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OFFICE OF THE
       CHIEF INFORMATION OFFICER
                DEPARTMENT OF HEALTH AND HUMAN SERVICES


                          U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES




   HHS IT challenges and
        requirements

Frank Baitman
Chief Information Officer
U.S. Department of Health and Human Services
                                                                         1
Topics

•  HHS Priorities
•  OCIO Priorities
•  Domain Governance Approach
•  Digital Government Strategy
   –  Shared Services
   –  Department Wide Collaboration
   –  Innovation Through Challenges




                                      2
OFFICE OF THE
         CHIEF INFORMATION OFFICER
                  DEPARTMENT OF HEALTH AND HUMAN SERVICES


                            U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES



è  Transform Health Care
è  Implement the Recovery Act
è  Promote Early Childhood Health and Development
è  Help Americans Achieve and Maintain Healthy Weight
è  Prevent and Reduce Tobacco Use
è  Protect the Health and Safety of Americans in Public Health Emergencies
è  Accelerate the Process of Scientific Discovery to Improve Patient Care
è  Implement a 21st Century Food Safety System
è  Ensure Program Integrity and Responsible Stewardship
                                                                              3
Information Resource Management Principles


•  Agents for Change              •  One Enterprise
•  Accountability                 •  Engender Trust
•  Collaboration                  •  Customer Service

                         HHS CIO Vision

HHS transparently delivers information, accessible health care, and
support services to citizens from a foundation of reputable leaders
  in expert, nimble information resource management that fosters
 innovation while providing reliability, availability and appropriate
                  security of sensitive information.


                                                                        4
NIMBLE | INFORMED | EXPERT

1.  Comprehensive Asset Inventory
2.  HHS-wide Roadmap
3.  Cloud First and Shared First
4.  Security for Digital Government
5.  Customer Service
6.  Workforce Development
7.  25 Point IT Reform Plan

                                      5
The HHS Domain Governance Approach

                            From

                       Organizational
                          centric IT
                         investment
                       management
                             To

                       Business driven
                       management


                                         6
Shared Services Primary Focus Areas

                      HHS Commodity IT Priorities
                        1.  Human Resources Management
 Intra-Agency           2.  Email
Service Center          3.  Financial Management
  (Dept. CIOs)
                        4.  IT Security
                        5.  Identity and Access Management


 Inter-Agency         •  Budget •  Geographic Info Systems •  Performance
   LOBs / BCs         •  Financial •  Human Resources      •  Security
(Managing Partners)




                                                                            7
Shared Services at HHS

Consistent and efficient shared services orchestration:

 •  Identify/Plan - Find existing / plan new services

 •  Prioritize - Development services based on budget

 •  Build – Follow a monitored development process

 •  Validate - Ensure reliability and share-ability

 •  Publish – Make services visible and searchable

 •  Monitor - Ensure performance as required


                                                          8
Challenges & Opportunities
Increased Difficulty / Complexity




                                                                                                     Vendor / Provider
                                          Strategic Sourcing               Inter-Agency Funding      Lock in
                                                    Vehicles                      Transfers

                                                            Cost Savings
                                                          Reinvestment /
                                                               Retention                                       Provider Investment
                                                                                                               Funding for
                                                                                                               Modernization
                                                                           Planning / Execution
                                       Internal Agency                              of Change
                                    Contracting Process
                                                               Executive
                                                                 Support
                                                                                                  Service Level Agreement
                                                                            Business Case /       Negotiation
                                                                           Internal Agency
                                                                           Decision Process




                                                       Time Required to Resolve

                                                                                                                                     9
Yammer at HHS
•  Operating as one
   enterprise
•  HHS has begun to use the
   collaboration platform
   Yammer within the
   Department...

•  +200 Groups

•  +1200 Members




                              10
Innovation through Challenges
 •  America COMPETES Reauthorization Act of 2010
     –  Provides Federal departments and agencies with a clear legal
         pathway to plan and execute challenges and competitions, and
         specifically authorizes the use of appropriated funds for these
         purposes.
 •  Stimulate innovation: http://challenge.gov


"The first step in winning the future is encouraging American innovation.
 None of us can predict with certainty what the next big industry will be
  or where the new jobs will come from. Thirty years ago, we couldn’t
  know that something called the Internet would lead to an economic
 revolution. What we can do -- what America does better than anyone
     else -- is spark the creativity and imagination of our people. "

                               President Barack Obama, January 25, 2011
                                    http://www.whitehouse.gov/innovation/strategy


                                                                                    11
Active HHS Challenges

•  Stop Bullying Video Challenge ($3,000) - HRSA
•  Challenge to Identify Audacious Goals in Vision
   Research and Blindness Rehabilitation ($100,000) - NIH
•  Managing Meds Video Challenge ($7,500) - ONC
•  The Million Hearts Risk Check Challenge ($125,000) –
    ONC
                  We challenge you!
        +300 Challenges available on challenge.gov
                    54 HHS challenges




                                                            12
Blue Button Mash Up Challenge

•  Make personal health information more usable and meaningful
   for the individual consumer or patient
•  Develop an app that makes the best use of Blue Button®
   downloaded personal health data and combines it with other
   types of data. The app must be able to garner high patient
   engagement rates.




                                                                13
EHR Accessibility Module Challenge

•  Launched on Jan. 30, 2012
•  Goal was to create and test a module or
   application that makes it easy for
   people with disabilities to access and
                                                   Provider EHR
   interact with the health data stored in
   their EHRs.                                                      Apollo Abstraction layer
                                                                          Data Model
                                                   Application

•  The winning team, Pinaxis, created
    Apollo, a fully accessible Internet portal                      EHR Connect
                                                                                       Data
    that will allow patients to interact with       Database           Layer          Handler

    any provider’s existing EHR system over
    the Web.
                                                                       Drupal Content
•  Apollo’s patient portal is designed to        Provider Website    Management System

   enhance the user experience for                   Apollo
   patients.                                         Patient
                                                     Website
                                                                      Apollo        Apollo
                                                                      Module        Theme
                                                                      Library       Library




                                                    http://apollo.pinaxis.com/
                                                                                               14
Empower citizens with Mobile Technologies

•  Healthcare:                     •  Increase productivity:
   •    Waiting Rooms                 •  Networking/Communication
   •    Clinical Material             •  Document Review/Storage
   •    Reference Material            •  Ease of Use
   •    Electronic Communication


                                        •  Field service:
                                           •    Mapping
                                           •    Schematics
                                           •    Data Collection
                                           •    Surveillance
                                           •    Help Desk


                                                                  15
Mobile Technologies at HHS

•  US Food and Drug Administration (FDA) approved the first
   diagnostic radiology app for use in viewing medical
   images to make diagnoses using Apple's iPad and iPhone




  http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm242295.htm


                                                                      16
Mobile Technologies at HHS
    http://www.cdc.gov/mobile/applications/cdcgeneral/promos/ipad_promo.html


•  Centers for Disease Control and
   Prevention (CDC) iPad App:
  •  Health information at their
     fingertips

  •  It features important health
      articles, popular journals, timely
      updates and access to social
      media to coincide with
      important health concerns and
      events throughout the year




                                                                           17
CDC Fetal Alcohol
    Find a Health Center
                                              Spectrum Disorders
•  Checkups when you're well
                                        •  Alcohol consumption data by state
•  Treatment when you're sick
                                        •  Individualized pages for different
•  Complete care when you're                users – women, families, health care
   pregnant                                 providers, educators, and partners
•  Immunizations and checkups for       •  Access to free materials on alcohol
    your children                          use and pregnancy and FASDs
•  Dental care and prescription drugs
   for your family




                                                                                 18
HHS IT Budget Challenges & Opportunities

•  HHS IT Budget
  –  $7B approximate annual IT budget
  –  10% IT Budget Reduction Required by 2014


•  How can you help?
  –  How will you save me money?
  –  Can you do what I need done for less?




                                                19
OFFICE OF THE
        CHIEF INFORMATION OFFICER
                 DEPARTMENT OF HEALTH AND HUMAN SERVICES


                            U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES




            QUESTIONS ?
Frank Baitman
Chief Information Officer
U.S. Department of Health and Human Services
www.hhs.gov/ocio
                                                                           20

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HHS IT Challenges

  • 1. OFFICE OF THE CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HHS IT challenges and requirements Frank Baitman Chief Information Officer U.S. Department of Health and Human Services 1
  • 2. Topics •  HHS Priorities •  OCIO Priorities •  Domain Governance Approach •  Digital Government Strategy –  Shared Services –  Department Wide Collaboration –  Innovation Through Challenges 2
  • 3. OFFICE OF THE CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES è  Transform Health Care è  Implement the Recovery Act è  Promote Early Childhood Health and Development è  Help Americans Achieve and Maintain Healthy Weight è  Prevent and Reduce Tobacco Use è  Protect the Health and Safety of Americans in Public Health Emergencies è  Accelerate the Process of Scientific Discovery to Improve Patient Care è  Implement a 21st Century Food Safety System è  Ensure Program Integrity and Responsible Stewardship 3
  • 4. Information Resource Management Principles •  Agents for Change •  One Enterprise •  Accountability •  Engender Trust •  Collaboration •  Customer Service HHS CIO Vision HHS transparently delivers information, accessible health care, and support services to citizens from a foundation of reputable leaders in expert, nimble information resource management that fosters innovation while providing reliability, availability and appropriate security of sensitive information. 4
  • 5. NIMBLE | INFORMED | EXPERT 1.  Comprehensive Asset Inventory 2.  HHS-wide Roadmap 3.  Cloud First and Shared First 4.  Security for Digital Government 5.  Customer Service 6.  Workforce Development 7.  25 Point IT Reform Plan 5
  • 6. The HHS Domain Governance Approach From Organizational centric IT investment management To Business driven management 6
  • 7. Shared Services Primary Focus Areas HHS Commodity IT Priorities 1.  Human Resources Management Intra-Agency 2.  Email Service Center 3.  Financial Management (Dept. CIOs) 4.  IT Security 5.  Identity and Access Management Inter-Agency •  Budget •  Geographic Info Systems •  Performance LOBs / BCs •  Financial •  Human Resources •  Security (Managing Partners) 7
  • 8. Shared Services at HHS Consistent and efficient shared services orchestration: •  Identify/Plan - Find existing / plan new services •  Prioritize - Development services based on budget •  Build – Follow a monitored development process •  Validate - Ensure reliability and share-ability •  Publish – Make services visible and searchable •  Monitor - Ensure performance as required 8
  • 9. Challenges & Opportunities Increased Difficulty / Complexity Vendor / Provider Strategic Sourcing Inter-Agency Funding Lock in Vehicles Transfers Cost Savings Reinvestment / Retention Provider Investment Funding for Modernization Planning / Execution Internal Agency of Change Contracting Process Executive Support Service Level Agreement Business Case / Negotiation Internal Agency Decision Process Time Required to Resolve 9
  • 10. Yammer at HHS •  Operating as one enterprise •  HHS has begun to use the collaboration platform Yammer within the Department... •  +200 Groups •  +1200 Members 10
  • 11. Innovation through Challenges •  America COMPETES Reauthorization Act of 2010 –  Provides Federal departments and agencies with a clear legal pathway to plan and execute challenges and competitions, and specifically authorizes the use of appropriated funds for these purposes. •  Stimulate innovation: http://challenge.gov "The first step in winning the future is encouraging American innovation. None of us can predict with certainty what the next big industry will be or where the new jobs will come from. Thirty years ago, we couldn’t know that something called the Internet would lead to an economic revolution. What we can do -- what America does better than anyone else -- is spark the creativity and imagination of our people. " President Barack Obama, January 25, 2011 http://www.whitehouse.gov/innovation/strategy 11
  • 12. Active HHS Challenges •  Stop Bullying Video Challenge ($3,000) - HRSA •  Challenge to Identify Audacious Goals in Vision Research and Blindness Rehabilitation ($100,000) - NIH •  Managing Meds Video Challenge ($7,500) - ONC •  The Million Hearts Risk Check Challenge ($125,000) – ONC We challenge you! +300 Challenges available on challenge.gov 54 HHS challenges 12
  • 13. Blue Button Mash Up Challenge •  Make personal health information more usable and meaningful for the individual consumer or patient •  Develop an app that makes the best use of Blue Button® downloaded personal health data and combines it with other types of data. The app must be able to garner high patient engagement rates. 13
  • 14. EHR Accessibility Module Challenge •  Launched on Jan. 30, 2012 •  Goal was to create and test a module or application that makes it easy for people with disabilities to access and Provider EHR interact with the health data stored in their EHRs. Apollo Abstraction layer Data Model Application •  The winning team, Pinaxis, created Apollo, a fully accessible Internet portal EHR Connect Data that will allow patients to interact with Database Layer Handler any provider’s existing EHR system over the Web. Drupal Content •  Apollo’s patient portal is designed to Provider Website Management System enhance the user experience for Apollo patients. Patient Website Apollo Apollo Module Theme Library Library http://apollo.pinaxis.com/ 14
  • 15. Empower citizens with Mobile Technologies •  Healthcare: •  Increase productivity: •  Waiting Rooms •  Networking/Communication •  Clinical Material •  Document Review/Storage •  Reference Material •  Ease of Use •  Electronic Communication •  Field service: •  Mapping •  Schematics •  Data Collection •  Surveillance •  Help Desk 15
  • 16. Mobile Technologies at HHS •  US Food and Drug Administration (FDA) approved the first diagnostic radiology app for use in viewing medical images to make diagnoses using Apple's iPad and iPhone http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm242295.htm 16
  • 17. Mobile Technologies at HHS http://www.cdc.gov/mobile/applications/cdcgeneral/promos/ipad_promo.html •  Centers for Disease Control and Prevention (CDC) iPad App: •  Health information at their fingertips •  It features important health articles, popular journals, timely updates and access to social media to coincide with important health concerns and events throughout the year 17
  • 18. CDC Fetal Alcohol Find a Health Center Spectrum Disorders •  Checkups when you're well •  Alcohol consumption data by state •  Treatment when you're sick •  Individualized pages for different •  Complete care when you're users – women, families, health care pregnant providers, educators, and partners •  Immunizations and checkups for •  Access to free materials on alcohol your children use and pregnancy and FASDs •  Dental care and prescription drugs for your family 18
  • 19. HHS IT Budget Challenges & Opportunities •  HHS IT Budget –  $7B approximate annual IT budget –  10% IT Budget Reduction Required by 2014 •  How can you help? –  How will you save me money? –  Can you do what I need done for less? 19
  • 20. OFFICE OF THE CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES QUESTIONS ? Frank Baitman Chief Information Officer U.S. Department of Health and Human Services www.hhs.gov/ocio 20