed, and scae future. Thunderlying
he establisheectively add
gy environmeor communihe desired T
team have he businessing departmr technical ere planning
The Commoext Generatio
__________
pon the releort serves as
of the low sd going forwe Solution S
pendix C, “Wicts all the A
OHHS Solutintories” ident
and applicport for the S
BoPHF techaled in ordehis level of technologie
ed alignmenressed.
ent is a key ity is informo-Be state.
been extres and techn
ments, DDSenvironment
and techn
onwealth ofon Systems
__________
evant Solutis the baselinscoring techward. FurtheSets will inh
Weighted SoApplications,on Sets. Thtifies all thecation languSolution Set.
hnology envir to supportprecision en
es that directnt so that an
artifact to cmed of both
mely capabnical environ
and DMH, wts. This conology asset
f MassachuPlanning Pr
___________February 14,
on Sets thane TCM To-nical attribut
ermore, replaherently adv
olution Sets, Systems, Then, at the e supporting uages within
ironment cat these matnforces the tly support tny gaps betw
onsider as fh the techno
ble, collaboranments. Fromwhile uniquetinues to apts, services
settsroject
_____ 2012
at are Be of tes in acing
vance
”, will Tools,
most sub-
n the
an be turing BCM
them. ween
future ology
ative, m an e, do ppear s and
_______D4.4C (B
Append
The 24
#
1
2
3
4
5
6
7
8
9
10
11
12
13
_____________BoPHF): Final To
dix A: Enterpris
Enterprise Tech
Solution
Service Determ
Eligibility
Enrollment/RegIntake, and Dis
Service, Coordination/TCommunicatio
Scheduling
Care Planning
Medical Record
Information PriSecurity Order Entry, LaPharmacy
Claims, Billing Processing
Service DeliverContracted Pro
Interagency CoShared Client S
Manage Consu
_____________-Be TCM
se Technology
hnology Solution
n Set Name
mination
r
gistration, scharge d
Tracking, and n
Ccm
and Treatment bad
d Management pa
ivacy and a
aboratory, and
and Financial acr
ry Data from oviders
Ti
oordination for Services
Ci
umer Funds
_____________
y Solution Set D
n Set Definitions
Determine appropr
Determine eligibilitrelated to eligibility.
Intake screening, demographic data.
Coordination of carcare, referral authomanage waitlists fo
Manage staff sched
Initial screening anbest practices andand manages indivdata as needed.
Management of allpatient/client grievaand ensures data q
Manage compliancand legal requirem
Manage order entry
Fiscal monitoring oaccounting, 1099’sclaims generation,referrals and servicTrack patient data information.
Create and managincluding sharing o
Manage individual
_____________Page 1
Definitions
s
riateness for service
ty, manage disallo. Manage program
registration and a
re delivery, commuorization managemor programs, and m
duling, manage tim
nd assessment, tre professional judgmvidual service plans
patient data in theances and appealsquality and complet
ce to privacy, securents, security audit
y, manage laborato
of patient/client, cos, payroll, purchas auditing, mass a
ce, manage state fufrom contracted pr
ge business relatif aggregate data fo
patient funds not re
_____________10
es; determine what
owances, manage wait lists.
admission, suspen
nication protocols, ent, manage indivi
manage individual tr
mekeeping and payr
atment planning. Cment. Coordinations. Evaluate and do
e health care recors, manage request teness.
rity and confidentiats. Access based o
ory, and manage ph
ontractor services,sing, accounts payadjustment, inquire und, manage client roviders about qua
onships, and engor the purpose of ut
elated to treatment
_____________
Functional Summ
t services are need
all eligibility comm
d/dis-enroll/dischar
patient/client commdual service priorit
ransportation inform
roll, patient schedul
Complete documenn of care delivery, ocument patient ris
rd, collection and sfor protected heal
ality standards and n role and level of a
harmacy services.
program financialyable, revenue cyc
payment status, specific service funntity, type of servic
age in joint planntilization manageme
.
The CoNext Gen
_____________
mary
ded and if they are a
munications, mana
rge, track program
munication, coordintization, manage inmation.
ling, resource sche
ntation of patient cadischarge planning
sk, restraint docum
storage of client dalth information both
regulations. Securauthorization. Ensu
l management, macle, reimbursementmanage recoupmnds, generate finance, delivered to ind
ning. Cross agencent and performanc
ommonwealth oneration System
_____________
available.
ge all waivers, gr
m capacity and ce
nation of discharge ndividual allocations
eduling, and group s
are using federal ag, managing patien
mentation and repor
ata, respond to conh electronic and no
re communications ures all health infor
anagement positiot, budget manageent, collections anncial and program adividuals or groups
cy communication ce monitoring.
of Massachusems Planning Proj
_____________ February 14, 20
ievances and app
ensuses, and man
services and follows and service budg
scheduling.
nd state criteria, runt outcomes, deverting of all patient c
sent decrees, manon electronic. Revi
to meet confidentirmation is protected
n control, recruitmment and formulatnd recovery, authoanalysis. storage of health c
of patient informa
etts ject
___ 012
eals
nage
w up gets,
ules, lops care
nage ews
ality d.
ment, tion, orize
care
ation
_______D4.4C (B
#
14
15
16
17
18
19
20
21
22
23
24
_____________BoPHF): Final To
Solution
Legal, ForensicGuardianship
Incident Manag
Accreditation a
Quality Manage
Provider PerfoManagement
Provider and CManagement a
Program Mana
Manage Policy
Establish and MBusiness Relat
Infrastructure a
Executive Supp
_____________-Be TCM
n Set Name
c, and lc
gement o
and Licensing
ement
nCcpA
rmance ospc
Contractor nd Procurement
ppap
gement a
and Goals
Manage tionships
Ccr
and IT t
port m
_____________
Document patient/clegal cases/actionscontracts. Manage
Initiate and manageon all incident type
Manage program/pMonitor performanc
Manage waiver pronational core indicConduct routine fiscase or event and preventive activitieAllow for quality rep
Establish mechaniother data for provservice histories aplans; identify signclient survey.
Manage provider/provider/contractorprocess, provide tra provider listing oparticipant driven b
Manage all prograassurances, managPerform population
Develop and maint
Create and manacoordinate efforts relationships.
Manage informatiotopology, software,
Reporting capabilitmanagement, reso
_____________Page 1
client legal status, s. Document and client information p
e case and event rs (including medica
providers surveys ce utilizing measure
ograms provider quators and performascal and clinical mosubsequent incide
es can be conducteporting.
sms and requiremviders/ contractorsnd trends, costs, aificant measurable
/contractor procur information, and raining and performof available providebudget. Manage bu
am individual waivge individual progr
n and individual out
tain program policy
age business relatand programs betw
n with respect to in and other hardwar
ty to support execuurce management,
_____________11
duty to warn, Rogtrack risk evalua
policy. Respond to
reporting. Manage iation, restraint and
and certification. Mes for accreditation
ualifications, ensurance measures, monitoring of patientnt reporting. Manaed. Perform contra
ments for developin to comply with ag
and expenditures; activities and outc
rement, awardingclose out contract
m audits. Address reers to deliver servicdget billing and reim
ver communicationram budgets, and mreach.
, agency goals and
tionships, facilitateween agencies. D
nfrastructure and infre/physical assets.
utive decisions and, financial, quality, i
_____________
Functional Summ
ger’s orders, forentions. Coordinate consent decrees. M
incident reporting. other types).
Manage accreditatin and credentialing.
re program compliamanage/monitor pro
t outcomes and exge grievance and a
actor/provider outre
ng, managing, andgency, state, and assess external fa
comes, and create a
g contracts, devts. Manage providequests for contracces in support of pambursement for pro
s. Track waiver pmanage program in
d initiatives. Maintai
e communication wevelop and mainta
formation technolog
d monitor all busineincident reporting, c
The CoNext Gen
_____________
mary
nsic and guardiansand liaise with in
Manage patient grie
Manage medicatio
ion and credential. Manage licensing
ance as agreed upovider quality perfoxpenditures from aappeals process. Heach and training t
d reporting performfederal reporting
actors affecting theand/or revise perfo
velop contracts, der/contractor commctor/provider informarticipant directionovider contracts.
program capacitiesnformation. Mainta
in state plan.
with business relaain program policy
gy including but no
ess process areascontract managem
ommonwealth oneration System
_____________
hip data. Manage nvestigating agencevance and appeal
n occurrence repor
ing necessary for of contracted prov
pon with Medicaid, ormance and compa quality standpointHelp to identify areto ensure quality s
mance measures, qrequirements. Ana
e program; assess ormance measures
register providersmunications and g
mation. Monitor pati. Manage transpor
s, provision and main accurate trackin
ationships. Engagey and agency goals
ot limited to comput
s including but not ent, productivity etc
of Massachusems Planning Proj
_____________ February 14, 20
ongoing and potecies. Manage provls process.
rting. Provide repor
program participatviders.
manage monitorinpliance with standat. Initiate, and manas for improvemenstandards are defin
quality, outcomes, alyze patient/client
agency initiatives . Conduct and ana
s/contractor, mangrievance and appent outcomes. Pro
rtation providers. T
management of wang of housing capa
e in joint plannings. Terminate busin
ter devices, network
limited too; populac.
etts ject
___ 012
ntial vider
rting
tion.
g of ards. nage nt so ned.
and and and lyze
nage eals vide rack
aiver city.
g to ness
k
ation
_______D4.4C (B
Append
ApplicatApp TypX = TranX = InforX = End-X = BrowOperatinDatabasLanguagData (PeAccess VScope (BCommoYear InsNumber Total Re
_____________BoPHF): Final To
dix B: Applicat
Columntion Full Name pe (COTS, Custonsaction Processrmation Access -User / Group Prwser Delivery ng System & Plase ge ers/PHI/FIN) Via (Inter/Intra/VBureau, Dept/Agnwealth)
stalled r of IT Staff Assigegistered Users
_____________-Be TCM
ion System Inv
n Header Name
om, Hybrid) sing
roductivity
atform
VPN) gency, Secretari
gned
_____________
ventories
Appl
e
at,
_____________Page 1
ication System
The full nameThe applicatiAn X indicateAn X indicateAn X indicateAn X indicateThe OS and The databaseThe implemeThe system mAccess to the
The applicati
The year the The number The total num
_____________12
m Inventory - Fi
e of the applicatioon is primarily CO
es the system is ues the system is ues the system is ues the system useplatform for opere technology use
entation languagemanages Persone system is via th
on's scope of use
system went liveof IT staff assign
mber of end-users
_____________
ield Definitions
Description oon with descriptioOTS, custom codused to record traused to communiused as a collaboes web browsers ating the system.
ed by the system.e used by the systal, Health or Fina
he Internet, Intran
e.
e. ed, using fractions, indicating publi
The CoNext Gen
_____________
s
of Column Conon as appropriateded, or a hybrid.ansactional informcate information,
oration or group cas the primary u
.
stem. ancial informationnet or externally v
nal FTEs for part-ic access if appro
ommonwealth oneration System
_____________
ntents .
mation. for example usin
coordination tool.ser interface.
n. via VPN.
-time support. opriate.
of Massachusems Planning Proj
_____________ February 14, 20
ng lists or maps.
etts ject
___ 012
_______D4.4C (B
Application Short Name
Summit Software
Interbit (Auto Fax ) - Active
Fax
Meditech
Policy Tech
Carestream Health Infinitt
PhotographicArchiving Computer System
Abbott Blood Glucose System Stellate
Harmonie EEGSystem
Phillips TraceMaster VUE
(EKG)
Intranet / Web
Occurrence Databases - Misc. Access
DB
Misc. Spreadsheets
_____________BoPHF): Final To
Application Full Name
AT
(CCu
Hy
Scheduling software
enabling the scheduling of
printed Meditech reports.
Software used exclusively for the Meditech
System.
C
Softare enabling the
faxing of Meditech
reports and results via PC. Software used exclusively with
Meditech.
C
Electronic medical record
and billing system
C
Policy & Procedure
Management Software
C
PACS TKH C
c PACS LSH C
Glucose Monitoring
System C
G Stellate
Harmonie EEG System
C
e Phillips Trace Master VUE
(EKG) C
b Intranet / Web
Cu
s Cu
_____________-Be TCM
App Type COTS, ustom
, ybrid)
X = Transactio
n Processing
Inn
COTS
COTS
COTS X
COTS
COTS X
COTS X
COTS X
COTS X
COTS X
ustom X
ustom X
_____________
X = formatioAccess
X = End-User / Group
productivity
X
X
X X
X X
X X
X X
X
X X
x X
X X
X X
X X
_____________Page 1
X = Browse
r Deliver
y
System Architecture = 2 Tier
or 3 Tier
1
1
X 3
X 1
X 1
X 1
1
1
1
X 1
1
1
_____________13
Operating System & Platform
Database
Windows XP
Professional
Access 2003
Windows 2003
SQL
Windows 2003
Magic
Windows ?
Windows Oracle
Windows ?
Windows ?
?
Windows
Windows
Windows
_____________
Language
Data (Per
s /PHI/ FIN)
Acs (InInVP
Access
SQL
Magic X
X
X
X
X
X
The CoNext Gen
_____________
ccesVia
nter/ ntra/ PN)
Scope: Bureau,
Dept/Agency, Secretariat,
Commonwealth
Bureau
Bureau
X Bureau
X Hospitals
X Hospitals
X Hospitals
X Hospitals
Hospitals
Hospitals
X Bureau
Hospitals
Hospitals
ommonwealth oneration System
_____________
Year Installe
d
Number of IT Staff Assigned
R
2007 3
2007 3 u
2002 12
2010 1 AW
2010 2
2010 2
2009 1
Desktop Engineers at each
Site
N
Desktop Engineers at each
Site
Desktop Engineers at each
Site
of Massachusems Planning Proj
_____________ February 14, 20
Total Registered Users
Systems Interfto
3 Meditech
unlimited Network/Med
2,500 SFED/PACS/U
S
All staff at WMH and
LSH
50 Meditech
200 Meditech
?? Meditech
??
??
All Network Uses at
Sites
??
??
etts ject
___ 012
faced
h
itech
UMAS
h
h
h
_______D4.4C (B
Application Short Name
Shared files/folders onnetworks being
used for various patien
related documentation
Nurse call System
Intranet to access word
documents forMenu Tracking
Geri Menu
All Write Transcription
Services - WMH
Medquist Transcription
Services - LSH
In-house Transcription
FormFast
Business Intelligence DB
Pyxis
SOPS - PIS
Citrix
IVANS
NewMMIS
MMARS/BAR
HRCMS
CAMIS
_____________BoPHF): Final To
Application Full Name
AT
(CCu
Hy
n g
nt
n
Cu
Nurse Call System
C
r g
?? Cu
Dietary Management
Software C
Vendor C
H Vendor C
?? C
Form Management
Software C
B SQL C
Medication Distribution
System C
Pharmacy C
Citrix C
CMS Communication
s Protocol C
Medicaid Management Information
System
Cu
R State
Accounting Applications
Cu
State Payroll System
C
Facility Management
Software C
_____________-Be TCM
App Type COTS, ustom
, ybrid)
X = Transactio
n Processing
Inn
ustom X
COTS
ustom
COTS X
COTS X
COTS X
COTS X
COTS
COTS X
COTS X
COTS X
COTS
COTS X
ustom X
ustom X
COTS X
COTS X
_____________
X = formatioAccess
X = End-User / Group
productivity
X X
X
X
X X
X X
X X
X X
X
X X
X
X X
X
X
X X
X X
X X
X X
_____________Page 1
X = Browse
r Deliver
y
System Architecture = 2 Tier
or 3 Tier
1
1
X 1
1
1
1
1
1
2
1
1
X 2
1
X 2
X 2
X 2
X 1
_____________14
Operating System & Platform
Database
Windows
Windows
Windows
Windows
Windows
Windows
Windows
Windows
Windows
Windows
Windows
Windows 2003
Windows
Windows
Windows
Windows
Windows
_____________
Language
Data (Per
s /PHI/ FIN)
Acs (InInVP
X
X
X
X
X
X
X
X
X
X
X
X
The CoNext Gen
_____________
ccesVia
nter/ ntra/ PN)
Scope: Bureau,
Dept/Agency, Secretariat,
Commonwealth
Hospitals
Hospitals
X Hospitals
Hospitals
X Hospitals
X Hospitals
Hospitals
Hospitals
Bureau
X Hospitals
Agency
X Hospitals
X Agency
X Commonwealt
h
X Commonwealt
h
X Commonwealt
h
X Commonwealt
h
ommonwealth oneration System
_____________
Year Installe
d
Number of IT Staff Assigned
R
Desktop Engineers at each
Site
Desktop Engineers at each
Site
Desktop Engineers at each
Site
2009 2
2004 2
Desktop Engineers at each
Site
2003 2
2009 3
2011
2008 2
2009
Desktop Engineers at each
Site
of Massachusems Planning Proj
_____________ February 14, 20
Total Registered Users
Systems Interfto
??
??
??
??
6 Meditech/SF
Clinical Staff at
LSH Meditech/SF
??
2 Meditech
25 Meditech
??
??
2500 Meditech
25
??
??
??
??
etts ject
___ 012
faced
FED
FED
h
h
h
_______D4.4C (B
Application Short Name
BoPHF Datawarehous
e
Quest Labs
_____________BoPHF): Final To
Application Full Name
AT
(CCu
Hy
s SQL Cu
Reference Lab (for MHS)
C
_____________-Be TCM
App Type COTS, ustom
, ybrid)
X = Transactio
n Processing
Inn
ustom
COTS X
_____________
X = formatioAccess
X = End-User / Group
productivity
X X
X X
_____________Page 1
X = Browse
r Deliver
y
System Architecture = 2 Tier
or 3 Tier
1
X 2
_____________15
Operating System & Platform
Database
Windows
Windows
_____________
Language
Data (Per
s /PHI/ FIN)
Acs (InInVP
X
X
The CoNext Gen
_____________
ccesVia
nter/ ntra/ PN)
Scope: Bureau,
Dept/Agency, Secretariat,
Commonwealth
X Commonwealt
h
X Hospitals
ommonwealth oneration System
_____________
Year Installe
d
Number of IT Staff Assigned
R
2011 2
of Massachusems Planning Proj
_____________ February 14, 20
Total Registered Users
Systems Interfto
??
15
etts ject
___ 012
faced
_______D4.4C (B
Append
Key: The applic
A = PrimaB = SeconN = None
Ap
plic
atio
nS
ho
rt
MED
Polic
Carestre
Infinitt PhArchiving
Sy
Abbott BloSy
Stellate HaSy
Phillips Trac(E
Intran
_____________BoPHF): Final To
dix C: Weighted
cation is a ______
ary ndary
e Applicable
Ap
plic
atio
n S
ho
rt
Nam
e
DITECH TKWM
cy Tech WM
eam Health PACS
hotographic g Computer ystem
PACS
ood Glucose ystem
LS
armonie EEG ystem
ce Master VUE EKG)
LS
et / Web MH
_____________-Be TCM
d Solution Sets
support of the Solu
Ap
plic
atio
n F
ull
Nam
e
Elig
ibili
ty
Enr
ollm
ent/R
egis
trat
io
H, LSH, MH, MHS
n
MH, LSH n
S for TKH n
S for LSH n
H, TKH n
LSH n
H, TKH n
HS, MHS n
_____________
s
ution Set:
n, In
take
, and
D
isch
arg
e
Se
rvic
e C
oord
inat
ion/
Tra
ckin
g an
d C
omm
unic
atio
n
Sch
edul
ing
a a a
n n n
n n n
n n n
n n n
n n n
n n n
n n b
_____________Page 1
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
a a a
n n n
b n n
b n n
b n n
b n n
b n n
n n n
_____________16
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
B
illin
g an
d F
inan
cial
Pro
cess
ing
Se
rvic
eD
eliv
ery
Da
ta
a a
n n
b n
b n
b n
n n
n n
n n
_____________
Solution Sets
Se
rvic
e D
eliv
ery
Dat
a fr
om C
ontr
acte
d P
rovi
ders
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
Ser
vice
s
Man
age
Con
sum
er
Fun
ds
a b a
n n n
n n n
n n n
n n n
n n n
n n n
n n n
The CoNext Gen
_____________
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
a n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
ommonwealth oneration System
_____________
g
Qua
lity
Man
agem
ent
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
n n n
n n a
n n n
n n n
n n n
n n n
n n n
n n a
of Massachusems Planning Proj
_____________ February 14, 20
gy
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Infr
astr
uctu
re S
uppo
rt
and
IT
n n n
a n n
n n n
n n n
n n n
n n n
n n n
a n n
etts ject
___ 012
Exe
cutiv
e S
uppo
rt
b
n
n
n
n
n
n
n
_______D4.4C (B
Ap
plic
atio
nS
ho
rt
OccurrenceMisc. A
Misc. Sp
Shared filenetworks bvarious pa
docum
Nurse c
Intranet to documen
Tra
Gerry
All Write TService
Medquist TServic
_____________BoPHF): Final To
Ap
plic
atio
n S
ho
rt
Nam
e
e Databases - Access DB
TKWM
readsheets TKWM
es/folders on being used for atient related mentation
TKWM
all System TKWM
access word nts for Menu acking
W
y Menu MH
Transcription es - WMH
W
Transcription ces - LSH
_____________-Be TCM
Ap
plic
atio
n F
ull
Nam
e
Elig
ibili
ty
Enr
ollm
ent/R
egis
trat
io
H, LSH, MH, MHS
n
H, LSH, MH, MHS
n
H, LSH, MH, MHS
b
H, LSH, MH, MHS
n
WHM n
HS, TKH n
WMH n
LSH n
_____________
n, In
take
, and
D
isch
arg
e
Ser
vice
C
oord
inat
ion/
Tra
ckin
g an
d C
omm
unic
atio
n
Sch
edul
ing
n n n
n n n
b b b
n n n
n b b
n b b
n n n
n n n
_____________Page 1
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
n n n
n n
b b b
n n n
b n n
b n n
b b n
b b n
_____________17
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
B
illin
g an
d F
inan
cial
Pro
cess
ing
Ser
vice
Del
iver
yD
ata
b n
n b
b b
n n
n n
b n
b n
b n
_____________
Solution Sets
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
Ser
vice
s
Man
age
Con
sum
er
Fun
ds
n b n
n n b
b b b
n n n
n n n
b n n
n n n
n n n
The CoNext Gen
_____________
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
b a b
b b n
b b b
n n n
n n n
n n n
n n n
n n n
ommonwealth oneration System
_____________
g
Qua
lity
Man
agem
ent
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
b n b
a n n
b b b
b n n
b n n
b n n
b n n
b n n
of Massachusems Planning Proj
_____________ February 14, 20
gy
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Infr
astr
uctu
re S
uppo
rt
and
IT
b n n
n n b
b b b
n n n
n n n
n n n
n n n
n n n
etts ject
___ 012
Exe
cutiv
e S
uppo
rt
b
b
b
n
n
n
n
n
_______D4.4C (B
Ap
plic
atio
nS
ho
rt
In-house T
In-house T
Form
Falls, PCA,of
Business In
Summit
AutoFax
P
SOP
C
Sidexis
_____________BoPHF): Final To
Ap
plic
atio
n S
ho
rt
Nam
e
Transcription
Transcription
mFast LSHWM
, Environment care
Wdat
ntelligence DB TKWM
t Software TKWM
x/ActiveFax LSH
Pyxis TKH
PS - PIS
Phinte
ho(In
D
Citrix C
XG Dental WMH
exc
_____________-Be TCM
Ap
plic
atio
n F
ull
Nam
e
Elig
ibili
ty
Enr
ollm
ent/R
egis
trat
io
MHS n
TKH n
H, TKH, MH, MHS
n
WMH tabases
n
H, LSH, MH, MHS
n
H, LSH, MH, MHS
n
and MHS n
and LSH n
armacy rface for
ospitals cluding
DMH)
n
Citrix n
H and NO data
changed n
_____________
n, In
take
, and
D
isch
arg
e
Ser
vice
C
oord
inat
ion/
Tra
ckin
g an
d C
omm
unic
atio
n
Sch
edul
ing
n n n
n n n
b n n
n n n
n n n
n b b
n b b
n n n
n n n
n n n
n n n
_____________Page 1
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
b b n
b b n
n n n
b n n
Solution Set Supp
b a a
b n n
b n n
b n n
b n n
n n a
No
b n n
_____________18
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
B
illin
g an
d F
inan
cial
Pro
cess
ing
Ser
vice
Del
iver
yD
ata
b n
b n
b n
b b
port, e.g. Reporting and
b b
n n
b n
b n
b n
n n
n-BoPHF Systems
b n
_____________
Solution Sets
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
Ser
vice
s
Man
age
Con
sum
er
Fun
ds
n n n
n n n
n n n
n n n
d Interfaces
n n n
n n n
n n n
n n n
n n n
n n n
n n n
The CoNext Gen
_____________
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
n n n
n n n
n n n
n b n
b n n
n n n
n n n
n n n
n b n
n n n
n n n
ommonwealth oneration System
_____________
g
Qua
lity
Man
agem
ent
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
b n n
b n n
n n n
b n n
b n n
n n n
n n n
n n n
n n n
n n n
n n n
of Massachusems Planning Proj
_____________ February 14, 20
gy
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Infr
astr
uctu
re S
uppo
rt
and
IT
n n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
n n n
etts ject
___ 012
Exe
cutiv
e S
uppo
rt
n
n
n
n
b
n
n
n
n
n
n
_______D4.4C (B
Ap
plic
atio
nS
ho
rt
IV
New
MMAR
HR
CA
BoPHF Dat
Ques
_____________BoPHF): Final To
Ap
plic
atio
n S
ho
rt
Nam
e
VANS
VPN usMe
cpro(TK
W
wMMIS TKWM
RS/BAR TKWM
RCMS TKWM
AMIS TKWM
ta warehouse TKWM
st Labs Refer
_____________-Be TCM
Ap
plic
atio
n F
ull
Nam
e
Elig
ibili
ty
Enr
ollm
ent/R
egis
trat
io
Interface sed for edicare claims ocesses KH, LSH, WMH)
n
H, LSH, MH, MHS
b
H, LSH, MH, MHS
n
H, LSH, MH, MHS
n
H, LSH, MH, MHS
n
H, LSH, MH, MHS
n
MHS rence Lab
n
_____________
n, In
take
, and
D
isch
arg
e
Ser
vice
C
oord
inat
ion/
Tra
ckin
g an
d C
omm
unic
atio
n
Sch
edul
ing
n n n
n b n
n n n
n n n
n n n
n n n
n n n
_____________Page 1
Car
e P
lann
ing
and
Tre
atm
ent
Med
ical
Rec
ord
Man
agem
ent
Info
rmat
ion
Priv
acy
and
Sec
urity
n n n
n n n
n n n
n n n
n n n
n n n
b n n
_____________19
Ord
er E
ntry
, La
bora
tory
, and
P
harm
acy
Cla
ims,
B
illin
g an
d F
inan
cial
Pro
cess
ing
Ser
vice
Del
iver
yD
ata
n b
n b
n b
n b
n b
n b
b n
_____________
Solution Sets
Ser
vice
Del
iver
y D
ata
from
Con
trac
ted
Pro
vide
rs
Inte
rage
ncy
Coo
rdin
atio
n fo
r S
hare
d C
lient
Ser
vice
s
Man
age
Con
sum
er
Fun
ds
n n n
n b n
n b n
n n n
n n n
n b n
b n n
The CoNext Gen
_____________
Fun
ds
Lega
l, F
oren
sic,
and
G
uard
ians
hip
Inci
dent
Man
agem
ent
Acc
redi
tatio
n an
d Li
cens
ing
n n n
b n n
n n n
n n n
n n n
n n n
n n n
ommonwealth oneration System
_____________
g
Qua
lity
Man
agem
ent
Pro
vide
r an
d C
ontr
acto
r M
anag
emen
t an
d P
rocu
rem
ent
Man
age
Pol
icy
and
n n n
n n n
n a n
n n n
n n n
n a n
n n n
of Massachusems Planning Proj
_____________ February 14, 20
gy
Goa
ls
Est
ablis
h an
d M
anag
e B
usin
ess
Rel
atio
nshi
ps
Infr
astr
uctu
re S
uppo
rt
and
IT
n n n
n n n
n b b
n n n
n n n
n b b
n n n
etts ject
___ 012
Exe
cutiv
e S
uppo
rt
n
n
b
b
b
b
n